Forme del popolamento e dinamiche insediative nei territori di Calci e Vicopisano tra Età imperiale e Medioevo

Con il presente elaborato ci siamo proposti di indagare le forme del popolamento nel territorio dei comuni di Calci e Vicopisano, cercando di chiarire e comprendere le dinamiche insediative e la loro evoluzione in un arco cronologico esteso dall'Età Imperiale fino al XIV secolo. Dopo aver fornito una breve descrizione dei diversi contesti ambientali di ciascun comune, presentati nelle componenti fisiche e antropiche attuali si è tracciato un inquadramento dei processi geomorfologici e una sintesi dei principali eventi storici che hanno prodotto l'attuale territorio con una breve ricostruzione delle più importanti vie di comunicazione che lo servivano. Come strumento per la nostra analisi si è deciso di utilizzare Microsoft Access per progettare un database in cui far confluire le informazioni prodotte dallo studio dell'edito, cercando di sviluppare una struttura in grado contenere dati provenienti da differenti tipologie di fonti e capace di renderli facilmente consultabili in una ricerca. Successivamente alla sua costruzione la banca dati è stata agganciata a una base cartografica in modo da posizionare sulla superficie terrestre ogni sito tramite le coordinate geografiche; è stata così creata una piattaforma GIS, grazie al software AutoCAD Map 3D di Autodesk, con il quale si potuto creare la cartografia tematica indispensabile ad ogni fase della ricerca sia per la ricostruzione delle forme del popolamento di ogni periodo storico, sia per l'individuazione dei processi diacronici di trasformazione della rete insediativa. Per una migliore comprensione di questi fenomeni è stata realizzata anche una lettura delle foto aeree, satellitari e delle scansioni LIDAR del territorio, cercando eventuali anomalie, raccolte in un'apposita scheda e georiferite, e provando a fornirne un'interpretazione storica. Queste operazioni hanno consentito di relazionare le anomalie con i siti vicini e con l'ambiente geografico circostante. Con questi strumenti si è proceduto allo studio sincronico delle forme di popolamento dei due comuni indagati. Successivamente è stata realizzata un'analisi diacronica delle dinamiche insediative per evidenziare i processi comuni o le differenze e trovare i momenti di trasformazione dei contesti insediativi. Le tendenze riscontrate sono poi state confrontate con i modelli di popolamento proposti per la nostra regione e sono state valutate le caratteristiche di alcuni grandi temi storiografici nei territori da noi indagati, come l'incastellamento e il ruolo delle chiese nella rete insediativa. Alla fine della ricerca si voluto proporre un bilancio sulle tipologie di fonti impiegate e una riflessione sul loro differente potenziale informativo individuando nel GIS un utile strumento per instaurare le basi di un proficuo dialogo tra le differenti metodologie di ricerca storica. A conclusione del nostro lavoro si è voluto proporre alcune idee di sviluppo della ricerca che secondo noi potrebbero contribuire sensibilmente ad accrescere le nostre conoscenze sulle dinamiche insediative di questi territori

Tree Species Composition in Mixed Plantations Influences Plant Growth, Intrinsic Water Use Efficiency and Soil Carbon Stock

Species interactions in mixed plantations can influence tree growth, resources capture and soil fertility of the stands. A combined approach of tree-ring analyses and carbon stable isotope was used to check tree growth and water use efficiency of two species, Populus alba L. and Juglans regia L., intercropped with each other and with N-fixing or competitive production species. Furthermore, soil analyses were performed to understand how the different intercropping systems can influence soil characteristics, in particular soil carbon stock. Dendrochronological data showed that during the first years, the growth of principal species was favored by intercropping. This positive effect decreased in the following years in most of intercropped stands, due to light competition with the crown of companion species. Carbon isotope data showed that P. alba and J. regia had the highest intrinsic water use efficiency when growing with Elaeagnus umbellata Thunb, a shrubby species with a shallow root system that favors a non-competitive exploitation of soil water resources. Finally, the intercropping of the principal species with Corylus avellana L. promoted the highest soil C stock. Our findings confirmed the importance to consider the plantation dynamics and wood formation in the long-run and to apply appropriate thinning and pruning interventions to counteract interspecific competition

Clinical impact of routine angiographic follow-up after percutaneous coronary interventions on unprotected left main

Background: Patients undergoing percutaneous coronary intervention (PCI) with drug-eluting stent (DES) on unprotected left main (ULM) represent a complex subset. The role of routine coronary angiography at follow up in this subset remains debated. Methods: At the documented center, all patients undergoing successful PCI on ULM lesions performing angiographic follow-up is suggested, but adherence to such a recommendation is inhomogeneous. Consecutive patients undergoing DES PCI on ULM were enrolled and experienced no adverse events during the first 6 months. Patients were then allocated to two groups: those undergoing routine control angiography (CA) and those undergoing clinical follow-up (CF). Primary endpoint was major adverse cardiac events (MACE) defined as cardiac death, myocardial infarction and urgent repeat target vessel revascularization. Results: A total of 190 patients underwent successful DES implantation on ULM and the study population was without early events. CA was performed at 6 months after the index procedure in 91 (48%) patients. After 35 \ub1 21 months, MACE rates were significantly more common in the CF group as compared with the CA group (16.2% vs. 4.3%, p = 0.009). At multivariable analysis, CA was associated with reduced MACE risk (HR 0.13, 95% CI 0.1\u20130.7, p = 0.028). Of note, this was mainly driven by higher cardiac death rate in those undergoing CF than in those undergoing CA (p = 0.01). Conclusions: CA after complex PCI, such as ULM PCI, is associated with reduced MACE. Such an observation calls for appropriately designed randomized trials

Mixed-Species Plantation Effects on Soil Biological and Chemical Quality and Tree Growth of a Former Agricultural Land

Tree planting on abandoned agricultural land could both restore the soil quality and increase the productivity of economically valuable woody species. Here, we assess the impact of mixed-species tree plantations on soil quality at a site in Central Italy where tree intercropping systems were established 20 years ago on a former agricultural land. These intercropping systems include two species of economic interest, Populus alba and Juglans regia, and one of three different nurse trees, i.e., Alnus cordata, Elaeagnus umbellata, both of which are N-fixing species, and Corylus avellana. We measured tree growth and compared how soil organic matter, soil extracellular enzymes, and nematodes of different feeding groups varied among the intercropping systems and relative to a conventional agricultural field. Our results indicate that tree plantation led to an increase in soil carbon and nitrogen, and enhanced enzyme activities, compared with the agricultural land. The proportion of nematode feeding groups was heterogeneous, but predators were absent from the agricultural soil. Multivariate analysis of soil properties, enzymatic activity, nematodes, and tree growth point to the importance of the presence N-fixing species, as the presence of A. cordata was linked to higher soil quality, and E. umbellata to growth of the associated valuable woody species. Our findings indicate that intercropping tree species provide a tool for both restoring fertility and improving soil quality

Clinical impact of routine angiographic follow-up after percutaneous coronary interventions on unprotected left main

Background: Patients undergoing percutaneous coronary intervention (PCI) with drug-eluting stent (DES) on unprotected left main (ULM) represent a complex subset. The role of routine coronary angiography at follow up in this subset remains debated. Methods: At the documented center, all patients undergoing successful PCI on ULM lesions performing angiographic follow-up is suggested, but adherence to such a recommendation is inhomogeneous. Consecutive patients undergoing DES PCI on ULM were enrolled and experienced no adverse events during the first 6 months. Patients were then allocated to two groups: those undergoing routine control angiography (CA) and those undergoing clinical follow-up (CF). Primary endpoint was major adverse cardiac events (MACE) defined as cardiac death, myocardial infarction and urgent repeat target vessel revascularization. Results: A total of 190 patients underwent successful DES implantation on ULM and the study population was without early events. CA was performed at 6 months after the index procedure in 91 (48%) patients. After 35 ± 21 months, MACE rates were significantly more common in the CF group as compared with the CA group (16.2% vs. 4.3%, p = 0.009). At multivariable analysis, CA was associated with reduced MACE risk (HR 0.13, 95% CI 0.1–0.7, p = 0.028). Of note, this was mainly driven by higher cardiac death rate in those undergoing CF than in those undergoing CA (p = 0.01). Conclusions: CA after complex PCI, such as ULM PCI, is associated with reduced MACE. Such an observation calls for appropriately designed randomized trials

Safety culture to improve accidental events reporting in radiotherapy

The potential for unintended and adverse radiation exposure in radiotherapy is real and should be studied because radiotherapy is a highly complex, multistep process which requires input from numerous individuals from different areas and steps of the radiotherapy workflow. The 'Incident' (I) is a consequence of which are not negligible from the point of view of protection or safety. A 'near miss' (NM) is defined as an event which is highly likely to happen but did not occur. The purpose of this work is to show that through a systematic reporting and analysis of these adverse events, their occurrence can be reduced

Impact of operator experience and wiring technique on procedural efficacy of trans-radial percutaneous chronic total occlusion recanalization performed by dedicated radialists

The efficacy of trans-radial approach (TRA) in chronic total occlusions (CTO) percutaneous coronary interventions (PCI) is not well established. Thus, we sought to review the feasibility and long-term results of TRA for CTO PCI performed by dedicated TRA operatorsof our center

Topological order in Josephson junction ladders with Mobius boundary conditions

We propose a CFT description for a closed one-dimensional fully frustrated ladder of quantum Josephson junctions with Mobius boundary conditions, in particular we show how such a system can develop topological order. Such a property is crucial for its implementation as a "protected" solid state qubit.Comment: 14 pages, 3 figures, to appear in JSTA

Pediatric Hodgkin Lymphoma: Predictive value of interim 18F-FDG PET/CT in therapy response assessment

We investigated the prognostic value of interim 18F-FDG PET/CT (PET-2) in pediatric Hodgkin lymphoma (pHL), evaluating both visual and semiquantitative analysis. Thirty pHL patients (age ⠤16) underwent serial 18F-FDG PET/CT: At baseline (PET-0), after 2 cycles of chemotherapy (PET-2) and at the end of first-line chemotherapy (PET-T). PET response assessment was carried out visually according to the Deauville Score (DS), as well as semiquantitatively by using the semiquantitative parameters reduction from PET-0 to PET-2 (ΠΣSUVmax0-2, ΠΣSUVmean0-2). Final clinical response assessment (outcome) at the end of first-line chemotherapy was the criterion standard, considering patients as responders (R) or nonresponders (NR). Disease status was followed identifying patients with absence or relapsed/progression disease (mean follow-up: 24 months, range 3-78). Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of visual and semiquantitative assessment were calculated; furthermore, Fisher exact test was performed to evaluate the association between both visual and semiquantitative assessment and outcome at the end of the first-line chemotherapy. The prognostic capability of PET-2 semiquantitative parameters was calculated by ROC analysis and expressed as area under curve (AUC). Finally, progression-free survival (PFS) was analyzed according to PET-2 results based on the 5-point scale and semiquantitative criteria, using the Kaplan-Meier method. Based on the outcome at the end of first-line chemotherapy, 5 of 30 patients were NR, the remnant 25 of 30 were R. Sensitivity, specificity, PPV, NPV, and accuracy of visual analysis were 60%,72%,30%,90%,70%; conversely, sensitivity, specificity, PPV, NPV, and accuracy of semiquantitative assessment were 80%, 92%, 66.7%, 95.8%, 90%. The highest AUC resulted for ΠΣSUVmax0-2 (0.836; cut-off <12.5; sensitivity 80%; specificity 91%). The association between ΠΣSUVmax0-2 and outcome at the end of first-line chemotherapy resulted to have a strong statistical significance (P=0.0026). Both methods demonstrated to influence PFS, even if the semiquantitative assessment allowed a more accurate identification of patients with a high risk of treatment failure (P=0.005). Our preliminary results showed that PET-2 visual assessment, by using Deauville criteria, can be improved by using the semiquantitative analysis. The SUV max reduction (ΠΣSUVmax0-2) evaluation might provide a support for the interpretation of intermediate scores, predicting with good confidence those patients who will have a poor outcome and require alternative therapies

A pilot study employing hepatic intra-arterial irinotecan injection of drug-eluting beads as salvage therapy in liver metastatic colorectal cancer patients without extrahepatic involvement: The first southern Italy experience

Background: The main aim of this prospective study was to evaluate the efficacy of drug-eluting beads with irinotecan (DEBIRI) for liver metastases from colorectal cancer. Secondary aims were to evaluate survival and toxicity. Methods: Twenty-five patients with metastases in <50% of the liver and without extrahepatic involvement were enrolled. Treatment response assessment was performed by multidetector contrast enhancement computed tomography (MDCT) with evaluation of the enhancement pattern of the target lesion and tumor response rates according to modified Response Evaluation Criteria in Solid Tumors (mRECIST, Version 1.1). All adverse events were recorded by the Cancer Therapy Evaluation Program Common Terminology Criteria for Adverse Events, Version 3.0. Associations of tumor response and variables were calculated using the chi-squared test. Overall survival (OS) was calculated using the Kaplan–Meier method. Comparisons were made using the log-rank test. Results: According to mRECIST, complete response (CR) was observed in 21.8% of patients, partial response (PR) in 13%, stable disease (SD) in 52.2% and progressive disease (PD) in 13% of patients. Response rate (RR = CR + PR) was 34.8%. No associations between treatment response and variables such as Dukes’ classification, grading and Kras status were found (P>0.05). The median OS was 37 months (95% CI: 13.881 to 60.119). Cox regression model showed that neither site, Dukes’ classification, grading, Kras status nor number of chemotherapy treatments pre-DEBIRI influenced the OS. The log-rank test showed no statistically significant difference in OS among patients who underwent 1, 2 or 3 DEBIRI treatments (χ2=2.831, P=0.09). In our study, the main toxicities included postembolization syndrome (PES), hypertransaminasemia and fever. Conclusion: The favorable tumor response and the favorable toxicity profile make DEBIRI treatment a potential third-line therapy. Although further larger studies are needed to confirm these data, we can state that DEBIRI is an attractive emerging treatment in these patients