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This doctoral thesis examines the militarization of the Southern border of Hungary as a process of spatial formation, expanding the debate on borders from the political to the architectural arena. Combining spatial theory with empirical research on the case study, the thesis rethinks the border as a complex spatial system, with an agency of its own. From this perspective, it contests the enforcement of spatial boundaries from the above and related ideas of fixity. It brings attention to the agency of space in the advancement of a material becoming; the role of migration in the redefinition of meanings and functions of space; and the action of technologies in the strategic manipulation of measures and scales. While conceptualizing the border as a space in formation, this thesis builds a diagrammatic method of study and moves the research in an onto-epistemological direction. With the aim of fostering a change in those structures that control the partition and governance of space, this doctoral study calls the discipline of architecture to review its questions, methods, and practices. It invites to use architectural knowledge to engage with borders’ complexity and challenge their established meanings and makings.

Brain arteriovenous malformations (bAVMs) are congenital defects of vasculogenesis, the natural history of which is characterized by a significant morbidity and mortality related to the risk of bleeding. Their management remains challenging, since complete eradication is often difficult. Embolization, surgery, or radiosurgery alone are safe and effective for small unruptured AVMs, while a multidisciplinary approach should be pursued for larger ones. We report a case of intracerebral haemorrhage due to the rupture of a large bAVM, for which a multidisciplinary approach was adopted: endovascular partial embolization followed by complete surgical removal.

The purpose of this study was to assess whether Immune CompleX Predictive Index (iXip) improves diagnostic accuracy of multiparametric prostate MRI (mpMRI) for clinically significant prostate cancer. This study included 72 patients (mean age: 68±8 years) with suspicion of prostate cancer and available iXip score. mpMRI images were evaluated by two radiologists according to the PI-RADS v2.1. Reference standard was based on fusion biopsy and standard transperineal 12-point biopsy. Diagnostic accuracy of iXip, mpMRI and their combination were calculated. Optimal cutoff of iXip with sensitivity and specificity was identified using the Youden index. Patients with clinically significant prostate cancers had significantly higher iXip values compared to patients without clinically significant prostate cancers (median 0.411 vs 0.273; p=0.026). The AUROC for iXip was 0.795 (95% CI 0.579-1.000, p=0.026). Sensitivity and specificity were 75% and 100% respectively for mpMRI alone, and 100% and 80% respectively for mpMRI combined with iXip > 0.375. The combination of mpMRI with a cutoff value of iXip > 0.375 has a very high sensitivity for the diagnosis of prostate cancer and a moderately high specificity.

A 40-year-old man with no history of trauma or previous sinus surgery complained sudden right diplopia after vigorous sneezing. The patient was submitted elsewhere to a MRI study for persisting diplopia, with inconclusive findings. One week later the patient was submitted to a maxillofacial cone beam CT (CBCT) in our Institution. A blowout fracture of the right orbital floor and lateral orbital wall with an intact orbital rim and a ipsilateral maxillary sinus effusion with an air liquid level, were detected at the CBCT study. Our conclusion, confirmed by the clinician, was the patient had a barotraumatic, isolated, pure blowout fracture of the right orbit consequence of the episode of vigorous sneezing. The patient was treated by steroid and antibiotic therapy and diplopia resolved after two weeks. Clinicians and radiologists should be aware that a barotraumatic blowout fracture of the orbit after sneezing should be included among the unusual causes of sudden diplopia.

Scopo Il coinvolgimento delle ghiandole lacrimali (GL) in pazienti affetti da Oftalmopatia di Graves (OG) è stato considerato come una potenziale causa dei sintomi tipicamente associati a questa malattia. Diversi studi hanno rilevato che le dimensioni delle GL nei pazienti OG sono aumentate, ma non ci sono studi che prendono in considerazione pazienti con diversa attività della malattia. Abbiamo valutato l'erniazione delle GL rilevata sulle immagini di risonanza magnetica (RM), in pazienti con diversa attività OG. Materiale e metodi Trentadue pazienti (10M, 22F, età media 49,5 anni, range 30-68) con OG sono stati arruolati e raggruppati in base all'attività della malattia (A: n = 16 con OG inattivo, Clinical Activity Score (CAS)

This paper presents the development of a novel architecture for the low voltage (LV) electrical distribution on board using a mixed AC/DC approach. The design of the proposed solution is based on a real-world case study, i.e., an electrical distribution grid within a main vertical zone (MVZ) of a large cruise ship. The new electrical architecture is designed with the aim of obtaining a gradual transition toward a totally DC electrical distribution grid on-board. Furthermore, according to the selected technical criteria, the proposed scheme can be implemented on a real ship by using devices either available in the market or easily adaptable from commercial items. The impact of the proposed electrical design on technical volumes and weights of the electrical equipment is evaluated in comparison with the existing solution. Such a comparison shows that the proposed scheme allows a reduction of electrical plant components' weight and volume of about 30%.

Burnout syndrome is a condition that may occur not only for staff in human service sectors/jobs, involving intensive interactions with others, but also people that are engaged in activities psychologically similar to work, such as students. Radiographers in training suffer double stress, first linked to the status of being a university student and secondly as early career workers who have relations with the public of the health system. Aim of our study was to investigate the prevalence and levels of burnout syndrome among radiographers in training in an University Hospital.In order to gain a better understanding of nature of the burnout syndrome a modified version of Maslach's questionnaire (investigating three areas: emotional exhaustion, depersonalization and reduced personal accomplishment), was administered to two groups selected from a cohort of radiographers University students (from the 1st and 3rd year of course).62/62 questionnaires were completed, returned and analysed. The research outcomes highlighted a clear difference between group I and group II in relation to one of the three areas of the Maslach's model: "depersonalization" (p0.001). Moreover, the third year students group presented a significantly higher risk to develop burnout. On the other hand, the third area examined, the reduced personal accomplishment domain, was surprisingly high even among first-year students.The research outcomes seem to suggest that the presence of emotional burnout, or risk of burnout, among third year students is statistically significant, compared to the first year students, being a significant aspect to investigate further in this class of students. It is also assumed that the high degree of "past failures, feeling of self failure" observed among all student, is related to a feeling of poor efficacy and poor self worth that appear to grow from the beginning of the course. This topic needs further investigation in the light of the result of this study.Scopo. Il burnout è una sindrome che può interessare operatori e professionisti che sono impegnati quotidianamente e ripetutamente in attività che implicano le relazioni interpersonali, lavorando a stretto contatto con il pubblico, ma anche persone impegnate in attività psicologicamente simili al lavoro, come gli studenti. Gli studenti di tecniche di radiologia sono sottoposti ad un doppio stress, sia a quello legato allo stato di studente, che a quello legato allo stato di lavoratore a contatto con il pubblico durante il loro periodo di tirocinio professionale. Scopo del nostro studio è stato quello di investigare la prevalenza della sindrome da burnout tra i tecnici di radiologia in formazione in un Ospedale Universitario. Metodi. Per ottenere una migliore comprensione della natura della sindrome da burnout è stato somministrata una versione modificata del questionario di Maslach (che investiga 3 aree: esaurimento emotivo, depersonalizzazione e ridotta realizzazione personale) a 2 sottogruppi selezionati da una coorte di studenti Universitari in tecniche di radiologia (del 1° e 3° anno di corso). Risultati. Sono stati completati, consegnati ed analizzati 62/62 questionari. I risultati della ricerca hanno evidenziato una chiara differenza tra i 2 gruppi in una delle tre aree del modello di Maslach: la “depersonalizzazione”. Inoltre, la terza area esaminata, la ridotta realizzazione personale, è risultata sorprendentemente elevata anche tra gli studenti di primo anno. Conclusioni. I risultati della ricerca suggeriscono che la presenza di burnout emozionale, o il rischio di burnout, tra gli studenti del terzo anno sia statisticamente significativa se confrontata con i risultati degli studenti del primo anno di corso, rendendolo un aspetto da investigare più a fondo in questa classe di studenti. Si suppone che l’alto livello di senso di fallimento personale osservato tra gli studenti, sia correlato con un sentimento di scarsa autostima che sembra crescere dall’inizio del corso.

Aims and objectives Methods and materials Results Conclusion Personal information References, Aims and objectives: Adverse reactions to intravenous contrast media (CM) agents are uncommon, although relevant due to the growing number of radiologic examinations that use iodinated contrast agents [1]. Reaction may be patient related and risks of acute adverse...

BACKGROUND AND OBJECTIVE Optical Coherence Tomography (OCT) enables rapid, non-invasive in vivo measurement of retinal nerve fiber layer (RNFL) thickness, reflecting axonal density within the optic nerve. There is still lack of concordance about the use of OCT in clinical routine as a surrogate measure of brain atrophy. Objective: To investigate the role of OCT as possible predictor of disability, cognitive impairment and neurodegeneration in Multiple Sclerosis (MS). MATERIAL AND METHODS We recruited patients affected by MS according to validated criteria at the Neurological Department of the University of Palermo. Patients performed Stratus OCT- 3 Zeiss to assess RNFL and GCS measurements. Nearly 18 months later, the same patients were re-evaluated. Clinical and cognitive status was assessed also using an extensive neuropsychological battery exploring attention, executive functions and working memory, verbal and visuo-spatial memory, visuospatial functions and language and BICAMS (Brief International Cognitive Assessment for Multiple Sclerosis). Patients performed all subtests of the Italian standardized version. Subjects underwent a single-time-point brain scan using a 1.5T MRI unit; an isotropic 3D-FSPGR T1w sequence was used for brain tissue volume estimation (normalized for subject head size) with tissue-type segmentation by the use of FSL’s package SIENAX. We collected information about disease status, EDSS, relapse rate and current and former therapies. RESULTS Thirty patients (20 women; 27 RR, 2 SP) were recruited for the study. Patients were divided into two groups considering if they were affected by a previous optic neuritis (ON yes) or not (ON no). Ten patients performed the MRI scan. Twenty-two patients were on therapy (5 Interferon beta 1 a, 8 Natalizumab, 8 Fingolimod and 1 azathioprine) and 8 patients don’t take any specific therapy.DISCUSSION AND CONCLUSION.The present study confirms previous data indicating an association between a previous optic neuritis and RFNL thickening. We didn’t observe a significant association with cognitive performances. We observed a significant association also between RFNL thickness and grey matter atrophy independent by neuropsychological performances .There is a need to increase the sample of the study and for longitudinal studies to further clarify the role of OCT as a surrogate marker of degeneration.

Aims and objectives Methods and materials Results Conclusion Personal information References, Aims and objectives: -To create a MR radiological template for endometriosis -To review MR reports and images in patients with endometriosis to assess the accurancy of the...

This study estimated the proximate composition and in vitro gas production parameters of rice husk, bean waste, citrus pulp and maize stover, in a rumen incubation system. The incubation was for 24 h with measurement of gas production volume over incubation periods of 3, 6, 9, 12, 15, 18, 21 and 24 hours. The crude protein ranged 1.92 to 11.75% and the crude fibre ranged between 9.68 and 45.09%. The potential gas production (a+b) was rated highest in both citrus pulp and maize stover (48.33 ml), next was bean waste (42.00 ml) and lowest was rice husk (25 ml). The ranges of values of metabolizable energy (ME), organic matter digestibility (OMD) and short chain fatty acids(SCFA) were 6.33 to 9.24 MJ/kg DM, 52.70 to 64.69 % and 0.94 to 1.09 μmol respectively. The values of ME, OMD and SCFA ranked as, citrus pulp > maize stover> bean waste > rice husk. The higher values obtained for the potential gas production (a+b), ME, OMD and SCFA in citrus pulp and maize stover could imply higher nutrient availability for the rumen micro-organisms. The results revealed that citrus pulp and maize stover could be of higher nutritional value in ruminants feed than bean waste, while rice husk was lowest.

Many reports have described adrenal myelolipomas but there have been only a few reports of extra-adrenal myelolipomas. We describe a 74-year-old woman who came to our observa- tion for MRI of the lumbar spine for typical lumbar back pain. In addition to signs of mild scoliosis and spondylo disc arthrosis, MR imaging revealed a presacral mass showing a heterogeneously high signal in all pulse sequences and almost completely suppressed on inversion recovery sequences for fat tissue. CT imaging confirmed the fatty nature of the lesion and no signs of bone involvement. These findings were most consistent with a diagnosis of a rare presacral myelolipoma as confirmed at histopathologic analysis. This work reports a case of one of the rarest presacral masses, empha- sizing the role of imaging in the differential diagnosis of other presacral masses.

The CT-v can therefore be considered an effective method as an aid in the autopsy evaluation of individuals who died for various causes; in particular, in the case of deaths due to accidental falls from high altitudes, is able to identify the primary cause of death and all the epiphenomena due to precipitation.

PURPOSE: This study was done to evaluate the psychological state and anxiety of patients undergoing computed tomography coronary angiography (CTCA), and assess their acceptance and satisfaction compared to invasive conventional coronary angiography (CCA). MATERIALS AND METHODS: A total of 442 consecutive patients (282 male; mean age 57.7 ± 9.5 years) who underwent CTCA for suspected or known coronary artery disease were evaluated with the Endler Multimodality Anxiety Scales (EMAS) before and after the scan, and a questionnaire administered after the scan. Among the 442 patients, 181 had a history of CCA. Two radiologists assessed the image quality of CTCA. RESULTS: Anxiety was more intense prior to the scan (EMAS score 51.7 vs. 46.7, p < 0.01) and in patients with a history of CCA (EMAS score 55.5 vs. 49.1, p < 0.01). Women presented more intense anxiety (EMAS score 59.5 vs. 47.3, p < 0.01), higher mean heart rate (63.5 ± 7.6 vs. 60.7 ± 7.3 beats per minute, p < 0.01) and a lower image quality than men (p < 0.0001). CTCA proved to be more acceptable than CCA because of accurate preparation, lower concern prior to the examination, negligible pain, higher comfort, and greater overall satisfaction (p < 0.0001). CONCLUSIONS: Computed tomography coronary angiography is a patient-friendly imaging method because of the minimal perceived discomfort. Anxiety may affect CTCA image quality in women.