Four new combinations in Jacobaea Mill. (Asteraceae, Senecioneae) for the European flora

Based on recent advances in the phylogeny of Senecioneae, several genera, including Jacobaea, are currently separated from traditional Senecio. New combinations are here proposed for four European taxa: J. disjuncta (Flatscher, Schneew. & Schönsw.) Galasso & Bartolucci, J. insubrica (Chenevard) Galasso & Bartolucci, J. norica (Flatscher, Schneew. & Schönsw.) Galasso & Bartolucci and J. racemosa subsp. kirghisica (DC.) Galasso & Bartolucci

First Italian record of Paspalum notatum Flüggé (Poaceae) and its typification

In the present work the presence of Paspalum notatum Flüggé (Poaceae) in Italy was reported for the first time. It is a neophyte native to America, known for applications in phytoremediation. Its typification, ecology and invasiveness status are also presented

Notulae to the Italian alien vascular flora : 11

Publisher Copyright: © This dataset is made available under the Open Database License (http://opendatacommons.org/licenses/odbl/1.0/). The Open Database License (ODbL) is a license agreement intended to allow users to freely share, modify, and use this Dataset while maintaining this same freedom for others, provided that the original source and author(s) are creditedIn this contribution, new data concerning the distribution of vascular flora alien to Italy are presented. It includes new records, confirmations, exclusions, and status changes for Italy or for Italian administrative regions. Nomenclatural and distribution updates published elsewhere are provided as Suppl. material 1.Peer reviewe

(2662) Proposal to reject the name Hypochaeris urens (Asteraceae)

In order to avoid a disadvantageous nomenclatural change (Art. 56.1 of the ICN) entailed by the strict application of the rules, and to promote nomenclatural stability in the most parsimonious way, we here propose the rejection, under Art. 56, of the name Hypochaeris urens

Nomenclatural novelties for the Euro+Med flora

Today's plant phylogeny more and more deals with ranks from the genus down, so changes in current taxonomy and nomenclature are frequently requested. For this reason, referring to the Euro+Med flora, we take here into account 20 taxa and recover the following forgotten nomenclatural combinations: Bidens atrosanguinea (Hook.) Regel, B. formosa (Bonato) Sch.Bip., B. sulphurea (Cav.) Sch.Bip., and B. tinctoria (Nutt.) Baill. ex Daydon. Moreover we propose the new names Agrostis linkii Banfi, Galasso and Bartolucci, Bidens selenactis Banfi, Galasso and Bartolucci, Bidens sweetiana Banfi, Galasso and Bartolucci, and the new combinations Achnatherum paradoxum (L.) Banfi, Galasso and Bartolucci, A. virescens (Trin.) Banfi, Galasso and Bartolucci, Agrostis linkii Banfi, Galasso and Bartolucci subsp. prostrata (Hack. and Lange) Banfi, Galasso and Bartolucci, Bidens atkinsoniana (Douglas ex Lindl.) Banfi, Galasso and Bartolucci, B. basalis (A.Dietr.) Banfi, Galasso and Bartolucci, B. gladiata (Walter) Banfi, Galasso and Bartolucci, B. lanceolata (L.) Banfi, Galasso and Bartolucci, Calamagrostis arenaria (L.) Roth subsp. arundinacea (Husn.) Banfi, Galasso and Bartolucci, Prunus ×hybrida (Schmidt) Galasso, Banfi and Bartolucci, Solanum aethiopicum L. subsp. anguivi (Lam.) Banfi, Galasso and Bartolucci, S. macrocarpon L. subsp. dasyphyllum (Schumach. and Thonn.) Banfi, Galasso and Bartolucci, S. melongena L. subsp. insanum (L.) Banfi, Galasso and Bartolucci, and Trisetaria argentea (Willd.) Banfi, Galasso and Soldano

Non-neural phenotype of spinal and bulbar muscular atrophy: Results from a large cohort of Italian patients

Objective: To carry out a deep characterisation of the main androgen-responsive tissues involved in spinal and bulbar muscular atrophy (SBMA). Methods: 73 consecutive Italian patients underwent a full clinical protocol including biochemical and hormonal analyses, genitourinary examination, bone metabolism and densitometry, cardiological evaluation and muscle pathology. Results: Creatine kinase levels were slightly to markedly elevated in almost all cases (68 of the 73; 94%). 30 (41%) patients had fasting glucose above the reference limit, and many patients had total cholesterol (40; 54.7%), low-density lipoproteins cholesterol (29; 39.7%) and triglyceride (35; 48%) levels above the recommended values. Although testosterone, luteinising hormone and follicle-stimulating hormone values were generally normal, in one-third of cases we calculated an increased Androgen Sensitivity Index reflecting the presence of androgen resistance in these patients. According to the International Prostate Symptom Score (IPSS), 7/70 (10%) patients reported severe lower urinal tract symptoms (IPSS score >19), and 21/73 (30%) patients were moderately symptomatic (IPSS score from 8 to 19). In addition, 3 patients were carriers of an indwelling bladder catheter. Videourodynamic evaluation indicated that 4 of the 7 patients reporting severe urinary symptoms had an overt prostate-unrelated bladder outlet obstruction. Dual-energy X-ray absorptiometry scan data were consistent with low bone mass in 25/61 (41%) patients. Low bone mass was more frequent at the femoral than at the lumbar level. Skeletal muscle biopsy was carried out in 20 patients and myogenic changes in addition to the neurogenic atrophy were mostly observed. Conclusions: Our study provides evidence of a wide non-neural clinical phenotype in SBMA, suggesting the need for comprehensive multidisciplinary protocols for these patients. \ua9 2016 Published by the BMJ Publishing Group Limited

Global and Regional IUCN Red List Assessments: 2

In this contribution the conservation status assessment of six plant species according to IUCN categories and criteria are presented. It includes the assessment at global level of Charybdis glaucophylla Bacch., Brullo, D’Emerico, Pontec. & Salmeri, Euphorbia nicaeensis All. subsp. japygica (Ten.) Arcang., Hieracium australe Fr. subsp. australe, Limonium multiforme Pignatti, Onosma helvetica Boiss. em. Teppner subsp. lucana (Lacaita) Peruzzi, Aquaro & Cesca and the assessment at national level (Italy) of Lathyrus laxiflorus (Desf.) Kuntze subsp. laxiflorus

Predictors of sacubitril/valsartan high dose tolerability in a real world population with HFrEF

Abstract Aims The angiotensin receptor‐neprilysin inhibitor (ARNI) sacubitril/valsartan (Sac/Val) demonstrated to be superior to enalapril in reducing hospitalizations, cardiovascular and all‐cause mortality in patients with ambulatory heart failure and reduced ejection fraction (HFrEF), in particular when it is maximally up‐titrated. Unfortunately, the target dose is achieved in less than 50% of HFrEF patients, thus undermining the beneficial effects on the outcomes. In this study, we aimed to evaluate the role of Sac/Val and its titration dose on reverse cardiac remodelling and determine which echocardiographic index best predicts the up‐titration success. Methods and results From January 2020 to June 2021, we retrospectively identified 95 patients (65.6 [59.1–72.8] years; 15.8% females) with chronic HFrEF who were prescribed Sac/Val from the HF Clinics of 5 Italian University Hospitals and evaluated the tolerability of Sac/Val high dose (the ability of the patient to achieve and stably tolerate the maximum dose) as the primary endpoint in the cohort. We used a multivariable logistic regression analysis, with a stepwise backward selection method, to determine the independent predictors of Sac/Val maximum dose tolerability, using, as candidate predictors, only variables with a P‐value < 0.1 in the univariate analyses. Candidate predictors identified for the multivariable backward logistic regression analysis were age, sex, body mass index (BMI), chronic kidney disease (CKD), chronic obstructive pulmonary disease (COPD), dyslipidaemia, atrial fibrillation, systolic blood pressure (SBP), baseline tolerability of ACEi/ARBs maximum dose, left ventricle global longitudinal strain (LVgLS), LV ejection fraction (EF), tricuspid annulus plane systolic excursion (TAPSE), right ventricle (RV) fractional area change (FAC), RV global and free wall longitudinal strain (RVgLS and RV‐FW‐LS). After the multivariable analysis, only one categorical (ACEi/ARBs maximum dose at baseline) and three continuous (younger age, higher SBP, and higher TAPSE), resulted significantly associated with the study outcome variable with a strong discriminatory capacity (area under the curve 0.874, 95% confidence interval (CI) (0.794–0.954) to predict maximum Sac/Val dose tolerability. Conclusions Our study is the first to analyse the potential role of echocardiography and, in particular, of RV dysfunction, measured by TAPSE, in predicting Sac/Val maximum dose tolerability. Therefore, patients with RV dysfunction (baseline TAPSE <16 mm, in our cohort) might benefit from a different strategy to titrate Sac/Val, such as starting from the lowest dose and/or waiting for a more extended period of observation before attempting with the higher doses

Italian Vascular Flora: New Findings, Updates and Exploration of Floristic Similarities between Regions

The tradition of floristic studies in Italy has made it possible to obtain a good knowledge of plant diversity both on a national and regional scale. However, the lack of knowledge for some areas, advances in plant systematics and human activities related to globalization, highlight the need for further studies aimed at improving floristic knowledge. In this paper, based on fieldwork and herbaria and literature surveys, we update the knowledge on the Italian vascular flora and analyze the floristic similarities between the administrative regions. Four taxa, all exotic, were recorded for the first time in Italy and Europe. In detail, Elaeodendron croceum, Kalanchoe blossfeldiana, and Sedum spathulifolium var. spathulifolium were found as casual aliens, while Oxalis brasiliensis was reported as historical record based on some herbarium specimens. Furthermore, Kalanchoe laxiflora was confirmed as a casual alien species for Italy and Europe. Status changes for some taxa were proposed at both national and regional levels, as well as many taxa were reported as new or confirmed at the regional level. Currently the Italian vascular flora comprises 9150 taxa of which 7547 are native (of which 1598 are Italian endemics) and 1603 are exotic at the national level. The multivariate analysis of updated floristic data on a regional scale showed a clear distribution along the latitudinal gradient, in accordance with the natural geographical location of the regions in Italy. This pattern of plants distribution was not affected by the introduction of alien species. Despite some taxonomic and methodological issues which are still open, the data obtained confirm the important role of floristic investigations in the field and in herbaria, as well as the collaborative approach among botanists, in order to improve the knowledge of the Italian and European vascular flora

SelectMDx and Multiparametric Magnetic Resonance Imaging of the Prostate for Men Undergoing Primary Prostate Biopsy: A Prospective Assessment in a Multi-Institutional Study

Prostate-specific antigen (PSA) testing as the sole indication for prostate biopsy lacks specificity, resulting in overdiagnosis of indolent prostate cancer (PCa) and missing clinically significant PCa (csPCa). SelectMDx is a biomarker-based risk score to assess urinary HOXC6 and DLX1 mRNA expression combined with traditional clinical risk factors. The aim of this prospective multi-institutional study was to evaluate the diagnostic accuracy of SelectMDx and its association with multiparametric magnetic resonance (mpMRI) when predicting PCa in prostate biopsies. Overall, 310 consecutive subjects were included. All patients underwent mpMRI and SelectMDx prior to prostate biopsy. SelectMDx and mpMRI showed sensitivity and specificity of 86.5% vs. 51.9%, and 73.8% vs. 88.3%, respectively, in predicting PCa at biopsy, and 87.1% vs. 61.3%, and 63.7% vs. 83.9%, respectively, in predicting csPCa at biopsy. SelectMDx was revealed to be a good predictor of PCa, while with regards to csPCa detection, it was demonstrated to be less effective, showing results similar to mpMRI. With analysis of strategies assessed to define the best diagnostic strategy to avoid unnecessary biopsy, SelectMDx appeared to be a reliable pathway after an initial negative mpMRI. Thus, biopsy could be proposed for all cases of mpMRI PI-RADS 4-5 score, and to those with Prostate Imaging-Reporting and Data System (PI-RADS) 1-3 score followed by a positive SelectMDx