Late Holocene tectonic implications deduced from tidal notches in Leukas and Meganisi islands (Ionian Sea)

In this paper the tectonic behavior of Leukas and Meganisi islands (Ionian Sea) is examined through underwater research carried out in both islands. A possible Late Holocene correlation between coseismic subsidences is attempted and evidenced by submerged tidal notches in both islands. These subsidence events probably occurred after the uplift that affected the northernmost part of Leukas around 4 to 5ka BP. In conclusion, although the whole area was affected by a similar tectonic strain, certain coseismic events were only recorded in one of the two islands and in some cases they affected only part of the study are

Late Holocene shorelines deduced from tidal notches on both sides of the Ionian Thrust (Greece) : Fiscardo Peninsula (Cephalonia) and Ithaca Island

Fossil shorelines produced by recent co-seismic movements were identified throughasubmarine survey along the coasts of Ithaca and Fiscardo (Greece).In both areas a tidal notch-slightly submerged below present Mean Sea Level (MSL) was observed at various sites. This "modern" notch is known to have been submerged by the global sea-level rise during the 19th and 20th centuries. The depth after tide and air-pressure correction of the vertex of the "modern" notch (that owes its submergence to the current rapid sea level rise) was measured between -20 and -30±5cm at Fiscardo and between -36 and -45±6cm at Ithaca. This "modern" notch at the same depth on east and west sides of the Ionian Thrust suggests that both areas were not affected by the co-seismic vertical movements that occurred in 1953 (in the wider area). On the other hand, a greater depth in Ithaca could be an effect of co-seismic subsidence. Over the long term, the tectonic behavior of Ithaca differs from Fiscardo. At Ithaca no evidence of emergence was found and Holocene vertical movements have been only of subsidence: submerged fossil tidal notches were distinguished below MSL at about -40 (modern), -60, -75, -95, -106, -126, -150 and -220±6cm. On the East coast of Fiscardo peninsula impacts of ancient earthquakes have left some marks of emergence at about +18 and +44±5cm, and of submergence at about -25 (modern), -45, -60, -75, -82, -100 and -230cm, with even some evidence of past uplift and subsidence at the same sites

Late Holocene shorelines deduced from tidal notches on both sides of the Ionian Thrust (Greece): Fiscardo Peninsula (Cephalonia) and Ithaca Island.

Fossil shorelines produced by recent co-seismic movements were identified throughasubmarine survey along the coasts of Ithaca and Fiscardo (Greece).In both areas a tidal notch-slightly submerged below present Mean Sea Level (MSL) was observed at various sites. This “modern” notch is known to have been submerged by the global sea-level rise during the 19th and 20th centuries. The depth after tide and air-pressure correction of the vertex of the “modern” notch (that owes its submergence to the current rapid sea level rise) was measured between -20 and -30±5cm at Fiscardo and between -36 and -45±6cm at Ithaca. This “modern” notch at the same depth on east and west sides of the Ionian Thrust suggests that both areas were not affected by the co-seismic vertical movements that occurred in 1953 (in the wider area). On the other hand, a greater depth in Ithaca could be an effect of co-seismic subsidence. Over the long term, the tectonic behavior of Ithaca differs from Fiscardo. At Ithaca no evidence of emergence was found and Holocene vertical movements have been only of subsidence: submerged fossil tidal notches were distinguished below MSL at about -40 (modern), -60, -75, -95, -106, -126, -150 and -220±6cm. On the East coast of Fiscardo peninsula impacts of ancient earthquakes have left some marks of emergence at about +18 and +44±5cm, and of submergence at about -25 (modern), -45, -60, -75, -82, -100 and -230cm, with even some evidence of past uplift and subsidence at the same sites

Long term outcome of acute pancreatitis in Italy: Results of a multicentre study

Background: In Italy, no long-term studies regarding the natural history of acute pancreatitis have been carried out. Aim: To report the results of a follow-up on a large series of patients hospitalised for pancreatitis. Methods: Data of 631 patients admitted to 35 Italian hospitals were retrospectively evaluated 51.7 ± 8.4 months after discharge. Results: The average recovery time after mild or severe pancreatitis was 28.2 and 53.4 days respectively. Fourteen sequelae were not resolved and 9 cases required late surgical intervention. Eighty patients (12.7%) had a second hospital admission. Of the patients with mild biliary pancreatitis, 67.9% underwent a cholecystectomy. The overall incidence of relapse was 12.7%. Mortality was 9.8% and no death was related to pancreatitis. Three patients died from carcinoma of the pancreas. Conclusion: Reported recovery time after an attack of pancreatitis was longer than expected in the mild forms. The treatment of sequelae was delayed beyond one year after discharge. The incidence of relapse of biliary pancreatitis in patients not undergoing a cholecystectomy was low, due to endoscopic treatment. Mortality from pancreatic-related causes is low, but there is an association with malignant pancreatic or ampullary tumours not diagnosed during the acute phase of the illness. © 2013 Editrice Gastroenterologica Italiana S.r.l

Long term outcome of acute pancreatitis in Italy: Results of a multicentre study

Background: In Italy, no long-term studies regarding the natural history of acute pancreatitis have been carried out. Aim: To report the results of a follow-up on a large series of patients hospitalised for pancreatitis. Methods: Data of 631 patients admitted to 35 Italian hospitals were retrospectively evaluated 51.7 \ub1 8.4 months after discharge. Results: The average recovery time after mild or severe pancreatitis was 28.2 and 53.4 days respectively. Fourteen sequelae were not resolved and 9 cases required late surgical intervention. Eighty patients (12.7%) had a second hospital admission. Of the patients with mild biliary pancreatitis, 67.9% underwent a cholecystectomy. The overall incidence of relapse was 12.7%. Mortality was 9.8% and no death was related to pancreatitis. Three patients died from carcinoma of the pancreas. Conclusion: Reported recovery time after an attack of pancreatitis was longer than expected in the mild forms. The treatment of sequelae was delayed beyond one year after discharge. The incidence of relapse of biliary pancreatitis in patients not undergoing a cholecystectomy was low, due to endoscopic treatment. Mortality from pancreatic-related causes is low, but there is an association with malignant pancreatic or ampullary tumours not diagnosed during the acute phase of the illness. \ua9 2013 Editrice Gastroenterologica Italiana S.r.l

Drug prescription and delirium in older inpatients: Results from the nationwide multicenter Italian Delirium Day 2015-2016

Objective: This study aimed to evaluate the association between polypharmacy and delirium, the association of specific drug categories with delirium, and the differences in drug-delirium association between medical and surgical units and according to dementia diagnosis. Methods: Data were collected during 2 waves of Delirium Day, a multicenter delirium prevalence study including patients (aged 65 years or older) admitted to acute and long-term care wards in Italy (2015-2016); in this study, only patients enrolled in acute hospital wards were selected (n = 4,133). Delirium was assessed according to score on the 4 "A's" Test. Prescriptions were classified by main drug categories; polypharmacy was defined as a prescription of drugs from 5 or more classes. Results: Of 4,133 participants, 969 (23.4%) had delirium. The general prevalence of polypharmacy was higher in patients with delirium (67.6% vs 63.0%, P =.009) but varied according to clinical settings. After adjustment for confounders, polypharmacy was associated with delirium only in patients admitted to surgical units (OR = 2.9; 95% CI, 1.4-6.1). Insulin, antibiotics, antiepileptics, antipsychotics, and atypical antidepressants were associated with delirium, whereas statins and angiotensin receptor blockers exhibited an inverse association. A stronger association was seen between typical and atypical antipsychotics and delirium in subjects free from dementia compared to individuals with dementia (typical: OR = 4.31; 95% CI, 2.94-6.31 without dementia vs OR = 1.64; 95% CI, 1.19-2.26 with dementia; atypical: OR = 5.32; 95% CI, 3.44-8.22 without dementia vs OR = 1.74; 95% CI, 1.26-2.40 with dementia). The absence of antipsychotics among the prescribed drugs was inversely associated with delirium in the whole sample and in both of the hospital settings, but only in patients without dementia. Conclusions: Polypharmacy is significantly associated with delirium only in surgical units, raising the issue of the relevance of medication review in different clinical settings. Specific drug classes are associated with delirium depending on the clinical setting and dementia diagnosis, suggesting the need to further explore this relationship

Drug Prescription and Delirium in Older Inpatients: Results From the Nationwide Multicenter Italian Delirium Day 2015-2016

Objective: This study aimed to evaluate the association between polypharmacy and delirium, the association of specific drug categories with delirium, and the differences in drug-delirium association between medical and surgical units and according to dementia diagnosis. Methods: Data were collected during 2 waves of Delirium Day, a multicenter delirium prevalence study including patients (aged 65 years or older) admitted to acute and long-term care wards in Italy (2015-2016); in this study, only patients enrolled in acute hospital wards were selected (n = 4,133). Delirium was assessed according to score on the 4 "A's" Test. Prescriptions were classified by main drug categories; polypharmacy was defined as a prescription of drugs from 5 or more classes. Results: Of 4,133 participants, 969 (23.4%) had delirium. The general prevalence of polypharmacy was higher in patients with delirium (67.6% vs 63.0%, P =.009) but varied according to clinical settings. After adjustment for confounders, polypharmacy was associated with delirium only in patients admitted to surgical units (OR = 2.9; 95% CI, 1.4-6.1). Insulin, antibiotics, antiepileptics, antipsychotics, and atypical antidepressants were associated with delirium, whereas statins and angiotensin receptor blockers exhibited an inverse association. A stronger association was seen between typical and atypical antipsychotics and delirium in subjects free from dementia compared to individuals with dementia (typical: OR = 4.31; 95% CI, 2.94-6.31 without dementia vs OR = 1.64; 95% CI, 1.19-2.26 with dementia; atypical: OR = 5.32; 95% CI, 3.44-8.22 without dementia vs OR = 1.74; 95% CI, 1.26-2.40 with dementia). The absence of antipsychotics among the prescribed drugs was inversely associated with delirium in the whole sample and in both of the hospital settings, but only in patients without dementia. Conclusions: Polypharmacy is significantly associated with delirium only in surgical units, raising the issue of the relevance of medication review in different clinical settings. Specific drug classes are associated with delirium depending on the clinical setting and dementia diagnosis, suggesting the need to further explore this relationship