Caratterizzazione ambientale delle acque del Golfo dell’Asinara (Sardegna) attraverso l’uso di spettrofluorimetria laser e immagini telerilevate

The general objective of this research (financed by L.R. 7 of the Autonomous Region of Sardinia for the period May 2010 –May 2012) is to calibrate bio-optical algorithm for more accurate estimates of phytoplanktonic Chl-a in the Asinara Gulf (Northern Sardinia, Italy) using remote sensing data and in situ measurements. The “sea truth” values of Chl-a were obtained with the new laser spectrofluorometric apparatus CASPER (Compact and Advanced laser SPEctrometeR – Patent ENEA). CASPER permitted not only to quantify values of Chl-a but also to detect other algal pigments (phycoerythrin, phycocyanin), chromophoric dissolved organic matter (CDOM), proteins-like components (tyrosine, tryptophan), and qualitative data on the presence of hydrocarbons and oil pollution. At the moment “sea truth” data of Chl-a were just compared to standard chlorophyll products of MODIS OC3 algorithm. In order to reach better results, the bio-optical algorithm is going to be recalibrated according to the measurements of CASPER during the next year, thus providing new estimates of phytoplanktonic Chl-a in the Asinara Gulf

An Innovative and high-speed technology for sweater monitoring of Asinara Gulf (Sardinia- Italy)

Laser induced fluorescenze technique for sea water monitoring allows no-time consuming, non-invasive and non-destructive controls. In this study, the performance of the new shipboard laser spectrofluorometric CAS-PER (Compact and Advanced Laser Spectrometer –ENEA Patent) for monitoring phytoplankton community composition was examined. The prototype CASPER is based on double laser excitation of water samples in the UV (266 nm) and visible (405 nm) spectral region and a double water filtration in order to detect both quantitative data, such as choromophoric dissolved organic matter (CDOM), proteins-like components (tyrosine, tryptophan), algal pigments (chlorophylls a and b, phycoerythrin, phycocyanin, different pigments of the carotenoid groups) and qualitative data on the presence of hydrocarbons and oil pollutants. Sea water samples from different depths have been collected and analyzed from August 2010 through November 2011 in the Gulf of Asinara (N-W Sardinia). Several sampling stations were selected as sites with different degree of pollution. The accuracy and the reliability of data obtained by CASPER have been evaluated comparing the results with other standard measurements such as: Chlorophyll a (Chl a) data obtained by spectrophotometric method and total phytoplankton abundance in terms of density and class composition. Spectral deconvolution technique was developed and integrated with CASPER system to assess and characterize a marker pigments and organic compounds in situ and in vivo. Field studies confirmed CASPER system capability to effectively discriminate characteritistic spectra of fluorescent water constituents, contributing to decrease the time-consuming manual analysis of the water samples in the laboratory

Leishmania infantum leishmaniasis in corticosteroid – treated patients

BACKGROUND: The number of leishmaniasis cases associated with immunosuppression has increased regularly over the past 20 years. Immunosuppression related to HIV infection, immunosuppressive treatment, organ transplantation, and neoplastic diseases increases the risk for Leishmania-infected people to develop visceral illness. CASE PRESENTATION: Three cases of Leishmania infantum leishmaniasis in corticosteroid (CS)-treated patients are reported: an isolated lingual leishmaniasis in a farmer treated with CS for asthma, a severe visceral leishmaniasis associated with cutaneous lesions in a woman with myasthenia gravis, and a visceral involvement after cutaneous leishmaniasis in a man receiving CS. CONCLUSION: Physicians should recognise CS-treated patients as a population likely to be immunesuppressed. In immunodeficiency conditions, unusual forms of leishmaniasis can develop and foster the risk of a diagnostic delay and of poor response to therapy

Surgical site infection after caesarean section. Space for post-discharge surveillance improvements and reliable comparisons

Surgical site infections (SSI) after caesarean section (CS) represent a substantial health system concern. Surveying SSI has been associated with a reduction in SSI incidence. We report the findings of three (2008, 2011 and 2013) regional active SSI surveillances after CS in community hospital of the Latium region determining the incidence of SSI. Each CS was surveyed for SSI occurrence by trained staff up to 30 post-operative days, and association of SSI with relevant characteristics was assessed using binomial logistic regression. A total of 3,685 CS were included in the study. A complete 30 day post-operation follow-up was achieved in over 94% of procedures. Overall 145 SSI were observed (3.9% cumulative incidence) of which 131 (90.3%) were superficial and 14 (9.7%) complex (deep or organ/space) SSI; overall 129 SSI (of which 89.9% superficial) were diagnosed post-discharge. Only higher NNIS score was significantly associated with SSI occurrence in the regression analysis. Our work provides the first regional data on CS-associated SSI incidence, highlighting the need for a post-discharge surveillance which should assure 30 days post-operation to not miss data on complex SSI, as well as being less labour intensive

ECG registered on May 22, 2015.

<p>ECG registered on May 22, 2015.</p