S.VA.M.Di.: a new opportunity for the National Health System

Multi-dimensional assessment is still evolving today. Object of our study is not only the transition from the S.Va.M.A form («Scheda per la valutazione multidimensionale dell'anziano» – Questionnaire for multidimensional evaluation of the elderly) to the S.Va.M.Di form («Scheda di valutazione multidimensionale del disabile» – Questionnaire for the multidimensional assessment of disabled individuals), but the administration of S.VA.M.Di to subjects included in a «PAI» («Piano assistenziale individuale» – Individual Assistance Plan). This integration is designed to facilitate the access of patients to home care, integrated home care and residential and semi-residential care.During 2015 the S.VA.M.Di questionnaire was administered on an experimental basis within the Adult Disability Service of ASL Viterbo to a random mode selected sample of 108 residents of the Viterbo province with a diagnosis of mental retardation (mild, moderate, moderate/severe and severe).S.VA.M.Di is an anamnestic, diagnostic, evaluative and prescriptive tool, useful for an integrated approach in the patient's care in the health, social health and / or social dimensions; it is a tool that describes the decision processes and allows statistical and epidemiological analysis.The analysis of the results showed that the S.VA.M.Di is certainly a very complex questionnaire to be completed, in terms of working hours devoted to the writing and the complexity in processing. However, it has considerable advantages as regards the completeness and accuracy of the data collected. Essential for its implementation and adoption is the adequate training of health professionals involved

Turandot

De cada obra s'ha digitalitzat un programa sencer. De la resta s'han digitalitzat les parts que són diferents.Empresa Juan A. PamiasÒpera de Giacomo Puccini i llibret de Giuseppe Adami i Renato Simon

Circuit-theoretic phenomenological model of an electrostatic gate-controlled bi-SQUID

A numerical model based on a lumped circuit element approximation for a bi-superconducting quantum interference device (bi-SQUID) operating in the presence of an external magnetic field is presented in this paper. Included in the model is the novel ability to capture the resultant behaviour of the device when a strong electric field is applied to its Josephson junctions by utilising gate electrodes. The model is used to simulate an all-metallic SNS (Al-Cu-Al) bi-SQUID, where good agreement is observed between the simulated results and the experimental data. The results discussed in this work suggest that the primary consequences of the superconducting field effect induced by the gating of the Josephson junctions are accounted for in our minimal model; namely, the suppression of the junctions super-current. Although based on a simplified model, our results can potentially help with the task of clarifying the microscopic origin of this effect. Also, the possible applications of this effect regarding the operation of SQUIDs as ultra-high precision sensors, where the performance of such devices can be improved via careful tuning of the applied gate voltages, are discussed at the end of the paper.Comment: 9 pages, 4 figure

Notes on Drosophila suzukii Matsumura (Diptera Drosophilidae): field survey in Tuscany and laboratory evaluation of organic products

Reported for the first time in Italy in 2009, the Spotted Wing Drosophila (SWD), Drosophila suzukii (Matsumura) (Diptera Drosophilidae), has rapidly spread throughout the country, causing serious damage on many fruit crops. The potential of infestation rate by D. suzukii is enormous: the females can complete many generations per year, and are able to attack the fresh, ripe fruit of many hosts by laying eggs under the soft skin; the larvae grow in the fruits and destroy the commercial value of them. The host range of SWD is reportedly wide, including both cultivated (soft fruits, sweet cherry, stone fruits etc…) and wild plants. In 2013, field surveys aimed at monitoring the presence of the insect on Tuscany territory, were regularly carried out: on an important district for the sweet cherry production with differently managed in control, on a biological blueberry orchard and even on other host plants neighboring the samples’ areas. D. suzukii was present in the monitored areas and its numerically large populations and heavy infestations on sweet cherries have shown that the species has settled in these areas. In laboratory tests, labeled organic products and substances of natural origin - in accordance with the requirements of EU regulations which provides for the reduction of chemicals - were evaluated as concern toxicity and residual effect on the pest. As regards effects of direct toxicity, products based on Beauveria bassiana have shown some effectiveness in the control of SWD, other organic products have shown interesting results. The evidences acquired are discussed

A non‑lethal method to assess element content in the endangered Pinna nobilis

The fan shell Pinna nobilis is the largest bivalve endemic to the Mediterranean and is actually a strongly endangered species. Due to the biological, ecological, and historical relevance of this species, the research of a non-lethal method to relate the element content in organism’s tissues and environment can provide information potentially useful to evaluate environmental pollution and organism physiological status. In this study, a screening on element concentration in the animal growing environment (seawater and sediments) and in four soft tissues (hepatopancreas, gills, mantle, and muscle), and two acellular tissues (calcite shell layer, and byssus) was performed. The comparison among these results was used to assess whether the no-lethal acellular tissue element concentration can be used to reveal the element presence in the environment and soft tissues. Elements, such as B, Ag, As, Mn, Mo, Pb, or Se, showed a possible relationship between their presence in the byssus and soft tissues. In the byssus Cr, Sb, Sn, and V have shown to be mostly related to the environment, more than the soft tissues, and might be used to draw a historical record of the exposure of the organism. The element concentration in the calcite shell layer did not relate with environmental element concentrations. Essential elements, like Cu, Fe, Ni, and Zn, were present in calcite shell layer and byssus and are likely related to their biological activity in the organism. The research also gave an overview on the presence of pollution and on the preferential intake route of the element. In summary, this study, performed on a limited number of specimens of this protected species, indicated that element concentration in the byssus can be applied as non-lethal method to monitor this endangered species and its interaction with the elements in the growing environment

Clinical relevance of genetic variants of gonadotrophins and their receptors in controlled ovarian stimulation: a systematic review and meta-analysis

Genotype has been implicated in the outcome of ovarian stimulation. The analysis of patient-specific genotypes might lead to an individualized pharmacogenomic approach to controlled ovarian stimulation (COS). However, the validity of such an approach remains to be established

Star products, duality and double Lie algebras

Quantization of classical systems using the star-product of symbols of observables is discussed. In the star-product scheme an analysis of dual structures is performed and a physical interpretation is proposed. At the Lie algebra level duality is shown to be connected to double Lie algebras. The analysis is specified to quantum tomography. The classical tomographic Poisson bracket is found.Comment: 22 pages, no figure

Attitude of Italian medical oncologists toward palliative care for patients with advanced cancer: results of the SIO project.

The aim of this survey was to describe the attitude of Italian oncologists towards palliative care. A survey on palliative care was carried out among 400 Italian oncologists. Seventy-two percent indicated that the management of patients with advanced stage cancer represents the majority of their practice. They are often involved in the management of pain (78%) and complications of chemotherapy (61%), and frequently, in the treatment of terminal patients (60%). Only 8.5% reported having frequent collaboration with psychiatrists in support of emotional and psychological patients' disturbances. About 40% are often directly involved in the management of existential or spiritual distress. Discussions on euthanasia and assisted suicide, which are illegal in Italy, took place never (68%) or occasionally (27%). Respondents agreed that all oncology centres should have access to palliative care service. These results are in line with those of the European Society of Medical Oncology survey and may be usefully employed to improve the organisation of palliative care

Soil ecosystem functions in a high-density olive orchard managed by different soil conservation practices

The long-term effects of two different soil management practices, natural grass cover (NC) and conservation tillage (CT), on soil functions (carbon sequestration, habitat for organisms, and water movement and retention) were determined in a high-density, mature olive orchard (Olea europaea L. cv. Frantoio) growing in a sandy loam soil (Typic Haploxeralf) in a Mediterranean environment. Ten years after the beginning of the different soil management, soil samples were collected at 0–10 and 10–20 cm depth and at two distances from the trunk, underneath the olive canopy (UC) and in the inter-row (IR). There were no differences in fruit yield, oil yield, and yield efficiency between the two soil management systems during the 2011–2013 period. CT negatively affected soil organic carbon pools (total and humified), but only at the IR position. The distance from the plant did not significantly influence soil structure and hydrological properties, while NC treatment increased water movement and retention. Tillage reduced the microarthropod abundance, in particular Collembola and eu-edaphic forms, which were the most sensitive groups to soil perturbation. We conclude that natural grass cover was more effective than conservation tillage in maintaining or improving elements of soil functionality

Range margin reduction in carbon ion therapy: potential benefits of using radioactive ion beams

Radiotherapy with heavy ions, in particular, 12C beams, is one of the most advanced forms of cancer treatment. Sharp dose gradients and high biological effectiveness in the target region make them an ideal tool to treat deep-seated and radioresistant tumors, however, at the same time, sensitive to small errors in the range prediction. Safety margins are added to the tumor volume to mitigate these uncertainties and ensure its uniform coverage, but during the irradiation they lead to unavoidable damage to the surrounding healthy tissue. To fully exploit the benefits of a sharp Bragg peak, a large effort is put into establishing precise range verification methods for the so-called image-guided radiotherapy. Despite positron emission tomography being widely in use for this purpose in 12C ion therapy, the low count rates, biological washout, and broad shape of the activity distribution still limit its precision to a few millimeters. Instead, radioactive beams used directly for treatment would yield an improved signal and a closer match with the dose fall-off, potentially enabling precise in vivo beam range monitoring. We have performed a treatment planning study to estimate the possible impact of the reduced range uncertainties, enabled by radioactive 11C beams treatments, on sparing critical organs in the tumor proximity. We demonstrate that (i) annihilation maps for 11C ions can in principle reflect even millimeter shifts in dose distributions in the patient, (ii) outcomes of treatment planning with 11C beams are significantly improved in terms of meeting the constraints for the organs at risk compared to 12C plans, and (iii) less severe toxicities for serial and parallel critical organs can be expected following 11C treatment with reduced range uncertainties, compared to 12C treatments