Climate Change Impacts on the Water Resources and Vegetation Dynamics of a Forested Sardinian Basin through a Distributed Ecohydrological Model

Climate change is impacting Mediterranean basins, bringing warmer climate conditions. The Marganai forest is a natural forest protected under the European Site of Community Importance (Natura 2000), located in Sardinia, an island in the western Mediterranean basin, which is part of the Fluminimaggiore basin. Recent droughts have strained the forest ' s resilience. A long-term hydrological database collected from 1922 to 2021 shows that the Sardinian forested basin has been affected by climate change since the middle of the last century, associated with a decrease in winter precipitation and annual runoff, reduced by half in the last century, and an increase of similar to 1 degrees C in the mean annual air temperature. A simplified model that couples a hydrological model and a vegetation dynamics model for long-term ecohydrological predictions in water-limited basins is proposed. The model well predicted almost one century of runoff observations. Trees have suffered from the recent warmer climate conditions, with a tree leaf area index (LAI) decreasing systematically due to the air temperature and a vapor pressure deficit (VPD) rise at a rate of 0.1 hPa per decade. Future climate scenarios of the HadGEM2-AO climate model are predicting even warmer conditions in the Sardinian forested basin, with less annual precipitation and higher air temperatures and VPD. Using these climate scenarios, we predicted a further decrease in runoff and tree transpiration and LAI in the basin, with a reduction of tree LAI by half in the next century. Although the annual runoff decreases drastically in the worst scenarios (up to 26%), runoff extremes will increase in severity, outlining future scenarios that are drier and warmer but, at the same time, with an increased flood frequency. The future climate conditions undermine the forest's sustainability and need to be properly considered in water resources and forest management plans

Multiscale Assimilation of Sentinel and Landsat Data for Soil Moisture and Leaf Area Index Predictions Using an Ensemble-Kalman-Filter-Based Assimilation Approach in a Heterogeneous Ecosystem

Data assimilation techniques allow researchers to optimally merge remote sensing observations in ecohydrological models, guiding them for improving land surface fluxes predictions. Presently, freely available remote sensing products, such as those of Sentinel 1 radar, Landsat 8 sensors, and Sentinel 2 sensors, allow the monitoring of land surface variables (e.g., radar backscatter for soil moisture and the normalized difference vegetation index (NDVI) and for leaf area index (LAI)) at unprecedentedly high spatial and time resolutions, appropriate for heterogeneous ecosystems, typical of semiarid ecosystems characterized by contrasting vegetation components (grass and trees) competing for water use. A multiscale assimilation approach that assimilates radar backscatter and grass and tree NDVI in a coupled vegetation dynamic-land surface model is proposed. It is based on the ensemble Kalman filter (EnKF), and it is not limited to assimilating remote sensing data for model predictions, but it uses assimilated data for dynamically updating key model parameters (the ENKFdc approach), including saturated hydraulic conductivity and grass and tree maintenance respiration coefficients, which are highly sensitive parameters of soil-water balance and biomass budget models, respectively. The proposed EnKFdc assimilation approach facilitated good predictions of soil moisture, grass, and tree LAI in a heterogeneous ecosystem in Sardinia for a 3-year period with contrasting hydrometeorological (dry vs. wet) conditions. Contrary to the EnKF-based approach, the proposed EnKFdc approach performed well for the full range of hydrometeorological conditions and parameters, even assuming extremely biased model conditions with very high or low parameter values compared with the calibrated ("true") values. The EnKFdc approach is crucial for soil moisture and LAI predictions in winter and spring, key seasons for water resources management in Mediterranean water-limited ecosystems. The use of ENKFdc also enabled us to predict evapotranspiration and carbon flux well, with errors of less than 4% and 15%, respectively; such results were obtained even with extremely biased initial model conditions

Pre-emptive morphine during therapeutic hypothermia after neonatal encephalopathy: a secondary analysis

Although therapeutic hypothermia (TH) improves outcomes after neonatal encephalopathy (NE), the safety and efficacy of preemptive opioid sedation during cooling therapy is unclear. We performed a secondary analysis of the data from a large multicountry prospective observational study (Magnetic Resonance Biomarkers in Neonatal Encephalopathy [MARBLE]) to examine the association of preemptive morphine infusion during TH on brain injury and neurodevelopmental outcomes after NE. All recruited infants had 3.0 Tesla magnetic resonance imaging and spectroscopy at 1 week, and neurodevelopmental outcome assessments at 22 months. Of 223 babies recruited to the MARBLE study, the data on sedation were available from 169 babies with moderate (n = 150) or severe NE (n = 19). Although the baseline characteristics and admission status were similar, the babies who received morphine infusion (n = 141) were more hypotensive (49% vs. 25%, p = 0.02) and had a significantly longer hospital stay (12 days vs. 9 days, p = 0.009) than those who did not (n = 28). Basal ganglia/thalamic injury (score ≥1) and cortical injury (score ≥1) was seen in 34/141 (24%) and 37/141 (26%), respectively, of the morphine group and 4/28 (14%) and 3/28 (11%) of the nonmorphine group (p > 0.05). On regression modeling adjusted for potential confounders, preemptive morphine was not associated with mean (standard deviation [SD]) thalamic N-acetylaspartate (NAA) concentration (6.9 ± 0.9 vs. 6.5 ± 1.5; p = 0.97), and median (interquartile range) lactate/NAA peak area ratios (0.16 [0.12–0.21] vs. 0.13 [0.11–0.18]; p = 0.20) at 1 week, and mean (SD) Bayley-III composite motor (92 ± 23 vs. 94 ± 10; p = 0.98), language (89 ± 22 vs. 93 ± 8; p = 0.53), and cognitive scores (95 ± 21 vs. 99 ± 13; p = 0.56) at 22 months. Adverse neurodevelopmental outcome (adjusted for severity of encephalopathy) was seen in 26 (18%) of the morphine group, and none of the nonmorphine group (p = 0.11). Preemptive morphine sedation during TH does not offer any neuroprotective benefits and may be associated with increased hospital stay. Optimal sedation during induced hypothermia requires further evaluation in clinical trials

Therapeutic hypothermia initiated within 6 hours of birth is associated with reduced brain injury on MR biomarkers in mild hypoxic ischemic encephalopathy: a non-randomised cohort study

Objective To examine the effect of therapeutic hypothermia on MR biomarkers and neurodevelopmental outcomes in babies with mild hypoxic-ischaemic encephalopathy (HIE). Design Non-randomised cohort study. Setting Eight tertiary neonatal units in the UK and the USA. Patients 47 babies with mild HIE on NICHD neurological examination performed within 6 hours after birth. Interventions Whole-body cooling for 72 hours (n=32) or usual care (n=15; of these 5 were cooled for <12 hours). Main outcome measures MRI and MR spectroscopy (MRS) within 2 weeks after birth, and a neurodevelopmental outcome assessment at 2 years. Results The baseline characteristics in both groups were similar except for lower 10 min Apgar scores (p=0.02) in the cooled babies. Despite this, the mean (SD) thalamic NAA/Cr (1.4 (0.1) vs 1.6 (0.2); p<0.001) and NAA/Cho (0.67 (0.08) vs 0.89 (0.11); p<0.001) ratios from MRS were significantly higher in the cooled group. Cooled babies had lower white matter injury scores than non-cooled babies (p=0.02). Four (27%) non-cooled babies with mild HIE developed seizures after 6 hours of age, while none of the cooled babies developed seizures (p=0.008). Neurodevelopmental outcomes at 2 years were available in 40 (85%) of the babies. Adverse outcomes were seen in 2 (14.3%) non-cooled babies, and none of the cooled babies (p=0.09). Conclusions Therapeutic hypothermia may have a neuroprotective effect in babies with mild HIE, as demonstrated by improved MRS biomarkers and reduced white matter injury on MRI. This may warrant further evaluation in adequately powered randomised controlled trials

Spike-in SILAC proteomic approach reveals the vitronectin as an early molecular signature of liver fibrosis in hepatitis C infections with hepatic iron overload

Hepatitis C virus (HCV)-induced iron overload has been shown to promote liver fibrosis, steatosis, and hepatocellular carcinoma. The zonal-restricted histological distribution of pathological iron deposits has hampered the attempt to perform large-scale in vivo molecular investigations on the comorbidity between iron and HCV. Diagnostic and prognostic markers are not yet available to assess iron overload-induced liver fibrogenesis and progression in HCV infections. Here, by means of Spike-in SILAC proteomic approach, we first unveiled a specific membrane protein expression signature of HCV cell cultures in the presence of iron overload. Computational analysis of proteomic dataset highlighted the hepatocytic vitronectin expression as the most promising specific biomarker for iron-associated fibrogenesis in HCV infections. Next, the robustness of our in vitro findings was challenged in human liver biopsies by immunohistochemistry and yielded two major results: (i) hepatocytic vitronectin expression is associated to liver fibrogenesis in HCV-infected patients with iron overload; (ii) hepatic vitronectin expression was found to discriminate also the transition between mild to moderate fibrosis in HCV-infected patients without iron overload. © 2014 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim

Spike-in SILAC proteomic approach reveals the vitronectin as an early molecular signature of liver fibrosis in hepatitis C infections with hepatic iron overload

Hepatitis C virus (HCV)-induced iron overload has been shown to promote liver fibrosis, steatosis, and hepatocellular carcinoma. The zonal-restricted histological distribution of pathological iron deposits has hampered the attempt to perform large-scale in vivo molecular investigations on the comorbidity between iron and HCV. Diagnostic and prognostic markers are not yet available to assess iron overload-induced liver fibrogenesis and progression in HCV infections. Here, by means of Spike-in SILAC proteomic approach, we first unveiled a specific membrane protein expression signature of HCV cell cultures in the presence of iron overload. Computational analysis of proteomic dataset highlighted the hepatocytic vitronectin expression as the most promising specific biomarker for iron-associated fibrogenesis in HCV infections. Next, the robustness of our in vitro findings was challenged in human liver biopsies by immunohistochemistry and yielded two major results: (i) hepatocytic vitronectin expression is associated to liver fibrogenesis in HCV-infected patients with iron overload; (ii) hepatic vitronectin expression was found to discriminate also the transition between mild to moderate fibrosis in HCV-infected patients without iron overload. \uc2\ua9 2014 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim

Prospective research on infants with mild encephalopathy: the PRIME study.

OBJECTIVE: To determine short-term outcomes of infants with evidence of hypoxia-ischemia at birth and classified as mild neonatal encephalopathy (NE) at <6 h of age. STUDY DESIGN: Prospective multicenter study. Mild NE was defined as ⩾1 abnormal category in modified Sarnat score. Primary outcome was any abnormality on early amplitude integrated electroencephalogram (aEEG) or seizures, abnormal brain magnetic resonance imaging (MRI) or neurological exam at discharge. RESULTS: A total of 54/63 (86%) of enrolled infants had data on components of the primary outcome, which was abnormal in 28/54 (52%): discontinuous aEEG (n=4), MRI (n=9) and discharge exam (n=22). Abnormal tone and/or incomplete Moro were the most common findings. MRI abnormalities were confined to cerebral cortex but two infants had basal ganglia and/or thalamus involvement. The 18 to 24 months follow-up is ongoing. CONCLUSIONS: A larger than expected proportion of mild NE infants with abnormal outcomes was observed. Future research should evaluate safety and efficacy of neuroprotection for mild NE.Journal of Perinatology advance online publication, 2 November 2017; doi:10.1038/jp.2017.164