Toward a ‘Migrant Trap’? Local Development, Urban Sustainability, Sociodemographic Inequalities, and the Economic Decline in a Mediterranean Metropolis

After years following the breakdown of the Great Recession in Europe, crisis-driven urban shrinkage can be adequately investigated considering changes over time in selected demographic indicators, with a specific focus on migration. Using official statistics and a literature review, the present study documents the inherent demographic decline in metropolitan Athens (Greece) as a response to economic stagnation after a long-lasting expansion. The empirical results of our study delineate metropolitan shrinkage in Southern Europe as a process associated with complex socioeconomic conditions leading to (possibly counterintuitive) demographic outcomes as far as migration trends are concerned. Recession has determined unsustainable economic conditions especially for non-native population segments, promoting both class and ethnic segregation. The negative migration balance in the 2010s led to an intense population decline hitting settlements made already demographically fragile because of low fertility and aging. Athens became a sort of ‘migrant trap’, being progressively unattractive for incoming migration flows—both internal and international—and losing an increasingly high number of non-native residents settling in the area, especially during the ‘gold’ decade of the 2004 Olympics. A sudden reduction in immigration rates reflected both economic (recession) and non-economic (population aging, fertility reduction, and childbearing postponement) factors, causing an incipient shrinkage after secular urban growth. The empirical results of our study add to the traditional literature on ‘industrial cities shrinkage’ in Europe and contribute to (re)formulate short- and medium-term development scenarios in large agglomerations, shedding further light on the role of migration in crisis-driven processes of urban decline in Mediterranean Europe

A Coverage Criterion for Spaced Seeds and its Applications to Support Vector Machine String Kernels and k-Mer Distances

Spaced seeds have been recently shown to not only detect more alignments, but also to give a more accurate measure of phylogenetic distances (Boden et al., 2013, Horwege et al., 2014, Leimeister et al., 2014), and to provide a lower misclassification rate when used with Support Vector Machines (SVMs) (On-odera and Shibuya, 2013), We confirm by independent experiments these two results, and propose in this article to use a coverage criterion (Benson and Mak, 2008, Martin, 2013, Martin and No{\'e}, 2014), to measure the seed efficiency in both cases in order to design better seed patterns. We show first how this coverage criterion can be directly measured by a full automaton-based approach. We then illustrate how this criterion performs when compared with two other criteria frequently used, namely the single-hit and multiple-hit criteria, through correlation coefficients with the correct classification/the true distance. At the end, for alignment-free distances, we propose an extension by adopting the coverage criterion, show how it performs, and indicate how it can be efficiently computed.Comment: http://online.liebertpub.com/doi/abs/10.1089/cmb.2014.017

Uncovering the role of biophysical factors and socioeconomic forces shaping soil sensitivity to degradation: insights from Italy

Following an operational framework derived from earlier research, our study research estimates the specific contribution of biophysical and socioeconomic factors to soil sensitivity to degradation at two-time points (Early-1990s and Early-2010s) in Italy, a Mediterranean hotspot for desertification risk. A total of 34 variables associated (directly or, at least, indirectly) with different processes of soil degradation (erosion, salinization, sealing, contamination, and compaction) and climate change were considered here, delineating the predominant (underlying) cause (i.e., biophysical or socioeconomic). This set of variables represented the largest (quantitative) information available from national and international data sources including official statistics at both national and European scale. Contribution of biophysical and socioeconomic dimensions to soil sensitivity to degradation was heterogeneous in Italy, with the level of soil sensitivity to biophysical factors being the highest in less accessible, natural areas mostly located in hilly and mountainous districts. The highest level of soil sensitivity to socioeconomic drivers was instead observed in more accessible locations around large cities and flat rural districts with crop intensification and low (but increasing) population density. All these factors delineated an enlarged divide in environmental quality between (i) flat and upland districts, and between (ii) Northern and Southern Italian regions. These findings suggest the appropriateness of policy strategies protecting soils with a strong place-specific knowledge, i.e., based on permanent monitoring of local (biophysical and socioeconomic) conditions

Lung ultrasound and BNP to detect hidden pulmonary congestion in euvolemic hemodialysis patients: a single centre experience

Background: Dry weight assessment in hemodialysis (HD) remains a challenge. The aim of the study was to investigate the prevalence of subclinical pulmonary congestion using lung ultrasound (LUS) in maintenance HD patients with no clinical or bioimpedance signs of hyperhydration. The correlation between B-lines Score (BLS) and brain natriuretic peptide (BNP) was also evaluated. Methods: Twenty-four HD patients underwent LUS and BNP dosage at the end of the mid-week HD session, monthly for 6 months. LUS was considered as positive when BLS was >15. Hospitalizations and cardiovascular events were also evaluated in relation to the BLS. Results: LUS+ patients at baseline were 16 (67%), whereas 11 (46%) showed LUS + in at least 50% of the measurements (rLUS+ patients). Only the rLUS+ patients had a higher number of cardiovascular events [p=0.019, OR: 7.4 (CI 95%. 1.32-39.8)] and hospitalizations [p=0.034, OR 5.5 (CI 95% 1.22- 24.89)]. A BNP level of 165 pg/ml was identified as cut-off value for predicting pulmonary congestion, defined by BLS >15. Conclusion: Prevalence of pulmonary congestion as assessed by LUS and persistent or recurrent BLS >15 were quite prevalent findings in euvolemic HD patients. In the patients defined as rLUS+, a higher rate of cardiovascular events and hospital admissions was registered. BNP serum levels > 165 pg/ml resulted predictive of pulmonary congestion at LUS. In the dialysis care, regular LUS examination should be reasonably included among the methods useful to detect subclinical lung congestion and to adjust patients’ dry weight

We only die once... but from how many causes?

Analysing causes of death provides a betterunderstanding of long-term mortality trends. InFrance, the death certificates completed by physiciansgenerally mention several causes of death (2.4 onaverage in 2011). As a general rule, just one of them,the so-called underlying cause, is taken into account.As a result, the contribution of certain diseases-endocrine diseases for example-to mortality isseverely underestimated. In a context of rising lifeexpectancy where people increasingly die not from asingle cause of death but from several, it is importantto also take these contributing causes into account

Impact of a probiotic diet on well-being of healthy senior: THE PROBIOSENIOR PROJECT

Aims: The aim of this work was to assess the effects of a probiotic diet on well-being of healthy seniors living in boarding and private homes in Marche Region, Italy. In particular, we focused on the modulation of high-sensitivity C-reactive protein (HsCRP), intestinal microbiota and short-chain fatty acids (SCFAs). Methods and Results: Ninety-seven healthy seniors took part in a double-blind, placebo-controlled feeding study (59 fed probiotics, 38 fed placebo) for 6 months. Each volunteer ingested daily one food product or a dietary supplement enriched with Synbio® blend (Synbiotec Srl, Camerino, Italy) or the placebo (control group). Blood and faecal samples were collected before and at the end of the intervention period to perform biochemical and microbiological analyses. The serum HsCRP difference value after 6 months of treatment was significantly higher in the probiotic group than placebo (p < 0.05). After the intervention, a significant increase in faecal lactobacilli and a bifidobacteria increase in more participants were observed in the probiotic group. The 16S NGS analysis on the probiotic group showed a decreasing trend of Proteobacteria at the end of the treatment and conversely, an increasing trend of Actinobacteria and Verrucomicrobia phyla, to which the increase of Akkermansiaceae and Bifidobacteriaceae contributes at the family level. Finally, total short-chain fatty acids (SCFAs) and butyric acid were significantly higher in the probiotic group at the end of the treatment respect to the beginning. Conclusions: Overall, this study emphasizes the beneficial anti-inflammageing effect of a prolonged diet based on functional foods enriched with Synbio® through the modulation of the intestinal microbiota and the consequent increase in the SCFA production. Significance and Impact of the Study: Synbio® integration in elderly daily diet may be a preventive strategy to support healthy ageing

Combined simultaneous kidney/bone marrow transplantation

On the basis of observations in patients with longterm (28-30 years) renal allograft survival, all of whom had evidence of systemic microchimerism, we began a program of combined simultaneous kidney/bone marrow transplantation. Between 12/14/92, and 10/31/94,36 kidney transplant recipients received 3-5 x 108 unmodified bone marrow cells/kg; 6 patients also received pancreatic islets, and 7 patients also received a pancreas. The mean recipient age was 39.0 ±10.8 years, and the mean donor age was 31.8 ±16.1 years; the mean cold ischemia time was 23.0±9.1 hr. Twenty control patients received kidneys alone, mainly because of refusal by the donor family to consent to vertebral body recovery; 3 of these patients also received a pancreas. The mean recipient age was 47.9 ±11.7 years, and the mean donor age was 41.5 ±17.9 years; the mean cold ischemia time was 28.6 ±6.2 hr. All patients received tacrolimus-based therapy, without radiation, cytoreduction, or induction antilymphocyte preparations. Blood was drawn prior to and at regular intervals after transplantation for detection of chimerism and for immunologic studies. With a mean follow-up of 11.1 ±5.8 months, all 36 study patients are alive, and 33 (92%) have functioning allografts with a mean serum creatinine of 1.9±1.2 mg/dl and a BUN of 26±9 mg/dl. Graft vs. host disease was not seen in any patient. The incidence of rejection was 72%; 11% of the patients required OKT3 or ATG for steroid-resistant rejection. The incidence of CMV was 14%, and that of delayed graft function was 17%. A total of 18 (90%) control patients are alive, and 17 (85%) have functioning allografts, with a mean serum creatinine of 2.1 ±1.3 mg/ dl, and a BUN of 30±13 mg/dl. The incidence of rejection was 60%, and 10% required OKT3 or ATG. CMV was seen in 15%, and delayed graft function in 20% (P=NS). In the study patients, chimerism was detected in the peripheral blood of 30 of 31 (97%) evaluable patients by either PCR or flow cytometry. In the control patients, chimerism was seen in 9 of 14 (64%) evaluable patients (P<.02). Decreasing donor-specific responsiveness was seen in 6/29 (21%) evaluable study, and 4/14 (29%) evaluable control patients (P=NS). We conclude that combined kidney/bone marrow transplantation is associated with acceptable patient and graft survival, augmentation of chimerism, and no change in the early events after transplantation. © 1995 by Williams & Wilkins