Airborne bacteria in the Central Mediterranean: Structure and role of meteorology and air mass transport.

The 16S rRNA gene metabarcoding approach has been used to characterize the structure of the airborne bacterial community of PM10 samples, and investigate the dependence on meteorology, seasons, and long-range transported air masses. The PM10 samples were collected at a Central Mediterranean coastal site, away from large sources of local pollution. Proteobacteria, Cyanobacteria, Actinobacteria, Firmicutes, and Bacteroidetes, which were found in all samples, were the most abundant phyla. Calothrix, Pseudomonas, and Bacillus were the most abundant genera. The within-sample relative abundance (RA) of each phylum/genus varied from sample to sample. Calothrix was the most abundant genus during the advection of desert dust and Atlantic air masses, Pseudomonas was the most abundant genus when the advected air flows spent several hours over lands or close to lands affected by anthropogenic activities, before reaching the study site. The bacterial community richness and biodiversity of the PM10 samples on average increased from winter to spring, while the sample dissimilarity on average decreased from winter to spring. The spring meteorological conditions over the Mediterranean, which have likely contributed to maintain for longer time the bacterial community in the atmosphere, could have been responsible for the above results. The analysis of the presumptive species-level characterization of the airborne bacterial community has revealed that the abundance of human (opportunistic) pathogens was highly inhomogeneous among samples, without any significant change from winter to spring. We also found that the PM10 samples collected during the advection of desert dust and Atlantic air masses were on average the less enriched in human (opportunistic) pathogenic species.

Management of hemodynamically unstable pelvic trauma: results of the first Italian consensus conference (cooperative guidelines of the Italian Society of Surgery, the Italian Association of Hospital Surgeons, the Multi-specialist Italian Society of Young Surgeons, the Italian Society of Emergency Surgery and Trauma, the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care, the Italian Society of Orthopaedics and Traumatology, the Italian Society of Emergency Medicine, the Italian Society of Medical Radiology -Section of Vascular and Interventional Radiology- and the World Society of Emergency Surgery).

Hemodynamically Unstable Pelvic Trauma is a major problem in blunt traumatic injury. No cosensus has been reached in literature on the optimal treatment of this condition. We present the results of the First Italian Consensus Conference on Pelvic Trauma which took place in Bergamo on April 13 2013. An extensive review of the literature has been undertaken by the Organizing Committee (OC) and forwarded to the Scientific Committee (SC) and the Panel (JP). Members of them were appointed by surgery, critical care, radiology, emergency medicine and orthopedics Italian and International societies: the Italian Society of Surgery, the Italian Association of Hospital Surgeons, the Multi-specialist Italian Society of Young Surgeons, the Italian Society of Emergency Surgery and Trauma, the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care, the Italian Society of Orthopaedics and Traumatology, the Italian Society of Emergency Medicine, the Italian Society of Medical Radiology, Section of Vascular and Interventional Radiology and the World Society of Emergency Surgery. From November 2012 to January 2013 the SC undertook the critical revision and prepared the presentation to the audience and the Panel on the day of the Conference. Then 3 recommendations were presented according to the 3 submitted questions. The Panel voted the recommendations after discussion and amendments with the audience. Later on a email debate took place until December 2013 to reach a unanimous consent. We present results on the 3 following questions: which hemodynamically unstable patient needs an extraperitoneal pelvic packing? Which hemodynamically unstable patient needs an external fixation? Which hemodynamically unstable patient needs emergent angiography? No longer angiography is considered the first therapeutic maneuver in such a patient. Preperitoneal pelvic packing and external fixation, preceded by pelvic binder have a pivotal role in the management of these patients.Hemodynamically Unstable Pelvic Trauma is a frequent death cause among people who sustain blunt trauma. We present the results of the First Italian Consensus Conference.

[History of haemostasis in surgery]. / Storia dell'emostasi in chirurgia.

Haemostasis is an essential act in surgical procedures. Technical, physical and chemical devices' improvement in haemostasis is joined to the historical evolution of surgery. In ancient times haemostasis had also a magic and religious value. Simple but effective manoeuvres developed by medicine-men and barber-surgeons are used to control bleeding. Often their original intuitions anticipated scientific discoveries. Ancient haemostatic instruments and the way to use them represent the heritage of old and famous surgeons; some of these procedures are still used in operating rooms.