Use of ecological indices to assess the health status of Posidonia oceanica meadows in Eastern Liguria.

Posidonia oceanica (L.) Delile is an endemic Mediterranean seagrass and a key species of coastal marine ecosystems listed among the priority habitats in the European Directive 92/43 / EEC. P. oceanica is a good biological indicator to define the quality of coastal marine ecosystem, because its high sensitivity to environmental conditions changes. The aim of this study is 1) to investigate if the health status of some P.oceanica meadows located in different sites influences the ability of the system to stock natural capital and 2) to quantify changes in natural capital value in both biophysical and monetary terms. Health status of five different meadows along Liguria coast was evaluated by means of different indicators such as: Conservation Index, Substitution Index, Phase Shift Index and Posidonia Rapid Easy Index. Natural capital has been assessed through emergy analysis, a biophysical approach able to account the resources directly and indirectly used up to reach a certain product or mantain a system. Results showed that healthier meadows are located in marine protected areas or far from main sources of anthropic pressures and that higher values of natural capital is stored in healthy seagrass

Consequences of the marine climate and ecosystem shift of the 1980-90s on the Ligurian Sea biodiversity (NW Mediterranean Sea)

A rapid temperature increase in the 1980-90s has been accompanied by dramatic and unprecedented changes in the biota and communities of the Ligurian Sea. This review uses existing historical series (a few of which have been purposely updated) to assess extent and consequences of such changes. A number of warm-water species, previously absent or occasional in the comparatively cold Ligurian Sea, has recently established thanks to warmer winters. Occurrence among them of invasive alien species is causing concern because of their capacity of outcompeting autochthonous species. Summer heatwaves, on the other hand, caused mass mortalities in marine organisms, some of which found refuge at depth. New marine diseases appeared, as well as other dysfunctions such as the formation of mucilage aggregates that suffocated and entangled benthic organisms. Human pressures have combined with climate change to cause phase shifts (i.e., abrupt variations in species composition and community structure) in different habitats, such as the pelagic environment, seagrass meadows, rocky reefs, and marine caves. These phase shifts implied biotic homogenization, reduction of diversity, and dominance by invasive aliens, and may be detrimental to the resilience of Ligurian Sea ecosystems. Another phase of rapid warming has possibly started in the 2010s and there are clues pointing to a further series of biological changes, but data are too scarce to date for proper assessment. Only well addressed long-term studies will help understanding the future dynamics of Ligurian Sea ecosystems and their possibilities of recovery

A multi-element psychosocial intervention for early psychosis (GET UP PIANO TRIAL) conducted in a catchment area of 10 million inhabitants: study protocol for a pragmatic cluster randomized controlled trial

Multi-element interventions for first-episode psychosis (FEP) are promising, but have mostly been conducted in non-epidemiologically representative samples, thereby raising the risk of underestimating the complexities involved in treating FEP in 'real-world' services

End of life: Professional care providers\u2019 narrations

The present research aims to explore the experiences of health professionals dealing with the end of life. A qualitative study involving 37 health professionals of surgical, medical, intensive care units, hospice and home services of Northern Italy was conducted using focus groups to collect data and Grounded Theory to analyse them. A lack of organisation and communication with the dying persons and their families emerged from the discussion within the four groups. A difficulty emerged in defining a good death underlying the ethical dilemmas, which involve places to die, palliative care and end-of-life decision making. Care at the end of life remains a neglected topic within the health care services with a subsequent sufferance on the part of the health professionals. It needs to be placed at the centre of research and health system organisation