The psychological implications of COVID-19 over the eighteen-month time span following the virus breakout in Italy.

Background: In a short time, the COVID-19 pandemic has exerted a huge impact on many aspects of people's lives with a number of consequences, an increase in the risks of psychological diseases being one of them. The aim of this experimental study, based on an eighteen-month follow-up survey, is to assess the psychological effects of the COVID-19 pandemic, in particular, changes in stress, anxiety and depression levels, and the risks of developing Post-Traumatic Stress Disorder (PTSD). Methods: A follow-up survey was performed on a sample of 184 Italian individuals to collect relevant information about the psychological impact of COVID-19. Predictors of the components of the psychological impact were calculated based on the ANCOVA model. Results: The analysis of the online questionnaires led to the conclusion that a high percentage of the participants suffer from levels of stress, anxiety and depression higher than normal as well as an increased risk of PTSD. The severity of such disorders significantly depends on gender, the loss of family members or acquaintances due to the pandemic, the amount of time spent searching for COVID-19 related information, the type of information sources and, in part, on the level of education and income. The time factor had a more severe effect on the low-income population. Conclusion: COVID-19 has entailed a very strong psychological impact on the Italian population also depending on the coping strategies adopted, the level of mindful awareness, socio-demographic variables, people's habits and the way individuals use the available means of communication and information.

Obesity, chronic kidney disease progression and the role of the adipokine C1q/TNF related protein-3.

INTRODUCTION AND AIMS: Obesity is a risk factor for incident chronic kidney disease (CKD). C1q/TNF related protein 3 (CTRP3) is an adipokine with multiple effects and may modulate the association between obesity and vascular diseases. The aim of the study is to explore potential links between obesity, CTRP3 levels and CKD progression. METHODS: Patients with stage 3 and 4 CKD without previous cardiovascular events were enrolled and divided into groups according to body mass index (BMI) and sex. Demographic, clinical, analytical data and CTRP3 levels were collected at baseline. During follow-up, renal events (defined as dialysis initiation, serum creatinine doubling or a 50% decrease in estimated glomerular filtration rate were registered). RESULTS: 81 patients were enrolled. 27 were obese and 54 non-obese. Baseline CTRP3 was similar between both groups (90.1±23.8 vs 84.5±6.2; p=0.28). Of the sum, 54 were men and 27 women, with higher CTRP3 in women (81.4±24.7 vs 106±24.7;p<0.01). During a mean follow-up of 68 months, 15 patients had a renal event. Patients in the higher CTRP3 tertile had less events but without statistical significance (p=0.07). Obese patients in the higher CTRP3 tertile significantly had less renal events (p=0.049). By multiple regression analysis CTRP3 levels could not predict renal events (HR 0.98; CI95% 0.96-1.06). CONCLUSIONS: CTRP3 levels are higher in woman than men in patients with CKD, with similar levels between obese and non obese. Higher CTRP3 levels at baseline were associated with better renal outcomes in obese patients.

The impact of near-infrared autofluorescence on postoperative hypoparathyroidism during total thyroidectomy: a case-control study.

PURPOSE: Near-infrared autofluorescence is a new technology in thyroid surgery to better localize and preserve parathyroid glands. The purpose of this study is to assess if the adoption of NIR-AF can improve in short-, medium-, and long-term post-operative calcium and PTH levels compared to conventional "naked eye" surgery in patients undergoing TT for benign or malignant conditions. METHODS: 134 patients undergone total thyroidectomy between January 2020 and June 2022; 67 were treated with conventional thyroidectomy, the other 67 underwent surgery adopting an autofluorescence detecting device. RESULTS: Significant differences were found between the two groups in percentage of patients with short-term hypocalcemia (p = 0.04) and short-term hypoparathyroidism (p = 0.011). Median short-term (p = 0.01) and medium-term (p = 0.03) PTH levels were significantly higher in autofluorescence group, while, short- (p = 0.001), medium- (p < 0.001) and long-term (p = 0.019) percentage variation of PTH levels from baseline were significantly higher in the standard-care group. Finally, the prescription of oral calcium (p < 0.01) after surgery were significantly lower in the autofluorescence group. CONCLUSION: The adoption of near-infrared autofluorescence during total thyroidectomy is related to lower short-term hypocalcemia and hypoparathyroidism rates, decreased variation of post-operative PTH levels in short- and medium- and long-term, reducing the necessity of supplementation therapy with oral calcium compared to conventional surgery.

Dataset of mechanical properties of coarse aggregates stabilized with traditional and nontraditional additives: Stiffness, deformation, resistance to freezing and stripping.

The dataset derives from a thorough laboratory characterization of all existing stabilization technologies suitable for coarse-graded aggregates. They include two traditional binders (based on cement and bitumen) and eleven nontraditional binders (based on brine salt, clay, organic non-petroleum, organic petroleum and synthetic polymer). The dataset derives from four laboratory test operations: repeated load triaxial test performed both before and after exposing the investigated samples to ten freeze-thaw cycles, weight measurement of Marshall specimens during ten freeze-thaw cycles and a modified version of rolling bottle test. Repeated load triaxial tests assess the resilient modulus and the resistance to permanent deformation of both unstabilized and stabilized specimens. The mass loss of Marshall specimens expresses the susceptibility of each additive to lose its binding property when exposed to freezing action. The modified version of the rolling bottle test characterizes the propensity to stripping for each additive coating the aggregates subjected to mechanical stirring action. Given the surging necessity to improve the construction and maintenance operations for road pavements worldwide, this dataset containing information about several stabilization technologies can be very useful for transport agencies, contractors, industry and university researchers as well as companies manufacturing and supplying stabilization technologies.

The use of near-infrared autofluorescence during total laryngectomy with hemi- or total thyroidectomy.

PURPOSE: The aim of this study is to describe the use of near-infrared autofluorescence (NIR-AF) to identify and preserve parathyroid glands (PGs) in a group of patients with advanced hypopharyngeal/laryngeal cancer undergone total (pharyngo)laryngectomy with hemi- or total thyroidectomy. METHODS: At San Raffaele Hospital, Milan (Italy), from January 2021 to May 2021, 7 patients affected by cT4a laryngeal squamous cell carcinoma (SCC) underwent surgery using an autofluorescence detection system (Fluobeam-Fluoptics®). For proper surgical planning, the demolition phase envisaged extension of the intervention to 4 hemithyroidectomies and 3 total thyroidectomies associated, respectively, with homolateral or bilateral CCND. Serum calcium, ionized calcium, and parathyroid hormone (PTH) levels at post-operative day (POD) 1 and 2 and at 2 weeks after surgery were monitored. Finally, we compared the data obtained with a cohort of patients who underwent surgery without the adoption of NIR-AF. RESULTS: With the use of NIR-AF, 18/20 PGs were identified, of which 7/18 were preserved exclusively thanks to the use of autoflorescence. The technique also made it possible to identify and isolate three PGs from the surgical specimen, which were subsequently transplanted only after intraoperative histological confirmation. On POD-1, 3/7 patients (42.8%) were hypocalcemic; on POD-2 and after 2 weeks only 1/7 patient (14.2%) was hypocalcemic. Comparing the two groups, we highlighted that the utilization of NIR-AF was related to a significant decrease of median serum (p = 0.026) and ionized calcium levels (p = 0.017) 2 weeks after surgery. Using this new technology, in no case did definitive histological examination reveal the presence of PGs in the surgical specimen, reaching an accuracy of 100%. CONCLUSIONS: In our cohort of patients who underwent total (pharyngo)laryngectomy with hemi- or total thyroidectomy, the use of near-infrared autofluorescence improved medium term postoperative hypocalcemia rates. This new technology helps to achieve a better calcemic outcome compared to the standard naked eye approach, since it helps the surgeon to identify and preserve parathyroid glandular tissue with a lower incidence of post-operative hypocalcemia.

Use of Indocyanine Green Fluorescence During Total Thyroidectomy to Identify Parathyroid Glands and Prevent Hypoparathyroidism.

INTRODUCTION: Total thyroidectomy is associated with a high rate of transient or permanent hypoparathyroidism. During surgery, indocyanine green (ICG) fluorescein angiography can be used to detect and preserve well-vascularized parathyroid glands. This technique has been introduced as an intraoperative support to prevent postoperative hypoparathyroidism. MATERIAL AND METHODS: One-hundred consecutive patients who had undergone total thyroidectomy were included in this study. Autofluoroscopy was used on the first dominant side of thyroidectomy and to identify the contralateral parathyroid glands. An intravenous bolus of 5 mg ICG (VERDYE, Diagnostic Green GmbH, Aschheim-Dornacht, Germany) was administered once. ICG fluorescein angiography was used as a "bridge" at the end of the first dominant hemithyroidectomy and after exposure of the parathyroid glands on the second side. This allowed us to (i) determine the vascularization of the first two parathyroid glands and (ii) define the blood vessels and thus the line of dissection of the parathyroid glands of the second resection side. Finally, autofluoroscopy was then applied outside the surgical area on the surgical specimen to assess forgotten parathyroid glands, which should therefore be re-implanted. Autofluoroscopy and ICG fluorescein angiography were evaluated in real time using the same technology, i.e., FLUOBEAM® LX (EUROPE - Fluoptics Grenoble, France; USA - Fluoptics Imaging Inc., Cambridge, MA, USA). The study was approved by the local ethics committee. RESULTS: Autofluorescence and ICG fluorescein angiography were performed without any problems in all cases. A total of 370 parathyroid glands were detected in this series. ICG changed the surgical strategy for the first-side parathyroid glands in 5% of cases, i.e,. they were not well-vascularized and were re-implanted. The rate of transient hypoparathyroidism was 19%. The percentage of parathyroids in the surgical specimen was 3.5% and all were re-implanted during the same surgery. There was no case of postoperative definitive hypoparathyroidism when at least one parathyroid gland with a high fluorescence intensity was preserved on the first side of resection. CONCLUSION: Use of ICG fluorescein angiography may contribute to predicting and thus preventing postoperative definitive hypoparathyroidism after total thyroidectomy. The results of this case series confirm recent studies. Caution is advised when weakly perfused parathyroid glands are discovered.

Reliability of Calculation of Dynamic Modulus for Asphalt Mixtures Using Different Master Curve Models and Shift Factor Equations.

To develop a mechanistic-empirical pavement design system for Norwegian conditions, this paper evaluates the influence of the adoption of different models and shifting techniques on the determination of dynamic modulus master curves of asphalt mixtures. Two asphalt mixture types commonly used in Norway, namely Asphalt Concrete (AC) and Stone Mastic Asphalt (SMA) containing neat bitumen and polymer-modified bitumen, were prepared by the roller compactor, and their dynamic moduli were determined by the cyclic indirect tensile test. The dynamic modulus master curves were constructed using the standard logistic sigmoidal model, a generalized logistic sigmoidal model and the Christensen-Anderson-Marasteanu model. The shifting techniques consisted of log-linear, quadratic polynomial function, Arrhenius, William-Landel-Ferry and Kaelble methods. The absolute error, normalised square error and goodness-of-fit statistics encompassing standard error ratio and coefficient of determination were used to appraise the models and shifting methods. The results showed that the standard logistic sigmoidal model and the Williams-Landel-Ferry equation had the most suitable fits for the specimens tested. The asphalt mixtures containing neat bitumen had a better fit than the ones containing polymer-modified bitumen. The Kaelble equation and log-linear equation led to similar results. These findings provide a relevant recommendation for the mechanistic-empirical pavement design system.

Dataset regarding calcium bentonite and sodium bentonite as stabilizers for roads unbound.

The collected dataset derives from the laboratory testing of bentonite clay investigated as a stabilization technology for the unbound layers of road pavements. The effect of two kinds of bentonite (calcium based and sodium based) are assessed on two aggregate types commonly used as road construction materials. The investigation program, performed by means of repeated load triaxial tests, encompasses the different combinations of bentonite and aggregate types; two replicate specimens are tested dried for each condition. Considering the global need for ensuring well-performing road infrastructures while employing environmentally sound construction technologies, this dataset documenting the potential of bentonite clays used as road stabilizers can be of interest for several road stakeholders.

Repeated Load Triaxial Testing of Recycled Excavation Materials Blended with Recycled Phyllite Materials.

Recycled Excavation Materials (REM) are becoming viable alternative construction resources due to their economic benefits. However, REM may be composed of weak rocks, e.g., phyllites, limiting the use in a base layer. The present paper attempts to further the knowledge of the mechanical performance of REM by performing Repeated Load Triaxial Tests (RLTT). REM are mixed with Recycled Phyllite Materials (RPM) in systematic blends of 0%, 25%, 50%, and 100%. The batches' resilient modulus (MR) and permanent deformation (PD) characteristics were assessed to establish the maximum RPM allowed into REM while maintaining the required performance. Hicks and Monismith's and Uzan's models were used to characterize the stiffness behavior. A wide variation in the stiffness between the two materials was observed. Batches comprised of 0% RPM-100% REM and 25% RPM-75% REM showed high stiffness performance. The Coulomb model assessed the PD behavior, and the results showed a similar response for all batches. Unlike the stiffness, blended mixtures did not show sensitivity to increased RPM content in the PD. This study may help end-users to understand the performance of REM given the documented threshold on the allowable quantity of RPM in REM.

Microwave Heating as an Innovative Road Maintenance Technology: Aging Effect on Binder and Feasibility Evaluation.

The microwave heating/healing technique is regarded as a green maintenance approach for asphalt pavements thanks to its promising environmental and economic benefits. However, the main concern about this technology is represented by the possible aging effect generated on bituminous binders. Currently, there is a significant lack of studies dealing with this topic. Based on these premises, the main purpose of this study is to appraise the feasibility of implementing microwave-based maintenance operations considering the associated aging effect. The assessment of fatigue life after cyclic microwave heating (MH) based on a linear amplitude sweep (LAS) test and the changes in the chemical groups detected through Fourier transform infrared (FTIR) spectroscopy document the aging phenomenon. The results indicate that the microwave aging degree on bituminous binder is nonlinear with MH cycles. The microwave radiation causes a distinct aging impact on binders during the first 10 cycles, then the values become constant. Furthermore, a feasibility analysis of MH technology is developed, encompassing four main multidisciplinary aspects: evaluation of microwave aging degree, working mechanism of MH equipment, safety assessment, and economic and ecological considerations. Despite the associated aging issue, the MH method is an efficient technology, considering its various advantages (i.e., rapidity of execution, uniform and non-pollutant treatment, and deep penetration). Meanwhile, the use of steel slag as a microwave absorber bolsters the sustainability of MH technology. This study provides a new perspective to evaluate the microwave heating technique in road engineering comprising the generated aging effect. Practice-oriented recommendations are also formulated regarding the safe implementation of MH technical operations.

Dataset regarding the mechanical properties of roads unbound treated with synthetic fluid based on isoalkane and tall oil.

The dataset revolves around the laboratory testing of an innovative additive technology for possible stabilization of unbound courses in road pavements. The product is a synthetic fluid based on isoalkane and tall oil pitch. Two test types are performed. Repeated load triaxial tests evaluate the elastic stiffness and the deformation properties of both untreated and treated aggregates. Moreover, some specimens are also tested before and after being subjected to freezing-thawing actions. A modified version of the rolling bottle test appraises the integrity with stripping loss on loose aggregates covered by the additive. Considering the necessity for road maintenance and rehabilitation worldwide, experimental data dealing with the stabilization potential of an innovative synthetic fluid stabilizer can be relevant for several road stakeholders.

Air pollution perception in ten countries during the COVID-19 pandemic.

As largely documented in the literature, the stark restrictions enforced worldwide in 2020 to curb the COVID-19 pandemic also curtailed the production of air pollutants to some extent. This study investigates the perception of the air pollution as assessed by individuals located in ten countries: Australia, Brazil, China, Ghana, India, Iran, Italy, Norway, South Africa and the USA. The perceptions towards air quality were evaluated by employing an online survey administered in May 2020. Participants (N = 9394) in the ten countries expressed their opinions according to a Likert-scale response. A reduction in pollutant concentration was clearly perceived, albeit to a different extent, by all populations. The survey participants located in India and Italy perceived the largest drop in the air pollution concentration; conversely, the smallest variation was perceived among Chinese and Norwegian respondents. Among all the demographic indicators considered, only gender proved to be statistically significant.

Total thyroidectomy with intraoperative neural monitoring and near-infrared fluorescence imaging.

PURPOSE: To describe our personal experience during aclassic complete thyroidectomy adopting both intraoperative neural monitoringand near-infrared autofluorescence. METHODS: In October 2021, 20 patients underwent totalthyroidectomy for benign and malignant conditions: 13 patients were affected bymultinodular goiter, 2 by Graves' disease, and 5 by indeterminate lesions (3Tir-3B and 2 Tir-3A). For each patient, intraoperative neural monitoring of therecurrent laryngeal nerve and near-infrared autofluorescence were used. RESULTS: Overall, 76/80 (95.0%) parathyroid glands weredetected: 34/76 (44.7%) were identified by the surgeon during the dissection,while 42/76 (55.3%) were detected by the near-infrared camera before thesurgeon saw them with naked eye. Indocyanine green angiography was adopted inall the patients, and in 2 cases, parathyroid gland autotransplantation wasperformed since 2 parathyroid glands resulted devascularized after dissection.Operative time ranged from 113 to 201 min (mean 156 min). CONCLUSION: Together with intraoperative neural monitoring,near-infrared autofluorescence is a reliable device in thyroid surgery. Furtherprospective studies are necessary to establish if the adoption ofautofluorescence may result in long-term benefit in terms of calcemia.

Enhanced Storage Stability and Rheological Properties of Asphalt Modified by Activated Waste Rubber Powder.

Segregation of waste crumb rubber powder (WR) modified asphalt binders the large-scale application of WR in asphalt. The method of microwave activation combined with chemical activation (KMWR) was proposed to improve storage stability and rheological properties of WR modified asphalt in this work. Storage stability and rheological properties of virgin asphalt, MWR modified asphalt, and KMWR modified asphalt were comparatively studied by the standard segregation test, bending beam rheometer (BBR) test, and dynamic shear rheometer (DSR) test. The effect of composite activation on waste rubber powder particles was studied by Fourier-transform infrared spectroscopy (FT-IR), scanning electron microscope (SEM), and Brunauer-Emmett-Teller (BET) tests. The main results showed that after the physical and chemical composite activation, the storage stability of waste rubber powder modified asphalt was significantly improved, WR modified asphalt had better crack resistance, better rutting resistance, and better fatigue performance. After physical and chemical activation, WR was desulfurized, and a large number of active groups was grafted on the WR particles.

Melanoma of the lacrimal drainage system: A systematic review.

Melanoma of the lacrimal drainage system (LDSM) is a rare and subtle condition that is frequently misdiagnosed. In the present work, we conducted a systematic review investigating the clinical features, management, and prognosis of LDSM. A structured search, according to PRISMA criteria, was performed in April 2020 and updated in February 2021 on Pubmed, EMBASE, Cochrane, and SCOPUS. The articles found underwent a double-reviewer selection and the main data were extracted. After complete screening, 30 articles reporting 38 cases were included. The time from the first symptom to medical contact ranged from 1 month to 4 years. Surgery was the treatment proposed to all patients, with a variable extension of resection. LDSM is a rare disease that is burdened by poor prognosis. Early diagnosis is crucial, even if difficult to achieve. Surgery and radiotherapy are standardized treatments, while targeted therapy and immunotherapy are attractive prospects.

Mucosal Melanoma of the Hard Palate: Surgical Treatment and Reconstruction.

Mucosal melanomas of the head and neck region are uncommon pathologies that can affect the oral cavity, and are characterized by a high rate of mortality. Considering the lack of knowledge regarding risk and prognostic factors, current best clinical practice is represented by a large surgical excision with disease-free margins, eventually associated with a reconstructive flap. Indeed, given the frequent necessity of postoperative radiotherapy and fast healing process, a reconstruction of the surgical gap is advisable. Even if several flaps have been most commonly used, the submental island flap represents a valid alternative thanks to local advantages and similar oncologic outcomes compared to free flaps.

Impact of COVID-19 pandemic on mobility in ten countries and associated perceived risk for all transport modes.

The restrictive measures implemented in response to the COVID-19 pandemic have triggered sudden massive changes to travel behaviors of people all around the world. This study examines the individual mobility patterns for all transport modes (walk, bicycle, motorcycle, car driven alone, car driven in company, bus, subway, tram, train, airplane) before and during the restrictions adopted in ten countries on six continents: Australia, Brazil, China, Ghana, India, Iran, Italy, Norway, South Africa and the United States. This cross-country study also aims at understanding the predictors of protective behaviors related to the transport sector and COVID-19. Findings hinge upon an online survey conducted in May 2020 (N = 9,394). The empirical results quantify tremendous disruptions for both commuting and non-commuting travels, highlighting substantial reductions in the frequency of all types of trips and use of all modes. In terms of potential virus spread, airplanes and buses are perceived to be the riskiest transport modes, while avoidance of public transport is consistently found across the countries. According to the Protection Motivation Theory, the study sheds new light on the fact that two indicators, namely income inequality, expressed as Gini index, and the reported number of deaths due to COVID-19 per 100,000 inhabitants, aggravate respondents' perceptions. This research indicates that socio-economic inequality and morbidity are not only related to actual health risks, as well documented in the relevant literature, but also to the perceived risks. These findings document the global impact of the COVID-19 crisis as well as provide guidance for transportation practitioners in developing future strategies.

Dataset regarding the mechanical characterization of sedimentary rocks derived from Svalbard for possible use in local road constructions.

The dataset deals with the mechanical characterization of sedimentary rocks collected along the banks of Longyear river in proximity of Longyearbyen (Svalbard) at the junction of Bolterdalen and Adventdalen valleys. As the rocks represent possible local construction materials that can be employed in the new road infrastructures located in the Svalbard archipelago, three types of laboratory investigations were performed for mechanical characterization: Los Angeles tests, micro-Deval tests and repeated load triaxial tests. The grading curve of the material characterized with the repeated load triaxial tests corresponded to a typical one commonly adopted in Norway for road base layer (0-31.5 mm). The dataset offers a thorough overview of the mechanical properties relevant for road constructions and the dataset can be useful to both contractors and transportation agencies operating in the Svalbard archipelago.

The psychological impact of COVID-19 and restrictive measures in the world.

BACKGROUND: In a short time, the COVID-19 pandemic turned into a global emergency. The fear of becoming infected and the lockdown measures have drastically changed people's daily routine. The aim of this study is to establish the psychological impact that the COVID-19 pandemic is entailing, particularly with regards to levels of stress, anxiety and depression, and to the risks of developing Post-Traumatic Stress Disorder (PTSD). METHODS: The study, carried out with a sample of 1612 subjects distributed in seven countries (Australia, China, Ecuador, Iran, Italy, Norway and the United States), allowed us to collect information about the psychological impact of COVID-19. RESULTS: The findings of this study show that the levels of stress, depression and anxiety, as well as the risks of PTSD, are higher than average in over half of the considered sample. The severity of these disorders significantly depends on gender, type of outdoor activities, characteristics of their homes, eventual presence of infected acquaintances, time dedicated to looking for related information (in the news and social networks), type of source information and, in part, to the level of education and income. CONCLUSIONS: We conclude that COVID-19 has a very strong psychological impact on the global population. This appears to be linked to the coping strategies adopted, level of mindful awareness, socio-demographic variables, people's habits and the way individuals use means of communication and information.

Outpatient Posttraumatic Auricle Reconstruction Under Local Anesthesia.

ABSTRACT: We described an outpatient auricle reconstruction in an elderly patient after an accidental facial trauma. The procedure was carried out under local anesthesia given patient's comorbidities and acetylsalicylic acid (ASA) therapy. The patient subsequently underwent to regular follow-up. An excellent healing of the auricle injury was achieved.