Benzo(a)pyrene air concentrations and emission inventory in Lombardy region, Italy

Three years of particle phase B(a)P air concentration measurements in 13 sites in Lombardy (Italy) and a detailed emission inventory at the municipal scale for the whole region were used to infer the contribution of different sources to B(a)P atmospheric levels. The analyses of the weekly and monthly profiles of B(a)P concentrations, the cluster analysis and the comparison between the B(a)P/PM10 ratios in ambient air and in the emissions allowed identifying wood burning in small residential appliances as the key source for all the sites, except for those located in Milan. The highest values of the average B(a)P concentrations were not found in the wider urban areas, where in general the highest PM10 levels were registered. Regarding the seasonal variability, a marked reduction of both B(a)P concentrations and B(a)P/PM10 ratios was observed in the summer season. The cluster analysis of PM10 and B(a)P concentrations showed that the two pollutants tend to have a separate pattern; moreover the cluster analysis of B(a)P/PM10 ratios showed that the trend of this ratio split the stations depending on their location: plain area, piedmont and valley zones, and mountain sites. The dominance of the wood combustion highlighted by the emission inventory, originating from the residential sector and from pizzerias in the city of Milan, is consistent with the findings of other studies based on a source apportionment approach or air quality modeling, although some patterns of ambient B(a)P concentrations in one site were not adequately explained by the emission sources included in the emission inventory

Pattern and Outcome of Chest Injuries at Bugando Medical Centre in Northwestern Tanzania.

Chest injuries constitute a continuing challenge to the trauma or general surgeon practicing in developing countries. This study was conducted to outline the etiological spectrum, injury patterns and short term outcome of these injuries in our setting. This was a prospective study involving chest injury patients admitted to Bugando Medical Centre over a six-month period from November 2009 to April 2010 inclusive. A total of 150 chest injury patients were studied. Males outnumbered females by a ratio of 3.8:1. Their ages ranged from 1 to 80 years (mean = 32.17 years). The majority of patients (72.7%) sustained blunt injuries. Road traffic crush was the most common cause of injuries affecting 50.7% of patients. Chest wall wounds, hemothorax and rib fractures were the most common type of injuries accounting for 30.0%, 21.3% and 20.7% respectively. Associated injuries were noted in 56.0% of patients and head/neck (33.3%) and musculoskeletal regions (26.7%) were commonly affected. The majority of patients (55.3%) were treated successfully with non-operative approach. Underwater seal drainage was performed in 39 patients (19.3%). One patient (0.7%) underwent thoracotomy due to hemopericardium. Thirty nine patients (26.0%) had complications of which wound sepsis (14.7%) and complications of long bone fractures (12.0%) were the most common complications. The mean LOS was 13.17 days and mortality rate was 3.3%. Using multivariate logistic regression analysis, associated injuries, the type of injury, trauma scores (ISS, RTS and PTS) were found to be significant predictors of the LOS (P < 0.001), whereas mortality was significantly associated with pre-morbid illness, associated injuries, trauma scores (ISS, RTS and PTS), the need for ICU admission and the presence of complications (P < 0.001). Chest injuries resulting from RTCs remain a major public health problem in this part of Tanzania. Urgent preventive measures targeting at reducing the occurrence of RTCs is necessary to reduce the incidence of chest injuries in this region

Assessing the efficiency of mother-to-child HIV prevention in low- and middle-income countries using data envelopment analysis

AIDS is one of the most significant health care problems worldwide. Due to the difficulty and costs involved in treating HIV, preventing infection is of paramount importance in controlling the AIDS epidemic. The main purpose of this paper is to explore the potential of using Data Envelopment Analysis (DEA) to establish international comparisons on the efficiency of implementation of HIV prevention programmes. To do this we use data from 52 low- and middle-income countries regarding the prevention of mother-to-child transmission of HIV. Our results indicate that there is a remarkable variation in the efficiency of prevention services across nations, suggesting that a better use of resources could lead to more and improved services, and ultimately, prevent the infection of thousands of children. These results also demonstrate the potential strategic role of DEA for the efficient and effective planning of scarce resources to fight the epidemic

Academic patenting: the importance of industry support

This paper provides evidence that university-industry collaboration is important for turning commercial opportunities into patents. The results suggest that researchers who receive a large share of research grants from industry have a higher propensity to file a patent. Small dissemination grants generally exert a positive effect, whether they come from industry or not. It also finds that these interactions do not increase the number of industry owned patents alone but benefit universities’ commercialisation efforts in general