Root and crown tot of olive caused dy Phytophthora spp.

Phytophthora root and crown rot has been traditionally considered a minor disease of olive. However, in recent years it has been recognized as an emerging problem in several olive-growing countries such as Australia, Italy and Spain probably as a consequence of the expansion of plantings in new areas with heavy soils and the more intensive use of irrigation in both olive nurseries and commercial groves. The disease has been reported from most olive-growing countries and is caused by several soil -borne species of Phytophthora, including P. cinnamomi, P. citricola, P. cryptogea, P. drechsleri, P. gonapodyides, P. inundata, P. megasperma,P. nicotianae and P.palmivora. Diagnosis is currently based on the isolation and identification of isolates by both traditional and molecular methods. New molecular techniques are currently available that could be applied for both the identification of isolates and Phytophthora infections directly in host-tissues as well as insoil and water samples. A number of dedicated databases could improve the efficiency of these techniques. Moreover, DNA analysis has greatly contributed to phylogenetic studies of Phytophthora. Control of Phytophthora root and crown rot of olive is mainly based on preventive measures

A MIMO periodic ARX identification algorithm for the Floquet stability analysis of wind turbines

The paper presents a new stability analysis approach applicable to wind turbines. At first, a reduced order periodic model is identified from response time histories, and then stability is assessed using Floquet theory. The innovation of the proposed approach is in the ability of the algorithm to simultaneously consider multiple response time histories, for example in the form of measurements recorded both on the rotor and in the stand still system. As each different measurement carries a different informational content on the system, the simultaneous use of all available signals improves the quality and robustness of the analysis

A new approach in the monitoring of the phytosanitary conditions of forests: the case of oak and beech stands in the Sicilian Regional Parks

L'obiettivo del presente studio è stato quello di esaminare lo stato fitosanitario delle quercete e faggete dei tre Parchi Regionali Siciliani (Parco dell'Etna, Parco delle Madonie, Parco dei Nebrodi). Lo studio è stato condotto individuando delle aree di saggio, popolamenti forestali omogenei sotto l'aspetto floristico, ecologico e fitosanitario. Complessivamente sono state delimitate 81 aree di saggio, di cui 54 quercete e 27 faggete. La condizione fitosanitaria di ogni essenza arborea all'interno della rispettiva area di saggio è stata espressa con un indice numerico denominato “classe fitosanitaria” (PC). I popolamenti di quercia hanno mostrato un elevato grado di sofferenza, con alberi sintomatici nell’85% delle aree di saggio. I popolamenti di faggio hanno mostrato una situazione di maggiore stabilità, ad eccezione delle faggete del parco dei Nebrodi che apparivano molto degradate. Sul genere Quercus, sono stati osservati sintomi di infezioni di patogeni fungini comuni nelle foreste delle aree temperate e Mediterranee, quali Biscogniauxia mediterranea, Polyporus sp., Fistulina hepatica, Mycrosphaera alphitoides ed Armillaria sp., mentre su faggio sono state osservate infezioni di Biscogniauxia nummularia, Fomes fomentarius e Neonectria radicicola. Sono state altresì individuate 22 aree che vengono proposte come aree di saggio permanenti dello stato fitosanitario delle foreste nei tre parchi.The objective of this study was to investigate the health conditions of oak and beech stands in the three Regional Parks of Sicily (Etna, Madonie and Nebrodi). A total of 81 sampling areas were investigated, 54 in oak stands and 27 in beech stands. The phytosanitary conditions of each tree within the respective sampling area was expressed with a synthetic index namely phytosanitary class (PC). Oak stands showed severe symptoms of decline, with 85% of the sampling areas including symptomatic trees. In general, beech stands were in better condition, with the exception of Nebrodi Park, where trees showed severe symptoms of decline. On oak trees, infections of fungal pathogens were also observed, including Biscogniauxia mediterranea, Polyporus sp., Fistulina hepatica, Mycrosphaera alphitoides and Armillaria sp. By contrast, on beech trees Biscogniauxia nummularia, Fomes fomentarius and Neonectria radicicola were recognized. Furthermore, twenty-two permanent sampling areas were delimited with the aim of monitoring regularly the health conditions of forests in these three parks

Improving Clinical Governance of Kidney Transplantation: Review of a Ruling and of the Clinical Governance Process in the United Kingdom

The presentation of adverse events and negative outcomes is uncommon in scientific publications, particularly in a highly regulated and scrutinized practice such as solid organ transplantation. A ruling of a regulatory body of the pharmaceutical industry in the United Kingdom generates several considerations, in particular, regarding the governance process of kidney transplantation, as the events reported in the ruling are linked with high rejection rates and negative patient outcomes. This analysis offered a review of the current governance processes, while recognizing the relevant limitations of the system regulating kidney transplantation outcomes in the United Kingdom. The article identified some of the potential interventions that may contribute to delivering an improved governance, harmonizing contemporary practice, modern health care system, and establishing scientific knowledge

A Keynesian perspective on the health economics of kidney transplantation would strengthen the value of the whole organ donation and transplantation service

BackgroundIn this study, the Keynesian principle "savings may be used as investments in resources" is applied to Kidney Transplantation (KT), contextualizing the whole Organs Donation and Transplantation (ODT) service as a unique healthcare entity. Our aim was to define the financial resources that may be acquired in the form of savings from the KT activity. MethodsWe analyzed registry and funding data for ODT in our region, between 2015 and 2019. Our hypotheses aimed to evaluate whether the savings would offset the Organ Donation (OD) costs, define the scope for growth, and estimate what savings could be generated by higher KT activity. To facilitate the evaluation of the resources produced by KT, we defined a coefficient generated from the combination of clinical outcomes, activity, and costs. ResultsThe ODT activity reached a peak in 2017, declining through 2018-2019. The savings matured in 2019 from the KT activity exceeded euro15 million while the OD costs were less than euro9 million. The regional KT activity was superior to the national average but inferior to international benchmarks. The estimated higher KT activity would produce savings between euro16 and 20 million. ConclusionThe financial resources produced by KT contribute to defining a comprehensive perspective of ODT finance. The optimization of the funding process may lead to the financial self-sufficiency of the ODT service. The reproducible coefficient allows a reliable estimate of savings, subsequently enabling adequate investments and budgeting. Applying such a perspective jointly with reliable estimates would establish the basis for an in-hospital fee-for-value funding methodology for ODT

“Salus Populi Suprema Lex”: Considerations on the Initial Response of the United Kingdom to the SARS-CoV-2 Pandemic

In several countries worldwide, the initial response to coronavirus disease 2019 (COVID-19) has been heavily criticized by general public, media, and healthcare professionals, as well as being an acrimonious topic in the political debate. The present article elaborates on some aspects of the United Kingdom (UK) primary reaction to SARS-CoV-2 pandemic; specifically, from February to July 2020. The fact that the UK showed the highest mortality rate in Western Europe following the first wave of COVID-19 certainly has many contributing causes; each deserves an accurate analysis. We focused on three specific points that have been insofar not fully discussed in the UK and not very well known outside the British border: clinical governance, access to hospital care or intensive care unit, and implementation of non-pharmaceutical interventions. The considerations herein presented on these fundamental matters will likely contribute to a wider and positive discussion on public health, in the context of an unprecedented crisis

Health economics aspects of kidney transplantation in Sicily: a benchmark analysis on activity and estimated savings

background: International and national registries consistently report substantial differences in kidney transplant (KT) activity despite demonstrable clinical and financial benefits. the study aims to estimate the financial resources gained by KT and produce a benchmark analysis that would inform adequate strategies for the growth of the service. methods: we analyzed the KT activity in our region between 2017 and 2019. the benchmark analysis was conducted with programs identified from national and international registries. the estimate of financial resources was obtained by applying the kidney transplant coefficient of value; subsequently, we compared the different activity levels and savings generated by the three KT programs. findings: the KT activity in the region progressively declined in the study years, producing a parallel reduction of the estimated savings. Such savings were substantially inferior when compared to those generated by benchmark programs (range €18-22 million less). Interpretation: the factors influencing the reduced KT activity in the study period with the related "foregone savings" are multiple, as well as interdependent. organ donation, access to the transplant waiting list, and KT from living donors appear to be the most prominent determinants of the observed different levels of activities. International experience suggests that a comprehensive strategy in the form of a "task force" may successfully address the critical areas of the service reversing the observed trend. The financial impact of a progressively reduced KT activity may be as critical as its clinical implications, jeopardizing the actual sustainability of services for patients with end-stage kidney disease