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The eastern Mediterranean region is characterized by rising temperature trends exceeding the corresponding global averages and is considered a climate change hot-spot. Although previous studies have thoroughly investigated the impact of extreme heat and cold on human mortality and morbidity, both for the current and future climate change scenarios, the temporal trends in temperature-related mortality or the potential historical adaptation to heat and cold extremes has never been studied in this region. This study focuses on cardiovascular mortality and assesses the temporal evolution of the Minimum Mortality Temperature (MMT), as well as the disease-specific cold- and heat-attributable fraction of mortality in three typical eastern Mediterranean environments (Athens, Thessaloniki and Cyprus). Data on daily cardiovascular mortality (ICD-10 code: I00-I99) and meteorological parameters were available between 1999 and 2019 for Athens, 1999 to 2018 for Thessaloniki and 2004 to 2019 for Cyprus. Estimation of cardiovascular MMT and mortality fractions relied on time-series Poisson regressions with distributed lag nonlinear models (DLNM) controlling for seasonal and long-term trends, performed over a series of rolling sub-periods at each site. The results indicated that in Athens, the MMT decreased from 23 °C (67.5th percentile) in 1999-2007 to 21.8 °C (62nd percentile) in 2011-2019, while in Cyprus the MMT decreased from 26.3 °C (79th percentile) in 2004-2012 to 23.9 °C (66.5th percentile) in 2011-2019. In Thessaloniki, the decrease in MMT was rather negligible. In all regions under study, the fractions of mortality attributed to both cold and heat followed an upward trend throughout the years. In conclusion, the demonstrated increase in cold attributable fraction and the decreasing temporal trend of MMT across the examined sites are suggestive of maladaptation to extreme temperatures in regions with warm climate and highlight the need for relevant public health policies and interventions., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024. Published by Elsevier B.V.)

Irrigation is considered a form of agricultural intensification and is of significant importance in arid and semi-arid regions, such as those in the Mediterranean basin. This region differs substantially from temperate ones, in terms of climate, land-use policies and types of agricultural systems. Therefore, how biodiversity is affected by agricultural intensification may also differ substantially from countries in north-western Europe. We investigated the effect of irrigation on butterfly diversity and abundance at two different spatial scales in an agricultural region in northern Cyprus, an area representative of typical lowland agricultural practices of the Eastern Mediterranean. We investigated how local field-scale management (irrigated vs rain-fed) and the proportion of irrigated land at a larger scale of 0.25 km 2 affected the abundance and diversity of butterflies and herbaceous plant species. Butterflies and herbaceous plants were surveyed in field boundaries adjacent to agricultural fields located in paired plots that had contrasting levels of irrigation. Butterflies in the field boundaries along agricultural fields were strongly positively affected by irrigation in the adjacent fields both in terms of abundance and species diversity, whereas the effect of irrigation at the larger scale of the 0.25-km 2 plot was less prominent. Species composition of butterflies and plants did not correlate. However, plant abundance and alpha diversity of the vegetation in the field boundaries correlated with both abundance and alpha diversity of the butterflies when the abundance of plants was relatively low, in particular, when grasses were omitted from the data set. Crop species associated with irrigated fields contributed to the observed patterns. Comparing the results of this study with those reported for temperate regions in northwestern Europe reveals that the effectiveness of management schemes on biodiversity depend on biogeographical region, highlighting the risk of making broad assumption on the effectiveness of management strategies on biodiversity., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)

Pseudomonas aeruginosa, a resilient gram-negative bacterium, poses a persistent threat as a leading cause of nosocomial infections, particularly in resource-constrained regions. Despite existing treatment and control measures, the bacterium continues to challenge healthcare systems, especially in developing nations. This paper introduces a fractional-order model to elucidate the dynamic behavior of nosocomial infections caused by P. aeruginosa and to compare the efficacy of carbapenems and aminoglycosides in treatment. The model's existence and uniqueness are established, and both global and local stability are confirmed. The effective reproduction number is computed, revealing an epidemic potential with a value of 1.02 in Northern Cyprus. Utilizing real-life data from a university hospital and employing numerical simulations, our results indicate that patients exhibit higher sensitivity and lower resistance to aminoglycoside treatment compared to carbapenems. Aminoglycosides consistently outperform carbapenems across key metrics, including the reduction of susceptible population, infection numbers, treatment efficacy, total infected population, hospital occupancy, and effective reproduction number. The fractional-order approach emerges as a suitable and insightful tool for studying the transmission dynamics of the disease and assessing treatment effectiveness. This research provides a robust foundation for refining treatment strategies against P. aeruginosa infections, contributing valuable insights for healthcare practitioners and policymakers alike., Competing Interests: Declaration of competing interest We would like to declare that there are no conflicts of interest related to this research or the publication of this manuscript. All authors have adhered to the ethical guidelines and standards outlined by Chaos, Solitons, and Fractals., (Copyright © 2024 Elsevier Ltd. All rights reserved.)