Contraceptive use and sexual function: a comparison of Italian female medical students and women attending family planning services

Objectives: The aims of the study were to understand how education relates to contraceptive choice and how sexual function can vary in relation to the use of a contraceptive method. Methods: We surveyed female medical students and women attending a family planning service (FPS) in Italy. Participants completed an online questionnaire which asked for information on sociodemographics, lifestyle, sexuality and contraceptive use and also included items of the Female Sexual Function Index (FSFI). Results: The questionnaire was completed by 413 women (362 students and 51 women attending the FPS) between the ages of 18 and 30 years. FSFI scores revealed a lower risk of sexual dysfunction among women in the control group who did not use oral hormonal contraception. The differences in FSFI total scores between the two study groups, when subdivided by the primary contraceptive method used, was statistically significant (p < 0.005). Women using the vaginal ring had the lowest risk of sexual dysfunction, compared with all other women, and had a positive sexual function profile. In particular, the highest FSFI domain scores were lubrication, orgasm and satisfaction, also among the control group. Expensive contraception, such as long-acting reversible contraception, was not preferred by this young population, even though such methods are more contemporary and manageable. Compared with controls, students had lower compliance with contraception and a negative attitude towards voluntary termination of pregnancy. Conclusion: Despite their scientific knowledge, Italian female medical students were found to need sexual and contraceptive assistance. A woman's sexual function responds to her awareness of her body and varies in relation to how she is guided in her contraceptive choice. Contraceptive counselling is an excellent means to improve female sexuality

“The role of diagnostics in the restoration project”

Over the last few years, in the field of restoration and conservation, the techniques used to evaluate the extent of damage are becoming increasingly more important before carrying out any work on a historical building. The diagnostic phase is the instrumental, methodological and procedural means of guidance and control during the preliminary cognitive examinations of the building which requires work. For this reason, in the restoration project, the procedural sequence is heavily based to the cognitive phase. In order to evaluate the conservational state of a structure correctly, it is necessary to understand the symptoms of the degradation and the principal cause. When this correlation is unclear there follows the planning and carrying out of a series of cognitive investigations. There is a preference in using indirectly destructive or non destructive investigative techniques to evaluate the state of the damage and degradation of monuments. These tests, which are carried out in situ, are based on identifying global physical properties present in the walls or the walls’ components and provide information about their behaviour. This study presents the planning and implementation of a series of surveys, carried out in situ, preliminary to structural consolidation and redevelopment work on a medieval castle: the castle of Cancellara (South Italy)

Geotechnical and historical aspects on the collapse of the Tiber embankment walls in the centre of Roma (1870–1900)

This paper deals with the issues related to the construction of the Tiber’s embankment walls between years 1870–1926. The embankment walls (muraglioni) were designed by Raffaele Canevari to mitigate the effects of the river inundation in the city centre of Roma. After the flood of December 1900, several portions of the Anguillara and Alberteschi sections collapsed. The aim of this work is to investigate whether the causes of the collapse can be traced back to design approaches of the time, lacking from a point of view of the hydro-mechanical interaction of the soil in the evaluation of the total earth pressure. In particular, designed calculations are also revised accounting for more advance soil phenomena laws, based on Terzaghi effective stress and the effects of scouring and erosion. Some assumptions have been made on the mechanical characteristics of the backfill soils and on the relying on foundation materials

Critical renormalized coupling constants in the symmetric phase of the Ising models

Using a novel finite size scaling Monte Carlo method, we calculate the four, six and eight point renormalized coupling constants defined at zero momentum in the symmetric phase of the three dimensional Ising system. The results of the 2D Ising system that were directly measured are also reported. Our values of the six and eight point coupling constants are significantly different from those obtained from other methods.Comment: 7 pages, 2 figure

Synthetic Mudscapes: Human Interventions in Deltaic Land Building

In order to defend infrastructure, economy, and settlement in Southeast Louisiana, we must construct new land to mitigate increasing risk. Links between urban environments and economic drivers have constrained the dynamic delta landscape for generations, now threatening to undermine the ecological fitness of the entire region. Static methods of measuring, controlling, and valuing land fail in an environment that is constantly in flux; change and indeterminacy are denied by traditional inhabitation. Multiple land building practices reintroduce deltaic fluctuation and strategic deposition of fertile material to form the foundations of a multi-layered defence strategy. Manufactured marshlands reduce exposure to storm surge further inland. Virtual monitoring and communication networks inform design decisions and land use becomes determined by its ecological health. Mudscapes at the threshold of land and water place new value on former wastelands. The social, economic, and ecological evolution of the region are defended by an expanded web of growing land

Critical thermodynamics of three-dimensional MN-component field model with cubic anisotropy from higher-loop \epsilon expansion

The critical thermodynamics of an $MN$-component field model with cubic anisotropy relevant to the phase transitions in certain crystals with complicated ordering is studied within the four-loop \ve expansion using the minimal subtraction scheme. Investigation of the global structure of RG flows for the physically significant cases M=2, N=2 and M=2, N=3 shows that the model has an anisotropic stable fixed point with new critical exponents. The critical dimensionality of the order parameter is proved to be equal to $N_c^C=1.445(20)$, that is exactly half its counterpart in the real hypercubic model.Comment: 9 pages, LaTeX, no figures. Published versio

Pseudo-epsilon expansion and the two-dimensional Ising model

Starting from the five-loop renormalization-group expansions for the two-dimensional Euclidean scalar \phi^4 field theory (field-theoretical version of two-dimensional Ising model), pseudo-\epsilon expansions for the Wilson fixed point coordinate g*, critical exponents, and the sextic effective coupling constant g_6 are obtained. Pseudo-\epsilon expansions for g*, inverse susceptibility exponent \gamma, and g_6 are found to possess a remarkable property - higher-order terms in these expansions turn out to be so small that accurate enough numerical estimates can be obtained using simple Pade approximants, i. e. without addressing resummation procedures based upon the Borel transformation.Comment: 4 pages, 4 tables, few misprints avoide

Renormalization Group Functions for Two-Dimensional Phase Transitions: To the Problem of Singular Contributions

According to the available publications, the field theoretical renormalization group (RG) approach in the two-dimensional case gives the critical exponents that differ from the known exact values. This fact was attempted to explain by the existence of nonanalytic contributions in the RG functions. The situation is analysed in this work using a new algorithm for summing divergent series that makes it possible to analyse dependence of the results for the critical exponents on the expansion coefficients for RG functions. It has been shown that the exact values of all the exponents can be obtained with a reasonable form of the coefficient functions. These functions have small nonmonotonities or inflections, which are poorly reproduced in natural interpolations. It is not necessary to assume the existence of singular contributions in RG functions.Comment: PDF, 11 page

Use of noninvasive imaging in the management of skin cancer

6Purpose of review: To evaluate noninvasive imaging techniques in the management of skin cancers. Recent findings: In the last decades, a wide range of noninvasive imaging methods has been developed in the field of dermatooncology with the aim to detect and assess the several structural and molecular changes that characterize skin cancer development and progression. Summary: In this review, we discuss the current and emerging applications of noninvasive imaging approaches in skin cancer management, such as digital photography, dermoscopy, ultrasound sonography, reflectance confocal microscopy, optical coherence tomography, electrical impedance techniques, Raman spectroscopy, multispectral imaging, fluorescence imaging, and multispectral optoacustic tomography.partially_openopenGiuffrida, Roberta; Conforti, Claudio; Di Meo, Nicola; Deinlein, Teresa; Guida, Stefania; Zalaudek, IrisGiuffrida, Roberta; Conforti, Claudio; Di Meo, Nicola; Deinlein, Teresa; Guida, Stefania; Zalaudek, Iri

Epilepsy and phenylketonuria: a case description and EEG-fMRI findings.

Phenylketonuria (PKU) is characterized by phenylalanine accumulation due to phenylalanine hydroxylase deficiency. Up to 50% of PKU patients experience seizures. We evaluated an adult PKU patient who suffered from absences and primarily generalized tonicclonic seizures, associated with generalized spikeand-wave discharges (GSWs) on EEG. An analysis of blood oxygenation level-dependent (BOLD) signal changes during interictal epileptiform discharges showed early activation of the left perirolandic cortex followed by a BOLD signal decrease within cortical regions belonging to the default mode network and left frontoparietal cortex. Moreover, deactivation of the head of the right caudate nucleus and the left thalamus was observed. The fMRI pattern observed in our patient during GSWs is similar but not identical to that observed in idiopathic generalized epilepsy, suggesting different neurophysiological mechanisms. This is the first description of BOLD-fMRI patterns in a PKU patient with epilepsy. Similar studies in more patients might help to uncover the pathophysiology of seizures in this disease