668 research outputs found
Understanding Etruscan art and architecture through 3D modeling: the case of Volterra
Nowadays, archaeology and modern 3D modelling and representation technologies form an unbreakable bond, considered essential and indispensable by many experts and scholars. Although with different goals and purposes, new hardware and software available and specially designed web platforms allow the archaeologist adequately trained to create, visualize, analyze, and share 3D data derived from computer graphics or from image- and range-based acquisition procedures. Currently, a very important topic is the relationship between user and 3D model: from the simple passive fruition, we are moving increasingly towards a real interaction within immersive virtual environments. In this sense, the contribution of the archaeologist is critical to determine what to display and what to interact with, according to the end user and his skills and knowledge. In fact, the following case studies related to sites, monuments and artefacts of the Etruscan town of Volterra represent the evolution of this interaction/relationship, helping to make the fruition of archaeological evidence, that at present is still difficult to access and understanding, easier and more interesting
Modification in CSF specific gravity in acutely decompensated cirrhosis and acute on chronic liver failure independent of encephalopathy, evidences for an early blood-CSF barrier dysfunction in cirrhosis
Although hepatic encephalopathy (HE) on the background of acute on chronic liver failure (ACLF) is associated with high mortality rates, it is unknown whether this is due to increased blood-brain barrier permeability. Specific gravity of cerebrospinal fluid measured by CT is able to estimate blood-cerebrospinal fluid-barrier permeability. This study aimed to assess cerebrospinal fluid specific gravity in acutely decompensated cirrhosis and to compare it in patients with or without ACLF and with or without hepatic encephalopathy. We identified all the patients admitted for acute decompensation of cirrhosis who underwent a brain CT-scan. Those patients could present acute decompensation with or without ACLF. The presence of hepatic encephalopathy was noted. They were compared to a group of stable cirrhotic patients and healthy controls. Quantitative brain CT analysis used the Brainview software that gives the weight, the volume and the specific gravity of each determined brain regions. Results are given as median and interquartile ranges and as relative variation compared to the control/baseline group. 36 patients presented an acute decompensation of cirrhosis. Among them, 25 presented with ACLF and 11 without ACLF; 20 presented with hepatic encephalopathy grade ≥ 2. They were compared to 31 stable cirrhosis patients and 61 healthy controls. Cirrhotic patients had increased cerebrospinal fluid specific gravity (CSF-SG) compared to healthy controls (+0.4 %, p < 0.0001). Cirrhotic patients with ACLF have decreased CSF-SG as compared to cirrhotic patients without ACLF (−0.2 %, p = 0.0030) that remained higher than in healthy controls. The presence of hepatic encephalopathy did not modify CSF-SG (−0.09 %, p = 0.1757). Specific gravity did not differ between different brain regions according to the presence or absence of either ACLF or HE. In patients with acute decompensation of cirrhosis, and those with ACLF, CSF specific gravity is modified compared to both stable cirrhotic patients and healthy controls. This pattern is observed even in the absence of hepatic encephalopathy suggesting that blood-CSF barrier impairment is manifest even in absence of overt hepatic encephalopathy
Application of latent class analysis in assessing the awareness, attitude, practice and satisfaction of paediatricians on sleep disorder management in children in Italy.
AIM:
To identify subgroups regarding paediatricians' awareness, attitude, practice and satisfaction about management of Sleep-Disordered Breathing (SDB) in Italy using Latent Class Analysis (LCA).
METHODS:
A cross-sectional study was conducted on a large sample of Italian paediatricians. Using a self-administered questionnaire, the study collected information on 420 Paediatric Hospital Paediatricians (PHPs) and 594 Family Care Paediatricians (FCPs). LCA was used to discover underlying response patterns, thus allowing identification of respondent groups with similar awareness, attitude, practice and satisfaction. A logistic regression model was used to investigate which independent variables influenced latent class membership. Analyses were performed using R 3.5.2 software. A p-value<0.05 was considered statistically significant.
RESULTS:
Two classes were identified: Class 1 (n = 368, 36.29%) "Untrained and poorly satisfied" and Class 2 (n = 646, 63.71%) "Trained and satisfied." Involving paediatric pneumologists or otorhinolaryngologists in clinical practice was associated with an increased probability of Class 2 membership (OR = 5.88, 95%CI [2.94-13.19]; OR = 15.95, 95% CI [10.92-23.81] respectively). Examining more than 20 children with SDB during the last month decreased the probability of Class 2 membership (OR = 0.29, 95% CI [0.14-0.61]). FCPs showed a higher probability of Class 2 membership than PHPs (OR = 4.64, 95% CI [3.31-6.55]).
CONCLUSIONS:
These findings suggest that the LCA approach can provide important information on how education and training could be tailored for different subgroups of paediatricians. In Italy standardized educational interventions improving paediatricians' screening of SDB are needed in order to guarantee efficient management of children with SDB and reduce the burden of disease
Molecular epidemiology and case-control approaches for management of an outbreak of hepatitis A in Liguria, Italy
Introduction and methods. Hepatitis A remains an important
public health problem in low endemicity areas, because of the
social and economic high burden of cyclical outbreaks. In this
study we described an outbreak of HAV infection occurred in the
city of Genoa and in its proximity and the viral circulation in the
post-epidemic period. In order to identify risk factors associated to
the illness and to determine the source of infection and the dynamics
of virus evolution, we conducted an epidemiological and molecular
investigation by a case-control study and by sequence analysis of
high variable regions of the genome.
Results. From May to October 2005, 58 HAV hepatitis cases were
notified. The case-control study showed that beach establishment
attending is strongly associated with HAV hepatitis (OR = 24.5,
p-value inf. 0.01), at multivariate analysis. The profile of epidemic
curve, the clinical onset of primary cases who occurred in few
weeks and the geographic distribution of cases clearly indicated
a common exposure to a point source: the outbreak can be probably
associated with a contaminated food product dispensed in
the affected area.
The outbreak has been mainly caused by a single variant, confirming
the common exposure to a point source; this variant previously circulated
within homosexual man (MSM) network in Northern Europe.
During the outbreak and in the following months, different variants
originating from Southeast Asia, Southern America and Northern
Africa, have co-circulated: all these cases were related to international
travel and none of these had determined secondary cases.
Discussion. The epidemiological picture of hepatitis A in Liguria is
characterized by a wide heterogeneity of circulating HAV strains.
This pattern could be associated with the increase of imported
cases and transmission within network of persons with similar risk
factors. Molecular approach coupled to descriptive and analytical
epidemiological studies appeared un-replaceable tools for management
and control of HAV outbreaks, because of their capacity
to recognize infection origin, transmission patterns and dynamics
of virus evolution
Preferences and skills of Indian public sector teachers
With a sample of 700 future public sector primary teachers in India, a Discrete Choice Experiment is used to measure job preferences, particularly regarding location. General skills are also tested. Urban origin teachers and women are more averse to remote locations than rural origin teachers and men respectively. Women would require a 26-73 percent increase in salary for moving to a remote location. The results suggest that existing caste and gender quotas can be detrimental for hiring skilled teachers willing to work in remote locations. The most preferred location is home, which supports decentralised hiring, although this could compromise skills
The Wicked Machinery of Government: Malta and the Problems of Continuity under the New Model Administration
This is a study focused on the early years of British rule in Malta (1800-1813). It explores the application to the island of the “new model” of colonial government, one based on direct rule from London mediated by the continuation of existing laws and institutions. Systemic deficiencies are identified. These tended to undermine the effectiveness of direct British rule. This study also reveals, in the context of legal and constitutional continuity, unresolved tensions between modernity and tradition. The political stability of the island was damaged and the possibility of continued British possession was threatened
Self-assembly in solution of a reversible comb-shaped supramolecular polymer
We report a single step synthesis of a polyisobutene with a bis-urea moiety
in the middle of the chain. In low polarity solvents, this polymer
self-assembles by hydrogen bonding to form a combshaped polymer with a central
hydrogen bonded backbone and polyisobutene arms. The comb backbone can be
reversibly broken, and consequently, its length can be tuned by changing the
solvent, the concentration or the temperature. Moreover, we have proved that
the bulkiness of the side-chains have a strong influence on both the
self-assembly pattern and the length of the backbone. Finally, the density of
arms can be reduced, by simply mixing with a low molar mass bis-urea
The 2009 L’Aquila (central Italy) MW6.3 earthquake: Main shock
A MW
6.3 earthquake struck on April 6, 2009 the
Abruzzi region (central Italy) producing vast damage in the
L’Aquila town and surroundings. In this paper we present
the location and geometry of the fault system as obtained
by the analysis of main shock and aftershocks recorded
by permanent and temporary networks. The distribution of
aftershocks, 712 selected events with ML 2.3 and 20 with
ML 4.0, defines a complex, 40 km long, NW trending
extensional structure. The main shock fault segment extends
for 15–18 km and dips at 45 to theSW, between 10 and 2 km
depth. The extent of aftershocks coincides with the surface
trace of the Paganica fault, a poorly known normal fault
that, after the event, has been quoted to accommodate the
extension of the area.We observe a migration of seismicity to
the north on an echelon fault that can rupture in future large
earthquakes.PublishedL183083.1. Fisica dei terremotiJCR Journalreserve
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