The diet of Weddell seals (Leptonychotes weddellii) in Terra Nova Bay using stable isotope analysis

Stable isotope analyses were used to investigate the diet of Weddell seals in Terra Nova Bay (Ross Sea) and the potential variation of their foraging behaviour with age, sex and body mass. For this purpose, skin samples were collected from adult breeding seals and pups, together with muscle samples of their potential prey. Our results showed variation in foraging behavior between age classes, with pups reporting lower δ13C values than adults, while no significant differences in δ15N were recorded. In addition, contrary to expectations, a mixing model analysis showed that adult seals foraged mainly on shallow benthic prey, such as Trematomus spp. (34.1%) and Dissostichus mawsoni (21.1%), rather than on pelagic fish, such as Pleuragramma antarcticum (9.8%). Overall, with this paper we provide novel diet information on a seal colony not previously sampled, adding new insight into the feeding ecology of a top Antarctic predator

Economic impact of remote monitoring on ordinary follow-up of implantable cardioverter defibrillators as compared with conventional in-hospital visits: a single-center prospective and randomized study

Few data are available on actual follow-up costs of remote monitoring (RM) of implantable defibrillators (ICD). Our study aimed at assessing current direct costs of 1-year ICD follow-up based on RM compared with conventional quarterly in-hospital follow-ups. Methods and results Patients (N=233) with indications for ICD were consecutively recruited and randomized at implant to be followed up for 1 year with standard quarterly inhospital visits or by RM with one in-hospital visit at 12 months, unless additional in-hospital visits were required due to specific patient conditions or RM alarms. Costs were calculated distinguishing between provider and patient costs, excluding RM device and service cost. The frequency of scheduled in-hospital visits was lower in the RM group than in the control arm. Follow-up required 47 min per patient/year in the RM arm versus 86 min in the control arm (p=0.03) for involved physicians, generating cost estimates for the provider of USD 45 and USD 83 per patient/- year, respectively. Costs for nurses were comparable. Overall, the costs associated with RM and standard follow-up were USD 103±27 and 154±21 per patient/year, respectively (p=0.01). RM was cost-saving for the patients: USD 97±121 per patient/year in the RM group versus 287± 160 per patient/year (p=0.0001). Conclusion The time spent by the hospital staff was significantly reduced in the RM group. If the costs for the device and service are not charged to patients or the provider, patients could save about USD 190 per patient/year while the hospital could save USD 51 per patient/year

Meningococci of serogroup X clonal complex 181 in refugee camps, Italy

Four cases of infection with serogroup X meningococci (MenX) (1 in 2015 and 3 in 2016) occurred in migrants living in refugee camps or reception centers in Italy. All MenX isolates were identified as clonal complex 181. Our report suggests that serogroup X represents an emerging health threat for persons arriving from African countries

Genome-based study of a spatio-temporal cluster of invasive meningococcal disease due to Neisseria meningitidis serogroup C, clonal complex 11

Summary Objectives To describe a spatio-temporal cluster of invasive meningococcal disease (IMD) due to serogroup C meningococci, occurred in a restricted area of Tuscany between January and October 2015, and the results of whole genome sequencing (WGS). Methods Surveillance activities and public health measures were implemented in the Region. Bacterial isolates from IMD cases were characterized by the National Reference Laboratory of the Istituto Superiore di Sanita (ISS), and WGS was performed on available strains. The kSNP software was used to identify core genome SNPs. Results Overall, 28 IMD cases due to meningococcus C were identified up to 31st October, 2015. Of them, 26 were due to meningococcus C:P1.5-1,10-8: F3-6:ST-11 (cc11) and 2 to C:P1.5-1,10-8: F3-6:ST-2780 (cc11). WGS of 13 meningococci isolated during the outbreak occurred in Tuscany in 2015 showed higher similarity when compared with those of 47 C: P1.5-1,10-8: F3-6:ST-11 (cc11) invasive strains from sporadic cases previously detected in Italy. Conclusions A highly aggressive meningococcal C strain was involved in the cluster of severe IMD occurred in Tuscany, a Region with high vaccine coverage among children. Whether this was due to low herd immunity related to the short duration of vaccine protection needs further investigation

Genome-based study of a spatio-temporal cluster of invasive meningococcal disease due to Neisseria meningitidis serogroup C, clonal complex 11

SummaryObjectivesTo describe a spatio-temporal cluster of invasive meningococcal disease (IMD) due to serogroup C meningococci, occurred in a restricted area of Tuscany between January and October 2015, and the results of whole genome sequencing (WGS).MethodsSurveillance activities and public health measures were implemented in the Region. Bacterial isolates from IMD cases were characterized by the National Reference Laboratory of the Istituto Superiore di Sanità (ISS), and WGS was performed on available strains. The kSNP software was used to identify core genome SNPs.ResultsOverall, 28 IMD cases due to meningococcus C were identified up to 31st October, 2015. Of them, 26 were due to meningococcus C:P1.5-1,10-8: F3-6:ST-11 (cc11) and 2 to C:P1.5-1,10-8: F3-6:ST-2780 (cc11). WGS of 13 meningococci isolated during the outbreak occurred in Tuscany in 2015 showed higher similarity when compared with those of 47 C: P1.5-1,10-8: F3-6:ST-11 (cc11) invasive strains from sporadic cases previously detected in Italy.ConclusionsA highly aggressive meningococcal C strain was involved in the cluster of severe IMD occurred in Tuscany, a Region with high vaccine coverage among children. Whether this was due to low herd immunity related to the short duration of vaccine protection needs further investigation

La vegetazione del lago di Bolsena (Viterbo, Italia centrale).

The vegetation of Bolsena lake (Viterbo, C-Italy). In this paper the autors examine the helophytic, hydrophytic and floating vegetation of Bolsena lake (Viterbo). A contribution is here given to the knoledge of the sintaxonomy at the classes Phragmitetea, Potametea e Charetea. Moreover the trophic condition of the lake is here discussed on floristic and vegetational basis

Sulla presenza di Spirodela polyrrhyza (L.) Schleid. ed Eichhornia crassipes (Mart.) Solms nelle acque interne dell’Agro Pontino (Lazio).

Spirodela polurrhiza (L.) Schleid. and Eichhornia crassipes (Mart.) Solms in Agro Pontino fresh waters Lazio). The Authors report on the discovery in some stations of Agro Pontino area (South-West of Lazio) of two intersting aquatic plants, Spirodela polyrrhiza and Eichhornia crassipes, whose distribution in this area wasn't well known till now. Both of them are including in the floristic composition of Lemno-Spirodeletum polyrhizae, a new association for this area belonging to Lemnetea minoris class. Some interesting phytogeographical problems are also discussed in order to clarify the S. polyrrhiza and Salvinia natans role in the regional vegetation