Prospective comparison of loop excision under colposcopic guidance versus vitom guidance

Background: Aim of the study was to compare the quality of loop excision using a colposcope with results using the VITOM system. Results compared included cervical volume removed, intra- and postoperative complications, and positive resection margins. Methods: A total of 200 patients with histologically confirmed high-grade cervical premalignant lesions, persistent atypical cytological results and/or suspicious colposcopic findings, and cytological and histological discrepancies were included in the study. In transformation zone type 1 (T1) only a superficial cone biopsy was done, in zones type 2 and 3 (T2 and T3) a superficial outside cone biopsy or a deeper inside cone biopsy were done respectively, followed by endocervical curettage. Volume of removed tissue, complications, and positive resection margins were compared for the colposcopy and the VITOM groups. Findings: Demographic and reproductive features were similar between groups. In the VITOM group 49% of patients had zone T1, 30% had zone T2, and 21% had zone T3. In the group of patients managed by colposcopy, 48, 45, and 7% of patients had zone T1, T2 and T3 zone, respectively (p0.05). There were no significant differences in the type of procedure or the mean volume of removed tissue. Results were similar for both groups with respect to positive resection margins and complications. Conclusion: VITOM is a safe and reliable system. Results using the VITOM system are comparable to those obtained with conventional colposcopy. The potential advantage of VITOM is the broader availability of endoscopic systems in the operating theatre. © Georg Thieme Verlag KG Stuttgart · New York

An updated inventory of the vascular flora of Elba island (Tuscan Archipelago, Italy)

We present an updated list of the vascular flora occurring on Elba island (Tuscan Archipelago). The list is based on bibliographic analysis and field studies carried out in the years 2006–2018. With a total of 1,098 specific and subspecific taxa currently occurring on the island (including 101 naturalized aliens), plus 67 casual aliens and 16 hybrid taxa, Elba shows the highest number of species among the islands of the Tuscan Archipelago. Two taxa are new for Tuscany: Hieracium symphytaceum s.l. and Ophrys exaltata subsp. morisii; 22 taxa are new for the island, 34 have been confirmed, while 326 were reliably recorded previously by other authors, but not confirmed by our study. We excluded 41 taxa and considered doubtful the occurrence of 87. Life forms and chorotypes are in agreement with the Mediterranean climate of the island. Despite this, Elba also hosts a considerable proportion of Eurosiberian taxa. We detected significant differences in chorotypes and life forms spectra among different geographical portions of the island, paralleling distinct bioclimatic patterns. Despite the institution of the Tuscan Archipelago National Park, we are still far from an integrated protection of the island flora. Based on our results, it has been possible to arrange a geodatabase of the flora on the island, useful for its protection

Analysing the performance of MCECs over a wide range of operating temperatures

Hydrogen production through water electrolysis has gained significant attention in the past years as a means of tackling the problem of the imbalance between the intermittent rate of electricity production from renewable sources and the continuous electricity demand from end users. Recently, much of the effort has been shifted toward the electrolysis of steam rather than water, for example in solid oxide cells, which operate at temperatures around 800°C. In this manner, part of the energy required for the conversion to hydrogen is provided as heat rather than electricity. At the same time, the high temperature levels require the use of highly resistant materials, which increase the overall cost of the process. An interesting alternative is represented by molten carbonate electrolysis cells (MCECs), operating at temperatures well below 700°C. In the present work, a molten carbonate cell was operated in a lower temperature range (490-550°C) by changing the composition of the electrolyte mixture. The data obtained, along with experimental results at higher temperature (570-650°C) available in the literature, was analyzed using a 0D model accounting for Ohmic and activation overpotentials to determine the correlation between current and potential. It was found that, while the dependence of Ohmic losses on temperatures is discontinuous when cell operation is switched from the lower to the higher temperature range, activation losses vary with continuity. This result provides important insight on the performance of MCECs that can serve as a basis for future studies

Mutations in thyroid hormone receptor α1 cause premature neurogenesis and progenitor cell depletion in human cortical development

Mutations in the thyroid hormone receptor α 1 gene (THRA) have recently been identified as a cause of intellectual deficit in humans. Patients present with structural abnormalities including microencephaly, reduced cerebellar volume and decreased axonal density. Here, we show that directed differentiation of THRA mutant patient-derived induced pluripotent stem cells to forebrain neural progenitors is markedly reduced, but mutant progenitor cells can generate deep and upper cortical layer neurons and form functional neuronal networks. Quantitative lineage tracing shows that THRA mutation-containing progenitor cells exit the cell cycle prematurely, resulting in reduced clonal output. Using a micropatterned chip assay, we find that spatial self-organization of mutation-containing progenitor cells in vitro is impaired, consistent with down-regulated expression of cell–cell adhesion genes. These results reveal that thyroid hormone receptor α1 is required for normal neural progenitor cell proliferation in human cerebral cortical development. They also exemplify quantitative approaches for studying neurodevelopmental disorders using patient-derived cells in vitro

Notulae to the Italian alien vascular flora: 4

In this contribution, new data concerning the Italian distribution of alien vascular flora are presented. It includes new records and exclusions for Italy or for Italian administrative regions of taxa in the genera Cedrus, Cenchrus, Citrus, Cyrtomium, Diospyros, Elaeagnus, Erigeron, Iris, Oenothera, Pavonia, Phytolacca, Styphnolobium, and Verbena. Furthermore, a new combination in the genus Amaranthus is proposed

Trophic Interactions Are Key to Understanding the Effects of Global Change on the Distribution and Functional Role of the Brown Bear

Biotic interactions are expected to influence species' responses to global changes, but they are rarely considered across broad spatial extents. Abiotic factors are thought to operate at larger spatial scales, while biotic factors, such as species interactions, are considered more important at local scales within communities, in part because of the knowledge gap on species interactions at large spatial scales (i.e., the Eltonian shortfall). We assessed, at a continental scale, (i) the importance of biotic interactions, through food webs, on species distributions, and (ii) how biotic interactions under scenarios of climate and land-use change may affect the distribution of the brown bear (Ursus arctos). We built a highly detailed, spatially dynamic, and empirically sampled food web based on the energy contribution of 276 brown bear food species from different taxa (plants, vertebrates, and invertebrates) and their ensemble habitat models at high resolution across Europe. Then, combining energy contribution and predicted habitat of food species, we modelled energy contribution across space and included these layers within Bayesian-based models of the brown bear distribution in Europe. The inclusion of biotic interactions considerably improved our understanding of brown bear distribution at large (continental) scales compared with Bayesian models including only abiotic factors (climate and land use). Predicted future range shifts, which included changes in the distribution of food species, varied greatly when considering various scenarios of change in biotic factors, providing a warning that future indirect climate and land-use change are likely to have strong but highly uncertain impacts on species biogeography. Our study confirmed that advancing our understanding of ecological networks of species interactions will improve future projections of biodiversity change, especially for modelling species distributions and their functional role under climate and land-use change scenarios, which is key for effective conservation of biodiversity and ecosystem services

Mutations in thyroid hormone receptor α1 cause premature neurogenesis and progenitor cell depletion in human cortical development.

Mutations in the thyroid hormone receptor α 1 gene (THRA) have recently been identified as a cause of intellectual deficit in humans. Patients present with structural abnormalities including microencephaly, reduced cerebellar volume and decreased axonal density. Here, we show that directed differentiation of THRA mutant patient-derived induced pluripotent stem cells to forebrain neural progenitors is markedly reduced, but mutant progenitor cells can generate deep and upper cortical layer neurons and form functional neuronal networks. Quantitative lineage tracing shows that THRA mutation-containing progenitor cells exit the cell cycle prematurely, resulting in reduced clonal output. Using a micropatterned chip assay, we find that spatial self-organization of mutation-containing progenitor cells in vitro is impaired, consistent with down-regulated expression of cell-cell adhesion genes. These results reveal that thyroid hormone receptor α1 is required for normal neural progenitor cell proliferation in human cerebral cortical development. They also exemplify quantitative approaches for studying neurodevelopmental disorders using patient-derived cells in vitro.NIHR Cambridge Biomedical Centr

Trophic interactions are key to understanding the effects of global change on the distribution and functional role of the brown bear

Biotic interactions are expected to influence species' responses to global changes, but they are rarely considered across broad spatial extents. Abiotic factors are thought to operate at larger spatial scales, while biotic factors, such as species interactions, are considered more important at local scales within communities, in part because of the knowledge gap on species interactions at large spatial scales (i.e., the Eltonian shortfall). We assessed, at a continental scale, (i) the importance of biotic interactions, through food webs, on species distributions, and (ii) how biotic interactions under scenarios of climate and land-use change may affect the distribution of the brown bear (Ursus arctos). We built a highly detailed, spatially dynamic, and empirically sampled food web based on the energy contribution of 276 brown bear food species from different taxa (plants, vertebrates, and invertebrates) and their ensemble habitat models at high resolution across Europe. Then, combining energy contribution and predicted habitat of food species, we modelled energy contribution across space and included these layers within Bayesian-based models of the brown bear distribution in Europe. The inclusion of biotic interactions considerably improved our understanding of brown bear distribution at large (continental) scales compared with Bayesian models including only abiotic factors (climate and land use). Predicted future range shifts, which included changes in the distribution of food species, varied greatly when considering various scenarios of change in biotic factors, providing a warning that future indirect climate and land-use change are likely to have strong but highly uncertain impacts on species biogeography. Our study confirmed that advancing our understanding of ecological networks of species interactions will improve future projections of biodiversity change, especially for modelling species distributions and their functional role under climate and land-use change scenarios, which is key for effective conservation of biodiversity and ecosystem service