Multiple magma degassing sources at an explosive volcano

n/

Cortisol Secretion in Patients With Type 2 Diabetes: Relationship With Chronic Complications

n/

Effects of Lactobacillus acidophilus D2/CSL on laying hen performance

In order to evaluate the effects of dietary addition of probiotic strain Lactobacillus acidophilus D2/CSL on hen performance and egg quality, 160 commercial Hy-Line Brown pullets, 17 weeks old, were divided in control group (C) (N=80) and treated group (T) (N=80), with 4 alternate replicates of 20 animals each per group. C was fed with a "standard diet", whereas the T group received the same diet with an inclusion of 1x109 CFU kg-1 of Lactobacillus acidophilus D2/CSL (freeze dried cells). The experimental trial lasted 39 weeks after one week of acclimatization. Hen performance and egg quality (egg production, FCR, egg specific gravity, shell thickness, Haugh Units) were recorded. The results show a higher overall egg production (P<0.01) and better FCR (Kg feed intake/Kg saleable eggs) (P<0.05) in the T birds, but no statistically significant differences were observed in egg weight. The eggs from the T birds were characterized by a higher specific gravity (ESG) (P<0.01) and albumen viscosity (Haugh Units) (P<0.05). No significant differences in egg shell thickness were recorded. In conclusion, Lactobacillus acidophilus D2/CSL improved some important parameters in laying hen performance and egg quality

Prevalence and predictors of latent tuberculosis infection among Italian State Policemen engaged in assistance to migrants: A national cross-sectional study

Objectives: Better knowledge about tuberculosis (TB) and latent TB infection (LTBI) epidemiology is a crucial step for the development of effective strategies towards the control and elimination of this deadliest and persistent health threat. No study has investigated LTBI epidemiology in policemen who act as an interface with cross-border migrants. Methods: A survey to measure the LTBI prevalence and assess the demographic, professional and clinical features potentially associated with tuberculin skin test (TST) positivity was performed in Italian State Police (ISP) employees engaged, even occasionally, in relief activities, hospitality, photographical identification, escorting and accompanying of migrants, regardless of contact with active TB cases. Variables potentially associated with TST positivity were evaluated with univariate and multivariate analysis. Results: From September to December 2014, 4225 ISP workers underwent TST screening and completed the questionnaire for data collection, according to study procedures. The TST was positive in 9.9% of individuals: no active TB cases were registered among the entire study population. Age, previous BCG vaccination and work category resulted independently associated with TST positivity. Conclusions: This is the first study providing updated data about LTBI epidemiology among ISP employees engaged in assistance to migrants and furnish preliminary evidence of possible associations between TST positivity and different conditions that need to be deeply investigated with prospective studies

Image-guided thermal ablation of central renal tumors with retrograde cold pyeloperfusion technique: a monocentric experience

Purpose: To evaluate feasibility, safety and efficacy of image-guided thermal ablations associated with retrograde pyeloperfusion in patients with centrally located renal tumors. Materials and methods: 48 patients (15 women, 33 men, mean age 69.1 ± 11.8) were treated with image-guided thermal ablation associated with pyeloperfusion for 58 centrally located renal tumors (mean diameter 32.3 ± 7.32 mm). 7 patients had a single kidney. Microwave and radiofrequency ablation were used. All treatments were performed with ultrasound, CT, or fusion imaging guidance under general anesthesia and simultaneous retrograde cold pyeloperfusion technique. Results: Procedure was feasible in all cases. Technical success and primary technical efficacy were reached in 51/58 (88%) and 45/54 tumors (83%). With a second ablation performed in 5 tumors, secondary technical efficacy was achieved in 50/50 (100%) tumors. Minor and major complications occurred in 8/58 (13%) and 5/58 (8%) tumors. No significative change in renal function occurred after treatment. During follow-up, 5 recurrences occurred, that were retreated with a second ablation. At last follow up (mean 32.2 ± 22.0 months), 41/48 (85%) treated patients were free from disease. The median TTP and PFS were 27.0 (range, 2.3–80.0) and 26.5 months (range, 2.3–80.0), respectively. Conclusion: Image-guided thermal ablation associated with protective pyeloperfusion is a feasible, safe, and effective treatment option for patients with central renal tumors with a minimal impact on renal function and relevant potential to avoid nephrectomy

The active portion of the Campi Flegrei caldera structure imaged by 3-D inversion of gravity data

Publisher's Version/PDFWe present an improved density model and a new structural map of the Neapolitan Yellow Tuff caldera, the active portion of the nested Campi Flegrei caldera. The model was built using a new 3-D inversion of the available high-precision gravity data, and a new digital terrain and marine model. The inversion procedure, based on a variable-depth lumped assembling of the subsurface gravity distribution via cell aggregation, gives better defined insights into the internal caldera architecture, that well agree with the available geological, geophysical, and geochemical data. The adopted 3-D gravity method is highly efficient for characterizing the shallow caldera structure (down to 3 km depth) and defining features related to regional or volcano tectonic lineaments and dynamics. In particular, the resulting density distribution highlights a pronounced density low in correspondence of the central portion of the caldera with a detail not available till now. The joint interpretation of the available data suggests a subsurface structural setting that supports a piecemeal collapse of the caldera, and allows the identification of its headwall. Positive gravity anomalies localize dense intrusions (presently covered by late volcanic deposits) along the caldera marginal faults, and the main structural lineaments both bordering the resurgent block and cutting the caldera floor. These results allow us to both refine the current geological-structural framework and propose a new structural map that highlights the caldera boundary and its internal setting. This map is useful to interpret the phenomena occurring during unrest, and to improve both short-term and long-term volcanic hazards assessment

Interpretation of Thermal Response Tests in Borehole Heat Exchangers Affected by Advection

ABSTRACT We focus on the treatment of thermal response test data when both advection and short-period changes of surface temperature occur. We used a moving line source model to simulate temperature-time signals under an advective thermal regime. The subsurface thermal conductivity, the Darcy velocity and the borehole thermal resistance were inferred by means of an optimisation procedure. In case of Darcy velocity lower than 10 -7 m s -1 , the underground thermal conductivity is comparable to that obtained by means of the infinite line source model, which assumes a purely conductive thermal regime. The optimisation analysis was finally applied to real thermal response test data. The temperature-time curves were filtered to remove the disturbing spectral components associated with a non-optimal thermostatic behaviour of the apparatus. This produced reliable estimates of thermal and hydraulic parameters. An independent method based on the analysis of temperature-depth logs was also used to validate the inferred groundwater flow. INTRODUCTION The thermal power that can be extracted with borehole heat exchangers (BHE) depends mainly on the thermal properties of the underground, and in particular, on thermal conductivity. Laboratory measurements of thermo-physical properties can be unfeasible, as core samples are often unavailable in boreholes. Thus, in-situ tests are routinely used to determine subsurface and borehole thermal properties. Tests record the underground temperature variation with time due to a constant heat that is injected (or extracted) by means of a carrier fluid into a borehole acting as a heat exchanger. The most commonly used model to analyse temperature-time curves obtained from these tests is the infinite line source (ILS). If some conditions are fulfilled, this model can give rapid and appropriate estimations of thermal parameters. On the other hand, several flaws can often affect the data interpretation. Some of them are related to the model assumptions, which imply a purely conductive heat transfer regime, a homogeneous medium, no vertical heat-flow and infinite length of the borehole. Others have to do with the difficulty in the proper thermal insulation of the test equipment, and consequently with the oscillations of the carrier fluid temperature due to surface air temperature changes, which generally produce a periodic offset in the recorded temperature-time curves. In this paper, we discuss the treatment of the thermal response test (TRT) data when both advection caused by groundwater flow and periodic changes of air surface temperature occur. An approach based on the moving line source (MLS) model is tested with simulations of temperaturetime signals obtained under different hypothesis of thermal and hydraulic conditions. Then, the same procedure is applied to real TRT data to estimate thermal conductivity, borehole thermal resistance and Darcy velocity. The magnitude of the inferred groundwater flow is finally checked by means of an independent method based on the analysis of the undisturbed temperaturedepth records

The Exponential Phase of the Covid-19 Pandemic in Central Italy: An Integrated Care Pathway

The Coronavirus Disease (Covid-19) pandemic is rapidly spreading across the world, representing an unparalleled challenge for health care systems. There are differences in the estimated fatality rates, which cannot be explained easily. In Italy, the estimated case fatality rate was 12.7% in mid-April, while Germany remained at 1.8%. Moreover, it is to be noted that different areas of Italy have very different lethality rates. Due to the complexity of Covid-19 patient management, it is of paramount importance to develop a well-defined clinical workflow in order to avoid the inconsistent management of patients. The Integrated Care Pathway (ICP) represents a multidisciplinary outline of anticipated care to support patient management in the Sant’Andrea Hospital, Rome. The main objective of this pilot study was to develop a new ICP evaluated by care indicators, in order to improve the COVID-19 patient management. The suggested ICP was developed by a multi-professional team composed of different specialists and administrators already involved in clinical and management processes. After a review of current internal practices and published evidences, we identified (1) the activities performed during care delivery, (2) the responsibilities for these activities, (3) hospital structural adaptation needs and potential improvements, and (4) ICP indicators. The process map formed the basis of the final ICP document; 160 COVID-19 inpatients were considered, and the effect of the ICP implementation was evaluated over time during the exponential phase of the COVID-19 pandemic. In conclusion, a rapid adoption of ICP and regular audits of quality indicators for the management of COVID-19 patients might be important tools to improve the quality of care and outcomes

Legionella control in the water system of antiquated hospital buildings by shock and continuous hyperchlorination: 5 years experience

To control the presence of Legionella in an old hospital water system, an integrated strategy of water disinfection-filtration was implemented in the university hospital Umberto I in Rome. Due to antiquated buildings, hospital water system design and hospital extension (38 buildings), shock hyperchlorination (sodium hypochlorite, 20-50 ppm of free chlorine at distal points for 1-2 h) followed by continuous hyperchlorination (0.5-1.0 mg/L at distal points) were adopted, and microbiological and chemical monitoring of the water supply was carried out in the university hospital (December 2006-December 2011). Overall, 1308 samples of cold 45°C (17.8%) water were collected, determining residual free chlorine (0.43 ± 0.44 mg/L), pH (7.43 ± 0.29) and trihalomethanes (8.97 ± 18.56 μg/L). Legionella was isolated in 102 (9.8%) out of 1.041 water samples without filters (L. pneumophila sg 1 17.6%, L. pneumophila sg 2-14 28.4%, L. non pneumophila 53.9%), and in none of the 267 samples with filters. Legionella was recovered in 23 buildings out of 38 and 29 samples (28.4%) exceeded 103 cfu/L. When considering the disinfection treatment Legionella was isolated: before shock hyperchlorination (21.1%), 15 days after shock hyperchlorination (7.8%), 30 days after shock hyperchlorination (3.5%), during continuous hyperchlorination (5.5%) and without continuous hyperchlorination (27.3%). Continuous hyperchlorination following the shock treatment achieved >70% reduction of positive samples, whereas no continuous hyperchlorination after shock treatment was more frequently associated to Legionella isolation (OR 6.41; 95% CI 3.10-13.26; p 0.5 < 1.0 mg/L) deteriorated water quality (organoleptic and chemical). However, shock and continuous hyperchlorination remains a valid-term option in old buildings with no water system rational design, managing problems due to hospital extension and absence of a proper hot water recirculation system