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

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.

Objectives 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. Methods 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). Results Mean gestational age at diagnosis was 30.6+/-9.5 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; pPeer reviewe

Demo: A cell-level traffic generator for LoRa networks

In this demo we present and validate a LoRa cell traffic generator, able to emulate the behavior of thousands of low-rate sensor nodes deployed in the same cell, by using a single Software Defined Radio (SDR) platform. Differently from traditional generators, whose goal is creating packet flows which emulate specific applications and protocols, our focus is generating a combined radio signal, as seen by a gateway, given by the super-position of the signals transmitted by multiple sensors simultaneously active on the same channel. We argue that such a generator can be of interest for testing different network planning solutions for LoRa networks

Performance of LoRa technology: link-level and cell-level performance

LoRa is a chirp spread spectrum technology that is becoming very popular for low-power wide-area networks, with high-density devices. In this chapter, we study the capacity of LoRa in rejecting different interfering signals. First, we analyze LoRa modulation numerically demonstrating that channel captures appear easily and that collisions between packets modulated with different spreading factors (SFs) are not uncommon. We validate such findings in experiments based on commercial devices and software-defined radios. Second, we model the network capacity obtainable in a typical LoRa cell: we show that high SFs can be seriously influenced by inter-SF collisions and that fading has a negligible impact compared to collisions. Finally, we discuss capacity improvements that can be achieved by increasing the density of LoRa gateways. Our results demonstrate that inter-SF collisions are indeed an issue in LoRa networks and, thus, allocating higher SFs to users far from the gateway might not necessarily improve their link capacity, in the case of congested networks

A call to research: the relationship between SARS-2-CoV, ACE 2 and antihypertensives

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Long-term assessment of ecological restoration activities in desertification prone Mediterranean areas: a study case from Sicily

One of the most worrying consequences of climate change and deep human impact in semi-arid Mediterranean areas is the increasing desertification risk and the related processes of soil degradation and loss of plant cover and biodiversity. Under such conditions, active restoration tools are generally needed to reverse these otherwise irreversible changes. In similar contexts, interventions were carried out within the “Macalife” Project (LIFE 04/NAT/IT/000182) in the Special Area of Conservation “Macalube di Aragona”, in southern Sicily (Italy). Here, intensive agricultural practices, unregulated grazing and frequent wildfires have seriously threatened several local plant communities. Furthermore, plant establishment is locally hampered by a long-lasting drought period, clayey and salt-rich soils, and periodic soil movements resulting from sedimentary volcanism. Interventions were addressed to restore the most important plant communities corresponding to several habitats of community interest according to 92/43 EU Directive, like the Pseudo-steppe with grasses and annuals of the Thero-Brachypodietea (6220), and the halo-nitrophilous scrub Pegano-Salsoletea (1430) and to improve the conservation status of some endemic and endangered plant species like Tripolium sorrentinoi. All the target species used for reinforcement actions carried out during the project were propagated through local nurseries, using seeds exclusively collected from individuals occurring on site, and some woody plants were also inoculated with symbiotic microrganisms (plant growth-promoting bacteria and mycorrhizal fungi). We assessed the effectiveness of interventions more than 10 years after the last monitoring activities. Particularly, we evaluated the increase of plant cover and/or the number of individuals and the mean height of the target species (Lygeum spartum, Tripolium sorrentinoi, Atriplex halimus, Salsola oppositifolia, Salsola vermiculata, Suaeda vera, etc.) characterizing some of the habitats occurring in the nature reserve. The very promising results from monitoring activities suggest that the use of local plant germplasm and proper propagation techniques may allow restoring native Mediterranean habitats under desertification threat