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  1. Book ; Online: Clinical Research Advances in Congenital Heart Disease

    Giordano, Raffaele / Cantinotti, Massimiliano

    2023  

    Keywords Medicine ; Pharmacology ; congenital heart disease ; STE echocardiography ; atria ; pediatric cardiac surgery ; CT angiography ; Fallot tetralogy ; coronary arteries ; aortic arch anomalies ; brain abnormalities ; Doppler velocimetry ; artificial intelligence ; pediatric cardiology ; machine learning ; congenital heart diseases ; ventricular septal defect ; child development ; psychological adjustment ; quality of life ; stress ; adolescence ; longitudinal study ; mental health ; cortisol ; coronary vessels anomalies ; anomalous origin of the left circumflex coronary artery from the pulmonary artery ; ALXCAPA ; coronary CT angiography ; patent ductus arteriosus ; pulmonary hypertension ; transcatheter closure ; risk factor ; prognosis ; Fontan procedure ; single ventricle ; miscarriage ; pregnancy ; prematurity ; Fontan circulation ; Fontan-associated liver disease ; cholestasis ; bile acids ; hemostasis ; thromboprophylaxis ; acquired von Willebrand syndrome ; echocardiography ; borderline right ventricles ; scores ; pediatrics ; adult congenital heart disease (ACHD) ; transcatheter valve repair ; atrioventricular (AV) regurgitation ; hybrid ; transcatheter edge-to-edge repair (TEER) ; Cardioband ; valve-in-valve (ViV)
    Language English
    Size 1 electronic resource (168 pages)
    Publisher MDPI - Multidisciplinary Digital Publishing Institute
    Publishing place Basel
    Document type Book ; Online
    Note English
    HBZ-ID HT030649979
    ISBN 9783036594330 ; 3036594337
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Book ; Online: Greening Water Risks

    López-Gunn, Elena / van der Keur, Peter / Van Cauwenbergh, Nora / Le Coent, Philippe / Giordano, Raffaele

    Natural Assurance Schemes

    (Water Security in a New World)

    2023  

    Author's details edited by Elena López-Gunn, Peter van der Keur, Nora Van Cauwenbergh, Philippe Le Coent, Raffaele Giordano
    Series title Water Security in a New World
    Keywords Human ecology—Study and teaching ; Water ; Hydrology ; Urban ecology (Biology) ; Geography ; Natural disasters ; Freshwater ecology ; Marine ecology
    Language English
    Size 1 Online-Ressource (VII, 422 p. 1 illus)
    Edition 1st ed. 2023
    Publisher Springer International Publishing ; Imprint: Springer
    Publishing place Cham
    Document type Book ; Online
    HBZ-ID HT030032867
    ISBN 978-3-031-25308-9 ; 9783031253072 ; 9783031253096 ; 9783031253102 ; 3-031-25308-6 ; 3031253078 ; 3031253094 ; 3031253108
    DOI 10.1007/978-3-031-25308-9
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  3. Book ; Online: Greening Water Risks

    López-Gunn, Elena / van der Keur, Peter / Van Cauwenbergh, Nora / Le Coent, Philippe / Giordano, Raffaele

    Natural Assurance Schemes

    (Water Security in a New World)

    2023  

    Series title Water Security in a New World
    Keywords Physical geography & topography ; Hydrology & the hydrosphere ; Ecological science, the Biosphere ; Urban & municipal planning ; Natural disasters ; Nature-based solutions ; Water-related disaster risk reduction ; Floods, droughts and natural hazards ; Sustainable development ; Urban planning ; Economic, biophysical and social assessment ; Nature conservation ; Natural resources ; Urban Geography and Urbanism
    Language English
    Size 1 electronic resource (422 pages)
    Publisher Springer Nature
    Publishing place Cham
    Document type Book ; Online
    Note English
    HBZ-ID HT030378273
    ISBN 9783031253072 ; 3031253078
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  4. Article: Four-Dimensional Flow Echocardiography: Blood Speckle Tracking in Congenital Heart Disease: How to Apply, How to Interpret, What Is Feasible, and What Is Missing Still.

    Cantinotti, Massimiliano / Marchese, Pietro / Franchi, Eliana / Santoro, Giuseppe / Assanta, Nadia / Giordano, Raffaele

    Healthcare (Basel, Switzerland)

    2024  Volume 12, Issue 2

    Abstract: Blood speckle tracking echocardiography (BSTE) is a new, promising 4D flow ultrafast non-focal plane imaging technique. The aim of the present investigation is to provide a review and update on potentialities and application of BSTE in children with ... ...

    Abstract Blood speckle tracking echocardiography (BSTE) is a new, promising 4D flow ultrafast non-focal plane imaging technique. The aim of the present investigation is to provide a review and update on potentialities and application of BSTE in children with congenital heart disease (CHD) and acquired heart disease. A literature search was performed within the National Library of Medicine using the keywords "echocardiography", "BST", and "children". The search was refined by adding the keywords "ultrafast imaging", "CHD", and "4D flow". Fifteen studies were finally included. Our analysis outlined how BSTE is highly feasible, fast, and easy for visualization of normal/abnormal flow patterns in healthy children and in those with CHD. BSTE allows for visualization and basic 2D measures of normal/abnormal vortices forming the ventricles and in the main vessel. Left ventricular vortex characteristics and aortic flow patterns have been described both in healthy children and in those with CHD. Complex analysis (e.g., energy loss, vorticity, and vector complexity) are also highly feasible with BSTE, but software is currently available only for research. Furthermore, current technology allows for BSTE only in neonates and low-weight children (e.g., <40 kg). In summary, the feasibility and potentialities of BSTE as a complementary diagnostic tool in children have been proved; however, its systemic use is hampered by the lack of (i) accessible tools for complex quantification and for acquisition at all ages/weight, (ii) data on the diagnostic/prognostic significance of BSTE, and (iii) consensus/recommendation papers indicating when and how BSTE should be employed.
    Language English
    Publishing date 2024-01-19
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare12020263
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A Pipe Ranking Method for Water Distribution Network Resilience Assessment Based on Graph-Theory Metrics Aggregated Through Bayesian Belief Networks

    Pagano, Alessandro / Giordano, Raffaele / Portoghese, Ivan

    Water Resour Manage. 2022 Oct., v. 36, no. 13 p.5091-5106

    2022  

    Abstract: The resilience assessment is crucial for many infrastructures, including water supply and distribution networks. In particular, the identification of the ‘critical’ components (nodes or pipes) whose failure may negatively affect network performances and ... ...

    Abstract The resilience assessment is crucial for many infrastructures, including water supply and distribution networks. In particular, the identification of the ‘critical’ components (nodes or pipes) whose failure may negatively affect network performances and system resilience is a key issue, with a direct relevance for decision-makers involved in planning, management and improvement activities. Among the multiple methods and tools available, the use of graph-theory metrics is a cutting-edge research topic, as the analysis of topological properties may provide simple yet reliable information on the performance of complex networks. In the present work, we aim to overcome the limit associated to the use of individual graph-theory metrics, identifying a subset of relevant metrics that are directly connected to network resilience properties, using them to perform a ‘network degradation analysis’ in case of single pipe failure and finally proposing an aggregation of the results using a Bayesian Belief Network. Ultimately, the proposed methodology provides a ranking of the most critical pipes, i.e. those that contribute most to system resilience. A real water distribution network in Italy is used for model development and validation.
    Keywords Bayesian theory ; decision making ; topology ; water ; water distribution ; water supply ; Italy
    Language English
    Dates of publication 2022-10
    Size p. 5091-5106.
    Publishing place Springer Netherlands
    Document type Article ; Online
    ZDB-ID 59924-4
    ISSN 1573-1650 ; 0920-4741
    ISSN (online) 1573-1650
    ISSN 0920-4741
    DOI 10.1007/s11269-022-03293-z
    Database NAL-Catalogue (AGRICOLA)

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  6. Article ; Online: Congenital heart disease in the era of COVID-19 pandemic.

    Giordano, Raffaele / Cantinotti, Massimiliano

    General thoracic and cardiovascular surgery

    2020  Volume 69, Issue 1, Page(s) 172–174

    Abstract: The pandemic of COVID-19 presents an unprecedented challenge to identify effective prevention and treatment. Scientific literature has exploded with many news concerning the different experiences and the first studies in the world. To date May 5 2020, if ...

    Abstract The pandemic of COVID-19 presents an unprecedented challenge to identify effective prevention and treatment. Scientific literature has exploded with many news concerning the different experiences and the first studies in the world. To date May 5 2020, if we carry out a search in pubmed with the keyword "COVID-19", more than 9000 papers appear. While if we carry out a search with the keywords "congenital heart disease and COVID-19", we find only 4 results. This is a viewpoint in which we summarize the most important problems that emerged with the most recent data in the literature.
    MeSH term(s) Adult ; COVID-19/complications ; COVID-19/epidemiology ; COVID-19/therapy ; COVID-19 Testing ; Cardiology ; Child ; Child, Preschool ; Critical Care ; Heart Defects, Congenital/complications ; Heart Defects, Congenital/epidemiology ; Humans ; Infant ; Infant, Newborn ; Pandemics ; Pediatrics ; Physical Distancing ; Review Literature as Topic
    Keywords covid19
    Language English
    Publishing date 2020-06-22
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2376888-5
    ISSN 1863-6713 ; 1863-6705
    ISSN (online) 1863-6713
    ISSN 1863-6705
    DOI 10.1007/s11748-020-01417-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Modeling the impacts of volumetric water pricing in irrigation districts with conjunctive use of surface and groundwater resources

    Portoghese, Ivan / Giannoccaro, Giacomo / Giordano, Raffaele / Pagano, Alessandro

    Agricultural water management. 2021 Feb. 01, v. 244

    2021  

    Abstract: Water pricing has been identified as a generally valid water supply policy to help solve problems of water scarcity and competition. As for the non-agricultural sectors, in the last three decades water pricing has been widely discussed in and promoted ... ...

    Abstract Water pricing has been identified as a generally valid water supply policy to help solve problems of water scarcity and competition. As for the non-agricultural sectors, in the last three decades water pricing has been widely discussed in and promoted with regard to the irrigation management, though in the actual practice its effectiveness is quite controversial. This is particularly true in semi-arid regions, where conjunctive use of collective facilities and on-farm groundwater pumps may cause conflicts and mismanagement of water resources. Under such circumstances, irrigation water pricing policies are not easy to deploy and implement effectively, due to potential occurrence of side and unintended effects. In this framework, the present work aims at investigating the impact at the district scale of water pricing policies, on both surface water (SW) and groundwater (GW) resources. In this regard, a model which deals with the analysis of farmers’ decision concerning water source selection is proposed. The analysis is carried out keeping capital asset as given, also with the aim to elicit the relevance of on-farm irrigation water cost on resources use during the irrigation season. Reference is made to an intensive agricultural district in Southern Italy, conjunctively supplied by collective schemes managed by the local irrigation board and on-farm individual groundwater pumping systems. The proposed model was built along with local stakeholders, in order to (i) underline the relationship between the water tariff applied for collective supply service and the irrigation source selection during the irrigation season; and (ii) the relevance of the conjunctive use of GW based on pumping cost convenience and service standards needed to fulfill the irrigation requirements. The results have been then integrated into a quantitative water balance model, and a scenario analysis used to show the potential side impacts that a restrictive SW tariff policy applied during drought periods may have on the GW state, in different hydrological conditions.
    Keywords assets ; capital ; drought ; groundwater ; irrigation water ; issues and policy ; models ; stakeholders ; surface water ; tariffs ; water shortages ; Italy
    Language English
    Dates of publication 2021-0201
    Publishing place Elsevier B.V.
    Document type Article
    Note NAL-AP-2-clean
    ZDB-ID 751144-9
    ISSN 1873-2283 ; 0378-3774
    ISSN (online) 1873-2283
    ISSN 0378-3774
    DOI 10.1016/j.agwat.2020.106561
    Database NAL-Catalogue (AGRICOLA)

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  8. Article: A Decision Support System Based on AHP for Ranking Strategies to Manage Emergencies on Drinking Water Supply Systems

    Pagano, Alessandro / Giordano, Raffaele / Vurro, Michele

    Water resources management. 2021 Jan., v. 35, no. 2

    2021  

    Abstract: The provision of critical services, such as drinking water, is crucial both in ordinary and in emergency conditions due to either natural (e.g. earthquakes, droughts, etc.) or man-made hazards (e.g. contamination). Although several models and tools have ... ...

    Abstract The provision of critical services, such as drinking water, is crucial both in ordinary and in emergency conditions due to either natural (e.g. earthquakes, droughts, etc.) or man-made hazards (e.g. contamination). Although several models and tools have been developed to support decision-making in ordinary operations, such as e.g. for scheduling ordinary maintenance and for planning rehabilitation/replacement activities, relatively limited attention has been paid to support decision-making in emergency conditions, which are characterized by high complexity and inherent uncertainty. However, a huge amount of information related to emergency management of drinking water supply systems is typically available in the form of expert knowledge and may represent a precious source to enhance the effectiveness of decision-making processes. The present research aims at building a Decision Support System (DSS) for emergency managers, to identify and rank the most suitable measures to deal with emergency water supply. The Analytic Hierarchy Process (AHP) has been used for integrating both scientific knowledge and expert knowledge in the decision process, and for explicitly including some criteria (e.g. social impacts) which are highly relevant during crises, but often difficult to consider in the most widely used methods and tools. Both the National Department of Civil Protection (DPC) and some water utilities with recent experiences in emergency management have been involved in model conceptualization and building.
    Keywords decision making ; decision support systems ; expert opinion ; uncertainty ; water ; water supply
    Language English
    Dates of publication 2021-01
    Size p. 613-628.
    Publishing place Springer Netherlands
    Document type Article
    Note NAL-AP-2-clean
    ZDB-ID 59924-4
    ISSN 1573-1650 ; 0920-4741
    ISSN (online) 1573-1650
    ISSN 0920-4741
    DOI 10.1007/s11269-020-02741-y
    Database NAL-Catalogue (AGRICOLA)

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  9. Article: Neonates and Infants with Left Heart Obstruction and Borderline Left Ventricle Undergoing Biventricular Repair: What Do We Know about Long-Term Outcomes? A Critical Review.

    Cantinotti, Massimiliano / Jani, Vivek / Kutty, Shelby / Marchese, Pietro / Franchi, Eliana / Pizzuto, Alessandra / Viacava, Cecilia / Assanta, Nadia / Santoro, Giuseppe / Giordano, Raffaele

    Healthcare (Basel, Switzerland)

    2024  Volume 12, Issue 3

    Abstract: Background: The decision to perform biventricular repair (BVR) in neonates and infants presenting with either single or multiple left ventricle outflow obstructions (LVOTOs) and a borderline left ventricle (BLV) is subject to extensive discussion, and ... ...

    Abstract Background: The decision to perform biventricular repair (BVR) in neonates and infants presenting with either single or multiple left ventricle outflow obstructions (LVOTOs) and a borderline left ventricle (BLV) is subject to extensive discussion, and limited information is known regarding the long-term outcomes. As a result, the objective of this study is to critically assess and summarize the available data regarding the prognosis of neonates and infants with LVOTO and BLV who underwent BVR.
    Methods: In February 2023, we conducted a review study with three different medical search engines (the National Library of Medicine, Science Direct, and Cochrane Library) for Medical Subject Headings and free text terms including "congenital heart disease", "outcome", and "borderline left ventricle". The search was refined by adding keywords for "Shone's complex", "complex LVOT obstruction", "hypoplastic left heart syndrome/complex", and "critical aortic stenosis".
    Results: Out of a total of 51 studies, 15 studies were included in the final analysis. The authors utilized heterogeneous definitions to characterize BLV, resulting in considerable variation in inclusion criteria among studies. Three distinct categories of studies were identified, encompassing those specifically designed to evaluate BLV, those focused on Shone's complex, and finally those on aortic stenosis. Despite the challenges associated with comparing data originating from slightly different cardiac defects and from different eras, our results indicate a favorable survival rate and clinical outcome following BVR. However, the incidence of reintervention remains high, and concerns persist regarding residual pulmonary hypertension, which has been inadequately investigated.
    Conclusions: The available data concerning neonates and infants with LVOTO and BLV who undergo BVR are inadequate and fragmented. Consequently, large-scale studies are necessary to fully ascertain the long-term outcome of these complex defects.
    Language English
    Publishing date 2024-01-30
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare12030348
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Participatory Causal Loop Diagrams Building for Supporting Decision-Makers Integrating Flood Risk Management in an Urban Regeneration Process.

    Coletta, Virginia R / Pagano, Alessandro / Pluchinotta, Irene / Zimmermann, Nici / Davies, Michael / Butler, Adrian / Fratino, Umberto / Giordano, Raffaele

    Earth's future

    2024  Volume 12, Issue 1, Page(s) e2023EF003659

    Abstract: Several modeling tools commonly used for supporting flood risk assessment and management are highly effective in representing physical phenomena, but provide a rather limited understanding of the multiple implications that flood risk and flood risk ... ...

    Abstract Several modeling tools commonly used for supporting flood risk assessment and management are highly effective in representing physical phenomena, but provide a rather limited understanding of the multiple implications that flood risk and flood risk reduction measures have on highly complex systems such as urban areas. In fact, most of the available modeling tools do not fully account for this complexity-and related uncertainty-which heavily affects the interconnections between urban systems evolution and flood risk, ultimately resulting in an ineffective flood risk management. The present research proposes an innovative methodological framework to support decision-makers involved in an urban regeneration process at a planning/strategic level, accounting for the multi-dimensional implications of flood risk and of different flood risk management strategies. The adopted approach is based on the use of System Thinking principles and participatory System Dynamics modeling techniques, and pursues an integration between scientific and stakeholder knowledge. Reference is made to one of the case studies of the CUSSH and CAMELLIA projects, namely Thamesmead (London), a formerly inhospitable marshland currently undergoing a process of urban regeneration, and perceived as being increasingly vulnerable to flooding. It represents an interesting opportunity for building a replicable modeling approach to integrate urban development dynamics with flood risk, ultimately supporting policy and decision-makers in identifying mitigation/prevention measures and understanding how they could help achieve multi-dimensional benefits (e.g., environmental, social and economic).
    Language English
    Publishing date 2024-01-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2746403-9
    ISSN 2328-4277
    ISSN 2328-4277
    DOI 10.1029/2023EF003659
    Database MEDical Literature Analysis and Retrieval System OnLINE

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