Five year retrospective study on Syphilis in the Sexual Transmitted Disease (STD) centre of the teaching hospital Umberto I in Rome

Objectives: A retrospective study describing syphilis epidemiological and clinical features in patients referring to an infectious diseases centre in Rome, Italy. Methods: Between January 2011 and December 2015 demographic, behavioral and clinical data were collected from all adult patients attending the Sexual Transmitted Disease Centre of the Teaching Hospital Umberto I in Rome. Results: Overall 723 patients, 495 males and 228 females, with syphilis infection diagnosis were included. Average age 39.6 ± 13.6 years (median 38) was higher in men than women (41.1 ± 13.6 vs. 36.3 ± 13.1; p<0.001). Patients were from Italy (486 or 67.2%), EU (90 or 12.4%), rest of Europe (38 or 5.3 %), Americas (46 or 6.4%), Africa (36 or 5.0%) and Asia (27 or 3.7%). One-hundred-twenty-three (17.0%) presented primary syphilis, 43 (5.9%) secondary syphilis, 8 (1.1%) tertiary syphilis, 246 (34.0%) serological syphilis, 80 (11.1%) preceding syphilis, 56 (7.7%) gravidic syphilis and 167 (23.1%) came to the STD to control a preceding syphilis treatment. Fifty-six (24.6%) women were diagnosed with syphilis during their pregnancies. Among Chinese female patients, those pregnant represented 87.5%. There were 100 subjects (13.8%) simultaneously HIV+ and 623 (86.2%) HIV- patients. HIV co-infection affected more frequently men (RR 5.30; CI 2.62 – 10.72; p<0.001). In males HIV co-infection affected more frequently homosexuals (RR 11.72; CI 6.72 – 20.45; p<0.001). Overall HIV co-infection affected more frequently foreign patients, specially from the Americas (26.1%), Africa (25.7%) and Asia (22.2%). Conclusions: A serious problem of “gravidic syphilis” suggests the need for Public Health preventive action. Also an early diagnosis of both syphilis and HIV infection should be reinforced

International classification of functioning, disability and health core sets for children and youth with cerebral palsy: a consensus meeting

AIM: The objective of this article is to report on the Core Sets developed for children and youth aged 0 to 18 years, with cerebral palsy (CP) based on the pediatric International Classification of Functioning, Disability and Health (ICF) by the World Health Organization (WHO).METHOD: A formal decision-making and consensus process integrating evidence gathered from preparatory studies was followed. Preparatory studies included: a systematic literature review; an international expert survey; a qualitative study of children and youth with CP and their caregivers; and a clinical study. Relevant ICF categories were identified in a formal consensus process by international experts from different backgrounds. Twenty-six international experts chosen by WHO region with expertise in CP attended the consensus meeting.RESULTS: Overall, five ICF Core Sets were developed: a Comprehensive Core Set (135 ICF categories); a Common Brief (25 ICF categories); and three age-specific Core Sets: under 6 years (31 ICF categories), from 6 to &lt;14 years (35 ICF categories) and from 14 to 18 years (37 ICF categories).INTERPRETATION: These ICF Core Sets for children and youth with CP are the first ICF-based tools developed for this population. The ICF Core Sets for children and youth with CP can be applied in clinical practice, research, teaching and administration. The application of the ICF Core Sets to this population will standardize the functional assessments of CP worldwide.<br/

Medusae and ctenophores from the Bahia Blanca Estuary and neighboring inner shelf (Southwest Atlantic Ocean, Argentina)

An updated checklist of medusae and ctenophores is presented for the first time for the area comprised by the Bahía Blanca Estuary, the adjacent shelf El Rincón and Monte Hermoso beach, on the southwest coast of Buenos Aires province (Argentina). The area is highly productive and provides several ecosystem services including fishing and tourism. Updated information on the biodiversity of medusae and ctenophores species is essential for the study area, given that these species can affect ecosystem services. The list includes 23 hydromedusae, 3 scyphomedusae, and 3 ctenophores. Five hydromedusae (Halitiara formosa, Amphinema dinema, Aequorea forskalea, Clytia lomae and Halopsis ocellata) were firstly observed in this area. Three species of medusae, 2 hydromedusae (Olindias sambaquiensis and Liriope tetraphylla) and 1 scyphomedusae (Chrysaora lactea) pose a potential health risk, due to their toxicity to humans. Considering the size of the study area, the Bahía Blanca region has a comparatively high species richness of hydromedusae, higher than larger zones previously studied along the temperate SW Atlantic Ocean. The present report provides the baseline knowledge of gelatinous species for the Bahía Blanca region.Fil: Dutto, María Sofía. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Instituto Argentino de Oceanografía. Universidad Nacional del Sur. Instituto Argentino de Oceanografía; ArgentinaFil: Genzano, Gabriel Nestor. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones Marinas y Costeras. Universidad Nacional de Mar del Plata. Facultad de Ciencia Exactas y Naturales. Instituto de Investigaciones Marinas y Costeras; ArgentinaFil: Schiariti, Agustin. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones Marinas y Costeras. Universidad Nacional de Mar del Plata. Facultad de Ciencia Exactas y Naturales. Instituto de Investigaciones Marinas y Costeras; Argentina. Instituto Nacional de Investigaciones y Desarrollo Pesquero; ArgentinaFil: Lecanda, Maria Julieta. Museo Municipal de Ciencias Naturales de Monte Hermoso; Argentina. Universidad Nacional del Sur; ArgentinaFil: Hoffmeyer, Monica Susana. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Instituto Argentino de Oceanografía. Universidad Nacional del Sur. Instituto Argentino de Oceanografía; Argentina. Universidad Tecnológica Nacional; ArgentinaFil: Pratolongo, Paula Daniela. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Instituto Argentino de Oceanografía. Universidad Nacional del Sur. Instituto Argentino de Oceanografía; Argentina. Universidad Nacional del Sur. Departamento de Biología, Bioquímica y Farmacia; Argentin

Glycoprotein IIb/IIIa Antagonists in Acute Coronary Syndromes Undergoing PCI: A Long Way to Select Optimal Agent and Route

Antiplatelet treatment in patients with an acute coronary syndrome (ACS), without or with ST segment elevation myocardial infarction (STEMI), forces to keep the balance between potential threats and optimal clinical advantages. Apart from clopidogrel, glycoprotein (GP) IIb/IIIa inhibitors (abciximab and 2 small molecules, tirofiban and eptifibatide) have come to the clinical scene. Recent evidence (2009–2011) is reviewed pointing to pharmacoeconometric considerations of concern in times of budget restrictions worldwide. In ACS, when clopidogrel plus aspirin are on, there might be no advantage to add small molecules. Whereas in STEMI patients treated by primary PCI, all 3 GP IIb/IIIa antagonists might be superimposable, when only ACS is present and PCI is elective, definite distinction among the 3 agents, both pharmacoeconomically and pharmacodynamically, might be invoked. There are still points open to debate. Among these the route (upstream versus downstream) is still a matter of uncertainties. Moreover, theoretically, there might be differences not only between abciximab and small molecules (mostly superimposable) but also between tirofiban and eptifibatide (the former being potentially more potent). Thus, a long way is needed before a prominent agent among GPIIb/IIIa inhibitors may be selected. The game is still open, a role will be played soon by new agents

Personalized reduced 3-lead system formation methodology for Remote Health Monitoring applications and reconstruction of standard 12-lead system

Remote Health Monitoring (RHM) applications encounter limitations from technological front viz. bandwidth, storage and transmission time and the medical science front i.e. usage of 2-3 lead systems instead of the standard 12-lead (S12) system. Technological limitations constraint the number of leads to 2-3 while cardiologists accustomed with 12-Lead ECG may find these 2-3 lead systems insufficient for diagnosis. Thus, the aforementioned limitations pose self-contradicting challenges for RHM. A personalized reduced 2/3 lead system is required which can offer equivalent information as contained in S12 system, so as to accurately reconstruct S12 system from reduced lead system for diagnosis. In this paper, we propose a personalized reduced 3-lead (R3L) system formation methodology which employs principal component analysis, thereby, reducing redundancy and increasing SNR ratio, hence, making it suitable for wireless transmission. Accurate S12 system is made available using personalized lead reconstruction methodology, thus addressing medical constraints. Mean R2 statistics values obtained for reconstruction of S12 system from the proposed R3L system using PhysioNet's PTB and TWA databases were 95.63% and 96.37% respectively. To substantiate the superior diagnostic quality of reconstructed leads, root mean square error (RMSE) metrics obtained upon comparing the ECG features extracted from the original and reconstructed leads, using our recently proposed Time Domain Morphology and Gradient (TDMG) algorithm, have been analyzed and discussed. The proposed system does not require any extra electrode or modification in placement positions and hence, can readily find application in computerized ECG machines

La nostalgie de la civilisation. Les représentations de l’Ancien Régime dans les romans sensibles, les romans historiques, les vies romancées et les vies édifiantes (1789-1847)

The French Revolution creates a History’s acceleration and the concept of the Ancien Regime, on institutional and impressionist levels. After 1789, numerous novelists, historical or sentimental (many times both), born during Louis XV and Louis XVI reigns, express nostalgia for Ancien Régime’s civilization. They write about the highlights of the Bourbon’s monarchy, the “douceur de vivre” of the Marie-Antoinette era or the medieval courtesy (in troubadour pieces of work about ladies and knights). This doctoral thesis explores the purposes and methods of the representation of prerevolutionary periods in novels. The large corpus (1789-1847) include famous male (Chateaubriand, Florian, Sade) and female (Mme Cottin, Mme de Genlis, Mme Gay, Mme de Souza) authors and several “minores” – some of them still ignored by modern studies - (Mme de Bawr, Mme Brossin de Méré, Mme Candeille, Guesdon, l’abbé Proyart …)La Révolution Française a été à l’origine d’une accélération de l’histoire aussi bien que de la création de « l’Ancien Régime », sur les plans institutionnel et impressionniste. De nombreux romanciers, historiques ou sensibles (et souvent les deux), nés avant 1789, ont exprimé, sous les différents régimes qui se succèdent par la suite, une nostalgie de la civilisation des divers Anciens Régimes, en représentant les heures glorieuses de la Monarchie Absolue, la « douceur de vivre » d’un XVIIIe siècle apaisé, la courtoisie héroïque des dames et chevaliers dont les amours sont appelées à illustrer le courant troubadour. Ces travaux s’arrêtent sur les moyens et visées de la reconstruction romanesque des périodes prérévolutionnaires dans un large corpus, chronologiquement étendu jusqu’à 1847, en convoquant certains auteurs canoniques (Chateaubriand, Florian, Sade) ou souvent sollicités (Mme Cottin, Mme de Genlis, Mme Gay, Mme de Souza) et plusieurs « minores », dont certains n’avaient pas encore fait l’objet d’études modernes, (Mme de Bawr, Mme Brossin de Méré, Mme Candeille, Guesdon, l’abbé Proyart …

Macroscale abundance patterns of hydromedusae in the temperate Southwestern Atlantic (27º-56º S)

Gelatinous organisms are crucial components of marine ecosystems and some species imply social and economic consequences. However, certain geographic areas, such as the temperate Southwestern Atlantic (SWA, 27 - 56 S), remain understudied in terms of jellyfish ecological data. We analyzed 3,727 plankton samples collected along ~6.7 million km2 over a 31-year period (1983–2014) to determine the occurrence, abundance, and diversity patterns of hydromedusae in the SWA. Analyses were made at both community and species levels. Two abundance hot spots of hydromedusae were identified, where values up to 2,480 ind. m-3 were recorded between 2003 and 2014. Liriope tetraphylla and Obelia spp. were the main responsible for recurrent peaks. Diversity indexes were in the range of those published for temperate areas worldwide, and some coastal zones showed values that can be considered moderate to high for a temperate neritic region. The community analysis yielded 10 groups following previously determined biogeographic schemes throughout the study area. This work enhances the knowledge of hydromedusae in the SWA and provides essential information about the current global warming context and the gelatinous zooplankton data necessity.Fil: Dutto, María Sofía. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Instituto Argentino de Oceanografía. Universidad Nacional del Sur. Instituto Argentino de Oceanografía; ArgentinaFil: Chazarreta, Carlo Javier. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Instituto Argentino de Oceanografía. Universidad Nacional del Sur. Instituto Argentino de Oceanografía; ArgentinaFil: Rodriguez, Carolina Soledad. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones Marinas y Costeras. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Investigaciones Marinas y Costeras; ArgentinaFil: Schiariti, Agustin. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones Marinas y Costeras. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Investigaciones Marinas y Costeras; Argentina. Instituto Nacional de Investigaciones y Desarrollo Pesquero; ArgentinaFil: Diaz Briz, Luciana Mabel. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones Marinas y Costeras. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Investigaciones Marinas y Costeras; ArgentinaFil: Genzano, Gabriel Nestor. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones Marinas y Costeras. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Investigaciones Marinas y Costeras; Argentin

TRA KOSMOS E POLIS: RIPENSANDO AL MEDITERRANEO ANTICO

The life of the Mediterranean in the Hellenistic-Roman period was characterized by the presence of several "polis", with the political and national boundaries but not cultural and religious boundaries. It is for this reason that spread a culture of "cosmopolitan", that maintained the "local" culture, but allowed the various "identities" to mingle, without deleting own specificity. Wanting to apply to theancient world modern categories, we could say that this averted the risk of an unhealthy globalization, that would transform "the" culture to a "mass culture". That was why, for example, a greek citizen - while keeping intact its Greekness - could believe in a foreign god, from Egypt or the Near East, which had a proposal soteriology suits him. He could attend the school of rhetoric of Alexandria, Antioch or Athens without fear of "bribe" the identity of greek, guardian of its Greekness. And so that, particularly since the II BC andfor the whole empire, merchants and intellectuals did their "goods" (material and cultural together) an object of exchange, which led the destruction of local boundaries, as happened for example in the case of the cult of a new Hellenized Isis, from Egypt to Athens, from Sicily in Ancient Greece and Rome, and then from there throughout the oikoumene.DOI: http://dx.medra.org/10.19254/LaborEst.10.0

An updated checklist of ctenophores (Ctenophora: Nuda and Tentaculata) of Mexican seas

Ctenophores are one of the most conspicuous and frequent groups of the gelatinous zooplankton community, but their regional diversity in tropical and subtropical latitudes remains largely unknown. We provide an overview and update of the current knowledge of the diversity in Mexican seas, including ocean and coastal-neritic environments of the Gulf of Mexico, the Mexican Caribbean Sea, and the Mexican Pacific Ocean. Ctenophore records were reviewed based on the available scientific and gray literature, the Naturalista network (www.naturalista.mx), and the ctenophore species collected in the Gulf of California by the Monterey Bay Aquarium Research Institute. A total of 33 taxa (Class Nuda and Tentaculata) were found to occur in Mexican seas, of which 12 of the 33 taxa (36.4 % of the total) were recorded in the Gulf of Mexico, 7 (21.2 %) in the Mexican Caribbean Sea, 25 (75.8 %) in the Gulf of California, 11 (33.3 %) in the Eastern Tropical Pacific, and only 1 (3.0 %) are known in the Northeastern Pacific. Up to nine taxa included in our account represent first records for Mexico (i.e., Bathocyroe fosteri, Kiyohimea usagi, Lampocteis cruentiventer, Leucothea sp., Aulacoctena sp., Haeckelia beehleri, Charistephane fugiens, Bathyctena chuni, and Hormiphora californensis). Due to the lack of data on benthic ctenophores and the sparse studies on oceanic and deep-living species, it is expected that the list will grow as new surveys are performed in the deep sea. The lack of long-term studies on Mexican ctenophores have limited our capacity to draw valid conclusions on their abundance, total diversity, endemicity, and trophic ecology in Mexico.Fil: Puente Tapia, Francisco Alejandro. Instituto Nacional de Investigaciones y Desarrollo Pesquero; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Gasca Serrano, Rebeca Adriana. El Colegio de la Frontera del Sur; MéxicoFil: Schiariti, Agustin. Instituto Nacional de Investigaciones y Desarrollo Pesquero; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones Marinas y Costeras. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Investigaciones Marinas y Costeras; ArgentinaFil: Haddock, S.H.D.. Monterey Bay Aquarium Research Institute ; Estados Unido