Personality profiles and problematic internet use in a sample of Italian adolescents

Objective: The aim of the present study was to investigate the relationship between specific personality profiles and Internet use in a sample of Italian adolescents. Method: Four hundred thirty-two adolescents (58.3% males) with an average age of 14.41 years (SD=.95) were enrolled in the study. Participants were administered the Internet Addiction Test (IAT) and the Minnesota Multiphasic Inventory – Adolescent Form (MMPI-A). A two-step cluster analysis was relied according to IAT items’ scores. Results: Participants were grouped into three clusters labeled “Regulated Internet users” (n=180), “Involved with Internet activities” (n=105), and “At risk for problematic Internet use” (n=147). Consistently, the group at-risk for problematic Internet use showed higher IAT score and MMPI-A scores than the other groups, while no differences emerged between the group of regulated Internet users and the group of those involved with Internet activities. For the group at risk for problematic Internet use, the MMPI-A Clinical Scales on Paranoia (Pa) and Schizophrenia (Sc) showed the highest elevation, indicating a MMPI-A codetype 6-8/8-6 which describes adolescents with ego immaturity, dysregulated affects and behaviors, and reduced reality testing. Conclusions: Adolescents at risk for developing a dysfunctional use of the Internet may have little insight, bizarre beliefs, grandiose thought, and a persecutory view of the external world that may limit their capacity to counteract feelings of hopelessness and anguish. They could perceive the Internet as safe environment where it is possible to express such dysregulated feelings and behaviors, and to cope with emotional distress

Incidence of toxoplasmosis in pregnancy in Campania: A population-based study on screening, treatment, and outcome

INTRODUCTION: The aim of this study was to evaluate the incidence of toxoplasmosis infection during pregnancy and to describe the characteristics of the serological status, management, follow-up and treatment. MATERIAL AND METHODS: This is a population-based cohort study of women referred for suspected toxoplasmosis during pregnancy from January, 2001 to December, 2012. Suspected toxoplasmosis was defined as positive IgM antibody during pregnancy. Women with suspected toxoplasmosis during pregnancy were classified into three groups: seroconversion, suspected infection, or no infection in pregnancy. Women in the first and second group were treated according to local protocol, and amniocentesis with toxoplasmosis PCR detection and serial detailed ultrasound scans were offered. Neonates were investigated for congenital toxoplasmosis at birth and were monitored for at least one year after birth. RESULTS: During the study period, there were 738,588 deliveries in Campania. Of them 1159 (0.2%) were referred to our Institution for suspected toxoplasmosis during pregnancy: 183 (15.8%) women were classified as seroconversion, 381 (32.9%) were suspected infection, and 595 (51.3%) were not infected in pregnancy. Neonatal outcome was available for 476 pregnancies, including 479 neonates (3 twins, 473 singletons), out of the 564 pregnancies with seroconversion or suspected infection. 384 (80.2%) babies were not infected at birth and at follow-up, 67 (14.0%) had congenital toxoplasmosis, 10 (2.1%) were voluntary induced termination of pregnancy, 15 (3.1%) were spontaneous miscarriage, and 4 (0.8%) were stillbirth (of which one counted already in the infected cohort). Considering cases of congenital toxoplasmosis, the transmission rate in women with seroconversion was 32.9% (52/158), and in women with suspected infection was 4.7% (15/321). CONCLUSIONS: Toxoplasmosis is uncommon in pregnancy with overall incidence of seroconversion and suspected infection in pregnancy of 0.8 per 1000 live births and incidence of congenital toxoplasmosis 0.1 per 1000 live births when applying a strict protocol of screening, follow-up, and treatment. 51.3% (595/1159) of women referred to our center for suspected infection were actually considered not infected

Inflammatory bowel disease nurse specialists for patients on biological therapies: a nationwide Italian survey

Background Management of inflammatory bowel disease (IBD) patients requires a multidisciplinary approach. Among the working team, the role of IBD nurse is expected to be particularly relevant when managing patients receiving biological therapies. We performed a survey to assess the presence of IBD nurse in centers where patients were receiving biologics. Methods For this Italian nationwide survey a specific questionnaire was prepared. IBD nurse was defined as a nurse directly involved in all phases of biological therapy, from pre-therapy screening, administration and monitoring during therapy, to follow up performed by a dedicated helpline, completed a specific training on biological therapy therapy, and observed international guidelines. Results A total of 53 Italian IBD centers participated in the survey, and 91 valid questionnaires were collected. Overall, 34 (37.4%) nurses could be classified as IBD specialists. IBD nurses had a significantly higher educational level than other nurses, they were more frequently operating in Central or Southern than in Northern Italy, they were working in an Academic center rather than in a General hospital, and in IBD centers with >25 patients on biological therapy. On the contrary, mean age, gender distribution, years of nursing, and years working in the IBD unit did not significantly differ between IBD and other nurses. Conclusions Our nationwide survey showed that the presence of an IBD nurse is still lacking in the majority of Italian IBD centers where patients receive biological therapies, suggesting a prompt implementation

Influenza dell’aplotipo caseinico sulla qualità tecnologica del latte di capra Cilentana

Il latte di capra presenta un’elevata variabilità genetica a causa del polimorfismo qualiquantitativo ai loci caseinici, correlato positivamente o negativamente alla trasformazione casearia per le differenti caratteristiche chimico-fisiche. Nel latte caprino, la quantità di caseina dipende dalle classi quantitative, forti, intermedie e deboli, degli alleli ai loci delle tre principali frazioni caseiniche as1, as2 e b e dalla relativa frequenza nel latte da caseificare. Dal momento che la resa casearia dipende dai contenuti di caseina e grasso, nel presente lavoro è stata studiata l’influenza dell’aplotipo caseinico (as1, b e k-CN) sul contenuto dei macronutrienti e sull’attitudine alla trasformazione casearia del latte di capra Cilentana utilizzato nella produzione del Cacioricotta. Questo è uno dei prodotti simbolo della produzione casearia meridionale, che associa le caseine del formaggio alle sieroproteine della ricotta e viene prodotto solo in alcune zone del Cilento (SA). Questo studio si inserisce nell’ambito del PRIN 2005075887_005 finalizzato alla definizione della qualità tecnologica e nutrizionale del latte ovi-caprino. Sono stati analizzati 166 campioni individuali di latte di capra Cilentana mediante la determinazione del contenuto di grasso, proteina e dei parametri tromboelastografici. Dopo la fenotipizzazione ai loci as1, b e k-CN, effettuata mediante tecniche immuno-elettroforetiche, sono stati assemblati due latti massali (Forte e Debole) impiegati nella produzione di Cacioricotta. I fenotipi caseinici dei campioni individuali sono stati raggruppati in 17 aplotipi classificati in due classi: forti, F e deboli D, in base al contenuto di alleli forti e deboli dell’as1-CN. Nel latte della capra Cilentana gli aplotipi F sono più diffusi rispetto a quelli D; ad essi sono associati maggiori contenuti di grasso (4,12% vs 3,82%) e proteina (3,26% vs 2,86%) che lasciano presupporre una buona resa casearia. In base ai dati tromboelastografici il latte di capra Cilentana presenta buone attitudini casearie, in quanto agli aplotipi D è correlata una migliore attitudine alla coagulazione rispetto alle razze straniere (in cui prevalgono gli alleli deboli). I dati relativi alla resa in formaggio confermano questo risultato, perché la resa degli aplotipi D (14.50%) è inferiore solo di un punto percentuale a quella degli F (15.50%). Infine è interessante notare che nel latte massale D (cui è associata una minore quantità di caseine, particolarmente antigeniche), agli aplotidi D è associato il 73% (vs 77% dei forti) di contenuto di caseina e l’8% (vs 6% dei forti) di azoto non proteico. L’utilizzo di latte caprino con aplotipi D può anche rappresentare un’utile alternativa ai latti per l’infanzia che sono prodotti da latte bovino mediante processi di produzione che abbassano la biodisponibilità di aminoacidi, essenziali per la crescita del neonato

Successful Vaginal Delivery after Induction of Labour in a Patient Treated for Non-Hodgkin’s Lymphoma of the Cervix: A Case Report and Literature Review

OBJECTIVE: Primary non-Hodgkin's lymphomas of the cervix are rare; they represent about 1% of all cases. There are no available guidelines regarding the safest mode of delivery after treatment and resolution of a cervical lymphoma. Case Report. We report the first case of a successful vaginal delivery after induction of labour in a woman recovered from a primary large B-cell lymphoma of the cervix and a literature review. CONCLUSION: In carefully selected patients with fully treated non-Hodgkin's lymphoma of the cervix with no residual disease, induction of labour via prostaglandins pessary may be a safe option if indicated

An integrated approach based on advanced CTG parameters and Doppler measurements for late growth restriction management

The clinical diagnosis of late Fetal Growth Restriction (FGR) involves the integration of Doppler ultrasound data and Fetal Heart Rate (FHR) monitoring through computer assisted computerized cardiotocography (cCTG). The aim of the study was to evaluate the diagnostic power of combined Doppler and cCTG parameters by contrasting late FGR -and healthy controls