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Fraxinus excelsior L. (ash) is a key forest tree species challenged by Hymenoscyphus fraxineus (T. Kowalski) Baral, Queloz, Hosoya, the causal agent of ash dieback. The goals of this study were (I) to assess the presence, spatial distribution, and incidence of H. fraxineus in the inner-alpine valleys of northwestern Italy, along with the severity of ash dieback; (II) to model the probability of infection by H. fraxineus based on environmental variables; (III) to reconstruct the direction of provenance of the front of invasion of the pathogen; and (IV) to test whether H. fraxineus has replaced the native relative Hymenoscyphus albidus (Gillet) W. Phillips, a saprobe of ash litter. By combining phytosanitary monitoring and samplings in 20 forest stands, laboratory analyses, and statistical modelling, this study showed that H. fraxineus was present in 65% of stands with an average incidence of 27%, reaching peaks of 80%. Rainfalls were the most relevant drivers of the probability of infection by H. fraxineus, rising up to 80% with the increased precipitation in April and July. Other drivers included elevation, maximal temperatures, latitude, and longitude. The front of invasion likely moved from Italy and/or Switzerland, rather than from France, while the replacement of H. albidus is uncertain. [ABSTRACT FROM AUTHOR]

Concomitant therapy (CT) and bismuth quadruple therapy (BQT) are recommended in geographical areas with high clarithromycin resistance for Helicobacter pylori (H. pylori) eradication. We compared CT and BQT as the first lines of treatment in a randomized controlled trial. Consecutive patients with H. pylori diagnosed by concordance of both a urea breath test and histology were recruited. For BQT, patients received 3 PyleraTM capsules q.i.d.; for CT, 1000 mg of amoxicillin b.i.d, 500 mg of clarithromycin b.i.d and 500 mg of metronidazole b.i.d. As a proton pump inhibitor, 40 mg of pantoprazole b.i.d was administered. Both regimens lasted 10 days. In total, 46 patients received CT and 38 BQT. Both groups were comparable for age (p = 0.27) and sex (p = 0.36). We did not record any drop outs; therefore, the intention to treat and per protocol rates coincided. The most common symptoms were heartburn and post-prandial fullness, which were equally present in both groups. The success rate was 95.6% for CT and 100% for BQT (p = 0.56). Side effects were recorded in 23.9% and 31.6% of patients in the CT and BQT arms, respectively (p = 0.47). The most common ones were abdominal pain (8) and diarrhea (6). In conclusion, CT and BQT are equally effective in our area with high clarithromycin resistance, southern Italy, and showed comparable safety. [ABSTRACT FROM AUTHOR]

Aim: Describe a case of a Nicolau syndrome. Classically Nicolau syndrome, a livedoid and ischemic lesion, caused by intramuscular or local drug injections, has been associated with bismuth or beetalactam antimicrobials, but it has been associated as well with non-steroidal anti-inflammatory drugs, mostly with diclofenac. Method: There is a 59-year-old male with migraine, Horton's neuralgia, high blood pressure, sleep apnea and obesity (BMI 45), nonsmoker, with two pulmonary embolies in the history. Due to severe obesity warfarin was chosen for permanent anticoagulation. Against neurologist recommendation patient had used intramuscular diclofenac weekly. Within few days on the injection site, right lateral tight, developed a livedoid area turning into a necrotic wound (by admission size 7x4 cm). Results / Discussion: First warfarin necrosis or calciphylaxis was suspected. Warfarin was changed to rivaroxaban. Patient was assessed by the multidisciplinary wound team. In the histopathology report there was thrombotic vessels in subcutis, ulceration, necrosis with inflammatory cells and no calcification in von Kossa staining, iron and alcian blue were also stained. The diagnosis was Nicolau syndrome. Repeated bed-side revisions were performed and AIH was used. After two months there was good epithelization (wound size 4x1 cm). Plastic surgeon decided to continue treatment conservatively. Patient was also referred to a neurologist. Conclusion: In this case there was a possibility of warfarin necrosis, risk factors for non-uremic calciphylaxis, but the clinical signs, pathology report and history fit best for Nicolau syndrome. It is important to clinicians to be aware of this rare adverse reaction, not to miss it. [ABSTRACT FROM AUTHOR]

Abstract: This article focuses on the performance of an innovative railway sleeper, recently patented in Italy and called “HP-BB” (High Performance Bi-Block sleeper), under different efficiency conditions of the ballast. The research is carried out through a comparative assessment of traditional mono- and bi-block sleepers, evaluating the lateral resistance of the single sleeper thought as independent of the other constituents of the track. [Copyright &y& Elsevier]

The eradication of Helicobacter pylori (H. pylori) may be difficult due to antibiotic resistance. Indeed, after one failure, a second-line therapy is needed and a bismuth containing quadruple therapy (BQT) with a three-in-one capsule formulation is becoming very popular. Therefore, we aimed to evaluate effectiveness and safety of BQT as a second-line therapy. We recruited consecutive patients with one therapy failure. For ten days patients received the three-in-one BQT Pylera® therapy, in combination with a proton-pump inhibitor (PPI), decided at the choice of the investigator, at full dose bid. The eradication rate was calculated by intention-to-treat (ITT) and per-protocol (PP)analyses and 95% confidence intervals (CI) were calculated. Seventy-three patients were recruited, 41 females and 32 males (mean age 53.0±13.1 years). Fifty-five patients failed triple therapy with amoxicillin and clarithromycin and the remaining 18 received sequential therapy. Seventy-two patients consumed at least 90% of the capsules, while only one did not complete the therapy due to adverse events (nausea and diarrhea). By ITT analysis, BQT was successful in 62 subjects (eradication rate 84.9%, 95%CI 76.7–93.1%). By PP analysis, the eradication rate was 86.1% (95%CI 78.1–94.1%).Adverse events were observed in 14 subjects (20.5%).In conclusion, our report confirmed that BQT is effective as an empiric second-line regimen. [ABSTRACT FROM AUTHOR]

Demicheleite, ideally BiSBr, is the first natural bismuth sulfohalogenide so far discovered. It is identical with the corresponding and analogous synthetic compound and is one of the very few minerals where bromine is an essential component. It was found in an active high-temperature fumarole at the rim of La Fossa crater, Vulcano Island, Aeolian archipelago, Sicily, Italy. The mineral occurs as prismatic translucent crystals up to 0.5 mm in size in an altered pyroclastic breccia, together with pseudocotunnite, bismoclite, bismuthinite, cotunnite, and challacolloite. The mineral is orthorhombic, space group Pnam, with a = 8.0424(9), b = 9.8511(11), and c = 4.0328(5) Å, V = 319.50(6) Å3, Z = 4 (from single crystal); the habit is prismatic with {110} and {210} as prevailing forms, terminated by minor faces of another prism {011}, a pinacoid {010}, and a bipyramid {111}.The color is dark red to black; the streak is red; the luster submetallic. Non-fluorescent. Tenacity: brittle. Cleavage and fracture: not observed. The calculated density is 6.312 g/cm³. The chemical analysis obtained by EDS microprobe gave (wt%) Bi 67.6(4), Br 17.4(7), Cl 4.1(4), I 0.6(1), S 10.1(1), total 99.8, corresponding to the empirical formula (based on 3 apfu): Bi0.99S0.97(Br0.67Cl0.35I0.02)Σ=1.04 The crystal structure has been refined to a final R index of 0.037 and contains Bi in sevenfold coordination at the center of a monocapped trigonal prism. By sharing the triangular bases, such polyhedra form rows extending along [001]. These rows are connected to symmetry-related rows by sharing S-S edges of the pyramidal caps; these double rows are connected to each other by sharing Br/Cl atoms. The bond lengths are close to those of the synthetic counterparts BiSBr and BiSCl, with Bi-S bonds 2.593(3) and 2.720(2) Å long and Bi-Br/Cl bonds 3.009(1) and 3.488(2) Å long. The strongest 6 lines in the X-ray powder diffraction pattern [dobs(Å) (I) hkl] are: 4.220 (68) (120), 3.740 (62) (210), 2.909 (100) (121), 2.036 (47) (321), 1.865 (63) (022), and 1.774 (88) (411). The mineral is named after Vincenzo de Michele (b. 1936), former curator of the Section of Mineralogy of the Museo di Storia Naturale, Milano, Italy. Both the mineral and the mineral name have been approved by the IMA Commission on New Minerals, Nomenclature and Classification (IMA 2007-022). The type specimen is deposited (no. 2007-1) in the Reference Collection of Dipartimento di Chimica Strutturale e Stereochimica Inorganica of Università degli Studi di Milano. [ABSTRACT FROM AUTHOR]

The knowledge of bismuth during the XV and XVI centuries represents an open question since, according to some authors, this element was confused with lead, tin and silver. On the contrary, G. Agricola (1494–1555), the pioneer of mineralogical science in Europe, in his two works (De Natura Fossilium, Lib X, 1546 and Bermannus Sive De Re Metallica Dialogus, 1528) asserts that bismuth was considered as an element distinct from the other metals at that time. This question gave rise to some interest, and von Lippmann in 1930 wrote a treatise dealing with the history of bismuth between 1400 and 1800. In this work we present the results obtained on Italian and Hispano–Moresque shards studied by means of X-ray diffraction, atomic absorption spectrometry with electrothermal atomisation, inductively coupled plasma optical emission spectrometry and scanning electron microscopy. It seems that our work could provide a new and important contribution to this debate, because we found bismuth in lustre composition of Renaissance shards produced in central Italy. Furthermore, we found that it could also be considered as a discriminating element between Italian and Hispano–Moresque productions, useful to assess their origin. [ABSTRACT FROM AUTHOR]

We reviewed the calibration procedures of gamma-ray spectrometry with particular emphasis to factors that affect accuracy, detection limits and background radiation in field measurements for dosimetric and radon potential mapping. Gamma-ray spectra were acquired in western Liguria (Italy). The energy windows investigated are centred on the photopeaks of (214)Bi (1.76 MeV), (208)Tl (2.62 MeV) and (40)K (1.46 MeV). The inferred absorbed dose rate and the radon flux are estimated to be lower than 60 nGy h(-1) and 22 Bq m(-2)h(-1), respectively.

According to recent surveys made by the International Commission on Radiological Protection (ICRP) and the World Health Organization (WHO), it has been estimated that in temperate regions people spend only 20% of their time outdoors and spend the remaining 80% indoors (homes, schools, other buildings). It is therefore important to establish whether radiation sources exist inside buildings in order to assess risk for the population. The 238U and 232Th radioactive chains are of particular importance because of Radon and Radon daughter production and 40K as component of building materials. It has been estimated that about 4.5% of lung cancers observed in the population are associated with exposure to Radon daughters. In order to comply with international regulations it is estimated that 1.5% of the existing dwellings in temperate regions need to be improved.

Existing data on 210Pb in human teeth are reviewed for various countries. The mean value of 210Pb in the teeth of population groups exposed to "normal" levels of radon-daughter exposure is about 2 mBq/g. A detailed analysis of 48 samples from a "normal" Italian population group revealed that smoking habits and age may have some influence on 210Pb content of teeth, while this is not the case for differences in sex. A group of 45 Austrians exposed to elevated levels of radon and radon daughters is compared with the Italian group. After subtraction of background levels of 210Pb as found for the normal Italian population, the incremental 210Pb tooth content due to excessive radon-daughter exposure has been correlated with the individual cumulative exposure corrected for background radon-daughter exposure. A statistical analysis shows the significance of the linear correlation at the alpha = 0.01 level. For the incremental increase of 210Pb in teeth, a value of 1.2 mBq/g has been used for a lifetime exposure to 1 WLM. This result is compared to corresponding data published in the literature, which are predominantly related to the 210Pb content of bone after short-time exposure at high levels, e.g. in uranium mines. The comparison seems to indicate the influence of the exposure rate and the need for a comprehensive model, which takes into account radon-daughter inhalation, radon dissolved in body fluids and 210Pb metabolism.