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Biomedical subjects

Alberto Castelli

Publications and source records attributed to Alberto Castelli.

3 recordsLinked to original sources

Human exclusion from rocky shores in a mediterranean marine protected area (MPA): an opportunity to investigate the effects of trampling.

The effect of human trampling on the abundance of small invertebrates inhabiting rocky shallow bottoms was studied at Asinara Island MPA. To this aim we have conducted two experiments. The first was a quantitative study and tested the hypothesis that small invertebrates are more abundant at no-entry locations than at the location visited by tourists through time (before, during and after tourist season). The second was a manipulative experiment and tested the hypothesis that the abundance of small invertebrates is indirectly related to experimental trampling intensities. The effect due to tourist visitation was not highlighted on overall assemblages, suggesting that present seasonal tourist load at the MPA does not cause a significantly negative effect on the zoobenthic community studied. Although tourists exhibited trampling activity at the visited location, none of taxa examined showed a significant lower abundance during and strictly after the end of seasonal tourism peak in the visited location, rather than at control locations. However, results obtained with the second experiment suggested that the effects of different experimental trampling intensities on small invertebrates were variable among taxa. The experimental trampling caused immediate declines in the density of tanaids, nematodes, acari, bivalves, gammarids, echinoderms, isopods, and harpacticoids. For some of these taxa a recovery in abundance was observed within one month. This kind of data may offer important information to estimate the number of visitors compatible with the sensitivity of zoobenthic assemblages, and may substantially contribute to appropriate MPA management.

Animals↗

Distant diagnosis.

Effective communications are essential for any operation and for management of health-related problems. Telemedicine has altered profoundly the manner in which primary care physicians can interact with hospitals and specialists. As dedicated medical ICT systems evolve, medical care will be delivered to patients in remote locations in a more efficient and cost-effective way. Companies invariably have a vision that healthcare decisions benefiting patient care should be made anytime and anywhere in a model that facilitates care at the point of need. The development of telemedicine programs is inevitable as business globalization expands to more challenging cultural and geographic areas.

Diagnostic Imaging↗

Preliminary experience of shared clinical management between Milan and Pointe Noire using the INteractive TeleConsultation Network for Worldwide HealthcAre Services (INCAS): telemedicine between Milan and Africa.

This paper describes preliminary experience in shared clinical management of patients located in Pointe Noire, Africa, and a referral center, Sacco University Hospital, located in Milan, Italy. The employed infrastructure INteractive TeleConsultation Network for Worldwide HealthcAre Services (INCAS) jointly developed by CEFRIEL (Center of Excellence For Research, Innovation, Education & Industrial Labs partnership) and ENI (Ente Nazionale Idrocarburi) is based on commercial off-the-shelf technology. This minimizes maintenance problems, while permitting a simple and friendly sharing of data using the telephone and e-mail for store-and-forward applications. The critical aspect of the flow of events comprising the exchange of information is discussed. In 60% of cases, only one telemedicine consultation was required. In the remainder 40%, a number of telemedicine consultations were required for appropriate management of clinical cases. The project demonstrated flexibility as documented by the wide range of pathologies that can be dealt with it. Finally the possibility of using shared clinical management as a learning tool is highlighted by the steep and rising learning curve. We conclude, however, that the patient, although handled in a "virtual" manner, should be viewed as very "real," as some of them elected to close the gap physically between Pointe Noire and Milan, and chose to be treated at the referral site.

Congo↗