Giuseppe Napoli

Hydraulic properties of fault zones in porous carbonates, examples from central and southern Italy

We present the results of in situ permeability measurements performed, using a portable field permeameter, on normal and strikeslip fault zones that crosscut high-porosity carbonate grainstones. The measurement sites expose in the Cretaceous Orfento Formation of the Majella Mountain (Abruzzo, Italy), and the Lower Pleistocene deposits of the Favignana Island (Sicily, Italy). Nine small-displacement, compactive shear banding-based fault zones have been tested in the field. The fault offset ranges between 10 and 200 centimeters. The acquired permeability data indicate a two orders of magnitude decrease of porosity and permeability from the host rock to the cataclastic fault cores. A clear dependence of the fluid circulation paths through porous carbonates is therefore inferred at depth due to orientation, density and connectivity of the fault zones. Moreover, this study indicates the key role played by the pore network characteristics (pore dimensions above all) of undeformed host rocks on determining extremely different permeability values of the faulted porous carbonate grainstones. Accordingly, the results presented in this study may be helpful in applications such as geofluids management for improving the forecasting of carbonate reservoir quality and understanding the extent of reservoir compartmentalization.

The web-based ASSO-food frequency questionnaire for adolescents: relative and absolute reproducibility assessment

BackgroundA new food frequency questionnaire (FFQ) has been recently developed within the Italian Adolescents and Surveillance System for the Obesity prevention (ASSO) Project; it was found to be appropriate for ranking adolescents in food and nutrient levels of intake. The aim of this study was to assess the relative and absolute reproducibility of the ASSO-FFQ for 24 food groups, energy and 52 nutrients.MethodsA test-retest study was performed on two ASSO-FFQs administered one month apart of each other to 185 adolescents, aged 14–17 and attending secondary schools in Palermo (Italy). Wilcoxon test assessed differences in median daily intakes between the two FFQs. Agreement was evaluated by quintiles comparison and weighted kappa. Intraclass Correlation Coefficients (ICC) and Bland-Altman method assessed the relative and absolute reliability respectively.ResultsSignificant difference (p < 0.05) in median intakes was found only for bread substitutes, savoury food, water, soft drinks, carbohydrates and sugar. The subjects classified into the same or adjacent quintiles for food groups ranged from 62% (white bread) to 91% (soft drinks); for energy and nutrients from 64% (polyunsaturated fatty acids) to 90% (ethanol). Mean values of weighted kappa were 0.47 and 0.48, respectively for food groups and nutrients. Fair to good ICC values (>0.40) were assessed for thirteen food groups, energy and forty-three nutrients. Limits of Agreement were narrow for almost all food groups and all nutrients.ConclusionsThe ASSO-FFQ is a reliable instrument for estimating food groups, energy and nutrients intake in adolescents.

A regional‐scale discontinuity in western Sicily revealed by a multidisciplinary approach: A new piece for understanding the geodynamic puzzle of the southern Mediterranean

The results of an integrated stratigraphic, structural, geophysical, and geochemical study reveal the presence of a crustal discontinuity in western Sicily that, at present, runs roughly N-S along a band from San Vito Lo Capo to Sciacca (SVCS). The boundary between the two zones of this discontinuity is nearly orthogonal to the main thrust propagation of the Sicilian thrust-and-fold belt. The different Permian to Tertiary sedimentary evolution recorded by the two zones appears related to this discontinuity, with thick carbonate platforms in the western sector facing deep-water successions in the eastern one. The presence of Upper Triassic reefs, huge megabreccias bodies, and widespread submarine volcanisms along the transition zone suggest the presence of a long lasting weakness zone. This zone has been reactivated episodically as transpressional and/or transtensional faults in relation to the different geodynamic stress acting in central Mediterranean area in different epochs. We speculate that this transition zone has represented a segment of the passive margin of the Ionian Tethys. During the Maghrebian convergence a different style of deformation has affected the two sectors floored by different sedimentary multilayers. The orthogonal-to-oblique differential convergence between the two sectors has resulted in right-lateral transpressional motions, leading to oblique thrusting of deep-water-derived thrusts onto platform-derived thrusts associated with clockwise rotations. The oblique convergence is still ongoing as demonstrated by the seismicity of the area, by the geothermal field with high mantle-derived helium fluxes and by the GPS measurements collected by different authors.

Factors associated with poor adherence to MMR vaccination in parents who follow vaccination schedule

Due to median vaccination coverage far from elimination level, Italy is still an European country with high number of measles cases per million of people. In this study we explored potential socioeconomic, medical and demographic factors which could influence the propensity of family members for measles vaccination schedule. A cross-sectional study was performed through a questionnaire administered to the parents of children who received the first dose of MMR vaccine in two different vaccination centers in the Palermo area from November 2012 to May 2013. Overall, the role played by internet (OR 19.8 P = 0.001) and the large number of children in a family (OR 7.3 P ≤ 0.001) were the factors more associated to be unvaccinated, whereas the birth order of the child (OR 0.3 P = < 0.05 for the oldest children vs. the closer young one) and reporting a lack of MMR vaccination as a “personal decision” (OR 0.19 P ≤ 0.01) inversely correlated with the risk of quitting vaccination. These findings can be useful for a better knowledge of disaffection to vaccination practice in local settings and could contribute to improve and maintain timely uptake, suggesting approaches to optimize the uptake of MMR tailored to the needs of local populations.

Influenza vaccination coverage among medical residents: an Italian multicenter survey

Although influenza vaccination is recognized to be safe and effective, recent studies have confirmed that immunization coverage among health care workers remain generally low, especially among medical residents (MRs). Aim of the present multicenter study was to investigate attitudes and determinants associated with acceptance of influenza vaccination among Italian MRs. A survey was performed in 2012 on MRs attending post-graduate schools of 18 Italian Universities. Each participant was interviewed via an anonymous, self-administered, web-based questionnaire including questions on attitudes regarding influenza vaccination. A total of 2506 MRs were recruited in the survey and 299 (11.9%) of these stated they had accepted influenza vaccination in 2011–2012 season. Vaccinated MRs were older (P = 0.006), working in clinical settings (P = 0.048), and vaccinated in the 2 previous seasons (P < 0.001 in both seasons). Moreover, MRs who had recommended influenza vaccination to their patients were significantly more compliant with influenza vaccination uptake in 2011–2012 season (P < 0.001). “To avoid spreading influenza among patients” was recognized as the main reason for accepting vaccination by less than 15% of vaccinated MRs. Italian MRs seem to have a very low compliance with influenza vaccination and they seem to accept influenza vaccination as a habit that is unrelated to professional and ethical responsibility. Otherwise, residents who refuse vaccination in the previous seasons usually maintain their behaviors. Promoting correct attitudes and good practice in order to improve the influenza immunization rates of MRs could represent a decisive goal for increasing immunization coverage among health care workers of the future.

Pap Testing in a High-Income Country with Suboptimal Compliance Levels: A Survey on Acceptance Factors among Sicilian Women

Cervical cancer screening is uncommon, especially in low-income countries and among lower socioeconomic status people in high-income countries. The aims of this study were to examine the adherence of Sicilian women to Pap testing and to identify the determinants of this in a population with a secondary prevention attitude lower than high-income countries and the national average. A cross-sectional study called “Save Eva in Sicily” was conducted among all women aged 25–64 years, with a sample drawn by the list of general practitioners (GPs), using a proportional sampling scheme, stratified by age and resident population. The study outcome was performing a Pap test within the past three years. The association between the outcome and Pap test determinants was analyzed through a multivariable logistic regression. Among the 365 interviewed women, 66% (n = 243) had a Pap test during the last 3 years. On the other hand, 18% of the other women (n = 66) had performed at least one Pap test previously and 16% (n = 56) had never had a Pap test. In a multivariable model, GPs’ advice (adjusted OR 2.55; 95% CI 1.57–4.14) and perceived susceptibility (adjusted OR 3.24; 95% CI 1.92–5.48) increased the likelihood of the execution of a Pap test. The “Save Eva in Sicily” study identified GP advice and perceived cancer severity as the main correlates of Pap testing among Sicilian women, producing evidence regarding how policy makers can increase compliance. Interventions to increase Pap test adhesion should focus on stimulating GPs to identify patients who regularly do not undergo it and to recommend testing on a regular basis to their patients.

Information sources and knowledge on vaccination in a population from southern Italy: The ESCULAPIO project

ABSTRACT Vaccine knowledge of the general population is shaped by different information sources and strongly influences vaccination attitudes and uptake. The CCM-Italian Ministry of Health ESCULAPIO project attempted to identify the role of such information sources, in order to address adequate strategies to improve information on vaccines and vaccine preventable diseases. In the present study, data on 632 adults from Southern Italy regarding information sources were collected, and their perceived and actual knowledge on vaccinations were compared and analyzed in relation to socio-demographic characteristics and information sources. The main reported reference sources were general practitioners (GPs) (42.5%) and pediatricians (33.1%), followed by mass media (24.1%) and the Internet (17.6%). A total of 45.4% reported they believed to be informed (45.4%), while those estimated to be truly informed were 43.8%. However, as showed in the multivariate logistic regression, people having the perception to be correctly informed ascribed their good knowledge to their profession in the health sector (Adj OR 2.28, CI 1.09–4.77, p < 0.05) and to friends/relatives/colleagues (AdjOR 6.25, CI 2.38–16.44, p < 0.001), while the non-informed population thought the responsibility had to be attributed to mass media (AdjOR 0.45, CI 0.22–0.92, p < 0.05). Those showing the real correct information, instead, were younger (AdjOR 1.64, CI 1.04–2.59, p < 0.05), and their main reference sources were pediatricians (AdjOR 1.63, CI 1.11–2.39, p < 0.05) and scientific magazines (Adj OR 3.39, CI 1.51–7.59, p < 0.01). Only 6% knew the “VaccinarSì” portal, developed to counter the widespred antivaccine websites in Italy. The post-survey significant increase of connections to “VaccinarSi” could be ascribed to the counselling performed during questionnaire administration. Strategies to improve information about vaccination should be addressed to fortifying healthcare workers knowledge in order to make them public health opinion leaders. General population should be provided with correct indications on trustworthy websites on vaccines to contrast false information supplied by anti-vaccinists on their own websites or social networks pages and on the mass media.