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This research aims at finding the potential plant successions in riparian vegetation along gravel-bed streams of Lombardy (Northern Italy), investigating the influence of exotic species and proposing a more sustainable and efficient management planning for habitats conservation. To characterise the riparian vegetation, 65 phytosociological relevés were carried out along four rivers in Lombardy (Pioverna, Staffora, Ogliolo and Grigna). We evaluated a series of ecological indexes to assess the ecology of plant communities. A clustering analysis detected five different plant communities characterised by specific ecological traits. On the basis of such results, we discuss about a model of plant succession describing: (i) the typical native species succession representing the riverine forests of the study areas; (ii) a succession with moderate presence of exotic species; and (iii) a succession dominated by alien species with an unclear development. To preserve the natural heritage and landscape with a small rate of alien species, it is important to plan vegetation management actions, which limit the presence of new empty space. For containing the exotic species, mechanical and chemical measures could lead to good results, but they can be expensive and cause adverse effects. Otherwise, biological control, combined with other actions, has the potential to bring results with low environmental and economic impact. Ecological restoration measures using fast-growing and spreading native species could restrict alien plant colonisation. In this regard, a better comprehension of the invasive alien plants behaviour is necessary, especially in terms of their competition mechanisms. Nevertheless, the application of long-term vegetation management of river ecosystems is crucial for a continuous monitoring and for addressing the goals of the 2030 global agenda concerning biodiversity conservation. [ABSTRACT FROM AUTHOR]

We provide a comprehensive overview of the status of fish assemblages in eight Italian subalpine lakes using multiple data sources: historical records, standardised sampling and fishery catch statistics. Thirty-four fish species were recorded, twenty of which are native, seven introduced historically and another seven introduced recently. The number of fish species in individual lakes has increased by between 25 and 65% from 1855 to the present, with the increase being higher in the larger lakes. Non-native species contributed between 4.0 and 71.5% to standardised catches by numbers and between 4.8 and 65.1% by biomass. Roach Rutilus rutilus and pumpkinseed Lepomis gibbosus dominated electrofishing and benthic catches by number, while open-water catches were dominated by the coregonids European whitefish Coregonus lavaretus and gangfish Coregonus macrophthalmus. In terms of biomass, electrofishing catches were dominated by crucian carp Carassius carassius, largemouth bass Micropterus salmoides and wels catfish Silurus glanis, benthic catches were dominated by roach, European whitefish and crucian carp, and open-water catches by coregonids. Commercial fisheries are important ecosystem services provided by subalpine lakes, with their harvests now dominated by non-native species. To deliver effective biodiversity conservation and ecosystem services provision, the prioritisation of targets and interventions of management of non-native species is needed. [ABSTRACT FROM AUTHOR]

Background: Inguinofemoral lymphadenectomy carries a high risk of lower limb lymphedema. This report describes the feasibility of performing multiple lymphatic-venous anastomoses (MLVA) after inguinofemoral lymph node completion (LYMPHA technique) and the possible benefit of LYMPHA for preventing lymphedema. Methods: Between February, 2011 and October, 2014, 11 patients with vulvar cancer and 16 patients with melanoma of the trunk requiring inguinofemoral lymphadenectomy underwent lymph node dissection and the LYMPHA technique. Blue dye was injected into the thigh 10 min before surgery. Lymphatics afferent to the blue nodes were used to perform MLVA using a collateral branch of the great saphenous vein. Results: The mean age of patients in the vulvar cancer group was 52 years (range, 48-75 years). The melanoma group comprised seven men and nine women with a mean age of 41 years (range, 37-56 years). Of the 16 patients, 5 with vulvar cancer underwent bilateral inguinofemoral lymphadenectomy, whereas the remaining 6 patients with vulvar cancer and all 16 patients with melanoma of the trunk had unilateral node dissection. All the patients were treated by the LYMPHA technique. No lymphocele or infectious complications occurred. Transient lower-extremity edema occurred for one melanoma patient (6.25 %), which resolved after 2 months, and permanent lower-extremity edema occurred for one patient (9 %) with vulvar cancer. Conclusions: The LYMPHA technique appears to be feasible, safe, and effective for the prevention of lower limb lymphedema, thereby improving the patient's quality of life and decreasing health care costs. [ABSTRACT FROM AUTHOR]

We present an example of how an invasion by a non-native cyprinid (common bream, Abramis brama (Pisces: Cyprinidae), hereafter bream) in a natural shallow lake in southern Europe (Lake Montorfano, northern Italy) may have adversely affected the state of the lake's ecosystem. In less than two decades, bream became the most abundant species and characterized by a stunted population with asymptotic length 33.5 cm, an estimated mean length at first maturity of 19.6 cm, a total mortality rate of 0.64 year and a diet overwhelmingly dominated by microcrustaceans. Following bream establishment, nutrients and phytoplankton biomass rose, the proportion of Cyanobacteria by numbers increased markedly and water transparency decreased. Total zooplankton abundance increased with a marked increase in small cladocerans and copepods, whereas the abundance of large herbivorous cladocerans did not change. The coverage of submerged macrophytes declined, as did the abundance of native pelagic zooplanktivorous fish. The composition of the fish community shifted towards a higher proportion of zoobenthivorous species, such as bream and pumpkinseed ( Lepomis gibbosus). Our results indicate that bream affected water quality through bottom-up mechanisms, while top-down effects were comparatively weak. Selective removal of bream and perhaps stocking of native piscivores might improve the ecological status of the lake. [ABSTRACT FROM AUTHOR]

Nowadays young women affected by early invasive uterine cervical cancer (stage IA2-IB1) may be offered a fertility-sparing treatment: the radical trachelectomy with pelvic lymph node dissection. This procedure consists in surgical removal of cervix uteri, proximal parametrial tissue, and vaginal cuff. The morphology and the functions of corpus uteri are preserved. Women candidates for trachelectomy must be closely selected. Gynecologist oncologist needs an imaging modality that can accurately value the tumoral diameter and which can demonstrate proximal extension of tumor to ensure surgical clear resection margins (especially the cranial one). Magnetic resonance imaging (MRI) is a very useful examination in pre-operative study of women affected by early cervical cancer. The aim of this study is to evaluate the role of MRI with hydrocolpos about pre- and post-operative work-up in women eligible for fertility-sparing treatment. [ABSTRACT FROM AUTHOR]