Screening program for latent tuberculosis infection in asylum seekers - a single center experience in Pavia, Italy.

BACKGROUND: The management of Latent Tuberculosis Infection is crucial in fighting Tuberculosis worldwide, and particularly in low incidence European Countries. While guidelines for the management of Tuberculosis in newly arrived immigrants have been issued by the European Center for Disease Control and Prevention and by the National Health Authorities in Italy, these are not widely implemented yet at local level. STUDY DESIGN: We report our program for the screening of Latent Tuberculosis Infection and active Tuberculosis in asylum seekers, jointly implemented by Public Health Authorities and the Infectious Diseases Department of a tertiary care, teaching hospital in Northern Italy. METHODS: We reviewed records of the asylum seekers who were screened at our center via Tuberculin Skin Test and/or Interferon Gamma Release Assay plus chest X-ray and either treated with Isoniazid Preventive Treatment or for active Tuberculosis Disease in case of positive results. RESULTS: We screened 726 migrants, mostly males (97.3%) and from Sub-Saharan Africa (82.2%) and found a high adherence rate for both screening (98.2%) and Isoniazid Preventive Treatment (90.1%). In addition, we found seven cases of active Tuberculosis. CONCLUSIONS: Latent Tuberculosis Infection screening and treatment proved feasible in our program, which should be systematically implemented in asylum seekers reaching Europe.

Magma Degassing as a Source of Long-Term Seismicity at Volcanoes: The Ischia Island (Italy) Case.

Transient seismicity at active volcanoes poses a significant risk in addition to eruptive activity. This risk is powered by the common belief that volcanic seismicity cannot be forecast, even on a long term. Here we investigate the nature of volcanic seismicity to try to improve our forecasting capacity. To this aim, we consider Ischia volcano (Italy), which suffered similar earthquakes along its uplifted resurgent block. We show that this seismicity marks an acceleration of decades-long subsidence of the resurgent block, driven by degassing of magma that previously produced the uplift, a process not observed at other volcanoes. Degassing will continue for hundreds to thousands of years, causing protracted seismicity and will likely be accompanied by moderate and damaging earthquakes. The possibility to constrain the future duration of seismicity at Ischia indicates that our capacity to forecast earthquakes might be enhanced when seismic activity results from long-term magmatic processes, such as degassing.

Genotoxic evaluation of the antimalarial drugs artemisinin and artesunate in human HepG2 cells and effects on CASP3 and SOD1 gene expressions.

The malaria treatment recommended by the World Health Organization involves medicines derived from artemisinin, an active compound extracted from the plant Artemisia annua, and some of its derivatives, such as artesunate. Considering the lack of data regarding the genotoxic effects of these compounds in human cells, the objective of this study was to evaluate the cytotoxicity and genotoxicity, and expressions of the CASP3 and SOD1 genes in a cultured human hepatocellular liver carcinoma cell line (HepG2 cells) treated with artemisinin and artesunate. We tested concentrations of 2.5, 5, 7.5, 10, and 20 µg/mL of both substances with a resazurin cytotoxicity assay, and the concentrations used in the genotoxicity experiments (2.5, 5, and 10 µg/mL) and gene expression analysis (5 µg/mL) were determined. The results of the comet assay in cells treated with artemisinin and artesunate showed a significant dose-dependent increase (P < 0.001) in the number of cells with DNA damage at all concentrations tested. However, the gene expression analysis revealed no significant change in expression of CASP3 or SOD1. Our data showed that although artemisinin and artesunate exhibited genotoxic effects in cultured HepG2 cells, they did not significantly alter expression of the CASP3 and SOD1 genes at the doses tested.

[The effective Communication in Vaccination Program as a Patient Safety tool: the Lombardy region experience]. / La comunicazione in campo vaccinale quale strumentodi implementazione della Patient safety e della partecipazione responsabile del Cittadino: l'esperienza della Direzione Generale Sanità della Regione Lombardia.

The communication is strategic in Public Health because it is at the heart of who we are as human beings. It is our way of exchanging information and it also ensures the effectiveness of empowerment strategies. In this semantic context, the effective communication/education/information can be a Patient Safety tool because can reduce the adverse events by failure of information or education. In the multicultural collectivity, the risk of miscommunication and unsafe care is very high. This paper describes the design of a multilingual information/education tools to reduce the information failure in vaccination and the related adverse events by information failure or deficiency of adherence in the paediatric vaccination.

Learning in the Africanized honey bee: Apis mellifera L.

Several series of experiments are reported that investigate learning in the Africanized honey bee. In the first series, classical conditioning of proboscis extension was studied by confining bees to small metal tubes where they received pairings of an odor with a 3-s feeding of sucrose. After a number of odor-sucrose pairings, the bees began to extend their proboscis to the odor. Controls include Unpaired, Discrimination, and Pseudoconditioning Groups. This technique was used to look at conditioning to a light CS, and to the odors of beeswax, geraniol, citral, and hexanal. The results indicate that acquisition was best when sucrose was paired with the odor of beeswax. Conditioning to the remaining odors was roughly similar, but acquisition did not occur using a light. In a second series of experiments, odors were no longer followed by sucrose feedings and the conditioned response slowly disappeared. With the exception of geraniol as a CS, this extinction effect did not occur if the animals continued to be fed on an unpaired schedule. In a third series of experiments, conditioned inhibition was demonstrated when geraniol was used as conditioned stimuli, but no effect was found when the odors of hexanal, citral and wax were used. In a fourth series of experiments, unrestrained bees flew back and forth from the laboratory to the hive, where they were taught to distinguish targets based on color and odor. With this technique, color and odor discrimination in the Africanized bees was demonstrated. In addition, it was found that more intruder bees visited the experimental station when the stimuli used were olfactory rather than visual.

Some preliminary studies on the ability of Africanized honey bees (Apis mellifera L.) to tolerate cold temperatures when placed inside a refrigerator.

Cold is often suggested as an ecological mechanism to prevent the migration of Africanized honey bees. The ability of Africanized honey bees to tolerate cold temperatures was investigated. In one study an observation hive was placed inside a refrigerator at 25 degrees C. The study was conceptualized as a choice experiment in which the colony could remain in a cold environment or leave for a warm environment. Analysis indicated that the bees remained at 9 +/- 1 degrees C for 14 days before leaving. In a second series of studies, testing the tolerance to 0 degree C, 280 bees were placed individually in small metal tubes. The data gathered included survival rate, time to regain consciousness, and ability to feed. Analysis indicated that Africanized bees can survive for up to 3 hr. at 0 degree C with few ill effects. At 4 hr., however, the survival rate is low. Limitations of the study, the use of cold as a possible deterrent to honey bee mites, and suggestions for additional research are discussed.

The effect of insecticides on learning in the Africanized honey bee (Apis mellifera L.).

The present study was designed to examine the effects of endosulfan, decis, baytroid, and sevin on the learning ability of Africanized honey bees (Apis mellifera L.). Although these insecticides were recommended by the government of Brazil to control the cotton boll weevil, the effects on bees have been unknown. Results of the present research show that: (1) bees readily consume each of the pesticides when placed in a sucrose solution; (2) the odors of the pesticides are not repellent to bees, and such odors can serve as conditioned stimuli; (3) learning occurs to various degrees when the insecticides are combined with the sucrose solution and used as an unconditioned stimulus; and (4) feeding the insecticides to the bees 1 h prior to conditioning leads to differing mortality. Because of the importance of bees for honey production, as well as pollination of cotton and other crops, recommendations are made for the use of decis and other measures for boll weevil control.http://link. springer-ny.com/link/service/journals/00244/bibs/37n4p529.++ +html

Consumo de tabaco en la Facultad de Odontología de la Universidad Nacional de Asunción / Consumption of snuff at the Faculty of Dentistry, National University of Asuncion

El uso del tabaco es una de las mayores causas de enfermedades y muertes prematuras en el mundo. Según la Organización Mundial de la Salud (OMS) aproximadamente 5 millones de muertes al año pueden atribuirse al tabaco. El número de muertes excederá los 10 millones para el 2020. En el Paraguay mueren dos personas por día como consecuencia de enfermedades relacionadas al consumo del tabaco. Más de la mitad de las muertes son por cáncer del pulmón. Con el objetivo de determinar la frecuencia de consumidores de tabaco en estudiantes, docentes y funcionarios de la Facultad de Odontología se realizó un estudio observacional descriptivo de corte transverso, con empleo de cuestionario autoadministrado. (Test de Fagerstrõm modificado, para detectar la dependencia a la Nicotina).Se pudo constatar que en la Institución el 61% de los encuestados fuma, de ellos el 66% son estudiantes. 63% de las mujeres encuestadas fuma frente al 59% de los varones. El promedio de edad de inicio es similar en ambos sexos. La gran mayoría de los fumadores presentan bajo grado de dependencia a la Nicotina. Es necesario continuar los estudios sobre este tema y fomentar el aumento de campañas de concienciación de manera a que en nuestra institución, como lugar dedicado al servicio de la salud, en un futuro cercano podamos desarrollar nuestras actividades en un “ambiente saludable”

Diagnóstico por imagen en traumatismos faciales: hallazgos radiográficos en lesiones maxilares (análisis de 126 casos) / Image diagnosis of craniofacial trauma

El presente trabajo tiene por objeto mostrar la gran utilidad de los procedimientos radiográficos, desde los más sencillos hasta los más complejos y modernos que pueden ser utilizados en el paciente con traumatismo craneofacial