Future changes in the influence of the NAO on Mediterranean winter precipitation extremes in the EC-Earth3 large Ensemble: The prominent role of internal variability

One of the largest uncertainties in future climate projections is the interplay between internally generated and externally forced changes. This study investigates the changes in the link between the North Atlantic Oscillation (NAO) and Mediterranean winter extreme rainfall and dry days by the end of the 21st century compared to present day. We compare two different future pathways and estimate the extent to which the NAO imprint is affected by the global warming level using the latest EC-Earth3 large ensemble historical and future experiments. It is shown that the expected range of winter extremes changes due to internal and unpredictable fluctuations of the NAO largely overcomes the signal associated with externally-forced NAO variations. The NAO is found to exert a similar control on European climate variability, regardless of the amount of warming. For most of the Mediterranean region, magnitude and even sign of projected changes in the NAO-congruent precipitation indices vary substantially across the individual ensemble members according to the corresponding evolution of the NAO. Internal variability provides an average basin-wide contribution of up to 90% or more to the total NAO-driven variability in SSP1–1.9, and of about 80% in SSP5–8.5. Sub-regionally, the anthropogenic component of the NAO link is more evident over the Iberian Peninsula and parts of the central Mediterranean. This emphasises the role of internal variability and related uncertainty in determining the future impact of the NAO via the large spread in the circulation responses. However, the NAO is found to exert a weaker influence on the extreme precipitation total variability in both future scenarios given their future marked increase in total intensity and variance as opposed to the negligible NAO-related trends. Opposite conclusions are drawn for dry days, which are projected to decrease in the future, especially in the northern Mediterranean. Thus, this study also highlights how the variability of future extreme precipitation intensity in the Mediterranean basin will be less dependent on the principal mode of internal climate variability, posing further challenges for prediction and adaptation to weather-related hazards

I più recenti sviluppi costituzionali del ciclo di bilancio

The A. answer to a series of questions by the Director of the "Gruppo di Pisa" Journal. The questions concern the parliamentary procedure followed to enact the State Budget Law for the year 2023 (law No 197/2022). The A. debates over: the possibility to prove the evident violation of parliamentary privileges in the procedure followed by the two chambers of the Italian parliament (Const. court. orders Nos. 17/2019 and 60/2020); the impact of Next Generation EU and of NPRR over the National Budgetary procedures; the role played by the Budget Parliamentary Office (UPB) and by the State General Accounting Office in parliamentary procedures concerning the State Budget Law for the year 202

Work-related injuries in young workers: an Italian multicentric epidemiological survey

Emergency departments records from 33 hospitals were reviewed to disclose work-related injuries occurred in teen-subjects living in 14 Italian cities. During January-June 2000, 317 work-related injuries were reported. Male subjects, 17 year old, working in the industrial field, resulted the most affected, probably due to the fact that among young workers this sex and age class is the most represented one. Cluster analysis identified two groups of work-related injuries: one includes mainly transportation injuries causing lower extremities or multiple body sites traumas. The other is more strictly related to specific working tasks and includes mostly traumas and cut wounds in hand/wrist and head, together with eye lesions. A more intensive supervision on the use of protective equipment, a more appropriate training in hazard recognition and safe work practices, including operation of vehicles in the work site, must be implemented to reduce work-related injuries

Acute kidney disease and renal recovery : consensus report of the Acute Disease Quality Initiative (ADQI) 16 Workgroup

Consensus definitions have been reached for both acute kidney injury (AKI) and chronic kidney disease (CKD) and these definitions are now routinely used in research and clinical practice. The KDIGO guideline defines AKI as an abrupt decrease in kidney function occurring over 7 days or less, whereas CKD is defined by the persistence of kidney disease for a period of > 90 days. AKI and CKD are increasingly recognized as related entities and in some instances probably represent a continuum of the disease process. For patients in whom pathophysiologic processes are ongoing, the term acute kidney disease (AKD) has been proposed to define the course of disease after AKI; however, definitions of AKD and strategies for the management of patients with AKD are not currently available. In this consensus statement, the Acute Disease Quality Initiative (ADQI) proposes definitions, staging criteria for AKD, and strategies for the management of affected patients. We also make recommendations for areas of future research, which aim to improve understanding of the underlying processes and improve outcomes for patients with AKD

Work-related injuries in young workers: an Italian multicentric epidemiological survey.

Emergency departments records from 33 hospitals were reviewed to disclose work-related injuries occurred in teen-subjects living in 14 Italian cities. During January-June 2000, 317 work-related injuries were reported. Male subjects, 17 year old, working in the industrial field, resulted the most affected,probably due to the fact that among young workers this sex and age class is the most represented one. Cluster analysis identified two groups of work-related injuries: one includes mainly transportation injuries causing lower extremities or multiple body sites traumas. The other is more strictly related to specific working tasks and includes mostly traumas and cut wounds in hand/wrist and head, together with eye lesions. A more intensive supervision on the use of protective equipment, a more appropriate training in hazard recognition and safe work practices, including operation of vehicles in the work site, must be implemented to reduce work-related injuries

Neurogenic bladder: etiology and assessment

A review of the various causes of neurologic impairment to the lower urinary tract in children was the aim of this presentation. The emphasis was on diagnosis, pathophysiology, and treatment that strive to maintain as normal a function as possible in order to achieve eventual urinary continence and health of the upper urinary tract. The latest principles based on the most up to date evidence are promulgated but with an eye towards historical prospective. The reader should gain an adequate understanding of various disorders that comprise this condition and feel comfortable with proposing options for management when faced with the responsibility of caring for an affected child

Small Island City Flood Risk Assessment: the case of Kingston, Jamaica

Jamaica has had over 200 floods in the past 50 years, causing significant human and economic losses. Kingston has often caused the most damage due to its high population density and capital exposure. Kingston is crucial to the country’s socio-economic stability, and climate change is increasing flood risk, but a local-scale assessment of its flood risk is unavailable. This study fills this gap in the literature by using two models of the integrated Valuation of Ecosystem Services and Tradeoffs (inVEST) suite to qualitatively assess Kingston metropolitan pluvial and coastal flood risk. Key locations like Kingston Container Terminal and downtown Kingston are at high coastal flood risk, according to the results. The study also shows that sea level rise (117%) and habitat loss (104%) will increase the highly exposed area. Instead of hard-engineering coastal protection, this study suggests investing in nature-based and ecoengineering solutions to improve coastal resilience and ecosystem services. The urban flood assessment finds downtown, particularly the Mountview and Minor catchments, at high risk due to poor runoff retention and high population density. To fully address downtown pluvial flood risk, structural social reforms are needed. To reduce short-term flood risk, local authorities should consider targeted adaptation measures. These may include maintaining the drainage gully system and reducing surface runoff in uphill downtown areas. Thus, this study seeks to inform Kingston urban planners about risk distribution and suggest adaptation measures to improve flood resilience