New Developments on the Non-Central Chi-Squared and Beta Distributions

New formulas for the moments about zero of the Non-central Chi-Squared and the Non-central Beta distributions are achieved by means of novel approaches. The mixture representation of the former model and a new expansion of the ascending factorial of a binomial are the main ingredients of the first approach, whereas the second one hinges on an interesting relationship of conditional independence and a simple conditional density of the latter model. Then, a simulation study is carried out in order to pursue a twofold purpose: providing numerical validations of the derived moment formulas on one side and discussing the advantages of the new formulas over the existing ones on the other.Comment: accepted for publication at Austrian Journal of Statistics on 06 May 202

Clinical significance of epithelial-to-mesenchymal transition in laryngeal carcinoma: Its role in the different subsites

Background: During epithelial-to-mesenchymal transition, cancer cells lose adhesion capacity gaining migratory properties. The role of the process on prognosis has been evaluated in 50 cases of laryngeal carcinoma. Methods: E-cadherin, N-cadherin, β-catenin, α-catenin, γ-catenin, caveolin-1, and vimentin immunohistochemical expression were evaluated using a double score based on staining intensity and cellular localization. Results: Cytoplasmic E-cadherin and α/γ catenin staining were associated with a decrease in survival, cytoplasmic β-catenin was associated with advanced stage, and N-cadherin and vimentin expression were associated with poor differentiation and tumor relapse. On the basis of cancer cells, epithelial or mesenchymal morphological and immunophenotypic similarity we identified 4 main subgroups correlated with a transition to a more undifferentiated phenotype, which have a different pattern of relapse and survival. Conclusion: The negative prognostic role of epithelial-to-mesenchymal transition has been confirmed and a predictive role in glottic tumors has been suggested, leading us to propose epithelial-to-mesenchymal transition as an additional adverse feature in laryngeal carcinoma

Modification and pathways of Southern Ocean Deep Waters in the Scotia Sea

An unprecedented high-quality, quasi-synoptic hydrographic data set collected during the ALBATROSS cruise along the rim of the Scotia Sea is examined to describe the pathways of the deep water masses flowing through the region, and to quantify changes in their properties as they cross the sea. Owing to sparse sampling of the northern and southern boundaries of the basin, the modification and pathways of deep water masses in the Scotia Sea had remained poorly documented despite their global significance. Weddell Sea Deep Water (WSDW) of two distinct types is observed spilling over the South Scotia Ridge to the west and east of the western edge of the Orkney Passage. The colder and fresher type in the west, recently ventilated in the northern Antarctic Peninsula, flows westward to Drake Passage along the southern margin of the Scotia Sea while mixing intensely with eastward-flowing Circumpolar Deep Water (CDW) of the antarctic circumpolar current (ACC). Although a small fraction of the other WSDW type also spreads westward to Drake Passage, the greater part escapes the Scotia Sea eastward through the Georgia Passage and flows into the Malvinas Chasm via a deep gap northeast of South Georgia. A more saline WSDW variety from the South Sandwich Trench may leak into the eastern Scotia Sea through Georgia Passage, but mainly flows around the Northeast Georgia Rise to the northern Georgia Basin. In Drake Passage, the inflowing CDW displays a previously unreported bimodal property distribution, with CDW at the Subantarctic Front receiving a contribution of deep water from the subtropical Pacific. This bimodality is eroded away in the Scotia Sea by vigorous mixing with WSDW and CDW from the Weddell Gyre. The extent of ventilation follows a zonation that can be related to the CDW pathways and the frontal anatomy of the ACC. Between the Southern Boundary of the ACC and the Southern ACC Front, CDW cools by 0.15°C and freshens by 0.015 along isopycnals. The body of CDW in the region of the Polar Front splits after overflowing the North Scotia Ridge, with a fraction following the front south of the Falkland Plateau and another spilling over the plateau near 49.5°W. Its cooling (by 0.07°C) and freshening (by 0.008) in crossing the Scotia Sea is counteracted locally by NADW entraining southward near the Maurice Ewing Bank. CDW also overflows the North Scotia Ridge by following the Subantarctic Front through a passage just east of Burdwood Bank, and spills over the Falkland Plateau near 53°W with decreased potential temperature (by 0.03°C) and salinity (by 0.004). As a result of ventilation by Weddell Sea waters, the signature of the Southeast Pacific Deep Water (SPDW) fraction of CDW is largely erased in the Scotia Sea. A modified form of SPDW is detected escaping the sea via two distinct routes only: following the Southern ACC Front through Georgia Passage; and skirting the eastern end of the Falkland Plateau after flowing through Shag Rocks Passage

Trends of influenza B during the 2010–2016 seasons in 2 regions of north and south Italy: The impact of the vaccine mismatch on influenza immunisation strategy

Influenza A and B viruses are responsible for respiratory infections, representing globally seasonal threats to human health. The 2 viral types often co-circulate and influenza B plays an important role in the spread of infection. A 6-year retrospective surveillance study was conducted between 2010 and 2016 in 2 large administrative regions of Italy, located in the north (Liguria) and in the south (Sicily) of the country, to describe the burden and epidemiology of both B/Victoria and B/Yamagata lineages in different healthcare settings. Influenza B viruses were detected in 5 of 6 seasonal outbreaks, exceeding influenza A during the season 2012–2013. Most of influenza B infections were found in children aged ≤ 14 y and significant differences were observed in the age-groups infected by the different lineages. B/Victoria strains prevailed in younger population than B/Yamagata, but also were more frequently found in the community setting. Conversely, B/Yamagata viruses were prevalent among hospitalized cases suggesting their potential role in the development of more severe disease. The relative proportions of viral lineages varied from year to year, resulting in different lineage-level mismatch for the B component of trivalent influenza vaccine. Our findings confirmed the need for continuous virological surveillance of seasonal epidemics and bring attention to the adoption of universal influenza immunization program in the childhood. The use of tetravalent vaccine formulations may be useful to improve the prevention and control of the influenza burden in general population

Photon creation in a spherical oscillating cavity

We study the photon creation inside a perfectly conducting, spherical oscillating cavity. The electromagnetic field inside the cavity is described by means of two scalar fields which satisfy Dirichlet and (generalized) Neumann boundary conditions. As a preliminary step, we analyze the dynamical Casimir effect for both scalar fields. We then consider the full electromagnetic case. The conservation of angular momentum of the electromagnetic field is also discussed, showing that photons inside the cavity are created in singlet states.Comment: 14 pages, no figure

Chemo-Archaeological Downsizing in a Hierarchical Universe: Impact of a Top Heavy IGIMF

We make use of a semi-analytical model of galaxy formation to investigate the origin of the observed correlation between [a/Fe] abundance ratios and stellar mass in elliptical galaxies. We implement a new galaxy-wide stellar initial mass function (Top Heavy Integrated Galaxy Initial Mass Function, TH-IGIMF) in the semi-analytic model SAG and evaluate its impact on the chemical evolution of galaxies. The SFR-dependence of the slope of the TH-IGIMF is found to be key to reproducing the correct [a/Fe]-stellar mass relation. Massive galaxies reach higher [a/Fe] abundance ratios because they are characterized by more top-heavy IMFs as a result of their higher SFR. As a consequence of our analysis, the value of the minimum embedded star cluster mass and of the slope of the embedded cluster mass function, which are free parameters involved in the TH-IGIMF theory, are found to be as low as 5 solar masses and 2, respectively. A mild downsizing trend is present for galaxies generated assuming either a universal IMF or a variable TH-IGIMF. We find that, regardless of galaxy mass, older galaxies (with formation redshifts > 2) are formed in shorter time-scales (< 2 Gyr), thus achieving larger [a/Fe] values. Hence, the time-scale of galaxy formation alone cannot explain the slope of the [a/Fe]-galaxy mass relation, but is responsible for the big dispersion of [a/Fe] abundance ratios at fixed stellar mass.We further test the hyphothesis of a TH-IGIMF in elliptical galaxies by looking into mass-to-light ratios, and luminosity functions. Models with a TH-IGIMF are also favoured by these constraints. In particular, mass-to-light ratios agree with observed values for massive galaxies while being overpredicted for less massive ones; this overprediction is present regardless of the IMF considered.Comment: 24 pages, 15 figures, 2 tables. (Comments most welcome). Summited to MNRA

Epidemiology of intensive care unit-acquired sepsis in Italy: results of the SPIN-UTI network

BACKGROUND: Sepsis is the major cause of mortality from any infectious disease worldwide. Sepsis may be the result of a healthcare associated infection (HAI): the most frequent adverse events during care delivery especially in Intensive Care Units (ICUs). The main aim of the present study was to describe the epidemiology of ICU-acquired sepsis and related outcomes among patients enrolled in the framework of the Italian Nosocomial Infections Surveillance in ICUs - SPIN-UTI project. STUDY DESIGN: Prospective multicenter study. METHODS: The SPIN-UTI network adopted the European protocols for patient-based HAI surveillance. RESULTS: During the five editions of the SPIN-UTI project, from 2008 to 2017, 47.0% of HAIs has led to sepsis in 832 patients. Overall, 57.0% episodes were classified as sepsis, 20.5% as severe sepsis and 22.5% as septic shock. The most common isolated microorganisms from sepsis episodes were Acinetobacter baumannii, Klebsiella pneumoniae and Pseudomonas aeruginosa. The case fatality rate increased with the severity of sepsis and the mean length of ICU-stay was significantly higher in patients with ICU-acquired sepsis than in patients without. CONCLUSION: Our study provides evidence that ICU-acquired sepsis occurs frequently in Italian ICU patients and is associated with a high case fatality rate and increased length of stay. However, in order to explain these findings further analyses are needed in this population of ICU patient

Healthcare Associated Infections. educational intervention by "Adult Learning" in an Italian teaching hospital

An educational intervention for HAI prevention based on a combination of training, motivation and subsequent application in the current clinical practice in an Italian teaching hospital