255 research outputs found

    Enhancing Luxury through Stained Glass, from Asia Minor to Italy

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    This study addresses the use of colored glazed windows in the interior decoration of Byzantine churches dating from the sixth to the twelfth century. In light of new evidence provided by recent excavations, I ask the question whether, or to what extent, developments in Byzantium can be associated with earlier or foreign architectural traditions. I attempt to demonstrate that there was an evolution in glassmaking techniques, and in the forms and ways glass was applied to architectural interior

    Estimating an Injury Crash Rate Prediction Model based on severity levels evaluation: The case study of single-vehicle run-off-road crashes on rural context

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    Abstract In general in case of crash situations the quality of collected data is very limited and several information are usually unreliable. Thus it is recognised that a significant effort is required in order to improve the quality of the crash prediction models moreover a crucial role is played by the identification of the factors influencing the crashes occurrence and the levels of severity estimation. In this paper two injury crash rate prediction models related to single-vehicle run-off-road crashes type are calibrated and in particular significant attributes estimated are identified not only with roadway geometric characteristics and surface conditions, but also with gender/number-of-drivers. To this aim a survey of injury crashes on two-lane rural roads collected in the Southern Italy was considered and analysed. Finally before the calibration step, a preliminary analysis of the data was provided through the estimation of the levels of severity by multinomial logit; in fact by this model only segments with highest values of severity are identified and involved in the calibration procedure

    JRC Ispra EMEP-GAW Regional Station for Atmospheric Research - 2007 Report

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    The aim of the JRC-Ispra station for atmospheric research (45°49'N, 8°38'E) is to monitor atmospheric parameters (pollutant concentrations and fluxes, atmospheric particle chemical composition, number size distribution and optical properties) to contribute in assessing the impact of European policies on air pollution and climate change. The station has been operated continuously since November 1985, with a gap in gas phase data due to a severe breakdown of the data acquisition system in 2003 though. The measurements performed in 2007 led to annual averages of ca. 32 µg m-3 O3, 0.8 µg m-3 SO2, 21 µg m-3 NO2 and 30 µg m-3 PM10. Carbonaceous species (organic matter plus elemental carbon) are the main constituents of PM2.5 (> 55 %) followed by NH4NO3 (20-30 %) and (NH4)2SO4 (10-20 %). The measurements confirmed the seasonal variations observed over the previous years, mainly driven by meteorology rather than by changes in emissions. Aerosol physical and optical properties were also measured in 2007. The average particle number (from 10 nm to 10 µm) was about 9200 cm-3 in 2007. The mean (close to dry) aerosol single scattering albedo (0.79) was low compared to the values generally observed in Europe, which means that the cooling effect of aerosols is reduced in our region compared to others. Long-term trends (over 20 years) show consistent decreases in sulfur concentrations and deposition, PM mass concentration (-0.9 µg m-3 yr-1) and in extreme ozone value occurrence frequency. The decreasing trends in oxidised and reduced nitrogen species are much less pronounced. However, historical minimum in NO3-, NH4+, (and SO42-) wet deposition, as well as in O3 pollution indicators (AOT40 and SOMO35) were observed in 2007.JRC.H.2-Climate chang

    breastfeeding in breast cancer survivors pattern behaviour and effect on breast cancer outcome

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    Abstract Little is known regarding the safety and feasibility of breastfeeding in women with a history of breast cancer. We have performed a survey among breast cancer patients who completed their pregnancy following breast cancer management to examine their lactation behaviours and its effect on breast cancer outcome. Out of 32 women identified, 20 were reachable and accepted to take the questionnaire. Ten women initiated breastfeeding, 4 stopped within one month and 6 had long-term success with a median period of 11 months (7–17 months). The latter were all previously subjected to breast conserving surgery and received qualified lactation counselling at delivery. The main reasons for not initiating breastfeeding were "uncertainty regarding maternal safety" and "a priori unfeasibility" expressed either by the obstetrician or by the oncologist. At a median follow-up of 48 months following delivery, all 20 women were alive with two relapses; one in each group (i.e., lactating and non-lactating). This analysis adds to the limited available evidence on the feasibility and safety of breastfeeding in breast cancer survivors. Proper fertility and survivorship counselling is crucial and requires more attention in breast cancer clinics

    Platelet Function Testing in Patients with Acute Ischemic Stroke: An Observational Study

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    Background: The measurement of platelet reactivity in patients with stroke undergoing antiplatelet therapies is not commonly performed in clinical practice. We assessed the prevalence of therapy responsiveness in patients with stroke and further investigated differences between patients on prevention therapy at stroke onset and patients naive to antiplatelet medications. We also sought differences in responsiveness between etiological subtypes and correlations between Clopidogrel responsiveness and genetic polymorphisms. Methods: A total of 624 stroke patients on antiplatelet therapy were included. Two different groups were identified: "non-naive patients", and "naive patients". Platelet function was measured with multiple electrode aggregometry, and genotyping assays were used to determine CYP2C19 polymorphisms. Results: Aspirin (ASA) responsiveness was significantly more frequent in naive patients compared with non-naive patients (94.9% versus 82.6%, P < .0010). A better responsiveness to ASA compared with Clopidogrel or combination therapy was found in the entire population (P < .0010), in non-naive patients (P < .0253), and in naive patients (P < .0010). Multivariate analysis revealed a strong effect of Clopidogrel as a possible "risk factor" for unresponsiveness (odds ratio 3.652, P < .0001). No difference between etiological subgroups and no correlations between responsiveness and CYP2C19 polymorphisms were found. Conclusion: In our opinion, platelet function testing could be potentially useful in monitoring the biological effect of antiplatelet agents. A substantial proportion of patients with stroke on ASA were "resistant", and the treatment with Clopidogrel was accompanied by even higher rates of unresponsiveness. Longitudinal studies are needed to assess whether aggregometry might supply individualized prognostic information and whether it can be considered a valid tool for future prevention strategies

    Immune inflammation indicators in anal cancer patients treated with concurrent chemoradiation: training and validation cohort with online calculator (ARC: Anal Cancer Response Classifier)

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    Background: In anal cancer, there are no markers nor other laboratory indexes that can predict prognosis and guide clinical practice for patients treated with concurrent chemoradiation. In this study, we retrospectively investigated the influence of immune inflammation indicators on treatment outcome of anal cancer patients undergoing concurrent chemoradiotherapy. Methods: All patients had a histologically proven diagnosis of squamous cell carcinoma of the anal canal/margin treated with chemoradiotherapy according to the Nigro's regimen. Impact on prognosis of pre-treatment systemic index of inflammation (SII) (platelet x neutrophil/lymphocyte), neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR) were analyzed. Results: A total of 161 consecutive patients were available for the analysis. Response to treatment was the single most important factor for progression-free survival (PFS) and overall survival (OS). At univariate analysis, higher SII level was significantly correlated to lower PFS (p&lt;0.01) and OS (p=0.046). NLR level was significantly correlated to PFS (p=0.05), but not to OS (p=0.06). PLR level significantly affected both PFS (p&lt;0.01) and OS (p=0.02). On multivariate analysis pre-treatment, SII level was significantly correlated to PFS (p=0.0079), but not to OS (p=0.15). We developed and externally validated on a cohort of 147 patients a logistic nomogram using SII, nodal status and pre-treatment Hb levels. Results showed a good predictive ability with C-index of 0.74. An online available calculator has also been developed. Conclusion: The low cost and easy profile in terms of determination and reproducibility make SII a promising tool for prognostic assessment in this oncological setting

    Development of a Nomogram Predicting the Risk of Persistence/Recurrence of Cervical Dysplasia

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    Background: Cervical dysplasia persistence/recurrence has a great impact on women's health and quality of life. In this study, we investigated whether a prognostic nomogram may improve risk assessment after primary conization. Methods: This is a retrospective multi-institutional study based on charts of consecutive patients undergoing conization between 1 January 2010 and 31 December 2014. A nomogram assessing the importance of different variables was built. A cohort of patients treated between 1 January 2015 and 30 June 2016 was used to validate the nomogram. Results: A total of 2966 patients undergoing primary conization were analyzed. The median (range) patient age was 40 (18-89) years. At 5-year of follow-up, 6% of patients (175/2966) had developed a persistent/recurrent cervical dysplasia. Median (range) recurrence-free survival was 18 (5-52) months. Diagnosis of CIN3, presence of HR-HPV types, positive endocervical margins, HPV persistence, and the omission of HPV vaccination after conization increased significantly and independently of the risk of developing cervical dysplasia persistence/recurrence. A nomogram weighting the impact of all variables was built with a C-Index of 0.809. A dataset of 549 patients was used to validate the nomogram, with a C-index of 0.809. Conclusions: The present nomogram represents a useful tool for counseling women about their risk of persistence/recurrence after primary conization. HPV vaccination after conization is associated with a reduced risk of CIN2+
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