Designing and implementing a multi-scalar approach to Maritime Spatial Planning: The case study of Italy

The Italian coastal and marine space includes areas with remarkable differences in terms of oceanographic characteristics, maritime uses, natural habitats, species distribution, landscape and cultural heritage. In Italy, coastal and marine management competencies are shared among national, regional, and for some aspects even local authorities. This geographic heterogeneity and governance complexity required the adoption of a multiscalar approach to Maritime Spatial Planning (MSP). Such an approach aims at implementing decision-making and spatial planning at multiple and nested scales. In the case of Italy, the multi-scalar approach included the definition of national guidelines and the development of three maritime spatial (MS) plans, one for each maritime area (Adriatic, Ionian and Central Mediterranean, and Tyrrhenian and Western Mediterranean), including subareas and nested planning units. The development of the MS plans involved competent Ministries, the coastal Regions and several researchers. Based on the description of the adopted six-phase methodology and the exemplification of results of the Italian MSP process, this paper discusses the most relevant features and common challenges of multi-scalar MSP (i.e. co-planning, vertical and horizontal integration, multi-level governance, scalability, flexibility, integration of data and knowledge with different resolution, multi-scalar stakeholder engagement). Finally, the paper reflects on some novel aspects of the adopted multi-scalar approach and identifies actions to grant efficacy to this approach during the next phases of the Italian MSP proces

Multi-use of the sea:A wide array of opportunities from site-specific cases across Europe

<p><b>Comparison of MU Combinations:</b> (Top) ranked by Drivers—Highest to lowest, and (Bottom) ranked by Added Values—Highest to lowest.</p

Multi-use of the sea as a sustainable development instrument in five eu sea basins

This paper examines the concept of maritime multi-use as a territorial/SPATIAL governance instrument for the enhancement of sustainable development in five EU sea basins. Multi-use (MU) is expected to enhance the productivity of blue economy sectors, as well as deliver additional socio-economic benefits related to the environmental and social dimensions of sustainable development. The paper provides a definition of maritime multi-use and identifies the multi-uses with the highest potential in EU sea basins. In each sea basin, multi-use plays a different role as concerns sustainable development. For the Eastern Baltic Sea, the Mediterranean Sea and the Black Sea, the MU focus should remain on the environmental pillar of sustainable development. In the North Sea, North Atlantic and Western Baltic Sea, addressing social sustainability seems a key precondition for success of MU in enhancement of sustainable spatial development at sea. Moreover, it has been suggested to introduce MU key global strategies such as SDGs or Macroregional strategies and action plans and to supplement maritime spatial planning with sectoral incentives and educational efforts as key vehicles supporting MU. The paper concludes by identifying aspects which, in order to inform maritime spatial planning and maritime governance regarding a more conscious application of the aforementioned concept, require further investigation. Key tasks are related to: more profound evaluation of performance of policies supporting MUs, researching the impact of MU on societal goals and on the MU costs and benefits, including external ones, and finally identifying the impact of MU on the development of various sectors and regions on land

Spinal arachnoiditis ossificans: Report of three cases

Although the clinical and histological features of the pathological entity of spinal arachnoiditis ossificans (AO) have been established for some time, less attention has been paid to the treatment. We propose a classification of spinal AO evaluating the possibilities and indications for surgical or conservative treatment. Type III has a lumbar localization, presents with less neurological involvement, and usually requires conservative treatment. In Types I and II, which are usually thoracic, clinical worsening justifies surgical decompression or partial removal, whereas total removal is rarely achievable. The literature was reviewed, and the reports on three patients were added to the published cases. On the basis of a reappraisal of the computed tomographic and magnetic resonance imaging documentation and the surgical descriptions, the cases of AO were classified into three types: semicircular (Type I), circular (Type II), and englobing the caudal fibers (Type III). The indications for treatment were evaluated in terms of surgical possibilities and outcome

Land-Sea-Interactions in MSP and ICZM: A regional perspective from the Mediterranean and the Black Sea

Land-sea interactions are relevant for marine spatial planning. Natural processes at the land-sea interface shape the terrestrial and the marine environment, influencing coastal and maritime activities in the area. Coastal and sea uses also hold numerous land-sea interactions, calling for infrastructures and services both on the land and the sea side. The concept of land-sea interactions has been elaborated and applied already in several studies. Notwithstanding this, application of land-sea interaction analysis within Marine Spatial Planning (MSP) and Integrated Coastal (Zone) Management (ICM/ICZM) is far to be operationalized and still challenges the planning processes, with different countries approaching it differently, at different level of analysis. In this paper the Guidelines for LSI in MSP proposed by UNEP/MAP PAP/RAC to provide practical support to land-sea interaction analysis within MSP are applied in four case studies: Bulgaria, Italy, Malta and Montenegro, within formal and informal marine spatial planning processes. The Guidelines have proved to be flexible, scalable and suitable to tiered approaches. They were adapted to the specificities of different planning, geographic, governance contexts, responding to the state and the needs of MSP development in the different countries, including non-EU ones

Pleomorphic adenoma of the lacrimal gland: two clinical cases

INTRODUCTION: Pleomorphic adenoma of the lacrimal gland is uncommon but it is the most common benign epithelial tumor of this gland. In the literature few cases have been reported in patients aged between 6 years and 80 years with a mean age of 39 years. A correct diagnosis and treatment is fundamental in order to avoid a relapse and sometimes their malignant transformation. An incisional biopsy is better to be avoided because it could injure the capsule, leading to dissemination of tumoral cells in the orbital tissues with a recurrence rate of 30% over 5 years. AIM: This papers want to support the use of mini-invasive surgery for the treatment of orbital lesions when it is possible. MATERIALS AND METHODS: We report two clinical cases of pleomorphic adenoma affecting the lacrimal gland treated with two different surgery approaches. The radiographic and photographic documentation of the patients was collected in the pre-and post-operatively. All patients underwent a CT scan and MRI. CONCLUSIONS: This lesions requires a well-grounded clinical and therapeutic protocol to avoid the risk of malignant transformation or disease recurrence, very dangerous at this site. CT scan and MRI scan are very important to recognize different types of lesions involving the lacrimal gland and fossa. A mini-invasive surgery reduces hospitalization, risk of complications, surgical times and bleedings and guarantees an excellent functional and esthetic result when performed by a skilled surgeon

Le Fort III osteotomic variants

INTRODUCTION: Midface hypoplasia is a skeletal defect involving all three space planes, hence needing a three-dimensional repositioning. This research study shows two cases of cranio-facial dysostosis, on which two Le Fort III variants were performed. CASE REPORT: In the first case we report the performing the two types of osteotomy simultaneously. Le Fort I, however, has been performed without any pterygomaxillary disjunctions, thus accomplishing a complete midface mibilization without any variation of the occlusal ratios. In the second case a modified Le Fort III osteotomy has been performed with median disjunction; reduction of the transverse interdacryal diameters and of the pyriform opening. DISCUSSION: Among all osteotomic variants we would like to mention the one introduced by Obwegeser in 1969 where, in patients with acceptable dental occlusal ratios, Le Fort III and Le Fort I have been performed in conjunction. This technique allows a different midface and dental occlusion repositioning. CONCLUSIONS: In adult patients with permanent dentition and normal occlusal ratios - this technique may be chosen for a midface advancement without compromising the dento-skeletal relations, in order to achieve the best functional and aestetical results

DESYRE: Decision Support System for the Rehabilitation of Contaminated Megasites

DESYRE (DEcision Support sYstem for the REqualification of contaminated sites) is a GIS-based decision support system (DSS) specifically developed to address the integrated management and remediation of contaminated megasites (i.e., large contaminated areas or impacted areas characterized by multiple site owners and multiple stakeholders). In the DESYRE conceptual design and development the main aspects pertaining to a remediation process--analysis of social and economic benefits and constrains, site characterization, risk assessment, selection of best available technologies, creation of sets of technologies to be applied, analysis of the residual risk, and comparison of different remediation scenarios--were included. The DESYRE DSS is a GIS-based software composed of 6 interconnected modules. In the characterization module, chemical and hydrogeological data are organized in a relational database and contaminants' distributions are mapped by using geostatistic tools. The socioeconomic module addresses the socioeconomic constraints though a fuzzy logic analysis to select the best land use. The risk assessment module is divided into 2 phases. In the preremediation phase, an original procedure allows assessing and representing the spatial distribution of risks posed by contaminants in soil and groundwater, providing a risk-based zoning of the site. Then, in the technology assessment module, a selection of suitable technologies and creation of different technology sets, taking into account both technical requirements and site-specific features, are performed by experts supported by multicriteria decision analysis tools. In the postremediation risk assessment, a simulation of applied technologies provides residual risk maps with related uncertainty maps. Finally, in the decision module, alternative remediation scenarios are described by a set of indices and can be compared and ranked by interested stakeholders using multicriteria decision analysis methodologies. The paper highlights original procedural steps and functionalities of DESYRE nd analyzes its main points of strength and potentialities, as well as limits