Metastatic Renal Cell Carcinoma to Submandibular Gland: A Rare Occurrence

Approximately 20-30% of patients affected by renal cell carcinoma (RCC) present with metastatic disease, and 20% to 40% undergoing nephrectomy for clinically localized disease will develop metastases. A 53 years old female patient developed a left submandibular swelling. Four years before she experienced a left radical nephrectomy for a clear cell tumor and two years later right kidney was removed for a cancer having the same histologic subtype. In that circumstance duodenal pancreasectomy was required for infiltration of pancreatic gland. A sialoadenectomy has been performed and pathology demonstrated an intraglandular neoplasm with characteristics of a clear renal cell carcinoma. Although it is extremely rare, submandibular salivary gland may be a site of RCC metastasis. Diagnosis of metastatic disease for patients affected by submandibular swelling with a previous history of RCC should be always considered

Optical Backplane Based on Ring-Resonators: Scalability and Performance Analysis for 10Gb/s OOK-NRZ

The use of architectures that implement optical switching without any need of optoelectronic conversion allows us to overcome the limits imposed by today’s electronic backplane, such as power consumption and dissipation, as well as power supply and footprint requirements. We propose a ring-resonator based optical backplane for router line-card interconnection. In particular we investigate how the scalability of the architecture is affected by the following parameters: number of line cards, switching-element round-trip losses, frequency drifting due to thermal variations, and waveguide-crossing effects. Moreover, to quantify the signal distortions introduced by filtering operations, the bit error rate for the different parameter conditions are shown in case of an on-off keying non-return-to-zero (OOK-NRZ) input signal at 10 Gb/s

The influence of auditory attention on rhythmic speech tracking: Implications for studies of unresponsive patients

Language comprehension relies on integrating words into progressively more complex structures, like phrases and sentences. This hierarchical structure-building is reflected in rhythmic neural activity across multiple timescales in E/MEG in healthy, awake participants. However, recent studies have shown evidence for this “cortical tracking” of higher-level linguistic structures also in a proportion of unresponsive patients. What does this tell us about these patients’ residual levels of cognition and consciousness? Must the listener direct their attention toward higher level speech structures to exhibit cortical tracking, and would selective attention across levels of the hierarchy influence the expression of these rhythms? We investigated these questions in an EEG study of 72 healthy human volunteers listening to streams of monosyllabic isochronous English words that were either unrelated (scrambled condition) or composed of four-word-sequences building meaningful sentences (sentential condition). Importantly, there were no physical cues between four-word-sentences. Rather, boundaries were marked by syntactic structure and thematic role assignment. Participants were divided into three attention groups: from passive listening (passive group) to attending to individual words (word group) or sentences (sentence group). The passive and word groups were initially naïve to the sentential stimulus structure, while the sentence group was not. We found significant tracking at word- and sentence rate across all three groups, with sentence tracking linked to left middle temporal gyrus and right superior temporal gyrus. Goal-directed attention to words did not enhance word-rate-tracking, suggesting that word tracking here reflects largely automatic mechanisms, as was shown for tracking at the syllable-rate before. Importantly, goal-directed attention to sentences relative to words significantly increased sentence-rate-tracking over left inferior frontal gyrus. This attentional modulation of rhythmic EEG activity at the sentential rate highlights the role of attention in integrating individual words into complex linguistic structures. Nevertheless, given the presence of high-level cortical tracking under conditions of lower attentional effort, our findings underline the suitability of the paradigm in its clinical application in patients after brain injury. The neural dissociation between passive tracking of sentences and directed attention to sentences provides a potential means to further characterise the cognitive state of each unresponsive patient

Impression management strategies in the Letter to Shareholders: empirical evidence from Italian listed firms

The importance of the Letter to Shareholders (LS) as a form of corporate communication is well documented in the previous literature. However, existent contributions also suggest that LS are used opportunistically by firms as locus of Impression Management (IM) strategy, possibly because of their voluntary and unregulated nature. The aim of this study is to assess whatever Italian firms use LS to convey a manipulated view of firms\u2019 behaviour. In particular, the paper verifies if unprofitable firms adopt a biased language in the LS manipulating the textual characteristics of these letters. A manual content analysis and a multivariate statistical analysis are run analysing the disclosure offered in all the LS made available by Italian listed firms referring to year 2013. The key results show that firms tend to use biased language to obfuscate their weak achievements, thus demonstrating that firms adopt IM in their LS. The evidence has relevant implications as we show that LS cannot be considered informative but rather than as a communication strategy to advance corporate image

Deoxynivalenol content in italian organic durum wheat: Results of a six-year survey

Deoxynivalenol (DON) contamination was investigated of Italian durum wheat from organic agriculture. A number of 661 samples from 13 genotypes were collected within the national organic durum wheat network variety trials during the six-year period between 2007–2012 in five different growing areas across Italy (Northern Italy, Marches, Central Apennines, West-Central Italy, Apulia). Mean temperatures and total rainfalls in April, May and June were collected nearby the study sites. Average DON contamination value along the whole study period was 67 μg/kg, and DON was detected only in 36% of the samples. Noteworthy, 95% of the analyzed grain revealed a DON contamination lower than 334 μg/kg. Maximum allowed DON level for unprocessed durum wheat set by European Union (1750 μg/kg) was exceeded only in four samples (0.6%). The highest mean DON values were detected in Northern Italy (175 μg/kg) and Marches (131 μg/kg). The same was for the percentage of positive samples (80% and 58%, respectively). Lower mean values and percentages of contaminated samples were found in West-Central Italy (22 μg/kg and 29%, respectively), Apennines (3 μg/kg and 8%, respectively) and Apulia (2 μg/kg and 7%, respectively). Statistical analysis (Generalized Linear Model, GLZ) was carried out to highlight the effect of factors like cultivation year, growing area and genotype. It revealed a huge effect of year, growing areas and their interaction, while the effect of genotype resulted significantly but quite less than the other main factors. The effect of the year could be explained by climatic data, which suggested an influence of rainfall and temperature at heading on both DON concentration values and percentage of contaminated samples. Results of this study put in evidence a low DON contamination in Italian organic durum wheat

Visual and somatosensory information contribute to distortions of the body model

Distorted representations of the body are observed in healthy individuals as well as in neurological and psychiatric disorders. Distortions of the body model have been attributed to the somatotopic cerebral representation. Recently, it has been demonstrated that visual biases also contribute to those distortions. To better understand the sources of such distortions, we compared the metric representations across five body parts affording different degrees of tactile sensitivity and visual accessibility. We evaluated their perceived dimensions using a Line Length Judgment task. We found that most body parts were underestimated in their dimensions. The estimation error relative to their length was predicted by their tactile acuity, supporting the influence of the cortical somatotopy on the body model. However, tactile acuity did not explain the distortions observed for the width. Visual accessibility in turn does appear to mediate body distortions, as we observed that the dimensions of the dorsal portion of the neck were the only ones accurately perceived. Coherent with the multisensory nature of body representations, we argue that the perceived dimensions of body parts are estimated by integrating visual and somatosensory information, each weighted differently, based on their availability for a given body part and a given spatial dimension

A sub-150-nanometre-thick and ultraconformable solution-processed all-organic transistor

Recent advancements in the field of electronics have paved the way to the development of new applications, such as tattoo electronics, where the employment of ultraconformable devices is required, typically achievable with a significant reduction in their total thickness. Organic materials can be considered enablers, owing to the possibility of depositing films with thicknesses at the nanometric scale, even from solution. However, available processes do not allow obtaining devices with thicknesses below hundreds of nanometres, thus setting a limit. Here, we show an all-organic field effect transistor that is less than 150 nm thick and that is fabricated through a fully solution-based approach. Such unprecedented thickness permits the device to conformally adhere onto nonplanar surfaces, such as human skin, and to be bent to a radius lower than 1 μm, thereby overcoming another limitation for field-effect transistors and representing a fundamental advancement in the field of ultrathin and tattoo electronics

Box-Shaped Dielectric Waveguides: A New Concept in Integrated Optics?

A novel class of optical waveguides with a box-shaped cross section consisting of a low-index inner material surrounded by a thin high-index coating layer is presented. This original multilayered structure widens the traditional concept of index contrast for dielectric waveguides toward a more general concept of effective index contrast, which can be artificially tailored over a continuous range by properly choosing the thickness of the outer high-index layers. An electromagnetic analysis is reported, which shows that the transverse electric and transverse magnetic modes are spatially confined in different regions of the cross section and exhibit an almost 90degC rotational symmetry. Such unusual field distribution is demonstrated to open the way to new intriguing properties with respect to conventional waveguides. Design criteria are provided into details, which mainly focus on the polarization dependence of the waveguide on geometrical parameters. The possibility of achieving single-mode waveguides with either zero or high birefringence is discussed, and the bending capabilities are compared to conventional waveguides. The feasibility of the proposed waveguide is demonstrated by the realization of prototypal samples that are fabricated by using the emerging CMOS- compatible Si3N4-SiO2 TriPleX technology. An exhaustive experimental characterization is reported, which shows propagation loss as low as state-of-the-art low-index-contrast waveguides (< 0.1 dB/cm) together with enhanced flexibility in the optimization of polarization sensitivity and confirms the high potentialities of the proposed waveguides for large-scale integrated optics