Field trip to the Ischia resurgent caldera, a journey across an active volcano in the Gulf of Naples

Ischia is one of the most impressive examples of post-caldera resurgence in the world, with its almost 1,000 m of uplift in less than 30 ka. This three-days field trip will lead the participants through the geological and volcanological history of the island, illustrating the volcanic and related hazardous phenomena threatening about 50,000 inhabitants. Effusive and explosive eruptions, catastrophic earthquakes and huge debris-avalanches struck the island that, since Neolithic times, experienced a complex history of alternating human colonization and natural disasters. The field trip consists of three routes: 1) the circumnavigation of the island, aimed to outline its main volcanological, geomorphological and tectonic features and to observe the oldest volcanic rocks exposed, stimulating discussions about coastal evolution and the relationships between volcanism, volcano-tectonism and slope instability; 2) an onland excursion on peculiar aspects of the products related to Ischia more recent period of volcanic activity; 3) a route focusing on the Mt. Epomeo Green Tuff caldera forming eruptions (55-60 ka), encouraging a discussion on the dynamics of the intracalderic resurgence and the geomorphological evolution of the Mt. Epomeo slopes, with ongoing Mass Rock Creep (MRC) processes culminating in rockavalanche, debris-avalanche and lahar deposits

Valutazione dell’impatto del settore della pesca sull’ecosistema marino - Indicatori ecosistemici (sezione V) Sub-area Geografica (GSA) 16 – Stretto di Sicilia Anno 2016

Il Programma Nazionale Italiano 2014-2016 di Raccolta Dati nel settore della pesca prevede, inter alia, la stima di cinque indicatori dell’impatto della pesca nell’ecosistema marino, in accordo con quanto riportato nell’appendice XIII della Decisione della Commissione del 6 novembre 200

Adaptive Proximal Scaphoid Implant stability despite a perilunate dislocation: a case report

We present the case of a 22 y.o. male patient suffering from scaphoid non-union with avascular necrosis of the proximal pole and initial degenerative arthritis

Surgical treatment of severe adolescent idiopathic scoliosis through one-stage posterior-only approach: A systematic review and meta-analysis

: The aim of this meta-analysis was to analyze the results of one-stage all-posterior spinal fusion for severe adolescent idiopathic scoliosis (AIS). A systematic search of articles about one-stage posterior spinal fusion for severe AIS was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data about population, pre-and postoperative radiographical data, surgical procedure details, and complications were extracted. Meta-analyses were performed when possible. Fourteen studies (640 patients) were included. The mean Cobb angle of the major curve varied from 80.0 ± 7.3 to 110.8 ± 12.1. The meta analysis showed a comprehensive coronal correction rate of the major curve of 58.6%, a comprehensive operative time of 274.5 min, and a comprehensive estimated intraoperative blood loss of 866.5 mL (95% confidence interval: 659.3-1073.6, I 2 ≈ 0%). A total of 48 complications (5.4%) were reported. Overall, the meta-analysis showed a major complication rate of 4%. In seven cases, revision surgery was needed. Posterior-only approach is effective enough to correct severe curves and can spare the patient possible adverse events due to anterior approach. However, when choosing this approach for severe AIS, screw density needs to be high and posterior column osteotomies may need to be planned to mobilize the spine and maximize correction

Changes in inflammatory biomarkers in HCV-infected patients undergoing direct acting antiviral-containing regimens with or without interferon

Background and aims Increased levels of chemokine interferon-gamma (IFN-γ)-inducible protein-10 (CXCL10), soluble CD163 (sCD163) and soluble CD14 (sCD14) have been reported in HCV infection. The aim of this study was to compare, sCD163 and sCD14 levels in HCV-infected patients undergoing direct acting antiviral (DAA)-containing regimens with or without interferon (IFN). Methods sCD163, sCD14 and CXCL10 were longitudinally measured by ELISA in 159 plasma samples from 25 HCV-infected patients undergoing IFN-based treatment plus telaprevir or boceprevir and 28 HCV infected subjects treated with DAA IFN-free regimens. Twenty-five healthy donors (HD) were included as controls. Results At baseline CXCL10, sCD163 and sCD14 levels were higher in HCV-infected patients than in HD. CXCL10 and sCD163 levels were significantly decreased in responder (R) patients who achieved sustained virological response (SVR), with both IFN-based and IFN-free regimens, while they were persistently elevated in non-responders (NR) patients who stopped IFN-based treatments because of failure or adverse events. Conversely, sCD14 levels were apparently unchanged during therapy, but at the end of treatment the levels reached normal ranges. Comparing the two regimens, the extent of CXCL10 reduction was more pronounced in patients undergoing DAA IFN-free therapies, whereas sCD163 and sCD14 reduction was similar in the two groups. Interestingly, only in IFN-based regimens baseline sCD163 levels were significantly higher in NR than in R patients, while in the IFN-free treatment group also patients with highsCD163 plasma levels obtained SVR. At the end of therapy, even if the biomarkers were largely decreased, their levels remained significantly higher compared to HD. Only in the early fibrosis stages, sCD163 values tended to normalize. Conclusions These results indicate that IFN-free regimens including newer DAA induce an early and marked decrease in circulating inflammatory biomarkers. However, the full normalization of biomarkers was not obtained, especially in patients with advanced fibrosis, thus underlying the need for a treatment in the early stages of HCV infection

Immunological diagnosis as an adjunctive tool for an early diagnosis of tuberculous meningitis of an immune competent child in a low tuberculosis endemic country: A case report

Background: Pediatric tuberculous meningitis is a highly morbid, often fatal disease. Its prompt diagnosis and treat - ment saves lives, in fact delays in the initiation of therapy have been associated with high mortality rates. Case presentation: This is a case of an Italian child who was diagnosed with tuberculous meningitis after a history of a month of headache, fatigue and weight loss. Cerebrospinal fluid analysis revealed a lymphocytic pleocytosis with predominance and decreased glucose concentration. Microscopy and conventional diagnostic tests to identify Myco - bacterium tuberculosis were negative, while a non classical method based on intracellular cytokine flow cytometry response of CD4 cells in cerebral spinal fluid helped us to address the diagnosis, that was subsequently confirmed by a nested polymerase chain reaction amplifying a 123 base pair fragment of the M. tuberculosis DNA. Conclusions: We diagnosed tuberculous meningitis at an early stage through an innovative immunological approach, supported by a nested polymerase chain reaction for detection of M. tuberculosis DNA. An early diagnosis is required in order to promptly initiate a therapy and to increase the patient’s surviva

Exploring the feasibility of technological transfers of two by-catch reduction devices in the crustacean bottom trawling of the central Mediterranean

Introduction: Most Mediterranean fish stocks are overexploited owing to high fishing efforts and poor exploitation patterns. Demersal trawl fisheries are considered the most impactful fishery type because of the high quantities of unwanted catch that is then routinely discarded at sea. Methods: In the present study, two types of by-catch reduction devices (BRDs), that is a sorting grid (Grid-T45 40 mm) and a T90 50 mm codend, were compared to a typical commercial bottom trawl net (control) in terms of size structures and catch per unit effort to assess the effect of gear modification on the selectivity of crustacean fisheries in the central Mediterranean Sea. In particular, three randomly selected trawlers were involved in a paired hauls experiment fishing at the same time in the same fishing ground. Each trawler carried out four hauls per day during a 3-day campaign for a total of 36 hauls. The target species of the fishery is Parapenaeus longirostris (herein DPS), and the main commercial by-catch is Merluccius merluccius (herein HKE). Results: The results showed that the landing per unit effort (LPUE) of DPS was higher for Grid-T45 40 mm net, although it did not differ significantly from that of the control net. Conversely, the discard per unit effort (DPUE) of the control net was significantly higher than of both BRD configurations. For HKE, a slightly higher LPUE was recorded using the T90 50 mm codend compared to that of the control, but this result was not statistically significant. The lowest DPUE was found for the T90 50 mm codend, with significant differences compared to that of the control and Grid-T45 40 mm net. The catch comparison of the size structures analysed through generalised linear mixed models highlighted that the Grid-T45 40 mm net was more effective in catching adult DPS, whereas the T90 50 mm codend was more selective for adult HKE Discussion: In conclusion, although further studies should be carried out in future to test the performance of the BRDs in different areas and seasons, the investigated gear seems to be promising for reducing the catch of undersized individuals and contributing to mitigating the current overfishing of DPS and HK