The importance of educating subjects entitled to use an adrenaline auto-injector for self-administration.

An educational program, consisting in a clear explanation of the technical aspects and use of the adrenaline auto-injection devices (AAD) and in a practical test utilizing a demonstration kit was given to 350 patients from our outpatient clinic. AAD was also distributed to 50 patients formerly followed by another allergy clinic without training. At practical control test, only 10% of the untrained patients where able to correctly use the AAD versus 80% of trained subjects. Since AAD is a life-saving procedure in severe anaphylactic episodes, this attempt to improve the ability of the patient to comply with the procedure can improve the efficacy of the treatment and eventually the patient's health.

Mercury assessment and evaluation of its impact on fish in the Cecina river basin (Tuscany, Italy).

This paper reports the results of mercury contamination monitoring in the Cecina river basin (Tuscany, Italy). Mercury was measured in the waters, sediments and fish species of the river and its most important tributaries. In fish specimens the organic form was also determined. The results showed high mercury levels in most of the samples analysed. Particularly high concentrations were found in the sediments of the S. Marta canal flowing into the Cecina, where a chlor-alkali plant discharges its wastes, and high levels were still detectable 31 km downstream from the confluence. Near the S. Marta confluence many fish specimens were very contaminated and a study on Leuciscus cephalus cabeda growth suggested that at this site mercury accumulation occurs in these organisms since they are very young.