Current transport versus continental inputs in the eastern Indian Ocean: Radiogenic isotope signatures of clay size sediments

Analyses of radiogenic neodymium (Nd), strontium (Sr), and lead (Pb) isotope compositions of clay-sized detrital sediments allow detailed tracing of source areas of sediment supply and present and past transport of particles by water masses in the eastern Indian Ocean. Isotope signatures in surface sediments range from −21.5 (ɛNd), 0.8299 (87Sr/86Sr), and 19.89 (206Pb/204Pb) off northwest Australia to +0.7 (ɛNd), 0.7069 (87Sr/86Sr), and 17.44 (206Pb/204Pb) southwest of Java. The radiogenic isotope signatures primarily reflect petrographic characteristics of the surrounding continental bedrocks but are also influenced by weathering-induced grain size effects of Pb and Sr isotope systems with superimposed features that are caused by current transport of clay-sized particles, as evidenced off Australia where a peculiar isotopic signature characterizes sediments underlying the southward flowing Leeuwin Current and the northward flowing West Australian Current (WAC). Gravity core FR10/95-GC17 off west Australia recorded a major isotopic change from Last Glacial Maximum values of −10 (ɛNd), 0.745 (87Sr/86Sr), and 18.8 (206Pb/204Pb) to Holocene values of −22 (ɛNd), 0.8 (87Sr/86Sr), and 19.3 (206Pb/204Pb), which documents major climatically driven changes of the WAC and in local riverine particle supply from Australia during the past 20 kyr. In contrast, gravity core FR10/95-GC5 located below the present-day pathway of the Indonesian throughflow (ITF) shows a much smaller isotopic variability, indicating a relatively stable ITF hydrography over most of the past 92 kyr. Only the surface sediments differ significantly in their isotopic composition, indicating substantial changes in erosional sources attributed to a change of the current regime during the past 5 kyr

Glacial‐interglacial variations in sediment organic carbon accumulation and benthic foraminiferal assemblages on the Bermuda Rise (ODP Site 1063) during MIS 13 to 10

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/94866/1/palo1807.pd

Laparoscopic right hemicolectomy: a SICE (Società Italiana di Chirurgia Endoscopica e Nuove tecnologie) network prospective study on the approach to right colon lymphadenectomy in Italy: is there a standard?—CoDIG 2 (ColonDx Italian Group)

Background: Colon cancer is a disease with a worldwide spread. Surgery is the best option for the treatment of advanced colon cancer, but some aspects are still debated, such as the extent of lymphadenectomy. In Japanese guidelines, the gold standard was D3 dissection to remove the central lymph nodes (203, 213, and 223), but in 2009, Hoenberger et al. introduced the concept of complete mesocolic excision, in which surgical dissection follows the embryological planes to remove the mesentery entirely to prevent leakage of cancer cells and collect more lymph nodes. Our study describes how lymphadenectomy is currently performed in major Italian centers with an unclear indication on the type of lymphadenectomy that should be performed during right hemicolectomy (RH). Methods: CoDIG 2 is an observational multicenter national study that involves 76 Italian general surgery wards highly specialized in colorectal surgery. Each center was asked not to modify their usual surgical and clinical practices. The aim of the study was to assess the preference of Italian surgeons on the type of lymphadenectomy to perform during RH and the rise of any new trends or modifications in habits compared to the findings of the CoDIG 1 study conducted 4 years ago. Results: A total of 788 patients were enrolled. The most commonly used surgical technique was laparoscopic (82.1%) with intracorporeal (73.4%), side-to-side (98.7%), or isoperistaltic (96.0%) anastomosis. The lymph nodes at the origin of the vessels were harvested in an inferior number of cases (203, 213, and 223: 42.4%, 31.1%, and 20.3%, respectively). A comparison between CoDIG 1 and CoDIG 2 showed a stable trend in surgical techniques and complications, with an increase in the robotic approach (7.7% vs. 12.3%). Conclusions: This analysis shows how lymphadenectomy is performed in Italy to achieve oncological outcomes in RH, although the technique to achieve a higher lymph node count has not yet been standardized. Trial registration (ClinicalTrials.gov) ID: NCT05943951

Global overview of the management of acute cholecystitis during the COVID-19 pandemic (CHOLECOVID study)

Background: This study provides a global overview of the management of patients with acute cholecystitis during the initial phase of the COVID-19 pandemic. Methods: CHOLECOVID is an international, multicentre, observational comparative study of patients admitted to hospital with acute cholecystitis during the COVID-19 pandemic. Data on management were collected for a 2-month study interval coincident with the WHO declaration of the SARS-CoV-2 pandemic and compared with an equivalent pre-pandemic time interval. Mediation analysis examined the influence of SARS-COV-2 infection on 30-day mortality. Results: This study collected data on 9783 patients with acute cholecystitis admitted to 247 hospitals across the world. The pandemic was associated with reduced availability of surgical workforce and operating facilities globally, a significant shift to worse severity of disease, and increased use of conservative management. There was a reduction (both absolute and proportionate) in the number of patients undergoing cholecystectomy from 3095 patients (56.2 per cent) pre-pandemic to 1998 patients (46.2 per cent) during the pandemic but there was no difference in 30-day all-cause mortality after cholecystectomy comparing the pre-pandemic interval with the pandemic (13 patients (0.4 per cent) pre-pandemic to 13 patients (0.6 per cent) pandemic; P = 0.355). In mediation analysis, an admission with acute cholecystitis during the pandemic was associated with a non-significant increased risk of death (OR 1.29, 95 per cent c.i. 0.93 to 1.79, P = 0.121). Conclusion: CHOLECOVID provides a unique overview of the treatment of patients with cholecystitis across the globe during the first months of the SARS-CoV-2 pandemic. The study highlights the need for system resilience in retention of elective surgical activity. Cholecystectomy was associated with a low risk of mortality and deferral of treatment results in an increase in avoidable morbidity that represents the non-COVID cost of this pandemic

Automatic Outdoor Image Geolocation with Focal Modulation Networks

We handle the problem of estimating a photo’s geographical location. Success in this assessment enables many interesting and helpful applications, like facilitating Disaster Management circumstances. However, this is also a very challenging task. Due to the complexity of the problem, we restrict the area to geolocate to a single city, treating geolocation as a classification problem where the districts of a city are the classes to be discriminated. In this thesis, we exploit the Focal Modulation Network that is promising to perform effectively and efficiently in visual modeling for real-world applications. Experimental results, on two diverse crawled datasets, show the effectiveness of our approach, taking into account that it is possible to replicate the pipeline for any given city

Sinkhole monitoring to support landslide management

The availability of geological and geomorphological data represents an important element to support local authorities in land management policies and the design of mitigation measures to reduce natural risk levels. These data allow to improve decision makers awareness during the process of design and construction of civil works both public and private. SEA Consulting srl, was appointed by the Verduno municipality (Cuneo Province, Italy), in order to provide the inventory and the classification of the geological and geomorphological elements of the Tanaro Valley sector falling within the municipal territory. In this area the geological setting is characterized by shallow and deep landslides connected to a karst system developed in the Vena del Gesso Formation (Upper Messinian), represented by gypsum, which exerts a relevant influence on groundwater and runoff behaviour. This study was accomplished in different and consequential steps which allowed (1) to relate the field survey with the previous works and geological studies, (2) to realise the inventory with an appropriate and effective standard process for data field acquisition and (3) to develop and to implement a database to store field information. Information is organized in way to be read both on computer and on paper support. Thematic forms provides data related to specific aspects of the karsts shape such as the geographic location, morphology, evolution state, relationship to the anthropic activities, geologic and geomorphologic setting. The geographic features and the associated information are also available on a GIS. Specific command tools on database forms allow to easily read information and to perform specific queries. Finally, the study allowed (1) to improve awareness on land processes, (2) the monitoring of the evolution of the karst phenomena and their relationship with runoff dynamics and (3) to develop an operative tool for checking and managing municipal territory data by local public managers. © Springer-Verlag Berlin Heidelberg 2013

The Late Quaternary evolution of water masses in the eastern Indian Ocean between Australia and Indonesia, based on benthic foraminifera faunal and carbon isotopes analyses

Benthic foraminifera and carbon isotopes from closely spaced samples taken from three deep-sea cores were analysed to reconstruct the palaeoceanographic evolution of the eastern Indian Ocean for the last 30 kyrs, with an extension back to 60 kyrs base