Chemical and physical influences in bone and cartilage regeneration: a review of literature.

Nowadays several studies demonstrate the influence of chemical and physical stimulation to bone and cartilage exist. The first studies date back to the 50s and for a long time, they did not have a strong impact on clinical practice. In recent times, however, the findings arising from these studies are increasingly used to address clinical problems such as osteoarthritis or non-unions. The aim of this article is to make a review of the literature of the state of the art about physical and chemical influences on bone and cartilage.

Fibula-pro-tibia transfer with external fixator after tibia fracture with extensive bone defect: a case report.

A 27-year-old girl suffered a tibial fracture with an extensive bone defect due to a major trauma. At first, she was treated with a plate with the purpose to obtain a fibula-pro-tibia transfer, without any improvement. At one-year-follow up, a non-union due to mechanical hardware failure was shown by x-ray. Thus, a second surgery was performed: the ipsilateral fibula was tightly wedged between the preserved proximal and distal third of tibia with an external fixator. We report a follow up of 1 year after the reconstruction that allowed a good bone healing and a remodeling with also further ossification of the periosteal sheath of the fibula.

External fixation versus titanium endomedullary nail in the treatment of diaphyseal fractures of the lower limb in pediatric age: our experience.

In the past, the use of external fixation technique (FE) in children was limited, as the patient's compliance to the treatment was scarce due to an important visual impact for the little patient. With the evolution of the surgical approach and the technology of fixators, we have been able to considerably implement the treatment possibilities, thus allowing for an immediate load bearing of the operated limb and for the early mobilization of the joints. The FE technique does not represent an overcoming of classical synthesis techniques by internal fixation with elastic intramedullary nails, but it simply offers a valid treatment alternative to selected cases. In this work, we radiologically and clinically evaluated pediatric patients treated with FE for diaphyseal fractures of the lower limb and we compared them with patients treated with standard Titanium Endomedullary Nail (TEN) techniques. Our results confirmed that FE is a valid alternative treatment for these types of fractures.

Application of the Welfare Quality protocol to dairy buffalo farms: Prevalence and reliability of selected measures.

Within the general aim of developing a Welfare Quality system for monitoring dairy buffalo welfare, this study focused on prevalence and interobserver reliability of the animal-related variables to be included in the scheme. As most of the measures were developed for cattle, the study also aimed to verify their prevalence for buffaloes. Thirty animal-based measures (22 clinical and 8 behavioral measurements) and 20 terms used for qualitative behavior assessment were assessed in 42 loose-housed buffalo farms. All farms were located in central-southern Italy. Two assessors were used (1 male and 1 female). The time needed to record all measures (animal-, resource-, and management-based) was 5.47 ± 0.48 h (mean ± SD). Interobserver reliability of animal-based measures was evaluated using Spearman rank correlation coefficient test (rs). If 0.7 is considered as threshold for high interobserver reliability, all animal-based measures were above this level. In particular, most of the coefficients were above 0.85, with higher values observed for prevalence of animals that can be touched (rs = 0.99) and prevalence of animals with iatrogenic abscess (rs = 0.97), whereas lower coefficients were found for the prevalence of vulvar discharge (rs = 0.74) and dewlap edema (rs = 0.73). Twelve out of the 20 terms used for the qualitative behavior assessment reached a satisfactory interobserver reliability (rs = 0.65). Principal component analysis of qualitative behavior assessment scores was conducted for each assessor. Both principal component 1 and principal component 2 showed high interobserver reliability (rs = 0.80 and 0.79, respectively). In addition, relevant proportions of animals were affected by welfare issues specific to buffaloes, such as overgrown claws (median = 34.1%), withers hygroma (median = 13.3%), and vulvar or uterine prolapse (median = 9.3%). We concluded that most of the investigated measures could be reliably included in the final scheme, which can be used as such to monitor buffalo welfare. However, to inform consumers about the welfare status of the animals, the data should be integrated into a single overall assessment of animal welfare, as already performed in the Welfare Quality project for dairy cattle.

Comparison of the impact of ships to size-segregated particle concentrations in two harbour cities of northern Adriatic Sea.

Detailed information on in-harbour shipping contribution to size segregated particles in coastal cities are scarce, especially in the busy Mediterranean basin. This poses issues for human exposure and air quality in urban harbour agglomerates, where only criteria pollutants (i.e. PM10 and/or PM2.5) are usually monitored. In this work, particle number and mass size distributions, in a large size range (0.01-31 µm), were obtained in two coastal cities of northern Adriatic Sea: Venice (Italy) and Rijeka (Croatia). Three size ranges were investigated: nanoparticles (diameter D < 0.25 µm); fine particles (0.25 1 µm). Absolute concentrations were larger in Venice for all size ranges showing, using analysis of daily trends, a large influence of local meteorology and boundary-layer dynamics. Contribution of road transport was larger (in relative terms) in Rijeka compared to Venice. The highest contributions of shipping were in Venice, mainly because of the larger ship traffic. Maximum impact was on nanoparticles 7.4% (Venice) and 1.8% (Rijeka), the minimum was on fine range 1.9% (Venice) and <0.2% (Rijeka) and intermediate values were found in the coarse fraction 1.8% (Venice) and 0.5% (Rijeka). Contribution of shipping to mass concentration was not distinguishable from uncertainty in Rijeka (<0.2% for PM1, PM2.5, and PM10) and was about 2% in Venice. Relative contributions as function of particles size show remarkable similitudes: a maximum for nanoparticles, a quick decrease and a successive secondary maximum (2-3 times lower than the first) in the fine range. For larger diameters, the relative contributions reach a minimum at 1-1.5 µm and there is a successive increase in the coarse range. Size distributions showed a not negligible contribution of harbour emissions to nanoparticle and fine particle number concentrations, compared to PM2.5 or PM10, indicating them as a better metric to monitor shipping impacts compared to mass concentrations (PM2.5 or PM10).

Characterisation of atmospheric pollution near an industrial site with a biogas production and combustion plant in southern Italy.

Although biogas production can have some benefits, there is a research gap on potential influence of biogas plant emissions on local air quality, thus an accurate and comprehensive evaluation of impacts of this technology is needed. This study deals with this issue by means of a characterisation of air pollution near an industrial area including a biogas production (from biomass) and combustion plant located in South Italy. The methodology consists in advanced statistical analysis on concentration of gaseous pollutants, particles concentration and size distribution in number and mass, and PM2.5 chemical composition. High-temporal resolution measurements, supported by ancillary meteorological parameters, and source apportionment of PM2.5 using Positive Matrix Factorization (PMF) receptor model, are performed. The integrated approach provides the emissive picture consisting in different anthropogenic sources (i.e. traffic, biomass burning, and industrial facilities) with particular focus on biogas plant emissions. Results showed that CO and nitrogen oxides were influenced by vehicular traffic and biomass combustion, however, a contribution of the plant to NO was observed. SO2 was influenced mainly by transport from the industrial zone, but a second local contribution compatible with the emissions of the biogas plant was detected. Number particle concentrations were analysed in four size ranges: nanoparticles (D < 0.05 µm), ultrafine particles (D < 0.3 µm), accumulation (0.3 < D < 1 µm) and coarse particles (D > 1 µm). Nanoparticles and ultrafine particles were mainly influenced by vehicular traffic and biomass burning, instead, a contribution of the plant was individuated in the accumulation mode. PMF5 identified the contribution of six sources: crustal (14.7% ± 2.1% of measured PM2.5); marine aerosol (aged) (12.9% ± 2.3%); biomass burning (32.8% ± 1.4%); secondary sulphate (19.7% ± 2.4%); primary industrial emissions (5.4% ± 2.3%); traffic and secondary nitrate (17.0% ± 3.9%). The plant is likely to contribute to both sources, the industrial and the traffic plus secondary nitrate.

Immunomodulatory activity of a plant extract containing human papillomavirus 16-E7 protein in human monocyte-derived dendritic cells.

This study reports the immunomodulatory activity on human monocyte derived dendritic cells (MDDCs) of a vaccine preparation shown to be effective against an HPV16-related tumour in an animal model. The vaccine is composed of extract from Nicotiana benthamiana leaves containing HPV16 E7 protein expressed by a potato virus X-derived vector (NbPVX-E7). The effect of the extract was evaluated on MDDC differentiation and maturation by monitoring the phenotypic expression of specific markers. The results show that NbPVX-E7 does not induce monocyte differentiation to dendritic cells, but does induce MDDC maturation. Plant extract does not influence MDDC-uptake of E7-FITC while it significantly improves the Ovalbumin-FITC uptake, considered as a model antigen. Importantly, NbPVX-E7-pulsed MDDCs/PBMCs are able to prime human blood-derived lymphocytes from healthy individuals to induce HPV16 E7-specific cytotoxic activity. This is a propaedeutic study for a possible use of E7-containing plant extract in human immunotherapy of HPV-related lesions.

Behavior and milk production of buffalo cows as affected by housing system.

To verify the effect of 2 housing systems (with and without a pool and an ample outdoor lot) on behavior and milk yield, 45 lactating buffalo cows were group-housed in a free stall open-sided barn with concrete floor where they received 10 m(2)/head as space allowance (group NP); 43 cows were group-housed in a similar barn, but had access to an outdoor yard (36 m(2)/head) and a concrete pool of 208 m(2) (group WP). Animals were subjected to 8 sessions of instantaneous scan sampling at approximately 10-d intervals. Behavioral variables were expressed as proportions of subjects observed in each category of posture and activity. In addition, rapid behaviors such as agonistic, social, and reproductive interactions, social licking, and self-grooming were recorded continuously. These variables were expressed as number of interactions per animal. At the end of each hour of observation, temperature and relative humidity were recorded. In WP the proportion of animals observed wallowing was 0.476 +/- 0.034, whereas lower proportions were observed standing (0.389 +/- 0.029) or lying (0.141 +/- 0.021) outside the pool. In NP the proportions of animals observed standing and lying were 0.452 +/- 0.042 and 0.548 +/- 0.042, respectively. A significant relationship between mean temperatures recorded on observation days and proportion of animals in the pool was observed (r(s) = 0.41). Fewer animals from group WP were observed idling compared with buffaloes from group NP (0.44 +/- 0.024 vs. 0.509 +/- 0.024, respectively), whereas more WP animals were involved in investigative activities than NP cows (0.099 +/- 0.009 vs. 0.042 +/- 0.009, respectively). A greater number of social interactions (sniffing and nuzzling) and social lickings were observed in group WP than in group NP (0.120 +/- 0.010 vs. 0.067 +/- 0.010, and 0.151 +/- 0.018 vs. 0.090 +/- 0.018, respectively). The WP buffalo cows had a greater milk yield than NP cows (11.73 +/- 0.31 vs. 10.78 +/- 0.28 kg/d, respectively), whereas no differences between groups were observed for protein (4.86 +/- 0.04 vs. 4.80 +/- 0.03% for WP and NP, respectively) and fat contents (8.49 +/- 0.14 vs. 8.38 +/- 0.13% for WP and NP, respectively). We conclude that the provision of a pool and an ample outdoor paddock can have beneficial effects on welfare and milk production of buffaloes.

Seasonal variability of PM2.5 and PM10 composition and sources in an urban background site in Southern Italy.

Comparison of fine and coarse fractions in terms of sources and dynamics is scarce in southeast Mediterranean countries; differences are relevant because of the importance of natural sources like sea spray and Saharan dust advection, because most of the monitoring networks are limited to PM10. In this work, the main seasonal variabilities of sources and processes involving fine and coarse PM (particulate matter) were studied at the Environmental-Climate Observatory of Lecce (Southern Italy). Simultaneous PM2.5 and PM10 samples were collected between July 2013 and July 2014 and chemically analysed to determine concentrations of several species: OC (organic carbon) and EC (elemental carbon) via thermo-optical analysis, 9 major ions via IC, and 23 metals via ICP-MS. Data was processed through mass closure analysis and Positive Matrix Factorization (PMF) receptor model characterizing seasonal variabilities of nine sources contributions. Organic and inorganic secondary aerosol accounts for 43% of PM2.5 and 12% of PM2.5-10 with small seasonal changes. SIA (secondary inorganic aerosol) seasonal pattern is opposite to that of SOC (secondary organic carbon). SOC is larger during the cold period, sulphate (the major contributor to SIA) is larger during summer. Two forms of nitrate were identified: NaNO3, correlated with chloride depletion and aging of sea-spray, mainly present in PM2.5-10; NH4NO3 more abundant in PM2.5. Biomass burning is a relevant source with larger contribution during autumn and winter because of the influence of domestic heating, however, is not negligible in spring and summer, because of the contributions of fires and agricultural practices. Mass closure analysis and PMF results identify two soil sources: crustal associated to long range transport and carbonates associated to local resuspended dust. Both sources contributes to the coarse fraction and have different dynamics with crustal source contributing mainly in high winds from SE conditions and carbonates during high winds from North direction.

TT virus infection: role of interferons, interleukin-28 and 29, cytokines and antiviral proteins.

In 1997 a novel virus in the serum of a patient with acute post-transfusion hepatitis of non A-G etiology was identified. This agent was designed TT virus (TTV). It produces persistent viremia and no disease, but the mechanism of its persistence is poorly understood. In the present study mRNA expression of antiviral proteins as MxA, 2' 5' OAS, anti-apopotic protein, cytokines IL- 28, IL- 29 and IFN are examined in a subject affected by B lymphoma and positive for TTV DNA and RNA in this cellular subset, and in BJAB and Dohh2 cell lines.

First Occurrence of Calonectria Leaf Spot on Mexican Blue Palm in Italy.

In April 2006, a new leaf disease occurred in a private garden in eastern Sicily (Italy) on young, 2-year-old seedlings of Mexican blue palm, Brahea armata S. Watson, in the Arecaceae. Symptoms were detected on 80% of seedlings. The leaves had minute, brown spots that enlarged into dark brown, circular or elliptical lesions, 3 to 6 mm in diameter, and with a necrotic, gray center. The lesions sometimes were surrounded by a chlorotic halo, and older leaves had larger chlorotic areas between spots. Conidia, conidiophores, and terminal vesicles were examined from diseased leaves. A Cylindrocladium sp. was consistently isolated from leaf lesions on Oxoid (Basingstoke, Hampshire, England) potato-dextrose agar after surface disinfestations with 0.8% NaOCl. Cylindrocladium isolates were cultured on carnation leaf agar (CLA) using single hyphal tips. Five isolates were established and identified as Calonectria pauciramosa C.L. Schoch & Crous based on obpyriform to broadly ellipsoidal terminal vesicles, conidiophore branching pattern, conidia size (52 × 4.6 µm), perithecium morphology, and ascopores size (36 × 6.8 µm). Perithecia were obtained with C. pauciramosa tester strains from Italy (G87 and G128) and South Africa (U 971 and U 1670) (2,3) that confirmed both mating types to be present. Further confirmation was obtained by internal transcribed spacer (ITS) analysis. The sequence of rDNA ITS1-5.8 S-ITS2 regions, obtained after amplification with primer ITS1 and ITS4, revealed that the Brahea isolates showed total homology with the sequence of the C. pauciramosa (STE-U 971 from soil) (= Cylindrocladium pauciramosum) available in GenBank. Isolate CBS 120619 from Mexican blue palm was deposited at Centraalbureau voor Schimmelcultures. Spray inoculations of 10 2-year-old Mexican blue palm seedlings were performed with a spore suspension of the fungus adjusted to 105 conidia per ml obtained from 14-day-old single-spore colonies on CLA at 24°C under cool white fluorescent irradiation on a 12-h light/dark regimen. In addition, the following species were similarly inoculated using 10 1-year-old plants: Arecastrum romanzoffianum (Cham.) Becc., B. edulis H. Wendl. ex S. Watson, Chamaerops humilis L., Howea forsteriana Becc., Phoenix canariensis Hort. ex Chabaud., Trachycarpus fortunei (Hook.) H. Wendl., and Ravenea rivularis Jumelle & Perrier. Inoculated, and 10 control plants were placed in separate plastic bags in a growth chamber at 25 ± 1°C. After 7 to 10 days, foliar symptoms including flecks and spots developed on both species of Brahea and on Chamaerops humilis, and on these hosts, pathogenicity tests were repeated. Other palm species and control plants remained healthy. C. pauciramosa was consistently reisolated from inoculated plants on the basis of vesicle shape and conidia sizes of the anamorph. Cylindrocladium candelabrum, Cylindrocladium colhounii, Cylindrocladium floridanum, Cylindrocladium parasiticum, Cylindrocladium pteridis, Cylindrocladium scoparium, and Cylindrocladium theae have been reported as leaf spots pathogens of Arecaceae (1). To our knowledge, this is the first occurrence of C. pauciramosa on Mexican blue palm and the first report of the pathogen on Arecaceae. References: (1) P. W. Crous. Taxonomy and Pathology of Cylindrocladium (Calonectria) and Allied Genera. The American Phytopathological Society, St. Paul MN, 2002. (2) P. W. Crous et al. Stud. Mycol. 50:415, 2004. (3) G. Polizzi and P. W. Crous Eur. J. Plant Pathol. 105:407, 1999.

First Report of Armillaria Butt Rot Caused by Armillaria mellea on Phoenix canariensis in Italy.

During 2006, in a garden in the Mount Etna Piedmont, eastern Sicily (Italy), a 40-year-old specimen of Canary Island date palm (Phoenix canariensis hort. ex Chabaud) with a trunk circumference at breast height of 220 cm showed a rotted lesion with a viscous, brown ooze at the stem base and root initials. The lesion extended to approximately one-third of the trunk circumference. Trunk excavation exposed a wet rot of internal tissues, a cream-colored mycelial mat, and a mushroom-like smell. Although the rot spread inward (approximately 25 cm deep) with decay of nonlignified ground tissues and blackening of wood fibers, the palm did not show symptoms on the canopy. Conversely, ferns, apricot, and cedar trees growing at the same site had died from Armillaria rot over the last 10 years (2). In late autumn, clumps of honey mushroom-like sphorophores with a prominent annulus encircling the stalk formed at the base of the trunk. The spore print of the basidiocarp was light cream. The morphology of 100 basidiospores was determined microscopically. The basidiospores were smooth, elliptical, hyaline, and measured 7 to 9.5 × 5 to 7 µm. The fungus was isolated from diseased tissues on selective benomyl-dichloran medium (3) and was transferred to 2% malt extract agar where it formed ribbon-shaped, fast-growing, and profusely branching rhizomorphs. Armillaria mellea (Vahl.) P. Kumm. was identified on the basis of cultural and morphological characteristics. Identification was confirmed by electrophoresis of mycelial proteins and isozymes in polyacrylamide and starch slab gels (1,2). The electrophoretic patterns of the isolate from P. canariensis were identical to those of reference isolates of A. mellea from grapevine and fern isolated previously at the same site (2). The pathogenicity of the A. mellea isolate from palm (A-palm5) was tested on 20 3-year-old potted seedlings of P. canariensis grown in a greenhouse at 24 ± 4°C. Seedlings were inoculated with wood pieces of holly oak (Quercus ilex L.) colonized by the fungus (two pieces for each seedling) (4). Ten noninoculated plants served as controls. After 12 months, mycelial fans colonizing the root initials, the base of the stem, and the leaf stalks were observed on 14 inoculated seedlings. Although only four infected seedlings showed decline symptoms, the fungus was reisolated from all inoculated plants. No infections were observed in control plants. To our knowledge, this is the first report of Armillaria butt rot on a palm in Europe. References: (1) M. Bragaloni et al. Eur. J. For. Pathol. 27:147, 1997. (2) S. Grasso et al. Plant Dis. 84:592, 2000. (3) T. C. Harrington et al. Armillaria. Page 81 in: Methods for Research on Soilborne Phytopathogenic Fungi. The American Phytopathological Society, St. Paul, MN, 1992. (4) R. Metaliaj et al. Phytopathol. Mediterr. 45:3, 2006.

Identification and Detection of Phoma tracheiphila, Causal Agent of Citrus Mal Secco Disease, by Real-Time Polymerase Chain Reaction.

Phoma tracheiphila is the causal agent of a tracheomycotic disease of citrus called mal secco causing the dieback of twigs and branches. This pathogen is of quarantine concern; therefore, fast and reliable protocols are required to detect it promptly. A specific primer pair and a dual-labeled fluorogenic probe were used in a real-time polymerase chain reaction (PCR) with the Cepheid Smart Cycler II System (Transportable Device TD configuration) to detect this fungus in citrus samples. Real-time PCR assay was compared to modified conventional PCR assay. The sensitivity of the former was evaluated by testing P. tracheiphila DNA dilutions, and the minimum amount detectable was about 500 fg, whereas the linear quantification range was within 100 ng to 1 pg. Conventional PCR sensitivity was 10 pg. Conventional and real-time PCR successfully detected the fungus in woody samples of naturally infected lemon and artificially inoculated sour orange seedlings. Nevertheless, real-time PCR was about 10- to 20-fold more sensitive than conventional PCR, and preliminary results indicate that the former technique achieves quantitative monitoring of the fungus in tissues. Simple and rapid procedures to obtain suitable DNA samples from fungal cultures and citrus woody samples for PCR assays enable diagnosis to be completed in a short time.

Effect of group size and maize silage dietary levels on behaviour, health, carcass and meat quality of Mediterranean buffaloes.

The effects of different dietary levels of maize silage (10% v. 36% DM) and group size (7 v. 14 animals) were assessed on growth performance and in vivo digestibility of 28 male fattening buffaloes. In addition, the effects of diet on meat quality and group size on behaviour and immune response were separately evaluated. Animals were weighed and assigned to three groups. The high silage - low size group (HL) was fed a total mixed ration (TMR) containing 36% DM of maize silage and consisted of seven animals (age 12.7±2.6 months; BW 382.2±67.7 kg at the start of the study). The low silage - low size group (LL) was fed a TMR containing 10% DM of maize silage and consisted of seven animals (age 13.0±2.7 months; BW 389.4±72.3 kg). The high silage - high size group (HH) was fed the 36% maize silage DM diet and consisted of 14 animals (age 13.9±3.25 months; BW 416.5±73.9 kg). Total space allowance (3.2 indoor+3.2 outdoor m2/animal) was kept constant in the three groups, as well as the ratio of animals to drinkers (seven animals per water bowl) and the manger space (70 cm per animal). Growth performance, carcass characteristics and digestibility were influenced neither by dietary treatment nor by group size, even if the group fed 36% maize silage diet showed a higher fibre digestibility. No effect of diet was found on meat quality. Group size did not affect the behavioural activities with the exception of drinking (1.04±0.35% v. 2.60±0.35%; P<0.01 for groups HL and HH, respectively) and vigilance (2.58±0.46% v. 1.20±0.46%; P<0.05 for groups HL and HH, respectively). Immune responses were not affected by group size.

Circadian rhythm in the cardiovascular system of domestic animals.

Definition of the temporal characteristics of cardiovascular rhythms is of scientific interest. This article reviews the literature on the rhythmic pattern of some cardiovascular parameters in domestic animals, providing greater understanding of general chronobiological processes in mammals. The techniques of the chronophysiological studies have been applied in domestic species to determine the existence of periodicity in the cardiovascular functions. Detailed knowledge of these rhythms is useful for clinical, practical and pharmacological purposes and physical performances.

Self-irradiation effect on yeast cells.

The effect of self irradiation on yeast cells has been investigated by counting the young gemmae formation in 104 self irradiated samples, as compared with an equal set of control samples. The results show that the rate of gemmae formation is higher in self irradiated samples; the statistical significance of the results is discussed.

Conditioned inhibition of antibody response and CD4 positive cells.

Animals were assigned to three experimental groups, conditioned (cyclophosphamide-glucose treatment; C group), non-conditioned (cyclophosphamide-commercial pellet treatment; NC group) and placebo (saline solution-glucose treatment; P group). The three groups were injected intraperitoneally (i.p.) with sheep red blood cells. An hemagglutination assay according to standard procedures was performed along with the flow cytofluorometric analysis of leukocyte surface antigens CD4, CD8 and CD45. C group consumed less food on Days 3 and 6 than on Day 0, NC animals showed no changes in food consumption throughout the experimental period, whereas an increasing trend was observed for P animals. The proportion of T lymphocytes expressing CD8 and CD45 did not differ significantly among C, NC and P groups. Group C showed the lowest proportion of T lymphocytes bearing CD4, whereas Group P displayed the highest. The antibody response was lower in the Group C than in the groups NC and P. We conclude that, although the mechanisms by which humoral conditioned immunosuppression occurs in mice is still unknown, a reduced T helper-mediated activation of B-cells may play an important role in producing conditioned humoral response.

Environmental air pollution in an intensive care unit for nephrology and dialysis.

The quality of indoor air depends on external pollutant concentrations and on internal sources, such as heating and air conditioning systems, building materials, ventilation, cleaning products, personnel and their activity. This study assessed environmental air pollution in an intensive care unit (ICU) for nephrology and dialysis. Air-dispersed particulate pollution was measured using a gravimetric method and spectroscopic photocorrelation. Microbiological pollution was evaluated by passive and active collection. Particulate concentrations exceeded recommended limits in some of the environments. There was a prevalence of small particulates, which are the most harmful type of all. An overall evaluation of bacterial pollution showed low levels of contamination in some of the rooms. In none of the environments we were able to detect pathogens such as Aspergillus fumigatus, methycillin-resistant Staphylococci or toxin-producing fungi.

Double prosthetic replacement of pulmonary artery and superior vena cava and sleeve lobectomy for lung cancer.

We present a case of double prosthetic replacement of the right pulmonary artery and superior vena cava combined with upper sleeve bi-lobectomy for a limited pT4N1 adenocarcinoma occurring in a patient with poor pulmonary reserve, which, to the best of our knowledge, has never been reported before.