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Book ; Online: Sustainable Agriculture and Advances of Remote Sensing (Volume 2)

Paraforos, Dimitrios / Muzirafuti, Anselme / Randazzo, Giovanni / Lanza, Stefania

2022

Keywords	Research & information: general ; Geography ; geographic information system (GIS) ; pocket beaches ; coastal management ; Interreg ; climate change ; remote sensing ; drone ; Sicily ; Malta ; Gozo ; Comino ; systematic literature review ; anomaly intrusion detection ; deep learning ; IoT ; resource constraint ; IDS ; evapotranspiration ; penman-monteith equation ; artificial neural network ; canopy conductance ; Ziz basin ; water quality ; satellite image analysis ; modeling approach ; nitrate ; dissolved oxygen ; chlorophyll a ; time series analysis ; environmental monitoring ; water extraction ; modified normalized difference water index (MNDWI) ; machine learning algorithm ; hyperspectral ; proximal sensing ; panicle initiation ; normalized difference vegetation index (NDVI) ; green ring ; internode-elongation ; Sentinel 1 and 2 ; Copernicus Sentinels ; crop classification ; food security ; agricultural monitoring ; data analysis ; SAR ; random forest ; 3D bale wrapping method ; equal bale dimensions ; mathematical model ; minimal film consumption ; optimal bale dimensions ; round bales ; Sentinel-2 ; SVM ; RF ; Boufakrane River watershed ; irrigation requirements ; water resources ; sustainable land use ; agriculture ; invasive plants ; precision agriculture ; rice farming ; site-specific weed management ; nitrogen prediction ; 1D convolution neural networks ; cucumber ; crop yield improvement ; mango leaf ; CCA ; vein pattern ; leaf disease ; cubic SVM ; chlorophyll-a concentration ; transfer learning ; overfitting ; data augmentation ; guava disease ; plant disease detection ; crops diseases ; entropy ; features fusion ; machine learning ; object-based classification ; density estimation ; histogram ; land use ; crop fields ; soil tillage ; data fusion ; multispectral ; sensor ; probe ; temperature profile ; forest roads ; simulation ; autonomous robots ; smart agriculture ; environmental protection ; photogrammetry ; path planning ; internet of things ; modeling ; convolutional neural networks ; machine vision ; computer vision ; modular robot ; selective spraying ; vision-based crop and weed detection ; Faster R-CNN ; YOLOv5 ; band selection ; CNN ; NDVI ; hyperspectral imaging ; crops ; urban flood ; Sentinel-1a ; Synthetic Aperture Radar (SAR) ; 3D Convolutional Neural Network ; multi-temporal data ; land use classification ; GIS ; Coatzacoalcos ; algorithms ; clustering ; pest control ; site-specific ; virtual pests ; rice plant ; weed ; hyperspectral imagery ; sustainable agriculture ; green technologies ; Internet of Things ; natural resources ; sustainable environment ; IoT ecosystem ; hyperspectral remoting sensing ; crop mapping ; image classification ; deep transfer learning ; hyperparameter optimization ; metaheuristic ; soil attribute ; ordinary Kriging ; rational sampling numbers ; spatial heterogeneity ; sampling ; soil pH ; spatial variation ; ordinary kriging ; Land Use/Land Cover ; LISS-III ; Landsat ; Vision Transformer ; Bidirectional long-short term memory ; Google Earth Engine ; Explainable Artificial Intelligence
Language	0\|e
Size	1 electronic resource (322 pages)
Publisher	MDPI - Multidisciplinary Digital Publishing Institute
Document type	Book ; Online
Note	English ; Open Access
HBZ-ID	HT021621165
ISBN	9783036553368 ; 3036553363
Database	ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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Book ; Online: Future Transportation

Randazzo, Giovanni / Muzirafuti, Anselme / Paraforos, Dimitrios / Lanza, Stefania

2022

Keywords	Technology: general issues ; History of engineering & technology ; Environmental science, engineering & technology ; ANOVA-test ; clickbait news ; feature selection ; social network ; taxi demand ; forecasting ; multi-source data ; generative adversarial networks ; container ship traffic flow ; volatility ; generalized Hurst exponents ; long-range dependence ; multifractality ; city buses ; semi-Markov processes ; preventive maintenance ; corrective maintenance ; age-replacement ; minimal repair ; perfect repair ; profit per time unit ; availability ; railway transport ; passengers ; sustainable travel ; ARTIW method ; IHAMCI method ; MCDM ; facial recognition technology ; e-biker ; red-light running behavior ; privacy invasion ; content replacement ; content placement ; content-centric networking ; cache networks ; immaturity ; stretch reduction ; mineral exploration ; natural gamma-ray spectrometry ; ASTER ; fuzzy logic modelling ; Kelâat M'Gouna inlier ; Eastern Anti-Atlas ; Morocco ; collision avoidance ; fuzzy logic ; on board driver assistance ; semi-autonomous ; multi-factor ; VANET ; COVID-19 ; bike sharing system ; urban mobility ; regression analysis ; green transport ; continuous descent approach ; optimized profile descent ; climate change ; terminal maneuvering area ; environmental impact ; applied queueing theory ; air traffic management ; air transportation sustainability ; electric vehicle powertrain ; multispeed discrete transmission ; continuously variable transmission ; two-motors configuration ; four-motors configuration ; border crossings ; sentiments ; personal vehicles ; pedestrians ; US-Mexico ; Google Trends ; digitalization ; BPM ; business process model ; artificial intelligence ; big data ; virtual reality ; internet of things ; cloud computing ; digital security ; additive engineering ; smart cities ; Internet of Things (IoT) ; strategy ; monitoring ; transport equity ; distributional analysis ; accessibility ; space-time model ; transport policy ; OFDM ; LDACS ; aeronautical communication ; impulse noise ; pulse blanking ; ROAD statistics ; location planning ; vehicle scheduling ; electric buses ; charging stations ; partial charging ; human-machine interaction ; scenarios ; use cases ; remote operation ; highly automated vehicles ; user-centered design ; remote assistance ; remote driving ; bike-sharing system (BSS) ; mode choice ; stated choice experiment ; multinomial logit model ; transport demand model ; technological transitions ; automobiles ; system dynamics ; dynamical systems ; bifurcations
Language	0\|e
Size	1 electronic resource (486 pages)
Publisher	MDPI - Multidisciplinary Digital Publishing Institute
Publishing place	Basel
Document type	Book ; Online
Note	English ; Open Access
HBZ-ID	HT021613897
ISBN	9783036548586 ; 3036548580
Database	ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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Book ; Online: Sustainable Agriculture and Advances of Remote Sensing (Volume 1)

Paraforos, Dimitrios / Muzirafuti, Anselme / Randazzo, Giovanni / Lanza, Stefania

2022

Keywords	Research & information: general ; Geography ; geographic information system (GIS) ; pocket beaches ; coastal management ; Interreg ; climate change ; remote sensing ; drone ; Sicily ; Malta ; Gozo ; Comino ; systematic literature review ; anomaly intrusion detection ; deep learning ; IoT ; resource constraint ; IDS ; evapotranspiration ; penman-monteith equation ; artificial neural network ; canopy conductance ; Ziz basin ; water quality ; satellite image analysis ; modeling approach ; nitrate ; dissolved oxygen ; chlorophyll a ; time series analysis ; environmental monitoring ; water extraction ; modified normalized difference water index (MNDWI) ; machine learning algorithm ; hyperspectral ; proximal sensing ; panicle initiation ; normalized difference vegetation index (NDVI) ; green ring ; internode-elongation ; Sentinel 1 and 2 ; Copernicus Sentinels ; crop classification ; food security ; agricultural monitoring ; data analysis ; SAR ; random forest ; 3D bale wrapping method ; equal bale dimensions ; mathematical model ; minimal film consumption ; optimal bale dimensions ; round bales ; Sentinel-2 ; SVM ; RF ; Boufakrane River watershed ; irrigation requirements ; water resources ; sustainable land use ; agriculture ; invasive plants ; precision agriculture ; rice farming ; site-specific weed management ; nitrogen prediction ; 1D convolution neural networks ; cucumber ; crop yield improvement ; mango leaf ; CCA ; vein pattern ; leaf disease ; cubic SVM ; chlorophyll-a concentration ; transfer learning ; overfitting ; data augmentation ; guava disease ; plant disease detection ; crops diseases ; entropy ; features fusion ; machine learning ; object-based classification ; density estimation ; histogram ; land use ; crop fields ; soil tillage ; data fusion ; multispectral ; sensor ; probe ; temperature profile ; forest roads ; simulation ; autonomous robots ; smart agriculture ; environmental protection ; photogrammetry ; path planning ; internet of things ; modeling ; convolutional neural networks ; machine vision ; computer vision ; modular robot ; selective spraying ; vision-based crop and weed detection ; Faster R-CNN ; YOLOv5 ; band selection ; CNN ; NDVI ; hyperspectral imaging ; crops ; urban flood ; Sentinel-1a ; Synthetic Aperture Radar (SAR) ; 3D Convolutional Neural Network ; multi-temporal data ; land use classification ; GIS ; Coatzacoalcos ; algorithms ; clustering ; pest control ; site-specific ; virtual pests ; rice plant ; weed ; hyperspectral imagery ; sustainable agriculture ; green technologies ; Internet of Things ; natural resources ; sustainable environment ; IoT ecosystem ; hyperspectral remoting sensing ; crop mapping ; image classification ; deep transfer learning ; hyperparameter optimization ; metaheuristic ; soil attribute ; ordinary Kriging ; rational sampling numbers ; spatial heterogeneity ; sampling ; soil pH ; spatial variation ; ordinary kriging ; Land Use/Land Cover ; LISS-III ; Landsat ; Vision Transformer ; Bidirectional long-short term memory ; Google Earth Engine ; Explainable Artificial Intelligence
Language	0\|e
Size	1 electronic resource (324 pages)
Publisher	MDPI - Multidisciplinary Digital Publishing Institute
Document type	Book ; Online
Note	English ; Open Access
HBZ-ID	HT021620379
ISBN	9783036553382 ; 303655338X
Database	ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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Article: Regional Plan against Coastal Erosion: A Conceptual Model for Sicily

Randazzo, Giovanni / Lanza, Stefania

Land. 2020 Sept. 01, v. 9, no. 9

2020

Abstract: Over the last few decades, Sicily has faced both erosion-related difficulties and limited Integrated Coastal Zone Management (ICZM). In particular, a lack of synergy between regional bodies, an absence of information exchange between scientific and ... ...

Abstract	Over the last few decades, Sicily has faced both erosion-related difficulties and limited Integrated Coastal Zone Management (ICZM). In particular, a lack of synergy between regional bodies, an absence of information exchange between scientific and administrative communities, the application of not-updated national and international best practices and the misrepresentation of environmental laws, have resulted in a system focused on risk erosion rather than on coastal area development. Following years without planning, in 2006 the Regione Siciliana launched PAI-coste (Hydro-Geological Asset Plan. It is interesting to note that in Italy, the “risk” known worldwide as geological or hydraulic or geomorphological is commonly denoted as “hydro-geological”, creating a pseudo-neologism correctly related to the groundwater circulation and not to surficial movements.), based on a diachronic comparison between cartographies and territorial qualitative information. However, it has proved to be static and obsolete and thus requires updating in order to determine the focal points for further planning and to shift it from an e-static to e-dynamic process via the GIS and WEBGIS tools. Sicilian legislation holds all the laws necessary for the creation of a continuous flow of information between local administrations and the regional government. The aim of this paper is to determine a regional management plan for the central government against coastal erosion with the inclusion of a seasonal monitoring program carried out by the local administration as a part of the Strategic Environmental Assessment (SEA), which is in turn linked to the Plan for the Administrations of Maritime State Property (PUDM; Italian acronym). The plan will be managed at the regional level and will take into account problems and particular features at a higher rather than local level. A key outcome should be the Regional Plan against Coastal Erosion, containing constant feedback from the local administration, stakeholders and citizen groups.
Keywords	coastal zone management ; coasts ; environmental assessment ; environmental law ; geographic information systems ; groundwater ; information exchange ; laws and regulations ; local government ; models ; monitoring ; planning ; stakeholders ; Italy ; Sicily
Language	English
Dates of publication	2020-0901
Publishing place	Multidisciplinary Digital Publishing Institute
Document type	Article
ZDB-ID	2682955-1
ISSN	2073-445X
ISSN	2073-445X
DOI	10.3390/land9090307
Database	NAL-Catalogue (AGRICOLA)

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Article: Geomorphological and Structural Assessment of the Coastal Area of Capo Faro Promontory, NE Salina (Aeolian Islands, Italy)

Bonasera, Mauro / Cerrone, Ciro / Caso, Fabiola / Lanza, Stefania / Fubelli, Giandomenico / Randazzo, Giovanni

Land. 2022 July 19, v. 11, no. 7

2022

Abstract: Capo Faro Promontory, located in Salina (Aeolian Islands, southern Italy), is a popular summer destination due to its volcanic morphologies, seaside, and enogastronomy. A flat area, right behind the scarp edge of a coastal cliff, hosts the Capo Faro ... ...

Abstract	Capo Faro Promontory, located in Salina (Aeolian Islands, southern Italy), is a popular summer destination due to its volcanic morphologies, seaside, and enogastronomy. A flat area, right behind the scarp edge of a coastal cliff, hosts the Capo Faro Estate, one of the most renowned vineyards and residences on Salina Island. The promontory has been characterised in terms of geomorphological features. Remote sensing analysis, after nadir and off–nadir UAV flights, supports the field activities to explore the hazard to which the area is subjected. In particular, the coastal cliff turns out to be affected by a rapid retreat inducing landslides. Therefore, the cliff area has been investigated through a detailed stratigraphic and structural field survey. Using the generated high–resolution Digital Elevation Model, bathymetric–topographic profiles were extracted along the coastline facing the cliff. The thickness of volcanic deposits was evaluated to obtain a geological model of it. The main rock mass discontinuities have been characterised to define the structural features affecting the stability of the rock wall. The obtained results prove the contribution of such research fundamental in planning risk mitigation measures.
Keywords	coasts ; digital elevation models ; risk reduction ; summer ; surveys ; Italy
Language	English
Dates of publication	2022-0719
Publishing place	Multidisciplinary Digital Publishing Institute
Document type	Article
ZDB-ID	2682955-1
ISSN	2073-445X
ISSN	2073-445X
DOI	10.3390/land11071106
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Scabies outbreak management in refugee/migrant camps in Europe 2014-2017: a retrospective qualitative interview study of healthcare staff experiences and perspectives.

Richardson, Naomi A / Cassell, Jackie A / Head, Michael G / Lanza, Stefania / Schaefer, Corinna / Walker, Stephen L / Middleton, Jo

BMJ open

2023 Volume 13, Issue 11, Page(s) e075103

Abstract: Objectives: Provide insights into the experiences and perspectives of healthcare staff who treated scabies or managed outbreaks in formal and informal refugee/migrant camps in Europe 2014-2017.: Design: Retrospective qualitative study using ... ...

Abstract	Objectives: Provide insights into the experiences and perspectives of healthcare staff who treated scabies or managed outbreaks in formal and informal refugee/migrant camps in Europe 2014-2017. Design: Retrospective qualitative study using semistructured telephone interviews and framework analysis. Recruitment was done primarily through online networks of healthcare staff involved in medical care in refugee/migrant settings. Setting: Formal and informal refugee/migrant camps in Europe 2014-2017. Participants: Twelve participants (four doctors, four nurses, three allied health workers, one medical student) who had worked in camps (six in informal camps, nine in formal ones) across 15 locations within seven European countries (Greece, Serbia, Macedonia, Turkey, France, the Netherlands, Belgium). Results: Participants reported that in camps they had worked, scabies diagnosis was primarily clinical (without dermatoscopy), and treatment and outbreak management varied highly. Seven stated scabicides were provided, while five reported that only symptomatic management was offered. They described camps as difficult places to work, with poor living standards for residents. Key perceived barriers to scabies control were (1) lack of water, sanitation and hygiene, specifically: absent/limited showers (difficult to wash off topical scabicides), and inability to wash clothes and bedding (may have increased transmission/reinfestation); (2) social factors: language, stigma, treatment non-compliance and mobility (interfering with contact tracing and follow-up treatments); (3) healthcare factors: scabicide shortages and diversity, lack of examination privacy and staff inexperience; (4) organisational factors: overcrowding, ineffective interorganisational coordination, and lack of support and maltreatment by state authorities (eg, not providing basic facilities, obstruction of self-care by camp residents and non-governmental organisation (NGO) aid). Conclusions: We recommend development of accessible scabies guidelines for camps, use of consensus diagnostic criteria and oral ivermectin mass treatments. In addition, as much of the work described was by small, volunteer-staffed NGOs, we in the wider healthcare community should reflect how to better support such initiatives and those they serve.
MeSH term(s)	Humans ; Scabies/diagnosis ; Scabies/epidemiology ; Scabies/therapy ; Retrospective Studies ; Transients and Migrants ; Refugees ; Delivery of Health Care ; Disease Outbreaks/prevention & control ; Qualitative Research ; Serbia
Language	English
Publishing date	2023-11-08
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2599832-8
ISSN	2044-6055 ; 2044-6055
ISSN (online)	2044-6055
ISSN	2044-6055
DOI	10.1136/bmjopen-2023-075103
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Mapping of Sicilian Pocket Beaches Land Use/Land Cover with Sentinel-2 Imagery: A Case Study of Messina Province

Randazzo, Giovanni / Cascio, Maria / Fontana, Marco / Gregorio, Francesco / Lanza, Stefania / Muzirafuti, Anselme

Land. 2021 June 27, v. 10, no. 7

2021

Abstract: Pocket beaches (PBs) are among the most attractive tourist sites and economic development contributors in coastal areas; however, they are negatively impacted by the combined effects of climate change and anthropogenic activities. Generally, research on ... ...

Abstract	Pocket beaches (PBs) are among the most attractive tourist sites and economic development contributors in coastal areas; however, they are negatively impacted by the combined effects of climate change and anthropogenic activities. Generally, research on PBs is conducted from the beach towards offshore. Studies on the land use/land cover (LULC) of PBs are limited and currently lacking. Such studies deserve more investigation due to the importance of LULC in PBs’ functioning. In this study, supervised classification methods were investigated for LULC mapping of the PBs located in the province of Messina. Sentinel-2B satellite images were analyzed using maximum likelihood (MaL), minimum distance (MiD), mahalanobis distance (MaD) and spectral angle mapper (SAM) classification methods. The study was conducted mainly in order to determine which classification method would be adequate for small scale Sentinel-2 imagery analysis and provide accurate results for the LULC mapping of PBs. In addition, an occurrence-based filter algorithm in conjunction with OpenStreetMap data and Google Earth imagery was used to extract linear features within 500 m of the inland buffer zone of the PBs. The results demonstrate that information on the biophysical parameters, namely surface cover fractions, of the coastal area can be obtained by conducting LULC mapping on Sentinel-2 images.
Keywords	Internet ; algorithms ; case studies ; climate change ; coasts ; economic development ; image analysis ; land cover ; land use ; satellites ; statistical analysis ; tourists
Language	English
Dates of publication	2021-0627
Publishing place	Multidisciplinary Digital Publishing Institute
Document type	Article
ZDB-ID	2682955-1
ISSN	2073-445X
ISSN	2073-445X
DOI	10.3390/land10070678
Database	NAL-Catalogue (AGRICOLA)

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Article: Tourist-beach protection in north-eastern Sicily (Italy)

Lanza, Stefania / Randazzo, Giovanni

Journal of coastal conservation. 2013 Mar., v. 17, no. 1

2013

Abstract: Sicily is the largest island in the Mediterranean, and tourism represents the most important income in the regional budget. This is due to a mild climate, to its considerable archaeological and cultural heritage, but above all to the beaches, which host ... ...

Abstract	Sicily is the largest island in the Mediterranean, and tourism represents the most important income in the regional budget. This is due to a mild climate, to its considerable archaeological and cultural heritage, but above all to the beaches, which host visitors for most of the year. Nevertheless, Sicily has no official Integrated Coastal Zone Management (ICZM) policy and also lacks an overall plan for coastal protection. In 2000, however, driven by the EU, a process of selection of projects based on objective parameters was initiated. Not all of these projects have had the expected results and some are yet to be completed. One of these is Giardini Naxos, Taormina beach, one of the main tourist resorts in Sicily. There, due both to the incorrect position of the port structure and to the rapidly increasing coastal urbanization (second homes, hotels and waterfront), a process of coastal erosion has started, the beach has disappeared, and the promenade has been damaged. To rebuild the shore in order to protect the structures behind it and to restore the coast for beach goers, a submerged barrier (like a reef) was designed to protect an artificial beach replenishment using local and remote sands, mined from the continental platform bottom and compatible both in terms of composition and grain size. Even though the results were excellent during the first stages of the project, towards the end, financial support disappeared and the funds were allocated to other projects. This experience in Giardini Naxos illustrates the ineffectiveness of defensive action in the absence of coastal planning that takes into account the sustainability of interventions on a regional basis both from a structural and an economic standpoint.
Keywords	European Union ; beaches ; climate ; cultural heritage ; funding ; income ; issues and policy ; planning ; tourism ; urbanization ; Italy ; Sicily
Language	English
Dates of publication	2013-03
Size	p. 49-57.
Publishing place	Springer-Verlag
Document type	Article
ZDB-ID	2053395-0
ISSN	1874-7841 ; 1400-0350
ISSN (online)	1874-7841
ISSN	1400-0350
DOI	10.1007/s11852-012-0217-0
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Scabies control: the forgotten role of personal hygiene - Authors' reply.

Middleton, Jo / Cassell, Jackie A / Jones, Christopher I / Lanza, Stefania / Head, Michael G / Walker, Stephen L

The Lancet. Infectious diseases

2018 Volume 18, Issue 10, Page(s) 1068–1069

MeSH term(s)	Aged ; Disease Outbreaks ; Humans ; Hygiene ; Prospective Studies ; Scabies/epidemiology ; Treatment Outcome
Language	English
Publishing date	2018-10-09
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	2061641-7
ISSN	1474-4457 ; 1473-3099
ISSN (online)	1474-4457
ISSN	1473-3099
DOI	10.1016/S1473-3099(18)30558-9
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Scabies outbreaks in ten care homes for elderly people: a prospective study of clinical features, epidemiology, and treatment outcomes.

Cassell, Jackie A / Middleton, Jo / Nalabanda, Ananth / Lanza, Stefania / Head, Michael G / Bostock, Jennifer / Hewitt, Kirsty / Jones, Christopher Iain / Darley, Charles / Karir, Simran / Walker, Stephen L

The Lancet. Infectious diseases

2018 Volume 18, Issue 8, Page(s) 894–902

Abstract: Background: Scabies outbreaks in residential and nursing care homes for elderly people are common, subject to diagnostic delay, and hard to control. We studied clinical features, epidemiology, and outcomes of outbreaks in the UK between 2014 and 2015.!## ...

Abstract	Background: Scabies outbreaks in residential and nursing care homes for elderly people are common, subject to diagnostic delay, and hard to control. We studied clinical features, epidemiology, and outcomes of outbreaks in the UK between 2014 and 2015. Methods: We did a prospective observational study in residential care homes for elderly people in southeast England that reported scabies outbreaks to Public Health England health protection teams. An outbreak was defined as two or more cases of scabies (in either residents or staff) at a single care home. All patients who provided informed consent were included; patients with dementia were included if a personal or nominated consultee (ie, a family member or nominated staff member) endorsed participation. Dermatology-trained physicians examined residents at initial clinical visits, which were followed by two mass treatments with topical scabicide as per local health protection team guidance. Follow-up clinical visits were held 6 weeks after initial visits. Scabies was diagnosed through pre-defined case definitions as definite, probable, or possible with dermatoscopy and microscopy as appropriate. Findings: 230 residents were examined in ten outbreaks between Jan 23, 2014, and April 13, 2015. Median age was 86·9 years (IQR 81·5-92·3), 174 (76%) were female, and 157 (68%) had dementia. 61 (27%) residents were diagnosed with definite, probable, or possible scabies, of whom three had crusted scabies. Physical signs differed substantially from classic presentations. 31 (51%) of the 61 people diagnosed with scabies were asymptomatic, and only 25 (41%) had burrows. Mites were visualised with dermatoscopy in seven (11%) patients, and further confirmed by microscopy in three (5%). 35 (57%) cases had signs of scabies only on areas of the body that would normally be covered. Dementia was the only risk factor for a scabies diagnosis that we identified (odds ratio 2·37 [95% CI 1·38-4·07]). At clinical follow-up, 50 people who were initially diagnosed with scabies were examined. No new cases of scabies were detected, but infestation persisted in ten people. Interpretation: Clinical presentation of scabies in elderly residents of care homes differs from classic descriptions familiar to clinicians. This difference probably contributes to delayed recognition and suboptimal management in this vulnerable group. Dermatoscopy and microscopy were of little value. Health-care workers should be aware of the different presentation of scabies in elderly people, and should do thorough examinations, particularly in people with dementia. Funding: Public Health England and British Skin Foundation.
MeSH term(s)	Aged, 80 and over ; Animals ; Delayed Diagnosis ; Disease Outbreaks/prevention & control ; England ; Female ; Humans ; Male ; Nursing Homes ; Prospective Studies ; Residential Facilities ; Sarcoptes scabiei/physiology ; Scabies/diagnosis ; Scabies/epidemiology ; Scabies/parasitology ; Scabies/therapy ; Skin ; Treatment Outcome
Language	English
Publishing date	2018-06-28
Publishing country	United States
Document type	Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
ZDB-ID	2061641-7
ISSN	1474-4457 ; 1473-3099
ISSN (online)	1474-4457
ISSN	1473-3099
DOI	10.1016/S1473-3099(18)30347-5
Database	MEDical Literature Analysis and Retrieval System OnLINE

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