Search

Objective: The aim of this study was to assess age-related changes in cardiac autonomic modulation and heart rate variability (HRV) and their association with spontaneous and pharmacologically induced vulnerability to cardiac arrhythmias, to verify the translational relevance of mouse models for further in-depth evaluation of the link between autonomic changes and increased arrhythmic risk with advancing age. Methods: Heart rate (HR) and time- and frequency-domain indexes of HRV were calculated from Electrocardiogram (ECG) recordings in two groups of conscious mice of different ages (4 and 19 months old) (i) during daily undisturbed conditions, (ii) following peripheral ?-adrenergic (atenolol), muscarinic (methylscopolamine), and ?-adrenergic + muscarinic blockades, and (iii) following ?-adrenergic (isoprenaline) stimulation. Vulnerability to arrhythmias was evaluated during daily undisturbed conditions and following ?-adrenergic stimulation. Results: HRV analysis and HR responses to autonomic blockades revealed that 19-month-old mice had a lower vagal modulation of cardiac function compared with 4-month-old mice. This age-related autonomic effect was not reflected in changes in HR, since intrinsic HR was lower in 19-month-old compared with 4-month-old mice. Both time- and frequency-domain HRV indexes were reduced following muscarinic, but not ?-adrenergic blockade in younger mice, and to a lesser extent in older mice, suggesting that HRV is largely modulated by vagal tone in mice. Finally, 19-month-old mice showed a larger vulnerability to both spontaneous and isoprenaline-induced arrhythmias. Conclusion: The present study combines HRV analysis and selective pharmacological autonomic blockades to document an age-related impairment in cardiac vagal modulation in mice which is consistent with the human condition. Given their short life span, mice could be further exploited as an aged model for studying the trajectory of vagal decline with advancing age using HRV measures, and the mechanisms underlying its association with proarrhythmic remodeling of the senescent heart.

Until 2014, the management of invasive alien species has been poorly addressed in Europe. Recently, the Regulation 1143/14 on invasive alien species (IAS) was issued by the European Community. A first list of "IAS of Union Concern" was presented in 2016 and subsequently updated in 2017. The species included in that list are subjected to a number of commercial restrictions, and EU member states are required to control or eradicate them. The inclusion of an IAS in this list is based on the results of a risk-assessment procedure. At present, this list contains 49 IAS, none of which marine. Member states can decide either to adopt the EU list as it is, or to integrate it with additional "IAS of national concern". Italy has opted for the second way and is currently developing its own national list, which may eventually include marine IAS. Italy is a major "first hub" for marine introductions in the Mediterranean Sea, with over 200 multicellular marine alien species reported so far. Italy, with its central position in the Mediterranean Sea, shares several species with the Western European countries, carried by ships or with shellfish stocks, as well as a number of Indo-Pacific species with the Eastern Mediterranean countries, entered through the Suez Canal. Therefore, the roadmap that Italy is currently tracing towards the possible inclusion of marine species in the list of IAS to be managed and controlled, is also relevant for other European and Mediterranean countries. This presentation will show how the process has been organized and conducted, and the preliminary outcomes

Si riportano i primi risultati dell'esercizio di prioritizzazione delle specie aliene dei mari italiani condotto per conto di ISPRA dagli esperti dei singoli gruppi tassonomici iscritti al Gruppo Alloctone della Società Italiana di Biologia Marina

"Neuroscienze cognitive. L’essenziale" introduce il lettore all'esplorazione scientifica della mente e del cervello approfondendo i meccanismi neurofisiologici sottostanti alle principali funzioni cognitive. Nonostante l’importanza che le neuroscienze cognitive attribuiscono alle basi biologiche dei fenomeni mentali, l’approccio utilizzato dall'autore non è la semplice descrizione dello stato dell’arte sull'argomento ma un percorso culturale finalizzato a rispondere alle perduranti domande su come l’esperienza, il pensiero e il comportamento nascono dalle attività cerebrali. Lo studente partecipa quindi attivamente al processo della scoperta scientifica. Il volume guida gli studenti e i dottorandi attraverso i temi e i principi fondamentali della disciplina in modo sintetico, organizzato e avvincente. Il testo è diviso in quattro sezioni: la prima, introduttiva, dedicata alla biologia del pensiero; la seconda focalizzata su sensazione, percezione, attenzione, e azione; la terza incentrata sulla rappresentazione mentale; la quarta che descrive le facoltà cognitive superiori.

Dichloromethane is a widely used organic solvent. Occupational exposure to dichloromethane is frequent and can result in both acute and chronic toxicity, affecting mostly the central nervous system, directly or through its metabolite, carbon monoxide. The effects of dichloromethane on the peripheral nervous system are debated. Here we report the case of a 37-year-old woman who was accidentally exposed to dichloromethane. In the days following the incident she experienced bilateral hypoacusis. Hearing loss regressed after 25 days treatment with hyperbaric oxygen. This is the first report of sudden hearing loss after acute exposure to dichloromethane, suggesting a possible toxic effect of this solvent on the auditory system.

Background and aim: Hip fracture (HF), whose prevalence increases exponentially with age, has been widely described among patients aged ≥65 years. However, less has been published about the oldest old (≥85 years). The aim of our study was to describe the characteristics and investigate the risk factors for 6-month mortality within a population of oldest old HF patients. Materials and methods: Observational cohort study with 6-month follow-up considering 171 subjects aged 85-89 years and 104 aged ≥90 years, consecutively admitted from March 2007 to August 2012 within the Orthogeriatric Unit (OGU) of an Italian teaching hospital. We collected demographic characteristics, comorbidities, medications, functional-cognitive-nutritional status, type of fracture and intervention. Considered outcomes included postoperative complications, re-hospitalisations, and survival. We finally analyzed the potential risk factors of 6-month mortality with multivariable logistic regression models to identify the independent predictors. Results: Nonagenarians were significantly more dependent in Katz’s ADL (p=.024) and impaired in MMSE scores (p=.008) than their counterparts. No differences were observed among the other characteristics. Considering the outcomes, nonagenarians showed the highest in-hospital and 6-month mortality rates. The analysis of the potential risk factors for 6-month mortality performed on the whole sample enlightened a role of independent predictors for delirium and pre-fracture severe disability (0-2 spared ADL), but not for age. Conclusion: Severe disability and incident delirium have a strong impact on 6-month mortality, but only delirium is potentially preventable. A careful assessment and early correction of its modifiable predisposing and precipitating factors is the main strategy we suggest to reduce the mortality risk among the oldest old.

Hydraena Kugelann represents the largest genus within the water beetle family Hydraenidae, and in particular within Hydraeninae, with about 900 species widely distributed all over the world and several hundreds not yet described. In a recent cladistic analysis, based on morphological characters, Hydraena s. l. was split into two subgenera: Hydraenopsis Janssens (Gondwanian) and Hydraena s. str. (Laurasian). Moreover, within Hydraena s. str., some derived and well-supported monophyletic clades were recognised, and defined as "lineages". Among them, the "Haenydra" lineage, previously considered by many authors as a valid genus/subgenus, includes 89 species distributed exclusively in western Palaearctic, from Portugal to Iran, but absent in North Africa. The main aim of the present paper is to provide a revision of the whole lineage, re-examining taxonomy, ecology, and biogeography of all known species. All species were therefore redescribed, also providing information about diagnostic characters, taxonomic and phylogenetic relationships, ecology and biogeography. A faunistic dataset, including all the known published, and many unpublished, localities for each species, with a series of detailed geographic maps for each species and species complex, was herein supplied. Finally, dichotomous keys are provided for identification of males of all the "Haenydra" species.

Summary Early atheromatous lesions were studied in femoral-popliteal and coronary arteries from a group of subjects aged 50–80 years. Macroscopic quantitation revealed a highly significant difference in the extent of such lesions; the femoral-popliteal arteries showed considerably more early lesions than did the coronaries. Four macroscopic types of early lesions were distinguished, each of them showed a characteristic histologic and histochemical pattern. The development of “preathe-romatous” lipid accumulation were more clearly revealed in the lower limb arteries, whereas coronary arteries displayed a more confused picture. Histochemically the pattern of phospholipid and cholesterol deposition in early femoral-popliteal lesions is the same as in other regions of the arterial tree. The presence of still active and evoluting atherosclerotic lesions in the arteries of old subjects supports the concept of atherosclerosis as a process that is repeatedly “re-awakening” or reactivated during life. This conclusion appears particularly relevant to the femoral-popliteal arteries.

Cardiovascular disease is a dominant cause of global death, and atherosclerosis is its pre-eminent precursor, which begins with the loss of endothelium integrity, increased permeability to atherogenic lipoproteins and other pathological phenomena which result in intima-media thickness increase. We describe the case of a 48-year-old woman affected by heterozygous familial hypercholesterolemia and recurrent vulvovaginal candidiasis episodes, periodically treated with oral fluconazole; while she did not use to take any drug for lower total-cholesterol and LDL-cholesterol. After 20 months of therapy with Pravastatin 40 mg daily, we noted an evident regression of diffused intima-media thickness in all vascular districts probed by ultrasound technique. We claim the importance and efficacy of Pravastatin therapy at the full dosage to normalise the lipidemic profile and to slow down the atherosclerosis progression, as has just been demonstrated by a simple and safe diagnostic image technique.

The value of cytology as a diagnostic tool in uterine MMMT has been tested in order to reach an earlier diagnosis. From 10 endocervical scrapings we were able to obtain 7 positive smears, two of them diagnostic for mixed tumour at first examination, 1 detected upon revision. In one case the positive smear was obtained from a direct scraping of the neoplasia protruding through the cervical os.

A case of well differentiated endometrial adenocarcinoma in a 70 year-old patient is reported, which evolved to undifferentiated small cell after being treated with chemotherapy for six months. The possible mechanisms of dedifferentiation are briefly discussed.

Mutant p53 is frequently detected in endometrial and ovarian carcinoma, but it is rare in cervical cancers. Previous reports focused on cervical squamous cell carcinoma, whereas cervical adenocarcinoma was given little attention. We searched for p53 gene mutations in 74 primary cervical adenocarcinomas with known human papillomavirus (HPV) status. Our aim was to evaluate the prevalence of p53 mutations and to investigate their possible role as an independent prognostic factor. We found mutations in 13.5% with a high rate of G:C --> A:T transitions as observed in endometrial adenocarcinoma. As p53 mutations are more frequently detected in malignancies of high grade, high stage, and large size, this molecular event seems to play a role in the progression rather than in the induction of cervical adenocarcinoma. In our series, patients with HPV-negative tumors and patients with mutated neoplasms, irrespective of HPV infection, had a shorter survival. Yet the absence of HPV infection and presence of p53 mutations are not independent risk factors for tumor-related death after adjustment for clinicopathological confounders. The only significant and independent predictors of survival are age of patient, stage of disease, tumor grade, and presence of lymph node metastases.

Invasive alien plants are a major threat to biodiversity and they contribute to the unfavourable conservation status of habitats of interest to the European Community. In order to favour implementation of European Union Regulation no. 1143/2014 on invasive alien species, the Italian Society of Vegetation Science carried out a large survey led by a task force of 49 contributors with expertise in vegetation across all the Italian administrative regions. The survey summed up the knowledge on impact mechanisms of invasive alien plants in Italy and their outcomes on plant communities and the EU habitats of Community Interest, in accordance with Directive no. 92/43/EEC. The survey covered 241 alien plant species reported as having deleterious ecological impacts. The data collected illustrate the current state of the art, highlight the main gaps in knowledge, and suggest topics to be further investigated. In particular, the survey underlined competition as being the main mechanism of ecological impact on plant communities and Natura 2000 habitats. Of the 241 species, only Ailanthus altissima was found to exert an ecological impact on plant communities and Natura 2000 habitats in all Italian regions; while a further 20 species impact up to ten out of the 20 Italian administrative regions. Our data indicate that 84 out of 132 Natura 2000 Habitats (64%) are subjected to some degree of impact by invasive alien plants. Freshwater habitats and natural and semi-natural grassland formations were impacted by the highest number of alien species, followed by coastal sand dunes and inland dunes, and forests. Although not exhaustive, this research is the first example of nationwide evaluation of the ecological impacts of invasive alien plants on plant communities and Natura 2000 Habitats.

This study provides a first step toward the knowledge of the alien-dominated and co-dominated plant communities present in Italy. The first ever checklist of the alien phytocoenoses described or reported in literature for the Italian territory has been compiled, produced by data-mining in national and local thematic literature. The resulting vegetation-type draft-list has been checked in the light of the most recent syntaxonomic documentation and updated with regards to syntaxonomy and nomenclature, with special reference to the frame proposed in the Italian Vegetation Prodrome. The list includes 27 vascular and one bryophyte vegetation classes, hosting 194 low rank alien-dominated syntaxa. The different vegetation types detected for each syntaxonomic class and macro-vegetation group, defined by physiognomical and ecological attributes, are discussed.

La Commissione Europea (CE) ha inserito ad oggi 36 taxa esotici vegetali nella lista delle specie esotiche invasive di rilevanza unionale ai sensi del Regolamento (UE) n. 1143/2014 del Parlamento Europeo e del Consiglio, recante disposizioni volte a prevenire e gestire l’introduzione e la diffusione delle specie esotiche invasive. La lista delle specie di rilevanza unionale viene periodicamente aggiornata e include quelle specie che rappresentano una grave minaccia per la biodiversità, ma anche per la salute dei cittadini e le attività economiche nei territori dell’Unione Europea e che necessitano di una gestione concertata a livello comunitario. La CE vigila sullo stato di ogni taxon grazie anche a periodiche rendicontazioni da parte dei paesi dell'Unione. In vista di tali report, tra il 2020 e il 2021 è stata definita e integrata la distribuzione di queste specie in Italia.

The healthcare provider profession strongly relies on the ability to care for others’ emotional experiences. To what extent burnout may relate to an actual alteration of this key professional ability has been little investigated. In an experimentally controlled setting, we investigated whether subjective experiences of global burnout or burnout depersonalization (the interpersonal component of burnout) relate to objectively measured alterations in emotion recognition and to what extent such alterations are emotion specific. Healthcare workers (n = 90) completed the Maslach Burnout Inventory and a dynamic emotion recognition task in which faces with neutral emotional expressions gradually changed to display a specific basic emotion (happiness, anger, fear, or sadness). Participants were asked to identify and then classify each displayed emotion. Before the task, a subsample of 46 participants underwent two salivary cortisol assessments. Individuals with global burnout were less accurate at recognizing others’ emotional expressions of anger and fear, tending to misclassify these as happiness, compared to individuals without global burnout. Individuals with high burnout depersonalization were more accurate in recognizing happiness and less accurate in recognizing all negative emotions, with a tendency to misclassify the latter as positive ones, compared to healthcare workers with moderate/low depersonalization. Moreover, individuals with high depersonalization—but not participants with global burnout—were characterized by higher cortisol levels. These results suggest that the subjective burnout experience relates to an actual, but selective, reduction in the recognition of facial emotional expressions, characterized by a tendency to misclassify negative emotional expressions as positive ones, perhaps due to an enhanced seeking of positive social cues. This study adds to the understanding of emotional processing in burnout and paves the way for more nuanced studies on the role of altered processing of threat signals in the development and/or persistence of burnout.

Invasive alien species (IAS) are considered one of the largest drivers of biodiversity loss worldwide and the negative impacts of IAS can also affect human health and economy. More than 12,000 alien species occur in Europe. Terrestrial invertebrate species are the largest proportion of alien animal species and represents one of the most impacting groups in Europe. The most important European policy against alien species is the EU Regulation 1143/2014, which provides for the development of priority lists of IAS of relevant concern aimed to allow the optimization of intervention measures. Italian policy implemented the EU Regulation with the Legislative Decree No 230/2017 that provides the adoption of a list of IAS of national concern. Aim of this work is to present a preliminary prioritized list of alien terrestrial invertebrate species (ATIS) present in Italy, thus providing an useful tool to identify species to be included in the list of IAS of national concern. We defined criteria for assessing the species and ranking them in a prioritized list on the basis of the magnitude of their potential impact on wild native biodiversity. We identify 233 relevant ATIS, among the 1126 species included in the Italian Alien Terrestrial Invertebrate Database, on which the evaluation process started. After the evaluation process, 109 ATIS with considerable impacts on biodiversity were selected and prioritized. We ranked the species in four priority categories by matching their distribution in Italy with the magnitude of their possible impact on biodiversity.

Objective Studies exploring the incidence and impact of the psychomotor subtypes of postoperative delirium (POD) on the survival of hip fracture patients are few, and results are inconsistent. We sought to assess the incidence of POD subtypes and their impact, in addition to delirium duration, on 6-month mortality in older patients after hip-fracture surgery. Methods This is a prospective study involving 571 individuals admitted to an Orthogeriatric Unit within a 5-year period with a diagnosis of hip fracture. Survival status was assessed 6 months after posthip fracture surgery. Postoperative delirium was diagnosed using the Diagnostic and Statistical Manual of Mental Disorders. Postoperative delirium subtypes were classified according to Lipowski's criteria. Cox regressions were used to evaluate the associations between POD subtypes, POD duration, and 6-month mortality, adjusting for covariates. Results The incidence of psychomotor POD subtypes was hypoactive 57 (10.0%), hyperactive 84 (14.7%), and mixed 79 (13.8%). Six-month mortality rates were 8.3%, 10.7%, 36.8%, and 29.1% in the no-delirium, hyperactive, hypoactive, and mixed-delirium subgroups, respectively. In adjusted models, the hypoactive subgroup (Hazard Ratio, HR = 3.14, 95% Confidence Intervals, CI, 1.63-6.04) and mixed subgroup (HR = 2.89, 95% CI, 1.49-5.62) showed high mortality rates and a significantly increased risk of mortality associated with POD duration as well. Conclusions Hyperactive delirium was the most common POD psychomotor subtype, but hypoactive and mixed POD were associated with 6-month mortality risk. Moreover, the risk of death 6 months after surgery increased for both subgroups (hypoactive and mixed) with increasing duration of POD.

The aim of the study was to investigate the association between postoperative delirium (POD) and in vivo markers of Alzheimer's disease pathology in nondemented hip fracture surgery patients. POD was assessed with the Confusion Assessment Method. Amyloid load was quantified on (18)F-Flutemetamol positron emission tomography images as standardized uptake value ratio. Secondary outcome measures were gray matter volumes, white matter integrity, and functional connectivity at rest. All the patients with POD (POD+, N = 5) were amyloid negative (standardized uptake value ratio

Several studies claim that psychophysical stress and depression contribute significantly to cardiovascular disease (CVD) development. The aim of our research is to discover and analyse a possible relationship between two psychosocial disorders (depression and perceived mental stress) and traditional cardiovascular risk markers.We selected 106 subjects (58 males and 48 females), mean age 79.5 +/- 3.8-years old, from the Massa Lombarda Project, an epidemiological study, including 7000 north Italian adult subjects. We carried out anamnesis, clinical and blood tests. Then, we administered the Perceived Stress Questionnaire (PSQ range score 0-1) and the Self-Rating Depression Scale (SRDS range score 50-70 Z), as validated instruments for depression and stress evaluation, which focus on the individual's subjective perception and emotional response. Statistical descriptive and inferential analyses of data collected were performed.The multiple linear regression analysis showed a negative correlation between PSQ index score and uric acid, low-density lipoprotein cholesterol (LDL-c), body mass index (BMI), systolic and diastolic blood pressure values, a positive and statistically significant correlation between PSQ index score and triglycerides (p0.05). We found an inverse relationship between Zung SRDS score and LDL-c, uric acid, glucose waist circumference values, this correlation was significant only for uric acid (p0.01). Besides, a positive and significant correlation between Zung SRDS and triglycerides (p0.05) was observed.We suppose that psycho-emotional stress and depression disorder, often diagnosed in elderly people, may influence different metabolic parameters (triglycerides, uric acid and BMI) that are involved in the complex process of metabolic syndrome.