9 research outputs found

    Strategies for preventing group B streptococcal infections in newborns: A nation-wide survey of Italian policies

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    Photographic identification in reptiles: a matter of scales

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    Photographic identification is a promising marking technique alternative to the toe-clipping, since it is completely harmless, cheap, and it allows long time identification of individuals. Its application to ecological studies is mainly limited by the time consuming to compare pictures within large datasets and the huge variation of ornamentation patterns among different species, which prevent the possibility that a single algorithm can effectively work for more than few species. Scales of Reptiles offer an effective alternative to ornamentations for computer aided identification procedures, since both shape and size of scales are unique to each individual, thus acting as a fingerprint like ornamentation patterns do.We used the Interactive Individual Identification System (I3S) software to assess whether different individuals of two species of European lizards (Podarcis muralis and Lacerta bilineata) can be reliably photographically identified using the pattern of the intersections among pectoral scales as fingerprints. We found that I3S was able to identify different individuals among two samples of 21 individuals for each species independently from the error associated to the ability of the operators in collecting pictures and in digitizing the pattern of intersections among pectoral scales. In a database of 1043 images of P. muralis collected between 2007 and 2008, the software recognized 98% of recaptures within each year, and 99% of the recaptures between years. In addition, 99% and 96% of matches were ranked among the top five, and no more than 5 minutes were needed for digitizing and processing each image. The lepidosis of reptiles is a reliable alternative to ornamentation patterns in photographic identification of reptiles, which can be effectively analysed using the I3S software. This result represents a significant improvement in photographic identification of reptiles since (i) this procedure can be easily extended to most other species of reptiles, (ii) all kind of individuals within a species can be marked (i.e., young, subadults and adults) despite the differences in ornamentation patterns, and (iii) it is the only technique for species, like the western green lizard, which lack a clear ornamentation pattern

    Sustained lung inflation to manage preterm infants (25-29 weeks' gestation) in the delivery room: The Italian SLI study

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    There is not a conclusive role of Sustained Lung Inflation (SLI) in the management of preterm infants at risk for RDS in the delivery room. This strategy would permit lung recruitment immediately after birth through delivery of brief peak pressure to the infant airways via a nasopharyngeal tube or mask allowing preterm infants to achieve FRC and reduce need of mechanical ventilation. We planned in Italy a randomized controlled trial (RCT) to confirm or refute these findings. \ua9 2013 Elsevier Ireland Ltd

    Strategies for preventing group B streptococcal infections in newborns: A nation-wide survey of Italian policies

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    Background: There are no Italian data regarding the strategies for preventing neonatal group B streptococcal (GBS) infection. We conducted a national survey in order to explore obstetrical, neonatal and microbiological practices for the GBS prevention. Methods: Three distinct questionnaires were sent to obstetricians, neonatologists and microbiologists. Questionnaires included data on prenatal GBS screening, maternal risk factors, intrapartum antibiotic prophylaxis, microbiological information concerning specimen processing and GBS antimicrobial susceptibility. Results: All respondent obstetrical units used the culture-based screening approach to identify women who should receive intrapartum antibiotic prophylaxis, and more than half of the microbiological laboratories (58%) reported using specimen processing consistent with CDC guidelines. Most neonatal units (89 out of 107, 82%) reported using protocols for preventing GBS early-onset sepsis consistent with CDC guidelines. Conclusions: The screening-based strategy is largely prevalent in Italy, and most protocols for preventing GBS early-onset sepsis are consistent with CDC guidelines. However, we found discrepancies in practices among centers that may reflect the lack of Italian guidelines issued by public health organizations

    Strategies for preventing group B streptococcal infections in newborns: A nation-wide survey of Italian policies

    No full text
    Background: There are no Italian data regarding the strategies for preventing neonatal group B streptococcal (GBS) infection. We conducted a national survey in order to explore obstetrical, neonatal and microbiological practices for the GBS prevention. Methods: Three distinct questionnaires were sent to obstetricians, neonatologists and microbiologists. Questionnaires included data on prenatal GBS screening, maternal risk factors, intrapartum antibiotic prophylaxis, microbiological information concerning specimen processing and GBS antimicrobial susceptibility. Results: All respondent obstetrical units used the culture-based screening approach to identify women who should receive intrapartum antibiotic prophylaxis, and more than half of the microbiological laboratories (58%) reported using specimen processing consistent with CDC guidelines. Most neonatal units (89 out of 107, 82%) reported using protocols for preventing GBS early-onset sepsis consistent with CDC guidelines. Conclusions: The screening-based strategy is largely prevalent in Italy, and most protocols for preventing GBS early-onset sepsis are consistent with CDC guidelines. However, we found discrepancies in practices among centers that may reflect the lack of Italian guidelines issued by public health organizations
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