Socio-demographic and clinical characterization of patients with obsessive-compulsive tic-related disorder (OCTD) : An Italian multicenter study

© Copyright by Pacini Editore SrlIn the DSM-5 a new "tic-related" specifier for obsessive compulsive disorder (OCD) has been introduced, highlighting the importance of an accurate characterization of patients suffering from obsessive-compulsive tic-related disorder ("OCTD"). In order to characterize OCTD from a socio-demographic and clinical perspective, the present multicenter study was carried out. The sample consists of 266 patients, divided in two groups with lifetime diagnoses of OCD and OCTD, respectively. OCTD vs OCD patients showed a significant male prevalence (68.5% vs 48.5%; p < .001), a higher rate of psychiatric comorbidities (69.4 vs 50%; p < .001) - mainly with neurodevelopmental disorders (24 vs 0%; p < .001), a lower education level and professional status (middle school diploma: 25 vs 7.6%; full-Time job 44.4 vs 58%; p < .001). Moreover, OCTD vs OCD patients showed significantly earlier age of OCD and psychiatric comorbidity onsets (16.1 ± 10.8 vs 22.1 ± 9.5 years; p < .001, and 18.3 ± 12.8 vs 25.6 ± 9.4: p < .001, respectively). Patients with OCTD patients were treated mainly with antipsychotic and with a low rate of benzodiazepine (74.2 vs 38.2% and 20.2 vs 31.3%, respectively; p < .001). Finally, OCTD vs OCD patients showed higher rates of partial treatment response (58.1 vs 38%; p < .001), lower rates of current remission (35.5 vs 54.8%; p < .001) and higher rates of suicidal ideation (63.2 vs 41.7%; p < .001) and attempts (28.9 vs 8.3%; p < .001). Patients with OCTD report several unfavorable socio-demographic and clinical characteristics compared to OCD patients without a history of tic. Additional studies on larger sample are needed to further characterize OCTD patients from clinical and therapeutic perspectives.Peer reviewedFinal Published versio

Weathering Effects on Engineering Geological Properties of Trachydacitic Volcanic Rocks from the Monte Amiata (Southern Tuscany, Italy)

Variability in lithology and weathering degree affects physical and mechanical properties of rocks. In this study, we investigated the relationships between weathering degree and engineering geological properties of trachydacitic volcanic rocks from Monte Amiata (central Italy) by coupling field and laboratory analyses. We collected in situ Schmidt hammer tests in the field. We evaluated weathering quantifying the percentage of secondary minerals through thermal analysis in the laboratory. We also determined dry density (rd), specific gravity of solids (Gs), porosity (n) and two-dimensional (2D) porosity as resulted from scanning electron microscopy investigations. The results of our study indicate a negative linear correlation between Schmidt hammer rebound values and secondary mineral percentage. This correlation provides a tool to quantitatively estimate the deterioration of rock uniaxial compressive strength (UCS) as weathering increases. Moreover, thermal analysis turned out to be a quantitative and reproducible method to evaluate weathering degree of magmatic rocks

Phase 1/2 Dose Escalating Study of Twice-Monthly Pemetrexed and Gemcitabine in Patients with Advanced Cancer and Non-small Cell Lung Cancer

IntroductionPemetrexed is synergistic with gemcitabine in preclinical models of non-small cell lung cancer (NSCLC). The optimal dose and utility of gemcitabine and pemetrexed was evaluated in a dose-escalating study.MethodsThe phase 1 study included patients with advanced tumors, whereas the phase 2 study included patients with locally advanced or metastatic NSCLC. Gemcitabine was infused over 30 minutes, followed by pemetrexed administered over 10 minutes on day 1 of a 14-day cycle. Treatment continued for 12 cycles or until disease progression. All patients received folic acid, Vitamin B12, and steroid prophylaxis.ResultsMaximum tolerated dose was gemcitabine 1500 mg/m2, followed by pemetrexed 500 mg/m2. Fifty-three patients (29 male, 24 female) were enrolled in the phase 2 study. Response rate was 20.8% (95% CI: 0.108–0.341), and the clinical benefit rate (CR + PR + SD) was 64.2%. Median time to disease progression was 4.6 months (95% CI: 2.79–6.18), median survival was 10.1 month (95% CI: 5.95–14.09, censorship = 20.75%), and 1-year survival was 41.0%. Common grade 3 or 4 adverse events (% of patients) were neutropenia (28.3%), fatigue (22.6%), and febrile neutropenia (9.4%).ConclusionsTwice-monthly gemcitabine and pemetrexed was well tolerated, with overall survival and clinical benefit indicating disease activity in NSCLC patients

Influence of Root Reinforcement on Shallow Landslide Distribution: A Case Study in Garfagnana (Northern Tuscany, Italy)

In this work, we evaluated the influence of root structure on shallow landslide distribution. Root density measurements were acquired in the field and the corresponding root cohesion was estimated. Data were acquired from 150 hillslope deposit trenches dug in areas either devoid or affected by shallow landslides within the Garfagnana Valley (northern Tuscany, Italy). Results highlighted a correlation between the root reinforcement and the location of measurement sites. Namely, lower root density was detected within shallow landslides, with respect to neighboring areas. Root area ratio (RAR) data allowed us to estimate root cohesion by the application of the revised version of the Wu and Waldron Model. Then, we propose a new method for the assimilation of the lateral root reinforcement into the infinite slope model and the limit equilibrium approach by introducing the equivalent root cohesion parameter. The results fall within the range of root cohesion values adopted in most of the physically based shallow landslide susceptibility models known in the literature (mean values ranging between ca. 2 and 3 kPa). Moreover, the results are in line with the scientific literature that has demonstrated the link between root mechanical properties, spatial variability of root reinforcement, and shallow landslide locations

The situational version of the brief COPE: Dimensionality and relationships with goal-related variables

This study is aimed at investigating the dimensionality of the situational version of the Brief COPE, a questionnaire that is frequently used to assess a broad range of coping responses to specific difficulties, by comparing five different factor models highlighted in previous studies. It also aimed at exploring the relationships among coping responses, personal goal commitment and progress. The study involved 606 adults (male = 289) ranging in age from 19 to 71. Using confirmatory factor analysis, we compared five models and assessed relationships of coping responses with goal commitment and progress. The results confirmed the theoretical factor structure of the situational Brief COPE. All the 14 dimensions showed acceptable reliability and relationships with goal commitment and progress, attesting the reliability and usefulness of this measure to evaluate coping responses to specific events

An Overview of the 2014 ALMA Long Baseline Campaign

A major goal of the Atacama Large Millimeter/submillimeter Array (ALMA) is to make accurate images with resolutions of tens of milliarcseconds, which at submillimeter (submm) wavelengths requires baselines up to ~15 km. To develop and test this capability, a Long Baseline Campaign (LBC) was carried out from September to late November 2014, culminating in end-to-end observations, calibrations, and imaging of selected Science Verification (SV) targets. This paper presents an overview of the campaign and its main results, including an investigation of the short-term coherence properties and systematic phase errors over the long baselines at the ALMA site, a summary of the SV targets and observations, and recommendations for science observing strategies at long baselines. Deep ALMA images of the quasar 3C138 at 97 and 241 GHz are also compared to VLA 43 GHz results, demonstrating an agreement at a level of a few percent. As a result of the extensive program of LBC testing, the highly successful SV imaging at long baselines achieved angular resolutions as fine as 19 mas at ~350 GHz. Observing with ALMA on baselines of up to 15 km is now possible, and opens up new parameter space for submm astronomy.Comment: 11 pages, 7 figures, 2 tables; accepted for publication in the Astrophysical Journal Letters; this version with small changes to affiliation

Comparison between direct measurements and indirect estimations of hydraulic conductivity for slope deposits of the North-Western Tuscany, Italy

Hydraulic conductivity (K) is a relevant engineering geology property of deposits that cover the geological bedrock (Slope Deposits – SD). This parameter is useful for many applications fields such as: simulations of both infiltration and runoff processes, hillslope stability numerical analysis, hydrological studies, soil science and environmental problems. A wide range of methods are available in the literature in order to estimate K. Anyhow, they can be divided into direct measurement (field and laboratory test) and indirect estimations (eg. correlation from grain size, pedotransfer functions). However, many factors (eg. SD grain size, bulk density, organic matter, etc.) can affect the K value hence the determination of K within SD is often a challenge. Moreover, the value of K generally shows an high spatial variability requiring a large number of direct measurements to obtain robust spatial estimations. Indirect methods may be used alternatively or in pair with direct methods. However, relations between K and other soil physical properties are generally suitable only for specific type of soils, therefore, the application of those relations are constrained. In this work a wide (about 200) set of field measurements were performed in North-Western Tuscany in order to assess the variability of K in the vadose zone for SD characterized by different grain size composition. Measurements were carried out by means of both constant and falling head permeameters, as well as double ring infiltrometer. In the test sites engineering geology properties of SD such as bulk density and depth have been collected, moreover, samples have been collected for laboratory analysis. A statistical analysis of the K value has been performed for SD characterized by different grain size distribution and geological bedrock. Moreover, a comparison between the field methods have been also performed. Finally, a comparison between measured and estimated values of K has been done in order to assess the reliability of different equations to predict K. The results show that the K value varies across: different geological settings, the SD profile and the geographic neighborhood of the test site. Moreover, the results highlight that the indirect methods used in this work have to be used carefully in our study area

Exploring the Potential of Portable Spectroscopic Techniques for the Biochemical Characterization of Roots in Shallow Landslides

In the present work, Raman, Fourier Transform Infrared (FTIR) and elemental Laser-Induced Breakdown Spectroscopy (LIBS) spectroscopic techniques were used for the assessment of the influence of plant root composition towards shallow landslide occurrence. For this purpose, analyses were directly carried out on root samples collected from chestnut forests of the Garfagnana basin (northern Apennines, Italy) in different areas devoid and affected by shallow landslides due to frequent heavy rain events. Results have highlighted a correlation between the biochemical constituents of wooden roots and the sampling areas. In particular, different content of lignin/cellulose, as well as minerals nutrients, have been detected in roots collected where shallow landslides occurred, with respect to more stable areas. The results achieved are in line with the scientific literature which has demonstrated the link between the chemical composition of roots with their mechanical properties and, in particular, tensile strength and cohesion. Finally, portable spectroscopic instrumentations were employed without the need for either any sample preparation for Raman and LIBS spectroscopy or minimal preparation for FTIR spectroscopy. This novel and fast approach has allowed achieving information on the content of the major constituents of the root cell, such as cellulose and lignin, as well as their mineral nutrients. This approach could be reasonably included among the vegetation protection actions towards instability, as well as for the evaluation of shallow landslide susceptibility, combining geological, vegetational and biochemical parameters with sustainability