A model of second-degree Virtual Cut Nodes applied to Complex Networks in Ecological Landscape

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Follicular nodules (Thy3) of the thyroid: is total thyroidectomy the best option?

BACKGROUND: Identification of the best management strategy for nodules with Thy3 cytology presents particular problems for clinicians. This study investigates the ability of clinical, cytological and sonographic data to predict malignancy in indeterminate nodules with the scope of determining the need for total thyroidectomy in these patients. METHODS: The study population consisted of 249 cases presenting indeterminate nodules (Thy3): 198 females (79.5%) and 51 males (20.5%) with a mean age of 52.43 ± 13.68 years. All patients underwent total thyroidectomy. RESULTS: Malignancy was diagnosed in 87/249 patients (34.9%); thyroiditis co-existed in 119/249 cases (47.79%) and was associated with cancer in 40 cases (40/87; 45.98%). Of the sonographic characteristics, only echogenicity and the presence of irregular margins were identified as being statistically significant predictors of malignancy. 52/162 benign lesions (32.1%) and 54/87 malignant were hypoechoic (62.07%); irregular margins were present in 13/162 benign lesions (8.02%), and in 60/87 malignant lesions (68.97%). None of the clinical or cytological features, on the other hand, including age, gender, nodule size, the presence of microcalcifications or type 3 vascularization, were significantly associated with malignancy. CONCLUSIONS: The rate of malignancy in cytologically indeterminate lesions was high in the present study sample compared to other reported rates, and in a significant number of cases Hashimoto’s thyroiditis was also detected. Thus, considering the fact that clinical and cytological features were found to be inaccurate predictors of malignancy, it is our opinion that surgery should always be recommended. Moreover, total thyroidectomy is advisable, being the most suitable procedure in cases of multiple lesions, hyperplastic nodular goiter, or thyroiditis; the high incidence of malignancy and the unreliability of intraoperative frozen section examination also support this preference for total over hemi-thyroidectomy

CyTest – An Innovative Open-source Platform for Training and Testing in Cythopathology

Abstract This paper describes an e-learning platform developed in the context of the European Project CyTest (2014-1-IT01-KA202-002607), dedicated to Cytological Training at European Standard through Telepathology. The main, and novel, feature of our system is the deep integration between virtual microscopy and the training system: images are not simply there to be seen but they are active parts of testing, supporting quantitative measurement of image comprehension, for instance by evaluating the identification of relevant cellular structures by the position of markers put by the student on the image. The solution we developed offers a complete tool for easy creation and interactive access to questions related to images and fully integrates the components of virtual microscopy and teaching, based on state-of-the-art instruments for digital pathology images management, as OMERO, and for training course distribution, as Moodle. The system can be easily extended to support histopathological diagnosis. The software is distributed as Open Source and available on GitHub

A Prospective Cohort Analysis of the Prevalence and Predictive Factors of Delayed Discharge After Laparoscopic Cholecystectomy in Italy: The DeDiLaCo Study

Background: the concept of early discharge ≤24 hours after laparoscopic cholecystectomy (LC) is still doubted in italy. this prospective multicentre study aims to analyze the prevalence of patients undergoing elective LC who experienced a delayed discharge >24 hours in an extensive Italian national database and identify potential limiting factors of early discharge after LC. methods: this is a prospective observational multicentre study performed from january 1, 2021 to december 31, 2021 by 90 Italian surgical units. results: a total of 4664 patients were included in the study. clinical reasons were found only for 850 patients (37.7%) discharged >24 hours after LC. after excluding patients with nonclinical reasons for delayed discharge >24 hours, 2 groups based on the length of hospitalization were created: the early group (≤24 h; 2414 patients, 73.9%) and the delayed group (>24 h; 850 patients, 26.1%). at the multivariate analysis, ASA III class (P<0.0001), charlson's comorbidity index (P=0.001), history of choledocholithiasis (P=0.03), presence of peritoneal adhesions (P<0.0001), operative time >60 min (P<0.0001), drain placement (P<0.0001), pain (P=0.001), postoperative vomiting (P=0.001) and complications (P<0.0001) were independent predictors of delayed discharge >24 hours. conclusions: the majority of delayed discharges >24 hours after LC in our study were unrelated to the surgery itself. ASA class >II, advanced comorbidity, the presence of peritoneal adhesions, prolonged operative time, and placement of abdominal drainage were intraoperative variables independently associated with failure of early discharge

Formation of extended polyiodides at large cation templates

By studying the structures of (μ-1,4,10,13-tetra­thia-7,16-di­aza­cyclo­octa­deca­ne)bis[iodidopalladium(II)] diiodide penta­(diiodine), [Pd2I2(C12H26N2S4)](I)2·5I2 or [Pd2I2([18]aneN2S4)](I)2·(I2)5, and 4,7,13,16,21,24-hexa­oxa-1,10-diazo­niabi­cyclo­[8.8.8]hexa­cosane triiodide iodide hemi­penta­(diiodine) di­chloro­methane mono­solvate, C18H38N2O62+·I3−·I−·2.5I2·CH2Cl2 or [H2([2.2.2]cryptand)](I3)(I)(I2)2.5·CH2Cl2, we confirm the structural variety of extended polyiodides achievable upon changing the shape, charge and dimensions of the cation template, by altering the synthetic strategy adopted and/or the experimental conditions. Although it is still often difficult to characterize discrete [I2m+n]n− polyiodides higher than I3− on the basis of structural parameters, such as I—I bond distances, FT–Raman spectroscopy appears to identify them as aggregates of I2, I− and (symmetric or slightly asymmetric) I3− building blocks linked by I⋯I inter­actions of varying strengths. However, because FT–Raman spectroscopy carries no information about the topological features of extended polyiodides, the two techniques should therefore be applied in combination to enhance the analysis of this kind of compounds

2,7-Bis(pyridin-3-ylethynyl)fluoren-9-one

2,7-bis(pyridin-3-ylethynyl)fluoren-9-one [(3-PyE)2FO] was synthesized in one step by the Sonogashira coupling reaction between 3-ethynylpyridine and 2,7-dibromofluoren-9-one. The title compound was fully characterized, and its crystal structure was determined through single-crystal XRD analysis

A Prospective Cohort Analysis of the Prevalence and Predictive Factors of Delayed Discharge After Laparoscopic Cholecystectomy in Italy: The DeDiLaCo Study

Background: The concept of early discharge ≤24 hours after Laparoscopic Cholecystectomy (LC) is still doubted in Italy. This prospective multicentre study aims to analyze the prevalence of patients undergoing elective LC who experienced a delayed discharge >24 hours in an extensive Italian national database and identify potential limiting factors of early discharge after LC. Methods: This is a prospective observational multicentre study performed from January 1, 2021 to December 31, 2021 by 90 Italian surgical units. Results: A total of 4664 patients were included in the study. Clinical reasons were found only for 850 patients (37.7%) discharged >24 hours after LC. After excluding patients with nonclinical reasons for delayed discharge >24 hours, 2 groups based on the length of hospitalization were created: the Early group (≤24 h; 2414 patients, 73.9%) and the Delayed group (>24 h; 850 patients, 26.1%). At the multivariate analysis, ASA III class ( P <0.0001), Charlson's Comorbidity Index (P=0.001), history of choledocholithiasis (P=0.03), presence of peritoneal adhesions (P<0.0001), operative time >60 min (P<0.0001), drain placement (P<0.0001), pain ( P =0.001), postoperative vomiting (P=0.001) and complications (P<0.0001) were independent predictors of delayed discharge >24 hours. Conclusions: The majority of delayed discharges >24 hours after LC in our study were unrelated to the surgery itself. ASA class >II, advanced comorbidity, the presence of peritoneal adhesions, prolonged operative time, and placement of abdominal drainage were intraoperative variables independently associated with failure of early discharge

[AuIII(N^N)Br2](PF6): A Class of Antibacterial and Antibiofilm Complexes (N^N = 2,2'-Bipyridine and 1,10-Phenanthroline Derivatives)

A series of new complexes of general formula [AuIII(N^N)Br2](PF6) (N^N = 2,2'-bipyridine and 1,10-phenanthroline derivatives) were prepared and characterized by spectroscopic, electrochemical, and diffractometric techniques and tested against Gram-positive and Gram-negative bacterial strains (Staphylococcus aureus, Streptococcus intermedius, Pseudomonas aeruginosa, and Escherichia coli), showing promising antibacterial and antibiofilm properties

Exploration of an innovative ranging method for bi-static radar, applied in LEO Space Debris surveying and tracking

Space Situational Awareness (SSA) is referred as one of the capacitive areas of strategic interest to be developed/completed in the future in the short and medium term, for any nation with the target of the access to the space. One of the fundamental components is the Space Surveillance and Tracking (SST) program, considered as the capability to build a spatial mapping of the objects in orbit, their classification and the exact identification of their orbital characteristics. For this reason, radar measurements are relevant, in particular to observe objects in Low Earth Orbit. The Italian National Institute of Astrophysics together with Vitrociset company and Politecnico di Milano, studied and developed a new and innovative method for the range measure applied to bi-static radars to support the European Union Space Surveillance and Tracking (EUSST) program. Several tests have been carried out using the BIRALES and BIRALET sensors for survey and tracking observations respectively. Finally, the results obtained from observations have been compared with the real positions of the targets in order to validate the system. The ranging method relies on the synchronization of the transmitting and receiving antennas and on the correlation of the echo received from the scattering of the orbiting object. To do that, the transmitting antenna emits simultaneously two different signals: a Chirp signal for range measurement and a second “Continuous Wave” (CW) for Doppler shift measurement and object track reconstruction. Overall, we simultaneously obtain time profiles for range, angular position (azimuth and elevation), and Doppler during the passage of the objects inside the sensor Field of View. By virtue of the above plethora of measurements, this method guarantees also the possibility to produce an Initial Orbital Determination (IOD) for unknown objects

Exploitation of bi-static radar architectures for LEO Space Debris surveying and tracking: The BIRALES/BlRALET project

The space debris population is continuously growing and it represents a potential issue for spacecraft. New collisions could exponentially rise the amount of debris and so the level of risk represented by these objects. The monitoring of space environment is necessary to prevent new collisions. For this reason, radar measurements are relevant, in particular to observe objects in Low Earth Orbit. Regarding the Italian contribution, there are two radars based on two different radio telescopes as receivers: the BIRALES and the BIRALET systems. We propose a detailed description of these systems, focusing on hardware and software components that permit to perform range and range rate measurement of resident space objects