Architettura stratigrafica ed evoluzione del Golfo di Pozzuoli negli ultimi 15 ka:una nuova prospettiva sulla caldera del Tufo Giallo Napoletano,Campi Flegrei, margine tirrenico orientale.

I Campi Flegrei rappresentano un distretto vulcanico attivo che si sviluppa al confine tra il settore emerso e sommerso del margine continentale campano. Il distretto vulcanico occupa una superficie di circa 200 km2, è strutturalmente dominato da una caldera di collasso del diametro di circa 8 km formatasi in seguito all’eruzione del Tufo Giallo Napoletano (TGN), un deposito ignimbritico del volume di 30-50 km3 Dense Rock Equivalent, datato a 15 ka B.P. circa, ed è attivo da almeno 78 ka B.P circa. L’obiettivo di questo lavoro è di ricostruire l’architettura stratigrafica e l’evoluzione vulcanotettonica tardo-Quaternaria del sistema caldera di collasso - faglia anulare - risorgenza intra-calderica del settore sommerso della caldera del TGN. A tal fine è stata analizzata una fitta maglia di profili sismici a riflessione monocanale di alta (Sparker) ed altissima (Subbottom Chirp) risoluzione. I dati sismici sono stati successivamente integrati sia con quelli ottenuti dall’analisi di carotaggi a gravità e batimetrici multibeam che con quelli disponibili in letteratura e, nell’insieme, analizzati in ambiente GIS. I nuovi dati indicano che il settore interno dell’area collassata a seguito dell’eruzione del TGN evolve inizialmente in condizioni di mare basso. L’area intra-calderica viene successivamente interessata dalla formazione di una struttura antiforme (risorgenza intra-calderica) il cui tasso di sollevamento è stato comparabile con l’innalzamento eustatico nell’intervallo Pleistocene superiore – Olocene [Lambeck et al., 2011]. A circa 10 ka B.P. il settore centrale della struttura risorgente raggiunge l’esposizione subaerea (terrazzo morfologico de “La Starza”). La calibrazione dei profili sismici Chirp con markers tefro-stratigrafici riconosciuti in un carotaggio e datati al 1538 A.D., 79 A.D. indica l’instaurarsi di un periodo di subsidenza in epoca post-Romana, registrato dall’annegamento di 10-25 m del cuneo di progradazione infralittorale rispetto alle profondità di equilibrio funzionale attualmente segnalate in area Mediterranea. L’interpretazione sismostratigrafica rivela, inoltre, la presenza di fluidi che risalgono attraverso la zona di faglia anulare che delimita la caldera del TGN. Bibliografia Lambeck, K., Antonioli, F., Anzidei, M., Ferranti, L., Leoni, G., Scicchitano, G., Silenzi, S., (2011). Sea level change along the Italian coast during the holocene and projections for the future. Quaternary International, 232, 250-257

The Neapolitan Yellow Tuff caldera offshore the Campi Flegrei: Stratal architecture and kinematic reconstruction during the last 15 ky

In this study we integrate high-resolution swath bathymetry, single channel reflection seismic data and gravity core data, to provide new insights into the shallow structure and latest Quaternary to Holocene evolution of the submerged sector of the Neapolitan Yellow Tuff (NYT) caldera (Campi Flegrei) in the Pozzuoli Bay. The new data allow for a reconstruction of the offshore geometry of the NYT caldera collapse\u2013ring fault system, along with the style and timing of deformation of the inner caldera resurgence. Our interpretation shows that the NYT eruption (~15 ka BP) was associated with a caldera collapse bounded by an inward-dipping ring fault system. The ring fault system consists in a 1\u20132 km wide fault zone that encircles an inner caldera region ~5 km in diameter and is often marked by the occurrence of pore fluids ascending through the fault zone, up to the seafloor, particularly in the western sector of the bay. A shallow magmatic intrusion along the ring fault zone was also detected offshore Bagnoli in the eastern part of the Pozzuoli Bay. Following the NYT eruption, the inner caldera region underwent significant deformation and resurgence with a maximum cumulative uplift of the offshore structure in the order of 180 m. The net uplift rate of the caldera resurgent dome was ~9\u201312 mm/year during the period 15.0\u20136.6 ka BP. The style of deformation of the resurgent structure can be described in terms of a broad doming, accompanied by subordinate brittle deformation, mostly concentrated in a small apical graben at the summit of the resurgent dome. Chronostratigraphic calibration of seismic profiles obtained by three tephra layers cored in the Pozzuoli Bay indicates 5 to 25 m of post-Roman differential subsidence and tilting towards ESE of the inner caldera resurgence, as recorded by the drowning of the infralittoral prograding wedge below the present-day storm wave base

Tephrochronology in faulted Middle Pleistocene tephra layer in the Val d’Agri area (Southern Italy)

The High Agri River Valley is a Quaternary Basin located along the hinge of the Southern Apennines fold-andthrust belt. The inner margin of the orogen has been affected by intense transtensional and normal faulting, which accompanied vigorous volcanism during the Quaternary. Marker tephra layers are distributed across the whole of Southern Italy and provide a powerful tool to constrain both the size of eruptions and the regional activity of extensional faults controlling basin evolution. Paleoseismological trenching within the Monti della Maddalena range, that borders the Agri River Valley to the south-west, has exposed a faulted stratigraphic sequence and recovered a 10 cm thick tephra layer involved in deformation. This is the first tephra horizon recognized in the high Agri Valley, which, based on the stratigraphic study of the trench, lies in a primary position. 40Ar/39Ar dating constrain its age to 266 ka and provide an important marker for the Middle Pleistocene tephrochronology of the region. Together with dating, geochemical analysis suggests a possible volcanic source in the Campanian region

Impact of Candida species colonization and azoles resistance in a neonatal intensive care unit

Background: Candida species are among the top 10 most frequently isolated nosocomial bloodstream pathogens in Europe. In particular, in neonatal intensive care units (NICUs) Candida infections are an emerging concern because of the increasing incidence, the related high morbidity and mortality rates reported. Moreover, the epidemiology of Candida infection rapidly changed in these years leading to the selection of less sensitive strains and species. Surveillance studies are mandatory to identify the local distribution of species, their antifungal susceptibility profiles and the emergence of resistance strains. Material/methods: From December 2012 we performed a cohort prospective surveillance study in our NICU, collecting weekly nasal and rectal swabs. Swabs were placed on Sabouraud agar. Candida growth on agar plates was confirmed by microscopic observation. Furthermore, Candida spp. was identified through Candida chromogenic agar (Candida chromogenic agar, Laboratorios Conda) and API\uae 20C AUX (Biom\ue9rieux). The first isolated non-C.albicans Candida (NCAC) species from colonized patients were tested with the main antifungal agents (YeastOne\uae Y010 Thermo Fisher Scientific) and the obtained MIC values were read according to CLSI. Results: From December 2012 to June 2016 we enrolled 874 neonates and analyzed respectively 2014 nasal and rectal swabs. 20/2014 (0,99%) of nasal swabs and 128/2014 (6,35%) of rectal swabs tested positive for Candida spp. The species distribution is showed in the Graph 1. 89/874 (10,18%) neonates tested positive at least in one swab. 59 isolates of NCAC species were tested with the main antifungal agents. All the tested strains were susceptible to echinocandins and amphotericin B. The susceptibility patterns for azoles are shown in the Table 1. Conclusions: Our study confirm the rule of surveillance in the prevention and control of Candida spp. healthcare related infections especially in an high risk ward such as NICU. In particular, in our NICU fluconazole prophylaxis is administered according to standard protocols from 2009.Antifungal susceptibility testes allowed to identify resistant and mutant strains whom acquired resistance so to obtain both clinical and epidemiological data promptly

Economic burden of vulvar and vaginal intraepithelial neoplasia: retrospective cost study at a German dysplasia centre

<p>Abstract</p> <p>Background</p> <p>Human papillomavirus is responsible for a variety of diseases including grade 2 and 3 vulvar and vaginal intraepithelial neoplasia. The aim of this study was to assess parts of the burden of the last diseases including treatment costs. The direct medical resource use and cost of surgery associated with neoplasia and related diagnostic procedures (statutory health insurance perspective) were estimated, as were the indirect costs (productivity losses) associated with surgical treatment and related gynaecology visits for diagnostic purposes.</p> <p>Methods</p> <p>Data from 1991-2008 were retrospectively collected from patient records of the outpatient unit of the Gynaecological Dysplasia Clinic, Heinrich Heine University, Dusseldorf, Germany. Two subgroups of patients were analysed descriptively: women undergoing one surgical procedure related to a diagnosis of vulvar and/or vaginal intraepithelial neoplasia, and women undergoing two or more surgical procedures. Target measures were per-capita medical resource consumption, direct medical cost and indirect cost.</p> <p>Results</p> <p>Of the 94 women analysed, 52 underwent one surgical intervention and 42 two or more interventions (mean of 3.0 interventions during the total period of analysis). Patients undergoing one surgical intervention accrued €881 in direct costs and €682 in indirect costs; patients undergoing more than one intervention accrued €2,605 in direct costs and €2,432 in indirect costs.</p> <p>Conclusions</p> <p>The economic burden on German statutory health insurance funds and society induced by surgical interventions and related diagnostic procedures for grade 2/3 vulvar and vaginal neoplasia should not be underrated. The cost burden is one part of the overall burden attributable to human papillomavirus infections.</p

The burden of Candida species colonization in NICU patients: a colonization surveillance study

Fungal infections are an important cause of morbidity and mortality in neonatal intensive care units (NICUs). The identification of specific risk factors supports prevention of candidemia in neonates. Effective prophylactic strategies have recently become available, but the identification and adequate management of high-risk infants is still a priority. Prior colonization is a key risk factor for candidemia. For this reason, surveillance studies to monitor incidence, species distribution, and antifungal susceptibility profiles, are mandatory. Among 520 infants admitted to our NICU between January 2013 and December 2014, 472 (90.77%) were included in the study. Forty-eight out of 472 (10.17%) patients tested positive for Candida spp. (C.), at least on one occasion. All the colonized patients tested positive for the rectal swab, whereas 7 patients also tested positive for the nasal swab. Fifteen out of 472 patients (3.18%) had more than one positive rectal or nasal swab during their NICU stay. Moreover, 9 out of 15 patients tested negative at the first sampling, suggesting they acquired Candida spp. during their stay. Twenty-five of forty-eight (52.1%) colonized patients carried C.albicans and 15/48 (31.25%) C.parapsilosis. We identified as risk factors for Candida spp. colonization: antibiotic therapy, parenteral nutrition, the use of a central venous catheter, and nasogastric tube. Our experience suggests that effective microbiological surveillance can allow for implementing proper, effective and timely control measures in a highrisk setting

Integrated stratigraphy for the Late Quaternary in the eastern Tyrrhenian Sea

A high-resolution integrated stratigraphy is presented for the Late Quaternary in the southern-eastern Tyrrhenian Sea. It is based on calcareous plankton taxa (planktonic foraminifera and nannoplankton) distribution, d18OGlobigerinoides ruber record, tephrostratigraphy and radiometric dating methods (210Pb and 137Cs, AMS 14C) for a composite sediment core (from the top to the bottom, C90-1m, C90 and C836) from the continental shelf of the Salerno Gulf. High sedimentation rates from ca 1 cm/100 y for the early Holocene, to 3.45 cm/100 y for the middle Holocene to 8.78 cm/100 y from late Holocene and to 20 cm/100 y for the last 600 AD, make this area an ideal marine archive of secular paleoclimate changes. Quantitative distributional trend in planktonic foraminifera identify seven known (1Fe7F) eco-biozones, and several auxiliary bioevents of high potential for Mediterranean biostratigraphic correlation. Recognised were: the acme distribution of Neogloboquadrina pachyderma r.c. between 10.800 0.400 ka BP and 5.500 0.347 ka BP, a strong increase in abundance of Globorotalia truncatulinoides r.c. and l.c. at 5.500 0.347 ka BP and at 4.571 0.96 ka BP, respectively, an acme interval of Globigerinoides quadrilobatus (between 3.702 0.048 ka BP and 2.70 0.048 ka BP) and the acme/paracme intervals of T. quinqueloba (acme between 3.350 0.054 ka BP and 1.492 0.016 ka BP; paracme between 1.492 0.016 ka BP and 0.657 0.025 ka BP; acme beginning 0.657 0.025 ka BP). These results, integrated with trends of selected calcareous nannofossil species (Florisphaera profunda, Brarudosphaera bigelowii, Gephyrocapsa oceanica and Emiliania huxleyi) and d18OG. ruber signature, are consistent with the most important pre-Holocene and early Holocene paleoclimatic and paleoceanographic phases i.e., the BöllingeAllerod, the Younger Dryas and the time interval of Sapropel S1 deposition in the eastern Mediterranean Sea. These features revealed the high potential of this shallow water environment for high-resolution stratigraphy and correlation for the western Mediterranean. In addition, the chemical characterization of seven tephra layers supplied further data about the age and the dispersal area of some well-known Campi Flegrei explosive events, inferring the possible occurrence of explosive activity at Vesuvius around the middle of the 6th century, and contributing to refine the tephrostratigraphic framework for the last 15 ka in the south-eastern Tyrrhenian Sea.Published71-852.2. Laboratorio di paleomagnetismoJCR Journalrestricte

Increasing Efforts to Reduce Cervical Cancer through State-Level Comprehensive Cancer Control Planning

Reducing cervical cancer disparities in the U.S. requires intentional focus on structural barriers such as systems and policy which impact access to human papillomavirus (HPV) vaccination, cervical cancer screening and treatment. Such changes are difficult and often politicized. State comprehensive cancer control (CCC) plans are vehicles that, if designed well, can help build collective focus on structural changes. Study objectives were to identify the prioritization of cervical cancer in state CCC plans, the conceptualization of HPV within these plans, and the focus of plans on structural changes to reduce cervical cancer disparities. Data were gathered by systematic content analysis of CCC plans from 50 states and the District of Columbia from February-June 2014 for evidence of cervical cancer prioritization, conceptualization of HPV, and focus on structural barriers to cervical cancer vaccination, screening or treatment. Findings indicate that prioritization of cervical cancer within state CCC plans may not be a strong indicator of state efforts to reduce screening and treatment disparities. While a majority of plans reflected scientific evidence that HPV causes cervical and other cancers, they did not focus on structural elements impacting access to evidence-based interventions. Opportunities exist to improve state CCC plans by increasing their focus on structural interventions that impact cervical cancer prevention, detection, and treatmentparticularly for the 41% of plans ending in 2015 and the 31% ending between 2016-2020. Future studies should focus on the use of policy tools in state CCC plans and their application to cervical cancer prevention and treatment