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Agent-Based Modeling (ABM) is a computational method used to examine social outcomes emerging from interaction between heterogeneous agents by computer simulation. It can be used to understand the effect of initial conditions on complex outcomes by exploring fine-grained (multiple-scale, spatial/temporal) observations on the aggregate consequences of agent interaction. By performing in silico experimental tests on policy interventions where ex ante predictions of outcomes are difficult, it can also reduce costs, explore assumptions and boundary conditions, as well as overcome ethical constraints associated with the use of randomized controlled trials in behavioral policy. Here, we introduce the essential elements of ABM and present two simple examples where we assess the hypothetical impact of certain policy interventions while considering different possible reactions of individuals involved in the context. Although highly abstract, these examples suggest that ABM can be either a complement or an alternative to behavioral policy methods, especially when understanding social processes and exploring direct and indirect effects of interventions are important. Prospects and critical problems of these in silico policy experiments are then discussed.

27 pages, 12 figures, supplement https://doi.org/10.5194/acp-23-389-2023.-- Data availability: All data sets used in this work that were obtained during the MOSAiC campaign will be made publicly available by 1 January 2023 via PANGAEA (https://www.pangaea.de/, last access: June 2022) or are already publicly available in the Department of Energy Atmospheric Radiation Measurement program (ARM) user facility data discovery tool (https://adc.arm.gov/discovery/#/, last access: March 2022). Data from the PANGAEA archive include the following. Meteorological observations from Polarstern: Schmithüsen, H.: Continuous meteorological surface measurement during POLARSTERN cruise PS122/1. Alfred Wegener Institute, Helmholtz Centre for Polar and Marine Research, Bremerhaven, PANGAEA [data set], https://doi.org/10.1594/PANGAEA.935221, 2021a. Schmithüsen, H.: Continuous meteorological surface measurement during POLARSTERN cruise PS122/2. Alfred Wegener Institute, Helmholtz Centre for Polar and Marine Research, Bremerhaven, PANGAEA [data set], https://doi.org/10.1594/PANGAEA.935222, 2021b. Schmithüsen, H.: Continuous meteorological surface measurement during POLARSTERN cruise PS122/3. Alfred Wegener Institute, Helmholtz Centre for Polar and Marine Research, Bremerhaven, PANGAEA [data set], https://doi.org/10.1594/PANGAEA.935223, 2021c. Schmithüsen, H.: Continuous meteorological surface measurement during POLARSTERN cruise PS122/4. Alfred Wegener Institute, Helmholtz Centre for Polar and Marine Research, Bremerhaven, PANGAEA [data set], https://doi.org/10.1594/PANGAEA.935224, 2021d. Schmithüsen, H.: Continuous meteorological surface measurement during POLARSTERN cruise PS122/5. Alfred Wegener Institute, Helmholtz Centre for Polar and Marine Research, Bremerhaven, PANGAEA [data set], https://doi.org/10.1594/PANGAEA.935225, 2021e. Black carbon (BC): Heutte, B., Beck, I., Quéléver, L., Jokinen, T., Laurila, T., Dada, L., Schmale, J.: Equivalent black carbon concentration in 10 minutes time resolution, measured in the Swiss container during MOSAiC 2019/2020, PANGAEA [data set], https://doi.org/10.1594/PANGAEA.952251, 2022. Particle number concentration (CPC3025): Beck, I., Quéléver, L., Laurila, T., Jokinen, T., and Schmale, J.: Continuous corrected particle number concentration data in 10 sec resolution, measured in the Swiss aerosol container during MOSAiC 2019/2020, PANGAEA [data set], https://doi.org/10.1594/PANGAEA.941886, 2022b. The ARM data include the following: Kuang, C., Singh, A., and Howie, J.: Scanning mobility particle sizer (AOSSMPS), ARM [data set], https://doi.org/10.5439/1476898, 2022. Kuang, C., Salwen, C., Boyer, M., and Singh, A.: Condensation Particle Counter (AOSCPCF), ARM [data set], https://doi.org/10.5439/1046184, 2022. The land-based PNSD data: Alert: Personal communication from Tak Chan and Sangeeta Sharma, 2022 (for details, see Croft et al., 2016). Villum: Personal communication from Jakob Boyd Pernov, 2022 (for details, see Nguyen et al., 2016). Zeppelin: Personal communication from Peter Tunved, 2022 (for details, see Tunved et al., 2013). Tiksi: Personal communication from Eija Asmi, 2022 (for details, see Asmi et al., 2016). Utqiaġvik: Freud, E., Krejci, R., Tunved, P., Leaitch, W. R., Nguyen, Q. T., Massling, A., Skov, H., and Barrie, L.: Hourly mean homogenised (dry diameter range 20 to 500 nm) observations of aerosol number size distributions from station Barrow, 2007-09-20 to 2015-07-09, PANGAEA [data set], https://doi.org/10.1594/PANGAEA.877329, 2017b. The land-based BC data: Villum: Personal communications from Daniel Thomas, Jakob Klenø Nøjgaard, and Andreas Massling, 2022 (for details, see Thomas et al., 2022). NOAA Barrow Atmospheric Baseline Observatory (Utqiaġvik) during 2020: personal communication from Elisabeth Andrews, 2022 (for processing details, see Schmale et al., 2022). Gruvebadet. The PSAP data are accessible at the Italian Arctic Data Center operated by the National Research Council of Italy: https://data.iadc.cnr.it/erddap/tabledap/ebc_2010_2020.html (last access: December 2021, refer to Schmale et al., 2022, for additional details). All other BC data sets used in this work will be made publicly available on EBAS (http://ebas-data.nilu.no/, last access: December 2021, refer to Schmale et al., 2022, for additional details). The Arctic Oscillation (AO) data are publicly available from the NOAA and the National Weather Service: https://www.cpc.ncep.noaa.gov/products/precip/CWlink/daily_ao_index/ao.shtml (last access: June 2022). An archive of the FLEXPART model output and quick looks for the whole campaign can be found at https://img.univie.ac.at/webdata/mosaic (last access: March 2022), The Arctic environment is rapidly changing due to accelerated warming in the region. The warming trend is driving a decline in sea ice extent, which thereby enhances feedback loops in the surface energy budget in the Arctic. Arctic aerosols play an important role in the radiative balance and hence the climate response in the region, yet direct observations of aerosols over the Arctic Ocean are limited. In this study, we investigate the annual cycle in the aerosol particle number size distribution (PNSD), particle number concentration (PNC), and black carbon (BC) mass concentration in the central Arctic during the Multidisciplinary drifting Observatory for the Study of Arctic Climate (MOSAiC) expedition. This is the first continuous, year-long data set of aerosol PNSD ever collected over the sea ice in the central Arctic Ocean. We use a k-means cluster analysis, FLEXPART simulations, and inverse modeling to evaluate seasonal patterns and the influence of different source regions on the Arctic aerosol population. Furthermore, we compare the aerosol observations to land-based sites across the Arctic, using both long-term measurements and observations during the year of the MOSAiC expedition (2019–2020), to investigate interannual variability and to give context to the aerosol characteristics from within the central Arctic. Our analysis identifies that, overall, the central Arctic exhibits typical seasonal patterns of aerosols, including anthropogenic influence from Arctic haze in winter and secondary aerosol processes in summer. The seasonal pattern corresponds to the global radiation, surface air temperature, and timing of sea ice melting/freezing, which drive changes in transport patterns and secondary aerosol processes. In winter, the Norilsk region in Russia/Siberia was the dominant source of Arctic haze signals in the PNSD and BC observations, which contributed to higher accumulation-mode PNC and BC mass concentrations in the central Arctic than at land-based observatories. We also show that the wintertime Arctic Oscillation (AO) phenomenon, which was reported to achieve a record-breaking positive phase during January–March 2020, explains the unusual timing and magnitude of Arctic haze across the Arctic region compared to longer-term observations. In summer, the aerosol PNCs of the nucleation and Aitken modes are enhanced; however, concentrations were notably lower in the central Arctic over the ice pack than at land-based sites further south. The analysis presented herein provides a current snapshot of Arctic aerosol processes in an environment that is characterized by rapid changes, which will be crucial for improving climate model predictions, understanding link, This research has been supported by the Academy of Finland (grant no. 337552), Horizon 2020 (EMME-CARE, grant no. 856612), the US Department of Energy (grant no. DE-SC0022046), and the Swiss Polar Institute (grant no. 188478), With the institutional support of the ‘Severo Ochoa Centre of Excellence’ accreditation (CEX2019-000928-S)

Background: Near-infrared fluorescence-based sentinel lymph node (SLN) mapping technique with indocyanine green (ICG) has been found a useful surgical modality for sentinel node detection and disease staging in endometrial cancer (EC) worldwide. Objective: We aimed to introduce the SNL mapping technology using ICG and Near Infrared (NIR) fluorescence in Argentina. We aimed to assess the overall and bilateral detection rate of ICG based SNL mapping along with verifying its feasibility and effectiveness in surgical staging. We also aimed to discover the perceptions of surgeons regarding the use of ICG as a tracer and NIR as light-medium in SNL mapping. Method: ICG SLNs identification was evaluated retrospectively. This study was performed at the Hospital Aleman de Buenos Aires in September, 2017The detection rates were calculated along with the analysis of the number of SNL observed and operative time, and time taken by overall surgery. Subsequently, the surgeons were interviewed to ascertain their opinion of using ICG SNL mapping in endometrial cancer staging. Results: Four patients with endometrial cancer were included for analysis. The overall and bilateral detection rates have been 100% and 75%, respectively. While, under white light, no SLNs were identified. The average operative time of nodes resection was estimated 2.15 minutes. The fluorescence has been used for 2.2 minutes and overall time taken by surgery was estimated 71.5 minutes. The estimated blood loss (EBL) has been lower than 50 ml. The responses of surgeons’ from the interview have been 100% positive. The cost of the procedure based on the amount of dye used was 25 dollars per patient. Conclusion: Laparoscopic ICG SLN resulted to be feasible, practical and no expensive surgical modality for uterine cancer triage.

BACKGROUND Grape pomace (GP), a wine-making by-product rich in dietary fiber (DF) and total phenolic compounds (TPC), is a potential functional ingredient in the fortification of baked goods. RESULTS In the present study, fortified breadsticks samples were obtained by replacing wheat flour with 0, 5 and 10 g 100 g-1 of powdered GP (GPP). The GPP inclusion affected the rheological properties of the doughs by increasing the water absorption and tenacity (P) at the same time as reducing the extensibility (L), with a significant increase in the P/L value and a decrease in the swelling index (G) value and deformation energy (W). Textural characteristics of breadsticks were influenced by the GPP addition, showing a reduction in hardness and fracturability as the amount of GPP increased in the recipe. The GPP fortified breadsticks exhibited decreased pH, volume and specific volume values compared to the control. The TPC and the antioxidant capacity increased in GPP fortified breadsticks, whereas the increased amount of DF allowed the products to benefit from the claim 'high fiber content' at the highest level of GPP inclusion. The sensory evaluation revealed that GPP addition increased wine odor, acidity, bitterness, astringency and hardness, and decreased the regularity of alveolation and friability. Finally, the GPP fortified products achieved good sensorial acceptability. CONCLUSION GPP improved the nutritional values of fortified breadsticks and changed the rheology of dough and breadsticks' technological properties without affecting sensory acceptability. © 2021 The Authors. Journal of The Science of Food and Agriculture published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry.

Publisher Copyright: © 2023 The Author(s). Published by the Royal Society of Chemistry. Gas-phase oxygenated organic molecules (OOMs) can contribute significantly to both atmospheric new particle growth and secondary organic aerosol formation. Precursor apportionment of atmospheric OOMs connects them with volatile organic compounds (VOCs). Since atmospheric OOMs are often highly functionalized products of multistep reactions, it is challenging to reveal the complete mapping relationships between OOMs and their precursors. In this study, we demonstrate that the machine learning method is useful in attributing atmospheric OOMs to their precursors using several chemical indicators, such as O/C ratio and H/C ratio. The model is trained and tested using data acquired in controlled laboratory experiments, covering the oxidation products of four main types of VOCs (isoprene, monoterpenes, aliphatics, and aromatics). Then, the model is used for analyzing atmospheric OOMs measured in both urban Beijing and a boreal forest environment in southern Finland. The results suggest that atmospheric OOMs in these two environments can be reasonably assigned to their precursors. Beijing is an anthropogenic VOC dominated environment with ~64% aromatic and aliphatic OOMs, and the other boreal forested area has ~76% monoterpene OOMs. This pilot study shows that machine learning can be a promising tool in atmospheric chemistry for connecting the dots.

Orbitrap Fourier transform mass spectrometry coupled with chemical ionization (CI) is a new-generation technique for online analysis in atmospheric chemistry. The advantage of the high resolving power of the CI-Orbitrap has been compromised by its relatively low sensitivity to trace compounds (e.g.,10

Atmospheric cluster ions are important constituents in the atmosphere, and their concentrations and compositions govern their role in atmospheric chemistry. However, there is currently limited quantitative research on atmospheric ion compositions, sources, and sinks, especially in the urban atmosphere where pollution levels and human populations are intense. In this study, we measured the compositions of negative cluster ions and neutral molecules using an atmospheric pressure interface high-resolution time-of-flight mass spectrometer (APi-TOF) and a chemical ionization mass spectrometer in urban Beijing. Quantitative analysis of cluster ions was performed by their comparison with condensation sink (CS), reagent ions, and neutral molecules. We demonstrate the feasibility of quantifying cluster ions with different compositions using in situ-measured ion mobility distributions from a neutral cluster and air ion spectrometer (NAIS). The median concentration of negative cluster ions was 85 (61–112 for 25 %–75 %) cm−3 during the measurement period, which was negatively correlated with CS. The negative cluster ions mainly consisted of inorganic nitrogen-containing ions, inorganic sulfur-containing ions, and organic ions in the form of adducts with NO3- or HSO4-. The CHON-related organic ions accounted for over 70 % of the total organic ions. Although the molecules clustered with NO3- and HSO4- had similar compositions, we found that HSO4- clustered more efficiently with CHO and CHONnonNPs species (CHON excluding nitrated phenols), while NO3- clustered more efficiently with nitrated phenols (CHONNPs). Additionally, most organic ions were positively correlated with neutral molecules, resulting in similar diurnal cycles of organic ions and neutral molecules. However, an exception was found for CHONNPs, the concentration of which is also significantly influenced by the reagent ions NO3-. The charge fractions are generally higher for molecules with higher molecular weight and a higher oxidation state, and the opposite diurnal variations in charging fractions between H2SO4 and organic species indicate a charging competition between them. Finally, we choose HSO4- and C3H3O4- as representatives to calculate the contribution of different formation and loss pathways. We found their losses are condensational loss onto aerosol particles (73 %–75 %), ion–molecule reaction losses (19 %), and ion–ion recombination losses (6 %–8 %).

Forming an (H2SO4)(1)(amine)(1) cluster is the rate-limiting step in atmospheric H2SO4-amine nucleation, which governs the fast formation of new particles from gaseous precursors.Transformation of low-volatility gaseous precursors to new particles affects aerosol number concentration, cloud formation and hence the climate. The clustering of acid and base molecules is a major mechanism driving fast nucleation and initial growth of new particles in the atmosphere. However, the acid-base cluster composition, measured using state-of-the-art mass spectrometers, cannot explain the measured high formation rate of new particles. Here we present strong evidence for the existence of base molecules such as amines in the smallest atmospheric sulfuric acid clusters prior to their detection by mass spectrometers. We demonstrate that forming (H2SO4)(1)(amine)(1) is the rate-limiting step in atmospheric H2SO4-amine nucleation and the uptake of (H2SO4)(1)(amine)(1) is a major pathway for the initial growth of H2SO4 clusters. The proposed mechanism is very consistent with measured new particle formation in urban Beijing, in which dimethylamine is the key base for H2SO4 nucleation while other bases such as ammonia may contribute to the growth of larger clusters. Our findings further underline the fact that strong amines, even at low concentrations and when undetected in the smallest clusters, can be crucial to particle formation in the planetary boundary layer.

Background The enlargement of the posterior cranial fossa volume is considered one of the main steps of the surgical management of children with multiple sutures craniosynostosis. Different management options have been proposed including fixed expansive craniotomy, free bone flap craniotomy, and distraction osteogenesis. Objectives To review indications to “free bone flap” craniotomy for the posterior fossa expansion, detailing advantages, disadvantages, and complications related to the technique. Results and conclusions A review of the literature shows that “free bone flap” posterior expansion cranioplasty still has a role, particularly in infants with thin and “honeycomb” structure of the bone, allowing to gain adequate intracranial volume increases and to postpone to a more adequate time surgery aimed at anterior cranial fossa expansion.

Raising a child with autism spectrum disorder (ASD) can be a very stressful experience, impacting parents and their ability to take care of their child. We examined the relationship between parenting stress and child, and parent and contextual factors in a sample of 61 families of children with ASD recruited in a centre for ASD assessment and treatment. Results showed that mothers had a higher level of stress related to their parental role when compared to fathers. Data also showed the importance of considering the specific role of parental emotion regulation, family functioning and educational level in influencing maternal stress and the specific role of couple adjustment in influencing fathers’ parental distress. This study pointed out the importance of employing a vision that embraces different domains of family life in cases of children with ASD and in parents’ intervention programmes because these factors may contribute to parental stress.

Malformations of the craniovertebral junction (CVJ) range from mild, asymptomatic conditions to severe forms of instability with basilar invagination. Rarely, there have been accounts of forms of so-called paramedian basilar invagination, with abnormal bone masses invading the lateral portion of the foramen magnum. All these entities have been comprehensively classified both from an anatomical and embryological standpoint.Here, we report a case of a unique CVJ malformation which is not included in any existing classification framework and could represent a novel pathologic entity. We also provide an overview of the pertinent literature.The patient was a 14-year-old boy with a recent onset of spastic tetraparesis. Radiological studies documented a malformation of the atlas which invaginated through the foramen magnum, causing anterolateral medullary incarceration. Surgical treatment involved posterior decompression with resection of the abnormal bone and occipito-cervical fusion.Our report enriches the panorama of CVJ malformations, showing how anatomical knowledge and embryological insights constitute the basis for the correct assessment and treatment of these complex entities.

In spite of the significant technical and technological progress in neurosurgery and the continuous discoveries by the basic research, adamantinomatous craniopharyngioma remains a significant clinical challenge. Actually, the huge size of the tumor, its multiple cystic components, the encasement of Willis' circle and optic pathways, and the invasion of the hypothalamus often prevent its safe surgical resection. Moreover, the local aggressiveness of the tumor accounts for a high risk of recurrence even after a gross total resection. For these reasons, more and more efforts are being dedicated to enhance the knowledge about AC and improve the tools for its treatment.This paper is dedicated to the most recent advances concerning the AC management. Promising, new insights come for the basic research, thanks to the updates on the role of the WNT-β-catenin pathway (important for the tumor genesis and progression, not yet developed enough for a safe target therapy in children but useful for determining the prognosis) and the inflammatory mediators (widely overexpressed, especially by the cyst of the tumor, and for which target therapies are being developed). Moreover, further factors and pathways are under investigation.Also the development of new treatment strategies accounts for the improvement of the prognosis and the quality of life of AC patients. The enhancement of the experience with the endoscopic techniques (both transsphenoidal and transventricular approaches) actually allows to perform a less invasive but effective surgery that can be coupled with new modalities of radiation therapy aiming at obtaining a reliable control of the disease and protecting the endocrinological, ophthalmological, and neurological functions. A special mention is finally deserved by the techniques specifically designed for the intracystic therapy (as cyst fenestration alone or in combination with administration of radionuclides or bleomycin or interferon-α) that are here analyzed together with the aforementioned advances.

Covid lockdown presented an important opportunity to study relatively cleaner conditions in India. The complex factors of power production, industry, and transportation could be more carefully dissected because of the extreme reduction in the influence of the latter two emission sources. Measurements of cloud condensation nuclei (CCN) activity and other chemical properties of atmospheric aerosols showed that newly formed aerosol particles were produced in the SO2 plume from a large coal-fired power plant, contrary to normal conditions of heavy pollution. The sulfate-rich particles had high CCN activity and number concentration, indicating high cloud-forming potential. Examining the sensitivity of CCN properties under relatively clean conditions over India provides important new constraints on the perturbations of past and future climate forcing by anthropogenic emissions. Because most sensitive regime of aerosol climate forcing on cloud development is the midpoint of relatively clean conditions afforded by the Covid lockdown between background and polluted conditions.

To investigate the current practice of neurosurgeons and their perception of complications related to the securement of external drainage (ED) to the skin.We created a 24-points English language questionnaire on Google Forms covering the five main domains of care. The survey was distributed among members of the European Society for Pediatric Neurosurgery (ESPN) in April 2020.The results were entirely self-reported, without any independent validation. Fifty-one neurosurgeons practising in different centres worldwide participated in this survey. Despite well-known complications and drawbacks, sutures are still the most commonly used method to secure cerebrospinal fluid (CSF) ventricular ED (49 out of 51 respondents) and spinal ED (37 out of 51) to the skin. Perception of the risk of pullout is estimated as1% by 25.5% of the respondents, 1-5% by 39.2%, 5-10% by 17.6% and 10% by 11.8%. Twenty out of fifty-one respondents acknowledge that their method of securement has drawbacks, and 49% believe that it may also affect the risk of infection. Factors eventually affecting the risk of pullout are young age (62.7%), aetiology (25.5%), neurological status (90.2%), occipital exit site (37.3%), inadequate length of the subcutaneous tunnel (58%), the duration of ED (70.6%), and hospital stay in service (84.3%). 39.2% of respondents agree that the paediatric population deserves a different device or technique to secure ED to the skin. 21.6% of respondents underestimate the risk of accidental pullout. 86.3% of respondents have never read about the 'sutureless subcutaneous anchoring device'.Complications associated with the securement method, such as the risk of pullout and infection, are most likely underestimated. More research is needed to implement effective guidelines in this field.

Oxygenated organic molecules (OOMs) are crucial for atmospheric new particle formation and secondary organic aerosol (SOA) growth. Therefore, understanding their chemical composition, temporal behavior, and sources is of great importance. Previous studies on OOMs mainly focus on environments where biogenic sources are predominant, yet studies on sites with dominant anthropogenic emissions, such as megacities, have been lacking. Here, we conducted long-term measurements of OOMs, covering four seasons of the year 2019, in urban Beijing. The OOM concentration was found to be the highest in summer (1.6×108 cm−3), followed by autumn (7.9×107 cm−3), spring (5.7×107 cm−3) and winter (2.3×107 cm−3), suggesting that enhanced photo-oxidation together with the rise in temperature promote the formation of OOMs. Most OOMs contained 5 to 10 carbon atoms and 3 to 7 effective oxygen atoms (nOeff=nO-2×nN). The average nOeff increased with increasing atmospheric photo-oxidation capacity, which was the highest in summer and the lowest in winter and autumn. By performing a newly developed workflow, OOMs were classified into the following four types: aromatic OOMs, aliphatic OOMs, isoprene OOMs, and monoterpene OOMs. Among them, aromatic OOMs (29 %–41 %) and aliphatic OOMs (26 %–41 %) were the main contributors in all seasons, indicating that OOMs in Beijing were dominated by anthropogenic sources. The contribution of isoprene OOMs increased significantly in summer (33 %), which is much higher than those in the other three seasons (8 %–10 %). Concentrations of isoprene (0.2–5.3×107 cm−3) and monoterpene (1.1–8.4×106 cm−3) OOMs in Beijing were lower than those reported at other sites, and they possessed lower oxygen and higher nitrogen contents due to high NOx levels (9.5–38.3 ppbv – parts per billion by volume) in Beijing. With regard to the nitrogen content of the two anthropogenic OOMs, aromatic OOMs were mainly composed of CHO and CHON species, while aliphatic OOMs were dominated by CHON and CHON2 ones. Such prominent differences suggest varying formation pathways between these two OOMs. By combining the measurements and an aerosol dynamic model, we estimated that the SOA growth rate through OOM condensation could reach 0.64, 0.61, 0.41, and 0.30 µg m−3 h−1 in autumn, summer, spring, and winter, respectively. Despite the similar concentrations of aromatic and aliphatic OOMs, the former had lower volatilities and, therefore, showed higher contributions (46 %–62 %) to SOA than the latter (14 %–32 %). By contrast, monoterpene OOMs and isoprene OOMs, limited by low abundances or high volatilities, had low contributions of 8 %–12 % and 3 %–5 %, respectively. Overall, our results improve the understanding of the concentration, chemical composition, seasonal variation, and potential atmospheric impacts of OOMs, which can help formulate refined restriction policy specific to SOA control in urban areas.

BackgroundDuring the first SARS-CoV-2 pandemic phase, the sudden closure of schools was one of the main measures to minimize the spread of the virus. In the second phase, several safety procedures were implemented to avoid school closure.To evaluate if the school is a safe place, students and staff of two school complexes of Rome were monitored to evaluate the efficacy of prevention measures inside the school buildings.MethodsOral secretions specimens were collected from 1262 subjects for a total of 3431 samples, collected over a 3 months period.Detection of Coronavirus SARS-CoV-2 was performed by real-time PCR. Target genes were represented by E gene, RdRP/S gene and N gene.ResultsAmong the 3431 samples analyzed, just 16 sample resulted as positive or low positive: 1 sample in the first month, 12 samples in the second month and 3 in the third month.In each period of evaluation, all positive children attended different classes.ConclusionsEven if the school has the potential for spreading viruses, our preliminary results show the efficacy of the implementations undertaken in this setting to minimize virus diffusion.Our evidence suggests that school does not act as an amplifier for transmission of SARS-CoV-2 and can be really considered a safe place for students.

Background Gelfoam is a simple and effective hemostatic agent, which is utilized to seal brain corticotomies or skull burr holes too. Thanks also to its cheap costs, it is one of the most widely used tool in the neurosurgical daily practice. However, the migration of Gelfoam fragments can account for the occlusion of endoscopic third ventriculostomy (ETV) or shunt, leading to hydrocephalus recurrence. Case description The authors report on two cases of Galfoam migration causing recurrent hydrocephalus: a young girl, operated on by posterior fossa tumor removal and ETV for associated hydrocephalus, where part of the Gelfoam (used to seal the burr hole) migrated up to close the ETV; and a preterm boy, treated by endoscopic brain wash and, afterwards, by ventriculo-peritoneal shunt for post-hemorrhagic hydrocephalus, where all the Gelfoam used to close the corticotomy migrated into the lateral ventricle, thus reopening the corticotomy and releasing small fragments which finally obstructed the shunt. Both patients needed a new endoscopic procedure (the second one also a shunt revision). Conclusions The reviewed pertinent literature discloses other complications of Gelfoam migration (mass effect, granulomatous reaction) as well as other causes of uncommon ETV/shunt obstruction. Anyway, Gelfoam will remain an irreplaceable tool for neurosurgeons. The present paper just emphasizes the need of its correct use to avoid complications.

Along-valley winds in four major valleys in the southern slope of Nepal Himalayas are studied by means of a 5-day long high-resolution Weather Research and Forecasting model simulation. Model evaluation against observations from three automatic weather stations in the Khumbu valley showed a good agreement in the simulated diurnal cycle of wind direction and strength. The characteristics of the daytime up-valley winds are identified in the four valleys and compared to each other. Since all four valleys are under similar large-scale forcing, the differences in the along-valley winds are assumed to be mainly due to differences in the valley topographies. These valleys are separated by their topographic characteristics in two groups: the valleys in the west have a continuous inclination (2–5 degrees) in the valley floor and there is an 1-km high perpendicular mountain barrier between the valleys and the plain. The two valleys in the east have a 40 km portion with a nearly flat valley floor (Daytime up-valley winds develop in all of the four valleys and they vary between the valleys and their parts in strength (2–10 m/s) and flow depth (600–1500 m). The night-time along-valley winds are weak and flow mostly in the up-valley direction. During large-scale northerlies, the daily cycle of the along-valley winds is interrupted more compared to the days with large-scale westerlies especially in the heads of the valleys that reach up to 4000 masl. The night-time down-valley winds are found more during the large-scale northerlies, which is most likely due to channelling of above-valley winds into the valley atmosphere.The daytime up-valley winds are shallower and weaker in the parts of the valleys where the floor inclination exceeds 2 degrees compared to the parts where the valley floor is almost flat. The depth of the surface-based heated layer within the valleys is correlated with the flow depth and is lower in the steeply inclined parts of the valleys. The steep inclination of the valley floor and ridges in along-valley direction may shift the dominant driving mechanism of the along-valley winds from the valley volume effect to the buoyancy mechanism which would explain the shallower and weaker along-valley winds.The winds at the valley entrances are weaker in the two valleys with the 1-km high barrier between the valleys and the plain, compared to the valleys with open valley entrances. A shallow layer with strong along-valley winds is found on the lee-side slope of the barrier and 20 km after this (i.e. towards the head of the valley), weaker winds are evident. This spatial distribution of the along-valley wind speed resembles the typical structure of a hydraulic jump related to down-slope windstorms.

Local along-valley winds in four major valleys on the southern slope of the Nepal Himalayas are studied by means of high-resolution meteorological modelling. The Weather Research and Forecasting model is run with a 1 km horizontal grid spacing covering a 4 d period in December 2014. Model evaluation against meteorological observations from three automatic weather stations in the Khumbu Valley (one of the four valleys) shows a good agreement between the modelled and observed daily cycle of the near-surface wind speed and direction. Well-defined daytime up-valley winds are found in all of the four valleys during this 4 d period. The night-time along-valley winds are weak in magnitude and flow mostly in the up-valley direction. Differences in the daytime up-valley winds are found between the valleys and their parts. As the valleys are under similar large-scale forcing, the differences are assumed to be due to differences in the valley topographies. Parts of the valleys with a steep valley floor inclination (2–5∘) are associated with weaker and shallower daytime up-valley winds compared with the parts that have nearly flat valley floors (∘). In the four valleys, the ridge heights also increase along the valley, meaning that the valley floor inclination does not necessarily lead to a reduction in the volume of the valley atmosphere. This way, the dominant driving mechanism of the along-valley winds, within the valleys, could shift from the valley volume effect to buoyant forcing due to the inclination. Two of the valleys have a 1 km high barrier in their entrances between the valley and the plain. Winds at the valley entrances of these two valleys are weaker compared with the open valley entrances. Strong and shallow winds, resembling down-slope winds, are found on the leeward slope of the barrier followed by weaker and deeper winds at the valley entrance, 20 km towards the valley from the barrier. Although the large-scale flow during the 4 d period was similar to the long-term climatology, the impact of different large-scale flows on the thermally driven winds was not considered. This topic could be addressed in the future by performing a longer simulation.

Relatively high concentrations of preexisting particles, acting as a condensation sink (CS) of gaseous precursors, have been thought to suppress the occurrence of new particle formation (NPF) in urban environments, yet NPF still occurs frequently. Here, we aim to understand the factors promoting and inhibiting NPF events in urban Beijing by combining one-year-long measurements of particle number size distributions and PM2.5 chemical composition. Our results show that indeed the CS is an important factor controlling the occurrence of NPF events, with its chemical composition affecting the efficiency of the background particles in removing gaseous H2SO4 (effectiveness of the CS) driving NPF. During our observation period, the CS was found to be more effective for ammonium nitrate-rich (NH4NO3-rich) fine particles. On non-NPF event days, particles acting as CS contained a larger fraction of NH4NO3 compared to NPF event days under comparable CS levels. In particular, in the CS range from 0.02 to 0.03 s(-1), the nitrate fraction was 17% on NPF event days and 26% on non-NPF event days. Overall, our results highlight the importance of considering the chemical composition of preexisting particles when estimating the CS and their role in inhibiting NPF events, especially in urban environments.

Short summary We summarize results during the last 5 years in the northern Eurasian region, especially from Russia, and introduce recent observations of the air quality in the urban environments in China. Although the scientific knowledge in these regions has increased, there are still gaps in our understanding of large-scale climate–Earth surface interactions and feedbacks. This arises from limitations in research infrastructures and integrative data analyses, hindering a comprehensive system analysis. The Pan-Eurasian Experiment (PEEX) Science Plan, released in 2015, addressed a need for a holistic system understanding and outlined the most urgent research needs for the rapidly changing Arctic-boreal region. Air quality in China, together with the long-range transport of atmospheric pollutants, was also indicated as one of the most crucial topics of the research agenda. These two geographical regions, the northern Eurasian Arctic-boreal region and China, especially the megacities in China, were identified as a “PEEX region”. It is also important to recognize that the PEEX geographical region is an area where science-based policy actions would have significant impacts on the global climate. This paper summarizes results obtained during the last 5 years in the northern Eurasian region, together with recent observations of the air quality in the urban environments in China, in the context of the PEEX programme. The main regions of interest are the Russian Arctic, northern Eurasian boreal forests (Siberia) and peatlands, and the megacities in China. We frame our analysis against research themes introduced in the PEEX Science Plan in 2015. We summarize recent progress towards an enhanced holistic understanding of the land–atmosphere–ocean systems feedbacks. We conclude that although the scientific knowledge in these regions has increased, the new results are in many cases insufficient, and there are still gaps in our understanding of large-scale climate–Earth surface interactions and feedbacks. This arises from limitations in research infrastructures, especially the lack of coordinated, continuous and comprehensive in situ observations of the study region as well as integrative data analyses, hindering a comprehensive system analysis. The fast-changing environment and ecosystem changes driven by climate change, socio-economic activities like the China Silk Road Initiative, and the global trends like urbanization further complicate such analyses. We recognize new topics with an increasing importance in the near future, especially “the enhancing biological sequestration capacity of greenhouse gases into forests and soils to mitigate climate change” and the “socio-economic development to tackle air quality issues”.

Background A comparison of clinical and radiological outcomes after two different variants of open door laminoplasty for cervical spondylotic myelopathy (CSM) is described. Methods Fifty-five patients underwent cervical laminoplasty for CSM. Between 2005 to 2009, 32 patients underwent open-door laminoplasty (Group A) performed with a monolateral exposure with contralateral "green stick" laminar fracture. A technical variant consisting in bilateral exposure, spinous process removal and symmetrical muscular closure was applied in the other 23 (Group B), from 2009 to 2016. A retrospective analysis of surgical results between the two groups was performed. Results In group B, the mean operative time was longer and the mean volume of intraoperative blood loss was much higher than in group A. Both differences were not significant (p=0.1601 and p=0.0884, respectively). The average hospitalization was nonsignificantly longer in group B (7.3±1.8 vs. 6.5±1.6 d; p= 0.0947). Postoperatively, axial neck pain was more severe in group A at last follow-up than preoperatively (P>0.05). mJOA scores and Nurick grades improved significantly in both groups at last follow-up; in group A, the mean recovery rates were 41.5 % by mJOA scores and 29.4 % by Nurick grades, whereas in group B they were 52.7 % and 36.8 %, respectively. Conclusions Applying some few variations to a standard monolateral approach, although slightly more time and blood consuming, could reduce the incidence of long term axial symptoms and, in our experience, are not burdened by worsening of outcomes. A prospective, multicentric study with a longer follow-up should be conducted in order to confirm our findings.

G-quadruplexes (G4s) are noncanonical forms of DNA involved in many key genome functions. Here, we exploited UV Resonance Raman scattering to simultaneously explore the vibrational behavior of a human telomeric G4 (Tel22) and its aqueous solvent as the biomolecule underwent thermal melting. We found that the OH stretching band, related to the local hydrogen-bonded network of a water molecule, was in strict relation with the vibrational features of the G4 structure as a function of temperature. In particular, the modifications to the tetrahedral ordering of the water network were strongly coupled to the DNA rearrangements, showing changes in temperature that mirrored the multi-step melting process of Tel22. The comparison between circular dichroism and Raman results supported this view. The present findings provide novel insights into the impact of the molecular environment on G4 conformation. Improving current knowledge on the solvent structural properties will also contribute to a better understanding of the role played by water arrangement in the complexation of G4s with ligands.

Oxygenated organic molecules (OOMs) are crucial for atmospheric new particle formation and secondary organic aerosol (SOA) growth. Therefore, understanding their chemical composition, temporal behavior, and sources is of great importance. Previous studies on OOMs mainly focus on environments where biogenic sources are predominant, yet studies on sites with dominant anthropogenic emissions, such as megacities, have been lacking. Here, we conducted long-term measurements of OOMs covering four seasons of the year 2019 in urban Beijing. The OOM concentration was found to be the highest in summer (1.6 × 108 cm-3), followed by autumn (7.9 × 107 cm-3), spring (5.7 × 107 cm-3) and winter (2.3 × 107 cm-3), suggesting that enhanced photo-oxidation together with the rise of temperature promote the formation of OOMs. Most OOMs contained 5 to 10 carbon atoms and 3 to 7 effective oxygen atoms (nOeff = nO–2 × nN). The average nOeff increased with increasing atmospheric photo-oxidation capacity, which was the highest in summer and the lowest in winter and autumn. By performing a newly developed workflow, OOMs were classified into four types: aromatic OOMs, aliphatic OOMs, isoprene OOMs, and monoterpene OOMs. Among them, aromatic OOMs (29–41 %) and aliphatic OOMs (26–41 %) were the main contributors in all seasons, indicating that OOMs in Beijing were dominated by anthropogenic sources. The contribution of isoprene OOMs increased significantly in summer (33 %), which is much higher than those in other three seasons (8–10 %). Concentrations of isoprene (0.2–5.3 × 107 cm-3) and monoterpene (1.1–8.4 × 106 cm-3) OOMs in Beijing were lower than those reported at other sites, and they possessed lower oxygen and higher nitrogen contents due to high NOx levels (9.5–38.3 ppbv) in Beijing. With regard to the nitrogen content of the two anthropogenic OOMs, aromatic OOMs were mainly composed of CHO and CHON species, while aliphatic OOMs were dominated by CHON and CHON2 ones. Such prominent differences suggest varying formation pathways between these two OOMs. By combining the measurements and an aerosol dynamic model, we estimated that the SOA growth rate through OOM condensation could reach 0.64 μg∙m-3∙h-1, 0.61 μg∙m-3∙h-1, 0.41 μg∙m-3∙h-1, and 0.30 μg∙m-3∙h-1 in autumn, summer, spring, and winter, respectively. Despite the similar concentrations of aromatic and aliphatic OOMs, the former had lower volatilities and, therefore, showed higher contributions (46–62 %) to SOA than the latter (14–32 %). By contrast, monoterpene OOMs and isoprene OOMs, limited by low abundances or high volatilities, had low contributions of 8–12 % and 3–5 %, respectively. Overall, our results improve the understanding of the concentration, chemical composition, seasonal variation and potential atmospheric impacts of OOMs, which can help formulate refined restriction policy specific to SOA control in urban areas.

During the COVID-19 lockdown, the dramatic reduction of anthropogenic emissions provided a unique opportunity to investigate the effects of reduced anthropogenic activity and primary emissions on atmospheric chemical processes and the consequent formation of secondary pollutants. Here, we utilize comprehensive observations to examine the response of atmospheric new particle formation (NPF) to the changes in the atmospheric chemical cocktail. We find that the main clustering process was unaffected by the drastically reduced traffic emissions, and the formation rate of 1.5 nm particles remained unaltered. However, particle survival probability was enhanced due to an increased particle growth rate (GR) during the lockdown period, explaining the enhanced NPF activity in earlier studies. For GR at 1.5–3 nm, sulfuric acid (SA) was the main contributor at high temperatures, whilst there were unaccounted contributing vapors at low temperatures. For GR at 3–7 and 7–15 nm, oxygenated organic molecules (OOMs) played a major role. Surprisingly, OOM composition and volatility were insensitive to the large change of atmospheric NOx concentration; instead the associated high particle growth rates and high OOM concentration during the lockdown period were mostly caused by the enhanced atmospheric oxidative capacity. Overall, our findings suggest a limited role of traffic emissions in NPF.

Pasta, a staple food worldwide consumed, was fortified with maqui (Aristotelia chilensis) berry powder (MBP) and the effect of MBP inclusion was evaluated concerning technological, nutritional, and sensory properties. Fresh pasta samples were formulated by replacing 0, 7.5, and 15 g 100 g−1 of durum wheat semolina with MBP. The inclusion of MBP did not affect the moisture content, but the water activity decreased in the fortified samples, while pH values decreased with increasing MBP levels in the recipe. The pasta fully cooking time and the swelling index were reduced, while the cooking loss and the firmness increased with increasing MBP levels. In addition, MBP increased the total dietary fiber, ash, and phenol contents, along with the in vitro antioxidant activities. The starch hydrolysis index and the predicted glycemic index of cooked fresh pasta decreased along with the increase of MBP addition. The MPB addition to fresh pasta could represent a valuable strategy for increasing its nutritional value, maintaining pasta’s technological properties without affecting the sensory acceptability.

Background Causes of the nonaneurysmal subarachnoid hemorrhage (na-SAH) are still debated. Many studies confirmed the possible involvement of the intracranial venous system, in particular variants of the basal vein of Rosenthal. Study Object The aim of this study is to investigate the role of extracranial venous system, in particular the jugular drainage, in the na-SAH pathophysiology. Materials and Methods This is a multicenter retrospective study including patients suffering from na-SAH who were radiologically screened to exclude vascular malformations. The course of the internal jugular veins was evaluated to reveal any stenosis (caliber reduction >80%). Particular attention was paid at the passage between the styloid process and the arch of C1 to detect possible compression. As a control group, we enrolled patients who underwent CT angiograms and/or cerebral DSAs in the past 2 years. Results We included 194 patients. The na-SAH group consisted of 94 patients, whereas the control group consisted of 100 patients. Fifty patients of the control group underwent a CT angiography for an ischemic cerebrovascular disease or trauma and 50 patients for an SAH due to a ruptured aneurysm. A significant jugular stenosis was found in 49 (52.1%) patients in the na-SAH group and in 18 (18%) patients in the control group. At univariate and multivariate analysis, the difference was statistically significant (p Conclusions This is the first study investigating the correlation between jugular stenosis and the occurrence of na-SAH. The impaired venous outflow due to reduced venous caliber could result in an engorgement of the upstream intracranial veins with transient hypertensive phases facilitating ruptures. Further larger prospective studies are necessary to confirm these data.

Observations of aerosol and trace gases in the remote troposphere are vital to quantify background concentrations and identify long-term trends in atmospheric composition on large spatial scales. Measurements made at high altitude are often used to study free-tropospheric air; however such high-altitude sites can be influenced by boundary layer air masses. Thus, accurate information on air mass origin and transport pathways to high-altitude sites is required. Here we present a new method, based on the source-receptor relationship (SRR) obtained from backwards WRF-FLEXPART simulations and a k-means clustering approach, to identify source regions of air masses arriving at measurement sites. Our method is tailored to areas of complex terrain and to stations influenced by both local and long-range sources. We have applied this method to the Chacaltaya (CHC) GAW station (5240 m a.s.l.; 16.35 degrees S, 68.13 degrees W) for the 6-month duration of the "Southern Hemisphere high-altitude experiment on particle nucleation and growth" (SALILNA) to identify where sampled air masses originate and to quantify the influence of the surface and the free troposphere. A key aspect of our method is that it is probabilistic, and for each observation time, more than one air mass (cluster) can influence the station, and the percentage influence of each air mass can be quantified. This is in contrast to binary methods, which label each observation time as influenced by either boundary layer or free-troposphere air masses. Air sampled at CHC is a mix of different provenance. We find that on average 9 % of the air, at any given observation time, has been in contact with the surface within 4 d prior to arriving at CHC. Furthermore, 24 % of the air has been located within the first 1.5 km above ground level (surface included). Consequently, 76 % of the air sampled at CHC originates from the free troposphere. However, pure free-tropospheric influences are rare, and often samples are concurrently influenced by both boundary layer and free-tropospheric air masses. A clear diurnal cycle is present, with very few air masses that have been in contact with the surface being detected at night. The 6-month analysis also shows that the most dominant air mass (cluster) originates in the Amazon and is responsible for 29 % of the sampled air. Furthermore, short-range clusters (origins within 100 km of CHC) have high temporal frequency modulated by local meteorology driven by the diurnal cycle, whereas the mid- and long-range clusters' (> 200 km) variability occurs on timescales governed by synoptic-scale dynamics. To verify the reliability of our method, in situ sulfate observations from CHC are combined with the SRR clusters to correctly identify the (pre-known) source of the sulfate: the Sabancaya volcano located 400 km north-west from the station.

Grape pomace (GP), is the main winemaking by-product and could represent a valuable functional food ingredient being a source of bioactive compounds, like polyphenols. Polyphenols prevent many non-communicable diseases and could contrast the oxidation reaction in foods. However, the high content in polyunsaturated fatty acid, the described pro-oxidant potential action of some polyphenols and the complex interactions with other components of matrices during food processing must be considered. Indeed, all these factors could promote oxidative reactions and require focused and specific assay. The aims of this study were to evaluate the effects of GP powder (GPP) addition (at 0%, 5% and 10% concentrations) in breadsticks formulations both on the antioxidant activity at room temperature during storage and on the shelf-life by the OXITEST predictive approach. GPP fortification increased the total polyphenols content and the antioxidant activities of breadsticks. FRAP reduced during the first two days of storage at room temperature, TPC increased during the 75 days, while ABTS showed a slight progressive decrease. However, GP negatively influenced OXITEST estimated shelf-life of breadsticks, incrementing the oxidation rate. In conclusion, even if GP fortification of breadsticks could improve the nutritional value of the products, the increased commercial perishability represents a drawback that must be considered.

In spite of literature data stating that children with single-suture craniosynostosis have an increased risk for neuropsychological deficits, no data are present clarifying the potential risk factors. All children with non-syndromic single-suture craniosynostosis operated on from January 2014 to January 2017 were enrolled. A comprehensive neurocognitive and neuro-ophthalmological evaluation was performed before surgery and 6 months after surgery. A further neurocognitive evaluation was performed 12 months after surgery. All children had a preoperative CT/MR study. One hundred forty-two patients were enrolled; 87 are affected by sagittal craniosynostosis, 38 by trigonocephaly, and 17 by plagiocephaly. A global neurocognitive impairment was documented in 22/87 children with scaphocephaly, 5/38 children with trigonocephaly, and 6/17 children with anterior plagiocephaly. There was a significant relationship between results of the ophthalmological evaluation, global IQ, and CT findings at diagnosis (r = 0.296, p

Purpose The assessment of Autism Spectrum Disorders (ASD) in childhood has two essential aspects: the identification of the risk (under 30 months of age) and the definition of a diagnosis that takes into account its core areas as well as further non-specific aspects. The purpose of this paper is to present an approach that considers the combination of clinical evaluation with the use of tools that analyse the various levels of the child’s functioning as fundamental. Design/methodology/approach The comprehensive assessment at the Institute of Ortofonologia in Rome provides the ADOS-2 and the Leiter-R for the evaluation of the symptomatology, the severity level, the non-verbal cognitive functioning and the fluid reasoning; the TCE and the UOI are used to identify, respectively, the child’s emotional skills and the ability to understand the intentions of others, as precursors of the theory of mind. Within this assessment, the Brief-P, the Short Sensory Profile and the RBS are also included for the evaluation of executive functions, sensory pattern and of restricted and repetitive behaviours, as observed by parents. Findings How to define a reliable development profile, which allows to plan a specific intervention calibrated on the potential of the child and on his development trajectory, is described. Two clinical cases are also presented. Originality/value The entire process is aimed both at a detailed assessment of the child’s functioning and at identifying a specific therapeutic project and predictive factors for achieving an optimal outcome.

Infection may complicate the outcome of cranial repair with significant additional morbidity, related to hospitalization, surgery and long antibiotic therapy, that may become even dramatic in case of multi-resistant germs and in particular in the paediatric population. Additionally, the economic costs for the health system are obvious. Moreover, surgical decisions concerning the timing of cranioplasty and choice of the material may be strongly affected by the risk of infection. Despite, management and prevention of cranioplasty infections are not systematically treated through the literature so far. We reviewed pertinent literature dealing with cranioplasty infection starting from the diagnosis to treatment options, namely conservative versus surgical ones. Our institutional bundle, specific to the paediatric population, is also presented. This approach aims to significantly reduce the risk of infection in first-line cranioplasty and redo cranioplasty after previous infection. A thorough knowledge and understanding of risk factors may lead to surgical strategies and bundles, aiming to reduce infectious complications of cranioplasty. Finally, innovation in materials used for cranial repair should also aim to enhance the antimicrobial properties of these inert materials.