Evaluation of Native Grasses for Sustainable Turfgrass in the Bioclimatic Mediterranean Region

This study reports the results of a research project (Mi.T.E.A.Med) funded by the Italian Ministry of Agriculture. The research was organised in two phases: the first one involved the screening of the study area (Southern Italy) to find suitable turfgrass species and the second one focused on ex situ cultivation to test the ecotypes with salinity resistance. During the first step of the research, 11 sites from 6 regions of Southern and Central Italy were identified. In these sites, 24 ecotypes of Cynodon dactylon (L.) Pers. were collected and their habitus, phenology, and some biometric parameters have been determined. During the 2 years of research, both botanic and agronomic characterisation of the collected C. dactylon ecotypes was carried out. Some native accessions showed a behaviour similar to commercial cultivars, while an ecotype from the Abruzzo Region showed better results compared to the commercial cultivars for several quality indices. The results of this project showed that Mediterranean-adapted native grass species (e.g. Cynodon dactylon (L.) Pers.) are worth investigating for turfgrass, making for their performance and low resource requirement (especially water). This species can be used as promising alternatives to conventional non-native turfgrasses

Notes pour une histoire de l'urbanisme labyrinthique

El artículo analiza la estructura laberíntica como expresión de la relación dialéctica entre la ciudad y las formas de vida de las sociedades. Los argumentos se basan en el análisis de tres conceptos diferentes de laberinto: el místico-religioso, el iluminista y el “unitario”. Mientras que los dos primeros conceptos están vinculados a la interpretación clasicista del laberinto, presentes en el paso de la cotidianidad medieval a la burguesa, relacionando aspectos de uniformidad, homogeneidad, simetría, orden y disciplina, lo "unitario" está vinculado a las condiciones orgánicas y cualitativas de la vida natural, en ausencia de cualquier división funcional del espacio, y en una forma de vida basada en la libre expresión de los sentidos humanos.O artigo discute a estrutura labiríntica enquanto expressão da relação dialética existente entre a cidade e os modos de vida das sociedades. Os argumentos são pautados na análise de três diferentes conceitos de labirinto: o místico-religioso, o iluminista e o “unitário”. Enquanto os dois primeiros conceitos ligam-se à interpretação classicista de labirinto, presentes na passagem do cotidiano medieval para o cotidiano burguês, relacionando aspectos de uniformidade, homogeneidade, simetria, ordem e disciplina, o “unitário” liga-se às condições orgânicas e qualitativas da vida natural, na ausência de qualquer divisão funcional do espaço, e num modo de vida baseado na livre expressão dos sentidos humanos.The article discusses the labyrinthine structure as an expression of the dialectical relationship between the city and the ways of life of societies. The arguments are based on the analysis of three different concepts of a labyrinth: the mystic-religious, the enlightenment, and the “unitary”. While the first two concepts are linked to the classicist interpretation of the labyrinth, present in the passage from medieval to bourgeois everyday life, relating aspects of uniformity, homogeneity, symmetry, order, and discipline, the “unitary” is linked to the organic and qualitative conditions of natural life, in the absence of any functional division of space, and in a way of life based on the free expression of human senses

Adjuvant HPV Vaccination to Prevent Recurrent Cervical Dysplasia after Surgical Treatment:A Meta-Analysis

Objective: The aim of this meta-analysis was to discuss evidence supporting the efficacy of adjuvant human papillomavirus (HPV) vaccination in reducing the risk of recurrent cervical intraepithelial neoplasia (CIN) 2 or greater after surgical treatment. Methods: A systematic literature search was performed for studies reporting the impact of HPV vaccination on reducing the risk of recurrence of CIN 2+ after surgical excision. Results were reported as mean differences or pooled odds ratios (OR) with 95% confidence intervals (95% CI). Results: Eleven studies met the inclusion criteria and were selected for analysis. In total, 21,310 patients were included: 4039 (19%) received peri-operational adjuvant HPV vaccination while 17,271 (81%) received surgery alone. The recurrence of CIN 2+ after treatment was significantly lower in the vaccinated compared with the unvaccinated group (OR 0.35; 95% CI 0.21–0.56; p < 0.0001). The recurrence of CIN 1+ after treatment was significantly lower in the vaccinated compared with the unvaccinated group (OR 0.51; 95% CI 0.31–0.83; p = 0.006). A non-significant trend of reduction rate of HPV persistence was observed in the vaccinated compared with the unvaccinated cohorts (OR was 0.84; 95% CI 0.61–1.15; p = 0.28). Conclusions: HPV vaccination, in adjuvant setting, is associated with a reduced risk of recurrent CIN 1+ and CIN 2+ after surgical treatment

evaluation of native grasses for sustainable turfgrass in the bioclimatic mediterranean region

This study reports the results of a research project (Mi.T.E.A.Med) funded by the Italian Ministry of Agriculture. The research was organised in two phases: the first one involved the screening of the study area (Southern Italy) to find suitable turfgrass species and the second one focused on ex situ cultivation to test the ecotypes with salinity resistance. During the first step of the research, 11 sites from 6 regions of Southern and Central Italy were identified. In these sites, 24 ecotypes of Cynodon dactylon (L.) Pers. were collected and their habitus, phenology, and some biometric parameters have been determined. During the 2 years of research, both botanic and agronomic characterisation of the collected C. dactylon ecotypes was carried out. Some native accessions showed a behaviour similar to commercial cultivars, while an ecotype from the Abruzzo Region showed better results compared to the commercial cultivars for several quality indices. The results of this project showed that Mediterranean-adapted native grass species (e.g. Cynodon dactylon (L.) Pers.) are worth investigating for turfgrass, making for their performance and low resource requirement (especially water). This species can be used as promising alternatives to conventional non-native turfgrasses

Rheumatoid Arthritis from Easy to Complex Disease: From the "2022 GISEA International Symposium"

: Rheumatoid Arthritis (RA) is a systemic disease with many different clinical phenotypes. RA could be classified according to disease duration, seropositivity for rheumatoid factor (RF) and/or anti-citrullinated protein antibodies (ACPA), joint subtype, clinical behaviourbehavior and many other subgroups. In this review, we summarize and discuss the multifaceted aspects of RA, focusing on the relationship between autoimmunity status and clinical outcome, achievement of remission and influence on treatment response, from the 2022 International GISEA/OEG Symposium

Chronic mucocutaneous candidiasis in APECED or thymoma patients correlates with autoimmunity to Th17-associated cytokines

Chronic mucocutaneous candidiasis (CMC) is frequently associated with T cell immunodeficiencies. Specifically, the proinflammatory IL-17A–producing Th17 subset is implicated in protection against fungi at epithelial surfaces. In autoimmune polyendocrinopathy candidiasis ectodermal dystrophy (APECED, or autoimmune polyendocrine syndrome 1), CMC is often the first sign, but the underlying immunodeficiency is a long-standing puzzle. In contrast, the subsequent endocrine features are clearly autoimmune, resulting from defects in thymic self-tolerance induction caused by mutations in the autoimmune regulator (AIRE). We report severely reduced IL-17F and IL-22 responses to both Candida albicans antigens and polyclonal stimulation in APECED patients with CMC. Surprisingly, these reductions are strongly associated with neutralizing autoantibodies to IL-17F and IL-22, whereas responses were normal and autoantibodies infrequent in APECED patients without CMC. Our multicenter survey revealed neutralizing autoantibodies against IL-17A (41%), IL-17F (75%), and/ or IL-22 (91%) in >150 APECED patients, especially those with CMC. We independently found autoantibodies against these Th17-produced cytokines in rare thymoma patients with CMC. The autoantibodies preceded the CMC in all informative cases. We conclude that IL-22 and IL-17F are key natural defenders against CMC and that the immunodeficiency underlying CMC in both patient groups has an autoimmune basis

Efficacy of a new technique - INtubate-RECruit-SURfactant-Extubate - "IN-REC-SUR-E" - in preterm neonates with respiratory distress syndrome: Study protocol for a randomized controlled trial

Background: Although beneficial in clinical practice, the INtubate-SURfactant-Extubate (IN-SUR-E) method is not successful in all preterm neonates with respiratory distress syndrome, with a reported failure rate ranging from 19 to 69 %. One of the possible mechanisms responsible for the unsuccessful IN-SUR-E method, requiring subsequent re-intubation and mechanical ventilation, is the inability of the preterm lung to achieve and maintain an "optimal" functional residual capacity. The importance of lung recruitment before surfactant administration has been demonstrated in animal studies showing that recruitment leads to a more homogeneous surfactant distribution within the lungs. Therefore, the aim of this study is to compare the application of a recruitment maneuver using the high-frequency oscillatory ventilation (HFOV) modality just before the surfactant administration followed by rapid extubation (INtubate-RECruit-SURfactant-Extubate: IN-REC-SUR-E) with IN-SUR-E alone in spontaneously breathing preterm infants requiring nasal continuous positive airway pressure (nCPAP) as initial respiratory support and reaching pre-defined CPAP failure criteria. Methods/design: In this study, 206 spontaneously breathing infants born at 24+0-27+6 weeks' gestation and failing nCPAP during the first 24 h of life, will be randomized to receive an HFOV recruitment maneuver (IN-REC-SUR-E) or no recruitment maneuver (IN-SUR-E) just prior to surfactant administration followed by prompt extubation. The primary outcome is the need for mechanical ventilation within the first 3 days of life. Infants in both groups will be considered to have reached the primary outcome when they are not extubated within 30 min after surfactant administration or when they meet the nCPAP failure criteria after extubation. Discussion: From all available data no definitive evidence exists about a positive effect of recruitment before surfactant instillation, but a rationale exists for testing the following hypothesis: a lung recruitment maneuver performed with a step-by-step Continuous Distending Pressure increase during High-Frequency Oscillatory Ventilation (and not with a sustained inflation) could have a positive effects in terms of improved surfactant distribution and consequent its major efficacy in preterm newborns with respiratory distress syndrome. This represents our challenge. Trial registration: ClinicalTrials.gov identifier: NCT02482766. Registered on 1 June 2015

Development of a Nomogram Predicting the Risk of Persistence/Recurrence of Cervical Dysplasia

Background: Cervical dysplasia persistence/recurrence has a great impact on women's health and quality of life. In this study, we investigated whether a prognostic nomogram may improve risk assessment after primary conization. Methods: This is a retrospective multi-institutional study based on charts of consecutive patients undergoing conization between 1 January 2010 and 31 December 2014. A nomogram assessing the importance of different variables was built. A cohort of patients treated between 1 January 2015 and 30 June 2016 was used to validate the nomogram. Results: A total of 2966 patients undergoing primary conization were analyzed. The median (range) patient age was 40 (18-89) years. At 5-year of follow-up, 6% of patients (175/2966) had developed a persistent/recurrent cervical dysplasia. Median (range) recurrence-free survival was 18 (5-52) months. Diagnosis of CIN3, presence of HR-HPV types, positive endocervical margins, HPV persistence, and the omission of HPV vaccination after conization increased significantly and independently of the risk of developing cervical dysplasia persistence/recurrence. A nomogram weighting the impact of all variables was built with a C-Index of 0.809. A dataset of 549 patients was used to validate the nomogram, with a C-index of 0.809. Conclusions: The present nomogram represents a useful tool for counseling women about their risk of persistence/recurrence after primary conization. HPV vaccination after conization is associated with a reduced risk of CIN2+

Practice patterns and 90-day treatment-related morbidity in early-stage cervical cancer

To evaluate the impact of the Laparoscopic Approach to Cervical Cancer (LACC) Trial on patterns of care and surgery-related morbidity in early-stage cervical cancer

Twenty Years of AIRE

About two decades ago, cloning of the autoimmune regulator (AIRE) gene materialized one of the most important actors on the scene of self-tolerance. Thymic transcription of genes encoding tissue-specific antigens (ts-ags) is activated by AIRE protein and embodies the essence of thymic self-representation. Pathogenic AIRE variants cause the autoimmune polyglandular syndrome type 1, which is a rare and complex disease that is gaining attention in research on autoimmunity. The animal models of disease, although not identically reproducing the human picture, supply fundamental information on mechanisms and extent of AIRE action: thanks to its multidomain structure, AIRE localizes to chromatin enclosing the target genes, binds to histones, and offers an anchorage to multimolecular complexes involved in initiation and post-initiation events of gene transcription. In addition, AIRE enhances mRNA diversity by favoring alternative mRNA splicing. Once synthesized, ts-ags are presented to, and cause deletion of the self-reactive thymocyte clones. However, AIRE function is not restricted to the activation of gene transcription. AIRE would control presentation and transfer of self-antigens for thymic cellular interplay: such mechanism is aimed at increasing the likelihood of engagement of the thymocytes that carry the corresponding T-cell receptors. Another fundamental role of AIRE in promoting self-tolerance is related to the development of thymocyte anergy, as thymic self-representation shapes at the same time the repertoire of regulatory T cells. Finally, AIRE seems to replicate its action in the secondary lymphoid organs, albeit the cell lineage detaining such property has not been fully characterized. Delineation of AIRE functions adds interesting data to the knowledge of the mechanisms of self-tolerance and introduces exciting perspectives of therapeutic interventions against the related diseases