I mercati dell�amministrazione. Le nuove procedure per l'acquisto di beni e servizi

si tratta della prima ricerca sulla disciplina giuridica delle nuove procedure telematiche per l'acquisto di beni e serviz

Fast bedside measurement of blood count and C-reactive protein in newborns compared with conventional methods

Background: Abnormal complete blood count (CBC) and high plasma C-reactive protein (CRP) are associated with neonatal infections and could be helpful in the diagnosis of neonatal sepsis and to monitor the antibiotic treatment. Objectives: The aim of this work is to evaluate and compare the performance of a bedside analyzer for blood count and C-reactive protein (CRP) with a conventional analyzer in a neonatal population. Methods: 150 capillary or venous blood samples of term and preterm newborns were processed on an ABX-MicrosCRP200 analyzer and on a SysmexXE2100 (conventional hematology analyzer) for CBC, leukocyte differential, reticulocytes, and nucleated red blood cells (NRBC); high-sensitivity CRP (hs-CRP) was performed on a ModularPE. The differences between complete blood count and CRP were regressed against their means and assessed by means of intra-class-correlation. Results: The intra-class-correlation for white blood cell (WBC) was 0.98, for hemoglobin 0.97, for hematocrit 0.96, for mean corpuscular volume 0.95, and for platelet 0.98. ABX-MicrosCRP200 overestimated the WBC (+1.27 × 10 3/μL; p < 0.001), hematocrit (+1.80%; p < 0.001), and platelet (+13.55 × 103/μL; p < 0.001). The intra-class-correlation for CRP was high (0.97), without systematic difference between the two values (p = 0.64). Conclusions: The agreement between the two methods was high for both tests. However, the SD of the difference for WBC and platelet could be clinically important in leukopenic or thrombocytopenic newborns

Congenital syphilis in Italy: a multicentre study

OBJECTIVE: To study the prevalence of congenital syphilis and its risk factors in Italy. STUDY DESIGN: Prospective study from 1 July 2006 to 30 June 2007. Data on mother-child pairs were collected for every syphilis seropositive mother. RESULTS: Maternal syphilis seroprevalence at delivery was 0.17%. 207 infants were born to 203 syphilis seropositive mothers. In 25 newborns it was possible to diagnose congenital syphilis (20/100,000 live births). Maternal risk factors included age <20 years, no antenatal care and no adequate treatment. The infected babies were more often preterm or weighed <2000 g at birth. DISCUSSION: Many syphilis seropositive mothers were foreign born but the risk of an infected newborn was not higher in foreign-born than in Italian seropositive women. The significant factors were lack of antenatal screening and inadequate maternal treatment. CONCLUSION: Syphilis is a re-emerging infection in Italy. Prevention strategies should include antenatal serological tests for all pregnant women and treatment for infected mothers

La conservazione ex situ della biodiversit\ue0 delle specie vegetalispontanee e coltivate in Italia Stato dell\u2019arte, criticit\ue0 e azioni da compiere

Il presente documento riguarda lo stato della conservazione ex situ della biodiversità vegetale in Italia, le criticità riscontrate relativamente alle diverse componenti della flora (specie spontanee autoctone, forestali e coltivate) e le azioni da compiere in via prioritaria per risolvere i problemi piùacuti. Seppure destinati a ”invecchiare”, in molti casi sono stati elaborati i costi di alcune delle azioni da compiere per rendere concreto l’impegno economico che, in taluni casi, la difesa della biodiversità comporta. Sebbene perfettibile, il lavoro tenta di fornire una sintesi, con base rigorosamente scientifica, sulla conservazione ex situ della biodiversità delle specie vegetali ed è perciò un contributo alla Strategia nazionale per la biodiversità

La conservazione ex situ della biodiversit\ue0 delle specie vegetali spontanee e coltivate in Italia. Stato dell'arte, criticit\ue0 e azioni da compiere.

Il presente documento riguarda lo stato della conservazione ex situ della biodiversit\ue0 vegetale in Italia, le criticit\ue0 riscontrate relativamente alle diverse componenti della flora (specie spontanee autoctone, forestali e coltivate) e le azioni da compiere in via prioritaria per risolvere i problemi pi\uf9acuti. Seppure destinati a \u201dinvecchiare\u201d, in molti casi sono stati elaborati i costi di alcune delle azioni da compiere per rendere concreto l\u2019impegno economico che, in taluni casi, la difesa della biodiversit\ue0 comporta. Sebbene perfettibile, il lavoro tenta di fornire una sintesi, con base rigorosamente scientifica, sulla conservazione ex situ della biodiversit\ue0 delle specie vegetali ed \ue8 perci\uf2 un contributo alla Strategia nazionale per la biodiversit\ue0