RING and ReCal GPS networks: two Italian geodetic infrastructures and their data management, sharing and dissemination

Geographic data sharing and collection are becoming key activities among geological and geophysical studies worldwide, and the recent increase of infrastructures is demanding to scientific and civil community an effort to manage and disseminate their products as efficiently as possible. With this effort in mind, INGV began some years ago to collaborate with civilian and commercial subjects in order to promote the integration and sharing of data from GNSS (Global Navigation Satellite System) networks existing in Italy. Since 2004, INGV deployed a permanent, integrated and real-time monitoring CGPS network (RING, Rete Integrata Nazionale GPS, http://ring.gm.ingv.it), which is now constituted by about 170 stations all over Italy (Selvaggi et al., 2006; Avallone et al, 2010). All stations have high quality GPS monuments (D’Ambrosio, 2007; Minichiello et al., 2010) and most of them are co-located with broadband or very broadband seismometers and strong motion sensors. This scientific network is aimed to monitor crustal deformation in Italy in order to study earthquake deformation processes, from interseismic strain accumulation to rupture processes, and is giving an effective contribute to Italian Civil Protection for seismic hazard monitoring. Moreover, in the last years, local Authorities, nation-wide industries and other scientific institutions started to establish GPS/GNSS networks all over the Italian territory mainly for cartographic and positioning purposes. More than 500 CGPS stations are actually operating in Italy. The INGV acquire and analyze most of these networks, promoting at the same time actions to integrate the RING with the ones managed by regional and national data providers (D’Anastasio et al., 2010). The Regione Calabria in 2009 planned and established a network of 17 CGPS stations for cartographic and civil protection purposes covering the Calabria region (hereafter ReCal network). The CGPS stations are good quality monument connected in real time and, in the next future, will start to furnish to the civil community a positioning service. In order to share the RING and ReCal data and relative products, a synergy between the CNT-INGV (Centro Nazionale Terremoti) and the Regione Calabria started in 2011. An official agreement between the two institutions state the sharing of CGPS data, the collaboration between CNT-INGV and Regione Calabria to test the efficiency and the positioning service of ReCal network, and the contribution of ReCal network to scientific monitoring of Calabria, one of the most seismically active region in Italy. Moreover, this agreement included also the commissioning of the ReCal network and of its positioning services performed by CNT-INGV. Figure 1 shows the GPS and GNSS stations currently operating in Italy. In the inset it could be noticed how the RING and ReCal networks are integrated in order to have the best spatial coverage of the Calabrian territory. We will present the first results of the agreement between INGV-CNT and Regione Calabria, and of the commissioning of ReCal network. Moreover, we will focus on the infrastructure already existing and developed by CNT-INGV to manage data acquisition, storage, distribution and access (Cecere, 2007; Cardinale et al., 2010; Falco, 2006; 2008; Memmolo et al., 2010; Pignone et al., 2009). INGV developed dedicated facilities including new softwares for data acquisition and a web-based collaborative environment for management of data and metadata. These facilities are used to manage data coming from the RING as well as from agreements with ReCal and other CGPS networks in Italy. We believe that this infrastructure represents an important reality in the framework of GNSS data sharing development in Italy

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research