Causes of hospitalisation before and after the 2009 L'Aquila earthquake.

On 6 April 2009, an earthquake struck L'Aquila. The San Salvatore Hospital was evacuated, and a field hospital was built. The study aimed to assess the epidemiologic impact of the earthquake through the analysis of patient population admitted to the field hospital during a 2-month period following the disaster. We retrospectively evaluated causes of hospitalisation and demographic data of patients admitted to (i) the Division of Internal Medicine and (ii) the Division of Emergency Medicine of the field hospital from 6 April, 2009 to 29 May, 2009. All data were compared with the admissions made at the same divisions of the San Salvatore Hospital during the same period of previous year. (i) Patient group (n = 102) and comparison group (n = 108). Mean patient age was higher, patients living in L'Aquila were more numerous, while mean length of stay was lower after than before the earthquake. Infectious diseases increased, while 'other' diseases decreased after the disaster both in admission and in discharge diagnoses. Gastroenterological diseases decreased with the earthquake but only in admission diagnoses. (ii) Patient group (n = 5255) and comparison group (n = 6564). Triage codes changed with the earthquake. Cardiovascular, psychiatric, gynaecological, infectious and chronic diseases increased, while pneumologic, gastroenterological, traumatic and 'other' diseases decreased after the quake. The number of hospitalised patients decreased with the tremor, while those discharged transferred to other hospitals and those who rejected hospitalisation increased. A natural disaster completely changes causes of hospitalisation in the Divisions of Internal and Emergency Medicine. These findings can be useful for the design of specific intervention programmes and for softening the detrimental effects of quakes.

Proton Wires via One-Dimensional Water Chains Adsorbed on Metallic Steps.

The process of proton transfer is here analyzed for one-dimensional water chains adsorbed on metallic steps. When the water chain contains a hydronium and a hydroxyl ion, two different mechanisms are possible, depending on the metal substrate. On coinage metals (Ag, Au), recombination is observed through a spontaneous Grotthuss mechanism. On more reactive surfaces (Pd and Pt), the hydronium ion is unstable and releases a proton that adsorbs onto the metal, leaving the negatively charged OH(-) unbalanced. In this case, the negative charge can be transferred along the wire with very low activation barriers.

Short communication: an electronic probe versus milk progesterone as aids for reproductive management of small dairy herds.

A simple probe especially designed to take electrical resistance measurements at different positions in the anterior vagina of a cow was compared with milk progesterone determinations on 108 cows. Milk samples were taken 3 x weekly, 21 to 60 d postpartum, at the time of insemination, and 21 to 23 d later. Electrical resistance measurements were made on a similar schedule. In 10 other herds, 187 cows had only milk samples taken. No cows with high milk progesterone values became pregnant when inseminated, but the electrical resistance values were less accurate in designating which cows were suitable or unsuitable for insemination. Both low milk progesterone and low electrical resistance values 21 to 23 d after insemination provided an early and accurate indication of a need for reinsemination. These indicators were consistent with 94 to 100% of these cows being diagnosed as not pregnant 6 to 8 wk later. Daily probing, starting about 19 d after a previous insemination, could serve as an early check of pregnancy and assist in identifying cows for immediate reinsemination.

Clinical and clinicopathological assessment of serial phlebotomy in the Sprague Dawley rat.

Two studies, designed to mimic a single-dose, cross-over pharmacokinetic protocol, were conducted to gain a better understanding of the rat's response to multiple, frequent blood sampling. Parameters evaluated included body weight, clinical signs of disease, hematologic and serum biochemical analytes, organ weights, and histopathologic features. Study groups consisted of either 6 or 8 male, viral antibody-free, Sprague Dawley rats. These included controls and blood-collection groups that represented withdrawal of 10, 15, 20, 30, and 40% of estimated total blood volume. Volume of blood collected per time point was based on the total volume to be withdrawn divided by the 13 samples that were collected over 24 h. This regimen was repeated 2 weeks later. Samples were taken for clinical pathologic evaluation on the days subsequent to blood collection for both studies as follows: 0, 1, 2, and 3 days; 7, 8, or 9 days; and either 13 or 14 days. In Study 1, samples were also taken on either days 15 or 16, and on 17 or 18 after the second blood collection. Approximately 2 weeks after the second blood collection regimen, animals were euthanized. Animals in one study were necropsied, and selected tissues were taken for histologic examination. Analysis of variance, based on changes from baseline, was used to assess group differences. Results indicate that the rate of body-weight gain for the bled groups was not significantly different from that of the controls. Group differences in multiple hematologic parameters were significant. Changes were typical of acute blood-loss anemia, with positive or negative trends relating to the volume of blood removed. In addition, these changes were characterized by recovery to control values within approximately 14 days. Few statistically significant group differences were detected in serum biochemical values, and those detected were not biologically relevant. Although organ weights of bled groups were similar to those of controls, minimal to mild splenic hematopoiesis was present in all bled groups, compared with controls. These data indicate that removal of up to 40% of a rat's total blood volume over a 24-h period, and repeated 2 weeks later, caused no gross ill effects.

Immune modulation in the guinea pig using cortisone acetate.

Cortisone acetate was administered to a group of guinea pigs (Cavia porcellus) at 0 (control), 20 (low) or 200 (high) mg/kg. Steroid was given daily for two individual 7 day periods, separated by 7 days of no treatment. The effects of this steroid on body weight gain, thymic weight, total and differential leukocyte counts, serum antibody titer against a bacterin, dermal hypersensitivity response to a sensitizing agent and histological evaluation of lymphoid and other tissues were evaluated. Significant differences in body weight gain (p less than 0.05) and thymic weight (p less than .01) were noted. For total leukocyte count, no significant difference among treatment groups at individual time points was noted (p greater than .10), while significant differences were seen in lymphocyte and neutrophil counts (p less than .01). A significant difference in antibody titer among the treatment groups was observed (p less than .01). For the dermal hypersensitivity response, there was no consistent pattern among the treatment groups in gross (macroscopic) skin reactions. Microscopically, differences were seen in the inflammatory response among the treatment groups. Histologically, steroid related changes were seen in thymus, spleen, lymph node and liver. At necropsy, 24 of 40 animals had lesions of focal necrotizing hepatitis. Three affected animals died and remaining animals showed no clinical illness. The cause of the necrotizing hepatitis could not be determined by culture, special stains, electron microscopy, serology or by attempts at transmission with affected liver samples.

Electronic probe measurements of cervico-vaginal mucus for detection of ovulation in dairy cows: sanitation, clinical observations and microflora.

An electronic vaginal probe with a sanitizing carrier unit has been designed to measure changes in the electrical resistance of cervico-vaginal mucus in the cow. Over 400 cows and heifers have been probed during the period prior to breeding. When 33 heifers and cows were probed 2-3X per day for 30 days, mild irritation of the vaginal mucosa developed during the luteal phase. In all other studies no grossly detectable lesions or other complications resulting from probing were observed either in experimental herds or in farmer herds where breeding tests were conducted. Fertility of probed cows was equal to cows inseminated when estrus was detected visually. Weekly culture of microorganisms from cervico-vaginal mucus collected from three cows probed 3X per week for 22 days resulted in no detectable change in the population of microorganisms. The number of isolates each successive week was 11, 8, 8 and 5, respectively. The sanitary procedures followed appeared to prevent introduction of organisms of any consequence, as judged by the decreasing number of isolates during the probing sequence.

[Effects of the presence of hydrolyzed amides in the diets of weaned piglets on the digestive utilization of various nutrients]. / Effetti della presenza di amidi idrolizzati in diete di svezzamento per suinetti sulla utilizzazione digestiva di alcuni principi alimentari.

With a research carried out on early weaned piglets the effects of the presence in the diets of dextrose and partially hydrolyzed starch (maltodextrins), either alone or together, on the digestive utilization of some nutrients were evaluated. For this purpose 24 castrated males Landrace X (Large White X Duroc) with an average of 19 days were assigned to four homogeneous groups of 6 piglets each, reared in batteries and fed with the diets: A (control); B (5% dextrose); C (5% maltodextrins) and D (5% dextrose + 5% maltodextrins). The hydrolyzed products were in partial substitution of corn and barley flakes. The apparent digestibility of the nutrients in vivo was evaluated by means of Cr2O3, added as added as indicator to the diets in the quantity of 0,3%. The results show that both dextrose and maltodextrins alone improve the digestive utilization of dry matter, organic matter, nitrogen (only with 5% dextrose) and especially of energy; the effects of dextrose and maltodextrins together on the digestibility of these nutrients are lower, but higher in the case of minerals. The results partially corroborate those obtained with our previous researches and seem to indicate that 5% of hydrolyzed starch better the digestive utilization of nutrients through an improvement of the intestinal fermentations, but that 10% (5% dextrose + 5% maltodextrins) is a too large quantity.

[Addition of amino acids and oligopeptides to the diet of piglets. II. Effects on apparent digestion of some alimentary principles]. / Aggiunta di aminoacidi ed oligopeptidi a diete per suinetti. Nota II-Effetti sulla digeribilita' apparente di alcuni principi alimentari.

The apparent digestibility coefficients of some nutrients in connection with the addition of small quantities of amino acid and oligopeptide pools to balanced diets were determined on 15 piglets divided into three groups (1: Control; 2: amino acid pool; 3: amino acid and oligopeptide pool). Piglets receiving pools, and especially those belonging to the second group, show better results in comparison with the control animals. Besides the digestibility significantly increases with the time.

[Addition of amino acids and oligopeptides to the diet of piglets. I. Effects on productive performance and development of intestinal microbial flora]. / Aggiunta di aminoacidi ed oligopeptidi a diete per suinetti. Nota I--Effetti sulle prestazioni produttive e sullo sviluppo della flora microbica intestinale.

The effects in connection with the addition of small quantities of aminoacid and oligopeptide pools to balanced diets were studied on 36 male piglets, divided into three groups (1: control; 2: aminoacid pool; 3: aminoacid and oligopeptide pool). Piglets receiving the aminoacid pool (group 2) exhibited better performances: an increased weight gain resulting in higher feed efficiency and an increased overall microbial count with a predominance of the useful population.