Three-dimensional curvature homogeneous hypersurfaces

summary:This paper is motivated by the open problem whether a three-dimensional curvature homogeneous hypersurface of a real space form is locally homogeneous or not. We give some partial positive answers

Homogeneous geodesics of non-unimodular Lorentzian Lie groups and naturally reductive Lorentzian spaces in dimension three

We determine, for all three-dimensional non-unimodular Lie groups equipped with a Lorentzian metric, the set of homogeneous geodesics through a point. Together with the results of [C] and [CM2], this leads to the full classification of three-dimensional Lorentzian g.o. spaces and naturally reductive spaces

Land degradation assessment for sustainable soil management

Desertification is a complex phenomenon defined as the extreme degree of land degradation induced by human activities and climatic conditions. Climate change is accelerating and widening these areas. Previews analysis and studies assessed the vulnerability to desertification in Italy at national and regional level through a methodological approach based on integrating climate, soil, vege-tation, and socio-economic data (ESA). The studies carried out by ISPRA aim to provide an update of the of land degradation assessment in Italy, based on Trends.Earth methodology and of the three UN-SDGs sub-indicators on Target 15.3.1 (land use/land cover, land productivity and soil organic carbon above and below ground status and trends), together with additional dimensions of land degradation considered crucial for national land characters. Final assessment of the percentage of degraded land is around 36% of national area. This exercise demonstrates the importance to con-sider a larger number of data and include information on other fac-tors, such as climate, physical, chemical data. This integrated approach to the assessment of land degradation will allow to describe also of the loss of related ecosystem services

ECHOTIP: A structured protocol for ultrasound-based tip navigation and tip location during placement of central venous access devices in adult patients

Central venous access devices are routinely used in clinical practice for administration of fluids and medications, for drawing blood samples and for hemodynamic monitoring. The adoption of ultrasound guided venipuncture has significantly reduced procedure-related complications, as documented by the recommendations of most recent guidelines. Ultrasound has also an important role also in other aspects of central venous catheterization, such as in the pre-procedural evaluation of the venous patrimony and in the detection of early and late non-infective complications. Recently, bedside ultrasound has been regarded as a promising tool also for ensuring an accurate and intraprocedural method of tip navigation and tip location. The aim of this paper is to review all the evidence about the accuracy of ultrasound methods for tip navigation and tip location in adult patients, and to suggest a structured standardized protocol for clinical practice

Role of the HIV-1 Reservoir to Maintain Viral Suppression in a Simplified Strategy for the Long-Term Management of HIV-1 Infection (The SIMPL’HIV Trial).

HIV-1 reservoir size and dynamics are promising parameters to ensure the safe prescription of simplified maintenance antiretroviral therapy in chronically HIV-1 infected patients. In the SIMPL’HIV trial, HIV-1 DNA was quantified in peripheral blood mononuclear cells obtained at baseline and week 48 to investigate changes over time and evidence of a predictive relationship to maintain HIV-1 RNA <20 copies/ml. Measurements were available for 175 patients, with no differences observed between treatment strategies. Findings showed that baseline HIV-1 DNA was lower in those with durable HIV-1 RNA <20 copies/ml compared with patients with incomplete viral suppression over 48 weeks

Rotavirus symptomatic infection among unvaccinated and vaccinated children in Valencia, Spain

BACKGROUND: Human group A rotavirus is the leading cause of severe acute gastroenteritis in young children worldwide. Immunization programs have reduced the disease burden in many countries. Vaccination coverage in the Autonomous Region of Valencia, Spain, is around 40%, as the rotavirus vaccine is not funded by the National Health System. Despite this low-medium vaccine coverage, rotavirus vaccination has substantially reduced hospitalizations due to rotavirus infection and hospital-related costs. However, there are very few studies evaluating symptomatic rotavirus infections not requiring hospitalization in vaccinated children. The objective of this study was to investigate symptomatic rotavirus infections among vaccinated children in the health area served by the Hospital Clínico Universitario of Valencia, Spain, from 2013 to 2015. METHODS: A total of 133 children younger than 5 years of age with rotavirus infection were studied. Demographic and epidemiological data were collected and informed consent from their caretakers obtained. Rotavirus infection was detected by immunological methods and G/P rotavirus genotypes were determined by RT-PCR, following standard procedures from the EuroRotaNet network. RESULTS: Forty infants (30.1%; 95% CI: 22.3-37.9) out of 133 were diagnosed with symptomatic rotavirus infection despite having been previously vaccinated, either with RotaTeq (85%) or with Rotarix (15%). Children fully vaccinated against rotavirus (24.8%), partially vaccinated (5.3%) and unvaccinated (69.9%) were found. The infecting genotypes showed high G-type diversity, although no significant differences were found between the G/P genotypes infecting vaccinated and unvaccinated children during the same time period. G9P[8], G12P[8] and G1P[8] were the most prevalent genotypes. Severity of gastroenteritis symptoms required 28 (66.6%) vaccinated and 67 (73.6%) unvaccinated children to be attended at the Emergency Room. CONCLUSION: Rotavirus vaccine efficacy in reducing the incidence of severe rotavirus infection has been well documented, but symptomatic rotavirus infection can sometimes occur in vaccinees

Homogeneous geodesics in five-dimensional generalized symmetric spaces

none2G. CALVARUSO; R.A. MARINOSCICalvaruso, Giovanni; R. A., Marinosc