RESUMO
The real-time monitoring of densely populated areas with high seismic and volcanic risk is of crucial importance for the safety of people and infrastructures. When an earthquake occurs, the Earth surface experiences both translational and rotational motions. The latter are usually not monitored, but their measurement and characterization are essential for a full description of the ground motion. Here we present preliminary observational data of a high-sensitivity rotational sensor based on a 2-km-long fiber-optic Sagnac gyroscope, presently under construction in the middle of the Campi Flegrei Volcanic Area (Pozzuoli, Italy). We have evaluated its performance by analyzing data continuously recorded during an acquisition campaign of five months. The experimental setup was composed of a digital nine-component seismic station equipped with both a rotational sensor and conventional seismic sensors (seismometers, accelerometers, and tiltmeters). During this experiment we detected seismic noise and ground rotations wavefield induced by small to medium local earthquakes (M D<3). The prototype gyroscope shows a very promising sensitivity in the range of 5×10-7-8×10-9 r a d/s/H z over the frequency bandwidth 5 mHz-50 Hz. Future upgrades and perspectives are discussed.
RESUMO
AIM: Radiation-induced oral mucositis (RIOM) is the most frequent side effect in head and neck cancer (HNC) patients treated with curative radiotherapy (RT). A standardized strategy for preventing and treating RIOM has not been defined. Aim of this study was to perform a real-life survey on RIOM management among Italian RT centers. METHODS: A 40-question survey was administered to 25 radiation oncologists working in 25 different RT centers across Italy. RESULTS: A total of 1554 HNC patients have been treated in the participating centers in 2021, the majority (median across the centers 91%) with curative intent. Median treatment time was 41 days, with a mean percentage of interruption due to toxicity of 14.5%. Eighty percent of responders provide written oral cavity hygiene recommendations. Regarding RIOM prevention, sodium bicarbonate mouthwashes, oral mucosa barrier agents, and hyaluronic acid-based mouthwashes were the most frequent topic agents used. Regarding RIOM treatment, 14 (56%) centers relied on literature evidence, while internal guidelines were available in 13 centers (44%). Grade (G)1 mucositis is mostly treated with sodium bicarbonate mouthwashes, oral mucosa barrier agents, and steroids, while hyaluronic acid-based agents, local anesthetics, and benzydamine were the most used in mucositis G2/G3. Steroids, painkillers, and anti-inflammatory drugs were the most frequent systemic agents used independently from the RIOM severity. CONCLUSION: Great variety of strategies exist among Italian centers in RIOM management for HNC patients. Whether different strategies could impact patients' compliance and overall treatment time of the radiation course is still unclear and needs further investigation.
