Search

Abstract: Inhalation of radon (Rn-222) and its progeny is one of the most significant sources of natural radiation exposure of the population. Nowadays, high radon exposures have been shown to cause lung cancer and many governments all over the world have therefore recommended that radon exposures in dwellings and indoor workplaces should be limited. Radon levels in buildings vary widely from area to area depending on local geology. This paper presents the results of a long-term survey of radon concentrations carried out from 2005 till 2010 in schools and dwellings of Eastern Sicily, using the solid-state nuclear track detector (SSNTD) technique. The investigated area shows medium-high indoor radon concentrations, higher than the Italian average of about 70Bq/m3, with peaks of 500Bq/m3 or more in buildings near active faults. Fortunately, only a small fraction of the measurements, about 1.5% of total, was found greater than EU and Italian action limits for indoor and workplaces. [Copyright &y& Elsevier]

Abstract: Three different methodologies were used to measure Radon (222Rn) in soil, based on both passive and active detection system. The first technique consisted of solid-state nuclear track detectors (SSNTD), CR-39 type, and allowed integrated measurements. The second one consisted of a portable device for short time measurements. The last consisted of a continuous measurement device for extended monitoring, placed in selected sites. Soil 222Rn activity was measured together with soil Thoron (220Rn) and soil carbon dioxide (CO2) efflux, and it was compared with the content of radionuclides in the rocks. Two different soil–gas horizontal transects were investigated across the Pernicana fault system (NE flank of Mount Etna), from November 2006 to April 2007. The results obtained with the three methodologies are in a general agreement with each other and reflect the tectonic settings of the investigated study area. The lowest 222Rn values were recorded just on the fault plane, and relatively higher values were recorded a few tens of meters from the fault axis on both of its sides. This pattern could be explained as a dilution effect resulting from high rates of soil CO2 efflux. Time variations of 222Rn activity were mostly linked to atmospheric influences, whereas no significant correlation with the volcanic activity was observed. In order to further investigate regional radon distributions, spot measurements were made to identify sites having high Rn emissions that could subsequently be monitored for temporal radon variations. SSNTD measurements allow for extended-duration monitoring of a relatively large number of sites, although with some loss of temporal resolution due to their long integration time. Continuous monitoring probes are optimal for detailed time monitoring, but because of their expense, they can best be used to complement the information acquired with SSNTD in a network of monitored sites. [Copyright &y& Elsevier]

Abstract: Natural radioactivity measurements represent an interesting tool to study geodynamical events or soil geophysical characteristics. In this direction we carried out, in the last years, several radionuclide monitoring both in the volcanic and tectonic areas of the oriental Sicily. In particular we report in-soil Radon investigations, in a tectonic area, including both laboratory and in-site measurements, applying three different methodologies, based on both active and passive detection systems. The active detection devices consisted of solid-state silicon detectors equipped in portable systems for short-time measurements and for long-time monitoring. The passive technique consisted of solid-state nuclear track detectors (SSNTD), CR-39 type, and allowed integrated measurements. The performances of the three methodologies were compared according to different kinds of monitoring. In general the results obtained with the three methodologies seem in agreement with each other and reflect the tectonic settings of the investigated area. [Copyright &y& Elsevier]

Purpose: This cross-sectional monocentric study aims to utilize the Early Childhood Attention Battery to investigate early attention patterns in young preterm children and ascertain the extent to which their attentional abilities diverge from those of term peers., Methods: Inclusion criteria encompassed gestational age < 34 weeks, with assessments conducted between 3 and 5 years 11 months. Exclusion criteria included major brain lesions, significant motor or behavioral disorders, and intellectual functioning with IQ < 70. Preterm raw scores converted to scaled scores and percentiles. Frequency analysis compared preterm scores to norms. Non-parametric tests assessed significance between scaled scores and subgroups (age, gestational age, sex, birth weight)., Results: One hundred nineteen preterm patients were enrolled in the study between November 2016 and June 2023. Comparisons with published norms showed lower mean scores across all subtests and domains for preterm children. A notable proportion of assessments (13-40%) fell below the 5th percentile, with the dual task item in sustained attention being the highest (40%). Sex did not predict differences, except for auditory sustained and visual search subtests. Gestational age did not correlate with abnormal scores, consistent with previous studies. The prevalence of assessments below the 5th percentile highlights preterm children's vulnerability to attention issues. The test's sensitivity to attention deficits in preterm populations suggests its potential in identifying at-risk children early for tailored interventions., Conclusions: The battery effectively detects attentional deficits in preterm children. Early detection and targeted insights support tailored educational interventions. By focusing on specific attention skills, the battery guides clinicians in choosing individualized or group activities based on areas most affected., What Is Known: • Attention is often impaired in preterm children but it is not systematically investigated before school age. The ECAB is a tool specifically designed for preschool children., What Is New: • Using the ECAB we evidenced a different level of attention between pre-term and term-born children at preschool age., Competing Interests: Declarations Conflict of interest The authors declare no competing interests., (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

Background: The aim of this study was to assess prognostic stratification in patients admitted in two Italian Emergency-Department High-Dependency Units (ED-HDU)., Methods: From June 2014, to July 2016, we recorded all patients admitted in the ED-HDU of the Careggi University Hospital and the Vittorio Emanuele University Hospital in a standardized database. Charlson Index and SOFA Score were calculated to evaluate comorbidity burden and severity of organ dysfunction. End-points were HDU and in-hospital mortality rate and need of Intensive Care Unit (ICU) transfer., Results: The overall number of patients admitted in the two Units was 3311, 1822 in Florence and 1489 in Catania. HDU mortality rate was 5% (N.=171); compared with survivors, non-survivors showed a higher SOFA Score (10.0±4.2 vs. 3.5±2.9, P<0.001) and a higher number of organ dysfunctions (1.6±0.9 vs. 0.6±0.8, P<0.001). All patients with a SOFA Score in the first and second quartile survived HDU admission (only two non-survivors among patients in the second quartile), while mortality was disproportionally high in the group with a score value in the fourth quartile (0%, 0.2%, 3% and 14%, P<0.001). Presence and number of organ failure, as well as SOFA Score (5.6±4.0 vs. 3.4±2.8, P<0.001), were significantly higher in patients transferred to ICU than in those admitted in an ordinary ward or discharged. A higher SOFA Score (RR 1.55, 95% CI: 1.47-1.63, P<0.001) was associated with an increased HDU mortality, independent of age and Charlson Index., Conclusions: SOFA Score showed a good discrimination ability for both HDU - mortality and indication to increase the level of care.