A Prevention through Design Approach for the Environmental S&H Conditions and the Ventilation System at an Italian Underground Quarry

Even if the number of the Italian underground quarrying operations is steadily growing, in many cases the safety criticalities are somehow underestimated, in spite of the regulations D.Lgs. 81/08 and D.Lgs. 624/96, Italian enforcements of the former European Directives 89/391/EEC, 92/91/EEC and 92/104/EEC. Ventilation system is conceived to face very simplified requirements, whilst critical pollutants or emergency situations are not taken in due consideration. Asides, the ventilation system fault and availability analysis are seldom included in the project. The paper deals with the results of a research work started some years ago at an underground quarry exploited through drift sublevel based on drill and blast technique, to identify criteria suitable to grant effective safety and health -S&H- conditions for the workers operating in the underground in the Prevention through Design approach. Taken into account that the phases for an effective approach to the S&H problems in underground must follow a hierarchic method, in which the risk management should be faced from an effective hazard reduction to a minimum at the sources, and the ventilation should be considered only as a 4th level solution, the possibilities of control at the main pollution sources, i.e. the emission of pollutants due to the rock winning and mucking operations, have been examined. The residual risk was then faced with both the original underground and airways layout definition for a new exploitation development, based on technical and efficiency considerations, and on fire emergency computer simulations. Finally, the paper summarizes the results of an availability analysis of the ventilation system for normal operating conditions, and the emergencies management, on the basis of the results of Hazard Evaluation techniques, particularly Hazard and Operability Analysis and Fault Tree Analysis

Experimental Performance Evaluation of Passive UHF RFID Tags in Electromagnetically Critical Supply Chains

Radio Frequency Identification is going to play a veryimportant role as auto-identification solution for manyapplication scenarios, where item-level tagging and highperformance are crucial. In such a context, the use of passive Ultra High Frequency (UHF) tags is strongly suggested but, unfortunately, general-purpose commercial tags could not meet all the requirements in presence of critical operating conditions, including the presence of metals and liquids, the misalignment between tag and reader antennas, and the need of multiple reading of tags. In this paper, the main features that a UHF tag should own to work properly in the whole supply chain are presented. A tag, named below Enhanced tag, satisfying all theindividuated requirements has been also realized and validated in a controlled test environment simulating the pharmaceutical supply chain. Tests have been focused on the above-mentioned critical conditions. The performance of the Enhanced tag, in terms of successful read rate, has been compared with that of some commercial Far Field and Near Field UHF tags. The experimental results are impressive and clearly demonstrate that ad hoc Far Field UHF tags are able to effectively solve many of the performance degradation problems affecting generalpurpose tags. Finally, the proposed tag has been also tested in extreme conditions, applying it directly on Tetra Pak packages containing liquid, with interesting results in terms of platformtolerant features

Update on COVID-19 and Effectiveness of a Vaccination Campaign in a Global Context

The COVID-19 pandemic caused by SARS-CoV-2 remains a significant issue for global health, the economy, and society. When SARS-CoV-2 began to spread, the most recent serious infectious disease of this century around the world, with its high morbidity and mortality rates, it is understandable why such infections have generally been spread in the past, mainly from international travel movements. This perspective review aimed to provide an update for clinicians on the recent developments related to the microbiological perspectives in pandemics, diagnostics, prevention (such as the spread of a virus), vaccination campaigns, treatment options, and health consequences for COVID-19 based on the current literature. In this way, the authors attempt to raise awareness on the transversal nature of these challenges by identifying the main risk/vulnerability factors that the scientific community must face including our current knowledge on the virus capacity of the mechanism of entry into the cells, the current classifications of viral variants, the knowledge of the mathematical model on the spread of viruses (the possible routes of transmission), and the effectiveness of vaccination campaigns in a global context of pandemic, particularly from COVID-19, with a look at new or future vaccines

Marine climate change and environmental indicators from the Marine Core Service

In the framework of the Mediterranean Operational Oceanography Network (MOON, http://www.moon-oceanforecasting.eu) The Mediterranean Forecasting System (Pinardi et al., 2003) has started the design and development of services that include the routine production of environmental and climate indicators. A process of identifying user requirements has been started in collaboration with European Environment Agency and the indicators definition and implementation aim to take user requirements into account. The indicators are extensively used by EEA (EEA web page on indicators: http://themes.eea.europa.eu/indicators/). INGV has carried out an analysis on the possible improvements of existing indicators in use by EEA and on the development of new indicators based on Marine Core Services (MCS) products. The list of indicators includes: Temperature, Chlorophyll-a (from ocean colour), Ocean Currents and Transport, Salinity, Transparency, Sea Level, Sea Ice and Density. A critical analysis has been carried out to identify the relevance of the above-mentioned indicators for EU policies, their spatial and temporal coverage, their accuracy and their availability (Coppini et al., 2008). INGV in collaboration with CNR-ISAC are directly involved on the development of the indicators in the Mediterranean region and European Seas region the Temperature and Chlorophyll-a (Chl-a) products are the most suitable for an indicator development test phase. In particular the OO Chl-a product, deduced from satellite data, is able to contribute to the further development of the EEA Chl-a indicator on eutrohpication that is based on in-situ measurements (CSI023). For this indicator a development phase has been undertaken in 2008 and 2009 within the European Topic Center for Water (ETC-W) for EEA. The temperature indicators, developed with the support of MyOcean and Operational Oceanography community, consist of long time series (1870-Today) of SST anomaly able to describe ocean temperature increase due to climate change in the European Seas and on SST trends map of the last 25 years for the European Seas. These last two indicators have been included in the last 2008 EEA report on Impacts of Climate change in the European Seas (http://www.eea.europa.eu/publications/eea_report_2008_4). Moreover MFS re-analysis have been produced for the Mediterranean Sea and it consists of daily output of MFS-OPA hydrodinamic model (1/16 of degree horizontal resolution) that assimilates all available in situ and satellite observation for 1985 to 2007. This reanalysis product is used to detect temperature anomalies over the last 20 years in the coastal zone that could be related with environmental stresses. In addition to that we have also identified a Density indicator that appears relevant for the ecosystem health assessment in the coastal waters.PublishedBerlin, Germany3.7. Dinamica del clima e dell'oceanoope

Aggressiveness pattern and second primary tumor risk associated with basaloid squamous cell carcinoma of the larynx

Basaloid squamous cell carcinoma (BSCC) is a rare, aggressive and distinct variant of squamous cell carcinoma (SCC) of the upper respiratory and digestive tract. We have evaluated disease specific survival (DSS) and overall survival (OS) through Kaplan-Meier method and mortality risk through univariate statistical analysis of Cox in 42 cases of BSCC and other 42 of laryngeal SCC (LSCC) matched for both age and sex. We demonstrated that laryngeal BSCC is a more aggressive tumor than LSCC as is associated to higher nodal recurrence of pathology (5 vs 2 patients, median survival, OR 2.7), a reduced survival (median survival 34 vs 40 months, OR 3.2 for mortality); in addition, basaloid patients have a higher risk to be affected by second primary tumors (13 vs 3 patients, OR 5.8) and a higher probability to die for this second tumor (Hazard Risk, HR 4.4). The analysis of survival shows an increased mortality risk concurrent with the parameters assessed by univariate analyses that assume a predictive and statistical significance in second tumor and grading in basaloid LSSC.Basaloid squamous cell carcinoma (BSCC) is a rare, aggressive and distinct variant of squamous cell carcinoma (SCC) of the upper respiratory and digestive tract. We have evaluated disease specific survival (DSS) and overall survival (OS) through Kaplan-Meier method and mortality risk through univariate statistical analysis of Cox in 42 cases of BSCC and other 42 of laryngeal SCC (LSCC) matched for both age and sex. We demonstrated that laryngeal BSCC is a more aggressive tumor than LSCC as is associated to higher nodal recurrence of pathology (5 vs 2 patients, median survival, OR 2.7), a reduced survival (median survival 34 vs 40 months, OR 3.2 for mortality); in addition, basaloid patients have a higher risk to be affected by second primary tumors (13 vs 3 patients, OR 5.8) and a higher probability to die for this second tumor (Hazard Risk, HR 4.4). The analysis of survival shows an increased mortality risk concurrent with the parameters assessed by univariate analyses that assume a predictive and statistical significance in second tumor and grading in basaloid LSSC

17.6% stabilized efficiency in low-temperature processed planar perovskite solar cells

We present here a planar perovskite solar cell with a stabilized power conversion efficiency (PCE) of 17.6% at the maximum power point and a PCE of 17% extracted from quasi-static J–V with an open-circuit voltage of 1.11 V. Such excellent figures of merit can be achieved by engineering a solution-processed electron buffer layer that does not require high temperature steps. A compact thin film of perovskite absorber is grown onto a PCBM-based electron extraction layer by implementing a novel two-step procedure which preserves the soluble organic interlayer during the deposition of successive layers. We demonstrate that efficient charge extraction is the key for high steady state efficiency in perovskite solar cells with a highly integrable architecture

Adjuvant therapy sparing in rectal cancer achieving complete response after chemoradiation

AIM: To evaluate the long-term results of conventional chemoradiotherapy and laparoscopic mesorectal excision in rectal adenocarcinoma patients without adjuvant therapy. METHODS: Patients with biopsy-proven adenocarcinoma of the rectum staged cT3-T4 by endoscopic ultrasound or magnetic resonance imaging received neoadjuvant continuous infusion of 5-fluorouracil for five weeks and concomitant radiotherapy. Laparoscopic surgery was planned after 5-8 wk. Patients diagnosed with ypT0N0 stage cancer were not treated with adjuvant therapy according to the protocol. Patients with ypT1-2N0 or ypT3-4 or N+ were offered 5-fluorouracil-based adjuvant treatment on an individual basis. An external cohort was used as a reference for the findings. RESULTS: One hundred and seventy six patients were treated with induction chemoradiotherapy and 170 underwent total mesorectal excision. Cancer staging of ypT0N0 was achieved in 26/170 (15.3%) patients. After a median follow-up of 58.3 mo, patients with ypT0N0 had five-year disease-free and overall survival rates of 96% (95%CI: 77-99) and 100%, respectively. We provide evidence about the natural history of patients with localized rectal cancer achieving a complete response after preoperative chemoradiation. The inherent good prognosis of these patients will have implications for clinical trial design and care of patients. CONCLUSION: Withholding adjuvant chemotherapy after complete response following standard neoadjuvant chemoradiotherapy and laparoscopic mesorectal excision might be safe within an experienced multidisciplinary team

Anxiety and depression in keratotic oral lichen planus: a multicentric study from the SIPMO

Objectives: Oral lichen planus with exclusive keratotic reticular, papular, and/or plaque-like lesions (K-OLP) is a clinical pattern of OLP that may be associated with a complex symptomatology and psychological alteration. The aim of the study was to evaluate the prevalence of anxiety (A) and depression (D) in patients with K-OLP, analyzing the potential predictors which can affect mental health status. Methods: Three hundred K-OLP patients versus 300 healthy controls (HC) were recruited in 15 Italian universities. The Numeric Rating Scale (NRS), Total Pain Rating Index (T-PRI), and Hamilton Rating Scales for Depression and for Anxiety (HAM-D and HAM-A) were administered. Results: The K-OLP patients showed statistically higher scores in the NRS, T-PRI, HAM-D, and HAM-A compared with the HC (p-value < 0.001**). A and D were found in 158 (52.7%) and 148 (49.3%) K-OLP patients. Strong linear correlations were identified between HAM-A, HAM-D, NRS, T-PRI, and employment status and between HAM-D, HAM-A, NRS, T-PRI, employment status, and female gender. Multivariate logistic regression revealed that HAM-D and HAM-A showed the greatest increase in the R2 value for A and D in the K-OLP patients, respectively (DR2 = 55.5% p-value < 0.001**; DR2 = 56.5% p-value < 0.001**). Conclusions: The prevalence of A and D is higher in the K-OLP patients compared with the HC, also found in K-OLP subjects without pain, suggesting that the processing of pain may be in a certain way independent of the processing of mood. Clinical relevance: Mood disorders and pain assessment should be carefully performed in relation to K-OLP to obtain a complete analysis of the patients