Una nuova popolazione isolata di xenopo liscio in Sicilia sud-occidentale

African clawed frog is a sub-saharan native anuran that has been introduced in various states of the old and the new world. The only Italian population of this species is located in western Sicily, and it is known as the European clawed frog population with wider distribution area. This paper describes a new Sicilian population of this species, and sets out to verify the effective isolation from the currently known distribution. The new site is a disused swimming pool, located near the mouth of the Belice River (province of Trapani), 31 km away from the nearest edge of the African clawed frog distribution area. To test whether this new population is the result of natural expansion of its range have been checked 21 control sites, arranged in a suitable area near the new site and along the basin of the Belice River, whose upper course is included in the Sicilian range of this species. The surveys in the control sites did not reveal the presence of clawed frogs, therefore, it seems doubtful the hypothesis of natural expansion along the Belice River basin and plausible the occurrence of a man-mediated introduction event

How future surgery will benefit from SARS-COV-2-related measures: a SPIGC survey conveying the perspective of Italian surgeons

COVID-19 negatively affected surgical activity, but the potential benefits resulting from adopted measures remain unclear. The aim of this study was to evaluate the change in surgical activity and potential benefit from COVID-19 measures in perspective of Italian surgeons on behalf of SPIGC. A nationwide online survey on surgical practice before, during, and after COVID-19 pandemic was conducted in March-April 2022 (NCT:05323851). Effects of COVID-19 hospital-related measures on surgical patients' management and personal professional development across surgical specialties were explored. Data on demographics, pre-operative/peri-operative/post-operative management, and professional development were collected. Outcomes were matched with the corresponding volume. Four hundred and seventy-three respondents were included in final analysis across 14 surgical specialties. Since SARS-CoV-2 pandemic, application of telematic consultations (4.1% vs. 21.6%; p < 0.0001) and diagnostic evaluations (16.4% vs. 42.2%; p < 0.0001) increased. Elective surgical activities significantly reduced and surgeons opted more frequently for conservative management with a possible indication for elective (26.3% vs. 35.7%; p < 0.0001) or urgent (20.4% vs. 38.5%; p < 0.0001) surgery. All new COVID-related measures are perceived to be maintained in the future. Surgeons' personal education online increased from 12.6% (pre-COVID) to 86.6% (post-COVID; p < 0.0001). Online educational activities are considered a beneficial effect from COVID pandemic (56.4%). COVID-19 had a great impact on surgical specialties, with significant reduction of operation volume. However, some forced changes turned out to be benefits. Isolation measures pushed the use of telemedicine and telemetric devices for outpatient practice and favored communication for educational purposes and surgeon-patient/family communication. From the Italian surgeons' perspective, COVID-related measures will continue to influence future surgical clinical practice

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Artificial Intelligence Methods for Smart Cities

In recent years, the concept of smart cities has garnered increasing attention as urban areas grapple with the challenges of population growth, resource management, and infrastructure optimization [...

First observations of oophagy in a wild population of the sand boa (Eryx jaculus)

The sand boa Eryx jaculus (Linnaeus, 1758) is found in the southern Balkans, Middle East and North Africa (Sindaco et al., 2013). Only recently The presence of this species has been confirmed in Italy, in a small area of southern Sicily (Insacco et al., 2015). Knowledge of the sand boa in Sicily is limited with few data on geographical distribution, morphology, and habitat (Insacco et al., 2015; Faraone et al., 2017). Even at a global scale the biology of this species is little known due to its secretive habits (Tokar & Obst, 1993)

ANNUAL ACTIVITY CYCLE OF THE JAVELIN SAND BOA ERYX JACULUS (LINNAEUS, 1758) IN SICILY

The Javelin sand Boa Eryx jaculus is a snake little known from an eco-ethological point of view. Here, some aspects of its phenology are described for the first time. 229 observations were collected in Sicily, with the aim of describing the annual activity of this population. The activity of adult males and juveniles presents a similar trend, with a sharp peak between May and July. Juveniles sharply declined in the following months. Adult females have three peaks of activity of similar amplitude. The activity cycle of the Javelin sand Boa could be modulated by some aspects of his trophic behaviour. In fact, juveniles and adult males prefer prey types highly available only during their maximum activity period. Adult females exploit prey with more constant availability over time and this could cause smaller fluctuations in the activity. Juveniles’ observations had a peak in the first half of their annual activity cycle, contrary to what might be expected in a species that gives birth mainly in late summer. This could indicate that the newborns have extremely elusive habits in the first months of life or, alternatively, the occurrence of births in spring has been rarely observed in other studies