Electronic Health Records: From the Management of Patients to the Research Use of Clinical Data

Paper based medical records are still widespread in Italian hospitals and the workflow to manage outpatients\u2019 visits is critical. Too many isolated software programs coexist in hospital wards and cause confusion and disorganization. A computerized medical record that unifies all the data contained in the various applications should be of fundamental importance in supporting physician\u2019s daily activities. Moreover, with the digital clinical record, data can be re-used for research purposes. The aim of this project is to create a web application for the management of outpatient visits to the Infectious Diseases Unit of the San Martino Hospital in Genoa. In order to orchestrate all the software programs acting in the visit workflow, a client application was developed to speed up the work of the medical staff at the time of the visits, ameliorating the quantity and quality of relevant information from a clinical point of view. A further extension allows standard data exchange between the developed application and the Ligurian HIV Network, which is the main regional research platform

Monitoring and modeling the invasion of the fast spreading alien Senecio inaequidens DC. in an alpine region

We modeled the distribution of the South African alien Senecio inaequidens DC. in the Aosta Valley, Western Italian Alps, using data extracted from the Regional floristic database and from an intensive field survey carried out in years 2009-2010. The aims of the work were (1) to evaluate whether the species is in the introduction, colonization, or establishment stage of invasion, (2) to detect the environmental factors that drive the invasion process, and (3) to highlight the potential range of distribution of the alien species. The modeling framework was a stepwise generalized linear model (GLM), using gridded presence/absence data and environmental predictors such as topography, climate, land use, and anthropogenic and natural disturbances. GLM were fit both with and without an additional independent variable to take into account current dispersal limitations. S. inaequidens displayed a very fast spread in the Aosta Valley in the years 1990-2010. The species was positively associated with roads and rivers, southern slopes, and negatively with elevation. However, it was found at an elevation of 1600 m, showing the ability to reach higher elevations than those observed for other invasive alien species, and confirming to be pre-adapted to mountain conditions. The difference between the species distribution models, with and without dispersal constraints, suggested that the availability of seed sources still limits the potential distribution of the species, rather than the environmental variables, and that the realized regional niche differs to a great extent from the equilibrium niche. When limitations to the seed source cease (i.e., in the establishment stage), the species will likely invade large areas that are currently characterized by pastures and grasslands with native species of high agricultural importance. The invasion of S. inaequidens should therefore be considered a serious threat, due to its potential to invade mountain regions, and in particular to colonize habitats used for grazing and forage, thus leading to a high risk for cattle and human health. We discuss the relevance of the results both concerning communication with the public and to support local eradication and control activities. The inclusion of S. inaequidens in the "black list" of the regional law for the conservation of alpine flora (L.R. 45/2009) will help to transfer the information and support invasion control, in particular at medium elevations

RFID technology applied to the glacial environment: MALATRA electronic system design and experimental data

The higher mountains of the Alps focus in the western part of Europe and favor a high concentration of glaciers in this area. The Aosta Valley region is surrounded by mountains, more than the 50% of its territory lying above 2000 m a.s.l. In the summer, most of the water supply of the region relies on the contribution given by snowmelt and, partially, by ice melt. Study of glacial processes is thus very important in this region. In this context the MALATRÀ project (led by Fondazione Montagna Sicura and Envisens Technologies) is created to develop a low-cost instrumentation capable of measuring with continuity the physical parameters of snow and ice. The instrumentation consists of a miniaturized electronic device (tag) equipped with sensors and placed inside an ovoidal small-dimension (48 mm diameter and 180 mm length) plastic capsule. Moreover, the implementation of radio frequency identification technology (RFID) allows remote communication from the surface with the tags placed deep into the glacier, thus saving time, effort and cost in collecting data. Tags allow communication at long distance working at 315 MHz frequency. At this step, the goal is to use such devices during the annual glaciological campaigns to measure the weight of the snowpack above the tag (with a pressure sensor), in order to derive the snow water equivalent (SWE) and temperature inside the ice. As a first step, the capsules will be coupled with ablation stakes installed in the ice, placed at the bottom of boreholes. Each capsule is uniquely identified by a code and can be located in a 3-D local system via radio using a localization algorithm under development. It is then, during the installation, georeferenced absolutely using a GNSS receiver. This functionality also allows for the glacier displacement measurements. Once the device has been identified, all the data stored in the internal memory can be remotely downloaded from the reader. At the current development stage the board is equipped with a precise thermometer (PT1000) and a pressure sensor to catch ice data, a magnetometer and a tri-axial accelerometer sensor to study the movement of the capsule within the ice. The performance of the system has been tested in the glacial environment with excellent results

RFID technology applied to the glacial environment: MALATRA electronic system design and experimental data

The higher mountains of the Alps focus in the western part of Europe and favor a high concentration of glaciers in this area. The Aosta Valley region is surrounded by mountains, more than the 50% of its territory lying above 2000 m a.s.l. In the summer, most of the water supply of the region relies on the contribution given by snowmelt and, partially, by ice melt. Study of glacial processes is thus very important in this region. In this context the MALATRÀ project (led by Fondazione Montagna Sicura and Envisens Technologies) is created to develop a low-cost instrumentation capable of measuring with continuity the physical parameters of snow and ice. The instrumentation consists of a miniaturized electronic device (tag) equipped with sensors and placed inside an ovoidal small-dimension (48 mm diameter and 180 mm length) plastic capsule. Moreover, the implementation of radio frequency identification technology (RFID) allows remote communication from the surface with the tags placed deep into the glacier, thus saving time, effort and cost in collecting data. Tags allow communication at long distance working at 315 MHz frequency. At this step, the goal is to use such devices during the annual glaciological campaigns to measure the weight of the snowpack above the tag (with a pressure sensor), in order to derive the snow water equivalent (SWE) and temperature inside the ice. As a first step, the capsules will be coupled with ablation stakes installed in the ice, placed at the bottom of boreholes. Each capsule is uniquely identified by a code and can be located in a 3-D local system via radio using a localization algorithm under development. It is then, during the installation, georeferenced absolutely using a GNSS receiver. This functionality also allows for the glacier displacement measurements. Once the device has been identified, all the data stored in the internal memory can be remotely downloaded from the reader. At the current development stage the board is equipped with a precise thermometer (PT1000) and a pressure sensor to catch ice data, a magnetometer and a tri-axial accelerometer sensor to study the movement of the capsule within the ice. The performance of the system has been tested in the glacial environment with excellent results

Terrestrial laser scanning (TLS) / Photogrammetry

PermaNET project, Comparison methods WP6.1

Rischi glaciali in Valle d'Aosta. Monitoraggio e ricerca applicata

I fenomeni di origine glaciale rappresentano una fonte di rischio importante nelle aree di montagna e nelle Alpi in particolare. Il rischio deriva dall’interazione tra le dinamiche glaciali, molto attive ed in rapida evoluzione anche – ma non solo – in relazione al cambiamento climatico, e la presenza antropica, in forte espansione nelle aree alpine nell’ultimo secolo. I principali rischi di origine glaciale derivano dal crollo di seracchi, dal collasso di ghiacciai temperati e dal rilascio improvviso di acqua accumulata nei ghiacciai stessi. Il territorio valdostano, per le sue caratteristiche, è particolarmente soggetto a tali rischi. Per questa ragione l’amministrazione regionale, tramite la Fondazione montagna sicura, ha attuato un piano di monitoraggio specifico per il rischio glaciale. Il piano si articola in diverse azioni, sia a livello dell’intero territorio sia per il monitoraggio di casi specifici