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In this paper, we describe the geohazard-related elements of the Eastern Tyrrhenian Sea continental margin, situated between the 40° and 41° North latitude. These features were recognised principally through morphological analysis. The investigation utilized medium – and high-resolution digital models of the submarine landscape, produced within the framework of the Magic project (Marine Geohazard along Italian Coasts), and primarily focusing on the bathymetric range of 50–700 meters. The surveyed area encompasses a recently formed continental margin, which connects the internal segments of the Apennine fold-and-thrust belt, verging NE, to the Tyrrhenian Sea bathyal plain, a 3000-m-deep back-arc basin that has developed since the Middle-Late Miocene. Several classes of hazard-related elements have been identified offshore, primarily associated with high-gradient slopes and a large number of volcanic edifices and banks. These include canyon systems, erosive scarps, landslide complexes, fault – and volcanic-related features, such as the products of the volcanic edifices instability, which claim to varying degrees of geo-hazard. Additionally, bedforms, fluid seepages and creeping phenomena in the prodelta slopes suggest high morpho-tectonic and environmental dynamics.HighlightsThis article reports on the thematic maps developed along the Lazio – Campania offshore (Central-eastern Tyrrhenian Sea, Italy) within the framework of the Magic Project, based on geomorphological analysis of the HR Digital Elevation Model of the seafloor.Several classes of hazard-related elements have been identified offshore, mainly associated with high-gradient slopes, volcanic activity and intense morphodynamic processes.The entire suite of maps created in the context of the Magic Project serves as a valuable base of knowledge, extending to the national scale and benchmarks for future monitoring of critical sites and geo-hazard-related features, as well as for maritime spatial planning actions.

ABSTRACTThis paper accompanies the Maps of Geohazard features of the Cilento and the Calabro-Tyrrhenian continental margin in the southern Tyrrhenian Sea (Italy). The main geohazard-related features were derived from extensive seafloor mapping through the collection of high-resolution multibeam data acquired during several oceanographic cruises. They encompass many fluids seepage features, fault scarps, landslides scars, gullies, channels, and canyons. Hazards related to coastal landslides and shelf-indenting canyons are very high in these sectors (especially in southern Calabria) due to active seismicity coupled with rapid uplift, high sedimentation rates and narrow or totally absent continental shelf, thus promoting a direct connection between steep slopes and coastal areas. In this setting, mass-wasting features can directly impact coastal or submarine infrastructures or indirectly create local tsunami waves, as observed in historical times. Moreover, this physiographic setting of the margin facilitates the transfer of marine litter toward deep-sea areas.

IntroductionGoiter is a common problem in clinical practice, representing a large part of clinical evaluations for thyroid disease. It tends to grow slowly and progressively over several years, eventually occupying the thoracic inlet with its lower portion, defining the situation known as retrosternal goiter. Total thyroidectomy is a standardized procedure that represents the treatment of choice for all retrosternal goiters, but when is performed for such disease, a higher risk of postoperative morbidity is variously reported in the literature. The aims of our study were to compare the perioperative and postoperative outcomes in patients with cervical goiters and retrosternal goiters undergoing total thyroidectomy.MethodsIn our retrospective, multicentric evaluation we included 4,467 patients, divided into two groups based on the presence of retrosternal goiter (group A) or the presence of a classical cervical goiter (group B).ResultsWe found statistically significant differences in terms of transient hypoparathyroidism (19.9% in group A vs. 9.4% in group B, p

BackgroundPostoperative cervical haematoma represents an infrequent but potentially life-threatening complication of thyroidectomy. Since this complication is uncommon, the assessment of risk factors associated with its development is challenging. The main aim of this study was to identify the risk factors for its occurrence.MethodsPatients undergoing thyroidectomy in seven high-volume thyroid surgery centers in Europe, between January 2020 and December 2022, were retrospectively analysed. Based on the onset of cervical haematoma, two groups were identified: Cervical Haematoma (CH) Group and No Cervical Haematoma (NoCH) Group. Univariate analysis was performed to compare these two groups. Moreover, employing multivariate analysis, all potential independent risk factors for the development of this complication were assessed.ResultsEight thousand eight hundred and thirty-nine patients were enrolled: 8,561 were included in NoCH Group and 278 in CH Group. Surgical revision of haemostasis was performed in 70 (25.18%) patients. The overall incidence of postoperative cervical haematoma was 3.15% (0.79% for cervical haematomas requiring surgical revision of haemostasis, and 2.35% for those managed conservatively). The timing of onset of cervical haematomas requiring surgical revision of haemostasis was within six hours after the end of the operation in 52 (74.28%) patients. Readmission was necessary in 3 (1.08%) cases. At multivariate analysis, male sex (P

Background:Thyroid gland malignancies are rare in pediatric patients (0.7% of tumors); only 1.8% are observed in patients aged 0.999). Secondary tumors showed a higher incidence of disease relapse (OR 1.556, 95% CI.4579-5.57, p = 0.4525) and surgical complications (OR 2.042, 95% CI 0.7917–5.221, p = 0.1614), including hypoparathyroidism and recurrent laryngeal nerve injury. The overall survival (OS) was 99% at 1 year and 97% after 10 years. No EFS differences were evident between the primary and secondary tumors (chi-square 0.7307, p = 0.39026).ConclusionsThis multicenter study demonstrated excellent survival in pediatric thyroid malignancies. Secondary tumors exhibited greater disease relapse (15.8 vs. 10.5%) and a higher incidence of surgical complications (36.8 vs. 22.2%).