Optimization of dissolved Radon monitoring in groundwater to contribute to the evaluation of the seismic activity. An experience in central-southern Italy

Anomalies in Radon (222Rn) concentrations prior to earthquakes have been widely documented in seismogenic areas worldwide, but questions about their predictability remain largely unanswered. Even if it is not universally accepted, the analysis of the high-resolution time series of Rn (222Rn) concentrations in groundwater, air and soil has been proposed as a suitable method to identify seismic precursors. This study, which is aimed at identifying potential gas-geochemical precursors to nearby earthquakes, analyses groundwater Rn concentrations, which were continuously measured between April 2017 and December 2019. We conducted a detailed time series analysis of dissolved Rn in two springs emerging along two active fault zones in the inner sector of the central-southern Apennines (i.e. the Matese and Morrone fault zones) in Italy. We used a simple statistical method to identify seismic precursor anomalies in Rn concentrations. Anomalies are commonly assumed as values exceeding±2σ. Furthermore, we calculated the strain radius (for which a gas-geochemical precursor was expected) and the epicentral distance (from both our monitoring stations) of each seismic event of Mw ≥3.5 that occurred in the monitoring area. Results from our ongoing research are promising and show significant correlations between seismic signals and Rn concentrations. However, longer time series data that include more energetic earthquakes are needed to shed light on the behaviour of this gas in relation to crustal deformation processes

Clinical nutrition in surgical oncology: Young AIOM-AIRO-SICO multidisciplinary national survey on behalf of NutriOnc research group

Malnutrition is a common condition in cancer patients which is usually associated with functional limitations, as well as increased morbidity and mortality. Based on the support of the young sections of Italian Association of Medical Oncology (AIOM), Italian Association of Radiotherapy and Clinical Oncology (AIRO) and Italian Society of Surgical Oncology (SICO) merged into the NutriOnc Research Group, we performed a multidisciplinary national survey with the aim to define the awareness of nutritional issues among healthcare professionals delivering anticancer care. The questionnaire was organized in four sections, as follows: Knowledge and practices regarding Nutritional Management of cancer patients; Timing of screening and assessment of Nutritional Status; Nutritional Treatment and prescription criteria; Immunonutrition and educational topics. The modules focused on esophagogastric, hepato-bilio-pancreatic and colorectal malignancies. Overall, 215 physicians completed the survey. As regards the management of Nutritional Status of cancer patients, many responders adopted the ERAS program (49.3%), while a consistent number of professionals did not follow a specific validated nutritional care protocol (41.8%), mainly due to lack of educational courses (14.5%) and financial support (15.3%). Nearly all the included institutions had a multidisciplinary team (92%) to finalize the treatment decision-making. Cancer patients routinely underwent nutritional screening according to 57.2% of interviewed physicians. The timing of nutritional assessment was at diagnosis (37.8%), before surgery (25.9%), after surgery (16.7%), before radiochemotherapy (13.5%) and after radiochemotherapy (7%). Most of the responders reported that nutritional status was assessed throughout the duration of cancer treatments (55.6%). An important gap between current delivery and need of nutritional assessment persists. The development of specific and defined care protocols and the adherence to these tools may be the key to improving nutritional support management in clinical practice