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Abstract Atopic dermatitis (AD) is a highly heterogeneous chronic inflammatory skin disorder that is frequently associated with a plethora of comorbidities. AD is, therefore, considered a systemic disease impacted by a considerable burden and leading to poor quality of life, especially in patients with moderate-to-severe disease. Since atopic and non-atopic comorbidities can further worsen the disease course, accurate establishment of the patient’s individual intrinsic risk profile and needs is crucial and may help in guiding the selection of the best treatment option. Better quality of care for patients with AD can be delivered through a multidisciplinary team led by a dermatologist, for comprehensive patient management. The implementation of a multidisciplinary approach for AD could enhance the delivery of optimised and safe treatments, improve the standard of care and patient outcomes in the short and long term, and prevent or delay the lifelong impact of uncontrolled AD. Understanding the unmet needs, assessing correctly the patient risk profile and enhancing the shared patient–physician decision-making process can lead to disease control and quality-of-life improvement, especially in the context of the introduction of newer treatment for AD. This narrative review is a call for more data to establish standardised patient profiles and multidisciplinary strategies in AD management. In view on the fast-evolving treatments for AD, this review aims at highlighting the importance of a multidisciplinary approach to a comprehensive assessment and holistic care in patients with moderate-to-severe AD.

Background. The development of a hybrid beta-cell replacement approach, referred to as a personalized, transplantable bioartificial pancreas (BAP), holds promise to treat type 1 diabetes (T1D). This interview study aimed to explore patients’ expectations, needs, concerns, and considerations when considering to undergo a BAP transplantation. Research Design and Methods. Semistructured interviews were conducted with 24 participants diagnosed with T1D. Data collection stopped once data saturation was reached. Audio recordings of the interviews were transcribed verbatim. The interviews were independently analyzed by 2 researchers. A qualitative content analysis using an inductive approach was used. Results. Three main themes emerged as follow: (1) hoped-for benefits, (2) concerns and decision-making considerations, and (3) procedural aspects. First, the participants expected benefits across medical, psychological, and social domains. Over these 3 domains, 9 subthemes were identified, including improved clinical outcomes, a cure for diabetes, more headspace, emotional relief, a shift in responsibility, protection of privacy, improved flexibility in daily life, less visible diseases, and improved relationships with others. Second, concerns and considerations about undergoing a BAP transplant comprised adverse events, the functionality of the BAP, the surgery procedure, the biological materials used, the transplant location, and the intrusiveness associated with follow-up care. Finally, procedural considerations included equitable access, patient prioritization, and trust and control. Conclusions. Incorporating insights from this study into the clinical development and implementation of the BAP is crucial to ensure alignment of the product and procedures with the needs and expectations of people with T1D.

Abstract Background Respiratory syncytial virus (RSV) is among the leading causes of hospitalization due to lower respiratory tract infections (LRTIs) in children younger than 5 years worldwide and the second cause of infant death after malaria. RSV infection occurs in almost all the infants before the second year of life with variable clinical severity, often requiring medical assistance. This analysis investigated patients aged 0–5 years with RSV infection focusing on epidemiology, clinical features, and economic burden of RSV-associated hospitalizations in a setting of Italian real clinical practice. Methods An observational retrospective analysis was conducted on administrative databases of healthcare entities covering around 2.6 million residents of whom 120,000 health-assisted infants aged

Abstract Background Primitive location of melanoma could be a relevant prognostic factor. As regards the scalp, some studies indicate a particularly aggressive biological behaviour for this anatomical localisation. Objectives In this multicentric study, data regarding head–neck melanoma (HNM) have been revised. Methods The design of the study included two main phases. In this retrospective study, data regarding HNM have been collected and analysed. Results In summary, our data suggest that the posterior neck is the area most affected by thicker melanomas. Cheeks and neck melanoma are associated with reduced disease‐free years of life and overall survival compared with all other sites of HNM. Conclusions This study provides useful information in defining the clinical features of HNM, thus improving diagnosis and treatment strategies.

AbstractBackground: Injection site reaction (ISR) is a local phenomenon defined as a constellation of symptoms, including swelling, erythema, pruritus, and pain around the site of injection.Objective: ISR is reported as a frequent adverse event after subcutaneous injection (SCI) of several biologics.Methods: We performed an observational real-life study to compare dupilumab and tralokinumab as regards ISR, analysing frequency, duration and intensity of symptoms related to SCI. From January 2023 to June 2023, we enrolled adult patients affected by moderate to severe AD and being on dupilumab or tralokinumab treatment. A 12 items questionnaire was administered to all enrolled patients.Results and conclusions: Three hundred and ninety-two patients were included. ISR was a frequent occurrence in both the treatment groups, with tralokinumab causing ISR more frequently than dupilumab. However, the reactions were generally mild and no patient stopped therapy.

Penetrating aortic ulcer (PAU) represents a subset of acute aortic syndromes characterized by high rupture risk and management challenges, particularly in elderly patients with significant comorbidities. This case report showcases a 75-year-old patient with a history of coronary artery bypass graft (CABG) and with multiple PAUs involving the aortic arch, deemed unfit for conventional open surgery. A branched aortic endograft with a pre-cannulated side component for the left subclavian artery (LSA) was employed to preserve the patency of the previous CABG. Two computational fluid dynamics (CFD) simulations and a morphological analysis were performed on the pre- and post-intervention aortic configurations to evaluate changes in flow rate and pressure drop at LSA level and differences in the lumen size. The results revealed a decrease in the flow rate equal to 2.38% after the intervention and an increase in pressure drop of 4.48 mmHg, while the maximum differences in LSA cross-sectional areas and diameters were 1.49 cm2 and 0.64 cm, respectively. Minimal alteration in LSA blood flow due to the chosen intervention approach confirmed the effectiveness of the selected unibody design endograft with LSA preservation, ensuring myocardial perfusion. Therefore, CFD simulations demonstrate to be a powerful tool to evaluate the hemodynamic consequences of interventions by accurately estimating the main fluid dynamic parameters.

This study addresses significant concerns highlighted by the European Parliament regarding the decline of the Italian tomato processing industry, which possess a threat to Italy’s culinary heritage and global market position. This research offers a solution that leverages blockchain technology to enhance transparency, traceability and operational efficiency within the tomato supply chain. By integrating Solidity, Remix IDE, MetaMask wallet and Sepolia Testnet, our proposed model establishes a robust blockchain-based smart-contract system. This system actively engages cultivators, wholesalers, retailers and end-users facilitating seamless real-time updates across the entire supply chain. Implementing this model in key tomato-producing regions such as Apulia, utilizing platforms like Mainnet or Hyperledger Fabric, aims to stabilize the industry. Furthermore, this study promotes automating smart contracts, integrating IoT devices and developing decentralized applications (DApps). This strategy ensures transparency for end-users, enhances organic food availability and mitigates contamination risks. This study also recommends government involvement to upgrade transportation and storage facilities, aiming to reduce post-harvest losses. This research establishes the groundwork for the sustainable management of the Italian tomato processing industry.

ABSTRACT Chickpea (Cicer arietinum L.) cultivation practices underwent significant transformation in recent decades due to advancements in scientific knowledge and the need for sustainable, productive farming systems. In this study, a bibliometric analysis of scientific publications from 1977 to 2023 on chickpea agronomic practices was conducted, revealing critical insights. India, as the world's leading chickpea producer, plays a pivotal role, not only in production but also as a significant contributor to scholarly research and international collaborations. The choice of journals for publication is found to influence research impact. Analysis of research trends using co‐occurrence networks of keywords reveals evolving focuses, with a recent shift towards qualitative aspects, such as protein content and nutritional quality, as well as sustainable agricultural practices. The study also emphasizes the necessity for further research on chickpea quality characteristics, strategies to mitigate antinutritional factors, yield optimization, and the impact of climate change on chickpea cultivation. Ultimately, chickpea cultivation research holds great promise in contributing to global food security and environmental sustainability. This bibliometric analysis provides a comprehensive overview of chickpea cultivation research and offers valuable insights for researchers, policymakers, and stakeholders as they navigate the future of sustainable agriculture and the quest for protein‐rich food production while minimizing the environmental footprint.

Background Long-term real-life data on secukinumab use in psoriasis are limited. Objectives Determine the long-term effectiveness of secukinumab in moderate-to-severe psoriasis in real-life. Methods Multicenter retrospective study analyzing data from adult patients treated with secukinumab for at least 192 weeks and up to 240 weeks in Southern Italy, between 2016 and 2021. Clinical data, including concurrent comorbidities and prior treatments were collected. Effectiveness was assessed by Psoriasis Area and Severity Index (PASI), Body Surface Area (BSA), Dermatology Life Quality Index (DLQI) scores at the initiation of secukinumab and at weeks 4, 12, 24, 48, 96, 144, 192, and 240. Results Two hundred and seventy-five patients (174 males), mean age 50.80 ± 14.78 years, were included; 29.8% had an uncommon localization, 24.4% psoriatic arthritis, 71.6% comorbidities. PASI, BSA, and DLQI improved significantly from week 4 and continued to improve over time. Between weeks 24 and 240, PASI score was mild (≤10) in 97–100% of patients, 83–93% had mild affected BSA (BSA ≤ 3), and 62–90% reported no effect of psoriasis on their quality of life (DLQI 0–1). Only 2.6% of patients reported adverse events and no patient discontinued the treatment during the study period. Conclusions Secukinumab effectiveness in the long-term treatment of psoriasis is confirmed in real-world.

Background: Dupilumab has been shown to be a safe and effective drug for the treatment of atopic dermatitis (AD) in children from 6 months to 11 years in randomized clinical trials. Aim: The aim of this real-life study was to determine the effectiveness in disease control and safety of dupilumab at W52 in moderate-to-severe AD children aged 6-11 years. Methods: All data were collected from 36 Italian dermatological or paediatric referral centres. Dupilumab was administered at label dosage with an induction dose of 300 mg on day 1 (D1), followed by 300 mg on D15 and 300 mg every 4 weeks (Q4W). Treatment effect was determined as overall disease severity, using EASI, P-NRS, S-NRS and c-DLQI at baseline, W16, W24, and W52. Ninety-six AD children diagnosed with moderate-to-severe AD and treated with dupilumab were enrolled. Results: Ninety-one (94.8%) patients completed the 52-week treatment period and were included in the study. A significant improvement in EASI score, P-NRS, S-NRS and c-DLQI was observed from baseline to weeks 16, 24 and 52. Conclusions: Our real-life data seem to confirm dupilumab effectiveness and safety in paediatric patients. Moreover, our experience highlighted that patients achieving clinical improvement at W16 preserved this condition over time.

Biological invasions are one of the major threats to the ecosystem structure and functioning. After the initial introduction, frequently mediated by human activities, alien species can overcome different biogeographical and ecological barriers and determine severe impacts on native biodiversity and socio-economic activities. The Italian peninsula is located at the intersection of large trade routes within the Mediterranean Sea. Such position, along with the intense commercial activity and the high population density of the Italian coast, are considered important drivers of alien species in Italian marine and transitional ecosystems. The Italian peninsula, however, is also one of the regions with the highest native species richness within the Mediterranean Sea and, therefore, it is crucial to account for both alien and native species diversity when estimating the impact of biological invasion. Yet, such comprehensive information is frequently scattered across several biodiversity information systems and databases.Here, two datasets with alien and native species records in Italian marine and transitional waters are described. These datasets, created for the LifeWatch Italy case study on alien species, are the result of a large-scale collaboration involving experts working across the whole range of taxonomic diversity. The marine dataset includes a total of 12,219 records belonging to 3,772 species gathered from 91 investigated sites and seven EUNIS habitats. The dataset on transitional waters biodiversity includes 3,838 records belonging to 2,019 species found in 23 locations and four EUNIS habitats. Alien species were recorded in both marine and transitional waters, accounting respectively for 140 and 171 biological records belonging to 59 and 97 species. These occurrence data can be used for further research studies or management purposes, including the evaluation of the invasion risk and the formulation of alien species control and management plans. Furthermore, these compiled datasets can be used as input data for the Biotope vulnerability case study of LifeWatch ERIC, which offers a number of ICT services for the calculation of the incidence and of the impact of alien species on European biotopes.

Cell therapy for diabetes requires the combination of bioengineering and new sources of beta cells. Here, the authors report a self-assembly platform based on neonatal pig islets, human endothelial cells and native organ extracellular matrix, which improves ex vivo islet maturation and in vivo function in a mouse model of diabetes.

Marine bioconstructions are complex habitats that represent a hotspot of biodiversity. Among Mediterranean bioconstructions, those thriving on mesophotic bottoms on southeastern Italian coasts are of particular interest due to their horizontal and vertical extension. In general, the communities that develop in the Mediterranean twilight zone encompassed within the first 30 m of depth are better known, while relatively few data are available on those at greater depths. By further investigating the diversity and structure of mesophotic bioconstructions in the southern Adriatic, we can improve our understanding of Mediterranean biodiversity while developing effective conservation strategies to preserve these habitats of particular interest. The dataset reported here comprises records of benthic marine taxa from algae and invertebrate mesophotic bioconstructions investigated at six sites along the southern Adriatic coast of Italy, at depths between approximately 25 and 65 m. The dataset contains a total of 1718 records, covering 11 phyla and 648 benthic taxa, of which 580 were recognized at the species level. These data could provide a reference point for further investigations with descriptive or management purposes, including the possible assessment of mesophotic bioconstructions as refuges for shallow-water species.

Globe artichoke is a food plant that is gaining increasing interest due to its commercial, nutritional and therapeutic value; research and development in the field of agriculture for this crop encompasses several key areas to enhance cultivation, productivity, and overall sustainability. In this study a bibliometric analysis of literature has been carried out in order to identify research areas and research gaps in cropping management of globe artichoke under field conditions, and to identify new research opportunities. The analysis revealed that published articles on the agronomic practices of globe artichoke under field conditions, is concentrated in Europe (70.56%), followed by North America (10%) and South America (7.22%). On the vastly arid Australian continent, there is a dearth of such studies. Italy, Spain and USA, were the most productive countries in the globe artichoke research field. The analysed papers have also shown that agronomic practices such as irrigation (wastewater and brackish water), fertilization, diseases management and plant breeding are the most studied cropping practices that affect artichoke yield and head quality. Finally, this study highlights the importance of integrating innovative methods like meta-analysis to gain a more holistic comprehension of how agricultural practices impact globe artichoke and to lays the groundwork for future research endeavours.

In the light of future ocean warming scenarios and habitat fragmentation, coastal fishes must adjust their physiological and behavioral traits to face the combined effect of global warming and ecological interactions. Seahorses (Hippocampus spp.) are charismatic fishes with peculiar life cycle traits, which make them vulnerable to several anthropic pressures and natural disturbances. In this study, we investigated the behavior of two sympatric seahorse species, the long-snouted Hippocampus guttulatus (Cuvier, 1829) and the short-snouted Hippocampus hippocampus (Linnaeus, 1758). Specifically, we carried out two manipulative experiments to assess (i) the effect of temperature and habitat availability on both H. hippocampus and H. guttulatus behavior and (ii) the effect of temperature and an increased density of H. guttulatus (by 3×) on the activity level of congeneric species H. hippocampus. Our results showed that +3°C warming did not affect seahorse behavior in both experiments, suggesting greater behavioral tolerance to thermal variation. However, a significant reduction of the active behavior of H. hippocampus was observed when the artificial habitat was introduced in the tank, while H. guttulatus maintained its activity. Furthermore, a significant decrease of the H. hippocampus activity was observed with an increased relative dominance of H. guttulatus. Our results suggest that both increased density of H. guttulatus and habitat availability, but not ocean warming, will affect the behavior of H. hippocampus. Therefore, different interspecific behavioral strategies may occur, thus affecting the distribution of the two species among shallow habitats when they occur in sympatry.

Abstract Background Venous thromboembolism represents the third most frequent acute cardiovascular syndrome worldwide. Its clinical manifestations are deep vein thrombosis and/or pulmonary embolism. Despite a considerable mortality, diagnosis is often missed. Case presentation We report the management of a female patient with high-risk pulmonary thromboembolism treated initially with thromboaspiration, complicated by embolus jailing in a patent foramen ovale. In this situation, left cardiac chambers and systemic circulation were jeopardized by this floating embolus. Conclusions High-risk pulmonary embolism requires reperfusion strategy but sometimes mechanical thromboaspiration may be not fully successful; transesophageal echocardiography led to a prompt diagnosis of this unexpected finding; in this very particular case, open surgery represented a bail-out procedure to avoid cerebral and systemic embolism.

Background Special populations (SPs) involve people who require additional consideration in clinical research. Effectiveness of treatment or occurrence of side effects may be different in SPs with respect to not-SPs. Objectives To retrospectively compare the effectiveness and safety of dupilumab in AD treatment of SPs versus not-SPs. Methods A 52-weeks retrospective study was performed enrolling patients with a diagnosis of moderate-to-severe AD undergoing treatment with dupilumab at labeled dosage. Patients were divided in Group A (SPs patients) and Group B (not-SPs patients). Disease severity was assessed using Eczema Area Severity Index (EASI), Pruritus–Numerical Rating Scale (P-NRS), and Dermatology Life Quality Index (DLQI) score at baseline and after 4 weeks (W4), W16, W24, and W52. Results A total of 263 patients were enrolled and divided in Group A (25) and Group B (238). SPs included history of cancer, severe kidney failure, viral hepatitis, neurological diseases, acquired immunodeficiency syndrome, and transplanted patients. A statistically significant reduction of EASI, DLQI, and P-NRS was assessed in both groups at each follow-up visit (p

Background: Limited real-world data are available on upadacitinib drug survival in patients with atopic dermatitis (AD). Objectives: To investigate upadacitinib drug survival, and the reasons and predictors of drug discontinuation in AD patients. Methods: All consecutive patients aged 18–75 years, affected by moderate-to-severe AD, and treated with upadacitinib for more than 1 month at dermatological clinics were included during November 2020–August 2023. Upadacitinib survival was investigated through Kaplan–Meier survival analysis and the predictors through multivariable logistic regression analysis. Results: Overall, 325 adult AD patients (mean (SD) age, 38.6(15.6) years) had a 1-year and 1.5-year upadacitinib drug survival of 91.5% and 80.2%, respectively. The main reasons for drug discontinuation (25/325, 7.7%) were adverse events (4.9%), including cutaneous or infectious diseases (1.5%), such as acne and herpes zoster; blood test changes (1.2%), including hypercholesterolemia, creatine phosphokinase or liver enzyme elevation, and lymphopenia; urinary or respiratory infections (0.9%); deep venous thrombosis (0.3%); malignancies (0.3%); loss of consciousness (0.3%); and arthralgias (0.3%); followed by ineffectiveness (0.6%). No specific characteristic was significantly associated with an increased risk of upadacitinib discontinuation. Conclusions: Our findings show that upadacitinib was effective in moderate-to-severe AD after more than 1 year of continuous treatment but point to the need for clinical and laboratory monitoring of patients.

In the context of thoracic endovascular aortic repair (TEVAR), the reconstruction of the left subclavian artery (LSA) has emerged as a crucial component in establishing a sufficient proximal landing zone. However, the technical difficulty of these procedures raises the possibility of endoleaks and neurological consequences. Single-branched stent grafts offer good anchoring and LSA flow for these patients. This study evaluates the feasibility of utilizing novel single-branched stent grafts in the treatment of distal aortic arch disease, identifying good results in the short and medium term. From September 2019 to March 2023, TEVAR and revascularized LSA were performed on ten patients at the Ospedale del Cuore—FTGM in Massa, Italy, using Castor single-branched thoracic aortic stent grafts (Microport Medical, Shanghai, China). The authors’ first findings demonstrated that, after an average follow-up of one year, the Castor branching aortic stent graft system was safe and achieving an appropriate proximal landing zone and maintaining sufficient LSA perfusion was possible. With regard to the endovascular treatment of distal aortic arch diseases, this product offers a compelling substitute for surgery. For the purpose of assessing the long-term effectiveness of this approach, the follow-up period should be extended.

Cannabis sativa L., subsp. ruderalis Janish., ‘Finola’ is a dioecious cultivar of Finnish origin. This cultivar is very interesting because its cultivation cycle lasts less than 3 months. The aim of this study was to define an efficient micropropagation protocol to ensure in vitro multiplication and rooting and in vivo acclimatization. Two different explant sources were tested: seed-derived in vitro explants and nodal segments containing axillary buds from selected mother plants. Shoot proliferation was tested on different growth media enriched with cytokinin alone or cytokinin in combination with auxins. Among all combinations, the best results were obtained by combining the Basal Medium (BM—a Murashige and Skoog modified medium) with sucrose (20 g L−1), thidiazuron (TDZ 0.4 mg L−1), and 1-naphthalenacetic acid (NAA 0.2 mg L−1). Regarding rooting induction, the plants developed an extensive root system under red/blue lights on BM enriched with sucrose (30 g L−1) and indol-3 butyric acid (0.1 mg L−1), which allowed the survival of more than 90 percent of the plantlets once transplanted into the climate-controlled greenhouse.

Background Some biologics for psoriasis, especially anti-tumor necrosis factor (TNF)-α therapies, may re-activate latent tuberculosis (TBC) infection with consequent morbidity and mortality. However, there is a low reported incidence of conversion to positive TBC status among patients with psoriasis treated with second-generation biologic therapies, particularly anti-interleukin (IL)-17 therapies such as secukinumab. Objectives To evaluate the safety profile of secukinumab in psoriasis patients with latent TBC infection. Methods Real-life data were collected by retrospective chart review on patients with moderate-to-severe psoriasis who showed positivity for TBC screening at baseline and underwent secukinumab treatment for psoriasis at six Italian centers. Patients received secukinumab 300 mg at week 0/1/2/3/4, then every 4 weeks. Results Fifty-nine patients were enrolled; 30.5% also had psoriatic arthritis and other comorbidities were common. At baseline, the mean psoriasis duration was 14.5 years. Ten (17%) patients did not undergo prophylaxis before starting secukinumab. Conversely, isoniazid ± rifampicin or rifampicin alone prophylaxis was administered in 49/59 (83.1%) patients. After a mean treatment duration of 84 weeks, there were no cases of TBC reactivation and no unexpected safety signals. Conclusions Secukinumab use over an extended period was safe in psoriasis patients with latent TBC, even in patients who did not receive chemoprophylaxis.

Introduction Atopic dermatitis (AD) has substantial negative impact on patients’ quality of life. Although considerable advances have been made in understanding the pathogenesis and its treatment, there is still limited transfer of this knowledge into daily management. Aiming to identify unmet needs in clinical management of patients with AD, we used a Delphi consensus process. Methods A set of statements regarding diagnosis, management, prognosis, and treatment was identified by five experts (Steering Committee). Then, the Steering Committee and a second group of four clinicians were involved in a Delphi process. Lastly, agreement was assessed in a larger panel of Italian clinicians. Results Overall, 37 clinicians participated to the process. 17 statements reached strong agreement and 2 reached weak agreement. Conclusions In general, the statements reflected the need for accurate and effective diagnostic criteria to support clinical experience, especially in the atypical forms of AD. Moreover, prognostic criteria are needed to predict the duration of adult-onset AD. The identification of biomarkers was considered to be useful for clinical management of AD at all stages of disease. Lastly, greater emphasis should be placed on patient education and development of effective tools that can aid informing patients about their disease and its treatment.

Purpose: This study provides a comparative survival analysis between the only two drugs approved in Italy for the treatment of moderate-to-severe AD, cyclospoorin, and dupilumab. Materials and methods: A multicenter, retrospective study, was performed to assess drug survival (DS) analysis by comparing cyclosporin (CsA) and dupilumab in 247 AD adult patients. DS was determined through Kaplan Meier survival analysis. For each patient, data regarding age, sex, medical history, and, at every visit, concomitant medications or procedures, adverse events (AEs), and Eczema Area and Severity Index (EASI) were registered. Results: At week 72, 32/247 patients (13.96%) of the dupilumab group had discontinued the drug after a mean time of treatment of 35.27 ± 11.61 weeks; therefore, the DS rate at W72 was 87.04%. The most frequent (13/32; 40.63%) reason of drug discontinuation was the achievement of complete disease remission after a mean duration of treatment of 42.28 ± 2.02 weeks. In CsA-treated patients, DS rate at W72 was 21.05% (20/95 patients). Sixty-seven out of 95 (70.53%) patients had discontinued the drug, while 8/95 (8.42%) of them were lost to follow-up during the first 12 weeks of treatment. The causes of withdrawal among the patients who stopped CsA were AEs (28/67;41.79%). Conclusions: Dupilumab has a significant longer DS when compared to CsA.

Recent evidence suggests that interleukin (IL)-13 is a crucial cytokine involved in the pathogenesis of atopic dermatitis (AD). It is a central driver of type-2 T-helper inflammation and is overexpressed in lesional skin of AD patients. Upon release in peripheral skin, IL-13 activates its receptors, recruits inflammatory cells, and modifies the skin microbiome. IL-13 also reduces the expression of epidermal barrier proteins and activates sensory nerve mediating the itch transmission signal. Novel therapeutics that target IL-13 seem to be efficacious and safe for the treatment of patients with moderate-to-severe AD. The aim of our manuscript is to review the role that IL-13 plays in AD immunopathogenesis.

Seahorses are small sedentary fish considered flagship species of the conservation efforts. They are particularly vulnerable to human pressures because inhabiting threatened coastal ecosystems. Indeed, the worldwide decline of local populations in the last decades led to the inclusion of all seahorse species on the IUCN Red List, where most species, including Hippocampus guttulatus, were classified as ‘‘Data Deficient’’ on a global level due to the lack of relative data on several biological and ecological traits. Because of such sensitive conservation status, improvement of the current knowledge on the diet composition of wild animals and its differences among habitats could be of great importance as it could help understanding the way the environment is exploited. In the present study, we used a non-invasive DNA metabarcoding technique to further elucidate long-snouted seahorse diet and expand our understanding of prey choice among different habitats. We identified 24 families, 22 genera and 26 species, and according to the results, most of the seahorse samples contained taxa such as Amphipoda, Decapoda, Isopoda, and Mysida. Several non-native species were discovered in the diet, suggesting their dietary incorporation that could mirror high anthropogenic impacts and habitat modifications. We found significant differences in the diet composition among investigated habitats, thus indicating trophic flexibility of H. guttulatus among diverse habitats, a characteristic that may be essential for the resilience of this iconic yet sensitive species.

Background The demosponge Hymeniacidon perlevis is characterized by wide geographic distribution and great adaptability to numerous and highly variable climatic and hydrological conditions. Indeed, the species can colonize many different environments, including several unusual ones, such as concrete drainage conduits of a marine land-based fish farm plant. This research aimed to enhance existing knowledge on the reproductive cycle and growth performance of H. perlevis while also evaluating the impact of a controlled supply of trophic resources, wastewater flow and constant water temperature on these biological traits. Methods Specimens included in this one-year study inhabited drainage conduits of a land-based fish farm. The approach included measurements of sponge biomass and occurrence and abundance of reproductive elements across different seasons and environmental parameters, such as fish biomass, trophic resources, and wastewater flow. Sponge growth and reproductive elements, including oocytes, spermatic cysts, and embryos, were measured monthly in sponges positioned in the drainage conduit, thus with different trophic resources but with constant water temperature. Finally, we used generalized additive models to describe variables that contribute the most to the growth of sponges. Results Growth performance showed marked variations during the study period. The highest increase in sponge volume was observed from August/September to January/March. The volume of sponges was principally determined by the reduction of reared fish biomass and the increase of pellet amount and wastewater flow. Sponge specimens exhibited an active state during the entire study, as proven by the occurrence of recruits. However, sexual elements were only sporadically observed, thus not permitting the recognition of a true sexual cycle. Discussion The results of the present study confirmed that H. perlevis exhibits high flexibility and adaptability to the differential, and somewhat extreme, environmental conditions. Indeed, this species can live, grow and reproduce in the drainage conduits of the fish farm, where the species face constant darkness, water temperature and continuous nutritional supply. In such conditions, H. perlevis display an active state during the entire year, while avoiding stages of decline and long dormancy usually observed in wild populations. It seems plausible that stable environmental conditions induce an almost continuous sexual phase, probably under the control of endogenous factors. No asexual elements were detected, although it was impossible to exclude the contribution of asexual reproduction in the origin of the newly settled sponges, which were repeatedly detected throughout the study. The growth performance seemed linked to the fish farm conditions, thus providing useful indications on the best maintenance conditions for H. perlevis in land-based integrated multitrophic systems, where the species could be used for wastewater treatment.

This real-world analysis investigated the characteristics and treatment patterns of patients with hereditary angioedema (HAE) in Italy using the administrative data of health units across Italy. Patients were identified via exemption code or HAE-specific treatments (thus, all known forms, type I, II and, III, were included). The index date was that of first prescription of HAE treatments within the inclusion period (01/2010–06/2021) or of the date of exemption. The number of HAE patients included was 148 (43.2% male, mean age 43.3 years). Gastrointestinal disorders affected 36.5% patients, hypertension affected 28.4%, hypercholesterolemia affected 11.5%, and depression affected 9.5%. The frequent gastrointestinal involvement was further confirmed by the use of antiemetics and systemic antihistamines that doubled after the index date. Among patients enrolled by treatment (n = 125), n = 105 (84%) were receiving a treatment for acute attacks. This analysis provided insights into the characterization of patients with HAE and their management in Italian clinical practice, suggesting that an unmet therapeutic need could be present for such patients in terms of the clinical burden.

Syngnathids are considered flagship species of estuarine and coastal environments. However, most of the Mediterranean species are still classified as data-deficient (DD) at a global level according to the IUCN Red List of Threatened Species. In central Italy, several areas host potentially suitable habitats for syngnathids but have not been previously reported in the literature; the estimation of population parameters and habitat partitioning at these sites may help to assess their conservation status. In this study, we investigated the abundance, distribution, and habitat preferences of sympatric populations of Hippocampus hippocampus, H. guttulatus, Syngnathus abaster, and Nerophis ophidion in Sabaudia Lake (Tyrrhenian Sea, Italy). While confirming the primary importance of a healthy coastal habitat, we retrieved hints about species ecology and habitat use. The species distribution in the study area highlights the role of habitat complexity in supporting local populations of these sensitive species.

Background: TROP-2 is emerging as a valid and fruitful strategy in triple-negative breast cancer (TNBC) patients, and several agents are currently under evaluation, including Datopotamab deruxtecan (Dato-DXd). Research design and methods: Herein, we performed a meta-analysis aimed to evaluate any grade adverse events, grade 3-4 adverse events, dose reduction, and serious adverse events in TNBC patients treated with Dato-DXd in clinical trials. Results: The pooled results suggests that Dato-DXd is associated with a favorable safety profile: while any grade treatment-related toxicities were common, grade 3-4 events were not particularly frequent and mainly represented by stomatitis (13.88%; 95% CI, 10.68 – 17.09). Conclusions: These findings may help to comprehensively define the safety profile of Dato-DXd and to assist in the design of future clinical trials in this setting.

Abstract Allergic and immunologic skin diseases negatively impact the quality of life (QoL) of affected patients with detrimental consequences. Nonetheless, in everyday clinical practice the evaluation of QoL is often overlooked. Considering the increasing prevalence of atopic dermatitis, allergic contact dermatitis, hereditary angioedema, cutaneous mastocytosis, and urticaria, it is essential to determine the effects of allergic and immunologic skin diseases on QoL. A joint meeting (GET TOGETHER 2021) of the Italian Society of Allergology, Asthma and Clinical Immunology (SIAAIC) and the Italian Society of Allergological, Occupational and Environmental Dermatology (SIDAPA) aimed to summarize the features of the main QoL tools used in these diseases and to describe the extent of QoL impairment as well as the impact of treatments on QoL, particularly biologic therapies. The assessment of QoL in patients with allergic and immunologic skin diseases relies on generic, organ-specific and disease-specific questionnaires. While generic and organ-specific questionnaires allow comparison between different diseases, disease-specific questionnaires are designed and validated for specific cohorts: the QoL Index for Atopic Dermatitis (QoLIAD) and the Childhood Atopic Dermatitis Impact Scale (CADIS) in atopic dermatitis, the ACD-11 in allergic contact dermatitis, the Angioedema QoL Questionnaire (AE-QoL) and the Hereditary Angioedema QoL questionnaire (HAE-QoL) in hereditary angioedema, the Mastocytosis QoL Questionnaires (MCQoL e MQLQ) in cutaneous mastocytosis, and the Chronic Urticaria QoL questionnaire (CU-Q2oL) in urticaria. Among the many factors that variably contribute to QoL impairment, pruritus can represent the leading cause of patient discomfort. Biologic therapies significantly ameliorate QoL in atopic dermatitis, hereditary angioedema, mastocytosis and chronic urticaria. In general, adequate management strategies are essential for improving QoL in patients with allergic and immunologic skin diseases.

(1) Benign hyperpigmentations are a common problem in cosmetic dermatology. Melasma, solar lentigo, and other acquired hyperpigmentations represent an aesthetic issue for an increasing number of patients. The gold standard in managing this condition is currently 1064/532 nanometers (nm) Q-Switched lasers. This study reports our experience on the use of a Q-switched laser with a nanosecond pulse to treat these conditions. (2) Methods: A total of 96 patients asking for benign hyperpigmentation removal were consecutively enrolled at the Magna Graecia University of Catanzaro and Tor Vergata University of Rome. Treating parameters were the following: 1064 nm with a pulse duration of 6 nanoseconds (ns) for dermic lesions and 532 nm with 6 ns for epidermal ones. Up to five treatments with a minimum interval between laser treatments of thirty days were performed. A follow-up visit three months after the last session assessed patient satisfaction with a Visual Analogue Scale (VAS). Two blinded dermatologists assessed the cosmetic result using a five-point scale comparing pictures before treatment and at follow-up. (3) Results: 96 patients were included; 47 participants were women (49.0%) and 49 men (51.0%). The mean reported age was 50.0 ± 17.3 years. All patients reached a good to complete hyperpigmentation removal at the dermatological evaluation with a mean VAS score of 8.91 ± 1.07. (4) Conclusions: Q Switched 1064/532 nm laser may be considered the gold standard treatment for benign hyperpigmentations. Our results confirm the literature findings on the effectiveness of these devices.

A widespread and diversified mesophotic system of carbonate bioconstructions along the Southern Adriatic and Ionian Italian coasts is described, providing new data on the distribution, structure and associated megabenthic assemblages of mesophotic Mediterranean bioconstructions. The bioconstructions were detected at six different sites off the coasts of Apulia, in presence of marked morphological escarpments, developing on a basal substrate consisting of meso-Cenozoic carbonate rocks. Two biogenic structure types were observed, one mainly built by the nonsymbiotic scleractinians Phyllangia americana mouchezii and Polycyathus muellerae, at depths between approximately 35 and 55 m, and the other by the oyster Neopycnodonte cochlear, at depths from approximately 40 to 70 m. A total of 52 taxa of megabenthic invertebrates, belonging to 6 phyla, were found on the surface of the mesophotic bioconstructions, thus confirming the role of biodiversity hotspots of these carbonate structures. Megabenthic assemblages showed a remarkable heterogeneity both in pattern of species and abundance, probably depending on both the morphological differences of the seabed and the life traits of the single species. Primary bioconstructors seemed to influence the associated community pattern. This peculiar system deserves sound conservation measures in the light of the holistic ecosystem approach for the management of coastal marine areas.

The strong growth of the aquaculture industry can represent a serious threat to aquatic ecosystems and requires the development of new strategies to control and minimize the impact of such activities on the structure and function of biological communities [...]

The faba bean (Vicia faba L. var. major) is a pulse that is garnering attention for its chemical composition, which makes it suitable for a healthy diet. The Apulian germplasm is rich in local accessions at risk of genetic erosion, which need evaluating and promoting. Thirteen Vicia faba local Landraces have been analyzed in relation to their productivity and their chemical and biochemical characteristics: their protein, total phenol, total flavonoid, condensate tannin and L-DOPA levels. The results showed great variability—above all in the thousand-seeds weight and in their content of proteins and L-DOPA. Among the accessions evaluated, the two collected from the most southern area of the region (FV12-FV10) were particularly promising—both for their good biochemical traits and, especially, for the higher L-DOPA content (0.46 and 0.49 g 100 g−1 d.m., respectively), even when expressed in terms of yield per plant (116.3 and 153.0 mg plant−1 d.m., respectively).

Background: Squamous cell carcinoma (SCC) is one of the most common cancers involving skin and oral mucosa. Although this condition’s gold-standard treatment is the surgical removal of the lesions, the physician must propose alternative treatments in some cases due to the patient’s ineligibility for surgery. Among the available alternative therapies, local chemotherapy may represent an initial treatment in combination with radiotherapy or systemic chemotherapy due to the low frequency of side-effects and the lack of necessity for expensive devices. Methods: In this paper, we review all available literature in various databases (PubMed, Scopus-Embase, Web of Science), proposing local chemotherapy as a treatment for cutaneous and oral SCC. Exclusion criteria included ocular lesions (where topical treatments are common), non-English language, and non-human studies. Results: We included 14 studies in this review. The majority were case reports and case series describing the treatment of non-resectable localized SCC with either imiquimod or 5-fluorouracil. We also analyzed small studies proposing combination treatments. Almost all studies reported an excellent clinical outcome, with a low risk of relapses in time. Conclusions: Resection of the lesion remains the gold-standard treatment for SCC. When this approach is not feasible, local chemotherapy may represent a treatment alternative, and it may also be associated with radiotherapy or systemic chemotherapy.

Quinoa and amaranth are of special interest since they are increasingly used for the development of new bakery products with enhanced nutritional value. The aim of the study was to evaluate the agronomic, microbiological, and nutritional characteristics of quinoa and amaranth seeds grown in Southern Italy. For this reason, quinoa Titicaca and three amaranth accessions (5, 12, and 14) were cultivated in different experimental fields in the Campania Region and analyzed for the cultivation aspects, chemical composition, and microbiological quality of the seeds. All seeds showed a good adaptability to cultivation in the experimental areas of the Mediterranean basin. Quinoa seeds were characterized by their higher protein, fat, and ash content than the amaranth seeds, which were characterized by their higher value in dietary fiber. All seeds, regardless of the geographical area of production, were contaminated with yeasts, moulds, and spore-forming bacteria, mainly Bacillus cereus, B. licheniformis, B. safensis and B. subtilis, as identified by 16S rRNA sequencing analysis. So, the detection of Bacillus spp. must be strongly monitored, as quinoa and amaranth seeds could be used in bread production, where they can cause ropiness, resulting in great economic losses for the industries.

The Janus kinase (JAK)-signal transducer and activator of transcription (STAT) pathway plays a critical role in orchestrating immune and inflammatory responses, and it is essential for a wide range of cellular processes, including differentiation, cell growth, and apoptosis. Over the years, this pathway has been heavily investigated due to its key role in the pathogeneses of several chronic inflammatory conditions, e.g., psoriasis, atopic dermatitis (AD), and inflammatory bowel diseases (IBDs). Nevertheless, the impact of this pathway on the pathogenesis of inflammatory conditions remains unclear. This review describes the role of the JAK/STAT signaling pathway in the pathogenesis of inflammatory diseases such as psoriasis (Pso), psoriatic arthritis (PsA), AD, and IBD with a focus on ulcerative colitis (UC) and briefly resumes the use of JAK inhibitors in their clinical management.

Quinoa (Chenopodium quinoa Willd [...]

The biodiversity of macrobenthic invertebrates of two artificial hard substrates close to a mariculture plant was assessed in order to understand the effect on the fouling community of an innovative Integrated Multi-Trophic Aquaculture (IMTA) system. The examined hard substrates were (i) vertical bare collectors that are placed around the cages as new colonizable substrates, which were investigated from the early colonization and (ii) artificial hard substrates already present under the cages analyzed over time to observe changes due to the action on the water column by filter feeder organisms colonizing the above vertical collectors. Overall, 186 taxa were collected (both the substrates), of which 99 as sessile habitat-former or structuring macroinvertebrates and 87 as associated fauna, mostly vagile forms. On the vertical collectors 121 taxa were collected, among which 44 sessile structuring species and 77 vagile-associated taxa; on the artificial hard substrates under the cages, 124 taxa were identified, 95 belong to the first category and 29 as associated taxa. The two analyzed substrates shared 43% of sessile species (40) and 22% of associated species (19). At the end of the first year of experimentation, the study revealed Sabella spallanzanii and mussels as the most abundant taxa. Lastly, the communities under the cages showed an increase in biodiversity after the placement of collectors. The changes were attributed to the decrease in particulate matter originating as wastes from the breeding cage, which was intercepted by the filter feeder community developed on the vertical collectors.

The sponge fauna colonizing rhodolith beds from Ustica Island marine protected area was studied. Moreover, an inventory of the sponge species present along the island’s coasts was carried out for the first time. Analysis of rhodoliths trapped in nets used by local fishermen at two sites and data obtained from underwater video images were used to identify 25 sponge taxa, 22 of them at species level. The classes Demospongiae and Homoscleromorpha were present with 24 and 1 species, respectively. Most of the specimens were small-sized and represented by thick crusts or short erect branches. Few specimens were insinuating or excavating. Furthermore, qualitative sampling was performed on Ustica’s coralligenous formations, photophilous hard substrates and in marine caves, and the results obtained were added to the literature data. The overall checklist of sponges from Ustica encompassed 97 taxa, 90 named at species level, subdivided into 6 taxa of Calcarea, 3 of Homoscleromorpha and 88 of Demospongiae. Eleven of the species were endemic to the Mediterranean Sea, mainly concentrated on rhodoliths and in marine caves. This research adds a fundamental element to the knowledge of invertebrates associated with rhodoliths, and updates the checklist of sponges colonizing Ustica’s waters, facilitating its future monitoring.

Abstract Background Urticaria is a disorder affecting skin and mucosal tissues characterized by the occurrence of wheals, angioedema or both, the latter defining the urticaria-angioedema syndrome. It is estimated that 12–22% of the general population has suffered at least one subtype of urticaria during life, but only a small percentage (estimated at 7.6–16%) has acute urticaria, because it is usually self-limited and resolves spontaneously without requiring medical attention. This makes likely that its incidence is underestimated. The epidemiological data currently available on chronic urticaria in many cases are deeply discordant and not univocal, but a recent Italian study, based on the consultation of a national registry, reports a prevalence of chronic spontaneous urticaria of 0.02% to 0.4% and an incidence of 0.1–1.5 cases/1000 inhabitants/year. Methods We reviewed the recent international guidelines about urticaria and we described a methodologic approach based on classification, pathophysiology, impact on quality of life, diagnosis and prognosis, differential diagnosis and management of all the types of urticaria. Conclusions The aim of the present document from the Italian Society of Allergology, Asthma and Clinical Immunology (SIAAIC) and the Italian Society of Allergological, Occupational and Environmental Dermatology (SIDAPA) is to provide updated information to all physicians involved in diagnosis and management of urticaria and angioedema.

Abstract Sabellaria alveolata (Linnaeus 1767) is a polychaete able to build bioconstructions of different thickness, size and patchiness, in intertidal and subtidal environments. Its biological features have been the object of numerous studies worldwide. The worm reefs are formed by millions of tubes built by sand and shells (whole or in fragments) bonded together with a strong glue produced by the worm itself. Hence, Sabellaria alveolata represents a sedimentological asset for the coastal protection, since it contributes to create natural barriers against storm waves and erosion, and supplies the beach with new sandy deposits. This work shows a multidisciplinary approach to studying a bioconstruction of Sabellaria alveolata along the Latium coast (Ostia, Tyrrhenian Sea, central Italy), proposing image analysis as a novel technique to investigate worm reefs, along with classical sedimentological/ecological tools. The Sabellaria bioconstructions have been analysed at different scales of observation, suggesting the more appropriate strategies to develop a reliable model illustrating the different growth steps of these bioconstructions.

Sabellaria spinulosa (Leukhart, 1849) is a suspension feeding polychaeta that lives in tubes consisting of terrigenous particles captured by the worm itself. They form impressive reefs containing millions of worm tubes. In temperate marine areas, under optimal environmental conditions, these structures can become natural breakwaters and can play an active role in sandy beaches’ defense. In this work, we report procedures aimed to analyze the growth of S. spinulosa bioconstructions in laboratory. By collecting biological replicas from a wild reef, this study aimed to identify sedimentological characteristics of sands that induce faster tube growth. During the tank experiments, the grain size and mineralogy of the sand were modified. By employing thin sections and X-ray microtomography analyses, the structures observed and measured during and after the tests were analogous to those naturally formed. The fastest growth was recorded in the presence of bioclastic sands with a grain size between 125 and 350 μm. Defining the physical conditions that induce faster growth is fundamental for the defense of these vulnerable habitats but also the surrounding marine environment. This study also lays the foundations for coastal protection interventions in which bioconstructions grown in the tank could be directly implanted on submerged natural and artificial substrates that are already present in situ.

The use of marine sponges dates back thousands of years, and interest in these animals is increasing as new applications are discovered. Their potential is extensive, both in their ancient and still popular use as bath sponges for cosmetics and regarding the more recent discovery of bioactive secondary metabolites mainly of interest for the pharmaceutical industry and the less developed aquariology. Despite their proven biofiltration and ecosystem restoration ability and the biomass supply problem for the interested industries, few integrated multi-trophic aquaculture (IMTA) systems incorporate these invertebrates in their facilities. Therefore, in this brief review, the benefits that marine sponges could bring to rapidly growing IMTA systems are summarized, highlighting their suitability for a circular blue economy.

Cardiac amyloidosis (CA) has long been considered a rare disease, but recent advancements in diagnostic tools have led to a reconsideration of the epidemiology of CA. Amyloid light-chain (AL) and transthyretin (ATTR) amyloidoses are the most common forms of cardiac amyloidosis. Due to the distinct treatments and the different prognoses, amyloid typing is crucial. Although a non-biopsy diagnosis can be obtained in ATTR amyloidosis when certain diagnostic criteria are fulfilled, tissue characterization still represents the gold standard for the diagnosis and typing of CA, particularly in AL amyloidosis. The present review focuses on the status of tissue characterization in cardiac amyloidosis, from histochemistry to immunohistochemistry and mass spectrometry, as well as on its future directions.

Background: Atopic dermatitis (AD) is a chronic inflammatory condition causing itching skin, with a significant psychosocial impact on patients and relatives. AD affects 15 to 30% of children and 2 to 10% of adults. AD significantly affects patients’ quality of life (QoL) given the chronicity and symptoms of the disease. Most AD patients have reported that the disease affects daily life, resulting in limited social contact and a strong impact on sexual health (SH), especially in moderate–severe cases. Materials and methods: We performed a prospective study from 1 May 2020 to 1 May 2022; the aim of the study was to evaluate the impact of moderate to severe AD on sexual desire, seduction, and partner relationships, and describe how it varies following dupilumab therapy. We used the Sexual Desire Inventory-2 (SDI-2), a validated instrument consisting of 14 items; moreover, we used a second questionnaire with eight items, an unvalidated instrument created specifically for this study, to obtain the assessment of the influence of AD on the body image, sexuality, and self-perception of those affected. Results and Conclusions: The impact of AD on sexual desire assessed using SDI-2 showed a significant improvement in both sexes during dupilumab treatment from the baseline to W4 and W16. Similar results were obtained with our questionnaire.

Illegal wildlife trade is considered one of the most serious threats to biodiversity worldwide, along with habitat loss/degradation and overfishing of wild stocks. Seahorses are considered at high risk as these fish represent an important component of traditional Chinese medicine but are also sold as curios and ornamental fish. On a worldwide level, illegal trade is controlled by numerous laws and regulations, but it seems to continue by assuming more dynamic routes. In the Mediterranean Sea, Hippocampus guttulatus formed one of the largest populations at Mar Piccolo di Taranto in South-Eastern Italy. During the routine monitoring of this population in 2016, a dramatic density decrease was observed. By using questionnaires and long-term datasets, the present study determined possible causes of this decline by investigating habitat changes, temperature trends and the existence of seahorse trafficking while also examining abundance trends during the last decade. The results indicated a sharp density decline starting from 2015, co-occurring with the period of high temperatures, while habitats remained almost constant. However, interviews with main stakeholders described both illegal and legal fishing activities as the main drivers for the declining seahorse density. Indeed, at one of the studied sites, which was under strict military control, seahorse abundance started to decline only after the intensification of fishing pressure in the basin. The study suggests that Mar Piccolo di Taranto could be one of the sources for international seahorse trade, thus highlighting the need for more intense and effective actions to prevent and combat illegal poaching, while threatened populations are requiring continuous and close monitoring. Due to unfavorable socio-economic conditions, a viable and thriving seahorse population at Mar Piccolo di Taranto could contribute to the revitalization of the coastal economy and the development of environmental awareness.