Exploring forest infrastructures equipment through multivariate analysis: complementarities, gaps and overlaps in the Mediterranean basin

The countries of the Mediterranean basin face several challenges regarding the sustainability of forest ecosystems and the delivery of crucial goods and services that they provide in a context of rapid global changes. Advancing scientific knowledge and foresting innovation is essential to ensure the sustainable management of Mediterranean forests and maximize the potential role of their unique goods and services in building a knowledge-based bioeconomy in the region. In this context, the European project FORESTERRA ("Enhancing FOrest RESearch in the MediTERRAnean through improved coordination and integration”) aims at reinforcing the scientific cooperation on Mediterranean forests through an ambitious transnational framework in order to reduce the existing research fragmentation and maximize the effectiveness of forest research activities. Within the FORESTERRA project framework, this work analyzed the infrastructures equipment of the Mediterranean countries belonging to the project Consortium. According to the European Commission, research infrastructures are facilities, resources and services that are used by the scientific communities to conduct research and foster innovation. To the best of our knowledge, the equipment and availability of infrastructures, in terms of experimental sites, research facilities and databases, have only rarely been explored. The aim of this paper was hence to identify complementarities, gaps and overlaps among the different forest research institutes in order to create a scientific network, optimize the resources and trigger collaborations

Nitrification inhibition activity, a novel trait in root exudates of rice

Screening numerous genotypes for nitrification inhibition activity provides first evidence that root exudates of rice can slow the nitrification of ammonium to nitrate in soil. This offers promising possibilities for exploiting molecular and genetic tools to improve nitrogen use efficiency by inhibiting wasteful nitrification

Management of acute diverticulitis with pericolic free gas (ADIFAS). an international multicenter observational study

Background: There are no specific recommendations regarding the optimal management of this group of patients. The World Society of Emergency Surgery suggested a nonoperative strategy with antibiotic therapy, but this was a weak recommendation. This study aims to identify the optimal management of patients with acute diverticulitis (AD) presenting with pericolic free air with or without pericolic fluid. Methods: A multicenter, prospective, international study of patients diagnosed with AD and pericolic-free air with or without pericolic free fluid at a computed tomography (CT) scan between May 2020 and June 2021 was included. Patients were excluded if they had intra-abdominal distant free air, an abscess, generalized peritonitis, or less than a 1-year follow-up. The primary outcome was the rate of failure of nonoperative management within the index admission. Secondary outcomes included the rate of failure of nonoperative management within the first year and risk factors for failure. Results: A total of 810 patients were recruited across 69 European and South American centers; 744 patients (92%) were treated nonoperatively, and 66 (8%) underwent immediate surgery. Baseline characteristics were similar between groups. Hinchey II-IV on diagnostic imaging was the only independent risk factor for surgical intervention during index admission (odds ratios: 12.5, 95% CI: 2.4-64, P =0.003). Among patients treated nonoperatively, at index admission, 697 (94%) patients were discharged without any complications, 35 (4.7%) required emergency surgery, and 12 (1.6%) percutaneous drainage. Free pericolic fluid on CT scan was associated with a higher risk of failure of nonoperative management (odds ratios: 4.9, 95% CI: 1.2-19.9, P =0.023), with 88% of success compared to 96% without free fluid ( P <0.001). The rate of treatment failure with nonoperative management during the first year of follow-up was 16.5%. Conclusion: Patients with AD presenting with pericolic free gas can be successfully managed nonoperatively in the vast majority of cases. Patients with both free pericolic gas and free pericolic fluid on a CT scan are at a higher risk of failing nonoperative management and require closer observation

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Structure and Evolution of Mediterranean Forest Research: A Science Mapping Approach

<div><p>This study aims at conducting the first science mapping analysis of the Mediterranean forest research in order to elucidate its research structure and evolution. We applied a science mapping approach based on co-term and citation analyses to a set of scientific publications retrieved from the Elsevier’s Scopus database over the period 1980–2014. The Scopus search retrieved 2,698 research papers and reviews published by 159 peer-reviewed journals. The total number of publications was around 1% (N = 17) during the period 1980–1989 and they reached 3% (N = 69) in the time slice 1990–1994. Since 1995, the number of publications increased exponentially, thus reaching 55% (N = 1,476) during the period 2010–2014. Within the thirty-four years considered, the retrieved publications were published by 88 countries. Among them, Spain was the most productive country, publishing 44% (N = 1,178) of total publications followed by Italy (18%, N = 482) and France (12%, N = 336). These countries also host the ten most productive scientific institutions in terms of number of publications in Mediterranean forest subjects. <i>Forest Ecology and Management</i> and <i>Annals of Forest Science</i> were the most active journals in publishing research in Mediterranean forest. During the period 1980–1994, the research topics were poorly characterized, but they become better defined during the time slice 1995–1999. Since 2000s, the clusters become well defined by research topics. Current status of Mediterranean forest research (20092014) was represented by four clusters, in which different research topics such as biodiversity and conservation, land-use and degradation, climate change effects on ecophysiological responses and soil were identified. Basic research in Mediterranean forest ecosystems is mainly conducted by ecophysiological research. Applied research was mainly represented by land-use and degradation, biodiversity and conservation and fire research topics. The citation analyses revealed highly cited terms in the Mediterranean forest research as they were represented by fire, biodiversity, carbon sequestration, climate change and global warming. Finally, our analysis also revealed the multidisciplinary role of climate change research. This study provides a first holistic view of the Mediterranean forest research that could be useful for researchers and policy makers as they may evaluate and analyze its historical evolution, as well as its structure and scientific production. We concluded that Mediterranean forest research represents an active scientific field.</p></div

C and N concentrations in different compartments of outgrown oak coppice forests under different site conditions in Central Italy

International audience& Context Harvesting of Mediterranean oak coppice forests has been progressively suspended on a share of cover over the last decades. Positive growth trend in outgrown coppices no longer harvested on short rotations now drives natural forest restoration on wide areas, and it represents a potential carbon sink in view of global warming. & Aims Our goals were to estimate carbon (C) and nitrogen (N) content per compartment in two deciduous oak outgrown coppice forests, aged differently and growing under unequal site quality, to verify whether C concentration across compart-ments is in agreement with the conventional conversion rate of 0.5. & Methods Ecosystem C and N pools were assessed by multiplying the whole coppice mass (combining specific al-lometric functions, root-to-shoot ratio, and soil sampling) by respective C and N concentrations. & Results The results point out that the largest percentage of N was stored in 15-cm topsoil (84.06 and 73.34 % at the younger and older site, respectively), whereas the proportion of organic ecosystem C pool was more variable, as a consequence of the amount and allocation of phytomass. We found that, in most cases, C concentration was less than the conventional conver-sion rate of 0.5, especially in deadwood, O layer, and root compartments. & Conclusion The findings provide further knowledge of C and N storage into these new built-up forest types and the evidence that a detailed analysis may get higher accuracy in the pools estimate, producing a more reliable outlook on dynamics and climate change mitigation ability of these systems

The ten most productive institutions publishing articles or reviews on Mediterranean forests from 1980 to 2014.

<p>The ten most productive institutions publishing articles or reviews on Mediterranean forests from 1980 to 2014.</p

Term map based on Mediterranean forest publications from the time slice 2005–2009.

<p>Lines (600) indicate co-occurrence links between terms.</p