La tracciabilita del paziente in strutture ospedaliere

High volumes of information about drugs, clinical examinations, results of clinical analyses, and diagnoses up to the dismission of every patient circulate inside a health structure. All these information are usually recorded on paper files and then transferred in the electronic archive of the department and in the centralized database of the health structure. This process increases the probability of error due to the difficulty of interpretation of the handwritings and to wrong typing; this prob- ability of error increases in the very frequent case, in which a patient is transferred to a new department. The Department of Technology and Health of the Italian National Institute of Health (Istituto Superiore di Sanità) have started an experimentation, in collaboration with the Mediterranean Institute for Transplantation and Advanced Specialized Therapies (ISMETT) of Palermo, that will allow the evaluation of the impact of a new electronic system of traceability of the patient, based on the RFId (Radio Frequency Identification) technology, on the management systems of a modern health structure

Accretion in the Early Kuiper Belt II. Fragmentation

We describe new planetesimal accretion calculations in the Kuiper Belt that include fragmentation and velocity evolution. All models produce two power law cumulative size distributions, N_C propto r^{-q}, with q = 2.5 for radii less than 0.3-3 km and q = 3 for radii exceeding 1-3 km. The power law indices are nearly independent of the initial mass in the annulus, the initial eccentricity of the planetesimal swarm, and the initial size distribution of the planetesimal swarm. The transition between the two power laws moves to larger radii as the initial eccentricity increases. The maximum size of objects depends on their intrinsic tensile strength; Pluto formation requires a strength exceeding 300 erg per gram. Our models yield formation timescales for Pluto-sized objects of 30-40 Myr for a minimum mass solar nebula. The production of several `Plutos' and more than 10^5 50 km radius Kuiper Belt objects leaves most of the initial mass in 0.1-10 km radius objects that can be collisionally depleted over the age of the solar system. These results resolve the puzzle of large Kuiper Belt objects in a small mass Kuiper Belt.Comment: to appear in the Astronomical Journal (July 1999); 54 pages including 7 tables and 13 figure

Colovesical fistulae in the sigmoid diverticulitis

Nella maggior parte dei casi le fistole colovescicali rappresentano una complicanza della malattia diverticolare e sono la tipologia più comune di fistola colodigestiva; meno comuni sono le fistole colovaginali, colocutanee, coloenteriche e colouterine. Nel presente lavoro abbiamo effettuato una review della letteratura riguardante le fistole colovescicali in chirurgia colorettale per diverticolite del sigma. Decriviamo anche due casi che hanno richiesto un trattamento chirurgico, in uno in elezione e nell’altro in urgenza. In entrambi i casi abbiamo eseguito una resezione colica con anastomosi primaria e minimaresezione vesvicale con posizionamento di catetere di Foley in media per 10 giorni

Photometric Observations Constraining the Size, Shape, and Albedo of 2003 El61, a Rapidly Rotating, Pluto-Sized Object in the Kuiper Belt

We present measurements at optical wavelengths of the spectral reflectance, rotational light curve, and solar phase curve of 2003 EL61. With apparent visual magnitude 17.5 at 51 AU from the sun, this newly discovered member of the classical Kuiper Belt is now the third brightest KBO after Pluto and 2005 FY9. Our observations reveal an unambiguous, double-peaked rotational light curve with period 3.9154 +/- 0.0002 hours and peak to peak amplitude 0.28 +/- 0.04 mag. This is the fastest rotation period reliably determined for any body in the solar system larger than 100 km. Assuming the body has relaxed over time to the shape taken by a homogenous fluid body, our observations tightly constrain the shape and density. Given the mass we recently determined for 2003 EL61 from the orbit of a small satellite, we also constrain the size and albedo. We find a total length of 1960 to 2500 km, a mean density of 2600 to 3340 kg m-3, and a visual albedo greater than 0.6. We also measure a neutral reflectance at visible wavelengths and a linear phase curve with slope varying from 0.09 mag deg-1 in the B band to 0.13 mag deg-1 in the I band. The absolute V-band magnitude is 0.444+/-0.021.Comment: 27 pages, six figure

Rescaling Egocentric Vision: Collection, Pipeline and Challenges for EPIC-KITCHENS-100

This paper introduces the pipeline to extend the largest dataset in egocentric vision, EPIC-KITCHENS. The effort culminates in EPIC-KITCHENS-100, a collection of 100 hours, 20M frames, 90K actions in 700 variable-length videos, capturing long-term unscripted activities in 45 environments, using head-mounted cameras. Compared to its previous version (Damen in Scaling egocentric vision: ECCV, 2018), EPIC-KITCHENS-100 has been annotated using a novel pipeline that allows denser (54% more actions per minute) and more complete annotations of fine-grained actions (+128% more action segments). This collection enables new challenges such as action detection and evaluating the “test of time”—i.e. whether models trained on data collected in 2018 can generalise to new footage collected two years later. The dataset is aligned with 6 challenges: action recognition (full and weak supervision), action detection, action anticipation, cross-modal retrieval (from captions), as well as unsupervised domain adaptation for action recognition. For each challenge, we define the task, provide baselines and evaluation metrics.Published versionResearch at Bristol is supported by Engineering and Physical Sciences Research Council (EPSRC) Doctoral Training Program (DTP), EPSRC Fellowship UMPIRE (EP/T004991/1). Research at Catania is sponsored by Piano della Ricerca 2016-2018 linea di Intervento 2 of DMI, by MISE - PON I&C 2014-2020, ENIGMA project (CUP: B61B19000520008) and by MIUR AIM - Attrazione e Mobilita Internazionale Linea 1 - AIM1893589 - CUP E64118002540007

CAROTID INTIMAL-MEDIA THICKNESS AND ENDOTHELIAL FUNCTION IN YOUNG PATIENTS WITH HISTORY OF MYOCARDIAL INFARCTION.

AIM: The aim of the study was to evaluate the prevalence of carotid atherosclerosis and endothelial dysfunction in 45 young patients (38 mens and 7 females) with myocardial infarction (MI), age 29-45, mean age 42+/-3 years, to verify its possible role as a marker of coronary atherosclerosis. METHODS: Vascular echography was performed to verify the presence of carotid atherosclerosis and/or endothelial dysfunction in 45 young patients with MI and in 45 healthy control subjects well matched for age and sex. RESULTS: We observed a normal intima media thickness (IMT) only in 30% of patients with juvenile myocardial infarction (JMI) compared with 66% in the control group (P<0.0001) and 34% of patients showed an increased IMT compared with 24% of healthy subjects (P<0.0001). Compared with control subjects, patients with JMI had lower flow-mediated reactivity of the brachial arteries (P<0.05). There was a negative linear relationship between flow-mediated dilation and IMT (P<0.001). The severity of coronary artery disease (CAD) was correlated with increased IMT and with a lower flow-mediated dilation. Finally, multiple regression analysis, demonstrated that both brachial-artery reactivity and carotid IMT were significantly and independently correlated with severity of CAD. CONCLUSIONS: Structural (carotid atherosclerosis) and functional changes (endothelial dysfunction) were present at an early age in the arteries of persons with history of JMI

Estimations of changes of the Sun's mass and the gravitation constant from the modern observations of planets and spacecraft

More than 635 000 positional observations (mostly radiotechnical) of planets and spacecraft (1961-2010), have been used for estimating possible changes of the gravitation constant, the solar mass, and semi-major axes of planets, as well as the value of the astronomical unit, related to them. The analysis of the observations has been performed on the basis of the EPM2010 ephemerides of IAA RAS in post-newtonian approximation. The obtained results indicate on decrease in the heliocentric gravitation constant per year at the level $\dot {GM_{Sun}}/GM_{Sun} = (-5.0 \pm 4.1) 10^{-14} (3\sigma).$ The positive secular changes of semi-major axes $\dot a_i/a_i$ have been obtained simultaneously for the planets Mercury, Venus, Mars, Jupiter, Saturn, as expected if the geliocentric gravitation constant is decreasing in century wise. The change of the mass of the Sun $M_{Sun}$ due to the solar radiation and the solar wind and the matter dropping on the Sun (comets, meteors, asteroids and dust) was estimated. Taking into account the maximal limits of the possible $M_{Sun}$ change, the value $\dot G/G$ falls within the interval $-4.2\cdot10^{-14} < \dot G/G < +7.5\cdot10^{-14}$ in year with the 95% probability. The astronomical unit (au) is only connected with the geliocentric gravitation constant by its definition. In the future, the connection between $GM_{Sun}$ and au should be fixed at the certain time moment, as it is inconvenient highly to have the changing value of the astronomical unit.Comment: 20 pages, 4 tables, accepted for publication in Solar System Research, 2011 (Astronomicheskii vestnik

Further investigation of a relic neutralino as a possible origin of an annual-modulation effect in WIMP direct search

We analyze the annual-modulation effect, measured by the DAMA Collaboration with the new implementation of a further two-years running, in the context of a possible interpretation in terms of relic neutralinos. We impose over the set of supersymmetric configurations, selected by the annual-modulation data, the constraints derived from WIMP indirect measurements, and discuss the features of the ensuing relic neutralinos. We critically discuss the sources of the main theoretical uncertainties in the analysis of event rates for direct and indirect WIMP searches.Comment: 29 pages, 12 figures, typeset with ReVTeX. In order to reduce size, the version on the archive has low resolution figures. A full version of the paper can be found at http://www.to.infn.it/~fornengo/papers