Mountain glaciers darkening: geochemical characterizazion of cryoconites and their radiative impact on the Vadret da Morteratsch (Swiss Alps)

Mountain glaciers represent an important source of fresh water across the globe. It is well known that these reservoirs are seriously threatened by global climate change, and a widespread reduction of glacier extension has been observed in recent years. Surface processes that promote ice melting are driven both by air temperature/precipitation and surface albedo. This latter is mainly influenced by the growth of snow grains and by the impurities content (such as mineral dust, soot, ash etc.). The origin of these light-absorbing impurities can be local or distal, and often, as a consequence of melting processes, they can aggregate on the glacier tongue, forming characteristics cryoconites, that decrease ice albedo and hence promote the melting. In this contribution, we coupled satellite images (EO1 \u2013 Hyperion and Landsat 8 - OLI) and ground hyperspectral data (ASD field spectrometer) for characterizing ice and snow surface reflectance of the Vadret da Morteratsch glacier (Swiss Alps). On the glacier ablation zone, we sampled ice, snow, surface dust and cryoconite material. To evaluate the possible impact of anthropogenic and natural emissions on cryoconites formation, we determined their geochemical composition (through the Neutron Activation Analysis, NAA) and the concentration of Black Carbon (BC), Organic Carbon (OC), Elemental Carbon (EC) and Levoglucosan. From satellite data, we computed the Snow Darkening Index (SDI), which is non-linearly correlated with dust content in snow. Results showed that, during 2015 summer season, ice albedo in the ablation zone reached very low values of about 0.1-0.2. The darkening of the glacier can be attributed to the impact of surface dust (from lateral moraine and Saharan desert) and cryoconites, coupled with grain growth driven by the extremely warm 2015 summer. The geochemical characterization of non-ice material contained in the cryoconites can provide important information regarding their source and the possible impact of anthropogenic emissions on cryoconites formation and evolution

The need for new "patient-related" guidelines for the treatment of acute cholecystitis

Heterogeneity of patients affected by acute cholecystitis, and their co-morbidities make very difficult to standardize the therapy for this very common condition. The staging system suggested in the recent "Tokyo guidelines", did not show a relevant impact on the management of patients and on the outcome of the disease. The relation among local pathological picture, patient clinical status and treatment algorithm, has to be better studied

Thoracic wall reconstruction with Collamend® in trauma: report of a case and review of the literature

Introduction: Despite progress in reconstructive techniques, rebuilding portions of the thorax remains challenging, in particular when large resections, contamination or infection are involved. No other cases of thoracic reconstruction in trauma patients with biological prosthesis have been described since now.Methods: We report a case of thoracic reconstruction in highly infected field in a trauma patient. We also performed a literature review about the topic.Conclusion: Collamend® demonstrated its usefulness in thoracic wall reconstruction even in trauma patients and infected fields. © 2012 Coccolini et al.; licensee BioMed Central Ltd

Laparoscopic HIPEC: A bridge between open and closed-techniques

Hyperthermic intraperitoneal chemotherapy (HIPEC) is currently delivered after cytoreductive surgery in patients with several kinds of peritoneal surface malignancies. Different methods for delivering HIPEC have been proposed all of them being variations between two modalities: the open technique and the closed technique. The open technique assures optimal distribution of heat and cytotoxic solution, with the disadvantage of heat loss and leakage of cytotoxic drugs. The closed technique prevents heat loss and drug spillage, increases drug penetration, but does not warrant homogeneous distribution of the perfusion fluid. A novel procedure that combines the advantages of the two techniques by means of laparoscopy is herein presented

An integrated PM2.5 source apportionment study: Positive Matrix Factorisation vs. the Chemical Transport Model CAMx

none8Receptor and Chemical Transport Models are commonly used tools in source apportionment studies, even if different expertise is required. We describe an experiment using both approaches to apportion the PM2.5 (i.e., particulate matter with aerodynamic diameters below 2.5 m) sources in the city of Genoa (Italy). A sampling campaign was carried out to collect PM2.5 samples daily for approximately six month during 2011 in three sites. The subsequent compositional analyses included the speciation of elements, major ions and both organic and elemental carbon; these data produced a large database for receptor modelling through Positive Matrix Factorisation (PMF). In the same period, a meteorological and air quality modelling system was implemented based on the mesoscale numerical weather prediction model WRF and the chemical transport model CAMx to obtain meteorological and pollutant concentrations up to a resolution of 1.1 km. The source apportionment was evaluated by CAMx over the same period that was used for the monitoring campaign using the Particulate Source Apportionment Technology tool. Even if the source categorisations were changed (i.e., groups of time-correlated compounds in PMF vs. activity categories in CAMx), the PM2.5 source apportionment by PMF and CAMx produced comparable results. The different information provided by the two approaches (e.g., real-world factor profile by PMF and apportionment of a secondary aerosol by CAMx) was used jointly to elucidate the composition and origin of PM2.5 and to develop a more general methodology. When studying the primary and secondary components of PM, the main anthropogenic sources in the area were road transportation, energy production/industry and maritime emissions, accounting for 40% - 50%, 20% - 30% and 10% - 15%, of PM2.5, respectively.M. C. Bove; P. Brotto; F. Cassola; E. Cuccia; D. Massabò; A. Mazzino; A. Piazzalunga; P. PratiBove, MARIA CHIARA; Brotto, Paolo; Cassola, Federico; Cuccia, ELEONORA SIMONA; Massabo', Dario; Mazzino, Andrea; A., Piazzalunga; Prati, Paol

PM10 source apportionment applying PMF and chemical tracer analysis to ship-borne measurements in the Western Mediterranean

A PM10 sampling campaign was carried out on board the cruise ship Costa Concordia during three weeks in summer 2011. The ship route was Civitavecchia-Savona-Barcelona-Palma de Mallorca-Malta (Valletta)-Palermo-Civitavecchia. The PM10 composition was measured and utilized to identify and characterize the main PM10 sources along the ship route through receptor modelling, making use of the Positive Matrix Factorization (PMF) algorithm. A particular attention was given to the emissions related to heavy fuel oil combustion by ships, which is known to be also an important source of secondary sulphate aerosol. Five aerosol sources were resolved by the PMF analysis. The primary contribution of ship emissions to PM10 turned out to be (12 ± 4)%, while secondary ammonium sulphate contributed by (35 ± 5)%. Approximately, 60% of the total sulphate was identified as secondary aerosol while about 20% was attributed to heavy oil combustion in ship engines. The measured concentrations of methane sulphonic acid (MSA) indicated a relevant contribution to the observed sulphate loading by biogenic sulphate, formed by the atmospheric oxidation of dimethyl sulphide (DMS) emitted by marine phytoplankton.JRC.H.2-Air and Climat

The need for red blood cell transfusions in the emergency department as a risk factor for failure of non-operative management of splenic trauma: a multicenter prospective study

The majority of patients with splenic trauma undergo non-operative management (NOM); around 15% of these cases fail NOM and require surgery. The aim of the current study is to assess whether the hemodynamic status of the patient represents a risk factor for failure of NOM (fNOM) and if this may be considered a relevant factor in the decision-making process, especially in Centers where AE (angioembolization), intensive monitoring and 24-h-operating room are not available. Furthermore, the presence of additional risk factors for fNOM was investigated

Impact of ATLS guidelines, trauma team introduction, and 24-hour mortality due to severe trauma in a busy, metropolitan Italian hospital: A case control study

Advanced Trauma Life Support (ATLS) guidelines are widely accepted for use in initial management of trauma patients. The application of ATLS guidelines and introduction of management by means of trauma team (TT) both took place in April 2011. The aim of the present study was to evaluate related effects on mortality in the shock room (SR) and at 24 hours after admission