Geochemical Characterization and Temporal Changes in Parietal Gas Emissions at Mt. Etna (Italy) During the Period July 2000 - July 2003

Several types of natural gas emissions (soil gas, low temperature fumaroles, gas bubbling in mud pools) were collected monthly on Mt. Etna volcano between July 2000 and July 2003 both from its summit and its flanks. Samples were analysed for the determination of the concentrations of CO2, CH4, He, H2, CO as well as the isotopic ratios of 13 14 C/ C of CO2 (δ13C) and He (R/Ra). The analysed gases were chemically divided into two groups: air-contaminated (from sites closer to the summit vents of Mt. Etna) and CO2 - rich. Among the latter, samples from the lower SW flank of the volcano showed high contents of biogenic thermogenic and/or microbial CH4. Isotopic shift in the δ13C values is caused by input of organic CO2 and/or by interaction between magmatic CO2 and shallow ground water as a function of water temperature and CO2 flux from depth. Based on a graphic method applied to δ13 TDIC C of some ground water, the inferred isotopic composition of the pristine magmatic gas at Mt. Etna is characterised by δ13C values ranging from -2 to -1 0 00 . During the period July 2000 - July 2003 significant variations were observed in many of the investigated parameters almost at all monitored sites. Seasonal influences were generally found to be negligible, with only a limited effect of air temperature changes on soil CO2 and ground temperature in only two of the air-contaminated sites. The largest chemical anomalies were observed in the air-contaminated sites, probably because of the strong buffering power of local ground water on gases released through the most peripheral areas where the CO2-rich sites are located. The anomalous changes observed during the study period can be explained in terms of progressive gas release from separate batches of magma that ascend towards the surface in a step-wise manner. Data relevant to the period following the 2002-03 eruption suggest that magma kept accumulating beneath the volcano, thus increasing the probability of a new large eruption at Mt. Etna

The microbiota of the bilio-pancreatic system: A cohort, STROBE-compliant study

Background: The gut microbiota play an essential role in protecting the host against pathogenic microorganisms by modulating immunity and regulating metabolic processes. In response to environmental factors, microbes can hugely alter their metabolism. These factors can substantially impact the host and have potential pathologic implications. Particularly pathogenic microorganisms colonizing pancreas and biliary tract tissues may be involved in chronic inflammation and cancer evolution. Purpose: To evaluate the effect of bile microbiota on survival in patients with pancreas and biliary tract disease (PBD). Patients and Methods: We investigated 152 Italian patients with cholelithiasis (CHL), cholangitis (CHA), cholangiocarcinoma (CCA), gallbladder carcinoma (GBC), pancreas head carcinoma (PHC), ampullary carcinoma (ACA), and chronic pancreatitis (CHP). Demographics, bile cultures, therapy, and survival rates were analyzed in cohorts (T1 death <6 months; T2 death <12 months; T3 death <18 months, T3S alive at 18 months). Results: The most common bacteria in T1 were E. coli, K. pneumoniae, andP. aeruginosa. In T2, the most common bacteria were E. coli and P. aeruginosa. InT3, there were no significant bacteria isolated, while in T3S the most common bacteria were like those found in T1. E. coli and K. pneumoniae were positive predictors of survival for PHC and ACA, respectively. E. coli, K. pneumoniae, andP. aeruginosa showed a high percentage of resistant bacteria to 3CGS, aminoglycosides class, and quinolone group especially at T1 and T2 in cancer patients. Conclusions: An unprecedented increase of E. coli in bile leads to a decrease in survival. We suggest that some strains isolated in bile samples may be considered within the group of risk factors in carcinogenesis and/or progression of hepato-biliary malignancy. A better understanding of bile microbiota in patients with PBD should lead to a multifaceted approach to rapidly detect and treat pathogens before patients enter the surgical setting in tandem with the implementation of the infection control policy

Cluster of legionnaires’ disease in an Italian prison

Background: Legionella pneumophila (Lp) is the most common etiologic agent causing Legionnaires’ Disease (LD). Water systems offer the best growth conditions for Lp and support its spread by producing aerosols. From 2015 to 2017, the Regional Reference Laboratory of Clinical and Environmental Surveillance of Legionellosis of Palermo monitored the presence of Lp in nine prisons in Western Sicily. During this investigation, we compared Lp isolates from environmental samples in a prison located in Palermo with isolates from two prisoners in the same prison. Methods: We collected 93 water samples from nine Sicilian prisons and the bronchoalveolar lavages (BALs) of two prisoners considered cases of LD. These samples were processed following the procedures described in the Italian Guidelines for the Prevention and Control of Legionellosis of 2015. Then, genotyping was performed on 19 Lp colonies (17 from water samples and 2 from clinical samples) using the Sequence-Based Typing (SBT) method, according to European Study Group for Legionella Infections (ESGLI) protocols. Results: Lp serogroup (sg) 6 was the most prevalent serogroup isolated from the prisons analyzed (40%), followed by Lp sg 1 (16%). Most of all, in four penitentiary institutions, we detected a high concentration of Lp >104 Colony Forming Unit/Liter (CFU/L). The environmental molecular investigation found the following Sequence Types (STs) in Lp sg 6: ST 93, ST 292, ST 461, ST 728, ST 1317 and ST 1362, while most of the isolates in sg 1 belonged to ST 1. We also found a new ST that has since been assigned the number 2451 in the ESGLI-SBT database. From the several Lp sg 1 colonies isolated from the two BALs, we identified ST 2451. Conclusions: In this article, we described the results obtained from environmental and epidemiological investigations of Lp isolated from prisons in Western Sicily. Furthermore, we reported the first cluster of Legionnaires’ in an Italian prison and the molecular typing of Lp sg 1 from one prison’s water system and two BALs, identified the source of the contamination, and discovered a new ST

Current and future trends in the laboratory diagnosis of sexually transmitted infections

Sexually transmitted infections (STIs) continue to exert a considerable public health and social burden globally, particularly for developing countries. Due to the high prevalence of asymptomatic infections and the limitations of symptom-based (syndromic) diagnosis, confirmation of infection using laboratory tools is essential to choose the most appropriate course of treatment and to screen at-risk groups. Numerous laboratory tests and platforms have been developed for gonorrhea, chlamydia, syphilis, trichomoniasis, genital mycoplasmas, herpesviruses, and human papillomavirus. Point-of-care testing is now a possibility, and microfluidic and high-throughput omics technologies promise to revolutionize the diagnosis of STIs. The scope of this paper is to provide an updated overview of the current laboratory diagnostic tools for these infections, highlighting their advantages, limitations, and point-of-care adaptability. The diagnostic applicability of the latest molecular and biochemical approaches is also discussed

Knowledge of HIV infection, risk perception, and sexual behaviour of undergraduates. May female medical students act as peer educators?

This paper is aimed to verify whether the knowledge and beliefs of female medical freshmen about HIV infection, their personal risk perception, and their sexual behaviour differs from their female peers, in view of the possibility of female medical student-based peer education. A purposive, theoretical quota sampling method was used to recruit the target population. A self-administered anonymous questionnaire was delivered to both female medical and non medical freshmen during March 2004 (n = 266: 124 medical students and 142 non medical students) in Catania (Sicily). The data were analysed for the whole sample and for the two groups of students individually. The Chi-square test was used to compare data from the two groups of students. Results showed that knowledge and risk perception about HIV infection were higher for medical students when compared with non medical students. Moreover, a lower rate of sexually active medical students and a higher rate of condom use was found among them. Since female medical students seem more sensitive to risk perception and aware of healthier lifestyles, they could be useful in peer sexual education and appropriate prevention programmes against HIV infection

Modeling sand slides by a mechanics-based degenerate parabolic equation

Avalanching plays a crucial role in granular materials dynamics, in particular in the evolution of the shape of the leeward side of sand dunes. This paper presents a physically-based mathematical model capable of reproducing the kinematic evolution of the surface of sand piles and to obtain eventually the stationary configurations, in the presence of external sources as well. Simulation results with different boundary conditions and geometries are reported in order to show the high flexibility of the model. The model is also validated by means of comparison with the experimental results of different authors

Typing methods used in the molecular epidemiology of microbial pathogens: a how-to guide

Microbial typing is often employed to determine the source and routes of infections, confirm or rule out outbreaks, trace cross-transmission of healthcare-associated pathogens, recognize virulent strains and evaluate the effectiveness of control measures. Conventional microbial typing methods have occasionally been useful in describing the epidemiology of infectious diseases. However, these methods are generally considered too variable, labour intensive and time-consuming to be of practical value in epidemiological investigations. Moreover, these approaches have proved to be insufficiently discriminatory and poorly reproducible. DNA-based typing methods rely on the analysis of the genetic material of a microorganism. In recent years, several methods have been introduced and developed for investigation of the molecular epidemiology of microbial pathogens. Each of them has advantages and limitations that make them useful in some studies and restrictive in others. The choice of a molecular typing method therefore will depend on the skill level and resources of the laboratory and the aim and scale of the investigation. This study reviews the most popular DNA-based molecular typing methods used in the epidemiology of bacterial pathogens together with their advantages and limitations

The burden of hepatocellular carcinoma in non-alcoholic fatty liver disease: Screening issue and future perspectives

In recent decades, non-alcoholic fatty liver disease (NAFLD) has become the most common liver disease in the Western world, and the occurrence of its complications, such as hepatocellular carcinoma (HCC), has rapidly increased. Obesity and diabetes are considered not only the main triggers for the development of the disease, but also two independent risk factors for HCC. Single nucleotide polymorphisms (such as PNPLA3, TM6SF2 and MBOAT7) are related to the susceptibility to the development of HCC and its progression. Therefore, an appropriate follow-up of these patients is needed for the early diagnosis and treatment of HCC. To date, international guidelines recommend the use of ultrasonography with or without alpha-fetoprotein (AFP) in patients with advanced fibrosis. Furthermore, the use of non-invasive tools could represent a strategy to implement surveillance performance. In this review, we analyzed the main risk factors of NAFLD-related HCC, the validated screening methods and the future perspectives

Persistent oral and urinary Candida spp. carriagein Italian HIV-seropositive asymptomatic subjects

The aim of the present study was to ascertain frequency and persistence of Candida spp. oral and urinary carriage in asymptomatic, HAART-naive HIV-seropositive subjects who had not undergone therapy with antimycotic drugs, and whose CD4+ lymphocyte count was greater than 200/?l. Oral carriage was the most common Candida spp. carriage (63.0% of the subjects), while candiduria was more rarely observed (6.5%). C. albicans was recovered from the majority of the subjects examined (56.5%), followed by C. krusey (4.3%), C. tropicalis (2.2%) and C. dubliniensis (2.2%). C. albicans was also isolated from two urinary carriers (4.3%) and C. glabrata from another one (2.2%). The same C. albicans clone was repeatedly isolated from 14 out of 15 oral carriers while the same clone of C. dubliniensis was repeatedly isolated from one carrier, as shown by the persistence of RAPD fingerprint of serial isolates during one year of follow-up. Since persistence of Candida spp. carriage may influence the development of clinical candidiasis in immunocompromised hosts, monitoring of the carrier status could be useful for preventing clinical thrush in HIV-seropositive subjects