Citizen science in the monitoring of Ostreopsis ovata blooms in southern Italy: A five-year study.

The toxic benthic dinoflagellate Ostreopsis ovata causes harmful algal blooms. During five years, citizens have monitored blooms of O. cf. ovata along the coast of Molfetta city facing the Adriatic Sea. Coscinodiscus spp., Licmophora spp., Gyrosigma spp. and Achnantes spp. diatoms were also quantified. O. cf. ovata was detected from spring up to winter, however, blooms always occurred in summer. Correlation with nine weather parameters was relatively strong with seawater temperature, dew point and air temperature. Dew point has never been reported before as key parameter. Blooms of O. cf. ovata were preceded by lag period during which conditions permitted proliferation but no proliferation observed. Furthermore, dew point, seawater and air temperature only moderately correlated with proliferation of Coscinodiscus spp. However, correlation between blooms of O. cf. ovata and Coscinodiscus spp. was relatively strong. Correlation between proliferation of O. cf. ovata and Gyrosigma spp. was very weak, while moderate and negative with Licmophora spp. or Achnantes spp.

Cardiac arrest in type II Kounis syndrome after oral intake of amoxicilline.

BACKGROUND: Kounis syndrome (KS) is defined as the occurrence of an acute coronary syndrome related to allergic or hypersensitivity reaction. KS is currently classified into three variants, based on coronary arteries status. This syndrome is often neglected or misdiagnosed in clinical practice. METHODS AND RESULTS: We described a type II KS case. This acute coronary syndrome (ACS) began with cardiac arrest (an uncommon clinical expression for KS) immediately after oral intake of amoxicilline. Coronary angiography revealed coronary arteries stenoses which were considered unsuitable for revascularization. Optimization of medical therapies was the goal of the management for this patient. Follow-up visits revealed normal echocardiographic findings and no malignant arrhythmias at ECG Holter monitoring. CONCLUSIONS: KS can be a rare case for ACS, sometimes occurring with sudden cardiac arrest. Physicians should pay attention to the history of the patients in order to identify the correct cause of ACSs.

Ultrasound-guided venipuncture for implantation of cardiac implantable electronic devices: A single-center, retrospective study.

BACKGROUND: The venous access for the insertion of permanent leads of cardiac implantable electronic devices is often achieved by venous cutdown of the cephalic vein, or by "blind" puncture of the subclavian vein using anatomical landmarks, or by fluoroscopy-assisted methods. METHODS: We have retrospectively analyzed our clinical experience to verify the feasibility, the safety, and efficacy of the adoption of ultrasound-guided puncture/cannulation of the axillary vein for this purpose. RESULTS: Nine hundred eighty-seven leads were placed during 548 consecutive procedures, accessing the axillary vein in the infraclavicular area using real-time ultrasound guidance. Venipuncture was successful in 99.8% of cases. The access time was 11 seconds (range 4-580). We recorded three cases of pneumothorax (0.5%), but no hemothorax and no hemo-mediastinum. The incidence of local hematoma was 2.1% (12 cases). No injury to the brachial plexus or to the phrenic nerve was recorded. In a follow-up of 33 months (range 16-39), we observed no cases of "subclavian crush syndrome" (damage of the leads at the level of the thoracic inlet), and the rate of pocket infection/infective endocarditis was 0.7%. CONCLUSION: In our experience, ultrasound-guided puncture/cannulation of the axillary vein for implantation of permanent leads is feasible, effective, and safe. It might be considered as a first option for this procedure.