Transfer Analysis of Provenance Trials Reveals Macroclimatic Adaptedness of European Beech (Fagus sylvatica L.) = Származási kísérletek áttelepítési elemzése igazolta a bükk makroklimatikus adaptáltságát

The aim of the study was to analyse provenance tests of beech situated close to the Southeastern-continental limits of the species, in order to develop a response model of adaptation and plasticity of populations on evolutionary-ecological basis, following sudden climatic changes as a result of transplanting. Modelling of juvenile height was performed with the help of ecodistance variables. The concept of transfer analysis and ecodistance is based on the hypothesis that phenotypic response to macroclimatic changes depends on the inherited adaptive potential of the population and on the magnitude and direction of experienced environmental change. In common garden experiments, the transfer to the planting site is interpreted as simulation of environmental change. The application of ecodistance of transfer for evaluating common garden experiments provides much needed quantitative information about response of tree populations to predicted climatic changes. The analysis of three field experiments of European beech in SE Europe invalidate earlier doubts about the existence of macroclimatic adaptation patterns in juvenile growth and justify restrictions of use of reproductive material on the basis of evolutionary ecology. The presented model illustrates that response to climatic change is regionally divergent, depending on testing conditions and on hereditary traits. In particular, climatic warming in the central-northern part of the range may lead to production increase. However, under the stressful and uncertain conditions at the lower (xeric) limit of the species, growth depression and vitality loss are predicted. The deviating behaviour of higher elevation provenances support their separate treatment. The results may be utilised in climate change adaptation and mitigation policy in forestry and nature conservation, to revise rules for use of reproductive material and also for validating evolutionary and ecological hypotheses related to climate change effects. | A délkelet-európai, alsó (szárazsági) határhoz közeli származási kísérletek elemzésének célja az alkalmazkodás és plaszticitás által meghatározott válaszreakciók modellezése volt. Az evolúció-ökológiai alapon felépített modell az áttelepítés következtében fellépett hirtelen klímaváltozás leírásához az ún. ökológiai távolság elvét alkalmazza. Az áttelepítési elemzés azon a hipotézisen alapszik, hogy a populáció makroklimatikus változásra adott (fenotipikus) válaszreakciója – minden más tényező állandósága mellett – az öröklött adaptív potenciáltól, és az érzékelt klimatikus változás mértékétől függ. A közös tenyészkerti kísérletekbe való áttelepítést a környezet szimulált változásaként értelmezzük. Az áttelepítés ökológiai távolsága a származási kísérletek újszerű értékelését teszi lehetővé, és régóta hiányzó kvantitatív információkat szolgáltat a fás populációk klímaváltozással kapcsolatban várható válaszáról. Az elemzésbe vont három DK-európai bükk kísérlet eredményei a fiatalkori növekedés tekintetében igazolják a fajon belüli, makroklimatikus alkalmazkodási mintázat eddig kétségbevont létezését, amely indokolttá teszi a szaporítóanyag-használat evolúciós ökológiai alapú szabályozását. A bemutatott modellből látható, hogy a klímaváltozásra adott válaszokban regionális különbségek léteznek, amelyeket a kísérleti környezet és az öröklött tulajdonságok határoznak meg. A faji área középső-északi részén a melegedés produkciónövekedést eredményezhet. Ugyanakkor a szárazsági (alsó) határ szélsőséges és bizonytalan viszonyai növekedés-csökkenést és vitalitás-vesztést prognosztizálnak. A magasabb tszf. magasságú helyszínek származásai eltérően viselkednek, és ez indokolja külön kezelésüket. Az eredmények felhasználhatók a klímaváltozáshoz alkalmazkodás stratégiájának megfogalmazásához mind az erdészetben, mind a természetvédelemben. Segítségükkel pontosíthatók a szaporítóanyag felhasználási szabályok, és értékelhetők a klímaváltozási hatásokkal kapcsolatos különböző evolúciós és ökológiai hipotézisek is

Effects of Olive Oil and Its Components on Intestinal Inflammation and Inflammatory Bowel Disease

With the rising global burden of inflammatory bowel disease (IBD) and the rising costs of novel biological drugs, there is an increasing need for dietary approaches and functional foods that could modulate the course of IBD. The Mediterranean diet has proven to be efficacious in managing chronic inflammatory diseases, and recent studies have also shown its benefits in the setting of IBD. Since olive oil and its compounds have been shown to provide a considerable anti-inflammatory effect, in this review, we aim to discuss the latest evidence concerning the impact of olive oil and its bioactive compounds on IBD. Numerous preclinical studies have exhibited solid evidence on the mechanisms by which polyphenol-rich extra-virgin olive oil (EVOO) or specific polyphenols like hydroxytyrosol (HT) provide their anti-inflammatory, antioxidative, antitumour, and microbiota-modulation effects. Accordingly, several human studies that explored the effects of olive oil on patients with IBD further confirmed the evidence brought forward by preclinical studies. Nevertheless, there is a need for larger-scale, multicentric, randomized control trials that would finally elucidate olive oil’s level of efficacy in modulating the course of IBD

Intraoperative ventilator settings and their association with postoperative pulmonary complications in neurosurgical patients: post-hoc analysis of LAS VEGAS study

Background: Limited information is available regarding intraoperative ventilator settings and the incidence of postoperative pulmonary complications (PPCs) in patients undergoing neurosurgical procedures. The aim of this post-hoc analysis of the 'Multicentre Local ASsessment of VEntilatory management during General Anaesthesia for Surgery' (LAS VEGAS) study was to examine the ventilator settings of patients undergoing neurosurgical procedures, and to explore the association between perioperative variables and the development of PPCs in neurosurgical patients. Methods: Post-hoc analysis of LAS VEGAS study, restricted to patients undergoing neurosurgery. Patients were stratified into groups based on the type of surgery (brain and spine), the occurrence of PPCs and the assess respiratory risk in surgical patients in Catalonia (ARISCAT) score risk for PPCs. Results: Seven hundred eighty-four patients were included in the analysis; 408 patients (52%) underwent spine surgery and 376 patients (48%) brain surgery. Median tidal volume (VT) was 8 ml [Interquartile Range, IQR = 7.3-9] per predicted body weight; median positive end-expiratory pressure (PEEP) was 5 [3 to 5] cmH20. Planned recruitment manoeuvres were used in the 6.9% of patients. No differences in ventilator settings were found among the sub-groups. PPCs occurred in 81 patients (10.3%). Duration of anaesthesia (odds ratio, 1.295 [95% confidence interval 1.067 to 1.572]; p = 0.009) and higher age for the brain group (odds ratio, 0.000 [0.000 to 0.189]; p = 0.031), but not intraoperative ventilator settings were independently associated with development of PPCs. Conclusions: Neurosurgical patients are ventilated with low VT and low PEEP, while recruitment manoeuvres are seldom applied. Intraoperative ventilator settings are not associated with PPCs

Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications

Background: The aim of this post hoc analysis of a large cohort study was to evaluate the association between night-time surgery and the occurrence of intraoperative adverse events (AEs) and postoperative pulmonary complications (PPCs). Methods: LAS VEGAS (Local Assessment of Ventilatory Management During General Anesthesia for Surgery) was a prospective international 1-week study that enrolled adult patients undergoing surgical procedures with general anaesthesia and mechanical ventilation in 146 hospitals across 29 countries. Surgeries were defined as occurring during 'daytime' when induction of anaesthesia was between 8: 00 AM and 7: 59 PM, and as 'night-time' when induction was between 8: 00 PM and 7: 59 AM. Results: Of 9861 included patients, 555 (5.6%) underwent surgery during night-time. The proportion of patients who developed intraoperative AEs was higher during night-time surgery in unmatched (43.6% vs 34.1%; P<0.001) and propensity-matched analyses (43.7% vs 36.8%; P = 0.029). PPCs also occurred more often in patients who underwent night-time surgery (14% vs 10%; P = 0.004) in an unmatched cohort analysis, although not in a propensity-matched analysis (13.8% vs 11.8%; P = 0.39). In a multivariable regression model, including patient characteristics and types of surgery and anaesthesia, night-time surgery was independently associated with a higher incidence of intraoperative AEs (odds ratio: 1.44; 95% confidence interval: 1.09-1.90; P = 0.01), but not with a higher incidence of PPCs (odds ratio: 1.32; 95% confidence interval: 0.89-1.90; P = 0.15). Conclusions: Intraoperative adverse events and postoperative pulmonary complications occurred more often in patients undergoing night-time surgery. Imbalances in patients' clinical characteristics, types of surgery, and intraoperative management at night-time partially explained the higher incidence of postoperative pulmonary complications, but not the higher incidence of adverse events

Intraoperative ventilator settings and their association with postoperative pulmonary complications in neurosurgical patients: Post-hoc analysis of LAS VEGAS study

Background: Limited information is available regarding intraoperative ventilator settings and the incidence of postoperative pulmonary complications (PPCs) in patients undergoing neurosurgical procedures. The aim of this post-hoc analysis of the 'Multicentre Local ASsessment of VEntilatory management during General Anaesthesia for Surgery' (LAS VEGAS) study was to examine the ventilator settings of patients undergoing neurosurgical procedures, and to explore the association between perioperative variables and the development of PPCs in neurosurgical patients. Methods: Post-hoc analysis of LAS VEGAS study, restricted to patients undergoing neurosurgery. Patients were stratified into groups based on the type of surgery (brain and spine), the occurrence of PPCs and the assess respiratory risk in surgical patients in Catalonia (ARISCAT) score risk for PPCs. Results: Seven hundred eighty-four patients were included in the analysis; 408 patients (52%) underwent spine surgery and 376 patients (48%) brain surgery. Median tidal volume (VT) was 8 ml [Interquartile Range, IQR = 7.3-9] per predicted body weight; median positive end-expiratory pressure (PEEP) was 5 [3 to 5] cmH20. Planned recruitment manoeuvres were used in the 6.9% of patients. No differences in ventilator settings were found among the sub-groups. PPCs occurred in 81 patients (10.3%). Duration of anaesthesia (odds ratio, 1.295 [95% confidence interval 1.067 to 1.572]; p = 0.009) and higher age for the brain group (odds ratio, 0.000 [0.000 to 0.189]; p = 0.031), but not intraoperative ventilator settings were independently associated with development of PPCs. Conclusions: Neurosurgical patients are ventilated with low VT and low PEEP, while recruitment manoeuvres are seldom applied. Intraoperative ventilator settings are not associated with PPCs

Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications

Background: The aim of this post hoc analysis of a large cohort study was to evaluate the association between night-time surgery and the occurrence of intraoperative adverse events (AEs) and postoperative pulmonary complications (PPCs)