Active veterinary and entomological surveillance to assess emerging vector-borne disease risk in the Autonomous Province of Bolzano (Italy)

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Geo-visual analytics for urban design in the context of future Internet

The internet, where much of the information has reference to location, together with the latest generation of geographical web services, represent a very large information space that can be used for planning and design. The wealth of information accessible, which requires new forms of interaction and management of the data available, has brought in recent year to the growth of the domain of visual analytics. In addition, the availability of 3D geobrowsers provides the technological means for interactive 3D environments which can be used to access large-scale geographical information. This technological scenario is paving the way to 3D webbased, geo-visual analytics tools for land planning and urban design tools. This paper illustrates the results of a research effort which has brought to the development of an interactive geo-visual analytics platform for land planning and urban design which makes use of procedural modelling algorithms

Diagnóstico diferencial entre artrite infecciosa e não infecciosa em suínos no matadouro: critérios para julgamento das carcaças afetadas.

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GEOSPATIAL DATA PROCESSING FOR 3D CITY MODEL GENERATION, MANAGEMENT AND VISUALIZATION

Recent developments of 3D technologies and tools have increased availability and relevance of 3D data (from 3D points to complete city models) in the geospatial and geo-information domains. Nevertheless, the potential of 3D data is still underexploited and mainly confined to visualization purposes. Therefore, the major challenge today is to create automatic procedures that make best use of available technologies and data for the benefits and needs of public administrations (PA) and national mapping agencies (NMA) involved in “smart city” applications. The paper aims to demonstrate a step forward in this process by presenting the results of the SENECA project (Smart and SustaiNablE City from Above – http://seneca.fbk.eu). State-of-the-art processing solutions are investigated in order to (i) efficiently exploit the photogrammetric workflow (aerial triangulation and dense image matching), (ii) derive topologically and geometrically accurate 3D geo-objects (i.e. building models) at various levels of detail and (iii) link geometries with non-spatial information within a 3D geo-database management system accessible via web-based client. The developed methodology is tested on two case studies, i.e. the cities of Trento (Italy) and Graz (Austria). Both spatial (i.e. nadir and oblique imagery) and non-spatial (i.e. cadastral information and building energy consumptions) data are collected and used as input for the project workflow, starting from 3D geometry capture and modelling in urban scenarios to geometry enrichment and management within a dedicated webGIS platform

Fatores de risco associados à rinite atrófica progressiva e a pneumonias crônicas nas fases de crescimento e terminação.

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Treatment challenges in and outside a specialist network setting: Pancreatic neuroendocrine tumours

Pancreatic Neuroendocrine Neoplasms comprise a group of rare tumours with special biology, an often indolent behaviour and particular diagnostic and therapeutic requirements. The specialized biochemical tests and radiological investigations, the complexity of surgical options and the variety of medical treatments that require individual tailoring, mandate a multidisciplinary approach that can be optimally achieved through an organized network. The present study describes currents concepts in the management of these tumours as well as an insight into the challenges of delivering the pathway in and outside a Network

Testicular germ-cell tumours and penile squamous cell carcinoma: Appropriate management makes the difference

Germ-cell tumours (GCT) of the testis and penile squamous cell carcinoma (PeSCC) are a rare and a very rare uro-genital cancers, respectively. Both tumours are well defined entities in terms of management, where specific recommendations - in the form of continuously up-to-dated guide lines-are provided. Impact of these tumour is relevant. Testicular GCT affects young, healthy men at the beginning of their adult life. PeSCC affects older men, but a proportion of these patients are young and the personal consequences of the disease may be devastating. Deviation from recommended management may be a reason of a significant prognostic worsening, as proper treatment favourably impacts on these tumours, dramatically on GCT and significantly on PeSCC. RARECAREnet data may permit to analyse how survivals may vary according to geographical areas, histology and age, leading to assume that non-homogeneous health-care resources may impact the cure and definitive outcomes. In support of this hypothesis, some epidemiologic datasets and clinical findings would indicate that survival may improve when appropriate treatments are delivered, linked to a different accessibility to the best health institutions, as a consequence of geographical, cultural and economic barriers. Finally, strong clues based on epidemiological and clinical data support the hypothesis that treatment delivered at reference centres or under the aegis of a qualified multi-institutional network is associated with a better prognosis of patients with these malignancies. The ERN EURACAN represents the best current European effort to answer this clinical need

Treatment challenges in and outside a network setting: Head and neck cancers

Head and neck cancer (HNC) is a rare disease that can affect different sites and is characterized by variable incidence and 5-year survival rates across Europe. Multiple factors need to be considered when choosing the most appropriate treatment for HNC patients, such as age, comorbidities, social issues, and especially whether to prefer surgery or radiation-based protocols. Given the complexity of this scenario, the creation of a highly specialized multidisciplinary team is recommended to guarantee the best oncological outcome and prevent or adequately treat any adverse effect. Data from literature suggest that the multidisciplinary team-based approach is beneficial for HNC patients and lead to improved survival rates. This result is likely due to improved diagnostic and staging accuracy, a more efficacious therapeutic approach and enhanced communication across disciplines. Despite the benefit of MTD, it must be noted that this approach requires considerable time, effort and financial resources and is usually more frequent in highly organized and high-volume centers. Literature data on clinical research suggest that patients treated in high-accrual centers report better treatment outcomes compared to patients treated in low-volume centers, where a lower radiotherapy-compliance and worst overall survival have been reported. There is general agreement that treatment of rare cancers such as HNC should be concentrated in high volume, specialized and multidisciplinary centers. In order to achieve this goal, the creation of international collaboration network is fundamental. The European Reference Networks for example aim to create an international virtual advisory board, whose objectives are the exchange of expertise, training, clinical collaboration and the reduction of disparities and enhancement of rationalize migration across Europe. The purpose of our work is to review all aspects and challenges in and outside this network setting planned for the management of HNC patients

Obstetric near-miss cases among women admitted to intensive care units in Italy

Objective. Maternal near-miss defines a narrow category of morbidity encompassing potentially life-threatening episodes. The purpose of this study was to detect near-miss instances among women admitted to intensive care units or coronary units, analyze associated causes, and compute absolute and specific maternal morbidity rates in six Italian regions. Design. Observational retrospective study. Setting. Six Italian regions representing 49% of all resident Italian women aged 15-49 years. Population. The study population included all pregnant women aged 15-49 years admitted to intensive care units or coronary care units in the participating regions. Cases were defined as women aged 15-49 years resident in the participating regions, with one or more hospitalizations in intensive care for pregnancy or any pregnancy outcome between 2004 and 2005. Methods. Cases were identified through the Hospital Discharge Database. Enrolled cases were diagnosed according to the 9th International Classification of Diseases. Main outcome measure. Maternal near-miss rate (number of women experiencing an admission to intensive care units/all women with live or stillborn babies). Results. A total of 1259 near-miss cases were identified and the total maternal near-miss rate was 2.0/1000 deliveries. Seventy percent of the women were admitted to intensive care units or coronary units after a cesarean section. The leading associated risk factors were obstetric hemorrhage/disseminated intravascular coagulation (40%) and hypertensive disorders of pregnancy (29%). Conclusions. Monitoring of near-miss morbidity in conjunction with mortality surveillance could help to identify effective preventive measures for potentially life-threatening episodes