GPS measurements recorded at active sites in central Italy during the seismic events of greatest magnitude (24 August, 26 and 30 October 2016) were processed in kinematic mode according to the Precise Point Positioning (PPP) technique. The resulting data were the displacements and, by derivation with respect to time, the velocities and instantaneous horizontal accelerations. Elastic response spectra along the orthogonal walls of the site (if the GPS antenna was fixed to a building) or along the geographical directions (if the antenna was fixed to the ground) were obtained from the derived accelerations. The maximum amplitudes, i.e. "peak vibrations", were then extracted from the response spectra. These peaks, unlike the co-seismic movements, represent the maximum instantaneous vibrations recorded following the "shock" produced by the seismic waves and thus are representative of both the discomfort perceived by the populations and the structural damage. This study shows that GPS is becoming an increasingly important tool to measure and monitor the dynamic responses of a structure. The results also provide a complete picture of the displacements induced by the seismic sequences in the earthquake-affected areas, leaving unresolved some questions concerning the localization of the phenomena and the causes of the structural deformations.
Diogenes syndrome (DS) is an acquired behavioural disturbance more often affecting elderly patients, but possible in all ages. It is characterised by social withdrawal, extreme self and house neglect, tendency to hoard any kind of objects/rubbish (syllogomania), and rejection against external help for lack of concern about one's condition. It is considered infrequent, but with quite high mortality. DS might be divided into several forms including Active (the patient gathers objects outside and accumulates them inside his house), Passive (patient invaded by his own rubbish), "à deux" (DS sharing between two people), and "under-threshold" (DS "blocked" by precocious intervention). Four cases are here presented. In case 1 (passive DS) alcoholism and cognitive impairment could be trigger factors for DS, predisposed by a "personality alteration". In case 2 (active, "à trois") superimposed psychosis could be the trigger, borderline intelligence being the predisposing factor. In case 3 (active), fronto-parietal internal hyperostosis might support an organic aetiology. Finally, case 4 was an example of isolated syllogomania in patient with evolving Alzheimer's dementia. Despite being heterogeneous, our casuistry suggest that DS can develop in both sexes, is prevalent in geriatric age and often associated with cognitive impairment/psychiatric disturbances, which are not specific, nor sufficient to justify DS. Isolated syllogomania only shares the characteristic hoarding with DS; although cognitive impairment might be present, the other DS typical aspects (social isolation, help refusal, characterial aspects, personal hygiene neglect) are absent.
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