Psychological Impact in Healthcare Workers During Emergencies: The Italian Experience With COVID-19 First Wave

Background: The COVID-19 outbreak imposed an overwhelming workload as well as emotional burdens on Healthcare workers (HCWs). In May 2020, an online survey was administered to HCWs in Italy to assess the pandemic's psychological impact and to investigate possible predictive factors that led to individual differences. Methods: The psychological experience was measured based on the prevalence of self-reported feelings during the pandemic, including negative and positive emotional states. We analyzed the relationship between factors of gender, age, geographic region, professional role, and operational unit, and the four-point scale used to rate the frequency of each emotional state experienced by performing several multinomial logistic regressions, one for each emotion. Results: Our findings suggest that more than half of HCWs experienced psychological distress during the first COVID-19 outbreak in Italy. Female and younger respondents, especially those operating in northern Italy experienced more frequently negative emotional states such as irritability, anxiety, loneliness, and insecurity. However, positive feelings, first of all solidarity, were also reported especially by female and older workers. The majority of the negative as well as positive emotional states were experienced almost equally by both doctors and nurses, and independently of the operational unit in which they operated. Conclusions: This study can be very useful as a contribution to the current literature on the psychological effects of this pandemic on health workers. Moreover, our findings can provide useful information in planning more tailored psychological interventions to support this category of workers in the ongoing and future emergencies

Free boundary problems for Tumor Growth: a Viscosity solutions approach

The mathematical modeling of tumor growth leads to singular stiff pressure law limits for porous medium equations with a source term. Such asymptotic problems give rise to free boundaries, which, in the absence of active motion, are generalized Hele-Shaw flows. In this note we use viscosity solutions methods to study limits for porous medium-type equations with active motion. We prove the uniform convergence of the density under fairly general assumptions on the initial data, thus improving existing results. We also obtain some additional information/regularity about the propagating interfaces, which, in view of the discontinuities, can nucleate and, thus, change topological type. The main tool is the construction of local, smooth, radial solutions which serve as barriers for the existence and uniqueness results as well as to quantify the speed of propagation of the free boundary propagation

Energy recovery from vinery waste: Dust explosion issues

The concern about global warming issues and their consequences is more relevant than ever, and the H2020 objectives promoted by the EU are oriented towards generating climate actions and sustainable development. The energy sector constitutes a difficult challenge as it plays a key role in the global warming impact. Its decarbonization is a crucial factor, and significant efforts are needed to find efficient alternatives to fossil fuels in heating/electricity generation. The biomass energy industry could have a contribution to make in the shift to renewable sources; the quest for a suitable material is basically focused on the energy amount that it stores, its availability, logistical considerations, and safety issues. This work deals with the characterization of a wine-waste dust sample, in terms of its chemical composition, fire behavior, and explosion violence. This material could be efficiently used in energy generation (via direct burning as pellets), but scarce information is present in terms of the fire and explosion hazards when it is pulverized. In the following, the material is analyzed through different techniques in order to clearly understand its ignition sensitivity and fire effects; accelerating aging treatment is also used to simulate the sample storage life and determine the ways in which this affects its flammability and likelihood of explosion

Biomass from winery waste: Evaluation of dust explosion hazards

Food and drink supply chains have significant environmental impacts due to their use of resources, emissions, and waste production. An efficient method to reduce this impact is the valorisation of biomass waste through energy recovery by using it as a source of heat. The European energy system faces several fundamental challenges being currently the largest emitter of greenhouse gases due to its large dependence on fossil fuels (mostly natural gas). Therefore, the energy sector's decarbonization will play a central role in achieving a climateneutral economy in Europe. Identifying the suitable material for biofuel is basically focused on the amount of energy that the material stores, availability, and logistic considerations. Sawdust and wood chips have been extensively used as biofuel in recent years, but other promising raw and waste materials could be adopted (with the positive effect of reducing the impact on forestry soil and the food chain). Novel materials bring consequently novel challenges, also regarding their safe use. As an example, a relevant waste flow is produced from wine manufacturing. A solid with high moisture content is obtained from grapes pressing, and it could be reused to produce distillates. The obtained exhausted pomace could be considered among the materials potentially involved in energy recovery. It is also carrying dust explosion hazard, as solid residues could be present in the form of coarse and fine powders. In this work, grape pomace is examined: its explosion safety-related properties are evaluated to define the severity of events in which this material could be ignited. Minimum Ignition Energy (MIE), explosion pressure peak (Pmax), deflagration severity index (KSt), autoignition temperature (MIT), and Volatile Point (VP) are measured according to standard procedures. This material's thermal susceptibility and ignition sensitivity are studied and compared with biomasses from different sources (ligneo-cellulosic and herbaceous)

Issues of “Standard” explosion tests for non-spherical dusts

Measurements of the flammability and explosion parameters for non-spherical dusts are performed according to standard procedures in standard explosion equipment developed and tested for spherical dusts. Studies have shown that the standard procedures and equipment applied to spherical particles suffer from many issues: control of the turbulence level, non-uniform dust dispersion, and particle fragmentation due to the injection system. The applicability of the standard procedures and equipment to non-spherical particles is still an open issue. In this work, we have investigated, via CFD simulations, the distribution of turbulence and dust concentration in the standard 20 l spherical vessel for non-spherical particles. Results have shown that a higher turbulence level and a higher amount of dust actually fed into the vessel are reached with respect to spherical particles

Photometric Solutions for Detached Eclipsing Binaries: selection of ideal distance indicators in the SMC

Detached eclipsing binary stars provide a robust one-step distance determination to nearby galaxies. As a by-product of Galactic microlensing searches, catalogs of thousands of variable stars including eclipsing binaries have been produced by the OGLE, MACHO and EROS collaborations. We present photometric solutions for detached eclipsing binaries in the Small Magellanic Cloud (SMC) discovered by the OGLE collaboration. The solutions were obtained with an automated version of the Wilson-Devinney program. By fitting mock catalogs of eclipsing binaries we find that the normalized stellar radii (particularly their sum) and the surface brightness ratio are accurately described by the fitted parameters and estimated standard errors, despite various systematic uncertainties. In many cases these parameters are well constrained. In addition we find that systems exhibiting complete eclipses can be reliably identified where the fractional standard errors in the radii are small. We present two quantitatively selected sub-samples of eclipsing binaries that will be excellent distance indicators. These can be used both for computation of the distance to the SMC and to probe its structure. One particularly interesting binary has a very well determined solution, exhibits complete eclipses, and is comprised of well detached G-type, class $II$ giants.Comment: 29 pages, 12 figures. To be published in Ap

Prevalence of psychiatric symptoms in children and adolescents one year after the 2009 L'Aquila earthquake

Background: In 2009, an earthquake devastated the Abruzzo region in Italy. Despite the occurrence of several disasters in this country, no study on mental health of Italian children has ever been conducted in complex emergencies. Objective of the study was to assess the prevalence of psychiatric symptoms among children in the affected area 12 to 17 months after the event.Methods: A community sample of 1839 3-14 years children was identified from the general population assigned to 37 paediatricians of the National Health System, including children living in the earthquake epicentre, the surrounding earthquake zone, and the adjacent non-affected areas. Psychiatric symptoms were assessed with the Child Behavior Checklist (CBCL) and the Youth Self Report (YSR), completed by 452 children aged 11-14 years. The association between symptoms and sociodemographic, health, family, and earthquake-related factors was examined.Results: The prevalence of CBCL-defined cases was 14.9% in the epicentre, 13.0% in the remainder earthquake zone, 13.9% in the unaffected area (p =876). No differences among areas were found when comparing the YSR results. Prevalence of CBCL-defined post-traumatic stress (PTS) cases was 8.4% in the epicentre, 4.0% in the remainder earthquake zone, 2.2% in the unaffected area (p =002). PTS and anxiety were significantly more frequent in the epicentre than in other areas only in the 6-10 year-old children group (respectively p =009 and p =014). In multivariate logistic analyses, factors associated with PTS were living in the epicentre (OR = 3.6) and child or maternal history of mental health care prior to the earthquake (respectively OR = 7.1 and OR = 4.5).Conclusions: Children living in the epicentre, particularly those 6-10 years old, had the highest prevalence of CBCL-defined cases, and of PTS and anxiety symptoms one year after the earthquake. No signs of increased psychopathology were detected in younger (3-5 years) or older children (11-14 years). Family and health related factors showed stronger association with psychiatric outcomes than earthquake-related factors. The identification of populations at higher risk of developing psychiatric symptoms has implications for public health interventions in complex emergencies

Implicit Degenerate Evolution Equations and Applications

The initial-value problem is studied for evolution equations in Hilbert space of the general form d/dt A(u) + B(u) ϶ f, where and are maximal monotone operators. Existence of a solution is proved when A is a subgradient and either is strongly monotone or B is coercive; existence is established also in the case where A is strongly monotone and B is subgradient. Uniqueness is proved when one of A or B is continuous self-adjoint and the sum is strictly monotone; examples of nonuniqueness are given. Applications are indicated for various classes of degenerate nonlinear partial differential equations or systems of mixed elliptic-parabolic-pseudoparabolic types and problems with nonlocal nonlinearity