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In a hospital in Northern Italy was decided to experiment a new standardized methodology for detection and evaluation of vital parameters and effective communication between healthcare professionals, with the applications of NEWS score. Then it was necessary to evaluate the application and usefulness of the score in the specific contest. The aim of this project was adopting a validated and standardized methodology for detecting vital parameters to identificate early the signs and symptoms of a possible clinical deterioration and to create an effective communication between professionals. In the end it was necessary to monitor the correct application of the NEWS score to evaluate the usefulness of extending the score in surgical units.The indicators were identified and monitored, consulting a sample of medical Gynecologic records of the 2019. The sample size useful for having a confidence level of 95% was identified, which, according to the Sample Size Calculator, known the population of 865 patients, corresponds to 160 sample units. An ad hoc data set was then developed for data collection.The correctness of the execution of clinical monitoring according to the parameters provided by the score is 75%, while the completeness of score's recording is 99% of the sample analyzed. The days of hospitalization in which there is a score≥5 are 10, equal to 1.5%. An in-depth study of cases with a score ≥5 showed that in 9 out of 10 cases the doctor was alerted.The NEWS score is useful in the early identification of risk situations, in rapid and objective communication and in the timely activation of interventions to prevent complications. Furthermore, the application of the score does not involve a waste of time than that used for the collection of vital parameters.In un ospedale del Nord Italia si deciso di sperimentare una metodologia standardizzata di rilevazione e valutazione dei parametri vitali e di comunicazione efficace tra professionisti, mediante applicazione del NEWS score. Si reso poi necessario andare a valutare la concreta applicazione ed utilit nel contesto specifico. La progettualita' stata realizzata allo scopo di adottare una metodologia validata e standardizzata di rilevazione dei parametri vitali al fine di favorire una precoce individuazione dei segni e sintomi di un possibile peggioramento clinico e per la comunicazione efficace tra professionisti. Si reso poi necessario effettuare un monitoraggio della corretta applicazione dello score NEWS ai fini della valutazione dell’utilit dell’estensione dello strumento in aree chirurgiche.Sono stati individuati degli indicatori e monitorati, mediante consultazione di un campione di cartelle cliniche della Ginecologia, dell’anno 2019. stata individuata la numerosit campionaria utile ad avere un livello di confidenza del 95%, che, secondo la Sample Size Calculator, nota la popolazione di 865 pazienti, corrisponde a 160 unit campionarie. stato poi sviluppato un data set ad hoc per la raccolta dati.La correttezza di esecuzione del monitoraggio clinico secondo i parametri previsti dallo score del 75%, mentre la completezza di registrazione dello score del 99% del campione analizzato. Le giornate di degenza nelle quali presente uno score≥5 sono 10, pari all’1,5%. L’approfondimento dei casi con score≥5, ha evidenziato che in 9 casi su 10 il medico stato allertato.Lo score News utile nell’individuazione precoce di situazioni di rischio, nella comunicazione rapida e oggettiva e nella tempestiva attivazione di interventi per prevenire le complicanze. Inoltre l’applicazione dello score non comporta un dispendio di tempo superiore a quello impiegato per la raccolta dei parametri vitali.

Background. To evaluate the impact of the Laparoscopic Approach to Cervical Cancer (LACC) Trial on patterns of care and surgery-related morbidity in early-stage cervical cancer. Methods. This is a retrospective, a multi-institutional study evaluating 90-day surgery-related outcomes of patients undergoing treatment for early-stage cervical cancer before (period I: 01/01/2016-06/01/2018) and after (period II: 01/01/2019-06/01/2021) the publication of the results of the LACC trial. Results. Charts of 1295 patients were evaluated: 581 (44.9%) and 714 (55.1%) before and after the publication of the LACC trial, respectively. After the publication of the LACC trial, the number of patients treated with minimally invasive radical hysterectomy decreased from 64.9% to 30.4% (p < 0.001). Overall, 90-day complications occurred in 110 (18.9%) and 119 (16.6%) patients in the period I and period II, respectively (p = 0.795). Similarly, the number of severe (grade 3 or worse) complications did not differ between the two periods (38 (6.5%) vs. 37 (5.1%); p = 0.297). Overall and severe 90-day complications were consistent between periods even evaluating stage IA (p = 0.471), IB1 (p = 0.929), and IB2 (p = 0.074), separately. Conclusions. The present investigation highlighted that in referral centers the shift from minimally invasive to open radical hysterectomy does not influence 90-day surgery-related morbidity. (c) 2022 Elsevier Inc. All rights reserved.

Objective Coronavirus disease 2019 (COVID-19) outbreak has correlated with the disruption of screening activities and diagnostic assessments. Endometrial cancer (EC) is one of the most common gynecological malignancies and it is often detected at an early stage, because it frequently produces symptoms. Here, we aim to investigate the impact of COVID-19 outbreak on patterns of presentation and treatment of EC patients. Methods This is a retrospective study involving 54 centers in Italy. We evaluated patterns of presentation and treatment of EC patients before (period 1: March 1, 2019 to February 29, 2020) and during (period 2: April 1, 2020 to March 31, 2021) the COVID-19 outbreak. Results Medical records of 5,164 EC patients have been retrieved: 2,718 and 2,446 women treated in period 1 and period 2, respectively. Surgery was the mainstay of treatment in both periods (p=0.356). Nodal assessment was omitted in 689 (27.3%) and 484 (21.2%) patients treated in period 1 and 2, respectively (p, Synopsis The prevalence of patients with early-stage endometrial cancer (EC) has been lower during coronavirus disease 2019 (COVID-19) pandemic than before its onset. Further evidence is needed to assess the impact of COVID-19 pandemic on survival outcomes of EC patients.

The western corn rootworm (WCR), Diabrotica virgifera virgifera LeConte (Coleoptera: Chrysomelidae), is one of the most severe pests of cultivated maize, Zea mays L. Most of the damage to this crop is caused by larvae feeding on the root system, causing important economic costs in terms of yield losses and management efforts. This research was carried out to evaluate the effect of different chemical control strategies to minimize larval damage in maize fields under natural infestation of the pest. Field-based research was performed in a two-year period (2011–2012) in five locations of northern Italy. Different insecticide strategies (belonging to the pyrethroid, neonicotinoid or organophosphate classes) were compared to an untreated control. The effects on larval infestation, root damage, silage and grain yield were assessed. Our data highlighted that insecticide application at sowing led to a significant reduction in the WCR larval density, both considering insecticide seed treatments and in-furrow soil applications. In particular, seed-applied clothianidin (systemic) and tefluthrin (non-systemic) applied at sowing led to a maximum increase in grain yield of 18% and 19% respectively, when compared to the untreated control. In all the surveyed plots, limited plant lodging was observed. Furthermore, while the silage yield did not significantly differ among untreated and treated plots, significant differences were recorded with regard to grain yield. No significant results occurred with the liquid insecticide applied in the intra-row space at ridging, with regard to reduction in WCR larval density and grain yield.

The Red Palm Weevil (RPW), Rhynchophorus ferrugineus (Coleoptera: Curculionidae), is an insect pest native to Southeast Asia, which has become the major threat to palms in the Mediterranean Basin, mainly due to the movement of infested planting material. In case of infestation, the exotic weevil is difficult to control effectively and host plants often die. Chamaerops humilis (Arecales: Arecaceae) palms are reported as resistant to RPW, but little is known about the chemical basis of this resistance and about the identity of the endogenous metabolites that may be involved. In the present study, we focused on the potential toxic effect of catechin against RPW larvae. In laboratory bioassays, purified catechin from C. humilis leaves was provided to two-and five-week old RPW larvae at three different concentrations. We found that catechin can impair the survival of RPW, causing toxicity at concentrations as low as 0.03 mg g-1. Larval mortality was concentra-tion-dependent, and furthermore larval age influenced the effect of catechin, older larvae being more susceptible than younger ones. The observed toxicity of catechin on RPW larvae agrees with the hypothesis that this compound contributes to C. humilis being an unsuitable host for this insect pest.

Objective: In the last two decades many reports demonstrated the unreliability of endometrial biopsy pathology showing an AH (Atypical Hyperplasia) to exclude a synchronous EEC (Endometrioid Endometrial Carcinoma), with an underestimation of EEC in up to 50% of women. Hysteroscopy is now considered the standard diagnostic tool for endometrial pathology. However, a recent meta-analysis showed that hysteroscopically-guided biopsy provides a high rate of failure with respect to dilatation and curettage (D&C) and endometrial resection, in underestimating AH instead of concurrent EC. The aim of this study was to assess the sensitivity of hysteroscopy-view and hysteroscopic sampling in diagnosing EEC. Materials and Methods: A multicenter, retrospective, observational trial was conducted between January 2012 and December 2018 in 14 Italian Gynecological Units (University-affiliated or Public Hospitals). Eligible patients were identified as those women in whom either a pathologic report of EEC was found on hysterectomy specimen and a preoperative hysteroscopy assessment with endometrial biopsy targeted under vision had been performed. As primary outcome we calculated the sensitivity of hysteroscopy-view and biopsy pathology on hysteroscopically-driven sampling in the diagnostic work-up of EC. Results: 948 patients (age 65,83±10,43) resulted eligible for analysis. Hysteroscopy-view showed a sensitivity of 54.2%, specificity 47,2% and accuracy 54% in the diagnosis of EC. Moreover, hysteroscopic view was significantly able to distinguish carcinoma from hyperplasia (p

Objective In the last two decades, many reports demonstrated the unreliability of endometrial biopsy pathology showing an AH (atypical hyperplasia) to exclude a synchronous EEC (endometrioid endometrial carcinoma), with an underestimation of EEC in up to 50% of women. Hysteroscopy is now considered the standard diagnostic tool for endometrial pathology. However, a recent meta-analysis showed that hysteroscopically guided biopsy provides a high rate of failure with respect to dilatation and curettage (D&C) and endometrial resection, in underestimating AH instead of concurrent EC. The aim of this study was to assess the sensitivity of hysteroscopy view and hysteroscopic sampling in diagnosing EEC. Materials and methods A multicenter, retrospective, observational trial was conducted between January 2012 and December 2018 in 14 Italian gynecological units (university-affiliated or public hospitals). Eligible patients were identified as those women in whom either a pathologic report of EEC was found on hysterectomy specimen and a preoperative hysteroscopy assessment with endometrial biopsy targeted under vision had been performed. As primary outcome, we calculated the sensitivity of hysteroscopy view and biopsy pathology on hysteroscopically driven sampling in the diagnostic workup of EC. Results Nine hundred forty-eight patients (age 65.83 ± 10.43) resulted eligible for analysis. Hysteroscopy view showed a sensitivity of 54.2%, a specificity of 47.2%, and an accuracy of 54% in the diagnosis of EC. Moreover, hysteroscopic view was significantly able to distinguish carcinoma from hyperplasia (p < 0.001). We evidenced an important difference of the results comparing the centers involved. Hysteroscopy-driven biopsy presented a sensitivity of 76.2%, a specificity of 52.8%, and an accuracy of 75.3%. AH pathology was reported in 19% of the cases. Conclusion Our study showed that EEC diagnosis via hysteroscopy diagnosis could be improved through the implementation of operator training. Hysteroscopy-driven biopsies have excellent sensitivity and accuracy in the diagnosis of EEC, and the advantages of using hysteroscopy for making a diagnosis can improve the management of the patients with EEC. While it seems reasonable that hysteroscopy is the preferred technique for diagnosing and treating a benign pathology of the uterus, it could play a major role even in the diagnosis of a malignancy.

Objectives:The primary objective was to quantify the risk of perinatal mortality in non‐anomalous monochorionic monoamniotic (MCMA) twin pregnancies complicated by birth‐weight (BW) discordance. The secondary objectives were to investigate the effect of inpatientvsoutpatient fetal monitoring on the risk of mortality in weight‐discordant MCMA twin pregnancies, and to explore the predictive accuracy of BW discordance for perinatal mortality. Methods:This analysis included data on 242 MCMA twin pregnancies (484 fetuses) from three major research collaboratives on twin pregnancy (MONOMONO, STORK and NorSTAMP). The primary outcomes were the risks of intrauterine (IUD), neonatal (NND) and perinatal (PND) death, according to weight discordance at birth from ≥ 10% to ≥ 30%. The secondary outcomes were the association of inpatientvsoutpatient fetal monitoring with the risk of mortality in weight‐discordant pregnancies, and the accuracy of BW discordance in predicting mortality. Logistic regression and receiver‐operating‐characteristics‐curve analyses were used to analyze the data. Results:The risk of IUD was significantly increased in MCMA twin pregnancies with BW discordance ≥ 10% (odds ratio (OR), 2.2; 95% CI, 1.1–4.4;P= 0.022) and increased up to an OR of 4.4 (95% CI, 1.3–14.4;P= 0.001) in those with BW discordance ≥ 30%. This association remained significant on multivariate logistic regression analysis for BW‐discordance cut‐offs ≥ 20%. However, weight discordance had low predictive accuracy for mortality, with areas under the receiver‐operating‐characteristics curve of 0.60 (95% CI, 0.46–0.73), 0.52 (95% CI, 0.33–0.72) and 0.57 (95% CI, 0.45–0.68) for IUD, NND and PND, respectively. There was no difference in the risk of overall IUD, single IUD, double IUD, NND or PND between pregnancies managed as an inpatient compared with those managed as an outpatient, for any BW‐discordance cut‐off. Conclusions:MCMA twin pregnancies with BW discordance are at increased risk of fetal death, signaling a need for increased levels of monitoring. Despite this, the predictive accuracy for mortality is low; thus, detection of BW discordance alone should not trigger intervention, such as iatrogenic delivery. The current data do not demonstrate an advantage of inpatient over outpatient management in these cases. Copyright © 2019 ISUOG. Published by John Wiley & Sons Ltd.

STUDY OBJECTIVE To compare the effectiveness and safety of different techniques of hysteroscopic polypectomy. DESIGN Multicenter, prospective observational trial (Canadian Task Force classification II-2). SETTING Nineteen Italian gynecologic departments (university-affiliated or public hospitals). PATIENTS Consecutive patients suffering from endometrial polyps (EPs). INTERVENTIONS Hysteroscopic polypectomy, as performed through different techniques. MEASUREMENTS AND MAIN RESULTS Included in the study were 1404 patients (with 1825 EPs). The setting was an ambulatory care unit in 40.38% of the cases (567 women), of whom 97.7% (554) did not require analgesia/anesthesia. In the remaining 59.62% of women (837 women), the procedures were performed in an operating room under mild sedation, local or general anesthesia. Minor complications occurred in 32 patients (2.27%), without significant differences between the techniques used (p = ns). Uterine perforation occurred in 14 cases, all performed in the operating room with some kind of anesthesia, only 1 with a vaginoscopic technique and the remaining during blind dilatation (odds ratio [OR], 19.98; 95% confidence interval [CI], 1.19-335.79; p = .04). An incomplete removal of EPs was documented in 39 patients. Logistic regression analysis showed that a higher risk of residual EPs was associated with the use of a fiber-based 3.5-mm hysteroscope (OR, 6.78; 95% CI, 2.97-15.52; p

5506 Background: Intensive follow-up in cancer patients, which absorbs a lot of health system resources and can be a source of increased stress for patients, are often proposed on the assumption that an early recognition of relapse will translate in better outcomes. In endometrial cancer few randomized controlled trials were conducted to assess the role of a reduced number of the scheduled visits and of different settings of the follow-up, but did not investigate the contribution of routine serum, cytological or imaging follow-up investigations in improving overall survival or quality of life. The TOTEM study was planned to compare an intensive (INT) vs minimalist (MIN) 5- year follow-up regimen in endometrial cancer patients in terms of overall survival (OS). Methods: Patients surgically treated for endometrial cancer, in complete clinical remission confirmed by imaging, FIGO stage I-IV, were stratified by center and in low (LoR) or high (HiR) risk of recurrence and then randomized to INT or MIN hospital-based follow-up regimens. The main study hypothesis was to demonstrate an improvement from 75% to 80% (expected hazard ratio, HR = 0.78) of the 5-year OS with the INT regimen. Secondary objectives were to compare relapse free survival (RFS), health-related quality of life (HRQL) assessed at baseline, at 6 and 12 months and then yearly (with the SF-12 Physical and Mental Health Summary Scale) and costs. Results: 1884 patients were randomized in 42 centers between 2008 and 2018, and 1847 patients were available for the final analysis (60% LoR). Compliance with the follow-up scheduled visits was 75.3%, similar between INT (74.7%) and MIN (75.9%) arms, whereas the mean number of recorded exams (laboratory or imaging) was markedly higher in the INT than in the MIN arms (9.7 vs 2.9, p < 0.0001). After a median follow-up of 66 months, the overall 5-year OS was 91.3%, 90.6% in the INT and 91.9% in the MIN arms, respectively (HR = 1.12, 95%CI 0.85-1.48, p = 0.429). Comparing the INT vs MIN arms, the 5-year OS were 94.1% and 96.8% (HR = 1.48, 0.92-2.37, p = 0.104) in the LoR and 85.3% and 84.7% (HR = 0.96, 0.68-1.36, p = 0.814) in the HiR group. No relevant differences emerged in RFS between INT and MIN regimens, (HR = 1.13, 0.87-1.48, p = 0.365). At the time of the relapse most women were asymptomatic (146/228, 64.0%), with a tendency of higher proportions in the INT than in the MIN arm, both in the LoR group (78.8% vs 61.1%, p = 0.070) and in the HiR one (64% vs 60%, p = 0.754). HRQL was available only for a subgroup of patients (50% at baseline) and did not differ between arms. Conclusions: Intensive follow-up in endometrial cancer treated patients showed a weak and uncertain advantage in detecting earlier asymptomatic relapses but did not improve OS, even in HiR patients, nor influenced HRQL. Frequent routine use of imaging and laboratory exams in these patients should be discouraged. Clinical trial information: NCT00916708.

Objective: The detection and treatment of high-grade cervical lesions prevent the development of invasive cervical cancer. Excisional procedures can pose a risk for subsequent pregnancies, thus conservative management of Cervical Intraepithelial Neoplasia grade 2 (CIN2) lesions should be adopted in young women. The aim of our study is to evaluate the ability of viral and cellular biomarkers in predicting regression/progression of CIN2. Methods: Women aged 25 to 45 years, participating to population-based organised cervical cancer screening programmes in the Veneto Region (Italy), diagnosed with a CIN2 lesion and fitting predefined inclusion/exclusion criteria, are invited to take part in a multicentre observational longitudinal cohort study with a follow-up of 24 months. Upon signing an informed consent, women are enrolled in the study and cervical cell samples collected. Treatment is delayed and subsequently performed in the case of lesion progression, or persistence for >12 months. HPV genotyping, p16(INK4A)/ki67 expression and methylation status for L1 viral sequences and FAM19A4/miR124-2 cellular genes are determined at baseline and during follow-up, and evaluated in relation to the clinical outcome. Results: The study, registered on Clinical Trials.gov (ID: NCTo4687267), is currently ongoing. Enrolment of women aged 25-45 years started in 2019, and will continue up to the end of 2021. Discussion: Since February 2020, the Veneto Region has been hit by the COVID-19 pandemic. The enrolment of women in the study was interrupted during an initial two-month lockdown, and slowed down during the subsequent months. The12-month extension of the study period will partially counterbalance this delay.

Carabus (Cathoplius) aliai was described as a separate species by Escalera in 1944 but since the 1950–60s it has been considered as a subspecies of Carabus (Cathoplius) stenocephalus Lucas, 1866. This downgrading was adopted after examining only a few specimens, due to their rarity in collections. In recent years, an important population of this taxon was rediscovered in the Tan-Tan area in southern Morocco. By combining field observations with laboratory breeding experiments including hybridization trials, and through the morphological examination of a representative number of individuals, it is confirmed that Carabus aliai is indeed a valid species. Despite close geographic distribution, the morphological and biological characteristics of Carabus aliai and Carabus stenocephalus ifniensis Zarco, 1941, its northern substitutive taxon, are very different. Carabus aliai adults are characterized by a smaller size, a slender silhouette, a more brilliant aspect, a narrower pronotum, a coarser elytral sculpture, longer legs, and a wider and a little more curved apex of the median lobe of the aedeagus. Carabus aliai larvae are also characterized by a much smaller size and the Carabus aliai pupa has a narrower thoracic area and a different chaetotaxy compared to that of Carabus stenocephalus ifniensis. Contrary to this, Carabus aliai has a life cycle belonging to the annual univoltine winter semelparous type. Moreover, the duration of its development cycle is shorter. Carabus aliai is a sabulicolous steppe-wandering species with an intensive running activity, while Carabus stenocephalus ifniensis is a more sedentary taxon. Crossbreeding experiments showed a marked reproductive isolation between Carabus aliai and Carabus stenocephalus ifniensis. When F1 hybrids were crossed with one another, a very high mortality rate during embryonic, larval and pupal development was evident and no vital F2 neo-adults were obtained. Morphological and biological differences, together with the reproductive failure in Carabus aliai × Carabus stenocephalus ifniensis hybrids, clearly indicate that Carabus aliai is a separate Cathoplius species that is distributed in an area south of the Anti-Atlas chain, from Plage Blanche (Guelmim) to Lemsid and Bou Kra (south of Laâyoune). Carabus aliai is therefore both a Saharan desert endemic and an Atlantic resident. Moreover, it is the southernmost Carabus species of the western Palaearctic region.

Study Objective To describe safety, tolerability, and effectiveness results through a minimum 2-year follow-up of patients who underwent permanent sterilization with the Essure insert. Design A retrospective multicenter study (Canadian Task Force classification II2). Setting Seven general hospitals and 4 clinical teaching centers in Italy. Patients A total of 1968 women, mean age 39.5 years (range, 23–48 years) who underwent office hysteroscopic sterilization using the Essure insert between April 1, 2003, and December 30, 2014. Intervention The women underwent office hysteroscopic bilateral Essure insert placement, with satisfactory device location and tube occlusion based on hysterosalpingography or hysterosalpingo-contrast sonography (HyCoSy). Measurements and Main Results Placement rate, successful bilateral tubal occlusion, perioperative adverse events, early postoperative (during the first 3 months of follow-up), and late complications were evaluated. Satisfactory insertion was accomplished in 97.2% of women and, in 4, perforation and 1 expulsion were detected during hysterosalpingography. Three unintended pregnancies occurred before the 3-month confirmation test. Two pregnancies were reported among women relying on the Essure inserts. Postprocedure pain was minimal and brief; in 9 women, pelvic pain became intractable, necessitating removal of the devices via laparoscopy. On telephone interviews, overall satisfaction was rated as “very satisfied” by the majority of women (97.6%), and no long-term adverse events were reported. Conclusion The findings from this extended Italian survey further support the effectiveness, tolerability, and satisfaction of Essure hysteroscopic sterilization when motivated women are selected and well informed of the potential risks of the device. Moreover, the results do not demonstrate an increased incidence of complications and pregnancies associated with long-term Essure use. Patients with a known hypersensitivity to nickel may be less suitable candidates for the Essure insert.

Among the several European and Asiatic species belonging to the genus Cychrus Fabricius, the pre-imaginal morphology isknown just for a few of them. In the present work the larval morphology of Cychrus schmidti and C. semigranosus is described.The morphology of the first species is unique due to its chaetotaxy, which is completely different from that of all of the other Cychrus larvae described so far. The latter are characterized by completely glabrous thoracic and abdominal tergites. In C. schmidti, the tergites are covered by several long setae, a feature never recorded in other Carabidae Carabinae species. Basingon actual knowledge, a preliminary identification key of the European larvae of the Cychrus genus is provided. In the presentcontribution, the pupa of C. schmidti is also described; this is the first pupa of a species belonging to the Cychrus genus to be depicted. Moreover, new data on the biology of C. schmidti were collected from a laboratory breeding programme.

Little information is available on the pre-imaginal stages of Cychrini and nothing is known on the life history of high-altitude Cychrus species. In this work the author describes some unpublished observations on the biology of Cychrus cordicollis, a species endemic to the Pennine Alps, in the Mount Rose massif, and to part of the Lepontine and Rhaetian Alps. In particular, for the first time for a high-altitude Cychrus species, some data are given about oviposition and female prolificity, obtained from laboratory rearings. The larval morphology of the first, second, and third instar is described in detail. Some differential characters in the larval chaetotaxy of this species are highlighted comparing it with the already known larval descriptions of other six Cychrus species and with the models proposed by Bousquet & Goulet (1984) and Makarov (1993).

Nell’ambito di uno studio sulla biodiversità animale e vegetale relativa a 11 macroaree della Regione Valle d’Aosta comprendenti agroecosistemi (vigneto e meleto) ed ecosistemi naturali o seminaturali, particolare attenzione è stata rivolta ai Coleotteri Carabidi, insetti da tempo ampiamente utilizzati come bioindicatori per i loro adattamenti ad ambienti peculiari e differenziati. Le indagini sono state condotte con cadenza decadale, da aprile a novembre nel triennio 2006-2008. Per ogni macroarea, 3 trappole a caduta sono state disposte lungo la diagonale di ogni unità campione. Inoltre, raccolte a vista sono state realizzate con periodicità mensile. Per l’elaborazione dei dati è stato adottato l’indice di biodiversità di Shannon-Wiener. Nei 3 anni sono stati censiti più di 21.000 individui per un totale di 88 specie. La carabidofauna è risultata composta da specie a vasta geonemia, con distribuzione in prevalenza asiatico-europea, sibirico-europea o europea. L’indice di Shannon-Wiener ha toccato valori elevati in diverse aree. Questi dati indicano che la Valle d’Aosta, all’interno di alcuni agroecosistemi (vigneto e meleto), conserva un ottimo livello di qualità ambientale che è indubbiamente legato a un’oculata gestione agronomica dei trattamenti fitosanitari e alla presenza di numerose fasce di incolti e di boschi stabili, che formano una striscia continua tra gli appezzamenti coltivati e fungono da corridoio ecologico e importante zona di rifugio per i Coleotteri Carabidi.

Clostridium difficile infection (CDI) in non-hospitalized patients has been reported with increased frequency, whereas an association between CDI and pregnancy has not been highlighted. We report a case of toxic megacolon complicating a severe CDI during the second trimester of pregnancy in a patient without traditional risk factors, such as antibiotic use, immunodeficiency, and prolonged and recent hospitalization.

According to current taxonomy, Subgenus Cathoplius C.G. Thomson, 1875, within the Genus Carabus Linnaeus, 1758 (in the broad sense), includes two species: C. ( Cathoplius ) asperatus (Dejean, 1826), monotypic with a northern distribution, and the southern polytypic substitutive species C . ( Cathoplius ) stenocephalus Lucas, 1866. The authors describe the life-way, life-cycle and pre-imaginal characters of the taxa currently ascribed to Subgenus Cathoplius , with details never provided before. Cathoplius are ground beetles adapted to live in arid environments and extreme habitats such as sub-desert areas. All of them are strictly helicophagous, both during the pre-imaginal stages and as adults, and are localized in a narrow fringe along the Atlantic coast of northwestern Africa. Several data and observations on the eco-ethology of the different taxa, obtained both in field and in laboratory, are reported. The life-cycle of Cathoplius belongs to the winter breeding type, with an extremely high fecundity rate concentrated in a very short period of time, that has no similarity to any other Carabus species. Eggs, larvae and pupae of the different species and subspecies of Cathoplius are described and illustrated. Larval characters clearly place Subgenus Cathoplius into the lineage of Neocarabi, confirming it as a monophyletic and homogeneous assemblage . Hybridization trials between some taxa led to a reduced survival rate of the progeny, thus confirming their specific or subspecific differentiation as proposed by classical taxonomy. Furthermore, hybridization results suggest that C . ( Cathoplius ) stenocephalus aliai could be considered as a distinct species. Notes about the origin, biogeography and phylogeny of Cathoplius are also provided.