Terraced landscapes located in areas of great value for touristic purposes as an irreversible practice

Since Neolithic, terraced landscapes have been an essential element for moulding mountain or steep slope into habitable arable areas. Over the last decades, they have been subjected to a quick abandonment because of their inadequate economic competitiveness causing a gap in their maintenance and, consequently, incrementing the hydrogeological instability of those areas. Minori is a small municipality (256 ha), protected by UNESCO, located in Amalfi Coast. That area is well known not only for the beauty of its territory but also for some catastrophic raining events, like in 1954 when a rain shower of 500 mm topped up to 24 hours. The current research work intends to analyse the landscape changes in Minori over sixty year period (1956 - 2017) for assessing the new values taken on the land use and the agricultural sites. A detailed orthophoto and a high resolution Digital Elevation Model (DEM) of the study area have been reconstructed using the historical photogrammetric photos of 1954, acquired by the Italian Military Geographic Institute (IGM), and the aerial photogrammetric pictures of 2017, obtained by an own flight. DEM and orthophoto have been reconstructed applying Agisoft Photoscan Professional. The resolution of the generated DEM is equal to 0.48 and 0.1 m for 1956 and 2017, respectively. The orthophoto resolution is of 0.24 and 0.07 for 1956 and 2017, respectively. Comparing the generated products of the two periods, it is pointed out that terraces extension has not been amended, while the amount of human constructions have increased of about 800%. To give a first idea of the most vulnerable areas to be investigated more in depth through simulation procedures, a first proposal of an expeditious index of vulnerability (EVI) has been introduced and tested. It is based on the ratio between the amount of surface occupied by buildings and the amount of areas subjected to a debris flow event. The increase of the vulnerability, exposure values and probability of accident occurring involve a risk rise

A five-year survey for plastic surgery malpractice claims in Rome, Italy

(1) Introduction: Medical malpractice claims against both health institutions and physicians are a crucial topic in Italy, as well as in other countries, particularly regarding civil proceedings. Our study reports an analysis of all of the malpractice judgments concerning plastic surgery decided in the Civil Court of Rome between 2012 and 2016. (2) Methods: the database of the Observatory Project on Medical Responsibility (ORMe) was analyzed, which collects all of the judgments of the Civil Court of Rome, that is, the first instance district court. Therefore, neither the jurisprudence of the second level court nor that of the Supreme Court was taken into account. (3) Results: 144 judgments concerning plastic surgery were delivered in the five-year period of 2012–2016 (corresponding to 10.6% of total professional liability verdicts of the Civil Court of Rome in the same period). In 101/144 cases (70.14%), the claim was accepted. A total of €4,727,579.00 was paid in compensation for plastic surgery malpractice claims, with a range from a minimum amount of €1555.96 to a maximum amount of €1,425,155.00 and an average compensation of €46,807.71 per claim that was significantly lower compared to other surgical disciplines. (4) Conclusions: Our data confirm that the analyzed branch has a high litigation rate, with a prevalence of convictions for cosmetic procedures over reconstructive ones, both for malpractice and for violation of the informed consent. Plastic surgery is also confirmed among those branches in which the professionals are more frequently sued compared to health institutions

Indirect field technology for detecting areas object of illegal spills harmful to human health: application of drones, photogrammetry and hydrological models

The accumulation of heavy metals in agricultural soils is a serious environmental problem. The Campania region in southern Italy has higher levels of cancer risk, presumably due to the accumulation of geogenic and anthropogenic soil pollutants, some of which have been incorporated into organic matter. The aim of this study was to introduce and test an innovative, field-applicable methodology to detect heavy metal accumulation using drone-based photogrammetry and microrill network modelling, specifically to generate wetlands wetlands prediction indices normally applied at large catchment scales, such as a large geographic basin. The processing of aerial photos taken using a hexacopter equipped with fifth-generation software for photogrammetry allowed the generation of a digital elevation model (DEM) with a resolution as high as 30 mm. Not only this provided a high potential for the study of micro-rill processes, but it was also useful for testing and comparing the capability of the topographic index (TI) and the clima-topographic index (CTI) to predict heavy metal sedimentation points at scales from 0.1 to 10 ha. Our results indicate that the TI and CTI indices can be used to predict points of heavy metal accumulation for small field catchments

Isolated Fetal Ascites Secondary to Persistent Urogenital Sinus

Objective. To present a case of isolated ascites secondary due to urogenital abnormalities (urogenital sinus) without any other prenatal ultrasound marker. Method. A 36-year-old woman with prenatal isolated ascites delivered a female baby, weighing 2.285 g; ascites was drained at birth and the baby underwent several episodes of urinary retention prior to undergoing X-ray investigations. Results. A voiding cystourethrogram revealed a short urogenital sinus: a vesicostomy was performed. A vaginoscopy revealed double vagina with a large posterior vagina. A posterior sagittal anorectal pull-through with genitoplasty was performed at 2 years old with 1-year follow-up. Conclusions. Though rare, a urogenital abnormality is to be suspected in fetal ascites cases with negative viral tests and no cardiac anomalies. The most common ultrasound marker of such abnormalities (fluid filled cavity) may be missing because of complete drainage of urine through the tubes into peritoneum

Opening up the black box of family entrepreneurship across generations : A systematic literature review

What makes some families more entrepreneurial than others? How are they able to nurture entrepreneurship across generations? These are fundamental questions for family business and entrepreneurship research. In particular, the multigenerational dimension of entrepreneurial families (EFs) and the new family logics that emerge as the family grows may lead to different types of entrepreneurial activities. To shed light on these questions, we conduct a systematic literature review of 90 peer-reviewed articles focusing on the characteristics and behaviours of EFs, family members and their business activities. Specifically, we first identify and categorise the family-related factors characterising EFs across generations. Second, we link the identified factors to different types of entrepreneurial activities pursued as the generations advance, distinguishing two dimensions: mode of organising (internal vs. external), and degree of relatedness (related vs. unrelated). Finally, we highlight the main gaps in the literature and provide a future research agenda

Standardized postnatal management of infants with congenital diaphragmatic hernia in Europe: The CDH EURO consortium consensus

Congenital diaphragmatic hernia (CDH) is associated with high mortality and morbidity. To date, there are no standardized protocols for the treatment of infants with this anomaly. However, protocols based on the literature and expert opinion might improve outcome. This paper is a consensus statement from the CDH EURO Consortium prepared with the aim of achieving standardized postnatal treatment in European countries. During a consensus meeting between high-volume centers with expertise in the treatment of CDH in Europe (CDH EURO Consortium), the most recent literature on CDH was discussed. Thereafter, 5 experts graded the studies according to the Scottish Intercollegiate Guidelines Network (SIGN) Criteria. Differences in opinion were discussed until full consensus was reached. The final consensus statement, therefore, represents the opinion of all consortium members. Multicenter randomized controlled trials on CDH are lacking. Use of a standardized protocol, however, may contribute to more valid comparisons of patient data in multicenter studies and identification of areas for further research

Heisenberg's Uncertainty Relation and Bell Inequalities in High Energy Physics

An effective formalism is developed to handle decaying two-state systems. Herewith, observables of such systems can be described by a single operator in the Heisenberg picture. This allows for using the usual framework in quantum information theory and, hence, to enlighten the quantum feature of such systems compared to non-decaying systems. We apply it to systems in high energy physics, i.e. to oscillating meson-antimeson systems. In particular, we discuss the entropic Heisenberg uncertainty relation for observables measured at different times at accelerator facilities including the effect of CP violation, i.e. the imbalance of matter and antimatter. An operator-form of Bell inequalities for systems in high energy physics is presented, i.e. a Bell-witness operator, which allows for simple analysis of unstable systems.Comment: 17 page

Neurodevelopmental Outcome in High-Risk Congenital Diaphragmatic Hernia Patients: An Appeal for International Standardization

BACKGROUND: Since mortality in congenital diaphragmatic hernia (CDH) is decreasing, morbidity such as neurodevelopmental outcome is becoming increasingly important. OBJECTIVES: We evaluated neurodevelopmental outcome in high-risk CDH patients treated according to the CDH EURO Consortium standardized treatment protocol. METHODS: This observational, prospective cohort study was conducted in two European centers. Neurodevelopment of 88 patients (Rotterdam n = 49; Rome n = 39) was assessed at 12 and 24 months with the Bayley Scales of Infant Development (BSID)-II-NL (Rotterdam) or BSID-III (Rome). Data of the centers were analyzed separately. RESULTS: Cognition was normal in 77.8% of children from Rotterdam and in 94.8% from Rome at 12 months, and in 70.7 and 97.4%, respectively, at 24 months. Motor function was normal in 64.3% from Rotterdam and in 81.6% from Rome at 12 months and in 45.7 and 89.8%, respectively, at 24 months. Longer length of hospital stay (LoS) was associated with worse cognitive outcome and motor function; LoS, low socioeconomic status, and ethnicity were associated with lower cognition. CONCLUSIONS: At 2 years, most CDH patients have normal cognition, but are at risk for motor function delay. Due to differences in outcomes between centers, careful interpretation is needed before conclusions can be drawn for other centers. Future multicenter collaboration should not only focus on standardization of postnatal care, but also on international standardization of follow-up to identify risk factors and thereby reduce morbidity

Lessons from SARS-CoV-2 Pandemics: How Restrictive Measures Impacted the Trend of Respiratory Infections in Neonates and Infants up to Three Months of Age

(1) Background: Massive social efforts to prevent the spread of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic have affected the epidemiological features of respiratory infections. (2) Methods: The study aims to describe the trend of hospitalizations for bronchiolitis among newborns and infants up to three months of life in Rome (Italy), in the pre-COVID-19 era and during the pandemic. (3) Results: We observed a marked decrease in the number of neonates and infants with bronchiolitis after national lockdowns in 2020 and the first months of 2021 and a similar trend in the number of bronchiolitis caused by respiratory syncytial virus (RSV). RSV was the leading pathogen responsible for bronchiolitis before the national lockdown in March 2020 (70.0% of cases), while Rhinovirus was the leading pathogen responsible for bronchiolitis (62.5%) during the pandemic while strict restrictions were ongoing. As Italy approached the COVID-19 vaccination target, the national government lifted some COVID-19-related restrictions. A surprising rebound of bronchiolitis (particularly cases caused by RSV) was observed in October 2021. (4) Conclusions: In this study, we describe for the first time the fluctuations over time of RSV bronchiolitis among newborns and young infants in Italy in relation to the restrictive measures containing the spread of the COVID-19 pandemic. Our results are in line with other countries' reports