1,230 research outputs found

    A multidisciplinary approach to evaluate the effectiveness of natural attenuation at a contaminated site

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    This study evaluates the natural attenuation of chlorinated hydrocarbons as remediation action in a contaminated site downtown the city of Parma (Italy). To achieve this goal, a combination of new investigation methods (bio-molecular analysis, compound specific isotope analysis, phytoscreening) has been proposed. The approach (named circular multi step) allows to: fully understand the phenomena that occur at the study site, design new investigation activities, and manage best practices. Consequently, each step of the approach improves the conceptual and numerical models with new knowledge. The activities carried out at the study site allowed to detect a contamination of perchloroethylene in a large part of the city of Parma and, of main importance, underneath a kindergarten. The results of the study did not show significant natural attenuation of chlorinated hydrocarbons and that the detected contamination could refer to the same unknown contaminant source. Furthermore, the innovative phytoscreening technique was applied to assess the presence of chlorinated hydrocarbons at the ground level. The plume spread was estimated through numerical modeling starting from potential contaminant sources. This study enhances the knowledge of groundwater flow and contamination in Parma and allows authorities to design new investigation/reclamation activities through management actions

    High-speed and high-resolution 2D and 3D elemental imaging of corroded ancient glass by laser ablation-ICP-MS

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    In this work, laser ablation-inductively coupled plasma-mass spectrometry was used to investigate for the first time glass weathering mechanisms using high-resolution 2D and 3D elemental maps of altered layers of ancient glass. Roman archaeological glass shards, displaying several corrosion indicators, were studied using multiple raster-scanning ablation with high depth and lateral resolution. The concentration gradients of different elements were captured (in their variations from the surface to the bulk of pristine glass) by multiple ablations on degraded regions of interest to observe the dissolution of the glass network due to the hydration and leaching processes that occur during its alteration. The results indicated an enrichment of silicon and a depletion of alkaline/alkaline earth element concentration in the first few microns of depth under the surface area suggesting that a de-alkalinisation phenomenon occurs on the glass surface when ancient items have been buried under soil for extended timeframes. The layer-by-layer elemental distribution revealed also how the composition of the archaeological glass changes from the bulk to the surface, shedding light on the leaching behaviour of glass constituents during the alteration process

    Managerial features and outcome in neonatal intensive care units: results from a cluster analysis

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    Background: Healthcare organisations differ in performance even if they are located in the same country or region. Suitable managerial practices and organisational processes can lead to better health outcomes. As a result, hospitals are constantly looking for managerial arrangements that can improve outcomes and keep costs down. This study aims to identify different managerial models in neonatal intensive care units (NICUs) and their impact on a large number of outcomes. Methods: The research was conducted in Italy, within the SONAR project. SONAR’s aim was to identify the characteristics of NICUs, monitor outcomes and promote best practices. This study includes 51 of the 63 NICUs that took part in the SONAR project. Questionnaires on the activities and managerial features were administered to doctors and nurses working in NICUs. A total of 643 questionnaires were analysed from doctors and a total of 1601 from nurses. A cluster analysis was performed to identify managerial models of NICUs. Results: Three managerial models emerged from cluster analysis: traditional, collaborative and individualistic. In the “traditional” model the doctor is above the nurse in the hierarchy, and the nurse therefore has exclusively operational autonomy. The “collaborative” model has as key elements professional specialisation and functional coordination. The “individualistic” model considers only individual professional skills and does not concern the organisational conditions necessary to generate organisational effectiveness. The results also showed that there is an association between managerial model and neonatal outcomes. The collaborative model shows best results in almost all outcomes considered, and the traditional model has the worst. The individualistic model is in the middle, although its values are very close to those of traditional model. Conclusions: Health management needs to assess NICU strategically in order to develop models to improve outcomes. This study provides insights for management useful for designing managerial characteristics of NICUs in order to achieve better results. NICUs characterised by a collaborative model in fact show better neonatal outcomes

    Thyroid and pregnancy

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    A gravidez está associada com a necessidade aumentada de secreção hormonal pela tireóide desde as primeiras semanas após a concepção. Para que esta maior demanda ocorra, a gestação induz uma série de alterações fisiológicas que afetam a função tireoidiana e, portanto, os testes de avaliação da função glandular. Para as mulheres grávidas normais que vivem em áreas suficientes em iodo, este desafio em ajustar a liberação de hormônios tireoidianos para o novo estado de equilíbrio e manter até o término da gestação, geralmente, ocorre sem dificuldades. Entretanto, em mulheres com a capacidade funcional da tireóide prejudicada por alguma doença tireoidiana ou naquelas que residem em áreas de insuficiência iódica, isso não ocorre. O manejo de disfunções tireoidianas durante a gestação requer considerações especiais, pois tanto o hipotireoidismo quanto o hipertireoidismo podem levar a complicações maternas e fetais. Além disso, nódulos tireoidianos são detectados, com certa freqüência, em gestantes, o que pode gerar a necessidade do diagnóstico diferencial entre benignos e malignos ainda durante a gestação.Pregnancy is associated with an increased requirement of hormone secretion by the thyroid, within the first weeks after conception. To this greater demand to occurs, pregnancy induces a series of physiological changes that affect thyroid function and, consequently, the tests of glandular function. For normal pregnant women living in areas with a sufficient supply of iodine, this challenge regarding the adjustment of thyroid hormone releases to this new state of equilibrium and its maintenance until the end of pregnancy it meets no difficulties. However, among women with impaired thyroid function due to some thyroid disease or among women residing in areas with an insufficient iodine supply, this does not occur. The management of thyroid dysfunction during gestation requires special considerations, since both hypothyroidism and hyperthyroidism can lead to maternal and fetal complications. In addition, thyroid nodules are detected at reasonable frequency among pregnant women, a fact that requires a differential diagnosis between benign and malignant growths during the pregnancy itself

    Effects of animacy on the processing of morphological Number: A cognitive inheritance?

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    Language encodes into morphology part of the information present in the referential world. Some features are marked in the great majority of languages, such as the numerosity of the referents that is encoded in morphological Number. Other features do not surface as frequently in morphological markings, yet they are pervasive in natural languages. This is the case of animacy, that can ground Gender systems as well as constrain the surfacing of Number. The diffusion of numerosity and animacy could mirror their biological salience at the extra-linguistic cognitive level. Human extralinguistic numerical abilities are phylogenetically ancient and are observed in non-human animal species, especially when counting salient animate entities such as social companions. Does the saliency of animacy influence the morphological encoding of Number in language processing? We designed an experiment to test the encoding of morphological Number in language processing in relation to animacy. In Italian, Gender and Number are mandatorily expressed in a fusional morpheme. In some nouns denoting animate referents, Gender encodes the sex of referents and is semantically interpretable. In some other animate nouns and in inanimate nouns, Gender is uninterpretable at the semantic level. We found that it is easier to inflect for Number nouns when the inflectional morpheme is interpretable with respect to a semantic feature related to animacy. We discuss the possibility that the primacy of animacy in counting is mirrored in morphological processing and that morphology is designed to easily express information that is salient from a cognitive point of view

    Analysis of the saltwater wedge in a coastal karst aquifer with a double conduit network, numerical simulations and sensitivity analysis

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    We investigate the long-distance salinity in a dual permeability coastal karst aquifer with a double conduit network using a three-dimensional variable-density groundwater flow and multispecies transport SEAWAT model. Sensitivity analyses were used to evaluate the impact of the parameters and boundary conditions on the modeling saltwater wedge in a karstic aquifer situated in the Cuban land territory, including hydraulic conductivity, vertical anisotropy and salinity concentration; both in the conduits network and the fractured medium. These analyses indicated that hydraulic conductivity of the fractured medium and salt concentration were the ones that have a stronger effect on saltwater intrusion in a karstic aquifer. We also show results of the three-dimensional numerical simulations on groundwater salinity for different scenarios with the variabilities of the important parameters and compare results with electric conductivity profiles measured in a well
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