78 FR 24670 - Notice of a Determination Regarding the Swine Vesicular Disease Status of Certain Regions in Italy

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-26

.... APHIS-2012-0094] Notice of a Determination Regarding the Swine Vesicular Disease Status of Certain...-Romagna, Veneto, and Piemonte and the autonomous provinces of Trento and Bolzano are free of swine... introducing swine vesicular disease into the United States. This determination is based on our review of the...

Wide recognition of Culex pipiens and lack of detection of Culex torrentium through biomolecular differentiation of mosquitoes in the Emilia-Romagna region, Northern Italy.

PubMed

Calzolari, M; Bonilauri, P; Bellini, R; Becker, S; Dottori, M

2016-12-01

The Culex pipiens complex includes species with reported differences in vector competence for arthropod-borne viruses, many of which are of significant importance to human health such as the West Nile virus and the Sindbis virus. This group of mosquitoes is difficult to distinguish morphologically; particularly as adult females. In Europe, the two species of the complex, Culex pipiens Linnaeus 1758 and Culex torrentium Martini 1925, are often found sympatrically. With the aim to characterize the presence and spread of both species in the Emilia-Romagna region, Northern Italy, mosquitoes of the complex - collected during the West Nile virus surveillance plans - were tested by multiplex real-time PCR for the detection of the two species Cx. pipiens and Cx. torrentium. A total of 24 165 mosquitoes, collected between 2012 and 2014 from 105 sites, and sorted in 204 pools, were tested. All tested pools were found to be composed of Cx. pipiens, whereas Cx. torrentium was not detected. These results indicate a likely absence of Cx. torrentium mosquitoes within the surveyed territory, whereas Cx. pipiens is widely distributed in the area mentioned. This is in line with previous reports, which describe a pre-alpine distribution of Cx. torrentium in Italy. © 2016 The Royal Entomological Society.

Survey on antimicrobial prescribing patterns in small animal veterinary practice in Emilia Romagna, Italy.

PubMed

Barbarossa, A; Rambaldi, J; Miraglia, V; Giunti, M; Diegoli, G; Zaghini, A

2017-07-15

This investigation provides for the first time a general view of the prescribing patterns of antimicrobials in small animal practice in Emilia Romagna, Italy. In the context of a project on antimicrobial resistance managed by the Regional Veterinary Service, veterinary clinicians were invited to voluntarily complete an online questionnaire. This was designed to gather information on antimicrobial prescribing practices and biosecurity measures and to understand the perception of the issue specific to this region of Italy. In total, 266 questionnaires correctly completed were collected. Although clinicians seemed to follow different approaches when using antimicrobials, the data analysis revealed a general awareness on resistance. Penicillins were the most commonly prescribed class, followed by (fluoro)quinolones and cephalosporins. Among those who use laboratory testing more or less frequently (microbiological analysis and susceptibility testing) to support their prescribing habits, only 7 per cent make a habit of always waiting for the results before starting the treatment. Seventy-eight per cent of the respondents declared the use of antimicrobials licensed for human beings. Biosecurity measures were carefully taken into account by the majority of the veterinarians. The results identified the antimicrobial classes that are commonly prescribed and highlighted that perioperative hygiene measures and the use of laboratory diagnosis are critical aspects that need to be emphasised in drawing up guidelines on the prudent use of these drugs in pets.

The Cost of Arbovirus Disease Prevention in Europe: Area-Wide Integrated Control of Tiger Mosquito, Aedes albopictus, in Emilia-Romagna, Northern Italy

PubMed Central

Canali, Massimo; Rivas-Morales, Stefano; Beutels, Philippe; Venturelli, Claudio

2017-01-01

Aedes albopictus (tiger mosquito) has become the most invasive mosquito species worldwide, in addition to being a well-known vector of diseases, with a proven capacity for the transmission of chikungunya and dengue viruses in Europe as well as the Zika virus in Africa and in laboratory settings. This research quantifies the cost that needs to be provided by public-health systems for area-wide prevention of arboviruses in Europe. This cost has been calculated by evaluating the expenditure of the plan for Aedes albopictus control set up in the Emilia-Romagna region (Northern Italy) after a chikungunya outbreak occurred in 2007. This plan involves more than 280 municipalities with a total of 4.2 million inhabitants. Public expenditure for plan implementation in 2008–2011 was examined through simple descriptive statistics. Annual expenditure was calculated to be approximately €1.3 per inhabitant, with a declining trend (from a total of €7.6 million to €5.3 million) and a significant variability at the municipality level. The preventative measures in the plan included antilarval treatments (about 75% of total expenditure), education for citizens and in schools, entomological surveillance, and emergency actions for suspected viremias. Ecological factors and the relevance of tourism showed a correlation with the territorial variability in expenditure. The median cost of one antilarval treatment in public areas was approximately €0.12 per inhabitant. Organizational aspects were also analyzed to identify possible improvements in resource use. PMID:28425959

Sensitivity of sea-level forecasting to the horizontal resolution and sea surface forcing for different configurations of an oceanographic model of the Adriatic Sea

NASA Astrophysics Data System (ADS)

Bressan, Lidia; Valentini, Andrea; Paccagnella, Tiziana; Montani, Andrea; Marsigli, Chiara; Stefania Tesini, Maria

2017-04-01

At the Hydro-meteo-climate service of the Regional environmental agency of Emilia-Romagna, Italy (Arpae-SIMC), the oceanographic numerical model AdriaROMS is used in the operational forecasting suite to compute sea level, temperature, salinity and 3-D current fields of the Adriatic Sea (northern Mediterranean Sea). In order to evaluate the performance of the sea-level forecast and to study different configurations of the ROMS model, two marine storms occurred on the Emilia Romagna coast during the winter 2015-2016 are investigated. The main focus of this study is to analyse the sensitivity of the model to the horizontal resolution and to the meteorological forcing. To this end, the model is run with two different configurations and with two horizontal grids at 1 and 2 km resolution. To study the influence of the meteorological forcing, the two storms have been reproduced by running ROMS in ensemble mode, forced by the 16-members of the meteorological ensemble COSMO-LEPS system. Possible optimizations of the model set-up are deduced by the comparison of the different run outputs.

Prevalence of nocturnal frontal lobe epilepsy in the adult population of Bologna and Modena, Emilia-Romagna region, Italy.

PubMed

Vignatelli, Luca; Bisulli, Francesca; Giovannini, Giada; Licchetta, Laura; Naldi, Ilaria; Mostacci, Barbara; Rubboli, Guido; Provini, Federica; Tinuper, Paolo; Meletti, Stefano

2015-03-01

To estimate the prevalence of nocturnal frontal lobe epilepsy (NFLE) in the adults of two areas of the Emilia-Romagna region (northeast Italy) and to describe the clinical features from a population-based perspective. Population-based retrospective cohort study including adults with NFLE. Two areas of the Emilia-Romagna region: the city of Bologna (330,901 adult residents) and five districts of the province of Modena (424,007). Prevalence day: December 31, 2010. Patients with NFLE collected from multiple databases of neurologic hub centers of the districts involved. Diagnostic criteria: clinical history of sleep related bizarre motor attacks and videopolysomnographic recording confirming the typical features of NFLE. Inclusion criteria for prevalence calculation: residence in one of the two geographic areas on the prevalence day and an "active" or "in remission with treatment" form of NFLE. Six subjects from Bologna and eight from Modena were included. Crude prevalence (per 100,000 residents) was 1.8 (95% confidence interval 0.7-4.0) in Bologna and 1.9 (0.8-3.7) in Modena. Similarly, the main clinical features were consistent: onset during adolescence (median age 11-13 y), mainly hyperkinetic seizures, nonlesional form in more than two-thirds of cases, an active form of epilepsy in more than two-thirds of cases. A family history of epilepsy was reported only for two patients. This epidemiologic study establishes that NFLE is a rare epileptic condition, fulfilling the definition for rare disease. Because of methodological limitations of our case ascertainment, the estimates we disclose must be considered the minimum prevalence. © 2015 Associated Professional Sleep Societies, LLC.

Wild food plants traditionally consumed in the area of Bologna (Emilia Romagna region, Italy).

PubMed

Sansanelli, Sabrina; Tassoni, Annalisa

2014-09-25

This research was performed in an area belonging to the province of the city of Bologna (Emilia-Romagna region, Northern Italy). The purpose of the present survey was to record the local knowledge concerning traditional uses of wild food plants and related practices, such as gathering, processing, cooking, therapeutic uses, with the aim of preserving an important part of the local cultural heritage. Thirty-nine people still retaining Traditional Local Knowledge (TLK) were interviewed between March-April 2012 and September-October 2013 by means of open and semi-structured ethnobotanical interviews. For each plant species mentioned, we recorded the botanical family, the English common name, the Italian common and/or folk names, the parts of the plant used, the culinary preparation, and the medicinal usage. The relative frequency of citation index (RFC), a tool that measures the local cultural importance of a plant species, was also included. The folk plants mentioned by the respondents belonged to 33 botanical families, of which the Rosaceae (14 plants) and the Asteraceae (9 plants) were the most representative. The species with the highest RFC index (0.77) were Crepis vesicaria subsp. taraxacifolia (Thuill) Thell and Taraxacum officinale Weber. Eleven folk plants were indicated as having therapeutic effects. T. officinale Weber, C. vesicaria subsp. taraxacifolia (Thuill) Thell and Sonchus spp., which are used as food, were reported to be depurative, blood cleaning, refreshing, diuretic and laxative. The most commonly used species was Urtica spp, which was also the most frequently cited for medicinal uses. The present survey documented the wild food plant traditional knowledge of an area belonging to the province of the city of Bologna (Emilia-Romagna region, Northern Italy). The general perception obtained is that on one side the TLK related to wild food plants has strongly been eroded, mainly due to immigration and urbanization phenomena, whereas on the other side these plants are revaluated today because they are perceived as healthy and also because they represent the preservation of biodiversity and a way of getting back to nature.

Serological surveillance of Leptospirosis in Italy: two‑year national data (2010‑2011).

PubMed

Tagliabue, Silvia; Figarolli, Bianca Maria; D'Incau, Mario; Foschi, Giovanni; Gennero, Maria Silvia; Giordani, Roberta; Giordani, Roberta; Natale, Alda; Papa, Paola; Ponti, Nicoletta; Scaltrito, Domenico; Spadari, Luisa; Vesco, Gesualdo; Ruocco, Luigi

2016-06-30

Nowadays, leptospirosis is a re‑emerging widespread infectious disease often underestimate worldwide. The National Reference Centre for Leptospirosis (NRCL), at the Istituto Zooprofilattico Sperimentale della Lombardia e dell'Emilia Romagna, Brescia (Italy), with the cooperation of all the other Istituti Zooprofilattici Sperimentali (IIZZSS), evaluated the distribution of such important zoonosis in Italy. Serological data obtained between 2010‑2011 by each laboratory were collected by the NRCL and discussed. Serum samples collected from 43,935 animal specimens were analysed by the Microscopic Agglutination Test (MAT), using a panel of 8 serogroups as antigens (Australis, Ballum, Canicola, Grippotyphosa, Icterohaemorrhagiae, Pomona, Sejroe, Tarassovi). A MAT cut‑off of 1:100 was used to identify the serological positivities, 6,279 sera showed positive titers. Bovine (46.9%), swine (27.5%), ovine and goat (7.4%), dog (6.9%), and wild boar (4.5%) samples were delivered to the Laboratories more frequently than equine and other species sera. Data analysis showed that the most common serogroups in Italy are: Australis present in dogs, wild boars, horses, hares, swine, foxes, and rodents; Sejroe detected in cattle, sheep, goats, and buffaloes; Icterohaemorrhagiae present in dogs, goats, and foxes; Pomona detected in swine, cattle, and wild species; Grippotyphosa reported in hares.

A comparative study of the risk profile of hemodialysis patients in a for profit network and in two regional registries of the Italian Society of Nephrology.

PubMed

Postorino, Maurizio; Amato, Claudia; Mancini, Elena; Carioni, Paola; D'Arrigo, Graziella; Di Benedetto, Attilio; Cerino, Fabrizio; Marino, Carmela; Vilasi, Antonio; Tripepi, Giovanni; Stuard, Stefano; Capasso, Giovanbattista; Santoro, Antonio; Zoccali, Carmine

2018-02-01

In 2013, the Italian Society of Nephrology joined forces with Nephrocare-Italy to create a clinical research cohort of patients on file in the data-rich clinical management system (EUCLID) of this organization for the performance of observational studies in the hemodialysis (HD) population. To see whether patients in EUCLID are representative of the HD population in Italy, we set out to compare the whole EUCLID population with patients included in the regional HD registries in Emilia-Romagna (Northern Italy) and in Calabria (Southern Italy), the sole regions in Italy which have systematically collected an enlarged clinical data set allowing comparison with the data-rich EUCLID system. An analysis of prevalent and incident patients in 2010 and 2011 showed that EUCLID patients had a lower prevalence of coronary heart disease, peripheral vascular disease, heart failure, valvular heart disease, liver disease, peptic ulcer and other comorbidities and risk factors and a higher fractional urea clearance (Kt/V) than those in the Emilia Romagna and Calabria registries. Accordingly, survival analysis showed a lower mortality risk in the EUCLID 2010 and 2011 cohorts than in the combined two regional registries in the corresponding years: for 2010, hazard ratio (HR) EUCLID vs. Regional registries: 0.80 [95% confidence interval: 0.71-0.90]; for 2011, HR: 0.76 [0.65-0.90]. However, this difference was nullified by statistical adjustment for the difference in comorbidities and risk factors, indicating that the longer survival in the EUCLID database was attributable to the lower risk profile of patients included in that database. This preliminary analysis sets the stage for future observational studies and indicates that appropriate adjustment for difference in comorbidities and risk factors is needed to generalize to the Italian HD population analyses based on the data-rich EUCLID database.

Sediment Dynamics in the Adriatic Sea Investigated with Coupled Models

DTIC Science & Technology

2004-12-01

Sedinent bynamwls _ In vest lyt~eawith Cop/diot BY CHRISTOPHER R. SHERWOOD, JEFFREY W. BOOK, SANDRO CARNIEL. LUIGI CAVALERI, JACOPO CHIGGIATO , H...Venice, Italy. varying amounts (Swift et al., 1972). In Jacopo Chiggiato is Consultant, Servizio Idro Meteorologico-ARPA Emilia Romagna, most cases...supply fluctuations. Marine Signell, R.P., S. Carniel, L. Cavaleri, J. Chiggiato , Geology 193:61-91. J.D. Doyle, J. Pullen, and M. Sclavo. In press

Effects of FRP application on the seismic response of a masonry church in Emilia-Romagna (Italy)

NASA Astrophysics Data System (ADS)

Milani, Gabriele; Shehu, Rafael; Valente, Marco

2016-12-01

The paper presents some preliminary results of advanced Finite Element (FE) analyses on the upgrading of old masonry constructions by means of Fiber Reinforced Polymers (FRPs). The case study is a masonry Romanesque church, located in Ferrara, Emilia Romagna (Italy). The church exhibits widespread damage caused by the recent earthquake sequence occurred in 2012 about 60 km far from Ferrara with two major seismic events of magnitude 5.8 and 5.9. The main damage involved mainly the columns of the central nave and the apse. A partial detachment of the façade was observed too. First, gravity load analyses and non-linear static and dynamic analyses are performed on the church in the unretrofitted configuration. Numerical results put in evidence the insufficient strength of the apse and the columns of the naves, and the detachment of the façade. A strengthening intervention conducted by means of FRP strips is numerically analysed, assuming the behavior of the strips, especially for what concerns delamination, in agreement with Italian Guidelines. Numerical results show a quite reasonable strength improvement of the weak structural elements due to FRP application, with levels of strength higher than the minimum ones required by Italian Code.

Gypsum karst in Italy: a review

NASA Astrophysics Data System (ADS)

De Waele, Jo; Chiarini, Veronica; Columbu, Andrea; D'Angeli, Ilenia M.; Madonia, Giuliana; Parise, Mario; Piccini, Leonardo; Vattano, Marco; Vigna, Bartolomeo; Zini, Luca; Forti, Paolo

2016-04-01

Although outcropping only rarely in Italy, gypsum karst has been described in detail since the early XXth century (Marinelli, 1917). Gypsum caves are now known from almost all Italian regions (Madonia & Forti, 2003), but are mainly localised along the northern border of the Apennine chain (Emilia Romagna and Marche regions), Calabria, and Sicily, where the major outcrops occur. Recently, important caves have also been discovered in the underground gypsum quarries in Piedmont (Vigna et al., 2010). During the late 80s and 90s several multidisciplinary studies have been carried out in many gypsum areas. All this work converged into a comprehensive overview in 2003 (Madonia & Forti, 2003). Further detailed studies focused on the gypsum areas of Emilia Romagna (Chiesi et al., 2010; Forti & Lucci, 2010; Demaria et al., 2012; De Waele & Pasini, 2013; Ercolani et al., 2013; Columbu et al., 2015; Lucci & Piastra, 2015; Tedeschi et al., 2015) and of Sicily (Madonia & Vattano, 2011). Sinkholes related to Permo-Triassic gypsum have been studied in Friuli Venezia Giulia (Zini et al., 2015). This presentation will review the state of the art regarding different aspects of evaporite karst in Italy focusing on the main new results. References Chiesi M., et al. (2010) - Origin and evolution of a salty gypsum/anhydrite karst spring: the case of Poiano (Northern Apennines, Italy). Hydrogeology Journal, 18, pp. 1111-1124. Columbu A. et al. (2015) - Gypsum caves as indicators of climate-driven river incision and aggradation in a rapidly uplifting region. Geology, 43(6), 539-542. Demaria D. et al. (Eds.) (2012), Le Grotte Bolognesi, GSB-USB, 431 p. De Waele J., Pasini G. (2013) - Intra-messinian gypsum palaeokarst in the northern Apennines and its palaeogeographic implications. Terra Nova 25, pp. 199-205. Ercolani M., et al. (Eds.) (2013), I Gessi e la Cave i Monte Tondo. Studio multidisciplinare di un'area carsica nella Vena del Gesso Romagnola. Memorie Ist. It. Spel. II(26), 559 p. Forti P., Lucci P. (Eds.) (2010) - Il Progetto Stella-Basino. Studio multidisciplinare di un sistema carsico nella Vena del Gesso Romagnola. Memorie Ist. It. Spel. II(14), 260 p. Lucci P., Piastra S. (Eds.) (2015), I Gessi di Brisighella e Rontana: studio multidisciplinare di un'area carsica nella Vena del Gesso Romagnola. Memorie Ist. It. Spel. II(28), 751 p. Madonia G., Forti P. (2003) - Le aree carsiche gessose d'Italia. Memorie Ist. It. Spel. II(14), 285 p. Madonia G., Vattano M. (2011) - New knowledge on the Monte Conca gypsum karst system (central-western Sicily, Italy). Acta Carsologica, 40, (1), pp. 53-64. Marinelli O. (1917) - Fenomeni carsici nelle regioni gessose d'Italia. Mem. Geografiche di Giotto Dainelli, 34, pp. 263-416, suppl. to Riv. Geografica It Tedeschi L. et al. (2015) - Comportamento idrogeologico di alcune risorgenti carsiche nei gessi dell'Emilia-Romagna. Memorie Ist. It. Spel. II(29), pp. 399-404. Vigna B. et al. (2010) - Evolution of karst in Messinian gypsum (Monferrato, Northern Italy). Geodinamica Acta, 23(1-3), pp. 29-40. Zini L. et al. (2015) - a multidisciplinary approach in sinkhole analysis: the Quinis village case study (NE-Italy). Engineering Geology, 197, pp.132-144.

Developing and validating a novel multisource comorbidity score from administrative data: a large population-based cohort study from Italy.

PubMed

Corrao, Giovanni; Rea, Federico; Di Martino, Mirko; De Palma, Rossana; Scondotto, Salvatore; Fusco, Danilo; Lallo, Adele; Belotti, Laura Maria Beatrice; Ferrante, Mauro; Pollina Addario, Sebastiano; Merlino, Luca; Mancia, Giuseppe; Carle, Flavia

2017-12-26

To develop and validate a novel comorbidity score (multisource comorbidity score (MCS)) predictive of mortality, hospital admissions and healthcare costs using multiple source information from the administrative Italian National Health System (NHS) databases. An index of 34 variables (measured from inpatient diagnoses and outpatient drug prescriptions within 2 years before baseline) independently predicting 1-year mortality in a sample of 500 000 individuals aged 50 years or older randomly selected from the NHS beneficiaries of the Italian region of Lombardy (training set) was developed. The corresponding weights were assigned from the regression coefficients of a Weibull survival model. MCS performance was evaluated by using an internal (ie, another sample of 500 000 NHS beneficiaries from Lombardy) and three external (each consisting of 500 000 NHS beneficiaries from Emilia-Romagna, Lazio and Sicily) validation sets. Discriminant power and net reclassification improvement were used to compare MCS performance with that of other comorbidity scores. MCS ability to predict secondary health outcomes (ie, hospital admissions and costs) was also investigated. Primary and secondary outcomes progressively increased with increasing MCS value. MCS improved the net 1-year mortality reclassification from 27% (with respect to the Chronic Disease Score) to 69% (with respect to the Elixhauser Index). MCS discrimination performance was similar in the four regions of Italy we tested, the area under the receiver operating characteristic curves (95% CI) being 0.78 (0.77 to 0.79) in Lombardy, 0.78 (0.77 to 0.79) in Emilia-Romagna, 0.77 (0.76 to 0.78) in Lazio and 0.78 (0.77 to 0.79) in Sicily. MCS seems better than conventional scores for predicting health outcomes, at least in the general population from Italy. This may offer an improved tool for risk adjustment, policy planning and identifying patients in need of a focused treatment approach in the everyday medical practice. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Super-Ensemble Techniques: Application to Surface Drift Prediction During the DART06 and MREA07 Campaigns

DTIC Science & Technology

2009-10-08

Fratianni, L. Torrisi, D. Pallela, J. Chiggiato , M. Tudor, J. Book, P. Martin, G. Peggion, M. Rixen 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK...by the HydroMeteorological Service of ARPA Emilia Romagna, Bologna, Italy (see e.g. Chiggiato and Oddo (2008) and references herein, and http...143-151. Chiggiato , J.. Oddo, P.. 2008. Operational ocean models in the Adriatic Sea: a skill assessment. Ocean Science 4(1), 61-71. <http://www.ocean

Epidemiological modelling for the assessment of bovine tuberculosis surveillance in the dairy farm network in Emilia-Romagna (Italy).

PubMed

Rossi, Gianluigi; De Leo, Giulio A; Pongolini, Stefano; Natalini, Silvano; Vincenzi, Simone; Bolzoni, Luca

2015-06-01

Assessing the performance of a surveillance system for infectious diseases of domestic animals is a challenging task for health authorities. Therefore, it is important to assess what strategy is the most effective in identifying the onset of an epidemic and in minimizing the number of infected farms. The aim of the present work was to evaluate the performance of the bovine tuberculosis (bTB) surveillance system in the network of dairy farms in the Emilia-Romagna (ER) Region, Italy. A bTB-free Region since 2007, ER implements an integrated surveillance strategy based on three components, namely routine on-farm tuberculin skin-testing performed every 3 years, tuberculin skin-testing of cattle exchanged between farms, and post-mortem inspection at slaughterhouses. We assessed the effectiveness of surveillance by means of a stochastic network model of both within-farm and between-farm bTB dynamics calibrated on data available for ER dairy farms. Epidemic dynamics were simulated for five scenarios: the current ER surveillance system, a no surveillance scenario that we used as the benchmark to characterize epidemic dynamics, three additional scenarios in which one of the surveillance components was removed at a time so as to outline its significance in detecting the infection. For each scenario we ran Monte Carlo simulations of bTB epidemics following the random introduction of an infected individual in the network. System performances were assessed through the comparative analysis of a number of statistics, including the time required for epidemic detection and the total number of infected farms during the epidemic. Our analysis showed that slaughterhouse inspection is the most effective surveillance component in reducing the time for disease detection, while routine surveillance in reducing the number of multi-farms epidemics. On the other hand, testing exchanged cattle improved the performance of the surveillance system only marginally. Copyright © 2015 The Authors. Published by Elsevier B.V. All rights reserved.

The burden of early-onset sepsis in Emilia-Romagna (Italy): a 4-year, population-based study.

PubMed

Berardi, Alberto; Baroni, Lorenza; Bacchi Reggiani, Maria Letizia; Ambretti, Simone; Biasucci, Giacomo; Bolognesi, Serenella; Capretti, Maria Grazia; Carretto, Edoardo; Ciccia, Matilde; Fiorini, Valentina; Fortini, Cinzia; Gargano, Giancarlo; Pedna, Maria Federica; Rizzo, Vittoria; Creti, Roberta; Ferrari, Fabrizio

2016-10-01

To provide the first Italian data on pathogens causing early-onset sepsis (EOS) and their antimicrobial susceptibility, after the successfully prevention of Group B streptococcus (GBS) EOS. Retrospective area-based cohort study from Emilia-Romagna (Italy). Cases of EOS registered (from 2009 to 2012) in all gestational age neonates were reviewed. Live births (LB) numbered 146 682. Ninety neonates had EOS and 12 died (incidence rates of 0.61 and 0.08/1000 LB, respectively). EOS and mortality were the highest among neonates with a birth weight <1000 g (20.37/1000 LB and 8.49/1000 LB, respectively). The most common pathogens were GBS (n = 27, 0.18/1000 LB) and Escherichia coli (n = 19, 0.13/1000 LB). Most infants affected by E. coli EOS were born preterm (n = 13), had complications (n = 4) or died (n = 7). Among 90 isolates tested, only 3 were resistant to both first line empirical antibiotics. Multivariate logistic regression analysis showed that low gestational age, caesarean section and low platelet count at presentation were significantly associated with death or brain lesions (area under ROC curve = 0.939, H-L = 0.944, sensitivity 76.0%, specificity 90.7%). GBS slightly exceeds E. coli as a cause of EOS. However, E. coli is the prominent cause of death, complications and in most cases affects preterm neonates. Empirical antimicrobial therapy of EOS seems appropriate.

HIV-1 early and late diagnosis in the Emilia Romagna Region (Italy): a three year study.

PubMed

Musumeci, Giuseppina; Magnani, Giacomo; Bon, Isabella; Longo, Serena; Bertoldi, Alessia; Degli Antoni, Anna Maria; Rossi, Maria Rita; Ruggeri, Alessandro; Sambri, Vittorio; Semprini, Simona; Sighinolfi, Laura; Ursitti, Maria Alessandra; Zerbini, Alessandro; Colangeli, Vincenzo; Calza, Leonardo; Finarelli, Alba Carola; Massimiliani, Erika; Re, Maria Carla

2016-10-01

It is crucial to establish the timing of infection and distinguish between early and long-lasting HIV-1 infections not only for partner notification and epidemiological surveillance, but also to offer early drug treatment and contain the spread of infection. This study analyzed serum and/or plasma samples with a first positive HIV antibody/antigen result coming from different Medical Centers in the Emilia Romagna Region, North East Italy, using the avidity assay, Western Blotting, RNA viral load, CD4 cell counts and genotyping assay. From May 2013 to May 2016, we certified 845 new HIV-1 infections, 18.7% of which were classified on the basis of avidity index as recent infections and 81.3% as long-lasting infections, with an estimated conversion time exceeding six months at the time of study. Western Blotting showed reactivity to only one or two HIV-1 proteins in recently infected patients (RIPs), while a complete pattern to gag, env and pol proteins was observed in most long-lasting infected patients (LLIPs). The median age, gender, nationality and risk transmission factors were comparable in RIPs and LLIPs. Phylogenetic analysis performed in available plasma disclosed B strains, non-B subtypes and circulating recombinant forms (CRFs) in both groups of patients, with a major presence of CRFs in non-Italian HIV subjects. The large number of patients unaware of their HIV status makes it crucial to discover hidden epidemics and implement appropriate targeted public health interventions.

Climate warming and the decline of Taxus airborne pollen in urban pollen rain (Emilia Romagna, northern Italy).

PubMed

Mercuri, A M; Torri, P; Casini, E; Olmi, L

2013-01-01

Woody plant performance in a changing global environment has always been at the centre of palaeoenvironmental and long-term climate reconstructions carried out by means of pollen analysis. In Mediterranean regions, Taxus constitutes the highest percentage in past pollen diagrams from cold or cool periods, and therefore it is generally considered a good index to infer climate features from past records. However, a comparison of these inferences with the true current trends in pollen production has not been attemped until now. This study reports the decline of airborne pollen of Taxus observed in Emilia Romagna, a region of northern Italy, during the period 1990-2007. Phenological observations on four male specimens and microscopic examination of fresh pollen were made in order to check Taxus flowering time and pollen morphology. Airborne pollen was monitored through continuous sampling with a Hirst volumetric sampler. In the 18-year long period of investigation, Taxus pollen production has decreased, while total woody pollen abundance in air has increased. The trend of the Taxus pollen season shows a delay at the beginning, a shortening of the pollen period, and an advance of the end of the pollen season. This was interpreted as a response to climate warming. In particular, Taxus follows the behaviour of winter-flowering plants, and therefore earlier pollination is favoured at low autumn temperatures, while late pollination occurs more often, most likely after warm autumn temperatures. © 2012 German Botanical Society and The Royal Botanical Society of the Netherlands.

History and updating on the spread of Aedes albopictus in Italy.

PubMed

Romi, R

1995-12-01

The present distribution in Italy of Aedes albopictus, the Asian mosquito recently introduced, is described. Until now this mosquito species has been established in 8 regions of our country: Liguria, Veneto, Lazio, Lombardia, Emilia-Romagna, Toscana, Piemonte and recently Sardegna. The established populations have been able to overcome the winter season. These populations, certainly imported from temperate areas, have reconfirmed the great adaptation of the species, reaching the high latitude of 46 degrees North of the Padova area in Northern Italy. The origin of the infestation in Veneto region was shown to be strictly related to the importation of used tires and demonstrated at least for one load of tires from USA. The internal trading of tires from Veneto is the source of infestation of the other Italian regions, with the exception of Liguria and Lazio. Since the introduction and the establishment of Ae. albopictus in Italy represent a new problem of public health, a centre for the surveillance and control of this species has been set up at the Department of Parasitology, Istituto Superiore di Sanità, Roma.

[Bioresorbable vascular scaffolds: clinical experience of the Emilia-Romagna Region, Italy].

PubMed

Menozzi, Alberto; Campo, Gianluca Calogero; Guiducci, Vincenzo; Dall'Ara, Gianni; Santarelli, Andrea; Sbarzaglia, Paolo; Balducelli, Marco; Magnavacchi, Paolo; Sgura, Fabio; Losi, Luciano; Vignali, Luigi; Casella, Gianni; Steffanon, Luigi; Tarantino, Fabio; Saia, Francesco

2017-02-01

The bioresorbable vascular scaffold (BRS) technology constitutes the new revolution of the coronary artery disease interventional treatment. Currently, three distinct types of BRSs are available but only one, the Absorb BVS, was on the market in 2013 when the Regional Commission for Medical Devices and the Cardiology and Cardiac Surgery Commission of the Emilia-Romagna Region drew up a technical and scientific essay to provide guidance for the introduction of BRS in public and affiliated health facilities. Five preferential indications were given for use: long coronary lesions (>28 mm), ostial lesions (left main stem excluded), complete revascularization in patients aged <50 years, diffuse disease (>40 mm) or involving the mid/distal left anterior descending (LAD) branch in patients <70 years, spontaneous coronary artery dissection. This survey analyzed data from all the catheterization laboratories in the Emilia-Romagna Region, merged in a unified database. In a 3-year study period, 546 BRS were implanted in 328 patients, corresponding to 1.5% of the drug-eluting stents (DES) used, with a trend towards a progressive increase over time. Initial indications were followed in 200/328 (61.0%) patients (about one third fitting more indications), mainly for treatment of long lesions in vessels >2.5 mm (67%), young patients (31.5%) and mid/distal LAD (28%). In 22.6% of cases the clinical scenario was a ST-segment elevation myocardial infarction, in 39.3% a non-ST-segment elevation acute coronary syndrome. Intracoronary imaging was infrequently used (intravascular ultrasound in 24.7% of cases). In 85 patients (25.9%) a hybrid procedure (BVS/DES) was performed. BRS use has resulted lower than expected, with discrete variability among centers, but according to the initial indications of the Emilia-Romagna Region in the majority of cases. The underuse might have been due to operators' caution in their initial experience. However, the increasing trend may reveal a greater confidence in the implantation technique and the whole amount of safety and efficacy data.

Multiprofessional Primary Care Units: What Affects the Clinical Performance of Italian General Practitioners?

PubMed

Armeni, Patrizio; Compagni, Amelia; Longo, Francesco

2014-08-01

Multiprofessional primary care models promise to deliver better care and reduce waste. This study evaluates the impact of such a model, the primary care unit (PCU), on three outcomes. A multilevel analysis within a "pre- and post-PCU" study design and a cross-sectional analysis were conducted on 215 PCUs located in the Emilia-Romagna region in Italy. Seven dimensions captured a set of processes and services characterizing a well-functioning PCU, or its degree of vitality. The impact of each dimension on outcomes was evaluated. The analyses show that certain dimensions of PCU vitality (i.e., the possibility for general practitioners to meet and share patients) can lead to better outcomes. However, dimensions related to the interaction and the joint works of general practitioners with other professionals tend not to have a significant or positive impact. This suggests that more effort needs to be invested to realize all the potential benefits of the PCU's multiprofessional approach to care. © The Author(s) 2014.

ELF signals from the Central Italy Electromagnetic Network (CIEN) at the time of the 2012 Emilia-Romagna earthquakes

NASA Astrophysics Data System (ADS)

Fidani, Cristiano

2013-04-01

A network devoted to a continuous monitoring of LF, VLF transmitters and ELF signals was set up in Central Italy, and has been operating since 2006, which is currently composed of 9 stations in 9 different Italian cities. From the beginning of 2012, improvements have been carried out on the stability of CIEN by updating all the stations with UPS and web connections. Moreover, a reduction in the amount of data stored was performed so to permit a real time monitoring of the network by web. Specifically, a 100kb/day was fixed to record the VLF power spectra intervals around the transmitter frequencies every 5 minutes. Similarly, a 600kb/day was fixed to record the ELF power spectra intervals, which was logarithmic spaced in frequency every 5 seconds. Furthermore, different physical measurements at each CIEN site have been recently initiated to better understand the sources of some signals. In order to do so, the Fermo and Torre Pellice stations have been equipped with Geiger counters to monitor atmospheric radioactivity, underground thermometers, as well as meteorological stations to record atmospheric temperature, humidity, wind speed and direction, along with atmospheric pressure and rainfall. The Torre Pellice Station had already been equipped with a magnetometer, a Radon-meter and a compass to check the direction of the geomagnetic field. The Chieti station had already been equipped with a magnetometer and an underground current detector. The Perugia and Rieti stations had already been equipped with seismometers and a network to capture transient luminous phenomena in the atmosphere. On May 20th and 29th 2012, two strong earthquakes struck the Emilia-Romagna Region with a magnitude M=5.9 and M=5.8, respectively. The earthquakes caused 27 fatal causalities and significant ground failures. The observations relative to this seismic period were investigated relative to their ELF band electric fields. Observations were thoroughly analysed from the Zocca station, the closest (50km) CIEN monitoring station to the Emilia-Romagna epicenter. Date from other stations were examined to reveal any possible differences. Many horizontal electric oscillations from April 1 - June 30, 2012, were seen. Most of these appeared at the time of rainfalls, which were revealed by the Zocca station on the same days. Electric oscillations under 100 Hz appeared from May 10 - 11, 2012, when there was no recorded meteorological activity. On May 26, 2012, strong ELF oscillations occurred at the Zocca station. This station had not detected ELF horizontal oscillations for many years prior to Emilia-Romagna seismic events in May 2012. Whereas, signals were revealed in mid-April 2012 and increased in number and intensity around the dates of the quakes.

Plant Responses to Climate Change: The Case Study of Betulaceae and Poaceae Pollen Seasons (Northern Italy, Vignola, Emilia-Romagna)

PubMed Central

Mercuri, Anna Maria; Torri, Paola; Fornaciari, Rita; Florenzano, Assunta

2016-01-01

Aerobiological data have especially demonstrated that there is correlation between climate warming and the pollination season of plants. This paper focuses on airborne pollen monitoring of Betulaceae and Poaceae, two of the main plant groups with anemophilous pollen and allergenic proprieties in Northern Italy. The aim is to investigate plant responses to temperature variations by considering long-term pollen series. The 15-year aerobiological analysis is reported from the monitoring station of Vignola (located near Modena, in the Emilia-Romagna region) that had operated in the years 1990–2004 with a Hirst spore trap. The Yearly Pollen Index calculated for these two botanical families has shown contrasting trends in pollen production and release. These trends were well identifiable but fairly variable, depending on both meteorological variables and anthropogenic causes. Based on recent reference literature, we considered that some oscillations in pollen concentration could have been a main effect of temperature variability reflecting global warming. The duration of pollen seasons of Betulaceae and Poaceae, depending on the different species included in each family, has not unequivocally been determined. Phenological responses were particularly evident in Alnus and especially in Corylus as a general moving up of the end of pollination. The study shows that these trees can be affected by global warming more than other, more tolerant, plants. The research can be a contribution to the understanding of phenological plant responses to climate change and suggests that alder and hazelnut trees have to be taken into high consideration as sensible markers of plant responses to climate change. PMID:27929423

Plant Responses to Climate Change: The Case Study of Betulaceae and Poaceae Pollen Seasons (Northern Italy, Vignola, Emilia-Romagna).

PubMed

Mercuri, Anna Maria; Torri, Paola; Fornaciari, Rita; Florenzano, Assunta

2016-12-06

Aerobiological data have especially demonstrated that there is correlation between climate warming and the pollination season of plants. This paper focuses on airborne pollen monitoring of Betulaceae and Poaceae, two of the main plant groups with anemophilous pollen and allergenic proprieties in Northern Italy. The aim is to investigate plant responses to temperature variations by considering long-term pollen series. The 15-year aerobiological analysis is reported from the monitoring station of Vignola (located near Modena, in the Emilia-Romagna region) that had operated in the years 1990-2004 with a Hirst spore trap. The Yearly Pollen Index calculated for these two botanical families has shown contrasting trends in pollen production and release. These trends were well identifiable but fairly variable, depending on both meteorological variables and anthropogenic causes. Based on recent reference literature, we considered that some oscillations in pollen concentration could have been a main effect of temperature variability reflecting global warming. The duration of pollen seasons of Betulaceae and Poaceae, depending on the different species included in each family, has not unequivocally been determined. Phenological responses were particularly evident in Alnus and especially in Corylus as a general moving up of the end of pollination. The study shows that these trees can be affected by global warming more than other, more tolerant, plants. The research can be a contribution to the understanding of phenological plant responses to climate change and suggests that alder and hazelnut trees have to be taken into high consideration as sensible markers of plant responses to climate change.

Phenological series in Bologna (Northern Italy): temporal trends and spatial pattern of greening

NASA Astrophysics Data System (ADS)

Puppi, Giovanna; Zanotti, Anna Letizia

2010-05-01

In Europe, in the last thirty years, the onset of spring has advanced (Estrella et al. 2009 Clim Res. 39). However the phenological shifts vary from one country to another and long time series are scanty in Southern Europe (Peňuelas et. al. 2002, Glob. Change Biol.; Črepinšek et Kajfež 2003, Ann.Ser.Hist.Nat.13): for this reason we analyzed the data on leafing of some woody species recorded during the last 3 decades (1977-2009) in the city of Bologna (Emilia-Romagna, Northern Italy) and in several hillside stations in the neighbourhood of the town. As BGS index, the average day of "first leaf unfolding" (GFI=V4, BBCH=11) of a group of common woody species was chosen: the BGS days were analysed in relation with time and temperature changes. The BGS happens on average at the end of March. The species observed display a negative trend along the period (about 2 days of advance per decade) and the BGS days show a significant correlation with the mean temperature of the period January-March (about 3 and a half days of earlier start per degree of increasing temperature). Since an increase in winter temperatures has been predicted in the Emilia-Romagna region in the next decades (Tomozeiu et al. 2007, Theor. Appl. Climatol. 90), the growing season in our region is probably going to extend. Phenological spatial patterns of the neighbourhood of the city are also analysed: greening generally starts on southfacing hills between 100 and 300 m asl.

A telephone interview to assess alkylglycerols' effectiveness in preventing influenza-like symptoms in Modena, Emilia Romagna, Italy, in the season 2009-2010.

PubMed

Iannitti, T; Capone, S; Palmieri, B

2011-01-01

Influenza has been related to high morbity and, in children and adults over 60 years, high mortality. It brings a great burden on medical centers, which have to sustain and provide numerous patients with continuous care, especially in winter when influenza reaches the highest peak. Vaccination is still the main preventive measure to avoid serious epidemics. We propose a retrospective phone interview to assess the effect of alkylglycerols, taken immediately before the peak of influenza, to boost the immunitary system. A group of patients from Modena (Emilia Romagna, Italy) were included in this study. Fifty two patients were instructed to take Alkyrol®500 per os, twice a day, during the two principal meals. Sixty patients were chosen from the same familiar nucleus of the treated subjects and they were used as controls since they all had undergone traditional vaccination against H1N1 influenza. Forty two out of 52 patients, treated with alkylglycerols did not report any influenza-like symptoms, while 10 out of 52 showed mild influenza-like symptoms which disappeared after 48-72 hours without the use of any drug. In the control group, 20 out of 60 patients did not show any influenza-like symptoms, while 40 out of 60 patients did. Alkylglycerols may bring therapeutical benefits, support the immunitary system and prevent influenza-like symptoms. Further clinical studies are needed, not only to understand if alkylglycerols can be a valid alternative to vaccination to prevent influenza, but also to study their possible application to treat other pathological conditions.

Epidemiology of rotavirus-associated hospital admissions in the province of Ferrara, Italy.

PubMed

Marsella, Maria; Raimondi, Licia; Bergamini, Mauro; Sprocati, Monica; Bigi, Ettore; De Sanctis, Vincenzo; Borgna-Pignatti, Caterina; Gabutti, Giovanni

2009-12-01

Hospital discharge forms with specific codes for rotavirus gastroenteritis in children 0 to 14 years of age were reviewed in the period 2003-2005 in the province of Ferrara. A total of 4,238 children were admitted to the pediatric departments; 151 patients were diagnosed with rotavirus gastroenteritis. The average annual rate of hospitalization for rotavirus gastroenteritis was 1.54/1,000 children <14 years of age and 2.9/1,000 children <5 years of age. Most hospitalizations (72%) involved children aged <60 months. The average length of hospital stay was about 5 days. Considering the Emilia Romagna regional reimbursement codes referable to rotavirus disease, the estimated costs of our 151 cases range from 214,033 euros to 341,832 euros. The results of this study contribute to the awareness of rotavirus epidemiology in Italy and underline the potential impact of rotavirus vaccination in our province.

Plan for the control of Legionella infections in long-term care facilities: role of environmental monitoring.

PubMed

Cristino, Sandra; Legnani, Pier Paolo; Leoni, Erica

2012-04-01

In accordance with the international and national guidelines, the Emilia-Romagna Region (Italy) has established regional guidelines for the surveillance and prevention of legionellosis based on the concept of risk assessment, with particular attention to environmental monitoring. The aim of this study was to verify how environmental surveillance in the context of risk assessment plans could help to guide decisions about preventive strategies against Legionella infections in Long Term Care Facilities (LTCF). In six LTCFs in the city of Bologna (Emilia-Romagna Region) a self-control plan was implemented that included the environmental monitoring of Legionella spp. and the surveillance of hospital-acquired Legionnaires' Disease. At baseline, four hot water systems were colonized by Legionella pneumophila (3 LCTFs) and Legionella londiniensis (1 LCTF). In each establishment specific control measures were adopted based on the characteristics of the system, the virulence of the strain and the level of the contamination. The monitoring, carried out for around two years, was also extended to the ways in which the system and the distal water distribution points were used and maintained with respect to the good practices in operation and management. The adopted actions (shock and/or continuous disinfection treatments) and the implementation of the good practice measures reduced the contamination to acceptable and stable levels. No cases of hospital-acquired legionellosis occurred during the period of study. The environmental surveillance was successful in evaluating the risk and identifying the most suitable preventive strategies. Copyright © 2011 Elsevier GmbH. All rights reserved.

Effects of long-term dumping of harbor-dredged material on macrozoobenthos at four disposal sites along the Emilia-Romagna coast (Northern Adriatic Sea, Italy).

PubMed

Simonini, R; Ansaloni, I; Cavallini, F; Graziosi, F; Iotti, M; Massamba N'siala, G; Mauri, M; Montanari, G; Preti, M; Prevedelli, D

2005-12-01

Sediment from harbors of the Emilia-Romagna (Northern Adriatic Sea) were dredged and dumped in four disposal areas characterized by muddy bottoms. The long-term effects of the dumping on macrozoobenthic communities were investigated before and after 6 month, 8 month, 2 years and 4 years. The disposal of dredged material did not influence the granulometry and %TOC in the sediment, and no alterations in the structure of the macrobenthic communities were observed in the four areas. The lack of impact could be ascribed to the environmental characteristics and precautionary measures taken to minimize the effects of the dumping. It appears that: (1) the communities of the dumping areas are well adapted to unstable environments; (2) the sediments were disposed gradually and homogeneously over relatively large areas; Other factors that help to reduce the impact of sediment disposal are the low concentrations of contaminants in dredged materials and the similarity of sediment in the dredged and disposal areas. Off-shore discharge appears a sustainable strategy for the management of uncontaminated dredged sediments from the Northern Adriatic Sea harbors.

Cancer incidence and mortality in the province of Ferrara 1989-1990.

PubMed

Ferretti, S; Tassinari, D; Albonico, G; Nenci, I

1995-01-01

Mortality data have clearly highlighted the province of Ferrara as an area with a particular distribution of tumors strictly related with environmental factors. The project of a tumor registry has been planned for a better description of cancer incidence and for a deeper insight into etiologic factors, considering the typical features of the province from geographic and occupational points of view. This study presents the registration results of the first 2 years, in order to verify the quality level of data recruitment and to confirm that observed in previous studies. The population covered by the registry was 151,968 males and 165,835 females, with high representation of the elderly. In this period 2,087 tumors in men and 1,778 in women were observed. Lung cancer reaches one of the highest levels in Italy, according to that observed in Lombardy and Veneto regions and the northern Adriatic coast. Incidence and mortality are, however, significantly higher than in other Emilia-Romagna areas, as pointed out by the registries of Parma, Modena and Forii. Colon cancer also presents high frequencies in comparison with neighboring areas, whereas non-Hodgkin lymphomas reach the highest level in Italy. Gastric tumors, although well represented in males and females, show lower levels than the high-risk neighboring Romagna region. In women, a low incidence of cervix uteri-tumors and high levels of breast cancer have also been observed. The distribution of such neoplasms and the differences observed among neighboring areas deserve further analytical studies, with the aim of a better reading of cancer onset and diffusion. The quality of data obtained (about 70% of histocytologic confirmations, and 5% of "final" death-certificate-only cases), appears to reach satisfying levels, considering the starting phase of the registry.

First Multi-Year Retrospective Study on Vibrio Parhaemolyticus and Vibrio Vulnificus Prevalence in Ruditapes Philippinarum Harvested in Sacca Di Goro, Italy.

PubMed

Serratore, Patrizia; Ostanello, Fabio; Passalacqua, Pier Luca; Zavatta, Emanuele; Bignami, Giorgia; Serraino, Andrea; Giacometti, Federica

2016-09-20

The present work describes a retrospective study aiming to verify a possible correlation between the environmental conditions (temperature, salinity and dissolved oxygen), the abundance of Vibrio spp., and the prevalence of V. parahaemolyticus and V. vulnificus in the Manila clam R. philippinarum harvested in Sacca di Goro, Emilia-Romagna Region, Northern Italy. On the whole, 104 samples, collected in the period 2007-2015 and submitted to microbiological analyses (isolation and genotyping), have been reconsidered for Vibrio spp. load, V. parahaemolyticus prevalence (total, gene marker toxRP; potentially pathogenic, gene markers tdh and/or trh) and V. vulnificus prevalence (total, gene markers vvh A and hsp) together with environmental data obtained from the monitoring activity of the Emilia-Romagna Regional Agency for the Prevention, the Environment and the Energy. Environmental data have been processed to calculate the median of each, assessing the seasonal range of seawater temperature (warmer months: April-October, T°C >16.45°C; cooler months November-March, T°C <16.45°C), salinity (27 psu), and dissolved oxygen (< or >8.2 mg/L). Total V. vulnificus , total and potentially pathogenic V. parahaemolyticus were present respectively in the 11.5, 29.8 and 6.7% of the samples. The Vibrio spp. load (mean value of 4.69±0.65 log 10 colony forming unit g -1 ) and the prevalence of potentially pathogenic V. parahaemolyticus , were not significantly correlated to the environmental conditions (P>0.05), whereas the prevalence of both total V. vulnificus and total V. parahaemolyticus was significantly higher in the warmer period (P<0.05), without correlation with salinity and dissolved oxygen values (P>0.05).

Copyright for Interactive Systems: Stratagems for Tourism and Cultural Heritage Promotion

NASA Astrophysics Data System (ADS)

Cipolla-Ficarra, Francisco V.; Cipolla-Ficarra, Miguel; Ficarra, Valeria M.

We present a series of strategies followed from the interactive design for the realization of a hypermedia system aimed at promoting in an original, simple and universal way the cultural and tourism heritage of a wide rural area in two Italian regions: Emilia Romagna and Lombardy. Besides, the main stratagems followed are disclosed to overcome the existing hurdles when it comes to copyright for the free diffusion of the tourism view of the area, such as can be photography or video, for instance. Finally, we present the first vademecum to be considered before making on-line and off-line interactive systems in Italy.

Serological and molecular tools to diagnose visceral leishmaniasis: 2-years’ experience of a single center in Northern Italy

PubMed Central

Ortalli, Margherita; Attard, Luciano; Vanino, Elisa; Gaibani, Paolo; Vocale, Caterina; Rossini, Giada; Cagarelli, Roberto; Pierro, Anna; Billi, Patrizia; Mastroianni, Antonio; Di Cesare, Simona; Codeluppi, Mauro; Franceschini, Erica; Melchionda, Fraia; Gramiccia, Marina; Scalone, Aldo; Gentilomi, Giovanna A.; Landini, Maria P.

2017-01-01

The diagnosis of visceral leishmaniasis (VL) remains challenging, due to the limited sensitivity of microscopy, the poor performance of serological methods in immunocompromised patients and the lack of standardization of molecular tests. The aim of this study was to implement a combined diagnostic workflow by integrating serological and molecular tests with standardized clinical criteria. Between July 2013 and June 2015, the proposed workflow was applied to specimens obtained from 94 in-patients with clinical suspicion of VL in the Emilia-Romagna region, Northern Italy. Serological tests and molecular techniques were employed. Twenty-one adult patients (22%) had a confirmed diagnosis of VL by clinical criteria, serology and/or real-time polymerase chain reaction; 4 of these patients were HIV-positive. Molecular tests exhibited higher sensitivity than serological tests for the diagnosis of VL. In our experience, the rK39 immunochromatographic test was insufficiently sensitive for use as a screening test for the diagnosis of VL caused by L. infantum in Italy. However, as molecular tests are yet not standardized, further studies are required to identify an optimal screening test for Mediterranean VL. PMID:28832646

Calibration of limited-area ensemble precipitation forecasts for hydrological predictions

NASA Astrophysics Data System (ADS)

Diomede, Tommaso; Marsigli, Chiara; Montani, Andrea; Nerozzi, Fabrizio; Paccagnella, Tiziana

2015-04-01

The main objective of this study is to investigate the impact of calibration for limited-area ensemble precipitation forecasts, to be used for driving discharge predictions up to 5 days in advance. A reforecast dataset, which spans 30 years, based on the Consortium for Small Scale Modeling Limited-Area Ensemble Prediction System (COSMO-LEPS) was used for testing the calibration strategy. Three calibration techniques were applied: quantile-to-quantile mapping, linear regression, and analogs. The performance of these methodologies was evaluated in terms of statistical scores for the precipitation forecasts operationally provided by COSMO-LEPS in the years 2003-2007 over Germany, Switzerland, and the Emilia-Romagna region (northern Italy). The analog-based method seemed to be preferred because of its capability of correct position errors and spread deficiencies. A suitable spatial domain for the analog search can help to handle model spatial errors as systematic errors. However, the performance of the analog-based method may degrade in cases where a limited training dataset is available. A sensitivity test on the length of the training dataset over which to perform the analog search has been performed. The quantile-to-quantile mapping and linear regression methods were less effective, mainly because the forecast-analysis relation was not so strong for the available training dataset. A comparison between the calibration based on the deterministic reforecast and the calibration based on the full operational ensemble used as training dataset has been considered, with the aim to evaluate whether reforecasts are really worthy for calibration, given that their computational cost is remarkable. The verification of the calibration process was then performed by coupling ensemble precipitation forecasts with a distributed rainfall-runoff model. This test was carried out for a medium-sized catchment located in Emilia-Romagna, showing a beneficial impact of the analog-based method on the reduction of missed events for discharge predictions.

Assessing Adverse Events of Postprostatectomy Radiation Therapy for Prostate Cancer: Evaluation of Outcomes in the Regione Emilia-Romagna, Italy

DOE Office of Scientific and Technical Information (OSTI.GOV)

Showalter, Timothy N., E-mail: tns3b@virginia.edu; Hegarty, Sarah E.; Division of Biostatistics, Department of Pharmacology and Experimental Therapeutics, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania

Purpose: Although the likelihood of radiation-related adverse events influences treatment decisions regarding radiation therapy after prostatectomy for eligible patients, the data available to inform decisions are limited. This study was designed to evaluate the genitourinary, gastrointestinal, and sexual adverse events associated with postprostatectomy radiation therapy and to assess the influence of radiation timing on the risk of adverse events. Methods: The Regione Emilia-Romagna Italian Longitudinal Health Care Utilization Database was queried to identify a cohort of men who received radical prostatectomy for prostate cancer during 2003 to 2009, including patients who received postprostatectomy radiation therapy. Patients with prior radiation therapymore » were excluded. Outcome measures were genitourinary, gastrointestinal, and sexual adverse events after prostatectomy. Rates of adverse events were compared between the cohorts who did and did not receive postoperative radiation therapy. Multivariable Cox proportional hazards models were developed for each class of adverse events, including models with radiation therapy as a time-varying covariate. Results: A total of 9876 men were included in the analyses: 2176 (22%) who received radiation therapy and 7700 (78%) treated with prostatectomy alone. In multivariable Cox proportional hazards models, the additional exposure to radiation therapy after prostatectomy was associated with increased rates of gastrointestinal (rate ratio [RR] 1.81; 95% confidence interval [CI] 1.44-2.27; P<.001) and urinary nonincontinence events (RR 1.83; 95% CI 1.83-2.80; P<.001) but not urinary incontinence events or erectile dysfunction. The addition of the time from prostatectomy to radiation therapy interaction term was not significant for any of the adverse event outcomes (P>.1 for all outcomes). Conclusion: Radiation therapy after prostatectomy is associated with an increase in gastrointestinal and genitourinary adverse events. However, the timing of radiation therapy did not influence the risk of radiation therapy–associated adverse events in this cohort, which contradicts the commonly held clinical tenet that delaying radiation therapy reduces the risk of adverse events.« less

Prevalence of Salmonella strains in wild animals from a highly populated area of north-eastern Italy.

PubMed

Rubini, Silva; Ravaioli, Cinzia; Previato, Sara; D'Incau, Mario; Tassinari, Massimo; Guidi, Enrica; Lupi, Silvia; Merialdi, Giuseppe; Bergamini, Mauro

2016-01-01

Salmonella is a ubiquitous pathogen that can infect host species, like wild birds, rodents, and/or arthropods, which may transmit infection to domestic animals and human population. In order to assess the related risk, a cross-sectional study was performed on 1114 carcasses of wild animals from a north-eastern area of the Emilia-Romagna Region, Italy. During post mortem examination, intestine samples were cultured. A statistical analysis demonstrated that there is no correlation between the presence of sub-clinically infected animals and greater human population density. In contrast, a significant correlation between the number of carcasses positive for Salmonella spp. and greater spatial density of pig, poultry, and cattle farms was observed (p < 0.01). The results of the present study show that wild animals with omnivorous feeding habits are particularly exposed to Salmonella colonization and, consequently, to spreading the organism. Regarding drug resistance, this study confirms the resistance to antimicrobials is increasing in commensal and environmental isolates.

Spirits and liqueurs in European traditional medicine: Their history and ethnobotany in Tuscany and Bologna (Italy).

PubMed

Egea, Teresa; Signorini, Maria Adele; Bruschi, Piero; Rivera, Diego; Obón, Concepción; Alcaraz, Francisco; Palazón, José Antonio

2015-12-04

Fermented drinks, often alcoholic, are relevant in many nutritional, medicinal, social, ritual and religious aspects of numerous traditional societies. The use of alcoholic drinks of herbal extracts is documented in classical pharmacy since the 1st century CE and it is often recorded in ethnobotanical studies in Europe, particularly in Italy, where are used for a wide range of medicinal purposes. Formulations and uses represent a singular tradition which responds to a wide range of environmental and cultural factors. This research has two overarching aims To determine how long ancient uses, recipes and formulas for medicinal liqueurs from the pharmacopoeias and herbals of the 18th century persisted in later periods and their role in present ethnobotanical knowledge in areas of Tuscany and Emilia-Romagna (Italy). To trace other possible relationships among ancient and recent recipes of alcoholic beverages, from both popular and 'classic' (learned) sources in N-C Italy and neighboring areas. The review of herbals and classical pharmacopoeias, and ethnobotanical field work in Alta Valle del Reno (Tuscany and Emilia Romagna, Italy) were followed of a systematic study of ingredients and medicinal uses with multivariate analysis techniques. The multivariate analysis clearly shows six different styles of preparing medicinal alcoholic beverages: 1. The medicinal wine formulae by Dioscorides (1st century CE). 2. The pharmacopoeias of Florence and Bologna in the 18th century CE. 3. The formularies of Santa Maria Novella and Castiglione (19th and early 20th centuries CE). 4. The ethnobotanical data from Appennino Tosco-Emiliano; home-made formulations based almost exclusively on the use of local resources. 5. Traditional recipes from NE Italy and Austria. 6. Traditional recipes from NW Italy, Emilia, and Provence (France). A total of 54 ingredients (29 fruits) from 48 species are used in different combinations and proportions in Alta Valle del Reno (Italy) to produce fermented beverages, liqueurs, distilled spirits and aromatized wines. Among these, 37 ingredients (33 species) are used as medicinal remedies. 15 ingredients (14 species) are also used to prepare specific medicinal liqueurs. Most are addressed to the treatment of diseases of the digestive system, dyspepsia in particular, followed by diseases of the respiratory system symptoms, not elsewhere classified and diseases of the skin and subcutaneous tissue, fundamentally of allergic origin. Although medicinal wines, liqueurs and spirits are recorded in numerous classical herbals and pharmacopoeias in Italy and other countries of Europe these show in terms of formulations and ingredients little influence in the ethnobotanical formulations recorded in Alta Valle del Reno (Italy), they apparently play no role in present ethnobotanical knowledge in Appennino Tosco-Emiliano and similarly in other areas of Italy, France and Austria. No (or very poor) persistence was found of ancient uses, recipes and formulas for medicinal liqueurs from pharmacopoeias and herbals of the 16th century CE in later periods in the formulas in use in the pharmacies of Tuscany. Popular recipes are strongly dependent on the availability of local wild and cultivated plants. Overall, Alta Valle del Reno ethnobotanical formulations of medicinal wines and spirits are extremely simple involving from one single ingredient to a few, which are locally produced or collected and selected among relevant medicinal resources used for a wide range of diseases in form of non-alcoholic aqueous extracts. Fruits gathered in the forests are the main ingredients which in this aspect show similarities with those from Tyrol (Austria). Medicinal liqueurs and wines are in analyzed ethnobotanical data mainly employed as digestives. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

[Intercensal reconstruction of population and descriptive epidemiological measures in Italy: what is the impact on the cancer incidence rates?].

PubMed

Rashid, Ivan; Giacomin, Adriano; Michiara, Maria; Minerba, Sante; Sgargi, Paolo; Mincuzzi, Antonia; Silvestrini, Angela

2016-01-01

to test the effect on cancer incidence rates when using precensal computation (computed population) or intercensal reconstruction of population (reconstructed population). comparison between computed and reconstructed population by area and period in 2002-2011; evaluation of the effect on cancer rates using Italian cancer registries data. Setting e participants: population data from the Italian National Institute for Statistics, cancer data from Italian cancer registries; specific analysis involves data from Parma (Emilia-Romagna Region, Northern Italy) and Taranto (Apulia Region, Southern Italy) cancer registries. ratio between computed and reconstructed population by area, gender, age, and period; ratio between corresponding age-standardized incidence rates. Italian population estimates by precensal computation for years 2002-2011 was generally higher than that obtained by intercensal reconstruction especially in 2011, when this has been found in more than 86% of Italian Municipalities. In the same year a smaller proportion of Municipalities (11%) showed an inverse population ratio. Among the most populated Municipalities, the City of Milan showed the higher precensal to intercensal population ratio (1.076), while the City of Taranto showed the lower precensal to intercensal population ratio (0.956). The ratios between age standardized rates obtained with precensal population to those obtained with intercensal population show similar differences; in particular, for all cancer in males and females they were, respectively, 0.985 and 0.982 in the Province of Parma, 0.974 and 0.968 in the City of Parma, 1.023 and 1.013 in the Province of Taranto, and 1.08 and 1.051 in the City of Taranto. using precensal population as denominator for the year 2002- 2011 produces a remarkable distortion of both temporal trend and geographical comparisons. It is, therefore, necessary that researchers take into account this possible distortion when reporting descriptive measures in the years between the last two censuses in Italy.

Correlation between pore fluid pressures and DInSAR post-seismic deformation of the May 20, 2012 Emilia-Romagna (Italy) earthquake

NASA Astrophysics Data System (ADS)

Moro, M.; Stramondo, S.; Albano, M.; Barba, S.; Solaro, G.; Saroli, M.; Bignami, C.

2015-12-01

The present work focuses on the detection and analysis of the postseismic surface deformations following the two earthquakes that hit the Emilia Romagna region (Italy) on May 20 and 29, 2012. The 2012 Emilia earthquake sequence struck the central sector of the Ferrara arc, which represents the external fold-and-thrust system of the Northern Apennines thrust belt buried below the Po plain. The May 20 event occurred on the Ferrara basal thrust at depth, at about 6-7 km, while, during the May 29 event, the rupture jumped on an inner splay of the Ferrara system. The analysis of the postseismic displacements was carried out thanks to a dataset of SAR COSMO­ SkyMed images covering a time span of about one year (May 20, 2012 - May 11, 2013) after the May 20 event. The DInSAR results revealed the presence of two deformation patches: the first one is located in the area that experienced the coseismic uplift. Here the postseismic displacements point out a further ground uplift occurring along the first three months after the 20 May event. The second deformation patch is located in the villages of San Carlo and Mirabello, where ground subsidence lasting about four months was detected. We hypothesized that both the observed phenomena are related to the pore pressure perturbation caused by the coseismic deformation. In particular, the ground uplift is due to the deep crustal deformations caused by the pore fluid diffusion at depth to re-establish the initial hydrostatic stresses. Instead, the ground subsidence is related to the compaction of the shallow sandy layers caused by the liquefaction phenomena, which widely affected the San Carlo and Mirabello area. Preliminary numerical analyses performed with the Finite Element Method and empirical relations confirmed our hypothesis.

Benthic foraminifera or Ostracoda? Comparing the accuracy of palaeoenvironmental indicators from a Pleistocene lagoon of the Romagna coastal plain (Italy)

NASA Astrophysics Data System (ADS)

Barbieri, Giulia; Vaiani, Stefano Claudio

2018-01-01

Integrated analyses of multiple groups of microfossils are frequently performed to unravel the palaeoenvironmental evolution of subsurface coastal successions, where the complex interaction among several palaeoecological factors can be detected with benthic assemblages. This work investigates the palaeoenvironmental resolution potential provided by benthic foraminifera and ostracoda within a Pleistocene lagoonal succession of the Romagna coastal plain (northern Italy). Quantitative approaches and statistical techniques have been applied to both groups in order to understand the main factors that controlled the composition of assemblages and compare the palaeoecological record provided by single fossil groups. The two faunal groups are characterized by the high dominance of opportunistic species (Ammonia tepida-Ammonia parkinsoniana and Cyprideis torosa); however, detailed palaeoecological information is inferred from less common taxa. Benthic foraminiferal assemblages are mainly determined by the frequencies of abnormal individuals and species related to high concentrations of organic matter, showing two assemblages: a stressed assemblage, consistent with a brackish-water environment subject to salinity and oxygen fluctuations, and an unstressed assemblage, which indicates more stable conditions. Despite the lower number of species, ostracoda show more significant differences in terms of species composition and ecological structure between their three assemblages, formed in response to a salinity gradient and indicative of inner, central, and outer lagoon conditions. The stratigraphic distribution of ostracod assemblages shows a general transgressive-regressive trend with minor fluctuations, whereas benthic foraminifera highlight the presence of a significant palaeoenvironmental stress. In this case, the higher abundance along the stratigraphic succession, the higher differentiation of the assemblages, and the well-defined relationship between taxa and ecological parameters determine Ostracoda as the most reliable fossil group for precise palaeoenvironmental reconstructions. Nevertheless, benthic foraminifera indicate palaeoenvironmental stress and can be used to refine the environmental interpretation in the presence of monospecific ostracod assemblages.

Economics of One Health: Costs and benefits of integrated West Nile virus surveillance in Emilia-Romagna.

PubMed

Paternoster, Giulia; Babo Martins, Sara; Mattivi, Andrea; Cagarelli, Roberto; Angelini, Paola; Bellini, Romeo; Santi, Annalisa; Galletti, Giorgio; Pupella, Simonetta; Marano, Giuseppe; Copello, Francesco; Rushton, Jonathan; Stärk, Katharina D C; Tamba, Marco

2017-01-01

Since 2013 in Emilia-Romagna, Italy, surveillance information generated in the public health and in the animal health sectors has been shared and used to guide public health interventions to mitigate the risk of West Nile virus (WNV) transmission via blood transfusion. The objective of the current study was to identify and estimate the costs and benefits associated with this One Health surveillance approach, and to compare it to an approach that does not integrate animal health information in blood donations safety policy (uni-sectoral scenario). Costs of human, animal, and entomological surveillance, sharing of information, and triggered interventions were estimated. Benefits were quantified as the averted costs of potential human cases of WNV neuroinvasive disease associated to infected blood transfusion. In the 2009-2015 period, the One Health approach was estimated to represent a cost saving of €160,921 compared to the uni-sectoral scenario. Blood donation screening was the main cost for both scenarios. The One Health approach further allowed savings of €1.21 million in terms of avoided tests on blood units. Benefits of the One Health approach due to short-term costs of hospitalization and compensation for transfusion-associated disease potentially avoided, were estimated to range from €0 to €2.98 million according to the probability of developing WNV neuroinvasive disease after receiving an infected blood transfusion.

Establishment, operation and development of a donor human milk bank.

PubMed

Biasini, Augusto; Stella, Marcello; Malaigia, Laura; China, Mariachiara; Azzalli, Milena; Laguardia, Maria Chiara; Rizzo, Vittoria

2013-10-01

Human milk is very valuable in premature infant nutrition. The collection, screening, processing and distribution of donor human milk are described in this report. These activities take place in the Donor Human Milk Bank (DHMB) of the Large Romagna Area (LRA) in Italy, the development of which is also described here. Over the years, the activities of this bank, which is located in Cesena Hospital, in the center of the LRA, have developed from an informal and domestic-level activity to become a multistep controlled process designed to prevent the possibility of disease transmission. This little food-supply industry, run by a multi-disciplinary team with strict rules and diverse responsibilities, complies with the Hazards Analysis and Critical Control Points (HACCP) system. © 2013.

Epidemiology and costs of cervical cancer screening and cervical dysplasia in Italy

PubMed Central

Rossi, Paolo Giorgi; Ricciardi, Alessandro; Cohet, Catherine; Palazzo, Fabio; Furnari, Giacomo; Valle, Sabrina; Largeron, Nathalie; Federici, Antonio

2009-01-01

Background We estimated the number of women undergoing cervical cancer screening annually in Italy, the rates of cervical abnormalities detected, and the costs of screening and management of abnormalities. Methods The annual number of screened women was estimated from National Health Interview data. Data from the Italian Group for Cervical Cancer Screening were used to estimate the number of positive, negative and unsatisfactory Pap smears. The incidence of CIN (cervical intra-epithelial neoplasia) was estimated from the Emilia Romagna Cancer Registry. Patterns of follow-up and treatment costs were estimated using a typical disease management approach based on national guidelines and data from the Italian Group for Cervical Cancer Screening. Treatment unit costs were obtained from Italian National Health Service and Hospital Information System of the Lazio Region. Results An estimated 6.4 million women aged 25–69 years undergo screening annually in Italy (1.2 million and 5.2 million through organized and opportunistic screening programs, respectively). Approximately 2.4% of tests have positive findings. There are approximately 21,000 cases of CIN1 and 7,000–17,000 cases of CIN2/3. Estimated costs to the healthcare service amount to €158.5 million for screening and €22.9 million for the management of cervical abnormalities. Conclusion Although some cervical abnormalities might have been underestimated, the total annual cost of cervical cancer prevention in Italy is approximately €181.5 million, of which 87% is attributable to screening. PMID:19243586

Association between in-hospital mortality and renal dysfunction in 186,219 patients hospitalized for acute stroke in the Emilia-Romagna region of Italy.

PubMed

Fabbian, Fabio; Gallerani, Massimo; Pala, Marco; De Giorgi, Alfredo; Salmi, Raffaella; Dentali, Francesco; Ageno, Walter; Manfredini, Roberto

2014-11-01

Using a regional Italian database, we evaluated the relationship between renal dysfunction and in-hospital mortality (IHM) in patients with acute stroke (ischemic/hemorrhagic). Patients were classified on the basis of renal damage: without renal dysfunction, with chronic kidney disease (CKD), and with end-stage renal disease (ESRD). Of a total of 186,219 patients with a first episode of stroke, 1626 (0.9%) had CKD and 819 (0.4%) had ESRD. Stroke-related IHM (total cases) was independently associated with CKD, ESRD, atrial fibrillation (AF), age, and Charlson comorbidity index (CCI). In patients with ischemic stroke (n=154,026), IHM remained independently associated with CKD, ESRD, AF, and CCI. In patients with hemorrhagic stroke (n=32,189), variables that were independently associated with IHM were CKD, ESRD, and AF. Renal dysfunction is associated with IHM related to stroke, both ischemic and hemorrhagic, with even higher odds ratios than those of other established risk factors, such as age, comorbidities, and AF. © The Author(s) 2013.

Implementing the water framework directive: contract design and the cost of measures to reduce nitrogen pollution from agriculture.

PubMed

Bartolini, Fabio; Gallerani, Vittorio; Raggi, Meri; Viaggi, Davide

2007-10-01

The performance of different policy design strategies is a key issue in evaluating programmes for water quality improvement under the Water Framework Directive (60/2000). This issue is emphasised by information asymmetries between regulator and agents. Using an economic model under asymmetric information, the aim of this paper is to compare the cost-effectiveness of selected methods of designing payments to farmers in order to reduce nitrogen pollution in agriculture. A principal-agent model is used, based on profit functions generated through farm-level linear programming. This allows a comparison of flat rate payments and a menu of contracts developed through mechanism design. The model is tested in an area of Emilia Romagna (Italy) in two policy contexts: Agenda 2000 and the 2003 Common Agricultural Policy (CAP) reform. The results show that different policy design options lead to differences in policy costs as great as 200-400%, with clear advantages for the menu of contracts. However, different policy scenarios may strongly affect such differences. Hence, the paper calls for greater attention to the interplay between CAP scenarios and water quality measures.

Implementing the Water Framework Directive: Contract Design and the Cost of Measures to Reduce Nitrogen Pollution from Agriculture

NASA Astrophysics Data System (ADS)

Bartolini, Fabio; Gallerani, Vittorio; Raggi, Meri; Viaggi, Davide

2007-10-01

The performance of different policy design strategies is a key issue in evaluating programmes for water quality improvement under the Water Framework Directive (60/2000). This issue is emphasised by information asymmetries between regulator and agents. Using an economic model under asymmetric information, the aim of this paper is to compare the cost-effectiveness of selected methods of designing payments to farmers in order to reduce nitrogen pollution in agriculture. A principal-agent model is used, based on profit functions generated through farm-level linear programming. This allows a comparison of flat rate payments and a menu of contracts developed through mechanism design. The model is tested in an area of Emilia Romagna (Italy) in two policy contexts: Agenda 2000 and the 2003 Common Agricultural Policy (CAP) reform. The results show that different policy design options lead to differences in policy costs as great as 200-400%, with clear advantages for the menu of contracts. However, different policy scenarios may strongly affect such differences. Hence, the paper calls for greater attention to the interplay between CAP scenarios and water quality measures.

Usutu virus persistence and West Nile virus inactivity in the Emilia-Romagna region (Italy) in 2011.

PubMed

Calzolari, Mattia; Bonilauri, Paolo; Bellini, Romeo; Albieri, Alessandro; Defilippo, Francesco; Tamba, Marco; Tassinari, Massimo; Gelati, Antonio; Cordioli, Paolo; Angelini, Paola; Dottori, Michele

2013-01-01

The circulation of West Nile virus and Usutu virus was detected in the Emilia-Romagna region in 2008 and 2009. To evaluate the extent of circulation of both viruses, environmental surveillance, based on bird and mosquito testing, was conducted in 2008 and gradually improved over the years. In February-March 2009-2011, 5,993 hibernating mosquitoes were manually sampled, out of which 80.1% were Culex pipiens; none tested positive for the viruses. From 2008 to 2011, 946,213 mosquitoes, sampled between May and October, were tested; 86.5% were Cx. pipiens. West Nile virus was detected in 32 Cx. pipiens pools, and Usutu virus was detected in 229 mosquito pools (217 Cx. pipiens, 10 Aedes albopictus, one Anopheles maculipennis s.l., and one Aedes caspius). From 2009 to 2011, of 4,546 birds collected, 42 tested positive for West Nile virus and 48 for Usutu virus. West Nile virus and Usutu virus showed different patterns of activity during the 2008-2011 surveillance period. West Nile virus was detected in 2008, 2009, and 2010, but not in 2011. Usutu virus, however, was continuously active throughout 2009, 2010, and 2011. The data strongly suggest that both viruses overwinter in the surveyed area rather than being continually reintroduced every season. The lack of hibernating mosquitoes testing positive for the viruses and the presence of positive birds sampled early in the season support the hypothesis that the viruses overwinter in birds rather than in mosquitoes. Herd immunity in key bird species could explain the decline of West Nile virus observed in 2011, while the persistence of Usutu virus may be explained by not yet identified reservoirs. Reported results are comparable with a peri-Mediterranean circulation of the West Nile virus lineage 1 related strain, which became undetectable in the environment after two to three years of obvious circulation.

[Mortality study in metal electroplating workers in Bologna (Northern Italy)].

PubMed

Gerosa, Alberto; Scarnato, Corrado; Giacomozzi, Giuseppe; d'Errico, Angelo

2013-01-01

to investigate general and cause-specific mortality of workers exposed to metals and other chemicals in the electroplating industry in Bologna Province. factory records of workers employed in 90 electroplating companies present in 1995 were used to build a cohort of subjects potentially exposed to carcinogenic and other substances in this industry, defined as "revised cohort", which was followed-up for mortality from 1960, or since first employment in an electroplating company if later, to 2008. Mortality risk was also examined separately in a subset of the cohort, composed of workers with at least one year of employment in electroplating, denominated "final cohort". Death rates of residents in Emilia-Romagna Region (Northern Italy) were used as a reference. follow-up completeness was 99%. During the observation period, 533 deaths out of 2,983 subjects were observed in the revised cohort and 317 out of 1,739 in the final cohort. Significantly increased Standardized Mortality Ratios were estimated for overall mortality and for mortality from AIDS in the revised cohort and for bladder and rectal cancer in both cohorts. the present study is, to authors' knowledge, the largest mortality investigation conducted in Italy on electroplating workers, for both size and temporal extension. The presence of excess mortality from causes of death not consistently associated in the literature with exposure to agents in this industry suggests that further research is needed to confirm these associations.

D Geomatics Techniques for AN Integrated Approach to Cultural Heritage Knowledge: the Case of San Michele in Acerboli's Church in Santarcangelo DI Romagna

NASA Astrophysics Data System (ADS)

Bitelli, G.; Dellapasqua, M.; Girelli, V. A.; Sanchini, E.; Tini, M. A.

2017-05-01

The modern Geomatics techniques, such as Terrestrial Laser Scanner (TLS) and multi-view Structure from Motion (SfM), are gaining more and more interest in the Cultural Heritage field. All the data acquired with these technologies could be stored and managed together with other information in a Historical Building Information Model (HBIM). In this paper, it will be shown the case study of the San Michele in Acerboli's church, located in Santarcangelo di Romagna, Italy. This church, dated about the 6th century A.D., represents a high relevant Romanic building of the high Medieval period. The building presents an irregular square plan with a different length of the lateral brick walls and a consequential oblique one in correspondence of the apse. Nevertheless, the different lengths of the lateral brick walls are balanced thanks to the irregular spaces between the windows. Different changes occurred during the centuries, such as the closing of the seven main doors and the building of the bell tower, in the 11th century A.D., which is nowadays the main entrance of the church. An integrated survey was realized, covering the exterior and the interior. The final 3D model represents a valid support not only for documentation, but also to maintain and manage in an integrate approach the available knowledge of this Cultural Heritage site, developing a HBIM system in which all the mentioned historical, geometrical, material matters are collected.

Effects of layered crust on the coseismic slip inversion and related CFF variations: Hints from the 2012 Emilia Romagna earthquake

NASA Astrophysics Data System (ADS)

Nespoli, Massimo; Belardinelli, Maria E.; Anderlini, Letizia; Bonafede, Maurizio; Pezzo, Giuseppe; Todesco, Micol; Rinaldi, Antonio P.

2017-12-01

The 2012 Emilia Romagna (Italy) seismic sequence has been extensively studied given the occurrence of two mainshocks, both temporally and spatially close to each other. The recent literature accounts for several fault models, obtained with different inversion methods and different datasets. Several authors investigated the possibility that the second event was triggered by the first mainshock with elusive results. In this work, we consider all the available InSAR and GPS datasets and two planar fault geometries, which are based on both seismological and geological constraints. We account for a layered, elastic half-space hosting the dislocation and compare the slip distribution resulting from the inversion and the related changes in Coulomb Failure Function (CFF) obtained with both a homogeneous and layered half-space. Finally, we focus on the interaction between the two main events, discriminating the contributions of coseismic and early postseismic slip of the mainshock on the generation of the second event and discuss the spatio-temporal distribution of the seismic sequence. When accounting for both InSAR and GPS geodetic data we are able to reproduce a detailed coseismic slip distribution for the two mainshocks that is in accordance with the overall aftershock seismicity distribution. Furthermore, we see that an elastic medium with depth dependent rigidity better accounts for the lack of the shallow seismicity, amplifying, with respect to the homogeneous case, the mechanical interaction of the two mainshocks.

Natural versus Urban dunes along the Emilia-Romagna coast, Northern Adriatic (Italy)

NASA Astrophysics Data System (ADS)

Corbau, Corinne; Simeoni, Umberto

2014-05-01

Beach-dune interaction models can be precious tools for land managers and policymakers. However, if the models are inaccurate, land use policies may be designed based on false pretences or assumptions leading to poor land management, long-term erosion and sustainability issues, and increased difficulties in maintaining the dynamic coastal systems. From the literature, it appears that even the most reliable beach-dunes interactions models are not applicable to all coastal systems (Short and Hesp, 1982; Psuty, 1988; Sherman and Bauer, 1993). The study aims to identify the morphological evolution of the Emilia-Romagna coastal dunes according to its natural and "human" characteristics and to classify groups of dunes with similar evolutionary patterns. The coastal area consists essentially of 130 km of low sandy coast, interrupted by vast lagoon areas, harbor jetties and numerous hard coastal defense structures that were built during the first half of the 20th century to protect the Emilia-Romagna coast against erosion. Today about 57% of the littoral is protected by hard defenses, which have modified the morphodynamic characteristics of the beach without inverting the negative coastal evolution's trend. From recent aerial photographs (2011), 62 coastal dunes have been identified and mapped. Furthermore, the dune analysis shows a variability of the "physical characteristics" of coastal-dune systems along the Emilia-Romagna coast. The dune height varies from 1 to 7 meters, the width of the beach and of the active dunes range respectively from 10 to 150 m and from 10 to 65 m. Three main factors may explain the variability of the "physical characteristics": 1- Firstly the frontal dunes may be of different states according to the classification of Hesp (2002) since they correspond to incipient foredunes, well-developed foredunes, blowouts, residual foredunes as well as reactivated relict foredunes, 2- This could also be related to a different orientation of the coastline and foredune's line to the dominant onshore winds and, 3- Human impacts may also explain this variability since most of the dune-beach systems of Emilia-Romagna are characterized by important anthropogenic features that do not adequately describe beach-foredune interactions. A factor analysis of the coastal dunes has allowed formulating hypotheses about their evolutionary trends according to the importance and interference of factors, both natural and anthropic, acting on the beach-dune system. Four groups of dunes have been identified corresponding to natural dunes, semi-anthropic dunes with major natural features, semi-anthropic dunes with major anthropic feature and "urban" dunes. Furthermore, while human activities impede the formation and development of new incipient dunes, other human activities favor the conservation and development of the human-altered foredunes. Hesp, P., 2002: Foredunes and blowouts: initiation, geomorphology and dynamics, Geomorphology, 245-268. Psuty, N. P. 1988. Sediment budget and dune/beach interaction. Journal of Coastal Research Special Issue 3: 1-4. Sherman, D. J., and B. O. Bauer. 1993. Dynamics of beach-dune systems. Progress in Physical Geography 17 (4): 413-447 Short, A. D., and P. A. Hesp. 1982. Wave, beach and dune interactions in South Eastern Australia. Marine Geology 48: 259-284.

Traditional alcoholic beverages and their value in the local culture of the Alta Valle del Reno, a mountain borderland between Tuscany and Emilia-Romagna (Italy).

PubMed

Egea, Teresa; Signorini, Maria Adele; Ongaro, Luca; Rivera, Diego; Obón de Castro, Concepción; Bruschi, Piero

2016-06-22

Traditional alcoholic beverages (TABs) have only received marginal attention from researchers and ethnobotanists so far, especially in Italy. This work is focused on plant-based TABs in the Alta Valle del Reno, a mountainous area on the border between Tuscany and Emilia-Romagna regions. The aims of our study were to document local knowledge about TABs and to analyze and discuss the distribution of related knowledge within the investigated communities. Field data were collected through semi-structured interviews. The relative importance of each plant species used to prepare TABs was assessed by calculating a general Use Value Index (UV general), a current UV (UV current) and a past UV (UV past). We also assessed personal experience of use by calculating effective and potential UV (UV effective, UV potential). A multivariate analysis was performed to compare ingredients in recipes recorded in the Alta Valle del Reno with those reported for neighboring areas. Forty-six plant species, belonging to 20 families, were recorded. Rosaceae was the most significant family (98 citations, 19 species), followed by Rutaceae (15, 3) and Lamiaceae (12, 4). The most important species was Prunus cerasus L. (UV general = 0.44), followed by Juglans regia L. (0.38), Rubus idaeus L. (0.27) and Prunus spinosa L. (0.22). Species with the highest UV current were Juglans regia (0.254), Prunus cerasus (0.238) and Citrus limon L. (0.159). The highest UV effective values were obtained by Prunus cerasus (0.413), Juglans regia (0.254), Rubus idaeus (0.222) and Citrus limon (0.206). We also discuss the results of the multivariate analysis. TABs proved to occupy an important place in the traditional culture and social life of the studied communities. Moreover, data highlight the local specificity and richness of this kind of tradition in the Alta Valle del Reno, compared to other Italian areas. Some plant ingredients used for TABs have potential nutraceutical and even therapeutic properties that are well known by local people. These properties could constitute an additional economic value for TABs' commercialization, which in turn could promote the local rural economy.

Sea-level rise along the Emilia-Romagna coast (Northern Italy) in 2100: scenarios and impacts

NASA Astrophysics Data System (ADS)

Perini, Luisa; Calabrese, Lorenzo; Luciani, Paolo; Olivieri, Marco; Galassi, Gaia; Spada, Giorgio

2017-12-01

As a consequence of climate change and land subsidence, coastal zones are directly impacted by sea-level rise. In some particular areas, the effects on the ecosystem and urbanisation are particularly enhanced. We focus on the Emilia-Romagna (E-R) coastal plain in Northern Italy, bounded by the Po river mouth to the north and by the Apennines to the south. The plain is ˜ 130 km long and is characterised by wide areas below mean sea level, in part made up of reclaimed wetlands. In this context, several morphodynamic factors make the shore and back shore unstable. During next decades, the combined effects of land subsidence and of the sea-level rise as a result of climate change are expected to enhance the shoreline instability, leading to further retreat. The consequent loss of beaches would impact the economy of the region, which is tightly connected with tourism infrastructures. Furthermore, the loss of wetlands and dunes would threaten the ecosystem, which is crucial for the preservation of life and the environment. These specific conditions show the importance of a precise definition of the possible local impacts of the ongoing and future climate variations. The aim of this work is the characterisation of vulnerability in different sectors of the coastal plain and the recognition of the areas in which human intervention is urgently required. The Intergovernmental Panel on Climate Change (IPCC) Fifth Assessment Report (AR5) sea-level scenarios are merged with new high-resolution terrain models, current data for local subsidence and predictions of the flooding model in_CoastFlood in order to develop different scenarios for the impact of sea-level rise projected to year 2100. First, the potential land loss due to the combined effect of subsidence and sea-level rise is extrapolated. Second, the increase in floodable areas as a result of storm surges is quantitatively determined. The results are expected to support the regional mitigation and adaptation strategies designed in response to climate change.

Evaluation of coastal vulnerability: comparison of two different methodologies adopted by the Emilia-Romagna Region (Italy)

NASA Astrophysics Data System (ADS)

Armaroli, Clara; Perini, Luisa; Calabrese, Lorenzo; Ciavola, Paolo; Salerno, Giovanni

2014-05-01

In the last years a large number of catastrophic events have occurred along worldwide coastlines (e.g.: 2012 Super-storm Sandy, US East Coast). European countries have to face similar calamities such as those caused by the recent Xaver cyclone (December 2013). The Emilia-Romagna coastline, Italy, along the North Adriatic Sea, is affected by storms that cause extensive damages. The coast has low elevations, is highly urbanised and there is a massive presence of defence structures. The area is micro-tidal (neap/spring tide ranges = 0.4/0.8 m), low energetic (65% Hs<=1 m) but subjected to significant surge levels (1 year return period = 0.85 m). Therefore an evaluation of the vulnerability of the coastal area is an urgent matter. The Regional Geological Survey has completed an analysis of three scenarios of damage produced by the concurrent happening of a marine storm and high surge levels (1-in-1, 10, 100 year return period) and high spring tidal levels (+0.45 m MSL). Wave heights were used to calculate run-up values along the whole coastline (on 187 equally spaced profiles extracted from LIDAR datasets). The result is a list of ten typology of different levels of damage obtained through the comparison between the computed water levels, for each scenario and along each profile, and the topography/human occupation of the coast. The assessment reveals that 60% of the coastline is vulnerable to the 1-in-1 year return period scenario, thus even modal meteorological conditions can generate significant losses. A comparison was made between the produced typologies and the actual damage caused by a recent storm and the correspondence is almost identical, underlining that the method is reliable. Because the above-mentioned methodology is only punctual, the Geological Survey has started a different evaluation of the areal extension of inundations. The methodology considers the concurrent happening of the same return period storms but in terms of wave set-up only (not including run-up) plus surge levels (extracted from the literature) plus high spring tide level. To find the extension of inundated areas and the intrusion distance of marine water inland, the Cost-Distance tool of ArcGIS was used. The tool is able to evaluate the contribution of each "cell", in which the coast has been divided (from LIDAR data), to avoid or favour the water movement inland, considering its location with respect to the shoreline, its elevation above MSL and the elevation/location of nearby cells. It does not account for water infiltration and terrain roughness, therefore, to avoid getting unrealistic results, an attenuation artifice was introduced: the maximum water level surface, calculated for each return period, is projected inland following a sloping plane. The intrusion distance is determined by the intersection of the oblique water surface and the ground. This artifice, together with the Cost-Distance tool, produces consistent results if compared to observed inundations with similar return periods. A further implementation of coastal vulnerability assessment will be performed through numerical modelling and Bayesian approaches (RISC-KIT EU Project, www.risckit.eu, GA 603458).

Padus, Sandalus, Gens Fadiena. Underwater Surveys in Palaeo-Watercourses (ferrara District - Italy)

NASA Astrophysics Data System (ADS)

Bucci, G.

2015-04-01

In the ambit of our program of researches on ancient rivers in Ferrara hinterland (Italy), we have been joining a Scientific - Didactic Project between Soprintendenza per i Beni Archeologici dell'Emilia Romagna, Comune di Portomaggiore Assessorato alla Cultura, CMAS A.CDCI. - Confédération Mondiale des Activités Subaquatiques Federation ITA F07 - Associazione CMAS Diving Center Italia. The Project is focused on underwater archaeological surveys in ex quarry lakes, following the Rivers Padus and Sandalus between Voghiera, Gambulaga and Portomaggiore (Ferrara District). Here we are going to introduce our most recent results, after the last immersions and a 3D bathymetrical survey completed by echo-side scan sonar in Tramonto Lake at Gambulaga, explaining the connection with remote sensing investigations and direct surveys applied to underwater archaeology of the inland water. The main submerged structure individuated is a part of wooden dock on the left side of Padus, in front of the Necropolis of Fadieni (1st-3rd cent. A.D.). Thanks to the study of 183 finds coming from the lake, involving students and young collaborators of the Archaeological National Museum of Ferrara, we are reconstructing the ancient landscape between Proto-Imperial Age and Late Antique.

Cardiovascular health in migrants: current status and issues for prevention. A collaborative multidisciplinary task force report.

PubMed

Modesti, Pietro A; Bianchi, Stefano; Borghi, Claudio; Cameli, Matteo; Capasso, Giovambattista; Ceriello, Antonio; Ciccone, Marco Matteo; Germanò, Giuseppe; Maiello, Maria; Muiesan, Maria Lorenza; Novo, Salvatore; Padeletti, Luigi; Palmiero, Pasquale; Pillon, Sergio; Rotella, Carlo Maria; Saba, Pier Sergio; Scicchitano, Pietro; Trimarco, Bruno; Volpe, Massimo; Pedrinelli, Roberto; Di Biase, Matteo

2014-09-01

To review information on cardiovascular health and migration, to stress the attention of researchers that much needs to be done in the collection of sound data in Italy and to allow policy makers identifying this issue as an important public health concern. In Italy, the rate of immigrants in the total number of residents increased from 2.5% in 1990 to 7.4% in 2010, and currently exceeds 10% in regions such as Lombardia, Emilia Romagna and Toscana. A consensus statement was developed by approaching relevant Italian national scientific societies involved in cardiovascular prevention. Task force members were identified by the president and/or the boards of each relevant scientific society or working group, as appropriate. To obtain a widespread consensus, drafts were merged and distributed to the scientific societies for local evaluation and revision by as many experts as possible. The ensuing final draft was finally approved by scientific societies. In several western European countries, the prevalence of hypertension, diabetes, chronic kidney disease, obesity and metabolic syndrome was found to be higher among immigrants than in the native population. Although migrants are often initially healthier than non-migrant populations in their host countries, genetic factors, and changing environments with lifestyle changes, social exclusion and insufficient medical control may expose them to health challenges. Cultural reasons may also hamper both the dissemination of prevention strategies and migrant communication with healthcare providers. However, great diversity exists across and within different groups of migrants, making generalizations very difficult and many countries do not collect registry or survey data for migrant's health. In the present economic context, the European Union is placing great attention to improve data collection for migrant health and to support the implementation of specific prevention policies aimed at limiting the future burden of cardiovascular and renal disease, and the consequent load for health systems. Wider initiatives on the topic are awaited in Italy.

The analysis of a cardiological network in a regulated setting: a spatial interaction approach.

PubMed

Lippi Bruni, Matteo; Nobilio, Lucia; Ugolini, Cristina

2008-02-01

We analyse referral patterns for patients undergoing percutaneous transluminal coronary angioplasty (PTCA) in the Emilia Romagna region of Italy, a procedure for which the assumption of a negative association between volume and adverse outcomes is used to justify its territorial concentration. Nevertheless, recent clinical evidence shows PTCA superiority for immediate treatment of acute myocardial infarction, which advises an increase in the number of points of delivery. Our paper aims to develop analytical tools designed to provide support to policy makers when they are asked to evaluate the spatial distribution of catheterisation laboratories that perform PTCA. Information is drawn from the regional administrative hospital discharge data (SDO) for the year 2002. We first use entropy indexes to investigate the spatial accessibility of the cardiological network. Secondly, by means of a gravity model estimated using Bayesian techniques we identify the determinants of patient flows in terms of demand and supply factors. Our results suggest that information on destinations is processed hierarchically and that agglomeration-like forces are dominant. Furthermore, although self-sufficiency of provision at the provincial level has been achieved to a large extent, there is still scope to improve the organisational efficiency of the network.

[Mortality study update of workers exposed to vinyl chloride in plants located in Ferrara and Ravenna (Emilia-Romagna Region, Northern Italy)].

PubMed

Scarnato, Corrado; Rambaldi, Rossella; Mancini, Gianpiero; Olanda, Sandra; Spagnolo, Maria Rosa; Previati, Elisabetta; Parmeggiani, Valerio; Minisci, Salvatore; Comba, Pietro; Pirastu, Roberta

2017-01-01

to update the mortality study of subjects exposed to vinyl chloride in the phases of synthesis of the monomer and polymerization in the plants of Ferrara and Ravenna (Emilia-Romagna Region, Northern Italy). both for the whole cohort and for the two plants, standardized mortality ratios (SMRs), with 95% confidence intervals (95%CI), were calculated for different death causes, then stratified by duration and latency, periods of the beginning of work and cumulative exposure (ppm-years). the cohort includes 1,540 subjects (469 in Ferrara hired from 1953 to 1999; 1,071 in Ravenna hired from 1959 to 2000), with at least six months of work. by the end of the follow-up (31.12.2013), 348 deaths occurred. Overall observed mortality, contrasted to that expected based on Emilia-Romagna Region mortality rates, appeared to be lower than expected in the whole cohort (348 cases, SMR: 0.85; 95%CI 0.77-0.95) and in Ravenna (173 cases, SMR: 0.71; 95%CI 0.61-0.83). Mortality for all neoplasms was in excess in Ferrara (79 cases, SMR: 1.27; 95%CI 1.02-1.58), but lower than expected in Ravenna (83 cases, SMR: 0.80; 95%CI 0.64-0.99). An excess in mortality was observed in the whole cohort (16 cases, SMR: 1.74; 95%CI 1.07-2.85) and in Ferrara for liver cancer (7 cases, SMR: 2.12; 95%CI 1.02-4.46), and only in Ferrara for respiratory tract cancer (30 cases, SMR: 1.45; 95%CI 1.02-2.07) and larynx cancer (4 cases, SMR: 3.35; 95%CI 1.26-8.92). In the whole cohort, SMR for liver cancer was in excess since a cumulative exposure of 5,000 ppm-year and 12 cases belong to the job title of autoclave workers (12 cases, SMR 4.6; 95%CI 2.6-8.0), duration of work higher than 20 years (8 cases, SMR 2.4; 95%CI 1.2-4.9), and latency higher than 40 years (7 cases, SMR 2.5; 95%CI 1.2-5.2). The excess in mortality for lung cancer is statistically significant for and with cumulative exposure higher than 7,330 ppm-years (6 cases, SMR 3.2 95%CI 1.4-7.0). There are not excesses among subjects hired after 1971. the study findings confirm and expand the ones of previous studies. It was not possible to apply a best evidence approach to the study of liver cancer, and consequently it is not possible to distinguish between hepatic angiosarcoma and hepatocellular carcinoma. The evidence of a causal link between vinyl chloride exposure and liver cancer is anyhow confirmed. The causal link between vinyl chloride exposure and lung cancer must be further investigated.

Cross-correlation analysis of 2012-2014 seismic events in Central-Northern Italy: insights from the geochemical monitoring network of Tuscany

NASA Astrophysics Data System (ADS)

Pierotti, Lisa; Facca, Gianluca; Gherardi, Fabrizio

2015-04-01

Since late 2002, a geochemical monitoring network is operating in Tuscany, Central Italy, to collect data and possibly identify geochemical anomalies that characteristically occur before regionally significant (i.e. with magnitude > 3) seismic events. The network currently consists of 6 stations located in areas already investigated in detail for their geological setting, hydrogeological and geochemical background and boundary conditions. All these stations are equipped for remote, continuous monitoring of selected physicochemical parameters (temperature, pH, redox potential, electrical conductivity), and dissolved concentrations of CO2 and CH4. Additional information are obtained through in situ discrete monitoring. Field surveys are periodically performed to guarantee maintenance and performance control of the sensors of the automatic stations, and to collect water samples for the determination of the chemical and stable isotope composition of all the springs investigated for seismic precursors. Geochemical continuous signals are numerically processed to remove outliers, monitoring errors and aseismic effects from seasonal and climatic fluctuations. The elaboration of smoothed, long-term time series (more than 200000 data available today for each station) allows for a relatively accurate definition of geochemical background values. Geochemical values out of the two-sigma relative standard deviation domain are inspected as possible indicators of physicochemical changes related to regional seismic activity. Starting on November 2011, four stations of the Tuscany network located in two separate mountainous areas of Northern Apennines separating Tuscany from Emilia-Romagna region (Equi Terme and Gallicano), and Tuscany from Emilia-Romagna and Umbria regions (Vicchio and Caprese Michelangelo), started to register anomalous values in pH and CO2 partial pressure (PCO2). Cross-correlation analysis indicates an apparent relationship between the most important seismic events (magnitude >3 up to 5.4) experienced in the Tuscany, Emilia-Romagna and Umbria regions during the period 2012-2014, and these geochemical anomalies. Changes in pH (decreasing) and PCO2 (increasing) are generally observed from a few months to a few weeks before the main shock. This trend has been recognized for the Parma quake of 27 January 2012 (M = 5.4), for the Pieve Fosciana quake of 13 January 2013 (M = 4.8), for the Garfagnana-Lunigiana seismic sequence started June 21, 2013 (Mmax = 5.2), for the Montefeltro seismic sequence started July 11, 2013 (Mmax = 3.9), for the Gubbio seismic sequences of July and December 2013 (Mmax = 3.9), for the Città di Castello seismic sequences of April 2013 and December 2013 (Mmax = 3.9), for the Casentino seismic sequence started October 17, 2014 (Mmax = 3.5), and for the Chianti seismic sequence started December 19, 2014 (Mmax = 4.1). These features suggest that the selected mineral springs can be considered as appropriate sites for the search of geochemical earthquake precursors. Further investigations focused on in-depth analysis of signals are currently in progress.

Crustal structure of northern Italy from the ellipticity of Rayleigh waves

NASA Astrophysics Data System (ADS)

Berbellini, Andrea; Morelli, Andrea; G. Ferreira, Ana M.

2017-04-01

Northern Italy is a diverse geological region, including the wide and thick Po Plain sedimentary basin, which is bounded by the Alps and the Apennines. The seismically slow shallow structure of the Po Plain is difficult to retrieve with classical seismic measurements such as surface wave dispersion, yet the detailed structure of the region greatly affects seismic wave propagation and hence seismic ground shaking. Here we invert Rayleigh wave ellipticity measurements in the period range 10-60 s for 95 stations in northern Italy using a fully non linear approach to constrain vertical vS,vP and density profiles of the crust beneath each station. The ellipticity of Rayleigh wave ground motion is primarily sensitive to shear-wave velocity beneath the recording station, which reduces along-path contamination effects. We use the 3D layering structure in MAMBo, a previous model based on a compilation of geological and geophysical information for the Po Plain and surrounding regions of northern Italy, and employ ellipticity data to constrain vS,vP and density within its layers. We show that ellipticity data from ballistic teleseismic wave trains alone constrain the crustal structure well. This leads to MAMBo-E, an updated seismic model of the region's crust that inherits information available from previous seismic prospection and geological studies, while fitting new seismic data well. MAMBo-E brings new insights into lateral heterogeneity in the region's subsurface. Compared to MAMBo, it shows overall faster seismic anomalies in the region's Quaternary, Pliocene and Oligo-Miocene layers and better delineates the seismic structures of the Po Plain at depth. Two low velocity regions are mapped in the Mesozoic layer in the western and eastern parts of the Plain, which seem to correspond to the Monferrato sedimentary basin and to the Ferrara-Romagna thrust system, respectively.

Hgis and Archive Researches: a Tool for the Study of the Ancient Mill Channel of Cesena (italy)

NASA Astrophysics Data System (ADS)

Bitelli, G.; Bartolini, F.; Gatta, G.

2016-06-01

The present study aims to demonstrate the usefulness of GIS to support archive searches and historical studies (e.g. related to industrial archaeology), in the case of an ancient channel for mill powering near Cesena (Emilia-Romagna, Italy), whose history is weaved together with the history of the Compagnia dei Molini di Cesena mill company, the most ancient limited company in Italy. Several historical maps (about 40 sheets in total) inherent the studied area and 80 archive documents (drawings, photos, specifications, administrative acts, newspaper articles), over a period of more than 600 years, were collected. Once digitized, historical maps were analysed, georeferenced and mosaicked where necessary. Subsequently, in all the maps the channel with its four mills and the Savio river were vectorized. All the additional archive documents were digitized, catalogued and stored. Using the QGIS open source platform, a Historical GIS was created, encompassing the current cartographic base and all historical maps, with their vectorized elements; each archive document was linked to the proper historical map, so that the document can be immediately retrieved and visualized. In such a HGIS, the maps form the base for a spatial and temporal navigation, facilitated by a specific interface; the external documents linked to them complete the description of the represented elements. This simple and interactive tool offers a new approach to archive searches, as it allows reconstruction in space and time of the evolution of the ancient channel and the history of this important mill company.

White paper of Italian Gastroenterology: delivery of services for digestive diseases in Italy: weaknesses and strengths.

PubMed

Buscarini, Elisabetta; Conte, Dario; Cannizzaro, Renato; Bazzoli, Franco; De Boni, Michele; Delle Fave, Gianfranco; Farinati, Fabio; Ravelli, Paolo; Testoni, Pier Alberto; Lisiero, Manola; Spolaore, Paolo

2014-07-01

In 2011 the three major Italian gastroenterological scientific societies (AIGO, the Italian Society of Hospital Gastroenterologists and Endoscopists; SIED, the Italian Society of Endoscopy; SIGE, the Italian Society of Gastroenterology) prepared their official document aimed at analysing medical care for digestive diseases in Italy, on the basis of national and regional data (Health Ministry and Lombardia, Veneto, Emilia-Romagna databases) and to make proposals for planning of care. Digestive diseases were the first or second cause of hospitalizations in Italy in 1999-2009, with more than 1,500,000 admissions/year; however only 5-9% of these admissions was in specialized Gastroenterology units. Reported data show a better outcome in Gastroenterology Units than in non-specialized units: shorter average length of stay, in particular for admissions with ICD-9-CM codes proxying for emergency conditions (6.7 days versus 8.4 days); better case mix (higher average diagnosis-related groups weight in Gastroenterology Units: 1 vs 0.97 in Internal Medicine units and 0.76 in Surgery units); lower inappropriateness of admissions (16-25% versus 29-87%); lower in-hospital mortality in urgent admissions (2.2% versus 5.1%); for patients with urgent admissions due to gastrointestinnal haemorrhage, in-hospital mortality was 2.3% in Gastroenterology units versus 4.0% in others. The present document summarizes the scientific societies' official report, which constitutes the "White paper of Italian Gastroenterology". Copyright © 2014 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

Coastal Risk Assessment Framework tool for the identification of hotspots along the Emilia-Romagna coastline (northern Italy)

NASA Astrophysics Data System (ADS)

Armaroli, Clara; Duo, Enrico; Ciavola, Paolo

2017-04-01

The Emilia-Romagna coastline is located in northern Italy, facing the Adriatic sea. The area is especially exposed to the flooding hazard because of its low lying nature, high urbanisation and the large exploitation of beach resources for tourism. The identification of hotspots where marine flooding can cause significant damages is, therefore, a key issue. The methodology implemented to identify hotspots is based on the Coastal Risk Assessment Framework tool that was developed in the RISC-KIT project (www.risckit.eu). The tool combines the hazard component with different exposure indicators and is applied along predefined coastal sectors of almost 1 Km alongshore length. The coastline was divided into 106 sectors in which each component was analysed. The hazard part was evaluated through the computation of maximum water levels, obtained as the sum of wave set-up, storm surge and tide, calculated along representative beach profiles, one per sector, and for two return periods (10 and 100 years). The data for the computation of the maximum water level were extracted from the literature. The landward extension of flood-prone areas in each sector was the extension of the flood maps produced by the regional authorities for the EU Flood Directive and for the same return periods. The exposure indicators were evaluated taking into account the location and type of different assets in each sector and in flood-prone areas. Specifically, the assets that were taken into account are: the transport network, the utilities (water, gas and electricity) networks, the land use typologies, the social vulnerability status of the population and the business sector. Each component was then ranked from 1 to 5, considering a scale based on their computed value (hazard), importance and location (exposure indicators). A final coastal index (CI) was computed as the root mean square of the geometrical mean of the exposure indicators multiplied by the hazard indicator. Land use typologies were valued taking into account a classification produced by the regional authorities for the Flood Directive. The social vulnerability status of the population was derived from data produced by the National Statistic Institute. The regional managers provided the location of transport and utilities networks. The business indicator was built considering the tourist arrivals in each coastal municipality compared to the total number of arrivals. The results showed that the coast is very exposed to flooding and that the 100 year return period event leads to the identification of a large number of hotspots (65 over 106) defined as sectors with CI > 2.5. The main drivers for the hotspot identification were the hazard indicator and the land use typologies, because important transport/utilities network are not located in flood-prone areas. The most critical sectors are situated in the central-southern part of the coastline, where the most attractive tourist facilities are located and where the coastal corridor is occupied by a continuous urbanisation.

A method to identify the areas at risk for the introduction of avian influenza virus into poultry flocks through direct contact with wild ducks.

PubMed

Galletti, G; Santi, A; Guberti, V; Paternoster, G; Licata, E; Loli Piccolomini, L; Procopio, A; Tamba, M

2018-02-22

Wild dabbling ducks are the main reservoir for avian influenza (AI) viruses and pose an ongoing threat to commercial poultry flocks. Combining the (i) size of that population, (ii) their flight distances and (iii) their AI prevalence, the density of AI-infected dabbling ducks (DID) was calculated as a risk factor for the introduction of AI viruses into poultry holdings of Emilia-Romagna region, Northern Italy. Data on 747 poultry holdings and on 39 AI primary outbreaks notified in Emilia-Romagna between 2000 and 2017 were used to validate that risk factor. A multivariable Bayesian logistic regression was performed to assess whether DID could be associated with the occurrence of AI primary outbreaks. DID value, being an outdoor flock, hobby poultry trading, species reared, length of cycle and flock size were used as explanatory variables. Being an outdoor poultry flock was significantly associated with a higher risk of AI outbreak occurrence. The probability of DID to be a risk factor for AI virus introduction was estimated to be 90%. A DID cut-off of 0.23 was identified to define high-risk areas for AI virus introduction. Using this value, the high-risk area covers 43% of the region. Seventy-four per cent of the primary AI outbreaks have occurred in that area, containing 39% of the regional poultry holdings. Poultry holdings located in areas with a high DID value should be included in a risk-based surveillance programme aimed at AI early detection. © 2018 Blackwell Verlag GmbH.

The effects of the macro-environment on treatment retention for problem cocaine users.

PubMed

Lorenzoni, Valentina; Curzio, Olivia; Karakachoff, Matilde; Saponaro, Alessio; Sanza, Michele; Mariani, Fabio; Molinaro, Sabrina

2013-01-01

Client dropout is commonly used as an indicator of quality and effectiveness of drug treatment. Following increasing cocaine use in recent years, research has attempted to identify predictors of retention in treatment for cocaine users but there is no consensus about how individual characteristics and system variables (referral source, treatment setting), what we term here as the "macro-environment" - effect risk of dropout. This study sought to identify macro-environmental factors and examine the way these impact upon treatment retention. A retrospective longitudinal study of an admission cohort among drug services in Vasta Romagna in Emilia Romagna Region, Italy (up to 8 years of treatment or until discharge) was conducted to determine the effect of macro-environmental variables on retention among first time admitted cocaine-dependent clients in different treatment settings. The sample consisted of 1178 clients meeting DSM-IV-R criteria for cocaine dependence. The joint effect of individual and system factors had a significant impact on dropout rates. In particular, lower rates of dropout were observed for those treated in prison and those who had a stable home, HR: 0.09 (0.02-0.48), or lived in rehabilitation units, HR: 0.36 (0.15-0.88), and among clients referred by the local authority and those living with parents, HR: 0.60 (0.38-0.95). The combined effect of individual and system factors on retention in treatment sets a critical background necessary to assess any impact of organizational dynamics and delineate the trajectory for future interventions. Copyright © 2012 Elsevier B.V. All rights reserved.

Screening history of cervical cancers in Emilia-Romagna, Italy: defining priorities to improve cervical cancer screening.

PubMed

Rossi, Paolo Giorgi; Caroli, Stefania; Mancini, Silvia; de' Bianchi, Priscilla Sassoli; Finarelli, Alba C; Naldoni, Carlo; Bucchi, Lauro; Falcini, Fabio

2015-03-01

Most invasive cervical cancers in industrialized countries are due to the lack of Pap test coverage, very few are due to screening failures. This study aimed at quantifying the proportion of invasive cancers occurring in nonscreened or underscreened women and that in women with a previous negative screening, that is, screening failure, during the first two screening rounds (1996-2002) and in the following rounds (2003-2008) in the Emilia-Romagna region. All cases of invasive cancers registered in the regional cancer registry between 1996 and 2008 were classified according to screening history through a record linkage with the screening programme registry. The incidence significantly decreased from 11.6/100 000 to 8.7/100 000; this decrease is due to a reduction in squamous cell cancers (annual percentage change -6.2; confidence interval: -7.8, -4.6) and advanced cancers (annual percentage change -6.6; confidence interval: -8.8, -4.3), whereas adenocarcinomas and microinvasive cancers were essentially stable. The proportion of cancers among women not yet invited and among nonresponders decreased over the two periods, from 45.5 to 33.3%. In contrast, the proportion of women with a previous negative Pap test less than 5 years and 5 years or more before cancer incidence increased from 5.7 to 13.3% and from 0.3 to 5.5%, respectively. Although nonattendance of the screening programme remains the main barrier to cervical cancer control, the introduction of a more sensitive test, such as the human papillomavirus DNA test, could significantly reduce the burden of disease.

Evidence for bovine besnoitiosis being endemic in Italy--first in vitro isolation of Besnoitia besnoiti from cattle born in Italy.

PubMed

Gentile, A; Militerno, G; Schares, G; Nanni, A; Testoni, S; Bassi, P; Gollnick, N S

2012-03-23

Until 2009, bovine besnoitiosis had never been considered endemic in Italy and the only report on the disease in this country referred to animals imported from France shortly before. However, recently, an autochthonous outbreak of bovine besnoitiosis was reported in four herds located at the intersection of the borders between Emilia-Romagna, Toscana and Marche (Northern Apennine Mountains), which has led to an increased awareness concerning this disease. The present study describes a further outbreak of bovine besnoitiosis in Italy. The afflicted herd was a dairy herd with no evidence for contact with cattle from regions known to be endemic for bovine besnoitiosis. The farm investigation was initiated after a three-year old Holstein Friesian dairy cow with generalized thickening and lichenification of the skin was diagnosed with bovine besnoitiosis. The clinical diagnosis was confirmed by gross pathology, histopathology, serology and PCR. Bradyzoites released from tissue cysts obtained from the skin of this animal enabled the first in vitro isolation of Besnoitia besnoiti in Italy. This isolate was named Bb-Italy1. Sequencing of a 2118 bp spanning region including the complete internal transcribed spacer 1 and parts of the 18S and the 5.8S rRNA gene from DNA extracted from skin-derived zoites revealed a 99.9% identity to sequences known for other B. besnoiti isolated from cattle in Europe. Two GKO mice which had been inoculated intraperitoneally with bovine skin-derived bradyzoites became ill 7 days post inoculation. Parasitophorous vacuoles with multiplying zoites were observed in the cell culture inoculated with peritoneal fluids of these mice and a B. besnoiti infection in the mice and in the cell culture could be confirmed by real-time PCR. A serological investigation in the afflicted herd using immunoblots and an immunofluorescent antibody test (IFAT) revealed an overall herd seroprevalence of 9.7% (31/321), whereas within the female animals older than 2 years 17.0% (29/171) of the dams were tested positive. With one exception, an imported cow from Germany, all the seropositive animals were born in Italy. In connection with previously described autochthonous cases of bovine besnoitiosis the case described herein suggests that bovine besnoitiosis should be considered endemic in Italy. Copyright © 2011 Elsevier B.V. All rights reserved.

Rise and fall of outbreak-specific clone inside endemic pulsotype of Salmonella 4,[5],12:i:-; insights from high-resolution molecular surveillance in Emilia-Romagna, Italy, 2012 to 2015.

PubMed

Morganti, Marina; Bolzoni, Luca; Scaltriti, Erika; Casadei, Gabriele; Carra, Elena; Rossi, Laura; Gherardi, Paola; Faccini, Fabio; Arrigoni, Norma; Sacchi, Anna Rita; Delledonne, Marco; Pongolini, Stefano

2018-03-01

Background and aimEpidemiology of human non-typhoid salmonellosis is characterised by recurrent emergence of new clones of the pathogen over time. Some clonal lines of Salmonella have shaped epidemiology of the disease at global level, as happened for serotype Enteritidis or, more recently, for Salmonella 4,[5],12:i:-, a monophasic variant of serotype Typhimurium. The same clonal behaviour is recognisable at sub-serotype level where single outbreaks or more generalised epidemics are attributable to defined clones. The aim of this study was to understand the dynamics of a clone of Salmonella 4,[5],12:i:- over a 3-year period (2012-15) in a province of Northern Italy where the clone caused a large outbreak in 2013. Furthermore, the role of candidate outbreak sources was investigated and the accuracy of multilocus variable-number tandem repeat analysis (MLVA) was evaluated. Methods: we retrospectively investigated the outbreak through whole genome sequencing (WGS) and further monitored the outbreak clone for 2 years after its conclusion. Results: The study showed the transient nature of the clone in the population, possibly as a consequence of its occasional expansion in a food-processing facility. We demonstrated that important weaknesses characterise conventional typing methods applied to clonal pathogens such as Salmonella 4,[5],12:i:-, namely lack of accuracy for MLVA and inadequate resolution power for PFGE to be reliably used for clone tracking. Conclusions : The study provided evidence for the remarkable prevention potential of whole genome sequencing used as a routine tool in systems that integrate human, food and animal surveillance.

RIGED-RA project - Restoration and management of Coastal Dunes in the Northern Adriatic Coast, Ravenna Area - Italy

NASA Astrophysics Data System (ADS)

Giambastiani, Beatrice M. S.; Greggio, Nicolas; Sistilli, Flavia; Fabbri, Stefano; Scarelli, Frederico; Candiago, Sebastian; Anfossi, Giulia; Lipparini, Carlo A.; Cantelli, Luigi; Antonellini, Marco; Gabbianelli, Giovanni

2016-10-01

Coastal dunes play an important role in protecting the coastline. Unfortunately, in the last decades dunes have been removed or damaged by human activities. In the Emilia- Romagna region significant residual dune systems are found only along Ravenna and Ferrara coasts. In this context, the RIGED-RA project “Restoration and management of coastal dunes along the Ravenna coast” (2013-2016) has been launched with the aims to identify dynamics, erosion and vulnerability of Northern Adriatic coast and associated residual dunes, and to define intervention strategies for dune protection and restoration. The methodology is based on a multidisciplinary approach that integrates the expertise of several researchers and investigates all aspects (biotic and abiotic), which drive the dune-beach system. All datasets were integrated to identify test sites for applying dune restoration. The intervention finished in April 2016; evolution and restoration efficiency will be assessed.

Indicators of waste management efficiency related to different territorial conditions

DOE Office of Scientific and Technical Information (OSTI.GOV)

Passarini, Fabrizio, E-mail: fabrizio.passarini@unibo.it; Vassura, Ivano, E-mail: ivano.vassura@unibo.it; Monti, Francesco, E-mail: fmonti84@gmail.com

2011-04-15

The amount of waste produced and the control of separate collection are crucial issues for the planning of a territorial Integrated Waste Management System, enabling the allocation of each sorted waste fraction to the proper treatment and recycling processes. The present study focuses on assessing indicators of different waste management systems in areas characterized by different territorial conditions. The investigated case study concerns the municipalities of Emilia Romagna (northern Italy), which present a rather uniform socioeconomic situation, but a variety of geographic, urban and waste management characteristics. A survey of waste generation and collection rates was carried out, and correlatedmore » with the different territorial conditions, classifying the municipalities according to altitude and population density. The best environmental performances, in terms of high separate collection rate, were found on average in rural areas in the plain, while the lowest waste generation was associated with rural hill towns.« less

Relationship between biometric characteristics and stem size of uncemented hip prostheses.

PubMed

De Clerico, Manuela; Bordini, Barbara; Stea, Susanna; Viceconti, Marco; Toni, Aldo

2007-06-01

The authors examined 2329 uncemented hip prosthesis stems (AncaFit stem, Wright Medical Technology, Arlington, TN, USA) implanted between 1996 and 2004 due to primary coxarthrosis. This is the most commonly used stem in the Emilia-Romagna region, in northern Italy, according to data from the Register of Orthopaedic Prosthetic Implants (RIPO). It is produced in eight sizes for each side. We analyzed the relationship between stem size and anthropometric data. Among the patients, 49.5% were men and 50.5% were women; mean age at surgery was 64.1 years (SD 9.1); mean height was 167 cm (SD 8.4), and mean weight was 75.7 kg (SD 12.7). Multifactorial analysis demonstrated that stem size was influenced by sex, age, and height, but not by weight. Besides this, there was an interaction between sex and age: in women, but not in men, the stem size increased with aging.

How health service delivery guides the allocation of major trauma patients in the intensive care units of the inclusive (hub and spoke) trauma system of the Emilia Romagna Region (Italy). A cross-sectional study.

PubMed

Chieregato, Arturo; Volpi, Annalisa; Gordini, Giovanni; Ventura, Chiara; Barozzi, Marco; Caspani, Maria Luisa Rita; Fabbri, Andrea; Ferrari, Anna Maria; Ferri, Enrico; Giugni, Aimone; Marino, Massimiliano; Martino, Costanza; Pizzamiglio, Mario; Ravaldini, Maurizio; Russo, Emanuele; Trabucco, Laura; Trombetti, Susanna; De Palma, Rossana

2017-09-29

To evaluate cross-sectional patient distribution and standardised 30-day mortality in the intensive care units (ICU) of an inclusive hub and spoke trauma system. ICUs of the Integrated System for Trauma Patient Care (SIAT) of Emilia-Romagna, an Italian region with a population of approximately 4.5 million. 5300 patients with an Injury Severity Score (ISS) >15 were admitted to the regional ICUs and recorded in the Regional Severe Trauma Registry between 2007 and 2012. Patients were classified by the Abbreviated Injury Score as follows: (1) traumatic brain injury (2) multiple injuriesand (3) extracranial lesions. The SIATs were divided into those with at least one neurosurgical level II trauma centre (TC) and those with a neurosurgical unit in the level I TC only. A higher proportion of patients (out of all SIAT patients) were admitted to the level I TC at the head of the SIAT with no additional neurosurgical facilities (1083/1472, 73.6%) compared with the level I TCs heading SIATs with neurosurgical level II TCs (1905/3815; 49.9%). A similar percentage of patients were admitted to level I TCs (1905/3815; 49.9%) and neurosurgical level II TCs (1702/3815, 44.6%) in the SIATs with neurosurgical level II TCs. Observed versus expected mortality (OE) was not statistically different among the three types of centre with a neurosurgical unit; however, the best mean OE values were observed in the level I TC in the SIAT with no neurosurgical unit. The Hub and Spoke concept was fully applied in the SIAT in which neurosurgical facilities were available in the level I TC only. The performance of this system suggests that competition among level I and level II TCs in the same Trauma System reduces performance in both. The density of neurosurgical centres must be considered by public health system governors before implementing trauma systems. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

How health service delivery guides the allocation of major trauma patients in the intensive care units of the inclusive (hub and spoke) trauma system of the Emilia Romagna Region (Italy). A cross-sectional study

PubMed Central

Volpi, Annalisa; Gordini, Giovanni; Ventura, Chiara; Barozzi, Marco; Caspani, Maria Luisa Rita; Fabbri, Andrea; Ferrari, Anna Maria; Ferri, Enrico; Giugni, Aimone; Marino, Massimiliano; Martino, Costanza; Pizzamiglio, Mario; Ravaldini, Maurizio; Russo, Emanuele; Trabucco, Laura; Trombetti, Susanna; De Palma, Rossana

2017-01-01

Objective To evaluate cross-sectional patient distribution and standardised 30-day mortality in the intensive care units (ICU) of an inclusive hub and spoke trauma system. Setting ICUs of the Integrated System for Trauma Patient Care (SIAT) of Emilia-Romagna, an Italian region with a population of approximately 4.5 million. Participants 5300 patients with an Injury Severity Score (ISS) >15 were admitted to the regional ICUs and recorded in the Regional Severe Trauma Registry between 2007 and 2012. Patients were classified by the Abbreviated Injury Score as follows: (1) traumatic brain injury (2) multiple injuriesand (3) extracranial lesions. The SIATs were divided into those with at least one neurosurgical level II trauma centre (TC) and those with a neurosurgical unit in the level I TC only. Results A higher proportion of patients (out of all SIAT patients) were admitted to the level I TC at the head of the SIAT with no additional neurosurgical facilities (1083/1472, 73.6%) compared with the level I TCs heading SIATs with neurosurgical level II TCs (1905/3815; 49.9%). A similar percentage of patients were admitted to level I TCs (1905/3815; 49.9%) and neurosurgical level II TCs (1702/3815, 44.6%) in the SIATs with neurosurgical level II TCs. Observed versus expected mortality (OE) was not statistically different among the three types of centre with a neurosurgical unit; however, the best mean OE values were observed in the level I TC in the SIAT with no neurosurgical unit. Conclusion The Hub and Spoke concept was fully applied in the SIAT in which neurosurgical facilities were available in the level I TC only. The performance of this system suggests that competition among level I and level II TCs in the same Trauma System reduces performance in both. The density of neurosurgical centres must be considered by public health system governors before implementing trauma systems. PMID:28965094

Antiepileptic drug prescribing before, during and after pregnancy: a study in seven European regions.

PubMed

Charlton, Rachel; Garne, Ester; Wang, Hao; Klungsøyr, Kari; Jordan, Sue; Neville, Amanda; Pierini, Anna; Hansen, Anne; Engeland, Anders; Gini, Rosa; Thayer, Daniel; Bos, Jens; Puccini, Aurora; Nybo Andersen, Anne-Marie; Dolk, Helen; de Jong-van den Berg, Lolkje

2015-11-01

The aim of this study was to explore antiepileptic drug (AED) prescribing before, during and after pregnancy as recorded in seven population-based electronic healthcare databases. Databases in Denmark, Norway, the Netherlands, Italy (Emilia Romagna/Tuscany), Wales and the Clinical Practice Research Datalink, representing the rest of the UK, were accessed for the study. Women with a pregnancy starting and ending between 2004 and 2010, which ended in a delivery, were identified. AED prescriptions issued (UK) or dispensed (non-UK) at any time during pregnancy and the 6 months before and after pregnancy were identified in each of the databases. AED prescribing patterns were analysed, and the choice of AEDs and co-prescribing of folic acid were evaluated. In total, 978 957 women with 1 248 713 deliveries were identified. In all regions, AED prescribing declined during pregnancy and was lowest during the third trimester, before returning to pre-pregnancy levels by 6 months following delivery. For all deliveries, the prevalence of AED prescribing during pregnancy was 51 per 10 000 pregnancies (CI95 49-52%) and was lowest in the Netherlands (43/10 000; CI95 33-54%) and highest in Wales (60/10 000; CI95 54-66%). In Denmark, Norway and the two UK databases lamotrigine was the most commonly prescribed AED; whereas in the Italian and Dutch databases, carbamazepine, valproate and phenobarbital were most frequently prescribed. Few women prescribed with AEDs in the 3 months before pregnancy were co-prescribed with high-dose folic acid: ranging from 1.0% (CI95 0.3-1.8%) in Emilia Romagna to 33.5% (CI95 28.7-38.4%) in Wales. The country's differences in prescribing patterns may suggest different use, knowledge or interpretation of the scientific evidence base. The low co-prescribing of folic acid indicates that more needs to be done to better inform clinicians and women of childbearing age taking AEDs about the need to offer and receive complete preconception care. Copyright © 2015 John Wiley & Sons, Ltd.

Testing Spirotetramat as an Alternative Solution to Abamectin for Cacopsylla pyri (Hemiptera: Psyllidae) Control: Laboratory and Field Tests.

PubMed

Civolani, Stefano; Boselli, Mauro; Butturini, Alda; Chicca, Milvia; Cassanelli, Stefano; Tommasini, Maria Grazia; Aschonitis, Vassilis; Fano, Elisa Anna

2015-12-01

Aim of the study was to investigate the performance of the new insecticide "spirotetramat" as an alternative solution of "abamectin" for the control of Cacopsylla pyri L. (Hemiptera: Psyllidae) in the context of an IPM program in European pear, Pyrus communis L.. Laboratory bioassays for the estimation of LC50 and LC90 of both insecticides were performed using four populations collected in Emilia-Romagna (Italy) orchards where different pest management strategies were used (organic, integrated, and conventional). The same populations were also analyzed for the main insecticide detoxifying activities in nymphs by spectrofluorimetric in vitro assays. The performance of the two insecticides was also tested on field on one population under integrated pest management conditions. The laboratory experiments showed that the LC90 of spirotetramat were lower than the highest field concentration allowed in Europe (172.80 mg AI liter(-1)) giving reassurance about the efficacy of the product. Concerning the abamectin, the laboratory bioassays did not show strong indications of resistance development of C. pyri populations of Emilia-Romagna. A similarity in enzyme detoxifying activity was observed in both insecticides indicating a general absence of a significant insecticide resistance. The field trial showed a high efficacy (>90 %) of spirotetramat on C. pyri already after 15 d from application, and it was significantly higher from abamectin. Overall, spirotetramat is one more choice for C. pyri control, as well as abamectin in order to minimize the risks of occurrence of insecticide resistance. © The Authors 2015. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

[Mortality study in a cohort of workers employed in the hot working processing of plastics and rubber].

PubMed

Gerosa, Alberto; Scarnato, Corrado; Marchesini, Bruno; Ietri, Evi; Pavone, Venere Leda Mara

2017-01-01

to study mortality rates among workers in companies manufacturing thermoplastic and rubber articles (excluding tyres). cohort study. the cohort includes 4,543 workers employed up to 2000 in 131 companies in the Province of Bologna (Emilia-Romagna Region, Northern Italy) exposed to emissions from hot processing of plastics (3,937) and rubber (606). general- and cause-specific Standardized Mortality Rates (SMR), with 95% confidence intervals; entire reference population resides in the Emilia-Romagna Region. excess mortality for all causes (116 Obs; SMR: 1.20; 95%CI 1.00-1.44) and for lung cancer (18 Obs; SMR: 1.67; 95%CI 1.05-2.65) in men of the rubber factories. Increased mortality rates for oesophageal cancers in women (3 Obs; SMR: 5.41; 95%CI 1.74-16.8) and in men (6 Obs; SMR: 2.16; 95%CI 0.97-4.81), for malignant tumours of pancreas (16 Obs; SMR: 1.65; 95%CI 1.01- 2.70), rectum (11 Obs; SMR: 2.17; 95%CI 1.20-3.92) and kidney (11 Obs; SMR: 1.98; 95%CI 1.10-3.58) in men occupied in plastic processing. in this study, we observed an excess of mortality rates for lung cancer in men of rubber factories and for malignant tumours of the digestive tract, pancreas, and kidney in workers employed in the production of plastic articles. Nevertheless, these results must be interpreted with caution, because exposures to non-occupational risk factors, like tobacco smoke or other occupational exposures outside the companies concerned, are not known. The results suggest to continue epidemiological surveillance.

Prescribing of Antidiabetic Medicines before, during and after Pregnancy: A Study in Seven European Regions.

PubMed

Charlton, Rachel A; Klungsøyr, Kari; Neville, Amanda J; Jordan, Sue; Pierini, Anna; de Jong-van den Berg, Lolkje T W; Bos, H Jens; Puccini, Aurora; Engeland, Anders; Gini, Rosa; Davies, Gareth; Thayer, Daniel; Hansen, Anne V; Morgan, Margery; Wang, Hao; McGrogan, Anita; Nybo Andersen, Anne-Marie; Dolk, Helen; Garne, Ester

2016-01-01

To explore antidiabetic medicine prescribing to women before, during and after pregnancy in different regions of Europe. A common protocol was implemented across seven databases in Denmark, Norway, The Netherlands, Italy (Emilia Romagna/Tuscany), Wales and the rest of the UK. Women with a pregnancy starting and ending between 2004 and 2010, (Denmark, 2004-2009; Norway, 2005-2010; Emilia Romagna, 2008-2010), which ended in a live or stillbirth, were identified. Prescriptions for antidiabetic medicines issued (UK) or dispensed (non-UK) during pregnancy and/or the year before or year after pregnancy were identified. Prescribing patterns were compared across databases and over calendar time. 1,082,673 live/stillbirths were identified. Pregestational insulin prescribing during the year before pregnancy ranged from 0.27% (CI95 0.25-0.30) in Tuscany to 0.45% (CI95 0.43-0.47) in Norway, and increased between 2004 and 2009 in all countries. During pregnancy, insulin prescribing peaked during the third trimester and increased over time; third trimester prescribing was highest in Tuscany (2.2%) and lowest in Denmark (0.5%). Of those prescribed an insulin during pregnancy, between 50.5% in Denmark and 88.8% in the Netherlands received an insulin analogue alone or in combination with human insulin, this proportion increasing over time. Oral products were mainly metformin and prescribing was highest in the 3 months before pregnancy. Metformin use during pregnancy increased in some countries. Pregestational diabetes is increasing in many areas of Europe. There is considerable variation between and within countries in the choice of medication for treating pregestational diabetes in pregnancy, including choice of insulin analogues and oral antidiabetics, and very large variation in the treatment of gestational diabetes despite international guidelines.

The limitations of some European healthcare databases for monitoring the effectiveness of pregnancy prevention programmes as risk minimisation measures.

PubMed

Charlton, R A; Bettoli, V; Bos, H J; Engeland, A; Garne, E; Gini, R; Hansen, A V; de Jong-van den Berg, L T W; Jordan, S; Klungsøyr, K; Neville, A J; Pierini, A; Puccini, A; Sinclair, M; Thayer, D; Dolk, H

2018-04-01

Pregnancy prevention programmes (PPPs) exist for some medicines known to be highly teratogenic. It is increasingly recognised that the impact of these risk minimisation measures requires periodic evaluation. This study aimed to assess the extent to which some of the data needed to monitor the effectiveness of PPPs may be present in European healthcare databases. An inventory was completed for databases contributing to EUROmediCAT capturing pregnancy and prescription data in Denmark, Norway, the Netherlands, Italy (Tuscany/Emilia Romagna), Wales and the rest of the UK, to determine the extent of data collected that could be used to evaluate the impact of PPPs. Data availability varied between databases. All databases could be used to identify the frequency and duration of prescriptions to women of childbearing age from primary care, but there were specific issues with availability of data from secondary care and private care. To estimate the frequency of exposed pregnancies, all databases could be linked to pregnancy data, but the accuracy of timing of the start of pregnancy was variable, and data on pregnancies ending in induced abortions were often not available. Data availability on contraception to estimate compliance with contraception requirements was variable and no data were available on pregnancy tests. Current electronic healthcare databases do not contain all the data necessary to fully monitor the effectiveness of PPP implementation, and thus, special data collection measures need to be instituted.

Geographical and genetic factors do not account for significant differences in the clinical spectrum of giant cell arteritis in southern europe.

PubMed

Gonzalez-Gay, Miguel A; Boiardi, Luigi; Garcia-Porrua, Carlos; Macchioni, Pierluigi; Amor-Dorado, Juan C; Salvarani, Carlo

2004-03-01

To investigate whether genetic and geographical differences may influence the clinical spectrum of giant cell arteritis (GCA), we compared the demographic and clinical features of patients with biopsy-proven GCA from Reggio Emilia (Northern Italy) and Lugo (Northwest Spain) during a 15-year period. We performed a retrospective review of the case records of all patients diagnosed with biopsy-proven GCA at Hospital Xeral-Calde (Lugo, Spain) and Hospital Santa Maria Nuova (Reggio Emilia, Italy) between 1 January 1986 and 31 December 2001. Both hospitals are the only referral centers for populations living in central Galicia and central Emilia Romagna, respectively. During the period of study, 194 Lugo residents and 126 Reggio Emilia residents were diagnosed with biopsy proven GCA. Reggio Emilia patients were more likely to be female (74% vs 54%; p = 0.0001). Although Lugo patients complained of headache (86%) more commonly than did those from Reggio Emilia (77%), the difference was only marginally significant (p = 0.05). The proportion of patients with visual manifestations or visual loss was remarkably similar (22% for visual manifestations and 17% for visual loss in Lugo and 29% and 21% for Reggio Emilia residents). The mean erythrocyte sedimentation rate prior to the onset of therapy was also similar. Apart from differences in sex, the clinical spectrum of GCA in these 2 Southern European regions was similar.

Disability and inclusive education in an Italian Region: analysis of the data for the school year 2012-2013.

PubMed

Lanzarini, Evamaria; Parmeggiani, Antonia

2017-02-17

In Italy, pupils with disabilities enroll in mainstream schools and attend the ordinary classes at all educational levels. For the past twelve years, the Region Emilia Romagna has witnessed an increase in the number of children who are in need of special support. The aim of the study was to identify the causes of disability in children attending public schools during the school year 2012-2013. The study was designed as a cross-sectional survey. Data were obtained from the Regional Education Department, and divided into categories based on clinical diagnoses. Statistical analyses were performed to analyze the distribution of the diagnostic categories among Provinces and school grades. The most recurrent combinations of illnesses were identified. Intellectual disability was the most common cause of impairment (38,5%), often associated with epilepsy and autism. Hyperkinetic disorder associated with specific disorders of scholastic skills was the most recurrent combination of diagnoses. Rare diseases were diagnosed in 4,1%, whereas 5,0% of cases were affected by Psychopathological disorders. Our study is the first in Italy for its focus on the causes of children's disabilities in an Italian region. Being familiar with the causes of disability affecting the children of a territory is important to allocate the available resources efficiently, and to ensure all children's effective social integration.

Europe/Latin America Report Science and Technology Italian Research Council: 1986 Status Report.

DTIC Science & Technology

1987-01-14

reductions), by Emilia Romagna (subject to erratic changes), by Lazio and Lombardy (relatively stable) and by Tuscany (with constant increases...those of Calabria, Emilia Romagna, Lazio, Liguria, Piedmont, Sardinia, Sicily and Tuscany), as well as with public and private organizations and...Calabria, Reggio Calabria Campania Naples, Salerno Molise University of Molise Puglia Bari, Lecce Sardinia Cagliari, Sassari Sicily Catania

Rare missense variants in POT1 predispose to familial cutaneous malignant melanoma

PubMed Central

Shi, Jianxin; Yang, Xiaohong R.; Ballew, Bari; Rotunno, Melissa; Calista, Donato; Fargnoli, Maria Concetta; Ghiorzo, Paola; Paillerets, Brigitte Bressac-de; Nagore, Eduardo; Avril, Marie Francoise; Caporaso, Neil E.; McMaster, Mary L.; Cullen, Michael; Wang, Zhaoming; Zhang, Xijun; Bruno, William; Pastorino, Lorenza; Queirolo, Paola; Banuls-Roca, Jose; Garcia-Casado, Zaida; Vaysse, Amaury; Mohamdi, Hamida; Riazalhosseini, Yasser; Foglio, Mario; Jouenne, Fanélie; Hua, Xing; Hyland, Paula L.; Yin, Jinhu; Vallabhaneni, Haritha; Chai, Weihang; Minghetti, Paola; Pellegrini, Cristina; Ravichandran, Sarangan; Eggermont, Alexander; Lathrop, Mark; Peris, Ketty; Scarra, Giovanna Bianchi; Landi, Giorgio; Savage, Sharon A.; Sampson, Joshua N.; He, Ji; Yeager, Meredith; Goldin, Lynn R.; Demenais, Florence; Chanock, Stephen J.; Tucker, Margaret A.; Goldstein, Alisa M.; Liu, Yie; Landi, Maria Teresa

2014-01-01

Although CDKN2A is the most frequent high-risk melanoma susceptibility gene, the underlying genetic factors for most melanoma-prone families remain unknown. Using whole exome sequencing, we identified a rare variant that arose as a founder mutation in the telomere shelterin POT1 gene (g.7:124493086 C>T, Ser270Asn) in five unrelated melanoma-prone families from Romagna, Italy. Carriers of this variant had increased telomere length and elevated fragile telomeres suggesting that this variant perturbs telomere maintenance. Two additional rare POT1 variants were identified in all cases sequenced in two other Italian families, yielding a frequency of POT1 variants comparable to that of CDKN2A mutations in this population. These variants were not found in public databases or in 2,038 genotyped Italian controls. We also identified two rare recurrent POT1 variants in American and French familial melanoma cases. Our findings suggest that POT1 is a major susceptibility gene for familial melanoma in several populations. PMID:24686846

[MISSCARE Survey - Italian Version: findings from an Italian validation study].

PubMed

Sist, Luisa; Contini, Carla; Bandini, Anna; Bandini, Stefania; Massa, Licia; Zanin, Roberta; Maricchio, Rita; Gianesini, Gloria; Bassi, Erika; Tartaglini, Daniela; Palese, Alvisa; Ferraresi, Annamaria

2017-01-01

The Missed Nursing Care (MNC) refers to nursing interventions that are not completed, partially completed, or postponed. Despite the relevance of MNC, no assessment tools are available in the Italian context, and no data regarding the occurrence of this phenomenon has been documented on a large scale to date. The study aims were: (1) to validate the Italian version of the MISSCARE Survey tool; (2) to measure the prevalence of missed interventions and reasons for missed care as perceived by clinical nurses working in Italian health care settings. After having conducted the forward and backward translation, pre-pilot and pilot phases were developed to ensure face and content validity as well as semantic and conceptual equivalence of the Italian version with the original version. The MISSCARE survey questionnaire was then distributed to 1,233 clinical nurses of whom 1,003 completed the questionnaire. Overall, 979 questionnaires were analysed. The questionnaires were completed from January to March 2012, by nurses working in medical and surgical hospital departments in the Emilia Romagna region of Italy. Construct validity and internal consistency of the instrument were assessed. The face and content validity were ascertained by a group of experts. The instrument acceptability was good given that 79.4% of respondents replied to all items. Construct validity was investigated by an Exploratory Factor Analysis. Four factors explaining 64.18% of variance emerged: communication, lack of facilities/supplies, lack of staff, and unexpected events. Internal consistency, evaluated with Cronbach a, was 0.94. The nursing interventions omitted with greater frequency were, in order: ambulation (74.8%), passive mobilization (69.6%) and oral care (51.3%). The three main reasons for missed interventions were: an unexpected increase in the number of patients (90.5%), increased instability of the clinical condition (86.1%) and insufficient human resources (85.5%). The Italian version of the MISSCARE Survey was shown to have good psychometric properties. Therefore, it can be used to evaluate the missed nursing care phenomenon in Italy and will allow for international comparisons.

Effectiveness of palliative care services: A population-based study of end-of-life care for cancer patients.

PubMed

De Palma, Rossana; Fortuna, Daniela; Hegarty, Sarah E; Louis, Daniel Z; Melotti, Rita Maria; Moro, Maria Luisa

2018-06-01

Multiple studies demonstrate substantial utilization of acute hospital care and, potentially excessive, intensive medical and surgical treatments at the end-of-life. To evaluate the relationship between the use of home and facility-based hospice palliative care for patients dying with cancer and service utilization at the end of life. Retrospective, population-level study using administrative databases. The effect of palliative care was analyzed between coarsened exact matched cohorts and evaluated through a conditional logistic regression model. The study was conducted on the cohort of 34,357 patients, resident in Emilia-Romagna Region, Italy, admitted to hospital with a diagnosis of metastatic or poor-prognosis cancer during the 6 months before death between January 2013 and December 2015. Patients who received palliative care experienced significantly lower rates of all indicators of aggressive care such as hospital admission (odds ratio (OR) = 0.05, 95% confidence interval (CI): 0.04-0.06), emergency department visits (OR = 0.23, 95% CI: 0.21-0.25), intensive care unit stays (OR = 0.29, 95% CI: 0.26-0.32), major operating room procedures (OR = 0.22, 95% CI: 0.21-0.24), and lower in-hospital death (OR = 0.11, 95% CI: 0.10-0.11). This cohort had significantly higher rates of opiate prescriptions (OR = 1.27, 95% CI: 1.21-1.33) ( p < 0.01 for all comparisons). Use of palliative care at the end of life for cancer patients is associated with a reduction of the use of high-cost, intensive services. Future research is necessary to evaluate the impact of increasing use of palliative care services on other health outcomes. Administrative databases linked at the patient level are a useful data source for assessment of care at the end of life.

Characterization of 12 Capsicum varieties by evaluation of their carotenoid profile and pungency determination.

PubMed

Giuffrida, Daniele; Dugo, Paola; Torre, Germana; Bignardi, Chiara; Cavazza, Antonella; Corradini, Claudio; Dugo, Giacomo

2013-10-15

In this research 12 different varieties of Capsicum cultivars belonging to three species (Capsicum chinense, Capsicum annuum, Capsicum frutescens) and of various colour, shape, and dimension have been characterised by their carotenoids and capsaicinoids content. The berries were cultivated in the region Emilia-Romagna, in Northern Italy. The native carotenoid composition was directly investigated by an HPLC-DAD-APCI-MS methodology, for the first time. In total, 52 carotenoids have been identified and considerable variation in carotenoid composition was observed among the various cultivars investigated. Among the cultivars with red colour, some Habanero, Naga morich and Sinpezon showed an high β-carotene content, whereas Serrano, Tabasco and Jalapeno showed an high capsanthin content and the absence of β-carotene. Habanero golden and Scotch Bonnet showed a high lutein, α-carotene and β-carotene amounts, and Habanero orange was rich in antheraxanthin, capsanthin and zeaxanthin. Cis-cryptocapsin was present in high amount in Habanero chocolate. The qualitative and quantitative determination of the capsaicinoids, alkaloids responsible for the pungency level, has also been estimated by a validated chromatographic procedure (HPLC-DAD) after a preliminary drying step and an opportune extraction procedure. Results have also been expressed in Scoville units. Dry matter and water activity have also been established on the fresh berries. The dried peppers of each variety were then submitted to the evaluation of the total nitrogen content, measured by a Dumas system, permitting to provide information on the protein content that was found to be in the range between 7 and 16%. Copyright © 2012 Elsevier Ltd. All rights reserved.

Ambient temperature and FIT performance in the Emilia-Romagna colorectal cancer screening programme.

PubMed

De Girolamo, Gianfranco; Goldoni, Carlo A; Corradini, Rossella; Giuliani, Orietta; Falcini, Fabio; Sassoli De'Bianchi, Priscilla; Naldoni, Carlo; Zauli Sajani, Stefano

2016-12-01

To assess the impact of ambient temperature on faecal immunochemical test (FIT) performance in the colorectal cancer screening programme of Emilia-Romagna (Italy). A population-based retrospective cohort study on data from 2005 to 2011. Positive rate, detection rate, and positive predictive value rate for cancers and adenomas, and incidence rate of interval cancers after negative tests were analysed using Poisson regression models. In addition to ambient temperature, gender, age, screening history, and Local Health Unit were also considered. In 1,521,819 tests analysed, the probability of a positive result decreased linearly with increasing temperature. Point estimates and 95% Confidence Intervals were estimated for six temperature classes (<5, 5 |-10, 10 |-15, 15 |-20, 20|-25 and ≥25℃), and referred to the 5|-10℃ class. The positive rate ratio was significantly related to temperature increase: 0.99 (0.97-1.02), 1, 0.98 (0.96-1.00), 0.96 (0.94-0.99), 0.93 (0.91-0.96), 0.92 (0.89-0.95). A linear trend was also evident for advanced adenoma detection rate ratio: 1.00 (0.96-1.04), 1, 0.98 (0.93-1.02), 0.96 (0.92-1.00), 0.92 (0.88-0.96), 0.94 (0.88-1.01). The effect was less linear, but still important, for cancer detection rates: 0.95 (0.85-1.06), 1, 1.00 (0.90-1.10), 0.94 (0.85-1.05), 0.81 (0.72-0.92), 0.93 (0.80-1.09). No association or linear trend was found for positive predictive values or risk of interval cancer, despite an excess of +16% in the highest temperature class for interval cancer. Ambient temperatures can affect screening performance. Continued monitoring is needed to verify the effect of introducing FIT tubes with a new buffer, which should guarantee a higher stability of haemoglobin. © The Author(s) 2016.

Exploring regional differences in the reading competencies of Italian students.

PubMed

Matteucci, Mariagiulia; Mignani, Stefania

2014-06-01

Recently, the study of territorial differences in educational outcomes has assumed a particular importance for the policy strategies related to the socioeconomic conditions of different geographical areas. In Italy, international surveys for student assessments have introduced a regional stratification only recently, and regular national student assessments started only in 2008. In this article, the reading performances of Italian students based on OECD-PISA 2009 are investigated, taking into account regional and macro-area partition. Student outcomes are explored by using a multilevel analysis, where school membership, socioeconomic and cultural background of students, and regional gross domestic product are introduced. The results show that, despite the existence of a unified educational system in Italy, regional and macro-area differences in student reading achievements are consolidated and variability in performances among schools is especially noticeable. Comparisons based on national assessments by INVALSI at the end of compulsory school confirm these findings. Italian policy makers are advised to take into account these results to improve learning opportunities and to reduce educational gaps. In particular, targeted regional policies are needed to improve the mean performance especially in the Southern regions of Calabria, Campania, and Sicilia, and to strengthen the system equity in several regions, such as Emilia-Romagna. To decrease the school differences, possible suggestions are to postpone the choice of the school type (currently, at age 14) and to motivate good teachers to work in schools located in the worst socioeconomic and cultural environments. © The Author(s) 2014.

Status of insecticide resistance in Culex pipiens field populations from north-eastern areas of Italy before the withdrawal of OP compounds.

PubMed

Toma, Luciano; Menegon, Michela; Romi, Roberto; De Matthaeis, Elvira; Montanari, Mario; Severini, Carlo

2011-01-01

Heavy and constant use of organophosphorus (OP) larvicides selected Culex pipiens L. resistant populations through two main mechanisms of genetic resistance, the increased activity of detoxifying esterase and the production of alterate acetylcholinesterase-1 (AChE1) by G119S mutation. The aim of this study was the assessment of the distribution of Cx. pipiens populations resistant to temephos and chlorpyrifos in the north-eastern regions of Italy and the occurrence of the insensitive AChE in these populations. Data describe the situation in the last years before European legislation prohibited the use of OP larvicides in mosquito control, up until 2007. For the first time a high level of OP resistance in the samples from Ravenna (182-fold, 80% A4/B4 or A5/B5 esterases and 38.3% Ester(5)), Emilia Romagna region, was detected; therefore, new data from the Veneto and Friuli Venezia Giulia regions were obtained and reinforced existing knowledge about resistance previously studied along the Adriatic coast. Nearby, in the Villa Verucchio locality, the highest (87.5%) AChE1R was found. Cx. pipiens resistance esterases A5/B5 and A4/B4 spread southward along the Adriatic coastal plain while OPs were being used in mosquito control, as confirmed by the first molecular screening of the AChE1 gene in these populations. Copyright © 2010 Society of Chemical Industry.

Performance analysis of coupled and uncoupled hydrodynamic and wave models in the northern Adriatic Sea

NASA Astrophysics Data System (ADS)

Busca, Claudia; Coluccelli, Alessandro; Valentini, Andrea; Benetazzo, Alvise; Bonaldo, Davide; Bortoluzzi, Giovanni; Carniel, Sandro; Falcieri, Francesco; Paccagnella, Tiziana; Ravaioli, Mariangela; Riminucci, Francesco; Sclavo, Mauro; Russo, Aniello

2014-05-01

The complex dynamics of the Adriatic Sea are the result of geographical position, orography and bathymetry, as well as rivers discharge and meteorological conditions that influence, more strongly, the shallow northern part. Such complexity requires a constant monitoring of marine conditions in order to support several activities (marine resources management, naval operations, emergency management, shipping, tourism, as well as scientific ones). Platforms, buoys and mooring located in Adriatic Sea supply almost continuously real time punctual information, which can be spatially extended, with some limitations, by drifters and remote sensing. Operational forecasting systems represent valid tools to provide a complete tridimensional coverage of the area, with a high spatial and temporal resolution. The Hydro-Meteo-Clima Service of the Emilia-Romagna Environmental Agency (ARPA-SIMC, Bologna, Italy) and the Dept. of Life and Environmental Sciences of Università Politecnica delle Marche (DISVA-UNIVPM, Ancona, Italy), in collaboration with the Institute of Marine Science of the National Research Council (ISMAR-CNR, Italy) operationally run several wave and hydrodynamic models on the Adriatic Sea. The main implementations are based on the Regional Ocean Modeling System (ROMS), the wave model Simulating WAves Nearshore (SWAN), and the coupling of the former two models in the Coupled Ocean-Atmosphere-Wave-Sediment Transport (COAWST) system. Horizontal resolutions of the different systems range from the 2 km of AdriaROMS to the 0.5 km of the recently implemented northern Adriatic COAWST. Forecasts are produced every day for the subsequent 72 hour with hourly resolution. All the systems compute the fluxes exchanged through the interface with the atmosphere from the numerical weather prediction system named COSMO-I7, an implementation for Italy of the Consortium for Small-scale Modeling (COSMO) model, at 7 km horizontal resolution. Considering the several operational implementations currently running, there is the need to: assess their forecast skill; quantitatively evaluate if the new, coupled systems provide better performances than the uncoupled ones; individuate weaknesses and eventual time trends in the forecasts quality, their causes, and actions to improve the systems. This work presents a first effort aimed to satisfy such need. We employ in situ and remote sensing data collected starting from November 2011, in particular: temperature and salinity data collected during several oceanographic cruises, sea surface temperature derived from satellite measurements, waves, sea level and currents measurements from oceanographic buoys and platforms; specific observational activities funded by the Italian Flagship project RITMARE allowed to collect new measurements in NA coastal areas. Data-model comparison is firstly performed with exploratory qualitative comparisons in order to highlight discrepancies between observed and forecasted data, then a quantitative comparison is performed through the computation of standard statistical scores (root mean square error, mean error, mean bias, standard deviation, cross-correlation). Results are plotted in Taylor diagrams for a rapid evaluation of the overall performances.

[Environmental surveillance of a sample of indoor swimming pools from Emilia Romagna region: microclimate characteristics and chemical parameters, particularly disinfection by products, in pool waters].

PubMed

Fantuzzi, G; Righi, E; Predieri, G; Giacobazzi, P; Mastroianni, K; Aggazzotti, G

2010-01-01

The aim of the present study was to investigate the environmental and healthy aspects from a representative sample of indoor swimming pools located in the Emilia Romagna region. During the sampling sessions, the occupational environment was evaluated in terms of microclimate parameters and thermal comfort/discomfort conditions. Moreover the chemical risk was assessed by analyzing from the pool water the presence of disinfection by-products (DBPs), such as: trihalomethanes (THMs), haloacetic acids (HAAs), chlorite, chlorate and bromate. The analytical results are in agreement with the Italian legislation (Accordo Stato-Regioni; 2003) even if in some of the sampled indoor swimming pools, the dosed combined chlorine levels, were greater than the Italian limit. With the regard to the microclimate conditions evaluation, the considered thermal indices, Predicted Mean Vote (PMV) and Predicted Percentage of Dissatisfied (PPD%), described a satisfactory occupational environment. Among DBPs, the THMs mean levels (41.4 +/- 30.0 microg/l) resulted close to the values of the current Italian drinking water legislation, and seem to not represent an health issue. The pool waters chlorate levels (range: 5 - 19537 microg/l) need further investigations as recent epidemiological studies on drinking water hypothesized a potential genotoxicity effect of these compounds which are involved in cellular oxidative processes.

Clinical impact of an inter-hospital transfer strategy in patients with ST-elevation myocardial infarction undergoing primary angioplasty: the Emilia-Romagna ST-segment elevation acute myocardial infarction network.

PubMed

Manari, Antonio; Ortolani, Paolo; Guastaroba, Paolo; Casella, Gianni; Vignali, Luigi; Varani, Elisabetta; Piovaccari, Giancarlo; Guiducci, Vincenzo; Percoco, Gianfranco; Tondi, Stefano; Passerini, Francesco; Santarelli, Andrea; Marzocchi, Antonio

2008-08-01

This study sought to evaluate the impact of an inter-hospital transfer strategy on treatment times and in-hospital and 1 year cardiac mortality of patients with ST-segment elevation acute myocardial infarction (STEMI) undergoing primary percutaneous intervention (p-PCI) in the Italian region of Emilia-Romagna, where an efficient region-wide system for reperfusion has been established. 3296 patients with STEMI, undergoing on-site p-PCI (2444 patients) (OS group) or p-PCI after inter-hospital transfer (852 patients) (T group) between 1 January 2004 and 30 June 2006 in the Italian region of Emilia-Romagna, were considered. During the study period, the number of patients undergoing p-PCI increased both for patients admitted to interventional centres and for those admitted to peripheral hospitals. At the same time, the proportion of patients with STEMI initially admitted to peripheral hospitals and not transferred and the door-to-balloon time delays of transfer patients decreased. In spite of longer door-to-balloon delay in the transfer group [112 min (86-147) vs. 71 min (46-104)], in-hospital cardiac mortality (OS 7.0 vs. T 5.4%, P = 0.10) did not significantly differ between the two groups. After multivariable adjustment, the transfer strategy was not associated with increased risk of in-hospital [odds ratio 0.956; 95% confidence interval (CI) 0.633-1.442] and 1 year (hazard ratio 0.817; 95% CI 0.617-1.085) cardiac mortality. This study, concerning an established STEMI regional network, suggests that a strategy of inter-hospital transfer for p-PCI, when supported by an organized system of care, may be applied with rapid reperfusion times and favourable short- and long-term clinical outcomes.

An early (3-6 weeks) active surveillance study to assess the safety of pandemic influenza vaccine Focetria in a province of Emilia-Romagna region, Italy - part one.

PubMed

Candela, Silvia; Pergolizzi, Sara; Ragni, Pietro; Cavuto, Silvio; Nobilio, Lucia; Di Mario, Simona; Dragosevic, Valentina; Groth, Nicola; Magrini, Nicola

2013-02-27

An observational, non-comparative, prospective, surveillance study of individuals vaccinated with the MF59-adjuvanted A/H1N1 influenza vaccine, Focetria, (Novartis Vaccines & Diagnostics, Siena, Italy), was performed in Italy during the 2009 A/H1N1 influenza pandemic. This study assessed the short-term (six-week) safety profile of the investigational vaccine in real time. After vaccination (N=7943), adverse events (AE) were assessed using both active (telephone) and passive (healthcare database) follow-up in enrolled vaccinated subjects, including infants (6-23 months), pregnant women, and the immunosuppressed. The treating physicians of all subjects experiencing AEs post-vaccination were consulted for clinical information on the conditions reported. All AEs were coded according to ICD-10. A total of 1583 AEs occurred during the study, 67 (4.2%) of which were serious adverse events (SAEs). One SAE was considered to be possibly related to vaccination (transitory and ill-defined neurologic disorder experienced by a 16-year-old asthmatic male). Three adverse events of special interest (AESI) were identified (convulsions experienced by two epileptic subjects), none of which were considered to be vaccine-related. Six individuals died during the study period, in each case the cause of death was not related to vaccination (four cases of severe underlying co-morbidity, one case of psychoactive drug misuse, and one case of acute myocardial infarction). No cases of clinically relevant AEs, SAEs, or AESI were observed within a six-week period of vaccine administration. In accordance with existing clinical and post-marketing safety data, the results of this active surveillance study demonstrate a good safety profile for the MF59-adjuvanted A/H1N1 vaccine, Focetria, within the general population. Copyright © 2012 Elsevier Ltd. All rights reserved.

Spatio-temporal patterns of distribution of West Nile virus vectors in eastern Piedmont Region, Italy

PubMed Central

2011-01-01

Background West Nile Virus (WNV) transmission in Italy was first reported in 1998 as an equine outbreak near the swamps of Padule di Fucecchio, Tuscany. No other cases were identified during the following decade until 2008, when horse and human outbreaks were reported in Emilia Romagna, North Italy. Since then, WNV outbreaks have occurred annually, spreading from their initial northern foci throughout the country. Following the outbreak in 1998 the Italian public health authority defined a surveillance plan to detect WNV circulation in birds, horses and mosquitoes. By applying spatial statistical analysis (spatial point pattern analysis) and models (Bayesian GLMM models) to a longitudinal dataset on the abundance of the three putative WNV vectors [Ochlerotatus caspius (Pallas 1771), Culex pipiens (Linnaeus 1758) and Culex modestus (Ficalbi 1890)] in eastern Piedmont, we quantified their abundance and distribution in space and time and generated prediction maps outlining the areas with the highest vector productivity and potential for WNV introduction and amplification. Results The highest abundance and significant spatial clusters of Oc. caspius and Cx. modestus were in proximity to rice fields, and for Cx. pipiens, in proximity to highly populated urban areas. The GLMM model showed the importance of weather conditions and environmental factors in predicting mosquito abundance. Distance from the preferential breeding sites and elevation were negatively associated with the number of collected mosquitoes. The Normalized Difference Vegetation Index (NDVI) was positively correlated with mosquito abundance in rice fields (Oc. caspius and Cx. modestus). Based on the best models, we developed prediction maps for the year 2010 outlining the areas where high abundance of vectors could favour the introduction and amplification of WNV. Conclusions Our findings provide useful information for surveillance activities aiming to identify locations where the potential for WNV introduction and local transmission are highest. Such information can be used by vector control offices to stratify control interventions in areas prone to the invasion of WNV and other mosquito-transmitted pathogens. PMID:22152822

Spatio-temporal patterns of distribution of West Nile virus vectors in eastern Piedmont Region, Italy.

PubMed

Bisanzio, Donal; Giacobini, Mario; Bertolotti, Luigi; Mosca, Andrea; Balbo, Luca; Kitron, Uriel; Vazquez-Prokopec, Gonzalo M

2011-12-09

West Nile Virus (WNV) transmission in Italy was first reported in 1998 as an equine outbreak near the swamps of Padule di Fucecchio, Tuscany. No other cases were identified during the following decade until 2008, when horse and human outbreaks were reported in Emilia Romagna, North Italy. Since then, WNV outbreaks have occurred annually, spreading from their initial northern foci throughout the country. Following the outbreak in 1998 the Italian public health authority defined a surveillance plan to detect WNV circulation in birds, horses and mosquitoes. By applying spatial statistical analysis (spatial point pattern analysis) and models (Bayesian GLMM models) to a longitudinal dataset on the abundance of the three putative WNV vectors [Ochlerotatus caspius (Pallas 1771), Culex pipiens (Linnaeus 1758) and Culex modestus (Ficalbi 1890)] in eastern Piedmont, we quantified their abundance and distribution in space and time and generated prediction maps outlining the areas with the highest vector productivity and potential for WNV introduction and amplification. The highest abundance and significant spatial clusters of Oc. caspius and Cx. modestus were in proximity to rice fields, and for Cx. pipiens, in proximity to highly populated urban areas. The GLMM model showed the importance of weather conditions and environmental factors in predicting mosquito abundance. Distance from the preferential breeding sites and elevation were negatively associated with the number of collected mosquitoes. The Normalized Difference Vegetation Index (NDVI) was positively correlated with mosquito abundance in rice fields (Oc. caspius and Cx. modestus). Based on the best models, we developed prediction maps for the year 2010 outlining the areas where high abundance of vectors could favour the introduction and amplification of WNV. Our findings provide useful information for surveillance activities aiming to identify locations where the potential for WNV introduction and local transmission are highest. Such information can be used by vector control offices to stratify control interventions in areas prone to the invasion of WNV and other mosquito-transmitted pathogens.

[Malignant mesothelioma in Emilia-Romagna: incidence and asbestos exposure].

PubMed

Mangone, Lucia; Romanelli, Antonio; Campari, Cinzia; Candela, Silvia

2002-01-01

This paper describes the activity, the sources of informations, methods and results of the "Emilia-Romagna Mesothelioma Registry" (ReM). The Registry started in 1996 and collects all cases of Malignant Mesothelioma (MM) occurring in Emilia-Romagna. 323 new cases (225 males and 98 females) have been detected during the period 1996-2001. Most cases (n = 286) concerned pleura. Other observed localizations were: peritoneum (n = 30), tunica vaginalis testis (n = 4) and pericardium (n = 3). Most of the cases were reported by the Institutes of Pathology and Occupational Health and by the Safety Services (respectively the 62% and the 18%). 87% of all the cases were histologically, 8% TC, 4% radiologically and only 1% clinically confirmed. The regional incidence rate (for 10(5) person-years, age standardized on the 1991 Italian population), has been estimated to be 1.98 in males and 0.88 in females. The highest rates were registered in Piacenza and Reggio Emilia province among men and Reggio Emilia and Ravenna province among women. 72% of cases have been classified as exposed to asbestos (64% occupationally and 8% as domestic/environmentally exposed).

Food habits and nutritional status of adolescents in Emilia-Romagna, Italy.

PubMed

Toselli, S; Argnani, L; Canducci, E; Ricci, E; Gualdi-Russo, E

2010-01-01

The prevalence of childhood and adolescent obesity is increasing, with negative medical and psychosocial consequences. This study examines the association between weight status and nutrient intake, sport and leisure habits of middle school students in Bologna (Italy). Anthropometric data (height, weight) of 598 subjects (321 males and 277 females) 11-14 years old were collected. Questionnaires on nutrient intake, sport and leisure behaviour were administered. Protein, carbohydrate and total fat intakes of the adolescents were higher than the recommended ranges in all age groups and in both sexes. The proportion of energy from protein and total fat was higher than recommended, but the percentage from carbohydrate was lower. A significant proportion of the adolescents had a cholesterol intake above the Italian RDA and lower than recommended intakes for micronutrients. The prevalence of overweight and obesity is higher in males than in females at all ages (overweight: 35.2 vs 31.6 at 11 yrs.; 27.5 vs 20.2 at 12 yrs.; 18.6 vs 17.8 at 13 yrs.; 18.7 vs 10.9 at 14 yrs.; obesity: 5.5 vs 3.2 at 12 yrs.; 3.9 vs 1.1 at 13 yrs.; 5.3 vs 3.6 at 14 yrs.), except in subjects 11 years old (obesity: 7.4 vs 10.5). The overweight and obese adolescents consumed less carbohydrates and less fibre than their normal weight and underweight counterparts. The results of the present study indicate an unbalanced diet of the Bologna adolescents, which could damage their health and quality of life.

The structural hinge of a chain-foreland basin: Quaternary activity of the Pede-Apennine Thrust front (Northern Italy)

NASA Astrophysics Data System (ADS)

Maestrelli, Daniele; Benvenuti, Marco; Bonini, Marco; Carnicelli, Stefano; Piccardi, Luigi; Sani, Federico

2018-01-01

The Pede-Apennine margin (Northern Italy) is a major WNW-ESE-trending morpho-structural element that delimits the Po Plain to the southwest and consists of a system of southwest dipping thrusts, generally referred to as Pede-Apennine Thrust (PAT). The leading edge of the chain lies further north-east and is buried beneath the Plio-Quaternary marine and fluvial deposits of the Po Plain. Whereas the buried external thrust fronts are obvious active structures (as demonstrated by the 2012 Emilia earthquakes; e.g. Burrato et al., 2012), ongoing activity of the PAT is debated. Using a multidisciplinary approach that integrates structural, seismic, sedimentological and pedological field data, we describe the recent activity of the PAT structures in a sector of the Pede-Apennine margin between the Panaro and the Enza Rivers (Emilia-Romagna). We found that the PAT is emergent or sub-emergent and deforms Middle Pleistocene deposits. We also infer a more recent tectonic phase ( 60-80 ka) by Optically Stimulated Luminescence (OSL) dating of soil profiles that have been deformed by a recent reactivation of the PAT. Furthermore, we show evidence that the PAT and its external splay thrusts strongly influenced the drainage pattern, causing fluvial diversions and forcing paleo-rivers to develop roughly parallel to the margin. Finally, numerical Trishear modelling has been used to calculate deformation rates for the PAT along two transects. Extrapolated slip rates vary between 0.68 and 0.79 mm·yr- 1 for about the last 1.2-0.8 million years.

[Prophylaxis of group B streptococcal infections in the birth centers of Emilia Romagna].

PubMed

Berardi, A; Rossi, K; Lugli, L; Tridapalli, E; Ferrari, F

2004-01-01

In the last decade several guidelines for prevention of neonatal group B streptococcal invasive disease have been published, mainly based on administration of intrapartum antibiotics. The spread of such recommendations yielded a reduction of the early-onset disease. The aim of the study was to investigate the practices for prophylaxis of neonatal infection in our region during the 2000 and to standardize them according to the new available evidence. We conducted a multicenter study in Emilia Romagna, sending by mail a detailed questionnaire to the 28 birth centers of our region. Fifteen centers answered to the questionnaire. The practices were often differing from the recommendations of scientific societies. The most sensitive methods to identify colonized women were not widely used. Colonized infants were frequently treated with antibiotics and discharged later from the nursery. The incidence of neonatal invasive diseases was low, but most centers did not regularly collect a blood culture before antibiotic treatment is started. Repeated meetings among centers promoted the diffusion of information, the implementation of a shared protocol and the spread of the practices. The results of such meetings will be evalued in the next months.

On the use of administrative databases to support planning activities: the case of the evaluation of neonatal case-mix in the Emilia-Romagna region using DRG and APR-DRG classification systems.

PubMed

Fantini, M P; Cisbani, L; Manzoli, L; Vertrees, J; Lorenzoni, L

2003-06-01

There are several versions of the Diagnosis Related Group (DRG) classification systems that are used for case-mix analysis, utilization review, prospective payment, and planning applications. The objective of this study was to assess the adequacy of two of these DRG systems--Medicare DRG and All Patient Refined DRG--to classify neonatal patients. The first part of the paper contains a descriptive analysis that outlines the major differences between the two systems in terms of classification logic and variables used in the assignment process. The second part examines the statistical performance of each system on the basis of the administrative data collected in all public hospitals of the Emilia-Romagna region relating to neonates discharged in 1997 and 1998. The Medicare DRG are less developed in terms of classification structure and yield a poorer statistical performance in terms of reduction in variance for length of stay. This is important because, for specific areas, a more refined system can prove useful at regional level to remove systematic biases in the measurement of case-mix due to the structural characteristics of the Medicare DRGs classification system.

Impact of storms on coastlines: preparing for the future without forgetting the past? Examples from European coastlines using a Storm Impact Database

NASA Astrophysics Data System (ADS)

Ciavola, Paolo; Garnier, Emmanuel; Ferreira, Oscar; Spencer, Thomas; Armaroli, Clara

2017-04-01

Severe storms have historically affected many European coastlines but the impact of each storm has been evaluated in different ways in different countries, often using local socio-economic impact criteria (e.g. loss of lives and damage to properties). Although the Xynthia (2010) storm, Atlantic coast of France, was the largest coastal disaster of the last 50 years, similar events have previously impacted Europe. The 1953 storm surge in the southern North Sea, resulted in over 2000 deaths and extensive flooding and was the catalyst for post WWII improvements in flood defences and storm early warning systems. On a longer timescale, the very extreme storm of 1634 AD re-configured Wadden Sea coastlines, accompanied by thousands of deaths. Establishing patterns of coastal risk and vulnerability is greatly helped by the use of historical sources, as these allow the development of more complete time series of storm events and their impacts. The work to be presented was supported by the EU RISC-KIT (Resilience-Increasing Strategies for Coasts - toolKIT) Project. RISC-KIT (http://www.risckit.eu/np4/home.html) is a EU FP7 Collaborative project that has developed methods, tools and management approaches to reduce risk and increase resilience to low frequency, high-impact hydro-meteorological events in the coastal zone. These products will enhance forecasting, prediction and early warning capabilities, improve the assessment of long-term coastal risk and optimize the mix of prevention, mitigation and preparedness measures. We analyse historical large-scale events occurred from The Middle Ages to the 1960s at the case study sites of North Norfolk Coast (UK), the Charente-Maritime and Vendée coast (France), the Cinque Terre-Liguria (Italy), the Emilia-Romagna coast (Italy), and the Ria Formosa coast (Portugal). The work presented here uses a database of events built by the project, examining records for the last 300 years, including the characteristics of the storms as well as recorded losses. Finally, lessons learned will be presented, understanding the interaction between DRR elements such as prevention, resilience, mitigation and preparedness. The project's database is publicly available (http://risckit.cloudapp.net/risckit/#/)

Investigating source directivity for the 2012 Ml5.9 Emilia (Northern Italy) earthquake by jointly using High-rate GPS and Strong motion data

NASA Astrophysics Data System (ADS)

Avallone, A.; Herrero, A.; Latorre, D.; Rovelli, A.; D'Anastasio, E.

2012-12-01

On May, 20th 2012, the Ferrara and Modena provinces (Emilia Romagna, Northern Italy) were struck by a moderate magnitude earthquake (Ml 5.9). The focal mechanism is consistent with a ~E-W-striking thrust fault. The mainshock was recorded by 29 high-rate sampling (1-Hz) continuous GPS (HRGPS) stations belonging to scientific or commercial networks and by 55 strong motion (SM) stations belonging to INGV (Istituto Nazionale di Geofisica e Vulcanologia) and RAN (Rete Accelerometrica Nazionale) networks, respectively. The spatial distribution of both HRGPS and SM stations with respect to the mainshock location allows a satisfactory azimuthal coverage of the area. To investigate directivity effects during the mainshock occurrence, we analyze the spatial variation of the peak ground displacement (PGD) measured either for HRGPS or SM sites, using different methods. For each HRGPS and SM site, we rotated the horizontal time series to the azimuth direction and we estimated the GPS-related and the SM-related peak ground displacement (G-PGD and S-PGD, respectively) retrieved by transverse component. However, in contrast to GPS displacements, the double integration of the SM data can be affected by the presence of drifts and, thus, they have to be corrected by quasi-manual procedures. To more properly compare the G-PGDs to the S-PGDs, we used the response spectrum. A response spectrum is simply the response of a series of oscillators of varying natural frequency, that are forced into motion by the same input. The asymptotic value of the displacement response spectrum is the peak ground displacement. Thus, for each HRGPS and SM site, we computed the value of this asymptotic trend (G-PGDrs and S-PGDrs, respectively). This method allows simple automatic procedures. The consistency of the PGDs derived from HRGPS and SM is also evaluated for sites where the two instruments are collocated. The PGDs obtained by the two different methods and the two different data types suggest a source directivity effect in the SE (~120°-150°N) direction.

Multisensor surveys of historical buildings before, during and after a seismic sequence: the leaning bell tower of Ficarolo (Rovigo)

NASA Astrophysics Data System (ADS)

Teza, Giordano; Pesci, Arianna; Trevisani, Sebastiano

2014-05-01

Three regions of Northern Italy (Emilia Romagna, Veneto and Lombardy) were struck in May-June 2012 by a seismic sequence that included a moment magnitude 5.9 earthquake. Such a sequence caused significant damage to several historical buildings; in some cases complete structural collapse occurred. The 69-m high bell tower of Ficarolo (Rovigo province, Northern Italy) leans at a significant angle (~3° in the shaft). Because the combination of height and leaning angle is visually impressive, Ficarolo is also known as the 'Pisa of Polesine' (Polesine is the Venetian bank of the Po River), referring to the well-known 55-m high, 4° leaning tower of Pisa. A project aimed at studying the geometry of the tower, by means of terrestrial laser scanning (TLS), possible local seismic amplification and soil-structure interaction (SSI), by means of low-cost operational modal analysis (OMA) and geophysical measurements, began in early 2012, before the earthquake. In particular, the first series of data were taken in February 2012 (OMA) and April 2012 (TLS). The distance from Ficarolo of the epicenters of the six events with moment magnitude higher than 5.0 ranged from 9 km to 37 km. Several cracks appeared in the bell tower belfry and cusp. An inclinometer installed in 2003 showed that the base was unchanged, but the upper part of the shaft had moved by 2.5 cm after the main shock. No further displacements were detected as a result of the aftershocks. The repetition of the TLS and OMA surveys during and after the seismic sequence, together with infrared thermal imaging (IRT) measurements, allowed an evaluation of the changes caused by the earthquake. Two main results were obtained: (1) an estimate of earthquake induced damage to the Ficarolo's bell tower, which were relatively limited thanks to absence of SSI, and (2) it was demonstrated that fast measurements can be repeated during earthquake emergencies and that preventive measures can be carried out under reasonable time and budget constraints in high seismic hazard areas. The second point is particularly important from the viewpoint of cultural heritage management purposes.

Seasonal dynamics and long-term trend of hypoxia in the coastal zone of Emilia Romagna (NW Adriatic Sea, Italy).

PubMed

Alvisi, Francesca; Cozzi, Stefano

2016-01-15

Long-term series of meteorological, hydrological and oceanographic data were compared with hypoxia occurrence, in order to define characteristics and trends of this phenomenon in the Emilia Romagna Coastal Zone (ERCZ) in 1977-2008. During this period, hypoxia was recorded at all sampling stations, up to 20 km offshore. In winter, spring and late autumn, hypoxia appearance was matched to significant positive anomalies of air and surface seawater temperatures (up to +3.6 °C), whereas this effect was less pronounced in August-October. Hypoxia generally occurred with scarce precipitation (0-2 dm(3)m(2)d(-1)) and low wind velocity (0-2 ms(-1)), suggesting the importance of stable meteo-marine conditions for the onset of this phenomenon. Nevertheless, wind direction emerged as an indicator of hydrodynamic seasonal changes in the area and is thus a hypoxia regulator. In winter, spring and autumn, hypoxia was favored by large increases of biomass induced by river freshets. In contrast, summer hypoxia occurred during periods of low runoff, suggesting that pronounced stratification and weak circulation of coastal waters were more important in this season. Since the 1990s, a shift from widespread summer hypoxia to local hypoxia irregularly distributed across the year has occurred. This process was concomitant to long-term increases of air temperature (+0.14 °C yr(-1)), wind speed (+0.03 ms(-1) yr(-1)) and salinity (+0.09 yr(-1)), and decreases of Po River flow (-0.54 km(3) yr(-1)), oxygen saturation (-0.2% yr(-1)) and PO4(3-) (-0.004 μmol P L(-1) yr(-1)) and NH4(+) (-0.04 μmol N L(-1) yr(-1)) concentrations in surface coastal waters. Despite that several of these changes suggest an ERCZ trophic level positive reduction, similar to that reported for the N Adriatic, the concomitant climate warming might further exacerbate hypoxia in particularly shallow shelf locations. Therefore, in order to avoid hypoxia development a further mitigation of anthropogenic pressure is still needed in the area. Copyright © 2015 Elsevier B.V. All rights reserved.

Finite-fault inversion of the Mw 5.9 2012 Emilia-Romagna earthquake (Northern Italy) using aftershocks as near-field Green's function approximations

NASA Astrophysics Data System (ADS)

Causse, Mathieu; Cultrera, Giovanna; Herrero, André; Courboulex, Françoise; Schiappapietra, Erika; Moreau, Ludovic

2017-04-01

On May 29, 2012 occurred a Mw 5.9 earthquake in the Emilia-Romagna region (Po Plain) on a thrust fault system. This shock, as well as hundreds of aftershocks, were recorded by 10 strong motion stations located less than 10 km away from the rupture plane, with 4 stations located within the surface rupture projection. The Po Plain is a very large EW trending syntectonic alluvial basin, delimited by the Alps and Apennines chains to the North and South. The Plio-Quaternary sedimentary sequence filling the Po Plain is characterized by an uneven thickness, ranging from several thousands of meters to a few tens of meters. This particular context results especially in a resonance basin below 1 Hz and strong surface waves, which makes it particularly difficult to model wave propagation and hence to obtain robust images of the rupture propagation. This study proposes to take advantage of the large set of recorded aftershocks, considered as point sources, to model wave propagation. Due to the heterogeneous distribution of the aftershocks on the fault plane, an interpolation technique is proposed to compute an approximation of the Green's function between each fault point and each strong motion station in the frequency range [0.2-1Hz]. We then use a Bayesian inversion technique (Monte Carlo Markov Chain algorithm) to obtain images of the rupture propagation from the strong motion data. We propose to retrieve the slip distribution by inverting the final slip value at some control points, which are allowed to move on the fault plane, and by interpolating the slip value between these points. We show that the use of 5 control points to describe the slip, coupled with the hypothesis of spatially constant rupture velocity and rise-time (that is 18 free source parameters), results in a good level of fit with the data. This indicates that despite their complexity, the strong motion data can be properly modeled up to 1 Hz using a relatively simple rupture. The inversion results also reveal that the rupture propagated slowly, at a speed of about 45% of the shear wave velocity.

Sperm quality and environment: A retrospective, cohort study in a Northern province of Italy

DOE Office of Scientific and Technical Information (OSTI.GOV)

Santi, Daniele, E-mail: santi.daniele@gmail.com; Department of Medicine, Endocrinology, Metabolism and Geriatrics; Vezzani, Silvia

Background: Several studies proposed a relationship between environmental factors and semen quality, as well as the negative effect of air pollution on spermatogenesis and gonadal function. No specific studies evaluated the environmental influence on semen quality in a specific geographical area. Aim: to evaluate the environmental influence on male sperm parameters in a Northern Italian population referred for semen analysis in the National Health System. The objective of the study is the assessment of the relationship of both air pollution and environmental parameters with quality-related sperm variables, during the coldest months of the year when air is usually most polluted,more » due to low ventilation and poor rainfall. Study design: A retrospective, observational, cohort study was carried out in the province of Modena, located in the Emilia-Romagna region of Northern Italy. Methods: Semen analyses (n=406), environmental temperature, air humidity and air particulate matter (PM) measurements from the 1st of November 2014 to the 19th of February 2015 were acquired to the first database. Since spermatogenesis lasts over two months, a second, wider database was arranged, evaluating environmental exposure in the 3 months before semen collection (from August 1st 2014). All data included in the database were registered by geo-coding the residential address of the patients and the site of registration of environmental factors. The geo-codification of parameters was performed using Fusion Tables of Google available at (https://www.google.com/fusiontables/data? dsrcid=implicit), considering the exact time of measurement. Results: Average air temperature was inversely related to sperm concentration and to total sperm number (p<0.001). Semen volume was inversely related only to the minimum (p<0.001) and not to maximum recorded temperature (p=0.110). Air humidity was not related to sperm quantity and quality. PM{sub 2.5} was directly related to total sperm number (p<0.001). PM{sub 10} was directly related to both semen volume (0<0.001), and typical forms (p<0.001), inversely related to atypical forms (p<0.001), but related neither to sperm concentration (p=0.430) nor to sperm motility. The extended analyses considering environmental parameters in the 3 months before semen collection, confirmed the relationship between air temperature and sperm quantity, whereas no influence was found between PM and sperm quality. Conclusion: An influence of environmental temperature on semen quantity is suggested, without a clear effect of air pollution, as assessed through PM{sub 10} levels, on sperm parameter variations.« less

Sperm quality and environment: A retrospective, cohort study in a Northern province of Italy.

PubMed

Santi, Daniele; Vezzani, Silvia; Granata, Antonio Rm; Roli, Laura; De Santis, Maria Cristina; Ongaro, Chiara; Donati, Federica; Baraldi, Enrica; Trenti, Tommaso; Setti, Monica; Simoni, Manuela

2016-10-01

Several studies proposed a relationship between environmental factors and semen quality, as well as the negative effect of air pollution on spermatogenesis and gonadal function. No specific studies evaluated the environmental influence on semen quality in a specific geographical area. to evaluate the environmental influence on male sperm parameters in a Northern Italian population referred for semen analysis in the National Health System. The objective of the study is the assessment of the relationship of both air pollution and environmental parameters with quality-related sperm variables, during the coldest months of the year when air is usually most polluted, due to low ventilation and poor rainfall. A retrospective, observational, cohort study was carried out in the province of Modena, located in the Emilia-Romagna region of Northern Italy. Semen analyses (n=406), environmental temperature, air humidity and air particulate matter (PM) measurements from the 1st of November 2014 to the 19th of February 2015 were acquired to the first database. Since spermatogenesis lasts over two months, a second, wider database was arranged, evaluating environmental exposure in the 3 months before semen collection (from August 1st 2014). All data included in the database were registered by geo-coding the residential address of the patients and the site of registration of environmental factors. The geo-codification of parameters was performed using Fusion Tables of Google available at https://www.google.com/fusiontables/data? dsrcid=implicit, considering the exact time of measurement. Average air temperature was inversely related to sperm concentration and to total sperm number (p<0.001). Semen volume was inversely related only to the minimum (p<0.001) and not to maximum recorded temperature (p=0.110). Air humidity was not related to sperm quantity and quality. PM2.5 was directly related to total sperm number (p<0.001). PM10 was directly related to both semen volume (0<0.001), and typical forms (p<0.001), inversely related to atypical forms (p<0.001), but related neither to sperm concentration (p=0.430) nor to sperm motility. The extended analyses considering environmental parameters in the 3 months before semen collection, confirmed the relationship between air temperature and sperm quantity, whereas no influence was found between PM and sperm quality. An influence of environmental temperature on semen quantity is suggested, without a clear effect of air pollution, as assessed through PM10 levels, on sperm parameter variations. Copyright © 2016 Elsevier Inc. All rights reserved.

Origin of Human Losses due to the Emilia Romagna, Italy, M5.9 Earthquake of 20 May 2012 and their Estimate in Real Time

NASA Astrophysics Data System (ADS)

Wyss, M.

2012-12-01

Estimating human losses within less than an hour worldwide requires assumptions and simplifications. Earthquake for which losses are accurately recorded after the event provide clues concerning the influence of error sources. If final observations and real time estimates differ significantly, data and methods to calculate losses may be modified or calibrated. In the case of the earthquake in the Emilia Romagna region with M5.9 on May 20th, the real time epicenter estimates of the GFZ and the USGS differed from the ultimate location by the INGV by 6 and 9 km, respectively. Fatalities estimated within an hour of the earthquake by the loss estimating tool QLARM, based on these two epicenters, numbered 20 and 31, whereas 7 were reported in the end, and 12 would have been calculated if the ultimate epicenter released by INGV had been used. These four numbers being small, do not differ statistically. Thus, the epicenter errors in this case did not appreciably influence the results. The QUEST team of INGV has reported intensities with I ≥ 5 at 40 locations with accuracies of 0.5 units and QLARM estimated I > 4.5 at 224 locations. The differences between the observed and calculated values at the 23 common locations show that the calculation in the 17 instances with significant differences were too high on average by one unit. By assuming higher than average attenuation within standard bounds for worldwide loss estimates, the calculated intensities model the observed ones better: For 57% of the locations, the difference was not significant; for the others, the calculated intensities were still somewhat higher than the observed ones. Using a generic attenuation law with higher than average attenuation, but not tailored to the region, the number of estimated fatalities becomes 12 compared to 7 reported ones. Thus, attenuation in this case decreased the discrepancy between observed and reported death by approximately a factor of two. The source of the fatalities is perplexing: Most fatalities occurred in industrial facilities where few workers are present at 4AM, while the vast majority of the population at home survived. QLARM contains a function modeling the occupancy rate of buildings as a function of the hour of day for residential buildings. The possibility that two-year old industrial plants may collapse and kill workers within a stone's throw from abandoned, old, brick farm houses that do not collapse, as it happened near Sant'Agostino on 20th May 2012, is not considered in QLARM or any loss estimating method. The dismal performance of the many new industrial plants in Emilia Romagna, which collapsed, lost their roofs, or their walls, shows that regional building practices can remain hidden from the world community trying to estimate earthquake risk and lead to surprises and unnecessary fatalities.

Inappropriate prescribing in a large community-dwelling older population: a focus on prevalence and how it relates to patient and physician characteristics.

PubMed

Amos, T B; Keith, S W; Del Canale, S; Orsi, P; Maggio, M; Baccarini, S; Gonzi, G; Liu, M; Maio, V

2015-02-01

The prescription of potentially inappropriate medications (PIMs) for older adults is a well-known population health concern. Updated country-specific estimates of inappropriate prescribing in older adults using germane explicit criteria are needed to facilitate physician-tailored quality improvement strategies. Therefore, we sought to determine the prevalence of PIMs for older adults in Emilia-Romagna, Italy, using the updated Maio criteria. We also evaluated patient and general practitioner (GP) characteristics related to inappropriate prescribing. Older adults (≥ 65) in 2012 were evaluated in a one-year retrospective study using administrative health care data. The 2011 Maio criteria includes 25 medications reimbursed by the Italian National Formulary, in the following categories in terms of severity: 16 medications that 'should always be avoided,' 3 that are 'rarely appropriate,' and 6 that have 'some indications although they are often misused.' To evaluate the extent of associations between patient and GP related characteristics, we used generalized estimating equations with an exchangeable covariance design to fit robust logistic regression models. A total of 865,354 older adults were in the cohort and 28% had at least one PIM. Of the entire cohort, 8%, 10%, and 14% of individuals were prescribed at least one medication that 'should always be avoided,' is 'rarely appropriate,' and has 'some indications but are often misused,' respectively. Older patients (≥ 75) and females were more likely to be exposed to PIMs. 2,923 GPs were identified in the region, each having prescribed at least one PIM, of which older GPs (≥ 56), male GPs, and solo practice GPs were more likely to prescribe PIMs to their older patients. The high prevalence of PIM exposure among older adults is a substantial issue in the region. Knowing how patient and GP characteristics relate to PIMs exposure may improve the design and targeting of initiatives for improving prescribing safety in this population. © 2014 John Wiley & Sons Ltd.

Earthquakes and depleted gas reservoirs: which comes first?

NASA Astrophysics Data System (ADS)

Mucciarelli, M.; Donda, F.; Valensise, G.

2014-12-01

While scientists are paying increasing attention to the seismicity potentially induced by hydrocarbon exploitation, little is known about the reverse problem, i.e. the impact of active faulting and earthquakes on hydrocarbon reservoirs. The recent 2012 earthquakes in Emilia, Italy, raised concerns among the public for being possibly human-induced, but also shed light on the possible use of gas wells as a marker of the seismogenic potential of an active fold-and-thrust belt. Based on the analysis of over 400 borehole datasets from wells drilled along the Ferrara-Romagna Arc, a large oil and gas reserve in the southeastern Po Plain, we found that the 2012 earthquakes occurred within a cluster of sterile wells surrounded by productive ones. Since the geology of the productive and sterile areas is quite similar, we suggest that past earthquakes caused the loss of all natural gas from the potential reservoirs lying above their causative faults. Our findings have two important practical implications: (1) they may allow major seismogenic zones to be identified in areas of sparse seismicity, and (2) suggest that gas should be stored in exploited reservoirs rather than in sterile hydrocarbon traps or aquifers as this is likely to reduce the hazard of triggering significant earthquakes.

[The assessment of the impact of education and support to nursing research on nurses' scientific production in an Emilia Romagna Hospital].

PubMed

Forni, Cristiana; Chiari, Paolo; Guarino, Lorenza; Tremosini, Morena; Trofa, Carmela; D'Alessandro, Fabio; Sabattini, Tania; Mini, Sandra; Zanotti, Enrichetta

2014-01-01

In Italy research conducted by non medical professions is scarce also for the lack of knowledge on methods. At Rizzoli hospital in Bologna in 2006 a Centre for research to educate and support health professionals was implemented. To assess the impact of the research centre on number of research articles and protocols produced by nurses. Interrupted time series. In the five years before and after the implementation of the centre data on the number of protocols approved by Ethical Committee with a nurse as principal investigator and on the number of articles published on impacted journals with a nurse as first author were collected. The number of nurses authors of the publications was also collected. For all the variables an increasing trend, starting from 2006 was observed, with statistically significant differences from 2008 for the number of research protocols presented (p=0.037), the number of nurses authors of scientific articles (p=0.027). Although the number of publications on impacted journals increased from 2006, differences were not statistically significant after 2008. An hospital based Centre for education and support to research for health professionals may facilitate the scientific and research production.

Earthquakes and depleted gas reservoirs: which comes first?

NASA Astrophysics Data System (ADS)

Mucciarelli, M.; Donda, F.; Valensise, G.

2015-10-01

While scientists are paying increasing attention to the seismicity potentially induced by hydrocarbon exploitation, so far, little is known about the reverse problem, i.e. the impact of active faulting and earthquakes on hydrocarbon reservoirs. The 20 and 29 May 2012 earthquakes in Emilia, northern Italy (Mw 6.1 and 6.0), raised concerns among the public for being possibly human-induced, but also shed light on the possible use of gas wells as a marker of the seismogenic potential of an active fold and thrust belt. We compared the location, depth and production history of 455 gas wells drilled along the Ferrara-Romagna arc, a large hydrocarbon reserve in the southeastern Po Plain (northern Italy), with the location of the inferred surface projection of the causative faults of the 2012 Emilia earthquakes and of two pre-instrumental damaging earthquakes. We found that these earthquake sources fall within a cluster of sterile wells, surrounded by productive wells at a few kilometres' distance. Since the geology of the productive and sterile areas is quite similar, we suggest that past earthquakes caused the loss of all natural gas from the potential reservoirs lying above their causative faults. To validate our hypothesis we performed two different statistical tests (binomial and Monte Carlo) on the relative distribution of productive and sterile wells, with respect to seismogenic faults. Our findings have important practical implications: (1) they may allow major seismogenic sources to be singled out within large active thrust systems; (2) they suggest that reservoirs hosted in smaller anticlines are more likely to be intact; and (3) they also suggest that in order to minimize the hazard of triggering significant earthquakes, all new gas storage facilities should use exploited reservoirs rather than sterile hydrocarbon traps or aquifers.

Dynamics and conceptual model of the Rossena castle landslide (Northern Apennines, Italy)

NASA Astrophysics Data System (ADS)

Chelli, A.; Mandrone, G.; Ruffini, A.; Truffelli, G.

2005-11-01

In the Northern Apennines there are many historical villages and castles, which are of great value and represent a cultural heritage of great importance. Their presence within a territory greatly affected by landslide hazards creates, in many circumstances, the need to solve problems of land management and to act for the preservation of historical monuments. This paper describe an interesting landslide, failed during the night of 28 February 2004, that involved the village of Rossena: the failure damaged the village (Fig. 1), the road and the fields down to the stream but, fortunately, the castle just upslope the village was not involved at all. The 10th century massive castle of Rossena stands on the top of a cliff at about 500 m a.s.l., on the border between the provinces of Parma and Reggio Emilia, and it is surrounded by a small ancient village. The castle of Rossena is the best preserved stronghold of the Longobard times, enlarged and reinforced in the tenth century and partially rebuilt by Bonifacio, the father of Matilda of Canossa (the Vice-Queen of Italy and probably the most important woman in the Middle Ages) as a defensive structure guarding the Enza Valley. In addition, at Conossa, very close to Rossena, there was the meeting between Pope Gregory VII and the Emperor of Germany Henry IV, during the historical event known as "fight for the investitures". For these reasons, the area of Rossena is one of the most relevant from a historical point of view in the entire western part of the Emilia Romagna Region and it also has a high value as a geosite (Coratza et al., 2004).

Unraveling Landscape Complexity: Land Use/Land Cover Changes and Landscape Pattern Dynamics (1954-2008) in Contrasting Peri-Urban and Agro-Forest Regions of Northern Italy.

PubMed

Smiraglia, D; Ceccarelli, T; Bajocco, S; Perini, L; Salvati, L

2015-10-01

This study implements an exploratory data analysis of landscape metrics and a change detection analysis of land use and population density to assess landscape dynamics (1954-2008) in two physiographic zones (plain and hilly-mountain area) of Emilia Romagna, northern Italy. The two areas are characterized by different landscape types: a mixed urban-rural landscape dominated by arable land and peri-urban settlements in the plain and a traditional agro-forest landscape in the hilly-mountain area with deciduous and conifer forests, scrublands, meadows, and crop mosaic. Urbanization and, to a lesser extent, agricultural intensification were identified as the processes underlying landscape change in the plain. Land abandonment determining natural forestation and re-forestation driven by man was identified as the process of change most representative of the hilly-mountain area. Trends in landscape metrics indicate a shift toward more fragmented and convoluted patterns in both areas. Number of patches, the interspersion and juxtaposition index, and the large patch index are the metrics discriminating the two areas in terms of landscape patterns in 1954. In 2008, mean patch size, edge density, interspersion and juxtaposition index, and mean Euclidean nearest neighbor distance were the metrics with the most different spatial patterns in the two areas. The exploratory data analysis of landscape metrics contributed to link changes over time in both landscape composition and configuration providing a comprehensive picture of landscape transformations in a wealthy European region. Evidence from this study are hoped to inform sustainable land management designed for homogeneous landscape units in similar socioeconomic contexts.

[Orthopaedic day surgery in Emilia-Romagna].

PubMed

Rolli, M; Rodler, M; Petropulacos, K; Baldi, R

2001-09-01

It is well known that the organizational model of day surgery, concerning surgical problems defined by the literature as minor, has the aim of optimising the use of hospital resources and facilitating patients and their families, from a psychological and social point of view, by reducing hospitalisation time and the associated complications, and ensuring the same efficacy and more appropriateness of treatment. This study is firstly aimed at analysing the impact that the healthcare policy of the Emilia Romagna Region has had on the development of day surgery practice. Secondly, it compares the patients treated in orthopaedic day surgery in the hospitals of Bologna, Modena, Ferrara, Parma, Reggio Emilia, Maggiore hospital of Bologna and Rizzoli Orthopaedic Institute of Bologna (II.OO.R). In the period 1997-2000 there was a marked increase in the number of operations carried out in day surgery in all of the above-mentioned hospitals. Also in the unispecialistic orthopaedic hospital there was a surprising increase in the percentage of operations carried out in day surgery with respect to the total number of operations performed. The aim of the Rizzoli Orthopaedic Institute and the Emilia Romagna Region is to further implement this form of healthcare, contextually potentiating the appropriateness of hospital admission and avoiding, when not necessary, other forms of healthcare.

COLT: seasonal prediction of crop irrigation needs

NASA Astrophysics Data System (ADS)

Villani, Giulia; Spisni, Andrea; Mariani, Maria Cristina; Pratizzoli, William; Pavan, Valentina; Tomei, Fausto; Botarelli, Lucio; Marletto, Vittorio

2013-04-01

COLT is an operational chain to predict summer (June, July, August) crop irrigation needs in Emilia-Romagna (Northern Italy) at the regional and lower scales. Set up by ARPA-SIMC in 2010, it has been applied since with good results. COLT predicts summer irrigation needs in May, i.e. at the beginning of the irrigation season in Emilia-Romagna. COLT is based on the production of yearly updated land use maps, observed daily weather data, a regional soil map and ensemble probabilistic seasonal weather forecasts obtained from the EUROSIP multi-model operational system and a geographical soil water balance model (CRITERIA). The first step of the operational scheme is the supervised classification of crops through field surveys and a set of multitemporal satellite images acquired during the first months of the growing period. As the identification of all crop species during the satellite working windows is not feasible, they are grouped in six classes: summer field crops (including corn, sorghum, tomato, sugar beet, potato and others), winter crops (wheat, barley, oat, etc.), perennial grasses (alfa-alfa and meadows), rice, vineyards and orchards, on the whole regional plain, covering about 775000 ha. The second step involves the statistical downscaling of the EUROSIP ensemble predictions over Emilia-Romagna and the use of a weather generator to synthetically produce a number (usually 50) replicated meteorological summer daily data series, consistent with the predicted and downscaled summer anomalies of temperature, rainfall and other related indices. During the final step the CRITERIA model computes crop development and soil water balance on the crop classification map using observed meteorological daily data up to the end of May. Afterword forecasts are used up to the end of the summer irrigation season, i.e. August 31st. The statistical distribution projections of summer irrigation needs at the regional and reclamation consortia scale are then issued and disseminated from the ARPA-SIMC web site. Since 2010 forecasts of the crops water irrigation requirements have been computed and compared with the simulated data at the end of the summer with good results. The COLT scheme is able to predict the very large interannual variability of the seasonal crop water needs: in 2010 the summer was rather wet and COLT predicted about 500 Mm3, while in 2011 the median forecast was 850 Mm3, a value considered as normal. The summer of 2012 was exceptionally dry, thus the median COLT forecast was 1077 Mm3, while the value computed with observed summer data reached 1340 Mm3 (+24%). The COLT scheme was also tested in a study area located near Ravenna (570 ha), where actual crop irrigation volumes are measured. The median forecasted irrigation (0.50 Mm3) resulted 14% higher than the observed value for 2011 (0.44 Mm3), mainly due to errors in classification of non irrigated crops as irrigated, and possibly to the water table not being accounted for in the model. COLT looks like a promising approach for assessing, planning and managing water resources in agriculture, and for mitigating the impacts of intense climate anomalies in the agricultural sector.

[Thermal comfort and indoor air quality in some of the italian state police workplaces.

PubMed

Chirico, Francesco; Rulli, Giuseppina

2017-12-01

Little can be found in the literature about thermal comfort and indoor air quality (IAQ) in law enforcement workplaces. This study, based on environmental surveys carried out by the Centro Sanitario Polifunzionale of Milan (Italian State Police Health Service Department), aims to assess the thermal comfort and IAQ in some of the Italian State Police workplaces. Measurements were performed in some indoor workplaces such as offices, archives, laboratories and guard-houses in various regions (Lombardia, Emilia Romagna, Liguria, Veneto, Trentino Alto-Adige) of Northern Italy. The PMV/PPD model developed by Fangar for the evaluation of the thermal comfort was used. We measured both CO2 concentration and relative humidity indoor levels for the evaluation of IAQ. We used Chi square and t Student tests to study both prevalence of thermal discomfort and low IAQ, and their differences between summer and winter. For the purposes of the present study we carried out 488 measurements in 36 buildings (260 in winter and 228 in summer). Our results showed that thermal comfort was reached in 95% and 68% of environmental measurements (in winter and summer, respectively). In summer, we measured different types of thermal discomfort. As regard to IAQ, CO2 exceeded the threshold limit value (1000 ppm) in 39% (winter) and 9% (summer) of our measurements. Chi-square test showed a statistically significant difference between summer and winter for all outcomes considered. Indeed, thermal comfort was better in winter than summer (X2 = 61.0795), while IAQ was found to be better in the summer than winter considering both the CO2 1000 ppm and 1200 ppm threshold values (X2 = 56.9004 and X2 = 8.8845 respectively). Prevalence of low relative humidity in winter was higher than in summer (X2 = 124.7764). Even though this study did not report any situation of risk to Italian police officers health and safety, it has highlighted some potential issues in some of the examined workplaces, concerning thermal comfort in summer and IAQ in winter. Regarding the risk assessment process, simple and inexpensive preventive measures are already feasible in the 'observation phase' of the risk assessment, before execution of instrumental environmental survey. According to the technical standards and risk assessment models, this way might increase both comfort levels for workers employed in indoor environments and the effectiveness of the risk assessment process, through the optimization of available resources. Copyright© by Aracne Editrice, Roma, Italy.

Ground-based & satellite DOAS measurements integration for air quality evaluation/forecast management in the frame of QUITSAT Project.

NASA Astrophysics Data System (ADS)

Kostadinov, Ivan; Petritoli, Andrea; Giovanelli, Giorgio; Masieri, Samuele; Premuda, Margarita; Bortoli, Daniele; Ravegnani, Fabrizio; Palazzi, Elisa

The observations of the Earth's atmosphere from space provide excellent opportunities for the exploration of the sophisticated physical-chemical processes on both global and regional scales. The major interest during the last three decades was focused mainly on the stratosphere and the ozone depletion. More recently the continuous improvements of satellite sensors have revealed new opportunities for larger applications of space observations, attracting scientific interest to the lower troposphere and air quality issues. The air quality depends strongly on the anthropogenic activity and therefore regional environmental agencies along with policy makers are in need of appropriate means for its continuous monitoring and control to ensure the adoption of the most appropriate actions. The goal of the pilot project QUITSAT, funded by the Italian Space Agency, is to develop algorithms and procedures for the evaluation and prediction of the air quality in Lombardia and Emilia-Romagna regions (Italy) by means of integrating satellite observations with ground-based in-situ and remote sensing measurements. This work presents dedicated Differential Optical Absorption Spectroscopy (DOAS) measurements performed during the summer of 2007 and the winter of 2008. One of the DOAS instruments operate at Mt.Cimone station (2165m a.s.l) and the other two instruments conducted measurements in/near Bologna (90 m. a.s.l). Different observational geometry was adopted (zenith-sky, multi-axis and long-path) aimed to provide tropospheric NO2 columns and O3, SO2 and HCHO concentrations at ground level as an input data for QUITSAT procedures. Details of the instruments, the radiative transfer model used and the algorithms for retrieving and calculation of the target gases concentrations are presented. The obtained experimental results are correlated with the corresponding ones retrieved from SCIAMACHY /ENVISAT observations during the overpasses above the ground-based instruments. The analysis stresses on the specificity of the satellite and ground-based observations and the importance of the right choice of appropriate scenario for correlative studies.

Analysis and modeling of soil slips in the Emilia Romagna Apennine (Northern Italy)

NASA Astrophysics Data System (ADS)

Montrasio, L.; Valentino, R.; Losi, G.

2009-04-01

On 10-11 April 2005 the Emilia Romagna Apennine was affected by an intense rainfall event that triggered dozens of soil slips in the Province of Reggio Emilia. These phenomena have been widely described in the scientific literature, referring to historical events occurred in many parts of the world. The particular danger of these phenomena is related to their speed of development, with the difficulty of foreseeing their location, but also with the high density of distribution of individual phenomena, whose downhill trajectories have a substantial probability of interfering with urbanized areas. During the event of April 2005 in the Emilia Romagna Apennine, these shallow landslides mainly occurred on slopes of cultivated lands, often provoking the interruption of roads, heavy damages to the farming activities and economic losses. On the basis of an inventory by aerial photograph interpretation, it was possible to locate 45 sites where soil slips occurred. In the present work the study area is described, considering both geological and climatic aspects. The inducing factors, which are relative to the territory morphology, and the outbreak factors of the triggering mechanism, which are relative to the rainfall conditions, are deeply analyzed. Once known geometrical features and soil characteristics of the slopes, for each site a physically based triggering model, that has recently developed by the Authors, has been applied by considering the local scale of the phenomenon. The model allows to take into account dynamically, in a simplified way, the connection between the stability condition of a slope, the characteristics of the soil and rainfall amounts, including also antecedent rainfalls. The model, in fact, is aimed to give an answer to the recent challenge represented by the dynamic use of real-time landslides early warning systems, the basis of which have to be the coupling between rainfall amounts, hydrological model and stability slope models. The triggering model is based on the limit equilibrium method and considers the hypothesis of infinite slope. The model takes into account the mechanical characteristics of the soil, in condition of partial saturation, and the outflow of underground water. The model allows to calculate the safety factor of a slope versus time on the basis of the previous rainfall amount. The paper contains also a detailed explanation of the choice of the model input data that have been used to carry out the procedure of back analysis for the 45 study sites. In particular, the slope angle has been evaluated for each site on the basis of the Digital Elevation Model (DEM) information and the thickness of the soil has been determined on the basis of field observations. Colluvial, regolithic and in general Quaternary deposits are the soils involved in the soil slips considered. On the basis of geological map information and according to the Unified Soil Classification System (USCS), the most common types of soil present in the sample sites resulted silty sand, silty clay and sandy silt. The physical properties of these soils, such as porosity and specific weight, and Mohr-Coulomb shear strength parameters, were assumed taking into account the average values of parameters as reported in the scientific literature for the same types of soils. Other specific model parameters that are directly linked with the type of soil, have been consequently assigned on the basis of previous works carried out by the Authors. Moreover, the parameter that describes the discharge capability of the soil, has been assumed as typical permeability value obtained through field measurements by other Authors, for similar kind of soils and conditions. The results obtained by the application of the model are accurately analyzed and discussed. For each analyzed site, it is shown how the model highlights the instability condition on the real date of the event and the stability condition for the remaining period, under an observation period of 3 years, thus confirming the capability of the model to grasp the triggering mechanism of the analyzed phenomena.

Learning from soil gas change and isotopic signatures during 2012 Emilia seismic sequence.

PubMed

Sciarra, Alessandra; Cantucci, Barbara; Coltorti, Massimo

2017-10-27

Soil surveys were performed in Medolla (Italy), a peculiar area characterized by spotty high soil temperature, gas vent, and lack of vegetation, to determine the migration mechanisms and spatial behavior of gas species. Hereby we present soil gas measurements and their isotopic ratios measured between 2008 and 2015, including the 2012 Emilia-Romagna seismic sequence. We found that soil gas concentrations markedly changed during the main shocks of May 20 and 29, 2012 (Mw 6.1 and 6.0, respectively), highlighting the presence of a buried fault intersecting the gas vents. We suggest that crustal dilation associated with seismic activity favored the uprising of geogas towards the surface. Changes in the isotopic signature highlight the contribution of two distinct sources, one deeper, thermogenic and another superficial related to organic-rich layer, whose relative contribution varied before, during and after the earthquake. We suppose an increase of microbial component likely due to the ground shaking of shallower layers linked to seismic sequence, which masks the thermogenic contribution. Although the changes we detect are specific for an alluvial plain, we deduce that analogous processes may be active elsewhere, and that soil gas geochemistry represents an useful tool to discriminate the gas migration related to seismic activity.

The burden of vitamin D deficiency in a mediterranean country without a policy of food fortification.

PubMed

Lippi, Giuseppe; Nouvenne, Antonio; Ticinesi, Andrea; Bonelli, Patrizia; Salvagno, Gian Luca; Cervellin, Gianfranco; Guidi, Gian Cesare

2015-04-27

Vitamin D deficiency is a public healthcare issue and its correction is increasingly regarded as a cornerstone of preventive medicine. We designed a retrospective observational study to clearly define the burden of total vitamin D (25-hydroxyvitamin D) deficiency in a supposedly healthy population of outpatients residing in two regions (Emilia Romagna and Veneto) of Northern Italy. 25-hydroxyvitamin D results were available for a total number of 5,096 outpatients in the two centers. The median value of 25-hydroxyvitamin D was 60 nmol/L, and was higher in women than in men (62 nmol/L versus 56 nmol/L; p<0.001). The rate of 25-hydroxyvitamin D deficiency was 36%, and was marginally but significantly higher in men than in women (40% versus 35%; p=0.003). A significant variation in the rate of 25-hydroxyvitamin D deficiency was found throughout different age ranges, exhibiting a significant increase in the elderly. The results of this large observational study show that the burden of 25-hydroxyvitamin D deficiency in two regions of a Mediterranean country without a policy of food fortification is as high as 36%, and this evidence represents a background for healthcare preventive measures aimed at reducing the prevalence of this condition in the general population. (www.actabiomedica.it).

Participation in sports, body composition, and fitness characteristics in children according to ethnic background.

PubMed

Toselli, S; Belcastro, M G

2017-12-01

Participation in sports has important implications, being associated with health and social features. The objectives of this study were to verify whether there were any differences in sport participation between immigrant and Italian children and whether there was any relation with their body composition and fitness characteristics. A survey was conducted on 1432 children attending primary school in the Emilia-Romagna (northern Italy). Anthropometric measurements, fitness characteristics, and data about participation in sports were considered. Italian children were more likely to participate in sports than immigrants and boys than girls. Among immigrants, the lowest values were observed in Asians. Eastern European males and Latin American females displayed the widest dimensions. Eastern Europeans generally showed the highest values of strength, while Latin Americans had the highest values of flexibility. Asian children showed the highest values of centripetal fat, and a high percentage of them exceeded the %F reference. These aspects, together with the low frequency of practicing sports, place Asians at greater risks for health. Sex and ethnic group are the most informative variables associated with participation in sports by children. Interventions including health education lessons and promoting the participation in sports for immigrant children attending schools need to be encouraged. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Earthquake Loading Assessment to Evaluate Liquefaction Potential in Emilia-Romagna Region

NASA Astrophysics Data System (ADS)

Daminelli, R.; Marcellini, A.; Tento, A.

2016-12-01

The May-June 2012 seismic sequence that struck Lombardia and Emilia-Romagna consisted of seven main events of magnitude greater than 5 followed by numerous aftershocks. The strongest earthquakes occurred on May 20 (M=5.9) and May 29 (M=5.8). The widespread soil liquefaction, unexpected because of the moderate magnitude of the events, pushed the local authorities to issue research projects aimed to define the earthquake loading to evaluate the liquefaction safety factor. The reasons explained below led us to adopt a deterministic hazard approach to evaluate the seismic parameters relevant to liquefaction assessment, despite the fact that the Italian Seismic Building Code (NTC08) is based on probabilistic hazard analysis. For urban planning and building design geologists generally adopt the CRR/CSR technique to assess liquefaction potential; therefore we considered PGA and a design magnitude to be representative of the seismic loading. The procedure adopted consists: a) identification of seismic source zones and characterization of each zone by the maximum magnitude; b) evaluation of the source to site distance and c) adoption of a suitable attenuation law to compute the expected PGA at the site, given the site condition and the design magnitude. The design magnitude can be: the maximum magnitude; the magnitude that causes the largest PGA, or both. The PGA values obtained are larger with respect to the 474 years return period PGA prescribed by NTC08 for the seismic design for ordinary buildings. We conducted a CPTU resistance test intended to define the CRR at the village of Cavezzo, situated in the epicentral area of the 2012 earthquake. The CRR/CSR ratio led to an elevated liquefaction risk at the analysed site. On the contrary the adoption of the 474 years return period PGA of the NTCO8 prescribed for Cavezzo site led to a negligible liquefaction risk. Note that very close to the investigated site several liquefaction phenomena were observed.

Earthquake Loading Assessment to Evaluate Liquefaction Potential in Emilia-Romagna Region

NASA Astrophysics Data System (ADS)

Daminelli, Rosastella; Marcellini, Alberto; Tento, Alberto

2017-04-01

The May-June 2012 seismic sequence that struck Lombardia and Emilia-Romagna consisted of seven main events of magnitude greater than 5 followed by numerous aftershocks. The strongest earthquakes occurred on May 20 (M=5.9) and May 29 (M=5.8). The widespread soil liquefaction, unexpected because of the moderate magnitude of the events, pushed the local authorities to issue research projects aimed to define the earthquake loading to evaluate the liquefaction safety factor. The reasons explained below led us to adopt a deterministic hazard approach to evaluate the seismic parameters relevant to liquefaction assessment, despite the fact that the Italian Seismic Building Code (NTC08) is based on probabilistic hazard analysis. For urban planning and building design geologists generally adopt the CRR/CSR technique to assess liquefaction potential; therefore we considered PGA and a design magnitude to be representative of the seismic loading. The procedure adopted consists: a) identification of seismic source zones and characterization of each zone by the maximum magnitude; b) evaluation of the source to site distance and c) adoption of a suitable attenuation law to compute the expected PGA at the site, given the site condition and the design magnitude. The design magnitude can be: the maximum magnitude; the magnitude that causes the largest PGA, or both. The PGA values obtained are larger with respect to the 474 years return period PGA prescribed by NTC08 for the seismic design for ordinary buildings. We conducted a CPTU resistance test intended to define the CRR at the village of Cavezzo, situated in the epicentral area of the 2012 earthquake. The CRR/CSR ratio led to an elevated liquefaction risk at the analysed site. On the contrary the adoption of the 474 years return period PGA of the NTCO8 prescribed for Cavezzo site led to a negligible liquefaction risk. Note that very close to the investigated site several liquefaction phenomena were observed.

Different regional organisational models and the quality of health care: the case of coronary artery bypass graft surgery.

PubMed

Nobilio, Lucia; Ugolini, Cristina

2003-01-01

The Italian regions of Emilia-Romagna and Lombardy within the Italian National Health Service provide an opportunity to see if two different approaches to the organisation of care--one more hierarchical and planned, the other more competitive and market-like--influence its quality through examining the relationship between the number of coronary artery bypass grafts (CABGs) and the rate of in-hospital mortality using administrative data for the period 1996-1998. Descriptive statistics and logistic regression models were used. The volume-outcome relation was statistically significant in both regions (odds ratio 0.71, P < 0.0001). Although CABG performance in Emilia-Romagna was slightly poorer than in Lombardy (OR 1.22, P < 0.05), the potential advantage in terms of the reduced risk of death for patients treated at high-volume versus low-volume hospitals was significantly greater. In Emilia-Romagna, the average performance advantage of high-volume units was more substantial in the case of private accredited hospitals than public hospitals (OR = 0.50, P < 0.0001 versus OR = 0.64, P < 0.0001). In Lombardy, the performance advantage of concentrating CABG procedures was greater in private research hospitals (OR = 0.67, P < 0.0001), whereas results were not statistically significant for the other types of hospital, indicating a good level of performance in both public and private hospitals even at low volumes. This also partially explained the lower mortality rate observed in that region. The degree of hierarchical regionalisation versus market-like arrangements characterising the two systems produced contrasting effects in terms of the quality of CABG surgery. Lombardy's more competitive environment appeared to achieve better performance in terms of a slightly lower probability of adverse outcomes, in a system with no formal assessment of population need and very high per capita revascularisation rates. To improve performance in the more hierarchical system adopted in Emilia-Romagna would require considerable effort to increase CABG surgery in low-volume cardiac units, and to sharpen performance incentives.

[Mortality study of asbestos cement workers in Emilia-Romagna].

PubMed

Luberto, Ferdinando; Amendola, Plinio; Belli, Stefano; Bruno, Caterina; Candela, Silvia; Grignoli, Mario; Comba, Pietro

2004-01-01

The present study updates to 06/30/1998 the cohort mortality study of 3358 workers employed in 10 asbestos cement production plants in the Italian region Emilia-Romagna. The cohort includes 2712 males and 646 females. Overall mortality was significantly increased (SMR=131, IC95%:108-127). Excess mortality has been observed for all malignant neoplasms (SMR=131, IC95%: 115-149, 250 observed) and for respiratory diseases (SMR=153, IC: 105-216, 32 observed), 3 deaths due to asbestosis. Mortality for all respiratory tract neoplasms (SMR=179, IC: 148-215, 114 observed), pulmonary cancer (SMR=157, IC: 126-192, 90 observed) and pleural cancer (SMR=1922, IC: 1139-3038, 18 observed) are significantly increased. This study confirms the previous cohort study observation of increased mortality for all causes, all neoplasm and cancer affecting lungs and pleura.

The Seismotectonics of the Po Plain (Northern Italy): Tectonic Diversity in a Blind Faulting Domain

NASA Astrophysics Data System (ADS)

Vannoli, Paola; Burrato, Pierfrancesco; Valensise, Gianluca

2015-05-01

We present a systematic and updated overview of a seismotectonic model for the Po Plain (northern Italy). This flat and apparently quiet tectonic domain is, in fact, rather active as it comprises the shortened foreland and foredeep of both the Southern Alps and the Northern Apennines. Assessing its seismic hazard is crucial due to the concentration of population, industrial activities, and critical infrastructures, but it is also complicated because (a) the region is geologically very diverse, and (b) nearly all potential seismogenic faults are buried beneath a thick blanket of Pliocene-Pleistocene sediments, and thus can be investigated only indirectly. Identifying and parameterizing the potential seismogenic faults of the Po Plain requires proper consideration of their depth, geometry, kinematics, earthquake potential and location with respect to the two confronting orogens. To this end, we subdivided them into four main, homogeneous groups. Over the past 15 years we developed new strategies for coping with this diversity, resorting to different data and modeling approaches as required by each individual fault group. The most significant faults occur beneath the thrust fronts of the Ferrara-Romagna and Emilia arcs, which correspond to the most advanced and buried portions of the Northern Apennines and were the locus of the destructive May 2012 earthquake sequence. The largest known Po Plain earthquake, however, occurred on an elusive reactivated fault cutting the Alpine foreland south of Verona. Significant earthquakes are expected to be generated also by a set of transverse structures segmenting the thrust system, and by the deeper ramps of the Apennines thrusts. The new dataset is intended to be included in the next version of the Database of Individual Seismogenic Sources (DISS; http://diss.rm.ingv.it/diss/, version 3.2.0, developed and maintained by INGV) to improve completeness of potential sources for seismic hazard assessment.

Socioeconomic factors influencing childhood vaccination in two northern Italian regions.

PubMed

Anello, Paola; Cestari, Laura; Baldovin, Tatjana; Simonato, Lorenzo; Frasca, Gabriella; Caranci, Nicola; Grazia Pascucci, Maria; Valent, Francesca; Canova, Cristina

2017-08-24

Infant vaccination rates have been declining in Italy over the past 5-7years. The aims of this study were to assess the trend in the proportions of children unvaccinated at 24months old, to identify sociodemographic factors associated with non-vaccination; and to examine changes in parental attitudes to vaccination over time. We conducted a population-based birth cohort study by combining existing electronic data sets. The study population consisted of children born from 1995 to 2010 in the Friuli-Venezia Giulia (FVG) region, and from 2007 to 2011 in part of the Emilia Romagna (ER) region, in north-eastern Italy. The immunization registers were linked with the medical birth registers, which contain sociodemographic data on both parents and the newborn. Unconditional logistic regressions were used to identify associations between vaccine uptake at 24months and maternal sociodemographic variables. Of 145,571 babies born in FVG and 75,308 in ER, there were 4222 (1.9%) who had not been vaccinated at all, and 23,948 (11.0%) without the optional measles, mumps and rubella (MMR) vaccination. The number of unvaccinated infants increased over time. Mothers who were over 35 or under 25years old, unmarried, with a higher formal education, and citizens of highly-developed countries were less compliant with vaccination recommendations in both the regions. A cohort effect was observed in FVG, for both educational level and citizenship: babies born between 1995 and 2000 to mothers without an Italian citizenship and with a lower formal education were more likely to refuse vaccination for their offspring, while this association was reversed between 2006 and 2010. Mothers who are Italian citizens and have a good formal education have begun to refuse vaccination for their children in recent years. Future public health action in this setting should target highly educated parents. Copyright © 2017. Published by Elsevier Ltd.

Pitfalls of negationist approach in communicating induced seismicity hazard in Italy

NASA Astrophysics Data System (ADS)

Mucciarelli, Marco

2013-04-01

Italy is a country rich in hydropower, geothermal wells, extraction/reinjection of hydrocarbons, but surprisingly from 1964 to date only three papers have been published on the seismicity induced by dams, two on the problem of seismicity induced by reinjection of fluids and one that studies the effect on seismicity by the variation of the groundwater regime possibly caused by the excavation of a tunnel or by climate change. What has happened in Italy to cause this (at least apparent) disregard for the induced seismicity? We must go back to 1964, after the catastrophe of Vajont. In that year, prof. Caloi, then principal geophysicist of the National Institute of Geophysics published a work in which he noted as the start of the reservoir impounding gave rise to a sequence of induced seismicity in the same rock shoulder that later collapsed causing an inundation claiming more than 2000 casualties. Since then induced seismicity is a taboo, constantly downplayed by companies and utilities, dismissed as impossible or communicated with artifacts like the constant use of the prefix "micro-". The Emilia 2012 occurred close to a site that was selected for a gas storage facility in an (un)confined aquifer. Regional government denied permission due to the vicinity to an active fault and the question was still pending in front of the National authority in charge of licensing the plant when the earthquake occurred. The local residents, that were opposing the gas storage, misinterpreted the motivation of the denial of permission, understanding that the fault would became active only if the storage was working. Thus they concluded the the earthquake occurred because the company performed secret drillings. Badly informed journalists mounted the case, calling it a "fracking" operation. Incredible it may sound, the governor of the Emilia-Romagna region appointed an international commission charged to investigate the relationship between drillings (not storage) and earthquakes. In the meantime, the L'Aquila sentence convinced the population that all the seismologists are corrupted, politically-linked flunkeys. Other hydrocarbons operation are now strongly opposed by residents and even geothermal projects, once hailed as eco-friendly, are blocked by local authorities on the base that "any drilling will cause earthquakes". The fact that there are not reliable expert in the field of induced seismicity is making things difficult to resolve, since no opinion is considered trustworthy.

Diagnosis and treatment of rheumatoid arthritis in the Emilia Romagna region: a prospective population-based study.

PubMed

Addimanda, Olga; Marino, Massimiliano; Farina, Ilaria; Trevisani, Marica; Arrigoni, Eugenio; Lumetti, Federica; Crescentini, Filippo; Sambo, Paola; Bezzi, Alessandra; Bruschi, Marco; Santilli, Daniele; Reta, Massimo; Bosi, Simona; Delsante, Giovanni; Girelli, Francesco; Montaguti, Luca; Meliconi, Riccardo; Sebastiani, Marco; Ferri, Clodoveo; Malavolta, Nazzarena; Govoni, Marcello; Trombetti, Susanna; De Palma, Rossana; Salvarani, Carlo

2017-01-01

To perform a population-based study in rheumatoid arthritis (RA) patients, in order to evaluate the efficacy and safety of pharmacologic treatments. 1087 patients with RA were enrolled; inclusion criteria were: newly diagnosed RA, already diagnosed RA with high disease activity (HDA) (DAS28≥4.2) starting biologic DMARDs (bDMARDs), already diagnosed RA with HDA continuing with conventional DMARDs (cDMARDs). The following data were collected: demographics, clinical and laboratory features, imaging and prescribed drugs. All parameters except immunology and imaging (performed yearly) were repeated at each follow-up evaluations (after 3, 6 and 12 months, and thereafter every 12 months). In order to evaluate clinical response, the EULAR response criteria were used as the gold standard. 414 (38.1%) newly diagnosed patients with RA, 477 (43.9%) RA patients who started bDMARDs and 196 (18.0%) RA patients who continued with cDMARDs were enrolled from April 2012 to March 2015 at 12 Rheumatology Centres in the Emilia Romagna Region. Statistical analyses showed a relative risk ratio (RRR) for moderate response of 1.65 in RA patients who started bDMARDs (p=0.16) and 2.49 for newly diagnosed RA (p=0.01). Sex, age and Health Assessment Questionnaire were not statistically significant. A RRR of 2.00 has been confirmed for RA patients who started bDMARDs (p<0.0005) for a good response as well as 2.20 for newly diagnosed RA (p<0.0005). An increase in adverse events among bDMARDs was found, but when looking at infections or neoplasia, no differences were highlighted between RA which started bDMARDs and RA who continued with cDMARDs. Our results are in line with already published papers from British and Swedish Registries: a greater likelihood to have a good response is demonstrated for not longstanding RA starting cDMARDs or RA with HDA when a bDMARD is started. Also a good safety profile is demonstrated.

Land Subsidence International Symposium held in Venice

NASA Astrophysics Data System (ADS)

The Third International Symposium on Land Subsidence was held March 18-25, 1984, in Venice, Italy. Sponsors were the Ground-Water Commission of the International Association of Hydrological Sciences (IAHS), the United Nations Educational, Scientific, and Cultural Organization (UNESCO), the Italian National Research Council (CNR), the Italian Regions of Veneto and Emilia-Romagna, the Italian Municipalities of Venice, Ravenna, and Modena, the Venice Province, and the European Research Office. Cosponsors included the International Association of Hydrogeologists (IAH), the International Society for Soil Mechanics and Foundation Engineering (ISSMFE), and the Association of Geoscientists for International Development (AGID).Organized within the framework of UNESCO's International Hydrological Program, the symposium brought together over 200 international interdisciplinary specialists in the problems of land subsidence due to fluid and mineral withdrawal. Because man's continuing heavy development of groundwater, gas, oil, and minerals is changing the natural regime and thus causing more and more subsiding areas in the world, there had been sufficient new land subsidence occurrence, problems, research, and remedial measures since the 1976 Second International Symposium held in Anaheim, California, to develop a most interesting program of nearly 100 papers from about 30 countries. The program consisted of papers covering case histories of fluid and mineral withdrawal, engineering theory and analysis, karst “sink-hole”-type subsidence, subsidence due to dewatering of organic deposits or due to application of water (hydrocompaction), instrumentation, legal, socioeconomic, and environmental effects of land subsidence, and remedial works.

Discourses of Merit. The Hot Potato of Teacher Evaluation in Italy

ERIC Educational Resources Information Center

Barzanò, Giovanna; Grimaldi, Emiliano

2013-01-01

Italy is well known for its difficulty in introducing any educational evaluation system. This paper explores the dynamics which occurred in Italy in 2010-2011, within the context of the umpteenth national pilot of school and staff evaluation. Our research object is an unfinished project, observed in its development. We get close to the struggles…

Testing coastal DRR in current and climate change scenarios - Artificial winter dune system in a highly touristic beach in the Northern Adriatic.

NASA Astrophysics Data System (ADS)

Duo, Enrico; Armaroli, Clara

2017-04-01

Artificial dunes are common features built along the coast of the Emilia-Romagna region (Italy) that act as temporary protections during the stormy season in order to prevent damages and inundation to the structures located on the backshore. The RER coast is in fact characterised by low sandy beaches that are exploited for tourism and where beach huts are permanently present on the rear part of the beach. While scientists and regional managers already provided proofs of the capacity of the artificial dunes to lower the hazard component, any study has never investigated their direct impacts in the current (CS) and climate change scenarios (CCS). The RISC-KIT project (www.risckit.eu) provided a methodology for testing DRRs at local level integrating hydro-morphological numerical modelling with a Bayesian Network to assess the consequences of extreme events for different scenarios. The approach was applied at the beach of Lido degli Estensi and Spina (Comacchio, Italy) in the Emilia-Romagna coast. It is a highly touristic area with concessions directly facing the sea, providing sun-and-beach tourism services during summer time, and private residences, commercial activities and hotels at the seafront. The flooding and erosion hazards were analyzed, along with their impacts. A 2DH XBeach model was built and forced with a large number of triangular storms, representative of many different representative combinations of waves' and total water level's ranges observed at regional level. Flooding and erosion results were input into a Bayesian Network which included, as feeding variables categories, deep water boundary conditions (including the CCS trigger), receptors (type and location of assets at the coast), hazard intensity affecting the receptors, impacts and DRR. Therefore, it was possible to integrate a flood damage curve and an erosion potential damage function for the analyzed receptors (beach concessions and residential/commercial buildings), in order to calculate the direct impacts. The artificial dune system was implemented, as representative of the DRR scenario, modifying the topography through the DuneMaker 2.0 Matlab tool. The CCS was implemented through a predicted RSLR under RCP8.52050. The results evidenced that the DRR positively influenced both flooding and erosion hazard intensities distributions. The impacts for the CS showed that, potentially: 20% of residential and commercial buildings and 90% of concessions will be preserved from flood impacts; more than 50% of concessions will be preserved from erosion impacts. The impacts of the CCS evidenced that, potentially: 65% of residential and commercial buildings and 95% of concessions will be preserved from flood impacts; more than 30% of concessions will be preserved from erosion. The positive effect on coastal extreme storm impacts of the implementation of the artificial dunes was evidenced and quantified in comparison with current and climate change scenarios without any DRR implemented. Ongoing studies on the artificial winter dunes, comparing field drone observations and numerical modelling, are being implemented starting from October 2016. Besides, the methodology, if properly adapted, can be applied for any type of DRR, as demonstrated by the RISC-KIT project. It is able to help managers in comparing DRR solutions or strategic alternatives.

Proposing priorities of intervention for the recovery of native fish populations using hierarchical ranking of environmental and exotic species impact.

PubMed

Aschonitis, V G; Gavioli, A; Lanzoni, M; Fano, E A; Feld, C; Castaldelli, G

2018-03-15

The freshwater populations of native fish species (Ns) have reached critical levels in many parts of the world due to combined habitat deterioration by human interventions and exotic fish species (Es) invasions. These alarming conditions require combined and well-designed interventions for restoring environmental quality and restricting Es invasion. The aim of the study is to propose a method to design spatially explicit priorities of intervention for the recovery of Ns populations in highly impacted freshwater systems by exotic multi-species invasion and water quality (WQ) degradation. WQ and Es are used as Ns descriptors, which require intervention. The method uses gradient analysis (ordination method of Canonical Correspondence Analysis) for assessing the weights of Ns descriptors' effects, which are further used to develop weighted severity indices; the severity index of WQ (Swq) and Es invasion (Se), respectively. Swq and Se are further merged to one combined total severity index St. The proposed method provides a) a ranking of the sites, based on the values of S t , which denotes the priority for combined intervention in space and can be visualized in maps, b) a ranking of the most important Ns descriptors for each site to perform site-specific interventions, and c) Es rankings based on their potential threat on Ns for species-specific interventions. WQ, Es and Ns data from 208 sampling sites located in the Emilia-Romagna Region (Northern Italy) were used as a case study for the presentation of the proposed method. The application of the method showed that the north and northwestern lowland areas of Emilia-Romagna region presented the higher priority for intervention since the Ns of these areas are the most impacted from combined Es invasions and WQ degradation. Specific Es belonging to cyprinids, which are mostly responsible for the decline of aquatic vegetation and the increase of water turbidity, and a top Es predator (Wels catfish) were mostly present in these areas. Additionally, the most important WQ stressors of Ns were found to be COD, BOD and temperature that are all connected to oxygen depletion. The aforementioned conditions in the areas described by high priority for intervention can be used as a basis for the development of specific Ns conservation practices targeting the containment of the most harmful Es, the restoration of aquatic vegetation and the improvement of oxygen conditions. Copyright © 2018 Elsevier Ltd. All rights reserved.

Compulsory and recommended vaccination in Italy: evaluation of coverage and non-compliance between 1998-2002 in Northern Italy

PubMed Central

Stampi, Serena; Ricci, Rita; Ruffilli, Isa; Zanetti, Franca

2005-01-01

Background Since vaccinations are an effective prevention tool for maintaining the health of society, the monitoring of immunization coverage allows us to identify areas where disease outbreaks are likely to occur, and possibly assist us in predicting future outbreaks. The aim of this study is the investigation of the coverage achieved for compulsory (diphtheria, tetanus, polio, hepatitis B,) and recommended (pertussis, Haemophilus influenzae, measles-mumps-rubella) vaccinations between 1998 and 2002 in the municipality of Bologna and the identification of the subjects not complying with compulsory and recommended vaccinations. Methods The statistics regarding vaccinal coverage were elaborated from the data supplied by the Bologna vaccinal registration system (1998–2000) and the IPV4 program (2001–2002). To calculate the coverage for compulsory vaccinations and cases of non-compliance reference was made to the protocol drawn up by the Emilia Romagna Regional Administration. The reasons for non-compliance were divided into various categories Results In Bologna the levels of immunization for the four compulsory vaccinations are satisfactory: over 95% children completed the vaccinal cycle, receiving the booster for anti-polio foreseen in their 3rd year and for anti-dyphteria, tetanus, pertussis at 6 years. The frequency of subjects with total non-compliance (i.e. those who have not begun any compulsory vaccinations by the age of one year) is generally higher in Bologna than in the region, with a slight increase in 2002 (2.52% and 1.06% in the city and the region respectively). The frequency of the anti-measles vaccination is higher than that of mumps and rubella, which means that the single vaccine, as opposed to the combined MMR (measles-mumps-rubella) was still being used in the period in question. The most common reason for non compliance is objection of parents and is probably due to reduction of certain diseases or anxiety about the possible risks. Conclusion In Bologna the frequency of children aged 12 and 24 months who have achieved compulsory vaccination varied, in 2002, between 95% and 98%. As regards recommended vaccinations the percentage of coverage against Haemophilus influenzae is 93.3%, while the levels for measles, mumps and pertussis range from 84% to approx. 92%. Although these percentages are higher if compared to those obtained by other Italian regions, every effort should be made to strengthen the aspects that lead to a successful vaccinal strategy. PMID:15845144

Regular monitoring of breast-feeding rates: feasible and sustainable. The Emilia-Romagna experience.

PubMed

Di Mario, Simona; Borsari, Silvana; Verdini, Eleonora; Battaglia, Sergio; Cisbani, Luca; Sforza, Stefano; Cuoghi, Chiara; Basevi, Vittorio

2017-08-01

An efficient breast-feeding monitoring system should be in place in every country to assist policy makers and health professionals plan activities to reach optimal breast-feeding rates. Design/Setting/Subjects From March to June 2015, breast-feeding rates at 3 and 5 months of age were monitored in Emilia-Romagna, an Italian region, using four questions added to a newly developed paediatric immunization database with single records for each individual. Data were collected at primary-care centres. Breast-feeding definitions and 24 h recall as recommended by the WHO were used. Direct age standardization was applied to breast-feeding rates. Record linkage with the medical birth database was attempted to identify maternal, pregnancy and delivery factors associated with full breast-feeding rates at 3 and 5 months of age. Data on breast-feeding were collected for 14044 infants. The mean regional full breast-feeding rate at 3 months was 52 %; differences between local health authorities ranged from 42 to 62 %. At 5 months of age, the mean regional full breast-feeding rate dropped to 33 % (range between local health authorities: 26 to 46 %). Record linkage with the birth certificate database was successful for 93 % of records. Total observations more than doubled with respect to the previous regional survey. The new monitoring system implemented in 2015 in Emilia-Romagna region, totally integrated with the immunization database, has proved to be feasible, sustainable and more efficient than the previous one. This system can be a model for other regions and countries where the vast majority of mothers obtain vaccinations from public health facilities and that already have an immunization database in place.

Cancer prevalence in Italian cancer registry areas: the ITAPREVAL study. ITAPREVAL Working Group.

PubMed

Micheli, A; Francisci, S; Krogh, V; Rossi, A G; Crosignani, P

1999-01-01

To present data on cancer prevalence for the areas covered by Italian cancer registries, by using a standardized set of data collection and elaboration criteria, and a single method of data analysis. Data on over 250,000 patients with cancer, diagnosed between 1978 and 1992, from 11 Italian cancer registries covering about 12% of the Italian population were collected, validated and analyzed according to the unified protocol of the ITAPREVAL project. The method implemented in the PREVAL computer program was used to provide prevalence estimates for the period covered by cancer registration. The total prevalence for each registry and for the pool of all registries was then estimated by correcting for incomplete observations due to the period in which the registration was not yet activated. All prevalence estimates were for 1992. Prevalence figures are presented by cancer site, age, sex, years from diagnosis and registry area. For all malignancies combined, total prevalence ranged from 1,350 per 100,000 inhabitants in Ragusa to 3,650 per 100,000 inhabitants in Romagna, the ratio between these two extremes being 2.7. For the pool of the areas covered by registration cancer prevalence was 3,100 per 100,000 females and 2,250 per 100,000 males. About a third of the total female cases and about half the male cases were diagnosed in the previous five years. Among those aged over 75 years, total prevalence was higher for males than for females: 11,300 versus 8,900 per 100,000 respectively. This is the first large-scale estimate of the burden of cancer in Italy. It is also one of the first studies in the world which was aimed to study cancer prevalence in detail. These data are necessary for predicting health service needs and help in the evaluation of differences in health service demand by sex, age and Italian regions.

Enhance knowledge on sustainable use of plant protection products within the framework of the sustainable use directive.

PubMed

Calliera, Maura; Berta, Fabio; Galassi, Tiziano; Mazzini, Floriano; Rossi, Rossana; Bassi, Roberto; Meriggi, Pierluigi; Bernard, Alfredo; Marchis, Alex; Di Guardo, Andrea; Capri, Ettore

2013-08-01

In 2008-2009, a survey in the Emilia Romagna region of Italy collected information on the farm use of plant protection products (PPPs) and evaluated whether the provisions of the Directive for the Sustainable Use of Pesticides are applicable. It was concluded that the provisions can be implemented, even if some gaps need to be filled and also the behaviour of farmers needs to be improved. Moreover, it was observed that all stages in the use of PPPs on farms could generate risks for the operator and/or the environment. One of the recommendations is to promote training for operators and to adopt good agronomic practices in order to improve sustainable use of PPPs. The findings were used, in the following years, to develop a Guideline for Sustainable Use of PPPs to help the user in identifying the flaws in current practices at farm level as well as their corresponding corrective actions. The Guidelines are accompanied by free online software to be used as a diagnostic tool as well as to provide recommendations for improvements. The approach adopted, taking into account the variability in farm structure, cropping pattern, risk attitude and economic availability, is not an instrument to identify the most suitable protection strategy for a given crop in a given period, but to help professional users to improve their practices in managing PPPs on farms and to make the most appropriate choices leading to reduced environmental and human risk, without compromising the profitability of agricultural production and food standards. This work has, as an underlying principle, a holistic approach to link the different elements of the three pillars of sustainability (environment, economy and society) and to enhance knowledge, which represents one of the main aspects of the Directive. © 2013 Society of Chemical Industry.

Probabilistic versus deterministic hazard assessment in liquefaction susceptible zones

NASA Astrophysics Data System (ADS)

Daminelli, Rosastella; Gerosa, Daniele; Marcellini, Alberto; Tento, Alberto

2015-04-01

Probabilistic seismic hazard assessment (PSHA), usually adopted in the framework of seismic codes redaction, is based on Poissonian description of the temporal occurrence, negative exponential distribution of magnitude and attenuation relationship with log-normal distribution of PGA or response spectrum. The main positive aspect of this approach stems into the fact that is presently a standard for the majority of countries, but there are weak points in particular regarding the physical description of the earthquake phenomenon. Factors like site effects, source characteristics like duration of the strong motion and directivity that could significantly influence the expected motion at the site are not taken into account by PSHA. Deterministic models can better evaluate the ground motion at a site from a physical point of view, but its prediction reliability depends on the degree of knowledge of the source, wave propagation and soil parameters. We compare these two approaches in selected sites affected by the May 2012 Emilia-Romagna and Lombardia earthquake, that caused widespread liquefaction phenomena unusually for magnitude less than 6. We focus on sites liquefiable because of their soil mechanical parameters and water table level. Our analysis shows that the choice between deterministic and probabilistic hazard analysis is strongly dependent on site conditions. The looser the soil and the higher the liquefaction potential, the more suitable is the deterministic approach. Source characteristics, in particular the duration of strong ground motion, have long since recognized as relevant to induce liquefaction; unfortunately a quantitative prediction of these parameters appears very unlikely, dramatically reducing the possibility of their adoption in hazard assessment. Last but not least, the economic factors are relevant in the choice of the approach. The case history of 2012 Emilia-Romagna and Lombardia earthquake, with an officially estimated cost of 6 billions Euros, shows that geological and geophysical investigations necessary to assess a reliable deterministic hazard evaluation are largely justified.

Safety assessment of historical masonry churches based on pre-assigned kinematic limit analysis, FE limit and pushover analyses

DOE Office of Scientific and Technical Information (OSTI.GOV)

Milani, Gabriele, E-mail: milani@stru.polimi.it; Valente, Marco, E-mail: milani@stru.polimi.it

2014-10-06

This study presents some results of a comprehensive numerical analysis on three masonry churches damaged by the recent Emilia-Romagna (Italy) seismic events occurred in May 2012. The numerical study comprises: (a) pushover analyses conducted with a commercial code, standard nonlinear material models and two different horizontal load distributions; (b) FE kinematic limit analyses performed using a non-commercial software based on a preliminary homogenization of the masonry materials and a subsequent limit analysis with triangular elements and interfaces; (c) kinematic limit analyses conducted in agreement with the Italian code and based on the a-priori assumption of preassigned failure mechanisms, where themore » masonry material is considered unable to withstand tensile stresses. All models are capable of giving information on the active failure mechanism and the base shear at failure, which, if properly made non-dimensional with the weight of the structure, gives also an indication of the horizontal peak ground acceleration causing the collapse of the church. The results obtained from all three models indicate that the collapse is usually due to the activation of partial mechanisms (apse, façade, lateral walls, etc.). Moreover the horizontal peak ground acceleration associated to the collapse is largely lower than that required in that seismic zone by the Italian code for ordinary buildings. These outcomes highlight that structural upgrading interventions would be extremely beneficial for the considerable reduction of the seismic vulnerability of such kind of historical structures.« less

Multitemporal mapping of peri-urban carbon stocks and soil sealing from satellite data.

PubMed

Villa, Paolo; Malucelli, Francesco; Scalenghe, Riccardo

2018-01-15

Peri-urbanisation is the expansion of compact urban areas towards low-density settlements. This phenomenon directly challenges the agricultural landscape multifunctionality, including its carbon (C) storage capacity. Using satellite data, we mapped peri-urban C stocks in soil and built-up surfaces over three areas from 1993 to 2014 in the Emilia-Romagna region, Italy: a thinly populated area around Piacenza, an intermediate-density area covering the Reggio Emilia-Modena conurbation and a densely anthropized area developing along the coast of Rimini. Satellite-derived maps enabled the quantitative analysis of spatial and temporal features of urban growth and soil sealing, expressed as the ratio between C in built-up land and organic C in soils (Cc/Co). The three areas show substantial differences in C stock balance and soil sealing evolution. In Piacenza (Cc/Co=0.07 in 1993), although questioned by late industrial expansion and connected residential sprawl (Cc/Co growth by 38%), most of the new urbanisation spared the best rural soils. The Reggio Emilia-Modena conurbation, driven by the polycentricism of the area and the heterogeneity of economic sectors (Cc/Co rising from 0.08 to 0.14 from 1993 to 2014), balances sprawl and densification. Rimini, severely sealed since the 1960s (Cc/Co=0.23 in 1993), densifies its existing settlements and develops an industrial expansion of the hinterland, with Cc/Co growth accelerating from +15% before 2003 to +36% for the last decade. Copyright © 2017 Elsevier B.V. All rights reserved.

Feasibility and effectiveness of a low cost campaign on antibiotic prescribing in Italy: community level, controlled, non-randomised trial.

PubMed

Formoso, Giulio; Paltrinieri, Barbara; Marata, Anna Maria; Gagliotti, Carlo; Pan, Angelo; Moro, Maria Luisa; Capelli, Oreste; Magrini, Nicola

2013-09-12

To test the hypothesis that a multifaceted, local public campaign could be feasible and influence antibiotic prescribing for outpatients. Community level, controlled, non-randomised trial. Provinces of Modena and Parma in Emilia-Romagna, northern Italy, November 2011 to February 2012. 1,150,000 residents of Modena and Parma (intervention group) and 3,250,000 residents in provinces in the same region but where no campaign had been implemented (control group). Campaign materials (mainly posters, brochures, and advertisements on local media, plus a newsletter on local antibiotic resistance targeted at doctors and pharmacists). General practitioners and paediatricians in the intervention area participated in designing the campaign messages. Primary outcome was the average change in prescribing rates of antibiotics for outpatient in five months, measured as defined daily doses per 1000 inhabitants/day, using health districts as the unit of analysis. Antibiotic prescribing was reduced in the intervention area compared with control area (-4.3%, 95% confidence interval -7.1% to -1.5%). This result was robust to "sensitivity analysis" modifying the baseline period from two months (main analysis) to one month. A higher decrease was observed for penicillins resistant to β lactamase and a lower decrease for penicillins susceptible to β lactamase, consistent with the content of the newsletter on antibiotic resistance directed at health professionals. The decrease in expenditure on antibiotics was not statistically significant in a district level analysis with a two month baseline period (main analysis), but was statistically significant in sensitivity analyses using either a one month baseline period or a more powered doctor level analysis. Knowledge and attitudes of the target population about the correct use of antibiotics did not differ between the intervention and control areas. A local low cost information campaign targeted at citizens, combined with a newsletter on local antibiotic resistance targeted at doctors and pharmacists, was associated with significantly decreased total rates of antibiotic prescribing but did not affect the population's knowledge and attitudes about antibiotic resistance. ClinicalTrials.gov NCT01604096.

The Chikungunya epidemic in Italy and its repercussion on the blood system.

PubMed

Liumbruno, Giancarlo Maria; Calteri, Deanna; Petropulacos, Kyriakoula; Mattivi, Andrea; Po, Claudio; Macini, Pierluigi; Tomasini, Ivana; Zucchelli, Paolo; Silvestri, Anna Rita; Sambri, Vittorio; Pupella, Simonetta; Catalano, Liviana; Piccinini, Vanessa; Calizzani, Gabriele; Grazzini, Giuliano

2008-10-01

The Chikungunya virus (CHIKV) is transmitted by Aedes mosquitoes and recently caused a massive epidemic on La Réunion Island, in the Indian Ocean. Between July and September 2007 it caused the first autochthonous epidemic outbreak in Europe, in the Region of Emilia-Romagna in the north-east of Italy. After the first reports of an unusually high number of patients with a febrile illness of unknown origin in two contiguous villages, an outbreak investigation was carried out to identify the primary source of infection, the modes of transmission and the dynamics of the epidemic. An active surveillance system was also implemented. Laboratory diagnosis was performed through serology and polymerase chain reaction (PCR) analysis. Blood donation was discontinued in the areas involved from September to October 2007 and specific precautionary blood safety and self-sufficiency measures were adopted by the regional health and blood authorities and the National Blood Centre. An estimate method to early assess the risk of viraemic blood donations by asymptomatic donors was developed, as a tool for "pragmatic" risk assessment and management, aiming at providing a reliable order of magnitude of the mean risk of CHIKV transmission through blood transfusion. Two hundred and seventeen cases of CHIKV infection were identified between 4th July and 28th September. The disease was fairly mild in most of the cases. The precautionary measures adopted in the blood system caused a considerable reduction of the collection of blood components and of the delivery of plasma to the pharmaceutical industry for contract manufacturing. The estimated risk of CHIKV transmission through blood transfusion peaked in the third week of August. ACHIKV epidemic poses considerable problems for public health authorities, who not only need good routine programmes of vector control and epidemiological surveillance but also local and national emergency plans to sustain the blood supply, so as to promptly deal with the potentially severe effects of an epidemic outbreak, especially when affected areas locally require a significant blood inventory and at the same time represent a critical resource for other areas depending on external supplies of blood components.

Pattern of care and effectiveness of treatment for glioblastoma patients in the real world: Results from a prospective population-based registry. Could survival differ in a high-volume center?

PubMed Central

Brandes, Alba A.; Franceschi, Enrico; Ermani, Mario; Tosoni, Alicia; Albani, Fiorenzo; Depenni, Roberta; Faedi, Marina; Pisanello, Anna; Crisi, Girolamo; Urbini, Benedetta; Dazzi, Claudio; Cavanna, Luigi; Mucciarini, Claudia; Pasini, Giuseppe; Bartolini, Stefania; Marucci, Gianluca; Morandi, Luca; Zunarelli, Elena; Cerasoli, Serenella; Gardini, Giorgio; Lanza, Giovanni; Silini, Enrico Maria; Cavuto, Silvio; Baruzzi, Agostino

2014-01-01

Background As yet, no population-based prospective studies have been conducted to investigate the incidence and clinical outcome of glioblastoma (GBM) or the diffusion and impact of the current standard therapeutic approach in newly diagnosed patients younger than aged 70 years. Methods Data on all new cases of primary brain tumors observed from January 1, 2009, to December 31, 2010, in adults residing within the Emilia-Romagna region were recorded in a prospective registry in the Project of Emilia Romagna on Neuro-Oncology (PERNO). Based on the data from this registry, a prospective evaluation was made of the treatment efficacy and outcome in GBM patients. Results Two hundred sixty-seven GBM patients (median age, 64 y; range, 29–84 y) were enrolled. The median overall survival (OS) was 10.7 months (95% CI, 9.2–12.4). The 139 patients ≤aged 70 years who were given standard temozolomide treatment concomitant with and adjuvant to radiotherapy had a median OS of 16.4 months (95% CI, 14.0–18.5). With multivariate analysis, OS correlated significantly with KPS (HR = 0.458; 95% CI, 0.248–0.847; P = .0127), MGMT methylation status (HR = 0.612; 95% CI, 0.388–0.966; P = .0350), and treatment received in a high versus low-volume center (HR = 0.56; 95% CI, 0.328–0.986; P = .0446). Conclusions The median OS following standard temozolomide treatment concurrent with and adjuvant to radiotherapy given to (72.8% of) patients aged ≤70 years is consistent with findings reported from randomized phase III trials. The volume and expertise of the treatment center should be further investigated as a prognostic factor. PMID:26034628

Epizootic haemorrhagic disease in Italy: vector competence of indigenous Culicoides species and spatial multicriteria evaluation of vulnerability.

PubMed

Federici, Valentina; Ippoliti, Carla; Catalani, Monica; Di Provvido, Andrea; Santilli, Adriana; Quaglia, Michela; Mancini, Giuseppe; Di Nicola, Francesca; Di Gennaro, Annapia; Leone, Alessandra; Teodori, Liana; Conte, Annamaria; Savini, Giovanni

2016-09-30

Epizootic haemorrhagic disease (EHD) is an infectious non-contagious viral disease transmitted by Culicoides, which affects wild and domestic ruminants. The disease has never been reported in Europe, however recently outbreaks of EHD occurred in the Mediterranean Basin. Consequently, the risk that Epizootic haemorrhagic disease virus (EHDV) might spread in Italy cannot be ignored. The aim of this study was to evaluate the risk of EHDV transmission in Italy, in case of introduction, through indigenous potential vectors. In Italy, the most spread and abundant Culicoides species associated to livestock are Culicoides imicola and the members of the Obsoletus complex. Culicoides imicola is a competent vector of EHDV, whereas the vector status of the Obsoletus complex has not been assessed yet. Thus, its oral susceptibility to EHDV was here preliminary evaluated. To evaluate the risk of EHDV transmission a geographical information system-based Multi-Criteria Evaluation approach was adopted. Distribution of vector species and host density were used as predictors of potential suitable areas for EHDV transmission, in case of introduction in Italy. This study demonstrates that the whole peninsula is suitable for the disease, given the distribution and abundance of hosts and the competence of possible indigenous vectors.

[Census 2004 of the Italian Renal and Dialysis Units. Emilia-Romagna, Toscana].

PubMed

Lusenti, T; Santoro, A; Cappelli, G; Cagnoli, L; Moriconi, L; Rindi, P; Lippi, A; Alloatti, S

2006-01-01

The 2004 SIN census of the Italian nephrology and dialysis centres showed many interesting data about the epidemiology and the organization in the Regions of Emilia-Romagna (ER) and Tuscany (T). A) Epidemiology: incidence of dialysis patients 169 pmp (patients per million population) in ER, 147 ppm in T; prevalence of dialysis patients 639 pmp and 665 pmp, respectively; prevalence of transplanted patients 325 ppm in ER and 233 pmp in T; gross mortality of dialysis patients 16.3% and 13.4%, respectively; B) Type of vascular access in prevalently dialysis patients: arteriovenous fistula 83% and 78%; central venous catheter 13% and 12%; vascular graft 5% and 9%. C) Structural resources: nephrology beds 44 mp (per million population) and 50 mp; dialysis places 157 and 146 mp. D) Personnel resources : renal physicians 29 and 41 mp; renal nurses 171 and 202 mp ; each renal physician cares for 22 and 16 dialysis patients, and each renal nurse takes care of 3.7 and 3.3 dialysis patients. E) Activity: hospital admissions 1572, 1769 pmp; renal biopsies 115 and 166 pmp.

Monitoring of land subsidence in Ravenna Municipality using two different DInSAR techniques: comparison and discussion of the results.

NASA Astrophysics Data System (ADS)

Fiaschi, Simone; Di Martire, Diego; Tessitore, Serena; Achilli, Vladimiro; Ahmed, Ahmed; Borgstrom, Sven; Calcaterra, Domenico; Fabris, Massimo; Ramondini, Massimo; Serpelloni, Enrico; Siniscalchi, Valeria; Floris, Mario

2015-04-01

Land subsidence affecting the Ravenna Municipality (Emilia Romagna Region, NE Italy) is one of the best example on how the exploitation of natural resources can affect the environment and the territory. In fact, the pumping of groundwater and the extraction of gas from both on and off-shore reservoirs, started in the 1950s, have caused a strong land subsidence affecting most of the Emilia Romagna territory but in particular the Adriatic Sea coastline near Ravenna. In such area the current subsidence rate, even if lower than in the past, can reach the -2cm/y. Local Authorities have monitored this phenomenon over the years with different techniques: spirit levelling, GPS surveys and, more recently, Interferometric Synthetic Aperture Radar (InSAR) techniques, confirming the critical situation of land subsidence risk. In this work, we present the comparison between the results obtained with two different DInSAR techniques applied to the study of the land subsidence in the Ravenna territory: the Small Baseline Subset (SBAS) and the Coherent Pixel Technique (CPT) techniques. The SBAS works on SARscape software and is based on the Berardino et al., 2002 algorithm. This technique relies on the combination of differential interferograms created from stacks of SAR image pairs that have small temporal and perpendicular baselines. Thanks to the application of several interferograms for every single image, it is possible to obtain high spatial coherence, high data density and more effective error reduction. This allows us to obtain mean velocity maps with good data density even over non-urbanized territories. For the CPT we used the SUBsoft processor based on the algorithm implemented by Mora et al., 2003. CPT is able to extract from a stack of differential interferograms the deformation evolution over wide areas during large time spans. The processing scheme is composed of three main steps: a) the generation of the best interferogram set among all the available images of the zone under study; b) the selection of the pixels with reliable phase within the employed interferograms and, c) their phase analysis to calculate, as the main result, their deformation time series within the observation period. For this study, different SAR images have been used: 25 meters ground resolution ERS 1/2 (1992-2000) and ENVISAT (2003-2010), and 3 meters ground resolution TerraSAR-X (2012-2014). The results obtained for each stack of images with the two techniques are validated and compared with the C-GPS time series of more than three benchmarks stations. The aim is to test the two InSAR techniques in the monitoring of ground settlements in low urbanized territories. Furthermore, we have investigated the advantages (data accuracy and density) of using SAR images with higher ground resolution.

3D Architecture and evolution of the Po Plain-Northern Adriatic Foreland basin during Plio-Pleistocene time

NASA Astrophysics Data System (ADS)

Amadori, Chiara; Toscani, Giovanni; Ghielmi, Manlio; Maesano, Francesco Emanuele; D'Ambrogi, Chiara; Lombardi, Stefano; Milanesi, Riccardo; Panara, Yuri; Di Giulio, Andrea

2017-04-01

The Pliocene-Pleistocene tectonic and sedimentary evolution of the eastern Po Plain and northern Adriatic Foreland Basin (PPAF) (extended ca. 35,000 km2) was the consequence of severe Northern Apennine compressional activity and climate-driven eustatic changes. According with the 2D seismic interpretation, facies analysis and sequence stratigraphy approach by Ghielmi et al. (2013 and references therein), these tectono-eustatic phases generated six basin-scale unconformities referred as Base Pliocene (PL1), Intra-Zanclean (PL2), Intra-Piacenzian (PL3), Gelasian (PL4), Base Calabrian (PS1) and Late Calabrian (PS2). We present a basin-wide detailed 3D model of the PPAF region, derived from the interpretation of these unconformities in a dense network of seismic lines (ca. 6,000 km) correlated with more than 200 well stratigraphies (courtesy of ENI E&P). The initial 3D time-model has been time-to-depth converted using the 3D velocity model created with Vel-IO 3D, a tool for 3D depth conversions and then validated and integrated with depth domain dataset from bibliography and well log. Resultant isobath and isopach maps are produced to inspect step-by-step the basin paleogeographic evolution; it occurred through alternating stages of simple and fragmented foredeeps. Changes in the basin geometry through time, from the inner sector located in the Emilia-Romagna Apennines to the outermost region (Veneto and northern Adriatic Sea), were marked by repeated phases of outward migration of two large deep depocenters located in front of Emilia arcs on the west, and in front of Ferrara-Romagna thrusts on the east. During late Pliocene-early Pleistocene, the inner side of the Emilia-Romagna arcs evolved into an elongated deep thrust-top basin due to a strong foredeep fragmentation then, an overall tectono-stratigraphic analysis shows also a decreasing trend of tectonic intensity of the Northern Apennine since Pleistocene until present.

Climate change, variability and extreme events : risk assessment and management strategies in a Peach cultivated area in Italy.

NASA Astrophysics Data System (ADS)

Alfieri, Silvia Maria; De Lorenzi, Francesca; Basile, Angelo; Bonfante, Antonello; Missere, Daniele; Menenti, Massimo

2014-05-01

Climate change in Mediterranean area is likely to reduce precipitation amounts and to increase temperature thus affecting the timing of development stages and the productivity of crops. Further, extreme weather events are expected to increase in the future leading to significant increase in agricultural risk. Some strategies for effectively managing risks and adapting to climate change involve adjustments to irrigation management and use of different varieties. We quantified the risk on Peach production in an irrigated area of "Emilia Romagna" region ( Italy) taking into account the impact on crop yield due to climate change and variability and to extreme weather events as well as the ability of the agricultural system to modulate this impact (adaptive capacity) through changes in water and crop management. We have focused on climatic events causing insufficient water supply to crops, while taking into account the effect of climate on the duration and timing of phenological stages. Further, extreme maximum and minimum temperature events causing significant reduction of crop yield have been considered using phase-specific critical temperatures. In our study risk was assessed as the product of the probability of a damaging event (hazard), such as drought or extreme temperatures, and the estimated impact of such an event (vulnerability). To estimate vulnerability we took into account the possible options to reduce risk, by combining estimates of the sensitivity of the system (negative impact on crop yield) and its adaptive capacity. The latter was evaluated as the relative improvement due to alternate management options: the use of alternate varieties or the changes in irrigation management. Vulnerability was quantified using cultivar-specific thermal and hydrologic requirements of a set of cultivars determined by experimental data and from scientific literature. Critical temperatures determining a certain reduction of crop yield have been estimated and used to assess thermal hazard and vulnerability in sensitive phenological stages. Cultivar-specific yield response functions to water availability were used to assess the reduction of yield for a determinate management option. Downscaled climate scenarios have been used to calculate indicators of soil water availability and thermal times and to evaluate the variability of crop phenology in combination with critical temperatures. Two climate scenarios were considered: reference (1961-90) and future (2021-2050) climate, the former from climatic statistics on observed variables, and the latter from statistical downscaling of general circulation models (AOGCM). Management options were defined by combinations of irrigation strategies (optimal, rainfed and deficit) with use of alternate varieties. As regards hydrologic conditions, risk assessment has been done at landscape scale in all soil units within each study area. The mechanistic model SWAP (Soil-Water-Atmosphere-Plant model) of water flow in the soil-plant-atmosphere system was used to describe the hydrological conditions in response to climate and irrigation. Different farm management options were evaluated. In a moderate water shortage scenario, deficit irrigation was an effective strategy to cope with climate change risks. In a severe water shortage scenario, the study showed the potentiality of intra-specific biodiversity to reduce risk of yield losses, although costs should be evaluated against the benefits of each specific management option. The work was carried out within the Italian national project AGROSCENARI funded by the Ministry for Agricultural, Food and Forest Policies (MIPAAF, D.M. 8608/7303/2008)

An Evaluation Study of Youth Participation in Youth Work: A Case Study in Southern Italy

ERIC Educational Resources Information Center

Morciano, Daniele; Scardigno, Anna Fausta; Manuti, Amelia; Pastore, Serafina

2014-01-01

In this paper an evaluation study of a public programme financing a regional network of 157 youth centres in the South of Italy is presented. A theory-based evaluation model was adopted to explore the causal links between different types of participation experience. Evaluation questions focused on three main issues are: the perception of…

School Evaluation and Consultancy in Italy. Sliding Doors towards Privatisation?

ERIC Educational Resources Information Center

Serpieri, Roberto; Grimaldi, Emiliano; Vatrella, Sandra

2015-01-01

This article focuses on the increasing centrality assumed by non-educational consultants in the processes of policy design and knowledge production about education in Italy. We identify the recent establishment of the National School Evaluation System as a key policy trajectory and we focus on the case of the last policies to evaluate Italian…

Epidemiological survey of swine influenza A virus in the wild boar population of two Italian provinces.

PubMed

Foni, Emanuela; Garbarino, Chiara; Chiapponi, Chiara; Baioni, Laura; Zanni, Irene; Cordioli, Paolo

2013-12-01

An epidemiological survey was carried out in order to obtain a better understanding of the role of wild boars in the epidemiology of the influenza virus. The samples were submitted to Real-Time PCR testing for gene M of the swine influenza virus (SIV), and virus isolation was performed from the positive PCR samples. Genome sequence analysis was performed on the isolates. Additionally, 1,977 boar sera samples were analyzed using ELISA and hemoagglutination inhibition. Over recent years, the wild boar population has greatly increased in Italy, including in areas of high-density industrial pig farming, where the influenza virus is widespread. From July to December 2012, wild boar lung samples were collected in the Parma and Piacenza area, in the Emilia Romagna region. 354 wild boar lung samples were collected. Wild-boar influenza A virus infection should be studied more broadly in order to obtain a better understanding of the epidemiological role played by this species. Three SIV strains were isolated out of 12 samples that resulted positive using PCR analysis and they were identified as avian-like SIV subtype H1N1. Phylogenetic analysis of the sequences obtained from isolate A/wild boar/291320/2012 showed that it clustered with recent Italian avian-like H1N1 SIVs isolated from domestic pigs. Sixty-eight sera samples showed a positive titer to the isolate A/wild boar/291320/2012. This study suggests that SIV actively circulates in the wild boar population in the investigated. area. © 2013 Blackwell Publishing Ltd.

Impact of summer drought on isoprenoid emissions and carbon sink of three Scots pine provenances

PubMed Central

Lüpke, M.; Leuchner, M.; Steinbrecher, R.; Menzel, A.

2016-01-01

Scots pine (Pinus sylvestris L.) provenances cover broad ecological amplitudes. In a greenhouse study, we investigated the impact of drought stress and rewetting on gas exchange for three provenances (Italy: Emilia Romagna; Spain: Alto Ebro; Germany: East-German lowlands) of 2-year old Scots pine seedlings. CO2, water vapour and isoprenoid exchange of stressed and control trees were quantified with a four-chamber dynamic-enclosure system in the controlled environment of a climate chamber. The three provenances showed distinct isoprenoid emission patterns and were classified into a non-Δ3-carene, with either high α-/β-pinene or β-myrcene fraction, and a Δ3-carene dominated type. Isoprenoid emission rates, net-photosynthesis and transpiration were reduced during summer drought stress and significantly recovered after rewetting. A seasonal increase of isoprenoid emission rates towards autumn was observed for all control groups. Compared with the German provenance, the Spanish and Italian provenances revealed higher isoprenoid emission rates and more plastic responses to drought stress and seasonal development, which points to a local adaptation to climate. As a result of drought, net carbon uptake and transpiration of trees was reduced, but recovered after rewetting. We conclude from our study that Scots pine isoprenoid emission is more variable than expected and sensitive to drought periods, likely impacting regional air chemistry. Thus, a provenance-specific emission assessment accounting for reduced emission during prolonged (summer) drought is recommend for setting up biogenic volatile organic compound emission inventories used in air quality models. PMID:27591438

Soil resources, land cover changes and rural areas: towards a spatial mismatch?

PubMed

Ferrara, Agostino; Salvati, Luca; Sabbi, Alberto; Colantoni, Andrea

2014-04-15

The present study analyzes the impact of long-term urban expansion on soil depletion in Emilia-Romagna, an agricultural-specialized region of northern Italy. Using settlement density maps at three points in time (1945, 1971 and 2001) dense and diffused urbanization trends were assessed and correlated with soil quality. Non-urbanized land decreased from 11.8% in 1945 to 6.3% in 2001. Urbanization dynamics between 1945 and 1971 reflect the increase of dense settlements around pre-existing urban centers. To the contrary, a discontinuous, low- and medium-density urban expansion along the road network and in the most fertile lowland areas was observed between 1971 and 2001. Overall, urbanization consumed soils with progressively higher quality. However, a diverging trend was observed in the two investigated time intervals: soil with high quality was occupied by compact and dense settlements during 1945-1971 and by discontinuous, medium- and low-density settlements during 1971-2001. These findings document the polarization in areas with low and high soil capital and may reflect disparities in agricultural production and increasing environmental degradation. Moreover, the analysis shows a diverging trend between land and soil consumption patterns suggesting that the edification of pervious land is an unreliable indicator of soil quality depletion. Taken together, the results of this study illustrate the (increasing) spatial mismatch between agricultural land and high-quality soils as a consequence of urbanization-driven landscape transformations and may inform measures to contain soil depletion driven by economic growth. Copyright © 2014 Elsevier B.V. All rights reserved.

Impact of summer drought on isoprenoid emissions and carbon sink of three Scots pine provenances.

PubMed

Lüpke, M; Leuchner, M; Steinbrecher, R; Menzel, A

2016-11-01

Scots pine (Pinus sylvestris L.) provenances cover broad ecological amplitudes. In a greenhouse study, we investigated the impact of drought stress and rewetting on gas exchange for three provenances (Italy: Emilia Romagna; Spain: Alto Ebro; Germany: East-German lowlands) of 2-year old Scots pine seedlings. CO 2 , water vapour and isoprenoid exchange of stressed and control trees were quantified with a four-chamber dynamic-enclosure system in the controlled environment of a climate chamber. The three provenances showed distinct isoprenoid emission patterns and were classified into a non-Δ 3 -carene, with either high α-/β-pinene or β-myrcene fraction, and a Δ 3 -carene dominated type. Isoprenoid emission rates, net-photosynthesis and transpiration were reduced during summer drought stress and significantly recovered after rewetting. A seasonal increase of isoprenoid emission rates towards autumn was observed for all control groups. Compared with the German provenance, the Spanish and Italian provenances revealed higher isoprenoid emission rates and more plastic responses to drought stress and seasonal development, which points to a local adaptation to climate. As a result of drought, net carbon uptake and transpiration of trees was reduced, but recovered after rewetting. We conclude from our study that Scots pine isoprenoid emission is more variable than expected and sensitive to drought periods, likely impacting regional air chemistry. Thus, a provenance-specific emission assessment accounting for reduced emission during prolonged (summer) drought is recommend for setting up biogenic volatile organic compound emission inventories used in air quality models. © The Author 2016. Published by Oxford University Press.

Psychometric validation of the Italian Rehabilitation Complexity Scale-Extended version 13

PubMed Central

Agosti, Maurizio; Merlo, Andrea; Maini, Maurizio; Lombardi, Francesco; Tedeschi, Claudio; Benedetti, Maria Grazia; Basaglia, Nino; Contini, Mara; Nicolotti, Domenico; Brianti, Rodolfo

2017-01-01

In Italy, at present, a well-known problem is inhomogeneous provision of rehabilitative services, as stressed by MoH, requiring appropriate criteria and parameters to plan rehabilitation actions. According to the Italian National Rehabilitation Plan, Comorbidity, Disability and Clinical Complexity should be assessed to define the patient’s real needs. However, to date, clinical complexity is still difficult to measure with shared and validated tools. The study aims to psychometrically validate the Italian Rehabilitation Complexity Scale-Extended v13 (RCS-E v13), in order to meet the guidelines requirements. An observational multicentre prospective cohort study, involving 8 intensive rehabilitation facilities of the Emilia-Romagna Region and 1712 in-patients, [823 male (48%) and 889 female (52%), mean age 68.34 years (95% CI 67.69–69.00 years)] showing neurological, orthopaedic and cardiological problems, was carried out. The construct and concurrent validity of the RCS-E v13 was confirmed through its correlation to Barthel Index (disability) and Cumulative Illness Rating Scale (comorbidity) and appropriate admission criteria (not yet published), respectively. Furthermore, the factor analysis indicated two different components (“Basic Care or Risk—Equipment” and “Medical—Nursing Needs and Therapy Disciplines”) of the RCS-E v13. In conclusion, the Italian RCS-E v13 appears to be a useful tool to assess clinical complexity in the Italian rehab scenario case-mix and its psychometric validation may have an important clinical rehabilitation impact allowing the assessment of the rehabilitation needs considering all three dimensions (disability, comorbidity and clinical complexity) as required by the Guidelines and the inhomogeneity could be reduced. PMID:29045409

Weight status and perception of body image in children: the effect of maternal immigrant status.

PubMed

Gualdi-Russo, Emanuela; Manzon, Vanessa Samantha; Masotti, Sabrina; Toselli, Stefania; Albertini, Augusta; Celenza, Francesca; Zaccagni, Luciana

2012-10-15

Recent studies have shown that body image perception is an important factor in weight control and may be influenced by culture and ethnicity. The aim of the present study was to assess the relationship between immigrant status of the mother and weight status and body image perception of the child. In total, 2706 schoolchildren (1405 boys and 1301 girls) aged 8-9 years and their mothers participated in a cross-sectional survey in Emilia-Romagna region (northern Italy). Weight and height of the children were measured and Body Mass Index (BMI) was calculated. Actual and ideal body image perception by the children and by the mothers with respect to their children was evaluated according to Collins' body image silhouettes. The BMI values were significantly lower in children of immigrants than in children of Italian mothers (F:17.27 vs 17.99 kg/m²; M:17.77 vs 18.13 kg/m²). The prevalence of overweight/obesity was lower, and the prevalence of underweight higher, in children of immigrant mothers than in those of Italian mothers (overweight- F:21.3 vs 29.1%; M. 28.3 vs 31.4%; underweight- F:5.16 vs 3.84%; M:6.63 vs 2.82%). The children's body image perception was consistent with the differing pattern of nutritional status. In the comparison between actual and ideal figures, the Feel-Ideal Difference Index (FID) scores resulted different between the subsample with foreign-born mother in comparison to the native one (significantly lower in daughters of immigrants) (FID- F: 0.31 vs 0.57; M: 0.35 vs 0.32). There were significant differences in the choice of the ideal figure of the child between immigrant mothers and Italian mothers (FID- F: -0.05 vs 0.19; M: -0.35 vs -0.03): the ideal figure values were higher in the immigrant mothers of male children and lower in the Italian mothers of female children. Our results suggest that cultural and behavioral factors linked to ethnicity play an important role in the nutritional status of children and in the perceived and ideal body image.

Hypogeal geological survey in the "Grotta del Re Tiberio" natural cave (Apennines, Italy): a valid tool for reconstructing the structural setting

NASA Astrophysics Data System (ADS)

Ghiselli, Alice; Merazzi, Marzio; Strini, Andrea; Margutti, Roberto; Mercuriali, Michele

2011-06-01

As karst systems are natural windows to the underground, speleology, combined with geological surveys, can be useful tools for helping understand the geological evolution of karst areas. In order to enhance the reconstruction of the structural setting in a gypsum karst area (Vena del Gesso, Romagna Apennines), a detailed analysis has been carried out on hypogeal data. Structural features (faults, fractures, tectonic foliations, bedding) have been mapped in the "Grotta del Re Tiberio" cave, in the nearby gypsum quarry tunnels and open pit benches. Five fracture systems and six fault systems have been identified. The fault systems have been further analyzed through stereographic projections and geometric-kinematic evaluations in order to reconstruct the relative chronology of these structures. This analysis led to the detection of two deformation phases. The results permitted linking of the hypogeal data with the surface data both at a local and regional scale. At the local scale, fracture data collected in the underground have been compared with previous authors' surface data coming from the quarry area. The two data sets show a very good correspondence, as every underground fracture system matches with one of the surface fracture system. Moreover, in the cave, a larger number of fractures belonging to each system could be mapped. At the regional scale, the two deformation phases detected can be integrated in the structural setting of the study area, thereby enhancing the tectonic interpretation of the area ( e.g., structures belonging to a new deformation phase, not reported before, have been identified underground). The structural detailed hypogeal survey has, thus, provided very useful data, both by integrating the existing information and revealing new data not detected at the surface. In particular, some small structures ( e.g., displacement markers and short fractures) are better preserved in the hypogeal environment than on the surface where the outcropping gypsum is more exposed to dissolution and recrystallization. The hypogeal geological survey, therefore, can be considered a powerful tool for integrating the surface and log data in order to enhance the reconstruction of the deformational history and to get a three-dimensional model of the bedrock in karst areas.

Asthma medication prescribing before, during and after pregnancy: a study in seven European regions.

PubMed

Charlton, Rachel A; Pierini, Anna; Klungsøyr, Kari; Neville, Amanda J; Jordan, Susan; de Jong-van den Berg, Lolkje T W; Thayer, Daniel; Bos, H Jens; Puccini, Aurora; Hansen, Anne V; Gini, Rosa; Engeland, Anders; Nybo Andersen, Anne-Marie; Dolk, Helen; Garne, Ester

2016-01-19

To explore utilisation patterns of asthma medication before, during and after pregnancy as recorded in seven European population-based databases. A descriptive drug utilisation study. 7 electronic healthcare databases in Denmark, Norway, the Netherlands, Italy (Emilia Romagna and Tuscany), Wales, and the Clinical Practice Research Datalink representing the rest of the UK. All women with a pregnancy ending in a delivery that started and ended between 2004 and 2010, who had been present in the database for the year before, throughout and the year following pregnancy. The percentage of deliveries where the woman received an asthma medicine prescription, based on prescriptions issued (UK) or dispensed (non-UK), during the year before, throughout or during the year following pregnancy. Asthma medicine prescribing patterns were described for 3-month time periods and the choice of asthma medicine and changes in prescribing over the study period were evaluated in each database. In total, 1,165,435 deliveries were identified. The prevalence of asthma medication prescribing during pregnancy was highest in the UK and Wales databases (9.4% (CI95 9.3% to 9.6%) and 9.4% (CI95 9.1% to 9.6%), respectively) and lowest in the Norwegian database (3.7% (CI95 3.7% to 3.8%)). In the year before pregnancy, the prevalence of asthma medication prescribing remained constant in all regions. Prescribing levels peaked during the second trimester of pregnancy and were at their lowest during the 3-month period following delivery. A decline was observed, in all regions except the UK, in the prescribing of long-acting β-2-agonists during pregnancy. During the 7-year study period, there were only small changes in prescribing patterns. Differences were found in the prevalence of prescribing of asthma medications during and surrounding pregnancy in Europe. Inhaled β-2 agonists and inhaled corticosteroids were, however, the most popular therapeutic regimens in all databases. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Senile anorexia in different geriatric settings in Italy.

PubMed

Donini, L M; Dominguez, L J; Barbagallo, M; Savina, C; Castellaneta, E; Cucinotta, D; Fiorito, A; Inelmen, E M; Sergi, G; Enzi, G; Cannella, C

2011-11-01

Anorexia is the most frequent modification of eating habits in old age, which may lead to malnutrition and consequent morbidity and mortality in older adults. We aimed to estimate the prevalence and factors associated to anorexia in a sample of Italian older persons living in different settings. Our secondary aim was to evaluate the impact of senile anorexia on nutritional status and on eating habits, as well as on functional status. Observational study in nursing homes, in rehabilitation and acute geriatric wards, and in the community in four Italian regions (Lazio, Sicily, Emilia-Romagna, and Veneto). 526 over 65 years old participants were recruited; 218 free-living subjects, 213 from nursing homes, and 96 patients from rehabilitation and acute geriatric wards in the context of a National Research Project (PRIN) from the Italian Ministry of Instruction, University and Research (2005-067913 "Cause e Prevalenza dell'Anoressia senile"). Anthropometric and nutritional evaluation, olfactory, chewing, and swallowing capacity, food preferences, cognitive function, functional status, depression, quality of life, social aspects, prescribed drugs, and evaluation of gastrointestinal symptoms and pain. Laboratory parameters included prealbumin, albumin, transferrin, C-reactive protein, mucoprotein, lymphocyte count, as well as neurotransmitters leptin, and ghrelin. Anorexia was considered as ≥50% reduction in food intake vs. a standard meal (using 3-day "Club Francophone de Gériatrie et Nutrition" form), in absence of oral disorders preventing mastication. The overall prevalence of anorexia was 21.2% with higher values among hospitalized patients (34.1% women and 27.2% men in long-term facilities; 33.3% women and 26.7% men in rehabilitation and geriatric wards; 3.3% women and 11.3% men living in the community) and in the oldest persons. Anorexic subjects were significantly less self-sufficient and presented more often a compromised nutritional and cognitive status. Diet composition analyses of anorexic older adults revealed a lower intake of all food groups and a general tendency to a monotonous diet. Anorexia is a frequent condition in older Italians, particularly those hospitalized, with important consequences in the nutritional and functional status. The analysis of dietary components and its quality along with the frequency of intake of single food groups may be useful to plan intervention strategies aiming to improve the nutritional and health status of older adults with anorexia. An early detection of anorexia followed by an adequate intervention in older hospitalized patients to avoid further worsening of clinical and functional status is warranted.

The POLIMI forecasting chain for real time flood and drought predictions

NASA Astrophysics Data System (ADS)

Ceppi, Alessandro; Ravazzani, Giovanni; Corbari, Chiara; Mancini, Marco

2016-04-01

Nowadays coupling meteorological and hydrological models is recognized by scientific community as a necessary way to forecast extreme hydrological phenomena, in order to activate useful mitigation measurements and alert systems in advance. The development and implementation of a real-time forecasting chain with a hydro-meteorological operational alert procedure for flood and drought events is presented in this study. Different weather models are used to build the POLIMI operative chain: the probabilistic COSMO-LEPS model with 16 ensembles developed by ARPA-Emilia Romagna, the deterministic Bolam and Moloch models, developed by the Italian ISAC-CNR, and nine further simulations obtained by different runs of the WRF-ARW (3), WRF-NMM (2), ETA2012 (1) and the GFS (3), provided by the private Epson Meteo Center and Terraria companies. All the meteorological runs are then implemented with the rainfall-runoff physically-based distributed FEST-WB model, developed at Politecnico di Milano to obtain a multi-model approach system with hydrological ensemble forecasts in different areas of study over the Italian country. As far as concerning drought predictions, three test-beds are monitored: two in maize fields, one in the Puglia region (South of Italy), and another in the Po Valley area, (northern Italy), and one in a golf course in Milan city. The hydrological model was here calibrated and validated against measurements of latent heat flux and soil moisture acquired by an eddy-covariance station, TDR probes and remote sensing images. Regarding flood forecasts, two test-sites are chosen: the first one is the urban area northern Milan where three catchments (the Seveso, Olona, and Lambro River basins) are used to show how early warning systems are an effective complement to structural measures for flood control in Milan city which flooded frequently in the last 25 years, while the second test-site is the Idro Lake, located between the Lombardy and Trentino region where the POLIMI hydro-meteorological chain is performed to forecast the hydrometric lake level for a better management of the upstream and downstream basin. The same hydrological model has been here calibrated and validated with observed data coming from local bodies: ARPA Lombardy, Meteonetwork and Meteo Trentino. Reliability of the forecasting system and its benefits are assessed with skill scores on some cases-study occurred in the recent years and through the real-time visualization of the implemented dashboards.

Assessing ionospheric activity by long time series of GNSS signals: the search of possible connection with seismicity

NASA Astrophysics Data System (ADS)

Galeandro, Angelo; Mancini, Francesco; De Giglio, Michaela; Barbarella, Maurizio

2014-05-01

The modifications of some atmospheric physical properties prior to a high magnitude earthquake were recently debated in the frame of the Lithosphere-Atmosphere-Ionosphere (LAI) Coupling model. Among this variety of phenomena, the ionization of air at the ionospheric levels due to leaking of gases from earth crust through the analysis of long time series of GNSS (Global Navigation Satellite System) signals was investigated in this work. Several authors used the dispersive properties of the ionospheric strata towards the GNSS signals to detect possible ionospheric anomalies over areas affected by earthquakes and some evidences were encountered. However, the spatial scale and temporal domains over which such disturbances come into evidence is still a controversial item. Furthermore, the correspondence by chance between ionospheric disturbances and relevant seismic activity is even more difficult to model whenever the reference time period and spatial extent of investigation are confined. Problems could also arise from phenomena due to solar activity (now at culmination within the 11 years-long solar cycle) because such global effects could reduce the ability to detect disturbances at regional or local spatial scale. In this work, two case studies were investigated. The first one focuses on the M = 6.3 earthquake occurred on April 6, 2009, close to the city of L'Aquila (Abruzzo, Italy). The second concerns the M = 5.9 earthquake occurred on May 20, 2012, between the cities of Ferrara and Modena (Emilia Romagna, Italy). To investigate possible connections between the ionospheric activity and seismicity for such events, a five-year (2008-2012) long series of high resolution ionospheric maps was used. These maps were produced by authors from GNSS data collected by permanent stations uniformly distributed around the epicenters and allowed to assess the ionospheric activity through the analysis of the TEC (Total Electron Content). To avoid the influence of solar activity, only nighttime hours were considered. Moreover, to de?ne the temporal domain of potential ionospheric disturbances and separate local from global effects, results from local observations were compared with regional TEC series. The whole analysis shows episodes where anomalies in the ionospheric activity were detected in the vicinity of the mentioned shocks. However, their statistical significance and the temporal correlation with seismic activity are still controversial.

Genesis and transport of hexavalent chromium in the system ophiolitic rocks - groundwater

NASA Astrophysics Data System (ADS)

Shchegolikhina, Anastasia; Guadagnini, Laura; Guadagnini, Alberto

2015-04-01

Our study aims at contributing to the quantification and characterization of chromium transport processes from host rocks and soil matrices to groundwater. We focus on dissolved hexavalent chromium detected in groundwaters of geological regions with ophiolitic rocks (ophiolites and serpentinites) inclusions due to its critical ecological impact. (Oze et al., 2004). Despite the large number of analyses on the occurrence of high concentrations of hazardous hexavalent chromium ions in natural waters, only few studies were performed with the objective of identifying and investigating the geochemical reactions which could occur in the natural system rock - groundwater - dissolved chromium (Fantoni et al., 2002, Stephen and James, 2004, Lelli et al., 2013). In this context, there is a need for integration of results obtained from diverse studies in various regions and settings to improve our knowledge repository. Our theoretical analyses are grounded and driven by practical scenarios detected in subsurface reservoirs exploited for civil and industrial use located in the Emilia-Romagna region (Italy). Available experimental datasets are complemented with data from other international regional-scale settings (Altay mountains region, Russia). Modeling of chromium transformation and migration particularly includes characterization of the multispecies geochemical system. A key aspect of our study is the analysis of the complex competitive sorption processes governing heavy metal evolution in groundwater. The results of the research allow assessing the critical qualitative features of the mechanisms of hexavalent chromium ion mobilization from host rocks and soils and the ensuing transformation and migration to groundwater under the influence of diverse environmental factors. The study is then complemented by the quantification of the main sources of uncertainty associated with prediction of heavy metal contamination levels in the groundwater system explored. Fantoni, D., Brozzo, G., Canepa, M., Cipolli, F., Marini, L., Ottonello, G., Zuccolini, M., 2002. Natural hexavalent chromium in groundwaters interacting with ophiolitic rocks. Environmental Geology 42, 871-882. Lelli, M., Grassi, S., Amadori, M., Franceschini, F., 2013. Natural Cr(VI) contamination of groundwater in the Cecina coastal area and its inner sectors (Tuscany, Italy). Environmental Earth Sciences 71, 3907-3919. Oze, C., Fendorf, S., Bird, D.K., Coleman, R.G., 2004. Chromium geochemistry of serpentine soils. International Geology Review 46, 97-126. Stephen, M.T., James, A.J., 2004. Overview of chromium (VI) in the environment. Chromium (VI) Handbook. CRC Press, pp. 21.

The 1980 Irpinia-Basilicata earthquake: the environmental phenomena and the choices of reconstruction.

NASA Astrophysics Data System (ADS)

Porfido, Sabina; Alessio, Giuliana; Avallone, Paola; Gaudiosi, Germana; Lombardi, Giovanni; Nappi, Rosa; Salvemini, Raffaella; Spiga, Efisio

2016-04-01

This paper, by means of a multidisciplinary approach, deals with changes of the urban and territorial setting in many localities of the epicentral area of the 23 November 1980 Irpinia earthquake. The 23 November 1980 earthquake, known as the "Irpinia-Basilicata earthquake" was the strongest seismic event of the last 80 years in the Southern Apennines of Italy (Mw 6.9, I0=X MCS). It was felt nearly everywhere in Italy, from Sicily in the South, to Emilia Romagna and Liguria in the North. This earthquake was characterized by a complex main rupture, composed of three major sub-events, interpreted as a succession of normal faulting events. Many localities in the Avellino, Salerno and Potenza provinces were nearly completely destroyed (I=IX-X MSK, Postpischl et al., 1985); among them Castelnuovo di Conza, Conza della Campania, Lioni, Santomenna, San Mango sul Calore, San Michele di Serino and Sant'Angelo dei Lombardi. About 800 localities suffered serious damage (Balvano, Bisaccia, Calitri, etc); 75,000 houses collapsed totally and 275,000 were badly damaged. Casualties were 3000, and 10,000 people were wounded. A large amount of information on primary and secondary environmental effects, over all slope movements, was available on the basis of several geological surveys of the area affected by this earthquake. The amount of surface faulting was about 40 km in length and the maximum displacement about 100 cm, while the total area interested by slope movements was estimated in 7400 km2 (Porfido et al., 2002, 2007; Serva et al.2009). In this study we aim to describe trends and specific effects that have taken place in the 35 years following the 1980 earthquake: how the urban and territorial setting have changed, especially in the villages located in the epicentral area; the consequences of the environmental effects on the choices of reconstruction, both in situ, and far from the original historical centre. Therefore, some case histories as San Mango sul Calore and Calitri villages, affected by severe landslide phenomena, and in situ rebuilt, will be examined; whereas Conza della Campania, on the basis of the suffered damages, has been reconstructed far from its original position. In addition, we also illustrate the socio-economic implications that the choices of reconstruction have had, not only for the local communities, but also on the whole Italian country.

Real time hydro-metereological hazards monitoring system for the Ravenna municipality

NASA Astrophysics Data System (ADS)

Bertoni, W.; Cattarossi, A.; Gonella, M.

2003-04-01

The Ravenna municipality (Italy, Emilia Romagna region), through a cooperative agreement with ENI S.p.A’s., AGIP division, is carrying out a research study for the development of a real time monitoring system of hydro-meteorological conditions. The system aims to support the city Crisis Response Unit to provide more efficient support all over the municipal territory that is the largest in Italy with more than 700 km2. The support unit, a GIS computer based application, directly links to a broad range of sources, gathering real time information from a Local Area Model (meteorological data), a Wave Model (sea hydrodynamic circulation), monitoring stations, located partially on the Adriatic sea (AGIP offshore platform, SIMN) and partially over the Ravenna inland (SPDS, SIN). In the first phase, now completed and undergoing testing, this vast and diversified collection of data feeds a number of statistical models with up to 72 hours of forecast capabilities. The GIS application displays actual and forecast sea conditions offshore of Ravenna littorals in addition to actual and forecast flood conditions along the Ravenna Province inland. Model generated data are used for the forecast, which is then calibrated using the measured data. When the predefined warning limits are exceeded, end users are alerted via prerecorded phone messages, SMS, or visually through the direct or remote interaction with the GIS system (remotely accessible via portable computers). In the second stage, the statistical approach will be substituted by a more deterministic approach. A coupled hydrologic-hydraulic model will be used to forecast water stages along rivers and runoff volume along major watersheds. Moreover, already functioning capabilities allows direct control of remote monitoring points (stream and rain gages, etc.) The entire Real Time Monitoring System was developed on a GIS platform. The GEOdatabase, a relational database based on MSDE technology, is the core of the application which revolves around the conceptualization of a Hydro Data Model, a standardized way to store hydraulic based data such as watershed delineation, hydrologic network, monitoring points and time series data. Recent advancement in GIS software technologies and ready to use hydro-meteorological data offer an unprecedented opportunity to customize the GIS application and provide a powerful application to prevent and defeat flood hazards.

Rumours about the Po Valley earthquakes of 20th and 29th May 2012

NASA Astrophysics Data System (ADS)

La Longa, Federica; Crescimbene, Massimo; Camassi, Romano; Nostro, Concetta

2013-04-01

The history of rumours is as old as human history. Even in remote antiquity, rumours, gossip and hoax were always in circulation - in good or bad faith - to influence human affairs. Today with the development of mass media, rise of the internet and social networks, rumours are ubiquitous. The earthquakes, because of their characteristics of strong emotional impact and unpredictability, are among the natural events that more cause the birth and the spread of rumours. For this reason earthquakes that occurred in the Po valley the 20th and 29th May 2012 generated and still continue to generate a wide variety of rumours regarding issues related to the earthquake, its effects, the possible causes, future predictions. For this reason, as occurred during the L'Aquila earthquake sequence in 2009, following the events of May 2012 in Emilia Romagna was created a complex initiative training and information that at various stages between May and September 2012, involved population, partly present in the camp, and then the school staff of the municipalities affected by the earthquake. This experience has been organized and managed by the Department of Civil Protection (DPC), the National Institute of Geophysics and Volcanology (INGV), the Emilia Romagna region in collaboration with the Network of University Laboratories for Earthquake Engineering (RELUIS), the Health Service Emilia Romagna Regional and voluntary organizations of civil protection in the area. Within this initiative, in the period June-September 2012 were collected and catalogued over 240 rumours. In this work rumours of the Po Valley are studied in their specific characteristics and strategies and methods to fight them are also discussed. This work of collection and discussion of the rumours was particularly important to promote good communication strategies and to fight the spreading of the rumours. Only in this way it was possible to create a full intervention able to supporting both the local institutions and the individuals involved to adequately address the emergence and management of organizational problems and social issues related to the earthquake.

Same-day transfer for the invasive strategy of patients with non-ST-segment elevation acute coronary syndrome admitted to spoke hospitals: Data from the Emilia-Romagna Regional Network.

PubMed

Campo, Gianluca; Menozzi, Mila; Guastaroba, Paolo; Vignali, Luigi; Belotti, Laura Mb; Casella, Gianni; Berti, Elena; Solinas, Emilia; Guiducci, Vincenzo; Biscaglia, Simone; Pavasini, Rita; De Palma, Rossana; Manari, Antonio

2016-10-01

The service strategy (same-day transfer between spoke hospital and hub centre with catheterisation laboratory (cath-lab) facility to perform invasive procedures) has been suggested to improve the management of patients with non-ST-segment elevation acute coronary syndrome (NSTEACS) admitted to spoke hospitals. We used data from a large prospective Italian registry to describe application, performance and outcome of the service strategy in the daily clinical practice. This study was based on an observational, post-hoc analysis of all consecutive NSTEACS patients admitted to spoke non-invasive hospitals of the Emilia-Romagna regional network and receiving coronary artery angiography (CAA)±percutaneous coronary intervention (PCI). We evaluated: application of service strategy, time to cath-lab access, hospital stay length, 30-days occurrence of adverse events. From January 2011-December 2012, 2952 NSTEACS consecutive patients were admitted to spoke non-invasive hospitals and received CAA. Overall, 1765 (60%) patients were managed with a service strategy. After multivariable analysis, service strategy emerged as independent predictor of faster access to cath-lab (within 72 h: hazard ratio (HR) 2.3, 95% confidence interval (CI) 1.9-2.7, p<0.0001; within 24 h: HR 2.8, 95% CI 2.2-3.3, p<0.0001, respectively). Service strategy significantly reduced hospital stay length (-5.5 days, p<0.0001). We estimated a mean of €1590 saved for each patient managed with service strategy. Thirty-day occurrence of adverse events did not differ between patients managed with or without a service strategy. In our daily clinical practice, a service strategy seems to be an effective approach to optimise the invasive management of NSTEACS patients admitted to spoke hospitals. © The European Society of Cardiology 2015.

Bioengineering applied to erosion and stability control in the North Apennines (Emilia-Romagna Region, Italy): a check about critical aspects of the works.

NASA Astrophysics Data System (ADS)

Selli, Lavinia; Cavazza, Claudio; Pavanelli, Donatella

2013-04-01

Because of its geological structure, in the Emilia-Romagna Region over 32,000 landslides have been identified. Several works have been made in order to control mass movement's dynamics and to secure of Reno and Lamone Mountain Basin Rivers, the road network and near by villages and towns. Most of the control works dealt with bioengineering practices: palisades piles, geotextiles, seedings, surface flow control works, dikes within main drainage ditches. In order to check about critical aspects related to the use of these techniques in the Apennines, a survey in this basins was designed with specific interest in the several kinds of works realised, in which plant species were mostly used and in the factors that affected the success or failure of the works. Territory encompasses steep slopes covered with woods to low reliefs covered with grasslands. It is characterized by prevailing clays, inducing instability, and arenaceous lithology with impermeable soils; drainage density is quite high and hillsides suffer extensive and severe erosion and slope stability problems. Chestnut woods mainly represent land use at higher altitudes, while coppice, pastures and crops are present on milder hillsides. The remaining part of the basin is covered by vineyards, orchards, ponds and urban areas, which are basically located in the valley floor. Precipitation events mainly consist of rainfall ranging between 950-1015 mm per year; few snowfalls occur during winter and a long dry season lasts from June until September. We have analyzed 187 works designed mainly for the consolidation of slope instabilities through a widespread enhancement of the vegetation cover. The surveyed works are classified as a function of their building features: it can be seen that cribwalls and palisades are by far the most common types, being the 24% and the 34% respectively of the works. As far as the most adopted plant species, they were silver willow (Salix alba), Spanish Broom (Spartium Junceum) and purple willow (Salix purpurea). Only the 25% of the interventions was accomplished by the use of secondary plant species, as tamarisk (Tamarix spp.,) blackthorn (Prunus spinosa) , whitethorn (Crataegus spp.), sea-buckthorn (Hipphopae rhamnoides), wild pear (Pyrus pyraster), cottonwood (Populus nigra), eglantine (Rosa spp.), goat-willow (Salix caprea) and cornel (Cornus sanguinea). Better results were achieved with Spanish Broom, a very rural plant that can effectively colonise even poor soils like badlands; as a matter of fact, more than the 75% of the interventions had positive outcomes The efficacy of the consolidation work by the presence of living structures point out an increase of the stability of those interventions older than 4 years, with taking root species present from 54% to 78%. So far, the construction and the reliability of the works have been monitored, in order to capture critical aspects for the success of works and to build a geo-referenced data base of the existing works and their status.

Integrated Use of Remote Sensed Data and Numerical Cartography for the Generation of 3d City Models

NASA Astrophysics Data System (ADS)

Bitelli, G.; Girelli, V. A.; Lambertini, A.

2018-05-01

3D city models are becoming increasingly popular and important, because they constitute the base for all the visualization, planning, management operations regarding the urban infrastructure. These data are however not available in the majority of cities: in this paper, the possibility to use geospatial data of various kinds with the aim to generate 3D models in urban environment is investigated. In 3D modelling works, the starting data are frequently the 3D point clouds, which are nowadays possible to collect by different sensors mounted on different platforms: LiDAR, imagery from satellite, airborne or unmanned aerial vehicles, mobile mapping systems that integrate several sensors. The processing of the acquired data and consequently the obtainability of models able to provide geometric accuracy and a good visual impact is limited by time, costs and logistic constraints. Nowadays more and more innovative hardware and software solutions can offer to the municipalities and the public authorities the possibility to use available geospatial data, acquired for diverse aims, for the generation of 3D models of buildings and cities, characterized by different level of detail. In the paper two cases of study are presented, both regarding surveys carried out in Emilia Romagna region, Italy, where 2D or 2.5D numerical maps are available. The first one is about the use of oblique aerial images realized by the Municipality for a systematic documentation of the built environment, the second concerns the use of LiDAR data acquired for other purposes; in the two tests, these data were used in conjunction with large scale numerical maps to produce 3D city models.

Authenticating the recovery location of meteorites: The case of Castenaso

NASA Astrophysics Data System (ADS)

Folco, Luigi; D'Orazio, Massimo; Perchiazzi, Natale

2007-03-01

This forensic work aims to authenticate the recovery location of Castenaso, a 120 g ordinary chondritic (L5) meteorite reportedly found in 2003 along the sandy bank of the Idice Stream, near the village of Castenaso (Bologna, Emilia-Romagna, Italy). Using the hypothesis that Castenaso was instead a hot-desert meteorite, we conducted a comparative mineralogical and geochemical study of major weathering effects on European and Saharan ordinary chondrites as potential markers of the environment where Castenaso resided during its terrestrial lifetime.Inductively coupled plasma-mass spectrometry (ICP-MS) data reveals that Castenaso is significantly enriched in Sr, Ba, Tl, and U, and suggests geochemical alteration in a hot-desert environment. The alteration is minor: Castenaso is not coated by desert varnish and does not show significant light rare earth element (LREE) enrichment or loss of Ni and Co.The apparent contrast in size, morphology, and composition between the soil particles filling the external fractures of Castenaso and those from the bank of the Idice Stream observed under the scanning electron microscope (SEM) suggests that Castenaso did not reside at the reported find location. Abraded quartz grains (up to 1 mm in size) in Castenaso are undoubtedly from a hot-desert eolian environment: they are well-rounded and show external surfaces characterized by the presence of dish-shaped concavities and upturned silica plates that have been subject to solution-precipitation and subsequent smoothing.We therefore conclude that Castenaso is one of the many hot-desert ordinary chondrite finds, probably from the Sahara, that is currently available on the market. This forensic work provides the scientific grounds for changing the name of this meteorite.

The first 2 years of colorectal cancer screening in Ferrara, Italy.

PubMed

Matarese, Vincenzo G; Feo, Carlo Vittorio; Lanza, Giovanni; Fusetti, Nadia; Carpanelli, Maria Cristina; Cataldo, Serena; Cifalà, Viviana; Ferretti, Stefano; Gafà, Roberta; Marzola, Marina; Montanari, Enrica; Palmonari, Caterina; Simone, Loredana; Trevisani, Lucio; Stockbrugger, Reinhold; Gullini, Sergio

2011-05-01

We report on the first screening round in the District of Ferrara, a region of Emilia-Romagna, carried out between March 2005 and March 2007 to illustrate the effort of colorectal cancer (CRC) screening from administration and information to therapy and follow-up. After invitation of 38 344 persons aged 50-69 years (28.5%), 19 480 (50.8%) accepted the immunological faecal occult blood test, with 1 149 (6%) resulting positive. One thousand and one individuals (88.2%) who tested positive for immunological faecal occult blood test accepted examination by either colonoscopy (99.5%) or barium enema (0.5%). Out of 996 screenees having a colonoscopy, 231 had low-risk adenomas (23.2%) and 239 had high-risk adenomas (24%), and were treated endoscopically (96%) or surgically (4%). Ninety-one cancers were diagnosed in 9.1% of colonoscopies (Dukes stadia: A, 58.2%; B, 19.8%; C, 18.7%; D, 3.3%). Fourteen cancers (all in polyps) were treated endoscopically, and the remaining 77 were treated by surgery. One Dukes B patient and 13 of 17 Dukes C patients received adjuvant chemotherapy. Three Dukes D patients had chemotherapy only. During the 2-year study period, 87 screenees had a follow-up colonoscopy: no neoplasia was found in 35 patients initially diagnosed with cancer; low-risk adenomas were found in 31 of 52 patients with initial high-risk adenomas. In conclusion, the first CRC screening round in Ferrara was easy to organize, had a high acceptance, and detected 91 cancers (78% of which were in Dukes stages A and B, compared with only 40% in sporadic CRC in the same background population). Chemotherapy was necessary in 17 cases. This report may motivate other health authorities to initiate CRC screening campaigns.

Maternal Education Is Associated with Disparities in Breastfeeding at Time of Discharge but Not at Initiation of Enteral Feeding in the Neonatal Intensive Care Unit.

PubMed

Herich, Lena Carolin; Cuttini, Marina; Croci, Ileana; Franco, Francesco; Di Lallo, Domenico; Baronciani, Dante; Fares, Katia; Gargano, Giancarlo; Raponi, Massimiliano; Zeitlin, Jennifer

2017-03-01

To investigate the relationship between maternal education and breastfeeding in very preterm infants admitted to neonatal intensive care units. This prospective, population-based cohort study analyzed the data of all very preterm infants admitted to neonatal care during 1 year in 3 regions in Italy (Lazio, Emilia-Romagna, and Marche). The use of mothers' own milk was recorded at initial enteral feedings and at hospital discharge. We used multilevel logistic analysis to model the association between maternal education and breastfeeding outcomes, adjusting for maternal age and country of birth. Region was included as random effect. There were 1047 very preterm infants who received enteral feeding, and 975 were discharged alive. At discharge, the use of mother's own milk, exclusively or not, and feeding directly at the breast were significantly more likely for mothers with an upper secondary education or higher. We found no relationship between maternal education and type of milk at initial enteral feedings. However, the exclusive early use of the mother's own milk at initial feedings was related significantly with receiving any maternal milk and feeding directly at the breast at discharge from hospital, and the association with feeding at the breast was stronger for the least educated mothers. In this population-based cohort of very preterm infants, we found a significant and positive association between maternal education and the likelihood of receiving their mother's own milk at the time of discharge. In light of the proven benefits of maternal milk, strategies to support breastfeeding should be targeted to mothers with less education. Copyright © 2016 Elsevier Inc. All rights reserved.

The PRECOS framework: Measuring the impacts of the global changes on soils, water, agriculture on territories to better anticipate the future.

PubMed

Trolard, Fabienne; Bourrié, Guilhem; Baillieux, Antoine; Buis, Samuel; Chanzy, André; Clastre, Philippe; Closet, Jean-François; Courault, Dominique; Dangeard, Marie-Lorraine; Di Virgilio, Nicola; Dussouilliez, Philippe; Fleury, Jules; Gasc, Jérémy; Géniaux, Ghislain; Jouan, Rachel; Keller, Catherine; Lecharpentier, Patrice; Lecroart, Jean; Napoleone, Claude; Mohammed, Gihan; Olioso, Albert; Reynders, Suzanne; Rossi, Federica; Tennant, Mike; de Vicente Lopez, Javier

2016-10-01

In a context of increased land and natural resources scarcity, the possibilities for local authorities and stakeholders of anticipating evolutions or testing the impact of envisaged developments through scenario simulation are new challenges. PRECOS's approach integrates data pertaining to the fields of water and soil resources, agronomy, urbanization, land use and infrastructure etc. It is complemented by a socio-economic and regulatory analysis of the territory illustrating its constraints and stakes. A modular architecture articulates modeling software and spatial and temporal representations tools. It produces indicators in three core domains: soil degradation, water and soil resources and agricultural production. As a territory representative of numerous situations of the Mediterranean Basin (urban pressures, overconsumption of spaces, degradation of the milieus), a demonstration in the Crau's area (Southeast of France) has allowed to validate a prototype of the approach and to test its feasibility in a real life situation. Results on the Crau area have shown that, since the beginning of the 16th century, irrigated grasslands are the cornerstones of the anthropic-system, illustrating how successfully men's multi-secular efforts have maintained a balance between environment and local development. But today the ecosystem services are jeopardized firstly by urban sprawl and secondly by climate change. Pre-diagnosis in regions of Emilia-Romagna (Italy) and Valencia (Spain) show that local end-users and policy-makers are interested by this approach. The modularity of indicator calculations and the availability of geo-databases indicate that PRECOS may be up scaled in other socio-economic contexts. Copyright © 2016 Elsevier Ltd. All rights reserved.

Is medical perspective on clinical governance practices associated with clinical units' performance and mortality? A cross-sectional study through a record-linkage procedure.

PubMed

Sarchielli, Guido; De Plato, Giovanni; Cavalli, Mario; Albertini, Stefano; Nonni, Ilaria; Bencivenni, Lucia; Montali, Arianna; Ventura, Antonio; Montali, Francesca

2016-01-01

Assessment of the knowledge and application as well as perceived utility by doctors of clinical governance tools in order to explore their impact on clinical units' performance measured through mortality rates and efficiency indicators. This research is a cross-sectional study with a deterministic record-linkage procedure. The sample includes n = 1250 doctors (n = 249 chiefs of clinical units; n = 1001 physicians) working in six public hospitals located in the Emilia-Romagna Region in Italy. Survey instruments include a checklist and a research-made questionnaire which were used for data collection about doctors' knowledge and application as well as perceived utility of clinical governance tools. The analysis was based on clinical units' performance indicators which include patients' mortality, extra-region active mobility rate, average hospital stay, bed occupancy, rotation and turnover rates, and the comparative performance index as efficiency indicators. The clinical governance tools are known and applied differently in all the considered clinical units. Significant differences emerged between roles and organizational levels at which the medical leadership is carried out. The levels of knowledge and application of clinical governance practices are correlated with the clinical units' efficiency indicators (bed occupancy rate, bed turnover interval, and extra-region mobility). These multiple linear regression analyses highlighted that the clinical governance knowledge and application is correlated with clinical units' mortality rates (odds ratio, -8.677; 95% confidence interval, -16.654, -0.700). The knowledge and application, as well as perceived utility by medical professionals of clinical governance tools, are associated with the mortality rates of their units and with some efficiency indicators. However, the medical frontline staff seems to not consider homogeneously useful the clinical governance tools application on its own clinical practice.

Smoking habits, exposure to passive smoking and attitudes to a non-smoking policy among hospital staff.

PubMed

Zanetti, F; Gambi, A; Bergamaschi, A; Gentilini, F; De Luca, G; Monti, C; Stampi, S

1998-01-01

A survey was carried out into the smoking habits and exposure to passive smoking among health staff in the hospitals of Faenza, Forli and Rimini (Emilia-Romagna, Northern Italy), 2453 subjects answered anonymously a 41 question questionnaire. 53% of the subjects were professionals nurses, 16% doctors, 15% maintenance staff, 10% ancillary staff, 1% non-medical graduates, 2% were administrators and 3% were assigned to the category ¿other'. Of the subjects answering the questionnaire 39% were smokers, 19% ex-smokers and 42% non smokers. The highest number of smokers was found among women (41%) compared to men (37%) and among ancillary staff (48%) compared to nurses (41%) and doctors (31%). The males were mostly heavy smokers (> or = 20 cigarettes/d) and smoked strong cigarettes (> or = 12 mg/cig condensate content). The females were mostly light smokers (< 10 cigarettes/d) and smoked light cigarettes (1-6 mg/cig condensate content). A high percentage of subjects (87%) smoked at work especially in areas reserved for staff. 43% and 26% of shift workers and non-shift workers tended not to modify their habit when on morning or afternoon shifts. During night shifts the majority of them increased their tobacco consumption. Around 87% of hospital employees stated they were exposed to passive smoking inside the hospital especially in cooking areas, at information desks and corridors. Nurses, ancillaries and maintenance staff were those most exposed and for a greater number of hours per day compared to doctors. Almost all subjects were aware of the harm caused by passive smoking. 56% of smokers, 65% of ex-smokers and 72% of non smokers said they were willing to participate in future campaigns to limit smoking in their hospitals.

Does soil fauna like truffles just as humans do? One-year study of biodiversity in natural brûlés of Tuber aestivum Vittad.

PubMed

Pinto, Stefania; Gatti, Fabio; García-Montero, Luis G; Menta, Cristina

2017-04-15

There are numerous aspects related to Tuber species, which have not been explored to date. Tuber aestivum Vitt. is an ectomycorrhizal fungus, that produces an area (called brûlé) around the host plant trunk, where the germination of other plants is inhibited. What happens inside this particular environment is still not sufficiently understood, especially in terms of soil fauna. A previous work showed that there were higher microarthropod abundances outside during the period of maximum activity of the mycelium. The genus Folsomia (Isotomidae Family; Order Collembola) showed higher abundance inside. The aim of this paper is to investigate the effects of brûlé, on soil parameters and soil fauna, during the annual biological cycle of T. aestivum. This study was carried out in nine spontaneous brûlés situated in Northern Italy (Emilia Romagna Region - Piacenza Province). Soil cores were collected in order to perform soil chemical and biological analysis. Moisture content, pH, organic matter content, total organic carbon were analyzed. Biodiversity and soil quality indices were applied. We found higher pH, lower carbon and organic matter content within the brûlé. Soil fauna community also showed some differences, seasonal and inside vs outside the brûlé. Some groups seem to be negatively affected by Tuber while Folsomia genus recorded almost always higher values inside. These results suggest that some organisms, such as some Collembola, might find a favorable environment inside the brûlé, while others - a negative one. However, these results should be compared by other analysis either on other Tuber species and on other soil organisms, such as nematodes and earthworms. Copyright © 2017 Elsevier B.V. All rights reserved.

Flood loss modelling with FLF-IT: a new flood loss function for Italian residential structures

NASA Astrophysics Data System (ADS)

Hasanzadeh Nafari, Roozbeh; Amadio, Mattia; Ngo, Tuan; Mysiak, Jaroslav

2017-07-01

The damage triggered by different flood events costs the Italian economy millions of euros each year. This cost is likely to increase in the future due to climate variability and economic development. In order to avoid or reduce such significant financial losses, risk management requires tools which can provide a reliable estimate of potential flood impacts across the country. Flood loss functions are an internationally accepted method for estimating physical flood damage in urban areas. In this study, we derived a new flood loss function for Italian residential structures (FLF-IT), on the basis of empirical damage data collected from a recent flood event in the region of Emilia-Romagna. The function was developed based on a new Australian approach (FLFA), which represents the confidence limits that exist around the parameterized functional depth-damage relationship. After model calibration, the performance of the model was validated for the prediction of loss ratios and absolute damage values. It was also contrasted with an uncalibrated relative model with frequent usage in Europe. In this regard, a three-fold cross-validation procedure was carried out over the empirical sample to measure the range of uncertainty from the actual damage data. The predictive capability has also been studied for some sub-classes of water depth. The validation procedure shows that the newly derived function performs well (no bias and only 10 % mean absolute error), especially when the water depth is high. Results of these validation tests illustrate the importance of model calibration. The advantages of the FLF-IT model over other Italian models include calibration with empirical data, consideration of the epistemic uncertainty of data, and the ability to change parameters based on building practices across Italy.

Vitamin D supplementation is required to normalize serum level of 25OH-vitamin D in older adults: an observational study of 974 hip fracture inpatients.

PubMed

Lauretani, F; Frondini, C; Davoli, M L; Martini, E; Pellicciotti, F; Zagatti, A; Giordano, A; Zurlo, A; Pioli, G

2012-11-01

Vitamin D deficiency is highly prevalent in older adults in all continents. In this study we assessed the vitamin D status of hip fracture subjects across different hospitals in a real word situation using the data from a multicenter cohort study on outcomes in orthogeriatric units. We performed a prospective cohort study on 974 consecutive patients 75 yr or older admitted with fragility hip fracture over a 12 months period at 4 general hospitals of different districts in Emilia Romagna Region, Italy. Data collected included comorbidity, cognitive impairment, prefracture functional status, walking ability, living arrangement along with the use of antiosteoporotic drugs, serum intact PTH and serum 25-hydroxyvitamin D [25(OH)D]. Mean 25(OH)D serum levels were 12.2±9.4 ng/ml and 84.2% of patients had levels below recommended values. Male had a higher probability to have values within the reference range [odds ratio (OR): 1.74 (1.13-2.67); p=0.012] while living in nursing resulted negatively related even if only close to statistical significance [OR: 0.24 (0.06-1.02); p=0.051]. Vitamin D supplementation appeared to be the strongest factor associated with adequate level of vitamin D levels [OR: 4.50 (2.57-7.88); p<0.001). This study confirmed the very high rate of severe vitamin D deficiency in Italian subjects admitted with hip fracture. Our study also showed that supplementation of vitamin D is the strongest determinant influencing serum 25(OH)D level of older persons with hip fracture and these results should be taken into account when planning treatment in older persons.

[ASCUS in screening].

PubMed

Caprara, L; Monari, F; De Bianchi, P S; Amadori, A; Bondi, A

2001-12-01

The significance and use of the cytological diagnosis "atypical squamous cells of undetermined significance" (ASCUS) remain a major problem in cervical cancer screening. The prevalence of ASCUS by patient age has seldom been investigated. The present paper reports the prevalence of ASCUS in a large series of screening Pap smears from the Italian region of Emilia-Romagna. The study was based on the data collected by the Department of Health of the Emilia-Romagna Region for the first 3-year round (1997-1999) of a population-based screening programme (target age, 25-64 years). The age-specific frequency of ASCUS has been calculated as a prevalence rate per 1000 screened patients. A total of 597,386 women participated in the programme. Women diagnosed with ASCUS (n = 8205 or 13.7 per 1000) accounted for 49% of the recalls for colposcopy (n = 16,871, or 28.2 per 1000). The prevalence of diagnoses of low-grade squamous intraepithelial lesions (LG-SIL) decreased progressively with age while that of high-grade SIL was slightly higher between 30 and 39 years. The prevalence of ASCUS peaked at age 45-49 years (17.3 per 1000 subjects). The observed peak reflects the prevalence of (1) cytological changes closely associated with perimenopausal age and at least compatible with the ASCUS diagnosis, and (2) cytological abnormalities induced by hormone replacement therapy.

The social cost of rheumatoid arthritis in Italy: the results of an estimation exercise.

PubMed

Turchetti, G; Bellelli, S; Mosca, M

2014-03-14

The objective of this study is to estimate the mean annual social cost per adult person and the total social cost of rheumatoid arthritis (RA) in Italy. A literature review was performed by searching primary economic studies on adults in order to collect cost data of RA in Italy in the last decade. The review results were merged with data of institutional sources for estimating - following the methodological steps of the cost of illness analysis - the social cost of RA in Italy. The mean annual social cost of RA was € 13,595 per adult patient in Italy. Affecting 259,795 persons, RA determines a social cost of € 3.5 billions in Italy. Non-medical direct cost and indirect cost represent the main cost items (48% and 31%) of the total social cost of RA in Italy. Based on these results, it appears evident that the assessment of the economic burden of RA solely based on direct medical costs evaluation gives a limited view of the phenomenon.

Retrospective Evaluation of the Long-Term CSEP-Italy Earthquake Forecasts

NASA Astrophysics Data System (ADS)

Werner, M. J.; Zechar, J. D.; Marzocchi, W.; Wiemer, S.

2010-12-01

On 1 August 2009, the global Collaboratory for the Study of Earthquake Predictability (CSEP) launched a prospective and comparative earthquake predictability experiment in Italy. The goal of the CSEP-Italy experiment is to test earthquake occurrence hypotheses that have been formalized as probabilistic earthquake forecasts over temporal scales that range from days to years. In the first round of forecast submissions, members of the CSEP-Italy Working Group presented eighteen five-year and ten-year earthquake forecasts to the European CSEP Testing Center at ETH Zurich. We considered the twelve time-independent earthquake forecasts among this set and evaluated them with respect to past seismicity data from two Italian earthquake catalogs. Here, we present the results of tests that measure the consistency of the forecasts with the past observations. Besides being an evaluation of the submitted time-independent forecasts, this exercise provided insight into a number of important issues in predictability experiments with regard to the specification of the forecasts, the performance of the tests, and the trade-off between the robustness of results and experiment duration.

Kinematic analysis of recent and active faults of the southern Umbria-Marche domain, Northern Apennines, Italy: geological constraints to geodynamic models

NASA Astrophysics Data System (ADS)

Pasqui, Valeria; Viti, Marcello; Mantovani, Enzo

2013-04-01

The recent and active deformation that affects the crest zone of the Umbria-Marche belt (Northern Apennines, Italy) displays a remarkable extensional character, outlined by development of normal fault sets that overprint pre-existing folds and thrusts of Late Miocene-Early Pliocene age. The main extensional fault systems often bound intermontane depressions hosting recent, mainly continental, i.e. fluvial or lacustrine deposits, separating the latter from Triassic-Miocene, mainly carbonatic and siliciclastic marine rocks that belong to the Romagna-Umbria-Marche stratigraphic succession. Stratigraphic data indicate that the extensional strain responsible for the development of normal fault-bounded continental basins in the outer zones of the Northern Apennines was active until Middle Pleistocene time. Since Middle Pleistocene time onwards a major geodynamic change has affected the Central Mediterranean region, with local reorganization of the kinematics in the Adria domain and adjacent Apennine belt. A wide literature illustrates that the overall deformation field of the Central Mediterranean area is presently governed by the relative movements between the Eurasia and Africa plates. The complex interaction of the Africa-Adria and the Anatolian-Aegean-Balkan domains has led the Adria microplate to migrate NW-ward and to collide against Eurasia along the Eastern Southern Alps. As a consequence Adria is presently moving with a general left-lateral displacement with respect to the Apennine mountain belt. The sinistral component of active deformations is also supported by analysis of earthquake focal mechanisms. A comparison between geophysical and geological evidence outlines an apparent discrepancy: most recognized recent and active faults display a remarkable extensional character, as shown by the geometry of continental basin-bounding structutes, whereas geodetic and seismologic evidence indicates the persistency of an active strike-slip, left-lateral dominated strain field. The coexistence of extensional and strike-slip regimes, in principle difficult to achieve, may be explained in the framework of a transtensional deformation model where extensional components, normal to the main NW-directed structural trends, are associated to left-lateral strike-slip movements parallel to the main NW-directed structural trends. Critical for the evaluation of the internal consistency of a deformation model for the brittle upper crustal levels is the definition of the kinematics of active faults. In this study we illustrate the preliminary results of a kinematic analysis carried out along 20, exceptionally well exposed, recent and active fault surfaces cropping out in the southernmost portion of the Umbria-Marche belt adjacent to its termination against the the Latium-Abruzzi domain to the East. The collected data indicate that the investigated faults reflect a kinematically oblique character, and that development of these structures may be explained in the framework of a left-dominated transtensional strain field. More important, the data indicate that fault kinematic analysis is an effective tool in testing geodynamic models for actively deforming crustal domains.

Beach morphodynamics and types of foredune erosion generated by storms along the Emilia-Romagna coastline, Italy

NASA Astrophysics Data System (ADS)

Armaroli, Clara; Grottoli, Edoardo; Harley, Mitchell D.; Ciavola, Paolo

2013-10-01

The objectives of this study are to examine the response of a dune and beach system on the Adriatic coastline in northern Italy to the arrival of storms, compare it with seasonal (months) and medium-term (3-year) morphodynamic change, and evaluate results predicted by the numerical model XBeach. The studied coastline stretches 4 km from the Bevano River mouth to the north of the site to the township of Lido di Classe to the south, where the beach is protected by coastal structures. Fieldwork consisted of topographic profile surveys using RTK-DGPS technology (7 times over an approx. 3-year period). 103 samples of surface sediment were collected along 20 of the cross-shore profiles at 6 distinct cross-shore positions, selected on the basis of morphological beach characteristics. Data analyses of dune and beach slopes enabled the study area to be divided into 6 separate morphological zones using the spatial (longshore and cross-shore) variation of morphologies located on the backshore and intertidal beach observed in a preliminary survey of the area. Other criteria were a spatial consistency in beach slopes and/or presence/absence of intertidal morphologies identified in the aerial photographs and Lidar data. The swash zone slope did not show any significant variability for the entire area. A weak seasonal trend in the variability of the mean foredune slope was observed, with steeper slopes typically during winter and flatter slopes during summer. Analysis of grain size revealed that the beach sediment is well-sorted fine sand tending to medium, with a decreasing trend in size from the Bevano River mouth southwards towards Lido di Classe. According to the Masselink and Short (1993) classification, the natural part of the study site has an Intermediate Barred Beach (IBB) and following the Short (1999) classification, results in a modally LBT (longshore bar-trough) or LTT (low tide terrace) with a small section being TBR (transverse bar and rip). Storms are considered the main factor controlling changes in the beach and dune slope. The most significant storm was recorded in March 2010 with a peak significant wave height of 3.91 m. Contrary to the seasonal dune trend, several foredune slopes were observed to flatten following this event, which can be attributed to the action of dune slumping from the already weakened dune state. Modelling of foredune erosion, using a process-based model (XBeach), reproduced the erosion of the upper beach and dune toe reasonably well, but is currently limited by the acceptable slope value for dune stability, which does not account for biotic factors (e.g. plant roots). The comparison between the storm impact categories of Sallenger (2000) and the DSF (Dune Stability Factor) of Armaroli et al. (2012) shows a very good correspondence between the effects of the winter 2008-2009 storms and the vulnerability of the dune system predicted using both classifications.

Epidemiological evaluation of influenza in Italy, 1956-73

PubMed Central

Rocchi, G.; Ragona, G.; De Felici, A.; Muzzi, A.

1974-01-01

A statistical study of the mortality from all causes and from respiratory diseases was carried out in an evaluation of the influenza epidemics in Italy from 1956 to 1973. Type A influenzaviruses were responsible for outbreaks every 2-3 years. Type B influenzavirus appeared every 4 years and accounted for a single noteworthy epidemic in 1962-63. From the analysis of data on both general mortality and respiratory mortality a better evaluation of the extent of the influenza outbreaks could be made. PMID:4549033

Evaluation of the appropriateness of the preclinical phase (stage A and stage B) of heart failure Management in Outpatient clinics in Italy rationale and design of the 'VASTISSIMO' study.

PubMed

Mureddu, Gian F; Nistri, Stefano; Faggiano, Pompilio; Fimiani, Biagio; Misuraca, Gianfranco; Maggi, Antonio; Gori, Anna M; Uguccioni, Massimo; Tavazzi, Luigi; Zito, Giovanni B

2016-07-01

Early detection of heart failure, when still preclinical, is fundamental. Therefore, it is important to assess whether preclinical heart failure management by cardiologists is adequate. The VASTISSIMO study ('EValuation of the AppropriateneSs of The preclInical phase (Stage A and Stage B) of heart failure Management in Outpatient clinics in Italy') is a prospective nationwide study aimed to evaluate the appropriateness of diagnosis and management of preclinical heart failure (stages A and B) by cardiologists working in outpatient clinics in Italy. Secondary goals are to verify if an online educational course for cardiologists can improve management of preclinical heart failure, and evaluate how well cardiologists are aware of patients' adherence to medications. The study involves 80 outpatient cardiology clinics distributed throughout Italy, affiliated either to the Hospital Cardiologists Association or to the Regional Association of Outpatient Cardiologists, and is designed with two phases of consecutive outpatient enrolment each lasting 1 month. In phase 1, physicians' awareness of the risk of heart failure and their decision-making process are recorded. Subsequently, half of the cardiologists are randomized to undergo an online educational course aimed to improve preclinical heart failure management through implementation of guideline recommendations. At the end of the course, all cardiologists are evaluated (phase 2) to see whether changes in clinical management have occurred in those who underwent the educational program versus those who did not. Patients' adherence to prescribed medications will be assessed through the Morisky Self-report Questionnaire. This study should provide valuable information about cardiologists' awareness of preclinical heart failure and the appropriateness of clinical practice in outpatient cardiology clinics in Italy.

On the importance of a correct divulgation of monitoring results for an efficient management of landslide emergencies

NASA Astrophysics Data System (ADS)

Giordan, Daniele; Manconi, Andrea; Allasia, Paolo

2015-04-01

In the last decades, technological evolution has strongly increased the number of instruments that can be used to monitor landslide phenomena. Robotized Total Stations, GB-InSAR, and GPS are only few examples of the systems that can be used for the control of the topographic changes due to the landslide activity. These monitoring systems are often merged in a complex network, aimed at controlling the most important physical parameters influencing the evolution of landslide activity. The technological level reached by these systems allows us to use them for early warning purposes. Critical thresholds are identified and, when overcome, emergency actions are associated to protect population living in areas potentially involved by landslide failure. The use of these early warning systems can be very useful for the decision makers, which have to manage emergency conditions due to a landslide acceleration likely precursor of a collapse. At this stage, every instrument has a proper management system and the dataset obtained is often not compatible with the results of the others systems. The level of complexity increases with the number of monitoring systems and often could generate a paradox: the source of data are so numerous and difficult to interpret that a full understanding of the phenomenon could be hampered. Nowadays, a correct divulgation of the recent evolution of a landslide potentially dangerous for the population is very important. The Geohazard Monitoring Group of CNR IRPI developed a communication strategy to divulgate the monitoring network results based on both, a dedicated web page (for the publication in near real time of last updates), and periodical bulletins (for a deeper analysis of the available dataset). To manage the near real time application we developed a system called ADVICE (ADVanced dIsplaCement monitoring system for Early warning) that collects all the available data of a monitoring network and creates user-friendly representations of the recent landslide evolution. The system is also able to manage early warnings based on pre-defined thresholds (usually related to the analysis of displacement and/or velocity) sending emails and SMS. Starting from the same dataset, the representations are different if the information has to be delivered to the population or the technicians involved in the landslide emergency. Our communication strategy considers three different levels of representations of the acquired dataset to be able to communicate the results to the different stakeholders potentially involved in the emergency. This communication scheme has been achieved over time, thank to the experience acquired during the management of monitoring networks relevant to different case studies, such as: Mt. de La Saxe Landslide (Aosta Valley, NW Italy), Ripoli landslide (Emilia Romagna region, central Italy), Montaguto landslide (Campania region, south Italy). Here we present how the correct and user-friendly communication of the monitoring results has been an important added value to support decision makers and population during emergency scenarios.

The Olympus satellite and satellite direct broadcasting in Italy

NASA Astrophysics Data System (ADS)

Castelli, E.; Tirro, S.

Plans for the development of DBS-TV technology in Italy are discussed from the perspective of the Italian electronics industry, with an emphasis on experimental broadcasts using the Olympus satellite channel assigned to Italy by ESA. Consideration is given to the operating characteristics of PAL, MAC-C, MAC-D2, extended-MAC, and MUSE color-TV systems and their compatibility with DBS; the planned availability of TV channels on Olympus-type and Italsat-type satellites; individual, community, and CATV reception of DBS signals; the projected growth of the DBS audience in Italy, the UK, and the FRG by 1999; and the potential Italian market for satellite receivers and antennas. The need for prompt completion and evaluation of the Olympus experiments and antennas. The need for prompt completion and evaluation of the Olympus experiments (beginning in 1987) and selection of the systems to be implemented, so that the industry can supply the home equipment required on time, is stressed. Tables of numerical data and maps of the Olympus coverage areas are provided.

Damage and Site Effects of the May 2012 Emilia-Romagna and Lombardia Earthquake, with Particular Reference to the "Oltrepò Mantovano" (Mantua) Territory

NASA Astrophysics Data System (ADS)

Daminelli, R.; Marcellini, A.; Tento, A.

2014-12-01

The seismic sequence that struck the Lombardia and Emilia-Romagna in May 2012 consisted of seven main events of magnitude greater than 5 followed by numerous aftershocks. The strongest earthquakes occurred on May 20 (M=5.9) and May 29 (M=5.8) near the border between Lombardia and Emilia-Romagna. The epicenters of the main events are aligned in east-west direction in a segment of approx. 50 km just south of the Po river. The area was considered a low to medium seismicity: the seismic hazard in the epicentral area, and in the whole damaged area, was estimated to be less than 0.15 g PGA for 10% exceedance in 50 years. Significant damage occurred over an area greater than 1000 km2, which is extremely large for earthquakes of magnitude less than 6, bearing in mind the low vulnerability level of the structures. As seen in detailed geological investigations the degree of damage and its areal extent is largely attributable to the particular conditions of the soil. We focus on the relationship between damage and soil conditions in the area of Oltrepò Mantovano, situated between the Po River and the epicentral area. The soil is largely composed of Quaternary deposits of sands, silty-clay and clay with a very deep bedrock (greater than 100 m) and Vs30 generally less than 500 m/s. According to the cards Aedes (official forms of the Italian Government to assess the state of damage of buildings) houses declared uninhabitable because of the earthquake were mainly concentrated in a few small towns: Moglia, Gonzaga, Quistello and San Giacomo delle Segnate (located approximately at 20 km, 27 km, 20 km and 14 km from the epicenters of the two main shocks, respectively) which reported 73% of the total of all uninhabitable buildings; Moglia 27 %, Gonzaga 14%, Quistello 20% and San Giacomo delle Segnate 12%. The hydrographic system has evolved considerably since the Middle Bronze Age with the result that the area is characterized by a complex geomorphology with the presence of fluvial paleochannels, fluvial ridges and abandoned river channels where numerous cases of soil liquefaction have been observed. The May 2012 earthquake has highlighted a close relationship between the sites where the damage was concentrated and the geological and geomorphological characteristics of the area.

Biological control products for aflatoxin prevention in Italy: Commercial field evaluation of atoxigenic A.flavus active ingredients

USDA-ARS?s Scientific Manuscript database

Since 2003, non-compliant aflatoxin concentrations have been detected in maize produced in Italy. The most successful worldwide experiments in aflatoxin prevention resulted from distribution of atoxigenic strains of Aspergillus flavus to displace aflatoxin-producers during crop development. The disp...

The 2012 Emilia earthquake in northern Italy: coseismic geological effects within a compressive tectonic framework

NASA Astrophysics Data System (ADS)

Montone, P.; Alessio, G.; Alfonsi, L.; Brunori, C.; Burrato, P.; Casula, G.; Cinti, F. R.; Civico, R.; Colini, L.; Cucci, L.; De Martini, P. M.; Falcucci, E.; Galadini, F.; Gaudiosi, G.; Gori, S.; Mariucci, M.; Moro, M.; Nappi, R.; Nardi, A.; Nave, R.; Pantosti, D.; Patera, A.; Pesci, A.; Pignone, M.; Pinzi, S.; Pucci, S.; Vannoli, P.; Venuti, A.; Villani, F.

2012-12-01

On May 20 2012 a Ml 5.9 seismic event hit the Emilia Po Plain area (northern Italy) triggering an intense earthquake activity along a broad area of the Plain. Nine days later, on May 29 a Ml 5.8 event occurred roughly 10 km to the SW of the first main shock; these events caused 26 victims and several injured and damages. The aftershock area extended for more than 50 km, in WNW-ESE direction, including five major aftershocks with 5.1≤Ml≤5.3 and more than two thousands of minor events. In general, the seismic sequence was confined in the upper 10 km of depth (ISIDe, http://iside.rm.ingv.it/). The focal mechanisms calculated for the main events and also for several M>4.5 aftershocks are almost all consistent with a compression (P-axes) N-S oriented due to thrust fault mechanisms. The two nodal planes, both E-W oriented, show a 40° southward and 60-70° northward dipping plane (QRCMT, Quick Regional Moment Tensors, http://autorcmt.bo.ingv.it/quicks.html), connected with the compressional regime of the area. From a tectonic point of view, the active Apennine thrust fronts, buried under the Po Plain Plio-Quaternary sediments, locally consist of three N-verging arcs. The most external structures, the active Ferrara and Mirandola thrusts and folds are responsible for the Emilia Romagna 2012 earthquake sequence. Just after the 20th May seismic event, the EMERGEO Working Group was active in surveying the epicentral area searching for coseismic geological effects. The survey lasted one month, involving about thirty researchers and technicians of the INGV in field and aerial investigations. Simultaneously, a laboratory-working group gathered, organized and interpreted the observations, processing them in the EMERGEO Information System (siE), on a GIS environment. The most common coseismic effects are: 1) liquefactions related to overpressure of aquifers hosted in buried and confined sand layers, occurring both as single cones or through several aligned vents forming coalescent sand blows; 2) extensional fractures with small vertical throws, apparently organized in an en-echelon pattern, observed mainly in the eastern sector and in the central area; 3) liquefactions directly associable to fractures where huge amounts of liquefied sand and fine sand was ejected from fractures tens of meters long. The dip of the fault plane, the depth of the main shock and the magnitude indeed did not induce any primary rupture at the surface.

Simulation of the Basin Effects in the Po Plain During the Emilia-Romagna Seismic Sequence (2012) Using Empirical Green's Functions

NASA Astrophysics Data System (ADS)

Dujardin, Alain; Causse, Mathieu; Courboulex, Françoise; Traversa, Paola

2016-06-01

The two main earthquakes that occurred in 2012 (May 20 and 29) in the Reggio-Emiliano region (Northern Italy) were relatively small (Mw 6.1 and Mw 5.9) but they generated unexpected damages in a large area around the epicenter. On some stations, the observed seismic levels exceeded design levels recommended by the EC8 seismic code for buildings and civil engineering works. The ground motions generated by the two mainshocks have specific characteristics: the waveforms are mainly controlled by surface waves generated by the deep sedimentary Po plain, by local site effects and also, on some stations, by non-linear behaviors. In this particular context, we test the ability of an empirical Green's function (EGF) simulation approach to reproduce the recorded seismograms in a large frequency band without any knowledge of the underground medium. We focus on the possibility to reproduce the strong surface waves generated by the basin at distances between 25 and 90 km. We choose to work on the second mainshock of the sequence (Mw 5.9), which occurred on May 29, 2012, because it is better recorded by the seismological networks than the May 20th first mainshock. We use a k-2 kinematic source model to generate a set of 100 slip distributions on the fault plane and choose the recordings of a close-by Mw 3.9 event as EGF. We then generate a set of broad-band seismograms (from 0.2 to 35 Hz) and compare them to the mainshock signals at 15 stations (Seismograms, Fourier spectra, PGA, PGV, duration, Stockwell Transforms) at epicentral distances from 5 to 160 km. We find that the main specific features of the signals are very well reproduced for all the stations within and beyond the basin. Nevertheless, at nearby stations, the PGA values are over-evaluated, which could be explained by the fact that non- linear effects are not taken into account in the simulation process. A better fit was found for a position of the nucleation point to the bottom west of the fault, that suggest a directivity effect of the rupture process of the May 29th event towards the North-East.

[The accuracy of the causes of death and the estimated trend: the case of cervix uteri].

PubMed

Mancuso, Pamela; Sacchettini, Claudio; Vicentini, Massimo; Caroli, Stefania; Giorgi Rossi, Paolo

2016-01-01

reduction in cervical cancer mortality is the ultimate goal of the screening. Quality of death certificate reports has been improved over time, but they are still inaccurate, making it difficult to assess time trends in mortality. to evaluate the accuracy of the topographic coding of causes of death and to estimate the mortality time trend for cervical cancer through the method of incidence-based mortality (IBM) using cancer registry (CR) data. from the mortality registry (MR), we extracted data on deaths for cervix uteri cancer, corpus uteri cancer, and uterus cancer not otherwise specified (NOS) referred to residents in Reggio Emilia (Emilia-Romagna Region, Northern Italy) from 1997 to 2013. Deaths were checked with the CR to verify the topographical site of the primary tumour. Furthermore, by using CR data, we constructed a cohort of incident cervical cancer cases diagnosed between 1997 and 2009 with a 5-year follow-up. We calculated cause-specific IBM (excluding ovary) and IBM for all cause, crude and standardized, and annual percentage change (APC). out of 369 deaths for uterine cancer, 269 were reported in the RT: 32 for cervix uteri cancer, 76 for corpus uteri cancer, 161 for uterus cancer NOS. 28 of the 32 persons who died for cervical cancer were incidents for cervix uteri cancer. 63 of the 76 who died for corpus uteri cancer were incidents for corpus uteri cancer. Of the 161 who died of uterus cancer NOS, 80 were incidents for corpus uteri cancer, 45 for cervix uteri cancer, 28 for uterus cancer NOS, 5 for vagina cancer, and 3 for cancer of other non-specified organs. Applying these proportions of misclassification, we can estimate that the real number of cervical cancer deaths is 2.4 folds the number of cases reported in the MR as cervical cancer. IBM for all causes decreased significantly over the years (APC: -9.5; 95%CI -17.1;-1.1); cause-specific IBM decreases, but not significantly (APC: -5.1; 95%IC -16.1;+7.3). There is no improvement in survival (r2=0.02; p=0.6), while the incidence shows a decrease (APC: -6.6;95%CI -10.0;-3.0). mortality for cervical cancer is still underestimated by deaths certificates: for each reported case, there are other 1.4 cases that are reported with other less specific causes.

Periodic ReMi-MASW surveys on active landslides in the Emilia Romagna region (Northern Apennines)

NASA Astrophysics Data System (ADS)

Bertello, Lara; Squarzoni, Gabriela; Berti, Matteo

2017-04-01

From January 2014 to December 2016, several combined ReMi-MASW seismic surveys (Refraction Microtremor- Multi Channel Analysis of Surface Waves) were conducted on active landslides. All the landslides are located in the Emilia Romagna region (Northern Apennines), and were classified as: 1) flows and 2) slides. For the seismic campaigns, we used eight vertical polarized geophones at 4.5 Hz, placed at intervals of 2 m each, and a total array length in the range of 10-14 m. As suggested by Louie (2001), we used a single geophone sensor at each channel, with the geophones connected to a SoilSpy Rosina acquisition system (Micromed spa). The first 5 minutes of each acquisition were performed in the passive mode, just acquiring the ambient seismic noise, and the last minute was in the active mode. For the active source, we used the jump of an operator at 5 m from the first geophone. The MASW approach relies on mid-to-high frequency artificial sources and usually provides better results in the high frequency domain (i.e. low depth). The ReMi analysis relies on ambient noise, which is ubiquitous and spans a wider frequency range, potentially working better in the mid-to low frequency domain (i.e. mid-to-high depths). The surveys were interpreted with Grilla (Micromed Software) with a manual procedure. ReMi-MASW lines were done both inside and outside the landslide area to compare the shear wave velocity (Vs) of the displaced soil with that of the source material. Often, the first campaign survey was performed in the range of 15 days from the reactivation of the landslide, than, where it was possible, we conducted periodic ReMi-MASW acquisitions, in order to evaluate the Vs variation over time. Analyzing all the data, it is clear that the Vs detected in the flow types landslide are lower than the ones detected in the slide types. It is also interesting to observe the increase of shear wave velocity over time, due to the consolidation of the material and the decrease of void index.

The (Adverse) Effects of Expanding Higher Education: Evidence from Italy

ERIC Educational Resources Information Center

Oppedisano, Veruska

2011-01-01

Over the period 1995-1998 Italy experienced an expansion of its higher education supply with the aim of reducing regional differences in educational attainment. This paper evaluates the effects of this policy on enrolment, drop out and academic performance. The paper combines differences across provinces in the number of campuses constructed with…

Decentralisation and Interregional Redistribution in the Italian Education System

ERIC Educational Resources Information Center

Ferrari, Irene; Zanardi, Alberto

2014-01-01

The aim of this paper is to evaluate the potential impact of the reform designed to decentralise public education in Italy, currently under discussion, on interregional redistribution. The central government has always played a prominent financial and administrative role in the provision of compulsory education in Italy. This has had a strong…

Time Frequency Analysis and Spatial Filtering in the Evaluation of Beta ERS After Finger Movement

DTIC Science & Technology

2001-10-25

Italy. 5IRCCS Fondazione Santa Lucia , via Ardeatina 306, Roma, Italy Fig. 1 Scheme of the Wavelet Packet decomposition. The gray boxes represent...surface splines. J. Aircraft, 1972, 9: 189-191. [8]Maceri, B., Magnone, S., Bianchi, A., Cerutti, S. Studio della decomposizione wavelet dei segnali

Assessment of Stone Columns as a Mitigation Technique of Liquefaction-Induced Effects during Italian Earthquakes (May 2012)

PubMed Central

Forcellini, Davide; Tarantino, Angelo Marcello

2014-01-01

Soil liquefaction has been observed worldwide during recent major earthquakes with induced effects responsible for much of the damage, disruption of function, and considerable replacement expenses for structures. The phenomenon has not been documented in recent time with such damage in Italian context before the recent Emilia-Romagna Earthquake (May 2012). The main lateral spreading and vertical deformations affected the stability of many buildings and impacted social life inducing valuable lessons on liquefaction risk assessment and remediation. This paper aims first of all to reproduce soil response to liquefaction-induced lateral effects and thus to evaluate stone column mitigation technique effectiveness by gradually increasing the extension of remediation, in order to achieve a satisfactory lower level of permanent deformations. The study is based on the use of a FE computational interface able to analyse the earthquake-induced three-dimensional pore pressure generation adopting one of the most credited nonlinear theories in order to assess realistically the displacements connected to lateral spreading. PMID:24592148

Assessment of stone columns as a mitigation technique of liquefaction-induced effects during Italian earthquakes (May 2012).

PubMed

Forcellini, Davide; Tarantino, Angelo Marcello

2014-01-01

Soil liquefaction has been observed worldwide during recent major earthquakes with induced effects responsible for much of the damage, disruption of function, and considerable replacement expenses for structures. The phenomenon has not been documented in recent time with such damage in Italian context before the recent Emilia-Romagna Earthquake (May 2012). The main lateral spreading and vertical deformations affected the stability of many buildings and impacted social life inducing valuable lessons on liquefaction risk assessment and remediation. This paper aims first of all to reproduce soil response to liquefaction-induced lateral effects and thus to evaluate stone column mitigation technique effectiveness by gradually increasing the extension of remediation, in order to achieve a satisfactory lower level of permanent deformations. The study is based on the use of a FE computational interface able to analyse the earthquake-induced three-dimensional pore pressure generation adopting one of the most credited nonlinear theories in order to assess realistically the displacements connected to lateral spreading.

Italy SimSmoke: the effect of tobacco control policies on smoking prevalence and smoking attributable deaths in Italy

PubMed Central

2012-01-01

Background While Italy has implemented some tobacco control policies over the last few decades, which resulted in a decreased smoking prevalence, there is still considerable scope to strengthen tobacco control policies consistent with the World Health Organization (WHO) policy guidelines. The present study aims to evaluate the effect of past and project the effect of future tobacco control policies on smoking prevalence and associated premature mortality in Italy. Methods To assess, individually and in combination, the effect of seven types of policies, we used the SimSmoke simulation model of tobacco control policy. The model uses population, smoking rates and tobacco control policy data for Italy. Results Significant reductions of smoking prevalence and premature mortality can be achieved through tobacco price increases, high intensity media campaigns, comprehensive cessation treatment program, strong health warnings, stricter smoke-free air regulations and advertising bans, and youth access laws. With a comprehensive approach, the smoking prevalence can be decreased by as much as 12% soon after the policies are in place, increasing to a 30% reduction in the next twenty years and a 34% reduction by 30 years in 2040. Without effective tobacco control policies, a total of almost 300 thousand lives will be prematurely lost due to smoking by the year 2040. Conclusion Besides presenting the benefits of a comprehensive tobacco control strategy, the model helps identify information gaps in surveillance and evaluation schemes that will promote the effectiveness of future tobacco control policy in Italy. PMID:22931428

Students' Perception of School Violence and Math Achievement in Middle Schools of Southern Italy

ERIC Educational Resources Information Center

Caputo, Andrea

2013-01-01

This study aims at both investigating bullying episodes occurring at school across different grades (from 6 to 8) and evaluating whether educational achievement in math can be predicted on the ground of students' perception of school violence. The sample was composed of 11,064 students coming from middle schools of Southern Italy. Standardized…

[Evolution in the hospitalization for infectious diseases among non-EU patients in Emilia Romagna].

PubMed

Sabbatani, Sergio; Passini, Alessia; Salvioli, Valentina; Chiodo, Francesco

2005-03-01

In the Emilia Romagna (ER) area, between 1996 and 2000, a progressive increment in hospitalization for TBC, malaria, AIDS and hepatitis in non-EU patients was observed. This study aims to determine whether this trend was confirmed in 2001 and in which cities the increase was most significant. The Hospital Discharge Cards (HDC) registered in ER for non-EU patients in the relevant period were examined. In 2001, of 20,980 hospitalization cases of non-EU patients, 394 (1.87%) were attributed to infectious diseases, amounting to an increase of 1.77% over 2000. Of the 394 patients 250 (63.45%) were male and 144 (36.55%) female. The most represented age group was 20-39 yrs. Male patients more frequently come from Morocco (54), Senegal (45), Brazil (43), females from Nigeria (36), Morocco (26) and Ghana (14). The towns and cities where hospitalization occurred were, in decreasing order: Modena (24.6%), Bologna (19.3%), Reggio Emilia (12.9%), Ravenna (10.4%), Rimini (8.6%), Parma (8.3%), Piacenza (7.3%), Forli (4.8%), Ferrara and Cesena (both 1.8%). The Hospital Departments primarily involved were: Infectious Diseases with 213 hospitalizations (54%), Pneumology 69 (17.5%), Medicine 44 (11.1%), and Paediatrics 39 (9.9 %). Hospitalization causes were, in order of frequency: TBC with 137 cases (34.8%), malaria 75 cases (19%), AIDS 72 cases (18.3%), viral hepatitis 56 cases (14.2%), septicaemia 22 cases (5.6%) and Salmonella spp. infections 18 cases (4.5%).

[Reduction of meat consumption and greenhouse gas emissions associated with health benefits in Italy].

PubMed

Farchi, Sara; Lapucci, Enrica; Michelozzi, Paola

2015-01-01

the reduction in red meat consumption has been proposed as one of the climate change mitigation policies associated to health benefits. In the developed world, red meat consumption is above the recommended intake level. the aim is to evaluate health benefits, in term of mortality decline, associated to different bovine meat consumption reduction scenarios and the potential reduction in greenhouse gas (GHG) emissions. meat consumption in Italy has been estimated using the Italian National Food Consumption Survey INRAN-SCAI (2005-2006) and the Multipurpose survey on household (2012) of the Italian National Institute for Statistics. Colorectal cancer and stoke mortality data are derived from the national survey on causes of death in 2012. Bovine meat consumption risk function has been retrieved from systematic literature reviews. Mean meat consumption in Italy is equal to 770 grams/week; gender and geographical variations exist: 69 per cent of the adult population are habitual bovine meat consumers; males have an average intake of over 400 grams/week in all areas of Italy (with the exception of the South), while females have lower intakes (360 grams per week), with higher consumption in the North-West (427 gr) and lower in the South of Italy. Four scenarios of reduction of bovine meat consumption (20%, 40%, 50% e 70%, respectively) have been evaluated and the number of avoidable deaths by gender and area of residence have been estimated. GHG emissions attributed to bovine meat adult consumption have been estimated to be to 10 gigagrams CO2-eq. from low to high reduction scenario, the percentage of avoidable deaths ranged from 2.1% to 6.5% for colorectal cancer and from 1.6% to 5.6% for stroke. Health benefits were greatest for males and for people living in the North-Western regions of Italy. in Italy, in order to adhere to bovine meat consumption recommendations and to respect EU GHG emission reduction targets, scenarios between 50% and 70% need to be adopted.

Preliminary study of plants used in ethnoveterinary medicine in Tunisia and in Italy.

PubMed

Viegi, Lucia; Ghedira, Kamel

2014-01-01

A survey relative to the use of plants for the cure of animals in Tunisia was conducted in order to make a comparison with the same species (or similar ones) in central and southern Italy. available bibliographical data both for Italy and for Tunisia were consulted. Thirty-nine plants, representing 22 families, used in Tunisia in ethnoveterinary medicine were reported, and comparisons made with close species used in Central and Southern Italy. Seven of the 39 species (about the 18% of the total) are not present in Italian flora. Fourteen of the 39 species (35% of the total) are also used in Italy. Camelidae (dromedaries and camels) are the most valuable types of domestic animals cured in Tunisia, but ovines, horses, bulls, dogs are also treated. Some uses coincide with those existing in different Italian regions. The plants used are the most common and most easily found in these areas. The present study confirms the convergence in ethnoveterinary medicine between Tunisia and Italy, even if it appears less significant than in human ethnobotany. Further studies are required in areas of Tunisia that have not yet been studied, in order to get the possibility of an evaluation of active compounds.

A zinc, copper and citric acid biocomplex shows promise for control of Xylella fastidiosa subsp. pauca in olive trees in Apulia region (southern Italy)

USDA-ARS?s Scientific Manuscript database

The bacterium Xylella fastidiosa subsp. pauca is associated with the “olive quick decline syndrome” in the Apulia region of southern Italy. To investigate control of this phytopathogen, a compound containing zinc and copper complexed with citric-acid hydracids (Dentamet®) was evaluated for in vitro ...

Extensive genome rearrangements and multiple horizontal gene transfers in a population of pyrococcus isolates from Vulcano Island, Italy.

PubMed

White, James R; Escobar-Paramo, Patricia; Mongodin, Emmanuel F; Nelson, Karen E; DiRuggiero, Jocelyne

2008-10-01

The extent of chromosome rearrangements in Pyrococcus isolates from marine hydrothermal vents in Vulcano Island, Italy, was evaluated by high-throughput genomic methods. The results illustrate the dynamic nature of the genomes of the genus Pyrococcus and raise the possibility of a connection between rapidly changing environmental conditions and adaptive genomic properties.

Infants in Italy: An Evaluation of Other Than Mother Care.

ERIC Educational Resources Information Center

Ross, Helen Warren

As more and more women return to the work force while their children are but infants, care other than by the mothers and outside the families' own homes has become an issue of major importance in the United States. In Europe, however, most governments subsidize infant care for mothers working outside the home. One country, Italy, has provided…

Hospital Disaster Preparedness in Italy: a preliminary study utilizing the World Health Organization Hospital Emergency Response Evaluation Toolkit.

PubMed

Ingrassia, Pier L; Mangini, Marco; Azzaretto, Massimo; Ciaramitaro, Ilenia; Costa, Laura; Burkle, Frederick M; Della Corte, Francesco; Djalali, Ahmadreza

2016-12-01

Natural and human-initiated disasters are occurring with greater devastating consequences and increased frequency. During these events, hospitals have the burden to care for acutely ill and injured patients. The aim of this study was to evaluate the level of disaster preparedness of Italian hospitals. Site visits were conducted from January, 2014 to December, 2014. The hospital emergency response checklist, developed by the WHO, was used as an evaluation toolkit. It consists of 92 items classified as 9 key components, such as command and control, triage, and critical services. The status of each component was determined by consensus of 3 independent evaluators. The study selected 15 hospitals from different areas in Italy. Out of the 15 hospitals, 12 were considered to be at insufficients level of preparedness, only 3 were considered to have an effective level of preparedness. The average preparedness of all components were lower than the optimal level suggested by the WHO checklist. The study revealed that a large majority of Italian hospitals evaluated are not well prepared to manage potential disasters. Also, all important elements of hospital preparedness, such as the command system, surge capacity, and safety, were insufficiently implemented. Nationwide standards, guidelines and procedures are required to improve hospital disaster preparedness in Italy.

Strangers in a strange land: work experiences of foreign nurses in Parma's territory.

PubMed

Vesperoni, Pietro; Masera, Giuliana

2015-03-13

The purpose of this research is to explore, investigate and describe experiences and points of view of foreign nurses working in the area of Parma. We focalize particularly on two areas of interest: negativities and positivities in experiences related to the process of integration into the new working environment. The literature search has revealed that the phenomenon of "nursing immigration" is numerically significant in Italy and more particularly in Emilia Romagna. From studies conducted in other countries (UK, USA, Canada, Australia and Iceland) there are two categories of factors which influence the process of integration of foreign nurses in the new working environment, facilitators and barriers. For this study we followed the phenomenological method . A total of twelve foreign nurses were interviewed in the months of October and November 2013 in the territory of Parma working in various professional fields (medicine, critical care and surgery). We did not impose any structure to interviews so that respondents were free to express their lived experiences spontaneously. All interviews were recorded, transcribed verbatim and analyzed by the method of Giorgi (1970). Results obtained from the analysis of interviews revealed seven themes, divided in positivities and negativities. Positivities are psycho-social support (Italian colleagues, fellow countrymen, patients), opportunities of cultural enrichment, positive work ethic. negativities are difficulty of language and communication, and inequalities racial prejudice, differences in care practices and inadequate opportunities for professional growth related to the Italian working environment. The study concludes by pointing out the importance of the role that foreign nurses can play in our health care system and how the results of this search can help all professionals in the health sector to have a greater understanding of their experiences. This knowledge can make a contribution to the development of new quantitative research in the same area and then to the formation of new strategies for hospitality and support.

Some examples of geomorphodiversity in Italy

NASA Astrophysics Data System (ADS)

Panizza, Mario

2014-05-01

The concept of geomorphodiversity (Panizza, 2009) is presented: "the critical and specific assessment of the geomorphological features of a territory, by comparing them in a way both extrinsic (comparison of the geomorphological characteristics with those from other territories) and intrinsic (comparison of the geomorphological characteristics with other areas within the territory itself) and taking into account the level of their scientific quality, the scale of investigation and the purpose of the research". A first example concerns the Dolomites: they have been included in the UNESCO World Heritage List because of their exceptional beauty and unique landscape, together with their scientific importance from the geological and geomorphological point of view. They are of international significance for geomorphodiversity, as the classic site for the development of mountains in dolomite limestone and present a wide range of landforms related to erosion, tectonics and glaciation. They represent a kind of high altitude, open air laboratory of geomorphological heritage of exceptional global value, among the most extraordinary and accessible in the world and ideal for researching, teaching, understanding and developing Earth Science theories. The second example concerns the Emilia-Romagna Apennines, candidate for enrolment in the List of European Geoparks: they show a multifaceted and complex image from the international and regional geomorphological (extrinsic and intrinsic geomorphodiversity) point of view and are an educational example for illustrating morphotectonic evolution, stratigraphic and sedimentological sequences and morpholithological peculiarities connected with gypsum karst and clay mass wasting phenomena. The third example concerns the Vesuvius, one of the National Italian Parks: it shows an extrinsic geomorphodiversity mainly referred to the type of eruptions, with some exemplary processes inserted in international volcanic nomenclature; it makes up an important geoheritage that can be considered a field laboratory for research on volcanic geomorphology. At a regional level, intrinsic geomorphodiversity includes typical examples ascribable to lahars, relief inversion and pseudo-karst morphology.

Characterization of events of transport over the Mediterranean Basin during summer 2012

NASA Astrophysics Data System (ADS)

Bucci, Silvia; Fierli, Federico; Di Donfrancesco, Guido; Diliberto, Luca; Viterbini, Maurizio; Ravetta, François; Pap, Ines; Weinhold, Kay; Größ, Johannes; Wiedensohler, Alfred; Cairo, Francesco

2014-05-01

Long-range transport has a great influence on the atmospheric composition in the Mediterranean Basin (MB). This work focuses on the dust intrusion events and the outflows of polluted air from the Po Valley during the PEGASOS (Pan-European Gas-AeroSOls Climate Interaction Study), TRAQA (TRAnsport et Qualité de l'Air au dessus du bassin Méditerranéen) and Supersito Arpa (Emilia Romagna) measurements campaigns of June - July 2012. In order to investigate the sources and identify the transport patterns, numerical simulations, in-situ, remote sensing and airborne aerosol measurements were jointly used. The ground based lidar situated at the San Pietro Capofiume (SPC) station, in the eastern part of the Po Valley, provides continuous measurements of backscatter and depolarization profiles and the Aerodynamical Particle Sizer (APS), in the same site, gives the aerosol spectral distribution at the ground. Observations show two main events of mineral aerosol inflow over north Italy (19- 21 June and 29-01 July). Optical properties provide a primary discrimination between coarser (likely dust) and finer particles (probably anthropogenic). The vertical statistical distribution of the different aerosol classes shows that larger particles are mainly individuated over the Planetary Boundary Layer (PBL) level while smaller particles tend to follow the daily evolution of the PBL or remain confined under it. Dust events are also detected during the TRAQA airborne campaign in the area of the gulf of Genoa, contributing to the identification of the dust plume characterization. Cluster trajectories analysis coupled to mesoscale simulations highlights the effective export of air masses from the Sahara with frequent intrusions of dust over the Po Valley, as recorded in the observational SPC site. Transport analysis also indicates an inversion of the main advection pattern (the Po Valley outflow is mainly directed eastward in the Adriatic region) during 23th and 26th June, with a possible impact of the Po Valley emissions on the Genoa Gulf where simultaneous airborne observations occurred.

Forecasting skills of the ensemble hydro-meteorological system for the Po river floods

NASA Astrophysics Data System (ADS)

Ricciardi, Giuseppe; Montani, Andrea; Paccagnella, Tiziana; Pecora, Silvano; Tonelli, Fabrizio

2013-04-01

The Po basin is the largest and most economically important river-basin in Italy. Extreme hydrological events, including floods, flash floods and droughts, are expected to become more severe in the next future due to climate change, and related ground effects are linked both with environmental and social resilience. A Warning Operational Center (WOC) for hydrological event management was created in Emilia Romagna region. In the last years, the WOC faced challenges in legislation, organization, technology and economics, achieving improvements in forecasting skill and information dissemination. Since 2005, an operational forecasting and modelling system for flood modelling and forecasting has been implemented, aimed at supporting and coordinating flood control and emergency management on the whole Po basin. This system, referred to as FEWSPo, has also taken care of environmental aspects of flood forecast. The FEWSPo system has reached a very high level of complexity, due to the combination of three different hydrological-hydraulic chains (HEC-HMS/RAS - MIKE11 NAM/HD, Topkapi/Sobek), with several meteorological inputs (forecasted - COSMOI2, COSMOI7, COSMO-LEPS among others - and observed). In this hydrological and meteorological ensemble the management of the relative predictive uncertainties, which have to be established and communicated to decision makers, is a debated scientific and social challenge. Real time activities face professional, modelling and technological aspects but are also strongly interrelated with organization and human aspects. The authors will report a case study using the operational flood forecast hydro-meteorological ensemble, provided by the MIKE11 chain fed by COSMO_LEPS EQPF. The basic aim of the proposed approach is to analyse limits and opportunities of the long term forecast (with a lead time ranging from 3 to 5 days), for the implementation of low cost actions, also looking for a well informed decision making and the improvement of flood preparedness and crisis management for basins greater than 1.000 km2.

Organic aerosol evolution and transport observed at Mt. Cimone (2165 m a.s.l.), Italy, during the PEGASOS campaign

NASA Astrophysics Data System (ADS)

Rinaldi, M.; Gilardoni, S.; Paglione, M.; Sandrini, S.; Fuzzi, S.; Massoli, P.; Bonasoni, P.; Cristofanelli, P.; Marinoni, A.; Poluzzi, V.; Decesari, S.

2015-10-01

High-resolution aerosol mass spectrometer measurements were performed, for the first time, at the Mt. Cimone Global Atmosphere Watch (GAW) station between June and July 2012, within the EU project PEGASOS and the ARPA-Emilia-Romagna project SUPERSITO. Submicron aerosol was dominated by organics (63 %), with sulfate, ammonium and nitrate contributing the remaining 20, 9 and 7 %, respectively. Organic aerosol (OA) was in general highly oxygenated, consistent with the remote character of the site; our observations suggest that oxidation and secondary organic aerosol (SOA) formation processes occurred during aerosol transport to high altitudes. All of the aerosol component concentrations as well as the OA elemental ratios showed a clear daily trend, driven by the evolution of the planetary boundary layer (PBL) and by the mountain wind regime. Higher loadings and lower OA oxidation levels were observed during the day, when the site was within the PBL, and therefore affected by relatively fresh aerosol transported from lower altitudes. Conversely, lower loadings and higher OA oxidation levels were observed at night, when the top of Mt. Cimone resided in the free troposphere although affected by the transport of residual layers on several days of the campaign. Analysis of the elemental ratios in a Van Krevelen space shows that OA oxidation follows a slope comprised between -0.5 and -1, consistent with addition of carboxylic groups, with or without fragmentation of the parent molecules. The increase of carboxylic groups during OA ageing is confirmed by the increased contribution of organic fragments containing more than one oxygen atom in the free troposphere night-time mass spectra. Finally, positive matrix factorization was able to deconvolve the contributions of relatively fresh OA (OOAa) originating from the PBL, more aged OA (OOAb) present at high altitudes during periods of atmospheric stagnation, and very aged aerosols (OOAc) transported over long distances in the free troposphere.

Formation of Oxidized Organic Aerosol (OOA) through Fog Processing in the Po Valley

NASA Astrophysics Data System (ADS)

Gilardoni, S.; Paglione, M.; Rinaldi, M.; Giulianelli, L.; Massoli, P.; Hillamo, R. E.; Carbone, S.; Lanconelli, C.; Laaksonen, A. J.; Russell, L. M.; Poluzzi, V.; Fuzzi, S.; Facchini, C.

2014-12-01

Aqueous phase chemistry might be responsible for the formation of a significant fraction of the organic aerosol (OA) observed in the atmosphere, and could explain some of the discrepancies between OA concentration and properties predicted by models and observed in the environment. Aerosol - fog interaction and its effect on submicron aerosol properties were investigated in the Po Valley (northern Italy) during fall 2011, in the framework of the Supersite project (ARPA Emilia Romagna). Composition and physical properties of submicron aerosol were measured online by a High Resolution- Time of Flight - Aerosol Mass Spectrometer (HR-TOF-AMS), a Soot Photometer - Aerosol Mass Spectrometer (SP-AMS), and a Tandem Differential Mobility Particle Sizer (TDMPS). Organic functional group analysis was performed off-line by Hydrogen - Nuclear Magnetic Resonance (H-NMR) spectrometry and by Fourier Transform Infrared (FTIR) spectrometry. Aerosol absorption, scattering, and total extinction were measured simultaneously with a Particle Soot Absorption Photometer (PSAP), a Nephelometer, and a Cavity Attenuated Phase Shift Spectrometer particle extinction monitor (CAPS PMex), respectively. Water-soluble organic carbon in fog-water was characterized off-line by HR-TOF-AMS. Fourteen distinct fog events were observed. Fog dissipation left behind an aerosol enriched in particles larger than 400 nm, typical of fog and cloud processing, and dominated by secondary species, including ammonium nitrate, ammonium sulfate and oxidized OA (OOA). Source apportionment of OA allowed us to identify OOA as the difference between total OA and primary OA (hydrocarbon like OA and biomass burning OA). The formation of OOA through fog processing is proved by the correlation of OOA concentration with hydroxyl methyl sulfonate signal and by the similarity of OOA spectra with organic mass spectra obtained by re-aerosolization of fog water samples. The oxygen to carbon ratio and the hydrogen to carbon ratio of this OOA fraction was about 0.6 and 1.3, respectively. Organic functional group analysis showed that OOA observed after fog dissipation was characterized by organic-sulfur and organic-nitrogen species.

Communications and relationships between patient and nurse in Intensive Care Unit: knowledge, knowledge of the work, knowledge of the emotional state.

PubMed

Foà, Chiara; Cavalli, Lisa; Maltoni, Alessia; Tosello, Nicoletta; Sangilles, Chiara; Maron, Ilaria; Borghini, Marina; Artioli, Giovanna

2016-11-22

In an Intensive Care Unit (ICU) the communication between nurse and patient, the core of the care, is often hindered by patient's cognitive alterations and critical situation, by devices employed for the mechanical ventilation, and by the clinical and care-giving setting. How to overcome these barriers? How is the relational and communicative approach between nurse and patient unable to express him or herself to be managed? The available literature reveals that studies on communication with difficult patients, such as those treated in ICU are currently scarce. The present research offers a contribution in this respect, through fact-finding about the knowledge acquired by professional studies or work experiences, the personal and institutional techniques implemented in regards to communication (knowledge of the work), the relational behaviours and the emotional experience with patients (knowledge of the emotional state) of nurses working in the Intensive Care Units. A semi-structured interview have been designed and submitted to 30 nurses working in fourteen Highly Specialized Centres (HUB) in Emilia Romagna, Italy. Two nurses with different years of experience in the field have been chosen for each Operating Unit. According to the interviewees paraverbal communication is the most common way to communicate with patients: different strategies are employed such as facial expression or lip movement. In any case, the nurse has the task to choose the most suitable technique according to his or her experiences, his or her knowledge and the patient him or herself. The results claim that lack of specific training on communicative aspects of care, should be combined with an attitude of being prone to listening to and understanding the needs of the patient and of his or her family as well. The interviewees declare they have a solid preparation in the bio-clinical aspect of care, but both new hired nurses and experts affirm that they need a specific training in relational and communicative aspects, proving its importance.

The ambiguities of performance-based governance reforms in Italy: Reviving the fortunes of evaluation and performance measurement.

PubMed

Marra, Mita

2018-08-01

Over the past two decades, Italy's administrative reforms have institutionalized evaluation to improve program effectiveness, staff productivity, and results-driven accountability against waste and corruption. Across ministries, regional governments, universities, schools and environmental protection agencies, seemingly unexpected consequences have emerged out of the implementation of performance measurement and evaluation regimes within public organizations. Formal compliance to legally binding evaluation procedures, judicially-sanctioned managerial accountability and lack of cross-agency coordination coupled with long-standing cultural separations among evaluators are some of the ambiguities associated with a performance-based governance system within Italian public administration. Building upon the 'new governane theory,' and qualitative fieldwork, I explore the political consequences of evaluation and performance measurement for possible improvements. From a normative perspective, greater integration between program evaluation and performance measurement can support organizational learning and democratic accountability both at the central and local level. Copyright © 2017 Elsevier Ltd. All rights reserved.

Adaptive Response of Children and Adolescents with Autism to the 2009 Earthquake in L'Aquila, Italy

ERIC Educational Resources Information Center

Valenti, Marco; Ciprietti, Tiziana; Di Egidio, Claudia; Gabrielli, Maura; Masedu, Francesco; Tomassini, Anna Rita; Sorge, Germana

2012-01-01

The literature offers no descriptions of the adaptive outcomes of people with autism spectrum disorder (ASD) after natural disasters. Aim of this study was to evaluate the adaptive behaviour of participants with ASD followed for 1 year after their exposure to the 2009 earthquake in L'Aquila (Italy) compared with an unexposed peer group with ASD,…

Managed Aquifer Recharge in Italy: present and prospects.

NASA Astrophysics Data System (ADS)

Rossetto, Rudy

2015-04-01

On October the 3rd 2014, a one-day Workshop on Managed Aquifer Recharge (MAR) experiences in Italy took place at the GEOFLUID fair in Piacenza. It was organized within the framework of the EIP AG 128 - MAR Solutions - Managed Aquifer Recharge Strategies and Actions and the EU FPVII MARSOL. The event aimed at showcasing present experiences on MAR in Italy while at the same time starting a network among all the Institutions involved. In this contribution, we discuss the state of MAR application in Italy and summarize the outcomes of that event. In Italy aquifer recharge is traditionally applied unintentionally, by increasing riverbank filtration or because of excess irrigation. A certain interest for artificial recharge of aquifers arose at the end of the '70s and the beginning of the '80s and tests have been carried out in Tuscany, Veneto and Friuli Venezia Giulia. During the last years some projects on aquifer recharge were co-financed by the European Commission mainly through the LIFE program. Nearly all of them use the terminology of artificial recharge instead of MAR. They are: - TRUST (Tool for regional - scale assessment of groundwater storage improvement in adaptation to climate change, LIFE07 ENV/IT/000475; Marsala 2014); - AQUOR (Implementation of a water saving and artificial recharging participated strategy for the quantitative groundwater layer rebalance of the upper Vicenza's plain - LIFE 2010 ENV/IT/380; Mezzalira et al. 2014); - WARBO (Water re-born - artificial recharge: innovative technologies for the sustainable management of water resources, LIFE10 ENV/IT/000394; 2014). While the TRUST project dealt in general with aquifer recharge, AQUOR and WARBO focused essentially on small scale demonstration plants. Within the EU FPVII-ENV-2013 MARSOL project (Demonstrating Managed Aquifer Recharge as a Solution to Water Scarcity and Drought; 2014), a dedicated monitoring and decision support system is under development to manage recharge at a large scale riverbank filtration plant, worth 15 Mm3/year in Lucca (Tuscany; Borsi et al. 2014). In 2014, the Regional Authority of Emilia Romagna started a pilot on the Marecchia River fan using a recharge basin to alleviate water scarcity in the Rimini area as results of drought periods (Severi et al. 2014). To apply MAR techniques on a large scale is of particular interest the possibility to allow farmer's associations or drainage consortiums to play an important role in storing excess rainfall water in aquifers. Few hectares of land in rural areas may be dedicated to MAR plants, transforming a traditionally water consumer sector in one preserving it - opportunities are then linked to the provision of water related ecosystem services. Aquifer recharge is allowed in Italy only since September 2013, but still a regulatory framework is missing. Hopefully, this regulatory scheme will benefit from previous and on-going experiences. Dissemination of MAR scientific findings and technical know-how among governing authorities and the general public is crucial for the application of MAR techniques. Fundings for setting up new MAR plants may be available at national level. At the same time, lack of knowledge at intermediate governing bodies level is preventing the application of these techniques (i.e. building of small dams is favored although less convenient by several points of view in respect of MAR plants). Finally, it is of outmost importance to define which are the financial instruments to sustain these water infrastructures, so to guarantee not only their set up, but also routinely operations, opening as such a new market in the water sector. Acknowledgments This paper is co-financed within the framework of the EU FP7-ENV-2013-WATER-INNO-DEMO MARSOL (Grant Agreement n. 619120). References Borsi, I., Mazzanti, G., Barbagli, A., Rossetto, R., 2014. The riverbank filtration plant in S. Alessio (Lucca): monitoring and modeling activity within EU the FP7 MARSOL project. Acque Sotterranee - Italian Journal of Groundwater, Vol. 3, n. 3/137 Marsala, V. (2014). LIFE+ TRUST project: tool to assist the implementation of the Framework Directive 2000/60/CE, methodology and results. Acque Sotterranee - Italian Journal of Groundwater, Vol. 3, n. 3/137 MARSOL (2014). Demonstrating Managed Aquifer Recharge as a Solution to Water Scarcity and Drought www.marsol.eu [accessed 4 January 2015] Mezzalira, G., Niceforo, U., Gusmaroli, G. (2014). Forested infiltration areas (FIA); principles, experiences, perspectives. Acque Sotterranee - Italian Journal of Groundwater, Vol. 3, n. 3/137 Severi, P., Bonzi, L., Ferrari, V., Pellegrino, I. (2014). Managed aquifer recharge in the Marecchia alluvial fan (Rimini - Italy), start of the test and first results. Acque Sotterranee - Italian Journal of Groundwater, Vol. 3, n. 3/137 WARBO, 2014. WATER RE-BORN - Artificial Recharge. Innovative Technologies for the Sustainable Management of Water Resources. http://www.warbo-life.eu/ [accessed 8 August 2014

[The path of continuity of care between hospital and territory in patients with severe brain injury. The expectations of caregivers and professionals].

PubMed

Feiroli, Raffaele; Bolzani, Monica; Cornelli, Maria Cristina; Ghirardi, Lida; Guizzardi, Loris; Onesti, Roberta; Dovani, Antonella; Davolo, Andrea; Artioli, Giovanna; Mancini, Tiziana

2013-01-01

The present study analyses how continuity of care is perceived by health professionals and GRACER (Gravi Cerebrolesioni Acquisite Emilia Romagna) patients' caregivers, in order to investigate where the gap between expectations and reality is more heavily felt and which dimension of the continuity of care is the most important both for health professionals and GRACER patients' caregivers. The study has been developed following the Gap Analysis theoretical model. A questionnaire, based on ServQual model, was used to collect data about the three dimensions of the construct of continuity of care related to information, management and relation, declined along the lines of expectations and perception of reality. The questionnaire was administered to health professionals and caregivers of GRACER patients (12-36 months after the event) inside 4 healthcare institutes in Emilia Romagna. The PAI (Piano Assistenziale Individuale) approach was the methodology applied in these 4 sites. To both groups the relational continuity was the most important dimension, followed at a long distance by the informational and the management ones. It has also been noted that to professionals reality is always worse than expectations, with the exception of only two items in the dimension of management continuity. To caregivers reality is worse than expectations in some items in the dimensions of information and management The study has shown that the relational dimension of continuity of care should be more investigated, as confirmed by literature. More research is needed about the professionals' dissatisfaction generated by the negative balance between expectations and perception of reality.

Vertical integration and contractual network in the cardiovascular sector: the experience of the Italian region Emilia Romagna

PubMed Central

Ugolini, Cristina; Nobilio, Lucia

2003-01-01

Abstract Objective We analysed the integrated planning model adopted by the Italian region Emilia Romagna in year 2000 to cover the entire range of treatment of cardiovascular disease. This model, called “hub and spoke”, provides for the transfer of patient care and treatment from peripheral units (the spokes) to central units (the hubs) once a certain complexity threshold has been reached. Methods We examined inter-temporal variations in patients flows for the selection/referral and follow-up phases between cardiac surgery and cardiology units during two periods characterised by different organisational set-ups, in order to reflect on the progress being made in the organisation of the network. The database consisted of regional records of hospital discharges during the 1997–2001 period. Results The investigation pointed to the achievement of a good degree of coordination between structures at different levels of specialisation in the case of cardiac surgery, for which six centres were selected already in 1996. On the other hand, the more recent introduction of a hierarchical system for interventional cardiology points to the prevalence of operations on patients previously treated within the same centre, to admissions by direct access, and to follow-up mainly conducted within the hub providing the initial service. Conclusions Despite the progress made towards the more effective rationalisation of the health care network, there is still room for improvement in relations between different centres, in particular with regard to the clearer definition of the roles and interdependence of those intermediate-level centres located between the hub centres and basic healthcare facilities. PMID:16896380

Vertical integration and contractual network in the cardiovascular sector: the experience of the Italian region Emilia Romagna.

PubMed

Ugolini, Cristina; Nobilio, Lucia

2003-01-01

We analysed the integrated planning model adopted by the Italian region Emilia Romagna in year 2000 to cover the entire range of treatment of cardiovascular disease. This model, called "hub and spoke", provides for the transfer of patient care and treatment from peripheral units (the spokes) to central units (the hubs) once a certain complexity threshold has been reached. We examined inter-temporal variations in patients flows for the selection/referral and follow-up phases between cardiac surgery and cardiology units during two periods characterised by different organisational set-ups, in order to reflect on the progress being made in the organisation of the network. The database consisted of regional records of hospital discharges during the 1997-2001 period. The investigation pointed to the achievement of a good degree of coordination between structures at different levels of specialisation in the case of cardiac surgery, for which six centres were selected already in 1996. On the other hand, the more recent introduction of a hierarchical system for interventional cardiology points to the prevalence of operations on patients previously treated within the same centre, to admissions by direct access, and to follow-up mainly conducted within the hub providing the initial service. Despite the progress made towards the more effective rationalisation of the health care network, there is still room for improvement in relations between different centres, in particular with regard to the clearer definition of the roles and interdependence of those intermediate-level centres located between the hub centres and basic healthcare facilities.

Children's emotional experience two years after an earthquake: An exploration of knowledge of earthquakes and associated emotions.

PubMed

Raccanello, Daniela; Burro, Roberto; Hall, Rob

2017-01-01

We explored whether and how the exposure to a natural disaster such as the 2012 Emilia Romagna earthquake affected the development of children's emotional competence in terms of understanding, regulating, and expressing emotions, after two years, when compared with a control group not exposed to the earthquake. We also examined the role of class level and gender. The sample included two groups of children (n = 127) attending primary school: The experimental group (n = 65) experienced the 2012 Emilia Romagna earthquake, while the control group (n = 62) did not. The data collection took place two years after the earthquake, when children were seven or ten-year-olds. Beyond assessing the children's understanding of emotions and regulating abilities with standardized instruments, we employed semi-structured interviews to explore their knowledge of earthquakes and associated emotions, and a structured task on the intensity of some target emotions. We applied Generalized Linear Mixed Models. Exposure to the earthquake did not influence the understanding and regulation of emotions. The understanding of emotions varied according to class level and gender. Knowledge of earthquakes, emotional language, and emotions associated with earthquakes were, respectively, more complex, frequent, and intense for children who had experienced the earthquake, and at increasing ages. Our data extend the generalizability of theoretical models on children's psychological functioning following disasters, such as the dose-response model and the organizational-developmental model for child resilience, and provide further knowledge on children's emotional resources related to natural disasters, as a basis for planning educational prevention programs.

Relationship between work-related accidents and hot weather conditions in Tuscany (central Italy).

PubMed

Morabito, Marco; Cecchi, Lorenzo; Crisci, Alfonso; Modesti, Pietro Amedeo; Orlandini, Simone

2006-07-01

Nowadays, no studies have been published on the relationship between meteorological conditions and work-related mortality and morbidity in Italy. The aim of this study was to evaluate the relationship between hot weather conditions and hospital admissions due to work-related accidents in Tuscany (central Italy) over the period 1998-2003. Apparent temperature (AT) values were calculated to evaluate human weather discomfort due to hot conditions and then tested for work accident differences using non-parametric procedures. Present findings showed that hot weather conditions might represent a risk factor for work-related accidents in Italy during summer. In particular early warming days during June, characterized by heat discomfort, are less tolerated by workers than warming days of the following summer months. The peak of work-related accidents occurred on days characterized by high, but not extreme, thermal conditions. Workers maybe change their behaviour when heat stress increases, reducing risks by adopting preventive measures. Results suggested that days with an average daytime AT value ranged between 24.8 degrees C and 27.5 degrees C were at the highest risk of work-related accidents. In conclusion, present findings might represent the first step for the development of a watch/warning system for workers that might be used by employers for planning work activities.

First-episode psychosis and migration in Italy (PEP-Ita migration): a study in the Italian mental health services

PubMed Central

2014-01-01

Background It has been frequently reported a higher incidence of psychotic disorders in immigrants than in native populations. There is, however, a lack of knowledge about risk factors which may explain this phenomenon. A better understanding of the causes of psychosis among first-generation migrants is highly needed, particularly in Italy, a country with a recent massive migration. Methods/Design The “Italian study on first-episode psychosis and migration (PEP-Ita)” is a prospective observational study over a two-year period (1 January 2012–31 December 2013) which will be carried out in 11 Italian mental health centres. All participating centres will collect data about all new cases of migrants with first-episode psychosis. The general purpose (“core”) of the PEP-Ita study is to explore the socio-demographic and clinical characteristics, and the pathways to care of a population of first-episode psychosis migrants in Italy. Secondary aims of the study will be: 1) to understand risk and protective factors for the development of psychotic disorders in migrants; 2) to evaluate the correlations between psychopathology of psychotic disorders in migrants and socio-demographic characteristics, migration history, life experiences; 3) to evaluate the clinical and social outcomes of first-episode psychoses in migrants. Discussion The results of the PEP-Ita study will allow a better understanding of risk factors for psychosis in first-generation migrants in Italy. Moreover, our results will contribute to the development of prevention programmes for psychosis and to the improvement of early intervention treatments for the migrant population in Italy. PMID:24957972

[The workplace-based learning: a main paradigm of an effective continuing medical education].

PubMed

Lelli, Maria Barbara

2010-01-01

On the strength of the literature analysis and the Emilia-Romagna Region experience, we suggest a reflection on the workplace-based learning that goes beyond the analysis of the effectiveness of specific didactic methodologies and aspects related to Continuing Medical Education. Health education and training issue is viewed from a wider perspective, that integrates the three learning dimensions (formal, non formal and informal). In such a perspective the workplace-based learning becomes an essential paradigm to reshape the explicit knowledge conveyed in formal context and to emphasize informal contexts where innovation is generated.

Dispersant approval procedures in France and Italy: A comparative ecotoxicity study.

PubMed

Manfra, Loredana; Tornambè, Andrea; Guyomarch, Julien; Le Guerrogue, Pascale; Kerambrun, Loïc; Rotini, Alice; Savorelli, Federica; Onorati, Fulvio; Magaletti, Erika

2017-09-01

A research project has been performed to the request of the RAMOGE Executive Secretariat to identify differences between dispersant approval procedures in France and Italy and propose ways to harmonize them. A collaborative study has been conducted by CEDRE (Centre of Documentation, Research and Experimentation on Accidental Water Pollution) and ISPRA (Italian Institute for Environmental Protection and Research) to: a) compare current approval procedures in Italy and France with identification of differences and commonalities; b) carry out toxicity tests using both procedures on two selected dispersants; c) propose a common approach between Italy and France. The results showed that, because of the differences in ecotoxicological tests and in the evaluation criteria used, the outcomes on the same products could be different in Italy and in France. Both tested dispersants met the French requirements for approval (LC 50 ≥ 10 times reference toxicant), while only one dispersant met the Italian approval criterion (EC 50 > 10mg/L). A possible way of harmonizing the approval procedures could be to increase the number of test organisms in the French procedure, which currently only uses one crustacean species. Furthermore, a common criterion for toxicity assessment should be discussed and agreed. Copyright © 2017. Published by Elsevier Inc.

The National Tumor Association Foundation (ANT): A 30 year old model of home palliative care

PubMed Central

2010-01-01

Background Models of palliative care delivery develop within a social, cultural, and political context. This paper describes the 30-year history of the National Tumor Association (ANT), a palliative care organization founded in the Italian province of Bologna, focusing on this model of home care for palliative cancer patients and on its evaluation. Methods Data were collected from the 1986-2008 ANT archives and documents from the Emilia-Romagna Region Health Department, Italy. Outcomes of interest were changed in: number of patients served, performance status at admission (Karnofsky Performance Status score [KPS]), length of participation in the program (days of care provided), place of death (home vs. hospital/hospice), and satisfaction with care. Statistical methods included linear and quadratic regressions. A linear and a quadratic regressions were generated; the independent variable was the year, while the dependent one was the number of patients from 1986 to 2008. Two linear regressions were generated for patients died at home and in the hospital, respectively. For each regression, the R square, the unstandardized and standardized coefficients and related P-values were estimated. Results The number of patients served by ANT has increased continuously from 131 (1986) to a cumulative total of 69,336 patients (2008), at a steady rate of approximately 121 additional patients per year and with no significant gender difference. The annual number of home visits increased from 6,357 (1985) to 904,782 (2008). More ANT patients died at home than in hospice or hospital; this proportion increased from 60% (1987) to 80% (2007). The rate of growth in the number of patients dying in hospital/hospice was approximately 40 patients/year (p < 0.01), vs. approximately 177 patients/year for patients who died at home. The percentage of patients with KPS < 40 at admission decreased from 70% (2003) to 30% (2008); the percentage of patients with KPS > 40 increased. Mean days of care for patients with KPS > 40 exceeded mean days for patients with KPS < 40 (p < 0.001). Patients and caregivers reported high satisfaction with care in each year of assessment; in 2008, among 187 interviewed caregivers, 95% judged the quality of doctors' assistance, and 91% judged the quality of nurses' assistance, to be "optimal." Conclusions The ANT home care model of palliative care delivery has been well-received, with progressively growing numbers of patients served. It has resulted in a greater proportion of home deaths and in patients' accessing palliative care at an earlier point in the disease trajectory. Changes in ANT chronicle palliative care trends in general. PMID:20529310

Application of Skylab imagery to some geological and environmental problems in Italy. [and Sicily

NASA Technical Reports Server (NTRS)

Cassinis, R.; Lechi, G. M.; Tonelli, A. M.

1975-01-01

Four topics are considered: regional geology of Sicily, volcanic surveillance in southern Italy, hydrogeology (with special regard given to the discovery and mapping of paleoriverbeds), and crop investigation. The discovery of unknown lineaments and structures in Sicily contributes to the geological knowledge of this region and in particular to the mechanical phenomena involving the upper part of the crust. An attempt was made to relate the status of vegetation surrounding Etna volcano to the magmatic gas escapes filtering through the soil. False-color Skylab images were used to analyze the vigor of the Etnean forestal belt vegetation canopy in order to map possible gas-vent ways as well as the 'active' microfractures. In northern Italy, buried channels were mapped in the Venetian Plain, and a tentative cost-benefit evaluation was done in the field of vegetational studies, both disease detection and species inventory were performed in the Po River Delta and in northwestern Italy.

Hepatitis E Virus in Pork Production Chain in Czech Republic, Italy, and Spain, 2010

PubMed Central

Di Bartolo, Ilaria; Diez-Valcarce, Marta; Vasickova, Petra; Kralik, Petr; Hernandez, Marta; Angeloni, Giorgia; Ostanello, Fabio; Bouwknegt, Martijn; Rodríguez-Lázaro, David; Pavlik, Ivo

2012-01-01

We evaluated the prevalence of hepatitis E virus (HEV) in the pork production chain in Czech Republic, Italy, and Spain during 2010. A total of 337 fecal, liver, and meat samples from animals at slaughterhouses were tested for HEV by real-time quantitative PCR. Overall, HEV was higher in Italy (53%) and Spain (39%) than in Czech Republic (7.5%). HEV was detected most frequently in feces in Italy (41%) and Spain (39%) and in liver (5%) and meat (2.5%) in Czech Republic. Of 313 sausages sampled at processing and point of sale, HEV was detected only in Spain (6%). HEV sequencing confirmed only g3 HEV strains. Indicator virus (porcine adenovirus) was ubiquitous in fecal samples and absent in liver samples and was detected in 1 slaughterhouse meat sample. At point of sale, we found porcine adenovirus in sausages (1%–2%). The possible dissemination of HEV and other fecal viruses through pork production demands containment measures. PMID:22840221

[Perceived discrimination at work for being an immigrant: a study on self-perceived mental health status among immigrants in Italy].

PubMed

Di Napoli, Anteo; Gatta, Rosaria; Rossi, Alessandra; Perez, Monica; Costanzo, Gianfranco; Mirisola, Concetta; Petrelli, Alessio

2017-01-01

exposure to discrimination is widely understood as a social determinant of psychophysical health and a contributing factor to health inequities among social groups. Few studies exist, particularly in Italy, about the effects of discrimination among immigrants at workplace. to analyse the association between perceived discrimination at work for being an immigrant and mental health status among immigrants in Italy. a sub-sample of 12,408 immigrants residing in Italy was analysed. data came from the survey "Social conditions and integration of foreign citizens in Italy", carried out in 2011-2012 by the Italian National Institute of Statistics (Istat). Self-perceived mental health status was measured through mental component summary (MCS) of SF-12 questionnaire, assuming as worse health status MCS score distribution ≤1st quartile. In order to evaluate the probability of poor health status, a multivariate log-binomial model was performed assuming: discrimination at work for being an immigrant as determinant variable; age, gender, educational level, employment status, area of origin, residence in Italy, length of stay in Italy, self-perceived loneliness and satisfaction about life as potential confounding variables. among immigrants, 15.8% referred discrimination at his/her workplace in Italy for being an immigrant. Higher probability of poor mental health status was observed for immigrants who referred discrimination at workplace (Prevalence Rate Ratio - PRR: 1.16) who arrived in Italy since at least 5 years (PRR: 1.14), for not employed subjects (PRR: 1.31), and for people from the Americas (PRR: 1.14). Lower probability of poor mental health status was found in immigrants from Western- Central Asia (PRR: 0.83) and Eastern-Pacific Asia (PRR: 0.79). Compared to immigrants residing in North-Eastern Italy, higher probability of worse mental health status was observed in people who resided in Northern-Western (PRR: 1.30), Central (PRR: 1.26), and Southern (PRR: 1.15) Italian regions. our findings confirm that discrimination at workplace for being an immigrant is a risk factor for self-perceived mental health among immigrants in Italy, suggesting that an overall public health response is essential in addition to work-based interventions. Improving working conditions, promoting organisational strategies to support coping behaviours, and challenging discrimination can improve mental health status of immigrants.

Benchmark Computation and Finite Element Performance Evaluation for a Rhombic Plate Bending Problem

DTIC Science & Technology

1987-09-01

Physical Science and Technology University of Maryland, College Park, MD 20742, USA and Dip. Matematica - Universita di Pavia - 27100 Pavia - ITALY DTIC...University of Maryland, College Park,, MD 20742, USA , and Dip. Matematica - Universita di Pavia - 27100 Pavia - ITALY SFor Oe" -- 4- I , CA& 11 --l...drawn when based on the state of the art of both theoretical and experience field. The reliability has to be understood not only with respect to a

Cost-effectiveness of bedaquiline in MDR and XDR tuberculosis in Italy

PubMed Central

Codecasa, Luigi R.; Toumi, Mondher; D’Ausilio, Anna; Aiello, Andrea; Damele, Francesco; Termini, Roberta; Uglietti, Alessia; Hettle, Robert; Graziano, Giorgio; De Lorenzo, Saverio

2017-01-01

ABSTRACT Objective: To evaluate the cost-effectiveness of bedaquiline plus background drug regimens (BR) for multidrug-resistant tuberculosis (MDR-TB) and extensively drug-resistant tuberculosis (XDR-TB) in Italy. Methods: A Markov model was adapted to the Italian setting to estimate the incremental cost-effectiveness ratio (ICER) of bedaquiline plus BR (BBR) versus BR in the treatment of MDR-TB and XDR-TB over 10 years, from both the National Health Service (NHS) and societal perspective. Cost-effectiveness was evaluated in terms of life-years gained (LYG). Clinical data were sourced from trials; resource consumption for compared treatments was modelled according to advice from an expert clinicians panel. NHS tariffs for inpatient and outpatient resource consumption were retrieved from published Italian sources. Drug costs were provided by reference centres for disease treatment in Italy. A 3% annual discount was applied to both cost and effectiveness. Deterministic and probabilistic sensitivity analyses were conducted. Results: Over 10 years, BBR vs. BR alone is cost-effective, with ICERs of €16,639/LYG and €4081/LYG for the NHS and society, respectively. The sensitivity analyses confirmed the robustness of the results from both considered perspectives. Conclusion: In Italy, BBR vs. BR alone has proven to be cost-effective in the treatment of MDR-TB and XDR-TB under a range of scenarios. PMID:28265350

Biological Control Products for Aflatoxin Prevention in Italy: Commercial Field Evaluation of Atoxigenic Aspergillus flavus Active Ingredients.

PubMed

Mauro, Antonio; Garcia-Cela, Esther; Pietri, Amedeo; Cotty, Peter J; Battilani, Paola

2018-01-05

Since 2003, non-compliant aflatoxin concentrations have been detected in maize produced in Italy. The most successful worldwide experiments in aflatoxin prevention resulted from distribution of atoxigenic strains of Aspergillus flavus to displace aflatoxin-producers during crop development. The displacement results in lower aflatoxin concentrations in harvested grain. The current study evaluated in field performances of two atoxigenic strains of A . flavus endemic to Italy in artificially inoculated maize ears and in naturally contaminated maize. Co-inoculation of atoxigenic strains with aflatoxin producers resulted in highly significant reductions in aflatoxin concentrations (>90%) in both years only with atoxigenic strain A2085. The average percent reduction in aflatoxin B₁ concentration in naturally contaminated maize fields was 92.3%, without significant differences in fumonisins between treated and control maize. The vegetative compatibility group of A2085 was the most frequently recovered A. flavus in both treated and control plots (average 61.9% and 53.5% of the A. flavus , respectively). A2085 was therefore selected as an active ingredient for biocontrol products and deposited under provisions of the Budapest Treaty in the Belgian Co-Ordinated Collections of Micro-Organisms (BCCM/MUCL) collection (accession MUCL54911). Further work on development of A2085 as a tool for preventing aflatoxin contamination in maize produced in Italy is ongoing with the commercial product named AF-X1™.

[PRIER II. The Emilia-Romagna Research and Innovation Programme].

PubMed

Addis, Antonio; Papini, Donato; Bassi, Maria Chiara; Grilli, Roberto

2015-09-01

The Emilia-Romagna Programme for Research and Innovation "PRIER" was born in 2005 with the aim of increasing cultural and operational conditions for the development of clinical research, useful both to the Regional Health Service (SSR) and to the private sectors of pharmaceutical and biomedical areas. In this context, the PRIER had from the beginning a double connotation: a space where the SSR can explore issues related to the development of its own research capacity; and a context where new possible ways of relating and comparison with the pharmaceutical and biomedical industry are tested. Over the years the activities of PRIER were defined by: initiatives to strengthen the system of research in SSR; development of tools to monitor activities of the research; production of clinical-organizational recommendations for the governance of innovation. In 2013 a new area of discussion and a common interest have been identified on the subject of clinical registries. In particular, it wanted to build a path of work able to identify all the possible critical and relevant points (points to consider), indispensable, necessary or useful to the construction and use of clinical registries, taking into account the points of view of all actors involved. The course began with defining the rules of the game and continued with workshops that allowed to analyse together the matter. At the end of the second workshop it was decided to make the work carried out visible: first, not to miss the opportunity offered by the past but recent discussion; secondly, to facilitate the discussion both on the issue of registers and to the adopted methodology, which sees the different actors (public and private ones) to reason together in a context for once not influenced by necessities of negotiation and government resources.

Landslides distribution analysis and role of triggering factors in the Foglia river basin (Central Itay)

NASA Astrophysics Data System (ADS)

Baioni, Davide; Gallerini, Giuliano; Sgavetti, Maria

2013-04-01

The present work is focused on the distribution of landslides in Foglia river basin area (northern Marche-Romagna), using a heuristic approach supported by GIS tools for the construction of statistical analysis and spatial data. The study area is located in the Adriatic side of the northern Apennine in the boundary that marks the transition between the Marche and Emilia-Romagna regions. The Foglia river basin extends from the Apennines to the Adriatic sea with NE-SE trend occupying an area of about 708 km2. The purpose of this study is to investigate any relationships between factors related to the territory, which were taken into account and divided into classes, and landslides, trying to identify any possible existence of relationships between them. For this aim the study of landslides distribution was performed by using a GIS approach superimposing each thematic map, previously created, with landslides surveyed. Furthermore, we tried to isolate the most recurrent classes, to detect if at the same conditions there is a parameter that affects more than others, so as to recognize every direct relationship of cause and effect. Finally, an analysis was conducted by applying the model of uncertainty CF (Certainity Factor). In the Foglia river basin were surveyed a total of 2821 landslides occupy a total area of 155 km2, corresponding to 22% areal extent of the entire basin. The results of analysis carried out highlighted the importance and role of individual factors that led to the development of landslides analyzed. Moreover, this methodology may be applied to all orders of magnitude and scale without any problem by not requiring a commitment important, both from the economic point of view, and of human resources.

[Evaluation of hydrocarbon-oxidizing bacteria in port water and of health risks related to harbour activities: port of Otranto (Italy)].

PubMed

De Donno, Antonella; Bagordo, Francesco; Rollo, Maria Concetta; Quattrocchi, Manuela; Campa, Annamaria; Guido, Marcello

2006-01-01

The aim of this study was to evaluate the water quality of the port of Otranto (Italy), through a combined approach which integrates monitoring of traditional microbiological parameters and studying the dynamics of some autochthonous bacterial communities. The fecal contamination indicators, total coliforms, fecal coliforms, and fecal streptococci were measured to evaluate the sanitary aspects, while the presence of organic matter was considered as a parameter strictly related to dumping. In addition, being the port of Otranto especially exposed to hydrocarbon pollution, hydrocarbon-oxidizing bacteria were evaluated. Fecal contamination indicators were consistently found to be below the threshold values set by the Italian legislative decree N. 470/82 for bathing waters, indicating a good microbiological quality of these waters. A higher density of hydrocarbon-oxidizing bacteria was found at mooring and craft transit areas. This parameter was therefore found to be useful for evaluating port water hydrocarbon pollution.

Vector competence of Italian Aedes albopictus populations for the chikungunya virus (E1-226V).

PubMed

Severini, Francesco; Boccolini, Daniela; Fortuna, Claudia; Di Luca, Marco; Toma, Luciano; Amendola, Antonello; Benedetti, Eleonora; Minelli, Giada; Romi, Roberto; Venturi, Giulietta; Rezza, Giovanni; Remoli, Maria Elena

2018-04-01

Chikungunya virus (CHIKV) is an emerging arbovirus, belonging to the Togaviridae family, Alphavirus genus, transmitted by Aedes spp. mosquitoes. Since 2007, two different CHIKV strains (E1-226A and E1-226V) have been responsible for outbreaks in European countries, including Italy, sustained by Ae. albopictus mosquitoes. In this study, we assessed the susceptibility to the CHIKV E1-226V, strain responsible for the Italian 2007 outbreak, of eight Ae. albopictus populations collected in Northern, Central, Southern, and Island Italy, by experimental infections. Vector competence was evaluated by estimating infection, dissemination, and transmission rates (IR, DR, TR), through detection of the virus in the bodies, legs plus wings, and saliva, respectively. Additionally, vertical transmission was evaluated by the detection of the virus in the offspring. The results of our study demonstrated that the Italian populations of Ae. albopictus tested were susceptible to CHIKV infection, and can disseminate the virus outside the midgut barrier with high values of IR and DR. Viral infectious RNA was detected in the saliva of three populations from Central, Southern, and Island Italy, also tested for TR and population transmission rate (PTR) values. No progeny of the first and second gonotrophic cycle were positive for CHIKV. This study strongly confirms the role of Ae. albopictus as a potential CHIKV vector in Italy. This may represent a threat, especially considering both the high density of this species, which is widespread throughout the country, and the increasing number of cases of imported arboviruses.

First Rescue Under the Rubble: The Medical Aid in the First Hours After the Earthquake in Amatrice (Italy) on August 24, 2016.

PubMed

Blasetti, Angelo Geremia; Petrucci, Emiliano; Cofini, Vincenza; Pizzi, Barbara; Scimia, Paolo; Pozone, Tullio; Necozione, Stefano; Fusco, Pierfrancesco; Marinangeli, Franco

2018-02-01

Specific Event Identifiers a. Event Type: Earthquake measuring 6.2 (SD=0.016) on the moment magnitude; b. Event Onset: August 24, 2016 - 03:36:32 CEST (01:36 UTC); c. Location of Event: Central Italy, in the town of Amatrice; d. Geographic Coordinates: latitude (DMS): 42°37'45.77″N; longitude (DMS): 13°17'18.14″E; elevation: 955 meters above sea-level; e. Dates: August 24, 2016 at 4:48 AM; f. Response Type: Medical Relief. On August 24, 2016, an earthquake hit the town of Amatrice (Italy). This study aims to document the first medical aid provided to earthquake victims in Amatrice immediately following the earthquake. Patient data were collected and recorded during the first clinical evaluation and before definitive hospitalization. Blood gas tests were performed on survivors extricated from the rubble using the iSTAT (Abbott Point of Care Inc.; Princeton, New Jersey USA) handheld blood analyzer. Performing "victim-side" blood gas tests could provide concrete information to facilitate clinical evaluation and decision making when treating buried victims. After a natural disaster, it is essential to provide effective analgo-sedation to victims. Blasetti AG , Petrucci E , Cofini V , Pizzi B , Scimia P , Pozone T , Necozione S , Fusco P , Marinangeli F . First rescue under the rubble: the medical aid in the first hours after the earthquake in Amatrice (Italy) on August 24, 2016. Prehosp Disaster Med. 2018;33(1):109-113.

[Medical education and medical anthropology in Europe: the cases of Italy and Spain].

PubMed

Comelles, Josep M; Riccò, Isabella; Bañuelos, Aida Terrón; Perdiguero-Gil, Enrique

2017-01-01

The aim of this article is to compare the development of health education in Italy and Spain from the point of view of the role played by medical anthropology in both countries. The context is provided by the changes in the concept of health education advocated by the UN technical agencies, especially the World Health Organization and Unesco, during the second half of the twentieth century. Despite their many similarities, Italy and Spain underwent different political evolutions over the last century. Therefore, it is interesting to compare both cases and the influence the social sciences had in health education initiatives. In order to assess the role of medical anthropology, the 1958 launch and the development of the Centro Sperimentale per l'Educazione Sanitaria (Perugia, Italy), which was at the forefront of health education in Europe until the 1990s, was reconstructed through oral sources. After a brief description of the scant initiatives regarding health education existing in the Spain of the dictatorship, the influence of the Perusine anthropologists on Spanish health education during the democratic transition is evaluated.

Factors other than risks in the workplace as determinants of socioeconomic differences in health in Italy.

PubMed

Mamo, Carlo; Marinacci, Chiara; Demaria, Moreno; Mirabelli, Dario; Costa, Giuseppe

2005-01-01

To evaluate differences in mortality by social class and to determine the impacts of socioeconomic factors on health inequalities in Italy, mortality data from 1981-2001 were analyzed as a function of social class in Turin, controlling for occupational risks, housing conditions, and education. For general and cause-specific mortality, the weight of each socioeconomic indicator was evaluated on population-attributable fraction to social class. Among men, mortality risk was significantly higher in unskilled blue-collar workers (RR = 1.45). Among women, the differences by social class were slighter. Education and economic status mostly explain the mortality differences by social class in men, while economic status showed the highest contribution in women.

Evaluation outcomes of a sex education strategy in high schools of Pavia (Italy).

PubMed

Benni, Emanuela; Sacco, Sara; Bianchi, Leonardo; Carrara, Roberto; Zanini, Chiara; Comelli, Mario; Tenconi, Maria Teresa

2016-06-01

We aimed to provide process and effectiveness evaluations of a sex education intervention realized with interactive techniques in high schools of Pavia (Italy). Six public high schools, divided into 'treated' and 'control' units, voluntarily joined this mixed-methods study. Only second-year classes were enrolled: treated adolescents followed a sex education course, performed by trained 'near-peer educators' (undergraduate medical students) with interactive techniques. All adolescents compiled an anonymous effectiveness evaluation questionnaire at baseline (pre-test) and 3 months later (post-test). Sexual knowledge and reported behavioural changes were compared between the two groups through linear mixed-effects models. The process was assessed through a satisfaction questionnaire for treated students, monitoring cards for working group members and cards/diaries for educators. The final sample consisted of 547 treated and 355 control adolescents (mean age = 15.28 ± 0.61 years). Highly significant changes (p < 0.001) from pre-test to post-test, with strong improvements of treated adolescents, were evident for all knowledge items. No significant changes for behavioural items were reported. Process evaluation showed positive results in adolescents' satisfaction, highlighting the need for more youth gathering places. Working group members and educators generally provided positive evaluations, although difficult communication was perceived. The intervention was effective in improving adolescents' sexual knowledge. The present work highlighted that in Italy sex education in adolescence is still neglected: this could encourage misinformation and health-risk behaviour. Young people perceive the need for a serious health-promoting action in which they could play an active role, spreading educational messages with organized interactive methods. © The Author(s) 2015.

The Design and Evaluation of Teaching Experiments in Computer Science.

ERIC Educational Resources Information Center

Forcheri, Paola; Molfino, Maria Teresa

1992-01-01

Describes a relational model that was developed to provide a framework for the design and evaluation of teaching experiments for the introduction of computer science in secondary schools in Italy. Teacher training is discussed, instructional materials are considered, and use of the model for the evaluation process is described. (eight references)…

Vector borne infections in Italy: results of the integrated surveillance system for West Nile disease in 2013.

PubMed

Napoli, Christian; Iannetti, Simona; Rizzo, Caterina; Bella, Antonino; Di Sabatino, Daria; Bruno, Rossana; Sauro, Francesca; Martini, Vanessa; Santucci, Vincenzo Ugo; Declich, Silvia; Calistri, Paolo

2015-01-01

The epidemiology of West Nile disease (WND) is influenced by multiple ecological factors and, therefore, integrated surveillance systems are needed for early detecting the infection and activating consequent control actions. As different animal species have different importance in the maintenance and in the spread of the infection, a multispecies surveillance approach is required. An integrated and comprehensive surveillance system is in place in Italy aiming at early detecting the virus introduction, monitoring the possible infection spread, and implementing preventive measures for human health. This paper describes the integrated surveillance system for WND in Italy, which incorporates data from veterinary and human side in order to evaluate the burden of infection in animals and humans and provide the public health authorities at regional and national levels with the information needed for a fine tune response.

Folk medicine used to heal malaria in Calabria (southern Italy)

PubMed Central

2010-01-01

In Italy, malaria was an endemic disease that was eradicated by the mid-20th century. This paper evaluates the prophylactic and therapeutic remedies used by folk medicine to cure malaria in Calabria (southern Italy). The data has been collected by analysing works of physicians, ethnographers, folklorists and specialists of the study of Calabrian history between the end of the 19th century and the 20th century. The data collected have allowed us to describe the most common cures used by the Calabrian people to treat malaria and the most evident symptoms of this disease, such as intermittent fever, hepato-spleenomegaly, asthenia and dropsy. This approach uncovered a heterogeneous corpus of empirical, magical and religious remedies, which the authors have investigated as evidences of past "expert medicine" and to verify their real effectiveness in the treatment of malaria. PMID:20849654

Evaluation of User Satisfaction in Public Residential Housing - A Case Study in the Outskirts of Naples, Italy

NASA Astrophysics Data System (ADS)

Forte, Fabiana; Russo, Yvonne

2017-10-01

Nowadays the quality of homes and social life are two closely interacting categories which require a more careful interpretation of the users’ needs. Their opinions, expectations and “desires” have to be incorporated into both the design and evaluation processes. With specific reference to the experiences of public housing, the practice of “user satisfaction” should be increasingly incorporated during the ex-post (or monitoring) evaluation in order to verify the quality and validity of the service offered, thus activating a real co-participation of the user in the creation and improvement of the housing service. It is well-known that the principle of customer satisfaction derives from the field of marketing as a tool to evaluate how and how much the products/services offered meet the needs of the consumers. In the field of the construction industry, customer satisfaction has been incorporated into the “Post-Occupation Evaluation”, an evaluation tool of the performance of the building “in use” through the combination of objective and subjective variables expressed by the occupiers. Widely used since the 1970s in Anglo-Saxon countries, Italy is still struggling to find a systematic implementation. In this perspective, the article presents an application of the customer satisfaction method for the identification of some interventions aimed at improving the quality of a complex of public residential housing localized in Ponticelli, the second most populated district in the outskirts of the metropolitan city of Naples, in the Campania Region (Italy). Following a synthetic introduction of the theme and the explanation of the object of evaluation, the article discusses the methodology and the results, focalizing on some intervention hypotheses verified in terms of economic sustainability.

Adolescents in southern regions of Italy adhere to the Mediterranean diet more than those in the northern regions.

PubMed

Noale, Marianna; Nardi, Mariateresa; Limongi, Federica; Siviero, Paola; Caregaro, Lorenza; Crepaldi, Gaetano; Maggi, Stefania

2014-09-01

There is a large amount of literature regarding the benefits of the Mediterranean diet in the adult population; however, there is growing curiosity about the individuals who naturally adhere to those principles early in life. The "Evaluation of Dietary Habits in Adolescents," carried out by the National Research Council of Italy in 2009, is a survey that aimed to assess the dietary habits and lifestyles of Italian adolescents and their adherence to the Mediterranean diet. We hypothesized that there would be differences across regions, with a higher adherence in Southern Italy compared with Northern Italy based on geography. The survey was conducted in 3 different geographic locations in Italy and included a convenience sample of adolescents who attended either a middle or high school. The participants were asked to fill out a questionnaire concerning demographic data, lifestyle factors, and eating patterns, and scores were assigned according to adherence to the Mediterranean diet, as calculated using Trichopoulou's Mediterranean diet scale. The final sample included 565 adolescents, between 12 and 19 years old, who attended school in the northeastern, northwestern, or southern regions of Italy in 2009. According to the findings, 38.6% of the respondents had scores indicating a low adherence to the Mediterranean diet, whereas only 14% had scores showing a high adherence. Teenagers from the Southern region showed the highest adherence. Those with a high adherence to the Mediterranean diet consumed higher quantities of fiber, iron, vitamin B6, vitamin C, folic acid, vitamin A, vitamin D, and monounsaturated fats. Copyright © 2014 Elsevier Inc. All rights reserved.

Characteristics of liver cirrhosis in Italy: Evidence for a decreasing role of HCV aetiology.

PubMed

Stroffolini, Tommaso; Sagnelli, Evangelista; Gaeta, Giovanni Battista; Sagnelli, Caterina; Andriulli, Angelo; Brancaccio, Giuseppina; Pirisi, Mario; Colloredo, Guido; Morisco, Filomena; Furlan, Caterina; Almasio, Piero Luigi

2017-03-01

Previous cross-sectional studies have shown that hepatitis C virus (HCV) infection had been the main agent associated with liver cirrhosis in Italy. To assess epidemiological, laboratory and clinical features of liver cirrhosis in Italy in 2014. Out of the 2557 consecutive subjects evaluated in 16 hospitals located throughout Italy in 2014, 832 (32.6%) had liver cirrhosis and were enrolled in this study. The mean age of subjects was 60.3years, with a male/female ratio of 1.7; 74.9% of cases had Child A cirrhosis and 17.9% superimposed hepatocellular carcinoma. HCV infection, alone or in combination with other aetiologic agents, was responsible of 58.6% of cases, HBV aetiology accounted for the 17.6% and alcohol abuse for the 16.0%. Compared with virus-related cirrhotic patients, those alcohol-related more frequently showed decompensation (p=0.02). Compared to previous surveys performed in 1992 and in 2001, we observe a statistically significant (p<0.05) decreasing role of both HCV infection and alcohol abuse as aetiologic agents of liver cirrhosis in Italy, explaining, at least in part, the slow, progressive decline of the mortality rate for liver cirrhosis in the last decades in this country (from 34.5 deaths/100,000 inhabitants in1980 to 10.8 in 2012). Copyright © 2016 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.

[Risk communication during health crises: results of a cross-sectional study to evaluate the effectiveness of adopted corporate communication strategies during the H1N1 influenza pandemic in Italy and on the training needs of health professionals].

PubMed

De Giusti, Maria; Mannocci, Alice; Miccoli, Silvia; Palazzo, Caterina; Di Thiene, Domitilla; Scalmato, Valeria; Ursillo, Paolo; Monteduro, Maria Antonietta; Turri, Alberto; Mazzoli, Pier Giovanni; Boccia, Antonio; La Torre, Giuseppe

2012-01-01

The objectives of this study were to evaluate the effectiveness of corporate communication activities carried out during the A(H1N1) pandemic influenza in Italy and to identify educational needs of health professionals with regards to crisis communication. The study compared two samples representing respectively the general population and health professionals, living in different regions of northern, central and southern Italy. A self-administered questionnaire was used, with questions on knowledge about preventive measures during a pandemic and on satisfaction with the adopted communication campaigns. Study results highlight that both samples had very little knowledge of appropriate preventive behaviors to be adopted during a pandemic. The sample of health professionals received a greater amount of information about the pandemic with respect to the general population and showed a strong interest toward the problem of receiving adequate training in risk communication. The degree of knowledge about preventive measures is directly proportional to the existence of institutional communication activities and to having consulted a health professional.

Gay and lesbian couples in Italy: comparisons with heterosexual couples.

PubMed

Antonelli, Paolo; Dèttore, Davide; Lasagni, Irene; Snyder, Douglas K; Balderrama-Durbin, Christina

2014-12-01

Assessing couple relationships across diverse languages and cultures has important implications for both clinical intervention and prevention. This is especially true for nontraditional relationships potentially subject to various expressions of negative societal evaluation or bias. Few empirically validated measures of relationship functioning have been developed for cross-cultural applications, and none have been examined for their psychometric sufficiency for evaluating same-sex couples across different languages and cultures. The current study examined the psychometric properties of an Italian translation of the Marital Satisfaction Inventory - Revised (MSI-R), a 150-item 13-scale measure of couple relationship functioning, for its use in assessing the intimate relationships of gay and lesbian couples in Italy. Results for these couples were compared to data from heterosexual married and unmarried cohabiting couples from the same geographical region, as well as to previously published data for gay, lesbian, and unmarried heterosexual couples from the United States. Findings suggest that, despite unique societal pressures confronting Italian same-sex couples, these relationships appear resilient and fare well both overall and in specific domains of functioning compared to heterosexual couples both in Italy and the United States. © 2014 Family Process Institute.

On the seismic behavior of the main tower of the San Felice sul Panaro (Italy) fortress

NASA Astrophysics Data System (ADS)

Castellazzi, Giovanni; D'Altri, Antonio Maria; de Miranda, Stefano; Magagnini, Stefano; Tralli, Antonio

2016-12-01

The medieval fortresses are a very common and distinctive type among the Emilian historical constructions and the earthquakes of May 20th and 29th, 2012 underlined their high vulnerability. Among those heavily damaged, there is the fortress of San Felice sul Panaro located between the two epicenters. This study presents some FE results regarding the behavior under seismic actions of the main tower (Mastio tower). The Mastio has peculiar geometric features and represents a typical example of non-isolated tower. In fact, it is constrained in very different ways by the surrounding parts of the fortress along two of its sides: on the north side it is constrained by the perimeter wall until one third of his high, while a stiffer building constrains it on the west side. In order to remodel the entire fortress, a multidisciplinary project involving the Municipality of San Felice sul Panaro and four Universities of the Emilia- Romagna (Bologna, Ferrara, Parma and Modena) together with the University of Genoa is going on. The study, oriented to the structural restoration, produced an accurate survey of the entire building including a fine definition of architectural peculiarities, historical stages and materials evolution. Based on such geometrical data, we developed a detailed 3D realistic mesh, with a point-by-point characterization of each single geometric element. We performed both pushover and nonlinear dynamic analyses using accelerograms data measured near the fortress on May 29th. A damage-plasticity material model exhibiting softening in both tension and compression, already available in the commercial code Abaqus, has been used for masonry in nonlinear dynamic analyses. On the other hand, pushover analyses have been performed utilizing similar constitutive equations available on code DIANA. The effects of higher modes of vibration have been taken into account by means of the modal pushover analysis technique. For the sake of conciseness, only some preliminary findings are presented in this paper. The results obtained with pushover analyses fit reasonably well with nonlinear dynamic simulations.

[Determinants of occupational injuries in the construction of the "high speed train" Bologna-Florence].

PubMed

Pavone, Venere Leda Mara; Lisi, Catiuscia; Cinti, Danilo; Cervino, Daniela; Costantini, Adele Seniori; Forastiere, Francesco

2007-01-01

to study determinants of occupational injuries in tunnel construction using data from the surveillance system which had been implemented in order to monitor accidents during the construction of the "high speed train tracks in the Italian Regions Emilia-Romagna and Tuscany. retrospective cohort study. 16 sites for the construction of 14 tunnels of the high speed railway-tract Bologna-Firenze, in Italy. 1,602 workers (of 3,000 employed in the underground tunnelling), aged 18 - 67 years, operating during excavation with traditional method in 1999-2002. A total of 549 injuries occurred among 385 workers. The number of worked hours were used as time at risk. incidence rate ratios (IRR) and 95% confidence intervals for all injuries, serious injuries and first injuries were considered in separate multiple regression analyses (Poisson). residence, task and working phase were taken into consideration. An increased risk was found for younger workers, for carpenters (IRR "all-events" = 2.33; 95% CI=1.85-2.94; IRR" first-events" = 2.12; 95% CI 1.62-2.77) and miners (IRR "all-events" = 1.76; 95% CI 1.39-2.24; IRR"first-events" = 1.71; 95% CI 1.30-2.24) vs. machinery operators. Construction of inverted arch turns out to have an incidence rate ratio three times higher than digging out (IRR "all-events" = 2.79; 95% CI 2.27-3.43; IRR "firsts-event = 2.98; 95% CI 2.33-3.81). The probability of "serious" injuries (>30 days) is higher for miners (IRR=2.45; 95% CI 1.65-3.64) and for carpenters (IRR=2.31; 95% CI 1.53-3.49). this study pointed out to indicate some determinants (age, task and work phase) of injuries in tunneling about which little had been published previously. These results are useful for addressing preventive measures, for control and prevention activities and point to the need to explore the effect of experience and to study, through a case crossover design, transient working and individual risk factors for traumatic injury within these working sites.

Performances of the snow accumulation melting model SAMM: results in the Northern Apennines test area

NASA Astrophysics Data System (ADS)

Lagomarsino, Daniela; Martelloni, Gianluca; Segoni, Samuele; Catani, Filippo; Fanti, Riccardo

2013-04-01

In this work we propose a snow accumulation-melting model (SAMM) to forecast the snowpack height and we compare the results with a simple temperature index model and an improved version of the latter.For this purpose we used rainfall, temperature and snowpack thickness 5-years data series from 7 weather stations in the Northern Apennines (Emilia Romagna Region, Italy). SAMM is based on two modules modelling the snow accumulation and the snowmelt processes. Each module is composed by two equations: a mass conservation equation is solved to model snowpack thickness and an empirical equation is used for the snow density. The processes linked to the accumulation/depletion of the snowpack (e.g. compression of the snowpack due to newly fallen snow and effects of rainfall) are modelled identifying limiting and inhibitory factors according to a kinetic approach. The model depends on 13 empirical parameters, whose optimal values were defined with an optimization algorithm (simplex flexible) using calibration measures of snowpack thickness. From an operational point of view, SAMM uses as input data only temperature and rainfall measurements, bringing the additional advantage of a relatively easy implementation. In order to verify the improvement of SAMM with respect to a temperature-index model, the latter was applied considering, for the amount of snow melt, the following equation: M = fm(T-T0), where M is hourly melt, fm is the melting factor and T0 is a threshold temperature. In this case the calculation of the depth of the snowpack requires the use of 3 parameters: fm, T0 and ?0 (the mean density of the snowpack). We also performed a simulation by replacing the SAMM melting module with the above equation and leaving unchanged the accumulation module: in this way we obtained a model with 9 parameters. The simulations results suggest that any further extension of the simple temperature index model brings some improvements with a consequent decrease of the mean error between model and experimental data of the snowpack thickness.

Effect of compost supplies on soil bulk density and aggregate stability. Results from a six years trial in two experimental fields in Northern Italy

NASA Astrophysics Data System (ADS)

Calzolari, C.; Ungaro, F.; Salvador, P.; Torri, D.

2009-04-01

Results of a long term trial (2002-2007) on the effect of different organic amendments on topsoil structural properties at the end of the 6th year are presented. Two soils located in two experimental farms of the Emilia-Romagna region (Northern Italy), namely a silty clay loam Haplic Calcisol under sorghum (Sorghum bicolor, L.) continuous cropping, and a silty Calcaric Cambisols under peach (Persica vulgaris, Mill.), have been treated with a different amount of organic amendments. Four different treatments were tested plus control: manure (10 Mg ha-1 y-1), low input compost (5 and 10 Mg ha-1 y-1), high input compost (10 and 40 Mg ha-1 y-1), and no-tillage. In all the plots soil samples were collected three times every year: at the beginning of the growing season, at full crop coverage and after harvest. At each time, samples were collected in three replicates and soil bulk density and aggregate stability were measured. At the end of the 6 years trial 930 bulk density and 405 aggregate stability measurements were made available. The influence of organic amendments on soil physical properties is different according to the considered soil property and to the different soils. Soil bulk density (BD) shows clear and statistically significant differences among the tested theses, all with a marked seasonality and distinct temporal trends. The overall trends observed in the two soils are coherent with the amount of organic matter distributed in the different theses and with the field operations (tillage mainly), but with a short term effect. More important, over the period of observation and within each year, the treatments exhibit cyclical variations due to climate seasonality. Among the treatments, that with distribution of manure exhibits the weakest seasonal variations and a substantially stable general trend, with BD values slightly lower than those observed for the control. Different effects are also observed on soil aggregates stability, but also in this case a temporal trend is not clearly detectable, suggesting that the amendments have no cumulative effect at least during the 6 years of observations, and the responses are different in the two trials: slightly positive for the low compost supply in the silty clay loam Haplic Calcisol and negative for both low and high compost supply in the silty Calcaric Cambisols. The dominant issue is the seasonal variability of aggregate resistance which is well shown at the site where more data are available. Data also hints an ambiguous behavior of the compost: increasing the amount of applied compost leads to a slight increase in aggregate stability which is then followed by a decrease, as if the aggregation capability of the compost is counteracted by a dispersion effect.

International workshop on ITS benefits : how evaluation results are used in transportation decision-making, November 9, 2000 Turin, Italy

DOT National Transportation Integrated Search

1998-09-16

This paper demonstrates application of the principles of economic analysis to evaluate highway capacity expansion in an urban setting, using a sketch-planning model called Spreadsheet Model for Induced Travel Estimation (SMITE). The application takes...

Evaluating Vocational Educators' Training Programs: A Kirkpatrick-Inspired Evaluation Model

ERIC Educational Resources Information Center

Ravicchio, Fabrizio; Trentin, Guglielmo

2015-01-01

The aim of the article is to describe the assessment model adopted by the SCINTILLA Project, a project in Italy aimed at the online vocational training of young, seriously-disabled subjects and their subsequent work inclusion in smart-work mode. It will thus describe the model worked out for evaluation of the training program conceived for the…

First evaluation of endotoxins in veterinary autogenous vaccines produced in Italy by LAL assay.

PubMed

Antonella, Di Paolo; Katia, Forti; Lucia, Anzalone; Sara, Corneli; Martina, Pellegrini; Giulio, Severi; Monica, Cagiola

2018-06-21

Endotoxin contamination is a serious concern for manufacturers of biological products and vaccines in terms of not only quality but also safety parameters. We evaluated the endotoxin presence in different veterinary autogenous vaccines produced by the Pharmaceutical Unit at the Experimental Zooprophylactic Institute of Umbria and Marche "Togo Rosati" (IZSUM). According to the 3Rs principles (Replace, Reduce, Refine), which aim to progressively reduce animal use in the quality control process, we tested the vaccines obtained from gram-negative bacteria and adjuvants by the limulus amebocyte lysate (LAL) assay. The results revealed low endotoxin concentrations compared to available data in the literature and represent the first report of the application of the 3Rs principles to veterinary autogenous vaccines production in Italy. Copyright © 2018. Published by Elsevier Ltd.

[The Cagliari (Italy) Court authorizes the preimplantation genetic diagnosis].

PubMed

Jorqui Azofra, María

2007-01-01

Today, preimplantation genetic diagnosis (PGD) has been greatly accepted within the framework of positive law of many European countries. Nevertheless, in other countries, such as Italy, it is forbidden by law. The ruling of the Civil Court of Cagliari which has authorized its use to a Sardinian couple, has opened, in this way, a small crack to be able to asses possible modifications to the Italian regulation on this matter. This article analyses the ruling of the Civil Court of Cagliari (Italy) from an ethical and legal perspective. The criteria which is used to analyse the legitimacy or illegitimacy of the practice of PGD is analysed. That is, on reasons which could justify or not the transfer of embryos in vitro to the woman. With this objective in mind, the Italian and Spanish normative models which regulates this controversial subject are looked at. As a conclusion, a critical evaluation of the arguments presented is made.

Vector Borne Infections in Italy: Results of the Integrated Surveillance System for West Nile Disease in 2013

PubMed Central

Napoli, Christian; Di Sabatino, Daria; Martini, Vanessa; Santucci, Vincenzo Ugo; Declich, Silvia

2015-01-01

The epidemiology of West Nile disease (WND) is influenced by multiple ecological factors and, therefore, integrated surveillance systems are needed for early detecting the infection and activating consequent control actions. As different animal species have different importance in the maintenance and in the spread of the infection, a multispecies surveillance approach is required. An integrated and comprehensive surveillance system is in place in Italy aiming at early detecting the virus introduction, monitoring the possible infection spread, and implementing preventive measures for human health. This paper describes the integrated surveillance system for WND in Italy, which incorporates data from veterinary and human side in order to evaluate the burden of infection in animals and humans and provide the public health authorities at regional and national levels with the information needed for a fine tune response. PMID:25874224

Inflammatory markers in relation to long-term air pollution.

PubMed

Mostafavi, Nahid; Vlaanderen, Jelle; Chadeau-Hyam, Marc; Beelen, Rob; Modig, Lars; Palli, Domenico; Bergdahl, Ingvar A; Vineis, Paolo; Hoek, Gerard; Kyrtopoulos, Soterios Α; Vermeulen, Roel

2015-08-01

Long-term exposure to ambient air pollution can lead to chronic health effects such as cancer, cardiovascular and respiratory disease. Systemic inflammation has been hypothesized as a putative biological mechanism contributing to these adverse health effects. We evaluated the effect of long-term exposure to air pollution on blood markers of systemic inflammation. We measured a panel of 28 inflammatory markers in peripheral blood samples from 587 individuals that were biobanked as part of a prospective study. Participants were from Varese and Turin (Italy) and Umea (Sweden). Long-term air pollution estimates of nitrogen oxides (NOx) were available from the European Study of Cohorts for Air Pollution Effects (ESCAPE). Linear mixed models adjusted for potential confounders were applied to assess the association between NOx and the markers of inflammation. Long-term exposure to NOx was associated with decreased levels of interleukin (IL)-2, IL-8, IL-10 and tumor necrosis factor-α in Italy, but not in Sweden. NOx exposure levels were considerably lower in Sweden than in Italy (Sweden: median (5th, 95th percentiles) 6.65 μg/m(3) (4.8, 19.7); Italy: median (5th, 95th percentiles) 94.2 μg/m(3) (7.8, 124.5)). Combining data from Italy and Sweden we only observed a significant association between long-term exposure to NOx and decreased levels of circulating IL-8. We observed some indication for perturbations in the inflammatory markers due to long-term exposure to NOx. Effects were stronger in Italy than in Sweden, potentially reflecting the difference in air pollution levels between the two cohorts. Copyright © 2015 Elsevier Ltd. All rights reserved.

Occupational sensitization to epoxy resins in Northeastern Italy (1996-2010).

PubMed

Prodi, Andrea; Rui, Francesca; Fortina, Anna Belloni; Corradin, Maria Teresa; Filon, Francesca Larese

2015-01-01

One of the main health concerns of epoxy resins is their role as skin sensitizer. This sensitization is not uncommon, because the prevalence ranges around 1-12% of the general population. Perform a cross sectional study in a patch test population from Northeastern Italy to investigate the prevalence of epoxy resins sensitization among patients with suspected contact dermatitis. Subsequently, relate findings to patients' occupation and evaluate time trend of prevalence. The final study database included 19 088 consecutive patients, tested from 1996 to 2010 in Northeastern Italy. The overall prevalence of epoxy resins sensitization was 0·89%. Dermatitis most frequently involved hands (40·25%). In both sexes, we find a significant correlation in mechanics, woodworkers, and chemical industry workers; and in males only, among farmers and fishers, construction workers, and unemployed. We found significant increase of sensitization in construction workers in the analyzed period. The overall prevalence of sensitization to epoxy resins in Northeastern Italy is in line with other European countries, but we found an increased risk of sensitization in some professions and an increasing trend of prevalence in construction workers. Better preventive actions are strongly advised in higher risk professions, with particular attentions towards building sector.

A bibliometric analysis of scientific production on atypical antipsychotic drugs from Italy

PubMed

López-Muñoz, Francisco; De Berardis, Domenico; Fornaro, Michele; Vellante, Federica; di Giannantonio, Massimo; Povedano-Montero, Francisco J; Póveda Fernández-Martín, Maria; Rubio, Gabriel; Álamo, Cecilio

2017-01-01

A bibliometric study of peer-reviewed scientific publications on atypical antipsychotic drugs (AADs) from Italy is herein presented. We selected the documents from Scopus database. We applied several bibliometric indicators of production and dispersion, including Price’s Law about the increase of scientific literature, and Bradford’s Law. We also calculated the participation index across different countries. The bibliometric data have also been correlated with some social and health data sourcing in Italy, such as total per capita expenditure on health and gross domestic expenditure. A total of 2949 original documents were published within the period 1972-2015. Our results state fulfilment of Price’s Law, with scientific production showing exponential growth (r=0.901, as against an r=0.838 after linear adjustment). The drugs most widely studied were clozapine (257 documents), risperidone (179), and olanzapine (172). Stratification into Bradford zones yielded a nucleus represented by the Journal of Clinical Psychopharmacology and Rivista di Psichiatria (58 articles, each one). A total of 1091 different journals were evaluated. The publications on AADs in Italy have undergone exponential growth over the studied period, which is in line with the progressively burgeoning on novel AAD releases. No evidence of saturation point was observed.

MEMS sensor technologies for human centred applications in healthcare, physical activities, safety and environmental sensing: a review on research activities in Italy.

PubMed

Ciuti, Gastone; Ricotti, Leonardo; Menciassi, Arianna; Dario, Paolo

2015-03-17

Over the past few decades the increased level of public awareness concerning healthcare, physical activities, safety and environmental sensing has created an emerging need for smart sensor technologies and monitoring devices able to sense, classify, and provide feedbacks to users' health status and physical activities, as well as to evaluate environmental and safety conditions in a pervasive, accurate and reliable fashion. Monitoring and precisely quantifying users' physical activity with inertial measurement unit-based devices, for instance, has also proven to be important in health management of patients affected by chronic diseases, e.g., Parkinson's disease, many of which are becoming highly prevalent in Italy and in the Western world. This review paper will focus on MEMS sensor technologies developed in Italy in the last three years describing research achievements for healthcare and physical activity, safety and environmental sensing, in addition to smart systems integration. Innovative and smart integrated solutions for sensing devices, pursued and implemented in Italian research centres, will be highlighted, together with specific applications of such technologies. Finally, the paper will depict the future perspective of sensor technologies and corresponding exploitation opportunities, again with a specific focus on Italy.

Hazardous alcohol use and cultural adjustment among U.S. college students abroad in Italy: Findings and recommendations for study abroad staff and researchers.

PubMed

Mitchell, Michael A; Poyrazli, Senel; Broyles, Lauren Matukaitis

2016-01-01

Italy is a top destination for U.S. college students studying abroad. Both international and local Italian media outlets, such as city newspapers, have cited the discordance between Italian cultural norms and U.S. college students' drinking behaviors. Hazardous alcohol consumption abroad, such as binge drinking, can result in individual- (e.g., physical injury) and social- (e.g., promotion of negative stereotypes) level adverse consequences. We assessed the prevalence of hazardous alcohol use and recent binge drinking in a sample of U.S. college students studying abroad in Italy (n = 111). We evaluated associations among drinking and cultural adjustment and determined which sociocultural factors predicted binge drinking for students abroad. Forty-six percent of students were classified as hazardous drinkers and 63% reported recent binge drinking. Socializing with American peers was a significant predictor for binge drinking abroad. Binge drinking was quite prevalent in our sample of students studying abroad in Italy. Study abroad advisors, instructors, and staff should consider diverse strategies to screen, educate, prevent, and/or intervene on alcohol misuse with their students. These strategies should be personalized to both the student as well as the host culture's norms.

ERMHAN: A Context-Aware Service Platform to Support Continuous Care Networks for Home-Based Assistance

PubMed Central

Paganelli, Federica; Spinicci, Emilio; Giuli, Dino

2008-01-01

Continuous care models for chronic diseases pose several technology-oriented challenges for home-based continuous care, where assistance services rely on a close collaboration among different stakeholders such as health operators, patient relatives, and social community members. Here we describe Emilia Romagna Mobile Health Assistance Network (ERMHAN) a multichannel context-aware service platform designed to support care networks in cooperating and sharing information with the goal of improving patient quality of life. In order to meet extensibility and flexibility requirements, this platform has been developed through ontology-based context-aware computing and a service oriented approach. We also provide some preliminary results of performance analysis and user survey activity. PMID:18695739

Playing the Ranking Game: Media Coverage of the Evaluation of the Quality of Research in Italy

ERIC Educational Resources Information Center

Blasi, Brigida; Romagnosi, Sandra; Bonaccorsi, Andrea

2017-01-01

University rankings have raised huge interest in the social sciences because of their methodological foundations and impact. Rankings have also gained popularity in the media system. In this article we analyze the coverage offered by the media to the Italian Research Evaluation exercise--VQR 2004-2010. Even though this evaluation did not have…

Emergy evaluation of hierarchically nested systems: application to EU27, Italy and Tuscany and consequences for the meaning of emergy indicators

EPA Science Inventory

What is the role of a system's size in an emergy evaluation, when we have to evaluate nested systems? To answer this question, we consider a simple nested system with three levels of organization and then examine the relationships among the emergy flows at each level and among th...

Tetanus immunity in construction workers in Italy.

PubMed

Rapisarda, V; Bracci, M; Nunnari, G; Ferrante, M; Ledda, C

2014-04-01

Tetanus is a serious vaccine-preventable disease that remains a significant health risk in certain occupations. Since 2006, Italy has reported the highest number of cases in Europe. Some professions, such as construction workers, are more exposed to tetanus. To evaluate tetanus immunity status and associated factors in construction workers in Italy. A cross-sectional study of construction workers attending for periodic occupational health surveillance at one site in Italy between September 2011 and January 2013. Serum tetanus antitoxin levels were measured and analysed according to demographic and clinical variables. All 5275 workers attending for health surveillance between September 2011 and January 2013 agreed to participate. Protective tetanus antitoxin levels (>0.1 IU/ml) were found in 4116 workers (78%). Multivariate logistic regression analysis suggested that the following risk factors were significantly associated with inadequate immunization status: older age (age >58 years, odds ratio [OR] 1.78, 95% confidence intervals [CIs] 1.76-1.84), poor education (no formal education: OR 3.74, 95% CI: 3.69-3.78), unskilled work tasks (OR 2.71, 95% CI: 2.67-2.77) and country of origin (Egypt: OR 1.72, 95% CI: 1.67-1.77; Morocco: OR 1.69, 95% CI: 1.62-1.76). In this study, a significant proportion of construction workers in Italy were not adequately immunized against tetanus, as required by Italian law. Occupational health professionals should promote and implement vaccination campaigns, especially among migrant workers, for public health and legal reasons.

New insights on infectious bronchitis virus pathogenesis: characterization of Italy 02 serotype in chicks and adult hens.

PubMed

Dolz, Roser; Vergara-Alert, Júlia; Pérez, Mónica; Pujols, Joan; Majó, Natàlia

2012-05-04

Infectious bronchitis (IB) is a worldwide disease affecting chickens of all ages and causing important economic losses in poultry industry. Despite being one of the predominant IB virus (IBV) serotype in several European countries, slightly is known about pathogenesis and pathogenicity of Italy 02 serotype. In this study chicks and old hens were infected by oculo-nasal route with Italy 02 serotype. Clinical signs, gross and microscopic findings were evaluated, viral nucleic acid detection was assessed by in situ hybridization (ISH) in several tissues and viral RNA was detected by RT-PCR in trachea, kidney and nasal and cloacal swabs. Italy 02 serotype was demonstrated to cause severe respiratory and renal damage in one-day old chicks but not in adult hens in which only respiratory disease and drop in egg production was observed. The use of ISH technique demonstrated the presence of viral RNA in nasal turbinates prior to trachea, but more consistent and longer replication periods in enterocytes of lower gastrointestinal tract. The detection of viral nucleic acid in gut by RT-PCR was consistent and more persistent viral shedding was detected in faeces than in nasal exudates. We describe a complete update of IBV distribution in tissues by the use of molecular techniques and we also provide and in-depth pathological characterization of the new Italy 02 IBV serotype. Furthermore, new data about IBV pathogenesis essential in field control is afforded. Copyright © 2011 Elsevier B.V. All rights reserved.

A molecular epidemiology study based on VP2 gene sequences reveals that a new genotype of infectious bursal disease virus is dominantly prevalent in Italy.

PubMed

Lupini, Caterina; Giovanardi, Davide; Pesente, Patrizia; Bonci, Michela; Felice, Viviana; Rossi, Giulia; Morandini, Emilio; Cecchinato, Mattia; Catelli, Elena

2016-08-01

A distinctive infectious bursal disease (IBD) virus genotype (ITA) was detected in IBD-live vaccinated broilers in Italy without clinical signs of IBD. It was isolated in specific-pathogen-free eggs and molecularly characterized in the hypervariable region of the virus protein (VP) 2. Phylogenetic analysis showed that ITA strains clustered separately from other homologous reference sequences of IBDVs, either classical or very virulent, retrieved from GenBank or previously reported in Italy, and from vaccine strains. The new genotype shows peculiar molecular characteristics in key positions of the VP2 hypervariable region, which affect charged or potentially glycosylated amino acids virtually associated with important changes in virus properties. Characterization of 41 IBDV strains detected in Italy between 2013 and 2014 showed that ITA is emergent in densely populated poultry areas of Italy, being 68% of the IBDV detections made during routine diagnostic activity over a two-year period, in spite of the immunity induced by large-scale vaccination. Four very virulent strains (DV86) and one classical strain (HPR2), together with eight vaccine strains, were also detected. The currently available epidemiological and clinical data do not allow the degree of pathogenicity of the ITA genotype to be defined. Only in vivo experimental pathogenicity studies conducted in secure isolation conditions, through the evaluation of clinical signs and macro/microscopic lesions, will clarify conclusively the virulence of the new Italian genotype.

Elder abuse awareness in Italy: analysis of reports to the Prosecutor Office of Bologna.

PubMed

Salsi, Giancarlo; Mazzotti, Maria Carla; Carosielli, Grazia; Ingravallo, Francesca; Pelotti, Susi

2015-06-01

In Italy, the prevalence of elder abuse is estimated from 10 to 12.7 %. Even if the elderly are not specifically protected by the Italian Penal Code, it contains several articles punishing crimes against disadvantaged groups in which elders may be included. Article 572 about mistreatment of family members or cohabitants, and article 643 about circumvention of incapable best fit elder abuse or neglect and financial fraud and exploitation, respectively. To evaluate the prevalence of reported elder abuse in Bologna and province (Italy) compared to available data on prevalence obtained by population-based surveys. Reports to the Prosecutor Office about articles 572 and 643 in the period from 2000 to 2013 were collected and analyzed according to victim's age at the report time. For article 572 a total of 3,713 reports were found. The prevalence of reports ranged from 0.005 to 0.024 % for victims older than 65 years. Concerning article 643 a total of 786 reports were detected, with a prevalence ranging from 0.007 to 0.016 % for victims older than 65 years. A large gap was found between reported crimes related to elder abuse and the estimated prevalence of elder abuse in Italy. Our results showed that in Italy efforts to improve strategic approach on elder abuse as well as research at various levels following the examples of other abusive situations are needed in both health and legal systems.

Statistical and hydrogeochemical approach to study processes that affect groundwater composition in the Ferrara province (Italy)

NASA Astrophysics Data System (ADS)

Di roma, Antonella; Vaccaro, Carmela

2017-04-01

The ground water should not be seen only as a reserve for the water supply, but also be protected for its environmental value. Groundwater plays an essential role in the hydrological cycle for which the characterization, pollution prevention, monitoring and restoration are essential in view of the recovery and identification of the water bodies to be submitted to recharge for the adaptation to DM n. 100/2016. Groundwater of Ferrara province presents salinisation problems and pollution of noxious metals that can be mitigated through recharge processes evaluated based on the specific site characteristics. It is essential to know the hydrogeochemical characteristics of different aquifer levels. To do this have been discuss analytical results of groundwater (2014-2015 monitoring phreatic ground water and temporal series from 2003-2015 A1-A2-A3 samples from Emilia Romagna databases). Results showed that in the territory analyzed insist both salinization and refreshening processes. Factor analysis(FA) conducted on samples has divided them into three groups. 1: samples affected by ionic exchange, 2: pH reaction on heavy metal, 3: samples affected by mineralization. The geochemical groundwater facies changed from Ca-HCO3, and NaHCO3 with a small samples group of CaSO4 and through geochemical investigations were observed the reactions that take place in the waters mixing of different composition. The Na excesses are explained by ionic exchange processes. A determinant role is played by ionic exchange between Ca and Na. In this territory is important also the role of CH4 presence which typically rises towards the surface along faults and fractures and influence rise of deep water with different composition. On samples selected from FA Group 1 has been observed an increase of the CEC (Cation exchange capacity). Adsorption-desorption exchanges take place between water and the fine fraction sediment rich in clay minerals. Higher CEC values are found in rich organic substance areas which is noticeably water sediment interaction contributing to the increase of some elements (Ca, Na, Mg, K). The salinization processes are attributable to a change in the weather conditions, with increased evapotranspiration and change in pH that leads to the decomposition of organic matter resulting in an increase of Na in the waters. The refreshening processes involving deepwater characterized by a marked increase in HCO3. Overall, mixing, cation exchange and oxidation of organic matter are identified as the major processes determining the general groundwater quality. This approach represents a new method of identification and classification of phreatic and deep groundwater and identifies areas on which it would be interesting to intensify monitoring to see which water bodies may be intended for regeneretion through innovative processes.

System Dynamics Model to develop resilience management strategies for lifelines exposed to natural hazards

NASA Astrophysics Data System (ADS)

Pagano, Alessandro; Pluchinotta, Irene; Giordano, Raffaele; Vurro, Michele

2016-04-01

Resilience has recently become a key concept, and a crucial paradigm in the analysis of the impacts of natural disasters, mainly concerning Lifeline Systems (LS). Indeed, the traditional risk management approaches require a precise knowledge of all potential hazards and a full understanding of the interconnections among different infrastructures, based on past events and trends analysis. Nevertheless, due to the inner complexity of LS, their interconnectedness and the dynamic context in which they operate (i.e. technology, economy and society), it is difficult to gain a complete comprehension of the processes influencing vulnerabilities and threats. Therefore, resilience thinking addresses the complexities of large integrated systems and the uncertainty of future threats, emphasizing the absorbing, adapting and responsive behavior of the system. Resilience thinking approaches are focused on the capability of the system to deal with the unforeseeable. The increasing awareness of the role played by LS, has led governmental agencies and institutions to develop resilience management strategies. Risk prone areas, such as cities, are highly dependent on infrastructures providing essential services that support societal functions, safety, economic prosperity and quality of life. Among the LS, drinking water supply is critical for supporting citizens during emergency and recovery, since a disruption could have a range of serious societal impacts. A very well-known method to assess LS resilience is the TOSE approach. The most interesting feature of this approach is the integration of four dimensions: Technical, Organizational, Social and Economic. Such issues are all concurrent to the resilience level of an infrastructural system, and should be therefore quantitatively assessed. Several researches underlined that the lack of integration among the different dimensions, composing the resilience concept, may contribute to a mismanagement of LS in case of natural disasters. Moving in such direction, System Dynamics Modeling (SDM) is a suitable operative approach. The SDM allows taking into account all resilience dimensions in an integrated and dynamic way. Furthermore, it allows to combine predictive and learning functionality through feedback mechanisms, and to foster active involvement of stakeholders in the modelling process. The present paper show some results of ongoing research activities. The main aim of the work is to describe using SDM, the relationships and interdependencies between drinking water supply infrastructures and societies in building the resilience of urban communities in case of natural disasters. Reflections are carried out on the comparison between two major earthquakes in Italy: L'Aquila in 2009 and Emilia Romagna in 2012. The model aims at defining a quantitative tool to assess the evolution of resilience of drinking water supply system. Specifically, it has been used to evaluate the impact of actions and strategies for resilience improvement on the dynamic evolution of the system, thus suggesting the most suitable ones.

Complete penile corporeal septation: evaluation with contrast enhanced US.

PubMed

Bertolotto, Michele; Bucci, Stefano; Quaia, Emilio; Coss, Matteo; Liguori, Giovanni

2008-01-01

Complete penile corporeal septation is a rare malformation in which the corpora cavernosa are completely isolated. We describe a new method to reach the diagnosis of this malformation using contrast enhanced US. Two patients with complete penile corporeal septation underwent color Doppler and contrast enhanced US after bilateral cavernosal injection of 10 microg prostaglandin E1. Contrast enhanced US was performed using a contrast specific software (Contrast-Tuned imaging, EsaOte, Genoa, Italy) and a linear transducer designed to evaluate superficial structures. Microbubbles of SonoVue (Bracco, Milan, Italy) were injected in one corpus cavernosum. After cavernosal injection of microbubbles no adverse events were observed. Contrast enhanced US showed unilateral enhancement of the corpus cavernosum in which microbubbles were injected. Cavernosography confirmed unilateral corporeal opacification. Contrast enhanced US can be used effectively to diagnose complete penile corporeal septation.

Application of LANDSAT and Skylab data for land use mapping in Italy. [emphasizing the Alps Mountains

NASA Technical Reports Server (NTRS)

Bodechtel, J.; Nithack, J.; Dibernardo, G.; Hiller, K.; Jaskolla, F.; Smolka, A.

1975-01-01

Utilizing LANDSAT and Skylab multispectral imagery of 1972 and 1973, a land use map of the mountainous regions of Italy was evaluated at a scale of 1:250,000. Seven level I categories were identified by conventional methods of photointerpretation. Images of multispectral scanner (MSS) bands 5 and 7, or equivalents were mainly used. Areas of less than 200 by 200 m were classified and standard procedures were established for interpretation of multispectral satellite imagery. Land use maps were produced for central and southern Europe indicating that the existing land use maps could be updated and optimized. The complexity of European land use patterns, the intensive morphology of young mountain ranges, and time-cost calculations are the reasons that the applied conventional techniques are superior to automatic evaluation.

Relatives' attitudes towards informing patients about the diagnosis of Alzheimer's disease

PubMed Central

Pucci, E; Belardinelli, N; Borsetti, G; Giuliani, G

2003-01-01

Objectives: To evaluate relatives' attitudes towards informing patients with Alzheimer's disease (AD) about their diagnosis. Setting: A university hospital in Italy. Methods: The closest relatives of each of 71 subjects diagnosed for the first time as having AD were interviewed, using a semistructured questionnaire. Spontaneous requests by relatives not to communicate issues concerning the diagnosis were also recorded. Results: Forty three (60.6%) relatives spontaneously requested that patients not be fully informed. After being interviewed, nobody thought that the patient should be given all the information. Justifications were related to the fear of the onset or worsening of depressive symptoms in the patient. Conclusions: In Italy relatives' opposition to informing AD patients appears to be common. Knowledge of the relatives' attitudes may be useful for clinicians but disclosure of diagnosis should be based on the clinical evaluation of the patient and on a prudent evaluation of the relationship between the patient and her/his relative caregiver. PMID:12569197

Improved monitoring of oriental fruit moth (Lepidoptera: Tortricidae) with terpinyl acetate plus acetic acid membrane lures

USDA-ARS?s Scientific Manuscript database

Male and female moth catches of Grapholita molesta (Busck) in traps were evaluated in stone and pome fruit orchards untreated or treated with sex pheromones for mating disruption in Uruguay, Argentina, Chile, USA, and Italy from 2015 - 2017. Trials evaluated various blends loaded into either membran...

Automatic Assessment of 3D Modeling Exams

ERIC Educational Resources Information Center

Sanna, A.; Lamberti, F.; Paravati, G.; Demartini, C.

2012-01-01

Computer-based assessment of exams provides teachers and students with two main benefits: fairness and effectiveness in the evaluation process. This paper proposes a fully automatic evaluation tool for the Graphic and Virtual Design (GVD) curriculum at the First School of Architecture of the Politecnico di Torino, Italy. In particular, the tool is…

Grover Cleveland High School Project CAUSA 1983-1984. O.E.A. Evaluation Report.

ERIC Educational Resources Information Center

New York City Board of Education, Brooklyn. Office of Educational Assessment.

This document evaluates Project CAUSA (Career Advancement Utilizing Student Abilities), which provides instruction in English as a Second Language (ESL), native language development, and content-area courses, in addition to a career and vocational training program, to 115 students of limited English proficiency (LEP) from Italy and Spanish…

Procedures vs. Incentives: The University Promotion System in Italy

ERIC Educational Resources Information Center

Rettore, Enrico; Rocco, Lorenzo; Dal Maso, Carlo

2018-01-01

We evaluate two reforms that modified the procedures of recruitment and promotion in Italian academia to balance the preeminent role of the recruiting school and to counter nepotism. We theoretically derive the decision rule of the evaluation committees and test it against data including information from all selections to associate and full…

Active Tuberculosis Case Finding Interventions Among Immigrants, Refugees and Asylum Seekers in Italy

PubMed Central

Schepisi, Monica Sañé; Gualano, Gina; Piselli, Pierluca; Mazza, Marta; D’Angelo, Donatella; Fasciani, Francesca; Barbieri, Alberto; Rocca, Giorgia; Gnolfo, Filippo; Olivani, Piefranco; Ferrarese, Maurizio; Codecasa, Luigi Ruffo; Palmieri, Fabrizio; Girardi, Enrico

2016-01-01

In Italy tuberculosis (TB) is largely concentrated in vulnerable groups such as migrants and in urban settings. We analyzed three TB case finding interventions conducted at primary centers and mobile clinics for regular/irregular immigrants and refugees/asylum seekers performed over a four-year period (November 2009-March 2014) at five different sites in Rome and one site in Milan, Italy. TB history and presence of symptoms suggestive of active TB were investigated by verbal screening through a structured questionnaire in migrants presenting for any medical condition to out-patient and mobile clinics. Individuals reporting TB history or symptoms were referred to a TB clinic for diagnostic workup. Among 6347 migrants enrolled, 891 (14.0%) reported TB history or symptoms suggestive of active TB and 546 (61.3%) were referred to the TB clinic. Of them, 254 (46.5%) did not present for diagnostic evaluation. TB was diagnosed in 11 individuals representing 0.17% of those screened and 3.76% of those evaluated. The overall yield of this intervention was in the range reported for other TB screening programs for migrants, although we recorded an unsatisfactory adherence to diagnostic workup. Possible advantages of this intervention include low cost and reduced burden of medical procedures for the screened population. PMID:27403270

The use of phenological data to calculate chilling units in Olea europaea L. in relation to the onset of reproduction

NASA Astrophysics Data System (ADS)

Orlandi, F.; Fornaciari, M.; Romano, B.

2002-02-01

The aim of this study was to develop a practical method to evaluate the effective relationship between the amount of winter chilling and the response expressed as the spring reproductive re-starting dates in the olive ( Olea europaea L.). Two olive cultivars growing in a special olive orchard in Umbria (central Italy) were studied over a 3-year period (1998-2000): the cultivar Ascolana, typical of central Italy, and the cultivar Giarraffa, typical of southern Italy. The spring reproductive re-starts were assessed using data from detailed phenological observations made on 60 trees of each cultivar in an effort to establish the exact date of reproductive bud swelling. The chilling phenomenon was evaluated by using 341 functions derived from a formula developed by researchers at Utah State University to calculate chilling units. The mathematical functions are defined, and show the very close relationship between the amount of winter chilling and the spring reproductive response in the two cultivars in the orchard studied. The results can be used to define the relationship between local climate and plant development, and the mathematical approach can be used to draw maps that can show the suitability of different cultivars on the basis of local climatic conditions.

Birth, growth and progresses through the last twelve years of a regional scale landslide warning system

NASA Astrophysics Data System (ADS)

Fanti, Riccardo; Segoni, Samuele; Rosi, Ascanio; Lagomarsino, Daniela; Catani, Filippo

2017-04-01

SIGMA is a regional landslide warning system that operates in the Emilia Romagna region (Italy). In this work, we depict its birth and the continuous development process, still ongoing, after over a decade of operational employ. Traditionally, landslide rainfall thresholds are defined by the empirical correspondence between a rainfall database and a landslide database. However, in the early stages of the research, a complete catalogue of dated landslides was not available. Therefore, the prototypal version of SIGMA was based on rainfall thresholds defined by means of a statistical analysis performed over the rainfall time series. SIGMA was purposely designed to take into account both shallow and deep seated landslides and it was based on the hypothesis that anomalous or extreme values of accumulated rainfall are responsible for landslide triggering. The statistical distribution of the rainfall series was analyzed, and multiples of the standard deviation (σ) were used as thresholds to discriminate between ordinary and extraordinary rainfall events. In the warning system, the measured and the forecasted rainfall are compared with these thresholds. Since the response of slope stability to rainfall may be complex, SIGMA is based on a decision algorithm aimed at identifying short but exceptionally intense rainfalls and mild but exceptionally prolonged rains: while the former are commonly associated with shallow landslides, the latter are mainly associated with deep-seated landslides. In the first case, the rainfall threshold is defined by high σ values and short durations (i.e. a few days); in the second case, σ values are lower but the decision algorithm checks long durations (i.e. some months). The exact definition of "high" and "low" σ values and of "short" and "long" duration varied through time according as it was adjusted during the evolution of the model. Indeed, since 2005, a constant work was carried out to gather and organize newly available data (rainfall recordings and landslides occurred) and to use them to define more robust relationships between rainfalls and landslide triggering, with the final aim to increase the forecasting effectiveness of the warning system. The updated rainfall and landslide database were used to periodically perform a quantitative validation and to analyze the errors affecting the system forecasts. The errors characterization was used to implement a continuous process of updating and modification of SIGMA, that included: - Main model upgrades (generalization from a pilot test site to the whole Emilia Romagna region; calibration against well documented landslide events to define specific σ levels for each territorial units; definition of different alert levels according to the number of expected - Ordinary updates (periodically, the new landslide and rainfall data were used to re-calibrate the thresholds, taking into account a more robust sample). - Model tuning (set up of the optimal version of the decisional algorithm, including different definitions of "long" and "short" periods; selection of the optimal reference rain gauge for each Territorial Unit; modification of the boundaries of some territorial - Additional features (definition of a module that takes into account the effect of snow melt and snow accumulation; coupling with a landslide susceptibility model to improve the spatial accuracy of the model). - Various performance tests (including the comparison with alternate versions of SIGMA or with thresholds based on rainfall intensity and duration). This process has led to an evolution of the warning system and to a documented improvement of its forecasting effectiveness. Landslide forecasting at regional scale is a very complex task, but as time passes by and with the systematic gathering of new substantial data and the continuous progresses of research, uncertainties can be progressively reduced and a warning system can be set that increases its performances and reliability with time.

Economic appraisal of the angioplasty procedures performed in 2004 in a high-volume diagnostic and interventional cardiology unit.

PubMed

Manari, Antonio; Costa, Elena; Scivales, Alessandro; Ponzi, Patrizia; Di Stasi, Francesca; Guiducci, Vincenzo; Pignatelli, Gianluca; Giacometti, Paola

2007-10-01

Growing interest in the use of drug-eluting stents (DESs) in coronary angioplasty has prompted the Healthcare Agency of the Emilia Romagna Region to draw up recommendations for their appropriate clinical use in high-risk patients. Since the adoption of any new technology necessitates economic appraisal, we analysed the resource consumption of the various types of angioplasty procedures and the impact on the budget of a cardiology department. A retrospective economic appraisal was carried out on the coronary angioplasty procedures performed in 2004 in the Department of Interventional Cardiology of Reggio Emilia. On the basis of the principles of activity-based costing, detailed hospital costs were estimated for each procedure and compared with the relevant diagnosis-related group (DRG) reimbursement. In 2004, the Reggio Emilia hospital performed 806 angioplasty procedures for a total expenditure of euro 5,176,268. These were 93 plain old balloon angioplasty procedures (euro 487,329), 401 procedures with bare-metal stents (euro 2,380,071), 249 procedures with DESs (euro 1,827,386) and 63 mixed procedures (euro 481,480). Reimbursements amounted to euro 5,816,748 (11% from plain old balloon angioplasty, 50% from bare-metal stent, 31% from DES and 8% from mixed procedures) with a positive margin of about euro 680,480 between costs incurred and reimbursements obtained, even if the reimbursement for DES and mixed procedures was not covering all the incurred costs. Analysis of the case-mix of procedures revealed that an overall positive margin between costs and DRG reimbursements was achieved. It therefore emerges that adherence to the indications of the Healthcare Agency of the Emilia Romagna Region for the appropriate clinical use of DESs is economically sustainable from the hospital enterprise point of view, although the DRG reimbursements are not able to differentiate among resource consumptions owing to the adoption of innovative technologies.

Children's emotional experience two years after an earthquake: An exploration of knowledge of earthquakes and associated emotions

PubMed Central

Burro, Roberto; Hall, Rob

2017-01-01

A major earthquake has a potentially highly traumatic impact on children’s psychological functioning. However, while many studies on children describe negative consequences in terms of mental health and psychiatric disorders, little is known regarding how the developmental processes of emotions can be affected following exposure to disasters. Objectives We explored whether and how the exposure to a natural disaster such as the 2012 Emilia Romagna earthquake affected the development of children’s emotional competence in terms of understanding, regulating, and expressing emotions, after two years, when compared with a control group not exposed to the earthquake. We also examined the role of class level and gender. Method The sample included two groups of children (n = 127) attending primary school: The experimental group (n = 65) experienced the 2012 Emilia Romagna earthquake, while the control group (n = 62) did not. The data collection took place two years after the earthquake, when children were seven or ten-year-olds. Beyond assessing the children’s understanding of emotions and regulating abilities with standardized instruments, we employed semi-structured interviews to explore their knowledge of earthquakes and associated emotions, and a structured task on the intensity of some target emotions. Results We applied Generalized Linear Mixed Models. Exposure to the earthquake did not influence the understanding and regulation of emotions. The understanding of emotions varied according to class level and gender. Knowledge of earthquakes, emotional language, and emotions associated with earthquakes were, respectively, more complex, frequent, and intense for children who had experienced the earthquake, and at increasing ages. Conclusions Our data extend the generalizability of theoretical models on children’s psychological functioning following disasters, such as the dose-response model and the organizational-developmental model for child resilience, and provide further knowledge on children’s emotional resources related to natural disasters, as a basis for planning educational prevention programs. PMID:29261748

Incidence of rheumatoid arthritis, psoriatic arthritis and polymyalgia rheumatica in an inland area of central Italy: results of the CAMPO-RHE study.

PubMed

De Socio, Antonia; Perrotta, Fabio Massimo; Grasso, Guido Maria; Lubrano, Ennio

2018-01-01

The aim of the CAMPO-RHE study was to determine the incidence of rheumatoid arthritis (RA), psoriatic arthritis (PsA) and polymyalgia rheumatica (PMR) in patients attending a rheumatologic outpatient's clinic of a new institution in Campobasso, Italy. Campobasso is a small town of approximately 50,000 inhabitants located in the inland territory of central Italy (Molise), and Public Health is managed from a single health authority. In Italy, all citizens are registered with a National Health System of General Practitioner (GP) Physicians. Between the 1 st of June 2014 and the 31 st of May 2016, all consecutive adult patients, sent by a GP, of Campobasso with any diagnosis of musculoskeletal symptoms/signs/complaints were evaluated in a single rheumatology outpatient clinic of our Academic Unit. The clinic represents the first and unique reference for GPs about rheumatic diseases in the territory. Subjects were classified using the 2010 EULAR criteria for RA, the CASPAR criteria for PsA and the 2012 ACR classification criteria for PMR. 1003 adult patients, sent by GPs, with articular or musculoskeletal complaints visited our clinic. Of these, 409 inhabitants of the municipality of Campobasso were evaluated for the study. During the 2-year study period we diagnosed 18, 19 and 12 new cases of RA, PsA and PMR respectively, with a new incident cases rate of 21.4, 22.59 and 27.43/100,000/year on the population at risk. The results of our study could contribute to better define the incidence of these rheumatic diseases classified with the new classification criteria.

Occupational sensitization to epoxy resins in Northeastern Italy (1996–2010)

PubMed Central

Prodi, Andrea; Rui, Francesca; Fortina, Anna Belloni; Corradin, Maria Teresa; Filon, Francesca Larese

2015-01-01

Background: One of the main health concerns of epoxy resins is their role as skin sensitizer. This sensitization is not uncommon, because the prevalence ranges around 1–12% of the general population. Objectives: Perform a cross sectional study in a patch test population from Northeastern Italy to investigate the prevalence of epoxy resins sensitization among patients with suspected contact dermatitis. Subsequently, relate findings to patients’ occupation and evaluate time trend of prevalence. Methods: The final study database included 19 088 consecutive patients, tested from 1996 to 2010 in Northeastern Italy. Results: The overall prevalence of epoxy resins sensitization was 0·89%. Dermatitis most frequently involved hands (40·25%). In both sexes, we find a significant correlation in mechanics, woodworkers, and chemical industry workers; and in males only, among farmers and fishers, construction workers, and unemployed. We found significant increase of sensitization in construction workers in the analyzed period. Conclusions: The overall prevalence of sensitization to epoxy resins in Northeastern Italy is in line with other European countries, but we found an increased risk of sensitization in some professions and an increasing trend of prevalence in construction workers. Better preventive actions are strongly advised in higher risk professions, with particular attentions towards building sector. PMID:25633931

MEMS Sensor Technologies for Human Centred Applications in Healthcare, Physical Activities, Safety and Environmental Sensing: A Review on Research Activities in Italy

PubMed Central

Ciuti, Gastone; Ricotti, Leonardo; Menciassi, Arianna; Dario, Paolo

2015-01-01

Over the past few decades the increased level of public awareness concerning healthcare, physical activities, safety and environmental sensing has created an emerging need for smart sensor technologies and monitoring devices able to sense, classify, and provide feedbacks to users’ health status and physical activities, as well as to evaluate environmental and safety conditions in a pervasive, accurate and reliable fashion. Monitoring and precisely quantifying users’ physical activity with inertial measurement unit-based devices, for instance, has also proven to be important in health management of patients affected by chronic diseases, e.g., Parkinson’s disease, many of which are becoming highly prevalent in Italy and in the Western world. This review paper will focus on MEMS sensor technologies developed in Italy in the last three years describing research achievements for healthcare and physical activity, safety and environmental sensing, in addition to smart systems integration. Innovative and smart integrated solutions for sensing devices, pursued and implemented in Italian research centres, will be highlighted, together with specific applications of such technologies. Finally, the paper will depict the future perspective of sensor technologies and corresponding exploitation opportunities, again with a specific focus on Italy. PMID:25808763

Impact of school-based educational programs on sexual behaviors among adolescents in northern Italy.

PubMed

Bogani, Giorgio; Cromi, Antonella; Serati, Maurizio; Monti, Zelia; Apolloni, Chiara; Nardelli, Federica; Di Naro, Edoardo; Ghezzi, Fabio

2015-01-01

This article aimed to determine sexual behaviors among female and male adolescents in northern Italy. An anonymous self-administered questionnaire evaluating sexual attitudes was distributed in middle and high schools in northern Italy. Adolescents between 13 and 19 years of age were asked to participate at the survey. The study group included 664 participants. Overall, 164 (25%) adolescents had had at least one sexual intercourse. Among adolescents who have had sexual intercourse, 90 (55%) use condoms, 25 (15%) use hormonal contraception, and 49 (30%) do not use any contraception method. A total of 559 adolescents (84%) participated in school-based sexual education programs. This group had better knowledge on sexually transmitted diseases and contraception methods in comparison with adolescents who have never participated in such educational programs (p <.05), and no difference in high-risk sexual behaviors was observed (p = 1.0). School-based sexual education programs improve knowledge of sexual transmitted diseases and contraception methods. However, this knowledge does not correlate to high-risk sexual behaviors reduction.

Parietaria pollination duration: myth or fact?

PubMed

Ariano, R; Cecchi, L; Voltolini, S; Quercia, O; Scopano, E; Ciprandi, G

2017-01-01

Background. Even though the Parietaria pollen season may be rather long, it is commonly thought that Parietaria pollen is a perennial allergen present along the whole year. Objective. This study aimed at investigating the duration of Parietaria pollen season during a 10-year period in Italy, analysing also the annual pollen quantity and the differences among geographical areas. Methods. Pollen count was assessed daily for 10 years. Globally, ten Italian centers measured Parietaria pollen count. Start date, peak date, end date, duration (days), peak value, and seasonal pollen index were evaluated in each center. Results. Ten-year Parietaria pollen count demonstrates that the pollen season usually lasted for 6-7 months in Italy. There are important differences among centres, mainly attributable to geoclimatic factors. Conclusion. This study demonstrates that Parietaria pollen season lasts about 6-7 months with two peaks (mainly in spring and lower in autumn) in Italy with important geographical variations. This information may have clinical relevance in managing patients allergic to Parietaria.

[Petechial typhus in Napoleonic Italy. Scientific debate and the role of Giovanni Rasori].

PubMed

Sabbatani, Sergio

2006-12-01

During the Napoleonic wars, an epidemic recrudescence of petechial typhus was observed throughout Europe. In Italy, the epidemic first broke out in Genoa, in 1799, coming from southern France, during the sieges of the Austro-Hungarian army. Giovanni Rasori, a young Republican physician and man of the sciences, supported the besieged and contributed to defend the city. From the beginning, Rasori identified the cause of the epidemic in petechial typhus, being able to evaluate its clinical presentation, and developed a pathogenetic theory, known as contrastimulus. At that time, this theory obtained some success, though opposed by the academic establishment in Lombardy. In this article, we present the medical and philosophical ideas which, in the period between the 18th and 19th century, pervaded medical Italian culture. Furthermore, a biographic profile of Giovanni Rasori is described, a courageous scientist who did not disdain to take part in political and cultural Italian life during a historical period that was to become important for the future fortunes of Italy.

Update on epidemiology of HCV in Italy: focus on the Calabria Region

PubMed Central

2014-01-01

The epidemiological profile of HCV infection is evolving in Europe, as well as in Italy. We have previously showed genotype distributions and their dynamics in 2,153 HCV RNA positive patients living in Calabria, Southern Italy, over 11 years. In this study, we extend and update this information by evaluating a hospital-based cohort of 945 HCV RNA positive patients attending five hospitals in the Calabria Region from January 2011 to August 2013. We assessed rates of HCV genotypes according to age and gender and the dynamics of HCV genotype distribution over the 3-year period studied. Data showed that genotype 1b is the most prevalent, followed by subtypes 2a/2c and genotype 3. Genotype 4 exhibited an increase between 2011 and 2013. Also, we found a significant decrease in the median age of subjects infected with HCV genotype 3 and 4 during the period studied. Since HCV genotypes are important in epidemiology, pathogenesis and response to antiviral therapy, a continuous epidemiological surveillance is needed. PMID:25236184

Hbim Methodology as a Bridge Between Italy and Argentina

NASA Astrophysics Data System (ADS)

Moreira, A.; Quattrini, R.; Maggiolo, G.; Mammoli, R.

2018-05-01

The availability of efficient HBIM workflows could represent a very important change towards a more efficient management of the historical real estate. The present work shows how to obtain accurate and reliable information of heritage buildings through reality capture and 3D modelling to support restoration purposes or knowledge-based applications. Two cases studies metaphorically joint Italy with Argentina. The research article explains the workflows applied at the Palazzo Ferretti at Ancona and the Manzana Histórica de la Universidad National del Litoral, providing a constructive comparison and blending technological and theoretical approaches. In a bottom-up process, the assessment of two cases study validates a workflow allowing the achievement of a useful and proper data enrichment of each HBIM model. Another key aspect is the Level of Development (LOD) evaluation of both models: different ranges and scales are defined in America (100-500) and in Italy (A-G), nevertheless is possible to obtain standard shared procedures, enabling facilitation of HBIM development and diffusion in operating workflows.

How scary! An analysis of visual communication concerning genetically modified organisms in Italy.

PubMed

Ventura, Vera; Frisio, Dario G; Ferrazzi, Giovanni; Siletti, Elena

2017-07-01

Several studies provide evidence of the role of written communication in influencing public perception towards genetically modified organisms, whereas visual communication has been sparsely investigated. This article aims to evaluate the exposure of the Italian population to scary genetically modified organism-related images. A set of 517 images collected through Google are classified considering fearful attributes, and an index that accounts for the scary impact of these images is built. Then, through an ordinary least-squares regression, we estimate the relationship between the Scary Impact Index and a set of variables that describes the context in which the images appear. The results reveal that the first (and most viewed) Google result images contain the most frightful contents. In addition, the agri-food sector in Italy is strongly oriented towards offering a negative representation of genetically modified organisms. Exposure to scary images could be a factor that affects the negative perception of genetically modified organisms in Italy.

Systematic detection and classification of earthquake clusters in Italy

NASA Astrophysics Data System (ADS)

Poli, P.; Ben-Zion, Y.; Zaliapin, I. V.

2017-12-01

We perform a systematic analysis of spatio-temporal clustering of 2007-2017 earthquakes in Italy with magnitudes m>3. The study employs the nearest-neighbor approach of Zaliapin and Ben-Zion [2013a, 2013b] with basic data-driven parameters. The results indicate that seismicity in Italy (an extensional tectonic regime) is dominated by clustered events, with smaller proportion of background events than in California. Evaluation of internal cluster properties allows separation of swarm-like from burst-like seismicity. This classification highlights a strong geographical coherence of cluster properties. Swarm-like seismicity are dominant in regions characterized by relatively slow deformation with possible elevated temperature and/or fluids (e.g. Alto Tiberina, Pollino), while burst-like seismicity are observed in crystalline tectonic regions (Alps and Calabrian Arc) and in Central Italy where moderate to large earthquakes are frequent (e.g. L'Aquila, Amatrice). To better assess the variation of seismicity style across Italy, we also perform a clustering analysis with region-specific parameters. This analysis highlights clear spatial changes of the threshold separating background and clustered seismicity, and permits better resolution of different clusters in specific geological regions. For example, a large proportion of repeaters is found in the Etna region as expected for volcanic-induced seismicity. A similar behavior is observed in the northern Apennines with high pore pressure associated with mantle degassing. The observed variations of earthquakes properties highlight shortcomings of practices using large-scale average seismic properties, and points to connections between seismicity and local properties of the lithosphere. The observations help to improve the understanding of the physics governing the occurrence of earthquakes in different regions.

Evaluation of Vocational Training in a Regional Context. A Synthesis Report. CEDEFOP Document.

ERIC Educational Resources Information Center

Oliveira das Neves, A.

Six evaluations of vocational training (VT) in a territorial context (TC) that were conducted in Italy, France, Portugal, Germany, Great Britain, and Spain were compared for the purposes of constructing a coherent synthesis of the issues developed in them, establishing strategic vectors for the construction of a reference framework for the…

Eccomi Pronto: Implementation of a Socio-Emotional Development Curriculum in a South Korean Elementary School

ERIC Educational Resources Information Center

Kim, Donghyun; Hyun, Jung H.; Lee, Jihee; Bertolani, Jessica; Mortari, Luigina; Carey, John

2015-01-01

"Eccomi Pronto" (EP), an elementary school socio-emotional learning curriculum that was originally developed and evaluated in Italy was translated in Korean and implemented and evaluated in 4th grade classrooms of a primary school in South Korea. Qualitative data from teachers indicated that EP improved the self-reflection and…

Non Castigat Ridendo Mores: evaluating the effectiveness of humor appeal in printed advertisements for HIV/AIDS prevention in Italy.

PubMed

Soscia, Isabella; Turrini, Alex; Tanzi, Emilio

2012-01-01

This article investigates the effects of different emotional appeals in HIV/AIDS prevention campaigns using printed advertisements. More specifically, it examines the effectiveness of humor appeal compared with shock and fear appeals. The authors experimentally test the level of attention drawn and the spontaneous recall arising when young Italian adults are shown different HIV/AIDS prevention campaigns. Findings show that humor appeals are less effective than fear and shock appeals, evidencing the failures in HIV/AIDS prevention campaigns in Italy, a country where the former communication strategy has been used in substantive ways. The results also indicate the higher effectiveness of fear appeals (over shock and humor) in printed HIV/AIDS advertising campaigns. The implications of these results for further studies and for improving the design, implementation, and evaluation of HIV/AIDS campaign efforts are also discussed.

Evaluation of the health effects of the new driving penalty point system in the Lazio Region, Italy, 2001-4.

PubMed

Farchi, Sara; Chini, Francesco; Giorgi Rossi, Paolo; Camilloni, Laura; Borgia, Piero; Guasticchi, Gabriella

2007-02-01

The penalty point system was introduced in Italy in June 2003. The aim of this study was to evaluate the health effects of this legislation in the Lazio region. Poisson models were used to compare emergency department visits, hospitalizations and death between the pre-law and post-law periods (July 2001-June 2003; July 2003-June 2004). The emergency department visit rate ratio (RR) of the two periods was 0.87 (95% confidence interval (CI) 0.86 to 0.88); the corresponding hospital admission RR was 0.87 (95% CI 0.84 to 0.9). The death RR was 0.93 (95% CI 0.82 to 1.05). After the legislation was introduced, there were fewer visits to the emergency department, hospitalizations and death from road traffic injuries. However, the effect was lower than expected, and it decreased over time.

Ecotoxicological evaluation of industrial port of Venice (Italy) sediment samples after a decontamination treatment.

PubMed

Libralato, Giovanni; Losso, Chiara; Arizzi Novelli, Alessandra; Citron, Marta; Della Sala, Stefano; Zanotto, Emanuele; Cepak, Franka; Volpi Ghirardini, Annamaria

2008-12-01

This work assesses the ecotoxicological effects of polluted sediment after a decontamination treatment process using a new sediment washing technique. Sediment samples were collected from four sites in Marghera Port industrial channels (Venice, Italy). Ecotoxicological evaluations were performed with Vibrio fischeri and Crassostrea gigas bioassays. Whole sediment and elutriate were deemed as the most suitable environmental matrices for this study. Toxicity scores developed in the Lagoon of Venice for V. fischeri on whole sediment and for C. gigas on elutriate were considered for the final ranking of samples. Ecotoxicological results showed that the treated sediment samples presented both acute and sub-chronic toxicities, which were mainly attributed to the presence of some remaining chemicals such as metals and polyaromatic hydrocarbons. The acute toxicity ranged from low to medium, while the sub-chronic one from absent to very high, suggesting that treated sediments could not be reused in direct contact with seawater.

PubMed

Salerno, Silvana

2018-02-01

In Italy and in Europe occupational diseases (OD) claims are growing among women, and international studies show women's lower compensation rate. Analysis of occupational diseases compensation rate among "Italian" women (country of birth: Italy) and "immigrant" women (country of birth: not Italy) focusing on biomechanical overload of the upper limb, the most common OD in Italy. INAIL (Italian National Institute for Insurance against Accidents at Work) statistical data (2010-2013) on ascertained OD in Industry-Services (I-S) were analyzed by gender and country of birth with particular attention to biomechanical overload of the upper limb and to occupational diseases not included in the official OD list. A significantly lower compensation rate was found among women (Italy: 39% females vs 43% males; not Italy: 32.5% females vs 36% males). Women's lower success rate was also found for biomechanical overload of the upper limb (Italy: 73% females vs 76% males; not Italy: 64% females vs 70% males), including carpal tunnel syndrome (Italy: 72% females vs 74% males; not Italy: 62% females vs 64% males) and supraspinatus muscle tendinitis (Italy: 71% females vs 79% males; not Italy: 62.5% females vs 72.5% males). Women's claims were more frequent for OD not in the official list (Italy: 53% females vs 51% males; not Italy: 54% females vs 53% males) and had a lower rate of recognition and compensation (Italy: 13% females vs 19% males; not Italy 10% females vs 14% males). Since 2010 women compensation rate has shown a reduction after the initial amelioration in 2008 when biomechanical overload of the upper limb was included in the official list of OD. An overall lower compensation rate among "Italian" and "immigrant" women was found for biomechanical overload disorders of the upper limb and for not officially recognized occupational diseases. Good gender-oriented preventive practices should be promoted.

A Letter on Ancaiani et al. "Evaluating Scientific Research in Italy: The 2004-10 Research Evaluation Exercise"

ERIC Educational Resources Information Center

Baccini, Alberto; De Nicolao, Giuseppe

2017-01-01

This letter documents some problems in Ancaiani et al. (2015). Namely the evaluation of concordance, based on Cohen's kappa, reported by Ancaiani et al. was not computed on the whole random sample of 9,199 articles, but on a subset of 7,597 articles. The kappas relative to the whole random sample were in the range 0.07-0.15, indicating an…

OGS improvements in 2012 in running the Northeastern Italy Seismic Network: the Ferrara VBB borehole seismic station

NASA Astrophysics Data System (ADS)

Pesaresi, Damiano; Romanelli, Marco; Barnaba, Carla; Bragato, Pier Luigi; Durì, Giorgio

2013-04-01

The Centro di Ricerche Sismologiche (CRS, Seismological Research Center) of the Istituto Nazionale di Oceanografia e di Geofisica Sperimentale (OGS, Italian National Institute for Oceanography and Experimental Geophysics) in Udine (Italy) after the strong earthquake of magnitude M=6.4 occurred in 1976 in the Italian Friuli-Venezia Giulia region, started to operate the Northeastern Italy Seismic Network: it currently consists of 17 very sensitive broad band and 18 simpler short period seismic stations, all telemetered to and acquired in real time at the OGS-CRS data center in Udine. Real time data exchange agreements in place with other Italian, Slovenian, Austrian and Swiss seismological institutes lead to a total number of about 100 seismic stations acquired in real time, which makes the OGS the reference institute for seismic monitoring of Northeastern Italy. The southwestern edge of the OGS seismic network stands on the Po alluvial basin: earthquake localization and characterization in this area is affected by the presence of soft alluvial deposits. OGS ha already experience in running a local seismic network in high noise conditions making use of borehole installations in the case of the micro-seismicity monitoring of a local gas storage site for a private company. Following the ML=5.9 earthquake that struck the Emilia region around Ferrara in Northern Italy on May 20, 2012 at 02:03:53 UTC, a cooperation of Istituto Nazionale di Geofisica e Vulcanologia, OGS, the Comune di Ferrara and the University of Ferrara lead to the reinstallation of a previously existing very broad band (VBB) borehole seismic station in Ferrara. The aim of the OGS intervention was on one hand to extend its real time seismic monitoring capabilities toward South-West, including Ferrara and its surroundings, and on the other hand to evaluate the seismic response at the site. We will describe improvements in running the Northeastern Italy Seismic Network, including details of the Ferrara VBB borehole station configuration and installation, with first results.

Severe Weather Guide - Mediterranean Ports. 8. Toulon

DTIC Science & Technology

1988-03-01

CA 93943-5006 9. PROCUREMENT INSTRUMENT IDENTIFICATION NUMBER N00228-84-D-3187 10 SOURCE OF FUNDING NUMBERS PROGRAM ELEMENT NO. PROJECT NO...1990 PORT GAETA, ITALY NAPLES, ITALY CATANIA, ITALY AUGUSTA BAY, ITALY CAGLIARI, ITALY LA MADDALENA, ITALY MARSEILLE, FINANCE TOULON, FRANCE ...VILLEFRANCHE, FRANCE 10 MALAGA, SPAIN 11 NICE, FRANCE 12 CANNES, FRANCE MONACO ASHDOD, ISRAEL HAIFA, ISRAEL BARCELONA, SPAIN PALMA

Invasive bacterial diseases: national surveillance in Italy and vaccination coverage in the Local Health Agency 4 "Chiavarese", Liguria region (Italy).

PubMed

Trucchi, C; Zoppi, G

2012-06-01

In 2007 in Italy, the National Institute of Health published a new protocol for the National Surveillance of Invasive Bacterial Diseases, in order to enhance the notification system of these diseases and to improve immunization strategies. Available vaccines to prevent these diseases were introduced for the first time into the 1999-2000 National Immunization Plan (NIP) (vaccination against Haemophilus influenzae type b) and the 2005-2007 NIP (vaccination against Streptococcus pneumoniae and Neisseria meningitidis serogroup C). We evaluated the frequency of invasive diseases, on the basis of the number of notifications, the different immunization strategies in the Italian Regions and the vaccination coverage in Local Health Agency 4 "Chiavarese" (LHA) in the Liguria Region (Italy). We evaluated the number of notifications of invasive diseases collected by the national databank coordinated by the ISS (Informative System of Infectious Diseases, SIMI) from 1994 to 2011. We also examined regional regulations concerning immunization policies. Immunization coverage was calculated by means of the "OASIS" software (version 9.0.0) used in our LHA. Available data indicate that the large-scale vaccination policy begun in 1999 in Italy has led to a great reduction in Haemophilus influenzae-related diseases in the pediatric age. Meningococcal diseases have declined to a lesser degree; this is due to the more recent introduction of vaccination against serogroup C (in 2005), the variability of the immunization strategies adopted in the different Italian Regions and the availability of the vaccination against serogroup C only in the pediatric age. The diseases caused by Streptococcus pneumoniae seem to have increased since 2007 because of the implementation of the Surveillance of Invasive Diseases Program and the subsequent notification of all invasive diseases (not only meningitis). Furthermore, the various Italian Regions have adopted different immunization strategies against this disease, too. We evaluated vaccination coverage in LHA 4 from 2003 to 2008. VC levels against Haemophilus influenzae are excellent; the objective indicated in the 2005-2007 NIP (> or = 95%) has therefore been reached. Vaccination coverage levels against Streptococcus pneumoniae and Neisseria meningitidis serogroup C at the 24th month of age are also good. However, we need to implement specific immunization strategies for adolescents, since the vaccination coverage levels are not completely satisfactory. The improvement of the national invasive disease surveillance system has provided better knowledge of the size of the problem and the impact of immunization strategies on the incidence of invasive bacterial diseases. Furthermore, immunization policies in Italy display territorial heterogeneity. Vaccination coverage levels against Haemophilus influenzae, Streptococcus pneumoniae and Neisseria meningitidis at the 24th month in LHA 4 are very high. In adolescents (15 year-olds) the immunization coverage are good but needs to be improved through specific strategies, such as raising the awareness of healthcare workers, involving general practitioners and educating the target population.

Evaluation of ML-MC as a Depth Discriminant in Yellowstone, USA and Italy

NASA Astrophysics Data System (ADS)

Li, Z.; Koper, K. D.; Burlacu, R.; Sun, D.; D'Amico, S.

2017-12-01

Recent work has shown that the difference between two magnitude scales, ML (local Richter magnitude) and MC (coda/duration magnitude), acts as a depth discriminant in Utah. Shallow seismic sources, such as mining induced earthquakes and explosions, have strongly negative ML-MC values, while deeper tectonic earthquakes have ML-MC values near zero. These observations imply that ML-MC might be effective at discriminating small explosions from deeper natural earthquakes at local distances. In this work, we examine seismicity catalogs for the Yellowstone region and Italy to determine if ML-MCacts as a depth discriminant in these regions as well. We identified 4,780 earthquakes that occurred in the Yellowstone region between Sept. 24, 1994 and March 31, 2017 for which both ML and MC were calculated. The ML-MC distribution is well described by a Gaussian function with a mean of 0.102 and a standard deviation of 0.326. We selected a subset of these events with accurate depths and determined mean ML-MC values in various depth bins. An event depth was considered accurate if the formal depth error was less than 2 km and either (1) the nearest station was within one focal depth or (2) the distance to the nearest station was smaller than the bin size. We find that ML-MC decreases as event depths become shallower than about 10 km. Similar to the results for Utah, the decrease is statistically significant and is robust with respect to small changes in bin size and the criteria used to define accurate depths. We used a similar process to evaluate whether ML-MC was a function of source depth for 63,555 earthquakes that occurred between April 16, 2005 and April 30, 2012 in Italy. The ML-MC values in Italy are also well described by a normal distribution, with a mean of -0.477 and standard deviation of 0.315. We again find a statistically significant decrease in ML-MC for shallow earthquakes. In contrast to the Yellowstone results, for Italy ML-MC decreases at a nearly constant rate as focal depths change from 30 km to 4 km, and then it flattens out for the shallowest events. Our results reinforce the idea that ML-MC acts as a depth discriminant, but because it appears to behave slightly differently in the two regions, more areas need to be evaluated in the future.

A novel approach emphasising intra-operative superficial margin enhancement of head-neck tumours with narrow-band imaging in transoral robotic surgery.

PubMed

Vicini, C; Montevecchi, F; D'Agostino, G; DE Vito, A; Meccariello, G

2015-06-01

The primary goal of surgical oncology is to obtain a tumour resection with disease-free margins. Transoral robotic surgery (TORS) for surgical treatment of head-neck cancer is commensurate with standard treatments. However, the likelihood of positive margins after TORS is up to 20.2% in a recent US survey. The aim of this study is to evaluate the efficacy and the feasibility of narrow-band imaging (NBI) during TORS in order to improve the ability to achieve disease-free margins during tumour excision. The present study was conducted at the ENT, Head- Neck Surgery and Oral Surgery Unit, Department of Special Surgery, Morgagni Pierantoni Hospital, Azienda USL Romagna. From March 2008 to January 2015, 333 TORS were carried out for malignant and benign diseases. For the present study, we retrospectively evaluated 58 biopsy-proven squamous cell carcinoma patients who underwent TORS procedures. Patients were divided into 2 groups: (1) 32 who underwent TORS and intra-operative NBI evaluation (NBI-TORS); (2) 21 who underwent TORS with standard intra-operative white-light imaging (WLITORS). Frozen section analysis of margins on surgical specimens showed a higher rate of negative superficial lateral margins in the NBI-TORS group compared with the WLI-TORS group (87.9% vs. 57.9%, respectively, p = 0.02). The sensitivity and specificity of intra-operative use of NBI, respectively, were 72.5% and 66.7% with a negative predictive value of 87.9%. Tumour margin enhancement provided by NBI associated with magnification and 3-dimensional view of the surgical field might increase the capability to achieve an oncologically-safe resection in challenging anatomical areas where minimal curative resection is strongly recommended for function preservation.

PubMed Central

VICINI, C.; MONTEVECCHI, F.; D'AGOSTINO, G.; DE VITO, A.

2015-01-01

SUMMARY The primary goal of surgical oncology is to obtain a tumour resection with disease-free margins. Transoral robotic surgery (TORS) for surgical treatment of head-neck cancer is commensurate with standard treatments. However, the likelihood of positive margins after TORS is up to 20.2% in a recent US survey. The aim of this study is to evaluate the efficacy and the feasibility of narrow-band imaging (NBI) during TORS in order to improve the ability to achieve disease-free margins during tumour excision. The present study was conducted at the ENT, Head- Neck Surgery and Oral Surgery Unit, Department of Special Surgery, Morgagni Pierantoni Hospital, Azienda USL Romagna. From March 2008 to January 2015, 333 TORS were carried out for malignant and benign diseases. For the present study, we retrospectively evaluated 58 biopsy-proven squamous cell carcinoma patients who underwent TORS procedures. Patients were divided into 2 groups: (1) 32 who underwent TORS and intra-operative NBI evaluation (NBI-TORS); (2) 21 who underwent TORS with standard intra-operative white-light imaging (WLITORS). Frozen section analysis of margins on surgical specimens showed a higher rate of negative superficial lateral margins in the NBI-TORS group compared with the WLI-TORS group (87.9% vs. 57.9%, respectively, p = 0.02). The sensitivity and specificity of intra-operative use of NBI, respectively, were 72.5% and 66.7% with a negative predictive value of 87.9%. Tumour margin enhancement provided by NBI associated with magnification and 3-dimensional view of the surgical field might increase the capability to achieve an oncologically-safe resection in challenging anatomical areas where minimal curative resection is strongly recommended for function preservation. PMID:26246659

The Prognostic Roles of Gender and O6-Methylguanine-DNA Methyltransferase Methylation Status in Glioblastoma Patients: The Female Power.

PubMed

Franceschi, Enrico; Tosoni, Alicia; Minichillo, Santino; Depenni, Roberta; Paccapelo, Alexandro; Bartolini, Stefania; Michiara, Maria; Pavesi, Giacomo; Urbini, Benedetta; Crisi, Girolamo; Cavallo, Michele A; Tosatto, Luigino; Dazzi, Claudio; Biasini, Claudia; Pasini, Giuseppe; Balestrini, Damiano; Zanelli, Francesca; Ramponi, Vania; Fioravanti, Antonio; Giombelli, Ermanno; De Biase, Dario; Baruzzi, Agostino; Brandes, Alba A

2018-04-01

Clinical and molecular factors are essential to define the prognosis in patients with glioblastoma (GBM). O6-methylguanine-DNA methyltransferase (MGMT) methylation status, age, Karnofsky Performance Status (KPS), and extent of surgical resection are the most relevant prognostic factors. Our investigation of the role of gender in predicting prognosis shows a slight survival advantage for female patients. We performed a prospective evaluation of the Project of Emilia Romagna on Neuro-Oncology (PERNO) registry to identify prognostic factors in patients with GBM who received standard treatment. A total of 169 patients (99 males [58.6%] and 70 females [41.4%]) were evaluated prospectively. MGMT methylation was evaluable in 140 patients. Among the male patients, 36 were MGMT methylated (25.7%) and 47 were unmethylated (33.6%); among the female patients, 32 were methylated (22.9%) and 25 were unmethylated (17.9%). Survival was longer in the methylated females compared with the methylated males (P = 0.028) but was not significantly different between the unmethylated females and the unmethylated males (P = 0.395). In multivariate analysis, gender and MGMT methylation status considered together (methylated females vs. methylated males; hazard ratio [HR], 0.459; 95% confidence interval [CI], 0.242-0.827; P = 0.017), age (HR, 1.025; 95% CI, 1.002-1.049; P = 0.032), and KPS (HR, 0.965; 95% CI, 0.948-0.982; P < 0.001) were significantly correlated with survival. Survival was consistently longer among MGMT methylated females compared with males. Gender can be considered as a further prognostic factor. Copyright © 2018 Elsevier Inc. All rights reserved.

Adverse drug reactions associated with off-label use of ketorolac, with particular focus on elderly patients. An analysis of the Italian pharmacovigilance database and a population based study.

PubMed

Viola, E; Trifirò, G; Ingrasciotta, Y; Sottosanti, L; Tari, M; Giorgianni, F; Moretti, U; Leone, R

2016-12-01

This study aims to evaluate the frequency of off-label use of ketorolac in Italy and the related suspected adverse drug reactions (ADRs) reported. All the suspected cases associated with ketorolac recorded in the Italian Pharmacovigilance database were retrieved. Case evaluations were carried out in order to identify the off-label use of ketorolac. Moreover, an analysis of the inappropriate use of ketorolac was conducted using the 'Arianna' database of Caserta local health unit. Up to December 2014, 822 reports of suspected ADRs related to ketorolac were retrieved in the database. The use of ketorolac was classified as off-label for 553 reports and on-label for 269. Among the off-label cases, 58.6% were serious compared to 39.0% of on-label cases. Gastrointestinal events were more frequently reported with off-label use. The analysis of Arianna database showed that 37,729 out of 61,910 patients, were treated off-label. The off-label use of ketorolac is widespread in Italy. This use increases the risk of serious ADR, especially in in case of prolonged duration of treatment and in elderly patients. The Italian Medicine Agency has decided to accurately monitor the appropriate use of the drug in Italy and, if necessary, take measures in order to minimize the risks.

Asbestos quantification in track ballast, a complex analytical problem

NASA Astrophysics Data System (ADS)

Cavallo, Alessandro

2016-04-01

Track ballast forms the trackbeb upon which railroad ties are laid. It is used to bear the load from the railroad ties, to facilitate water drainage, and also to keep down vegetation. It is typically made of angular crushed stone, with a grain size between 30 and 60 mm, with good mechanical properties (high compressive strength, freeze - thaw resistance, resistance to fragmentation). The most common rock types are represented by basalts, porphyries, orthogneisses, some carbonatic rocks and "green stones" (serpentinites, prasinites, amphibolites, metagabbros). Especially "green stones" may contain traces, and sometimes appreciable amounts of asbestiform minerals (chrysotile and/or fibrous amphiboles, generally tremolite - actinolite). In Italy, the chrysotile asbestos mine in Balangero (Turin) produced over 5 Mt railroad ballast (crushed serpentinites), which was used for the railways in northern and central Italy, from 1930 up to 1990. In addition to Balangero, several other serpentinite and prasinite quarries (e.g. Emilia Romagna) provided the railways ballast up to the year 2000. The legal threshold for asbestos content in track ballast is established in 1000 ppm: if the value is below this threshold, the material can be reused, otherwise it must be disposed of as hazardous waste, with very high costs. The quantitative asbestos determination in rocks is a very complex analytical issue: although techniques like TEM-SAED and micro-Raman are very effective in the identification of asbestos minerals, a quantitative determination on bulk materials is almost impossible or really expensive and time consuming. Another problem is represented by the discrimination of asbestiform minerals (e.g. chrysotile, asbestiform amphiboles) from the common acicular - pseudo-fibrous varieties (lamellar serpentine minerals, prismatic/acicular amphiboles). In this work, more than 200 samples from the main Italian rail yards were characterized by a combined use of XRD and a special SEM-EDS analytical procedure. The first step consists in the macroscopic petrographic description of the rock fragments, in order to identify and quantify the "green stones". The second step is represented by the "self-grinding" of the clasts (Los Angeles rattle test), and the powders (< 2 mm) are characterized by XRD (main rock-forming minerals) and quantitative SEM-EDS. Especially in serpentinic clasts with superficial slip-fibre chrysotile mineralizations, the "self-grinding" procedure allows to release a large part of the fibers. The third and last step consists in the total grinding of the bulk ballast sample ("self grinding" powders + remaining rock fragments), followed by quantitative SEM-EDS procedure. The most important aspects in the SEM-EDS procedure are represented by an accurate sample preparation (e.g. using ultrasound and a surfactant to avoid fiber agglomeration), as well as effective criteria for the distinction of asbestos fibers and non-asbestiform/pseudo-fibrous varieties (presence of fibril bundles, fibril diameter, splayed ends). The results show a great variability in the lithological composition of the ballast samples, and some critical issues in serpentinite-rich ballast, sometimes exceeding the legal threshold of 1000 ppm. On the other hand, the presence of metabasites (prasinites, amphibolites) is much less critical, because the presence of asbestiform amphiboles (especially tremolite - actinolite) is really rare.

Contrasting perceptions of anthropogenic coastal agricultural landscape meanings and management in Italy and Canada

NASA Astrophysics Data System (ADS)

Targetti, Stefano; Sherren, Kate; Raggi, Meri; Viaggi, Davide

2016-04-01

The Anthropocene concept entails the idea that humans have become the most influential driving factor on the environment. In this context, it is useful to get insights from coastal areas that are affected by a huge impact of human activities in shaping the territory, are prone to several threats linked with climate change, and featured by interlinked economic, cultural and social systems. We compare evidence from three different methods focusing on the perceptions of coastal agricultural landscapes: i) a survey focusing on residents' perceptions of local rural landscape elements; ii) an expert-elicitation multicriteria exercise (Analytic Network Process) focusing on the relationship between economic actors, ecosystem services and local competitiveness; and iii) a Q-methodology survey to identify public discourses concerning management alternatives. The methods were applied in two coastal case studies characterized by land drainage, shoreline barriers and coastal armoring that represent high cultural heritage; created by humans they rely on active management to persist. Moreover, in both the case studies concerns have been raised about the role of agriculture in the rural development context and the perspectives of local stakeholders towards the management of the reclaimed lands. The first area is located on the southern side of the Po River Delta (Emilia Romagna, Italy). The area was reclaimed during the 19th and 20th centuries for agricultural production and is now characterized by intensive agriculture in the hinterlands, an urbanised coastal area with a developed tourism sector, and the presence of remnant wetlands which are mostly included in the Po Delta Natural Park (covering around 30% of the case study). The second area is located in the dykelands of the Bay of Fundy (Nova Scotia, Canada) whose origins go back to the 17th Century when French settlers built the first dykes to reclaim salt marshes for farmland. While some are still farmed, a range of different cultural and economic assets is present in the Dykelands including commercial and recreational infrastructures. Both case study areas are included in UNESCO World Heritage Sites ("Ferrara, City of the Renaissance, and its Po Delta" and the "Landscape of Grand Pré"). In both cases evidence points to the tendency of the residents to acknowledge public goods related to recreational assets as important to manage for, whereas more pragmatic experts/educated stakeholders are more prone to rate protection-related services (e.g. flood protection) together with cultural services. Several differences were also evidenced in the two case studies. First, the importance of farming in the Dykelands was mainly a cultural/emotional attachment, whereas provision services were considered as the main valorisation factor in the Po Delta area. Secondly, second-home dwellers in the Po Delta showed a higher interest on local landscape elements, non residents in the Dykelands showed a higher interest in governance of the territory than on management of specific traditional landscape elements such as dykelands or wetlands. These results outline the need to consider different management perspectives and options and the critical role of awareness concerning local environmental threats and challenges in the two case study areas.

Age and speleogenesis of epigenic gypsum caves in the northern Apennines (Italy)

NASA Astrophysics Data System (ADS)

Columbu, Andrea; Chiarini, Veronica; De Waele, Jo; Drysdale, Russell; Forti, Paolo; Hellstrom, John; Woodhead, Jon

2016-04-01

Triassic and Messinian gypsum beds host the majority of the caves in the eastern flank of the northern Apennines. To date, more than six hundreds voids have been mapped, including the longest known epigenic gypsum cave system in the world (Spipola-Acquafredda, ~11 km of tunnels) (De Waele et al., 2013). Superimposed caves are typically sub-horizontal (Klimchouk, 2000) and connected through vertical shafts, reflecting the palaeo base-level variations. When preserved, river terraces at the surface lie at the same palaeo altitude of the base level and horizontal cave passages. Notwithstanding the well-known geology of the area known (Vai and Martini, 2001), the age of these caves has been greatly underestimated in the past. Considering the rapid dissolution of the gypsum and uplifting of the area, the start of speleogenesis activity was considered to have occurred during the last glacial age. The age of karst voids can be only indirectly estimated by the dating of the infilling sediments. U-Th dating on carbonate speleothems provides high-precision and accurate ages (Hellstrom, 2003; Scholz and Hoffmann, 2008). We thus applied this methodology to 20 speleothems coming from 14 different caves belonging to the Monte Tondo, Spipola Acquafredda, Castelnuovo, Stella-Rio Basino and Brisighella systems. The results show that: i) caves were forming since at least ~300 ka; ii) the peak of speleogenesis was reached during relatively cold climate stages, when rivers formed terraces at the surface and aggradation caused paragenesis in the stable cave levels (Columbu et al., 2015). Besides the significant contribution to the understanding of the Apennines evaporite karst evolution, this study (and its further advancement) may also refine knowledge of the local vs regional uplifting rates and base-level variations since the late Pleistocene (Wegmann and Pazzaglia, 2009). References Columbu, A., De Waele, J., Forti, P., Montagna, P., Picotti, V., Pons-Branchu, E., Hellstrom, J., Bajo, P., and Drysdale, R., 2015, Gypsum caves as indicators of climate-driven river incision and aggradation in a rapidly uplifting region: Geology. De Waele, J., Fabbri, F., Forti, P., Lucci, P., and Marabini, S., 2013, Evoluzione speleogenetica del sistema carsico del re Tiberio (Vena del gesso Romagnola): I gessi e la cava di Monte Tondo. Memorie dell'istituto Italiano di speleologia. Hellstrom, J., 2003, Rapid and accurate U/Th dating using parallel ion-counting multi-collector ICP-MS.: Journal of Analytical Atomic Spectrometry, v. 18. Klimchouk, A. B., 2000, Speleogenesis in noncarbonate lithologies: In: Klimchouk, A.B., Ford, D.C., Palmer, A.N., Dreybrodt, W. (Eds.) Speleogenesis, evolution of karst aquifers, p. 430-442. Scholz, D., and Hoffmann, D., 2008, 230Th/U-dating of fossil corals and speleothems: Quat. Sci. J, v. 57, p. 52. Vai, G. B., and Martini, I. P., 2001, Anatomy of an orogen: The Apennines and adjacent Mediterranean:: Dordrecht, Netherlands, Kluwer Academic Publishers,, p. 631. Wegmann, K. W., and Pazzaglia, F. J., 2009, Late Quaternary fluvial terraces of the Romagna and Marche Apennines, Italy: climatic, lithologic, and tectonic controls on terrace genesis in an active orogen: Quaternary Science Reviews, v. 28, no. 1, p. 137-165.

3D decompaction and sequential restoration: a tool to quantify sedimentary and tectonic control on elusive Quaternary structures

NASA Astrophysics Data System (ADS)

D'Ambrogi, Chiara; Emanuele Maesano, Francesco

2015-04-01

Basin-wide detailed 3D model, deeply constrained by the interpretation of an impressive dense seismic dataset (12.000 km, provided confidentially by ENI S.p.A.) and 136 well stratigraphies, is the core of a workflow of decompaction and sequential restoration in 3D aimed to quantify the sedimentation and uplift rate in the central part of the Po Plain (northern Italy), during Quaternary. The Po basin is the common foredeep of two opposite verging chains, the Southern Alps, to the north, and the Northern Apennines, to the south, that influenced the evolution of the foreland basin from Paleogene onward. In this particular setting there are many examples of interaction of sedimentary processes and tectonics, both at regional and local scale. During the Quaternary the complex interaction of tectonic processes, sea-level fluctuations, climate changes, and sediment supply produced the filling of the basin with the progradation of the fluvio-deltaic system, from west toward east. The most important tectonic phases can be easily recognized along the basin margin marked by the deformation and tilting of river terraces and of exposed syntectonic sediments; conversely their detection is particularly difficult in the central-distal part of the basin. In such structurally complex area analysis of syntectonic deposits and growth strata are strategic to describe the basin evolution and tectonic control; in their analysis 3D decompaction and regional tilting must be taken into account to assess the residual vertical separation that can be attributed to tectonic processes only. The Pleistocene portion of a detailed 3D model, build in the framework of the EU-funded GeoMol Project, is the starting point of a sequential restoration workflow in 3D that included the unfolding and decompaction of 6, chronologically constrained, sedimentary units ranging from 1.5 to 0.45 Myr. This previously unavailable detail in the definition of the geometry of Quaternary bodies in the central part of the Po Basin provided a set of detailed pictures that show the topography and the evolution of the infilling at different point during time. As a matter of fact the resulting 3D surfaces describe the basin configuration and the changes and migration of regional depocentres controlled by thrust activity up to the Pleistocene but also allow to highlight the interference of active tectonic and sedimentation in the central portion of the Po basin, an area considered less affected by the main structures (e.g. the Emilia and Ferrara-Romagna arcs). In the analysis of this structure also the foreland tilting has been subtracted from the topography resulting after unfolding and decompaction, for the 6 time intervals; we obtained a residual signal related to the growing anticline, and the uplift rate of the structure during its Pleistocene evolution. The project GeoMol is co-funded by the Alpine Space Program as part of the European Territorial Cooperation 2007-2013. The project integrates partners from Austria, France, Germany, Italy, Slovenia and Switzerland and runs from September 2012 to June 2015. Further information on www.geomol.eu

Hydrological character of the soil of a degraded area: comparison of analysis physical, chemical and floristic vegetational

NASA Astrophysics Data System (ADS)

Manfredi, Paolo; Cassinari, Chiara; Giupponi, Luca; Sichel, Giorgio Maria; Trevisan, Marco

2013-04-01

This work is an integral part of a project co-financed by the European Union "Environmental recovery of degraded soils and desertified land by a new technology treatment for the recovery of the land" (Life 10 ENV IT 400 "New Life"); this technology is based on a treatment (patented by m.c.m. Ecosistemi) of chemical mechanical processing of degraded soils with an initial process of disgregation of the same followed by their reconstitution incorporating soil matrices, a subsequent polycondensation with humic acids and a final restoration. The area of intervention of the New Life project lies in the municipal territory of Piacenza, where between the years 70 and 80 has been made a landfill for municipal solid waste with subsequent restoration work by placing a layer of soil cover. The first phase of the New Life project was that of a physical and chemical characterization of different cover soils of the area combined with floristic-vegetational analysis. At this stage the present study aims to compare the data related to the analysis of the vegetation with those returned by investigation of hydrological characteristics of soils performed by laboratory methods, together to confront two theoretical calculation methods for determination of hydrological parameters. The comparison of the ecological study of the vegetation with the outcomes obtained by the classical methods regarding the determination of water retention, allows you to have a picture that is as detailed as possible in describing the characteristics of the substrate. The comparison also with the two methods of calculation, which determines the hydrological character conditions in average soil condition, allows you to ascertain the actual disturbance of the soil in the area. In order to delineate the hydrological characteristics of the soils sampled, were quantified by the Maximum Water Concentration, the capacity range, the point of Withering by the method of the Tensiometric box and the Pressure Membrane Extractor (Piastre di Richards): were carried out from water retention curves and calculated the values of percolating water (water circulation) and the useful water (maximum available water) were also determined physical and chemical parameters that most affect the hydrological characteristics of the soil such as texture, organic carbon, salinity and total limestone. The same soils were subjected to a floristic and vegetational analysis with relative comparison of the biological spectrum of the site with the spectra of other territories taken in comparison (Piacenza, Emilia Romagna, northern Italy, southern Italy). The 40% of the plants of the area is represented by Therophytes, species that are adapted to live in environments disturbed by human activities or climate. The high frequency of this species does not seem motivated either by the ombrothermic diagram elaborated with the help of the climatic data of the meteorological station of Piacenza, which was observed for a brief period the appearance of water deficit, neither linked to the interference from human activities which turns out to be low. Keywords: degraded soils, hydrological character, floristic vegetation analysis

Key issues on ITS deployment and evaluation : KOCHI 2001 Plan and KoCoRo

DOT National Transportation Integrated Search

2000-11-09

Presentation at the International Workshop on ITS benefits held Thursday, November 9, 2000, Madrid Room, Lingotto Centre, Turin, Italy. The KOCHI prefecture offers a new lifestyle in rural regions using information technologies, and conducts experime...

Cost-effectiveness of insulin aspart versus human soluble insulin in type 2 diabetes in four European countries: subgroup analyses from the PREDICTIVE study.

PubMed

Palmer, James L; Goodall, Gordon; Nielsen, Steffen; Kotchie, Robert W; Valentine, William J; Palmer, Andrew J; Roze, Stéphane

2008-05-01

To evaluate the long-term health economic outcomes associated with insulin aspart (IAsp) compared to human soluble insulin (HI) in type 2 diabetes patients on basal-bolus therapy in Sweden, Spain, Italy and Poland. A published computer simulation model of diabetes was used to predict life expectancy, quality-adjusted life expectancy and incidence of diabetes-related complications. Baseline cohort characteristics (age 61.6 years, duration of diabetes 13.2 years, 45.1% male, HbA(1c) 8.2%, BMI 29.8 kg/m(2)) and treatment effects were derived from the PREDICTIVE observational study. Country-specific complication costs were derived from published sources. The analyses were run over 35-year time horizons from third-party payer perspectives in Spain, Italy and Poland and from a societal perspective in Sweden. Future costs and clinical benefits were discounted at country-specific discount rates. Sensitivity analyses were performed. IAsp was associated with improvements in discounted life expectancy and quality-adjusted life expectancy, and a reduced incidence of most diabetes-related complications versus HI in all four settings. IAsp was associated with societal cost-savings in Sweden (SEK 2470), direct medical cost-savings in Sweden and Spain (SEK 8248 and euro 1382, respectively), but increased direct costs in Italy (euro 2235) and Poland (euro 743). IAsp was associated with improved quality-adjusted life expectancy in Sweden (0.077 QALYs), Spain (0.080 QALYs), Italy (0.120 QALYs) and Poland (0.003 QALYs). IAsp was dominant versus HI in both Sweden and Spain, would be considered cost-effective in Italy with an incremental cost-effectiveness ratio of euro 18,597 per QALY gained, but would not be considered cost-effective in Poland.

Using a new incentive mechanism to improve wastewater sector performance: the case study of Italy.

PubMed

De Gisi, Sabino; Petta, Luigi; Farina, Roberto; De Feo, Giovanni

2014-01-01

The system of "Service Objectives", introduced by the Italian National Strategic Framework 2007-2013, is an innovative results-oriented programme concerning 4 thematic areas (education, care for the elderly and children, management of municipal solid wastes and integrated water service) in which the Ministry of Economic Development and eight Southern Italy districts are involved. The system was initially associated to an incentive mechanism which provided subsidies for a total amount of EUR 3 billion from the national Underdeveloped Areas Fund, according to the achievement of specific targets set for 11 service indicators in 2013. The indicators used for the integrated water service refer to the efficiency in water supply service as well as the coverage of wastewater treatment service. The aim of the study is to describe the activities carried out in Italy by the ENEA Agency in order to define a new performance indicator for wastewater treatment service taking into account the appropriateness and efficiency of existing plants equipment and, consequently, evaluating economic incentives. The proposed procedure takes into account both wastewater treatment demand and quality of wastewater treatment service offered to citizens. Input data, provided by the National Institute of Statistics (ISTAT), were elaborated in order to define appropriate parameters, with a multi-criteria analysis being used to define the new performance indicator. The applicability of the proposed procedure was verified considering all the 8 Southern Italy and Island districts (Abruzzo, Molise, Campania, Apulia, Basilicata, Calabria, Sicily and Sardinia) involved in the programme. The obtained results show that the quality of municipal wastewater may influence the calculation of the incentive amount. The performance indicators defined in this work might be conveniently extended to other contexts similar to the assessed geographical area (Southern Italy and Islands). Copyright © 2013 Elsevier Ltd. All rights reserved.

Epidemiology of breast-feeding in Italy.

PubMed

Giovannini, M; Banderali, G; Agostoni, C; Riva, E

2001-01-01

To evaluate the prevalence of breast-feeding in Italy and to describe the social and environmental factors associated with its practice, 1601 mothers were systematically recruited as representative of deliveries across all regions of Italy during November 1995. They were interviewed in March, June, and September of 1996. Interviews were conducted by telephone using a standardized questionnaire designed for computer scanning. The results indicated that 85% of mothers breast-fed their infants. The rates of breast-feeding at 3, 6, and 9 months were, respectively, 51%, 32%, and 19%. Among the 830 lactating mothers at 3 months, 72% practiced breast-feeding "on demand." Pediatricians, midwives, and gynecologists were the main sources of information about breast-feeding, but 43% of the mothers did not receive any information. Media (radio, TV) were mentioned as sources of information by only 2% of the mothers. Maternal factors significantly associated with breast-feeding and its duration were: a) having been breast-fed as infants, b) being nonsmokers, and c) being given information about lactation at the time of discharge from their hospital ward. Maternal characteristics (age, weight, and height), parental socioeconomic indicators (profession and education), and neonatal care (rooming-in practice) were not significantly associated with breast-feeding. Our results show that in Italy a fairly high percentage of mothers start breast-feeding and that both maternal factors (history and habits) and good information may support its duration.

Egg-related Salmonella enteritidis, Italy, 1991

PubMed Central

Binkin, N.; Scuderi, G.; Novaco, F.; Giovanardi, G. L.; Paganelli, G.; Ferrari, G.; Cappelli, O.; Ravaglia, L.; Zilioli, F.; Amadei, V.; Magliani, W.; Viani, I.; Riccò, D.; Borrini, B.; Magri, M.; Alessandrini, A.; Bursi, G.; Barigazzi, G.; Fantasia, M.; Filetici, E.; Salmaso, S.

1993-01-01

In recent years, Salmonella enteritidis has become an increasingly important public health problem in Italy. In some parts of the country, the fraction of total human salmonella isolates accounted for by S. enteritidis has risen from 3-4% in the mid-1980s to more than 30% in 1990. Between 1990 and 1991, the number of reported S. enteritidis outbreaks increased more than sixfold. The 33 outbreaks reported in 1991 occurred in seven contiguous regions in northern and central Italy and were clustered in time between June and October; in the majority, products containing raw or undercooked shell eggs were implicated. Five of the egg-related outbreaks that occurred within a 30 kilometre radius over a 7-week period were investigated in detail. A phage type 1 strain containing a 38·9 MDa plasmid appeared responsible for three of the outbreaks, while in the remaining two a phage type 4 strain, also with a 38·9 MDa plasmid was isolated. Efforts are being made to enhance epidemiological surveillance and laboratory evaluation, and the use of pasteurized eggs has been recommended for high-risk populations. PMID:8472765

Psychological distress and its correlates in secondary school students in Pavia, Italy.

PubMed

Marinoni, A; Degrate, A; Villani, S; Gerzeli, S

1997-10-01

Adolescence is a time of social as well as biological transition; nevertheless, there are very few epidemiological studies in this field in Italy. Therefore, we felt it would be useful to conduct a cross-sectional study on a sample of 1346 adolescents aged 14-19 years attending high schools in the Health Authority Area of Pavia (northern Italy) through a multi-dimensional approach, taking into consideration physical and psychological health, life habits, family environment and social life of teen-agers. We used a structured self-administered questionnaire consisting of 264 question items to achieve the study aim, which was to find the variables (among personal data, scholastic, family, relational characteristics and habits) correlated with psychological distress. The results showed that in this sample psychological distress (evaluated by GHQ-30) was significatively (p < 0.005) associated with female sex, problems with school friends and teachers, having at least one immigrant parent (from a region different from that of residence), little love for parents and poor parental psycho-physical health status, staying at home on the weekend, smoking and using psychoactive medicines.

The epidemiology of homicide-suicide in Italy: a newspaper study from 1985 to 2008.

PubMed

Roma, Paolo; Spacca, Antonella; Pompili, Maurizio; Lester, David; Tatarelli, Roberto; Girardi, Paolo; Ferracuti, Stefano

2012-01-10

Homicide-suicide is an event in which the murderer commits suicide after the homicide. There are at least 14 epidemiological studies on the topic, and all have found that homicide-suicide is more common among family members. The murderers are most often males and the victims females. There is no recent research on this phenomenon in Italy. The purpose of the study was to evaluate the incidence of homicide-suicide in Italy over a period of 24 yrs and to compare Italian data with published international data. We used information gathered by press agencies and from the four major Italian newspapers. Between 1985 and 2008, 662 cases of homicide-suicide were identified, with 1776 deaths. The murderer was male in 84.6% of the cases, typically using a firearm. The most common motivation was romantic jealousy, followed by socio-economic stress. The rate of homicide-suicide was 0.04%. Comparison with international studies is not always possible due to the lack of information for certain categories. The common factors identified may be helpful for prevention. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

Occupational cancer in Italy: evaluating the extent of compensated cases in the period 1994-2006.

PubMed

Scarselli, Alberto; Scano, Patrizia; Marinaccio, Alessandro; Iavicoli, Sergio

2009-11-01

The aim of this study is to analyze occupational cancer claims compensated in the industrial sector in Italy between 1994 and 2006. A descriptive analysis of compensated occupational cancers based on the Italian Workers' Compensation Authority (INAIL) data was performed. Summary statistics were compiled by sex and age of worker, cancer type, workplace agent and economic sector. The temporal trend in the period 1994-2006 was investigated for the most frequently compensated cancers (mesothelioma and lung cancer from asbestos; nasal cavities cancer from wood and leather dust). Between 1994 and 2006, 6,243 cancer claims were compensated by INAIL due to occupational exposure in the industrial sector. Most (5,288, or 85%) of these compensated claims occurred in the period 2000-2006, when the annual mean of the most compensated cancers increased approximately four times compared to the period 1994-1999. There is an increasing trend in compensation for work-related cancers in Italy in recent years, even if occupational cancers are still widely underreported. (c) 2009 Wiley-Liss, Inc.

Seven Keys for Implementing the Self-Evaluation, Periodic Evaluation and Accreditation (AVA) Method, to Improve Quality and Student Satisfaction in the Italian Higher Education System

ERIC Educational Resources Information Center

Murmura, Federica; Casolani, Nicola; Bravi, Laura

2016-01-01

This paper develops a theoretical framework that could facilitate the application of the Autovalutazione, Valutazione periodica, Accreditamento (AVA) method in Italian universities, trying to simplify the use of this approach, and to cover the existing gap between Italy and others European academic institutions. The new competitive environment in…

Evaluating alternative fuel treatment strategies to reduce wildfire losses in a Mediterranean area

Treesearch

Michele Salis; Maurizio Laconi; Alan A. Ager; Fermin J. Alcasena; Bachisio Arca; Olga Lozano; Ana Fernandes de Oliveira; Donatella Spano

2016-01-01

The goal of this work is to evaluate by a modeling approach the effectiveness of alternative fuel treatment strategies to reduce potential losses from wildfires in Mediterranean areas. We compared strategic fuel treatments located near specific human values vs random locations, and treated 3, 9 and 15% of a 68,000 ha study area located in Sardinia, Italy. The...

Occupational Safety and Health Professionals' Training in Italy: Qualitative Evaluation Using T-LAB

ERIC Educational Resources Information Center

Papaleo, Bruno; Cangiano, Giovanna; Calicchia, Sara

2013-01-01

Purpose: The purpose of this paper is to describe the evaluation of a training course on chemicals for occupational safety and health (OSH) professionals. The study aims were to assess the effectiveness of the course; to find out what type of training met these workers' needs best, as their role is vital in the management of safety at work; and to…

An economic evaluation based on a randomized placebo-controlled trial of varenicline in smokers with cardiovascular disease: results for Belgium, Spain, Portugal, and Italy.

PubMed

Wilson, Koo; Hettle, Robert; Marbaix, Sophie; Diaz Cerezo, Silvia; Ines, Monica; Santoni, Laura; Annemans, Lieven; Prignot, Jacques; Lopez de Sa, Esteban

2012-10-01

An estimated 17.2% of patients continue to smoke following diagnosis of cardiovascular disease (CVD). To reduce the risk of further morbidity or mortality in cardiovascular patients, smoking cessation has been shown to reduce the risk of mortality by 36% and myocardial infarction by 32%. The objective of this study was to evaluate the long-term health and economic consequences of smoking cessation in patients with CVD. Results of a randomized clinical trial comparing varenicline plus counselling vs. placebo plus counselling were extrapolated using a Markov model to simulate the lifetime costs and health consequences of smoking cessation in patients with stable CVD. For the base case, we considered a payer's perspective including direct costs attributed to the healthcare provider, measuring cumulative life years (LY) and quality adjusted life (QALY) years as outcome measures. Secondary analyses were conducted from a societal perspective, evaluating lost productivity due to premature mortality. Sensitivity and subgroup analyses were also undertaken. Results were analysed for Belgium, Spain, Portugal, and Italy. Varenicline plus counselling was associated with a gain in LY and QALY across all countries; relative to placebo plus counselling. From a payer's perspective, incremental cost effectiveness ratios were € 6120 (Belgium), € 5151 (Spain), € 5357 (Portugal), and € 5433 (Italy) per QALY gained. From a societal perspective, varenicline in addition to counselling was less costly than placebo and counselling in all cases. Sensitivity analyses showed little sensitivity in outcomes to model assumptions or uncertainty in model parameters. Varenicline in addition to counselling is cost-effective compared to placebo and counselling in smokers with CVD.

Geo-climatic heterogeneity in self-reported asthma, allergic rhinitis and chronic bronchitis in Italy.

PubMed

Pesce, G; Bugiani, M; Marcon, A; Marchetti, P; Carosso, A; Accordini, S; Antonicelli, L; Cogliani, E; Pirina, P; Pocetta, G; Spinelli, F; Villani, S; de Marco, R

2016-02-15

Several studies highlighted a great variability, both between and within countries, in the prevalence of asthma and chronic airways diseases. To evaluate if geo-climatic variations can explain the heterogeneity in the prevalence of asthma and respiratory diseases in Italy. Between 2006 and 2010, a postal screening questionnaire on respiratory health was administered to 18,357 randomly selected subjects, aged 20-44, living in 7 centers in northern, central, and southern Italy. A random-effects meta-analysis was fitted to evaluate the between-centers heterogeneity in the prevalence of asthma, asthma-like symptoms, allergic rhinitis, and chronic bronchitis (CB). A principal component analysis (PCA) was performed to synthetize the geo-climatic information (annual mean temperature, range of temperature, annual rainfalls, global solar radiations, altitude, distance from the sea) of all the 110 Italian province capital towns. The associations between these geo-climatic components obtained with PCA and the prevalence of respiratory diseases were analyzed through meta-regression models. 10,464 (57%) subjects responded to the questionnaire. There was a significant between-centers heterogeneity in the prevalence of asthma (I(2)=59.5%, p=0.022) and CB (I(2)=60.5%, p=0.019), but not in that of asthma-like symptoms or allergic rhinitis. Two independent geo-climatic components explaining together about 80% of the overall geo-climatic variability were identified: the first principally summarized the climatic variables; the second the topographic ones. Variations in the prevalence of asthma across centers were significantly associated with differences in the climatic component (p=0.017), but not with differences in the topographic one. Our findings suggest that climate play a role in determining the between-center heterogeneity in the prevalence of asthma in Italy, with higher prevalence in dry-hot Mediterranean climates, and lower in rainy-cold northern climates. Copyright © 2015 Elsevier B.V. All rights reserved.

A multi-element psychosocial intervention for early psychosis (GET UP PIANO TRIAL) conducted in a catchment area of 10 million inhabitants: study protocol for a pragmatic cluster randomized controlled trial

PubMed Central

2012-01-01

Background Multi-element interventions for first-episode psychosis (FEP) are promising, but have mostly been conducted in non-epidemiologically representative samples, thereby raising the risk of underestimating the complexities involved in treating FEP in ‘real-world’ services. Methods/Design The Psychosis early Intervention and Assessment of Needs and Outcome (PIANO) trial is part of a larger research program (Genetics, Endophenotypes and Treatment: Understanding early Psychosis - GET UP) which aims to compare, at 9 months, the effectiveness of a multi-component psychosocial intervention versus treatment as usual (TAU) in a large epidemiologically based cohort of patients with FEP and their family members recruited from all public community mental health centers (CMHCs) located in two entire regions of Italy (Veneto and Emilia Romagna), and in the cities of Florence, Milan and Bolzano. The GET UP PIANO trial has a pragmatic cluster randomized controlled design. The randomized units (clusters) are the CMHCs, and the units of observation are the centers’ patients and their family members. Patients in the experimental group will receive TAU plus: 1) cognitive behavioral therapy sessions, 2) psycho-educational sessions for family members, and 3) case management. Patient enrolment will take place over a 1-year period. Several psychopathological, psychological, functioning, and service use variables will be assessed at baseline and follow-up. The primary outcomes are: 1) change from baseline to follow-up in positive and negative symptoms’ severity and subjective appraisal; 2) relapse occurrences between baseline and follow-up, that is, episodes resulting in admission and/or any case-note records of re-emergence of positive psychotic symptoms. The expected number of recruited patients is about 400, and that of relatives about 300. Owing to the implementation of the intervention at the CMHC level, the blinding of patients, clinicians, and raters is not possible, but every effort will be made to preserve the independency of the raters. We expect that this study will generate evidence on the best treatments for FEP, and will identify barriers that may hinder its feasibility in ‘real-world’ clinical settings, patient/family conditions that may render this intervention ineffective or inappropriate, and clinical, psychological, environmental, and service organization predictors of treatment effectiveness, compliance, and service satisfaction. Trial registration ClinicalTrials.gov Identifier NCT01436331 PMID:22647399

Parameter regionalisation methods for a semi-distributed rainfall-runoff model: application to a Northern Apennine region

NASA Astrophysics Data System (ADS)

Neri, Mattia; Toth, Elena

2017-04-01

The study presents the implementation of different regionalisation approaches for the transfer of model parameters from similar and/or neighbouring gauged basin to an ungauged catchment, and in particular it uses a semi-distributed continuously-simulating conceptual rainfall-runoff model for simulating daily streamflows. The case study refers to a set of Apennine catchments (in the Emilia-Romagna region, Italy), that, given the spatial proximity, are assumed to belong to the same hydrologically homogeneous region and are used, alternatively, as donors and regionalised basins. The model is a semi-distributed version of the HBV model (TUWien model) in which the catchment is divided in zones of different altitude that contribute separately to the total outlet flow. The model includes a snow module, whose application in the Apennine area has been, so far, very limited, even if snow accumulation and melting phenomena do have an important role in the study basins. Two methods, both widely applied in the recent literature, are applied for regionalising the model: i) "parameters averaging", where each parameter is obtained as a weighted mean of the parameters obtained, through calibration, on the donor catchments ii) "output averaging", where the model is run over the ungauged basin using the entire set of parameters of each donor basin and the simulated outputs are then averaged. In the first approach, the parameters are regionalised independently from each other, in the second one, instead, the correlation among the parameters is maintained. Since the model is a semi-distributed one, where each elevation zone contributes separately, the study proposes to test also a modified version of the second approach ("output averaging"), where each zone is considered as an autonomous entity, whose parameters are transposed to the ungauged sub-basin corresponding to the same elevation zone. The study explores also the choice of the weights to be used for averaging the parameters (in the "parameters averaging" approach) or for averaging the simulated streamflow (in the "output averaging" approach): in particular, weights are estimated as a function of the similarity/distance of the ungauged basin/zone to the donors, on the basis of a set of geo-morphological catchment descriptors. The predictive accuracy of the different regionalisation methods is finally assessed by jack-knife cross-validation against the observed daily runoff for all the study catchments.

A cloud based brokering framework to support hydrology at global scale

NASA Astrophysics Data System (ADS)

Boldrini, E.; Pecora, S.; Bordini, F.; Nativi, S.

2016-12-01

This work presents the hydrology broker designed and deployed in the context of a collaboration between the Regional Agency for Environmental Protection in the Italian region Emilia-Romagna (ARPA-ER) and CNR-IIA (National Research Council of Italy). The hydrology brokering platform eases the task of discovering and accessing hydrological observation data, usually acquired and made available by national agencies by means of a set of heterogeneous services (e.g. CUAHSI HIS servers, OGC services, FTP servers) and formats (e.g. WaterML, O&M, ...). The hydrology broker makes all the already published data available according to one or more of the desired and well known discovery protocols, access protocols, and formats . As a result, the user is able to search and access the available hydrological data through his preferred client (e.g. CUAHSI HydroDesktop, 52North SWE client). It is also easy to build a hydrological web portal on top of the broker, using the user friendly js API. The hydrology broker has been deployed on the Amazon cloud to ensure scalability and tested in the context of the work of the Commission for Hydrology of WMO on three different scenarios: the La Plata river basin, the Sava river basin and the Arctic-HYCOS project. In each scenario the hydrology broker discovered and accessed heterogeneous data formats (e.g. Waterml 1.0/2.0, proprietary CSV documents) from the heterogeneous services (e.g. CUAHSI HIS servers, FTP service and agency proprietary services) managed by several national agencies and international commissions. The hydrology broker made possible to present all the available data uniformly through the user desired service type and format (e.g. an HIS server publishing Waterml 2.0), producing a great improvement in both system interoperability and data exchange. Interoperability tests were also successfully conducted with WMO Information System (WIS) nodes, making possible for a specific Global Information Center System (GISC) to gather the available hydrological records as ISO 19115:2007 metadata documents through the OAI-PMH interface exposed by the broker. The framework flexibility makes it also easy to add other sources, as well as additional published interfaces, in order to cope with the future standard requirements needed by the hydrological community.

Circum-Mediterranean cultural heritage and medicinal plant uses in traditional animal healthcare: a field survey in eight selected areas within the RUBIA project

PubMed Central

Pieroni, Andrea; Giusti, Maria Elena; de Pasquale, Caterina; Lenzarini, Cinzia; Censorii, Eleonora; Gonzáles-Tejero, María Reyes; Sánchez-Rojas, Cristina Patricia; Ramiro-Gutiérrez, Jose M; Skoula, Melpomeni; Johnson, Chris; Sarpaki, Anaya; Della, Athena; Paraskeva-Hadijchambi, Demetra; Hadjichambis, Andreas; Hmamouchi, Mohammed; El-Jorhi, Said; El-Demerdash, Mohamed; El-Zayat, Mustafa; Al-Shahaby, Omar; Houmani, Zahia; Scherazed, Mekious

2006-01-01

During the years 2003–2005, a comparative ethnobotanical field survey was conducted on remedies used in traditional animal healthcare in eight Mediterranean areas. The study sites were selected within the EU-funded RUBIA project, and were as follows: the upper Kelmend Province of Albania; the Capannori area in Eastern Tuscany and the Bagnocavallo area of Romagna, Italy; Cercle de Ouezanne, Morocco; Sierra de Aracena y Picos de Aroche Natural Park in the province of Huelva, Spain; the St. Catherine area of the Sinai Peninsula, Egypt; Eastern and Western Crete, Greece; the Paphos and Larnaca areas of Cyprus; and the Mitidja area of Algeria. One hundred and thirty-six veterinary preparations and 110 plant taxa were recorded in the survey, with Asteraceae and Lamiaceae being the most quoted botanical families. For certain plant species the survey uncovered veterinary phytotherapeutical indications that were very uncommon, and to our knowledge never recorded before. These include Anabasis articulata (Chenopodiaceae), Cardopatium corymbosum (Asteraceae), Lilium martagon (Liliaceae), Dorycnium rectum (Fabaceae), Oenanthe pimpinelloides (Apiaceae), Origanum floribundum (Lamiaceae), Tuberaria lignosa (Cistaceae), and Dittrichia graveolens (Asteraceae). These phytotherapeutical indications are briefly discussed in this report, taking into account modern phytopharmacology and phytochemistry. The percentage of overall botanical veterinary taxa recorded in all the study areas was extremely low (8%), however when all taxa belonging to the same botanical genus are considered, this portion increases to 17%. Nevertheless, very few plant uses were found to be part of a presumed "Mediterranean" cultural heritage in veterinary practices, which raises critical questions about the concept of Mediterraneanism in ethnobotany and suggests that further discussion is required. Nearly the half of the recorded veterinary plant uses for mammals uncovered in this survey have also been recorded in the same areas in human folk medicine, suggesting a strong link between human and veterinary medical practices, and perhaps also suggesting the adaptive origins of a few medical practices. Since most of the recorded data concern remedies for treating cattle, sheep, goats, and camels, it would be interesting to test a few of the recorded phytotherapeuticals in the future, to see if they are indeed able to improve animal healthcare in breeding environments, or to raise the quality of dairy and meat products in the absence of classical, industrial, veterinary pharmaceuticals. PMID:16563158

[Hyperkalemia as a limiting factor in the use of drugs that block the Renin Angiotensin Aldosterone System (RAAS)].

PubMed

Santoro, Antonio; Mandreoli, Marcora

2018-05-01

Angiotensin-converting enzyme (ACE-I) inhibitors and ARBs have shown real efficacy in reducing blood pressure, proteinuria, in slowing the progression of chronic kidney disease (MRC) and in clinical improvement. in patients with heart failure, diabetes mellitus and ischemic heart disease. However, their use is limited by some side effects such as the increase in serum potassium (K), which can be particularly severe in patients with renal insufficiency. In the 23,000 patients followed by the PIRP project of the Emilia-Romagna Region, hyperkalaemia at the first visit (K> 5.5 mEq / L) was present in about 7% of all patients. The prevalence of K values> 5.5 mEq / L increased in relation to the CKD stage, reaching 11% in patients in stage 4 and 5. Among patients with values of K> 5.5 at baseline, 44.8% were in therapy with ACE-I / ARB inhibitors, 3.8% with anti-mineralcortoid and a further 3.9% concurrently taking SRAA-blocking agents and K-sparing diuretics. Counter-measures to avoid the onset of hyperkalemia during treatment with drugs that block the RAAS range from the low-K diet, to diuretics and finally to drugs that promote fecal elimination of K. Among these, polystyrene sulfonates, which have more than 50 years of life, exchange K with sodium or calcium. These drugs, however, in chronic use, can lead to sodium or calcium overload and cause dangerous intestinal necrosis. Recently two new highly promising drugs have been introduced on the market for the treatment of hyperkalemia, the patiromer and sodium zirconium cyclosilicate. The patiromer, which is a potassium-calcium exchanger, acts at the level of the colon where there is a higher concentration of K and where the drug is most ionized. Sodium zirconium cyclosilicate (ZS-9) is a resin with micropores of well-defined dimensions, placed in the crystalline structure of the zirconium silicate. The trapped K is exchanged with other protons and sodium. However, even these drugs will have to demonstrate their long-term efficacy and safety to be considered true partners of RAAS blockers in some categories of patients. Copyright by Società Italiana di Nefrologia SIN, Rome, Italy.

Computer Based Learning in Europe: A Bibliography.

ERIC Educational Resources Information Center

Rushby, N. J.

This bibliography lists 172 references to papers on computer assisted learning (CAL) in European countries including the Soviet Union, Germany, Holland, Sweden, Yugoslavia, Austria, and Italy. The references which deal with such topics as teacher training, simulation, rural education, model construction, program evaluation, computer managed…

Evaluation of workplace exposure to respirable crystalline silica in Italy

PubMed Central

Scarselli, Alberto; Corfiati, Marisa; Marzio, Davide Di; Iavicoli, Sergio

2014-01-01

Background: Crystalline silica is a human carcinogen and its use is widespread among construction, mining, foundries, and other manufacturing industries. Purpose: To evaluate occupational exposure to crystalline silica in Italy. Methods: Data were collected from exposure registries and descriptive statistics were calculated for exposure-related variables. The number of potentially exposed workers was estimated in a subset of industrial sectors. Linear mixed model analysis was performed to determine factors affecting the exposure level. Results: We found 1387 cases of crystalline silica exposure between 1996 and 2012. Exposure was most common in construction work (AM = 0.057 mg/m3, N = 505), and among miners and quarry workers (AM = 0.048 mg/m3, N = 238). We estimated that 41 643 workers were at risk of exposure in the selected industrial sectors during the same period. Conclusions: This study identified high-risk sectors for occupational exposure to crystalline silica, which can help guide targeted dust control interventions and health promotion campaigns in the workplace. PMID:25078346

Benthic Foraminifera as bio-indicators of anthropogenic impacts in coastal environments: Acqua dei Corsari area case study (Palermo, Italy).

PubMed

Musco, Marianna; Cuttitta, Angela; Bicchi, Erica; Quinci, Enza Maria; Sprovieri, Mario; Tranchida, Giorgio; Giaramita, Luigi; Traina, Anna; Salvagio Manta, Daniela; Gherardi, Serena; Mercurio, Pietro; Siragusa, Angelo; Mazzola, Salvatore

2017-04-15

This study investigates living benthic foraminiferal assemblages as bio-indicators of anthropogenic activities in a coastal area within the Gulf of Palermo (Sicily, Italy), affected by industrial and urban activities, and evaluates the environmental quality through the calibration of a Tolerant Species index (%TS std ). Sediments from 6 stations were sampled along a bathymetric transect from the coast to offshore. Sediment grain size, TOC, major, minor and trace elements and polycyclic aromatic hydrocarbons (PAHs) were compared to benthic foraminiferal assemblages and species at each station. Diversity and density of benthic foraminiferal assemblages were not affected by the presence of pollutants, while tolerant species increased with organic (TOC and PAHs) or chemical (As and Pb) concentrations. Moreover, the calibration of the %TS std formula to >125μm foraminiferal assemblage, gives a detailed description of environmental quality along the transect, representing a good and sensitive tool to evaluate marine coastal environment. Copyright © 2017 Elsevier Ltd. All rights reserved.

Evaluation of workplace exposure to respirable crystalline silica in Italy.

PubMed

Scarselli, Alberto; Corfiati, Marisa; Marzio, Davide Di; Iavicoli, Sergio

2014-10-01

Crystalline silica is a human carcinogen and its use is widespread among construction, mining, foundries, and other manufacturing industries. To evaluate occupational exposure to crystalline silica in Italy. Data were collected from exposure registries and descriptive statistics were calculated for exposure-related variables. The number of potentially exposed workers was estimated in a subset of industrial sectors. Linear mixed model analysis was performed to determine factors affecting the exposure level. We found 1387 cases of crystalline silica exposure between 1996 and 2012. Exposure was most common in construction work (AM = 0·057 mg/m(3), N = 505), and among miners and quarry workers (AM = 0·048 mg/m(3), N = 238). We estimated that 41 643 workers were at risk of exposure in the selected industrial sectors during the same period. This study identified high-risk sectors for occupational exposure to crystalline silica, which can help guide targeted dust control interventions and health promotion campaigns in the workplace.

A lava flow simulation model for the development of volcanic hazard maps for Mount Etna (Italy)

NASA Astrophysics Data System (ADS)

Damiani, M. L.; Groppelli, G.; Norini, G.; Bertino, E.; Gigliuto, A.; Nucita, A.

2006-05-01

Volcanic hazard assessment is of paramount importance for the safeguard of the resources exposed to volcanic hazards. In the paper we present ELFM, a lava flow simulation model for the evaluation of the lava flow hazard on Mount Etna (Sicily, Italy), the most important active volcano in Europe. The major contributions of the paper are: (a) a detailed specification of the lava flow simulation model and the specification of an algorithm implementing it; (b) the definition of a methodological framework for applying the model to the specific volcano. For what concerns the former issue, we propose an extended version of an existing stochastic model that has been applied so far only to the assessment of the volcanic hazard on Lanzarote and Tenerife (Canary Islands). Concerning the methodological framework, we claim model validation is definitely needed for assessing the effectiveness of the lava flow simulation model. To that extent a strategy has been devised for the generation of simulation experiments and evaluation of their outcomes.

Current practice in assessment and treatment of bronchial asthma in young males in Italy.

PubMed

Ferrante, E; Pantaleo, C; Quatela, M; Fuso, L; Basso, S; Pistelli, R

2000-10-01

The aim of the study was to evaluate, in a sample of young asthmatics in Italy, the current practice in assessment and treatment of asthma after the publication of guidelines. Young soldiers who declared bronchial asthma at the beginning of the compulsory military service were evaluated. One-hundred and thirty-eight subjects with confirmed asthma were selected. Sixty-seven subjects (48.5%) had had at last one spirometry, and only one subject had underwent peak flow monitoring at home; most of the subjects (96.8%) had had prick tests. More of the 50% of the subjects with bronchial obstruction or with severe bronchial hyperresponsiveness, with clinical moderate or severe asthma, had used only bronchodilators or no therapy at all in the preceding year. In this sample of young asthmatics, the lung function tests were still underutilized for the diagnosis and follow-up of bronchial asthma; moreover, the inhaled anti-inflammatory drugs were still underutilized.

Evaluation of the health effects of the new driving penalty point system in the Lazio Region, Italy, 2001–4

PubMed Central

Farchi, Sara; Chini, Francesco; Rossi, Paolo Giorgi; Camilloni, Laura; Borgia, Piero; Guasticchi, Gabriella

2007-01-01

Objective The penalty point system was introduced in Italy in June 2003. The aim of this study was to evaluate the health effects of this legislation in the Lazio region. Methods Poisson models were used to compare emergency department visits, hospitalizations and death between the pre‐law and post‐law periods (July 2001–June 2003; July 2003–June 2004). Results The emergency department visit rate ratio (RR) of the two periods was 0.87 (95% confidence interval (CI) 0.86 to 0.88); the corresponding hospital admission RR was 0.87 (95% CI 0.84 to 0.9). The death RR was 0.93 (95% CI 0.82 to 1.05). Conclusion After the legislation was introduced, there were fewer visits to the emergency department, hospitalizations and death from road traffic injuries. However, the effect was lower than expected, and it decreased over time. PMID:17296692

Cost-effectiveness of sofosbuvir plus ribavirin with or without pegylated interferon for the treatment of chronic hepatitis C in Italy.

PubMed

Cure, Sandrine; Guerra, Ines; Cammà, Calogero; Craxì, Antonio; Carosi, Giampiero

2015-01-01

Across Italy up to 7.3% of the population is infected with hepatitis C virus (HCV), with long-term complications resulting in high medical costs and significant morbidity and mortality. Current treatment options have limitations due to side effects, interferon intolerability and ineligibility, long treatment durations and low sustained virological response (SVR) rates, especially for the most severe patients). Sofosbuvir is the first nucleotide polymerase inhibitor with pan-genotypic activity. Sofosbuvir, administered with ribavirin (RBV) and with or without pegylated interferon (PEG-INF), resulted in >90% SVR across treatment-naïve (TN) genotype (GT) 1-6 patients. It is also the first treatment option for patients that are unsuitable for interferon (UI). This analysis evaluates the cost - effectiveness of sofosbuvir for GTs 1-6 in Italy. A Markov model followed a cohort of 10,000 patients until they reached 80 years old. Approximately 20% of naïve and 30% of experienced patients initiated treatment at the cirrhosis stage. Comparators included PEG-INF + RBV for all GTs and plus telaprevir or boceprevir for GT1, or no treatment. Costs and outcomes were discounted at 3% and the cost perspective was that of the National Health Service in Italy. Sofosbuvir was cost-effective with incremental cost-effectiveness ratios (ICERs) below €40,000/QALY in all patient populations, particularly in cirrhotic patients. The exception was for a mixed cohort of GT2 TN patients where the ICER was €68,500/QALY and for a cirrhotic cohort of GT4/5/6 where the ICER was €68,434/QALY. Nevertheless, the prevalence of HCV in this patient population is expected to be low. Results were robust to sensitivity analysis. Sofosbuvir-based regimens are cost-effective in Italy, particular for the most severe patients. The interferon-free regimens are a real treatment option for UI patients. The high cure rates of this breakthrough treatment are expected to substantially reduce the burden of HCV in Italy.

OGS improvements in 2012 in running the North-eastern Italy Seismic Network: the Ferrara VBB borehole seismic station

NASA Astrophysics Data System (ADS)

Pesaresi, D.; Romanelli, M.; Barnaba, C.; Bragato, P. L.; Durì, G.

2014-07-01

The Centro di Ricerche Sismologiche (CRS, Seismological Research Centre) of the Istituto Nazionale di Oceanografia e di Geofisica Sperimentale (OGS, Italian National Institute for Oceanography and Experimental Geophysics) in Udine (Italy) after the strong earthquake of magnitude M=6.4 occurred in 1976 in the Italian Friuli-Venezia Giulia region, started to operate the North-eastern Italy Seismic Network: it currently consists of 17 very sensitive broad band and 18 simpler short period seismic stations, all telemetered to and acquired in real time at the OGS-CRS data centre in Udine. Real time data exchange agreements in place with other Italian, Slovenian, Austrian and Swiss seismological institutes lead to a total number of about 100 seismic stations acquired in real time, which makes the OGS the reference institute for seismic monitoring of North-eastern Italy. The south-western edge of the OGS seismic network (Fig. 1) stands on the Po alluvial basin: earthquake localization and characterization in this area is affected by the presence of soft alluvial deposits. OGS ha already experience in running a local seismic network in high noise conditions making use of borehole installations in the case of the micro-seismicity monitoring of a local gas storage site for a private company. Following the ML = 5.9 earthquake that struck the Emilia region around Ferrara in Northern Italy on 20 May 2012 at 02:03:53 UTC, a cooperation of Istituto Nazionale di Geofisica e Vulcanologia, OGS, the Comune di Ferrara and the University of Ferrara lead to the reinstallation of a previously existing very broad band (VBB) borehole seismic station in Ferrara. The aim of the OGS intervention was on one hand to extend its real time seismic monitoring capabilities toward South-West, including Ferrara and its surroundings, and on the other hand to evaluate the seismic response at the site. We will describe improvements in running the North-eastern Italy Seismic Network, including details of the Ferrara VBB borehole station configuration and installation, with first results.

Synanthropy and Temporal Variability of Calliphoridae Living in Cosenza (Calabria, Southern Italy)

PubMed Central

Greco, Silvia; Brandmayr, Pietro; Bonacci, Teresa

2014-01-01

Abstract The aim of this study was to investigate the synanthropy of Diptera: Calliphoridae, insects of forensic importance, in Calabria (southern Italy). The study lasted 2 years, from February 2010 to January 2012, and was carried out in three areas of Cosenza province representing “urban”, “rural”, and “wild” environments. Bottle traps baited with pork were used to catch Calliphoridae. Six species were identified, Calliphora vicina Robineau-Desvoidy 1830, Calliphora vomitoria (L.), Chrysomya albiceps (Wiedemann 1819), Lucilia ampullacea Villeneuve 1922, Lucilia caesar (L.), and Lucilia sericata (Meigen 1826). Data on phenologies in the study areas are reported for these species and the Synanthropy Index was calculated to evaluate their relationship with the human environment. PMID:25527571

Regionalization and dependence of coda Q on frequency and lapse time in the seismically active Peloritani region (northeastern Sicily, Italy)

NASA Astrophysics Data System (ADS)

Giampiccolo, Elisabetta; Tuvè, Tiziana

2018-05-01

The Peloritani region is one of the most seismically active regions in Italy and, consequently, the quantification of attenuation of the medium plays an important role for seismic risk evaluation. Moreover, it is necessary for the prediction of earth ground motion and future seismic source studies. An in depth analysis has been made here to understand the frequency and lapse time dependence of attenuation characteristics of the region by using the coda of local earthquakes. A regionalization is likewise performed in order to investigate the spatial variation of coda Q across the whole region. Finally, our results are jointly interpreted with those obtained from recently published 3D velocity tomographies for further insights.

Evaluation of Actual Nitrogen Losses From a Watershed Preliminary Results of a Case Study in the Po Vally (Northern Italy)

Treesearch

Maurizio Borin; Tomaso Bisol; Gabriele Bonaiti; Francesco Morari; Devendra M. Amatya

2004-01-01

The evaluation of potential N losses from individual fields is not sufficient to provide an estimate of the actual nitrogen loads reaching the main watercourses and therefore becoming a relevant source of pollution. Along the travel path from a field to the outlet of a watershed several biogeochemical processes may occur, leading to significant changes in the N amount...

A Two-Level Structural Equation Model for Evaluating the External Effectiveness of PhD

ERIC Educational Resources Information Center

Chiandotto, Bruno; Masserini, Lucio

2011-01-01

In recent years the number of PhDs in Italy has significantly grown and purposes of PhD courses have expanded from the traditional ones. The analysis of the contribution of PhD title for job placement and employment condition of PhDs is an important tool for evaluating the quality and the effectiveness of PhD courses. For this reason, knowledge of…

The Hundred Languages of Children Exhibition: A Unique Early Childhood Education Professional Development Program. Final Evaluation Report (September 15 to December 15, 1998).

ERIC Educational Resources Information Center

Abramson, Shareen; Huggins, Joyce M.

The "Exhibition of the Hundred Languages of Children" (HLC) was organized in the early 1980s by the early childhood schools in Reggio Emilia, Italy to promote the study of their educational methods and to reveal the potential of young children for learning and creative expression. This report details an evaluation of the exhibition and…

Association of neovascular age-related macular degeneration with month and season of birth in Italy

PubMed Central

Longo, Antonio; Casuccio, Alessandra; Pani, Luca; Avitabile, Teresio; Cillino, Salvatore; Uva, Maurizio G.; Bonfiglio, Vincenza; Russo, Andrea; Parisi, Guglielmo; Cennamo, Gilda; Furino, Claudio; Parravano, Mariacristina; Xoxi, Entela; Reibaldi, Michele

2017-01-01

In order to investigate the influence of season and month of birth on the risk of neovascular age-related macular degeneration (n-AMD) in Italy, we evaluated the month birth and sex of all patients, recorded in the anti-vascular endothelial growth factor (VEGF) monitoring registry of the Italian Medicines Agency, born between 1925–1944, who received intravitreal anti-VEGF injections for n-AMD between January 1, 2013 and July 29, 2015. The numbers of all births in Italy in the same years, extracted from the Italian National Institute of Statistics, were used to calculate the expected number of n-AMD cases. Overall, 45,845 patients (19,207 men, 26,638 women) received intravitreal anti-VEGF for n-AMD; in the same years, 20,140,426 people (10,334,262 male, 9,806,164 female) were born in Italy. Comparing the observed number of n-AMD cases with the expected number of n- AMD cases in each season, we found that the season-specific risk for n-AMD was 2.5% higher for those born in summer (OR=1.03, Bonferroni-corrected P=0.008) and 3% lower for those born in winter (OR=0.96, Bonferroni-corrected P=0.0004). When considering the month of birth, the risk of n-AMD was 5.9% lower for people born in January (OR=0.93, Bonferroni-corrected P=0.0012). The factors causing such differences should be determined. PMID:27997361

Culture and the environment in Italy

NASA Astrophysics Data System (ADS)

Alexander, David

1985-03-01

This essay evaluates the historical development and current background of human-environment relationships in Italy. The Italian landscape consists of very varied terrain, and periodically suffers from all kinds of natural hazard, especially earthquakes, landslides, floods, and accelerated soil erosion. Some measure of environmental conservation was achieved by the Etruscans and Romans, but the Classical period also marked the beginning of serious lowland waterlogging, malarial infestation, upland soil erosion, and deforestation, which all increased during the Middle Ages. From the Renaissance to the 18th century, there was a diffusion of planned landscapes and carefully managed estates; but by the 20th century, many rural areas could not support growing populations and much land was in need of improvement. Underdevelopment and latifundium agriculture increased the vulnerability to environmental hazards of the Mezzogiorno (Italian South), while the subsequent disappearance of the peasant culture seems not to have led to greatly improved conservation or land management. Poorly farmed or managed landscapes and poorly maintained historic towns have undergone some virtually irreversible degradation, especially with respect to landslides and earthquake damage. Elsewhere in Italy, unchecked urbanization, weak planning laws, and their inadequate enforcement have helped both to reduce environmental quality, by overdevelopment of valued landscapes, and to increase natural disaster vulnerability, by encouraging occupance of natural hazard zones. Although there are signs that the government is beginning to respond to the cumulative effect of environmental degradation, the measures are insufficient to reverse the overall trend toward decadence that characterizes human-land relationships in Italy.

Italy Country Analysis Brief

EIA Publications

2016-01-01

Italy is the fourth largest energy consumer in Europe, after Germany, France, and United Kingdom. Italy's primary energy consumption is driven by oil and gas, which contributed to over three-quarters of Italy's total consumption. The remaining portion is made up of coal, hydro, and other renewable energy sources. Renewable energy sources, excluding hydroelectricity, have increased their share in Italy's energy consumption from less than 2% in 2005 to nearly 10% in 2015. As a net importer of crude oil and natural gas, Italy is heavily dependent on imports to meet about 90% of its oil and gas needs and to maintain its exports of refined petroleum products.

Promising Practices in Drug Treatment: Findings from Europe

ERIC Educational Resources Information Center

Nemes, Susanna; Libretto, Salvatore; Skinstad, Anne Helene; Garrett, Gerald; Hoffman, Jeffrey A.

2005-01-01

In a study to evaluate the drug treatment and aftercare efforts sponsored by the State Department's International Narcotics and Law Enforcement Affairs Bureau, residential Therapeutic Community (TC) treatment programs in four European countries-Poland, Spain, Slovenia, and Italy-were examined to identify promising practices and to assess lessons…

Assessment of Internship Effectiveness in South Italy Universities

ERIC Educational Resources Information Center

della Volpe, Maddalena

2017-01-01

Purpose: The purpose of this paper is to describe and discuss the way internships are currently evaluated in Campania Universities by host institutions. Design/methodology/approach: The author collected and described questionnaires used by the universities of the Regional Observatory of Campania University System. These questionnaires are given by…

48 CFR 252.229-7003 - Tax Exemptions (Italy).

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Tax Exemptions (Italy... of Provisions And Clauses 252.229-7003 Tax Exemptions (Italy). As prescribed in 229.402-70(c), use the following clause: Tax Exemptions (Italy) (JAN 2002) (a) The Contractor represents that the...

75 FR 78223 - Certain Pasta From Italy: Preliminary Results of Countervailing Duty Changed Circumstances Review...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-15

... DEPARTMENT OF COMMERCE International Trade Administration [C-475-819] Certain Pasta From Italy... certain pasta from Italy. See Certain Pasta From Italy: Notice of Initiation of Changed Circumstances... Notice''). The Department confirmed that New World Pasta Company, Dakota Growers Pasta Company, and...

75 FR 14628 - Pressure Sensitive Plastic Tape From Italy; Determination

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-26

... Plastic Tape From Italy; Determination On the basis of the record \\1\\ developed in the subject five-year... pressure sensitive plastic tape from Italy would be likely to lead to continuation or recurrence of... Publication 4128 (March 2010), entitled Pressure Sensitive Plastic Tape from Italy: Investigation No. AA1921...

75 FR 32503 - Stainless Steel Wire Rod From Italy, Japan, Korea, Spain, and Taiwan

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-08

...)] Stainless Steel Wire Rod From Italy, Japan, Korea, Spain, and Taiwan Determinations On the basis of the... revocation of the antidumping duty orders on stainless steel wire rod from Italy, Japan, Korea, Spain, and... USITC Publication 4154 (May 2010), entitled Stainless Steel Wire Rod from Italy, Japan, Korea, Spain...

77 FR 7129 - Certain Pasta From Italy: Final Results of the 2009 Countervailing Duty Administrative Review

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-10

... DEPARTMENT OF COMMERCE International Trade Administration [C-475-819] Certain Pasta From Italy... review of the countervailing duty order on certain pasta from Italy for the period January 1, 2009... preliminary results of this review. See Certain Pasta From Italy: Preliminary Results of the 14th (2009...

78 FR 57129 - Certain Pasta From Italy and Turkey: Continuation of Antidumping and Countervailing Duty Orders

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-17

...-806] Certain Pasta From Italy and Turkey: Continuation of Antidumping and Countervailing Duty Orders... antidumping duty (AD) orders on certain pasta from Italy and Turkey would likely lead to continuation or recurrence of dumping, that revocation of the countervailing duty (CVD) orders on certain pasta from Italy...

78 FR 49256 - Certain Pasta From Italy: Preliminary Results of the Countervailing Duty Administrative Review; 2011

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-13

... DEPARTMENT OF COMMERCE International Trade Administration [C-475-819] Certain Pasta From Italy...'') is conducting an administrative review of the countervailing duty order on certain pasta from Italy... The scope of the order consists of certain pasta from Italy. The merchandise subject to the order is...

78 FR 9937 - Certain Pasta From Italy and Turkey Scheduling of Full Five-Year Reviews Concerning the...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-12

...)] Certain Pasta From Italy and Turkey Scheduling of Full Five-Year Reviews Concerning the Countervailing and Antidumping Duty Orders on Certain Pasta From Italy and Turkey AGENCY: United States International Trade... whether revocation of the countervailing and antidumping duty orders on certain pasta from Italy and...

78 FR 693 - Certain Pasta From Italy: Final Results of the Expedited Third Sunset Review of the...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-04

... DEPARTMENT OF COMMERCE International Trade Administration [C-475-819] Certain Pasta From Italy... Sunset Review of the countervailing duty order on certain pasta from Italy. The Department finds that... pasta from Italy was published on July 24, 1996. See Notice of Countervailing Duty Order and Amended...

75 FR 56992 - Certain Pasta From Italy: Notice of Initiation of Changed Circumstances Review and Consideration...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-17

... DEPARTMENT OF COMMERCE International Trade Administration [C-475-819] Certain Pasta From Italy..., in part, the countervailing duty order on certain pasta from Italy with respect to gluten-free pasta... published in the Federal Register the countervailing duty order on pasta from Italy. See Notice of...

Excellence and safety in surgery require excellent and safe tutoring.

PubMed

Ferrarese, Alessia; Buccelli, Claudio; Addeo, Giuseppe; Capasso, Emanuele; Conti, Adelaide; Amato, Maurizio; Compagna, Rita; Niola, Massimo; Martino, Valter

2016-01-01

The surgical education in Italy has always been a very important issue. The aim of this article is to bring together the feedback of the definitions of the various components of the learning scheme and to evaluate the importance of the legal point. In March 2016 we performed a literature review. We have also examinated the internet pages of the Italian Department of Education, Health and Medical Order. In Italy the tutor had an unclear role from a legal point of view. He is the person who must be able to perform a specific procedure with expert technical and who must know how to stop the student if this is about to perform a dangerous maneuver. In Italy the ability to work for the trainee is limited in all reality, it depends on several factors including the increase of numbers of medical-legal disputes, the timing, the commitment it requires mentoring and a lack of mentors. In surgery, the problem is greater because of the increasingly of medico-legal implications that we are after surgical procedure. It would be necessary to define a role of the tutor in a regular protocol and a proper assessment of his performance.

Secondary school teachers and mental health competence: Italy-United Kingdom comparison.

PubMed

Monducci, Elena; Battaglia, Claudia; Forte, Alberto; Masillo, Alice; Telesforo, Ludovica; Carlotto, Alessandra; Piazzi, Gioia; Patanè, Martina; De Angelis, Giulia; Romano, Antonio; Fagioli, Francesca; Girardi, Paolo; Cocchi, Angelo; Meneghelli, Anna; Alpi, Andrea; Pafumi, Nicoletta; Moreno Granados, Noelia; Preti, Antonio; Masolo, Francesca; Benzoni, Stefano; Cavenaghi, Sonia; Molteni, Ilaria; Salvadori, Lavinia; Solbiati, Sara; Costantino, Antonella; Di Lauro, Rosalba; Piccinini, Annachiara; Collins Eade, Amanda; Holmshaw, Janet; Fiori Nastro, Paolo

2018-06-01

The aim of this study was to evaluate the differences between teachers' knowledge about early psychosis among three different Italian cities and a UK sample. The sample consisted of 556 secondary school teachers from three different cities in Italy (Milan, Rome and Lamezia Terme) and London (UK). The research was based on the Knowledge and Experience of Social Emotional Difficulties Among Young People Questionnaire. The Italian version of the questionnaire was used in Italy. Overall, 67.6% of English teachers, 58.5% of Milan's teachers, 41.8% of Rome's teachers and 33.3% of Lamezia Terme's teachers were able to recognize psychotic symptoms from a case vignette. Logistic regression analysis showed that 'city' was the only independent variable significantly related to the correct/wrong answer about diagnosis. We found statistically significant differences between the three Italian samples and the UK sample regarding teachers' knowledge about first signs of psychosis. English teachers showed a better knowledge than Italian teachers in general. Teachers from Milan, where a specific early detection program was established in 2000, seemed to be more familiar with early signs of psychosis than teachers in the other two Italian towns. © 2016 John Wiley & Sons Australia, Ltd.

Effect of release rate and enantiomeric composition on response to pheromones of Megaplatypus mutatus (Chapuis) in poplar plantations of Argentina and Italy.

PubMed

Funes, Hernán; Zerba, Eduardo; Gonzalez-Audino, Paola

2013-10-01

Megaplatypus mutatus (=Platypus sulcatus Chapuis) is an Ambrosia beetle native to South America, which was recently introduced in Italy and its presence there is causing severe damage to the local poplar plantations. The male M. mutatus pheromone is composed of (S)-(+)-6-methyl-5-hepten-2-ol [(+)-sulcatol], 6-methyl-5-hepten-2-one (sulcatone) and 3-pentanol. A series of field trials testing dose, blend and enantiomer composition performed in Argentina and Italy evaluated attraction and found that the optimal release rate of pheromone components as baits in cross vane baited traps (CIPEIN-CV) was 6, 6 and 30 mg day−1 of sulcatone, (+)-sulcatol and 3-pentanol, respectively. It was also determined that racemic sulcatol is as effective as the pure (+)-isomer for the purpose of beetle catch, due to the inert nature of the (−)-isomer allowing the usage of low cost racemic sulcatol instead of highly expensive (+)-sulcatol. The results of our work contribute to the development of pheromone-based local technologies with low environmental impact and low cost for control or monitoring of an important pest.

A new methodology for earthquake damage assessment (MEDEA) and its application following the Molise Italy earthquake of 31.10.02

NASA Astrophysics Data System (ADS)

Zuccaro, G.; Papa, F.; Spence, R.

2003-04-01

MEDEA is a multi-media tool designed to support earthquake damage assessment teams in Italy, by providing a means to train the technicians involved. In MEDEA, a range of alternative mechanisms of damage are defined and described, and the symptoms of each mechanism which can be recognised by the assessor are identified and linked to the related causative mechanisms. By using MEDEA, the assessor is guided by the experience of experts in the identification of the damage states and also of the separate mechanisms involved. This leads to a better safety assessment, a more homogeneous evaluation of damage across the affected area, and a great enhancement in the value of the damage statistics obtained in the assessment. The method is applied to both masonry and reinforced concrete buildings of the forms widespread in Italy and neighbouring countries. The paper will describe MEDEA and the context for which it was designed; and will present an example of its use in the M5.1 Molise earthquake of 31.10.02 in which 27 people died and which caused damage to hundreds of buildings.

Efficacy of different fungicides against Rhizoctonia brown patch and Pythium blight on turfgrass in Italy.

PubMed

Mocioni, M; Titone, P; Garibaldi, A; Gullino, M L

2003-01-01

Brown patch, incited by Rhizoctonia solani Kuhn, and Pythium blight, caused by Pythium spp. are two of the diseases most frequently observed on turfgrass in high maintenance stands, as on golf courses. In such conditions the control strategies, based on chemicals, are particularly difficult due to the scarcity of fungicides registered for turf in Italy. The results obtained in experimental trials carried out to evaluate the efficacy of chemical and biological products against brown patch and Pythium blight are reported. On mature turfgrass, maintained under fairway conditions, azoxystrobin, and trifoxystrobin, not yet registered on turf, were very effective against brown patch. Tebuconazole, applied in three different formulations, was very effective against R. solani, while Trichoderma spp. and azadiractine did not control the pathogen. In greenhouse conditions on Agrostis stolonifera, in the presence of severe disease incidence, due to artificial inoculation, benalaxyl-M satisfactorily controlled Pythium blight; Trichoderma spp. as well as a commercial formulation of T. harzianum, applied one week before the inoculation, were not effective. Among the fungicides not yet registered for use on turfgrass in Italy, metalaxyl-M + mancozeb was effective against Pythium blight.

Hexamermis popilliae n. sp. (Nematoda: Mermithidae) parasitizing the Japanese beetle Popillia japonica Newman (Coleoptera: Scarabaeidae) in Italy.

PubMed

Mazza, Giuseppe; Paoli, Francesco; Strangi, Agostino; Torrini, Giulia; Marianelli, Leonardo; Peverieri, Giuseppino Sabbatini; Binazzi, Francesco; Bosio, Giovanni; Sacchi, Stefano; Benvenuti, Claudia; Venanzio, Davide; Giacometto, Emanuela; Roversi, Pio F; Poinar, George O

2017-10-01

A new species of mermithid nematode, Hexamermis popilliae n. sp. (Nematoda: Mermithidae) is described from the Japanese beetle Popillia japonica Newman in Italy, an area of new introduction for this invasive pest. The combination of the following characters separates H. popilliae from other members of the genus Hexamermis Steiner, 1924: adult head obtuse; amphidial pouches slightly posterior to lateral head papillae in female but adjacent to lateral head papillae in males; amphidial openings large, well developed; amphidial pouches elliptical in females and oblong in males; cuticular vulvar cone well developed, vulvar lips greatly reduced or lacking, vagina curved at tip where meeting uteri, without reverse bend (not S-shaped), spicules slightly curved, with a slight bend in the basal portion, approximately equal to body width at cloaca. This is the first record of a species of Hexamermis parasitizing the Japanese beetle Popillia japonica. The only previous mention of mermithid nematodes from P. japonica was an undescribed species of Psammomermis in North America. Hexamermis popilliae will be evaluated as a potential biological control agent in an integrated control program of the Japanese beetle in Italy.

A reappraisal of seismic Q evaluated at Mt. Etna volcano. Receipt for the application to risk analysis

NASA Astrophysics Data System (ADS)

Del Pezzo, Edoardo; Bianco, Francesca; Giampiccolo, Elisabetta; Tusa, Giuseppina; Tuvé, Tiziana

2015-01-01

A new approach in dealing with seismic risk in the volcanic areas of Italy, by taking into account the possible occurrence of damaging pre- or syn-eruptive seismic events, is exciting the scientific interest and is actually the topic developed in several research projects funded by the European Community (e.g., UPStrat-MAFA, www.upstrat-mafa.ov.ingv.it/UPstrat/) and the Civil Defense Department of Italy. To achieve this goal, it is necessary to have a detailed knowledge of the local attenuation-distance relations. In the present paper, we make a survey of the estimates of the seismic quality factor of the medium reported in literature for the Etna area. In the framework of a similar paper published for the Campi Flegrei zone in Southern Italy, we first review the results on seismic attenuation already obtained for Etna and then apply a standard technique to separately measure intrinsic and scattering attenuation coefficients from passive seismic data recorded by the Etna seismological network. Indications are then given for the correct utilization of the attenuation parameters to obtain the best candidate quality factor Q to be used in this area for seismic risk purposes.

Occlusive mycotic tracheobronchitis and systemic Alphaherpesvirus coinfection in a free-living striped dolphin Stenella coeruleoalba in Italy.

PubMed

Grattarola, Carla; Giorda, Federica; Iulini, Barbara; Pautasso, Alessandra; Ballardini, Marco; Zoppi, Simona; Marsili, Letizia; Peletto, Simone; Masoero, Loretta; Varello, Katia; Garibaldi, Fulvio; Scaglione, Frine E; Di Guardo, Giovanni; Dondo, Alessandro; Goria, Maria; Serracca, Laura; Mignone, Walter; Casalone, Cristina

2018-01-31

A juvenile female striped dolphin Stenella coeruleoalba live stranded on 4 March 2016 at Alassio, western Ligurian Sea coast, Italy. The dolphin died shortly after stranding, and a complete postmortem examination was performed. Necropsy revealed severe tracheal occlusion and unilateral bronchial stenosis with luminal accumulation of abundant green-yellow mucous-gelatinous material. Histological features suggestive of tracheobronchial aspergillosis were observed. Cultures of lung tissue and tracheo-bronchial exudate isolated Aspergillus fumigatus, identified by a Microseq D2 LSUrDNA fungal sequencing kit. A pan-Herpesvirus nested-PCR assay on frozen samples obtained from multiple organs was positive. Phylogenetic analysis on the partial DNA polymerase gene revealed that the striped dolphin isolate was closely related to known cetacean Alphaherpesvirus sequences from the same host species. Attempted virus isolation was unsuccessful. The tissue levels of different persistent organic pollutants and the toxicological stress, evaluated using a theoretical model, showed a severely impaired immune response. This study reports the first case of occlusive mycotic tracheobronchitis in a free-living cetacean and the first molecular identification of an Alphaherpesvirus in a free-ranging striped dolphin stranded on the coast of Italy.

Estimation of daily PM10 concentrations in Italy (2006-2012) using finely resolved satellite data, land use variables and meteorology.

PubMed

Stafoggia, Massimo; Schwartz, Joel; Badaloni, Chiara; Bellander, Tom; Alessandrini, Ester; Cattani, Giorgio; De' Donato, Francesca; Gaeta, Alessandra; Leone, Gianluca; Lyapustin, Alexei; Sorek-Hamer, Meytar; de Hoogh, Kees; Di, Qian; Forastiere, Francesco; Kloog, Itai

2017-02-01

Health effects of air pollution, especially particulate matter (PM), have been widely investigated. However, most of the studies rely on few monitors located in urban areas for short-term assessments, or land use/dispersion modelling for long-term evaluations, again mostly in cities. Recently, the availability of finely resolved satellite data provides an opportunity to estimate daily concentrations of air pollutants over wide spatio-temporal domains. Italy lacks a robust and validated high resolution spatio-temporally resolved model of particulate matter. The complex topography and the air mixture from both natural and anthropogenic sources are great challenges difficult to be addressed. We combined finely resolved data on Aerosol Optical Depth (AOD) from the Multi-Angle Implementation of Atmospheric Correction (MAIAC) algorithm, ground-level PM 10 measurements, land-use variables and meteorological parameters into a four-stage mixed model framework to derive estimates of daily PM 10 concentrations at 1-km2 grid over Italy, for the years 2006-2012. We checked performance of our models by applying 10-fold cross-validation (CV) for each year. Our models displayed good fitting, with mean CV-R2=0.65 and little bias (average slope of predicted VS observed PM 10 =0.99). Out-of-sample predictions were more accurate in Northern Italy (Po valley) and large conurbations (e.g. Rome), for background monitoring stations, and in the winter season. Resulting concentration maps showed highest average PM 10 levels in specific areas (Po river valley, main industrial and metropolitan areas) with decreasing trends over time. Our daily predictions of PM 10 concentrations across the whole Italy will allow, for the first time, estimation of long-term and short-term effects of air pollution nationwide, even in areas lacking monitoring data. Copyright © 2016 Elsevier Ltd. All rights reserved.

Dynamic model of Italy`s Progetto Energia cogeneration plants aims to better predict plant performance, cut start-up costs

DOE Office of Scientific and Technical Information (OSTI.GOV)

NONE

1996-12-31

Over the next four years, the Progetto Energia project will be building several cogeneration plants to help satisfy the increasing demands of Italy`s industrial users and the country`s demand for electrical power. Located at six different sites within Italy, these combined-cycle cogeneration plants will supply a total of 500 MW of electricity and 100 tons/hr of process steam to Italian industries and residences. To ensure project success, a dynamic model of the 50-MW base unit was developed. The goal established for the model was to predict the dynamic behavior of the complex thermodynamic system in order to assess equipment performancemore » and control system effectiveness for normal operation and, more importantly, abrupt load changes. In addition to fulfilling its goals, the dynamic study guided modifications to controller logic that significantly improved steam drum pressure control and bypassed steam desuperheating performance simulations of normal and abrupt transient events allowed engineers to define optimum controller gain coefficients. The dynamic study will undoubtedly reduce the associated plant start-up costs and contribute to a smooth commercial plant acceptance. As a result of the work, the control system has already been through its check-out and performance evaluation, usually performed during the plant start-up phase. Field engineers will directly benefit from this effort to identify and resolve control system {open_quotes}bugs{close_quotes} before the equipment reaches the field. High thermal efficiency, rapid dispatch and high plant availability were key reasons why the natural gas combined-cycle plant was chosen. Other favorable attributes of the combined-cycle plant contributing to the decision were: Minimal environmental impact; a simple and effective process and control philosophy to result in safe and easy plant operation; a choice of technologies and equipment proven in a large number of applications.« less

Herbaceous crops for energy in Italy: Present status of the research program promoted by ENEL (Italian Electric Company)

DOE Office of Scientific and Technical Information (OSTI.GOV)

Schenone, G.

The paper presents a synthesis of the main results of the research program promoted by ENEL (Italian Electric Company) on herbaceous energy crops. The objective of the program is to evaluate the potentials of different species and cultivars for biomass fuel production in Italy. For the most promising species, all the links of the chain from cultivation to delivery at the plant gate at the lowest possible cost have to be organized. So far the following species gave annual productivities above 20 dry tons/ha: fiber sorghum (Sorghum sp.); miscanthus (Miscanthus sinensis); and giant reed (Arundo donax). The highest biomass yields,more » well above 40 dry tons/ha in several trials, were given by giant reed.« less

Towards An Improvement of Hospital Services and Streamlining of Health Care Costs: The DRG Analysis in Italy.

PubMed

Bellavia, M; Tomasello, G; Damiani, P; Damiani, F; Geraci, A; Accardo, Fm; Gioviale, Mc; Lo Monte, Ai

2012-01-01

The term Diagnosis-related Group (DRG) refers to a classification system used to assess hospital services with the aim of a better management of health care costs and improving performance. The DRG system focuses on the utilization of resources, and is not concerned with the specific type of care provided to the patient. This system highlights any diseconomies and eventual critical aspects of the hospital system. This article, starting from the history of heath care financing in Italy and pointing out the difficulty to define the "quality" of health care services, describes the variables used to evaluate correctly hospital performance based on the DRG system. These include Average Length of Stay, Average Daily Patient Load, Comparative Performance Index, and Case Mix Index.

[Management of Chagas disease in Europe. Experiences and challenges in Spain, Switzerland and Italy].

PubMed

Jackson, Y; Angheben, A; Carrilero Fernandez, B; Jansa i Lopez del Vallado, J M; Jannin, J G; Albajar-Viñas, P

2009-12-01

The intention of this article is not to describe the illness or evaluate the number of cases diagnosed in Spain, Switzerland and Italy, nor to analyse the protocols followed in various centres. The authors rather seek to examine the main technical, local and national challenges involved in the care of patients with Chagas disease. To this end, they review concisely a number of themes which are common to the three countries. These are: the detection of disease; confirmation of the diagnosis; treatment; response to treatment; follow-up; the risk of transmission by transfusion, by organ donation and from mother to child; the psychosocial and socio-economic aspects of Chagas disease outside endemic areas; and what progress needs to be made in improving information about the condition.

Contrast media-induced nephropathy: how has Italy contributed in the past 30 years? A systematic review.

PubMed

Sessa, Maurizio; Rossi, Claudia; Mascolo, Annamaria; Scavone, Cristina; di Mauro, Gabriella; Grassi, Roberto; Sportiello, Liberata; Cappabianca, Salvatore; Rafaniello, Concetta

2017-01-01

The use of contrast media in Italy has exponentially increased in the past 3 decades. However, it is unknown whether there has been an increase in clinical research evaluating the risks associated with contrast media usage, especially regarding contrast-induced nephropathy. To fill this gap in knowledge, we performed a systematic review. Meta-analyses, observational studies, and clinical trials assessing contrast media-induced nephropathy as the safety outcome, in which at least one author was affiliated with an Italian university/health care structure, were eligble. Ovid MEDLINE, Ovid Embase, Cochrane Methodology Register, and Web of Science were screened. Men and women exposed to contrast media. In total, 60 original articles were retrieved with an incremental trend between 1990 and 2017. Cohort studies were the most common study design represented. In total, 45 of 60 (75.0%) studies were monocenter studies and 41 of 60 (68.3%) received no funding. In all, 91.7% of studies disclosed no conflicts of interest and 81.7% had no external collaboration. Most of the studies provided a level of evidence of III-2 (32/60; 53.3%) and II (23/60; 38.3%). In total, 50 of 60 studies (83.3%) were published in a scientific journal ranked in the first quartile of their subject area. There was an increased number of studies evaluating contrast-induced nephropathy in Italy during the last three decades. These studies covered procedures to prevent contrast-induced nephropathy or aimed to identify risk factors, biomarkers, and scores, and their related prognosis.

76 FR 35910 - Brass Sheet and Strip From France, Germany, Italy, and Japan; Notice of Commission Determinations...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-20

...)] Brass Sheet and Strip From France, Germany, Italy, and Japan; Notice of Commission Determinations To..., Germany, Italy, and Japan AGENCY: United States International Trade Commission. ACTION: Notice. SUMMARY... duty orders on brass sheet and strip from France, Germany, Italy, and Japan would be likely to lead to...

76 FR 65179 - Certain Pasta From Italy: Extension of Time Limit for the Final Results of the Countervailing...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-20

... DEPARTMENT OF COMMERCE International Trade Administration [C-475-819] Certain Pasta From Italy... administrative review of the countervailing duty order on certain pasta from Italy, covering the period January 1, 2009, through December 31, 2009. See Certain Pasta from Italy: Preliminary Results of the 14th (2009...

76 FR 76937 - Certain Pasta From Italy: Notice of Final Results of the Fourteenth Antidumping Duty...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-09

... DEPARTMENT OF COMMERCE International Trade Administration [A-475-818] Certain Pasta From Italy... review for the antidumping duty order on certain pasta from Italy.\\1\\ The review covers two manufacturers... (``POR'') is July 1, 2009, through June 30, 2010. \\1\\ See Certain Pasta from Italy: Notice of Preliminary...

76 FR 6601 - Certain Pasta From Italy: Notice of Amended Final Results of the Thirteenth Antidumping Duty...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-07

... DEPARTMENT OF COMMERCE International Trade Administration [A-475-818] Certain Pasta From Italy... of the antidumping duty order on certain pasta from Italy for the period of review (POR) of July 1, 2008, through June 30, 2009. See Certain Pasta from Italy: Notice of Final Results of the Thirteenth...

75 FR 37386 - Certain Pasta from Italy: Final Results of the 13th (2008) Countervailing Duty Administrative Review

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-29

... DEPARTMENT OF COMMERCE International Trade Administration [C-475-819] Certain Pasta from Italy... pasta from Italy for the period January 1, 2008, through December 31, 2008. On April 13, 2010, we published the Preliminary Results of this review. See Certain Pasta From Italy: Preliminary Results of the...

77 FR 46377 - Certain Pasta From Italy: Notice of Preliminary Results of Antidumping Duty Administrative Review...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-03

... DEPARTMENT OF COMMERCE International Trade Administration [A-475-818] Certain Pasta From Italy... certain pasta (``pasta'') from Italy for the period of review (``POR'') July 1, 2010, through June 30... antidumping duty order on pasta from Italy.\\1\\ On July 1, 2011, the Department published a notice of...

78 FR 9364 - Certain Pasta From Italy: Notice of Final Results of 15th Antidumping Duty Administrative Review...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-08

... DEPARTMENT OF COMMERCE International Trade Administration [A-475-818] Certain Pasta From Italy... administrative review of the antidumping duty order on certain pasta from Italy. The period of review (POR) is... administrative review of the antidumping duty order on certain pasta from Italy.\\2\\ On October 26, 2012, Rummo...

76 FR 48122 - Certain Pasta From Italy: Notice of Court Decision Not in Harmony With Final Results of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-08

... DEPARTMENT OF COMMERCE International Trade Administration [A-475-818] Certain Pasta From Italy... antidumping duty order on certain pasta from Italy covering the period of review (``POR'') of July 1, 2005... Department published its final results of the administrative review for pasta from Italy for the period from...

75 FR 11116 - Certain Pasta from Italy: Notice of Amended Final Results of the Twelfth Antidumping Duty...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-10

... DEPARTMENT OF COMMERCE International Trade Administration [A-475-818] Certain Pasta from Italy... certain pasta from Italy for the period of review (POR) of July 1, 2007, through June 30, 2008. See Certain Pasta from Italy: Notice of Final Results of the Twelfth Administrative Review, 75 FR 6352...

77 FR 23508 - Brass Sheet and Strip From France, Germany, Italy, and Japan

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-19

...)] Brass Sheet and Strip From France, Germany, Italy, and Japan Determination On the basis of the record \\1... antidumping duty orders on brass sheet and strip from France, Germany, Italy, and Japan would be likely to... from France, Germany, Italy, and Japan: Investigation Nos. 731-TA-313, 314, 317, and 379 (Third Review...

75 FR 81308 - Stainless Steel Sheet And Strip From Germany, Italy, Japan, Korea, Mexico, And Taiwan

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-27

...)] Stainless Steel Sheet And Strip From Germany, Italy, Japan, Korea, Mexico, And Taiwan AGENCY: United States... and strip from Germany, Italy, Japan, Korea, Mexico, and Taiwan. SUMMARY: The Commission hereby gives... strip from Germany, Italy, Japan, Korea, Mexico, and Taiwan would be likely to lead to continuation or...

75 FR 59744 - Stainless Steel Sheet and Strip From Germany, Italy, Japan, Korea, Mexico, and Taiwan

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-28

...)] Stainless Steel Sheet and Strip From Germany, Italy, Japan, Korea, Mexico, and Taiwan AGENCY: United States... duty orders on stainless steel sheet and strip from Germany, Italy, Japan, Korea, Mexico, and Taiwan... stainless steel sheet and strip from Germany, Italy, Japan, Korea, Mexico, and Taiwan would be likely to...

76 FR 12702 - Certain Cut-to-Length Carbon-Quality Steel Plate From India, Indonesia, Italy, and the Republic...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-08

...-837] Certain Cut-to-Length Carbon-Quality Steel Plate From India, Indonesia, Italy, and the Republic...-to-length carbon-quality steel plate from India, Indonesia, Italy, and the Republic of Korea (``Korea...-length carbon-quality steel plate from India, Indonesia, Italy, and Korea pursuant to section 751(c) of...

76 FR 22725 - Cut-to-Length Carbon Steel Plate From India, Indonesia, Italy, Japan, and Korea; Scheduling of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-22

... Review)] Cut-to-Length Carbon Steel Plate From India, Indonesia, Italy, Japan, and Korea; Scheduling of...-Length Carbon Steel Plate From India, Indonesia, Italy, Japan, and Korea AGENCY: United States... from India, Indonesia, Italy, and Korea and/or therevocation of the antidumping duty orders on cut-to...

The AIRInforma experiment: peer-reviewed public dissemination of science in Italy

NASA Astrophysics Data System (ADS)

Forneris, Federico; Cassetta, Luca; Gravina, Teresita

2015-04-01

Public dissemination of science to the public is often negatively affected by biased, incorrect information distributed over the world wide web through social networks and weblogs. In Italy, the lack of correct scientific information has generated several important issues, raising concerns by the international scientific community in several occasions over the past five years. Our association AIRIcerca (International Association of Italian Researchers, http://www.airicerca.org) has recently started a novel scientific dissemination initiative to the general public in Italy. The project is based on 1) direct involvement of researchers (with accademic or industrial affiliation) in article preparation and publication and 2) introduction of a peer-reviewing system similar to that applied in conventional scientific publishing. Our initiative, named AIRInforma (http://informa.airicerca.org) has already published more than 10 original articles and 3 meeting reports, in Italian language, about various fields of scientific research, ranging from social sciences to evolutionary biology , mathematics and medicine . The editorial board is composed of approximately 20 Italian scientists working all over the world and voluntarily contributing to the AIRInforma initiative. Submitted manuscripts are initially evaluated by the editorial board and, if suitable, they are assigned to four non-anonymous reviewers selected by the editorial board for accurate evaluation. Two reviewers are selected based on their specific expertise on the topic presented in the manuscript (expert reviewers), and two are specifically selected as working on distant fields (naive reviewers). The purpose of naive reviewers is to provide feedback on the efficacy and clarity of the information for the general public. So far, AIRInforma has established a novel channel of scientific communication in Italy, receiving excellent feedback and reaching more than 8000 new unique visitors every month on our website and social network communication pages. Recently established collaborations with other scientific blogs will facilitate the expansion of our public and of our pool of authors, which is constantly growing. Following the initial enthusiasm and success of our initiative, we are considering to convert AIRInforma into an effective scientific publication by obtaining digital object identifiers for our articles in order to increase their impact and facilitate their dissemination. We are strongly convinced that a correct scientific information to the public will be more and more relevant in the future, and we are confident that AIRInforma will contribute solid milestones of correctness and scientific accuracy to the complex landscape of scientific communication in Italy.

KiVa Anti-Bullying Program in Italy: Evidence of Effectiveness in a Randomized Control Trial.

PubMed

Nocentini, Annalaura; Menesini, Ersilia

2016-11-01

The present study aims to evaluate the effectiveness of the KiVa anti-bullying program in Italy through a randomized control trial of students in grades 4 and 6. The sample involved 2042 students (51 % female; grade 4, mean age = 8.85; ds = 0.43; grade 6, mean age = 10.93; ds = 0.50); 13 comprehensive schools were randomly assigned into intervention (KiVa) or control (usual school provision) conditions. Different outcomes (bullying, victimization, pro-bullying attitudes, pro-victim attitudes, empathy toward victims), analyses (longitudinal mixed model with multiple-item scales; longitudinal prevalence of bullies and victims using Olweus' single question), and estimates of effectiveness (Cohen's d; odds ratios) were considered in order to compare the Italian results with those from other countries. Multilevel models showed that KiVa reduced bullying and victimization and increased pro-victim attitudes and empathy toward the victim in grade 4, with effect sizes from 0.24 to 0.40. In grade 6, KiVa reduced bullying, victimization, and pro-bullying attitudes; the effects were smaller as compared to grade 4, yet significant (d ≥ 0.20). Finally, using Olweus dichotomous definition of bullies and victims, results showed that the odds of being a victim were 1.93 times higher for a control student than for a KiVa student in grade 4. Overall, the findings provide evidence of the effectiveness of the program in Italy; the discussion will focus on factors that influenced successfully the transportability of the KiVa program in Italy.

An attempt to estimate the economic value of the loss of human life due to landslide and flood events in Italy

NASA Astrophysics Data System (ADS)

Salvati, Paola; Bianchi, Cinzia; Hussin, Haydar; Guzzetti, Fausto

2013-04-01

Landslide and flood events in Italy cause wide and severe damage to buildings and infrastructure, and are frequently involved in the loss of human life. The cost estimates of past natural disasters generally refer to the amount of public money used for the restoration of the direct damage, and most commonly do not account for all disaster impacts. Other cost components, including indirect losses, are difficult to quantify and, among these, the cost of human lives. The value of specific human life can be identified with the value of a statistical life (VLS), defined as the value that an individual places on a marginal change in their likelihood of death This is different from the value of an actual life. Based on information of fatal car accidents in Italy, we evaluate the cost that society suffers for the loss of life due to landslide and flood events. Using a catalogue of fatal landslide and flood events, for which information about gender and age of the fatalities is known, we determine the cost that society suffers for the loss of their life. For the purpose, we calculate the economic value in terms of the total income that the working-age population involved in the fatal events would have earned over the course of their life. For the computation, we use the pro-capita income calculated as the ratio between the GDP and the population value in Italy for each year, since 1980. Problems occur for children and retired people that we decided not to include in our estimates.

3Halobacteriovorax isolated from marine water of the Adriatic Sea, Italy, as an effective predator of Vibrio parahaemolyticus, non-O1/O139 V.cholerae, V.vulnificus.

PubMed

Ottaviani, Donatella; Chierichetti, Serena; Angelico, Gabriele; Forte, Claudio; Rocchegiani, Elena; Manuali, Elisabetta; Leoni, Francesca

2018-06-21

To detect marine Bdellovibrio and like organisms (BALOs) able to infect V.parahaemolyticus from seawater of the Adriatic, Italy. To test, prey specificity and predation efficiency of our Halobacteriovorax isolate, named HBXCO1, towards 17 Vibrio and 7 non-Vibrio strains linked to the Adriatic sea, Italy. Double layer agar plating technique was used to enumerate BALOs and to evaluate their prey specificity and predation efficiency. Transmission electron microscopy and 16S rRNA analysis were used to identify them. Means of BALOs counts ranged from 5.0 PFU/ml (March 2017) to 98.6 PFU/ml (August 2016). HBXCO1 had the ability to attack all tested prey strains of V. parahaemolyticus, V. cholerae nonO1/O139 and V. vulnificus, but it did not prey on non-Vibrio strains and V. alginolyticus under the tested conditions. BALOs capable of infecting pathogenic vibrios are naturally present in seawater of the Adriatic, Italy. Isolate HBXCO1 shows prey specificity preferentially for the Vibrio genus and high predatory efficiency towards a wide range of pathogenic strains. The public impact of V.parahaemolyticus, non O1/O139 V.cholerae and V.vulnificus in bivalves is relevant and current decontamination processes are not always effective. We believe that the predator HBXCO1 represents a potential candidate for the development of strategies of biocontrol of pathogenic vibrios in bivalves from harvesting to trade. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Evaluation of the implementation of the Meeting Centres Support Program in Italy, Poland, and the UK; exploration of the effects on people with dementia.

PubMed

Brooker, Dawn; Evans, Simon; Evans, Shirley; Bray, Jennifer; Saibene, Francesca Lea; Scorolli, Claudia; Szcześniak, Dorota; d'Arma, Alessia; Urbańska, Katarzyna M; Atkinson, Teresa; Farina, Elisabetta; Rymaszewska, Joanna; Chattat, Rabih; Henderson, Catherine; Rehill, Amritpal; Hendriks, Iris; Meiland, Franka; Dröes, Rose-Marie

2018-07-01

MEETINGDEM investigated whether the Dutch Meeting Centres Support Programme (MCSP) could be implemented in Italy, Poland, and the UK with comparable benefits. This paper reports on the impact on people living with dementia attending pilot Meeting Centres in the 3 countries. Nine pilot Meeting Centres (MCs) participated (Italy-5, Poland-2, UK-2). Effectiveness of MCSP was compared with Usual Care (UC) on outcomes measuring behavioural and psychological symptoms (NPI), depression (CSDD), and quality of life (DQoL, QOL-AD), analysed by ANCOVAs in a 6-month pre-test/post-test controlled trial. Pre/post data were collected for 85 people with dementia and 93 carers (MCSP) and 74 people with dementia /carer dyads' receiving UC. MCSP showed significant positive effects for DQoL [Self-esteem (F = 4.8, P = 0.03); Positive Affect (F = 14.93, P < 0.00); Feelings of Belonging (F = 7.77, P = 0.01)] with medium and large effect sizes. Higher attendance levels correlated with greater neuropsychiatric symptom reduction (rho = 0.24, P = 0.03) and a greater increase in feelings of support (rho = 0.36, P = 0.001). MCSPs showed significant wellbeing and health benefits compared with UC, building on the evidence of effectiveness from the Netherlands. In addition to the previously reported successful implementation of MCSP in Italy, Poland, and the UK, these findings suggest that further international dissemination of MCSP is recommended. Copyright © 2018 John Wiley & Sons, Ltd.

Applications of the seismic hazard model of Italy: from a new building code to the L'Aquila trial against seismologists

NASA Astrophysics Data System (ADS)

Meletti, C.

2013-05-01

In 2003, a large national project fur updating the seismic hazard map and the seismic zoning in Italy started, according to the rules fixed by an Ordinance by Italian Prime Minister. New input elements for probabilistic seismic hazard assessment were compiled: the earthquake catalogue, the seismogenic zonation, the catalogue completeness, a set of new attenuation relationships. The map of expected PGA on rock soil condition with 10% probability of exceedance is the new reference seismic hazard map for Italy (http://zonesismiche.mi.ingv.it). In the following, further 9 probabilities of exceedance and the uniform hazard spectra up to 2 seconds together with the disaggregation of the PGA was also released. A comprehensive seismic hazard model that fully describes the seismic hazard in Italy was then available, accessible by a webGis application (http://esse1-gis.mi.ingv.it/en.php). The detailed information make possible to change the approach for evaluating the proper seismic action for designing: from a zone-dependent approach (in Italy there were 4 seismic zones, each one with a single design spectrum) to a site-dependent approach: the design spectrum is now defined at each site of a grid of about 11000 points covering the whole national territory. The new building code becomes mandatory only after the 6 April 2009 L'Aquila earthquake, the first strong event in Italy after the release of the seismic hazard map. The large number of recordings and the values of the experienced accelerations suggested the comparisons between the recorded spectra and spectra defined in the seismic codes Even if such comparisons could be robust only after several consecutive 50-year periods of observation and in a probabilistic approach it is not a single observation that can validate or not the hazard estimate, some of the comparisons that can be undertaken between the observed ground motions and the hazard model used for the seismic code have been performed and have shown that the assumptions and modeling choices made in the Italian hazard study are in line with the observations, by considering different return period, the soil condition at the recording stations and the uncertainties of the model. A further application of Italian seismic hazard model is in the identification of buildings and factories struck by the 2012 Emilia (Italy) earthquakes to be investigated in order to determine if they were still safe or not. The law states that no safety check is needed if the construction experienced a shaking greater than 70% of the design acceleration expected at the site, without abandoning the elastic behavior. The ground motion values are evaluated from the shakemaps available (http://shakemap.rm.ingv.it) and the design accelerations derived from the Building Code, which is based on the reference Italian seismic hazard model. Finally, the national seismic hazard model was one the most debated element during the trial in L'Aquila against the seismologists, experts of Civil Protection Department, sentenced to six years in prison on charges of manslaughter, because, according to the judge, they underestimated the risk in the region, giving a wrong message to the people, before the strong 2009 L'Aquila earthquake.

Evaluating the Role of Protected Natural Areas for Environmental Education in Italy

ERIC Educational Resources Information Center

De Dominicis, Stefano; Bonaiuto, Marino; Carrus, Giuseppe; Passafaro, Paola; Perucchini, Paola; Bonnes, Mirilia

2017-01-01

Two quasi-experimental field studies (N = 419; 248) tested the effects of an outdoor environmental education program based in local Protected Natural Areas (PNAs) on 3rd-to-6th-grade students' proenvironmental attitudes and behaviors. Results show the program increases children's place attachment, proenvironmental attitudes, ethics and…

New Utrecht High School Project BITEC, Spring 1987. OEA Evaluation Report.

ERIC Educational Resources Information Center

Martinez, Ana L.; And Others

In June 1987, Project BITEC (Bilingual Innovative Technological Education for Careers), at Brooklyn's New Utrecht High School, completed a one-semester extension of its 3-year grant. The project served 256 limited-English-speaking students from Latin America, China, Italy, Haiti, and Vietnam. The project's chief goal was to enable students to…

Italian Students' Results in the PISA Mathematics Test: Does Reading Competence Matter?

ERIC Educational Resources Information Center

Ajello, Anna Maria; Caponera, Elisa; Palmerio, Laura

2018-01-01

In Italy, from the 2003 reports to the present, the National Institute for the Educational Evaluation of Instruction and Training (INVALSI) has conducted research on Programme for International Student Assessment (PISA) results in order to understand Italian students' low achievement in mathematics. In the present paper, data from a representative…

Promoting Scientific Faculties: Does It Work? Evidence from Italy

ERIC Educational Resources Information Center

Maestri, Virginia

2013-01-01

In reaction to the OECD-wide declining trend in scientific enrollments, the Italian government launched a policy in 2005 to promote the study of science at the university. The policy promoted extra-curricular activities for secondary school students in Chemistry, Physics, Math and Materials Science. This article evaluates the policy impact on…

Studying Cross-Cultural Differences in Temperament in the First Year of Life: United States and Italy

ERIC Educational Resources Information Center

Montirosso, Rosario; Cozzi, Patrizia; Putnam, Samuel P.; Gartstein, Maria A.; Borgatti, Renato

2011-01-01

An Italian translation of the Infant Behavior Questionnaire-Revised (IBQ-R) was developed and evaluated with 110 infants, demonstrating satisfactory internal consistency, discriminant validity, and construct validity in the form of gender and age differences, as well as factorial integrity. Cross-cultural differences were subsequently evaluated…

A semifield evaluation of Vectobac DT (ABG-6499), a new formulation of Bacillus thuringiensis israelensis for control of Aedes albopictus.

PubMed

Toma, Luciano; Severini, Francesco; Bella, Antonino; Romi, Roberto

2003-12-01

We evaluated the effectiveness and duration of effectiveness of a new formulation of Bacillus thuringiensis var. israelensis (Bti) for control of larval Aedes albopictus. The product tested was Vectobac DT (ABG-6499), a Bti tablet formulation containing 3.4% of active ingredient (3,400 ITU/mg) supplied by SCAE Valent BioSciences Italy S.r.l. The study was conducted at the Botanical Garden of the University of Rome "La Sapienza" between June and September 2002, the most favorable season for the development of Ae. albopictus in Italy. Black 20-liter plastic buckets containing water and an organic substrate were used as experimental breeding sites. The number of larvae in these buckets was estimated weekly, and positive buckets were treated with the recommended dose of the larvicide. The results showed that Vectobac DT induced 100% larval mortality after 24 h in all experimental breeding sites during the entire study period. Nonetheless, in most cases, the larvicidal activity only lasted about 48 h; thus, effective mosquito control would require that treatment be performed every 8-10 days in this habitat.

77 FR 48964 - Certain Pasta From Italy: Notice of Court Decision Not in Harmony With Final Results of...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-15

... DEPARTMENT OF COMMERCE International Trade Administration [A-475-818] Certain Pasta From Italy... pasta from Italy with respect to the margin assigned to Atar S.r.L. (Atar) covering the period of review... Review of the Antidumping Duty Order on Certain Pasta from Italy, 72 FR 7011 (February 14, 2007) (Final...

76 FR 58299 - Brass Sheet and Strip From France, Germany, Italy, and Japan; Scheduling of a Full Five-Year...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-20

...)] Brass Sheet and Strip From France, Germany, Italy, and Japan; Scheduling of a Full Five-Year Review Concerning the Antidumping Duty Order on Brass Sheet and Strip From France, Germany, Italy, and Japan AGENCY... strip from France, Germany, Italy, and Japan would be likely to lead to continuation or recurrence of...

Detection and Genotyping of Human Papillomavirus in Urine Samples from Unvaccinated Male and Female Adolescents in Italy

PubMed Central

Bianchi, Silvia; Frati, Elena Rosanna; Panatto, Donatella; Martinelli, Marianna; Amicizia, Daniela; Zotti, Carla Maria; Martinese, Morena; Bonanni, Paolo; Boccalini, Sara; Coppola, Rosa Cristina; Masia, Giuseppina; Meloni, Angelo; Castiglia, Paolo; Piana, Andrea; Gasparini, Roberto; Tanzi, Elisabetta

2013-01-01

The introduction of vaccination against Human Papillomavirus (HPV) in adolescent girls in 2006 has focused virological surveillance on this age group. As few studies have evaluated HPV infections in young populations, further data are needed in order to improve and extend prophylactic policy and to monitor epidemiological changes. The present study aimed at evaluating overall and type-specific HPV prevalence in both female and male adolescents in Italy. HPV DNA detection and genotyping was performed on urine samples collected from 870 unvaccinated adolescents (369 females, 501 males, 11-18 years of age) in five cities in Italy. Following DNA extraction by means of a commercial kit (NucliSENS®-miniMAG®, bioMérieux), the L1 gene fragment was PCR amplified and genotyped by restriction fragment length polymorphism analysis. HPV DNA was detected in 1.5% of all samples, and in 3% and 0.4% of samples from females and males, respectively. In approximately 70% of HPV DNA positive adolescents, the infection was due to a single genotype, with 88.9% of genotypes belonging to the HR-clade. The only two HPV-positive boys (14 and 18 years old) had HPV-70 genotype. Only one of the 11 HPV-infected girls was in the 11-14 age-group. HPV prevalence was 4.2% in girls aged 15-18 years and 60% of infections were due to vaccine types HPV-16 or HPV-6/-11. This is one of the few studies, the first conducted in Italy, on HPV infection in adolescents. Urine testing is the easier way of detecting HPV infection in younger populations. Our data revealed a very low HPV prevalence, and no infections were observed in the 12-year-old vaccine target population. The majority of infections were seen in females aged 15-18 years. Overall, more than 50% and 30% of the potentially persistent HPV infections detected in this group could have been prevented by the quadrivalent and the bivalent vaccines, respectively. PMID:24255711

Detection and genotyping of human papillomavirus in urine samples from unvaccinated male and female adolescents in Italy.

PubMed

Bianchi, Silvia; Frati, Elena Rosanna; Panatto, Donatella; Martinelli, Marianna; Amicizia, Daniela; Zotti, Carla Maria; Martinese, Morena; Bonanni, Paolo; Boccalini, Sara; Coppola, Rosa Cristina; Masia, Giuseppina; Meloni, Angelo; Castiglia, Paolo; Piana, Andrea; Gasparini, Roberto; Tanzi, Elisabetta

2013-01-01

The introduction of vaccination against Human Papillomavirus (HPV) in adolescent girls in 2006 has focused virological surveillance on this age group. As few studies have evaluated HPV infections in young populations, further data are needed in order to improve and extend prophylactic policy and to monitor epidemiological changes. The present study aimed at evaluating overall and type-specific HPV prevalence in both female and male adolescents in Italy. HPV DNA detection and genotyping was performed on urine samples collected from 870 unvaccinated adolescents (369 females, 501 males, 11-18 years of age) in five cities in Italy. Following DNA extraction by means of a commercial kit (NucliSENS(®)-miniMAG(®), bioMérieux), the L1 gene fragment was PCR amplified and genotyped by restriction fragment length polymorphism analysis. HPV DNA was detected in 1.5% of all samples, and in 3% and 0.4% of samples from females and males, respectively. In approximately 70% of HPV DNA positive adolescents, the infection was due to a single genotype, with 88.9% of genotypes belonging to the HR-clade. The only two HPV-positive boys (14 and 18 years old) had HPV-70 genotype. Only one of the 11 HPV-infected girls was in the 11-14 age-group. HPV prevalence was 4.2% in girls aged 15-18 years and 60% of infections were due to vaccine types HPV-16 or HPV-6/-11. This is one of the few studies, the first conducted in Italy, on HPV infection in adolescents. Urine testing is the easier way of detecting HPV infection in younger populations. Our data revealed a very low HPV prevalence, and no infections were observed in the 12-year-old vaccine target population. The majority of infections were seen in females aged 15-18 years. Overall, more than 50% and 30% of the potentially persistent HPV infections detected in this group could have been prevented by the quadrivalent and the bivalent vaccines, respectively.

A geographical information system-based multicriteria evaluation to map areas at risk for Rift Valley fever vector-borne transmission in Italy.

PubMed

Tran, A; Ippoliti, C; Balenghien, T; Conte, A; Gely, M; Calistri, P; Goffredo, M; Baldet, T; Chevalier, V

2013-11-01

Rift Valley fever (RVF) is a severe mosquito-borne disease that is caused by a Phlebovirus (Bunyaviridae) and affects domestic ruminants and humans. Recently, its distribution widened, threatening Europe. The probability of the introduction and large-scale spread of Rift Valley fever virus (RVFV) in Europe is low, but localized RVF outbreaks may occur in areas where populations of ruminants and potential vectors are present. In this study, we assumed the introduction of the virus into Italy and focused on the risk of vector-borne transmission of RVFV to three main European potential hosts (cattle, sheep and goats). Five main potential mosquito vectors belonging to the Culex and Aedes genera that are present in Italy were identified in a literature review. We first modelled the geographical distribution of these five species based on expert knowledge and using land cover as a proxy of mosquito presence. The mosquito distribution maps were compared with field mosquito collections from Italy to validate the model. Next, the risk of RVFV transmission was modelled using a multicriteria evaluation (MCE) approach, integrating expert knowledge and the results of a literature review on host sensitivity and vector competence, feeding behaviour and abundance. A sensitivity analysis was performed to assess the robustness of the results with respect to expert choices. The resulting maps include (i) five maps of the vector distribution, (ii) a map of suitable areas for vector-borne transmission of RVFV and (iii) a map of the risk of RVFV vector-borne transmission to sensitive hosts given a viral introduction. Good agreement was found between the modelled presence probability and the observed presence or absence of each vector species. The resulting RVF risk map highlighted strong spatial heterogeneity and could be used to target surveillance. In conclusion, the geographical information system (GIS)-based MCE served as a valuable framework and a flexible tool for mapping the areas at risk of a pathogen that is currently absent from a region. © 2013 Blackwell Verlag GmbH.

Non-Susceptible Landslide Areas in Italy and in the Mediterranean Region

NASA Astrophysics Data System (ADS)

Alvioli, Massimiliano; Ardizzone, Francesca; Guzzetti, Fausto; Marchesini, Ivan; Rossi, Mauro

2014-05-01

Landslide susceptibility is the likelihood of a landslide occurring in a given area. Over the past three decades, researchers, and planning and environmental organisations have worked to assess landslide susceptibility at different geographical scales, and to produce maps portraying landslide susceptibility zonation. Little effort was made to determine where landslides are not expected, where susceptibility is null, or negligible. This is surprising because planners and decision makers are also interesting in knowing where landslides are not foreseen, or cannot occur in an area. We propose a method for the definition of non-susceptible landslide areas, at the synoptic scale. We applied the method in Italy and to the territory surrounding the Mediterranean Sea and we produced two synoptic-scale maps showing areas where landslides are not expected in Italy and in the Mediterranean area. To construct the method we used digital terrain elevation and landslide information. The digital terrain consisted in the 3-arc-second SRTM DEM, the landslide information was obtained for 13 areas in Italy where landslide inventory maps were available to us. We tested three different models to determine the non-susceptible landslide areas, including a linear model (LR), a quantile linear model (QLR), and a quantile non-linear model (QNL). Model performances have been evaluated using independent landslide information represented by the Italian Landslide Inventory (Inventario Fenomeni Franosi in Italia - IFFI). Best results were obtained using the QNL model. The corresponding zonation of non- susceptible landslide areas was intersected in a GIS with geographical census data for Italy. The results show that the 57.5% of the population of Italy (in 2001) was located in areas where landslide susceptibility was expected to be null or negligible, while the remaining 42.5% in areas where some landslide susceptibility was significant or not negligible. We applied the QNL model to the landmasses surrounding the Mediterranean Sea, and we tested the synoptic non- susceptibility zonation using independent landslide information for three study areas in Spain. Results proved that the QNL model was capable of determining where landslide susceptibility is expected to be negligible in the Mediterranean area. We expect our results to be applicable in similar study areas, facilitating the identification of non-susceptible and susceptible landslide areas, at the synoptic scale.

Propofol or benzodiazepines for short- and long-term sedation in intensive care units? An economic evaluation based on meta-analytic results

PubMed Central

Pradelli, Lorenzo; Povero, Massimiliano; Bürkle, Hartmut; Kampmeier, Tim-Gerald; Della-Rocca, Giorgio; Feuersenger, Astrid; Baron, Jean-Francois; Westphal, Martin

2017-01-01

Purpose This evaluation compares propofol and benzodiazepine sedation for mechanically ventilated patients in intensive care units (ICUs) in order to identify the potential economic benefits from different payers’ perspectives. Methods The patient-level simulation model incorporated efficacy estimates from a structured meta-analysis and ICU-related costs from Italy, Germany, France, UK, and the USA. Efficacy outcomes were ICU length of stay (LOS), mechanical ventilation duration, and weaning time. We calculated ICU costs from mechanical ventilation duration and ICU LOS based on national average ICU costs with and without mechanical ventilation. Three scenarios were investigated: 1) long-term sedation >24 hours based on results from randomized controlled trials (RCTs); 2) long-term sedation based on RCT plus non-RCT results; and 3) short-term sedation <24 hours based on RCT results. We tested the model’s robustness for input uncertainties by deterministic (DSA) and probabilistic sensitivity analyses (PSA). Results In the base case, mean savings with propofol versus benzodiazepines in long-term sedation ranged from €406 (95% confidence interval [CI]: 646 to 164) in Italy to 1,632 € (95% CI: 2,362 to 880) in the USA. Inclusion of non-RCT data corroborated these results. Savings in short-term sedation ranged from €148 (95% CI: 291 to 2) in Italy to €502 (95% CI: 936 to 57) in the USA. Parameters related to ICU and mechanical ventilation had a stronger influence in the DSA than drug-related parameters. In PSA, propofol reduced costs and ICU LOS compared to benzodiazepines in 94%–100% of simulations. The largest savings may be possible in the UK and the USA due to higher ICU costs. Conclusion Current ICU sedation guidelines recommend propofol rather than midazolam for mechanically ventilated patients. This evaluation endorses the recommendation as it may lead to better outcomes and savings for health care systems, especially in countries with higher ICU-related costs. PMID:29184423

Fourth International Congress on Industrial and Applied Mathematics. Book of Abstracts

DTIC Science & Technology

1999-01-01

Dipartimento di Matematica , Universita’ di Pavia, Italy) Logarithmic Sobolev inequalities for kinetic semiconductor equations In this paper we analyze the...terms of Whitney forms. FERNANDES, Paolo (Istituto per la Matematica Applicata del Consiglio Nazionale delle Ricerche, Italy) Dealing with realistic... Matematica dell Universita di Pavia, Italy. PERUGIA, Ilaria (Diaprtimento di Matematica , Universita’ di Pavia - Italy) An adaptive field-based method

Doctors and local media: a synergy for public health information?: a controlled trial to evaluate the effects of a multifaceted campaign on antibiotic prescribing (protocol).

PubMed

2011-10-19

Use of information campaigns and educational interventions directed to citizens and supported by physicians, aimed at promoting the appropriate use of medicines, have been evaluated by several studies with conflicting results. These interventions are potentially relevant, favouring the reduction of unnecessary use of medicines and related risks. Several studies have specifically evaluated the promotion of the appropriate use of antibiotics in adults and children, with variable results. A controlled study is proposed to evaluate the feasibility and effectiveness of a multifaceted intervention aimed at reducing antibiotic prescription by increasing awareness on risks of their unnecessary use. Information will be provided to citizens through several media (posters, local TV, radio and newspapers, video terminals, websites of Local Health Authorities). Brochures with information on expected benefits and risks of antibiotics will be also available, either with direct access in waiting rooms and pharmacies or handed out and mediated by doctors. Physicians and pharmacists will get specific data on local antibiotic resistance. A small group of representative doctors have also actively participated in defining the campaign key messages. A sample of general practitioners and paediatricians will be trained in patient counselling strategies.The information campaign will be implemented in two Provinces of Emilia-Romagna during the fall-winter season (November 2011-February 2012). Change in the overall prescribing rate of antibiotics (expressed as DDD per 1000 inhabitants/day) in the intervention area will be compared versus other areas in the same Region. Knowledge and attitudes of the general population will be evaluated through a phone and internet survey on a representative sample. While the campaign messages will be mainly directed to the general population, doctors' prescribing will be assessed. The main rationale for this apparent discrepancy lies in the influence patients may have on physicians' prescribing behaviour (directly or indirectly) and in physicians' endorsement of the campaign goals, considering their participation in its design.This study could observe a reduction lower than 5% in the prescribing rate of antibiotics. Such a reduction would be of public health relevance and would determine average savings of almost twice as much as the campaign costs.

Adult immunization with 13-valent pneumococcal vaccine in Campania region, South Italy: an economic evaluation.

PubMed

Liguori, Giorgio; Parlato, Antonino; Zamparelli, Alessandro Sanduzzi; Belfiore, Patrizia; Gallé, Francesca; Di Onofrio, Valeria; Riganti, Carla; Zamparelli, Bruno

2014-01-01

Pneumococcal pneumonia has a high clinical burden in terms of morbidity, mortality and hospitalization rate, with heavy implications for worldwide health systems. In particular, higher incidence and mortality rates of community-acquired pneumonia (CAP) cases, with related costs, are registered among elderly. This study aimed to an economic evaluation about the immunization with PCV13 in the adult population in Campania region, South Italy. For this purpose we performed, considering a period of 5 y, a budget impact analysis (BIA) and a cost-effectiveness analysis which considered 2 scenarios of immunization compared with lack of immunization for 2 targeted cohorts: first, the high risk subjects aged 50-79 y, and second the high risk individuals aged 50-64 y, together with all those aged 65 y. Regarding the first group, the decrease of pneumonia could give savings equal to €29,005,660, while the immunization of the second cohort could allow savings equal to €10,006,017. The economic evaluation of pneumococcal vaccine for adult groups represents an essential instrument to support health policies. This study showed that both hypothesized immunization strategies could produce savings. Obtained results support the use of pneumococcal conjugate vaccine for adults. This strategy could represent a sustainable and savings-producer health policy.

Water and Sediment Output Evaluation Using Cellular Automata on Alpine Catchment: Soana, Italy - Test Case

NASA Astrophysics Data System (ADS)

Pasculli, Antonio; Audisio, Chiara; Sciarra, Nicola

2017-12-01

In the alpine contest, the estimation of the rainfall (inflow) and the discharge (outflow) data are very important in order to, at least, analyse historical time series at catchment scale; determine the hydrological maximum and minimum estimate flood and drought frequency. Hydrological researches become a precious source of information for various human activities, in particular for land use management and planning. Many rainfall- runoff models have been proposed to reflect steady, gradually-varied flow condition inside a catchment. In these last years, the application of Reduced Complexity Models (RCM) has been representing an excellent alternative resource for evaluating the hydrological response of catchments, within a period of time up to decades. Hence, this paper is aimed at the discussion of the application of the research code CAESAR, based on cellular automaton (CA) approach, in order to evaluate the water and the sediment outputs from an alpine catchment (Soana, Italy), selected as test case. The comparison between the predicted numerical results, developed through parametric analysis, and the available measured data are discussed. Finally, the analysis of a numerical estimate of the sediment budget over ten years is presented. The necessity of a fast, but reliable numerical support when the measured data are not so easily accessible, as in Alpine catchments, is highlighted.

Evaluation of HACCP Plans of Food Industries: Case Study Conducted by the Servizio di Igiene degli Alimenti e della Nutrizione (Food and Nutrition Health Service) of the Local Health Authority of Foggia, Italy

PubMed Central

Panunzio, Michele F.; Antoniciello, Antonietta; Pisano, Alessandra; Rosa, Giovanna

2007-01-01

With respect to food safety, many works have studied the effectiveness of self-monitoring plans of food companies, designed using the Hazard Analysis and Critical Control Point (HACCP) method. On the other hand, in-depth research has not been made concerning the adherence of the plans to HACCP standards. During our research, we evaluated 116 self-monitoring plans adopted by food companies located in the territory of the Local Health Authority (LHA) of Foggia, Italy. The general errors (terminology, philosophy and redundancy) and the specific errors (transversal plan, critical limits, hazard specificity, and lack of procedures) were standardized. Concerning the general errors, terminological errors pertain to half the plans examined, 47% include superfluous elements and 60% have repetitive subjects. With regards to the specific errors, 77% of the plans examined contained specific errors. The evaluation has pointed out the lack of comprehension of the HACCP system by the food companies and has allowed the Servizio di Igiene degli Alimenti e della Nutrizione (Food and Nutrition Health Service), in its capacity as a control body, to intervene with the companies in order to improve designing HACCP plans. PMID:17911662

[Health Technology Assessment to evaluate the economic advantage of offering of low-protein diet to pre-dialysis patients in Campania (Italy)].

PubMed

Liguori, Giorgio; Belfiore, Patrizia; Cianciaruso, Bruno; Cirillo, Massimo; Creazzola, Simona; D'Ausilio, Anna; De Santo, Natale Gaspare; La Bella, Gaetana; Parlato, Antonino; Scaletti, Alessandro; Zamparelli, Bruno

2012-01-01

A low-protein diet is well known to slow the progression of chronic renal failure, delay initiation of dialysis, while achieving significant economic benefits. In the context of a Health Technology Assessment (HTA), a budget impact analysis model was implemented to evaluate the economic advantage of offering of low-protein diet to nephropathic patients in Campania (Italy). The implemented model takes into account only the direct costs to the national healthcare system. In particular, costs related to supplying low-protein foods are compared to dialysis costs avoided, in a scenario that evaluates different indices of Numbers Needed to Treat and compliance to treatment. Results indicate that when compliance to treatment is at least 50% and NNT is £ 50, supplying a low-protein diet to all kidney disease patients in the pre-dialysis phase, namely with an estimated Glomerular filtration rate > 45, in Campania (which in the year 2009 were equal to 25,000 subjects), is economically advantageous. In this perspective, the authors argue that distribution of low-protein foods by local pharmacies could be an appropriate choice as it would allow the products to be offered at a discounted price and create a favorable setting for increasing adherence to treatment.

Evaluating disturbance on mediterranean karst areas: the example of Sardinia (Italy)

NASA Astrophysics Data System (ADS)

de Waele, Jo

2009-07-01

Evaluating the human disturbance on karst areas is a difficult task because of the complexity of these peculiar and unique environments. The human impact on karstic geo-ecosystems is increasingly important and there is an increasing need for multidisciplinary tools to assess the environmental changes in karst areas. Many disciplines, such as biology, geomorphology, hydrology and social-economical sciences are to be considered to sufficiently evaluate the impact on these intrinsically vulnerable areas. This article gives an overview of the evolution of environmental impact on karst areas of the island Sardinia (Italy). For this particular case, the most important impacts in the past 50 years are derived from the following activities, in decreasing importance: (1) mining and quarrying; (2) deforestation, agriculture and grazing; (3) building (widespread urbanisation, isolated homes, etc.) and related infrastructures (roads, sewer systems, aqueducts, waste dumps, etc.); (4) tourism; (5) military activities. To evaluate the present environmental state of these areas the Disturbance Index for Karst environments [Van Beynen and Townsend (Environ Manage 36:101-116)] is applied in a slightly modified version. Instead of considering the indicators of environmental disturbances used in the original method, this slightly modified index evaluates the disturbances causing the deterioration of the environmental attributes. In the Sardinian case study, 27 disturbances have been evaluated, giving rise to the definition of a Disturbance Index ranging between 0 (Pristine) and 1 (highly disturbed). This Disturbance Index simplifies the original KDI method, appears to adequately measure disturbance on Mediterranean karst areas and could be applied with success to other similar regions.

PREFACE: Fourth Meeting on Constrained Dynamics and Quantum Gravity

NASA Astrophysics Data System (ADS)

Cadoni, Mariano; Cavaglia, Marco; Nelson, Jeanette E.

2006-04-01

The formulation of a quantum theory of gravity seems to be the unavoidable endpoint of modern theoretical physics. Yet the quantum description of the gravitational field remains elusive. The year 2005 marks the tenth anniversary of the First Meeting on Constrained Dynamics and Quantum Gravity, held in Dubna (Russia) due to the efforts of Alexandre T. Filippov (JINR, Dubna) and Vittorio de Alfaro (University of Torino, Italy). At the heart of this initiative was the desire for an international forum where the status and perspectives of research in quantum gravity could be discussed from the broader viewpoint of modern gauge field theories. Since the Dubna meeting, an increasing number of scientists has joined this quest. Progress was reported in two other conferences in this series: in Santa Margherita Ligure (Italy) in 1996 and in Villasimius (Sardinia, Italy) in 1999. After a few years of ``working silence'' the time was now mature for a new gathering. The Fourth Meeting on Constrained Dynamics and Quantum Gravity (QG05) was held in Cala Gonone (Sardinia, Italy) from Monday 12th to Friday 16th September 2005. Surrounded by beautiful scenery, 100 scientists from 23 countries working in field theory, general relativity and related areas discussed the latest developments in the quantum treatment of gravitational systems. The QG05 edition covered many of the issues that had been addressed in the previous meetings and new interesting developments in the field, such as brane world models, large extra dimensions, analogue models of gravity, non-commutative techniques etc. The format of the meeting was similar to the previous ones. The programme consisted of invited plenary talks and parallel sessions on cosmology, quantum gravity, strings and phenomenology, gauge theories and quantisation and black holes. A major goal was to bring together senior scientists and younger people at the beginning of their scientific career. We were able to give financial support to both groups. In particular, help was provided to students and scientists from non-EU countries. It is our great pleasure to thank those people and institutions whose help and support was crucial to the success of the meeting. We appreciate the enthusiastic support of our colleagues of the academic community, especially those from the Istituto Nazionale di Fisica Nucleare and the Universities of Cagliari, Pisa, Torino and Mississippi. Financial support was provided by the Istituto Nazionale di Fisica Nucleare, the Universities of Cagliari, Torino, Pisa and Mississippi. This was used largely to support participants, especially younger people. Special thanks go to Pietro Menotti (University of Pisa) and Stefano Sciuto (University of Torino) for their friendship and their universities' financial contributions. It is also a pleasure to acknowledge financial support from the Regione Autonoma della Sardegna and from Tiscali, the communications and Internet company, for providing free telephone cards. Technical support and local organisation was provided by the Sezione di Cagliari of the Istituto Nazionale di Fisica Nucleare. Warmest thanks go to our administrative and technical staff - Maria Assunta Lecca and Simona Renieri, for their untiring assistance, and to Palmasera Village and Hotel Smeraldo for their splendid hospitality. And finally, our gratitude goes to all the participants and especially the many experienced scientists. Their contributions highlighted the meeting and were largely without support. The success of the meeting is due to them and to the enthusiasm of the younger participants. The Editors January 2006 COMMITTEES Organising Committee Mariano Cadoni (Università and INFN Cagliari) Marco Cavaglià (University of Mississippi) Jeanette E. Nelson (Università and INFN Torino) Advisory Committee Orfeu Bertolami (IST Lisboa, Portugal) Luca Bombelli (Univ. Mississippi) Steve Carlip (UC Davis, USA) Alessandro D'Adda (INFN Torino, Italy) Stanley Deser (Brandeis, USA) Georgi Dvali (NYU, USA) Sergio Ferrara (CERN) Gian Francesco Giudice (CERN) Roman Jackiw (MIT, USA) Edward W. Kolb (Fermilab, USA) Luca Lusanna (INFN Firenze, Italy) Roy Maartens (Univ. Portsmouth, UK) Hermann Nicolai (AEI, Potsdam, Germany) Tullio Regge (Politecnico di Torino, Italy) Augusto Sagnotti (Univ. Roma Tor Vergata, Italy) Kellogg S. Stelle (Imperial College London, UK) Ruth Williams (DAMTP, Cambridge, UK) SPONSORS Istituto Nazionale di Fisica Nucleare Università di Cagliari Università di Torino University of Mississippi Università di Pisa Regione autonoma della Sardegna Tiscali LIST OF PARTICIPANTS Eun-Joo Ahn (University of Chicago, USA) David Alba (Università di Firenze, Italy) Stanislav Alexeyev (Lomonosov Moscow State U., Russia) Damiano Anselmi (Università di Pisa, Italy) Ignatios Antoniadis (CERN, Geneva, Switzerland) Maria Da Conceicao Bento (Instituto Superior Técnico, Lisboa, Portugal) Orfeu Bertolami (Instituto Superior Técnico, Lisboa, Portugal) Massimo Bianchi (Università di Roma Tor Vergata, Italy) Mariam Bouhmadi-Lopez (University of Portsmouth, UK) Raphael Bousso (University of California at Berkeley, USA) Mariano Cadoni (Università di Cagliari, Italy) Steven Carlip (University of California at Davis, USA) Roberto Casadio (Università di Bologna, Italy) Marco Cavaglià (University of Mississippi, USA) Demian Cho (Raman Research Institute, Bangalore, India) Theodosios Christodoulakis (University of Athens, Greece) Chryssomalis Chryssomalakos (Inst. de Ciencias Nucleares - UNAM, Mexico) Diego Julio Cirilo-Lombardo (JINR, Dubna, Russia) Denis Comelli INFN, Sezione di Ferrara, Italy ) Ruben Cordero-Elizalde (Instituto Politecnico Nacional, Mexico) Lorenzo Cornalba (Università di Roma Tor Vergata, Italy) Branislav Cvetkovic (Institute of Physics, Belgrade, Serbia ) Maro Cvitan (University of Zagreb, Croatia) Alessandro D'Adda (Università di Torino, Italy) Claudio Dappiaggi (Università di Pavia, Italy) Roberto De Leo (Università di Cagliari, Italy) Roberto De Pietri (Università di Parma, Italy) Giuseppe De Risi (Università di Bari, Italy) Hans-Thomas Elze (Univ. Federal do Rio de Janeiro, Brasil) Alessandro Fabbri (Università di Bologna, Italy) Sergey Fadeev (VNIIMS, Moscow, Russia) Serena Fagnocchi (Università di Bologna, Italy) Sara Farese (Universidad de Valencia, Spain) Alessandra Feo (Università di Parma, Italy) Dario Francia (Università di Roma Tor Vergata, Italy) Francesco Fucito (Università di Roma Tor Vergata, Italy) Dmitri Fursaev (JINR, Dubna, Russia) Daniel Galehouse (University of Akron, Ohio, USA) Remo Garattini (Università di Bergamo, Italy) Florian Girelli (Perimeter Institute, Waterloo, Canada) Luca Griguolo (Università di Parma, Italy) Daniel Grumiller (Universität Leipzig, Germany) Shinichi Horata (Hayama Center of Advanced Research, Japan) Giorgio Immirzi (Università di Perugia, Italy) Roman Jackiw (MIT, Cambridge, USA) Matyas Karadi (DAMTP, University of Cambridge, UK) Mikhail Katanaev (Steklov Mathematical Institute, Moscow, Russia) Claus Kiefer (Universität Koln, Germany) John Klauder (University of Florida, Gainesville, USA) Pavel Klepac (Masaryk University, Brno, Czech Republic) Jen-Chi Lee (National Chiao-Tung University, Taiwan) Carlos Leiva (Universidad de Tarapacá, Arica, Chile) Stefano Liberati (SISSA/ISAS, Trieste, Italy) Jorma Louko (University of Nottingham, UK) Luca Lusanna (INFN, Sezione di Firenze, Italy) Roy Maartens (University of Portsmouth, UK) Fotini Markopoulou (Perimeter Institute, Waterloo, Canada) Annalisa Marzuoli (Università di Pavia, Italy) Evangelos Melas (QMW, University of London, UK) Maurizio Melis (Università di Cagliary, Italy) Vitaly Melnikov (VNIIMS, Moscow, Russia) Guillermo A. Mena Marugan (CSIC, Madrid, Spain) Pietro Menotti (Università di Pisa, Italy) Salvatore Mignemi (Università di Cagliari, Italy) Aleksandar Mikovic (Universidade Lusófona, Lisboa, Portugal) Leonardo Modesto (Université de la Mediterranée, Marseille, France) Michael Mueller (Sardinien.com, Cagliari, Italy) Mario Nadalini (Università di Trento, Italy) José Navarro-Salas (Universidad de Valencia, Spain) Jeanette E. Nelson (Università di Torino, Italy) Alexander Nesterov (Universidad de Guadalajara, Mexico) Hermann Nicolai (Albert-Einstein-Institut, Golm, Germany) Daniele Oriti (DAMTP, University of Cambridge, UK) Marcello Ortaggio (Charles University, Prague, Czech Republic) Silvio Pallua (University of Zagreb, Croatia) Matej Pavsic (Jozef Stefan Institute, Ljubljana, Slovenia) Wlodzimierz Piechocki (Soltan Inst. for Nuclear Studies, Warsaw, Poland) Nicola Pinamonti (Università di Trento, Italy) J. Brian Pitts (University of Notre Dame, Indiana, USA) Vojtech Pravda (Academy of Sciences, Praha, Czech Rep.) Gianpaolo Procopio (DAMTP, University of Cambridge, UK) Alice Rogers (King's College London, UK) Efrain Rojas (Universidad Veracruzana, Mexico) James Ryan (DAMTP, University of Cambridge, UK) Augusto Sagnotti (Università di Roma Tor Vergata, Italy) Wenceslao Santiago-German (University of California at Davis, USA) Stefano Sciuto (Università di Torino, Italy) Domenico Seminara (Università di Firenze, Italy) Lorenzo Sindoni (Università di Udine, Italy) Kellogg S. Stelle (Imperial College, London, UK) Cosimo Stornaiolo (INFN, Sezione di Napoli, Italy) Ward Struyve (Perimeter Institute, Waterloo, Canada) Makoto Tanabe (Waseda University, Tokyo, Japan) Daniel Terno (Perimeter Institute, Waterloo, Canada) Charles Wang (Lancaster University, UK) Silke Weinfurtner (Victoria University, Wellington, New Zealand) Hans Westman (Perimeter Institute, Waterloo, Canada) Ruth Williams (DAMTP, University of Cambridge, UK) Tetsuyuki Yukawa (Graduate U. for Adv. Studies, Kanagawa, Japan) Jorge Zanelli (CECS, Santiago, Chile)

Detection of Rickettsia hoogstraalii, Rickettsia helvetica, Rickettsia massiliae, Rickettsia slovaca and Rickettsia aeschlimannii in ticks from Sardinia, Italy.

PubMed

Chisu, Valentina; Leulmi, Hamza; Masala, Giovanna; Piredda, Mariano; Foxi, Cipriano; Parola, Philippe

2017-03-01

Tick-borne diseases represent a large proportion of infectious diseases that have become a world health concern. The presence of Rickettsia spp. was evaluated by standard PCR and sequencing in 123 ticks collected from several mammals and vegetation in Sardinia, Italy. This study provides the first evidence of the presence of Rickettsia hoogstralii in Haemaphysalis punctata and Haemaphysalis sulcata ticks from mouflon and Rickettsia helvetica in Ixodes festai ticks from hedgehog. In addition, Rickettsia massiliae, Rickettsia slovaca and Rickettsia aeschlimannii were detected in Rhipicephalus sanguineus, Dermacentor marginatus and Hyalomma marginatum marginatum ticks from foxes, swine, wild boars, and mouflon. The data presented here increase our knowledge of tick-borne diseases in Sardinia and provide a useful contribution toward understanding their epidemiology. Copyright © 2016 Elsevier GmbH. All rights reserved.

A reappraisal of seismic Q evaluated in Campi Flegrei caldera. Receipt for the application to risk analysis

NASA Astrophysics Data System (ADS)

Del Pezzo, Edoardo; Bianco, Francesca

2013-04-01

The civil defense of Italy and the European community have planned to reformulate the volcanic risk in several volcanic areas of Italy, among which Mt. Vesuvius and Campi Flegrei, by taking into account the possible occurrence of damaging pre- or syn-eruptive seismic events. Necessary to achieve this goal is the detailed knowledge of the local attenuation-distance relations. In the present note, we make a survey of the estimates of seismic quality factor (the inverse is proportional to the attenuation coefficient with distance) reported in literature for the area of Campi Flegrei where many, but sometimes contradictory results have been published on this topic. We try to review these results in order to give indications for their correct use when calculating the attenuation laws for this area.

Assessing volcanic hazard at the most populated caldera in the world: Campi Flegrei, Southern Italy

NASA Astrophysics Data System (ADS)

Somma, R.; de Natale, G.; Troise, C.; Kilburn, C.; Moretti, R.

2017-12-01

Naples and its hinterland in Southern Italy are one of the most urbanized areas in the world under threat from volcanic activity. The region lies within range of three active volcanic centers: Vesuvius, Campi Flegrei, and Ischia. The Campi Flegrei caldera, in particular, has been in unrest for six decades. The unrest followed four centuries of quiescence and has heightened concern about an increased potential for eruption. Innovative geochemical and geophysical analysis, combined with scientific drilling, are being used to investigate Campi Flegrei. Results highlight key directions for better understanding the mechanisms of caldera formation and the respective roles of magma intrusion and hydrothermal activity in determining the volcano's behavior. They also provide a framework for evaluating and mitigating the risk from this caldera and other large ones worldwide.

Mimicking Catalytic Properties of Precious Metals by Using Common Metal Nanostructured Particles

DTIC Science & Technology

2011-12-19

Professor Renzo Rosei Consorzio per la Fisica Department of Physics Strada Costiera 11 Trieste, Italy 34151 EOARD Grant 10-3060...3060 Grant 10-3060 61102F Prof Renzo Rosei Consorzio per la Fisica Department of Physics Strada Costiera 11 Trieste, Italy 34151 N/A European Office...Physics Department, University of Trieste, Trieste, Italy and Consorzio per la Fisica , Trieste, Italy 1. Project motivation and Synopsis of

Italy: A Study of the Educational System of Italy and a Guide to the Academic Placement of Students from Italy in Educational Institutions of the United States.

ERIC Educational Resources Information Center

Capobianco, Joseph P.

The educational system of Italy is described, and placement recommendations concerning students who want to study in the United States are presented. After a description of preschool, elementary, and middle school education, the different types of upper-secondary education system are considered (i.e., the lyceums, teacher training, and technical…

15 CFR 742.6 - Regional stability.

Code of Federal Regulations, 2010 CFR

2010-01-01

..., Greece, Hungary, Iceland, Ireland, Italy, Japan, Latvia, Lithuania, Luxembourg, Malta, the Netherlands..., Italy, Japan, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, New Zealand, Norway, Poland..., France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Japan, Latvia, Lithuania, Luxembourg, Malta...

Prevalence of prelingual deafness in Italy

PubMed Central

Bubbico, L; Rosano, A; Spagnolo, A

2007-01-01

Summary Neonatal hearing loss is the most frequent sensorial congenital defect in newborns. No data are available on worldwide prevalence of congenital deafness. World Health Organization (WHO) data indicate 1-4 cases per 1,000 individuals, with a considerable increase in developing countries. A prevalence exceeding 1 per 1,000 however, indicates a serious public health problem calling for urgent attention. Aim of the study was the evaluate the prevalence of prelingual deafness in the Italian population and determine the socio-demographic characteristics of the condition. Data were provided by the National Institute of Social Insurance (INPS) and the Italian Central Statistics Institute (ISTAT) and were collected in 18 out of the 20 Italian regions (98.2% of total population). All subjects recognized as deaf-mute by a special medical committee were included. According to law No. 509/1988, they had to present a mean bilateral sensorineural-hearing impairment, detected in neonatal age, which caused the damage in speech development and equal to 60 dB or more for 500-, 1,000- and 2,000-Hz frequency tones in the better ear. Prevalence rates were calculated according to region and age bracket using updated population data from census 2001. Statistical analyses were performed using the SPSS statistical software package. A total of 40,887 cases of prelingual profound sensorineural hearing loss ≥ 60 dB were detected in Italy in 2003, for a total prevalence rate of 0.72 per 1,000. The hearing impairment prevalence differs according to sex. The overall prevalence is 0.78 per 1,000 for males and 0.69 per 1,000 for females (p < 0.001). The hearing impairment prevalence differs according to region of residence (p < 0.001). The geographic distribution of prelingual deafness was found to be: North 15,644 cases (0.63 per 1,000), Central Italy 7,111 cases (0.64 per 1,000), South and Islands 18,132 (0.87 per 1,000). The prelingual hearing loss is highly prevalent in South Italy (Basilicata, Calabria and Sicily). For the southern regions of Italy, the rate observed in the 50-64 and > 64 age groups reached 1.27 and 1.15, respectively. This phenomenon may have been due, in part, to the epidemic incidence of maternal rubella which occurred in the 40’s and 50’s (in Italy, the rubella vaccination was only recommended starting from 1972), and, in part, to the habit of contracting consanguineous marriages. Data from the Vatican Archives on 520,492 consanguineous marriages, for which dispensation was requested in the period 1911-1964, indicate that in the years 1935-1939, in small villages in South Italy (Basilicata, Calabria, Sicily) consanguineous marriages accounted for over 40% of marriages. PMID:17601206

[Managing patients with prostate cancer in Italy during the first year after diagnosis. A cost description based on a sample of 8 urological wards].

PubMed

Lazzaro, Carlo

2003-09-01

The aim of the paper is to report of an empirical retrospective study (1994-1999) on the cost of managing patient with prostate cancer (PC) during the first year after diagnosis in Italy. In January 2000, a questionnaire on qualitative, quantitative and economic data concerning the clinical path expected for patients with PC (diagnosis; staging; follow-up; drug; surgery; chemotherapy and radiotherapy) was sent to 14 Italian urological wards (UWs), 5 school of medicine-based (Northern Italy: 2; Central Italy: 1; Southern Italy: 2), 4 self-governing hospital-based (Northern Italy: 1; Southern Italy: 3), 5 Health Authorities hospital-based (Northern Italy: 2; Central Italy: 2; Southern Italy: 1). UWs were expected to contribute to analysis with 15 patients' records per year each, for a total amount of 1.260 filled questionnaires. Only medical costs related to patient management have been considered; hospitals and Health Authorities overheads were not taken into account. A cost description was performed considering the hospital viewpoint. We received 416 out of 1.260 expected questionnaires (redemption rate: 33%) from 8 out of 14 UWs: 2 school of medicine-based (Central Italy: 1; Southern Italy: 1); 2 self-governing hospital-based (Southern Italy: 2); 4 Health Authorities hospital-based (Northern Italy: 1; Central Italy: 3). Only 411 out of 416 questionnaires were included in data analysis. Patients' average age at the time of diagnosis was 74.1 years (range: 68.6-76.7). A moderate percentage of neoplasms in patients' relatives was reported (17.8%; 5.6% for PC). The average cost per patient with CP during the first year after diagnosis was Euro 6,575.31 (range: Euro 5,035.65-Euro 12,367.69). The cost-driver was drug therapy (43.07%), followed by surgery (26.41%), diagnosis (12.39%), staging (8.58%); follow-up (8.25%) and radiotherapy (1.30%); no data on chemotherapy was reported. Diagnosis, staging and follow-up tests and procedures were performed mainly in outpatient setting (81.84% 53.30% and 94.72%, respectively) and requested by hospital urologists (70.26%; 52.88% and 67.95%, respectively). Total PSA was the most frequent test for diagnosis (503 out of 2,047 procedures) and follow-up (782 out of 3,351 procedures), as well as bone scan was for staging (337 out of 1,023 procedures). As far as drug therapy is concerned, LHRH-analogue was the most prescribed drug (227 patients). Surgery (lymphoadenectomy: 9; orchidectomy: 20; urinary outlet dysobstruction: 51; prostatectomy: 104) was performed in 179 patients; 5 out of 179 patients underwent more than one surgical intervention. Radiotherapy (338 sessions) was undertaken in 15 out of 411 patients. Cost of managing patient with PC during the first year after diagnosis in Italy could be reduced by increasing outpatient procedures and decreasing post-surgery hospital stay. Our research may hopefully foster further empirical studies on the health economics of PC in our country.

Approximations to the Truth: Comparing Survey and Microsimulation Approaches to Measuring Income for Social Indicators

ERIC Educational Resources Information Center

Figari, Francesco; Iacovou, Maria; Skew, Alexandra J.; Sutherland, Holly

2012-01-01

In this paper, we evaluate income distributions in four European countries (Austria, Italy, Spain and Hungary) using two complementary approaches: a standard approach based on reported incomes in survey data, and a microsimulation approach, where taxes and benefits are simulated. These two approaches may be expected to generate slightly different…

Extremely Low Frequency (ELF) Communications Program Non-Ionizing Electromagnetic Radiation Literature Evaluation and Assessment; 1977-1986 Literature Review.

DTIC Science & Technology

1986-11-01

Napoli, Italy, who tested the possible chromosomal abnormalities caused by a 50-Hz electric field. Bovine lymphocytes from peripheral blood were cultured...production, ’. mastitis , etc. The problem can be mitigated by improved grounding practices on farmsteads, and it is not directly relevant to ELFCSs. The

Yield and morpho-agronomical evaluation of food-grade white sorghum hybrids grown in Southern Italy

USDA-ARS?s Scientific Manuscript database

Grain sorghum [Sorghum bicolor (L.) Moench] is a gluten-free grain that is gaining attention as a food crop that can be used in the management of celiac disease. At present, sorghum is widely grown in many semiarid regions of the world. New food-grade sorghum cultivars are of particular interest in...

77 FR 74787 - Notice of Availability of an Evaluation of the Swine Vesicular Disease Status of Certain Regions...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-18

... Swine Vesicular Disease Status of Certain Regions in Italy AGENCY: Animal and Plant Health Inspection... provinces of Trento and Bolzano are free of swine vesicular disease. This determination is based on our... United States in order to prevent the introduction of various communicable diseases, including swine...

Psychometric Characteristics of the Persian Version of the Multidimensional School Anger Inventory-Revised

ERIC Educational Resources Information Center

Aryadoust, Vahid; Akbarzadeh, Sanaz; Akbarzedeh, Sara

2011-01-01

The Multidimensional School Anger Inventory-Revised (MSAI-R) is a measurement tool to evaluate high school students' anger. Its psychometric features have been tested in the USA, Australia, Japan, Guatemala, and Italy. This study investigates the factor structure and psychometric quality of the Persian version of the MSAI-R using data from an…

Grover Cleveland High School Project CAUSA, 1985-1986. OEA Evaluation Report.

ERIC Educational Resources Information Center

New York City Board of Education, Brooklyn. Office of Educational Assessment.

In 1985-86, Project CAUSA completed a three-year funding cycle at Grover Cleveland High School in Queens, New York. The project provided 132 newly arrived students from Italy and several Spanish-speaking countries with instruction in English as a second language (ESL), native language arts, and content areas. Basic goals were to help students…

The Evaluation Turn in the Higher Education System: Lessons from Italy

ERIC Educational Resources Information Center

Lumino, Rosaria; Gambardella, Dora; Grimaldi, Emiliano

2017-01-01

This article explores how new public management policy ideas and technologies circulating in the globalised education space have been re-contextualised in the re-design of the Italian Higher Education System. In doing so, it uses the governmentality studies as a sensitising framework to problematise what we term here as the "calculative and…

Evaluation of work-related diseases by the Italian Institute of Insurance for Professional Illness and Injuries (INAIL).

PubMed

Bracci, Carlo; Norcia, Gabriele

2005-01-01

Based on a predetermined list of job-related diseases, INAIL makes compensation decisions in cases of work-related diseases in Italy. Its functioning is somewhat hampered by imprecision in the disease classification and infrequency of updating the list, as well as rapid turnover of workers in some categories of jobs.

The burden of mortality with costs in productivity loss from occupational cancer in Italy.

PubMed

Binazzi, Alessandra; Scarselli, Alberto; Marinaccio, Alessandro

2013-11-01

The costs of productivity loss due to occupational cancer mortality are rarely investigated. An estimate of occupational cancer deaths in Italy in 2006 and an approximation of the resultant costs from medical and non-medical expenditures together with figures of remuneration lost are provided. Occupational cancer deaths, obtained from the application of the attributable fraction (AF) to mortality data (source: Italian National Institute of Statistics), were used to calculate the Potential Years of Life Lost (PYLLs), the Potential Years of Working Life Lost (PYWLLs) and the costs of the loss of productive life. The health care costs for any cancer was applied to the estimated number of occupational cancer cases to obtain the total cost. Around 8,000-8,500 deaths/year from occupational cancer are estimated to occur in Italy, corresponding to 170,000 PYLLs and more than 16,000 PYWLLs, leading to around 360,000,000 euros in indirect economic loss. Health care costs of occupational cancer are estimated at 456,000,000 euros. Occupational cancer is of major concern in terms of mortality and economic productivity loss. Preventive efforts in evaluating ongoing risks and current exposures are strongly recommended to health policy-makers. Copyright © 2013 Wiley Periodicals, Inc.

The Burden of Inappropriate Emergency Department Pediatric Visits: Why Italy Needs an Urgent Reform

PubMed Central

Vedovetto, Alessio; Soriani, Nicola; Merlo, Emanuela; Gregori, Dario

2014-01-01

Objective To better understand the issue of inappropriate pediatric Emergency Department (ED) visits in Italy, including the impact of the last National Health System reform. Study Design A retrospective cohort study was conducted with five health care providers in the Veneto region (Italy) in a 2-year period (2010–2011). ED visits were considered “inappropriate” by evaluating both nursing triage and resource utilization, as addressed by the Italian Ministry of Health in 2007. Factors associated with inappropriate ED visits were identified. The cost of each visit was calculated. Principal Findings In total, 134,358 ED visits with 455,650 performed procedures were recorded in the 2-year period; of these, 76,680 (57.1 percent) were considered inappropriate ED visits. Patients likely to make inappropriate ED visits were younger, female, visiting the ED during night or holiday, when the primary care provider (PCP) is not available. Conclusion The National Health System reform aims to improve efficiency, effectiveness, and costs by opening PCP offices 24 hours a day and 7 days a week. This study highlights the need for a deep reorganization of the Italian Primary Care System not only providing a larger time availability but also treating the parents' lack of education on children's health. PMID:24495258

The burden of inappropriate emergency department pediatric visits: why Italy needs an urgent reform.

PubMed

Vedovetto, Alessio; Soriani, Nicola; Merlo, Emanuela; Gregori, Dario

2014-08-01

To better understand the issue of inappropriate pediatric Emergency Department (ED) visits in Italy, including the impact of the last National Health System reform. A retrospective cohort study was conducted with five health care providers in the Veneto region (Italy) in a 2-year period (2010-2011). ED visits were considered "inappropriate" by evaluating both nursing triage and resource utilization, as addressed by the Italian Ministry of Health in 2007. Factors associated with inappropriate ED visits were identified. The cost of each visit was calculated. In total, 134,358 ED visits with 455,650 performed procedures were recorded in the 2-year period; of these, 76,680 (57.1 percent) were considered inappropriate ED visits. Patients likely to make inappropriate ED visits were younger, female, visiting the ED during night or holiday, when the primary care provider (PCP) is not available. The National Health System reform aims to improve efficiency, effectiveness, and costs by opening PCP offices 24 hours a day and 7 days a week. This study highlights the need for a deep reorganization of the Italian Primary Care System not only providing a larger time availability but also treating the parents' lack of education on children's health. © Health Research and Educational Trust.

Juvenile firesetting in Italy: relationship to aggression, psychopathology, personality, self-efficacy, and school functioning.

PubMed

Del Bove, Giannetta; Caprara, Gian Vittorio; Pastorelli, Concetta; Paciello, Marinella

2008-06-01

Despite the fact that juvenile fire involvement is associated with significant injuries and is highly correlated with diverse maladjustment characteristics, firesetting has never been empirically evaluated in Italy. Participants included 567 youth between 11 and 18 years of age. This investigation attempted to address four gaps in the literature. The first objective was to examine how common firesetting behavior is among Italian youth. The second goal was to explore whether in Italy firesetting is associated with other types of psychopathology and later maladjustment. Thirdly, this study sought to extend our knowledge of the personal characteristics of firesetters. Finally, the relationship between firesetting and aggression remains an empirical question. Results suggested that almost one in three Italian youth reported engaging in fire involvement. Moreover, firesetting in Italian youth is associated with significant levels of antisocial behavior and psychopathology. In fact, firesetters-only demonstrated higher levels of most measures of maladjustment than did aggressive-only youth. Finally, the findings of this study suggest that aggressive firesetters are not at higher risk than nonaggressive firesetters. Instead, fire involvement appears to be the most important variable when predicting serious behavioral difficulties and anti-sociality. This highlights the importance of fire involvement in both the assessment and prediction of antisocial behavior and psychosocial adjustment in adolescence.

Survey on the treatment of non-small-cell lung cancer in Italy.

PubMed

Alexanian, A; Torri, V

2000-07-01

The results of the Italian part of an international survey on therapeutic preferences and opinions about prognosis of patients affected by non-small-cell lung cancer (NSCLC) are shown. The investigation was conducted by the means of a postal questionnaire aiming to gather information on preferences about treatment and beliefs about survival of three hypothetical patients affected by NSCLC in different stages (T2N1M0, T2N3M0, M1); three sources of Italian physicians potentially treating patients affected by NSCLC were the target population: participants in the Adjuvant Lung Project Italy (Alpi) trial, a 20% random sample of the Italian Medical Oncology Association (AIOM) and representatives of almost all the pneumology wards in Italy. Overall, there were 287 evaluable responses, 89% of respondents were males, mean age was 46 years, years from graduation 21 and charge of patients per clinician 82. The most important result is the wide variation of answers both about therapy and prognosis. Expectations about size of prognosis improvement with a new chemotherapy seem to be excessive. The results are discussed in relation to the twin surveys of Canada and England and Wales and to the meta-analyses on the efficacy of chemotherapy as an adjunct to primary treatment and on postoperative radiotherapy in non-small-cell lung cancer.

A large-scale initiative to disseminate an evidence-based drug abuse prevention program in Italy: Lessons learned for practitioners and researchers.

PubMed

Velasco, Veronica; Griffin, Kenneth W; Antichi, Mariella; Celata, Corrado

2015-10-01

Across developed countries, experimentation with alcohol, tobacco, and other drugs often begins in the early adolescent years. Several evidence-based programs have been developed to prevent adolescent substance use. Many of the most rigorously tested and empirically supported prevention programs were initially developed and tested in the United States. Increasingly, these interventions are being adopted for use in Europe and throughout the world. This paper reports on a large-scale comprehensive initiative designed to select, adapt, implement, and sustain an evidence-based drug abuse prevention program in Italy. As part of a large-scale regionally funded collaboration in the Lombardy region of Italy, we report on processes through which a team of stakeholders selected, translated and culturally adapted, planned, implemented and evaluated the Life Skills Training (LST) school-based drug abuse prevention program, an evidence-based intervention developed in the United States. We discuss several challenges and lessons learned and implications for prevention practitioners and researchers attempting to undertake similar international dissemination projects. We review several published conceptual models designed to promote the replication and widespread dissemination of effective programs, and discuss their strengths and limitations in the context of planning and implementing a complex, large-scale real-world dissemination effort. Copyright © 2015 Elsevier Ltd. All rights reserved.

High prevalence of Behçet's disease in southern Italy.

PubMed

Olivieri, Ignazio; Leccese, Pietro; Padula, Angela; Nigro, Angelo; Palazzi, Carlo; Gilio, Michele; D'Angelo, Salvatore

2013-01-01

This paper aims to estimate the prevalence of Behçet's disease (BD) in the city of Potenza, the regional capital of Basilicata (or Lucania) Region, in southern Italy. Patients with BD living in Potenza for at least 12 months prior to diagnosis were identified through the following sources: general practitioners, community-based specialists, San Carlo Hospital specialists, the Basilicata centralised index and the Basilicata database for rare diseases. All identified patients were contacted by phone and were recalled to our outpatient clinic for re-evaluation. Patients were classified as having complete BD if they met the International Study Group (ISG) criteria for BD. By surveying a population of 69.060 subjects, 13 patients with a diagnosis of BD were identified. All were white and Italian by descendent. Eleven out of these satisfied the ISG criteria and allowed us to obtain a prevalence rate of 15.9 per 100.000 (95%CI 8.9-28.5), which is the highest ever found value in Europe. This cross-sectional population-based study suggests that BD is more frequent in the southern part than in the northern part of Italy and confirms that the prevalence of the disease increases in a north-to-south manner within the European continent.

Cost-Utility Analysis of Bariatric Surgery in Italy: Results of Decision-Analytic Modelling

PubMed Central

Lucchese, Marcello; Borisenko, Oleg; Mantovani, Lorenzo Giovanni; Cortesi, Paolo Angelo; Cesana, Giancarlo; Adam, Daniel; Burdukova, Elisabeth; Lukyanov, Vasily; Di Lorenzo, Nicola

2017-01-01

Objective To evaluate the cost-effectiveness of bariatric surgery in Italy from a third-party payer perspective over a medium-term (10 years) and a long-term (lifetime) horizon. Methods A state-transition Markov model was developed, in which patients may experience surgery, post-surgery complications, diabetes mellitus type 2, cardiovascular diseases or die. Transition probabilities, costs, and utilities were obtained from the Italian and international literature. Three types of surgeries were considered: gastric bypass, sleeve gastrectomy, and adjustable gastric banding. A base-case analysis was performed for the population, the characteristics of which were obtained from surgery candidates in Italy. Results In the base-case analysis, over 10 years, bariatric surgery led to cost increment of EUR 2,661 and generated additional 1.1 quality-adjusted life years (QALYs). Over a lifetime, surgery led to savings of EUR 8,649, additional 0.5 life years and 3.2 QALYs. Bariatric surgery was cost-effective at 10 years with an incremental cost-effectiveness ratio of EUR 2,412/QALY and dominant over conservative management over a lifetime. Conclusion In a comprehensive decision analytic model, a current mix of surgical methods for bariatric surgery was cost-effective at 10 years and cost-saving over the lifetime of the Italian patient cohort considered in this analysis. PMID:28601866

Women victims of intentional homicide in Italy: New insights comparing Italian trends to German and U.S. trends, 2008-2014.

PubMed

Terranova, Claudio; Zen, Margherita

2018-01-01

National statistics on female homicide could be a useful tool to evaluate the phenomenon and plan adequate strategies to prevent and reduce this crime. The aim of the study is to contribute to the analysis of intentional female homicides in Italy by comparing Italian trends to German and United States trends from 2008 to 2014. This is a population study based on data deriving primarily from national and European statistical institutes, from the U.S. Federal Bureau of Investigation's Uniform Crime Reporting and from the National Center for Health Statistics. Data were analyzed in relation to trends and age by Chi-square test, Student's t-test and linear regression. Results show that female homicides, unlike male homicides, remained stable in the three countries. Regression analysis showed a higher risk for female homicide in all age groups in the U.S. Middle-aged women result at higher risk, and the majority of murdered women are killed by people they know. These results confirm previous findings and suggest the need to focus also in Italy on preventive strategies to reduce those precipitating factors linked to violence and present in the course of a relationship or within the family. Copyright © 2017 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

Cost-effectiveness of a programme of screening and brief interventions for alcohol in primary care in Italy.

PubMed

Angus, Colin; Scafato, Emanuele; Ghirini, Silvia; Torbica, Aleksandra; Ferre, Francesca; Struzzo, Pierluigi; Purshouse, Robin; Brennan, Alan

2014-02-06

As alcohol-related health problems continue to rise, the attention of policy-makers is increasingly turning to Screening and Brief Intervention (SBI) programmes. The effectiveness of such programmes in primary healthcare is well evidenced, but very few cost-effectiveness analyses have been conducted and none which specifically consider the Italian context. The Sheffield Alcohol Policy Model has been used to model the cost-effectiveness of government pricing and public health policies in several countries including England. This study adapts the model using Italian data to evaluate a programme of screening and brief interventions in Italy. Results are reported as Incremental Cost-Effectiveness Ratios (ICERs) of SBI programmes versus a 'do-nothing' scenario. Model results show such programmes to be highly cost-effective, with estimated ICERs of €550/Quality Adjusted Life Year (QALY) gained for a programme of SBI at next GP registration and €590/QALY for SBI at next GP consultation. A range of sensitivity analyses suggest these results are robust under all but the most pessimistic assumptions. This study provides strong support for the promotion of a policy of screening and brief interventions throughout Italy, although policy makers should be aware of the resource implications of different implementation options.

Human tularemia in Italy. Is it a re-emerging disease?

PubMed

D'Alessandro, D; Napoli, C; Nusca, A; Bella, A; Funari, E

2015-07-01

Tularemia is a contagious infectious disease due to Francisiella tularensis that can cause serious clinical manifestations and significant mortality if untreated. Although the frequency and significance of the disease has diminished over the last decades in Central Europe, over the past few years, there is new evidence suggesting that tularemia has re-emerged worldwide. To know the real epidemiology of the disease is at the root of correct control measures. In order to evaluate whether tularemia is re-emerging in Italy, data on mortality and morbidity (obtained by the National Institute of Statistics; ISTAT), Italian cases described in the scientific literature and data concerning hospitalizations for tularemia (obtained by the National Hospital Discharge Database) were analysed. From 1979 to 2010, ISTAT reported 474 cases and no deaths. The overall number of cases obtained from the literature review was at least 31% higher than that reported by ISTAT. Moreover, the number of cases reported by ISTAT was 3·5 times smaller than hospitalized cases. In Italy tularemia is sporadic, rarely endemic and self-limiting; but, although the trend of reported tularemia does not support the hypothesis of a re-emerging disease, the study demonstrates a wide underreporting of the disease. The real frequency of the disease should be carefully investigated and taken into account in order to implement specific prevention measures.

The role of emergency neurology in Italy: outcome of a consensus meeting for a Intersociety position.

PubMed

Micieli, Giuseppe; De Falco, Fabrizio A; Consoli, Domenico; Inzitari, Domenico; Sterzi, Roberto; Tedeschi, Gioacchino; Toni, Danilo

2012-04-01

A possible definition of clinical, educational and organizing aspects of emergency neurology in Italy is reported in this position paper of Emergency Neurology Intersociety Group, created in 2008 among the two neurological Societies in Italy: Società Italiana di Neurologia and Società di Neuroscienze Ospedaliere. The aim of this Group has been the evaluation of the role of neurologist in the emergency setting of Italian hospitals, as well as of the description of different scenarios in which a ward dedicated to a semi-intensive care of neurological emergencies could have a role in the actual organization of academic or general hospitals in our Country. The actual great relevance of neurologist activity in the inpatients treatment, in fact, is actually misleaded as it is the considerable significance of neurological expertise, techniques and support in hospital care pathways also involving neurological manifestations throughout the course of other diseases. Finally, the possible contents of educational programs orienting neurological specialty towards a better comprehension and management of emergency neurological problems either in terms of specific formation or of techniques to be learned by emergency neurologist, are reported as a results of the Consensus Workshop hold in Castiglioncello (LI) in September 12th, 2009.

Maintenance and recovery of agricultural terraces to reduce geo-hydrological hazards: the Santa Giulia in Centaura (Liguria, Italy) and Valstagna (Veneto, Italy) case studies

NASA Astrophysics Data System (ADS)

Giostrella, Paola; Ferrarese, Francesco; Faccini, Francesco; Brandolini, Pierluigi; Lazzeri, Riccardo; Melillo, Massimo; Mozzi, Paolo; Varotto, Mauro; Tarolli, Paolo; Guzzetti, Fausto

2015-04-01

Throughout the World, men have built terraced landscapes to gain ground suitable for cultivation in steep terrain. Beyond the historical and cultural importance of terraced slopes, terraces have played an important role for soil conservation and water management. In many areas, their abandonment has led to more frequent and/or abundant geo-hydrological hazards. We analyse two terraced areas in northern Italy, including (i) the Valstagna prealpine terraces (Veneto) where the Republic of Venice initiated the cultivation of tobacco in 1600, and (ii) the coastal terraces of Santa Giulia di Centaura (Liguria) where terraces host vineyards and olive groves since 2000 years. Using a combination of direct and indirect mapping methods and tools, including LiDAR topographic surveys, the visual interpretation of aerial photographs and the analysis of historical maps, we performed a systematic mapping of the terraces. Using the available maps, we determined statistics for the width, height and extent of stonewalls and we evaluated the historical evolution of the terraces for the past 50 years, considering changes in land use, the expansion of forest, and the changes in the precipitation regime. Finally, through a preliminary cost-benefit analysis, we propose good practices to help the recovery of the terraces in the two study areas.

Efficacy of nicarbazin (Ovistop®) in the containment and reduction of the populations of feral pigeons (Columba livia var. domestica) in the city of Genoa, Italy: a retrospective evaluation.

PubMed

Albonetti, Paolo; Marletta, Antonio; Repetto, Ivano; Sasso, Emanuela Assunta

2015-01-01

This study describes the results of a retrospective evaluation (8 years: 2005-2012) of the efficacy of the anti-fertility drug, Ovistop® nicarbazin (800 ppm) added to corn kernels used to feed non-migratory feral pigeon colonies, Columba livia var. domestica, in the city of Genoa, Italy. The observation interested 4 non-migratory feral pigeon colonies located into well‑defined areas of the city of Genoa, Italy. Three of these colonies were treated for 12 months, with 10 g of drug (Ovistop®) provided per bird per day for 5 days each week; the other colony was treated in the same way but with a placebo (control station). Each colony and the relative area where the colony was located were both monitored with the same daily examination. Statistical analysis techniques were applied to the findings recorded - both descriptive (indices of central and dispersion trends) and comparative (one-way variance analysis). In the colonies treated with the drug, following an initial increase in the population ('magnet effect'), a reduction was observed over the following 4 years (-35% >x> -45%) and a further decrease (-65% >x> -70%) was observed over the subsequent 4 years (statistically significant one-way ANOVA p<0.01). This phenomenon was recorded across the board in the 3 treated stations, compared to the overall unstable trend observed for the control station. As no external or exceptional anthropic or natural factors were observed, it can be stated that, given the results observed, the drug seemed effective in reducing the treated bird populations.

Contrast media-induced nephropathy: how has Italy contributed in the past 30 years? A systematic review

PubMed Central

Mascolo, Annamaria; Scavone, Cristina; di Mauro, Gabriella; Grassi, Roberto; Sportiello, Liberata; Cappabianca, Salvatore; Rafaniello, Concetta

2017-01-01

Background and objective The use of contrast media in Italy has exponentially increased in the past 3 decades. However, it is unknown whether there has been an increase in clinical research evaluating the risks associated with contrast media usage, especially regarding contrast-induced nephropathy. To fill this gap in knowledge, we performed a systematic review. Study eligibility criteria Meta-analyses, observational studies, and clinical trials assessing contrast media-induced nephropathy as the safety outcome, in which at least one author was affiliated with an Italian university/health care structure, were eligble. Data sources Ovid MEDLINE, Ovid Embase, Cochrane Methodology Register, and Web of Science were screened. Participants Men and women exposed to contrast media. Results In total, 60 original articles were retrieved with an incremental trend between 1990 and 2017. Cohort studies were the most common study design represented. In total, 45 of 60 (75.0%) studies were monocenter studies and 41 of 60 (68.3%) received no funding. In all, 91.7% of studies disclosed no conflicts of interest and 81.7% had no external collaboration. Most of the studies provided a level of evidence of III-2 (32/60; 53.3%) and II (23/60; 38.3%). In total, 50 of 60 studies (83.3%) were published in a scientific journal ranked in the first quartile of their subject area. Conclusion There was an increased number of studies evaluating contrast-induced nephropathy in Italy during the last three decades. These studies covered procedures to prevent contrast-induced nephropathy or aimed to identify risk factors, biomarkers, and scores, and their related prognosis. PMID:29123405

Characteristics, resource utilization and safety profile of patients prescribed with neuropathic pain treatments: a real-world evidence study on general practices in Europe - the role of the lidocaine 5% medicated plaster.

PubMed

Katz, Pablo; Pegoraro, Valeria; Liedgens, Hiltrud

2017-08-01

To identify characteristics, resource utilization, and safety profile of patients prescribed with lidocaine 5% medicated plaster, pregabalin, gabapentin, amitriptyline and duloxetine when experiencing pain in the real-world setting of general practitioners (GPs) in Europe. Retrospective analysis on real world data from IMS Health Longitudinal Patient Database. Patients with at least one prescription of the drugs of interest during 2014 were selected and those with a non-neuropathic pain-related diagnosis were excluded. Patients' demographic and clinical characteristics, resource utilization data and adverse drug reactions (ADRs) as described in the leaflet were extracted. The association between treatments and ADR occurrence was evaluated applying multivariate logistic models. A total of 70,515 patients were selected from Italy, Germany, the UK, Spain and Belgium. Lidocaine 5% medicated plaster patients were the oldest in Italy, the UK and Spain and the most health impaired in Italy, Spain and Belgium. No relevant differences in the number of co-prescriptions, specialist visits, examinations and hospitalizations were found. Significantly less lidocaine 5% plasters patients experienced ADRs, with odds ratios in favor of lidocaine 5% medicated plasters ranging from 3.41 (p = .036) to 52.33 (p < .001). Evidence from daily clinical practice in GP settings agrees with the findings from more controlled clinical-trial settings, with lidocaine 5% medicated plaster patients showing a better safety profile, but also a comparable level of resource utilization. A possible re-evaluation of the scientific value coming from this retrospective study in building up a diagnostic as well as a therapeutic algorithm is suggested.

Nutritional Care in a Nursing Home in Italy

PubMed Central

Donini, Lorenzo Maria; Neri, Barbara; De Chiara, Stefania; Poggiogalle, Eleonora; Muscaritoli, Maurizio

2013-01-01

Introduction Malnutrition is a clinical condition due to the imbalance among needs, intake and use of nutrients, leading to the increase of morbidity and mortality, and to the impairment of quality of life. Even in industrialized countries undernutrition is becoming an alarming phenomenon, especially involving elderly institutionalized subjects. A multicentric study called PIMAI (Project Iatrogenic MAlnutrition in Italy), was carried out in Italy over 2005. The aims of this study were to determine the prevalence of malnutrition in hospitals and in nursing care homes (NH), to assess the level of nutritional attention and to measure the perceived quality in food and nutritional care. This paper represents a preliminary analysis of data collected in a NH included in the PIMAI project. Materials and methods A total of 100 subjects (29 males and 71 females, aged 80.2±10 years), were recruited from January to June 2005 at the Clinical Rehabilitation Institute “Villa delle Querce” in Nemi (Rome), among patients in the NH facility. All the participants underwent a multidimensional geriatric evaluation (considering nutritional, clinical, functional and cognitive parameters), and a survey on “perceived quality” of nutritional care. Results and discussion According to nutritional status defined by the Mini Nutritional Assessment®, data analysis showed a high prevalence of malnutrition (36%) especially related to advanced age, chewing, cognitive and functional impairments. Patients seemed to consider nutrition to be important for their health; on the other hand, they were not thoroughly satisfied with the quality of food. Particularly, it was observed scarce attention to nutritional status from medical and nursing staff. Conclusions Our study confirms the need to pay greater attention to nutritional status in elderly institutionalized subjects. Medical and nursing teams need to be aware of the importance to perform an evaluation of nutritional status in these subset of subjects. PMID:23405217

Economic analysis of the first 20 years of universal hepatitis B vaccination program in Italy: an a posteriori evaluation and forecast of future benefits.

PubMed

Boccalini, Sara; Taddei, Cristina; Ceccherini, Vega; Bechini, Angela; Levi, Miriam; Bartolozzi, Dario; Bonanni, Paolo

2013-05-01

Italy was one of the first countries in the world to introduce a routine vaccination program against HBV for newborns and 12-y-old children. From a clinical point of view, such strategy was clearly successful. The objective of our study was to verify whether, at 20 y from its implementation, hepatitis B universal vaccination had positive effects also from an economic point of view. An a posteriori analysis evaluated the impact that the hepatitis B immunization program had up to the present day. The implementation of vaccination brought an extensive reduction of the burden of hepatitis B-related diseases in the Italian population. As a consequence, the past and future savings due to clinical costs avoided are particularly high. We obtained a return on investment nearly equal to 1 from the National Health Service perspective, and a benefit-to-cost ratio slightly less than 1 for the Societal perspective, considering only the first 20 y from the start of the program. In the longer-time horizon, ROI and BCR values were positive (2.78 and 2.46, respectively). The break-even point was already achieved few years ago for the NHS and for the Society, and since then more and more money is progressively saved. The implementation of universal hepatitis B vaccination was very favorable during the first 20 y of adoption, and further benefits will be increasingly evident in the future. The hepatitis B vaccination program in Italy is a clear example of the great impact that universal immunization is able to provide in the medium-long-term when health care authorities are so wise as to invest in prevention.

Evaluation and Acceptability of a Simplified Test of Visual Function at Birth in a Limited-Resource Setting.

PubMed

Carrara, Verena I; Darakomon, Mue Chae; Thin, Nant War War; Paw, Naw Ta Kaw; Wah, Naw; Wah, Hser Gay; Helen, Naw; Keereecharoen, Suporn; Paw, Naw Ta Mlar; Jittamala, Podjanee; Nosten, François H; Ricci, Daniela; McGready, Rose

2016-01-01

Neurological examination, including visual fixation and tracking of a target, is routinely performed in the Shoklo Malaria Research Unit postnatal care units on the Thailand-Myanmar border. We aimed to evaluate a simple visual newborn test developed in Italy and performed by non-specialized personnel working in neonatal care units. An intensive training of local health staff in Thailand was conducted prior to performing assessments at 24, 48 and 72 hours of life in healthy, low-risk term singletons. The 48 and 72 hours results were then compared to values obtained to those from Italy. Parents and staff administering the test reported on acceptability. One hundred and seventy nine newborns, between June 2011 and October 2012, participated in the study. The test was rapidly completed if the infant remained in an optimal behavioral stage (7 ± 2 minutes) but the test duration increased significantly (12 ± 4 minutes, p < 0.001) if its behavior changed. Infants were able to fix a target and to discriminate a colored face at 24 hours of life. Horizontal tracking of a target was achieved by 96% (152/159) of the infants at 48 hours. Circular tracking, stripe discrimination and attention to distance significantly improved between each 24-hour test period. The test was easily performed by non-specialized local staff and well accepted by the parents. Healthy term singletons in this limited-resource setting have a visual response similar to that obtained to gestational age matched newborns in Italy. It is possible to use these results as a reference set of values for the visual assessment in Karen and Burmese infants in the first 72 hours of life. The utility of the 24 hours test should be pursued.

Breast cancer screening in Italy: evaluating key performance indicators for time trends and activity volumes.

PubMed

Giordano, Livia; Castagno, Roberta; Giorgi, Daniela; Piccinelli, Cristiano; Ventura, Leonardo; Segnan, Nereo; Zappa, Marco

2015-01-01

Together with the National centre for screening monitoring (ONS), GISMa supports annual collection of data on national breast screening activities. Aggregated data on implementation and performance are gathered through a standardized form to calculate process and impact indicators. Analyzed data belong to 153 local programmes in the period 2006-2011 (2006-2012 for participation rate only). During the whole period, Italian crude participation rate exceeded GISMa's acceptable standard (50%), even though a higher participation in northern and central Italy compared to southern Italy and Islands was observed. Time trend analysis of diagnostic indicators confirmed in 2011 an adequate quality of breast screening performance, especially at subsequent screening. Recall rate at initial screening did not reach the acceptable standard (<7%) and rose slightly over the period. On the contrary, a good performance was achieved at subsequent screening. The same trend was followed by the overall detection rate and positive predictive value. They both showed a progressive reduction (from 6.2‰ in 2006 to 4.5‰ in 2011 for DR and from 8.0% in 2006 to 5.2% in 2011 for PPV, respectively) at initial screening and a good, stable trend at subsequent screening. Activity volume analysis shows that in programmes with greater activity (test/year ≥10,000) RR at both initial and subsequent screening has a better performance. This is also true for DR and PPV where programmes with high volumes of activity do better, especially when compared with those that interpret fewer than 5,000 mammograms per year. In spite of a few limits, these results are reassuring, and they reward the efforts made by screening professionals. It is therefore important to continue to monitor screening indicators and suggest, test, and evaluate new strategies for continuous improvement.

Cost-effectiveness analysis of late prophylaxis vs. on-demand treatment for severe haemophilia A in Italy.

PubMed

Coppola, A; D'Ausilio, A; Aiello, A; Amoresano, S; Toumi, M; Mathew, P; Tagliaferri, A

2017-05-01

Long-term regular administrations of factor VIII (FVIII) concentrate (prophylaxis) initiated at an early age prevents bleeding in patients with severe haemophilia A (HA). The 5-year prospective Italian POTTER study provided evidence of benefits in adolescents and adults of late prophylaxis (LP) vs. on-demand therapy (OD) in reducing bleeding episodes and joint morbidity and improving quality of life; however, costs were increased. The aim of this study was to determine the cost-effectiveness of LP vs. OD with sucrose-formulated recombinant FVIII in adolescents and adults with severe HA in Italy. A Markov model evaluated lifetime cost-effectiveness of LP vs. OD in patients with severe HA in Italy, from both the healthcare and societal perspectives. Clinical input parameters were taken from the POTTER study and published literature. Health utility values were assigned to each health state as measured by the joint disease severity Pettersson score. Costs were expressed in Euro (€) 2014, including drug and other medical costs. Sensitivity analyses were performed considering societal perspective (including productivity lost) and varying relative risk of bleeding episodes between regimens. Clinical outcomes and costs were discounted at 6% according to previous studies. Lifetime incremental discounted quality-adjusted life-years (QALYs) were +4.26, whereas incremental discounted costs were +€229,694 from a healthcare perspective, with estimated incremental cost-effectiveness ratios (ICERs) equal to €53,978/QALY. Sensitivity analyses confirmed the base-case results showing lower ICERs with the societal perspective. Late prophylaxis vs. on-demand therapy results in a cost-effective approach with ICERs falling below the threshold considered acceptable in Italy. © 2017 John Wiley & Sons Ltd.

The prevalence and incidence of systemic lupus erythematosus in children and adults: a population-based study in a mountain community in northern Italy.

PubMed

Tsioni, Vasiliki; Andreoli, Laura; Meini, Antonella; Frassi, Micol; Raffetti, Elena; Airò, Paolo; Allegri, Flavio; Donato, Francesco; Tincani, Angela

2015-01-01

To estimate prevalence and incidence of systemic lupus erythematosus (SLE) in paediatric and adult populations in Italy. The study was carried out in Valtrompia, a valley in northern Italy, where a relatively close community lives, in 2009-2012. The only referral centre for SLE in the area is the Rheumatology Unit of the University Hospital of Brescia. The ascertainment of SLE cases was performed through the integration of three sources: 1) hospital database; 2) database of the Rheumatology laboratory; 3) database of general practitioners and general paediatricians practicing in the area. Each patient was evaluated by a rheumatologist for confirmation of SLE classification based on the presence of at least 4 criteria according to the American College of Rheumatology. Forty-four SLE patients (39 females, 89%) were identified. The prevalence of SLE at 31st December 2012 was 39.2 (95% C.I. 28.5-52.6) cases per 100,000 individuals in all subjects, and 42.3 (30.5-57.2) and 15.3 (1.8-55.1) in adults and children, respectively. Nine new cases of SLE were diagnosed over the 4 years of the study period, with an annual incidence rate of 2.0 (0.9-3.8) per 100,000 individuals. This is the first study estimating the prevalence and incidence of SLE in Italy in both adult and paediatric population. Prevalence and incidence rates in line with those reported in other Mediterranean European countries. The accurate assessment of the SLE frequency is supported by the choice of a well-defined area, the integration of multiple data sources and the revision of each case by a rheumatologist.

Location Capability and Site Characterization Installing a Borehole VBB Seismometer: the OGS Experience in Ferrara (Italy)

NASA Astrophysics Data System (ADS)

Pesaresi, D.; Barnaba, C.

2014-12-01

The Centro di Ricerche Sismologiche (CRS, Seismological Research Centre) of the Istituto Nazionale di Oceanografia e di Geofisica Sperimentale (OGS, Italian National Institute for Oceanography and Experimental Geophysics) in Udine (Italy) after the strong earthquake of magnitude M=6.4 occurred in 1976 in the Italian Friuli-Venezia Giulia region, started to operate the Northeastern Italy Seismic Network: it currently consists of 19 very sensitive broad band and 17 simpler short period seismic stations, all telemetered to and acquired in real time at the OGS CRS data centre in Udine. The southwestern edge of the OGS seismic network stands on the Po alluvial basin: earthquake localization and characterization in this area is affected by the presence of soft alluvial deposits. Following the ML=5.9 earthquake that struck the Emilia region around Ferrara in Northern Italy on May 20, 2012, a cooperation of Istituto Nazionale di Geofisica e Vulcanologia, OGS, the Comune di Ferrara and the University of Ferrara lead to the reinstallation of a previously existing very broad band (VBB) borehole seismic station in Ferrara and to the deployment of a temporary seismographic network consisting of eight portable seismological stations, to record the local earthquakes that occurred during the seismic sequence. The aim of the OGS intervention was on one hand to extend its real time seismic monitoring capabilities toward South-West, including Ferrara and its surroundings, and on the other hand to evaluate seismic site responses in the area. We will introduce details of the Ferrara VBB borehole station and the OGS temporary seismographic network configuration and installation. We will then illustrate the location capability performances, and finally we will shortly describe seismic site characterization with surface/borehole comparisons in terms of seismic noise, site amplification and resonance frequencies.

The ``exceptional'' earthquake of 3 January 1117 in the Verona area (northern Italy): A critical time review and detection of two lost earthquakes (lower Germany and Tuscany)

NASA Astrophysics Data System (ADS)

Guidoboni, Emanuela; Comastri, Alberto; Boschi, Enzo

2005-12-01

In the seismological literature the 3 January 1117 earthquake represents an interesting case study, both for the sheer size of the area in which that event is recorded by the monastic sources of the 12th century, and for the amount of damage mentioned. The 1117 event has been added to the earthquake catalogues of up to five European countries (Italy, France, Belgium, Switzerland, the Iberian peninsula), and it is the largest historical earthquake for northern Italy. We have analyzed the monastic time system in the 12th century and, by means of a comparative analysis of the sources, have correlated the two shocks mentioned (in the night and in the afternoon of 3 January) to territorial effects, seeking to make the overall picture reported for Europe more consistent. The connection between the linguistic indications and the localization of the effects has allowed us to shed light, with a reasonable degree of approximation, upon two previously little known earthquakes, probably generated by a sequence of events. A first earthquake in lower Germany (I0 (epicentral intensity) VII-VIII MCS (Mercalli, Cancani, Sieberg), M 6.4) preceded the far more violent one in northern Italy (Verona area) by about 12-13 hours. The second event is the one reported in the literature. We have put forward new parameters for this Veronese earthquake (I0 IX MCS, M 7.0). A third earthquake is independently recorded in the northwestern area of Tuscany (Imax VII-VIII MCS), but for the latter event the epicenter and magnitude cannot be evaluated.

The impact of diabetes mellitus on healthcare costs in Italy.

PubMed

Giorda, Carlo B; Manicardi, Valeria; Diago Cabezudo, Jesús

2011-12-01

Diabetes mellitus is an increasingly common chronic disease that has a great impact not only in terms of clinical effects, but also in terms of economic burden worldwide. Expenditures due to diabetes derive essentially from direct and indirect costs. Current estimates of global healthcare expenditures due to diabetes are US$376 billion and are expected to increase to US$490 billion by 2030. In particular, costs associated with diabetes-related complications represent the most relevant part of the national healthcare expenditure for diabetes and are higher than the costs of managing diabetes itself. The major expenditure depends on the type and the number of complications: cardiovascular complications increase direct costs, especially for hospitalization. Moreover, diabetic comorbidity has a greater economic impact on the health expenditure in comparison with those patients without diabetes. In Europe, the CODE-2 study was the first attempt to evaluate the costs of diabetes: the annual costs per patient were estimated at €2384 and the highest value, €2991, was registered in Italy. This indicates an overall annual cost of €5170 million for the whole Italian population with diabetes. Current estimates for 2010 healthcare expenditure for diabetes are US$105 billion (10% of total healthcare expenditure, US$2046 per person) for the whole European region, and US$11 billion (9% of total healthcare expenditure, US$2087 per person) for Italy. More studies are needed in order to better define the real significance of the healthcare costs of diabetes in Italy. An effective therapy with a good metabolic control can reduce the risk of complications and represents a valid strategy from an economic point of view.

Ambrosia pollen source inventory for Italy: a multi-purpose tool to assess the impact of the ragweed leaf beetle (Ophraella communa LeSage) on populations of its host plant

NASA Astrophysics Data System (ADS)

Bonini, M.; Šikoparija, Branko; Skjøth, C. A.; Cislaghi, G.; Colombo, P.; Testoni, C.; Smith, M.

2017-11-01

Here, we produce Ambrosia pollen source inventories for Italy that focuses on the periods before and after the accidental introduction of the Ophraella communa beetle. The inventory uses the top-down approach that combines the annual Ambrosia pollen index from a number of monitoring stations in the source region as well as Ambrosia ecology, local knowledge of Ambrosia infestation and detailed land cover information. The final inventory is gridded to a 5 × 5-km resolution using a stereographic projection. The sites with the highest European Infection levels were recorded in the north of Italy at Busto Arsizio (VA3) (European Infection level 2003-2014 = 52.1) and Magenta (MI7) (European Infection level 2003-2014 = 51.3), whereas the sites with the lowest (i.e. around 0.0) were generally located to the south of the country. Analysis showed that the European Infection level in all of Italy was significantly lower in 2013-2014 compared to 2003-2012, and this decrease was even more pronounced at the sites in the area where Ophraella communa was distributed. Cross-validations show that the sensitivity to the inclusion of stations is typically below 1% (for two thirds of the stations) and that the station Magenta (MI7) had the largest impact compared to all other stations. This is the first time that pollen source inventories from different temporal periods have been compared in this way and has implications for simulating interannual variations in pollen emission as well as evaluating the management of anemophilous plants like Ambrosia artemisiifolia.

Liver transplant associated with paracetamol overdose: results from the seven-country SALT study

PubMed Central

Gulmez, Sinem Ezgi; Larrey, Dominique; Pageaux, Georges-Philippe; Bernuau, Jacques; Bissoli, Franco; Horsmans, Yves; Thorburn, Douglas; McCormick, P Aiden; Stricker, Bruno; Toussi, Massoud; Lignot-Maleyran, Séverine; Micon, Sophie; Hamoud, Fatima; Lassalle, Régis; Jové, Jérémy; Blin, Patrick; Moore, Nicholas

2015-01-01

Aims Acute drug overdose, especially with paracetamol, may cause acute liver failure leading to registration for transplantation (ALFT). Population statistics and between-country differences for ALFT related to overdose have been poorly described. The aim of the present study was to evaluate overdose ALFT in the multi-country Study of Acute Liver Transplantation (SALT). Methods All adult overdose-related ALFT, with or without suicidal intent, in France, Greece, Ireland, Italy, the Netherlands, Portugal and the UK between 2005 and 2007 were identified from liver transplant registries and hospital records. These were compared with whole-country and per capita use of paracetamol. Results Six hundred cases of ALFT were identified in 52 of 57 eligible transplant centres, of which 114 involved overdose (72 intentional, 10 non-intentional, 32 uncertain). Overdose represented 20% of all-cause ALFT: Ireland 52%, UK 28%, France 18%, the Netherlands 8%, and Italy 1%. Overdose ALFT were mostly females (61%), mean age 33.6 ± 10.9 years. A total of 111 (97%) of the overdoses involved paracetamol. Event rates ranged from one ALFT for 20.7 tons of paracetamol in Ireland, to one for 1074 tons in Italy and one case in 60 million inhabitants over 3 years in Italy to one case in 286 000 inhabitants per year in Ireland. Per-country event rates for non-overdose ALFT exposed to paracetamol were between 2.5 and 4.0 per million treatment-years sold. Conclusions Paracetamol overdose was found to represent one-sixth of all-cause ALFT. There was a 50-fold difference in Europe in the rates of paracetamol overdose ALFT, and a 200-fold difference per million inhabitants. PMID:26017643

Liver transplant associated with paracetamol overdose: results from the seven-country SALT study.

PubMed

Gulmez, Sinem Ezgi; Larrey, Dominique; Pageaux, Georges-Philippe; Bernuau, Jacques; Bissoli, Franco; Horsmans, Yves; Thorburn, Douglas; McCormick, P Aiden; Stricker, Bruno; Toussi, Massoud; Lignot-Maleyran, Séverine; Micon, Sophie; Hamoud, Fatima; Lassalle, Régis; Jové, Jérémy; Blin, Patrick; Moore, Nicholas

2015-09-01

Acute drug overdose, especially with paracetamol, may cause acute liver failure leading to registration for transplantation (ALFT). Population statistics and between-country differences for ALFT related to overdose have been poorly described. The aim of the present study was to evaluate overdose ALFT in the multi-country Study of Acute Liver Transplantation (SALT). All adult overdose-related ALFT, with or without suicidal intent, in France, Greece, Ireland, Italy, the Netherlands, Portugal and the UK between 2005 and 2007 were identified from liver transplant registries and hospital records. These were compared with whole-country and per capita use of paracetamol. Six hundred cases of ALFT were identified in 52 of 57 eligible transplant centres, of which 114 involved overdose (72 intentional, 10 non-intentional, 32 uncertain). Overdose represented 20% of all-cause ALFT: Ireland 52%, UK 28%, France 18%, the Netherlands 8%, and Italy 1%. Overdose ALFT were mostly females (61%), mean age 33.6 ± 10.9 years. A total of 111 (97%) of the overdoses involved paracetamol. Event rates ranged from one ALFT for 20.7 tons of paracetamol in Ireland, to one for 1074 tons in Italy and one case in 60 million inhabitants over 3 years in Italy to one case in 286 000 inhabitants per year in Ireland. Per-country event rates for non-overdose ALFT exposed to paracetamol were between 2.5 and 4.0 per million treatment-years sold. Paracetamol overdose was found to represent one-sixth of all-cause ALFT. There was a 50-fold difference in Europe in the rates of paracetamol overdose ALFT, and a 200-fold difference per million inhabitants. © 2015 The British Pharmacological Society.

The CARIPANDA project: Climate change and water resources in the Adamello Natural Park of Italy

NASA Astrophysics Data System (ADS)

Bocchiola, D.

2009-04-01

The three years (2007-2009) CARIPANDA project funded by the Cariplo Foundation of Italy is aimed to evaluate scenarios for water resources in the Adamello natural Park of Italy in a window of 50 years or so (until 2050). The project is led by Ente Parco Adamello and involves Politecnico di Milano, Università Statale di Milano, Università di Brescia, and ARPA Lombardia as scientific partners, while ENEL hydropower Company of Italy joins the project as stake holder. The Adamello Natural Park is a noteworthy resource in the Italian Alps. The Adamello Group is made of several glacierized areas (c. 24 km2), of both debris covered and free ice types, including the widest Italian Glacier, named Adamello, spreading on an area of about c. 18 km2. Also the Adamello Natural Reserve, covering 217 km2 inside the Adamello Park and including the Adamello glaciers, hosts a number of high altitude safeguarded vegetal and animal species, the safety of which is a primary task of the Reserve. Project's activity involves analysis of local climate trend, field campaigns on glaciers, hydrological modelling and remote sensing of snow and ice covered areas, aimed to build a consistent model of the present hydrological conditions and of the areas. Then, properly tailored climate change projections for the area, obtained using local data driven downscaling of climate change projections from GCMs model, are used to infer the likely response to expected climate change conditions. With two years in the project now some preliminary findings can be highlighted and some preliminary trend analysis carried out. The proposed poster provides a resume of the main results of the project insofar, of interest as a benchmark for similar ongoing and foregoing projects about climate change impact on European mountainous natural areas.

A Human Deciduous Tooth and New 40Ar/39Ar Dating Results from the Middle Pleistocene Archaeological Site of Isernia La Pineta, Southern Italy

PubMed Central

Peretto, Carlo; Arnaud, Julie; Moggi-Cecchi, Jacopo; Manzi, Giorgio; Nomade, Sébastien; Pereira, Alison; Falguères, Christophe; Bahain, Jean-Jacques; Grimaud-Hervé, Dominique; Berto, Claudio; Sala, Benedetto; Lembo, Giuseppe; Muttillo, Brunella; Gallotti, Rosalia; Thun Hohenstein, Ursula; Vaccaro, Carmela; Coltorti, Mauro; Arzarello, Marta

2015-01-01

Isernia La Pineta (south-central Italy, Molise) is one of the most important archaeological localities of the Middle Pleistocene in Western Europe. It is an extensive open-air site with abundant lithic industry and faunal remains distributed across four stratified archaeosurfaces that have been found in two sectors of the excavation (3c, 3a, 3s10 in sect. I; 3a in sect. II). The prehistoric attendance was close to a wet environment, with a series of small waterfalls and lakes associated to calcareous tufa deposits. An isolated human deciduous incisor (labelled IS42) was discovered in 2014 within the archaeological level 3 coll (overlying layer 3a) that, according to new 40Ar/39Ar measurements, is dated to about 583–561 ka, i.e. to the end of marine isotope stage (MIS) 15. Thus, the tooth is currently the oldest human fossil specimen in Italy; it is an important addition to the scanty European fossil record of the Middle Pleistocene, being associated with a lithic assemblage of local raw materials (flint and limestone) characterized by the absence of handaxes and reduction strategies primarily aimed at the production of small/medium-sized flakes. The faunal assemblage is dominated by ungulates often bearing cut marks. Combining chronology with the archaeological evidence, Isernia La Pineta exhibits a delay in the appearance of handaxes with respect to other European Palaeolithic sites of the Middle Pleistocene. Interestingly, this observation matches the persistence of archaic morphological features shown by the human calvarium from the Middle Pleistocene site of Ceprano, not far from Isernia (south-central Italy, Latium). In this perspective, our analysis is aimed to evaluate morphological features occurring in IS42. PMID:26457581

Molecular Investigation on the Presence of Hepatitis E Virus (HEV) in Wild Game in North-Western Italy.

PubMed

Serracca, Laura; Battistini, Roberta; Rossini, Irene; Mignone, Walter; Peletto, Simone; Boin, Claudia; Pistone, Giancarlo; Ercolini, Riccardo; Ercolini, Carlo

2015-09-01

Meat products from HEV-infected reservoir animal species are capable of transmitting HEV to humans and represent a public health concern. Human HEV cases have been linked to the consumption of raw or undercooked pig liver sausages, pork, and game meats, such as wild boars and deer worldwide. Direct exposure to swine or wild game species might also represent a source of HEV transmission especially for veterinarians, hunters, or butchers. A limited amount of data is available on HEV prevalence in wild boars in Italy and no data are available for other wild game species intended for human consumption. In this study, the circulation of HEV in four different animal species hunted in north-western Italy was evaluated to gain insight into the infection levels and the genetic diversity of the virus in such animal populations. Liver samples of 372 wild boars, 30 roe deer, 47 European hares and 38 coypus were analyzed for HEV RNA by real-time RT-PCR; positive samples were then sequenced and submitted to phylogenetic analysis. HEV RNA was detected in the livers of 7/372 (1.9%) wild boars tested, while no sample was positive for roe deer, European hare, and coypu. Phylogenetic analysis showed that wild boar HEV sequences belonged to HEV subtypes 3e, 3c, and 3f. Our results indicate that HEV is circulating only in wild boar among the considered game species in north-western Italy and suggest a potential zoonotic risk related to handling and/or consumption of raw or undercooked meat and products made of the liver from this species.

76 FR 42114 - Granular Polytetrafluoroethylene Resin From Italy: Continuation of Antidumping Duty Order

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-18

... (``PTFE resin'') from Italy would likely lead to a continuation or recurrence of dumping and material... initiation of the third sunset review of the antidumping duty order on PTFE resin from Italy, pursuant to...

New Methodologies for the Documentation of Fortified Architecture in the State of Ruins

NASA Astrophysics Data System (ADS)

Fallavollita, F.; Ugolini, A.

2017-05-01

Fortresses and castles are important symbols of social and cultural identity providing tangible evidence of cultural unity in Europe. They are items for which it is always difficult to outline a credible prospect of reuse, their old raison d'être- namely the military, political and economic purposes for which they were built- having been lost. In recent years a Research Unit of the University of Bologna composed of architects from different disciplines has conducted a series of studies on fortified heritage in the Emilia Romagna region (and not only) often characterized by buildings in ruins. The purpose of this study is mainly to document a legacy, which has already been studied in depth by historians, and previously lacked reliable architectural surveys for the definition of a credible as well as sustainable conservation project. Our contribution will focus on different techniques and methods used for the survey of these architectures, the characteristics of which- in the past- have made an effective survey of these buildings difficult, if not impossible. The survey of a ruin requires, much more than the evaluation of an intact building, reading skills and an interpretation of architectural spaces to better manage the stages of documentation and data processing. Through a series of case studies of fortified buildings in ruins, we intend to describe the reasons that guided the choice of the methods and tools used and to highlight the potentials and the limits of these choices in financial terms.

State of the art of chronic spontaneous urticaria in Italy: a multicentre survey to evaluate physicians’ and patients’ perspectives

PubMed Central

Rimoldi, Marco; Rossi, Oliviero; Rota, Nadia

2016-01-01

Objective To assess the clinical status of chronic spontaneous urticaria (CSU) and understand treatment approaches in Italy through specialists who treat CSU (dermatologists and allergy specialists) and CSU patients' experience. Design Multicentre survey. Setting Online structured questionnaires (one for physicians and one for patients). Participants Physicians and patients with CSU in Italy. Interventions None. Primary/secondary outcomes Physician and patient attitudes/experiences. Results Survey results from 160 allergy and 160 dermatology specialists show that specialists see a median of 40 (IQR 20–80) patients with CSU/year. While most specialists (56%) know the CSU guidelines, only 27% use them regularly (36% of allergy specialists vs 18% of dermatologists). This is reflected in treatment choices with differences between physicians who use guidelines regularly and those who do not: 91.6% vs 71.7% choose standard-dose, non-sedating antihistamines as first-line treatment; 85.9% vs 56.0% select up-dosing for second-line treatment and 65.3% vs 37.2% add leukotriene receptor antagonists or H2-antihistamines as third-line treatment. The diaries from 1385 patients highlight that, regardless of treatment regimen, 29.4% of currently treated patients are refractory to therapy. Specialists aim to resolve symptoms and only 7.8% report improving quality of life (QoL) as a priority. Only 16.6% of specialists are familiar with and use the Urticaria Activity Score while 46.9% do not know it. Overall, 537 patients with CSU were surveyed (median age 37 years, IQR 30–46; 44.3% men; median disease duration 5 years, IQR 3–20). Approximately 62% confirm that CSU negatively impacts their QoL. Patients also complain of difficulties in getting information and support: <5% of medical centres provide patient support services. Conclusions In Italy, the gap between guideline-based care and QoL-related needs in CSU patients affects treatment satisfaction. This information could be used to improve the management of CSU in Italy. PMID:27742625

Concept, Implementation and Testing of PRESTo: Real-time experimentation in Southern Italy and worldwide applications

NASA Astrophysics Data System (ADS)

Zollo, Aldo; Emolo, Antonio; Festa, Gaetano; Picozzi, Matteo; Elia, Luca; Martino, Claudio; Colombelli, Simona; Brondi, Piero; Caruso, Alessandro

2016-04-01

The past two decades have witnessed a huge progress in the development, implementation and testing of Earthquakes Early Warning Systems (EEWS) worldwide, as the result of a joint effort of the seismological and earthquake engineering communities to set up robust and efficient methodologies for the real-time seismic risk mitigation. This work presents an overview of the worldwide applications of the system PRESTo (PRobabilistic and Evolutionary early warning SysTem), which is the highly configurable and easily portable platform for Earthquake Early Warning developed by the RISSCLab group of the University of Naples Federico II. In particular, we first present the results of the real-time experimentation of PRESTo in Suthern Italy on the data streams of the Irpinia Seismic Network (ISNet), in Southern Italy. ISNet is a dense high-dynamic range, earthquake observing system, which operates in true real-time mode, thanks to a mixed data transmission system based on proprietary digital terrestrial links, standard ADSL and UMTS technologies. Using the seedlink protocol data are transferred to the network center unit, running the software platform PRESTo which is devoted to process the real-time data streaming, estimate source parameters and issue the alert. The software platform PRESTo uses a P-wave, network-based approach which has evolved and improved during the time since its first release. In its original version consisted in a series of modules, aimed at the event detection/picking, probabilistic real-time earthquake location and magnitude estimation, prediction of peak ground motion at distant sites through ground motion prediction equations for the area. In the recent years, PRESTo has been also implemented at the accelerometric and broad-band seismic networks in South Korea, Romania, North-East Italy, and Turkey and off-line tested in Iberian Peninsula, Israel, and Japan. Moreover, the feasibility of a PRESTo-based, EEWS at national scale in Italy, has been tested by evaluating its performance for the Italian Accelerometric Network. These testing experiments and the EEWS performance results will be summarized in the near-future perspective of building the next generation of early warning systems.

Urban archaeology: new perspectives and possibilities

NASA Astrophysics Data System (ADS)

Leucci, Giovanni; De Giorgi, Lara; Persico, Raffaele

2017-04-01

The study of ancient remains is more difficult in urban environments than in an archaeological site, because the ancient town and the modern one superpose to each other and precious testimonies are present just under the current irremovable roads and the buildings. However, modern techniques allows to investigate the past under the present, and allows to retrieve information and possibly create a fruition of the ancient site. IBAM-CNR has been engaged for years in this kind of problems, making use of GPR, ERT and other geophysical techniques [1-3], virtual reality [4] and minimally invasive diagnostics [5] in several towns, in particular in southern Italy and Sicily. The valorization of sites in urban areas require precise projects, founding and clear ideas and agreements about the management of the cultural heritage, because only in this case the work performed will be really exploited and enjoyed by specialists and common people. At the conference, some examples will be shown regarding monuments in the town of Lecce, Italy. References [1] M. Pieraccini, L. Noferini, D. Mecatti, C. Atzeni, R. Persico, F. Soldovieri, Advanced Processing Techniques for Step-frequency Continuous-Wave Penetrating Radar: the Case Study of "Palazzo Vecchio" Walls (Firenze, Italy), Research on Nondestructive Evaluation, vol. 17, pp. 71-83, 2006. [2] Masini N, Persico R., Rizzo E, Calia A, Giannotta M. T., Quarta G., Pagliuca A., "Integrated Techniques for Analysis and Monitoring of Historical Monuments: the case of S.Giovanni al Sepolcro in Brindisi (Southern Italy)." Near Surface Geophysics, vol. 8, n. 5, pp. 423-432, 2010. [3] G. Leucci, N. Masini, R. Persico, F. Soldovieri." GPR and sonic tomography for structural restoration : the case of the Cathedral of Tricarico", Journal of Geophysics and Engineering, vol. 8, pp. S76-S92, Aug. 2011. [4] F. Gabellone, G. Leucci, N. Masini, R. Persico, G. Quarta, F. Grasso, "Nondestructive Prospecting and virtual reconstruction of the chapel of the Holy Spirit in Lecce, Italy", Near Surface Geophysics, vol. 11, n. 2, pp. 231-238, April 2013. [5] L. Matera, R. Persico, N. Bianco, G. Lepozzi and G. Leopizzi, Joined interpretation of Buried Anomalies from Ground Penetrating Radar data and endoscopic tests, Archaeological prospection, vol. 23, n. 4, pp. 301-309, 2016.

State of the art of chronic spontaneous urticaria in Italy: a multicentre survey to evaluate physicians' and patients' perspectives.

PubMed

Rimoldi, Marco; Rossi, Oliviero; Rota, Nadia

2016-10-14

To assess the clinical status of chronic spontaneous urticaria (CSU) and understand treatment approaches in Italy through specialists who treat CSU (dermatologists and allergy specialists) and CSU patients' experience. Multicentre survey. Online structured questionnaires (one for physicians and one for patients). Physicians and patients with CSU in Italy. None. Physician and patient attitudes/experiences. Survey results from 160 allergy and 160 dermatology specialists show that specialists see a median of 40 (IQR 20-80) patients with CSU/year. While most specialists (56%) know the CSU guidelines, only 27% use them regularly (36% of allergy specialists vs 18% of dermatologists). This is reflected in treatment choices with differences between physicians who use guidelines regularly and those who do not: 91.6% vs 71.7% choose standard-dose, non-sedating antihistamines as first-line treatment; 85.9% vs 56.0% select up-dosing for second-line treatment and 65.3% vs 37.2% add leukotriene receptor antagonists or H 2 -antihistamines as third-line treatment. The diaries from 1385 patients highlight that, regardless of treatment regimen, 29.4% of currently treated patients are refractory to therapy. Specialists aim to resolve symptoms and only 7.8% report improving quality of life (QoL) as a priority. Only 16.6% of specialists are familiar with and use the Urticaria Activity Score while 46.9% do not know it. Overall, 537 patients with CSU were surveyed (median age 37 years, IQR 30-46; 44.3% men; median disease duration 5 years, IQR 3-20). Approximately 62% confirm that CSU negatively impacts their QoL. Patients also complain of difficulties in getting information and support: <5% of medical centres provide patient support services. In Italy, the gap between guideline-based care and QoL-related needs in CSU patients affects treatment satisfaction. This information could be used to improve the management of CSU in Italy. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Prediction in Ungauged Basins (PUB) for estimating water availability during water scarcity conditions: rainfall-runoff modelling of the ungauged diversion inflows to the Ridracoli water supply reservoir

NASA Astrophysics Data System (ADS)

Toth, Elena

2013-04-01

The Ridracoli reservoir is the main drinking water supply reservoir serving the whole Romagna region, in Northern Italy. Such water supply system has a crucial role in an area where the different characteristics of the communities to be served, their size, the mass tourism and the presence of food industries highlight strong differences in drinking water needs. Its operation allows high quality drinking water supply to a million resident customers, plus a few millions of tourists during the summer of people and it reduces the need for water pumping from underground sources, and this is particularly important since the coastal area is subject also to subsidence and saline ingression into aquifers. The system experienced water shortage conditions thrice in the last decade, in 2002, in 2007 and in autumn-winter 2011-2012, when the reservoir water storage fell below the attention and the pre-emergency thresholds, thus prompting the implementation of a set of mitigation measures, including limitations to the population's water consumption. The reservoir receives water not only from the headwater catchment, closed at the dam, but also from four diversion watersheds, linked to the reservoir through an underground water channel. Such withdrawals are currently undersized, abstracting only a part of the streamflow exceeding the established minimum flows, due to the design of the water intake structures; it is therefore crucial understanding how the reservoir water availability might be increased through a fuller exploitation of the existing diversion catchment area. Since one of the four diversion catchment is currently ungauged (at least at the fine temporal scale needed for keeping into account the minimum flow requirements downstream of the intakes), the study first presents the set up and parameterisation of a continuous rainfall-runoff model at hourly time-step for the three gauged diversion watersheds and for the headwater catchment: a regional parameterisation approach is then applied for modelling the streamflow originated in the fourth, ungauged, diversion watershed. Finally, the potential reservoir water availability is estimated, hypothesising to take from the diversion catchments all the streamflow exceeding the minimum flow requirements. The results indicate that modifying the water intake structures might allow a consistent increase in the storage volumes in the reservoir during the water scarcity periods: the water available to the reservoir would in fact - on average - increase of around the 13% of the abstracted annual volume.

Balneotherapy for chronic plaque psoriasis at Comano spa in Trentino, Italy.

PubMed

Peroni, Anna; Gisondi, Paolo; Zanoni, Mauro; Girolomoni, Giampiero

2008-07-01

Thermal therapy is used worldwide in the treatment of psoriasis but few controlled studies have evaluated its efficacy and safety. We studied the efficacy and safety of balneotherapy compared to photobalneotherapy performed at Comano spa in Trentino, Italy, in chronic plaque psoriasis in a prospective, nonrandomized, open study. Three hundred adult patients with mild to severe chronic plaque psoriasis were assigned to either balneotherapy or photobalneotherapy with daily narrow-band ultraviolet B for a mean period of 1 or 2 weeks, reflecting the times that most patients can dedicate to thermal therapy. Patients were evaluated at baseline and end of treatment for psoriasis area and severity index (PASI) and body surface area; self-administered PASI (SAPASI) and Skindex-29 were evaluated at the same times, and also at 4 months by a mailed questionnaire. One-week balneotherapy or photobalneotherapy resulted in a significant reduction in PASI score (11.54% +/- 2.76 and 12.76% +/- 3.79, respectively; mean +/- standard deviation; p < 0.001). Two-week therapy induced a greater response with photobalneotherapy than with balneotherapy alone, with PASI reduction of 19.8% +/- 24.5 and 13.5% +/- 23.1 (p < 0.005), respectively. These results were confirmed by SAPASI and Skindex-29 evaluation. The therapy was well tolerated. Skin improvement was mostly lost after 4 months. Short-term balneotherapy and photobalneotherapy could thus be offered to patients willing to temporarily discontinue pharmacologic therapy or as adjuvant therapy.

UAIS Unruptured Aneurysms Italian Study (Dedicated to Massimo Collice).

PubMed

Maira, Giulio; Mannino, Stefano; D'Aliberti, Giuseppe; Albanese, Alessio; Sabatino, Giovanni; Delfini, Roberto; Tomasello, Francesco; Alafaci, Concetta; Marchese, Enrico

2018-02-23

Unruptured intracranial aneurysms (UIAs) are increasingly identified and are an important health-care burden; in the past they were commonly treated by surgical clipping, but nowadays endovascular coil embolization is increasingly employed as an alternative. The Unruptured Aneurysms Italian Study (UAIS) is a multicentric cooperative prospective study aimed to delineate the "State of the Art" of UIAs treatment in Italy. 51 Italian Neurosurgical and Neuroradiological Units, representatives of all 20 Italian regions are involved in the Study. UAIS started on June 2003 and ended on July 2007. 1138 patients were collected by that date, but 181 were ruled-out due to severe violation of the protocol; 957 had complete data and could be statistically evaluated. UAIS demonstrates that the treatment of UAs, as performed in Italy as a Nation, is effective in improving long-term outcome vs natural history, particularly in aneurysms larger than 7 mm.

A preliminary evaluation of ERTS-1 images on the volcanic areas of Southern Italy

NASA Technical Reports Server (NTRS)

Cassinis, R.; Lechi, G. M.

1973-01-01

The test site selected for the investigation covers nearly all the regions of active and quiescent volcanism in southern Italy, i.e. the eastern part of the island of Sicily, the Aeolian Islands and the area of Naples. The three active European volcanoes (Etna, Stromboli and Vesuvius) are included. The investigation is in the frame of a program for the surveillance of active volcanoes by geophysical (including remote sensing thermal methods) and geochemical methods. By the multispectral analysis of ERTS-1 data it is intended to study the spectral behavior of the volcanic materials as well as the major geological lineaments with special reference to those associated with the volcanic region. Secondary objectives are also the determination of the hydrographic network seasonal behavior and the relationship between the vegetation cover and the different type of soils and rocks.

Occupation and first episode psychosis in Northern Italy: better outcomes for migrants.

PubMed

Tarricone, Ilaria; Morgan, Craig; Boydell, Jane; Panigada, Serena; Morigi, Raffaele; Braca, Mauro; Sutti, Enrico; Boldri, Pierluigi; Di Forti, Marta; Murray, Robin M; Berardi, Domenico

2017-12-01

Many studies show that migrants have a higher incidence of psychosis compared to natives, but the influence of migration on psychosis outcomes is little investigated. We aimed to evaluate the occupational outcomes of a first episode psychosis (FEP) sample in Bologna (Northern Italy). An incidence cohort of FEP patients presenting at the Bologna West Community Mental Health Centers between 2002 and 2009 was assessed at the baseline and at 12th month follow-up. Return to school or work was used as occupational outcome. Most of the patients (82.8%) were still in contact at 12 months. Migrants showed significantly higher rate of return to work compared to natives (adjusted OR 4.45, 95% CI 1.55-12.76). First generation migrants had better occupational outcomes. Further cross-cultural studies are needed to further explain these findings. © 2016 John Wiley & Sons Australia, Ltd.

Association among nocturnal enuresis, body weight and obstructive sleep apnea in children of south Italy: an observational study.

PubMed

Ferrara, Pietro; Fabrizio, Giovanna C; Franco, Daniele; Spina, Giulia; Ianniello, Francesca; Sbordone, Annamaria; Vitelli, Ottavio; Quintarelli, Fabio; Verrotti, Alberto; Saggese, Giuseppe

2016-04-14

To evaluate the rate of nocturnal enuresis (NE), body weight and obstructive sleep apnea in children 5 to 10 years of age in South Italy and the possible association among these disorders. We have administered 1.100 validated questionnaires, in Italian language, to parents and we have analyzed data with a logistic regression. Forty-two percent of children had a BMI ≥ 85th (group 1) vs 58.0% normal weight children at the same age (group 2). There is a higher number of overweight males compared to females without statistically differences. In group 1 there were a higher number of children with NE and obstructive sleep disorders and exists in some children the association among these three disorders. There are no statistically differences between two study groups for the association body weight-NE, body weight-NE-obstructive sleep disorders.

Progressive approach to eruption at Campi Flegrei caldera in southern Italy

NASA Astrophysics Data System (ADS)

Kilburn, Christopher R. J.; de Natale, Giuseppe; Carlino, Stefano

2017-05-01

Unrest at large calderas rarely ends in eruption, encouraging vulnerable communities to perceive emergency warnings of volcanic activity as false alarms. A classic example is the Campi Flegrei caldera in southern Italy, where three episodes of major uplift since 1950 have raised its central district by about 3 m without an eruption. Individual episodes have conventionally been treated as independent events, so that only data from an ongoing episode are considered pertinent to evaluating eruptive potential. An implicit assumption is that the crust relaxes accumulated stress after each episode. Here we apply a new model of elastic-brittle failure to test the alternative view that successive episodes promote a long-term accumulation of stress in the crust. The results provide the first quantitative evidence that Campi Flegrei is evolving towards conditions more favourable to eruption and identify field tests for predictions on how the caldera will behave during future unrest.

Estimating the Smoking Ban Effects on Smoking Prevalence, Quitting and Cigarette Consumption in a Population Study of Apprentices in Italy.

PubMed

Pieroni, Luca; Muzi, Giacomo; Quercia, Augusto; Lanari, Donatella; Rundo, Carmen; Minelli, Liliana; Salmasi, Luca; dell'Omo, Marco

2015-08-13

We evaluated the effects of the Italian 2005 smoking ban in public places on the prevalence of smoking, quitting and cigarette consumption of young workers. The dataset was obtained from non-computerized registers of medical examinations for a population of workers with apprenticeship contracts residing in the province of Viterbo, Italy, in the period 1996-2007. To estimate the effects of the ban, a segmented regression approach was used, exploiting the discontinuity introduced by the application of the law on apprentices' smoking behavior. It is estimated that the Italian smoking ban generally had no effect on smoking prevalence, quitting ratio, or cigarette consumption of apprentices. However, when the estimates were applied to subpopulations, significant effects were found: -1% in smoking prevalence, +2% in quitting, and -3% in smoking intensity of apprentices with at least a diploma.

Estimating the Smoking Ban Effects on Smoking Prevalence, Quitting and Cigarette Consumption in a Population Study of Apprentices in Italy

PubMed Central

Pieroni, Luca; Muzi, Giacomo; Quercia, Augusto; Lanari, Donatella; Rundo, Carmen; Minelli, Liliana; Salmasi, Luca; dell’Omo, Marco

2015-01-01

Objectives: We evaluated the effects of the Italian 2005 smoking ban in public places on the prevalence of smoking, quitting and cigarette consumption of young workers. Data and Methods: The dataset was obtained from non-computerized registers of medical examinations for a population of workers with apprenticeship contracts residing in the province of Viterbo, Italy, in the period 1996–2007. To estimate the effects of the ban, a segmented regression approach was used, exploiting the discontinuity introduced by the application of the law on apprentices’ smoking behavior. Results: It is estimated that the Italian smoking ban generally had no effect on smoking prevalence, quitting ratio, or cigarette consumption of apprentices. However, when the estimates were applied to subpopulations, significant effects were found: −1% in smoking prevalence, +2% in quitting, and −3% in smoking intensity of apprentices with at least a diploma. PMID:26287220

Progressive approach to eruption at Campi Flegrei caldera in southern Italy

PubMed Central

Kilburn, Christopher R.J.; De Natale, Giuseppe; Carlino, Stefano

2017-01-01

Unrest at large calderas rarely ends in eruption, encouraging vulnerable communities to perceive emergency warnings of volcanic activity as false alarms. A classic example is the Campi Flegrei caldera in southern Italy, where three episodes of major uplift since 1950 have raised its central district by about 3 m without an eruption. Individual episodes have conventionally been treated as independent events, so that only data from an ongoing episode are considered pertinent to evaluating eruptive potential. An implicit assumption is that the crust relaxes accumulated stress after each episode. Here we apply a new model of elastic-brittle failure to test the alternative view that successive episodes promote a long-term accumulation of stress in the crust. The results provide the first quantitative evidence that Campi Flegrei is evolving towards conditions more favourable to eruption and identify field tests for predictions on how the caldera will behave during future unrest. PMID:28504261

Progressive approach to eruption at Campi Flegrei caldera in southern Italy.

PubMed

Kilburn, Christopher R J; De Natale, Giuseppe; Carlino, Stefano

2017-05-15

Unrest at large calderas rarely ends in eruption, encouraging vulnerable communities to perceive emergency warnings of volcanic activity as false alarms. A classic example is the Campi Flegrei caldera in southern Italy, where three episodes of major uplift since 1950 have raised its central district by about 3 m without an eruption. Individual episodes have conventionally been treated as independent events, so that only data from an ongoing episode are considered pertinent to evaluating eruptive potential. An implicit assumption is that the crust relaxes accumulated stress after each episode. Here we apply a new model of elastic-brittle failure to test the alternative view that successive episodes promote a long-term accumulation of stress in the crust. The results provide the first quantitative evidence that Campi Flegrei is evolving towards conditions more favourable to eruption and identify field tests for predictions on how the caldera will behave during future unrest.

Historical and Metallurgical Characterization of a "Falchion" Sword Manufactured in Caino (Brescia, Italy) in the Early 17th Century A.D.

NASA Astrophysics Data System (ADS)

Tonelli, G.; Faccoli, M.; Gotti, R.; Roberti, R.; Cornacchia, G.

2016-08-01

A historical and metallurgical characterization of a "falchion" sword manufactured in Caino (Brescia, northern Italy) and dating from the early 17th century was performed to understand the manufacture methods of a Renaissance sword. At first, a set of size measurements was carried out to look for the existence of constant and/or recurring macroscopic sizes, which would indicate a standardized production, or of any type of proportionality between different parts of a sword, which would prove an intentional design activity. Light optical microscopy, scanning electron microscopy, energy-dispersive x-ray spectroscopy, quantometer analyses, and Vickers microhardness tests were then employed to analyze the microstructure and obtain the mechanical properties. All the metallurgical work is supported by an accurate study on the chemical composition of both metal-matrix and nonmetallic inclusions, which allowed for rebuilding and evaluating the efficiency of the whole production process.

Inequalities in maternal care in Italy: the role of socioeconomic and migrant status.

PubMed

Lauria, Laura; Bonciani, Manila; Spinelli, Angela; Grandolfo, Michele E

2013-01-01

Maternal care is affected by socioeconomic factors. This study analyses the effect of maternal education, employment and citizenship on some antenatal and postnatal care indicators in Italy. Data are from two population-based follow-up surveys conducted to evaluate the quality of maternal care in 25 Italian Local Health Units in 2008/9 and 2010/1 (6942 women). Logistic models were applied and interactions among independent variables were explored. Education and employment status affect antenatal and postnatal care indicators and migrant women are less likely to make use of health opportunities. Low education status exacerbates the initial social disadvantage of migrants. Migrant women are also more affected by socioeconomic pressure to restart working early, with negative impact on postnatal care. Interventions focusing on women's empowerment may tackle inequalities in maternal care for those women, Italians or migrants, who have a worse initial maternal health literacy due to their lower socioeconomic conditions.