Realizzazione di un data-set ad alta risoluzione (30 secondi d'arco) di precipitazioni mensili su un'area ad orografia complessa (Trentino Alto-Adige)

In questa tesi si presenta la realizzazione di un data-set ad alta risoluzione (30 secondi d'arco) di precipitazioni mensili (per il periodo 1921-2014), per la regione del Trentino-Alto Adige. Esso è basato su una densa rete di stazioni con osservazioni di lunga durata, sottoposte ai necessari controlli di qualità. La tecnica di interpolazione si basa sull'assunzione che la configurazione spazio-temporale del campo di una variabile meteorologica su una certa area possa essere descritta con la sovrapposizione di due campi: i valori normali relativi a un periodo standard (1961-1990), ossia le climatologie, e le deviazioni da questi, ossia le anomalie. Le due componenti possono venire ricostruite tramite metodologie diverse e si possono basare su data-set indipendenti. Per le climatologie bisogna avere un elevato numero di stazioni (anche se disponibili per un lasso temporale limitato); per le anomalie viceversa la densità spaziale ha un rilievo minore a causa della buona coerenza spaziale della variabilità temporale, mentre è importante la qualità dei dati e la loro estensione temporale. L'approccio utilizzato per le climatologie mensili è la regressione lineare pesata locale. Per ciascuna cella della griglia si stima una regressione lineare pesata della precipitazione in funzione dell'altitudine; si pesano di più le stazioni aventi caratteristiche simili a quelle della cella stessa. Invece le anomalie mensili si ricavano, per ogni cella di griglia, grazie a una media pesata delle anomalie delle vicine stazioni. Infine la sovrapposizione delle componenti spaziale (climatologie) e temporale (anomalie) consente di ottenere per ogni nodo del grigliato una serie temporale di precipitazioni mensili in valori assoluti. La bontà dei risultati viene poi valutata con gli errori quadratici medi (RMSE) e i coefficienti di correlazione di Pearson delle singole componenti ricostruite. Per mostrare le potenziali applicazioni del prodotto si esaminano alcuni casi studio.

Reversible microbial colonization of germ-free mice reveals the dynamics of IgA immune responses

The lower intestine of adult mammals is densely colonized with nonpathogenic (commensal) microbes. Gut bacteria induce protective immune responses, which ensure host-microbial mutualism. The continuous presence of commensal intestinal bacteria has made it difficult to study mucosal immune dynamics. Here, we report a reversible germ-free colonization system in mice that is independent of diet or antibiotic manipulation. A slow (more than 14 days) onset of a long-lived (half-life over 16 weeks), highly specific anticommensal immunoglobulin A (IgA) response in germ-free mice was observed. Ongoing commensal exposure in colonized mice rapidly abrogated this response. Sequential doses lacked a classical prime-boost effect seen in systemic vaccination, but specific IgA induction occurred as a stepwise response to current bacterial exposure, such that the antibody repertoire matched the existing commensal content.

Phase I clinical trials in 56 patients with thyroid cancer: the M. D. Anderson Cancer Center experience.

INTRODUCTION: Thyroid cancer is the most common endocrine malignancy. The outcomes of patients with relapsed thyroid cancer treated on early-phase clinical trials have not been systematically analyzed. PATIENTS AND METHODS: We reviewed the records of consecutive patients with metastatic thyroid cancer referred to the Phase I Clinical Trials Program from March 2006 to April 2008. Best response was assessed by Response Evaluation Criteria in Solid Tumors. RESULTS: Fifty-six patients were identified. The median age was 55 yr (range 35-79 yr). Of 49 patients evaluable for response, nine (18.4%) had a partial response, and 16 (32.7%) had stable disease for 6 months or longer. The median progression-free survival was 1.12 yr. With a median follow-up of 15.6 months, the 1-yr survival rate was 81%. In univariate analysis, factors predicting shorter survival were anaplastic histology (P = 0.0002) and albumin levels less than 3.5 g/dl (P = 0.05). Among 26 patients with tumor decreases, none died (median follow-up 1.3 yr), whereas 52% of patients with any tumor increase died by 1 yr (P = 0.0001). The median time to failure in our phase I clinical trials was 11.5 months vs. 4.1 months for the previous treatment (P = 0.04). CONCLUSION: Patients with advanced thyroid cancer treated on phase I clinical trials had high rates of partial response and prolonged stable disease. Time to failure was significantly longer on the first phase I trial compared with the prior conventional treatment. Patients with any tumor decrease had significantly longer survival than those with any tumor increase.

Safety and Feasibility of a Diagnostic Algorithm Combining Clinical Probability, d-Dimer Testing, and Ultrasonography for Suspected Upper Extremity Deep Venous Thrombosis: A Prospective Management Study.

BACKGROUND Although well-established for suspected lower limb deep venous thrombosis, an algorithm combining a clinical decision score, d-dimer testing, and ultrasonography has not been evaluated for suspected upper extremity deep venous thrombosis (UEDVT). OBJECTIVE To assess the safety and feasibility of a new diagnostic algorithm in patients with clinically suspected UEDVT. DESIGN Diagnostic management study. (ClinicalTrials.gov: NCT01324037) SETTING: 16 hospitals in Europe and the United States. PATIENTS 406 inpatients and outpatients with suspected UEDVT. MEASUREMENTS The algorithm consisted of the sequential application of a clinical decision score, d-dimer testing, and ultrasonography. Patients were first categorized as likely or unlikely to have UEDVT; in those with an unlikely score and normal d-dimer levels, UEDVT was excluded. All other patients had (repeated) compression ultrasonography. The primary outcome was the 3-month incidence of symptomatic UEDVT and pulmonary embolism in patients with a normal diagnostic work-up. RESULTS The algorithm was feasible and completed in 390 of the 406 patients (96%). In 87 patients (21%), an unlikely score combined with normal d-dimer levels excluded UEDVT. Superficial venous thrombosis and UEDVT were diagnosed in 54 (13%) and 103 (25%) patients, respectively. All 249 patients with a normal diagnostic work-up, including those with protocol violations (n = 16), were followed for 3 months. One patient developed UEDVT during follow-up, for an overall failure rate of 0.4% (95% CI, 0.0% to 2.2%). LIMITATIONS This study was not powered to show the safety of the substrategies. d-Dimer testing was done locally. CONCLUSION The combination of a clinical decision score, d-dimer testing, and ultrasonography can safely and effectively exclude UEDVT. If confirmed by other studies, this algorithm has potential as a standard approach to suspected UEDVT. PRIMARY FUNDING SOURCE None.