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In this contribution, new data concerning the distribution of vascular flora alien to Italy are presented. It includes new records, exclusions, and status changes from casual to naturalized or invasive for Italy or for Italian administrative regions for taxa in the genera Acacia, Akebia, Allocasuarina, Aloë, Brachychiton, Convolvulus, Freesia, Gleditsia, Hesperocyparis, Kalanchoë, Liriope, Mazus, Melia, Phyla, Platycladus, Prunus, and Retama. Nomenclatural and distribution updates, published elsewhere, and corrections are provided as Suppl. material 1.

Abstract Background Research and monitoring of human resources available for vision rehabilitation services has been a neglected area of work in the past. This study aims to offer an overview of the vision rehabilitation workforce available in Italy, in order to profile the distribution and number of human resources for vision rehabilitation. Methods Data on the available vision rehabilitation professionals were collected from the yearly report on the state of implementation of policies relating to the prevention of blindness, education and vision rehabilitation, according to a law which was passed by the Italian Ministry of Health, Department of Health Prevention. The report presents a review of all professional workers dealing with low vision rehabilitation centers in Italy between January 2005 and December 2019. Data on the distribution and type of services of government-supported low vision centers across the country were also obtained and examined. Results Of the 289 low vision rehabilitation workers in 2019, 28% were ophthalmologists, 31% orthoptists, 19% psychologists, 17% nurses and 5% social workers. The health workforce densities across the Italian regions ranged from 1.62 to 0.12 per 100.000. The density of vision rehabilitation workers showed a no growing trend from 2006 to 2015. During the study period, it was found a weak but statistically significant association of workforce density with the number of government-supported low vision centers across the Italian territory (r2 = 0.3, p

Abstract This novel study applies targeted functional proteomics to examine tissues and cells obtained from a cohort of individuals with severe obesity who underwent bariatric surgery (BS), using a Reverse-Phase Protein Array (RPPA). In obese individuals, visceral adipose tissue (VAT), but not subcutaneous adipose tissue (SAT), shows activation of DNA damage response (DDR) markers including ATM, ATR, histone H2AX, KAP1, Chk1, and Chk2, alongside senescence markers p16 and p21. Additionally, stress-responsive metabolic markers, such as survivin, mTOR, and PFKFB3, are specifically elevated in VAT, suggesting both cellular stress and metabolic dysregulation. Conversely, peripheral blood mononuclear cells (PBMCs), while exhibiting elevated mTOR and JNK levels, did not present significant changes in DDR or senescence markers. Following BS, unexpected increases in phosphorylated ATM, ATR, and KAP1 levels, but not in Chk1 and Chk2 nor in senescence markers, were observed. This was accompanied by heightened levels of survivin and mTOR, along with improvement in markers of mitochondrial quality and health. This suggests that, following BS, pro-survival pathways involved in cellular adaptation to various stressors and metabolic alterations are activated in circulating PBMCs. Moreover, our findings demonstrate that the DDR has a dual nature. In the case of VAT from individuals with obesity, chronic DDR proves to be harmful, as it is associated with senescence and chronic inflammation. Conversely, after BS, the activation of DDR proteins in PBMCs is associated with a beneficial survival response. This response is characterized by metabolic redesign and improved mitochondrial biogenesis and functionality. This study reveals physiological changes associated with obesity and BS that may aid theragnostic approaches.

The effective management of at-risk species often requires fine-scale actions by natural resource managers. However, balancing these actions with concurrent land uses is challenging, particularly when compounded by the interplay of climate shifts, and escalating wildland–urban interface conflicts. We used spatial prioritization tools designed for biodiversity conservation to help resource managers on the Island of Lānaʻi prioritize mutually exclusive land use objectives: endangered species recovery and subsistence and recreational hunting. We weighed the current and anticipated future distributions of threatened and endangered plant species against the distribution of non-native game mammals to plan for species recovery more effectively. Prioritization results identified multiple footprints that could support recovery of all endangered species targets in climate resilient areas while retaining the majority of existing hunting areas. However, very little native vegetation was retained in conservation footprints without deliberate inclusion, which increased footprint area by 268%. Scenarios which prioritized contiguous conservation areas also dramatically increased conservation footprint area, although these scenarios may reduce associated fencing costs. This work demonstrates how spatial prioritization may guide localized species recovery efforts by supporting long-term conservation planning that addresses anticipated climate-driven increases in conflict between conservation and other land uses, with clear applicability beyond Lānaʻi.

During a phytosociological field-work campaign aimed at studying some relict Scheuchzerio-Caricetea boreal mires of the montane and subalpine belts of the Laga Mountains, the highest and largest siliceous massif of the Apennine range, several bryophyte taxa of particular biogeographic interest were collected. Among these taxa, Schljakovia kunzeana and Ptychostomum cernuum were found to be new records for the whole Apennine range while Hamatocaulis vernicosus (taxon included in annex II of Habitats Directive) and Scorpidium cossonii as new for the Central-Southern Apennines. Two further species, Bryum canariense, Plagiomnium cuspidatum, were found to be confirmations of old records for the Central Apennines dating back to the early 1900s. At the national and regional level, nine, out of the forty-four bryophyte taxa identified in this study, were found to be new for the Lazio administrative Region, and one taxon as new for the Abruzzo Region. The majority of these new records belong to the boreal chorotype, the Laga Mountains being one of the most important conservation sites for the relict circumboreal and arctic-alpine flora in the whole Mediterranean area. According to both the EUNIS Habitat classification and the EU Habitats Directive Annex I, several, out of the 44 bryophytes identified in this study, act as diagnostic species for European Community Habitats. Nevertheless, a complete correspondence between bryophyte taxon and habitat type was not found upon comparing these two environmental policy systems.

The Hawaiian Islands have been identified as a global biodiversity hotspot. We examine the Normalized Difference Vegetation Index (NDVI) using Climate Data Records products (0.05 × 0.05°) to identify significant differences in NDVI between neutral El Niño-Southern Oscillation years (1984, 2019) and significant long-term changes over the entire time series (1982-2019) for the Hawaiian Islands and six land cover classes. Overall, there has been a significant decline in NDVI (i.e., browning) across the Hawaiian Islands from 1982 to 2019 with the islands of Lānai and Hawaii experiencing the greatest decreases in NDVI (≥44%). All land cover classes significantly decreased in NDVI for most months, especially during the wet season month of March. Native vegetation cover across all islands also experienced significant declines in NDVI, with the leeward, southwestern side of the island of Hawaii experiencing the greatest declines. The long-term trends in the annual total precipitation and annual mean Palmer Drought Severity Index (PDSI) for 1982-2019 on the Hawaiian Islands show significant concurrent declines. Primarily positive correlations between the native ecosystem NDVI and precipitation imply that significant decreases in precipitation may exacerbate the decrease in NDVI of native ecosystems. NDVI-PDSI correlations were primarily negative on the windward side of the islands and positive on the leeward sides, suggesting a higher sensitivity to drought for leeward native ecosystems. Multi-decadal time series and spatially explicit data for native landscapes provide natural resource managers with long-term trends and monthly changes associated with vegetation health and stability.

Urbanisation is a rapidly growing global phenomenon leading to habitat destruction, fragmentation and degradation. However, urban areas can offer opportunities for conservation, particularly through the presence of green spaces which can even provide important habitats for imperilled species. Spiders, which play crucial roles in ecosystem functioning, include many species that can successfully exploit urban environments. Placed in the middle of the Mediterranean global biodiversity hotspot, Italy possesses an exceptionally rich spider fauna, yet comprehensive data on urban spider communities are still limited. More information on urban spiders in Italy would be extremely beneficial to support conservation efforts, especially in central and southern Italy, where knowledge on the spider fauna is largely incomplete.The current study focused on the spider diversity of a large protected area (Appia Antica Regional Park) in urban Rome, Italy. A total of 120 spider species belonging to 83 genera and 28 families were identified, with 70 species being new records to the Province of Rome, 39 to the Latium Region and two (Pelecopsis digitulus Bosmans & Abrous, 1992 and Palliduphantes arenicola (Denis, 1964)) to Italy.Forty-one species were recorded during autumn/winter sampling and 107 in spring/summer. The spider fauna recorded from the study area included about 37% of the total spider fauna known from the Province of Rome, 28% of that of the Latium Region and 7% of the entire Italian territory. The most represented families in terms of species richness were Gnaphosidae and Linyphiidae, which accounted for more than 40% of the sampled fauna. Lycosidae were the most abundant family (29% of captured individuals), followed by Zodariidae (16% of captured individuals), Linyphiidae (13% of captured individuals) and Gnaphosidae (7.5% of captured individuals). From a biogeographical point of view, most of the collected species belonged to chorotypes that extend for large areas across Europe and the Mediterranean. The research highlights the role of urban green spaces as refuges for spiders and the importance of arachnological research in urban areas as sources of information on spider biodiversity at larger scales.

Background The Activities of Daily Living Questionnaire (ADLQ) focuses on assessing the ability to perform activities of daily living (ADLs) based on the self-perception of individuals with Parkinson's disease (PD). A Brazilian Portuguese version of the questionnaire is available (ADLQ-Brazil), and further investigation is needed to fully assess its measurement properties.

In this contribution, new data concerning the distribution of native vascular flora in Italy are presented. It includes new records, confirmations, and exclusions to the Italian administrative regions for taxa in the genera Anacyclus, Anthyllis, Bolboschoenus, Catapodium, Festuca, Hordeum, Lavandula, Ophrys, Pseudopodospermum, Rosa, Sorbus and Spergula. Nomenclatural and distribution updates, published elsewhere, and corrigenda are provided as Suppl. material 1.

Abstract Calcification of the aortic valve (CAVDS) is a major cause of aortic stenosis (AS) leading to loss of valve function which requires the substitution by surgical aortic valve replacement (SAVR) or transcatheter aortic valve intervention (TAVI). These procedures are associated with high post-intervention mortality, then the corresponding risk assessment is relevant from a clinical standpoint. This study compares the traditional Cox Proportional Hazard (CPH) against Machine Learning (ML) based methods, such as Deep Learning Survival (DeepSurv) and Random Survival Forest (RSF), to identify variables able to estimate the risk of death one year after the intervention, in patients undergoing either to SAVR or TAVI. We found that with all three approaches the combination of six variables, named albumin, age, BMI, glucose, hypertension, and clonal hemopoiesis of indeterminate potential (CHIP), allows for predicting mortality with a c-index of approximately $$80\%$$ 80 % . Importantly, we found that the ML models have a better prediction capability, making them as effective for statistical analysis in medicine as most state-of-the-art approaches, with the additional advantage that they may expose non-linear relationships. This study aims to improve the early identification of patients at higher risk of death, who could then benefit from a more appropriate therapeutic intervention.

Background The optimal treatment for acute minor ischemic stroke is still undefined. and options include dual antiplatelet treatment (DAPT), intravenous thrombolysis (IVT), or their combination. We aimed to investigate benefits and risks of combining IVT and DAPT versus DAPT alone in patients with MIS. Methods and Results This is a prespecified propensity score‐matched analysis from a prospective multicentric real‐world study (READAPT [Real‐Life Study on Short‐Term Dual Antiplatelet Treatment in Patients With Ischemic Stroke or Transient Ischemic Attack]). We included patients with MIS (National Institutes of Health Stroke Scale score at admission ≤5), without prestroke disability (modified Rankin scale [mRS] score ≤2). The primary outcomes were 90‐day mRS score of 0 to 2 and ordinal mRS distribution. The secondary outcomes included 90‐day risk of stroke and other vascular events and 24‐hour early neurological improvement or deterioration (≥2‐point National Institutes of Health Stroke Scale score decrease or increase from the baseline, respectively). From 1373 patients with MIS, 240 patients treated with IVT plus DAPT were matched with 427 patients treated with DAPT alone. At 90 days, IVT plus DAPT versus DAPT alone showed similar frequency of mRS 0 to 2 (risk difference, 2.3% [95% CI −2.0% to 6.7%]; P=0.295; risk ratio, 1.03 [95% CI 0.98–1.08]; P=0.312) but more favorable ordinal mRS scores distribution (odds ratio, 0.57 [95% CI 0.41–0.79]; P

Il Mediterraneo, nella sua geografia emersa e sommersa, è stato nel tempo un territorio “testimone”, dai conflitti alle catastrofi naturali, alla crisi migratoria dei nostri giorni. Scenari che mostrano questo luogo della terra, come “soglia” che mette in luce le differenze e le ingiustizie. Il Mediterraneo stesso potrebbe essere considerato un “memoriale in sé”. Un “archivio”, che custodisce la vera storia dei popoli, dalle origini alla contemporaneità, e continua ad ampliarsi, stratificandosi in un palinsesto di contraddizioni. Il progetto intende riflettere sul tema del monumento come interpretazione delle forme della topografia del Mediterraneo, nel rapporto tra luogo, rito e memoria.

Abstract Hawaiian honeycreepers, a group of endemic Hawaiian forest birds, are being threatened by avian malaria, a non-native disease that is driving honeycreepers populations to extinction. Avian malaria is caused by the parasite Plasmodium relictum, which is transmitted by the invasive mosquito Culex quinquefasciatus. Environmental and geographical factors play an important role in shaping mosquito-borne disease transmission dynamics through their influence on the distribution and abundance of mosquitoes. We assessed the effects of environmental (temperature, precipitation), geographic (site, elevation, distance to anthropogenic features), and trap type (CDC light trap, CDC gravid trap) factors on mosquito occurrence and abundance. Occurrence was analyzed using classification and regression tree models (CART) and generalized linear models (GLM); abundance (count data) was analyzed using generalized linear mixed models (GLMMs). Models predicted highest mosquito occurrence at mid-elevation sites and between July and November. Occurrence increased with temperature and precipitation up to 580 mm. For abundance, the best model was a zero-inflated negative-binomial model that indicated higher abundance of mosquitoes at mid-elevation sites and peak abundance between August and October. Estimation of occurrence and abundance as well as understanding the factors that influence them are key for mosquito control, which may reduce the risk of forest bird extinction.

The present study examines the tribological behavior of an EN AW-4006 aluminum alloy subjected to two innovative hard anodizing processes involving the sealing of anodic oxide pores with Ag+ ions and tested in lubricated conditions. Four plant-based lubricants with different concentrations of fatty acids were considered. Wear tests were conducted using a ball-on-disk tribometer, employing a constant frequency oscillatory motion at 2 Hz and a maximum linear speed of 0.1 m/s. The investigation explores the influence of applied loads (5 N, 10 N, and 15 N) on the resulting coefficient of friction. Through a Design of Experiments methodology, the most influential factors affecting the coefficient of friction are identified. The results indicate that hard anodizing processes and applied load affect the coefficient of friction during wear testing as the main factor of influence. High values of the Unsaturation Number led to a high coefficient of friction at 5 N. Wavy-shaped profile tracks were detected at 10 and 15 N, leading to high specific wear rate values and the failure of the anodized layer.

Amaranthus emarginatus belongs to the Amaranthus blitum complex, a critical taxonomic group. Within the variability of A. emarginatus, two taxa are often accepted, ‘emarginatus’ and ‘pseudogracilis’, which differ by habitus, synflorescence structure, and leaf size. However, their taxonomic value is debated, and A. emarginatus itself is sometimes included in A. blitum as subspecies. In this paper, molecular, morphological, phytogeographical, and ecological data are discussed to assess the most correct rank of these taxa. We conclude that A. emarginatus deserves specific distinctness from A. blitum, and A. pseudogracilis can be regarded as a subspecies of the former. This choice reflects both the molecular data and geographical distributions of A. blitum and A. emarginatus, i.e., Mediterranean area, Europe, and North Africa for the former vs. neotropics for the latter). Within A. emarginatus, in addition, to the different morphology, A. emarginatus var. pseudogracilis differs also on account of its ecological preferences, because it occurs in warm and humid areas, whereas A. emarginatus var. emarginatus is better adapted to cold and dry habitats. However, since molecular analyses cannot clearly separate the two taxa, we consider the subspecific rank as the most appropriate. We also found a further morphological difference in seed coat ornamentation, hitherto not pointed out: the shape of the peripheral cells is tetragonal in A. emarginatus subsp. pseudogracilis, but polygonal (cells with ≥ 5 sides) in subsp. emarginatus. Distributional maps and status assessment at regional level for the two taxa are provided. According to this revision, A. emarginatus subsp. emarginatus is to be regared as naturalized in central and southern Italy (Latium and Campania, respectively).