MOBILITY ATLAS BOOKLET: AN URBAN DASHBOARD DESIGN AND IMPLEMENTATION

Abstract. The new data sources give the possibility to answer analytically the questions that arise from mobility manager. The process of transforming raw data into knowledge is very complex, and it is necessary to provide metaphors of visualizations that are understandable to decision makers. Here, we propose an analytical platform that extracts information on the mobility of individuals from mobile phone by applying Data Mining methodologies. The main results highlighted here are both technical and methodological. First, communicating information through visual analytics techniques facilitates understanding of information to those who have no specific technical or domain knowledge. Secondly, the API system guarantees the ability to export aggregates according to the granularity required, enabling other actors to produce new services based on the extracted models. For the future, we expect to extend the platform by inserting other layers. For example, a layer for measuring the sustainability index of a territory, such as the ability of public transport to attract private mobility or the index that measures how many private vehicle trips can be converted into electrical mobility.</p

Occurrence of exocrine pancreatic insufficiency in patients with advanced neuroendocrine tumors treated with somatostatin analogs

Background: Although exocrine pancreatic insufficiency (EPI) has been described in patients with neuroendocrine neoplasia (NEN) treated with somatostatin analogs (SSAs), its role in the therapeutic management of these patients is not well established. Aim: To determine the frequency of EPI in patients with NEN long-term treated with SSAs. Methods: This is a prospective single-center study evaluating 35 patients treated with SSAs for &gt;12 months due to unresectable/advanced nonpancreatic well-differentiated NEN. Clinical evaluation, biochemical parameters, and fecal elastases 1 (FE-1) were assessed to diagnose EPI. Results: A total of 7 patients (20%) had EPI, given the presence of abdominal symptoms and a median FE-1 value of 180 mcg/g stool (150–198). No patient had severe EPI, defined as FE-1 &lt; 100 mcg/g stool. Elevated glycated Hb levels were a significant predictor for developing EPI (OR 4.81, p = 0.01). No significant difference in terms of duration of SSA treatment was observed between patients with or without EPI diagnosed (84 months and 72 months, respectively; p = 0.950). Conclusions: Mild-moderate EPI is a relatively common condition in patients receiving long-term treatment with SSAs. Specific clinical and biochemical evaluations, including FE-1, should be planned in these patients to diagnose this relevant condition early, which may deteriorate quality of life and cause malnutrition

Visually driven analysis of movement data by progressive clustering

The paper investigates the possibilities of using clustering techniques in visual exploration and analysis of large numbers of trajectories, that is, sequences of time-stamped locations of some moving entities. Trajectories are complex spatio-temporal constructs characterized by diverse non-trivial properties. To assess the degree of (dis)similarity between trajectories, specific methods (distance functions) are required. A single distance function accounting for all properties of trajectories, (1) is difficult to build, (2) would require much time to compute, and (3) might be difficult to understand and to use. We suggest the procedure of progressive clustering where a simple distance function with a clear meaning is applied on each step, which leads to easily interpretable outcomes. Successive application of several different functions enables sophisticated analyses through gradual refinement of earlier obtained results. Besides the advantages from the sense-making perspective, progressive clustering enables a rational work organization where time-consuming computations are applied to relatively small potentially interesting subsets obtained by means of ‘cheap’ distance functions producing quick results. We introduce the concept of progressive clustering by an example of analyzing a large real data set. We also review the existing clustering methods, describe the method OPTICS suitable for progressive clustering of trajectories, and briefly present several distance functions for trajectories

A RARE CASE OF PERFORATED ILEAL DIVERTICULITIS IN A YOUNG MAN: A CASE REPORT AND LITERATURE REVIEW

Jejunoileal diverticulosis is a rare, often asymptomatic condition, consisting of acquired false diverticula. Diagnosis of ileal perforation is usually made incidentally or after complications, including obstruction, haemorrhage and diverticulitis. A previously healthy 17-year-old man presented to the Emergency Department with diffuse abdominal pain and fever. CT scan showed air-fluid level in the RLQ and free intraperitoneal air and fluid. The patient underwent an urgent exploratory laparotomy with an intestinal resection and primary anastomosis. We report a rare case of ileal perforation, due to diverticular disease in a healthy young man, treated an urgent surgery. Such an event requires immediate surgical intervention, especially if it presents as an acute abdomen. Although it can become a surgical emergency, jejunoileal diverticulosis remains underdiagnosed

AMYAND'S HERNIA, AN UNKNOWN ENTITY THAT MAY CAUSE SURGEONS DIFFICULTY: OUR EXPERIENCE AND LITERATURE REVIEW

Amyand's hernia is an inguinal hernia, containing the appendix within the hernial sac. Claudius Amyand described the first clinical case in 1735. Despite the high incidence of inguinal canal hernia disease in the population with approximately 20 milion patients that undergo hernia repair annually, Amyand's hernia is a rare clinical conditions. It is characterized by an incidence of 1 % (0,19-1.7) and in 0,13 % of all cases, the appendix is inflamed. In this article, we will present our experience related to the treatment of a complicated Amyand's hernia, occasionally found during an emergency surgery for the repair of an incarcerated inguinal hernia. In addition, we will conduct a medical review of this pathology that often represents an unpleasant surprise for the surgeon

A portable X-ray fluorescence device for in situ analyses of mural paintings

Within the context of a research program for studying with nondestructive methods the preparation and realisation techniques of mural paintings used in the Roman age, a portable ED-XRF device for elemental analysis has been set up. Preliminary tests have been carried out on two Roman mural paintings belonging to the Baia Archaeological Complex (Naples). Datable to different periods, the two paintings show different manufacturing and conservation states, thus representing a good test for verifying the ED-XRF device capability. In situ and laboratory measurements, performed on materials of different origin and nature, have permitted the determination of the pigments and the recognition of pollution traces

A portable X-ray fluorescence device for in situ analyses of mural paintings

Within the context of a research program for studying with nondestructive methods the preparation and realisation techniques of mural paintings used in the Roman age, a portable ED-XRF device for elemental analysis has been set up. Preliminary tests have been carried out on two Roman mural paintings belonging to the Baia Archaeological Complex (Naples). Datable to different periods, the two paintings show different manufacturing and conservation states, thus representing a good test for verifying the ED-XRF device capability. In situ and laboratory measurements, performed on materials of different origin and nature, have permitted the determination of the pigments and the recognition of pollution traces

Role of [18F]FDG PET/CT in the management of G1 gastro-entero-pancreatic neuroendocrine tumors

Purpose: Since the role of [18F]FDG PET/CT in low-grade gastroenteropancreatic (GEP) neuroendocrine neoplasia (NET) is not well established, this study was aimed to evaluate the role of [18F]FDG PET/CT in grade 1 (G1) GEP-NETs. Methods: This is a retrospective study including patients with G1 GEP-NETs who underwent [18F]FDG PET/CT. Results: 55 patients were evaluated, including 24 (43.6%) with pancreatic NETs and 31 (56.4%) with gastrointestinal NETs. At the time of diagnosis, 28 (51%) patients had metastatic disease, and 50 (91%) patients were positive by 68-Ga sstr PET/CT. Overall, 27 patients (49%) had positive findings on [18F]FDG PET/CT. Following [18F]FDG PET/CT, therapeutic management was modified in 29 (52.7%) patients. Progression-free survival was longer in patients with negative [18F]FDG PET/CT compared with positive [18F]FDG PET/CT (median PFS was not reached and 24 months, respectively, p = 0.04). This significance was particularly evident in the pancreatic group (p = 0.008). Conclusions: Despite having low proliferative activity, approximately half of GEP-NETs G1 showed positive [18F]FDG PET/CT, with a corresponding negative impact on patients’ clinical outcomes. These data are in favor of a more “open” attitude toward the potential use of [18F]FDG PET/CT in the diagnostic work-up of G1 GEP-NETs, which may be used in selected cases to detect those at higher risk for an unfavorable disease course

Assessment of the Risk of Nodal Involvement in Rectal Neuroendocrine Neoplasms: The NOVARA Score, a Multicentre Retrospective Study

open14noRectal neuroendocrine tumors (r‐NETs) are rare tumors with overall good prognosis after complete resection. However, there is no consensus on the extension of lymphadenectomy or regarding contraindications to extensive resection. In this study, we aim to identify predictive factors that correlate with nodal metastasis in patients affected by G1–G2 r‐NETs. A retrospective analysis of G1–G2 r‐NETs patients from eight tertiary Italian centers was performed. From January 1990 to January 2020, 210 patients were considered and 199 were included in the analysis. The data for nodal status were available for 159 cases. The nodal involvement rate was 9%. A receiver operating characteristic (ROC) curve analysis was performed to identify the diameter (&gt;11.5 mm) and Ki‐67 (3.5%), respectively, as cutoff values to predict nodal involvement. In a multivariate analysis, diameter &gt; 11.5 mm and vascular infiltration were independently correlated with nodal involvement. A risk scoring system was constructed using these two predictive factors. Tumor size and vascular invasion are predictors of nodal involvement. In addition, tumor size &gt; 11.5 mm is used as a driving parameter of better‐tailored treatment during pre‐operative assessment. Data from prospective studies are needed to validate these results and to guide decision‐making in r‐ NETs patients in clinical practice.openRicci A.D.; Pusceddu S.; Panzuto F.; Gelsomino F.; Massironi S.; De Angelis C.G.; Modica R.; Ricco G.; Torchio M.; Rinzivillo M.; Prinzi N.; Rizzi F.; Lamberti G.; Campana D.Ricci A.D.; Pusceddu S.; Panzuto F.; Gelsomino F.; Massironi S.; De Angelis C.G.; Modica R.; Ricco G.; Torchio M.; Rinzivillo M.; Prinzi N.; Rizzi F.; Lamberti G.; Campana D