On the role of depletive tests. a review analysis

An overview of the diagnostic role of depletion tests for staging Meniere’s disease, especially in the first phase of the disease, is reported. Pros and cons, as well reliability and specificity of this diagnostic procedure is thoroughly analysed

Intralabyrinthine Vestibular Schwannoma Responsive to Intratympanic Gentamicin Treatment

Intralabyrinthine schwannoma (ILS) is a rare benign tumor that affects the ends of cochlear and vestibular nerves. In a majority of the cases, it occurs with unilateral progressive sensorineural hearing loss. Less frequent symptoms include tinnitus, imbalance, vertigo, or fullness. The advent of magnetic resonance imaging allows early diagnosis and enables an appropriate therapeutic protocol. This report describes a case of intravestibular schwannoma, with fluctuating hearing loss and intractable vertigo, treated with intratympanic gentamicin. The patient was a 28-year-old woman with intractable vertigo and fluctuating left-side hearing loss caused by left intravestibular schwannoma. Because surgery was temporarily rejected by the patient, a single dose of intratympanic gentamicin was administered. Following this, the patient showed a significant improvement in the symptoms. However, moderate to flat sensorineural hearing loss was also observed. Intratympanic gentamicin infiltration is a valid therapeutic option for patients with ILS, affected by intractable vertigo, when the patient refuses surgery

New Gynandromorph Records for Chirocephalus diaphanus (Branchiopoda, Anostraca, Chirocephalidae)

We report and describe new Chirocephalus diaphanus Pr\ue9vost, 1803 gynandromorphs from Tunisia and review the literature of anostracan gynandromorphy and other, possibly associated, somatic aberrations, with comments on their evolutionary significance. Our material has three specimens that are specifi cally deformed on the left side of the head

The recent non-marine ostracods of tunisia: An updated checklist with remarks on their regional distribution patterns and ecological preferences

Different lines of investigation have recently contributed to increasing the available knowledge about the invertebrates inhabiting inland waters of north Africa, but a comprehensive synopsis on Tunisian Ostracoda is missing to date. An updated checklist of Recent non-marine ostracods from Tunisia and data on their distribution is thus offered here, representing the most extensive survey on this crustacean group ever carried out in inland waters throughout the country. One-hundred-five sites covering various climate zones, from Mediterranean to desert areas, were sampled between 2002 and 2012. Most of the considered water bodies were temporary or ephemeral habitats, but a few permanent sites were sampled as well. Overall, 18 genera and 32 taxa of putative species rank were collected in the frame of this survey, among which nine species and five genera were new to Tunisian fauna. As a result of this study and based on pre-vious investigations, nine families (Candonidae, Cyprididae, Cytherideidae, Darwinulidae, Ilyocyprididae, Leptocytheridae, Limno-cytheridae, Loxoconchidae, Paradoxostomatidae), 29 genera and at least 45 species of non-marine ostracods are currently known for Tunisia, which thus prove to host the most diverse ostracod fauna among north African countries. The number of species occurring in a single sample varied from 1 to 4. The Eucypris virens complex was the most widespread taxon (58 records), followed by Heterocypris barbara (30 records), Heterocypris incongruens (22 records), and Sarscypridopsis aculeata (16 records). For some ostracod species, clear distributional gradients associated with different climatic conditions were observed. The affinities with adjacent Maghrebian os-tracod faunas are discussed. This study confirms the crucial role played by marginal aquatic habitats for the conservation of biodiversity, in particular in arid and semi-arid regions

An updated checklist of Recent ostracods (Crustacea: Ostracoda) from inland waters of Sicily and adjacent small islands with notes on their distribution and ecology

Because of its position in the middle of the Mediterranea Sea and a complex geological history that has promoted repeated waves of biological colonization, Sicily (Southern Italy) is of particular interest from a biogeographical perspective. A number of previous investigations, dating back as far as the end of the 19th century, have contributed to gather information about the occurrence of Recent non-marine ostracods in Sicily, making this region one of the most intensively studied areas of the Central Mediterranean. Published data on ostracod distributions have been integrated through an extensive field survey on mainland Sicily and surrounding small islands and archipelagos. Altogether, 271 ostracod samples and 11 sediment samples from dry water bodies were analysed from 218 sites visited between 2002 and 2017. Sampling sites were selected to encompass all the most common types of freshwater aquatic habitats, both natural and artificial, present in the area. Thirty-nine ostracods were identified at species level and 12 at supraspecific level. The present study reports four species (Cypria subsalsa, Eucypris mareotica, Physocypria kerkyrensis, Vestalenula boteai) and one genus (Vestalenula) as new for both peninsular Italy and adjacent islands, and three species (Candonopsis novaezelandiae, Ilyocypris inermis, Neglecandona neglecta) and two genera (Candonopsis and Physocypria) as new for Sicily. The updated checklist of the study area now includes at least 46 nominal species and other taxa identified at supraspecific level, belonging to 28 genera in 8 families (Candonidae, Cyprididae, Cytherideidae, Darwinulidae, Hemicytheridae, Ilyocyprididae, Limnocytheridae and Notodromadidae). The present investigation represents a significant addition to the knowledge of the ostracod diversity and distribution in the Sicilian area and in Italy as a whole. It also provides a sound baseline data for further comparative faunal studies aimed at investigating the affinities and origins of the central Mediterranean inland-water ostracod faunas, and to analyse their biogeographic patterns

High Concordance between Self-Reported Adherence, Treatment Outcome and Satisfaction with Care Using a Nine-Item Health Questionnaire in InfCareHIV

Background In this cross-sectional study we present an integrated analysis of a self-reported Health Questionnaire and socio-demographic and treatment outcome data from the national Swedish HIV cohort, InfCareHIV. Objectives To evaluate the Health Questionnaire and identify the main determinants of adherence. Methods A total of 2,846 patients answered a nine-item disease-specific Health Questionnaire between 2012 and 2014, corresponding to 44% of all active patients in the national InfCareHIV cohort. The questionnaire assessed patient related outcome measures (PROMs) regarding health and antiretroviral treatment (ART) and patient related experience measures (PREMs) regarding involvement in care and satisfaction with the care provider. Result We found the Health Questionnaire to be valid and reliable when used in ordinary clinical practice. There was a high concordance between self-reported adherence to ART in the past seven days and treatment outcome, with 94% of patients who reported optimal adherence having a viral load <50 copies/ml. The main determinants of optimal adherence were heterosexual transmission path, being born in Sweden, being male, not reporting experience of ART side effects and being fully satisfied with care. Conclusion The nine-item Health Questionnaire can identify patients at risk of treatment failure, those in need of clinical assessment of adverse events and those with impaired physical health

Delayed Effect of Active Pressure Treatment on Endolymphatic Hydrops

OBJECTIVE: To identify eventual correlations between the effect of low-pressure treatment and endolymphatic hydrops in Ménière patients. MATERIAL AND METHODS: The study group consisted of subjects affected by definite Ménière disease (2015) and a severe degree of disability, who received a ventilation tube with or without a low-pressure treatment before undergoing a surgical procedure (vestibular neurectomy). After the placement of the ventilation tube, the subjects were either left alone with the tube or received 1 month of self-administered low-pressure therapy with a portable device. In all subjects, an electrocochleography (ECochG) was performed and specific questionnaires - Dizziness Handicap Inventory (DHI) and Functional Scale Level (FSL) - were completed before starting either arm of treatment, at the end of treatment, and then 3 and 6 months later. RESULTS: All selected subjects presented with an ECochG pattern that was indicative of endolymphatic hydrops before starting either treatment. At the end of pressure treatment, 80% showed symptomatic improvement while maintaining the hydropic ECochG pattern. At the 3-month control stage, the hydropic pattern resulted normalized (<0.5) in all the improved subjects. CONCLUSIONS: Although 1 month of low-pressure treatment provided a positive symptomatological outcome, normalization of the hydropic ECochG parameters occurred only at a later time. Therefore, it is possible to assume that endolymphatic hydrops could be concurrent with a non-symptomatic stage of Ménière disease, and that the anti-hydropic effect of the low-pressure treatment, if any, would present with a certain delay after its completion

Distribution of Recent ostracods in inland waters of Sicily (Southern Italy)

From 2003 to 2005, freshwater ostracods were sampled in 67 water bodies of mainland Sicily (Provinces of Agrigento, Caltanisetta, Catania, Enna, Palermo, Messina, Ragusa, Siracusa and Trapani) located from sea level up to 1300 m a.s.l. This survey took into account streams, springs, wells, but especially temporary and ephemeral habitats (e.g., flooded meadows, temporary ponds). The aim of this research was to give the first comprehensive picture of the regional ostracod fauna and establish relationships between the distribution of ostracod species and some habitat features. Altogether, 21 ostracod taxa belonging to five families (Candonidae, Ilyocyprididae, Cyprididae, Notodromadidae, and Limnocytheridae) were identified. A maximum of four species was found in a single sample. The most frequent species was Heterocypris incongruens, followed by Eucypris virens. The following ten taxa have been found only once: Candona lindneri, Ilyocypris decipiens, Notodromas persica, Trajancypris clavata, Herpetocypris brevicaudata, Heterocypris salina, Cypridopsis cf. elongata, Cypridopsis vidua, Potamocypris cf. villosa, and Limnocythere inopinata. The faunal assemblage of Sicily is compared with the known ostracod distribution in some Mediterranean areas

Observables sensitive to absolute neutrino masses: A reappraisal after WMAP-3y and first MINOS results

In the light of recent neutrino oscillation and non-oscillation data, we revisit the phenomenological constraints applicable to three observables sensitive to absolute neutrino masses: The effective neutrino mass in single beta decay (m_beta); the effective Majorana neutrino mass in neutrinoless double beta decay (m_2beta); and the sum of neutrino masses in cosmology (Sigma). In particular, we include the constraints coming from the first Main Injector Neutrino Oscillation Search (MINOS) data and from the Wilkinson Microwave Anisotropy Probe (WMAP) three-year (3y) data, as well as other relevant cosmological data and priors. We find that the largest neutrino squared mass difference is determined with a 15% accuracy (at 2-sigma) after adding MINOS to world data. We also find upper bounds on the sum of neutrino masses Sigma ranging from ~2 eV (WMAP-3y data only) to ~0.2 eV (all cosmological data) at 2-sigma, in agreement with previous studies. In addition, we discuss the connection of such bounds with those placed on the matter power spectrum normalization parameter sigma_8. We show how the partial degeneracy between Sigma and sigma_8 in WMAP-3y data is broken by adding further cosmological data, and how the overall preference of such data for relatively high values of sigma_8 pushes the upper bound of Sigma in the sub-eV range. Finally, for various combination of data sets, we revisit the (in)compatibility between current Sigma and m_2beta constraints (and claims), and derive quantitative predictions for future single and double beta decay experiments.Comment: 18 pages, including 7 figure

First record of Temnosewellia minor (Platyhelminthes, Temnocephalidae) in Sicily, with a plea for a re-examination of the identity of the publicly available molecular sequences of the genus

Ectosymbiotic temnocephalan flatworms belonging to the genus Temnosewellia were collected on Cherax destructor in an aquaculture farm in Sicily, Italy. This represents the first record of a temnocephalan species for the fauna of the island. Morphological and molecular identification of the collected specimens proved that they belong to the allochthonous species Temnosewellia minor, which was introduced along with crayfishes bred in aquaculture farms. The phylogenetic analyses carried out for the molecular identification of the Sicilian population highlighted some inconsistencies in the grouping of the Temnosewellia sequences available online, thus stressing the opportunity of a careful re-examination of the voucher samples and their identifications. The risks of its unwary introduction in the wild and the need of monitoring its possible impacts on native biota are briefly discussed