Stressed caregivers. An observational study in a rehabilitation care home in western Sicily

Introduction: Caregiver is the person who takes care of the patient from the practical point of view, helping him in managing the disease and carrying out daily activities, but also supporting him on an emotional level. Caregiver burnout is a state of physical, emotional, and mental exhaustion that may be accompanied by a change in attitude from positive and caring to negative and unconcerned. The aim of the study was to understand what factors were associated with having panic attacks or crying crises in the caregivers of our study population. Materials and methods: The study design is observational. An anonymous questionnaire was administered to caregivers of the patients of a hospital for the intensive post-acute rehabilitation from April 2016 to December 2018. The statistical significance level chosen for the entire analysis was 0.05. The covariates to be included were selected using a stepwise backward selection process, with a univariate p-value <0.25 as the main criterion. Results are expressed as adjusted Odds Ratio (aOR) with 95% Confidence Intervals (CI). Results: The sample consists of 302 caregivers (60.93% was females and 39.07% was males). The mean age of the sample is 53.42 years old (SD ± 12.19). The multivariable logistic regression model shows that the risk to have panic or crying crisis is significantly associated with the following indipendent variables: female gender (aOR 27.06); living with the patient (aOR 4.38); had claimed that the problems related to the illness of their family member is a source of stress (aOR 23.54), smoking cigarettes (aOR 14.68); had claimed that taking care of their client affected their personal financial statement/career (aOR 5.95), having free time (aOR 7.68). Conclusions: In our study we found a greater probability of having panic attacks or crying crises in female subjects, smokers, who think they have sacrificed their careers to take care of the person they follow from a welfare point of view. Certainly in the light of what has emerged it is necessary to dedicate and pay close attention to the psychological and social aspects of the caregiver

A scoring test on probabilistic seismic hazard estimates in Italy

"Probabilistic estimates of seismic hazard represent a basic element for seismic risk reduction strategies and they are a key element of seismic regulation. Thus, it is important to select the most effective estimates among the available ones. An empirical scoring strategy is described here and is applied to a number of time-independent hazard estimates available in Italy both at national and regional scale. The scoring test is based on the comparison of outcomes provided by available computational models at a number of accelero-metric sites where observations are available for 25 years. This comparison also allows identifying computational models that, providing outcomes that are in contrast with observations, should thus be discarded. The analysis shows that most of the hazard estimates proposed for Italy are not in contrast with observations and some computational models perform significantly better than others do. Furthermore, one can see that, at least locally, older estimates can perform better than the most recent ones. Finally, since the same computational model can perform differently depending on the region considered and on average return time of concern, no single model can be considered as the best-performing one. This implies that, moving along the hazard curve, the most suitable model should be selected by considering the specific problem of concern.

Fault2SHA Central Apennines database and structuring active fault data for seismic hazard assessment

We present a database of field data for active faults in the central Apennines, Italy, including trace, fault and main fault locations with activity and location certainties, and slip-rate, slip-vector and surface geometry data. As advances occur in our capability to create more detailed fault-based hazard models, depending on the availability of primary data and observations, it is desirable that such data can be organized in a way that is easily understood and incorporated into present and future models. The database structure presented herein aims to assist this process. We recommend stating what observations have led to different location and activity certainty and presenting slip-rate data with point location coordinates of where the data were collected with the time periods over which they were calculated. Such data reporting allows more complete uncertainty analyses in hazard and risk modelling. The data and maps are available as kmz, kml, and geopackage files with the data presented in spreadsheet files and the map coordinates as txt files. The files are available at: https://doi.org/10.1594/PANGAEA.922582

Temporary seismic monitoring of the Sulmona area (Abruzzo, Italy): a quality study of microearthquake locations.

Thanks to the installation of a temporary seismic network, a microseismicity study has been conducted in the Sulmona area (Abruzzo, Italy) with the aim of increasing the knowledge of seismogenic potential of existing active faults. In this work the first 7 months (from 27 May to 31 December 2009) of recorded data have been analysed over a total period of acquisition of about 30 months. Using a semi-automatic procedure, more than 800 local earthquakes have been detected, which highlights the previously unknown background seismicity. About 70% of these events have been relocated using a 1-D velocity model estimated specifically for the Sulmona area. The integration of temporary network data with all the other data available in the region enables us to obtain a statistically more robust data set of earthquake locations. Both the final hypocentral solutions and phase pickings are released as a supplement; an appendix also describes phase readings' quality with respect to weighting schemes used by location algorithms. Local magnitude values of the newly detected events range between -1.5 and 3.7 and the completeness magnitude for the Sulmona area during the study period is about 1.1. Duration magnitude coefficients have been estimated as well for comparison/integration purposes. The local Gutenberg-Richter relationship, estimated from the microseismic data, features a low b value, tentatively suggesting that the Sulmona area may be currently undergoing high-stress conditions, in agreement with other recent studies. The time-space distribution of the seismic activity with respect to the known active faults as well the seismogenic layer thickness are preliminarily investigated

When probabilistic seismic hazard climbs volcanoes: the Mt. Etna case, Italy – Part 2: Computational implementation and first results

Abstract. This paper describes the model implementation and presents results of a probabilistic seismic hazard assessment (PSHA) for the Mt. Etna volcanic region in Sicily, Italy, considering local volcano-tectonic earthquakes. Working in a volcanic region presents new challenges not typically faced in standard PSHA, which are broadly due to the nature of the local volcano-tectonic earthquakes, the cone shape of the volcano and the attenuation properties of seismic waves in the volcanic region. These have been accounted for through the development of a seismic source model that integrates data from different disciplines (historical and instrumental earthquake datasets, tectonic data, etc.; presented in Part 1, by Azzaro et al., 2017) and through the development and software implementation of original tools for the computation, such as a new ground-motion prediction equation and magnitude–scaling relationship specifically derived for this volcanic area, and the capability to account for the surficial topography in the hazard calculation, which influences source-to-site distances. Hazard calculations have been carried out after updating the most recent releases of two widely used PSHA software packages (CRISIS, as in Ordaz et al., 2013; the OpenQuake engine, as in Pagani et al., 2014). Results are computed for short- to mid-term exposure times (10 % probability of exceedance in 5 and 30 years, Poisson and time dependent) and spectral amplitudes of engineering interest. A preliminary exploration of the impact of site-specific response is also presented for the densely inhabited Etna's eastern flank, and the change in expected ground motion is finally commented on. These results do not account for M  >  6 regional seismogenic sources which control the hazard at long return periods. However, by focusing on the impact of M  <  6 local volcano-tectonic earthquakes, which dominate the hazard at the short- to mid-term exposure times considered in this study, we present a different viewpoint that, in our opinion, is relevant for retrofitting the existing buildings and for driving impending interventions of risk reduction