A test of six simple indices to display the phenology of butterflies using a large multi-source database

Biological recording at broad temporal and spatial scales produces large volumes of species occurrence data. Multi-source datasets, which include opportunistic records, are unstructured and contain bias, mainly due to uneven and unknown observation effort, but they also provide meaningful information about species phenology. Butterflies are well known and well represented in citizen-science programs and national inventories, which makes them an interesting case for phenological studies. This work aims to find a simple, flexible, fast-rendering phenology index, which has to prove reliable when compared to standard knowledge. Six indices (two non-corrected and four corrected for observation effort) were built and implemented on butterfly records. They were analysed against blind expert opinion and a set of monitoring data. Surprisingly, all indices produced mostly realistic phenological patterns and non-corrected indices were as good as corrected ones. The number of species records divided by the number of records of all species of the group collected during the same period is the only index that should be avoided, because of an over-correction of recording intensity. Additional work is needed, in particular to refine the analysis by testing the sensitivity of the index to the amount of data, as well as by employing statistical models that are also useful for exploring trends and seasonal shifts

Human neural stem cell transplantation in ALS: initial results from a phase I trial

We report the initial results from a phase I clinical trial for ALS. We transplanted GMP-grade, fetal human neural stem cells from natural in utero death (hNSCs) into the anterior horns of the spinal cord to test for the safety of both cells and neurosurgical procedures in these patients. The trial was approved by the Istituto Superiore di Sanit\ue0 and the competent Ethics Committees and was monitored by an external Safety Board

Effect of remote ischaemic conditioning on clinical outcomes in patients with acute myocardial infarction (CONDI-2/ERIC-PPCI): a single-blind randomised controlled trial.

BACKGROUND: Remote ischaemic conditioning with transient ischaemia and reperfusion applied to the arm has been shown to reduce myocardial infarct size in patients with ST-elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PPCI). We investigated whether remote ischaemic conditioning could reduce the incidence of cardiac death and hospitalisation for heart failure at 12 months. METHODS: We did an international investigator-initiated, prospective, single-blind, randomised controlled trial (CONDI-2/ERIC-PPCI) at 33 centres across the UK, Denmark, Spain, and Serbia. Patients (age >18 years) with suspected STEMI and who were eligible for PPCI were randomly allocated (1:1, stratified by centre with a permuted block method) to receive standard treatment (including a sham simulated remote ischaemic conditioning intervention at UK sites only) or remote ischaemic conditioning treatment (intermittent ischaemia and reperfusion applied to the arm through four cycles of 5-min inflation and 5-min deflation of an automated cuff device) before PPCI. Investigators responsible for data collection and outcome assessment were masked to treatment allocation. The primary combined endpoint was cardiac death or hospitalisation for heart failure at 12 months in the intention-to-treat population. This trial is registered with ClinicalTrials.gov (NCT02342522) and is completed. FINDINGS: Between Nov 6, 2013, and March 31, 2018, 5401 patients were randomly allocated to either the control group (n=2701) or the remote ischaemic conditioning group (n=2700). After exclusion of patients upon hospital arrival or loss to follow-up, 2569 patients in the control group and 2546 in the intervention group were included in the intention-to-treat analysis. At 12 months post-PPCI, the Kaplan-Meier-estimated frequencies of cardiac death or hospitalisation for heart failure (the primary endpoint) were 220 (8·6%) patients in the control group and 239 (9·4%) in the remote ischaemic conditioning group (hazard ratio 1·10 [95% CI 0·91-1·32], p=0·32 for intervention versus control). No important unexpected adverse events or side effects of remote ischaemic conditioning were observed. INTERPRETATION: Remote ischaemic conditioning does not improve clinical outcomes (cardiac death or hospitalisation for heart failure) at 12 months in patients with STEMI undergoing PPCI. FUNDING: British Heart Foundation, University College London Hospitals/University College London Biomedical Research Centre, Danish Innovation Foundation, Novo Nordisk Foundation, TrygFonden

The Influence of the Aggregate Configuration on the Seismic Assessment of Unreinforced Masonry Buildings in Historic Urban Areas

Unreinforced masonry (URM) buildings in historic urban areas of European countries are generally clustered in an aggregate configuration and are often characterized by façade walls mutually interconnected with adjacent ones. As a result, the seismic performance of buildings in an aggregate configuration can be affected by the mutual interaction between the adjacent units. This interaction, often called the aggregate effect, could significantly influence the level of the seismic vulnerability of URM buildings in aggregate configuration toward in-plane and out-of-plane mechanisms, the latter being the object of the present paper. Traditional methods for assessing the seismic vulnerability of URM buildings neglect the interactions between adjacent buildings, potentially underestimating the actual vulnerability. This study aims to derive fragility curves specific for UMR buildings in aggregate configuration and proposes an innovative methodology that introduces the aggregate effect into an analytical approach, previously developed by the authors for isolated URM buildings. The aggregate effect is modeled by accounting for the friction forces arising among adjacent facades during the development of out-of-plane overturning mechanisms by considering different scenarios, based on how façade walls interact with neighboring structures (e.g., whether they are connected to transverse and/or lateral coplanar ones). The proposed approach is applied to a real case study of an Italian historical center. The obtained results demonstrate that the aggregate effect significantly influences the fragility curves of URM buildings arranged in aggregate configurations. This highlights the importance of considering this effect and the usefulness of the proposed approach for large-scale assessments of seismic vulnerability in historic urban areas, contributing to sustainable disaster risk prevention