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Background: This paper aims to present open-source computer simulation programs developed to simulate, track, and estimate the COVID-19 outbreak. Methods: The programs included two separate parts, one set of programs built in Simulink with a block diagram display, and another one coded as a script in MATLAB R2020b. The mathematical model used in this package was the suspectable-infected-removed (SIR), suspectable-exposed-infected-removed (SEIR), and susceptible-exposed-infected-recovereddeceased (SEIRD) models represented by a set of differential-algebraic equations. It can be easily modified to develop new models for the problem. A generalized method was adopted to simulate worldwide outbreaks in an efficient, fast, and simple way. Results: To get a good tracking of the virus spread, a sum of sigmoid functions was proposed to capture any dynamic changes in the data. The parameters used for the input (infection and recovery rate functions) were computed using the parameter estimation tool in MATLAB. Several statistical methods were applied for the rate function, including linear, Mean±SD and root mean square (RMS). In addition, an adaptive neuro-fuzzy inference system (ANFIS) was employed and proposed to train the model and predict its output. Conclusion: This procedure is presented in such a way that it can be generalized and applied in other parts and applications of estimating the scenarios of an event, including the potential of several models, including suspectable-infected-removed (SIR), which is sensitive to pollution, etc. This program can be used as an educational tool or for research studies and this article promises some lasting contributions in the field of COVID-19. [ABSTRACT FROM AUTHOR]

The Italian Government planned to invest €15 billion of European funds on National Health Service digitalization and primary care enhancement. The critical burden brought by the pandemic upon hospital care mean these investments could no longer be delayed, considering the extraordinary backlogs of many treatments and the ordinary gaps of fragmented long-term care, in Italy and abroad. National guidelines have been published to standardize interventions across the Italian regions, and telemedicine is frequently mentioned as a key innovation to achieve both goals. The professional resources needed to run the facilities introduced in primary care are defined with great precision, but no details are given on how digitalization and remote care technologies must be implemented in this context. Building on this policy case, this paper focuses on what contribution digitalization and telemedicine can offer to specific primary care innovations, drawing from implemented technology-driven policies which may support the effective stratification, prevention and management of chronic patient needs, including anticipatory healthcare, population health management, adjusted clinical groups, chronic care management, quality and outcomes frameworks, patient-reported outcomes and patient-reported experience. All these policies can benefit significantly from digitalization and remote care technology, provided that some risks and limitations are considered by design. [ABSTRACT FROM AUTHOR]

Around the world, the occurrence of landslides has become one of the greatest threats to human life, property, infrastructure, and natural environments. Despite extensive research and discussions on the spatiotemporal dependence of landslide displacements, there is still a lack of understanding concerning the factors that appear to control displacement distribution in landslides because of their significant variations. This paper implements a Graph Convolutional Network (GCN) to predict displacement following the Moio della Civitella landslide in southern Italy and identify factors that may affect the distribution of movement following the landslide. An interferometric technique, known as permanent scatter interferometry (PSI), has been developed based on Synthetic Aperture Radar (SAR) satellite imagery to derive permanent scatter points that can be used to represent the deformation of landslides. This study utilized the GCN regression model applied to PSs points and data reflecting geological and geomorphological factors to extract the interdependency between paired data points, resulting in an adjacency matrix of the interval [0, 0,8). The proposed model outperforms conventional machine learning and deep learning algorithms such as linear regression (LR), K-nearest neighbors (KNN), Support vector regression (SVR), Decision tree, lasso, and artificial neural network (ANN). The absolute error between the actual and predicted deformation is used to evaluate the proposed model, which is less than 2 millimeters for most test set points. [ABSTRACT FROM AUTHOR]

The field of additive manufacturing, particularly 3D printing, has ushered in a significant transformation in the realm of joint arthritis treatment through prosthetic surgery. This innovative technology allows for the creation of bespoke prosthetic devices that are tailored to meet the specific needs of individual patients. These devices are constructed using high-performance materials, including titanium and cobalt-chrome alloys. Nevertheless, the routine physical activities of patients, such as walking, sitting, and running, can induce wear and tear on the materials comprising these prosthetic devices, subsequently diminishing their functionality and durability. In response to this challenge, this research has endeavored to leverage novel techniques. The primary focus of this study lies in the development of an algorithm designed to optimize hip replacement procedures via the mechanical design of the prosthesis. This optimization process exploits the capabilities of machine learning algorithms, multi-body dynamics, and finite element method (FEM) simulations. The paramount innovation in this methodology is the capacity to design a prosthetic system that intricately adapts to the distinctive characteristics of each patient (weight, height, gait cycle). The primary objective of this research is to enhance the performance and longevity of prosthetic devices by improving their fatigue strength. The evaluation of load distribution on the prosthetic device, facilitated by FEM simulations, anticipates a substantial augmentation in the useful life of the prosthetic system. This research holds promise as a notable advancement in prosthetic technology, offering a more efficacious treatment option for patients suffering from joint arthritis. The aim of this research is to make meaningful contributions to the enhancement of patient quality of life and the long-term performance of prosthetic devices. [ABSTRACT FROM AUTHOR]

The aim of this study was to develop and test an artificial intelligence (AI)-based algorithm for detecting common technical errors in canine thoracic radiography. The algorithm was trained using a database of thoracic radiographs from three veterinary clinics in Italy, which were evaluated for image quality by three experienced veterinary diagnostic imagers. The algorithm was designed to classify the images as correct or having one or more of the following errors: rotation, underexposure, overexposure, incorrect limb positioning, incorrect neck positioning, blurriness, cut-off, or the presence of foreign objects, or medical devices. The algorithm was able to correctly identify errors in thoracic radiographs with an overall accuracy of 81.5% in latero-lateral and 75.7% in sagittal images. The most accurately identified errors were limb mispositioning and underexposure both in latero-lateral and sagittal images. The accuracy of the developed model in the classification of technically correct radiographs was fair in latero-lateral and good in sagittal images. The authors conclude that their AI-based algorithm is a promising tool for improving the accuracy of radiographic interpretation by identifying technical errors in canine thoracic radiographs. [ABSTRACT FROM AUTHOR]

The aim of this study was to develop and test an artificial intelligence (AI)-based algorithm for detecting common technical errors in canine thoracic radiography. The algorithm was trained using a database of thoracic radiographs from three veterinary clinics in Italy, which were evaluated for image quality by three experienced veterinary diagnostic imagers. The algorithm was designed to classify the images as correct or having one or more of the following errors: rotation, underexposure, overexposure, incorrect limb positioning, incorrect neck positioning, blurriness, cut-off, or the presence of foreign objects, or medical devices. The algorithm was able to correctly identify errors in thoracic radiographs with an overall accuracy of 81.5% in latero-lateral and 75.7% in sagittal images. The most accurately identified errors were limb mispositioning and underexposure both in latero-lateral and sagittal images. The accuracy of the developed model in the classification of technically correct radiographs was fair in latero-lateral and good in sagittal images. The authors conclude that their AI-based algorithm is a promising tool for improving the accuracy of radiographic interpretation by identifying technical errors in canine thoracic radiographs. [ABSTRACT FROM AUTHOR]

Background: Resilience is defined as the ability to modify thoughts to cope with stressful events. Patients with schizophrenia (SCZ) having higher resilience (HR) levels show less severe symptoms and better real-life functioning. However, the clinical factors contributing to determine resilience levels in patients remain unclear. Thus, based on psychological, historical, clinical and environmental variables, we built a supervised machine learning algorithm to classify patients with HR or lower resilience (LR). Methods: SCZ from the Italian Network for Research on Psychoses (N = 598 in the Discovery sample, N = 298 in the Validation sample) underwent historical, clinical, psychological, environmental and resilience assessments. A Support Vector Machine algorithm (based on 85 variables extracted from the above-mentioned assessments) was built in the Discovery sample, and replicated in the Validation sample, to classify between HR and LR patients, within a nested, Leave-Site-Out Cross-Validation framework. We then investigated whether algorithm decision scores were associated with the cognitive and clinical characteristics of patients. Results: The algorithm classified patients as HR or LR with a Balanced Accuracy of 74.5% (p < 0.0001) in the Discovery sample, and 80.2% in the Validation sample. Higher self-esteem, larger social network and use of adaptive coping strategies were the variables most frequently chosen by the algorithm to generate decisions. Correlations between algorithm decision scores, socio-cognitive abilities, and symptom severity were significant (p FDR < 0.05). Conclusions: We identified an accurate, meaningful and generalizable clinical-psychological signature associated with resilience in SCZ. This study delivers relevant information regarding psychological and clinical factors that non-pharmacological interventions could target in schizophrenia. [ABSTRACT FROM AUTHOR]

Copyright of Revista Técnica Tributaria is the property of Asociacion Espanola de Asesores Fiscales and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

A reliable prediction of the spatio-temporal drought variation can lead to a reduction in vulnerability and an improvement in the management of drought-dependent businesses. In this study, three clustering algorithms, K-mean, Hierarchical and Expectation–Maximization, were first used to divide Southern Italy into homogeneous drought regions, based on gridded data of the Standardized Precipitation Evapotranspiration Index forecasting with a 6 months' time scale (SPEI6). The Hierarchical algorithm identified five well-distinct clusters characterized by drought events of different duration and severity, considering the different morphoclimatic characteristics of the study area. Then, the mean SPEI6 time series were evaluated for each cluster and used to assess the evolutionary drought trends. In addition, two Machine Learning (ML) algorithms, M5P and Support Vector Regression (SVR), were also used to develop forecasting models for the SPEI6, without the need for additional exogenous inputs. Moreover, the Stacking ML technique was used to develop a hybrid model based on both individual M5P and SVR algorithms. The clustering-forecasting combination makes it possible to identify the evolutionary trends taking place in the various homogeneous areas in a concise but effective manner. The hybrid M5P-SVR model (R2 up to 0.91, minimum Root Mean Square Error RMSE = 0.38) outperformed both M5P (R2 up to 0.87, minimum RMSE = 0.42) and SVR (R2 up to 0.89, minimum RMSE = 0.39) models, showing to be particularly suitable for drought forecasting in areas with long and severe drought events. [ABSTRACT FROM AUTHOR]

A three-dimensional survey of natural caves is often a difficult task due to the roughness of the investigated area and the problems of accessibility. Traditional adopted techniques allow a simplified acquisition of the topography of caves characterized by an oversimplification of the geometry. Nowadays, the advent of LiDAR and Structure from Motion applications eased three-dimensional surveys in different environments. In this paper, we present a comparison between other three-dimensional survey systems, namely a Terrestrial Laser Scanner, a SLAM-based portable instrument, and a commercial photo camera, to test their possible deployment in natural caves survey. We presented a comparative test carried out in a tunnel stretch to calibrate the instrumentation on a benchmark site. The choice of the site is motivated by its regular geometry and easy accessibility. According to the result obtained in the calibration site, we presented a methodology, based on the Structure from Motion approach that resulted in the best compromise among accuracy, feasibility, and cost-effectiveness, that could be adopted for the three-dimensional survey of complex natural caves using a sequence of images and the structure from motion algorithm. The methods consider two different approaches to obtain a low resolution complete three-dimensional model of the cave and ultra-detailed models of most peculiar cave morphological elements. The proposed system was tested in the Gazzano Cave (Piemonte region, Northwestern Italy). The obtained result is a three-dimensional model of the cave at low resolution due to the site's extension and the remarkable amount of data. Additionally, a peculiar speleothem, i.e., a stalagmite, in the cave was surveyed at high resolution to test the proposed high-resolution approach on a single object. The benchmark and the cave trials allowed a better definition of the instrumentation choice for underground surveys regarding accuracy and feasibility. [ABSTRACT FROM AUTHOR]

Technologically advanced strategies in infrastructural maintenance are increasingly required in countries such as Italy, where recovery and rehabilitation interventions are preferred to new works. For this purpose, Interferometric Synthetic Aperture Radar (InSAR) techniques have been employed in recent years, achieving reliable outcomes in the identification of infrastructural instabilities. Nevertheless, using the InSAR survey exclusively, it is not feasible to recognize the reasons for such vulnerabilities, and further in-depth investigations are essential.The primary purpose of this paper is to predict infrastructural displacements connected to surface motion and the related causes by combining InSAR techniques and Machine Learning algorithms. The development and application of a Regression Tree-based algorithm have been carried out for estimating the displacement of road pavement structures detected by the Persistent Scatterer InSAR technique.The study area is located in the province of Pistoia, Tuscany, Italy. Sentinel-1 images from 2014 to 2019 were used for the interferometric process, and a set of 29 environmental parameters was collected in a GIS platform. The database is randomly split into a Training (70%) and Test sets (30%). With the Training set, through a 10-Fold Cross-Validation, the model is trained, validated, and the Goodness-of-Fit is evaluated. Also, with the Test set, the Predictive Performance of the model is assessed. Lastly, we applied the model onto a stretch of a two-lane rural road that crosses the area. Results show that the suggested procedure can be used for supporting decision-making processes on planning road maintenance by National Road Authorities. [ABSTRACT FROM AUTHOR]

In recent years, immediate breast reconstruction after mastectomy surgery has steadily increased in the treatment pathway of breast cancer (BC) patients due to its potential impact on both the morpho-functional and aesthetic type of the breast and the quality of life. Although recent studies have demonstrated how recent radiotherapy techniques have allowed a reduction of adverse events related to breast reconstruction, capsular contracture (CC) remains the main complication after post-mastectomy radio-therapy (PMRT). In this study, we evaluated the association of the occurrence of CC with some clinical, histological and therapeutic parameters related to BC patients. We firstly performed bivariate statistical tests and we then evaluated the prognostic predictive power of the collected data by using machine learning techniques. Out of a sample of 59 patients referred to our institute, 28 patients (i.e., 47%) showed contracture after PMRT. As a result, only estrogen receptor status (ER) and molecular subtypes were significantly associated with the occurrence of CC after PMRT. Different machine learning models were trained on a subset of clinical features selected by a feature importance approach. Experimental results have shown that collected features have a non-negligible predictive power. The extreme gradient boosting classifier achieved an area under the curve (AUC) value of 68% and accuracy, sensitivity, and specificity values of 68%, 64%, and 74%, respectively. Such a support tool, after further suitable optimization and validation, would allow clinicians to identify the best therapeutic strategy and reconstructive timing. [ABSTRACT FROM AUTHOR]

During the outbreak of a disease caused by a pathogen with unknown characteristics, the uncertainty of its progression parameters can be reduced by devising methods that, based on rational assumptions, exploit available information to provide actionable insights. In this study, performed a few (~6) weeks into the outbreak of COVID-19 (caused by SARS-CoV-2), one of the most important disease parameters, the average time-to-recovery, was calculated using data publicly available on the internet (daily reported cases of confirmed infections, deaths, and recoveries), and fed into an algorithm that matches confirmed cases with deaths and recoveries. Unmatched cases were adjusted based on the matched cases calculation. The mean time-to-recovery, calculated from all globally reported cases, was found to be 18.01 days (SD 3.31 days) for the matched cases and 18.29 days (SD 2.73 days) taking into consideration the adjusted unmatched cases as well. The proposed method used limited data and provided experimental results in the same region as clinical studies published several months later. This indicates that the proposed method, combined with expert knowledge and informed calculated assumptions, could provide a meaningful calculated average time-to-recovery figure, which can be used as an evidence-based estimation to support containment and mitigation policy decisions, even at the very early stages of an outbreak. [ABSTRACT FROM AUTHOR]

This paper investigates the possibility of the implementation of Genetic Programming (GP) algorithm on a publicly available COVID-19 data set, in order to obtain mathematical models which could be used for estimation of confirmed, deceased, and recovered cases and the estimation of epidemiology curve for specific countries, with a high number of cases, such as China, Italy, Spain, and USA and as well as on the global scale. The conducted investigation shows that the best mathematical models produced for estimating confirmed and deceased cases achieved R2 scores of 0.999, while the models developed for estimation of recovered cases achieved the R2 score of 0.998. The equations generated for confirmed, deceased, and recovered cases were combined in order to estimate the epidemiology curve of specific countries and on the global scale. The estimated epidemiology curve for each country obtained from these equations is almost identical to the real data contained within the data set [ABSTRACT FROM AUTHOR]

Copyright of Regional Science Policy & Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In this paper we report the observations of HD189733b, Kepler-41b, Kepler-42b, GJ 436b, WASP-77ab, HAT-P-32b and EPIC 211818569 as measured at the Osservatorio Polifunzionale del Chianti, a new astro-nomical site in Italy. Commissioning observing runs have been done in order to test capabilities, systematics and limits of the system and to improve its accuracy. For this purpose, a software algorithm has been developed to estimate the differential photometric error of any transit observation, so that the integration time can be chosen to reach optimal signal-to-noise ratios, and to obtain a picture of what kind of transits this setup can reveal. Currently, the system is able to reach an accuracy of about 1 mmag and so it is ready for the much needed exoplanetary transit follow-up. [ABSTRACT FROM AUTHOR]

Objective: The aim of this study was to examine the processes involved in a guided self‐help (GSH) pre‐treatment intervention (RecoveryMANTRA) for patients with anorexia nervosa (AN), by measuring the levels of patient/mentor Language Style Matching (LSM). RecoveryMANTRA was supported by student mentors or peer mentors (recovered individuals) over six weekly chat‐based sessions. We examined whether LSM during RecoveryMANTRA predicted patients'working alliance with the clinic therapist, motivation, eating disorder (ED) and general psychopathology. A further aim was to examine differences in LSM between student mentors and peer mentors. Method: 87 AN adults received RecoveryMANTRA plus treatment as usual. The LSM algorithm was used to calculate verbal attunement between patient and mentor. Participants were assessed at baseline and at the end of the intervention. Results: Both early (1st session) and late (6th session) LSM predicted higher working alliance with the clinic therapist. Moreover, late LSM predicted lower EDs symptoms at the end of the RecoveryMANTRA intervention. Patient/peer mentor dyads showed higher late verbal attunement than patient/student mentor dyads. Conclusions: These findings suggests that in the early phase of treatment relational aspects can impact on engagement with treatment. Verbal attunement in a GSH for AN is associated with working alliance and better clinical outcome. Highlights: Language Style Matching (LSM) between patients and mentors in both the early and late phase of the RecoveryMANTRA intervention predicted higher working alliance with the clinic therapist.LSM in the last phase (6th session) was associated with lower eating disorders (EDs) symptoms at the end of the RecoveryMANTRA intervention.Patients/peer mentors dyads showed higher late LSM than patients/student mentors dyads. [ABSTRACT FROM AUTHOR]

Fibromyalgia (FM) is a chronic pain syndrome with an unclear etiology. In addition to pain, FM patients suffer from a diverse array of symptoms and comorbidities, encompassing fatigue, cognitive dysfunction, mood disorders, sleep deprivation, and dizziness. Due to the complexity of FM, the diagnosis and treatment of it are highly challenging. The aim of the present work was to investigate some clinical and psychological characteristics of FM patients, and to uncover possible correlations with pharmacological and non-pharmacological therapies. We conducted a cross-sectional, questionnaire-based study aimed at evaluating pain, psychological traits, and the self-perceived effectiveness of pharmacological and non-pharmacological treatments in an Italian population of FM patients. Descriptive statistics, correlation, and inference analyses were performed. We found a prevalence of a neuropathic/nociplastic type of pain, which correlated with psychological traits such as anxiety, low mood, psychophysical discomfort, and the inability to relax. The pain type and psychological traits proved to play a role in determining the self-perceived effectiveness of therapeutic interventions. Patients revealed a better response to non-pharmacological therapies, particularly dietary interventions, relaxation techniques, and psychotherapy rather than pharmacological interventions. The sum of our data indicates that for better outcomes, the type of pain and psychological traits should be considered for tailor-made treatments considering non-pharmacological protocols as a complement to the use of drugs. [ABSTRACT FROM AUTHOR]

With seismic catalogues becoming progressively larger, extracting information becomes challenging and calls upon using sophisticated statistical analysis. Data are typically clustered by machine learning algorithms to find patterns or identify regions of interest that require further exploration. Here, we investigate two density-based clustering algorithms, DBSCAN and OPTICS, for their capability to analyse the spatial distribution of seismicity and their effectiveness in discovering highly active seismic volumes of arbitrary shapes in large data sets. In particular, we study the influence of varying input parameters on the cluster solutions. By exploring the parameter space, we identify a crossover region with optimal solutions in between two phases with opposite behaviours (i.e. only clustered and only unclustered data points). Using a synthetic case with various geometric structures, we find that solutions in the crossover region consistently have the largest clusters and best represent the individual structures. For identifying strong anisotropic structures, we illustrate the usefulness of data rescaling. Applying the clustering algorithms to seismic catalogues of recent earthquake sequences (2016 Central Italy and 2016 Kumamoto) confirms that cluster solutions in the crossover region are the best candidates to identify 3-D features of tectonic structures that were activated in a seismic sequence. Finally, we propose a list of recipes that generalizes our analyses to obtain such solutions for other seismic sequences. [ABSTRACT FROM AUTHOR]