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ocardiography to discriminate PAH from normal PAP status (AUC = 0.841) that considering a cutoff value of 22.88 for PAP assessed by echocardiography reached to a sensitivity of 72.7% and a specificity of 100%. Conclusion Both chest spiral CT scan and Doppler echocardiography are very useful to diagnose PAH and its severity in patients with scleroderma. Assessing the 2017 administrative data on Cesareans delivery in Italy by using fractal statistic. 2017 administrative data on Italian Cesarean deliveries are freely available as