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Biomedical subjects

R Marsella

Publications and source records attributed to R Marsella.

At least 37 records · Page 2Linked to original sources
PubMed1996

Onychomycosis in Rome, Italy.

This report presents the results of a study conducted between 1985 and 1994 on onychomycosis observed in the city of Rome. Six thousand six hundred and eighty eight patients were examined during this period. Among them 1,762 (26.3%) were affected by fungal nail infections. Because the etiologic agents could not be isolated in 105 cases (6%), the results refer to 1,657 subjects (24.8% of the total), presenting with positive microscopic and cultural examinations. Thirty eight patients (2.3%) had onychomycosis of both their hands and feet. From an etiological point of view, 59.1% of the nail infections were caused by yeasts, 23.2% were infected with dermatophytes and 17.6% by non-dermatophytic fungi. The etiology of onychomycosis of the hands differed from that of the feet. Yeasts were primarily responsible for onychomycosis of the hands (86.2%), while dermatophytes caused tinea unguium peduum (48%). Fungal fingernail infections by Candida spp. were the most common (50.3%), followed by those of the feet by dermatophytes (20%). Candida albicans was responsible for 70.6% of the hand infections but for only 15.9% of those of the feet. Trichophyton rubrum and T mentagrophytes were the most common dermatophytes, mainly causing toenail infections (23.4% and 21%, respectively), while Aspergillus spp., Scopulariopsis brevicaulis, Acremonium spp. and Aspergillus niger were the most common non-dermatophytes observed. With regard to sex, the fungal nail infections were more widespread in women (72.1%) and in subjects of both sexes over the age of 50.

Adolescent↗
PubMed1993

Keratinophilic fungi in the antarctic environment.

Results of a study on the diffusion of keratinophilic fungi in an Antarctic environment are given. Nine soil samples collected from as many sites along the coast of Ross Sea, and six dust samples inside the Italian scientific base were examined by direct inoculation and hair baiting methods for soil samples and plate dilution method for dust samples. As regards the variety of species isolated and the counting of the numbers of colonies, plate dilution method proved to be very effective. Aspergillus spp., Cladosporium sp., Dematiaceae, Fusarium sp., Geomyces pannorum v. pannorum, G. pannorum v. vinaceus, Mycelia sterilia, Penicillium spp. were isolated from soil. From the dust the following moulds were isolated: Aphanoascus fulvescens, Aspergillus sp., Beauveria sp., Chrysosporium carmichaelii, Dematiaceae, Geomyces pannorum v. pannorum, G. pannorum v. vinaceus, Malbranchea gypsea, Mycelia sterilia, Nectria inventa, Penicillium spp., Scopulariopsis brevicaulis, Scopulariopsis sp. and Trichophyton mentagrophytes. The presence of four colonies of Trichophyton mentagrophytes is emphasized and correlated with the anthropization process.

Animals↗
PubMed1992

Genital papillomavirus infection and cervical dysplasia--opportunistic complications of HIV infection.

Certain human genital papillomaviruses (HPV) are strongly associated with cervical dysplasia and cancer. Evidence is accumulating that HPV infection and ano-genital cancers are more common in patients with the acquired immunodeficiency syndrome. The objective of our study was to evaluate the extent to which HPV infection and associated cervical disease constitute opportunistic complications of human immunodeficiency virus (HIV) infection in a population of sexually promiscuous, HIV-infected women in Kinshasa, Zaire. In 1989 we obtained Pap smears and cervicovaginal lavage specimens for HPV DNA testing from 47 HIV-seropositive and 48 HIV-seronegative prostitutes who were part of a cohort under observation since 1988. Thirty-eight percent of the HIV-seropositive and 8% of the seronegative women (odds ratio = 6.8; p = 0.001) had HPV DNA detected by either ViraType, a dot-blot assay which detects specific genital HPV types, or low-stringency Southern blot, which detects all HPV types. Eighty-two women (86%) had an interpretable Pap smear; 11 of 41 (27%) HIV-seropositive women and one of 41 (3%) seronegative women had cervical intra-epithelial neoplasia (CIN) (odds ratio = 14.7; p = 0.002). HIV seropositivity, HPV infection and CIN were highly associated. Eight (73%) of 11 seropositive women with CIN had HPV detected. Both HPV infection and cervical cancer may emerge as opportunistic complications of HIV infection in populations in which HIV, HPV and cervical cancer are common.

DNA, Viral↗
PubMed1992

A new pacemaker algorithm for continuous capture verification and automatic threshold determination: elimination of pacemaker afterpotential utilizing a triphasic charge balancing system.

A new pacemaker algorithm designed to automatically verify pacemaker capture and determine pacing threshold by detection of a stimulus evoked potential was studied in 20 patients undergoing permanent pacemaker implantation. To eliminate pacing stimulus afterpotential and detect an evoked response, a hardware feedback circuit and a software template matching algorithm were used to produce a triphasic charge-balanced pacing pulse. After charge balancing the pacing lead, a residual artifact is measured. A capture window is defined as the area integral of the first 24 msec of the evoked depolarization, and a capture threshold as one third the amplitude of the capture window. The maximum allowable residual artifact is one eighth the amplitude of the capture window. Once the stimulus afterpotential is eliminated and the evoked response detected, capture threshold is automatically and continuously determined and the algorithm adds a 0.8-V safety margin to the pacemaker output. This algorithm was run automatically and after simulated loss of capture, produced by manually decreasing pacer output below threshold, in the bipolar (13 patients) and unipolar (20 patients) pacing modes. In each patient loss of capture was immediately detected. The data were consistent (P = NS) between algorithm runs. During unipolar pacing the area integral of the first 24 msec of the evoked response was 412 +/- 137 versus 413 +/- 144 and the residual artifact 5.8 +/- 4.8 versus 8.1 +/- 7.5. The resulting ratio (signal/noise) of the two parameters was 150 +/- 141 versus 145 +/- 181. Automatically determined threshold was 0.69 +/- 0.43 V versus 0.69 +/- 0.42.(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗
PubMed1990

A pilot study of paramedic-administered, prehospital thrombolysis for acute myocardial infarction.

We have implemented a pilot program of supervised paramedic administration of thrombolysis in the field. This program was begun on a small scale by training and equipping one paramedic service of one hospital. Four patients with acute myocardial infarction were rapidly and appropriately treated in the field. We compared these 4 patients with 21 patients who were brought to hospital by ambulance, but treated with thrombolysis conventionally in the emergency department. The patients in the field were treated an average of 86 minutes sooner than the patients treated in the emergency department.

Allied Health Personnel↗
PubMed1989

Keratinophilic fungi isolated from Antarctic soil.

In the present study, 10 soil samples were collected aseptically from an equal number of areas of the Antarctic in the zone occupied by the 1986-1987 Italian expedition for research on keratinophilic fungi. Of particular interest was the isolation of a pathogenic fungus, Microsporum gypseum, from two sites in the base camp occupied by men and by skuas. Trichophyton terrestre was isolated from a site in which people worked and through which penguins and skuas passed. The most widespread fungal species were members of the genus Chrysosporium. Some of these species were isolated but not identified and this part of the study was still be completed. Another significant finding was the absence of fungi in one sample, while in another the widespread and abundant growth in all the seeded dishes of a single species of Chrysosporium. Other species in genera of general diffusion in many environments were also isolated: Aspergillus spp., Malbranchea sp., Mycelia sterilia spp., Paecilomyces sp., Penicillium spp. and Scopulariopsis spp.

Animals↗
PubMed1989

Isolation of keratinophilic fungi from the dust of ferry boats and trains in Italy.

The occurrence of fungi of the genera Epidermophyton, Microsporum, Trichophyton and Chrysosporium in dust collected from 10 ferry boats and 11 railway cars in Italy was studied. Ferry boats: 101 colonies of fungi were isolated. Of the dermatophytes, E. floccosum represented 2.0% of all the colonies isolated, M. canis 3.0%, M. gypseum 5.0% and Tr. mentagrophytes represented 2.0%. E. floccosum was isolated from 2 ferry boats, M. canis from 3, M. gypseum from 4 and Tr. mentagrophytes from 2. Only two ferry boats appeared to be free of pathogenic fungi. Of all the species isolated, Chr. pannorum was the most numerous (45.4%). In all five species of Chrysosporium were isolated. Railway cars: The final destination of the trains, coming from various cities, was Rome's Termini Station. 336 strains were isolated. The following species were found: E. floccosum 3%, Tr. mentagrophytes 4.8%, Tr. tonsurans 0.3%, Tr. ajelloi 0.6%, Trichophyton spp. 3%, M. canis 5% and M. gypseum 1.5%. Seven different species of Chrysosporium were isolated. Chr. pannorum was the most numerous one (71% of all). Regarding the occurrence of dermatophytes, E. floccosum was isolated from 8 of the 11 trains examined, M. canis from 10, M. gypseum from 4, Tr. mentagrophytes from 8 and Tr. tonsurans from only 1 of the trains. All of the trains were positive for pathogenic fungi, ranging from a minimum of 2 species to a maximum of 4.

Animals↗
PubMed1986

Isolation of keratinophilic fungi from floors in Roman kindergarten and secondary schools.

We examined the dust collected from the floors of forty classrooms, twenty in kindergarten schools (children aged 2-5) and twenty in secondary schools (students aged 11-14) in order to determine the diffusion of keratinophilic fungi in respect to such different factors as human presence and children's age. In the kindergarten schools 268 colonies of keratinophilic fungi were isolated: 50 were Microsporum, 6 Trichophyton and 212 Chrysosporium species. Members of the Chrysosporium genus were found the widely diffused. It is interesting to note the isolation of M. gypseum in two schools. In the secondary schools 847 colonies of keratinophilic fungi were isolated: 727 were Chrysosporium, 81 Microsporum, 38 Trichophyton and 1 Epidermophyton species. Again the Chrysosporium species were the most widely diffused. It is remarkable to point out the isolation of pathogenic species such as Epidermophyton floccosum, Microsporum canis, Microsporum gypseum and the rather rare Microsporum vanbreuseghemii.

Adolescent↗
PubMed1983

Isolation of keratinophilic fungi from floors in Roman primary schools.

Keratinophilic fungi are present in the environment with variable distribution patterns that depend on different factors, one of which, of fundamental importance, is human and or animal presence. The present study was conducted in the environment and classrooms of schools in order to evaluate the relationship between the human presence and the presence of keratinophilic fungi. In order to achieve this goal, a new isolation technique was used. From 20 samples, 253 colonies of keratinophilic fungi were isolated. The results showed that species of the genus Chrysosporium were present in 100% of the samples, while Microsporum and Trichophyton species were present in 40% and 65% of the samples respectively. The percentage of three pathogenic species, M. canis (25), T. mentagrophytes (10) and M. gypseum (10) was significant. The other species isolated were: T. terrestre (55%), Trichophyton sp. (35%), M. cookei (25%) and T. ajelloi (10%). A correlation between the amount of gathered dust and the number of colonies of keratinophilic fungi isolated was not found.

Adolescent↗
PubMed1980

Isolation of dermatophytes and correlated species from the soil of public gardens and parks in Rome.

Looking for dermatophytes and other keratinophilic fungi in the soil of parks and gardens in large towns is very interesting because of the relationship between the number of people living in the area and the presence of such fungi in the soil. As compared with other cities in Italy, Rome offers prime conditions for this kind of research. It has a high population density (10,000 inhabitants per sq/km2), and many parks and gardens, where it is possible to carry out soil studies. It was noted that in 35 sites the number of the isolated species of keratomycetes was 2.6 times higher than the number of all other species of fungi and that species found most often were Microsporum gypseum, Trichophyton ajelloi, M. cookei, and Chrysosporium spp. It is of particular interest that Nannizzia cajetani and N. grubya were isolated directly from the soil for the first time in Italy and that Diheterospora spp. were isolated from almost all of the samples. Keratinic matter in soils evidently influences the biological cycle of the dermatophytes and other keratinophilic fungi, but at present the methods of soil analysis are not yet specific enough to establish a well-defined relationship.

Arthrodermataceae↗
PubMed1980

Etiology of ringworm of the scalp, beard and body in Rome, Italy.

From 1972 to 1977 the authors examined 1,311 patients in Rome affected by ringworm of the scalp, beard and body, comparing their findings with a study made in Milan between 1969 to 1973 and with earlier Italian studies from 1900 to date. It appears that at the beginning of the century scalp ringworm was usually caused by Trichophyton violaceum and T. tonsurans, whereas Microsporum canis was rarely found. Today the Trichophyton species are rarely isolated, whereas Microsporum species, particularly M. canis (88.9% of the cases in Rome, 74.6% in Milan), predominate in the etiology of scalp ringworm. Ringworm of the beard in Rome is mainly caused by T. mentagrophytes (50% of the cases) and T. verrucosum (25%). In Milan the frequency of T. verrucosum is 51.2% and of T. mentagrophytes 38.5%. Ringworm of the body today is mainly due to M. canis (47.8% of the cases in Rome and 65.7% of those in Milan). These ringworms in Rome and Milan are caused mostly by the zoophilic dermatophytes that have supplanted the anthropophilic dermatophytes, which were the main cause of dermatomycoses in the early years of this century. This change, particularly evident after World War II, appears to result from improved socio-economic and hygienic conditions, with resulting decrease of infections through interhuman contacts, and from increased numbers of pet animals and consequent increase of stray cats and dogs, which result in increase of infections of animal origin.

Epidermophyton↗
PubMed1978

Isolation of keratomycetes from the soil of wild animal cages and enclosures in the zoo of the Parco Nazionale d'Abruzzo, Italy.

The keratinophilic fungi present in the soil of wild animal cages and enclosures in the zoo of the "Parco Nazionale d'Abruzzo", at Pescasseroli, Italy were studied. The goal of the investigation was to determine what species of such fungi existed in wild animal habitats in that area and what variation there may be in their frequency in connection with the seasons. The most prevalent fungus was Trichophyton ajelloi, followed in decreasing order by the Chrysosporium species (C. keratinophilum, C. tropicum, C. state of Ctenomyces serratus). The Microsporums were relatively rare. The perfect forms Arthroderma uncinatum, A. quadrifidum, Nannizzia cajetani and Ctenomyces serratus were isolated from plates containing their corresponding imperfect forms. The recurrence of the species present in the soil of each cage and enclosure in April and in July was remarkable.

Animals↗
PubMedDate not supplied

Macroscopic and microscopic characteristics of an African Blastomyces dermatitidis strain.

This report describes the macro- and microscopic characteristics of a strain of Blastomyces dermatitidis isolated in an Italian hospital from a Libyan patient suffering from cutaneous blastomycosis. The fungus was isolated with great difficulty because of the presence of a Proteus species on the lesion. Conversion of the mycelial into the yeast-like phase achieved the best results, using Columbia ANC culture medium. After 5-6 days, this transformation was only partial and presented swollen hyphae and yeast-like cells. The biological characteristics were typical of B. dermatitidis strains of African origin. The differences between African and North American strains are confirmed, in agreement with findings already reported in the literature.

Blastomyces↗