Patterns of distribution and landscape connectivity of the stag beetle in a human-dominated landscape

Urbanisation and the spread of agriculture have resulted in high levels of forest loss, habitat fragmentation and degradation in many regions of the world. In Italy, the Po Plain is the most human-dominated landscape of the country and, after decades of exploitation, old-growth forests have been reduced to small and isolated patches, often threatened by invasive tree species such as the black locust (Robinia pseudoacacia). In these habitats, the occurrence of many forest-dependent species is related to the quality and availability of suitable areas, as well as the connectivity between the remaining forested patches. Thus, recently developed species distribution models have been applied, namely the Ensemble of Small Models (ESMs), to identify areas of occurrence for a rare and protected saproxylic beetle species, the stag beetle Lucanus cervus and the inverse of the resulting distribution maps as resistance maps have been used to estimate landscape connectivity for this species. Response curves suggested that the probability of the stag beetle occurrence increased with habitat diversity, grassland coverage and native forests, especially oak and mixed forests. The other forest coverage, such as those with black locust, beech, chestnut and black cherry, showed a unimodal relationship peaking approximately at 70%, 8%, 55% and 13% respectively. The stag beetle occurrence was unimodal related to distance to watercourses and distance to human settlements and negatively related to shrub-lands, croplands, sparse and dense human settlements. Landscape connectivity showed similar patterns, except for oak forest coverage, which showed a negative relationship to landscape connectivity. In conclusion, stag beetles can persist in a human dominated landscape only in the presence of forest patches, including those with black locust trees. It is also inferred that ESMs may be suitable for modelling rare species distributions and estimating landscape connectivity to promote species conservation

Effects of natural and seminatural elements on the composition and dispersion of carabid beetles inhabiting an agroecosystem in Northern Italy

The natural and seminatural components of agricultural landscapes play a key role in maintaining a high level of biodiversity. Being the Po Valley one of the most human-dominated and intensively cultivated landscapes in Europe, we investigated the effect of no-crop habitats on carabid richness and composition and evaluated the role of tree row as corridor for forest carabid dispersion. Carabids were sampled with 70 pitfall traps arranged in 35 sampling plots along three parallel transects (80, 100, and 140 m long) and encompassing five different habitats: tree row, tree row edge, grassland, forest edge, and forest. We found 5,615 individuals belonging to 55 species. Despite the similarity in species richness, all the habitats investigated showed a peculiar and distinct species assemblage. The main distinction was between the "open habitat" cluster composed of grassland and tree row edge and the “forest" cluster composed of forest, tree row, and forest edge. We found that forest species are able to penetrate the grassland matrix up to 30 m from the forest edge and that a distance of no more than 60 m between tree row and forest can allow the passage of up to 50% of the forest species. Beyond this distance, the grassland matrix becomes a barrier, preventing them from reaching other suitable habitats. Our findings confirm the importance of maintaining different types of natural habitats to significantly increase biodiversity in an intensively cultivated agroecosystem and demonstrated the role of linear elements as a corridor and “stepping stones” for many forest species

SUGAMMADEX versus neostigmine after ROCURONIUM continuous infusion in patients undergoing liver transplantation

Background: Rapid neuromuscular block reversal at the end of major abdominal surgery is recommended to avoid any postoperative residual block. To date, no study has evaluated sugammadex performance after rocuronium administration in patients undergoing liver transplantation. This is a randomized controlled trial with the primary objective of assessing the neuromuscular transmission recovery time obtained with sugammadex versus neostigmine after rocuronium induced neuromuscular blockade in patients undergoing orthotopic liver transplantation. Methods: The TOF-Watch SX\uae, calibrated and linked to a portable computer equipped with TOF-Watch SX Monitor Software\uae, was used to monitor and record intraoperative neuromuscular block maintained with a continuous infusion of rocuronium. Anaesthetic management was standardized as per our institution's internal protocol. At the end of surgery, neuromuscular moderate block reversal was obtained by administration of 2 mg/kg of sugammadex or 50 mcg/kg of neostigmine (plus 10 mcg/kg of atropine). Results: Data from 41 patients undergoing liver transplantation were analysed. In this population, recovery from neuromuscular block was faster following sugammadex administration than neostigmine administration, with mean times\ub1SD of 9.4 \ub1 4.6 min and 34.6 \ub1 24.9 min, respectively (p < 0.0001). Conclusion: Sugammadex is able to reverse neuromuscular block maintained by rocuronium continuous infusion in patients undergoing liver transplantation. The mean reversal time obtained with sugammadex was significantly faster than that for neostigmine. It is important to note that the sugammadex recovery time in this population was found to be considerably longer than in other surgical settings, and should be considered in clinical practice. Trial registration: ClinicalTrials.gov NCT02697929 (registered 3rd March 2016)

Phantom model and scoring system to assess ability in ultrasound-guided chest drain positioning

Background: Chest tube positioning is an invasive procedure associated with potentially serious injuries. In the last few years, we have been running a project directed at developing a practical simulator of a surgical procedure taught on our medical training program. The phantom model reconstructs the pleural anatomy, visible by lung ultrasound, used for the assessed performance of the Seldinger technique. The aim of the present study was to investigate the validity of this simulation technology for assessing residents in anesthesia and intensive care medicine; specifically, their skill in positioning a US-guided chest tube drain was tested using the simulator device. The second aim of the paper was to evaluate the learning curve of our residents over their 5-year study course and validate the phantom scoring system. Methods: This was a prospective, single-blinded observational study. Participants were recruited from residents in anesthesia and intensive care medicine and divided into two groups: \u2018Novice\u2019 and \u2018Expert,\u2019 based on the course year attended (years 1, 2, and 3 vs. years 4 and 5, respectively). We asked them to position a chest tube drain in a phantom model, guided by ultrasound, to drain a simulated pleural effusion. Each subject performed two tests that simulated pleural effusions of 4 and 2\ua0cm, respectively. Every step of the maneuver was constantly monitored and the performance scored by the investigators. We then performed a Spearman correlation analysis to evaluate the effect of experience level on the performance of the two groups of residents. Results: Thirty-one residents were included in this study: 20 in the Novice group and 11 in the Expert group. The mean performance rating score was 0.75\ua0\ub1\ua04.38 for the Novice Group and 5.91\ua0\ub1\ua03.75 for the Expert group (p\ua0=\ua00.0026). The Spearman correlation analysis examining the relationship between year of residency and performance rating score confirmed a positive correlation (r\ua0=\ua00.58, p\ua0=\ua00.0006). Post-test trend analysis revealed a statistically significant linear trend for skill growth across time, i.e., course year (p\ua0=\ua00.0022). Conclusions: Our simulated procedure using a phantom model of lung anatomy can accurately and reliably be used to assess the skill levels of operators in their ability to drain pleural effusion

Synthesis and characterisation of a new benzamide-containing nitrobenzoxadiazole as a GSTP1-1 inhibitor endowed with high stability to metabolic hydrolysis

The antitumor agent 6-((7-nitrobenzo[c][1,2,5]oxadiazol-4-yl)thio)hexan-1-ol (1) is a potent inhibitor of GSTP1-1, a glutathione S-transferase capable of inhibiting apoptosis by binding to JNK1 and TRAF2. We recently demonstrated that, unlike its parent compound, the benzoyl ester of 1 (compound 3) exhibits negligible reactivity towards GSH, and has a different mode of interaction with GSTP1-1. Unfortunately, 3 is susceptible to rapid metabolic hydrolysis. In an effort to improve the metabolic stability of 3, its ester group has been replaced by an amide, leading to N-(6-((7-nitrobenzo[c][1,2,5]oxadiazol-4-yl)thio)hexyl)benzamide (4). Unlike 3, compound 4 was stable to human liver microsomal carboxylesterases, but retained the ability to disrupt the interaction between GSTP1-1 and TRAF2 regardless of GSH levels. Moreover, 4 exhibited both a higher stability in the presence of GSH and a greater cytotoxicity towards cultured A375 melanoma cells, in comparison with 1 and its analog 2. These findings suggest that 4 deserves further preclinical testing

Preoperative Evaluation of Patients Undergoing Lung Resection Surgery: Defining the Role of the Anesthesiologist on a Multidisciplinary Team

IN THE FIELD of thoracic surgery, one of the key problems in lung resection is the management and function of the residual lung, which has the potential to interfere with both the pulmonary and cardiovascular systems, and, therefore, influence surgical outcome in terms of morbidity and mortality. Between 2007 and 2013, 5 papers addressing preoperative evaluation and risk stratification were published.1-5 However, the members of the task forces responsible for these documents did not include all the professionals involved in the preoperative surgical evaluation, and the documents mainly addressed the stratification of respiratory risk