Straying from the flatfish retinal plan: Cone photoreceptor patterning in the common sole (Solea solea) and the Senegalese sole (Solea senegalensis).

The retinas of nonmammalian vertebrates have cone photoreceptor mosaics that are often organized as highly patterned lattice-like distributions. In fishes, the two main lattice-like patterns are composed of double cones and single cones that are either assembled as interdigitized squares or as alternating rows. The functional significance of such orderly patterning is unknown. Here, the cone mosaics in two species of Soleidae flatfishes, the common sole and the Senegalese sole, were characterized and compared to those from other fishes to explore variability in cone patterning and how it may relate to visual function. The cone mosaics of the common sole and the Senegalese sole consisted of single, double, and triple cones in formations that differed from the traditional square mosaic pattern reported for other flatfishes in that no evidence of higher order periodicity was present. Furthermore, mean regularity indices for single and double cones were conspicuously lower than those of other fishes with "typical" square and row mosaics, but comparable to those of goldfish, a species with lattice-like periodicity in its cone mosaic. Opsin transcripts detected by quantitative polymerase chain reaction (sws1, sws2, rh2.3, rh2.4, lws, and rh1) were uniformly expressed across the retina of the common sole but, in the Senegalese sole, sws2, rh2.4, and rh1 were more prevalent in the dorsal retina. Microspectrophotometry revealed five visual pigments in the retina of the common sole [S(472), M(523), M(536), L(559), and rod(511)] corresponding to the repertoire of transcripts quantified except for sws1. Overall, these results indicate a loss of cone mosaic patterning in species that are primarily nocturnal or dwell in low light environments as is the case for the common sole and the Senegalese sole. The corollary is that lattice-like patterning of the cone mosaic may improve visual acuity. Ecological and physiological correlates derived from observations across multiple fish taxa that live in low light environments and do not possess lattice-like cone mosaics are congruent with this claim.

Ontogenetic expression rhythms of visual opsins in senegalese sole are modulated by photoperiod and light spectrum.

In the fish retina, rods and cones are responsible for nocturnal vision and colour perception, respectively, and exhibit a repertoire of light-sensitive opsin photopigments that permits the adaptation to different photic environment. The metamorphosis of Senegalese sole determines a migration from pelagic to benthic environments, which is accompanied by essential changes in light intensity and spectrum. In this paper, we analysed the daily expression rhythms of rod opsin and five cone opsins during sole ontogeny in animals maintained under light-dark cycles of white (LDW), blue (LDB), red (LDR) and continuous white (LL) lights. We showed that the expression of visual opsins at early stages of development was enhanced under LDB in relation to LDW, LDR and LL. Moreover, daily rhythms of opsins were more robust under LDW and LDB conditions, in particular, before and after metamorphosis. A shift in the phase of opsin rhythms was observed between hatching and pre-metamorphosis. Metamorphosis was accompanied by a transient loss in the expression rhythms for most of the opsins, which were significantly influenced by light photoperiod and spectrum. In LDR, transcript levels and rhythms were markedly affected for the majority of the opsins analysed. Under LL, most of the opsins examined exhibited endogenous rhythms, although amplitudes and acrophases changed considerably. To the best of our knowledge, this is the first study on the daily expression rhythms of visual opsins during the ontogeny of a metamorphic flatfish and further emphasises the importance of using natural lighting conditions for proper development of Senegalese sole.

[Accurate compiling of the hospital discharge records according to clinicians' perception: critical issues and perspectives]. / L'accurata compilazione delle schede di dimissione ospedaliera secondo la percezione dei medici: criticità e prospettive.

OBJECTIVES: to explore clinicians vision on hospital discharge records in order to identify useful elements to foster a more accurate compiling. DESIGN: qualitative research with phenomenological approach. SETTING AND PARTICIPANTS: participants were selected through purposive sampling among clinicians of two hospitals located in Sardinia; the sample included 76 people (32 medical directors and 44 doctors in training). MAIN OUTCOME MEASURES: identified codes for themes under investigation: vision of accurate compiling, difficulties, and proposals. RESULTS: collected data highlighted two prevailing visions, respectively focused on the importance of an accurate compiling and on the burden of such activity. The accurate compiling is hindered by the lack of motivation and training, by the limits of the registration system and the information technology, by the distortions induced by the prominent role of the hospital discharge records in the evaluation processes. Training, timely updating of the information system accompanied by a proper cross-cultural validation process, improvement of the computer system, and activation of support services could promote more accurate compiling. CONCLUSIONS: the implementation of services, unconnected with evaluation and control processes, dedicated to training and support in the compiling of the hospital discharge records and in the conduction of related epidemiological studies would facilitate the compliance to the compilation. Such services will make tangible the benefits obtainable from this registration system, increasing skills, motivation, ownership, and facilitating greater accuracy in compiling.