Factors Influencing Greenways Use in Italy: Definition of a Method for Estimation

The issue of non-motorized mobility in the last decades has seen increasing attention at the international level. Also in Italy we assisted at the creation of hundreds of miles of trails dedicated to cycling and walking, many of which meet the greenway definition of the European Greenways Association: “Communication routes reserved exclusively for non-motorized journeys, developed in an integrated manner which enhances both the environment and quality of life of the surrounding area. These routes should meet satisfactory standards of width, gradient, and surface condition to ensure that they are both user-friendly and low-risk for users of all abilities. In this respect, canal towpaths and disused railway lines are a highly suitable resource for the development of greenways” (EGWA, 2002). More generally, greenways are green infrastructures that can be planned at different scales and for multiple purposes (ecological, recreational, cultural, non-motorized mobility) (Fabos, 1995; Ahern, 1995). Various methodologies and several studies on greenways planning have been conducted also in Italy (Rovelli et al., 2004; Toccolini et al., 2006; Senes et al., 2010). The growing number of infrastructures built and the related costs, combined with the recent economic crisis, led to an increasing need for public bodies to evaluate each project in terms of its ability to meet the needs of the communities, particularly in terms of attractiveness for users and benefits (not only economic) for local communities. To do this, planners and decision makers need to be provided with: 1) updated and consistent data on greenways and trails users; 2) models, based on the previous data, that can help to predict the number of users on a planned infrastructure. In such a context, the aim of this research was to assess the relationships between the number of users detected along some Italian greenways and the characteristics of the territory crossed (in terms of population and environment), in order to define a model capable of estimating the potential users of a greenway before it is realized. It represents one of the first attempts in Italy

Anterior mitral valve aneurysm is an uncommon complication of aortic valve infective endocarditis. A case report

Objective: Rare disease Background: Mitral valve aneurysms (MVAs) are uncommon conditions frequently associated with aortic valve endocarditis. They may be complicated by perforation and severe mitral regurgitation (MR). Optimal treatment of MVA, and in particular the best timing for surgery, are uncertain. Case Report: A 62-year-old man with a recent history of dental surgery presented to the Emergency Department complaining relapsing fever. A first echocardiogram demonstrated infective endocarditis of the aortic valve. The patient was primarily managed with specific antibiotic therapy. Despite this, a few days later he suffered from splen-ic embolization and an MVA with MR was detected. Surgical replacement of the mitral and aortic valves was therefore performed. Conclusions: MVAs are infrequent but potentially severe complications of AV endocarditis. In the absence of definite treatment indication, the correct time for surgery should depend on concomitant clinical and infective features

Interacciones de microorganismos promotores del crecimiento vegetal y su uso potencial en formulaciones para el cultivo de papa.

Peer Revie

A minimum indicator set for assessing fontanili (lowland springs) of the Lombardy Region in Italy

This paper reports on the issue of fontanili assessment.A fontanile is a lowland spring, excavated by humans for the use of underground water for irrigation. From the XII century on, fontanili have been dug to extend water availability throughout the year and increase agricultural land use in the lowlands of Northern Italy. Because water of the fontanile stays at temperature without great changes throughout the year (between 8 and 15\ub0C), this environment is host to a vast variety of flora and fauna and has ecological and landscaping value. Because these springs are typical and unique landscape features of Northern Italy, there is not an international background on assessing methods of fontanili functions inside the countryside. The first goal has been to define a set of simple and consolidated indicators to evaluate watering, ecological and recreational function of 1160 fontanili of the Lombardy Region. The second one has been to identify homogenous areas with groups of fontanili in close proximity and with similar indicator values using interpolation tools. This classification can be used by Regional Administration to assign money to recover and maintain fontanili. The most important areas will be protected by regional and local planning instruments

Plasma cells in the carotid plaque: occurrence and significance

OBJECTIVE: Atherosclerosis is one of the leading causes of disability and mortality worldwide. Inflammation, including monocytes, T and B cells, plays a key role in its pathogenesis. Our purpose was to evaluate plasma cells’ presence in a large series of carotid artery plaques and the clinical association. PATIENTS AND METHODS: Forty-eight consecutive patients treated with carotid endarterectomy were retrospectively analyzed to assess plasma cells’ presence inside the plaque. A semiquantitative grading score was applied, ranging from absence, scattered, clusters of 5-10, and sheets of >10 plasma cells. Plasma cell’s location, as intraplaque, subendothelial or peri-adventitial, was also defined. RESULTS: In 75% of plaques analyzed, plasma cells were detected: scattered in 63.9%, in clusters in 22.2%, and in sheets in 13.9% of cases. In all cases, plasma cells were observed only inside the plaque. In 13.9% and in 11.1% of cases, plasma cells showed, respectively, a concomitant subendothelial or peri-adventitial distribution. In 5.6% of plaques, there was a simultaneous distribution in subendothelial, peri-adventitial layer, and intraplaque. Association between the presence of symptoms and plasma cells infiltrate was found. CONCLUSIONS: Our results suggest that plasma cells could be a key parameter linked to plaque instability. Some types of configurations are significantly associated with the occurrence of cerebrovascular symptoms

Gardens for seniors : a case study in nursing homes in Milan (Italy)

The health-related benefits of accessing green areas (reducing stress levels, supporting physical activity, improving mood and quality of life) are particularly important for older adults, especially in long-term care settings. Well-designed outdoors environments can encourage older adults to spend more time outside. In this context, the authors conducted a research on 60 Nursing Homes in the Milan area in order to collect information on size, conditions and quality of green spaces, using the Seniors' Outdoor Survey (SOS-2), an instrument specifically designed to assess the ability of a green area to fit the needs of seniors and guarantee accessibility and usability for them. SOS-2 has 50 items grouped in 5 domains (lush garden setting, safe and comfortable, outdoor walking and activities, easy to see and reach, connect to the world). The average size of the gardens is 3160 m2with 60% of the structures in the range 1000-3000 m2. The garden area per bed has an average of 28.8 m2with over 80% of the structures with more than 9 m2of garden per bed. The SOS-2 tool uses a scale ranging from 1 (minimum) to 7 (maximum). The registered average score of the gardens is 3.29, with about 70% of gardens with an average score of less than 3.5. Despite the good supply of outdoor spaces nursing homes need a future increase in their quality. Research can contribute to growing the awareness that is necessary to adequately design the gardens in order to obtain the desired benefits

Thyroid cancer in Sardinian pediatric patients: report of 63 cases and a review of the literature

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MPlot—a server to analyze and visualize tertiary structure contacts and geometrical features of helical membrane proteins

MPlot is a webserver that provides a quick and easy way for structural biologists to analyze, visualize and plot tertiary structure contacts of helical membrane proteins. As input, experimentally determined or computationally modeled protein structures in PDB format are required. The automatic analysis concatenates in house tools to calculate cut-off dependent van der Waals contacts or crossing angles of transmembrane helices with third party tools to compute main chain or side chain hydrogen bonds or membrane planes. Moreover, MPlot allows new features and tools to be added on a regular basis. For that purpose, MPlot was embedded in a framework that facilitates advanced users to compose new workflows from existing tools, or to substitute intermediate results with results from their (own) tools. The outputs can be viewed online in a Jmol based protein viewer, or via automatically generated scripts in PyMOL. For further illustration, the results can be downloaded as a 2D graph, representing the spatial arrangement of transmembrane helices true to scale. For analysis and statistics, all results can be downloaded as text files that may serve as inputs for or as standard data to validate the output of knowledge based tertiary structure prediction tools

Immunohistochemical findings in the lungs of COVID-19 subjects: Evidence of surfactant dysregulation

OBJECTIVE: Acute respiratory distress syndrome (ARDS) is characterized by quantitative and qualitative changes in surfactant composition, leading to surfactant dysregulation with alveolar collapse and acute respiratory hypoxic failure. Recently, surfactant has been hypothesized to play a relevant role in COVID-19, representing a strong defender against SARSCoV-2 infection. The aim of our work was the study of immunohistochemical surfactant expression in the lungs of patients died following SARS-CoV-2 ARDS, in order to shed light on a possible therapeutic surfactant administration. PATIENTS AND METHODS: We investigated four patients who died due to ARDS following SARS-COV-2 infection and four patients submitted to lung biopsy, in the absence of SARSCoV-2 infection. In all 8 cases, lung specimens were immunostained with anti-surfactant protein A (SP-A) and B (SP-B). RESULTS: In control subjects, reactivity for SP-B was restricted to type II alveolar cells. Immunostaining for SP-A was observed on the surface of alveolar spaces. In the COVID-19 positive lungs, immunoreactivity for SP-B was similar to that observed in control lungs; SP-A was strongly expressed along the alveolar wall. Moreover, dense aggregates of SP-A positive material were observed in the alveolar spaces. CONCLUSIONS: Our immunohistochemical data show the dysregulation of surfactant production in COVID-19 patients, particularly regarding SP-A expression. The increased presence of SP-A in condensed masses inside alveolar spaces could invalidate the therapeutic efficacy of the treatment with exogenous surfactant