Clinical Features of SARS-CoV-2 Infection in Older Adults

The COVID-19 clinical presentation is extremely heterogenous and, in older people, it is influenced not simply by chronologic age but also by common geriatric syndromes, such as multimorbidity, motor disability, and frailty. Consequently, although typical respiratory symptoms remain the most frequent clinical presentation of COVID-19 in all age classes, in older patients, atypical symptoms (including but not limited to delirium and hyporexia) are more common than in middle-aged adults and have been associated with adverse outcomes. Moreover, some studies described the tendency of COVID-19 presenting symptoms to aggregate in clusters, and this approach seems to better capture the complexity of COVID-19 disease. The prognostic value of COVID-19 symptom clusters, however, is currently poorly investigated, especially in the older population

The Ecotoxicity Approach as a Tool for Assessing Vermiremediation Effectiveness in Polychlorobiphenyls, Polychlorodibenzo-p-Dioxins and Furans Contaminated Soils

Chemical analyses are inadequate for assessing soil biological quality. Instead, the soil living community can be used both for monitoring and restoring soil health. The aim of this research was to verify vermiremediation efficiency in PCDD/F and PCB contaminated soils from Brescia-Caffaro (Italy), using an ecotoxicity approach. To gauge whether Caffaro soil could sustain a living community, a characterization of the arthropod community was conducted. Earthworms’ suitability for soil bioremediation was assessed applying ecotoxicity tests. Five treatments were set up: 1) contaminated soil; 2) contaminated soil + Eisenia fetida; 3) contaminated soil + Lepidium sativum; 4) contaminated soil + E. fetida + L. sativum, 5) uncontaminated soil + E. fetida. The ecotoxicity tests were: L. sativum germination index and root elongation inhibition, and Folsomia candida survival and reproduction, applied on soil and elutriate on: starter soil (T0), after 56 and 112 days (T56 and T112), the last after water percolation. Soil arthropod community was dominated by Hypogastruridae, Oribatida and, to a lesser degree, Formicidae and Coleoptera larvae. Ecotoxicity tests showed that F. candida reproduction and L. sativum root elongation were more adversely affected by pollutants than survival and germination. The higher soil ecotoxicity at T112 than at T56, suggested higher contaminant bioavailability after water addition. F. candida showed more variability between soil and elutriate than L. sativum. Both bioassays suggested earthworm treatment as the most promising. The importance of selecting different organisms in soil ecotoxicity monitoring, and the role of elutriate like a solid phase complement, was highlighted

Natural surface hydrocarbons and soil faunal biodiversity: A bioremediation perspective

Hydrocarbon pollution threatens aquatic and terrestrial ecosystems globally, but soil fauna in oil-polluted soils has been insufficiently studied. In this research, soil hydrocarbon toxicity was investigated in two natural oil seepage soils in Val D'Agri (Italy) using two different approaches: (i) toxicological tests with Folsomia candida (Collembola) and Eisenia fetida (Oligochaeta) and (ii) analysis of abundance and composition of micro- and meso-fauna. Soil sampling was done along 20 m-transepts starting from the natural oil seepages. Toxicological testing revealed that no exemplars of F. candida survived, whereas specimens of E. fetida not only survived but also increased in weight in soils with higher PAH concentrations, although no reproduction was observed. Analysis on microfauna showed that Nematoda was the most abundant group, with distance from seepages not affecting its abundance. Arthropoda results showed that Acarina, Collembola and Diptera larvae represented the most abundant taxa. The highest divergence in community composition was found between soils situated near seepages and at 5 m and 10 m distance. Arthropoda taxa numbers, total abundance and Acarina were lower in soils with high PAH concentration, while Diptera larvae were not significantly affected. Earthworms, together with Nematoda and Diptera larvae, could therefore represent ideal candidates in PAH degradation studies

Soil arthropod responses in agroecosystem: Implications of different management and cropping systems

The EU's Common Agricultural Policy (CAP 2014-2020) on soil management points to the combination of sustainable food production with environmental protection, reduction of CO2 emissions, and safeguarding of soil biodiversity. In this study, three farms (in the Emilia-Romagna region), managed with both conventional and conservation practices (the last ones with and without sub-irrigation systems), were monitored from 2014 to 2017 to highlight the impact of different crops and soil managements on soil arthropods, in terms of abundance, composition, and soil biological quality (applying QBS-ar index). To do this, linear mixed models were performed, whereas arthropods assemblages were studied through PERMANOVA and SIMPER analysis. Soil communities varied among farms, although most differences were found among crops depending on management practices. Nonetheless, conservation systems and a wider reduction in anthropogenic practices provided better conditions for soil fauna, enhancing QBS-ar. Moreover, arthropod groups responded to soil practices differently, highlighting their sensitivity to agricultural management. Community assemblages in corn and wheat differed between managements, mainly due to Acari and Collembola, respectively. In conservation management, wheat showed the overall greatest abundance of arthropods, owing to the great number of Acari, Collembola, and Hymenoptera, while the number of arthropod groups were generally higher in crop residues of forage

Tako-Tsubo cardiomyopathy in an older woman with hyperkinetic delirium

Tako-Tsubo syndrome is cardiological condition, mainly affecting post-menopausal women, that mimics an acute heart attack, because a similar clinical presentation, ECG changes and altered laboratory tests. There is general consensus that the common etiology is a sudden and strong emotional or physical stress. We report here the case of 80-yearold woman who developed a Tako-Tsubo syndrome during an episode of hyperkinetic delirium. Delirium is an acute, transient, usually reversible neuropsychiatric syndrome, considered a serious and stressful condition in older patients admitted to both medical and surgical setting. This clinical case expands our knowledge on the negative consequence of delirium in hospitalized patients and describes an additional risk factor for Tako-Tsubo syndrome in older people

A New Early Predictor of Fatal Outcome for COVID-19 in an Italian Emergency Department: The Modified Quick-SOFA

Background: Since 2019, the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is causing a rapidly spreading pandemic. The present study aims to compare a modified quick SOFA (MqSOFA) score with the NEWS-2 score to predict in-hospital mortality (IHM), 30-days mortality and recovery setting. Methods: All patients admitted from March to October 2020 to the Emergency Department of St. Anna Hospital, Ferrara, Italy with clinically suspected SARS-CoV-2 infection were retrospectively included in this single-centre study and evaluated with the MqSOFA and NEWS-2 scores. Statistical and logistic regression analyses were applied to our database. Results: A total of 3359 individual records were retrieved. Among them, 2716 patients were excluded because of a negative nasopharyngeal swab and 206 for lacking data; thus, 437 patients were eligible. The data showed that the MqSOFA and NEWS-2 scores equally predicted IHM (p < 0.001) and 30-days mortality (p < 0.001). Higher incidences of coronary artery disease, congestive heart failure, cerebrovascular accidents, dementia, chronic kidney disease and cancer were found in the deceased vs. survived group. Conclusions: In this study we confirmed that the MqSOFA score was non-inferior to the NEWS-2 score in predicting IHM and 30-days mortality. Furthermore, the MqSOFA score was easier to use than NEWS-2 and is more suitable for emergency settings. Neither the NEWS-2 nor the MqSOFA scores were able to predict the recovery setting

Agronomical valorization of eluates from the industrial production of microorganisms: Chemical, microbiological, and ecotoxicological assessment of a novel putative biostimulant

Plant Biostimulants (BSs) are a valid supplement to be considered for the integration of conventional fertilization practices. Research in the BS field keeps providing alternative products of various origin, which can be employed in organic and conventional agriculture. In this study, we investigated the biostimulant activity of the eluate obtained as a by-product from the industrial production of lactic acid bacteria on bare agricultural soil. Eluates utilization is in line with the circular economy principle, creating economical value for an industrial waste product. The research focused on the study of physical, chemical, biochemical, and microbiological changes occurring in agricultural soil treated with the biowaste eluate, applied at three different dosages. The final aim was to demonstrate if, and to what extent, the application of the eluate improved soil quality parameters and enhanced the presence of beneficial soil-borne microbial communities. Results indicate that a single application at the two lower dosages does not have a pronounced effect on the soil chemical parameters tested, and neither on the biochemical proprieties. Only the higher dosage applied reported an improvement in the enzymatic activities of β-glucosidase and urease and in the chemical composition, showing a higher content of total, nitric and ammonia N, total K, and higher humification rate. On the other hand, microbial communities were strongly influenced at all dosages, showing a decrease in the bacterial biodiversity and an increase in the fungal biodiversity. Bioinformatic analysis revealed that some Operative Taxonomic Units (OTUs) promoted by the eluate application, belong to known plant growth promoting microbes. Some other OTUs, negatively influenced were attributed to known plant pathogens, mainly Fusarium spp. Finally, the ecotoxicological parameters were also determined and allowed to establish that no toxic effect occurred upon eluate applications onto soil

Analysis of LhcSR3, a Protein Essential for Feedback De-Excitation in the Green Alga Chlamydomonas reinhardtii

To prevent photodamage by excess light, plants use different proteins to sense pH changes and to dissipate excited energy states. In green microalgae, however, the LhcSR3 gene product is able to perform both pH sensing and energy quenching functions

d- and l-amino acids in Antarctic lakes: assessment of a very sensitive HPLC-MS method

Amino acids represent a fraction of organic matter in marine and freshwater ecosystems, and a source of carbon, nitrogen and energy. l-Amino acids are the most common enantiomers in nature because these chiral forms are used during the biosynthesis of proteins and peptide. To the contrary, the occurrence of d-amino acids is usually linked to the presence of bacteria. We investigated the distribution of l- and d-amino acids in the lacustrine environment of Terra Nova Bay, Antarctica, in order to define their natural composition in this area and to individuate a possible relationship with primary production. A simultaneous chromatographic separation of 40 l- and d-amino acids was performed using a chiral stationary phase based on teicoplainin aglycone (chirobiotic tag). The chromatographic separation was coupled to two different mass spectrometers-an LTQ-Orbitrap XL (Thermo Fisher Scientific) and an API 4000 (ABSciex)-in order to investigate their quantitative performance. High-performance liquid chromatography coupled with mass spectrometry methods were evaluated through the estimation of their linear ranges, repeatability, accuracy and detection and quantification limits. The high-resolution mass spectrometer LTQ-Orbitrap XL presented detection limits between 0.4 and 7 mu g l (-1), while the triple quadrupole mass spectrometer API 4000 achieved the best detection limits reported in the literature for the quantification of amino acids (between 4 and 200 ng l (-1)). The most sensitive method, HPLC-API 4000, was applied to lake water samples