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The paper reflects on methods of approaching the reconstruction of Roman funerary rituals. The analysis takes the cue from the enigmatic small ceramic pots frequently found in high imperial graves from Opitergium. To investigate their function, several aspects are weighted together: the gender and age of the deceased, the size of the containers, the frequency of double deposition, their location inside the tombs and the association with other grave goods. Then the essay moves on how material data returns a lot of useful information for a more precise definition of ritual gestures. Visible and invisible must be combined: the paper focuses at the end on the use of biochemical analysis to uncover the original organic contents and to reconstruct the food offerings and purification rites carried out at the burial.

Pulmonic stenosis is a frequent congenital heart disease in dogs, and the treatment of choice is balloon valvuloplasty which is usually safe and successful. The authors describe for the first time a severe complication after balloon valvuloplasty in a five-month-old dog. After effective treatment, with a considerable drop in right ventricular pressures, the dog developed hypoxemia and dyspnea due to pulmonary edema. The dog underwent intensive care and symptoms improved after a few hours of oxygen therapy, continuous positive airway pressure, and furosemide. Although this event is rare, it could have a large impact on patient survival and should be considered in the treatment of severe pulmonary valve stenosis in the future.

Background - In the last few years care for children with severe chronic conditions is a topic of increasing interest. Children with chronic illness often require a high complexity of care and a high level of coordination among health services. Objective - The primary aim of this study is the assessment of children with chronic disease and high complexity of care (children with medical complexity), discharged from the Neonatal Intensive Care Unit (NICU) of Modena University-Hospital. The secondary aim is to assess the outcome of these patients. Methods - Patients with chronic diseases and high complexity of care (children with medical complexity), aged 0-6 months, and admitted to the NICU of Modena in the years 2009-2019 were recruited. Results - 59 subjects were included, of which 15 (25.4%) were born preterm, 11 (18.6%) suffered from hypoxic-ischemic encephalopathy, 33 (56%) had genetic diseases or malformations. All patients were discharged home, except for one patient who was discharged to hospice. The average hospital length of stay was 116.0 ± 63.4 days. Follow-up visits showed that 25 cases (42.4%) remained unchanged, 18 (30.5%) improved and 16 (27.1%) died. Conclusion - This study allows an assessment of patients with early diagnosis of chronic disease with high complexity of care, showing that some of these patients could be eligible for palliative care. The management of children with medical complexity requires diagnostic-therapeutic programmes that focus on them and their families and connect hospital and territorial health services.

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Introduction The ever-growing diffusion and consumption of herbal teas, due to their sensory attributes and well-known health benefits exposes them to the real risk of adulteration, especially in the case of commercial mixtures already minced for infusion. Therefore, novel and suitable tools for the control of these valuable products are increasingly required. Objectives This work provides new insights for the authenticity study of infusions. The main objective was verifying the potential of proton nuclear magnetic resonance (1 H-NMR) combined with partial least square (PLS) regression to build highly predictive models, useful for the determination of the real amounts of herbs in mixtures, by the simple analysis of the related infusion. Materials and methods Peppermint, fennel, lemon balm, and passiflora were chosen to set-up an experimental plan according to a central composite design (CCD). One-dimensional nuclear Overhauser effect spectroscopy (1D-NOESY) spectra were properly pretreated and then analysed by chemometrics to extract significant information from the raw data. Results Venetian-blind cross-validation and different chemometric indicators (RMSEC, RMSECV, RMSEP, R2 CAL , R2 CV, R2 PRED ) were used to establish the best model, which include four factors explaining 88.70 and 83.77% of the total variance in X and Y, respectively. Conclusions These promising results have laid the basis for further development of the method, to extend its applicability and make it more scalable. This tool could replace expensive separative techniques and protect the rights of consumers with particular attention to safety issues and quality assurance.

What is the role of the literary translator when tasked with the translation of literary texts resulting from the experience of recent conflict? For the last three years, I have researched this question in the context of literary translation workshops organised by the British Centre for Literary Translation (BCLT) and project partner AATI (Argentine Association of Translators and Interpreters) at Instituto Lenguas Vivas, Buenos Aires. This article examines the potential of the literary translation workshop for creating a space, personal as well as collective, in which narratives are shared, re-imagined, and passed on. It also investigates the particular nature of this space as intrinsically transnational, multi-vocal, collaborative and creative. I will argue that this space, open to dialogue and creativity, as well as experimentation and reflection, can make a valuable contribution to the work of other disciplines and discourses, such as memory studies. I will address the ‘ethics of translation’ for translators working on these texts, as well as the more practical questions concerning what a literary translator needs to know when working in contexts which are difficult, conflict-ridden, and multi-vocal, and how they deal with such texts in practice.

This report describes a novel truncating c.709C T p.(Gln237*) SALL1 variant in two siblings exhibiting sagittal craniosynostosis as a unique feature of Townes-Brocks syndrome (TBS, OMIM #107480). TBS is a rare autosomal dominant syndrome with variable phenotypes, including anorectal, renal, limb, and ear abnormalities, which results from heterozygous variants in the SALL1 gene, predominantly located in the 802 bp "hot spot region" within exon 2. Recent studies have suggested that aberrations in primary cilia and sonic hedgehog signalling contribute to the TBS phenotypes. The presence of the novel c.709C T p.(Gln237*) SALL1 variant was confirmed in both the siblings and their father, whereas no mutations currently associated with craniosynostosis were detected. We hypothesise that the truncating c.709C T p.(Gln237*) SALL1 variant, which occurs outside the "hot spot region" and inside the glutamine-rich domain coding region, could interfere with ciliary signalling and mechanotransduction, contributing to premature fusion of calvarial sutures. This report broadens the genetic and phenotypic spectrum of TBS and provides the first clinical evidence of craniosynostosis as a novel feature of the syndrome.

[ES] Introducción: la apnea obstructiva del sueño (AOS) es un trastorno respiratorio relacionado con el sueño, que determina graves secuelas en la salud de las personas afectadas. El estándar de oro para diagnosticar la AOS es la polisomnografía, que sin embargo es cara, requiere mucho tiempo, es difícil de realizar y no siempre está disponible. Por tanto, la AOS está infradiagnosticada y, dada la gravedad de sus consecuencias, representa una carga importante para el sistema sanitario. Para resolver este problema se necesitan métodos de cribado fáciles de realizar para identificar a los sujetos con alto riesgo de padecer AOS. Los dentistas se encuentran en una posición especialmente favorable para llevar a cabo estas pruebas iniciales. Objetivo: Revisar los datos bibliográficos disponibles para identificar los mejores métodos de cribado para detectar posibles pacientes con AOS durante la práctica clínica dental, tanto en adultos como en niños. Métodos: Se buscaron estudios relevantes publicados hasta abril de 2021 en las bases de datos PubMed, Embase, MEDLINE, Cochrane y LILACS. Resultados: Se seleccionaron 93 estudios, 52 para adultos y 41 para niños. Los métodos de cribado disponibles para el dentista incluían cuestionarios, oximetría de pulso, análisis de las vías respiratorias superiores y factores anatómicos. Algunos de ellos resultaron ser herramientas adecuadas para determinados fines específicos, pero ninguno de ellos presentaba todas las características necesarias para ser considerado un buen método de cribado de la AOS por sí solo. Por lo tanto, es necesario combinar varios de ellos para lograr una precisión suficiente en la detección de la AOS. Esto está respaldado por algunos de los estudios revisados, pero se necesitan más investigaciones. Los odontólogos tienen un papel fundamental en la detección precoz de posibles pacientes con AOS, ya que pueden utilizar los métodos descritos en esta revisión para realizar un cribado inicial de la población y dirigir a los sujetos identificados a los médicos del sueño.

Essential oils (EOs) are more and more frequently adulterated due to their wide usage and large profit, for this reason accurate and precise authentication techniques are essential. This work aims at the application of qNMR as a versatile tool for the quantification of vegetable oils potentially usable as adulterants or diluents in EOs. This approach is based on the quantification of both 1H and 13C glycerol backbone signals, which are actually present in each vegetable oil containing triglycerides. For the validation, binary mixtures of rosemary EO and corn oil (0.8–50%) were prepared. To verify the general feasibility of this technique, other different mixtures including lavender, citronella, orange and peanut, almond, sunflower, and soy seed oils were analyzed. The results showed that the efficacy of this approach does not depend on the specific combination of EO and vegetable oil, ensuring its versatility. The method was able to determine the adulterant, with a mean accuracy of 91.81 and 89.77% for calculations made on 1H and 13C spectra, respectively. The high precision and accuracy here observed, make 1H-qNMR competitive with other well-established techniques. Considering the current importance of quality control of EOs to avoid fraudulent practices, this work can be considered pioneering and promising.

Aphanizomenon flos-Aquae (AFA) cyanobacteria from Klamath Lake (Oregon) are considered a "superfood" due to their broad nutritional profile that has proved to have health-enhancing properties. The AFA metabolome is quite complex. Here, we present a study that, combining multinuclear 1H, 31P, and 13C Nuclear Magnetic Resonance (NMR) spectroscopy and high-resolution mass spectrometry, led to the detection of uncommon phosphorylated metabolites in AFA. We focused our attention on 31P NMR signals at 20 ppm, a chemical shift that usually points to the presence of phosphonates. The molecules contributing to 20 ppm 31P NMR signals revealed, instead, to be nucleoside 2′,3′-cyclic monophosphates. These metabolites were fully characterized by multinuclear 1H, 31P, and 13C NMR spectroscopy and high-resolution mass spectrometry.

Actinic keratosis (AK) is a skin premalignant lesion, which progresses into squamous cell carcinoma (SCC) if left untreated. Ingenol mebutate gel is approved for local treatment of non-hyperkeratotic, non-hypertrophic AK; it also has the potential to act as a field cancerization therapy to prevent the progression of AK to SCC. To gain better insights into the mechanisms of ingenol mebutate beyond the mere clinical assessment, we investigated, for the first time, the metabolome of skin tissues from patients with AK, before and after ingenol mebutate treatment, with high-resolution magic angle spinning nuclear magnetic resonance spectroscopy. The metabolomic profiles were compared with those of tissues from healthy volunteers. Overall, we identified a number of metabolites, the homeostasis of which became altered during the process of tumorigenesis from healthy skin to AK, and was restored, at least partially, by ingenol mebutate therapy. These metabolites may help to attain a better understanding of keratinocyte metabolism and to unmask the metabolic pathways related to cell proliferation. These results provide helpful information to identify biomarkers with prognostic and therapeutic significance in AK, and suggest that field cancerization therapy with ingenol mebutate may contribute to restore skin metabolism to a normal state in patients with AK.

Essential oils (EOs) are valuable products commonly employed in the food industry and intensively studied as biopreservatives for the extension of food shelf-life. Unfortunately, EOs might be counterfeit to increase industrial profits. Among the possible adulterants, vegetable oils (VOs) must be considered for their characteristics and low costs. We aimed to apply nuclear magnetic resonance (NMR) spectroscopy for the detection and identification of VOs in mixtures with EOs. This innovative strategy is based on comparing the peak area ratio matrices of characteristic VO 13C NMR fatty acid signals with those of adulterated EOs. The identification of the VOs was achieved by calculating the matrix similarity at different confidence levels. The strategy demonstrated the capacity to efficiently recognize the presence of adulteration and the type of VO adulterant in mixtures. Thus, the method was applied to 20 commercial EOs, and VOs were detected and then identified in four samples.

There is insufficient data regarding antimicrobial stewardship (AS) and outcomes of very low birth weight (VLBW) neonates after AS programs. This observational, retrospective study addressed AS and outcomes of VLBW neonates admitted to an Italian level-three center. Two periods were compared: (i) baseline, before AS (January 2011–December 2012) and (ii) intervention, after AS (January 2016–December 2017). Between these two periods, procedures were put in place to inform medical and nursing staff regarding AS. There were 111 and 119 VLBW neonates in the baseline (6744 live births) and in the intervention period (5902 live births), respectively. The number of infants exposed to antibiotics (70%) during the hospital stay did not change, but the total days of therapy (DOT, median 12 vs. 5) and DOT/1000 patient days (302 vs. 215) decreased in the intervention period (p &lt, 0.01), as well as the median duration of first antibiotic treatment (144 vs. 48 h, p &lt, 0.01). A re-analysis of single cases of culture-proven or culture-negative sepsis failed to demonstrate any association between deaths and a delay or insufficient antibiotic use in the intervention period. In conclusion, AS is feasible in preterm VLBW neonates and antibiotic use can be safely reduced.

Essential oils (EOs) are valuable products commonly employed in the food industry and intensively studied as biopreservatives for the extension of food shelf-life. Unfortunately, EOs might be counterfeit to increase industrial profits. Among the possible adulterants, vegetable oils (VOs) must be considered for their characteristics and low costs. We aimed to apply nuclear magnetic resonance (NMR) spectroscopy for the detection and identification of VOs in mixtures with EOs. This innovative strategy is based on comparing the peak area ratio matrices of characteristic VO 13C NMR fatty acid signals with those of adulterated EOs. The identification of the VOs was achieved by calculating the matrix similarity at different confidence levels. The strategy demonstrated the capacity to efficiently recognize the presence of adulteration and the type of VO adulterant in mixtures. Thus, the method was applied to 20 commercial EOs, and VOs were detected and then identified in four samples.

Geographical origin and authenticity of food are topics of interest for both consumers and producers. Among the different indicators used for traceability studies, n(87Sr)/n(86Sr) isotopic ratio has provided excellent results. In this study, the production chains of the balsamic vinegars of the Modena province, the Aceto Balsamico Tradizionale di Modena (ABTM) and the industrially made Aceto Balsamico di Modena (ABM) were investigated by using the n(87Sr)/n(86Sr) indicator. The geographical origin of the starting raw materials for the ABM production was investigated, as well as the variability of ABM samples of different production years, namely 2009, 2010, 2011 and 2014. The results show no significant variability among ABM samples of different production years and highlight the possibility to distinguish this product from the ABTM. Furthermore, the investigated indicator also confirms an objective link of the food with its starting raw material and the territory of origin of the grapes, assessing the discriminating power of n(87Sr)/n(86Sr) ratio for geographical traceability studies.

Workshop methodologies based on overarching knowledge structures are necessary for a shift of the tourism sector towards sustainability. We adopted a participatory action research approach and designed a workshop methodology based on the main tenets and tools of the theory of change, design thinking, and sustainable business models. We tested this methodology within a project initiated by a destination management organisation to promote innovation during the covid-19 crisis and used the results to identify improvements and recommendations for future applications. Although further tests are needed, the study proved that the developed methodology has great potential for promoting the systemic change, creativity, collaboration, empathy, and empowerment that are necessary for a sustainability shift.

To review the available bibliographic data to identify the best screening methods to detect potential obstructive sleep apnea (OSA) patients during dental clinical practice.Relevant studies published up to April 2020 were sourced from PubMed, Embase, MEDLINE, Cochrane, and LILACS databases.Thirty studies were selected. For adults, the screening methods available to the dentist included questionnaires, scales, indexes, pulse oximetry, and anatomical factors. A combination of questionnaires is potentially the most reliable method to detect OSA risk. For children, only information on questionnaires and anatomical factors was found; two questionnaires accurately identified potential OSA risk cases. Anatomical factors also displayed a significant relation with OSA for both populations.Dentists have a fundamental role in early detection of potential OSA cases since they can use the methods identified in this review to perform an initial screening of the population.OSA: Obstructive sleep apnea; PSG: Polysomnography; HST: Home sleep study; BMI: Body mass index; PPV: Positive predictive value; NPV: Negative predictive value; AHI: Apnea hypopnea index; RDI: Respiratory disturbance index; ODI: Oxygen desaturation index; PSQ: Pediatric Sleep Questionnaire; SRBD: Sleep-related breathing disorder; CSHQ: Children's Sleep Habits Questionnaire; ESS: Epworth Sleepiness Scale; PSQI: Pittsburgh Sleep Quality Index.

The ever-growing diffusion and consumption of herbal teas, due to their sensory attributes and well-known health benefits exposes them to the real risk of adulteration, especially in the case of commercial mixtures already minced for infusion. Therefore, novel and suitable tools for the control of these valuable products are increasingly required.This work provides new insights for the authenticity study of infusions. The main objective was verifying the potential of proton nuclear magnetic resonance (Peppermint, fennel, lemon balm, and passiflora were chosen to set-up an experimental plan according to a central composite design (CCD). One-dimensional nuclear Overhauser effect spectroscopy (1D-NOESY) spectra were properly pretreated and then analysed by chemometrics to extract significant information from the raw data.Venetian-blind cross-validation and different chemometric indicators (RMSEC, RMSECV, RMSEP, RThese promising results have laid the basis for further development of the method, to extend its applicability and make it more scalable. This tool could replace expensive separative techniques and protect the rights of consumers with particular attention to safety issues and quality assurance.

Obstructive sleep apnea (OSA) is a sleeping breathing disorder. In children, adenotonsillar hypertrophy remains the main anatomical risk factor of OSA. The aim of this study was to assess the current scientific data and to systematically summarize the evidence for the efficiency of adenotonsillectomy (AT) and orthodontic treatment (i.e., rapid maxillary expansion (RME) and mandibular advancement (MA)) in the treatment of pediatric OSA. A literature search was conducted in several databases, including PubMed, Embase, Medline, Cochrane and LILACS up to 5th April 2020. The initial search yielded 509 articles, with 10 articles being identified as eligible after screening. AT and orthodontic treatment were more effective together than separately to cure OSA in pediatric patients. There was a greater decrease in apnea hypoapnea index (AHI) and respiratory disturbance index (RDI), and a major increase in the lowest oxygen saturation and the oxygen desaturation index (ODI) after undergoing both treatments. Nevertheless, the reappearance of OSA could occur several years after reporting adequate treatment. In order to avoid recurrence, myofunctional therapy (MT) could be recommended as a follow-up. However, further studies with good clinical evidence are required to confirm this finding.

Understanding patient choice is vital in assessing the closeness of competition between hospitals. The standard technique used in the UK is to estimate substitution patterns based on historical general practitioner (GP) referrals. In this paper we compare the results of the ‘GP referral’ methodology to a demand estimation approach. Using patient-level data over a 3-year period (2012/13–2014/15) we apply both methodologies to every hypothetical merger between hospitals in England, for three specialties. We find a high degree of consistency between the two approaches, suggesting that GP referral analysis is a useful and reliable filter in merger cases. There are a small number of cases, however, in which the GP referral approach filters out potentially problematic mergers. This is particularly true for ‘borderline’ cases. Filtering should therefore be done with caution and in conjunction with additional evidence.

This study summarizes the results obtained from a systematic and long-term project aimed at the development of tools to assess the provenance of food in the oenological sector. In particular, 87Sr/86Sr isotope ratios were measured on statistically representative set of soils, vine branches and wines sampled in the production district of Modena, worldwide known for the Lambrusco wines production. The obtained data were used to build strontium isotopic maps able to objectively support the Lambrusco PDO wines origin as well as other products of the Modena district. Finally, a strong relationship was found between the 87Sr/86Sr isotope ratios of soils and vine branches on a large scale, highlighting and confirming once more the idea that plants can also represent an optimal sampling device to support geographical traceability.

This is an Accepted Manuscript of an article published by Taylor & Francis in Tourism Planning & Development on 7 July 2017, available online: http://www.tandfonline.com/10.1080/21568316.2017.1349688 This study concerns tourism initiatives by foreign organizations and their contributions to the emergence of responsible tourism in Cuba. Using the framework of Community Benefit Tourism Initiatives, this study investigates the local actors’ and the foreign organizations’ perspective on responsible tourism, the processes of planning and developing tourism initiatives, their implementation and the effects on the local communities. The empirical part concerns a case study about an initiative originated from a cultural development project by an Italian D-NGO and developed through the collaboration with an Italian tour operator. The findings suggest that, even in the case where such initiatives aren’t strategically planned and start with a limited participation of local actors, they can lead to important benefits for the local communities. The findings also suggest that these types of initiatives can constitute a solid basis for future developments with an increasing active participation by the local actors.

The role of noncovalent interactions in the adsorption of biological molecules on graphene is a subject of fundamental interest regarding the use of graphene as a material for sensing and drug delivery. The adsorption of dopamine on regular graphene and graphene with monovacancies (GV) is theoretically studied within the framework of density functional theory. Several adsorption modes are considered, and notably those in which the dopamine molecule is oriented parallel or quasi-parallel to the surface are the more stable. The adsorption of dopamine on graphene implies an attractive interaction of a dispersive nature that competes with Pauli repulsion between the occupied π orbitals of the dopamine ring and the π orbitals of graphene. If dopamine adsorbs at the monovacancy in the A–B stacking mode, a hydrogen bond is produced between one of the dopamine hydroxy groups and one carbon atom around the vacancy. The electronic charge redistribution due to adsorption is consistent with an electronic drift from the graphene or GV surface to the dopamine molecule. Fil: Rossi Fernandez, Ana Cecilia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Instituto de Física del Sur. Universidad Nacional del Sur. Departamento de Física. Instituto de Física del Sur; Argentina Fil: Castellani, Norberto Jorge. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Instituto de Física del Sur. Universidad Nacional del Sur. Departamento de Física. Instituto de Física del Sur; Argentina

Surface enhanced Raman spectroscopy (SERS) is a highly sensitive technique for the non- or minimally invasive identification of molecules at very low concentrations. In this work, SERS is exploited using naked laser-ablated gold nanoparticles (AuNPs) for the detection of dyes on artificially aged paper inked with a ballpoint pen. Although several studies on inks with SERS are present in the literature, most of them report on the investigations on freshly prepared products, and less information is present on the detection of aged dyes and inks using SERS. Ballpoint inks are commonly used in daily activities, but have also been employed by several contemporary artists. These inks are very sensitive to light, and they discolor rapidly, making their detection demanding. In the present work, the SERS spectra of a ballpoint pen ink on two types of paper were analyzed after light-induced ageing, and the importance of the dye–AuNP interaction is discussed. The results show that the interpretation of the SERS spectra of the aged samples, such as those of interest in the Cultural Heritage field, is a tricky and delicate operation and that the diffusion of the dyes to the hot spot regions of the plasmonic nanoparticles plays a pivotal role in the detection of degraded ink components. Therefore, appropriate evaluation of the factors affecting the molecule–plasmonic nanoparticle interactions and of the history of the artwork to be analyzed is fundamental to avoiding the misinterpretation of the spectra and, consequently, of the original composition of the analyzed artwork.