Better, not more, lighting: Policies in urban areas towards environmentally-sound illumination of historical stone buildings that also halts biological colonization

Anthropogenic or Artificial light at night (ALAN) pollution, or more simply light pollution, is an issue of increasing concern to the general public, as well as to scientists and politicians. However, although advances have been made in terms of scientific knowledge, these advances have not been fully transferred to or considered by politicians. In addition, illumination of stone monuments in urban areas is an emerging contribution to ALAN pollution that has scarcely been considered to date. This paper presents a literature review of the topic of light pollution and related policies, including a bibliometric analysis of studies published between 2020 and 2022. The prevailing legislation in Europe regarding the regulation of outdoor lighting, which emphasises the complexity of controlling light pollution, is summarised and the regulation of monumental lighting in Spain is discussed. Findings concerning the impact of ALAN on biodiversity in urban areas, and the promising biostatic effect of ornamental lighting (halting biological colonization on stone monuments, mainly caused by algae and cyanobacteria) are described. Finally, trends in monument illumination and policymaking towards environmentally sustainable management are considered.

Unraveling disparate roles of organisms, from plants to bacteria, and viruses on built cultural heritage

The different organisms, ranging from plants to bacteria, and viruses that dwell on built cultural heritage can be passive or active participants in conservation processes. For the active participants, particular attention is generally given to organisms that play a positive role in bioprotection, bioprecipitation, bioconsolidation, bioremediation, biocleaning, and biological control and to those involved in providing ecosystem services, such as reducing temperature, pollution, and noise in urban areas. The organisms can also evolve or mutate in response to changes, becoming tolerant and resistant to biocidal treatments or acquiring certain capacities, such as water repellency or resistance to ultraviolet radiation. Our understanding of the capacities and roles of these active organisms is constantly evolving as bioprotection/biodeterioration, and biotreatment studies are conducted and new techniques for characterizing species are developed. This brief review article aims to shed light on interesting research that has been abandoned as well as on recent (some ongoing) studies opening up new scopes of research involving a wide variety of organisms and viruses, which are likely to receive more attention in the coming years. KEY POINTS: • Organisms and viruses can be active or passive players in heritage conservation • Biotreatment and ecosystem service studies involving organisms and viruses are shown • Green deal, health, ecosystem services, and global change may shape future research.

Attraction of Insects to Ornamental Lighting Used on Cultural Heritage Buildings: A Case Study in an Urban Area

Artificial light at night (ALAN) reduces insect populations by altering their movements, foraging, reproduction, and predation. Although ALAN is mainly associated with streetlights and road networks, the ornamental illumination of monuments is making an increasing (but not well-studied) contribution. We compared insect attraction to two different types of light sources: a metal halide lamp (a type currently used to illuminate monuments) and an environmentally sound prototype lamp (CromaLux) comprising a combination of green and amber LEDs. The experiment was performed within the pilot CromaLux project in Santiago de Compostela (NW Spain). The abundance and diversity of the insects captured between June and October 2021 in the areas surrounding both light sources and in an unlit area were compared. By limiting the light emitted to amber and green, the CromaLux lamps reduced the number and diversity of insects, morphospecies, and orders attracted to the light, with similar numbers captured as in the unilluminated area, while a greater diversity of insects was captured beside the metal halide lamp. This effect has been demonstrated for almost all insect orders trapped, especially in Diptera, Lepidoptera, Coleoptera, Hemiptera, and Hymenoptera. On the contrary, Psocoptera showed a similar attraction to the CromaLux and metal halide lamps, a phenomenon whose causes deserve further investigation. As expected, Diptera were the most diverse and abundant insects in all samples, but the abundance of Lepidoptera was unexpectedly low (4%), which is in line with the worldwide evidence of the progressive decline of populations of this group. The study findings provide evidence that selecting specific wavelengths for ornamental lighting reduces the attraction of insects while maintaining adequate illumination of monuments for aesthetic purposes, resulting in a lower environmental impact on nocturnal insects. This study provides reference data for developing principles of good practices leading to possible regulatory and legal solutions and the incorporation of specific measures for artificial lighting of monuments and urban structures.

Long-amplicon MinION-based sequencing study in a salt-contaminated twelfth century granite-built chapel

Abstract

The irregular damp dark staining on the stonework of a salt-contaminated twelfth century granite-built chapel is thought to be related to a non-homogeneous distribution of salts and microbial communities. To enhance understanding of the role of microorganisms in the presence of salt and damp stains, we determined the salt content and identified the microbial ecosystem in several paving slabs and inner wall slabs (untreated and previously bio-desalinated) and in the exterior surrounding soil. Soluble salt analysis and culture-dependent approaches combined with archaeal and bacterial 16S rRNA and fungal ITS fragment as well as with the functional genes nirK, dsr, and soxB long-amplicon MinION-based sequencing were performed. State-of-the-art technology was used for microbial identification, providing information about the microbial diversity and phylogenetic groups present and enabling us to gain some insight into the biological cycles occurring in the community key genes involved in the different geomicrobiological cycles. A well-defined relationship between microbial data and soluble salts was identified, suggesting that poorly soluble salts (CaSO₄) could fill the pores in the stone and lead to condensation and dissolution of highly soluble salts (Ca(NO₃)₂ and Mg(NO₃)₂) in the thin layer of water formed on the stonework. By contrast, no direct relationship between the damp staining and the salt content or related microbiota was established. Further analysis regarding organic matter and recalcitrant elements in the stonework should be carried out.

Key points

• Poorly (CaSO₄) and highly (Ca(NO₃)₂, Mg(NO₃)₂) soluble salts were detected

• Halophilic and mineral weathering microorganisms reveal ecological impacts of salts

• Microbial communities involved in nitrate and sulfate cycles were detected

Supplementary Information

The online version contains supplementary material available at 10.1007/s00253-022-11961-8.

Revisiting and reanalysing the concept of bioreceptivity 25 years on

2020 marks 25 years since Olivier Guillitte defined the term 'bioreceptivity', to describe the ability of a building material to be colonised by living organisms. Although Guillitte noted in his 1995 paper that several issues required further investigation, to the best of our knowledge the bioreceptivity concept has not been restated, reviewed, reanalysed or updated since then. The present paper provides an opinionated exposition of the status and utility of the bioreceptivity concept for built heritage science and conservation in the light of current knowledge, aimed to stimulate further discussion. A bibliometric analysis highlights the key dimensions of the past 25 years of published research, showing that the term bioreceptivity has been widely used in the field of built cultural heritage. In our reanalysis of the concept, special attention is devoted to the six types of bioreceptivity (primary, secondary, tertiary, intrinsic, extrinsic and semi-extrinsic) articulated by Guillitte in 1995. We propose that field-based studies of bioreceptivity are urgently needed, and that the intrinsic, extrinsic and semi-extrinsic types of bioreceptivity should be dropped, and a new category (quaternary bioreceptivity) added. Additionally, we propose that bioreceptivity in submerged and subsoil environments should also be considered. Bioreceptivity remains an important concept for managing both new build and built heritage, as it provides the key to understanding the drivers and patterns of biological colonisation of building materials.

Cracks in consolidants containing TiO2 as a habitat for biological colonization: A case of quaternary bioreceptivity

The recently proposed concept of quaternary bioreceptivity applies to substrates treated with coating materials and it is considered in the present study with the alga Bracteacoccus minor and the cyanobacterium Nostoc sp. onto granite specimens treated with ethyl silicate and nano-sized silica doped with different amounts of TiO₂ (0, 0.5, 1 and 3 wt%). The findings showed a lack of correlation between the amount of TiO₂ and the level of colonization (main bioreceptivity estimator) to the presence of cracks on the surface, which annul the biocidal power of TiO₂. Crack formation, which depends on the mechanical properties, greatly influences the bioreceptivity of the material. Thus, the cracks provided anchor points where water is retained, in turn strongly influencing the early stages of colonization kinetics, to a greater extent than the biocidal power of TiO₂, which will probably increase as the biofilm develops over the entire surface. In addition, although the cracks were more abundant and wider in the ethyl silicate-based consolidant, the nano-sized silica provided better anchoring points, making the material treated with the corresponding consolidant more bioreceptive.

Bioremoval of graffiti using novel commercial strains of bacteria

Previous studies have provided evidence that bioremediation deals a novel approach to graffiti removal, thereby overcoming well-known limitations of current cleaning methods. In the present study eight bacteria aerobic, mesophilic and culturable from the American ATCC and the German DSMZ collections of microorganisms, some isolated from car paint waste, colored deposits in a pulp dryer and wastewater from dye works, were tested in the removal of silver and black graffiti spray paints using immersion strategies with glass slides. Absorbance at 600 nm and live/dead assays were performed to estimate bacterial density and activity in all samples. Also, pH and dissolved organic carbon (DOC) and inorganic carbon (DIC) measurements in the liquid media were made, as well as, thickness, colorimetric and infrared (FTIR) spectroscopy measurements in graffiti paint layers were used to evaluate the presence of the selected bacteria in the samples and the graffiti bioremoval capacity of bacteria. Data demonstrated that of the eight bacteria studied, Enterobacter aerogenes, Comamonas sp. and a mixture of Bacillus sp., Delftia lacustris, Sphingobacterium caeni, and Ochrobactrum anthropi were the most promising for bioremoval of graffiti. According to significant changes in FTIR spectra, indicating an alteration of the paint polymeric structure, coupled with the presence of a consistent quantity of live bacteria in the medium as well as a significant increase of DIC (a measure of metabolic activity) and a change in paint color.

Impact of wildfire on granite outcrops in archaeological sites surrounded by different types of vegetation

The lack of scientific information about the effects of wildfire on prehistoric structures and rock art, such as dolmens and petroglyphs, impedes the development of conservation guidelines. In this study, the impact of a recent wildfire (late 2017) on granite outcrops in the San Salvador de Coruxo archaeological site (Vigo, SW Galicia) was evaluated. Samples of the same type of granite were obtained from three sites characterised by different types of vegetation (natural scrub, native deciduous oak and non-native pine-eucalypt forest) in order to determine how the vegetation influences the fire-caused damage to the rock. Three subsamples were taken from each of the granite samples at depths of 1 cm-3 cm to study how fire affects the rock at depth. In all sites, the temperature reached at the granite surface was below 380 °C. No mineralogical changes due to fire exposure were detected, and no physical changes that could be attributed to the effect of the fire on the fissure system of the granite were identified. However, aesthetic colour changes due to the deposition of organic and charred matter, which even penetrated the fissures, were detected. The existence of lignin-derived compounds, lipids and carbohydrates in the samples from the oakwood site indicates greater resistance to fire effects in this type of vegetation than in the other two types. Although preliminary, these findings suggest that oakwoods could act as protective belts around archaeological sites by reducing the wildfire severity, because of their greater resistance to being burnt, and that they could buffer the damaging effects of fire in natural areas where parietal art is found.

Impact of colour on the bioreceptivity of granite to the green alga Apatococcus lobatus: Laboratory and field testing

Recent work has demonstrated that surface colour affects the formation of cyanobacterial subaerial biofilms on polycarbonate coupons and, in turn, influences their bioreceptivity. To explore whether colour is important on other substrates, the influence of colour on the primary bioreceptivity of granite to the terrestrial green alga Apatococcus lobatus (Trebouxiophyceae, Chlorophyta) has been assessed. Two granitoids (Grissal and Rosa Porriño) with the same texture, and very similar chemical composition, open porosity and surface roughness, but different coloration related to feldspars (i.e. greyish and reddish) were used to conduct bioreceptivity studies in parallel field and laboratory tests. Light microscopy, colour spectrophotometry, PAM fluorometry, and optical profilometry were used to evaluate colonisation and its impacts. Short-term results (after 7 and 10 weeks of colonisation by a mono-species biofilm) from both lab and field trials, showed significantly more algae growth on reddish granite (Rosa Porriño) than on greyish granite (Grissal). Also, optical profilometry and light microscopy demonstrated that on both granites algal aggregates developed in hollows. We attribute the roughly double levels of A. lobatus growth on reddish vs greyish granite to differences in the amount of radiant energy absorbed and the higher levels of red wavelength light (known to encourage algal growth) reflected from the reddish surface.

Moving toward Smart Cities: Evaluation of the Self-Cleaning Properties of Si-Based Consolidants Containing Nanocrystalline TiO2 Activated by either UV-A or UV-B Radiation

This study evaluated the self-cleaning ability and durability of Si-based consolidants (an ethyl silicate consolidant and a consolidant based on nanosized silica) spiked with nanocrystalline TiO₂ activated by either UV-A radiation (spectral region between 340 and 400 nm, and main peak at 365 nm) or UV-B radiation (spectral region between 270 and 420 nm, and main peak at 310 nm). Granite samples were coated with consolidant, to which nanocrystalline TiO₂ was added at different concentrations (0.5, 1, and 3%, by wt.). Diesel soot was then applied to the coated surfaces, and the samples were exposed to UV-A or UV-B radiation for 1650 h. The surface color changes, relative to the color of untreated granite, were determined every 330 h by color spectrophotometry. Slight color changes indicated a recovery of the reference color due to the degradation of the soot. The final surfaces of both the untreated and treated surfaces were compared by stereomicroscopy and scanning electron microscopy. The main findings were that: (1) In general, the consolidant containing nanosized silica induced the most intense photocatalytic activity. In the more compact xerogel coating formed by the nanosized silica, more TiO₂ nanoparticles were available to interact with the radiation. (2) For all consolidant mixtures, soot degradation remained constant or decreased over time, except with ethyl silicate with 0.5 wt % TiO₂ (no self-cleaning capacity). (3) Soot degradation increased with the concentration of TiO₂. (4) The UV-B radiation was the most effective in terms of soot degradation, except for the surface coated with the ethyl silicate and 3% wt. TiO₂.

A Simple, Reliable, and Inexpensive Solution for Contact Color Measurement in Small Plant Samples

Correct color measurement by contact-type color measuring devices requires that the sample surface fully covers the head of the device, so their use on small samples remains a challenge. Here, we propose to use cardboard adaptors on the two aperture masks (3 and 8 mm diameter measuring area) of a broadly used portable spectrophotometer. Adaptors in black and white to reduce the measuring area by 50% and 70% were applied in this study. Representatives of the family Campanulaceae have been used to test the methodology, given the occurrence of small leaves. Our results show that, following colorimetric criteria, the only setting providing indistinguishable colors according to the perception of the human eye is the use of a 50%-reducing adaptor on the 3-mm aperture. In addition, statistical analysis suggests the use of the white adaptor. Our contribution offers a sound measurement technique to gather ecological information from the color of leaves, petals, and other small samples.

Surface colour: An overlooked aspect in the study of cyanobacterial biofilm formation

Cyanobacteria can grow as biofilms, communities that colonize surfaces and that play a fundamental role in the ecology of many diverse habitats and in the conversion of industrial production to green platforms. Although biofilm growth is known to be significantly affected by several characteristics, the effect of colour surface is an overlooked aspect that has not yet been investigated. In this study, we describe the effect of colour hues (white, red, blue and black) on the growth of cyanobacterial biofilms on air-exposed substrates. We measured growth, architecture, pigment production and levels of ATP and reactive oxygen species in cyanobacterial biofilms formed on different coloured substrates. The study findings demonstrate, for the first time, that the colour of a surface affects biofilm formation at the air-solid interface (with more biomass accumulating on white and red substrates than on blue and black substrates) and also alters the biofilm architecture. In addition, the roles of chromatic adaptation, phototrophic cells and reactive oxygen species as intermediates between colour sensing and biofilm response are discussed. Our results support the importance of colour as a new factor that favours surface colonization by cyanobacteria and its contribution to biofilm formation.

Exposure to artificial daylight or UV irradiation (A, B or C) prior to chemical cleaning: an effective combination for removing phototrophs from granite

This study evaluated whether exposing samples of granite colonized by a natural biofilm to artificial daylight or UV-A/B/C irradiation for 48 h enhanced removal of the biofilm with a chemical product previously approved for conservation of monuments by the European Biocide Directive. Rodas granite, which is commonly found in stone-built heritage monuments in Galicia (NW Spain), was naturally colonized by a sub-aerial biofilm. The efficacy of the cleaning method was evaluated relative to uncolonized surfaces and colonized control samples without previous irradiation, treated by dry-brushing or with benzalkonium chloride. The effect of UV irradiation in the combined treatment was evident, as comparable cleaning levels were not reached in the controls. Although the biofilm was not totally removed by any of the treatments, UV-B irradiation followed by benzalkonium chloride was potentially useful for cleaning stone, with results comparable to those achieved by UV-C irradiation, which is known to have germicidal effects.

Melding the Old with the New: Trends in Methods Used to Identify, Monitor, and Control Microorganisms on Cultural Heritage Materials

Microbial activity has an important impact on the maintenance of cultural heritage materials, owing to the key role of microorganisms in many deterioration processes. In order to minimize such deleterious effects, there is a need to fine-tune methods that detect and characterize microorganisms. Trends in microbiology indicate that this need can be met by incorporating modern techniques. All of the methods considered in this review paper are employed in the identification, surveillance, and control of microorganisms, and they have two points in common: They are currently used in microbial ecology (only literature from 2009 to 2015 is included), and they are often applied in the cultural heritage sector. More than 75 peer-reviewed journal articles addressing three different approaches were considered: molecular, sensory and morphological, and biocontrol methods. The goal of this review is to highlight the usefulness of the traditional as well as the modern methods. The general theme in the literature cited suggests using an integrated approach.

Bioreceptivity of building stones: a review

In 1995, Guillitte defined bioreceptivity, a new term in ecology, as the ability of a material to be colonized by living organisms. Information about the bioreceptivity of stone is of great importance since it will help us to understand the material properties which influence the development of biological colonization in the built environment, and will also provide useful information as regards selecting stones for the conservation of heritage monuments and construction of new buildings. Studies of the bioreceptivity of stone materials are reviewed here with the aim of providing a clear set of conclusions on the topic. Definitions of bioreceptivity are given, stone bioreceptivity experiments are described, and finally the stone properties related to bioreceptivity are discussed. We suggest that a standardized laboratory protocol for evaluating stone bioreceptivity and definition of a stone bioreceptivity index are required to enable creation of a database on the primary bioreceptivity of stone materials.

Degradation of nitrocellulose-based paint by Desulfovibrio desulfuricans ATCC 13541

Nitrocellulose is one of the most commonly used compounds in ammunition and paint industries and its recalcitrance to degradation has a negative impact on human health and the environment. In this study the capability of Desulfovibrio desulfuricans ATCC 13541 to degrade nitrocellulose as binder in paint was assayed for the first time. Nitrocellulose-based paint degradation was followed by monitoring the variation in nitrate, nitrite and ammonium content in the culture medium using Ultraviolet-Visible spectroscopy. At the same time cell counts and ATP assay were performed to estimate bacterial density and activity in all samples. Infrared spectroscopy and colorimetric measurements of paint samples were performed to assess chemical and colour changes due to the microbial action. Microscope observations of nitrocellulose-based paint samples demonstrated the capability of the bacterium to adhere to the paint surface and change the paint adhesive characteristics. Finally, preliminary studies of nitrocellulose degradation pathway were conducted by assaying nitrate- and nitrite reductases activity in D. desulfuricans grown in presence or in absence of paint. We found that D. desulfuricans ATCC 13541 is able to transform nitrocellulose as paint binder and we hypothesised ammonification as degradation pathway. The results suggest that D. desulfuricans ATCC 13541 is a good candidate as a nitrocellulose-degrading bacterium.

Spectrophotometric color measurement for early detection and monitoring of greening on granite buildings

This paper addresses the detection and monitoring of the development of epilithic phototrophic biofilms on the granite façade of an institutional building in Santiago de Compostela (NW Spain), and reports a case study of preventive conservation. The results provide a basis for establishing criteria for the early detection of phototrophic colonization (greening) and for monitoring its development on granite buildings by the use of color changes recorded with a portable spectrophotometer and represented in the CIELAB color space. The results show that parameter b* (associated with changes of yellowness-blueness) provides the earliest indication of colonization and varies most over time, so that it is most important in determining the total color change. The limit of perception of the greening on a granite surface was also established in a psycho-physical experiment, as Δb*: +0.59 CIELAB units that correspond, in the present study, to 6.3 μg of biomass dry weight cm(-2) and (8.43 ± 0.24) × 10(-3) μg of extracted chlorophyll a cm(-2).

Color measurements as a reliable method for estimating chlorophyll degradation to phaeopigments

The application of biocides is a traditional method of controlling biodecay of outdoor cultural heritage. Chlorophyll degradation to phaeopigments is used to test the biocidal efficacy of the antimicrobial agents. In the present study, the usefulness of color measurements in estimating chlorophyll degradation was investigated. An aeroterrestrial stone biofilm-forming cyanobacterium of the genus Nostoc was chosen as test organism, comparing its different behaviour in both planktonic and biofilm mode of growth against the isothiazoline biocide Biotin T®. Changes in A(435 nm)/A(415 nm) and A(665 nm)/A(665a nm) and in the chlorophyll a and adenosine triphosphate (ATP) cell content were compared with the variations in the CIELAB color parameters (L*, a*, b*, C*(ab) and h(ab)). Our findings showed that both the phaeophytination indexes are useful in describing degradation of chlorophyl a to phaeopigments. Moreover, the CIELAB color parameters represented an effective tool in describing chlorophyll degradation. L* CIELAB parameter appeared to be the most informative parameter in describing the biocidal activity of Biotin T® against Nostoc sp. in both planktonic and biofilm mode of growth.

Relationship between color and pigment production in two stone biofilm-forming cyanobacteria (Nostoc sp. PCC 9104 and Nostoc sp. PCC 9025)

Previous studies have provided evidence that color measurements enable on site quantification of superficial biofilms, thereby avoiding the need for sampling. In the present study, the efficiency of color measurements to evaluate to what extent pigment production is affected by environmental parameters such as light intensity, combined nitrogen and nutrient availability, was tested with two cyanobacteria, Nostoc sp. strains PCC 9104 and PCC 9025, which form biofilms on stone. Both strains were acclimated, in aerated batch cultures for 2 weeks, to three different culture media: BG-11, BG-11(0), and BG-11(0)/10 at either high or low light intensity. The content of chlorophyll a, carotenoids, and phycocyanins was measured throughout the experiment, together with variations in the color of the cyanobacteria, which were represented in the CIELAB color space. The results confirmed that the CIELAB color parameters are correlated with pigment content in such a way that variations in the latter are reflected as variations in color.

Color of cyanobacteria: some methodological aspects

Although the color of cyanobacteria is a very informative characteristic, no standardized protocol has, so far, been established for defining the color in an objective way, and, therefore, direct comparison of experimental results obtained by different research groups is not possible. In the present study, we used colorimetric measurements and conventional statistical tools to determine the effects on the measurement of the color of cyanobacteria, of the concentration of the microorganisms and their moisture content, as well as of the size of the target area and the minimum number of measurements. It was concluded that the color measurement is affected by every factor studied, but that this can be controlled for by making at least 10 consecutive measurements/9.62 cm(2) at different randomly selected points on the surface of filters completely covered by films of cyanobacteria in which the moisture contents are higher than 50%.

[Quality control of total parenteral nutrition in the 1991-1992 biennium]

OBJECTIVE

To assess the degree of compliance with standards defined for Total Parenteral Nutrition (TPN) quality control in our hospital in the two-year period 1991-1992.

MATERIAL AND METHODS

All available information was assessed concerning 52 patients (32 men and 17 women) for whom a TPN course was prescribed in relation with certain pre-set indications. These patients received a total of 1140 TPN units with the TPN lasting an average of 21.9 days (range, 1-73 days). Monitoring was done by the Nutrition and Diet Section. The degree of compliance was assessed with the standards model proposed by the Providence Medical Center, Portland (USA) (PMCP) with 24 parameters (PM): indications, initiation in the first 24 hours, nutritional assessment in the first 24 hours, period of the TPN, metabolic complications (14 PM), septic complications (3 PM), nutritional consequences (2 PM) and TPN losses. All parameters were appraised and admitted, except for urea, which was corrected to standard values of our Laboratory (< 44 mg/dl), with Transferrin evaluation instead of iron binding capacity (TIBC), taking as compliance standard a figure of > 190 mg/dl. All analytical calculations were carried out in our Central Laboratory Service.

RESULTS

Of all the parameters, the following were discarded, not being calculated on a routine basis: total CO2, serous magnesium, urinary uric nitrogen, nitrogen balance, positive hemocultures, catheters and TPN losses. Levels of compliance varied between 31.9% and 100%, with 8 parameters within the standards (Initiation, 100%; evaluation in first 24 hours, 100%; extent, 100%; creatinine, 100%; total bilirubin, 92.2%; cholesterol, 99.5%; transferrin, 35.9%). Seven parameters fell short (Na, 88.1%; K, 92.9%; Cl, 89.3%; Urea, 54.4%; Glucose, 96.4%; P, 94.1%; Triglycerides, 71.9%).

CONCLUSIONS

We infer from our study that there is a need to make use of a large part of the indicators described in the literature as indicators for quality guarantee of a TPN program, and the use of new parameters must be assessed in normal monitoring.