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Egg (cyst) banks play a fundamental role in the survival strategy of the hydrobionts of temporary pools. Therefore a quantitative estimate, as accurate as possible, of their size is the starting point for all the possible considerations concerning the life history of the inhabiting populations. We describe here, in some details, a sampling procedure to evaluate the number of cysts laid by the anostracan Chirocephalus ruffoi Cottarelli & Mura, 1984, in an experimental pool and we show that this procedure results in a good estimate of the cyst bank consistency. A pool 150 cm in diameter was divided into five concentrical rings, 13 cm apart from each other, and a central core (with a 10 cm radius). The number of samples needed to obtain an accurate estimate was calculated by taking into account that, to perform uniform sampling, the total volume of the samples must be proportional to the volume of the pool bed in each ring. The number of cysts in each of the rings was then estimated by considering the mean of the experimental results of a previous study (61 core samples along six transects across the pool itself), multiplied by the number of samples ideally performed in each sector. Evaluating the cyst bank size by the above method resulted in an estimate with an error of only 4% compared to the real cyst bank size. We also show that the number of samples needed can significantly be reduced, with an error on the total number of cysts that can be controlled. This result, that follows from statistical considerations on the confidence interval for the mean, allows us to obtain a general sampling procedure that can be applied to statistically comparable pools.

In Italy, vaccination against hepatitis B virus infection was strongly recommended for healthcare workers since 1985. Update findings on vaccination coverage are lacking.To assess current vaccination coverage against hepatitis B in this job category.In 2006, 1,632 healthcare workers randomly selected in 15 Italian public hospitals completed a self-administered precoded questionnaire.The overall vaccination coverage was 85.3%, a figure higher than the 64.5% observed in 1996. Vaccine coverage showed a significant downtrend (p0.01) from the Northern (93.1%) to the Southern (77.7%) areas. Logistic regression analysis showed that residence in the North (Odds ratio 4.2; 95% confidence interval 2.6-6.7) and youngest age (Odds ratio 4.5; 95% confidence interval 2.6-7.8), both were independent predictors of vaccine acceptance.Ten years apart, vaccine coverage has markedly increased, closely paralleling the downtrend in the incidence of acute B hepatitis among healthcare workers in Italy.

Recommendations are made for controlling the transmission of the hepatitis B and hepatitis C viruses from healthcare workers to patients. These recommendations were based both on the literature and on experts' opinions, obtained during a Consensus Conference. The quality of the published information and of the experts' opinions was classified into 6 levels, based on the source of the information. The recommendations can be summarised as follows: all healthcare workers must undergo hepatitis B virus vaccination and adopt the standard measures for infection control in hospitals; healthcare workers who directly perform invasive procedures must undergo serological testing and the evaluation of markers of viral infection. Those found to be positive for: 1) HBsAg and HBeAg, 2) HBsAg and hepatitis B virus DNA, or 3) anti-hepatitis C virus and hepatitis C virus RNA must abstain from directly performing invasive procedures; no other limitations in their activities are necessary. Infected healthcare workers are urged to inform their patients of their infectious status, although this is left to the discretion of the healthcare worker; whose privacy is guaranteed by law. If exposure to hepatitis B virus occurs, the healthcare worker must undergo prophylaxis with specific immunoglobulins, in addition to vaccination.

Dialectical Behavior Therapy (DBT) is now a well consolidated system of treatment for Borderline Personality Disorder (BPD) and for clinical conditions where emotional dysregulation plays an important role both in pathogenesis and in stability over time of dysfunctional phenomena. DBT treatment is made of different modes (individual psychotherapy, skills training, phone calls, team meeting) contributing in different ways to the outcome. What seems very important, in order to better understand the therapeutic process, is to clarify the role and effect of treatment components. Recent research is mainly focused on skills training and, in particular, on mindfulness. Research data show that Borderline subjects have strong difficulties in “being here and now in an accepting and non-judgmental stance”. This is significantly connected to their tendency to be emotionally and behaviorally dysregulated. Consequently, the possibility to modify the vicious circle connecting lack in mindfulness-emotional dysregulation-behavioral dysregulation appears a very powerful, and specific, component of DBT therapeutic method.

As you enter the store with a child, she may be overloaded with stimuli, such as bright lights, many colors, people, little children and babies, music playing, or a voice over the loudspeaker. You will want to direct the child’s energies and excitement into positive actions and maintain appropriate behavior.

The prescriptions of antiepileptic drugs in the years 1985 and 1986 were used to identify all possible cases of epilepsy in a population of about 50,000 people. The general practitioners of the study area filled out a questionnaire for each user of antiepileptic drugs registered as a patient of theirs. This information was integrated using data obtained by local specialist services or directly collected by visits and/or phone interviews. Two-hundred and fifty-six of the 417 antiepileptic drug users proved to be active epileptics with a prevalence rate of 5.2/1000, the annual incidence rate for 1986 being 51.8/100,000. The main patterns of the disease appeared to be consistent with those of the literature while the prior history of seizures in the previous five years was generally lower. The health care of epileptic patients involved a wide range of specialists. The general practitioners were responsible for the final diagnosis of epilepsy in 10% of patients and for the management of the disease in 22%, most of the patients being over 50 years old. The calculated mean prescribed daily doses of the antiepileptic drugs suggested that many epileptics were taking therapeutic schedules lower than those of the literature.

β-N-Acetyl-d-glucosaminidase and its kinetic characteristics were determined in serum and skin from both diabetes mellitus and impaired glucose tolerance patients and controls. Mean total activity was reduced (p < 0.05) in the skin of both patient groups. β-N-Acetyl-d-glucosaminidase isoenzyme expression was investigated using chromatofocusing on PBE-94 coupled with automated enzyme assay. The isoenzyme profiles from serum showed two major forms (A and B) whose ratio varied from 2:1 in controls to 3:1 in diabetics. Moreover, diabetes mellitus and impaired glucose tolerance subjects displayed an intermediate (I) form. The A/B isoenzyme ratio was completely reversed in skin.

Good separations of the two major beta-hexosaminidase forms from human leukocytes were achieved by chromatofocusing, a technique which separates proteins on the basis of their isoelectric points. The use of an automated and reliable method is described for the identification of homozygotes and carriers of the GM2 gangliosidosis.

SUMMARYIn one locality in Italy where the incidence of psittacosis has increased rapidly since 1980, a hospital-based study and a seroepidemiological survey were carried out in order to define the clinical and epidemiological features of psittacosis in that area.Registers of the Virology Unit of the University of Ancona, Italy, were reviewed and all hospitalized patients with a serological diagnosis of psittacosis were identified. A total of 76 cases were found and studied. A presumptive bird source was identified in 80% of 62 patients, on whom a detailed investigation had been possible. Poultry represented the most frequent probable source of infection. Clinically, the predominant pattern of illness was a moderately severe lower respiratory tract infection, with chest X-rays showing pulmonary shadowings in 68 patients (89%).In the seroepidemiological study, 51 out of 143 subjects were exposed to birds (35·7%), but only 7 out of 90 urban adult blood donors (7·3%) were positive for chlamydial antibodies using the microimmunofluorescence test.