2,795 research outputs found
Alien Registration- Nappi, Pasquale (Portland, Cumberland County)
https://digitalmaine.com/alien_docs/25661/thumbnail.jp
Preoperative anxiety during COVID-19 pandemic: A single-center observational study and comparison with a historical cohort
Background: Preoperative anxiety is a common sensation experienced by patients undergoing surgical interventions. It can influence intraoperative and postoperative management through the activation of the neuroendocrine system, leading to tachycardia, hypertension, pulmonary complications, higher consumption of anesthetic drugs, and increased postoperative pain. Our aim was to investigate the level of preoperative anxiety during the COVID-19 pandemic; we also compared it to the preoperative anxiety of a historical cohort before the outbreak. Methods: This is a single-center observational study. We enrolled 314 patients during the pandemic from May 2021 to November 2021, and our historical cohort consisted of 122 patients enrolled from July 2015 to May 2016 in the university hospital "Federico II" of Naples. The Amsterdam Preoperative Anxiety and Information Scale (APAIS) and the State-Trait Anxiety Inventory (STAI) were used to evaluate preoperative anxiety. In particular, APAIS measures preoperative anxiety and the need for information, and STAI assesses state and trait anxiety through STAI-Y1 and STAI-Y2, respectively. We analyzed APAIS and STAI scores in our population stratified on the basis of age, gender, marital status, previous surgical experiences, and type of surgery, and we compared them to our historical cohort. Statistical analysis was performed through a t-test and ANOVA for parametric data, and the Mann-Whitney and Kruskal-Wallis tests for non-parametric data. Linear regression was used to investigate the correlation between demographic data and the scores of STAI and APAIS in both groups. Results: Our results showed that state and preoperative anxiety remained stable, whereas trait anxiety increased in all the subgroups analyzed. Discussion: Even if state anxiety is considered a variable characteristic of the emotional sphere and trait anxiety a stable element, our findings suggested that COVID-19 deeply influenced trait anxiety, thus altering the patients' psychological foundations
Initial Testing of an Approximated, Fast Calculation Procedure for Personalized Dosimetry in Radionuclide Therapy Based on Planar Whole-Body Scan and Monte-Carlo Specific Dose Rates from the OpenDose Project
Individualized dosimetry in nuclear medicine is currently at least advisable in order to obtain the best risk–benefit balance in terms of the maximal dose to lesions and under-threshold doses to radiosensitive organs. This article aims to propose a procedure for fast dosimetric calculations based on planar whole-body scintigraphy (WBS) images and developed to be employed in everyday clinical practice. Methods: For simplicity and legacy reasons, the method is based on planar imaging dosimetry, complemented with some assumptions on the radiopharmaceutical kinetics empirically derived from single-photon emission tomography/computed tomography (SPECT/CT) image analysis. The idea is to exploit a rough estimate of the time-integrated activity as has been suggested for SPECT/CT dosimetry but using planar images. The resulting further reduction in dose estimation accuracy is moderated by the use of a high-precision Monte-Carlo S-factor, such as those available within the OpenDose project. Results: We moved the problem of individualized dosimetry to a transformed space where comparing doses was imparted to the ICRP Average Male/Female computational phantom, resulting from an activity distribution related to patient’s pharmaceutical uptake. This is a fast method for the personalized dosimetric evaluation of radionuclide therapy, bearing in mind that the resulting doses are meaningful in comparison with thresholds calculated in the same framework. Conclusion: The simplified scheme proposed here can help the community, or even the single physician, establish a quantitative guide-for-the-eye approach to individualized dosimetry
Reply to “Comment on ‘The 21 August 2017 Md 4.0 Casamicciola Earthquake: First Evidence of Coseismic Normal Surface Faulting at the Ischia Volcanic Island’ by Nappi et al. (2018)” by V. De Novellis, S. Carlino, R. Castaldo, A. Tramelli, C. De Luca, N. A. Pino, S. Pepe, V. Convertito, I. Zinno, P. De Martino, M. Bonano, F. Giudicepietro, F. Casu, G. Macedonio, M. Manunta, M. Manzo, G. Solaro, P. Tizzani, G. Zeni, and R. Lanari
In this article, we show why the geological model of the 21 August
2017 earthquake proposed by Nappi et al. (2018) has less
uncertainty than the sourcemodel proposed by De Novellis et al.
(2018). As a matter of fact, the Nappi et al. (2018) model takes
into account all geophysical and geological information collected
soon after the earthquake. On the contrary, the model proposed
by DeNovellis et al. (2018) is based on a limited database, which
does not include (1) the available geological and macroseismic
information and (2) the extensive scientific literature concerning
the correlation between seismic source and surface faulting, also
in volcanic areas similar to Ischia.
Nevertheless, we are grateful for the comments from De Novellis
et al. (2018) because they give us the opportunity to consider
the epistemological landscape in which we should frame
the research for the best source model of the 21 August 2017
Casamicciola earthquake.Published316-3211T. Deformazione crostale attivaJCR Journa
The 21 August 2017 Md 4.0 Casamicciola Earthquake: First Evidence of Coseismic Normal Surface Faulting at the Ischia Volcanic Island
On 21 August 2017, a shallow earthquake of Md 4.0 struck the
CasamicciolaTerme village in the north of Ischia volcanic island
(Italy). It caused two fatalities and heavy damage in a restricted
area of a few square kilometers. Casamicciola Terme has been
recurrently destroyed in the last centuries by similar volcano-tectonic
earthquakes (1762, 1767, 1796, 1828, 1881, and 1883).
After the catastrophic 1883 Casamicciola event (2343 casualties),
this is the first heavy damaging earthquake at Ischia that
provides, for the first time, the opportunity of integrating historical
seismicity, macroseismic observations, instrumental information,
and detailed mapping of coseismic geological effects.
Soon after the 2017 mainshock we surveyed the epicentral area
to collect data on the coseismic ground effects, recording more
than 100 geological field observations. Mapped effects define
a belt which closely follows the trace of the Casamicciola
E–W-trending normal fault system, bounding the northern
slope of Mt. Epomeo, previously known as a Latest Pleistocene
to Holocene normal fault with a slip rate of ∼3:0 cm=yr. We
found significant evidence for coseismic surface faulting, testified
by a main alignment of ruptures for a 2 km end-to-end length
and normal dip-slip displacement of 1–3 cm. The geometry and
regularity of the structural pattern, together with constant kinematics
of the coseismic ruptures with the north side down,
strongly suggest a primary tectonic origin for the mapped ruptures
and strongly supports an E–W normal-faulting focal
mechanism for the 2017 Casamicciola earthquake.Macroseismic
information supports the notion that previous historical events
also had a similar style of faulting.Published1323-13343T. Sorgente sismicaJCR Journa
Impact of the number of comorbidities on cardiac sympathetic derangement in patients with reduced ejection fraction heart failure
Introduction
Heart failure (HF) is frequently associated with comorbidities. 123I-metaiodobenzylguanidine (123I-mIBG) imaging constitutes an effective tool to measure cardiac adrenergic innervation and to improve prognostic stratification in HF patients, including the risk of major arrhythmic events. Although comorbidities have been individually associated with reduced cardiac adrenergic innervation, thus suggesting increased arrhythmic risk, very comorbid HF patients seem to be less likely to experience fatal arrhythmias. We evaluated the impact of the number of comorbidities on cardiac adrenergic innervation, assessed through 123I-mIBG imaging, in patients with systolic HF.
Methods
Patients with systolic HF underwent clinical examination, transthoracic echocardiography and cardiac 123I-mIBG scintigraphy. The presence of 7 comorbidities/conditions (smoking, chronic obstructive pulmonary disease, diabetes mellitus, peripheral artery disease, atrial fibrillation, chronic ischemic heart disease and chronic kidney disease) was documented in the overall study population.
Results
The study population consisted of 269 HF patients with a mean age of 66±11 years, a left ventricular ejection fraction (LVEF) of 31±7%, and 153 (57%) patients presented ≥3 comorbidities. Highly comorbid patients presented a reduced late heart to mediastinum (H/M) ratio, while no significant differences emerged in terms of early H/M ratio and washout rate. Multiple regression analysis revealed that the number of comorbidities was not associated with mIBG parameters of cardiac denervation, which were correlated with age, body mass index and LVEF.
Conclusion
In systolic HF patients, the number of comorbidities is not associated with alterations in cardiac adrenergic innervation. These results are consistent with the observation that very comorbid HF patients suffer lower risk of sudden cardiac death
INFN What Next: Ultra-relativistic Heavy-Ion Collisions
This document was prepared by the community that is active in Italy, within
INFN (Istituto Nazionale di Fisica Nucleare), in the field of
ultra-relativistic heavy-ion collisions. The experimental study of the phase
diagram of strongly-interacting matter and of the Quark-Gluon Plasma (QGP)
deconfined state will proceed, in the next 10-15 years, along two directions:
the high-energy regime at RHIC and at the LHC, and the low-energy regime at
FAIR, NICA, SPS and RHIC. The Italian community is strongly involved in the
present and future programme of the ALICE experiment, the upgrade of which will
open, in the 2020s, a new phase of high-precision characterisation of the QGP
properties at the LHC. As a complement of this main activity, there is a
growing interest in a possible future experiment at the SPS, which would target
the search for the onset of deconfinement using dimuon measurements. On a
longer timescale, the community looks with interest at the ongoing studies and
discussions on a possible fixed-target programme using the LHC ion beams and on
the Future Circular Collider.Comment: 99 pages, 56 figure
Management of Germ Cell Tumors During the Outbreak of the Novel Coronavirus Disease-19 Pandemic:A Survey of International Expertise Centers
BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has become a public health emergency affecting frail populations, including patients with cancer. This poses the question of whether cancer treatments can be postponed or modified without compromising their efficacy, especially for highly curable cancers such as germ cell tumors (GCTs). MATERIALS AND METHODS: To depict the state-of-the-art management of GCTs during the COVID-19 pandemic, a survey including 26 questions was circulated by e-mail among the physicians belonging to three cooperative groups: (a) Italian Germ Cell Cancer Group; (b) European Reference Network-Rare Adult Solid Cancers, Domain G3 (rare male genitourinary cancers); and (c) Genitourinary Medical Oncologists of Canada. Percentages of agreement between Italian respondents (I) versus Canadian respondents (C), I versus European respondents (E), and E versus C were compared by using Fisher's exact tests for dichotomous answers and chi square test for trends for the questions with three or more options. RESULTS: Fifty-three GCT experts responded to the survey: 20 Italian, 6 in other European countries, and 27 from Canada. Telemedicine was broadly used; there was high consensus to interrupt chemotherapy in COVID-19-positive patients (I = 75%, C = 55%, and E = 83.3%) and for use of granulocyte colony-stimulating factor primary prophylaxis for neutropenia (I = 65%, C = 62.9%, and E = 50%). The main differences emerged regarding the management of stage I and stage IIA disease, likely because of cultural and geographical differences. CONCLUSION: Our study highlights the common efforts of GCT experts in Europe and Canada to maintain high standards of treatment for patients with GCT with few changes in their management during the COVID-19 pandemic. IMPLICATIONS FOR PRACTICE: Despite the chaos, disruptions, and fears fomented by the COVID-19 illness, oncology care teams in Italy, other European countries, and Canada are delivering the enormous promise of curative management strategies for patients with testicular cancer and other germ cell tumors. At the same time, these teams are applying safe and innovative solutions and sharing best practices to minimize frequency and intensity of patient contacts with thinly stretched health care capacity
Multiplicity dependence of jet-like two-particle correlations in p-Pb collisions at = 5.02 TeV
Two-particle angular correlations between unidentified charged trigger and
associated particles are measured by the ALICE detector in p-Pb collisions at a
nucleon-nucleon centre-of-mass energy of 5.02 TeV. The transverse-momentum
range 0.7 5.0 GeV/ is examined,
to include correlations induced by jets originating from low
momen\-tum-transfer scatterings (minijets). The correlations expressed as
associated yield per trigger particle are obtained in the pseudorapidity range
. The near-side long-range pseudorapidity correlations observed in
high-multiplicity p-Pb collisions are subtracted from both near-side
short-range and away-side correlations in order to remove the non-jet-like
components. The yields in the jet-like peaks are found to be invariant with
event multiplicity with the exception of events with low multiplicity. This
invariance is consistent with the particles being produced via the incoherent
fragmentation of multiple parton--parton scatterings, while the yield related
to the previously observed ridge structures is not jet-related. The number of
uncorrelated sources of particle production is found to increase linearly with
multiplicity, suggesting no saturation of the number of multi-parton
interactions even in the highest multiplicity p-Pb collisions. Further, the
number scales in the intermediate multiplicity region with the number of binary
nucleon-nucleon collisions estimated with a Glauber Monte-Carlo simulation.Comment: 23 pages, 6 captioned figures, 1 table, authors from page 17,
published version, figures at
http://aliceinfo.cern.ch/ArtSubmission/node/161
Anisotropic flow of charged hadrons, pions and (anti-)protons measured at high transverse momentum in Pb-Pb collisions at TeV
The elliptic, , triangular, , and quadrangular, , azimuthal
anisotropic flow coefficients are measured for unidentified charged particles,
pions and (anti-)protons in Pb-Pb collisions at TeV
with the ALICE detector at the Large Hadron Collider. Results obtained with the
event plane and four-particle cumulant methods are reported for the
pseudo-rapidity range at different collision centralities and as a
function of transverse momentum, , out to GeV/.
The observed non-zero elliptic and triangular flow depends only weakly on
transverse momentum for GeV/. The small dependence
of the difference between elliptic flow results obtained from the event plane
and four-particle cumulant methods suggests a common origin of flow
fluctuations up to GeV/. The magnitude of the (anti-)proton
elliptic and triangular flow is larger than that of pions out to at least
GeV/ indicating that the particle type dependence persists out
to high .Comment: 16 pages, 5 captioned figures, authors from page 11, published
version, figures at http://aliceinfo.cern.ch/ArtSubmission/node/186
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