Management and Exploitation of Macroalgal Biomass as a Tool for the Recovery of Transitional Water Systems

Aquatic angiosperms favor the development of ecosystems services, the welfare of marine organisms and people. Generally, the presence of angiosperms in transitional water systems (TWS) are indicators of good ecosystem status. Presently, these environments are densely populated and often are so highly degraded that angiosperms have almost disappeared, replaced by tionitrophilic macroalgae responsible of anoxic events that deteriorate the environment furtherly. Although this trend is hardly reversible because the anthropogenic impact is increasing and the restoring of damaged environments within a reasonable time is difficult, recent studies have shown that by managing the harvesting of the natural algal species of commercial interest a progressive environmental recovery is achievable. Biomass-harvesting can contribute both to the removal of high amounts of nutrients and the generation of economic revenues for a sustainable, self-financed environmental restoration. In fact, unlike clam-farming which destroys the seabed and re-suspends large amounts of sediments, the proper management of the macroalgal biomass, can favor the nutrient abatement and the recolonization of aquatic angiosperms which help restore the conditions necessary for the conservation of the benthic and fish fauna and birds, and produce valuable economic resources

A mixed methodology, non-interventional study to evaluate the use of direct oral anticoagulants in UK clinical practice for patients with a first stroke associated with non-valvular atrial fibrillation: study protocol.

BACKGROUND: Treatment with anticoagulants, including direct oral anticoagulants (DOACs), should be considered for patients diagnosed with atrial fibrillation (AF) deemed at risk of ischaemic stroke. There are limited real world data related to the characteristics of patients with non-valvular AF who were not taking anticoagulants at the time of first ischaemic stroke and their subsequent DOAC treatment for the secondary prevention of stroke. Furthermore, little is known about patient adherence and experiences of DOAC treatment, especially for patients with non-valvular AF receiving DOAC therapy for the secondary prevention of stroke. METHODS: This is a UK mixed methodology, non-interventional study, involving retrospective and prospective medical record reviews and a prospective patient survey, in progress in six UK National Health Service secondary/tertiary care centres. The study comprises two groups of patients. Group 1 will include 300 eligible consenting patients with a first ischaemic stroke associated with non-valvular AF untreated with anticoagulants in the 12 months prior to stroke. Group 2 will include a subgroup of 150 patients from Group 1 initiated on one of the DOACs targeting activated Factor X (n = 50 on apixaban, n = 50 on edoxaban and n = 50 on rivaroxaban). The primary endpoint of the study is the CHA2DS2-VASc Risk Score prior to initiation of anticoagulation for patients included in Group 1. Secondary endpoints to be evaluated in Group 1 include patient demographics, clinical characteristics, relevant medical history, anticoagulant therapy initiated for secondary prevention of stroke, and relevant concomitant medication. Secondary endpoints to be evaluated in Group 2 include the time between stroke and DOAC initiation; prescribing of DOACs, other anticoagulants and concomitant medication; clinical assessments and hospital resource use; patient reported outcome measures, including the Morisky Medication Adherence Scale questionnaire and the Treatment Satisfaction Questionnaire for Medication. DISCUSSION: This mixed methodology study will provide new real world insights into the characteristics and management pathways and patient-reported experiences of this important group of patients. It is anticipated that the results of this study will provide the medical community and patients with important information to inform clinical decision-making and help facilitate meaningful improvements in the care of patients with non-valvular AF

Accumulation of trace metals in crayfish tissues: is Procambarus clarkii a vector of pollutants in Po Delta inland waters?

Concentrations of trace elements (Cd, Pb, As, Cu and Zn) were determined in superficial sediments and in hepatopancreas, exoskeleton, and abdominal muscle of the red swamp crayfish Procambarus clarkii from several canals of the Po River Delta area. Sediments of the studied canals exhibited some metal pollution. The hepatopancreas of the crayfish showed a higher concentration of trace metals in comparison to the other tissues at all sites under scrutiny. Concentrations of As and Pb, either in sediment and P. clarkii tissues, were probably related to the use of fertilizers and pesticides. Moreover, the levels of certain metals accumulated in the abdominal muscle (Pb, Cu and Zn) exceeded the threshold values considered harmful to human health. The Toxic Contamination Index, depending on the bioaccumulation data of hepatopancreas and abdominal muscle, allowed us to assess the toxicity by heavy metals of sediments measuring the stress level of the detoxification organ, and resulted in >1 only at two sampling canals. We hypothesize that P. clarkii in the Po River Delta aquatic communities can act as a vector of pollutants, as crayfish can transfer their relatively high amount of heavy metals to higher trophic levels

Macrophytes: A temporary sink for microplastics in transitional water systems

Marine macrophytes are hypothesized to be a major temporary sink for microplastics. In this study, microplastic contamination was investigated in 15 macroalgal species and one seagrass from different sites in two lagoons of the northern Adriatic Sea: the Goro lagoon and the Venice lagoon. A high percentage (94%) of the macrophyte samples contained microplastics, ranging from 0.16 to 330 items g−1 fw, with the prevalent size in the range 30–90 µm and an average contamination per unit of fresh weight of 14 items g−1 fw. Microplastic contamination displayed a site-specific, rather than a species-specific, pattern of accumulation. In addition, exopolysaccharides (EPS) displayed a significant positive correlation with the microplastics ononcontamination on macrophytes acting as glue for the plastic particles available in the water column

Multiannual trend of micro-pollutants in sediments and benthic community response in a mediterranean lagoon (Sacca di Goro, Italy)

Long-term variations of ecological status in a Mediterranean coastal lagoon (Sacca di Goro, Northern Adriatic) were investigated, combining data on the concentration of surface sediment contaminants and on the structure of the macrobenthic community. The aim was to assess any amount of chemical contamination and check the response of the macrobenthic community to sediment contamination. Over the studied period, the sediments of the lagoon showed contamination by trace metals and organochlorine pesticides, with most of them exceeding the thresholds indicated by the Italian legislation in many samples. Contamination by polychlorinated dibenzodioxins and dibenzofurans (PCDD/Fs) and polycyclic aromatic hydrocarbons (PAHs) instead never exceeded the threshold. The ecological status based on the macrobenthic community, evaluated through biotic indices (AMBI and M-AMBI), fell below the Good/Moderate threshold in most samples. The results indicate a possible influence of toxic compounds in sediment on benthic organisms, but most of the variability shown by the macrobenthic community is probably due to other factors. The difficulty in establishing a cause/effect relationship was due to the co-occurrence and variability of various stressors (both natural and anthropogenic) and their interactions. The methods currently used for monitoring transitional waters thus seem insufficient to disentangle the effect of pollutants and other environmental variables on the benthos. Integrated approaches (e.g., bioaccumulation and toxicity tests) are thus needed for a more precise identification of the risk posed by a high concentration of pollutants in such environments

Sedimentation Rates: Anthropogenic Impacts and Environmental Changes in Transitional Water Systems

The trophic evolution of the Venice lagoon was analyzed by studying the particulate collected monthly with sedimentation traps in many areas of the Venice lagoon since 1989, and at Goro in 2018–2019. Sedimentation rates were strongly related to the presence of macrophytes, which reduced sediment resuspension, and to anthropogenic pressures, such as clam harvesting and naval-boat traffic, that triggered sediment resuspension and loss. The highest mean annual sedimentation rates (from 2000 to over 4000 g DWT m−2 day−1) have been recorded in many areas of the Venice lagoon between 1998–1999 to 2001–2002, during the intense fishing activities of the clam Ruditapes philippinarum. High values (daily peaks up to 5224 g DWT m−2 day−1) were also recorded in areas affected by marine and/or recreational traffic, due to the high wave motion. In contrast, the presence of high biomasses of macroalgae, or seagrasses, reduced significantly sediment resuspension and settlement, with mean annual sedimentation rates ranging between 40 and 140 g DWT m−2 day−1 and minimum values of 6–10 g DWT m−2 day−1. High sedimentation rates were strongly related to a lower sediment grain-size, with loss of the fine fraction and dispersion of nutrients and pollutants in the whole lagoon

Microplastic Contamination in Protected Areas of the Gulf of Venice

We investigated the concentration and composition of plastics in 7 Special Areas of Conservation (SACs) from the Gulf of Venice (northern Adriatic Sea). A total of 42 sediment samples were analyzed from 21 sites from 2017 to 2018. All sites except one were found to be polluted by plastics, with density ranging between 2250 and 28.4 items kg−1. Microplastics ranged from 100 to 61.6% of the collected plastics. Fragments were more represented than filaments. The greatest plastic concentrations were generally recorded in western SACs. Identification through FT-IR spectroscopy evidenced the presence of 8 polymer types: in western SACS, the majority were low-density polymers (PE, PP, PS, and TPU), while in eastern SACs they were high-density polymers (PET, nylon, and PVC). In addition to the role of large rivers (all on the western side of the Gulf) in conveying plastics into the sea, a possible role of the cyclonic water circulation of the northern Adriatic Sea on distribution and composition of plastics along the Gulf coasts is likely

Microplastic accumulation in benthic invertebrates in Terra Nova Bay (Ross Sea, Antarctica)

Microplastic contamination of the benthic invertebrate fauna in Terra Nova Bay (Ross Sea, Antarctica) was determined. Twelve macrobenthic species, characterized by different feeding strategies, were selected at 3 sampling sites at increasing distance from the Italian Scientific Base (Mario Zucchelli, Camp Icarus, Adelie Cove). The 83% of the analyzed macrobenthic species contained microplastics (0.01–3.29 items mg−1). The size of the particles, measured by Feret diameter, ranged from 33 to 1000 µm with the highest relative abundance between 50 and 100 µm. Filter-feeders and grazers displayed values of microplastic contamination from 3 to 5 times higher than omnivores and predators, leading to the hypothesis that there is no evident bioaccumulation through the food web. The prevalent polymers identified by micro-FTIR were nylon (86%) and polyethylene (5%); other polymers identified in Antarctic benthos were polytetrafluoroethylene, polyoxymethylene, phenolic resin, polypropylene, polystyrene resin and XT polymer

Sediment contamination by heavy metals and PAH in the Piombino Channel (Tyrrhenian Sea).

Sediment contamination is of major concern in areas affected by heavy maritime traffic. The spatial variation and contamination of 11 trace elements and 17 PAHs in surface sediments were studied along a 31 km transect along the seaway from the port of Piombino (Tuscany) to the port of Portoferraio (Elba Island) in the Northern Tyrrhenian Sea. Heavy metal contamination was detected at sites near Piombino (Ni, Pb, Hg, Cu and Zn) and at sites near Portoferraio (Pb, Zn, Hg, Cr and Cd). Each of the 35 sampled sites showed PAH contamination, with the highest concentrations at sites near Portoferraio. The most abundant isomers detected were 2- and 4-ring PAHs. PAH ratio analysis showed a prevalence of PAHs of pyrolytic origin. High values of PAHs and heavy metals were related to high sediment water content, TOC, silt, and clay content. Arsenic increased with increasing depth. The correlation between concentrations of metals and PAHs suggests common anthropogenic sources and is of concern for possible synergistic adverse effects on the biota

Controlling hypertension immediately post stroke: a cost utility analysis of a pilot randomised controlled trial.

BACKGROUND: Elevated blood pressure (BP) levels are common following acute stroke. However, there is considerable uncertainty if and when antihypertensive therapy should be initiated. METHOD: Economic evaluation alongside a double-blind randomised placebo-controlled trial (National Research Register Trial Number N0484128008) of 112 hypertensive patients receiving an antihypertensive regimen (labetalol or lisinopril) within 36 hours post stroke versus 59 receiving placebo. Outcomes were incremental cost per incremental: QALY, survivor, and patient free from death or severe disability (modified Rankin scale score < 4) at three months and 14 days post stroke. RESULTS: Actively treated patients on average had superior outcomes and lower costs than controls at three months. From the perspective of the acute hospital setting, there was a 96.5% probability that the incremental cost per QALY gained at three months is below pound30,000, although the probability may be overstated due to data limitations. CONCLUSION: Antihypertensive therapy when indicated immediately post stroke may be cost-effective compared with placebo from the acute hospital perspective. Further research is required to confirm both efficacy and cost-effectiveness and establish whether benefits are maintained over a longer time horizon