Una visión de la obra y el herbario de Rouy a través del género Carex L.

Se analiza la obra de Georges Rouy, célebre botánico francés, mediante el estudio de sus materiales así como del tratamiento del género Carex (Cyperaceae) en la Flore de France. Se valora favorablemente el conocimiento que el autor demuestra sobre este género, puesto de manifi esto al incluir subgéneros en la clasifi cación taxonómica. Asimismo la sinonimia que propone para cada nombre y las descripciones de los taxones son muy completas. Al contrario, se valora negativamente la excesiva fragmentación que estableció, pues incluyó demasiadas secciones y subsecciones. Finalmente, su rechazo a utilizar las normas nomenclaturales establecidas por el Código de Nomenclatura Botánica conduce a la confusión e impide que la mayoría de sus nombres sean válidos.The George Rouy’s work, a famous French botanist, is studied by means of his material and literature of the genus Carex (Cyperaceae). We assess positively the knowledge that he demonstrated of this genus; because of the subgenera differentiated in his treatment, besides the complete synonymy presented for each name and the taxa descriptions. But he splitted excessively the infrageneric classifi cation including too many sections and subsections. Finally, most of the names he proposed are invalid because of his rejection of the International Code of Botanical Nomenclature recommendations and rules

Long-Term Efficacy of Intensive Zoledronate Therapy and Predictors of Retreatment in Paget’s Disease of Bone

Despite the current debate on the best therapeutic approach, i.e. symptomatic vs intensive strategy, one zoledronate (Zol) infusion is effective in most patients with Paget’s disease of bone (PDB), whereas few need retreatment, whose predictors are not well established. We aimed to evaluate long-term efficacy of intensive Zol therapy and predictors of retreatment in PDB. Pagetic complications, clinical and biochemical response to Zol together with frequency of retreatment were retrospectively assessed in forty-seven PDB patients (age, mean ± SD: 72.5 ± 8.9 years, M/F: 24/23; symptomatic/asymptomatic: 16/31). Statistical analysis for retreatment prediction were based on Mann–Whitney U test, Pearson’s Χ2 and ROC curve analysis. During seven-year follow-up, all patients achieved pain relief and only one underwent arthroplasty. Bone alkaline phosphatase (BAP) detected three non-responder (6%) and six relapsing (13%) patients needing retreatment. Retreated patients had less old age (66.1 ± 11.2 vs 74.0 ± 7.7 years), higher frequency of polyostotic disease (78% vs 40%) and higher baseline (96.5 ± 24.8 vs 44.9 ± 27.7 mcg/l) and post-Zol nadir BAP levels (24.7 ± 24.1 vs 8.1 ± 4.1 mcg/l) than patients treated once (p < 0.05 for all comparisons). In multivariate analysis both serum baseline and post-Zol nadir BAP significantly predicted retreatment (OR 1.09, 95%CI 1.01–1.17 and 1.29, 1.03–1.62, respectively), with ROC curve analysis showing the greatest accuracies for threshold values of 75.6 and 9.9 mcg/l (sensitivity 88 and 90%, specificity 94 and 86%, AUC 0.92 and 0.93, respectively). Our data in mostly asymptomatic, metabolically active PDB patients treated with intensive Zol therapy show a negligible incidence of pagetic complications and long-term optimal disease control, with BAP being the best predictor of retreatment

Ornamental Stones of Piemonte (NW Italy): an updated geo-lithological map

The 'Ornamental Stones of Piemonte Region' geo-lithological map at 1:250,000 scale aims at reviewing the ornamental stone heritage of Piemonte at the regional scale. The map derives from a thorough revision of the available literature, integrated with some unpublished original data. The map shows the location of the main quarries of ornamental stones of the region, selected on the basis of their historical, cultural and architectonic relevance. A geo-lithological basemap was produced, deriving it from a basic Geological Map of Piemonte, available at the same scale. The large varieties of lithotypes of Piemonte have been resumed, in the new map, into 21 classes, which all the ornamental stones have been assigned to. The Main Map is enriched by some significant examples of using the ornamental stones in historical buildings, and it is supported by a supplementary data base containing essential information about the quarry sites and the quarried material

Nasal Carriage of Staphylococcus Aureus and Cross-Contamination in a Surgical Intensive Care Unit: Efficacy of Mupirocin Ointment

A six month prospective study was carried out in a surgical intensive care unit (SICU) of a university hospital to assess the incidence and routes of exogenous colonization by Staphylococcus aureus. A total of 157 patients were included in the study. One thousand one hundred and eleven specimens (nasal, surgical wound swabs, tracheal secretions obtained on admission and once a week thereafter, and all clinical specimens) were collected over a four month period from patients without nasal decontamination (A). They were compared with 729 specimens collected over a two month period from patients treated with nasal mupirocin ointment (B). All S. aureus strains were typed by restriction fragment length polymorphism (RFLP) pulsed-field gel electrophoresis after SmaI macrorestriction. The nasal colonization rates on admission were 25.5 and 32.7% in groups A and B, respectively. Thirty-one untreated patients (31.3%) and three patients (5.1%) treated with nasal ointment, acquired the nasal S. aureus in the SICU (P = 0.00027). Nasal carriers were more frequently colonized in the bronchopulmonary tract (Bp) and surgical wound (Sw) (62%) than patients who were not nasal carriers (14%) (P < 0.00001). The patterns were identical for nasal, Bp and Sw strains from the same patient. RFLP analysis characterized seven epidemic strains of methicillin-resistant S. aureus (MRSA) which colonized 60% of group A and 9% of group B patients (P < 0.00001). The bronchopulmonary tract infection rate was reduced in group B (P = 0.032). In conclusion, in an SICU, nasal carriage of S. aureus appeared to be the source of endogenous and cross- colonization. The use of nasal mupirocin ointment reduced the incidence of Bp and Sw colonization, as well as the MRSA infection rate