Riesgo biológico en un Servicio de Urgencias: prevención frente al Sars-Cov-2

La pandemia del Covid-19, debida a la infección secundaria a Sars-Cov-2, ha sido un reto para toda la sociedad, en especial para el personal que trabaja en el ámbito sanitario. Los Servicios de Urgencias Hospitalarios se encuentran en primera línea para intentar contener la enfermedad, en muchas ocasiones incluso antes de su diagnóstico. El personal que trabaja en Urgencias (administración, celadores, enfermeros y médicos) se ha visto muy afectado desde el principio de la pandemia, con tasas de contagio muy elevadas, debido a problemas organizativos, de falta de protección y de desconocimiento acerca de la transmisión de la enfermedad. Con el pasar de los meses se han establecido protocolos y guías que han permitido a los Servicios de Prevención de Riesgos Laborales implementar medidas de protección generales, organizativas y específicas para proteger a los trabajadores. Después de una búsqueda bibliográfica en las principales plataformas científicas y tras haber revisado y seleccionado los estudios de mayor validez y los protocolos más actuales,se ha evaluado el riesgo biológico en un Servicio de Urgencias Hospitalario y se han expuesto las actividades según el riesgo de exposición, especificando las medidas de protección necesarias en cada una de ellas y según el trabajador que las realiza. Finalmente, tras una revisión exhaustiva, se ha elaborado un plan de contingencia para reducir el riesgo de infección entre los trabajadores,simulando un Servicio de Urgencias y todas sus funciones, con circuitos asistenciales separados para garantizar una asistencia sanitaria adecuada a los pacientes y una apropiada protección de los trabajadores

Preliminary Results on a "Real" Iris Recognition System under Challenging Operational Conditions

Iris recognition algorithms have recently demonstrated excellent performance in the authentication task. In this paper, we present a technology transfer project for the development and testing of a biometric recognition system under challenging operational conditions. Due to the stringent operational requirements, the design and implementation of the system included a phase of selecting technologically advanced hardware. The lack of corresponding data sets implied a novel acquisition step. The evaluation phase is preliminary as the data set is being expanded for the acquisition of new samples capable of highlighting the system’s critical issues. Current samples were acquired in very different lighting conditions and in the presence of glasses, which was not yet done in the literature. In addition to the selected hardware, such data allowed us to simulate a realistic environmental context for the project’s final prototype

Life Cycle Assessment of an Industrial Laundry: a Case Study in the Italian Context

The high volumes of wastewater from industrial laundry with known toxicological concerns represent a relevant source of pollution for water bodies. Moreover, the unavailability of a detailed and specific Life Cycle Inventory (LCI) referring to the use of detergent within the laundry system could undermine the overall quality of the environmental assessment. This is related to the use of a substitutional product or proxy dataset for specific processes like the use of detergents. Laundry services are also known as highly energy consuming sites. This paper thus aims to make a Life Cycle Inventory (LCI) and Assessment (LCA) for an industrial laundry to provide the environmental profile for an Italian case study. The primary data input to finalize the LCI came from data collected directly from an Italian industrial laundry, integrated with literature, data provided from supporting databases (i.e. Ecoinvent 3.8), and data specifically obtained from the technical datasheets of detergents. The industrial laundry system considers the product’s overall supply chain: extraction and manufacturing of raw materials, including the detergent, transportation and logistics, the industrial process associated with the laundry activity, wastewater treatment, recirculation packaging, and final disposal stages. The calculated environmental profiles refer to the functional unit of 1 kg of linen washed by a standard washing cycle. The system boundaries of this study include the production stages of the process. The analysed activities are the transportation for the delivery and collection of linen, the purchase of raw materials, and the sanitization and washing processes. SimaPro 9.2 software and the ReCiPe 2016 H method are used for the LCA study. The baseline scenario has been compared with an alternative scenario introducing renewable energy technology (i.e. solar PV panel). The result shows a total impact of 12.77 mPt. The most impacting activities are the washing phase (4.62 mPt), the ironing phase (4.29 mPt), and the drying phase (1.56 mPt). The greatest impact in the washing phase is caused by the use of detergents and washing products. It is observed that most of the impacts fall into the categories of ‘Global Warming, Human Health’, ‘Fine Particulate Formation’, ‘Carcinogenic Human Toxicity’, ‘Non- Carcinogenic Human Toxicity’, ‘Fossil Resource Scarcity’. The midpoint category with the highest impact is ‘Fine Particulate Formation’ with a value of 5.18 mPt. The alternative scenario introducing renewable energy technology (i.e. solar PV panel) reduces the impact by 19.7 %. Sensitivity analyses have been performed to evaluate the LCA model’s uncertainty, with specific reference to the washing agents, the transportation of raw materials, and the energy consumption

Using Two-Step Cluster Analysis and Latent Class Cluster Analysis to Classify the Cognitive Heterogeneity of Cross-Diagnostic Psychiatric Inpatients

The heterogeneity of cognitive profiles among psychiatric patients has been reported to carry significant clinical information. However, how to best characterize such cognitive heterogeneity is still a matter of debate. Despite being well suited for clinical data, cluster analysis techniques, like the Two-Step and the Latent Class, received little to no attention in the literature. The present study aimed to test the validity of the cluster solutions obtained with Two-Step and Latent Class cluster analysis on the cognitive profile of a cross-diagnostic sample of 387 psychiatric inpatients. Two-Step and Latent Class cluster analysis produced similar and reliable solutions. The overall results reported that it is possible to group all psychiatric inpatients into Low and High Cognitive Profiles, with a higher degree of cognitive heterogeneity in schizophrenia and bipolar disorder patients than in depressive disorders and personality disorder patients

STEPS TO A LOCALIZATION OF A STUDENT CENTRED IS AN EXPLORATORY APPROACH

In this exploratory paper we propose a particular interpretation of what “localization” and “centring” could represent within a n-fold approach, aimed to question the reality to raise analytic and methodological issues. This concern a discussion on a project of localization of an information system addressed to student\u27s needs. Our subject of analysis is the student of Trento University (Italy) that stands for the pivoting point of the comprehension and knowledge of the situated context we study. Adopting a scenario-based design we try to give the researchers and designers a useful tool embodying the questions and problems of a complex reality such student\u27s life is

Physiological and ultrastructural effects of acute ozone fumigation in the lichen Xanthoria parietina: the role of parietin and hydration state

The physiological and ultrastructural effects induced by acute exposure to ozone (O3) were investigated in the lichen Xanthoria parietina. Our working hypothesis was that parietin content and hydration of the thalli may play a role in the modulation of the effects of O3 exposure. Four batches of X. parietina samples, dry and wet, with (P+) and without (Pâ\u88\u92) parietin, were fumigated for 1 h with 3 ppm O3. The effects of O3 were assessed immediately after the fumigation and after one week of recovery under controlled conditions. O3 fumigation caused physiological and ultrastructural impairment both to the photobiont and the mycobiont, irrespective if samples were fumigated wet or dry, and P+ or Pâ\u88\u92. However, one week after fumigation, a recovery was observed in P+ samples for the photobiont and in dry samples for the mycobiont. We suggest that the hydration state may play a major role in determining the severity of the damage, while the presence of parietin may promote the recovery. Our results provide physiological and ultrastructural basis to explain the ecological insensitivity of lichens to high environmental levels of ozone occurring during dry Mediterranean summers

Matrix metalloproteinase gene polymorphisms and susceptibility to systemic sclerosis

The major pathological hallmark of the systemic sclerosis (SSc) is skin and internal organ fibrosis, which results from normal tissue architecture alterations and extracellular matrix (ECM) protein deposition. ECM components are degraded by matrix metalloproteinases (MMP). Promoter region polymorphisms in MMP genes may influence gene expression, resulting in an imbalance between ECM protein production and degradation. Here, we analyzed MMP1 -1607 1G/2G (rs1799750), MMP3 -1171 5A/6A (rs3025058), and MMP9 -1562 C/T (rs3918242) polymorphisms in relation to susceptibility to SSc and its clinical features. The patient group included 98 individuals with longstanding or recently diagnosed disease, meeting the American College of Rheumatology or LeRoy and Medsger criteria for SSc; the control group included 100 healthy blood donors. All participants were of European descent. Genotyping was performed by polymerase chain reaction followed by restriction digestion. Genotype and allele frequencies of MMP polymorphisms were similar between the two groups. In secondary analyses, significantly higher frequency of 1G/2G genotype from MMP1 polymorphism was observed for patients testing positive for antinuclear autoantibodies (P = 0.007), while 1G/1G genotype was associated with interstitial lung disease development (P = 0.018). The 6A/6A genotype from MMP3 polymorphism was absent in patients with calcinosis (P = 0.011), while the MMP3 5A/5A genotype correlated with the presence of anti-topoisomerase I antibodies (P = 0.009) and reduced diffusing capacity for carbon monoxide (P = 0.024). These results suggest that MMP polymorphisms are not associated with SSc susceptibility, although MMP1 and MMP3 variants are associated with specific SSc clinical and laboratory features

Does air pollution influence the success of species translocation? Trace elements, ultrastructure and photosynthetic performances in transplants of a threatened forest macrolichen

Species translocation can be considered as a primary conservation strategy with reference to in situ conservation. In the case of lichens, translocations often risk to fail due stress factors associated with unsuitable receptor sites. Considering the bioecological characteristics of lichens, air pollution is among the most limiting stress factors. In this study, the forest macrolichen Lobaria pulmonaria was used as a model to test the hypothesis that the translocation of sensitive lichens is effective only in unpolluted environments. At purpose, 500 fragments or whole thalli were translocated in selected beech forests of Central Europe (the Western Carpathians, Slovakia) where the species disappeared in the past and in oak forests of Southern Europe (Tuscany, Central Italy) where native populations are present. Prior to the translocation (May 2016) and after one year, morphological and ultrastructural features, trace elements as well as chlorophyll a fluorescence emission were analysed. Four years later, the effectiveness of lichen translocation was further evaluated as presence of the transplants and of newly formed individuals. After one year, the translocation ensured an effective survival of the thalli in remote oak and beech forests characterized by a negligible or low contamination by heavy metals. The transplants were considered successful and developed new lobules and rhizines, attaching by themselves to the bark of the host trees, looking overall healthy, without evident signs of alteration also at ultrastructural level. Moreover, in a few cases newly formed individuals were observed after four years. On the other hand, the results highlighted the link between the unsuccess of the translocation and air pollution in other areas of the Western Carpathians and suggested that current air quality still limits the possibility of recolonization in areas where the model species disappeared

Tracking of the origin of recurrent mutations of the BRCA1 and BRCA2 genes in the North-East of Italy and improved mutation analysis strategy

14noopenopenCini, Giulia; Mezzavilla, Massimo; Della Puppa, Lara; Cupelli, Elisa; Fornasin, Alessio; D'Elia, Angela Valentina; Dolcetti, Riccardo; Damante, Giuseppe; Bertok, Sara; Miolo, Gianmaria; Maestro, Roberta; de Paoli, Paolo; Amoroso, Antonio; Viel, AlessandraCini, Giulia; Mezzavilla, Massimo; Della Puppa, Lara; Cupelli, Elisa; Fornasin, Alessio; D'Elia, Angela Valentina; Dolcetti, Riccardo; Damante, Giuseppe; Bertok, Sara; Miolo, Gianmaria; Maestro, Roberta; de Paoli, Paolo; Amoroso, Antonio; Viel, Alessandr

Grapevine field experiments reveal the contribution of genotype, the influence of environment and the effect of their interaction (GxE) on berry transcriptome

Changes in the performance of genotypes in different environments are defined as genotype x environment (GxE) interactions. In grapevine (Vitis vinifera), complex interactions between different genotypes and climate, soil, and farming practices yield unique berry qualities. However, the molecular basis of this phenomenon remains unclear. To dissect the basis of grapevine GxE interactions, we characterized berry transcriptome plasticity, genome methylation landscape, and within-genotype allelic diversity in two genotypes, cultivated in three different environments, over two vintages. We identified, through a novel data-mining pipeline, genes with expression profiles that were unaffected by genotype or environment, genotype-dependent but unaffected by the environment, environmentally-dependent regardless of genotype, and GxE-related. The GxE-related genes showed different degrees of within-cultivar allelic diversity in the two genotypes and were enriched for stress responses, signal transduction and secondary metabolism categories. Our study unraveled the mutual relationships between genotypic and environmental variables during GxE interaction in a woody perennial species, providing a reference model to explore how cultivated fruit crops respond to diverse environments. Also, the pivotal role of vineyard location in determining the performance of different varieties, by enhancing berry quality traits, was unraveled