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Highlights: [•] Mercury and methyl mercury were determined in Gilthead seabream and European seabass samples. [•] The fish were collected from the east basin of the Orbetello lagoon, central Italy. [•] 90% Of the determined concentrations exceeded the regulative limit. [•] The concentrations were not related to fish sizes. [Copyright &y& Elsevier]

This investigation provides the first detailed description of the growth stages of two Distichopora species showing the formation of a primary cyclosystem and explaining the growth process leading from primary cyclosystem to adult pore organisation. The earliest observed stage is an oval calcareous disc from which, at a later stage, a primary cyclosystem raises up. Then, the addition of new gastropores and dactylopores leads to the pore rows typical of the genus. Using X-ray computed microtomography, we are able to visualise the dense canal network that permeates the coenosteum and envelops the gastropores and the dactylopores in all the observed growth stages. In both species, the thin canals surrounding the gastropores are responsible for the formation of the new gastropores that originate between the old ones, while the thin canals placed on the external side of the dactylopore rows produce the new dactylopores. [ABSTRACT FROM AUTHOR]

Abstract: Water quality in streams running in urban areas can be strongly altered by the impact of human activities. Different kinds of water quality degradation were investigated in the streams running in the ‘Appia Antica’ Regional Park, placed in the southern suburbs of Rome. Water quality was assessed in 21 sampling points located in eight streams by the analysis of chemical [chemical oxygen demand (COD), nitrates, ammonia, total phosphorus], biological (IBE index), microbial (total coliforms, faecal coliforms, Escherichia coli, faecal streptococci, sulphite-reducing clostridia) ecosystemic (IFF index), and hydrological (flow) parameters. On the whole the results indicate an in depth degradation of water quality. However, IBE and IFF showed local condition of water stress that were not individuated by chemical parameters. A multidisciplinary approach is necessary to highlight the different pressures on water quality of urban freshwaters. The presence of buffer zones in urban green areas does not avoid the impact arising from the surrounding urban area. [Copyright &y& Elsevier]

X-ray computed microtomography is an excellent tool for the three-dimensional analysis of rock microstructure. Digital images are acquired, visualized, and processed to identify and measure several discrete features and constituents of rock samples, by means of mathematical algorithms and computational methods. In this paper, we present digital images of volcanic rocks collected with X-ray computed microtomography techniques and studied by means of a software library, called Pore3D, custom-implemented at the Elettra Synchrotron Light Laboratory of Trieste (Italy). Using the Pore3D software, we analyzed the fabrics and we quantifi ed the characteristics of the main constituents (vesicles, crystals, and glassy matrix) of four different types of pyroclasts: frothy pumice, tube pumice, scoria , and "crystalline" scoria. We identified the distinctive features of these different types of volcanic rocks. The frothy pumices show vesicles that coalesce in isotropic aggregates, especially toward the sample interior, while the scoriae have a low porosity and an abundance of isolated vesicles. In the "crystalline" scoria sample most of the vesicle separation is due to the presence of crystals of different types, while the tube pumice shows an anisotropic distribution of vesicles and crystals at the microscale, as also observed at the scale of the hand sample. Quantitative analysis and textural information may supply an additional tool to investigate the eruptive processes and the origin of volcanic rocks. [ABSTRACT FROM AUTHOR]

The peopling of Europe during the Middle Pleistocene is a debated topic among paleoanthropologists. Some authors suggest the coexistence of multiple human lineages in this period, while others propose a single evolving lineage from Homo heidelbergensis to Homo neanderthalensis. The recent reassessment of the stratigraphy at the Sedia del Diavolo (SdD) site (Latium, Italy), now dated to the beginning of marine isotope stage (MIS) 8, calls for a revision of the human fossils from the site. In this paper, we present the morphometric, biomechanical and palaeopathological study of the second right metatarsal SdD2, to both re-evaluate its taxonomical affinities and possibly determine the levels of physical activity experienced by the individual during lifetime. Results demonstrate the persistence of archaic features in SdD2 suggesting new insights into the technology and hunting strategies adopted by Homo between MIS 9 and MIS 8., (© 2024. The Author(s).)

Background: The Health Impact Assessment (HIA) is a procedure with the aim to protect the populations exposed to the impacts deriving from the establishment or upgrading of large industrial enterprises, i.e. large combustion plants (>300 MWth). In Italy a guideline for the HIA procedure has been published in compliance with the 2014/52/EU Directive on the Environmental Impact Assessment (EIA) requirements. Italian HIA procedure. An ecotoxicological approach has been included for the first time in the HIA procedure with the aim to detect toxic effects caused by unknown not-monitored contaminants or mixtures in the ecosystem components affected by the potential emissions, discharges and releases of large industrial enterprises. Ecotoxicology plays an important bridge role between environment and human health in the scoping and monitoring step of the HIA procedure with a key function of early warning system and screening. The aim of this paper is to present the Italian experience in the first three years of the application of the new approach, proposing recommendations on specific case studies. Conclusion and future perspective. 80% of enterprises, that applied HIA, have delivered a robust, integrated and detailed documentation in relation to the ecotoxicological assessment, this positive feedback will generate environmental and human health benefits to the areas where the plants are established.

Competing Interests: All authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

We present the results of a multi-disciplinary investigation on a deciduous human tooth (Pradis 1), recently recovered from the Epigravettian layers of the Grotte di Pradis archaeological site (Northeastern Italian Prealps). Pradis 1 is an exfoliated deciduous molar (Rdm 2 ), lost during life by an 11-12-year-old child. A direct radiocarbon date provided an age of 13,088-12,897 cal BP (95% probability, IntCal20). Amelogenin peptides extracted from tooth enamel and analysed through LC-MS/MS indicate that Pradis 1 likely belonged to a male. Time-resolved 87 Sr/ 86 Sr analyses by laser ablation mass spectrometry (LA-MC-ICPMS), combined with dental histology, were able to resolve his movements during the first year of life (i.e. the enamel mineralization interval). Specifically, the Sr isotope ratio of the tooth enamel differs from the local baseline value, suggesting that the child likely spent his first year of life far from Grotte di Pradis. Sr isotopes are also suggestive of a cyclical/seasonal mobility pattern exploited by the Epigravettian human group. The exploitation of Grotte di Pradis on a seasonal, i.e. summer, basis is also indicated by the faunal spectra. Indeed, the nearly 100% occurrence of marmot remains in the entire archaeozoological collection indicates the use of Pradis as a specialized marmot hunting or butchering site. This work represents the first direct assessment of sub-annual movements observed in an Epigravettian hunter-gatherer group from Northern Italy., (© 2022. The Author(s).)

The evolution and development of human mortuary behaviors is of enormous cultural significance. Here we report a richly-decorated young infant burial (AVH-1) from Arma Veirana (Liguria, northwestern Italy) that is directly dated to 10,211-9910 cal BP (95.4% probability), placing it within the early Holocene and therefore attributable to the early Mesolithic, a cultural period from which well-documented burials are exceedingly rare. Virtual dental histology, proteomics, and aDNA indicate that the infant was a 40-50 days old female. Associated artifacts indicate significant material and emotional investment in the child's interment. The detailed biological profile of AVH-1 establishes the child as the earliest European near-neonate documented to be female. The Arma Veirana burial thus provides insight into sex/gender-based social status, funerary treatment, and the attribution of personhood to the youngest individuals among prehistoric hunter-gatherer groups and adds substantially to the scant data on mortuary practices from an important period in prehistory shortly following the end of the last Ice Age., (© 2021. The Author(s).)

Background: The COVID-19 pandemic required the setting of a national lockdown in Italy from March 9, 2020, until May 18, 2020; therefore, most of the non-COVID-19 activities were postponed. As a consequence, many follow-up visits in patients with previously excised skin cancers were delayed. The aim of this retrospective real-life case-control study is demonstrating that delay in follow-up led to an increased incidence of advanced melanoma and keratinocyte cancers on the total of surgically excised skin cancers., Methods: The incidence of excised advanced melanoma and keratinocyte cancers in our dermato-surgery division in the period May 18 to November 18, 2020, was compared to the same time span of 2019. All data were collected from the electronic database of our department. Odds ratio with 95% confidence interval was used to assess the risk of excised advanced skin cancers in 2020 compared to 2019., Results: From May to November 2019, we performed 265 surgical excisions, while during the pandemic in 2020, we completed 280 surgeries. The number of advanced skin cancers excised between May 18 and November 18, 2020, was significantly higher compared with the same period in 2019 (54 vs. 22, OR: 2.64; 95% CI: 1.56-4.47; P = 0.0003). Significant differences were also observed regarding the number of surgically removed advanced BCCs (OR 2.15; 95% CI 1.14-4.07; P = 0.0187) and advanced SCCs (OR 4.60; 95% CI 1.31-16.18; P = 0.0175)., Conclusion: These results confirm that delay in follow-up and, consequently, postponed surgical excisions are related to an increased incidence of advanced skin tumors, resulting in poorer prognosis lifelong. Follow-up visits should be carried on even during COVID-19 pandemic, avoiding significant delays as much as possible., (© 2021 the International Society of Dermatology.)

It is worldwide recognized that the use of pharmaceuticals for human and veterinary purposes could lead to unsustainable effects on the environment. A strategy to reduce the impact of pharmaceuticals on the environment has been recently established at European level, where guidelines to evaluate the impacts of veterinary drugs used to treat animal diseases are in place. The aim of this article is to focus on the worldwide used antiparasitic drug ivermectin (IVM) and its potential impact on the environment. A specific section is related to the IVM resistance that the massive use of this drug could generate enhancing the risk scenarios also for human health. The application of stringent measures for the veterinary use of this substance, in line with the recommendations provided by International frameworks such as One Health and EcoHealth, is recommended.

The study of diatoms-unicellular algae of the class Bacillariophyceae-has several applications, first and foremost the evaluation of freshwater ecosystem quality according to the Water Frame Directive 2000/60/EC (WFD). Identification at the species level is a crucial step in diatom studies, considering that species belonging to the same genus have different geographical distributions and different ecological requirements. The Rapid Method for Identification of Italian Diatom Species is aimed at guiding users in the classification of freshwater diatom species. It consists of a digitized flow chart that leads, step by step, to the identification, starting with an image capture by light or electron microscopy. This rapid and easy tool could be useful to workers of an environmental agency when performing the operational monitoring required by the WFD to classify surface waters. It will also expand the application of diatoms in numerous fields. This method has been patented in Italy.

Climate changes affect social and environmental health determinants such as clean air, ecosystems health, safe drinking water and safe sufficient food. Globally, people at greatest risk of adverse health effects associated with climate change include children, the elderly and other vulnerable groups. Temperature-related death and illness, extreme events, polluted or stressed ecosystems represent relevant issues raising concern for both health and economic consequences. The aim of the Symposium "Health and Climate Change" (Istituto Superiore di Sanità, Rome 3-5 December 2018) was to promote an inter-sectoral and multidisciplinary approach to estimate and prevent climate change-related events as well as to call the authorities to put in place measures to reduce adverse health effects. At the end of the Symposium the Rome International Charter on Health and Climate Change was presented. It includes a series of actions and recommendations, discussed and shared by all the participants, intended to inform policy makers and all the stakeholders involved in the management of climate changes.

Background: Hidradenitis suppurativa (HS) is a chronic, relapsing, inflammatory skin disease characterized by painful inflamed nodules, recurrent abscesses and fistulas located in apocrine gland-bearing body sites. The negative impact of HS on patient's quality of life (QoL) has been reported to be greater than other dermatologic conditions as psoriasis and atopic eczema, and its improvement is an important goal in disease management. Nowadays, there are no specific validated QoL instruments available for HS and generic dermatologic questionnaires are used., Objective: The objective of this study was to demonstrate the validity, reliability and responsiveness of HIDRAdisk, a new innovative tool designed for rapid assessment of HS burden and, at the same time, an intuitive graphic visualization of the measurement outcome., Methods: A multicentre, longitudinal, observational study was conducted to validate the HIDRAdisk compared with other validated questionnaires [Skindex-16, Dermatology Life Quality Index (DLQI), Work Productivity and Activity Impairment-General Health (WPAI:GH)] and to evaluate its correlation with disease severity in Italian patients with any degree of HS severity, as measured by Hurley stage and HS Physician Global Assessment (HS-PGA)., Results: A total of 140 patients (59% women; mean age 34.9 ± 11.0 years) were enrolled in 27 dermatologic centres. HIDRAdisk showed a strong correlation with Skindex-16 and DLQI, and a good one with WPAI:GH (correlation coefficient: 0.7568, 0.6651 and 0.5947, respectively) and a statistically significant correlation with both Hurley stage and HS-PGA. Very good internal consistency (Cronbach coefficient >0.80; intraclass correlation coefficient >0.6), with correlation between the 10 items, good test-retest reliability (Spearman correlation coefficient, 0.8331; P < 0.0001) and responsiveness to changes were demonstrated., Conclusion: Our study shows that HIDRAdisk, a short and innovative visual HS QoL instrument, has been psychometrically validated in Italian language and it may help improve the management of HS once implemented in routine clinical practice., (© 2019 The Authors. Journal of the European Academy of Dermatology and Venereology published by John Wiley & Sons Ltd on behalf of European Academy of Dermatology and Venereology.)

The penecontemporaneous Middle Pleistocene sites of Fontana Ranuccio (Latium) and Visogliano (Friuli-Venezia Giulia), set c. 450 km apart in central and northeastern Italy, respectively, have yielded some among the oldest human fossil remains testifying to a peopling phase of the Italian Peninsula broadly during the glacial MIS 12, a stage associated with one among the harshest climatic conditions in the Northern hemisphere during the entire Quaternary period. Together with the large samples from Atapuerca Sima de los Huesos, Spain, and Caune de l'Arago at Tautavel, France, the remains from Fontana Ranuccio and Visogliano are among the few mid-Middle Pleistocene dental assemblages from Western Europe available for investigating the presence of an early Neanderthal signature in their inner structure. We applied two- three-dimensional techniques of virtual imaging and geometric morphometrics to the high-resolution X-ray microtomography record of the dental remains from these two Italian sites and compared the results to the evidence from a selected number of Pleistocene and extant human specimens/samples from Europe and North Africa. Depending on their preservation quality and on the degree of occlusal wear, we comparatively assessed: (i) the crown enamel and radicular dentine thickness topographic variation of a uniquely represented lower incisor; (ii) the lateral crown tissue proportions of premolars and molars; (iii) the enamel-dentine junction, and (iv) the pulp cavity morphology of all available specimens. Our analyses reveal in both samples a Neanderthal-like inner structural signal, for some aspects also resembling the condition shown by the contemporary assemblage from Atapuerca SH, and clearly distinct from the recent human figures. This study provides additional evidence indicating that an overall Neanderthal morphological dental template was preconfigured in Western Europe at least 430 to 450 ka ago., Competing Interests: The authors have declared that no competing interests exist.

The fetal remains from the Ostuni 1 burial (Italy, ca 27 ka) represent a unique opportunity to explore the prenatal biological parameters, and to reconstruct the possible patho-biography, of a fetus (and its mother) in an Upper Paleolithic context. Phase-contrast synchrotron X-ray microtomography imaging of two deciduous tooth crowns and microfocus CT measurements of the right hemimandible of the Ostuni 1b fetus were performed at the SYRMEP beamline and at the TomoLab station of the Elettra - Sincrotrone laboratory (Trieste, Italy) in order to refine age at death and to report the enamel developmental history and dental tissue volumes for this fetal individual. The virtual histology allowed to estimate the age at death of the fetus at 31-33 gestational weeks. Three severe physiological stress episodes were also identified in the prenatal enamel. These stress episodes occurred during the last two months and half of pregnancy and may relate to the death of both individuals. Compared with modern prenatal standards, Os1b's skeletal development was advanced. This cautions against the use of modern skeletal and dental references for archaeological finds and emphasizes the need for more studies on prenatal archaeological skeletal samples.

Monitoring the quality of freshwater is an important issue for public health. In the context of the European project μAqua, 150 samples were collected from several waters in France, Germany, Ireland, Italy, and Turkey for 2 yr. These samples were analyzed using 2 multitoxin detection methods previously developed: a microsphere-based method coupled to flow-cytometry, and an ultra-performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS) method. The presence of microcystins, nodularin, domoic acid, cylindrospermopsin, and several analogues of anatoxin-a (ATX-a) was monitored. No traces of cylindrospermopsin or domoic acid were found in any of the environmental samples. Microcystin-LR and microcystin-RR were detected in 2 samples from Turkey and Germany. In the case of ATX-a derivatives, 75% of samples contained mainly H 2 -ATX-a and small amounts of H 2 -homoanatoxin-a, whereas ATX-a and homoanatoxin-a were found in only 1 sample. These results confirm the presence and wide distribution of dihydro derivatives of ATX-a toxins in European freshwaters. Environ Toxicol Chem 2017;36:645-654. © 2016 SETAC., (© 2016 SETAC.)

Salmonella enterica serovar Napoli (S. Napoli) is an emerging serovar in Italy. It accounts for 2-4% of all serovars isolated from human infections. The zoonotic origin of this serovar is still unknown and this makes difficult to apply any control intervention. We report here the isolation of S. Napoli from a river nightingale (Cettia cetti, Temminck 1820) which represents the first description of this serovar from wild birds. This finding adds knowledge to the ecology of S. Napoli and addresses further studies aimed to assess the epidemiologic link between S. Napoli isolated from wild birds, food, environmental sources and human infections.

Objectives: Because of the spread of drug-resistant Gram-positive bacteria, the use of linezolid for treating severe infections is increasing. However, clinical experience in the paediatric population is still limited. We undertook a multicentre study to analyse the use of linezolid in children., Methods: Hospitalized children treated with linezolid for a suspected or proven Gram-positive or mycobacterial infection were analysed retrospectively. Side effects were investigated, focusing on younger children and long-term treatments., Results: Seventy-five patients (mean age 6.8 years, range 7 days to 17 years) were studied. Mean ± SD linezolid treatment duration was 26.13 ± 17 days. Clinical cure was achieved in 74.7% of patients. The most frequent adverse events were diarrhoea and vomiting. Two patients had severe anaemia, two neutropenia and one thrombocytopenia. Two cases of grade 3 liver function test elevation and one case of pancreatitis were reported. The overall frequency of adverse events was similar between patients treated for >28 days and those receiving shorter treatments (30.8% versus 28.6%, P = 0.84). Children aged <2 years received linezolid for a shorter duration than older children (21.2 days versus 28.4 days, P = 0.05), whereas the frequency of adverse events was similar in the two age groups., Conclusions: In our paediatric population, linezolid appeared safe and effective for the treatment of selected Gram-positive and mycobacterial infections. The adverse reactions encountered were reversible and appeared comparable to those reported in paediatric clinical trials. Nevertheless, the potential for haematological toxicity of linezolid in children means that careful monitoring is required during treatment.

Riparian areas link aquatic and terrestrial habitats, supporting species-rich bird communities, which integrate both terrestrial and aquatic processes. For this reason, inclusion of riparian birds in stream bioassessment could add to the information currently provided by existing programs that monitor aquatic organisms. To assess if bird community metrics could indicate stream conditions, we sampled breeding birds in the riparian zone of 37 reaches in 5 streams draining watersheds representing a gradient of agricultural intensity in central Italy. As a more direct indicator of water quality, stream macroinvertebrates were also sampled for computation of the Italian Extended Biotic Index (IBE). An anthropogenic index was calculated within 1 km of sampled reaches based on satellite-derived land-use classifications. Predictive models of macroinvertebrate integrity based on land-use and avian metrics were compared using an information-theoretic approach (AIC). We also determined if stream quality related to the detection of riverine species. Apparent bird species diversity and richness peaked at intermediate levels of land-use modification, but increased with IBE values. Water quality did not relate to the detection of riverine species as a guild, but two species, the dipper Cinclus cinclus and the grey wagtail Motacilla cinerea, were only observed in reaches with the highest IBE values. Small-bodied insectivorous birds and arboreal species were detected more often in reaches with better water quality and in less modified landscapes. In contrast, larger and granivorous species were more common in disturbed reaches. According to the information-theoretic approach, the best model for predicting water quality included the anthropogenic index, bird species diversity, and an index summarizing the trophic structure of the bird community. We conclude that, in combination with landscape-level information, the diversity and trophic structure of riparian bird communities could serve as a rapid indicator of stream-dwelling macroinvertebrates and, therefore, degradation of in-stream biotic integrity.

Trout farming, that represents the most important sector for aquaculture inland production in Italy, can cause negative effects on aquatic ecosystems. Recently, in the framework of Water Frame Directive 2000/60/EC and national law DL 152/2006, concerning the sustainable uses of water resources, multi-criteria approaches have been suggested to evaluate the impact of fish farming on aquatic ecosystems. In this study trout farms of central Italy were selected to investigate the effects of their effluents, on receiving water bodies using a multi-criteria approach based on physico-chemical parameters, microbiological and macrobenthonic indicators, detected in sampling stations located upstream/downstream the trout farm. Moreover, antibiotic susceptibility against antibiotics allowed and/or forbidden by current law (D.lgs 193/56/06) was tested on E. coli strains. The results indicate variations of chemical parameters and biological indicators from upstream to downstream sites in some of the investigated farms. Antibiotic resistance of E. coli strains suggested a large use of tetracycline and a possible past use of chloramphenicol. This study represents a first contribute to the knowledge of fish farm impacts on aquatic systems in Central Italy.

Background: Microbiological indicators are commonly used in the assessment of public health risks associated with fecal contamination of freshwater ecosystems. Sediments are a reservoir of microorganisms, and can thus provide information on past pollution events, not obtainable through the testing of surface water. Moreover, pathogens present in sediment may represent future threats to human health. Clostridium perfringens, a typical colonizer of sediments, has been suggested as an alternative indicator of fecal pollution. In order to be suitable for such purpose, the microorganism should be widely distributed in contaminated environments. The objective of this study was thus to determine the composition of the anaerobic community in sediment samples of the lower Tiber basin, in central Italy, through a combined approach involving granulometric analysis of sediment samples, as well as a microbiological and molecular (16S rRNA) analysis of strains., Results: Granulometry showed a similar, clayey sediment composition, in most sampling sites. The microbiological method, employing, an adaptation of the standard method, proved to be effective in isolating anaerobic bacteria from the environmental matrix for the purpose of genetic analysis. Eighty-three strains of bacteria were isolated and the partial 16S rRNA gene sequenced. While biochemical analysis detected only C. perfringens strains, phylogenetic analysis indicated the presence of three clusters: C. perfringens, C. bifermentans and B. cereus, comprising eight taxa. C. perfringens, the commonest in almost all sediment sampling sites, was present in all sites, and in both seasons (seasonal sampling was carried out only along the Tiber and Aniene rivers). None of the described genetic profiles showed complete similarity with GenBank sequences., Conclusion: The study underlines the value of C. perfringens as an alternative microbial indicator of fecal contamination in river sediments. This is supported by the bacterium's presence in all sampling sites, and in both seasons, coupled with its detectability using commercial diagnostic kits. The study also illustrates the presence of an anaerobic community of considerable biodiversity in the lower Tiber basin, with C. perfringens as its main component. The 16S rRNA analysis, while confirming the phylogenetic relationships among isolated species, also showed haplotype patterns different from those present in the NCBI database.

This paper describes the application of the Index of Potential Non-point Pollution (PNPI) to the territory of the Viterbo Province (Central Italy). PNPI is a GIS tool that allows managers to assess the pressure on surface aquatic ecosystems deriving from diffuse sources of pollution. The index aims to assemble the available environmental datasets and specialists' expertise to set up a user-friendly and informative tool that can support decision-making processes and foster a multi-disciplinary approach. The index calculation is described and results are reported in order to give an overview of PNPI possible applications.

Assessment of the pollution of water bodies from non-point sources is a complex data- and time-consuming task. The potential non-point pollution index (PNPI), is a new tool designed to assess the global pressure exerted on rivers and other surface water bodies by different land uses. The main feature of PNPI is the wide availability of its input data. Very detailed input maps, often lacking over many areas, are not needed for PNPI calculation. As a consequence of the input data used, the modelling of physical reality and of processes is heavily simplified. The authors counterbalanced such a simplification using an 'expert system' approach. The system bypasses the accurate representation of the physical reality to assess globally the pollution potential of different land uses according to the judgement of scientists. The scientific community proposes many models for depicting the dynamics of pollutants coming from diffuse sources. Most of them can be grouped into two broad categories: statistical models and physically based models. PNPI belongs to neither of the above-mentioned groups. PNPI is a GIS-based, watershed-scale tool designed to inform decision makers and public opinion about the potential environmental impacts of different land management scenarios. PNPI applies the multicriteria technique to pollutant dynamics and water quality. The pressure exerted on water bodies by diffuse pollution coming from land units is expressed as a function of three indicators: land use, run-off and distance from the river network. They are calculated from land use data, geological maps and a digital elevation model (DEM). The weights given to different land uses and to the three indicators were set according to experts' evaluations and allow calculation of the value of the PNPI for each node of a grid representing the watershed; the higher the PNPI of the cell, the greater the potential impact on the river network. The output of the calculation is presented in the form of maps that highlight areas that are more likely to produce pollution. Last, possibilities, strategies and results of the validation of the PNPI are described. In the authors' view, the explicit link between land use and potential pollution on which PNPI is based, together with its high communication potential, make it particularly interesting for a participatory and integrated approach to land management and environmental protection.

A good water quality bio-indicator should be sensitive to different forms of water degradation in any geographical area, and effectively track water quality changes in time. We investigated whether the presence of a bird, the dipper (Cinclus cinclus), in 47 reaches of 35 streams of central Italy was affected by stream pollution as assessed by the Extended Biotic Index. Data from the literature and interviews with ornithologists furnished information about past dipper presence and water quality in the study streams. In 93.3% of cases dippers occurred in unpolluted reaches. The dipper was absent from 93.7% of polluted or strongly polluted streams. Dippers disappeared from 50% of the study streams for which past information was available. In a few streams dippers disappeared after the quality of water had degraded. Water quality degradation in the study area, especially in the hill streams, is causing dipper areale to contract to higher altitudes. Dipper is a good water quality bio-indicator for Mediterranean streams.

Occupational contact dermatitis (OCD) is a very important skin disease both for its high frequency and for its social and economic implications. The aim of our work is to evaluate the epidemiology of occupational contact dermatitis in a north-Italian population and the possibility of a correct etiological diagnosis using the patch test standard series of GIRDCA (Italian Group of Resarch on Contact Dermatitis). We patch tested 1,565 out-patients affected by dermatitis with standard series GIRDCA and with other specific professional haptens. The manifestations were suspected of being of occupational origin by a dermatologist on the basis of clinical and anamnestic data. Of all the recorded professions we have considered only the more numerically significant: food industry, building industry, textile industry, employees, cleaners, hospital personnel, hairdressers, housewives, mechanics and metallurgists. Sixty-nine percent of contact dermatitis was found in women, the hairdressers had the greatest number of patients in the younger group (68.7% in the 11-20 years age group) and the textile industry workers in older group (100% in the 41-50 years age group). A positive allergological anamnesis emerged in 32.3% of allergic contact dermatitis. Irritant contact dermatitis (10.6%) was more frequent than allergic contact dermatitis (8.4%). The hands are the most common localization (94. 4%). The allergen with the highest frequency of positive reactions is p-phenylenediamine (25.3%). We discuss the frequency of positives to various groups of allergens in each profession and the principal means of contact. Because of the frequency of this type of occupational skin disease, we stress the importance of prevention. The standard series GIRDCA was found to be adequate for recognizing occupational contact dermatitis in most of our patients (74%).

The epidemiology of the diabetic foot is still unknown because this heterogeneous pathologic condition is non uniformly classified and described. Lower limb peripheral vascular disease has a preferential distal location strongly associated with the classical factors of cardiovascular risk. Ulcers occur in 15% of diabetics and 6-20% of all hospitalized diabetic patients are affected by ulcers of the foot. There is a predictive feature of the severity of the ulcer in relation to its location. In the USA, ischemia-related amputations are about 200 per million per year for non diabetics as against 3900 per million for diabetics; furthermore the incidence of a second amputation rises to 51% 5 years after first amputation. Risk factors for amputation are: smoking, hypertension, dyslipidemia, elderly age, glycosylated hemoglobin levels. Although mortality has decreased in the last 50 years, the diabetic foot is still a huge economic problem.

The authors examine 162 cervico-vaginal smears of women in peri-menopause presenting cellular alterations (ASCUS). These patients were treated with a local topic therapy as the persistence of these alterations in 23 cases (14.2%) second level analyses were performed: gynecological visit, colposcopy and biopsy. In addition to inflammatory aspects 2 in situ carcinomas and 2 moderate dysplasias were recorded. We believe therefore that cytology could be a valid aid also in pre-menopausal women in the cervico-vaginal pathology.

This article presents the results of an investigation involving bacterioflora in a water well clogged for the presence of biomass. The water well, placed in a zone near Rome, showed some problems about the water quality and about the extraction of water. The examination of the interior of the pipes showed the presence of biomass. The biomass was examined microscopically and bacteriological analyses were carried out on it. Heterotrophic bacteria were enumerated with three different media by direct count, Pseudomonas sp., yeasts and fungi also by spread plate method. The anaerobic Sulphate Reducing Bacteria were investigated by "Most Probable Number" technique. The results of the analyses showed the presence of protozoa and algae. Moreover high quantity of bacterial flora as heterotrophic bacteria and Pseudomonas sp. were revealed. Sulphate Reducing Bacteria were enumerated in low quantities. Sphaerotilus natans, Actinomyces and Rhodotorula were identified. The clogging problems arose from the presence of filamentous microorganisms as Sphaeroilus natans and Actinomyces sp. When microorganisms of this kind are present in aquifers they can multiply massively if the conditions are favorable.

Flavonoid production and accumulation during the ontogenic cycle of Passiflora incarnata L. was studied. The highest concentration of isovitexin occurred between pre-flowering and flowering stages. The greatest accumulation of flavonoids took place in the leaves. Furthermore some pharmacodiagnostic characteristics of the drug of P. incarnata were specified using a Scanning Electron Microscope.