Intramural Duodenal Haematoma after Endoscopic Biopsy: Case Report and Review of the Literature

The development of intramural duodenal haematoma (IDH) after small bowel biopsy is an unusual lesion and has only been reported in 18 children. Coagulopathy, thrombocytopenia and some special features of duodenal anatomy, e.g. relatively fixed position in the retroperitoneum and numerous submucosal blood vessels, have been suggested as a cause for IDH. The typical clinical presentation of IDH is severe abdominal pain and vomiting due to duodenal obstruction. In addition, it is often associated with pancreatitis and cholestasis. Diagnosis is confirmed using imaging techniques such as ultrasound, magnetic resonance imaging or computed tomography and upper intestinal series. Once diagnosis is confirmed and intestinal perforation excluded, conservative treatment with nasogastric tube and parenteral nutrition is sufficient. We present a case of massive IDH following endoscopic grasp forceps biopsy in a 5-year-old girl without bleeding disorder or other risk for IDH, which caused duodenal obstruction and mild pancreatitis and resolved within 2 weeks of conservative management. Since duodenal biopsies have become the common way to evaluate children or adults for suspected enteropathy, the occurrence of this complication is likely to increase. In conclusion, the review of the literature points out the risk for IDH especially in children with a history of bone marrow transplantation or leukaemia

Which one to choose? A cost-effectiveness analysis between different technologies of air purifiers

With the same mean price normalized to CADR, the selling price is significanly different only for devices equipped with UV lamps compared to all the other

Air purifiers, comparison between real and declared surface for use: fake it or make it?

There’s no correspondence between recommended area of room to be sanitized indicated by producers of air purifiers and area that they are actually able to sanitize, which is significantly lowe

La composizione chimica del Particolato Atmosferico nella penisola Italiana, similitudini e analogie

none32noneP. Bruno; M. Caselli; P. R. Dambruoso; B. E. Daresta; G. de Gennaro; C. M. Placentino; M. Tutino; D. Baldacci; M.Stracquadanio; L. Tositti; S. Zappoli; D. Gullotto; V. Librando; Z.Minniti; G. Perrini; G. Trincali; S. Becagli; A. Mannini; R. Udisti; E.Bolzacchini; L. Ferrero; C. Lo Porto; M. G. Perrone; C. Paradisi;A. Tapparo; P. Barbieri; L. Capriglia; F.Cozzi; E. Maran; E.Reisenhofer; V. Sicardi. P.Fermo; A. PiazzalungaP. Bruno; M. Caselli; P. R. Dambruoso; B. E. Daresta; G. de Gennaro; C. M. Placentino; M. Tutino; D. Baldacci; M.Stracquadanio; L. Tositti; S. Zappoli; D. Gullotto; V. Librando; Z.Minniti; G. Perrini; G. Trincali; S. Becagli; A. Mannini; R. Udisti; E.Bolzacchini; L. Ferrero; C. Lo Porto; M. G. Perrone; C. Paradisi;A. Tapparo; P. Barbieri; L. Capriglia; F.Cozzi; E. Maran; E.Reisenhofer; V. Sicardi. P.Fermo; A. Piazzalung

‘Concentration and the chemical characterization of PM10 and PM2.5 in all the Italian territory’

In order to studying the concentration and the chemical characterization of atmospheric particulate in the different season in all the Italian territory, inside the SITECOS project (PRIN 2004), a gravimetric sampling campaigns have been conducted. The PM10 and PM2.5 samplings were placed at the same time in different sites along the Italian peninsula. The sampling sites were: Bari, Taranto, Pollino (m.1800, remote site), Catania, Sesto Fiorentino, Florence, Arezzo, Grosseto, Capannori-LU, Prato, Montale-PT (rural site), Bologna and Monte Cimone (m.2100, remote site on Italian Apennines), Padua, Milan, San Colombano (m.2300, remote site on Italian Alps), Trieste and San Rocco a Muggia (TS). Daily PM2.5 and PM10 samples have been collected, to do a \u201csampling bank \u201c, available for a further chemical / physical / toxicological characterization of atmospheric particulate Samples have been chemically characterized according to their main species: PAHs, inorganic ions and EC/OC in the PM2.5 samples; elements in the PM10 samples. In the Padana plain (Milan, Bologna, Padua) the PM concentration is uniform and a strong seasonal trend is observed, with the highest values in winter time and the lowest values in summer while PM concentration in S. Colombano and Monte Cimone sites show an opposite seasonality, with the highest values in summer and the lowest ones in winter. These data show a slight evolution during the winter\u2019s day because of the height of the dispersion layer, in connection with microclimatic parameters; for example in Milan city during acute cases of pollution, the height is no more that 300m (Ferrero et al., 2006). Remote sites of S. Colombano and Monte Cimone in the winter time are above the boundary layer while during summer period they are on it. In the center of Italy PM seasonality concentration is less important while in the South Italy and in Sicily there is any seasonal trend. The reasons are, in part, linked to the different meteoclimatic features present in the Italian peninsula. Chemical composition data show a significant differences. In the North of Italy there is a strong seasonality of ionic component; in particular, during the winter, the Nitrate concentration is higher than the Sulfate one while the situation is opposed in summer. Ammonium does not show a strong seasonality, but it remains pretty constant; the same applies to Carbon. In the South of Italy cities, SO , NO 3 - and NH 4 + , primary component of inorganic ions, they do not show a seasonality with a Sulfate concentration that is always higher than Nitrates. In the center of Italy the seasonality is less marked thanks to the inorganic ions. Sulfate and Nitrate are similar from a percentage point of view. Also PAHs (expressed in weight/weight, quality of particulate), in the Padana plain, shows a strong seasonality, with a high percentage in the winter season and a lower one in summer (Ravindra et al., 2006). Over the year concentrations are constant in South of Italy, while in the center area, the seasonality is less strong. The vehicles traffic source is estimated to be one of the main PM source in the Padana plain, while in the South of Italy there are other sources like photochemistry reactivity, Saharan Dust events, etc. These results show a different role of PM sources along the Italian peninsula and they carry fundamental information for a correct management of the complex problem on a national scale. Ferrero, L., Lazzati, Z., Lo Porto, C., Perrone, M.G., Petraccone, S., Sangiorgi, G., Bolzacchini, E., (2006) Vertical distribution of particulate matter in the urban atmosphere of Milan. Poster. International Aerosol Conference 2006. Ravindra, K., Bencs, L., Wauters, E., Hoog, J., Deutsch, F., Roekens, E., Bleux, N., Berghmans, P., Van Grieken, R., (2006) Seasonal and sitespecific variation in vapour and aerosol phase PAHs over Flanders (Belgium) and their relation with anthropogenic activities. Atmospheric Environment 40 (2006) 771-785

Concentration and the chemical characterization of PM10 and PM2.5 in all the Italian territory

In order to studying the concentration and the chemical characterization of atmospheric particulate in the different season in all the Italian territory, inside the SITECOS project (PRIN 2004), a gravimetric sampling campaigns have been conducted. The PM10 and PM2.5 samplings were placed at the same time in different sites along the Italian peninsula. The sampling sites were: Bari, Taranto, Pollino (m.1800, remote site), Catania, Sesto Fiorentino, Florence, Arezzo, Grosseto, Capannori-LU, Prato, Montale-PT (rural site), Bologna and Monte Cimone (m.2100, remote site on Italian Apennines), Padua, Milan, San Colombano (m.2300, remote site on Italian Alps), Trieste and San Rocco a Muggia (TS). Daily PM2.5 and PM10 samples have been collected, to do a \u201csampling bank \u201c, available for a further chemical / physical / toxicological characterization of atmospheric particulate Samples have been chemically characterized according to their main species: PAHs, inorganic ions and EC/OC in the PM2.5 samples; elements in the PM10 samples. In the Padana plain (Milan, Bologna, Padua) the PM concentration is uniform and a strong seasonal trend is observed, with the highest values in winter time and the lowest values in summer while PM concentration in S. Colombano and Monte Cimone sites show an opposite seasonality, with the highest values in summer and the lowest ones in winter. These data show a slight evolution during the winter\u2019s day because of the height of the dispersion layer, in connection with microclimatic parameters; for example in Milan city during acute cases of pollution, the height is no more that 300m (Ferrero et al., 2006). Remote sites of S. Colombano and Monte Cimone in the winter time are above the boundary layer while during summer period they are on it. In the center of Italy PM seasonality concentration is less important while in the South Italy and in Sicily there is any seasonal trend. The reasons are, in part, linked to the different meteoclimatic features present in the Italian peninsula. Chemical composition data show a significant differences. In the North of Italy there is a strong seasonality of ionic component; in particular, during the winter, the Nitrate concentration is higher than the Sulfate one while the situation is opposed in summer. Ammonium does not show a strong seasonality, but it remains pretty constant; the same applies to Carbon. In the South of Italy cities, SO , NO 3 - and NH 4 + , primary component of inorganic ions, they do not show a seasonality with a Sulfate concentration that is always higher than Nitrates. In the center of Italy the seasonality is less marked thanks to the inorganic ions. Sulfate and Nitrate are similar from a percentage point of view. Also PAHs (expressed in weight/weight, quality of particulate), in the Padana plain, shows a strong seasonality, with a high percentage in the winter season and a lower one in summer (Ravindra et al., 2006). Over the year concentrations are constant in South of Italy, while in the center area, the seasonality is less strong. The vehicles traffic source is estimated to be one of the main PM source in the Padana plain, while in the South of Italy there are other sources like photochemistry reactivity, Saharan Dust events, etc. These results show a different role of PM sources along the Italian peninsula and they carry fundamental information for a correct management of the complex problem on a national scale. Ferrero, L., Lazzati, Z., Lo Porto, C., Perrone, M.G., Petraccone, S., Sangiorgi, G., Bolzacchini, E., (2006) Vertical distribution of particulate matter in the urban atmosphere of Milan. Poster. International Aerosol Conference 2006. Ravindra, K., Bencs, L., Wauters, E., Hoog, J., Deutsch, F., Roekens, E., Bleux, N., Berghmans, P., Van Grieken, R., (2006) Seasonal and sitespecific variation in vapour and aerosol phase PAHs over Flanders (Belgium) and their relation with anthropogenic activities. Atmospheric Environment 40 (2006) 771-785