Safety and efficacy of multiple cyclocoagulation of ciliary bodies by high-intensity focused ultrasound in patients with glaucoma

PURPOSE: To evaluate long-term efficacy and safety of repeated ultrasonic circular cyclocoagulation (UCCC) in patients with uncontrolled glaucoma. METHODS: Forty eyes of 40 patients affected by primary or secondary uncontrolled glaucoma under maximal tolerated medical therapy were enrolled in this prospective non-comparative case series study. A complete ophthalmic examination was performed before and after each month for 1 year. The UCCC treatment was repeated at 4 months if the intraocular pressure (IOP) was > 21 mmHg without major complications. Complete success was defined as a final IOP > 5 mmHg and 64 21 mmHg without hypotensive medication adjunction and no major or vision-threatening complications. RESULTS: The mean preoperative IOP was 32.5 \ub1 9.9 mmHg. Four months after the first UCCC treatment the overall IOP reduction was 27.8%. Twenty-two of the treated eyes did not achieve the complete success and a second treatment was performed in 20 of these eyes. Four months after the second UCCC procedure, the IOP reduction was 20.3% from preoperative values and 34.7% from baseline. Twelve of the retreated eyes needed a third treatment. Four months after the third UCCC treatment, the overall IOP reduction was 34% and 52.6% from baseline. No major complications occurred during or after any of the procedures. At 12 months, complete success was achieved in 85% (34/40) of treated eyes, with a maximum of three procedures and a significant medication reduction. CONCLUSIONS: Multiple UCCC treatments are safe, and additional treatments increase the overall procedure efficacy

Theoretic scientific rationale of double XEN 45 Gel Stent implant in severe glaucomatous ocular hypertension

Purpose: To investigate the theoretical hydrodynamic effects of a single or a double XEN 45 Gel Stent (XEN45) implant in glaucomatous eyes. Methods: A prospective non-randomized clinical study on 63 glaucomatous eyes of 63 patients. The preoperative intraocular pressure (IOP) values after 14 days of medical therapy washout was correlated to the postoperative IOP values 7 and 45 days after the implant of a XEN45. A mathematical model based on the Hagen-Poiseuille law was designed to assess the residual aqueous humor outflow (AHO) facility in glaucomatous eyes in function of the postoperative IOP reduction. Using XEN45 as unit of measurement, we transformed through equations the residual preoperative AHO in XEN45 equivalent in order to establish theoretical number of stents needed to reach the target IOP. Results: The mean preoperative washout IOP was 28.9 ± 5.4 mmHg, after 7 and 45 days the mean postoperative IOP was 12.6 ± 4.3 and 15.3 ± 4.4 mmHg, respectively (p < 0.001). A significant positive correlation was found between preoperative and postoperative IOP values. We obtained a mathematical relationship to estimate the theoretical number of XEN45 stents needed to reach the target IOP. Conclusion: The basal IOP (after medical therapy washout) is a predictive factor for the surgical success after a XEN45 implant. Establishing the residual preoperative AHO it is possible to predict the theoretical number of stents to implant. A double XEN45 implant could be considered a possible further tool to reach the target IOP in patients with severe AHO deficiency

Towards understanding bold behaviour of large carnivores: the case of brown bears in human-modified landscapes

Human–wildlife conflicts sometimes involve bold animals that do not fear humans and their activities. Such behaviour is detrimental to both wildlife and people and may lead to conflicts, which can be especially serious for large carnivores. Like most wildlife, these species have adapted to live in highly humanized landscapes by adopting human avoidance behaviours. However, bold individuals exist, which represent a main cause of conflicts, public fear and negative attitudes, that greatly influence management and conservation actions. Although costly decisions are constantly made to deal with such individuals, evidence-based knowledge of their behaviour, that is how and when they move, especially in relation to human activities, is lacking. We analysed telemetry data of brown bears (Ursus arctos) that were GPS-collared across Slovenia and Trentino (Italy) to explore spatial behaviour and rhythms of activity of bears that were identified as bold by managers and to assess if and how their behaviour differs from that of their ‘non-bold’ conspecifics (hereafter, control individuals). Because other factors such as sex and age of the bear, season, daytime and region may affect behaviour, we also included these variables in our analyses. On one hand, bold bears were more active at the daytime and used open areas considerably more often than control bears. On the other hand, although differences in distance to settlements and roads, movement rates and daily home ranges were also found, they were not as pronounced as expected. Instead, other factors were found to affect bear behaviour and, most importantly, we found strong inter-individual differences in all behaviours. Such results suggest that, although bold bears have some behavioural attributes in common that distinguish them from control bears, each individual differs from one another. Our study represents a first step towards understanding bold bears’ behaviour and provide novel evidence-based knowledge that can help to better know and manage these individuals.GB was financially supported by a collaboration contract with the MUSE – Museo delle Scienze of Trento (Italy). VP was financially supported by (a) the Excellence Project CGL2017-82782-P financed by the Spanish Ministry of Science, Innovation and Universities, the Agencia Estatal de Investigación (AEI) and the Fondo Europeo de Desarrollo Regional (FEDER, EU), and (b) a GRUPIN research grant from the Regional Government of Asturias (Ref.: IDI/2018/000151). MMD was financially supported by the Spanish Ramon y Cajal grant RYC-2014-16263, and KJ by Slovenian Research Agency

Generation of mouse hippocampal brain organoids from primary embryonic neural stem cells

: Here we present a protocol to generate standardized cerebral organoids with hippocampal regional specification using morphogen WNT3a. We describe steps for isolating mouse embryonic (E14.5) neural stem cells from the brain subgranular zone, preparing organoids samples for immunofluorescence, calcium imaging, and metabolic profiling. This protocol can be used to generate mouse brain organoids for developmental studies, modeling disease, and drug screening. Organoids can be obtained in one month, thus providing a rapid tool for high-throughput data validation. For complete details on the use and execution of this protocol, please refer to Ciarpella et al. "Murine cerebral organoids develop network of functional neurons and hippocampal brain region identity".1

Atypical myelin oligodendrocyte glycoprotein antibody-associated optic neuritis and acute demyelinating polyneuropathy after SARS-CoV-2 infection: Case report and literature review

Post-infectious immune-mediated neurological complications of Sars-Cov-2 have been increasingly recognized since the novel pandemic emerged. We describe the case of a 74 years-old patient who developed a Myelin Oligodendrocyte Glycoprotein (MOG) antibody-associated unilateral retrobulbar optic neuritis a few weeks after paucisymptomatic COVID-19 disease and, subsequently, after the resolution of the optic neuritis, an acute inflammatory demyelinating polyneuropathy. So far, no cases of these two neurological manifestations have been reported in the same patient. We herein report a case characterized by both manifestations and review the accumulating literature regarding MOG antibody-associated disease following SarsCov-2 infection

Il Manuale per Formatori della Scienza Aperta

Introduzione ai principi generali della scienza apert

Le torchis dans l'architecture italienne du Néolithique à l'âge du fer: synthèse actualisée des données archéologiques

The discovery of remains of daub, especially burned, is very common in Italian pre- and protohistoric sites. This collective work aims to summarize the researches carried out over the last thirty years in Italian contexts of the Late Prehistory, from the Neolithic to the Iron Age. The subjects considered in this paper will be the selection of raw materials and their preparation, the realization of the timber frame or of the the wattle, the putting of the raw earth on the frame and the technical interactions. A number of case studies will be taken into account, in order to draw up a synthesis of the different techniques attested in Italian territory, looking for geographical or chronological constants or variables. The methodological approaches implemented by the various authors will be taken into account

A multidisciplinary approach to estimating wolf population size for long‐term conservation

From Wiley via Jisc Publications RouterHistory: received 2022-10-06, rev-recd 2023-02-06, accepted 2023-05-23, epub 2023-07-28Article version: VoRPublication status: PublishedFunder: EC LIFE Programme; Grant(s): LIFE18NAT/IT/000972Funder: Research Council of Norway; Grant(s): NFR 286886The wolf (Canis lupus) is among the most controversial of wildlife species. Abundance estimates are required to inform public debate and policy decisions, but obtaining them at biologically relevant scales is challenging. We developed a system for comprehensive population estimation across the Italian alpine region (100,000 km2), involving 1513 trained operators representing 160 institutions. This extensive network allowed for coordinated genetic sample collection and landscape‐level spatial capture–recapture analyses that transcended administrative boundaries to produce the first estimates of key parameters for wolf population status assessment. Wolf abundance was estimated at 952 individuals (95% credible interval 816–1120) and 135 reproductive units (i.e., packs) (95% credible interval 112–165). We also estimated that mature individuals accounted for 33–45% of the entire population. The monitoring effort was spatially estimated thereby overcoming an important limitation of citizen science data. This is an important approach for promoting wolf–human coexistence based on wolf abundance monitoring and an endorsement of large‐scale harmonized conservation practices