261 research outputs found
Immigration, socio-economic conditions and crime: a cross-sectional versus cross-sectional time-series perspective
This study purpose is to verify if there is an association between foreign
immigration and crime. In doing this, the study investigates also some satellite aspects
revolving around this possible association: the range of offences affected by immigration,
the relationship between immigrant and native crime, and whether the immigration impact
on crime is direct or indirect. The present study has addressed these issues by both a cross-sectional
and a longitudinal analysis, the latter including an instrument. The study is based
on data of the Italian provinces. Italy represents a critical case for studying the migration–
crime relationship, because in this country the rise in foreign immigration has been sudden
and its pace feverish. The cross-sectional analysis findings show that crime intensities are
affected by time-invariant factors and marginally by immigration. On the contrary, the
longitudinal analysis shows that variations in immigration had a positive impact on both
the most serious and the most common offences, on property crimes as well as on crimes of
violence. There is no evidence of indirect effects of immigration on crime or of a link with
native crime. In contrast to previous literature regarding the U.S., Canada, and Australia,
these results suggest that a spiralling immigration can affect crime. In terms of methods,
these findings show that the standard synchronic analysis models can be biased by non-observed
factors and that therefore cross-sectional time-series models can offer significant
advantages
Capitale sociale e sviluppo
Descrizione della evoluzione del concetto di Capitale Sociale nella letteratura internazionale. Uso del concetto da parte di vari autori per spiegare il sottosviluppo e lo sviluppo. Forza e limiti del concetto per l'analisi empirica.Description of the evolution of the notion of Social Capital in international literature. Its use by various authors to explain underdevelopment and development. Strength and weaknesses of the notion
Crime patterns between tradition and change: a territorial analysis of the Italian provinces
Violent criminality associated with Mafia-type organizations has been crucial
for the image of Italy’s crime. This paper purpose is to verify whether the contemporary
situation still matches that image and what has been the impact on crime of more recent
factors, above all foreign immigration. Indeed, Italy has been characterized by a recent but
tumultuous migratory flow, which has possibly posed difficulties for immigrants’ integration.
The territorial analysis, carried out on 103 Italian provinces, shows two discrete
scenarios. When all the provinces are considered, serious offences such as intentional
homicides, extortions, criminal conspiracies and robberies are still associated with a traditional
scenario of socio-economic backwardness and poor social capital. However, when
only the Central and Northern provinces are selected, a new, non-traditional form of
criminality, associated with ‘‘modern’’ features, such as the presence of immigrants and
their problems of integration, clearly emerges
Intra-EU migration and crime: a jigsaw to be reckoned with
The expansion of the EU has generated vast interest and debate about an alleged crime–migration nexus. The gradual disappearance of borders within the EU has created opportunities for easier people movement, and potentially for offenders to commit criminal offences in other countries. The authors have found that little work has been undertaken to understand the general nature of criminal activity by intra-EU migrant populations. Data on localised offending by foreign nationals can be used to inform intelligence by national and international police agencies, to generate effective cross-border information exchange, aid investigatory techniques and significantly inform crime reduction activity and policies. However, where such information is not collected and available for analysis within member states, informed knowledge within and between member states is difficult to achieve. In order to begin to address these discrepancies, the authors suggest multi-disciplinary and mixed methods
Decreased levels of metalloproteinase-9 and angiogenic factors in skin lesions of patients with psoriatic arthritis after therapy with anti-TNF-α
BACKGROUND: Inflammation represents an early and key event in the development of both the cutaneous psoriasis and psoriatic arthritis. Compelling evidences indicate that the production of TNF-α plays a central role in psoriasis by sustaining the inflammatory process in the skin as well as in the joints. Among the multiple effects produced by TNF-α on keratinocytes, the induction of matrix metalloproteinase-9 (MMP-9), a collagenase implicated in joint inflammatory arthritis which acts as an angiogenesis promoting factor, might represent a key mechanism in the pathogenesis of the disease. Aims of the present study were to investigate a) the role of MMP-9 in the development of psoriasis by assessing the presence of MMP-9 in lesional skin and in sera of psoriatic patients; b) the association of MMP-9 with the activity of the disease; c) the relationship between MMP-9 and TNF-α production. METHODS: Eleven psoriatic patients, clinically presenting joint symptoms associated to the cutaneous disease, were included in a therapeutic protocol based on the administration of anti-TNF-α monoclonal antibody (Infliximab). Sera and skin biopsies were collected before treatment and after 6 weeks of therapy. Tissues were kept in short term cultures and production soluble mediators such as TNF-α, MMP-9, MMP-2, VEGF and E-Selectin, which include angiogenic molecules associated to the development of plaque psoriasis, were measured in the culture supernatants by immunoenzymatic assays (ng/ml or pg/ml per mg of tissue). MMP-9 concentrations were also measured in the sera. The cutaneous activity of disease was evaluated by the Psoriasis Area and Severity Index (PASI). RESULTS: Clinical and laboratory assessment indicated that all but one patients had a significant improvement of the PASI score after three months of therapy. The clinical amelioration was associated to a significant decrease of MMP-9 (P = 0.017), TNF-α (P = 0.005) and E-selectin (P = 0.018) levels, spontaneously released by lesional biopsies before and after therapy. In addition, significant correlations were found between the PASI measurements and TNF-α (r(2 )= 0.33, P = 0.005), MMP-9 (r(2 )= 0.25, P = 0.017), E-selectin (r(2 )= 0.24, P = 0.018) production. MMP-9 levels were significantly correlated with those of TNF-α (r(2 )= 0.30, P = 0.008). A significant decrease of MMP-9 in the sera, associated to the clinical improvement was also found. CONCLUSION: Our findings show the existence of a direct relationship between MMP-9 and TNF-α production strongly suggesting that MMP-9 may play a key role in the skin inflammatory process in psoriasis
HF ultrasound vs PET-CT and telethermography in the diagnosis of In-transit metastases from melanoma: a prospective study and review of the literature
Exploring CT Texture Parameters as Predictive and Response Imaging Biomarkers of Survival in Patients With Metastatic Melanoma Treated With PD-1 Inhibitor Nivolumab: A Pilot Study Using a Delta-Radiomics Approach
In the era of artificial intelligence and precision medicine, the use of quantitative imaging methodological approaches could improve the cancer patient’s therapeutic approaches. Specifically, our pilot study aims to explore whether CT texture features on both baseline and first post-treatment contrast-enhanced CT may act as a predictor of overall survival (OS) and progression-free survival (PFS) in metastatic melanoma (MM) patients treated with the PD-1 inhibitor Nivolumab. Ninety-four lesions from 32 patients treated with Nivolumab were analyzed. Manual segmentation was performed using a free-hand polygon approach by drawing a region of interest (ROI) around each target lesion (up to five lesions were selected per patient according to RECIST 1.1). Filtration-histogram-based texture analysis was employed using a commercially available research software called TexRAD (Feedback Medical Ltd, London, UK; https://fbkmed.com/texrad-landing-2/) Percentage changes in texture features were calculated to perform delta-radiomics analysis. Texture feature kurtosis at fine and medium filter scale predicted OS and PFS. A higher kurtosis is correlated with good prognosis; kurtosis values greater than 1.11 for SSF = 2 and 1.20 for SSF = 3 were indicators of higher OS (fine texture: 192 HR = 0.56, 95% CI = 0.32–0.96, p = 0.03; medium texture: HR = 0.54, 95% CI = 0.29–0.99, p = 0.04) and PFS (fine texture: HR = 0.53, 95% CI = 0.29–0.95, p = 0.03; medium texture: HR = 0.49, 209 95% CI = 0.25–0.96, p = 0.03). In delta-radiomics analysis, the entropy percentage variation correlated with OS and PFS. Increasing entropy indicates a worse outcome. An entropy variation greater than 5% was an indicator of bad prognosis. CT delta-texture analysis quantified as entropy predicted OS and PFS. Baseline CT texture quantified as kurtosis also predicted survival baseline. Further studies with larger cohorts are mandatory to confirm these promising exploratory results
Psoriatic Arthritis during Treatment with Bevacizumab for Anaplastic Oligodendroglioma
Bevacizumab is a recombinant humanised monoclonal antibody directed against the vascular endothelial growth factor (VEGF). The drug, alone or in combination with other anticancer agents, has been shown to be effective against several types of neoplasms. We report a case of a woman with a history of severe psoriasis who developed psoriatic arthritis during a course of bevacizumab, which was administered for a malignant glioma.</jats:p
Cutaneous melanoma follow-up: appropriateness of requests for ultrasound tests – the S.Gallicano National Referral Centre Experience
AIDS-Kaposi Sarcoma and Classic Kaposi Sarcoma: are different ultrasound patterns related to different variants?
<p>Abstract</p> <p>Background</p> <p>Kaposi Sarcoma (KS) is a malignancy of endothelial skin cells with multifocal localization on the skin, lymph nodes and visceral organs. Although all clinical variants are associated with HHV-8 infection, specific differences in the clinical onset and in the natural history of AIDS-KS and Classic-KS have been described. The present randomised prospective-observational study aimed to investigate whether the ultrasound pattern and color Doppler flow imaging of vascularisation of skin lesions of patients with Classic KS (CKS) or AIDS-KS could provide useful information to the evaluation of clinical activity of the disease.</p> <p>Methods</p> <p>Cutaneous lesions of 24 patients with histologically confirmed KS were investigated using very high frequency ultrasound probes; 16 patients had CKS and 8 had AIDS-KS. HHV-8 infection was confirmed in all patients by investigating the specific humoral response to viral antigens. Immunological and virological parameters were also assessed to monitor HIV or HHV-8 viral infection. For each patient, a target skin lesion was selected on the basis of size (diameter from 0.4 to 2 cm). Each lesion was analyzed in terms of size, depth and color Doppler pattern.</p> <p>Results</p> <p>The B-mode ultrasound patterns of skin lesions did not differ when comparing CKS patients to AIDS-KS patients, whereas the color Doppler signal, which is associated with vascular activity, was detected in the KS lesions of 6/8 AIDS-KS patients (75.0%) and in 2/16 CKS (16,7%); the latter two patients showed a clinically progressive and extensive disease stage (IV B).</p> <p>Conclusions</p> <p>Our preliminary results suggest that small cutaneous KS lesions - in both CKS and AIDS-KS patients- display similar B-mode ultrasound patterns ( hypoechoic, well defined, superficial lesions). However, the color Doppler signal, which is associated with endothelial activity and angiogenesis, which play a substantial role in KS progression, could constitute a useful tool for evaluating disease activity.</p
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