The survey of Italian springs by the National Hydrographic Service, a forgotten database. Structuring and analysis of a dataset of Campania springs (southern Italy)|Il censimento delle sorgenti italiane del Servizio Idrografico, un database dimenticatoStrutturazione e analisi del dataset delle sorgenti della Campania (Italia meridionale)

The analysis of groundwater resources is a particularly significant aspect of the economic, social and environmental development of the national territory. This is particularly relevant for the Campania region which, although characterized by the most significant aquifer systems of southern Italy, suffers from critical issues related to the progressive increase in demand and climatic variability at different time scales. In this framework, the lack of data concerning the survey of springs, including the minor ones, and of historical discharge easurements represents the main limitation to a more comprehensive regional hydrogeological characterization. The only source of historical data regarding the systematic and comprehensive survey of springs and discharge measurement is the Publication No. 14 of the National Hydrographic Service of the Ministry of Public Works “The Italian springs. List and description” reporting measures made between the 1920s and 1940s which was published in distinct volumes for each compartment. Despite its potential relevance, this source has so far been little used in regional hydrogeological studies. In this paper, a comparative analysis among data of springs derived from the Publication No. 14 and from measurement campaigns made by the Cassa per il Mezzogiorno (Special Project 26), between the 1960s and 1980s for main springs, was carried out for the Campania region. The information available from each source was validated through a cross-check, by means of a comparison of coordinates and a statistical analysis of the characterizing parameters. The new dataset allowed to expand the hydrogeological regional characterization with a higher number of springs, including the minor ones. The results obtained recognize the Publication No. 14 of the National Hydrographic Service as an important source of data to not be overlooked, especially in a condition of historical data shortage, by which can be both carried out regional hydrogeological and temporal analyses as well as identified integrative groundwater resources

Droplets generated from toilets during urination as a possible vehicle of carbapenem-resistant Klebsiella pneumoniae

BACKGROUND: In the health care setting, infection control actions are fundamental for containing the dissemination of multidrug-resistant bacteria (MDR). Carbapenemase-producing Enterobacterales (CPE), especially Klebsiella pneumoniae (CR-KP), can spread among patients, although the dynamics of transmission are not fully known. Since CR-KP is present in wastewater and microorganisms are not completely removed from the toilet bowl by flushing, the risk of transmission in settings where toilets are shared should be addressed. We investigated whether urinating generates droplets that can be a vehicle for bacteria and explored the use of an innovative foam to control and eliminate this phenomenon. METHODS: To study droplet formation during urination, we set up an experiment in which different geometrical configurations of toilets could be reproduced and customized. To demonstrate that droplets can mobilize bacteria from the toilet bowl, a standard ceramic toilet was contaminated with a KPC-producing Klebsiella pneumoniae ST101 isolate. Then, we reproduced urination and attached culture dishes to the bottom of the toilet lid for bacterial colony recovery with and without foam. RESULTS: Rebound droplets invariably formed, irrespective of the geometrical configuration of the toilet. In microbiological experiments, we demonstrated that bacteria are always mobilized from the toilet bowl (mean value: 0.11 ± 0.05 CFU/cm2) and showed that a specific foam layer can completely suppress mobilization. CONCLUSIONS: Our study demonstrated that droplets generated from toilets during urination can be a hidden source of CR-KP transmission in settings where toilets are shared among colonized and noncolonized patients

Failure to downregulate the BAF53a subunit of the SWI/SNF chromatin remodeling complex contributes to the differentiation block in rhabdomyosarcoma

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Groundwater vulnerability of principal aquifers of the Campania region (southern Italy)

The assessment of groundwater vulnerability is an important aspect of territorial planning aimed at the management and protection of groundwater quality. This topic is particularly relevant for the Campania region (southern Italy) due to the abundance of groundwater resources and the strong dependence on them of current economic, social and environmental settings. The region is characterized by complex geological, structural and hydrogeological frameworks which make challenging and innovative the assessment of groundwater vulnerability with SINTACS, a parametric method officially recognized by the Italian environmental agencies. In order to apply results obtained to current regional regulations, groundwater vulnerability was estimated for the 80 principal aquifers, hosting respective groundwater bodies, as recognized by the application of the Directive 2000/60/EC. Among principal results, the alluvial and limestone (karst) aquifers, which are the most productive of the region, show the highest groundwater vulnerability, even with spatially variable conditions depending on local hydrogeological features

A comparison of methods for assessing groundwater vulnerability in karst aquifers: the case study of Terminio Mt. aquifer (Southern Italy)

The assessment of groundwater vulnerability to pollution is becoming even more important all over the world due to the increase of impacts of human activities on groundwater resources and the related risks to the human health, economics, and the environment. Owing to the variability of methods known for estimating groundwater vulnerability, basically depending on hydrogeological parameters considered and the scale of analysis, the comparison of results of different methods appears straightforward for identifying the best approach in a given hydrogeological condition and reference scale. In such a view, this work attempts to assess the groundwater vulnerability of the Terminio Mt. karst aquifer, by applying four different groundwater vulnerability methods, index-based, and comparing results in order to identify the best performing one in karst environments. The study aquifer, located in the Picentini Mts Regional Park (Campania region, southern Italy) represents a strategic drinking water resource since Roman times and hosts massive groundwater resources which outflow mainly from tapped basal and subordinately perched springs. The peculiar characters of the study karst aquifer, which favour direct infiltration and groundwater recharge processes, as well as the occurrence of industrial, agricultural and grazing activities, make it very vulnerable to groundwater pollution, thus requiring a proper and careful territorial management. Beside the most frequently and generally used methods for assessing groundwater vulnerability, such as the DRASTIC and SINTACS, also DAC and COP methods specifically designed for karst aquifers were applied and mutually compared. Results of SINTACS, DRASTIC and DAC methods show groundwater vulnerability maps of the Terminio Mt. karst aquifer as chiefly characterized by two classes of intrinsic groundwater vulnerability, varying between the medium and high degrees. Furthermore, high and extremely high values of groundwater vulnerability were found in areas controlled by the shallow depth of the water-table. Instead, the COP method resulted as the most effective in identifying the endorheic areas and the related karst morphologies as very high groundwater vulnerability zones, therefore the most suitable in capturing specific hydrogeological features of karst areas that control groundwater pollution and vulnerability. Results obtained will support decision tools aimed at the land use planning and protection of karst aquifers from pollution in karst areas

Fermented brewers’ spent grain containing dextran and oligosaccharides as ingredient for composite wheat bread and its impact on gut metabolome in vitro

Brewers’ spent grain or BSG is a fiber and protein rich food-grade side stream that has remained underutilized due to its poor technological and sensory characteristics. In this study, BSG was fermented with Weissella confusa A16 in presence of sucrose to induce the synthesis of dextran and maltosyl-isomaltooligosaccharides. Fermented BSG with or without the above polysaccharides was used as ingredient in wheat bread. Digestion of BSG breads was simulated in vitro with Simulator of Human Intestinal Microbial Ecosystem, and levels of fecal metabolites were analyzed. Enrichment of BSG breads with in situ dextran and maltosyl-isomaltooligosaccharides improved the baking quality compared to native BSG. Metabolism of free amino acids and synthesis of short chain fatty acids varied at different stages and parts of colon. The increase in butyric acid was similar in both the proximal and distal colon. In situ dextran and maltosyl-isomaltooligosaccharides, and higher content of proteins and fiber in BSG breads had a positive influence towards gut microbiota functionality. Along with several essential amino acids, an increase in amount of γ-aminobutyric acid was also observed after simulated digestion. BSG breads had a significant effect on the gut metabolome during in vitro digestion, showing increased production of microbial metabolites with potential health benefits

Screening methods for neonatal hyperbilirubinemia:benefits, limitations, requirements, and novel developments

Severe neonatal hyperbilirubinemia (SNH) is a serious condition that occurs worldwide. Timely recognition with bilirubin determination is key in the management of SNH. Visual assessment of jaundice is unreliable. Fortunately, transcutaneous bilirubin measurement for screening newborn infants is routinely available in many hospitals and outpatient settings. Despite a few limitations, the use of transcutaneous devices facilitates early recognition and appropriate management of neonatal jaundice. Unfortunately, however, advanced and often costly screening modalities are not accessible to everyone, while there is an urgent need for inexpensive yet accurate instruments to assess total serum bilirubin (TSB). In the near future, novel icterometers, and in particular optical bilirubin estimates obtained with a smartphone camera and processed with a smartphone application (app), seem promising methods for screening for SNH. If proven reliable, these methods may empower outpatient health workers as well as parents at home to detect jaundice using a simple portable device. Successful implementation of ubiquitous bilirubin screening may contribute substantially to the reduction of the worldwide burden of SNH. The benefits of non-invasive bilirubin screening notwithstanding, any bilirubin determination obtained through non-invasive screening must be confirmed by a diagnostic method before treatment. ImpactKey message: Screening methods for neonatal hyperbilirubinemia facilitate early recognition and timely treatment of severe neonatal hyperbilirubinemia (SNH). Any bilirubin screening result obtained must be confirmed by a diagnostic method. What does this article add to the existing literature? Data on optical bilirubin estimation are summarized. Niche research strategies for prevention of SNH are presented. Impact: Transcutaneous screening for neonatal hyperbilirubinemia contributes to the prevention of SNH. A smartphone application with optical bilirubin estimation seems a promising low-cost screening method, especially in low-resource settings or at home.Afdeling Klinische Chemie en Laboratoriumgeneeskunde (AKCL

Diagnostic methods for neonatal hyperbilirubinemia:benefits, limitations, requirements, and novel developments

Invasive bilirubin measurements remain the gold standard for the diagnosis and treatment of infants with severe neonatal hyperbilirubinemia. The present paper describes different methods currently available to assess hyperbilirubinemia in newborn infants. Novel point-of-care bilirubin measurement methods, such as the BiliSpec and the Bilistick, would benefit many newborn infants, especially in low-income and middle-income countries where the access to costly multi-analyzer in vitro diagnostic instruments is limited. Total serum bilirubin test results should be accurate within permissible limits of measurement uncertainty to be fit for clinical purposes. This implies correct implementation of internationally endorsed reference measurement systems as well as participation in external quality assessment programs. Novel analytic methods may, apart from bilirubin, include the determination of bilirubin photoisomers and bilirubin oxidation products in blood and even in other biological matrices. ImpactKey message: Bilirubin measurements in blood remain the gold standard for diagnosis and treatment of severe neonatal hyperbilirubinemia (SNH). External quality assessment (EQA) plays an important role in revealing inaccuracies in diagnostic bilirubin measurements. What does this article add to the existing literature? We provide analytic performance data on total serum bilirubin (TSB) as measured during recent EQA surveys. We review novel diagnostic point-of-care (POC) bilirubin measurement methods and analytic methods for determining bilirubin levels in biological matrices other than blood. Impact: Manufacturers should make TSB test results traceable to the internationally endorsed total bilirubin reference measurement system and should ensure permissible limits of measurement uncertainty.Afdeling Klinische Chemie en Laboratoriumgeneeskunde (AKCL

Bioprocessing of Brewers’ Spent Grain Enhances Its Antioxidant Activity: Characterization of Phenolic Compounds and Bioactive Peptides

Brewers’ spent grain (BSG) is the major by-product of the brewing industry which remain largely unutilized despite its nutritional quality. In this study, the effects of fermentation on BSG antioxidant potential were analyzed. A biotechnological protocol including the use of xylanase followed by fermentation with Lactiplantibacillus plantarum (Lactobacillus plantarum) PU1, PRO17, and H46 was used. Bioprocessed BSG exhibited enhanced antioxidant potential, characterized by high radical scavenging activity, long-term inhibition of linoleic acid oxidation and protective effect toward oxidative stress on human keratinocytes NCTC 2544. Immunolabelling and confocal laser microscopy showed that xylanase caused an extensive cell wall arabinoxylan disruption, contributing to the release of bound phenols molecules, thus available to further conversion through lactic acid bacteria metabolism. To clarify the role of fermentation on the antioxidant BSG potential, phenols were selectively extracted and characterized through HPLC-MS techniques. Novel antioxidant peptides were purified and identified in the most active bioprocessed BSG

3rd harmonic ECRH absorption enhancement by 2nd harmonic heating at the same frequency in a tokamak

The fundamental mechanisms responsible for the interplay and synergy between the absorption dynamics of extraordinary-mode electron cyclotron waves at two different harmonic resonances (the 2nd and 3rd) are investigated in the TCV tokamak. An enhanced 3rd harmonic absorption in the presence of suprathermal electrons generated by 2nd harmonic heating is predicted by Fokker-Planck simulations, subject to complex alignment requirements in both physical space and momentum space. The experimental signature for the 2nd/3rd harmonic synergy is sought through the suprathermal bremsstrahlung emission in the hard x-ray range of photon energy. Using a synthetic diagnostic, the emission variation due to synergy is calculated as a function of the injected power and of the radial transport of suprathermal electrons. It is concluded that in the present experimental setup a synergy signature has not been unambiguously detected. The detectability of the synergy is then discussed with respect to variations and uncertainties in the plasma density and effective charge in view of future optimized experiments