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Artificial intelligence (AI) has been gaining support in the field of in vitro fertilization (IVF). Despite the promising existing data, AI cannot yet claim gold-standard status, which serves as the rationale for this study. This systematic review and data synthesis aims to evaluate and report on the predictive capabilities of AI-based prediction models regarding IVF outcome. The study has been registered in PROSPERO (CRD42021242097). Following a systematic search of the literature in Pubmed/Medline, Embase, and Cochrane Central Library, 18 studies were identified as eligible for inclusion. Regarding live-birth, the Area Under the Curve (AUC) of the Summary Receiver Operating Characteristics (SROC) was 0.905, while the partial AUC (pAUC) was 0.755. The Observed: Expected ratio was 1.12 (95%CI: 0.26–2.37; 95%PI: 0.02–6.54). Regarding clinical pregnancy with fetal heartbeat, the AUC of the SROC was 0.722, while the pAUC was 0.774. The O:E ratio was 0.77 (95%CI: 0.54–1.05; 95%PI: 0.21–1.62). According to this data synthesis, the majority of the AI-based prediction models are successful in accurately predicting the IVF outcome regarding live birth, clinical pregnancy, clinical pregnancy with fetal heartbeat, and ploidy status. This review attempted to compare between AI and human prediction capabilities, and although studies do not allow for a meta-analysis, this systematic review indicates that the AI-based prediction models perform rather similarly to the embryologists’ evaluations. While AI models appear marginally more effective, they still have some way to go before they can claim to significantly surpass the clinical embryologists’ predictive competence. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.

The authors regret the presence of incomplete information in the author affiliations (reported correctly above) and in the acknowledgments of the original article (provided in the amended version below). The authors are obliged to Mr. Vincenzo Manisera, speleologist of the MIdA Foundation, for sharing his experiences and for his invaluable help in all the field activities, to Dr. Sacha A. Berardo (University of Salerno, Italy) for the language editing, and to the two anonymous reviewers, who provided helpful comments and suggestions. Funding was provided by the Spanish project MINECO CGL2016-75590-P with ERDF funds, by the MIdA Foundation, which generously supported the whole project, and by the University of Salerno, which provided facilities for carrying out the research. The authors would like to apologise for any inconvenience caused.

Almost 20% of Italy is characterized by the outcropping of carbonate massifs ranging in age from Cambrian to Quaternary. Coastal karst is present in many Italian regions: from North-East to South and West: the Gulf of Trieste, the Conero (South of Ancona, Marche), the Adriatic coast of Apulia including Gargano, Murge and Salento, Maratea in Basilicata, Cilento in Campania, Circeo and Gaeta in Latium, Argentario and Giannutri Island in Tuscany, the southernmost part of the Ligurian Alps, Palermo Mts., San Vito Lo Capo, Syracuse coast and Marettimo Island in Sicily, and, especially, in Sardinia, which has carbonate rocks touching the sea along the coast of Balai near Porto Torres, Capo Caccia-Punta Giglio (Alghero), Sinis and Buggerru along the western litoral, Capo Teulada and Capo Sant’Elia at Cagliari, Capo Figari, Tavolara Island and the Gulf of Orosei along the eastern mountainside. Recent researches have revealed several coastal cave systems that have a clear origin by mixing corrosion, in which the aggressive solution derives from the mixing between saline and fresh water at the watertable interface (the so-called flank margin caves). Glacioeustasy and tectonic movements can control the position of sea level with respect to coastal carbonate outcrops. For this reason these coastal caves represent useful records of sea-level stillstands. These caves are normally organized in sub-horizontal levels, and are characterized by the lack of high flow velocity markers (scallops) and alluvial sediments. Instead, they show rounded cave passage morphologies, often with horizontal wall notches, a characteristic swiss-cheese or sponge morphology, and passages that narrow going away from the coastline (due to the decreasing of sea water influence and mixing-corrosion effect). This paper describes some flank margin cave systems found in Apulia, Sicily, and Sardinia. In particular, five cave systems are illustrated: Sant’Angelo caves (Apulia), Pellegrino and Rumena caves (Sicily), and Giuanniccu Mene cave and Fico cave (Sardinia), explaining their relationship with past sea levels and local uplift rate.

Italy is a country hosting a large number of hypogenic sulfuric acid (SAS) speleogenesis caves, mostly located along the Apennine chain, but also in Campania (along the coastline of Capo Palinuro), Apulia (along the coastline of Santa Cesarea Terme) and Sicily. Besides the typical morphologies related to their special geochemical origin (cupolas, replacement pockets, bubble trails, etc), these caves often host abundant secondary mineral deposits, mainly gypsum, being the result of the interaction between the sulfuric acid and the carbonate host rock. Native sulfur deposits are also well visible on the ceiling and roof, and peculiar sulfuric acid minerals such as jarosite, alunite, and other sulfates like copiapite, pickeringite, tschermigite, tamarugite (probably related to the weathering of native clay minerals) have been found in those caves. The presence of typical SAS minerals, together with the morphologies, testifies the influence of rising acidic waters, that likely interact with the deep-seated Triassic evaporite deposits (along the Apennine chain), with volcanic sources or hydrothermal springs in the Tyrrhenian sea (in Campania) and with marine waters that infiltrate on the sea bottom and rise through deep faults (in Apulia). This paper describes the secondary minerals discovered in several caves, and discusses their origin and possible use in reconstructing the evolution of these cave systems.

Sulphuric acid speleogenesis (SAS) related to the upwelling of acid water enriched in H2S and CO2 represents an unusual way of cave development. Since meteoric infiltration waters are not necessarily involved in speleogenesis, caves can form without the typical associated karst expressions (i.e. dolines) at the surface. The main mechanism of sulphuric acid dissolution is the oxidation of H2S (Jones et al., 2015) which can be amplified by bacterial mediation (Engel et al., 2004). In these conditions, carbonate dissolution associated with gypsum replacement, is generally believed to be faster than the normal epigenic one (De Waele et al., 2016). In Italy several SAS caves have been identified, but only few systems have been studied in detail: Frasassi and Acquasanta Terme (Marche)(Galdenzi et al., 2010), Monte Cucco (Umbria) (Galdenzi & Menichetti, 1995), and Montecchio (Tuscany) (Piccini et al., 2015). Other preliminary studies have been carried out in Calabria (Galdenzi, 2007) and Sicily (De Waele et al., 2016). Several less studied SAS cave systems located in South Italy, and in particular in Apulia (Santa Cesarea Terme), Sicily (Acqua Fitusa, Acqua Mintina) and Calabria (Mt. Sellaro and Cassano allo Ionio) have been selected in the framework of a PhD thesis on SAS caves and their speleogenesis. Using both limestone tablet weight loss (Galdenzi et al., 2012) and micro erosion meter (MEM) (Furlani et al., 2010) methods the dissolution rate above and under water in the caves will be quantified. Geomorphological observations, landscape analysis using GIS tools, and the analysis of gypsum and other secondary minerals (alunite and jarosite) (stable isotopes and dating) will help to reconstruct the speleogenetic stages of cave formation. Preliminary microbiological analysis will determine the microbial diversity and ecology in the biofilms.

Introduction: The microbial diversity in the Su Bentu Cave (Sardinia, Italy) was investigated by means of Illumina MiSeq analysis. The hypogean environment is of great interest for astrobiological research as cave conditions may resemble those in extra-terrestrial regions. Furthermore, they hold high potential to identify novel, extremely adapted organisms to severely oligo-trophic habitats. However, the influence of human is not neglectable and in-depth investigations are needed to determine the impact of exploration on an otherwise mostly pristine ecosystem. The cave investigated in this study develops for several kilometres into the mountain, two hundred metres below the topographic surface and is characterized by a strong air circulation. Its structure is composed of huge passages carved in limestone where an ephemeral underground stream creates some lakes, close to which seven samples of visible calcite rafts, manganese deposits and moonmilk (a hydrated calcium carbonate speleothem), were sampled during an expedition in 2014. Other samples were re-trieved from a frequently used campsite and from some dry cave passages leading deeper into the cave.

Many morphological elements in Cuba's landscape (e.g., marine terraces, tidal notches) demonstrate that coastal uplift has taken place, but the rate at which this occurs is not known. Carbonate phreatic overgrowths on speleothems have been found in a cave in Central North Cuba, ~1 km from the present coastline at 16 m asl. They form exceptional and unique mushroom-shaped speleothems and balconies decorating the walls of the rooms. These phreatic overgrowths on speleothems (POS) formed at the oscillating air–water interface in sea-level controlled anchialine lakes. U/Th dating of these overgrowths suggests ages that are compatible with the Marine Isotope Stage 5e (i.e., 130–115 ka). These POS have fixed this sea-level highstand and demonstrate that this part of Cuba has been subjected to a much lower uplift rate than previously reported, i.e. less than 0.1 mm a−1 since the last interglacial. This article is protected by copyright. All rights reserved.

Background Perchloroethylene is a colorless, strong-smelling substance commonly used for dry cleaning. Liver and kidney toxicities and carcinogenicity are well-known occupational hazards caused by chronic perchloroethylene exposure. Acute intoxication by ingestion of nondiluted perchloroethylene is rare in the adult population owing to its strong smell and taste. Very few data are available to physicians managing patients in this situation. Case presentation An 89-year-old Caucasian woman accidentally drank perchloroethylene while visiting her laundry, leading to a coma within a few minutes. The poison control center provided little information about perchloroethylene toxicity after ingestion, including an estimated long biological half-life (144 hour) and detrimental effects to liver and kidneys. A long intensive care unit stay was thus expected, potentially leading to several complications. After intubation, transitory hypoxemia appeared and rapidly resolved, while mild hemodynamic instability was managed with fluid resuscitation and anti-arrhythmic drugs. Twelve hours after perchloroethylene ingestion, the patient suddenly woke up and self-extubated. Less than 24 hours after ingestion, she was discharged from the intensive care unit, and 4 days later she was discharged home. Conclusion The patient drank perchloroethylene from a bottle, which prevented her from smelling it, and owing to its taste, only a small sip was likely drunk. However, a much larger intake was presumed, given her rapid and profound central nervous system depression. This case was challenging owing to the paucity of information available regarding acute perchloroethylene ingestion and the duration and magnitude of its effect. The present report will hopefully be of support for clinicians managing patients with this rare acute intoxication.

Caves formed by rising sulfuric waters have been described from all over the world in a wide variety of climate settings, from arid regions to mid-latitude and alpine areas. H2S is generally formed at depth by reduction of sulfates in the presence of hydrocarbons and is transported in solution through the deep aquifers. In tectonically disturbed areas major fractures eventually allow these H2S-bearing fluids to rise to the surface where oxidation processes can become active producing sulfuric acid. This extremely strong acid reacts with the carbonate bedrock creating caves, some of which are among the largest and most spectacular in the world. Production of sulfuric acid mostly occurs at or close to the water table but also in subaerial conditions in moisture films and droplets in the cave environment. These caves are generated at or immediately above the water table, where condensation-corrosion processes are dominant, creating a set of characteristic meso- and micromorphologies. Due to their close connection to the base level, these caves can also precisely record past hydrological and geomorphological settings. Certain authigenic cave minerals, produced during the sulfuric acid speleogenesis (SAS) phase, allow determination of the exact timing of speleogenesis. This paper deals with the morphological, geochemical and mineralogical description of four very typical sulfuric acid water table caves in Europe: the Grotte du Chat in the southern French Alps, the Acqua Fitusa Cave in Sicily (Italy), and the Bad Deutsch Altenburg and Kraushöhle caves in Austria. Caves formed by rising sulfuric waters have been described from all over the world in a wide variety of climate settings, from arid regions to mid-latitude and alpine areas. H2S is generally formed at depth by reduction of sulfates in the presence of hydrocarbons and is transported in solution through the deep aquifers. In tectonically disturbed areas major fractures eventually allow these H2S-bearing fluids to rise to the surface where oxidation processes can become active producing sulfuric acid. This extremely strong acid reacts with the carbonate bedrock creating caves, some of which are among the largest and most spectacular in the world. Production of sulfuric acid mostly occurs at or close to the water table but also in subaerial conditions in moisture films and droplets in the cave environment. These caves are generated at or immediately above the water table, where condensation–corrosion processes are dominant, creating a set of characteristic meso- and micromorphologies. Due to their close connection to the base level, these caves can also precisely record past hydrological and geomorphological settings. Certain authigenic cave minerals, produced during the sulfuric acid speleogenesis (SAS) phase, allow determination of the exact timing of speleogenesis. This paper deals with the morphological, geochemical and mineralogical description of four very typical sulfuric acid water table caves in Europe: the Grotte du Chat in the southern French Alps, the Acqua Fitusa Cave in Sicily (Italy), and the Bad Deutsch Altenburg and Kraushöhle caves in Austria.