Coping with cancer: A prospective psycho-social analysis of cancer patients and their non-medical caregivers (cg) – A goim study

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Restoration practices in Mediterranean habitats using native woody species

Since the beginning of the XXI century, Legambiente (a national environmental association), supported by the University of Palermo, has launched several naturalization projects within three Sicilian nature reserves: 1)Isola di Lampedusa (Agrigento Province); 2)Macalube di Aragona (Agrigento Province); 3)Lago Sfondato (Caltanissetta Province). Interventions were carried out on bare lands and degraded sites where natural vegetation cover was almost completely disappeared. The main aim was to restore native habitats following the principles of ecological restoration. Accordingly, differently from the classical approach, consisting in the use of preparatory species, usually Pines, native shrubs and trees were selected and used in the field

Restoration practices in Mediterranean habitats using native woody species

Since the beginning of the XXI century, Legambiente (a national environmental association), supported by the University of Palermo, has launched several naturalization projects within three Sicilian nature reserves: 1)Isola di Lampedusa (Agrigento Province); 2)Macalube di Aragona (Agrigento Province); 3)Lago Sfondato (Caltanissetta Province). Interventions were carried out on bare lands and degraded sites where natural vegetation cover was almost completely disappeared. The main aim was to restore native habitats following the principles of ecological restoration. Accordingly, differently from the classical approach, consisting in the use of preparatory species, usually Pines, native shrubs and trees were selected and used in the field

Comparing the effect of STan (cardiotocographic electronic fetal monitoring (CTG) plus analysis of the ST segment of the fetal electrocardiogram) with CTG alone on emergency caesarean section rates: study protocol for the STan Australian Randomised controlled Trial (START).

BACKGROUND: Cardiotocography is almost ubiquitous in its use in intrapartum care. Although it has been demonstrated that there is some benefit from continuous intrapartum fetal monitoring using cardiotocography, there is also an increased risk of caesarean section which is accompanied by short-term and long-term risks to the mother and child. There is considerable potential to reduce unnecessary operative delivery with up to a 60% false positive diagnosis of fetal distress using cardiotocography alone. ST analysis of the fetal electrocardiogram is a promising adjunct to cardiotocography alone, and permits detection of metabolic acidosis of the fetus, potentially reducing false positive diagnosis of fetal distress. METHODS: This study will be a single-centre, parallel-group, randomised controlled trial, conducted over 3 years. The primary hypothesis will be that the proportion of women with an emergency caesarean section on ST analysis will not equal that for women on cardiotocography monitoring alone. Participants will be recruited at the Women's and Children's Hospital, a high-risk specialty facility with approximately 5000 deliveries per annum. A total of 1818 women will be randomised to the treatment or conventional arm with an allocation ratio of 1:1, stratified by parity. The primary outcome is emergency caesarean section (yes/no). Statistical analysis will follow standard methods for randomised trials and will be performed on an intention-to-treat basis. Secondary maternal and neonatal outcomes will also be analysed. Additional study outcomes include psychosocial outcomes, patient preferences and cost-effectiveness. DISCUSSION: Approximately 20% of Australian babies are delivered by emergency caesarean section. This will be the first Australian trial to examine ST analysis of the fetal electrocardiogram as an adjunct to cardiotocography as a potential method for reducing this proportion. The trial will be among the first to comprehensively examine ST analysis, taking into account the impact on psychosocial well-being as well as cost-effectiveness. This research will provide Australian evidence for clinical practice and guideline development as well as for policy-makers and consumers to make informed, evidence-based choices about care in labour. TRIAL REGISTRATION: ANZCTR, ACTRN1261800006268 . Registered on 19 January 2018

Risk Factors Associated with Adverse Fetal Outcomes in Pregnancies Affected by Coronavirus Disease 2019 (COVID-19): A Secondary Analysis of the WAPM study on COVID-19

To evaluate the strength of association between maternal and pregnancy characteristics and the risk of adverse perinatal outcomes in pregnancies with laboratory confirmed COVID-19. Secondary analysis of a multinational, cohort study on all consecutive pregnant women with laboratory-confirmed COVID-19 from February 1, 2020 to April 30, 2020 from 73 centers from 22 different countries. A confirmed case of COVID-19 was defined as a positive result on real-time reverse-transcriptase-polymerase-chain-reaction (RT-PCR) assay of nasal and pharyngeal swab specimens. The primary outcome was a composite adverse fetal outcome, defined as the presence of either abortion (pregnancy loss before 22 weeks of gestations), stillbirth (intrauterine fetal death after 22 weeks of gestation), neonatal death (death of a live-born infant within the first 28 days of life), and perinatal death (either stillbirth or neonatal death). Logistic regression analysis was performed to evaluate parameters independently associated with the primary outcome. Logistic regression was reported as odds ratio (OR) with 95% confidence interval (CI). Mean gestational age at diagnosis was 30.6\ub19.5 weeks, with 8.0% of women being diagnosed in the first, 22.2% in the second and 69.8% in the third trimester of pregnancy. There were six miscarriage (2.3%), six intrauterine device (IUD) (2.3) and 5 (2.0%) neonatal deaths, with an overall rate of perinatal death of 4.2% (11/265), thus resulting into 17 cases experiencing and 226 not experiencing composite adverse fetal outcome. Neither stillbirths nor neonatal deaths had congenital anomalies found at antenatal or postnatal evaluation. Furthermore, none of the cases experiencing IUD had signs of impending demise at arterial or venous Doppler. Neonatal deaths were all considered as prematurity-related adverse events. Of the 250 live-born neonates, one (0.4%) was found positive at RT-PCR pharyngeal swabs performed after delivery. The mother was tested positive during the third trimester of pregnancy. The newborn was asymptomatic and had negative RT-PCR test after 14 days of life. At logistic regression analysis, gestational age at diagnosis (OR: 0.85, 95% CI 0.8-0.9 per week increase; p<0.001), birthweight (OR: 1.17, 95% CI 1.09-1.12.7 per 100 g decrease; p=0.012) and maternal ventilatory support, including either need for oxygen or CPAP (OR: 4.12, 95% CI 2.3-7.9; p=0.001) were independently associated with composite adverse fetal outcome. Early gestational age at infection, maternal ventilatory supports and low birthweight are the main determinants of adverse perinatal outcomes in fetuses with maternal COVID-19 infection. Conversely, the risk of vertical transmission seems negligible

Guidelines for conducting fieldwork in the case studies

The Global-ANSWER project aims to identify and define a global social work response to the problems associated with the reception and integration of migrants. To this end, it mobilises a variety of themes from social work and academic research, each with its own case study. The different case studies, although united by the theme of migration, have different units of analysis (from local governance with migrants, refugees and asylum seekers to social work with unaccompanied minors), examine heterogeneous cases by level and type of institution (local, regional, state, public, private), deal with differen populations (from migrants in general to unaccompanied foreign minors and traffick women), have different purposes (descriptive but also, for some, comparative). Given this heterogeneity, it is not possible to develop a single research project, or even to provide specific operational guidelines. They would quickly become obstacles rather than research directions. Each unit will have to develop research plans calibrated to its own units of analysis. However, at the end of the case study it should be possible to make comparisons between the cases to contribute to the definition of the Global Response. We have taken into account that the cases need to be studied in all three dimensions of policies, programmes and services. Namely, at the macro, meso and micro levels, and for each level we have identified some points that we consider central for comparative purposes. The research projects of each unit will have to take this into account in order to enable the intended comparison in the phase after the completion of the individual case studies. The research units can also use this to develop these projects. The important thing is to provide information and data that will enable us to answer the questions posed

Chemoenzymatic synthesis of (2S)-2-arylpropanols through a dynamic kinetic resolution of 2-arylpropanals with alcohol dehydrogenases

We applied Horse Liver Alcohol Dehydrogenase (HLADH) to the enantioselective synthesis of six (2S)-2-arylpropanols, useful intermediates in the synthesis of Profens. The influence of substrate structure and reaction conditions on yields and enantioselectivity were investigated. The high yields and high enantioselectivity towards the (S)-enantiomer obtained in the bioreduction of 2-arylpropionic aldehydes, clearly indicate the achievement of a DKR process through a combination of an enzyme-catalyzed kinetic reduction with a chemical base-catalyzed racemization of the unreacted aldehydes. The racemization step is represented by the keto–enol equilibrium of the aldehyde and can be controlled by modulating pH and reaction conditions