Measuring costs of community mental health care in Italy: A prevalence-based study

AbstractBackground:Information on individual mental healthcare costs and utilization patterns in Italy is scant. We analysed the use and the annual costs of community mental health services (MHS) in an Italian local health authority (LHA). Our aims are to compare the characteristics of patients in the top decile of costs with those of the remaining 90%, and to investigate the demographic and clinical determinants of costs.Methods:This retrospective study is based on administrative data of adult patients with at least one contact with MHS in 2013. Costs of services were estimated using a microcosting method. We defined as high cost (HC) those patients whose community mental health services costs place them in the top decile of the cost distribution. The predictors of costs were investigated using multiple linear regression.Results:The overall costs borne for 7601 patients were 17 million €, with HC accounting for 87% of costs and 73% of services. Compared with the rest of the patients, HC were younger, more likely to be male, to have a diagnosis of psychosis, and longer and more intensive MHS utilization. In multiple linear regression, younger age, longer duration of contact with MHS, psychosis, bipolar disorder, personality disorder, depression, dementia and Italian citizenship accounted for 20.7% of cost variance.Conclusion:Direct mental health costs are concentrated among a small fraction of patients who receive intensive socio-rehabilitation in community services. One limitation includes the unavailability of hospital costs. Our methodology is replicable and useful for national and cross-national benchmarking

A multi-service data management platform for scientific oceanographic products

Abstract. An efficient, secure and interoperable data platform solution has been developed in the TESSA project to provide fast navigation and access to the data stored in the data archive, as well as a standard-based metadata management support. The platform mainly targets scientific users and the situational sea awareness high-level services such as the decision support systems (DSS). These datasets are accessible through the following three main components: the Data Access Service (DAS), the Metadata Service and the Complex Data Analysis Module (CDAM). The DAS allows access to data stored in the archive by providing interfaces for different protocols and services for downloading, variables selection, data subsetting or map generation. Metadata Service is the heart of the information system of the TESSA products and completes the overall infrastructure for data and metadata management. This component enables data search and discovery and addresses interoperability by exploiting widely adopted standards for geospatial data. Finally, the CDAM represents the back-end of the TESSA DSS by performing on-demand complex data analysis tasks

SeaConditions: a web and mobile service for safer professional and recreational activities in the Mediterranean Sea

Abstract. Reliable and timely information on the environmental conditions at sea is key to the safety of professional and recreational users as well as to the optimal execution of their activities. The possibility of users obtaining environmental information in due time and with adequate accuracy in the marine and coastal environment is defined as sea situational awareness (SSA). Without adequate information on the environmental meteorological and oceanographic conditions, users have a limited capacity to respond, which has led to loss of lives and to large environmental disasters with enormous consequent damage to the economy, society and ecosystems. Within the framework of the TESSA project, new SSA services for the Mediterranean Sea have been developed. In this paper we present SeaConditions, which is a web and mobile application for the provision of meteorological and oceanographic observation and forecasting products. Model forecasts and satellite products from operational services, such as ECMWF and CMEMS, can be visualized in SeaConditions. In addition, layers of information related to bathymetry, sea level and ocean-colour data (chl a and water transparency) are displayed. Ocean forecasts at high spatial resolutions are included in the version of SeaConditions presented here. SeaConditions provides a user-friendly experience with a fluid zoom capability, facilitating the appropriate display of data with different levels of detail. SeaConditions is a single point of access to interactive maps from different geophysical fields, providing high-quality information based on advanced oceanographic models. The SeaConditions services are available through both web and mobile applications. The web application is available at www.sea-conditions.com and is accessible and compatible with present-day browsers. Interoperability with GIS software is implemented. User feedback has been collected and taken into account in order to improve the service. The SeaConditions iOS and Android apps have been downloaded by more than 105 000 users to date (May 2016), and more than 100 000 users have visited the web version

BioClimate: a Science Gateway for Climate Change and Biodiversity research in the EUBrazilCloudConnect project

[EN] Climate and biodiversity systems are closely linked across a wide range of scales. To better understand the mutual interaction between climate change and biodiversity there is a strong need for multidisciplinary skills, scientific tools, and access to a large variety of heterogeneous, often distributed, data sources. Related to that, the EUBrazilCloudConnect project provides a user-oriented research environment built on top of a federated cloud infrastructure across Europe and Brazil, to serve key needs in different scientific domains, which is validated through a set of use cases. Among them, the most data-centric one is focused on climate change and biodiversity research. As part of this use case, the BioClimate Science Gateway has been implemented to provide end-users transparent access to (i) a highly integrated user-friendly environment, (ii) a large variety of data sources, and (iii) different analytics & visualization tools to serve a large spectrum of users needs and requirements. This paper presents a complete overview of BioClimate and the related scientific environment, in particular its Science Gateway, delivered to the end-user community at the end of the project.This work was supported by the EU FP7 EUBrazilCloudConnect Project (Grant Agreement 614048), and CNPq/Brazil (Grant Agreement no 490115/2013-6).Fiore, S.; Elia, D.; Blanquer Espert, I.; Brasileiro, FV.; Nuzzo, A.; Nassisi, P.; Rufino, LAA.... (2019). BioClimate: a Science Gateway for Climate Change and Biodiversity research in the EUBrazilCloudConnect project. Future Generation Computer Systems. 94:895-909. https://doi.org/10.1016/j.future.2017.11.034S8959099

INDIGO-DataCloud: A data and computing platform to facilitate seamless access to e-infrastructures

This paper describes the achievements of the H2020 project INDIGO-DataCloud. The project has provided e-infrastructures with tools, applications and cloud framework enhancements to manage the demanding requirements of scientific communities, either locally or through enhanced interfaces. The middleware developed allows to federate hybrid resources, to easily write, port and run scientific applications to the cloud. In particular, we have extended existing PaaS (Platform as a Service) solutions, allowing public and private e-infrastructures, including those provided by EGI, EUDAT, and Helix Nebula, to integrate their existing services and make them available through AAI services compliant with GEANT interfederation policies, thus guaranteeing transparency and trust in the provisioning of such services. Our middleware facilitates the execution of applications using containers on Cloud and Grid based infrastructures, as well as on HPC clusters. Our developments are freely downloadable as open source components, and are already being integrated into many scientific applications

On the origin of negative target currents during laser ablation of polyethylene

The exposure of a target to a focused laser beam results in the occurrence of a time-varying current between the target itself and the grounded vacuum chamber. This current is composed by three distinct phases, namely the ignition phase, in which the laser pulse drives the electron emission, while electrons coming from the ground through the target holder balance the positive charge generated on the target. The active phase appears at post-pulse times and it is characterized by the presence of peaked structures in the time-resolved current, representing characteristics of the target composition. Lastly, the afterglow phase is determined by a current of electrons flowing from the target to the ground. During the active phase of the target current resulting from polymers ablation with an UV KrF laser, negative target current peaks are observed, whose origin is still unknown. We investigate the dependence of these current structures on the dimensions of the target, using ultra-high molecular weight polyethylene disks of different thickness

On the origin of negative target currents during laser ablation of polyethylene

The exposure of a target to a focused laser beam results in the occurrence of a time-varying current between the target itself and the grounded vacuum chamber. This current is composed by three distinct phases, namely the ignition phase, in which the laser pulse drives the electron emission, while electrons coming from the ground through the target holder balance the positive charge generated on the target. The active phase appears at post-pulse times and it is characterized by the presence of peaked structures in the time-resolved current, representing characteristics of the target composition. Lastly, the afterglow phase is determined by a current of electrons flowing from the target to the ground. During the active phase of the target current resulting from polymers ablation with an UV KrF laser, negative target current peaks are observed, whose origin is still unknown. We investigate the dependence of these current structures on the dimensions of the target, using ultra-high molecular weight polyethylene disks of different thickness

Photoelectron performance of Y thin films and Y smooth bulk cathodes

New photo-injector sources having fast response time, long lifetime and relatively high-quantum efficiency (QE) are very needed for many applications. Metallic cathodes are promising candidates to supply high-intensity and good quality electron beams. We carried out measurements utilising thin films and a smooth bulk made of yttrium (Y). The Y thin films were produced by pulsed laser deposition (PLD, using a XeCl excimer laser) in high vacuum. It was covered, in situ, by a gold film to avoid oxidation. The Y smooth bulk was mechanically processed in air. The laser used to get experimental values of photoemission was a KrF excimer laser of 5 eV photon energy and 23 ns pulse duration. The maximum accelerating voltage applied to the photodiode (the anode) was+25 kV. The measurements of photocurrent were performed at different laser energies. We found that the output current was depended on the cathode surface. The higher QE values were obtained for the smooth cathode. It provided a maximum output current of 8.4 A, at 25 kV and 12 mJ laser energy. The maximum QE was 7.0x(10)^-5

Use of geostatistics in geophytopathology: Cercospora leaf spot on sugarbeet in northern Italy as a case-study.

The potential for the use of geostatistics in geophytopatology was examined, considering the distribution of Cercospora leaf spot epidemics over a four year period (1990-1993). The results showed that Cercospora leaf spot intensity can be considered as a regionalized variable