Large mammal remains from the early pleistocene site of Podere San Lorenzo (Perugia, Central Italy)

Most of the research on fossil mammals from Umbria (central Italy) has been carried out in the southwestern branch of the Tiber basin, due to its paleontological richness. This portion of the basin extends from Perugia to Terni and corresponds to a well-defined half-graben filled with fluvial-lacustrine deposits. The paleontological sample presented here was discovered in a sand and gravel quarry at Podere San Lorenzo, East of the town of Deruta. The stratigraphic succession exposed in the quarry is no longer visible, but we describe here a new outcrop (Palazzone), which is not far from Podere San Lorenzo and shows comparable facies associations. The two successions were deposited in a fluvial environment characterized by an average reduction of the hydrodynamic energy from the bottom upwards. They are referred to the Early Pleistocene Santa Maria di Ciciliano Subsyntheme (Madonna dei Bagni Lithofacies). Large mammal remains are attributed to Mammuthus cf. meridionalis (Nesti, 1825), Stephanorhinus etruscus (Falconer, 1859), Equus stenonis Cocchi, 1867, Leptobos cf. etruscus (Falconer, 1868), ‘Pseudodama’ nestii (Azzaroli, 1947), and Sus strozzii Forsyth Major, 1881. Some hyena coprolites are also reported. The assemblage is typical of the early Late Villafranchian Land Mammal Age and can be referred to the Olivola/Tasso Faunal Units (about 2.0–1.8 Ma). This is in agreement with the alleged age of some other assemblages found in the southwestern branch of the Tiber basin (e.g., Torre Picchio, Villa San Faustino, Colle Sant’Andrea, Pantalla)

Clinical characteristics and outcomes of patients with COVID-19 infection: the results of the SARS-RAS Study of the Italian Society of Hypertension

The COVID-19 infection has rapidly spread around the world and a second wave is sweeping in many countries. Different clinical and epidemiological aspects characterize the disease and their understanding is necessary to better face the management of the pandemic in progress. The Italian society of arterial hypertension with the SARS-RAS study has contributed significantly to the knowledge of the interaction between inhibition of the renin-angiotensin system and COVID-19 infection. Furthermore, the study results help to understand some of the main aspects related to mortality and morbidity deriving from the infection through a multicentre analysis throughout the national territory

Targeting CD34(+) cells of the inflamed synovial endothelium by guided nanoparticles for the treatment of rheumatoid arthritis

Despite the advances in the treatment of rheumatoid arthritis (RA) achieved in the last few years, several patients are diagnosed late, do not respond to or have to stop therapy because of inefficacy and/or toxicity, leaving still a huge unmet need. Tissue-specific strategies have the potential to address some of these issues. The aim of the study is the development of a safe nanotechnology approach for tissue-specific delivery of drugs and diagnostic probes. CD34 + endothelial precursors were addressed in inflamed synovium using targeted biodegradable nanoparticles (tBNPs). These nanostructures were made of poly-lactic acid, poly-caprolactone, and PEG and then coated with a synovial homing peptide. Immunofluorescence analysis clearly demonstrated their capacity to selectively address CD34 + endothelial cells in synovial tissue obtained from human, mouse, and rat. Biodistribution studies in two different animal models of rheumatoid arthritis (antigen-induced arthritis/AIA and collagen-induced arthritis/CIA) confirmed the selective accumulation in inflamed joints but also evidenced the capacity of tBNP to detect early phases of the disease and the preferential liver elimination. The therapeutic effect of methotrexate (MTX)-loaded tBNPs were studied in comparison with conventional MTX doses. MTX-loaded tBNPs prevented and treated CIA and AIA at a lower dose and reduced administration frequency than MTX. Moreover, MTX-loaded tBNP showed a novel mechanism of action, in which the particles target and kill CD34 + endothelial progenitors, preventing neo-angiogenesis and, consequently, synovial inflammation. tBNPs represent a stable and safe platform to develop highly-sensitive imaging and therapeutic approaches in RA targeting specifically synovial neo-angiogenesis to reduce local inflammation

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

Ecosystem type effects on the stabilization of organic matter in soils: combining size fractionation with sequential chemical extractions

Peer reviewe

Soil organic matter content and chemical composition under two rotation management systems in Mediterranean climate

none5The crop rotation system in organic farming is a determinant factor to accumulate and preserve soil organic matter (SOM), and in depth knowledge on its effects is still lacking. Tillage intensity in particular is crucial to maintain soil aggregates and protect SOM from degradation. The evolution of SOM was tested in two adjacent fields under two different rotation cropping systems (low tillage intensity and high tillage intensity) and the effect of a further cultivation of legume in both fields was evaluated using 13carbon (C)-nuclear magnetic resonance (NMR) and elemental analysis of samples isolated through combined aggregate size and density fractionation. The two adjacent fields had been managed using the following organic farming methods for 13 years prior to the present study: i) alfalfa-based, with nitrogen (N) enrichment and low-frequency tillage with alfalfa (Medicago sativa) (9/13 seasons), winter wheat (Triticum durum) (3/13), and broad bean (Vicia faba) (1/13); and ii) cereal-based, with N depletion and annual tillage with barley (Hordeum vulgare) (7/13 seasons), sunflower (Helianthus annuus) (2/13), broad bean (Vicia faba) (3/13), and bare fallow (1/13). Soil sampling was carried out at the end of the 13-year rotation (T0, November 2011) and after winter wheat and chickpea cultivation in both fields over two subsequent years (T1, July 2013). Bulk organic C was significantly higher in the alfalfa-based system than in the cereal-based system at both T0 and T1, with SOM occluded in soil aggregates and associated with mineral particles. In terms of the macro aggregates heavy fraction at T0, the alfalfa-based field contained twice the organic C of that in the cereal-based field, as well as three times the organic C in the occluded particulate organic matter (POM). The occluded POM (oPOM) had a lower aryl/O-alkyl C ratio in the alfalfa-based system than in the cereal-based system, suggesting that oPOM undergoes a lower degree of decomposition during low intensity management. The aryl/O-alkyl C ratios of the macro and micro oPOM decreased from T0 to T1 in the cereal-based system, suggesting increased protection of these fractions by soil aggregates. Thus, including legumes in crop rotation appears to positively affect the accumulation of SOM associated with mineral particles and within soil aggregates.restrictedCarlo ANGELETTI, Elga MONACI, Beatrice GIANNETTA, Serena POLVERIGIANI, Costantino VISCHETTIAngeletti, Carlo; Monaci, Elga; Giannetta, Beatrice; Polverigiani, Serena; Vischetti, Costantin

Nitrogen stabilization in organo-mineral fractions from soils with different land uses

Understanding the processes that control quantity and quality of soil organic matter (SOM) interacting with mineral surfaces is of paramount importance. Although several physical fractionation methods have been proposed to date to obtain fractions that mirror SOM degree of stability and protection, a detailed quantification of stabilisation modes through which SOM bounds to the mineral matrix is still lacking. In this research we determined C and N distribution in several soils including coniferous and broadleaved forest soils, grassland soils, technosols and an agricultural soil amended with biochar at rates of 0 and 20 t/ha in a factorial combination with two types of organic amendment (municipal solid waste compost and sewage sludge). We performed a physical size fractionation by ultrasonic dispersion and wet sieving, splitting particles into four different size fractions: coarse sand (2000-200 µm diameter), fine sand (200-50 µm), coarse silt (50-20 µm) and fine silt plus clay (<20 µm). The fraction <20 µm, that includes organo-mineral complexes, was then subjected to the organo-mineral fractionation method (SOF) proposed by Lopez-Sangil and Rovira (2013), in order to define the importance of different stabilization modes. This method, in fact, allows resolving the nature of different bonds between mineral and organic components by the use of sequential extractions with chemical reagents (potassium sulphate, sodium tetraborate, sodium pyrophosphate, sodium hydroxide, sodium hydroxide after weak acid attack, sodium hydroxide after sodium dithionite pretreatment, and sodium hydroxide after hydrofluoric acid pretreatments). Elemental analysis (CHN) was then carried out on SOM pools isolated from different fractions. Preliminary data show that, for all land uses in general, and for grassland soils in particular, most of the total N is found in organo-mineral complexes (fraction <20 µm). The total N content of the size fractions, especially of the <20um fraction, was highly correlated with whole soil N content. Although a small N loss was observed during the fractionation procedure, especially in N-rich samples, and data analysis is still ongoing, these preliminary results could already represent a valuable insight into organic N stabilization by mineral matrix

Distribution and thermal stability of physically and chemically protected organic matter fractions in soils across different ecosystems

Accrual of carbon (C) and nitrogen (N) in soil is a significant and realizable management option to mitigate climate change; thus, a clear understanding of the mechanisms controlling the persistence of C and N in soil organic matter (SOM) across different ecosystems has never been more needed. Here, we investigated SOM distribution between physically and chemically stabilized fractions in soils from a variety of ecosystems (i.e., coniferous and broadleaved forest soils, grassland soils, technosols, and agricultural soils). Using elemental and thermal analyses, we examined changes in the quantity and quality of physically fractionated SOM pools characterized by different mechanisms of protection from decomposition. Independently of the ecosystem type, most of the organic C and total N were found in the mineral-associated SOM pool, known to be protected mainly by chemical mechanisms. Indexes of thermal stability and C/N ratio of this heavy SOM fraction were lower (especially in agricultural soils) compared to light SOM fractions found free or occluded in aggregates, and suggested a marked presence of inherently labile compounds. Our results confirm that the association of labile organic molecules with soil minerals is a major stabilization mechanism of SOM, and demonstrate that this is a generalizable finding occurring across different mineral soils and ecosystems