The Academic Publication Service AlmaDL Journals and the New Challenges of Open Access

AlmaDL Journals is an Open Access publishing service of the University of Bologna, Italy. After 5 years from the publication of the first paper in Conservation Science in Cultural Heritage about the service, we review the transformations and the growth it has experienced during this time span, with a look at the changes that have occurred in Open Access publishing that have driven and inspired the modifications adopted by AlmaDL Journals

Mortality and Malnutrition Among Populations Living in South Darfur, Sudan: Results of 3 Surveys, September 2004.

CONTEXT: Mass violence against civilians in the west of Sudan has resulted in the displacement of more than 1.5 million people (25% of the population of the Darfur region). Most of these people are camped in 142 settlements. There has been increasing international concern about the health status of the displaced population. OBJECTIVE: To perform rapid epidemiological assessments of mortality and nutritional status at 3 sites in South Darfur for relief efforts. DESIGN, SETTING, AND PARTICIPANTS: In August and September 2004, mortality surveys were conducted among 137,000 internally displaced persons (IDPs) in 3 sites in South Darfur (Kass [n = 900 households], Kalma [n = 893 households], and Muhajiria [n = 900 households]). A nutritional survey was performed concomitantly among children aged 6 to 59 months using weight for height as an index of acute malnutrition (Kass [n = 894], Kalma [n = 888], and Muhajiria [n = 896]). A questionnaire detailing access to food and basic services was administered to a subset of households (n = 210 in each site). MAIN OUTCOME MEASURES: Crude and under 5-year mortality rates and nutritional status of IDPs in Kass, Kalma, and Muhajiria, South Darfur. RESULTS: Crude mortality rates, expressed as deaths per 10,000 per day, were 3.2 (95% confidence interval [CI], 2.2-4.1) in Kass, 2.0 (95% CI, 1.3-2.7) in Kalma, and 2.3 (95% CI, 1.2-3.4) in Muhajiria. Under 5-year mortality rates were 5.9 (95% CI, 3.8-8.0) in Kass, 3.5 (95% CI, 1.5-5.7) in Kalma, and 1.0 (95% CI, 0.03-1.9) in Muhajiria. During the period of displacement covered by our survey in Muhajiria, violence was reported to be responsible for 72% of deaths, mainly among young men. Diarrheal disease was reported to cause between 25% and 47% of deaths in camp residents and mainly affected the youngest and oldest age groups. Acute malnutrition was common, affecting 14.1% of the target population in Kass, 23.6% in Kalma, and 10.7% in Muhajiria. CONCLUSION: This study provides epidemiological evidence of the high rates of mortality and malnutrition among the displaced population in South Darfur and reinforces the need to mount appropriate and timely humanitarian responses

First EC-JRC PAHs Inter-laboratory comparison on PM10 quartz filters

This report presents the results of the first intercomparison for PAHs analysed on quartz filters carried out by the JRC between April and December 2010. Seventeen national reference laboratories participated in this exercise. Four different filters representing winter and summer periods in two different locations (Madrid and Prague) and two blanks were tested during the exercise. 15 PAHs were considered for analysis from phenanthrene to Benzo[g,h,i]perylene, including benzo-a-pyrene. In general, the results of the exercise showed median overall uncertainties ranging from 10 to 90 %, depending on the compound and the analysed concentration. Median Benzo-(a)-Pyrene overall uncertainty ranged between 30 and 50 %, increasing with the decrease of the concentration. The exercise demonstrates the validity of the current methodology for organising PAHs intercomparison exercises in PM10 filters. Laboratories exhibited better performance in the analysis of those compounds where reference material was found in the market. The need for implementing a consistent traceability system for measurements is deduced from the systematic biases associated to laboratory behaviour.JRC.H.2-Air and Climat

Low efficacy of the combination artesunate plus amodiaquine for uncomplicated falciparum malaria among children under 5 years in Kailahun, Sierra Leone.

OBJECTIVE: In 2004, Sierra Leone adopted artesunate plus amodiaquine as first-line antimalarial treatment. We evaluated the efficacy of this combination in Kailahun, where a previous study had shown 70.2% efficacy of amodiaquine in monotherapy. METHODS: Method and outcome classification of the study complied with WHO guidelines. Children 6-59 months with uncomplicated malaria were followed-up for 28 days. PCR genotyping was used to distinguish recrudescence from reinfection. Reinfections were reclassified as cured. RESULTS: Of 172 children who were referred to the study clinic, 126 satisfied inclusion criteria and were enrolled. No early treatment failures were reported. The day 14, efficacy was 98.2% (95% CI: 93.8-99.8). Of 65 recurrent parasitaemias analysed by PCR, 17 were recrudescences. The PCR-adjusted day 28 efficacy was 84.5% (95% CI: 76.4-90.7). All true failures occurred in the last 8 days of follow-up. Of 110 children who completed the 28-day follow-up, 54 (49.1%) experienced a novel infection. CONCLUSION: The efficacy of this combination was disappointing. The high reinfection rate suggested little prophylactic effect. In Kailahun a more efficacious combination might be necessary in the future. The efficacy of AS + AQ needs to be monitored in Kailahun and in the other regions of Sierra Leone

Oral mucositis caused by Candida glabrata biofilms: failure of the concomitant use of fluconazole and ascorbic acid

Objectives: Candida glabrata is becoming one of the most prevalent pathogenic yeasts in cases of oral diseases. Mucositis is an recurrent oral infection in immunocompromised patients, and the actual guidelines recommend the use of fluconazole (Flu) for many cases. However, the azole resistance by C. glabrata is renowned, causing a reduced therapeutic response, especially when it occurs in biofilms. In this study, we performed an in vitro evaluation of an alternative pharmacotherapy for C. glabrata biofilm infections, combining ascorbic acid (AA) with Flu. AA is recognized for degrading -glucans, an important compound of the biofilm matrices, which prevent drug diffusion. Materials and Methods: Thus, routine clinical 30 or 40mg/l doses of Flu were applied to C. glabrata biofilms simultaneously with 200 or 300mg/l of AA. Results: The results showed that this combination effectively promoted the degradation of the biofilm network, but unfortunately, also stimulated the growth of the yeasts population due to release of several glucose monomers during -glucans hydrolysis. Conclusions: As a result, it was proven that, contrary to what happens in treatment of bacterial infection, AA should not be used together with Flu in the treatment of oral mucositis caused by Candida.The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Programa Operacional, Fatores de competitividade – COMPETE and by national funds through FCT – Fundação para a Ciência e a Tecnologia on the scope of the projects FCT PTDC/SAU-MIC/119069/2010, RECI/EBBEBI/0179/2012 and PEst-OE/EQB/LA0023/2013 and Célia F. Rodrigues’ SFRH/BD/93078/2013 PhD grant

L'anatocismo

The anatocism is a mechanism that consists in taking compound interest for the creditor (from greek words “Ana” that means again and “tokos” that means interest). The thesis, in its first part, is oriented to showing the basis of the anatocism in the italian system and in other European country. Other aspects in the first chapter are: connection with money and interests. The second chapter is dedicated to the evolution of anatocism in Italy specifically in banking regulation: in effect a lot of questions have arisen around the application of anatocism by Italian banks. One of this problem was connected to the meaning of customary law. For twenty years Italian Courts had considered lawful the anatocism in banking system , but in 1999 the Supreme Court said that it was illegal because it wasn’t allowed by civil code (art. 1283). The job wants to retrace the story of anatocism and to examine in depth questions that are still open concerning the evolution of precedents (about the restitution of illegal compound interests, burden of proof and prescription period). Moreover wants to analyze the new law that probably decided that anatocism in banking system isn’t allowed anymore. The aim of the job is to meditate on basis of anatocism especially on its basic reasons and its connection with other type of interest

Assessing the risk of importing dengue and chikungunya viruses to the European Union

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VOLCANIC CONTRIBUTIONS TO SEDIMENTATION IN UPPER BURDIGALIAN-LOWER LANGHIAN SEDIMENTS OF THE VENETIAN MOLASSIC BASIN

In the Upper Burdigalian-Lower Langhian sediments of the Venetian molassic basin two vol­caniclastic layers are clearly recognizable, respectively within the Globigerinoides trilobus and Praeorbulina glomerosa zones of Bizon & Bizon (1972). The chemical composition of well-preserved glass shards, tested by electron microprobe, reveals rhy­olitic composition and provides information about contemporaneous acidic explosive volcanism. Due to the probably depositional mechanism (fallout), the location of the effusive centres remains unknown. Although many ash layers are quite well-known in the same stratigraphic interval throughout the Apennine chain, a ten­tative correlation still seems very difficult, due to different methods of analysis and dating criteria

Critical issues in the relationships between patient relatives and hospital staff: qualitative research based on focus group

In Italy the number of elderly patients is increasing and often a family member, also called primary caregiver (CG), assists them. The aim of this study is to describe the peculiar relationships between the family primary CG and the hospital staff, when an elderly patient is admitted to hospital, to demonstrate how this may affect his/her clinical management during the hospital stay and formulate new research projects and organizational rearrangements

Supervised versus unsupervised antimalarial treatment with six-dose artemether-lumefantrine: pharmacokinetic and dosage-related findings from a clinical trial in Uganda.

BACKGROUND: A six-dose antimalarial regimen of artemether-lumefantrine (A/L) may soon become one of the most widely used drug combination in Africa, despite possible constraints with adherence and poor absorption due to inadequate nutrition, and a lack of pharmacokinetic and effectiveness data. METHODS: Within a trial of supervised versus unsupervised A/L treatment in a stable Ugandan Plasmodium falciparum transmission setting, plasma lumefantrine concentrations were measured in a subset of patients on day 3 (C [lum]day3) and day 7 (C [lum]day7) post-inclusion. Predictors of lumefantrine concentrations were analysed to show how both C [lum]day7 and the weight-adjusted lumefantrine dose affect 28-day recrudescence and re-infection risks. The implications of these novel findings are discussed in terms of the emergence of lumefantrine-resistant strains in Africa. RESULTS: C [lum]day3 and C [lum]day7 distributions among 241 supervised and 238 unsupervised patients were positively skewed. Unsupervised treatment and decreasing weight-adjusted lumefantrine dose were negatively associated with C [lum]day3. Unsupervised treatment and decreasing age showed strong negative associations with C [lum]day7. Both models were poorly predictive (R-squared < 0.25). There were no recrudescences in either arm, but decreasing lumefantrine dose per Kg resulted in up to 13-fold higher adjusted risks of re-infection. Re-infections occurred only among patients with C [lum]day7 below 400 ng/mL (p < 0.001). CONCLUSION: Maintaining the present six-dose regimen and ensuring high adherence and intake are essential to maximize the public health benefits of this valuable drug combination