Dengue Fever in Italy: The “Eternal Return” of an Emerging Arboviral Disease

Enhanced surveillance for dengue virus (DENV) infections in Italy has been implemented since 2012, with annual reports from the National Health Institute. In this study, we summarize available evidence on the epidemiology of officially notified DENV infections from 2010–2021. In total, 1043 DENV infection cases were diagnosed, and most of them occurred in travelers, with only 11 autochthonous cases. The annual incidence rates of DENV infections peaked during 2019 with 0.277 cases per 100,000 (95% confidence interval [95% CI] 0.187–0.267), (age-adjusted incidence rate: 0.328, 95% CI 0.314–0.314). Cases of DENV were clustered during the summer months of July (11.4%), August (19.3%), and September (12.7%). The areas characterized by higher notification rates were north-western (29.0%), and mostly north-eastern Italy (41.3%). The risk for DENV infection in travelers increased in the time period 2015–2019 (risk ratio [RR] 1.808, 95% CI 1.594–2.051) and even during 2020–2021 (RR 1.771, 95% CI 1.238–2.543). Higher risk for DENV was additionally reported in male subjects compared with females subjects, and aged 25 to 44 years, and in individuals from northern and central Italy compared to southern regions and islands. In a multivariable Poisson regression model, the increased number of travelers per 100 inhabitants (incidence rate ratio [IRR] 1.065, 95% CI 1.036–1.096), the incidence in other countries (IRR 1.323, 95% CI 1.165–1.481), the share of individuals aged 25 to 44 years (IRR 1.622, 95% CI 1.338–1.968), and foreign-born residents (IRR 2.717, 95% CI 1.555–3.881), were identified as effectors of annual incidence. In summary, although the circulation of DENV remains clustered among travelers, enhanced surveillance is vital for the early detection of human cases and the prompt implementation of response measures

SARS-CoV-2-Legionella Co-Infections: A Systematic Review and Meta-Analysis (2020-2021)

Legionnaires' Disease (LD) is a severe, sometimes fatal interstitial pneumonia due to Legionella pneumophila. Since the inception of the SARS-CoV-2 pandemic, some contradictory reports about the effects of lockdown measures on its epidemiology have been published, but no summary evidence has been collected to date. Therefore, we searched two different databases (PubMed and EMBASE) focusing on studies that reported the occurrence of LD among SARS-CoV-2 cases. Data were extracted using a standardized assessment form, and the results of such analyses were systematically reported, summarized, and compared. We identified a total of 38 articles, including 27 observational studies (either prospective or retrospective ones), 10 case reports, and 1 case series. Overall, data on 10,936 SARS-CoV-2 cases were included in the analyses. Of them, 5035 (46.0%) were tested for Legionella either through urinary antigen test or PCR, with 18 positive cases (0.4%). A pooled prevalence of 0.288% (95% Confidence Interval (95% CI) 0.129-0.641), was eventually calculated. Moreover, detailed data on 19 co-infections LD + SARS-CoV-2 were obtained (males: 84.2%; mean age: 61.9 years, range 35 to 83; 78.9% with 1 or more underlying comorbidities), including 16 (84.2%) admissions to the ICU, with a Case Fatality Ratio of 26.3%. In summary, our analyses suggest that the occurrence of SARS-CoV-2-Legionella infections may represent a relatively rare but not irrelevant event, and incident cases are characterized by a dismal prognosis

Development and validation of a device for in vitro uniaxial cell substrate deformation with real-time strain control

Substrate deformation affects the behavior of many cell types, as for example bone, skeletal muscle and endothelial cells. Nowadays, in vitro tests are widely employed to study the mechanotransduction induced by substrate deformation. The aim of in vitro systems is to properly reproduce the mechanical stimuli sensed by the tissue in the cellular microenvironment. An accurate strain measurement and control is therefore necessary to ensure the cell sensing the proper strain for the entire treatment. Different types of in vitro systems are commercially available or custom made designed; however, none of these devices performs a real-time measurement of the induced strains. In this study, we proposed a uniaxial strain device for in vitro cell stimulation with an innovative real-time strain control. The system was designed to induce sinusoidal waveform stimulation in a huge range of amplitude and frequency, to three silicone chambers stretched by a linear actuator. The real-time strain measurement and control algorithm is based on an optical tracking method implemented in LabView 2015, and it is able adapting the input amplitude to the linear motor, if necessary, hanging the stimulation signal for about 120 ms. A validation of the strain values measured during the real-time tracking algorithm was carried out through a comparison with digital image correlation (DIC) technique. We investigated the influence of number of reference points and image size on the algorithm accuracy. Experimental results showed that the tracking algorithm allowed for a real-time measurement of the membrane longitudinal strains with a relative error of 0.3%, on average, in comparison to the strains measured with DIC in post-processing analysis. We showed a high homogeneity of the strain pattern on the entire chamber base for different stimulation conditions. Finally, as proof of concept, we employed the uniaxial strain device to induce substrate deformation on human Osteosarcoma cell line (SaOS-2). Experimental results showed a consistent cells’ change in shape in response to the mechanical strain

Understanding of the Nutri-Score front-of-pack label by Italian Medical Professionals and its effect on food choices: a web-based study on knowledge, attitudes and practices

A growing number of European Countries have adopted front-of-pack nutrition labels (FPNL) in order to assist costumers' alimentary choices, and particularly Nutri-Score. While its acceptance in Italy has been slowed by ongoing debates, we assessed corresponding knowledge, attitudes and practices of a sample of Italian Medical Professionals (MP)

Techniques and machines for conservation and organic agriculture: the S.M.O.C.A. project.

The combination of low environmental impact farming techniques and conservation agriculture techniques is considered not feasible due to some limitations, mainly including is the strong dependence of conservation cropping systems by chemical control of weeds and the use of mineral fertilizers, which are considered essential for supporting to acceptable levels of crop productions. In order to apply the techniques of reduced tillage also in organic and integrated agriculture, is therefore indispensable, on one hand, the availability of specific versatile and efficient machines for non-chemical cover-crop management, weed control and sod-seeding/planting, on the other hand, the optimization of cropping systems in function of improved nutrient cycling and preventive weed control. The SMOCA project (Smart Management Conservation of Organic Agriculture) aims to integrate organic cropping systems and conservation agriculture techniques in three different scenarios (arable open field, open field vegetables and orchards) thanks to development of machines and technical itineraries that allow to apply the reduced tillage techniques even in the absence of pesticides. Within this project, prototypes of machines were realized in order to implement conservation cropping systems with high energy efficiency. For each scenario, three technical itineraries were compared: - control (INT): based on integrated agriculture without use of conservation agriculture techniques. The use of agrochemicals is allowed in accordance with the disciplinary for integrated production; - organic system (ORG): based on the organic agriculture, involves the use of cover crops (managed as green manure) and soil tillage. The non chemical management of weed flora is achieved with preventive methods and direct methods (mechanical and thermal weed control); - organic and conservation system (ORG +): based on the deep integration between the principles of conservation agriculture and organic farming. The system aims to achieve an almost continuous coverage of the soil through the use of no-tillage techniques and cover crops managed as living or dead mulches. The study of the overall sustainability of the different systems in comparison is conducted by means of a detailed analysis of the following aspects: - agronomic; - energy and environmental; - economic. The environmental effect of the compared systems will be mainly assessed through the study of the following aspects: greenhouse gas emissions, nutrient balance, preservation of soil quality, biological nitrogen fixation, conservation of water resources in the soil and the life cycle assessment (LCA). The efficiency and the impact of different management techniques are also continuously monitored on the orchard and vegetable crops through the study of the fruits of growth dynamics, thanks to an innovative methodology that uses a network of growth sensors spatially distributed in the field. The final product quality is also evaluated through the analysis of their levels of nutraceutical compounds. The research project is still ongoing and the prototypes of machines realized are presented in this paper

Antigen Detection Tests for SARS-CoV-2: a systematic review and meta-analysis on real world data

Background and aim Rapid antigen detection (RAD) tests on nasopharyngeal specimens have been recently made available for SARS-CoV-2 infections, and early studies suggested their potential utilization as rapid screening and diagnostic testing. The present systematic review and meta-analysis was aimed to assess available evidence and to explore the reliability of antigenic tests in the management of the SARS-CoV-2 pandemic

Effectiveness of different metrics of floristic quality assessment: The simpler, the better?

Vascular plants are good environmental indicators. Thus, floristic inventories have a high potential in environmental management since they reflect the current and past status of the environment. In this study, we used the flora of a suburban riverscape in central Italy to test the performance of the Floristic Quality Assessment (FQA) approach, an expert-based evaluation technique. Ten expert botanists assigned coefficients of conservatism (CC) to 382 plant species. We found statistically significant differences between the values assigned to the inventoried flora by botanical experts. In spite of this, the analysis of pseudo multivariate dissimilarity-based standard errors of CC values assigned by the different experts revealed that, in our case, an assessment by a minimum of five botanists allows characterizing the flora with a stable level of precision. We used the distance from agricultural and urban surfaces as a proxy of anthropogenic disturbance to divide the area around the river in four belts of increasing disturbance. The disturbance gradient was mirrored by median CC values and by the Adjusted Floristic Quality Assessment Index (Adjusted FQAI). Conversely, the Floristic Quality Assessment Index (FQAI), which is based on CC values and on the number of native species, showed increasing values with increasing disturbance. Comparing the performance of median CC values to Ellenberg Indicator Values (EIVs), life forms, and chorotypes, we revealed that the last three indicators may be ineffective in highlighting the conservation status of the environment. We suggest that the use of the median CC values may be a simpler and effective alternative to the calculation of indices in FQA, when the adequacy of the number of experts in minimizing the variability of CC values is a posteriori verified

Mda-9/Syntenin Is Expressed in Uveal Melanoma and Correlates with Metastatic Progression

Uveal melanoma is an aggressive cancer that metastasizes to the liver in about half of the patients, with a high lethality rate. Identification of patients at high risk of metastases may provide indication for a frequent follow-up for early detection of metastases and treatment. The analysis of the gene expression profiles of primary human uveal melanomas showed high expression of SDCBP gene (encoding for syndecan-binding protein-1 or mda-9/syntenin), which appeared higher in patients with recurrence, whereas expression of syndecans was lower and unrelated to progression. Moreover, we found that high expression of SDCBP gene was related to metastatic progression in two additional independent datasets of uveal melanoma patients. More importantly, immunohistochemistry showed that high expression of mda-9/syntenin protein in primary tumors was significantly related to metastatic recurrence in our cohort of patients. Mda-9/syntenin expression was confirmed by RT-PCR, immunofluorescence and immunohistochemistry in cultured uveal melanoma cells or primary tumors. Interestingly, mda-9/syntenin showed both cytoplasmic and nuclear localization in cell lines and in a fraction of patients, suggesting its possible involvement in nuclear functions. A pseudo-metastatic model of uveal melanoma to the liver was developed in NOD/SCID/IL2Rγ null mice and the study of mda-9/syntenin expression in primary and metastatic lesions revealed higher mda-9/syntenin in metastases. The inhibition of SDCBP expression by siRNA impaired the ability of uveal melanoma cells to migrate in a wound–healing assay. Moreover, silencing of SDCBP in mda-9/syntenin-high uveal melanoma cells inhibited the hepatocyte growth factor (HGF)-triggered invasion of matrigel membranes and inhibited the activation of FAK, AKT and Src. Conversely syntenin overexpression in mda-9/syntenin-low uveal melanoma cells mediated opposite effects. These results suggest that mda-9/syntenin is involved in uveal melanoma progression and that it warrants further investigation as a candidate molecular marker of metastases and a potential therapeutic target

Notulae to the Italian alien vascular flora: 11

In this contribution, new data concerning the distribution of vascular flora alien to Italy are presented. It includes new records, confirmations, exclusions, and status changes for Italy or for Italian administrative regions. Nomenclatural and distribution updates published elsewhere are provided as Suppl. material 1

Measurement of the top quark forward-backward production asymmetry and the anomalous chromoelectric and chromomagnetic moments in pp collisions at √s = 13 TeV

Abstract The parton-level top quark (t) forward-backward asymmetry and the anomalous chromoelectric (d̂ t) and chromomagnetic (μ̂ t) moments have been measured using LHC pp collisions at a center-of-mass energy of 13 TeV, collected in the CMS detector in a data sample corresponding to an integrated luminosity of 35.9 fb−1. The linearized variable AFB(1) is used to approximate the asymmetry. Candidate t t ¯ events decaying to a muon or electron and jets in final states with low and high Lorentz boosts are selected and reconstructed using a fit of the kinematic distributions of the decay products to those expected for t t ¯ final states. The values found for the parameters are AFB(1)=0.048−0.087+0.095(stat)−0.029+0.020(syst),μ̂t=−0.024−0.009+0.013(stat)−0.011+0.016(syst), and a limit is placed on the magnitude of | d̂ t| < 0.03 at 95% confidence level. [Figure not available: see fulltext.