FRAMH: A Federated Learning Risk-Based Authorization Middleware for Healthcare

Modern healthcare systems operate in highly dy- namic environments requiring adaptable access control mecha- nisms. Access to sensitive data and medical equipment should be granted or denied according to the current health situation of the patient. To handle the need for adaptable access control of healthcare scenarios, we propose a novel model that allows dynamic access control decisions based on the context character- izing the source, type of access request, patient, and estimated risk corresponding to the conditions of the patient. Estimating patient status risk requires analyzing vital physiological data whose availability is growing thanks to the widespread diffusion of the Internet of Medical Things (IoMT) devices. Inferring the patient health status risk through Machine Learning (ML) techniques is possible, but to achieve better accuracy, the training phase requires the aggregation of vast amounts of data from different sources. This aggregation could be difficult or even impossible due to organization regulations and privacy laws. To address these issues, this paper proposes a novel Federated Learning Risk-based Authorization Middleware for Healthcare (FRAMH) that supports risk-based access control to deal with changing and unforeseen medical situations. Our solution infers the risk of health status through a federated learning (FL) approach enriched with blockchain to avoid the weaknesses of centralized servers. The implemented prototype and a large set of experimental results demonstrate the advantages of FL in estimating the risk in healthcare scenarios. Through this approach, even a medical institution with a limited dataset can achieve a satisfying risk estimation and efficient access control enforcement

Extinction and paleoecology of the Late Pleistocene cave bear from northeastern Italy: radiocarbon and stable isotope evidence

We present here the chronometric, isotopic and taphonomic evidence of cave bear from three Palaeolithic sites in north-eastern Italy: Paina, Trene and Buso doppio del Broion (Berici Hills - Vicenza). Two direct radiocarbon dates yielded an age around 24 ka BP, which make these remains the latest known representatives of the species in Europe and confirmed that demise of cave bear falls during the LGM. The carbon and nitrogen isotopic values of bone collagen do not show any marked ecological change since 33 ka BP, suggesting an essential vegetarian diet. Several bear bones preserved traces of human modification such as cut marks, which en-ables a reconstruction of the main steps of butchering process

Surface decontamination protocols for surgical treatment of peri-implantitis: A systematic review with meta-analysis

Objective: To answer the following PICO question: “In patients requiring surgical treatment of peri-implantitis (P), is any implant surface decontamination protocol (I) superior to others (C) in terms of clinical and radiographic parameters (O)?”. Methods: Randomized clinical trials (RCTs) comparing two or more decontamination protocols as part of the surgical treatment of peri-implantitis were included. Two authors independently searched for eligible studies, screened titles and abstracts, did full-text analysis, extracted data, and performed the risk-of-bias assessment. Whenever possible, results were summarized through random effects meta-analyses. Results: Twenty-two manuscripts reporting on 16 RCTs were included, testing mechanical, chemical and physical decontamination protocols. All of them resulted in an improvement in clinical parameters; however, the superiority of specific protocols over others is mainly based on single RCTs. The use of titanium brushes and implantoplasty showed favorable results as single decontamination methods. Meta-analyses indicated a lack of added effect of Er:Yag laser on probing pocket depth (PPD) reduction (n = 2, WMD = −0.24 mm, 95% confidence interval [CI] [−1.10; 0.63], p =.59); while systemic antimicrobials (amoxicillin or azithromycin) showed an added effect on treatment success ([PPD ≤5 mm, no bleeding or suppuration, no progressive bone loss]; n = 2, RR = 1.84, 95% CI [1.17;2.91], p =.008), but not in terms of PPD reduction (n = 2, WMD = 0.93 mm, 95% CI [−0.69; 2.55], p =.26), even if with substantial heterogeneity. Conclusions: No single decontamination method demonstrated clear evidence of superiority compared to the others. Systemic antibiotics, but not Er:Yag laser, may provide short-term clinical benefits in terms of treatment success (CRD42020182303)

Estimates and multivariable risk assessment of mid-buccal gingival recessions in an Italian adult population according to the 2018 World Workshop Classification System

Objectives: The aim of this cross-sectional study was to provide estimate of mid-buccal gingival recession (GR) according to the 2018 World Workshop Classification System and to explore GR risk indicators in a representative urban population in North-West of Italy. Material and methods: This is a secondary analysis using data collected in an epidemiological study enrolling a representative sample of 736 adults, living in Turin. GR prevalence was defined as the presence of at least one mid-buccal GR ≥ 1 mm. GRs were categorized according to the 2018 classification system (RT1, RT2, RT3) and to different severity cutoffs. Logistic regression analysis was performed to identify RT GR risk indicators. Results: Mid-buccal GR ≥ 1 mm affected 57.20% of subjects and 14.56% of teeth. When considering RT1 GRs, their prevalence was 40.90% and 6.29% at the patient and tooth level. RT2 and RT3 GRs affected 25.82% and 36.68% of the study population, respectively. RT1 GRs occurred mostly on maxillary and mandibular premolars and maxillary canines, while RT2 and RT3 GRs on maxillary molars and mandibular incisors. Older age, high education, and full-mouth plaque score (FMPS) 60% were significant contributors to RT2 and RT3 GRs. Conclusions: RT1 and RT3 are fairly common findings in this Italian population and are significantly associated to different contributing factors and tooth type distribution pattern. Clinical relevance: Prevention strategies should target different socio-demographic, behavioral, and clinical risk indicators based on the RT classes

Fast offline data reduction of laser ablation MC-ICP-MS Sr isotope measurements: Via an interactive Excel-based spreadsheet 'SrDR'

Strontium isotopes are applied to a wide range of scientific fields and to different types of materials, providing valuable information foremost about provenance and age, but also on diagenetic processes and mixing relationships between different Sr reservoirs. The development of in situ analytical techniques, such as laser ablation ICP-MS, has improved our understanding of Sr isotope variability in several fields of application, because of the possibility to discriminate small-scale changes and their spatial distribution. However, large outputs of Sr isotope data are produced by laser ablation MC-ICP-MS systems, which necessitate multiple offline steps to correct and assess the data. This requires the availability of simple and user-friendly tools, easily manageable by non-specialists too. With this in mind, we developed SrDR, an Excel-based interactive data reduction spreadsheet ('SrDR', Sr-Data-Reduction) for the processing of Sr isotopes measured by LA-MC-ICP-MS. The SrDR spreadsheet is easily customizable (a) to meet user-specific analytical protocols, (b) for different instruments (i.e. Nu plasma vs. Neptune), and (c) for diverse target materials (e.g. rare earth element enriched or depleted samples). We also include several examples relevant to low and high temperature geochemistry fields-a fossil tooth, a modern seashell, a speleothem sample and plagioclase crystals-to show how different sample materials are corrected for different interfering masses

Back to Uluzzo – archaeological, palaeoenvironmental and chronological context of the Mid–Upper Palaeolithic sequence at Uluzzo C Rock Shelter (Apulia, southern Italy)

The tempo and mode of Homo sapiens dispersal in Eurasia and the demise of Neanderthals has sparked debate about the dynamics of Neanderthal extinction and its relationship to the arrival of H. sapiens. In Italy, the so-called ‘Transition’ from Neanderthals to H. sapiens is related to the Uluzzian technocomplex, i.e. the first archaeological evidence for modern human dispersal on the European continent. This paper illustrates the new chronology and stratigraphy of Uluzzo C, a rock shelter and Uluzzian key site located in the Uluzzo Bay in southern Italy, where excavations are ongoing, refining the cultural sequence known from previous excavations. Microstratigraphic investigation suggests that most of the deposit formed after dismantling of the vault of the rock shelter and due to wind input of loess deflated by the continental shelf. The occasional reactivation of the hydrology of the local karst system under more humid conditions further contributed to the formation of specific layers accumulating former Terra Rossa-type soil fragments. Superposed on sedimentary processes, strong bioturbation and the mobilization and recrystallization of calcite have been detected. Optically stimulated luminescence (OSL) ages from Uluzzo C Rock Shelter are congruent with previously published radiocarbon ages obtained on shell beads and tephrachronology from adjacent sites preserving the Uluzzian technocomplex such as Grotta del Cavallo, confirming the onset for the Uluzzian in the area to ca. 39.2–42.0 ka. The OSL chronology from Uluzzo C also provides a terminus post quem for the end of the Mousterian in the region, constraining the disappearance of the Neanderthals in that part of Italy to ≥46 ± 4 ka

High-accuracy methodology for the integrative restoration of archaeological teeth by using reverse engineering techniques and rapid prototyping

The reconstruction of the original morphology of bones and teeth after sampling for physicochemical (e.g., radiocarbon and uranium series dating, stable isotope analysis, paleohistology, trace element analysis) and biomolecular analyses (e.g., ancient DNA, paleoproteomics) is appropriate in many contexts and compulsory when dealing with fossil human remains. The reconstruction protocols available to date are mostly based on manual re-integration of removed portions and can lead to an imprecise recovery of the original morphology. In this work, to restore the original external morphology of sampled teeth we used computed microtomography (microCT), reverse engineering (RE), computer-aided design (CAD) and rapid prototyping (RP) techniques to fabricate customized missing parts. The protocol was tested by performing the reconstruction of two Upper Palaeolithic human teeth from the archaeological excavations of Roccia San Sebastiano (Mondragone, Caserta, southern Italy) and Riparo I of Grotte Verdi di Pradis (Clauzetto, Pordenone, north-eastern Italy) (RSS2 and Pradis 1, respectively), which were sampled for physicochemical and biomolecular analyses. It involved a composite procedure consisting in: a) the microCT scanning of the original specimens; b) sampling; c) the microCT scanning of the specimens after sampling; d) the reconstruction of the digital 3D surfaces of the specimens before and after sampling; e) the creation of digital models of the missing/sampled portions by subtracting the 3D images of the preserved portions (after the sampling) from the images of the intact specimens (before the sampling) by using reverse engineering techniques; f) the prototyping of the missing/sampled portions to be integrated; g) the painting and application of the prototypes through the use of compatible and reversible adhesives. By following the proposed protocol, in addition to the fabrication of a physical element which is faithful to the original, it was possible to obtain a remarkable correspondence between the contact surfaces of the two portions (the original and the reconstructed one) without having to resort to any manipulation/adaptation of either element