Incidence of Orbital Side Effects in Zygomaticomaxillary Complex and Isolated Orbital Walls Fractures: A Retrospective Study in South Italy and a Brief Review of the Literature.

Zygomaticomaxillary complex and isolated orbital walls fractures are one of the most common fractures of the midface, often presenting orbital symptoms and complications. Our study was born with the aim of understanding the trend in the incidence of orbital presurgical symptoms, specifically diplopia, enophthalmos and exophthalmos, in the Campania Region in southern Italy. We conducted a retrospective, monocentric observational study at the Maxillofacial Surgery Unit of the Federico II University Hospital of Naples, enrolling 402 patients who reported a fracture of the zygomaticomaxillary complex and orbital floor region from 15 June 2021 to 15 June 2022. Patients were evaluated by age, gender, etiology, type of fracture, preoperative orbital side effects and symptoms. Pre-surgical side effects were studied, and 16% of patients (n = 66) developed diplopia. Diplopia was most common in patients previously operated on for orbital wall fractures (100%), and least common in patients who reported trauma after interpersonal violence (15%) and road traffic accidents (11%). Exophthalmos appeared only in 1% (six cases); whereas it did not appear in 99% (396 cases). Enophthalmos was present in 4% (sixteen cases), most commonly in interpersonal violence cases (two cases). The frequency of orbital complications in patients with zygomaticomaxillary complex and isolated orbital walls fractures suggests how diplopia remains the most common pre-surgical orbital side effect.

Biofilm and Rivers: The Natural Association to Reduce Metals in Waters.

This article focuses on a very peculiar habitat, the thin biofilm that covers the surface of rocks, cobbles, sediment grains, leaf litter, and vegetation on a riverbed. Species composition changes over time and depends on environmental conditions and perturbation of water quality. It provides several ecosystem services, contributing to the biogeochemical fluxes and reducing contamination by absorbing the pollutants. Biofilm into the Toce River (Ossola Valley, Piedmont, Italy) was investigated to assess its capacity to accumulate the metals and macroions from the water column. In this preliminary work, we investigated three sample points, in two different seasons. The community composition of biofilm was determined via morphological analysis (diatoms and non-diatoms algal community). We characterize the biofilm, a community of different organisms, from different perspectives. In the biofilm, Hg was analyzed with an automated mercury analyzer, other metals and macroions with inductively coupled plasma mass spectrometry (ICP-MS) (Al, As, Ba, Ca, Cr, Cu, Fe, K, Mg, Mn, Ni, P, Pb, and Zn), and the carotenoid and chlorophyll composition of the photosynthetic organism with HPLC analysis for the primary producers. The results evidence a seasonal pattern in metals and macroions levels in the biofilm, and a significant difference in the biofilm community and in carotenoid composition, suggesting the utility of using the biofilm as an additional bioindicator to monitor the water quality of the river.

Preliminary Investigation on Phytoplankton Dynamics and Primary Production Models in an Oligotrophic Lake from Remote Sensing Measurements.

The aim of this study is to test a series of methods relying on hyperspectral measurements to characterize phytoplankton in clear lake waters. The phytoplankton temporal evolutions were analyzed exploiting remote sensed indices and metrics linked to the amount of light reaching the target (EPAR), the chlorophyll-a concentration ([Chl-a]OC4) and the fluorescence emission proxy. The latter one evaluated by an adapted version of the Fluorescence Line Height algorithm (FFLH). A peculiar trend was observed around the solar noon during the clear sky days. It is characterized by a drop of the FFLH metric and the [Chl-a]OC4 index. In addition to remote sensed parameters, water samples were also collected and analyzed to characterize the water body and to evaluate the in-situ fluorescence (FF) and absorbed light (FA). The relations between the remote sensed quantities and the in-situ values were employed to develop and test several phytoplankton primary production (PP) models. Promising results were achieved replacing the FA by the EPAR or FFLH in the equation evaluating a PP proxy (R2 > 0.65). This study represents a preliminary outcome supporting the PP monitoring in inland waters by means of remote sensing-based indices and fluorescence metrics.