A methodology for assessing spatio-temporal dynamics of flood regulating services

open5sìThe effects of land use alteration, migration and urbanization are key aspects in flood management, as human activities can strongly influence the capacity of ecosystems to provide flood regulating ecosystem services and determine their demand. This study analyzes spatio-temporal dynamics of flood regulating ecosystem services to support watershed management planning. A methodology for mapping the supply and demand of flood regulation is proposed and applied to the Arno River basin, in central Italy. The spatial explicit analysis of flood regulating ecosystem services supply is carried out with SWAT - Soil and Water Assessment Tool, whose outputs are synthetized by two indicators to evaluate the retention capacity of each land use class originating from CORINE data sets. Quantification of demand for flood regulating ecosystem services is based on flood hazard classes derived from the existing local flood management plans (i.e., PAI-Piano per l'Assetto Idrogeologico and PGRA-Piano di Gestione del Rischio Alluvioni). Supply and demand data are then combined to obtain budget maps of flood regulating ecosystem services and their evolution, between 1990 and 2018. The results show how both demand and supply of ecosystem services have changed in the last decades, highlighting the main hotspots at the catchment and subcatchment scales. With the increasing urbanization, the demand values have grown in the Arno floodplains, where residential, industrial and commercial zones are located. At the same time, land use changes have altered the water regulation supply, resulting in a generalized decrease of the basin capacity to provide flood regulation services. The maps and tables obtained show the fundamental role of forest and other vegetated areas whose protection is a priority to assure future flood regulation and associated co-benefits (e.g., regulation of air quality, reduction of erosion, improvement of water quality, wood fuel). The assessment of flood regulating here proposed is a powerful tool for decision makers to improve flood regulation and provides a sound base of knowledge to identify and locate flood prevention and mitigation measureArticle Number: 107963openMori, Stefano; Pacetti, Tommaso; Brandimarte, Luigia; Santolini, Riccardo; Caporali, EnricaMori, Stefano; Pacetti, Tommaso; Brandimarte, Luigia; Santolini, Riccardo; Caporali, Enric

Frontal bone virtual reconstruction and geometric morphometric analysis of the mid-Pleistocene hominin KNM-OG 45500 (Olorgesailie, Kenya)

KNM-OG 45500 is a hominin fossil composed of parts of a frontal bone, left temporal bone, and cranial vault pieces. Since its discovery along the Olorgesailie Formation (Kenya) in 2003, it has been associated with the Homo erectus hypodigm. The specimen, derived from a geological context dated to ca. 900 Ka BP, has been described as a very small individual of probable female sex. However, despite its status as an important hominin specimen, it has not been used in a quantitative comparative framework because of its fragmentary condition. Here, we undertake a virtual reconstruction of the better-preserved fragment, the frontal bone. We additionally apply geometric morphometric analyses, using a geographically diverse fossil and modern human sample, in order to investigate the morphological affinities of KNM-OG 45500. Our results show that the frontal shape of KNM-OG 45500 exhibits similarities with Early Pleistocene fossils from Eurasia and Africa that are assigned to H. erectus sensu lato (s.l.). Its size, on the other hand, is notably smaller than most other Homo erectus fossils and modern humans and similar to the specimens from Dmanisi (Georgia) and to Homo naledi. Taken together, our analyses of the frontal bone suggest a taxonomic attribution of KNM-OG 45500 to H. erectus s.l. and extend even further the range of size variability associated with this taxon around 900 Ka BP

Lamellar macular holes: monitoring and management strategies

Lamellar macular holes are a vitreoretinal condition characterized by abnormalities in foveal contour with splitting of the neuroepithelium and often an intact photoreceptor layer. Recent developments in high-resolution imaging have increased our ability to study the details of the vitreoretinal interface and to distinguish between different forms of lamellar holes. A new classification is needed to help clinicians in the management of lamellar macular holes. Some clinicians prefer to observe these clinical entities, especially when visual acuity is maintained or alterations of the photoreceptor layer are present. Nevertheless, lamellar holes may sometimes progress, and visual acuity can deteriorate. On the other hand, surgical treatment may lead to positive anatomical and functional outcomes, but not without risks. This review provides a critical overview of the available data on lamellar macular holes, focusing on diagnosis and managing options

Challenges in acanthamoeba keratitis: a review

To review challenges in the diagnosis and management of Acanthamoeba keratitis (AK), along with prognostic factors, in order to help ophthalmologists avoid misdiagnosis, protracted treatment periods, and long-term negative sequelae, with an overarching goal of improving patient outcomes and quality of life, we examined AK studies published between January 1998 and December 2019. All manuscripts describing clinical manifestations, diagnosis, treatment, prognosis, and challenges in short- and long-term management were included. The diagnosis of AK is often challenging. An increased time between symptom onset and the initiation of appropriate therapy is associated with poorer visual outcomes. The timely initiation of standardized antiamoebic therapies improves visual outcomes, decreases the duration of treatment, and reduces the chances of needing surgical intervention. In clinical practice, AK diagnosis is often missed or delayed, leading to poorer final visual outcomes and a negative impact on patient morbidity and quality of life

Hypovitaminosis D and COVID-19

As the main title 'COVID-19 revolution: a new challenge for the internist' states, the global coronavirus infection disease 2019 (COVID-19) pandemic represented a new challenge for the internists. This paper is part of a series of articles written during the difficult period of the ongoing global pandemic and published all together in this fourth issue of the Italian Journal of Medicine, with the aim of sharing the direct experiences of those who were the first to face this severe emergency, expressing each point of view in the management of COVID-19 in relation to other diseases. Each article is therefore the result of many efforts and a joint collaboration between many colleagues from the Departments of Internal Medicine or Emergency Medicine of several Italian hospitals, engaged in the front line during the pandemic. These preliminary studies therefore cover diagnostic tools available to health care personnel, epidemiological reflections, possible new therapeutic approaches, discharge and reintegration procedures to daily life, the involvement of the disease not only in the lung, aspects related to various comorbidities, such as: coagulopathies, vasculitis, vitamin D deficiency, gender differences, etc.. The goal is to offer a perspective, as broad as possible, of everything that has been done to initially face the pandemic in its first phase and provide the tools for an increasingly better approach, in the hope of not arriving unprepared to a possible second wave. This paper in particular deals with hypovitaminosis D and COVID-19

Two-Phase Stefan Problem as the Limit Case of Two-Phase Stefan Problem with Kinetic Condition

AbstractBoth one-dimensional two-phase Stefan problem with the thermodynamic equilibrium condition u(R(t),t)=0 and with the kinetic rule uε(Rε(t),t)=εRε′(t) at the moving boundary are considered. We prove, when ε approaches zero, Rε(t) converges to R(t) in C1+δ/2[0,T] for any finite T>0, 0<δ<1

High Risk of Secondary Infections Following Thrombotic Complications in Patients With COVID-19

Background. This study’s primary aim was to evaluate the impact of thrombotic complications on the development of secondary infections. The secondary aim was to compare the etiology of secondary infections in patients with and without thrombotic complications. Methods. This was a cohort study (NCT04318366) of coronavirus disease 2019 (COVID-19) patients hospitalized at IRCCS San Raffaele Hospital between February 25 and June 30, 2020. Incidence rates (IRs) were calculated by univariable Poisson regression as the number of cases per 1000 person-days of follow-up (PDFU) with 95% confidence intervals. The cumulative incidence functions of secondary infections according to thrombotic complications were compared with Gray’s method accounting for competing risk of death. A multivariable Fine-Gray model was applied to assess factors associated with risk of secondary infections. Results. Overall, 109/904 patients had 176 secondary infections (IR, 10.0; 95% CI, 8.8–11.5; per 1000-PDFU). The IRs of secondary infections among patients with or without thrombotic complications were 15.0 (95% CI, 10.7–21.0) and 9.3 (95% CI, 7.9–11.0) per 1000-PDFU, respectively (P = .017). At multivariable analysis, thrombotic complications were associated with the development of secondary infections (subdistribution hazard ratio, 1.788; 95% CI, 1.018–3.140; P = .043). The etiology of secondary infections was similar in patients with and without thrombotic complications. Conclusions. In patients with COVID-19, thrombotic complications were associated with a high risk of secondary infections