Soil erosion assessment on tillage and alternative soil managements in a Sicilian vineyard

Mediterranean crops favour high erosion rates. Vineyards use to reach the highest soil and water losses due to the lack of vegetation cover. A topographical approach by means of the use of vineyards poles as fixed reference point as erosion markers allowed to quantify high and non-sustainable soil erosion rates on the Sicilian vineyards during 9 years. In order to develop strategies to control the soil losses, seven land management were selected and applied in a typical blanc wine grape vineyard located in southwestern Sicily. Comparable plots were managed traditionally using conventional tillage and alternatively using various cover crops: 1) Vicia faba; 2) Vicia faba and Vicia sativa; 3) Trifolium subterraneum, Festuca rubra, and Lolium perenne; 4) Trifolium subterraneum, Festuca rubra, and Festuca ovina; 5) Triticum durum; and 6) Triticum durum and Vicia sativa. To estimate the soil losses the C factor of the USLE was calculated. And to monitor the water and sediment yield, Gerlach troughs were installed on the vineyard inter-row. Runoff was measured after each rainfall event from November 2005 to April 2007. Both runoff and erosion were significantly reduced when cover crops of Trifolium subterraneum, Festuca rubra, and Lolium perenne; and Trifolium subterraneum, Festuca rubra, and Festuca ovina were sown. The least effective management systems for soil erosion were conventional tillage and alternative management using the Vicia faba cover crop. Our results suggest that planting the appropriate cover crops provides an effective soil and water management system for Sicilian vineyards which will make sustainable the wine and grapes production under Mediterranean climate conditions

Modulating Ligand Dissociation through Methyl Isomerism in Accessory Sites: Binding of Retinol to Cellular Carriers

Due to the poor aqueous solubility of retinoids, evolution has tuned their binding to cellular proteins to address specialized physiological roles by modulating uptake, storage, and delivery to specific targets. With the aim to disentangle the structure-function relationships in these proteins and disclose clues for engineering selective carriers, the binding mechanism of the two most abundant retinol-binding isoforms was explored by using enhanced sampling molecular dynamics simulations and surface plasmon resonance. The distinctive dynamics of the entry portal site in the holo species was crucial to modulate retinol dissociation. Remarkably, this process is controlled at large extent by the replacement of Ile by Leu in the two isoforms, thus suggesting that a fine control of ligand release can be achieved through a rigorous selection of conservative mutations in accessory sites

Cardiac risk stratification in elective non-cardiac surgery: role of NT-proBNP

AIM: The aim of the study was to investigate the utility of NT-proBNP measurement for the stratification of presurgical cardiac risk. METHODS: Cardiac risk before elective non-cardiac surgery was evaluated in 82 consecutive patients. From each patient a venous blood sample was drawn to determinate NT-proBNP levels. Patients were followed up over three months in order to detect the occurrence of cardiac adverse events. RESULTS: NT-proBNP was positively correlated (P<0.0001) with age, days of hospitalization (P=0.001) and ASA class (P=0.001). High surgical risk (P<0.0001), diabetes (P=0.004), dyslipidemia (P=0.006) and elevated levels of NT-proBNP (P<0.0001) were significantly correlated with events. Using a logistic regression analysis we found an independent association between pre-operative elevated NT-proBNP and postoperative cardiac events (OR 1.2, 95% CI 1.0-1.4, P=0.01). CONCLUSION: Measuring NT-proBNP before non cardiac surgery in clinical practice could be useful to better stratify patients' risk

How future surgery will benefit from SARS-COV-2-related measures: a SPIGC survey conveying the perspective of Italian surgeons

COVID-19 negatively affected surgical activity, but the potential benefits resulting from adopted measures remain unclear. The aim of this study was to evaluate the change in surgical activity and potential benefit from COVID-19 measures in perspective of Italian surgeons on behalf of SPIGC. A nationwide online survey on surgical practice before, during, and after COVID-19 pandemic was conducted in March-April 2022 (NCT:05323851). Effects of COVID-19 hospital-related measures on surgical patients' management and personal professional development across surgical specialties were explored. Data on demographics, pre-operative/peri-operative/post-operative management, and professional development were collected. Outcomes were matched with the corresponding volume. Four hundred and seventy-three respondents were included in final analysis across 14 surgical specialties. Since SARS-CoV-2 pandemic, application of telematic consultations (4.1% vs. 21.6%; p &lt; 0.0001) and diagnostic evaluations (16.4% vs. 42.2%; p &lt; 0.0001) increased. Elective surgical activities significantly reduced and surgeons opted more frequently for conservative management with a possible indication for elective (26.3% vs. 35.7%; p &lt; 0.0001) or urgent (20.4% vs. 38.5%; p &lt; 0.0001) surgery. All new COVID-related measures are perceived to be maintained in the future. Surgeons' personal education online increased from 12.6% (pre-COVID) to 86.6% (post-COVID; p &lt; 0.0001). Online educational activities are considered a beneficial effect from COVID pandemic (56.4%). COVID-19 had a great impact on surgical specialties, with significant reduction of operation volume. However, some forced changes turned out to be benefits. Isolation measures pushed the use of telemedicine and telemetric devices for outpatient practice and favored communication for educational purposes and surgeon-patient/family communication. From the Italian surgeons' perspective, COVID-related measures will continue to influence future surgical clinical practice

Comparative effectiveness of autologous hematopoietic stem cell transplant vs fingolimod, natalizumab, and ocrelizumab in highly active relapsing-remitting multiple sclerosis

Importance: Autologous hematopoietic stem cell transplant (AHSCT) is available for treatment of highly active multiple sclerosis (MS). Objective: To compare the effectiveness of AHSCT vs fingolimod, natalizumab, and ocrelizumab in relapsing-remitting MS by emulating pairwise trials. Design, Setting, and Participants: This comparative treatment effectiveness study included 6 specialist MS centers with AHSCT programs and international MSBase registry between 2006 and 2021. The study included patients with relapsing-remitting MS treated with AHSCT, fingolimod, natalizumab, or ocrelizumab with 2 or more years study follow-up including 2 or more disability assessments. Patients were matched on a propensity score derived from clinical and demographic characteristics. Exposure: AHSCT vs fingolimod, natalizumab, or ocrelizumab. Main outcomes: Pairwise-censored groups were compared on annualized relapse rates (ARR) and freedom from relapses and 6-month confirmed Expanded Disability Status Scale (EDSS) score worsening and improvement. Results: Of 4915 individuals, 167 were treated with AHSCT; 2558, fingolimod; 1490, natalizumab; and 700, ocrelizumab. The prematch AHSCT cohort was younger and with greater disability than the fingolimod, natalizumab, and ocrelizumab cohorts; the matched groups were closely aligned. The proportion of women ranged from 65% to 70%, and the mean (SD) age ranged from 35.3 (9.4) to 37.1 (10.6) years. The mean (SD) disease duration ranged from 7.9 (5.6) to 8.7 (5.4) years, EDSS score ranged from 3.5 (1.6) to 3.9 (1.9), and frequency of relapses ranged from 0.77 (0.94) to 0.86 (0.89) in the preceding year. Compared with the fingolimod group (769 [30.0%]), AHSCT (144 [86.2%]) was associated with fewer relapses (ARR: mean [SD], 0.09 [0.30] vs 0.20 [0.44]), similar risk of disability worsening (hazard ratio [HR], 1.70; 95% CI, 0.91-3.17), and higher chance of disability improvement (HR, 2.70; 95% CI, 1.71-4.26) over 5 years. Compared with natalizumab (730 [49.0%]), AHSCT (146 [87.4%]) was associated with marginally lower ARR (mean [SD], 0.08 [0.31] vs 0.10 [0.34]), similar risk of disability worsening (HR, 1.06; 95% CI, 0.54-2.09), and higher chance of disability improvement (HR, 2.68; 95% CI, 1.72-4.18) over 5 years. AHSCT (110 [65.9%]) and ocrelizumab (343 [49.0%]) were associated with similar ARR (mean [SD], 0.09 [0.34] vs 0.06 [0.32]), disability worsening (HR, 1.77; 95% CI, 0.61-5.08), and disability improvement (HR, 1.37; 95% CI, 0.66-2.82) over 3 years. AHSCT-related mortality occurred in 1 of 159 patients (0.6%). Conclusion: In this study, the association of AHSCT with preventing relapses and facilitating recovery from disability was considerably superior to fingolimod and marginally superior to natalizumab. This study did not find evidence for difference in the effectiveness of AHSCT and ocrelizumab over a shorter available follow-up time

Cover crops effectiveness for soil erosion control in Sicilian vineyard

In vineyards, which are very common in Mediterranean area, cover crops are becoming increasingly used to reduce soil erosion. Cover crops reduce runoff by increasing infiltration and increasing roughness and then reducing the ovelandflow velocity. The aim of the present study was to quantify soil and water losses under different soil managements systems on vineyards. The study site was a Sauvignon blanc winegrape vineyard located in Southwestern Sicily. Vineyards were managed both traditionally (conventional tillage) and alternative management using cover crops: 1) Vicia faba ; 2) Vicia faba and Vicia sativa; 3) Trifolium subterraneum, Lolium perenne, Festuca rubra; 4)Trifolium subterraneum, Festuca rubra and Festuca ovina, 5) Triticum durum, 6) Triticum durum and Vicia sativa. To monitor water and sediment yield, a Gerlach trough was installed at each treatment on the vineyard inter-row, with the row vineyard used as a border (topographical border). Runoff was measured after each rainfall event (raingauge 0.2 mm accuracy) from November 2005 to April 2007. And sediments were measured after desiccation. The results show that runoff and erosion were reduced considerably under the treatments with Trifolium subterraneum, Lolium perenne, Festuca rubra and Trifolium subterraneum, Festuca rubra and Festuca ovina (treatments 3 and 4). The soil losses were reduced by 73% under treatment 4 compared to the tillage plot. Conventional tillage and alternative management using Vicia faba cover crop (treatment 1) result the most ineffective treatment to soil erosion. These results show that the use of a cover crop can be a simple soil and water conservation practice in Sicilian vineyards