Coralligenous assemblages: research status and trends of a key Mediterranean biodiversity hotspot through bibliometric analysis

Coralligenous assemblages are biogenic calcareous formations endemic of the Mediterranean Sea, produced by the aggregation of calcareous red algae and other calcifying organisms in dim light conditions. Due to their high structural complexity, they are considered benthic biodiversity hotspots that provide several ecosystem functions and services. In this study, we conducted a comprehensive overview integrated with a bibliometric network analysis of the academic literature related to coralligenous assemblages. Analyses were performed using VOSviewer software. The bibliographic search on the Scopus database resulted in 339 documents published in a timeframe ranging from 1965 to 2022, with an increasing trend over time. Italy resulted the most productive country, with 202 documents and 4004 citations on this topic. The total number of authors publishing on coralligenous was 948. Piazzi was the most productive author in terms of number of documents (33), while Ballesteros was the most cited one (1109). The keyword “biodiversity” had the largest occurrence (86) and total link strength (735), highlighting the key role of these structurally-complex and heterogenic habitats. Among taxa, “algae”, “anthozoa”, and “bryozoa” were the keywords with the largest occurrence (58, 55, 31, respectively), which correspond to the main coralligenous calcifying and structuring taxa. A shift from taxonomic and ecologically-based studies, on species richness/diversity and community composition/structure, to conservation ecology ones, on anthropogenic impacts and ecosystem management, has been observed over time. These outcomes highlight the growing socio-economic awareness on the importance and vulnerability of coralligenous assemblages. Indeed, these coastal habitats have been recently recognized by the scientific and political communities for their role in providing ecosystem goods and services, although further research efforts are needed to deeply comprehend, value and protect them

Acute rejection of non-functional allograft in kidney transplant recipients with hepatitis C treated with peginterferon alpha-2a: Reply

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Vitiligo and autoimmune thyroid disorders

Vitiligo represents the most common cause of acquired skin, hair and oral depigmentation, affecting 0.5-1% of the population worldwide. It is clinically characterized by the appearance of disfiguring circumscribed skin macules following melanocyte destruction by autoreactive cytotoxic T lymphocytes. Patients affected by vitiligo usually show a poorer quality of life and are more likely to suffer from depressive symptoms, particularly evident in dark-skinned individuals. Although vitiligo is a non-fatal disease, exposure of affected skin to UV light increases the chance of skin irritation and predisposes to skin cancer. In addition, vitiligo has been associated to other rare systemic disorders due to presence of melanocytes in other body districts, such as in the eyes, auditory, nervous and cardiac tissues, where melanocytes are thought to have roles different from that played in the skin. Several pathogenetic models have been proposed to explain vitiligo onset and progression, but clinical and experimental findings point mainly to the autoimmune hypothesis as the most qualified one. In this context, it is of relevance the strong association of vitiligo with other autoimmune diseases, in particular with autoimmune thyroid disorders, such as Hashimoto thyroiditis and Graves’ disease. In this review, after a brief overview of vitiligo and its pathogenesis, we will describe the clinical association between vitiligo and autoimmune thyroid disorders and discuss the possible underlying molecular mechanism(s)

Flow-volume curve analysis for predicting recurrence after endoscopic dilation of airway stenosis

The flow-volume curve is a simple test for diagnosing upper airway obstruction. We evaluated its use to predict recurrence in patients undergoing endoscopic dilation for treatment of benign upper airway stenosis

Diversity Loss in Coralligenous Structuring Species Impacted by Fishing Gear and Marine Litter

Coralligenous structuring species (CSS) form a group of marine megabenthic species with an engineering capacity. Since they are highly vulnerable to anthropogenic activities, they have been selected for the Marine Strategy Framework Directive (MSFD) monitoring programs. The pressure and impact of fishing gear and marine litter on these species were evaluated through the image analysis of 54 remotely operated vehicle (ROV) routes along the Campania coasts (Tyrrhenian Sea, Italy). CSS density was calculated as the number of colonies/100 m2. Anthropogenic pressure was estimated as the frequency of frames showing longline, nets, other gear, plastic objects, metal objects, and other litter; while the impact was expressed as the frequency showing necrosis/epibiosis, broken/upturned and covered/entangled colonies. Cnidaria dominate in the Napoli, Campanella and Capri areas, while Bryozoa dominate in Cilento N and Cilento S areas. Campanella and Capri appeared to be the least heterogeneous despite their higher CSS densities, which was possibly related to the dominance of a few species. These areas were the most affected by showing the highest numbers of fishing gear (longlines) and marine litter (metal objects) recorded, amongst which longlines are the most abundant. In addition, these fishing areas are either close to a large urban center or located along popular touristic routes. In all the areas, colonies with necrosis/epibiosis (CNE) impact are present with low-moderate values, while the category gears covering/entangling (GCE) impact prevails in the Campanella and Capri areas, and this is strictly connected to the high presence of fishing gear

Physiological response of the coralline alga Corallina officinalis L. to both predicted long-term increases in temperature and short-term heatwave events

This work was supported by the European Cooperation in Science and Technology (COST) within the COST Action CA15121, advancing marine conservation in the European and contiguous seas (MarCons).Climate change is leading to an increase of mean sea surface temperatures and extreme heat events. There is an urgent need to better understand the capabilities of marine macroalgae to adapt to these rapid changes. In this study, the responses of photosynthesis, respiration, and calcification to elevated temperature in a global warming scenario were investigated in the coralline alga Corallina officinalis. Algae were cultured for 7 weeks under 4 temperature treatments: (1) control under ambient-summer conditions (C, ∼20 °C), (2) simulating a one-week heatwave of 1 °C (HW, Tcontrol+1 °C), (3) elevated temperature (+3, Tcontrol +3 °C), (4) combination of the two previous treatments (HW+3, T+3+1 °C). After exposure at T+3 (up to a Tmax of ∼23 °C), respiration and photosynthesis increased significantly. After 5 weeks, calcification rates were higher at elevated temperatures (T+3 and THW+3) compared to Tcontrol, but at the end of the experiment (7 weeks) calcification decreased significantly at those temperatures beyond the thermal optimum (six-fold at T+3, and three-fold at THW+3, respectively). The same trend was noted for all the physiological processes, suggesting that a prolonged exposure to high temperatures (7 weeks up to T+3) negatively affect the physiology of C. officinalis, as a possible consequence of thermal stress. A one-week heatwave of +1 °C with respect to Tcontrol (at THW) did not affect respiration, photosynthesis, or calcification rates. Conversely, a heatwave of 1 °C, when combined with the 3 °C increase predicted by the end of the century (at THW+3), induced a reduction of physiological rates. Continued increases in both the intensity and frequency of heatwaves under anthropogenic climate change may lead to reduced growth and survival of primary producers such as C. officinalis.PostprintPeer reviewe

Do more with less? Lobectomy vs. segmentectomy for patients with congenital pulmonary malformations

Background: Congenital Pulmonary Malformations (CPMs) are rare benign lesions potentially causing infective complications and/or malignant transformation, requiring surgery even when asymptomatic. CPMs are rare in adulthood but potentially detected at any age. There is not a consensus on the correct extent of resection in both adults and paediatrics. This retrospective multicentric study aims to identify the appropriate surgical resection to prevent the recurrence of the related respiratory symptoms. Methods: Between 2010 and 2020, a total of 96 patients (adults and pediatrics) underwent surgery for CPMs in 4 centers. A 2:1 propensity score matching (considering sex and lesion side) was performed, identifying 2 groups: 50 patients underwent lobectomy (group A) and 25 sub-lobar resections (group B). Clinical and histopathological characteristics, early and late complications, and symptom recurrence were retrospectively analyzed and compared between the two groups by univariate and multivariate analysis. Results: Patients who underwent lobectomy had a statistically significant lower rate of recurrence (4% vs. 24% of group B, p = 0.014) and a lower rate of intraoperative complications (p = 0.014). Logistic regression identified sub-lobar resection (p = 0.040), intra- and post-operative complications (p = 0.105 and 0.022),and associated developed neoplasm (p = 0.062) as possible risk factors for symptom recurrence after surgery. Conclusions: Pulmonary lobectomy seems to be the most effective surgical treatment for CPMs, guaranteeing the stable remission of symptoms and a lower rate of intra- and postoperative complications. To our knowledge, this is one of the largest studies comparing lobectomy and sub-lobar resections in patients affected by CPMs, considering the low incidence worldwide

Unidirectional endobronchial valves for management of persistent air-leaks. Results of a multicenter study

Background: To evaluate the efficacy of Endo-Bronchial Valves in the management of persistent air-leaks (PALs) and the procedural cost. Methods: It was a retrospective multicenter study including consecutive patients with PALs for alveolar pleural fistula (APF) undergoing valve treatment. We assessed the efficacy and the cost of the procedure. Results: Seventy-four patients with persistent air leaks due to various etiologies were included in the analysis. In all cases the air leaks were severe and refractory to standard treatments. Sixty-seven (91%) patients underwent valve treatment obtaining a complete resolution of air-leaks in 59 (88%) patients; a reduction of air-leaks in 6 (9%); and no benefits in 2 (3%). The comparison of data before and after valve treatment showed a significant reduction of air-leak duration (16.2±8.8 versus 5.0±1.7 days; P<0.0001); chest tube removal (16.2±8.8 versus 7.3±2.7 days; P<0.0001); and length of hospital stay (LOS) (16.2±8.8 versus 9.7±2.8 days; P=0.004). Seven patients not undergoing valve treatment underwent pneumo-peritoneum with pleurodesis (n=6) or only pleurodesis (n=1). In only 1 (14%) patient, the chest drainage was removed 23 days later while the remaining 6 (86%) were discharged with a domiciliary chest drainage removed after 157±41 days. No significant difference was found in health cost before and after endobronchial valve (EBV) implant (P=0.3). Conclusions: Valve treatment for persistent air leaks is an effective procedure. The reduction of hospitalization costs related to early resolution of air-leaks could overcome the procedural cost

Acute hemodynamic effects of inhaled nitric oxide, dobutamine and a combination of the two in patients with mild to moderate secondary pulmonary hypertension

INTRODUCTION: The use of low-dose dobutamine to maintain hemodynamic stability in pulmonary hypertension may have a detrimental effect on gas exchange. The aim of this study was to investigate whether inhaled nitric oxide (INO), dobutamine and a combination of the two have beneficial effects in patients with end-stage airway lung disease and pulmonary hypertension. METHOD: Hemodynamic evaluation was assessed 10 min after the administration of each drug and of their combination, in 28 candidates for lung transplantation. RESULTS: Administration of INO caused a reduction in mean pulmonary arterial pressure (MPAP), an increase in PaO(2) with a significant reduction in venous admixture effect (Q(s)/Q(t)).Dobutamine administration caused an increase in cardiac index and MPAP, with a decrease in PaO(2) as a result of a higher Q(s)/Q(t). Administration of a combination of the two drugs caused an increase in the cardiac index without MPAP modification and an increase in PaO(2) and Q(s)/Q(t). CONCLUSION: Dobutamine and INO have complementary effects on pulmonary circulation. Their association may be beneficial in the treatment of patients with mild to moderate pulmonary hypertension