Functional fat injection under local anesthesia to treat severe postsurgical dysphagia, case report

Background: In this study, we present the first application of functional fat injection performed under local anesthesia in the treatment of severe dysphagia secondary to head and neck cancer surgery. Methods: Functional fat injection was performed using a transcervical approach. Control of injection depth and site was performed through a transnasal flexible endoscope. The effect of surgery was evaluated through videofluoroscopy (VFS), Fiberendoscopic Evaluation of Swallowing (FEES), Functional Oral Intake Scale (FOIS), and Eating Assessment Tool-10 (EAT-10). Results: Before the functional fat injection, the patient was dependent on permanent tube feeding; the VFS and FEES revealed a severe impairment of swallowing abilities. The EAT-10 scored 26. Twelve months after surgery, the patient was on oral diet, the VFS demonstrated mild to moderate dysphagia, the FEES demonstrated aspiration only with liquids and the EAT-10 improved. Conclusion: Functional fat injection under local anesthesia could be useful in the treatment of chronic dysphagia in selected patients

Mid-Late Pleistocene Neanderthal landscapes in southern Italy: Paleoecological contributions of the avian assemblage from Grotta del Cavallo, Apulia, southern Italy

We present a detailed paleoecologic analysis of avian assemblages from the Mousterian layers of the Middle Paleolithic Grotta del Cavallo site in southern Italy. Findings improve knowledge of the landscape that was exploited by Neanderthals. During the MIS 7, 6 and 3, the cave was surrounded by extensive grasslands and shrublands, locally interspersed by open woodland and rocky outcrops, whereas the coastal plain (currently underwater) hosted wetlands. Water bird taxa show an increase in population size during the cool-temperate climatic interval attributed to MIS 3, possibly linked to more humid conditions or a shorter distance between the wetland settings and the cave, compared to the previous glacial phase (MIS 6). In addition, coverage-based rarefied richness suggests higher avian diversity during MIS 3, which may reflect greater landscape heterogeneity due to the presence of wetland habitats. The tentative discovery of Branta leucopsis, together with several bird species currently found at higher altitudes, reinforces geochemically-derived palaeoclimate inferences of cooler than the present conditions. These assemblages also include the first fossil occurrence of Larus genei worldwide, the first Italian occurrence of Emberiza calandra, the oldest Italian occurrence of Podiceps nigricollis, and the occurrence of the rarely reported Sylvia cf. communis. Taphonomic analyses indicate that bone modifications are mainly due to physical syn- and post-depositional processes, and that the assemblage mainly accumulated through short-range physical transport and the feeding activities of nocturnal raptors

Vulnerability Assessment of Industrial Sites to Interface Fires and Wildfires

In the framework of climate change, the hazard caused by wildfires approaching the anthropic settlements is raising an increasing concern. Fatalities and relevant damage to properties were recently caused by wildfires affecting the Wildland-Urban and Wildland-Industrial Interfaces. Industrial sites storing large quantities of hazardous materials are vulnerable to interface fires, which have the potential to trigger specific cascading events such as Natech scenarios followed by domino effects. The present study aims at providing a methodology for the quantitative assessment of the vulnerability of industrial sites exposed to wildfires. The approach provides a novel framework for the identification and quantification of all the chains of failures that may occur due to wildfires or interface fires approaching industrial sites. The methodology accounts for the thermal radiation from fires in both primary Natech scenarios and cascading scenarios triggered by domino effects. The dynamic features of interface fires and the synergistic effects of multiple fires are also taken into account. The results of a case study demonstrated the importance of considering the dynamic behavior of wildfire, which strongly affects the vulnerability of industrial structures. The results also evidence the importance of emergency management and first response on the overall vulnerability figures

Environmental infuence on calcifcation of the bivalve Chamelea gallina along a latitudinal gradient in the Adriatic Sea

Environmental factors are encoded in shells of marine bivalves in the form of geochemical properties, shell microstructure and shell growth rate. Few studies have investigated how shell growth is affected by habitat conditions in natural populations of the commercial clam Chamelea gallina. Here, skeletal parameters (micro-density and apparent porosity) and growth parameters (bulk density, linear extension and net calcification rates) were investigated in relation to shell sizes and environmental parameters along a latitudinal gradient in the Adriatic Sea (400 km). Net calcification rates increased with increasing solar radiation, sea surface temperature and salinity and decreasing Chlorophyll concentration in immature and mature shells. In immature shells, which are generally more porous than mature shells, enhanced calcification was due to an increase in bulk density, while in mature shells was due to an increase in linear extension rates. The presence of the Po river in the Northern Adriatic Sea was likely the main driver of the fluctuations observed in environmental parameters, especially salinity and Chlorophyll concentration, and seemed to negatively affect the growth of C. gallina

Simplified Model for PV Panels Performance Preditcion

Abstract In the last years, the growing global energy demand and the even more strictly pollution regulations have led the research to improve efficiency of conventional technologies and to find out innovative solutions to solve these issues. In this scenario, the renewable energy becomes a fundamental resource, especially in the field of electric energy generation. Problems related to non-programmability and effectiveness of renewables can be minimize through the diffusion of distributed generation and energy storage technologies. In this study, an integrated microgrid, made up of photovoltaic arrays, batteries and a hydrogen generator is presented. The aim of this work is to develop a simplified mathematical model able to describe the behavior of the photovoltaic modules for different operating conditions. On the respect of available literature on this topic, the peculiarity of this model is the possibility of being used simply knowing those parameters usually provided by manufacturers. To validate the model, experimental data recorded during the laboratory tests have been used. Obtained results show that 78 % of the analyzed operating conditions computed using the developed model are within the tolerance range of ± 10 % compared to experimental values

The Relationship between Socioeconomic Status and Narrative Abilities in a Group of Italian Normally Developing Children

OBJECTIVE: Only limited and conflicting information is available regarding the relationship between socioeconomic status (SES) and narrative abilities. Besides, the role fathers' SES plays in the development of their children's narrative abilities has never been investigated. The aim of this study was to analyze the relationship between fathers' and mothers' SES and narrative abilities of their children assessed with the Italian version of the Bus Story Test (I-BST). SUBJECTS AND METHODS: A total of 505 normally developing Italian children were enrolled in the study. Information regarding parents' educational level and employment was collected for each child. Narrative abilities were evaluated using the I-BST. The relationships between parents' employment, educational level, and I-BST scores were analyzed by univariate and multivariate regression analysis. RESULTS: In univariate analysis, both fathers' and mothers' education and employment were associated with most I-BST subscale scores, especially when higher educational and employment levels were contrasted with the lowest educational and employment levels. In multiple regression analysis, significant associations were found only between the fathers' working status and educational level and I-BST subscale scores. CONCLUSIONS: Parental education and employment might impact narrative abilities of children. When both fathers' and mothers' SES variables are considered together, only fathers' education and working status seemed to be associated with I-BST scores

Palaeoclimatic and palaeoenvironmental evolution of the Lower Pleistocene Arda River succession

The Arda River marine succession, cropping out in western Emilia (northern Italy) represents an excellent site to study past ecosystems dynamics in the frame of Early Pleistocene climate change and tectonic activity. This one-day excursion leads the participants to discover the palaeoclimatic and palaeoenvironmental evolution of the Lower Pleistocene Arda River marine section, unraveled through an integrated use of sedimentological, palaeoecological (molluscs and trace fossils) and geochemical tools. Upsection, the succession was deposited in progressively shallower water and colder climate during phases of advance of fan deltas affected by hyperpycnal flows. It culminates at the top with clast supported alluvial conglomerates and freshwater/terrestrial biota indicating a sea level drop and the establishment of a continental environment. It is very rich in fossils: in the marine part molluscs, brachiopods, corals and echinoderms, besides well preserved trace fossils, are abundant; whereas in the continental part a mammal fauna and freshwater/terrestrial molluscs are occasionally found. Sclerochemical analyses undertaken on bivalve shells indicate that seawater temperature seasonality was the main variable of climate change within the study area during the Early Pleistocene. In particular, strong seasonality and low winter palaeotemperatures were assumed to be the main drivers for the widespread establishment of Arctica islandica populations in the palaeo-Adriatic Sea around 1.80 Ma. During the excursion not only fossils are shown, but also interesting biocalcarenitic bodies with a complex geometry cropping out in the town of Castell\u2019Arquato. The excursion is complemented by the visit to the Giuseppe Cortesi geological and palaeontological museum, housing vertebrate and invertebrate fossil collections

On the origin of the λ\lambda-transition in liquid Sulphur

Developing a novel experimental technique, we applied photon correlation spectroscopy using infrared radiation in liquid Sulphur around $T_\lambda$, i.e. in the temperature range where an abrupt increase in viscosity by four orders of magnitude is observed upon heating within few degrees. This allowed us - overcoming photo-induced and absorption effects at visible wavelengths - to reveal a chain relaxation process with characteristic time in the ms range. These results do rehabilitate the validity of the Maxwell relation in Sulphur from an apparent failure, allowing rationalizing the mechanical and thermodynamic behavior of this system within a viscoelastic scenario.Comment: 5 pages, 4 eps figures, accepted in Phys. Rev. Let

Normative and validation data of an articulation test for Italian-speaking children

Objectives: As a standardized instrument to assess speech sound development in Italian-speaking children is currently lacking, norms used to diagnose speech sound disorders (SSD) are mainly based on studies including English-speaking participants. This application may result in misidentification of SSD due to linguistic differences. The aims of the study were to establish normative data on speech sound development of Italian-speaking children and to evaluate psychometric properties of Rossi's articulation test, the picture-naming test selected to assess speech sound development. Methods: A cross-sectional study including 694 normally-developing Italian-speaking children aged from 3 to 7 years was conducted. Children were administered Rossi's articulation test, and percentages of speech sound correct production were calculated. To evaluate inter-rater reliability of the test, audio-recordings of 50 children were scored by an additional examiner. The same rater scored the audio-recordings of 50 children twice with an interval of at least 1 week. To evaluate test-retest reliability, 144 participants were re-tested after 1-3 weeks by the same assessor. Scores were compared through Intraclass Correlation Coefficient (ICC). To assess construct validity, the developmental progression of total scores across age groups was verified by the estimation of the reference range for the test, using a regression procedure. Results: Almost all Italian children in the sample produced vowels and approximants correctly. Singleton consonants were acquired before consonant clusters. Ages of acquisition of each consonant were presented: plosives and nasals were early mastered by Italian children, while dental affricates, alveolar fricatives and the palatal lateral were the latest acquired segments. All ICCs were superior to 0.9 (reliability). A statistically significant improvement in test score with age was found (construct validity). Conclusions: The paper provides normative data for speech sound development of Italian-speaking children; preliminary psychometric analysis of Rossi's articulation test revealed satisfactory reliability and construct validity. Clinicians are recommended to use Rossi's articulation test to assess speech sound development in Italian children

Impact behavior of sandwich structures made of flax/epoxy face sheets and agglomerated cork

The unremitting quest of natural and renewable materials able to replace their synthetic counterparts in high-performance applications has involved also sandwich structures. In this regard, the aim of this work is to characterize the impact response, in both high- and low-velocity conditions, of green sandwich structures made of agglomerated cork as core and flax/epoxy laminates as face sheets. Both bare cork, flax skins, and complete sandwich structures were subjected to impacts at three different energy levels representing the 25%, 50%, and 75% of the respective perforation thresholds. A gas gun was instead used to assess the high-velocity impact behavior of these green sandwich structures and evaluate their ballistic limit. This study shows that the buckling of cell walls of agglomerated cork enables to tailor the damage extension through-the-thickness in low-velocity impacts compared to traditional synthetic foams coupled with a considerable amount of energy absorption