Spotlight on islands.On the origin and diversification of an ancient lineage of the Italian wall lizard Podarcis siculus in the western Pontine Islands

Groups of proximate continental islands may conceal more tangled phylogeographic patterns than oceanic archipelagos as a consequence of repeated sea level changes, which allow populations to experience gene flow during periods of low sea level stands and isolation by vicariant mechanisms during periods of high sea level stands. Here, we describe for the first time an ancient and diverging lineage of the Italian wall lizard Podarcis siculus from the western Pontine Islands. We used nuclear and mitochondrial DNA sequences of 156 individuals with the aim of unraveling their phylogenetic position, while microsatellite loci were used to test several a priori insular biogeographic models of migration with empirical data. Our results suggest that the western Pontine populations colonized the islands early during their Pliocene volcanic formation, while populations from the eastern Pontine Islands seem to have been introduced recently. The inter-island genetic makeup indicates an important role of historical migration, probably due to glacial land bridges connecting islands followed by a recent vicariant mechanism of isolation. Moreover, the most supported migration model predicted higher gene flow among islands which are geographically arranged in parallel. Considering the threatened status of small insular endemic populations, we suggest this new evolutionarily independent unit be given priority in conservation efforts

molecular and morphological identification of an uncommon centrolophid fish

AbstractThe use of both morphological and molecular methods has allowed a fast and reliable species assignment of a fish that local fishermen with over thirty years of experience had never seen before. The identified species, Schedophilus medusophagus, is rare along Italian coasts, and this is the first documented record in the Central Tyrrhenian Sea for over 35 years. Its abundance should be evaluated on a continuous basis, as it might reflect biological consequences of environmental and climatic change. The mitochondrial sequences obtained in this study constitute a useful molecular tag for future research and may contribute to the phylogenetic debate on the status of the genus Schedophilus, of which S. medusophagus is the type species. Based on the existing literature, these preliminary molecular data support the hypothesis that the genus is not monophyletic

Influenza della sterilizzazione su strumenti fabbricati con leghe trattate termicamente

RiassuntoObiettiviDi recente sono stati proposti in endodonzia innovativi processi di produzione di leghe con trattamenti termici. Scopo di questo studio è stato di valutare l'effetto di vari cicli di sterilizzazione in autoclave sulla resistenza alla fatica ciclica di strumenti endodontici rotanti realizzati con leghe nichel-titanio (Ni-Ti) trattate termicamente.Materiali e metodiSono stati selezionati tre gruppi (n=24) di strumenti in Ni-Ti di taglia 04.40 K3, in lega Ni-Ti tradizionale, Vortex, in lega M-Wire e K3 XT prototipi in lega TF. Ogni gruppo è stato poi suddiviso in due sottogruppi (A e B) composti rispettivamente da strumenti non sterilizzati e strumenti sterilizzati in autoclave per 10 cicli a 134°. Tutti i 72 strumenti sono infine stati testati per fatica, valutando il numero di cicli a frattura (NCF). I dati sono stati raccolti e analizzati statisticamente (ANOVA).RisultatiGli strumenti K3 XT hanno mostrato una resistenza alla fatica ciclica significativamente maggiore (p<0,05) rispetto a tutti gli altri strumenti. Inoltre, sono state notate differenze statisticamente significative tra i file K3 XT sterilizzati e non sterilizzati (762 vs 651 NCF), mentre gli altri due tipi di strumento non hanno mostrato differenze rilevanti in seguito ai cicli di sterilizzazione (524 vs 539 K3, 454 vs 480 Vortex).ConclusioniPoiché i K3 e i K3 XT sono identici nel disegno e si differenziano solo per il trattamento termico, si può ipotizzare un'influenza positiva dell'apporto termico, come quello derivante da sterilizzazione in autoclave, in alcune leghe trattate termicamente.SummaryObjectivesRecently, innovative processes of production of alloys with thermal treatment have been proposed in endodontics. The aim of this study was to evaluate the effect of various cycles of autoclave sterilization on cyclic fatigue resistance of rotary endodontic instruments, made of heat-treated nickel-titanium (Ni-Ti) alloys.Materials and methodsThree groups (n=24) of Ni-Ti instruments with the same size (04.40) were selected: K3 (traditional Ni-Ti alloy), Vortex (M-Wire alloy) and K3 XT prototype (TF alloy). Each group was then divided into two subgroups comprising respectively non-sterilized instruments and instruments sterilized in an autoclave for 10 cycles at 134°. All 72 instruments were finally tested for fatigue, considering the number of cycles to fracture (NCF). Data were collected and analyzed statistically (ANOVA).ResultsThe instruments K3 XT showed significantly higher resistance to cyclic fatigue than all other instruments. Statistically significant differences (p<0.05) were also noted among the files K3 XT sterilized and unsterilized (762 vs 651 NCF), while the other two types of instrument did not show significant differences as a result of sterilization cycles (524 vs 539 K3, 454 vs 480 Vortex).ConclusionsGiven that K3 and K3 XT are identical in design and differ only in the heat treatment, a positive influence of heat treatment, such as the one caused by autoclaving, can be hypothesized

Genetic determinants in a critical domain of ns5a correlate with hepatocellular carcinoma in cirrhotic patients infected with hcv genotype 1b

HCV is an important cause of hepatocellular carcinoma (HCC). HCV NS5A domain‐1 interacts with cellular proteins inducing pro‐oncogenic pathways. Thus, we explore genetic variations in NS5A domain‐1 and their association with HCC, by analyzing 188 NS5A sequences from HCV genotype‐1b infected DAA‐naïve cirrhotic patients: 34 with HCC and 154 without HCC. Specific NS5A mutations significantly correlate with HCC: S3T (8.8% vs. 1.3%, p = 0.01), T122M (8.8% vs. 0.0%, p &lt; 0.001), M133I (20.6% vs. 3.9%, p &lt; 0.001), and Q181E (11.8% vs. 0.6%, p &lt; 0.001). By multivariable analysis, the presence of &gt;1 of them independently correlates with HCC (OR (95%CI): 21.8 (5.7–82.3); p &lt; 0.001). Focusing on HCC‐group, the presence of these mutations correlates with higher viremia (median (IQR): 5.7 (5.4–6.2) log IU/mL vs. 5.3 (4.4–5.6) log IU/mL, p = 0.02) and lower ALT (35 (30–71) vs. 83 (48–108) U/L, p = 0.004), suggesting a role in enhancing viral fitness without affecting necroinflammation. Notably, these mutations reside in NS5A regions known to interact with cellular proteins crucial for cell‐cycle regulation (p53, p85‐PIK3, and β‐ catenin), and introduce additional phosphorylation sites, a phenomenon known to ameliorate NS5A interaction with cellular proteins. Overall, these results provide a focus for further investigations on molecular bases of HCV‐mediated oncogenesis. The role of these NS5A domain‐1 mutations in triggering pro‐oncogenic stimuli that can persist also despite achievement of sustained virological response deserves further investigation

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

Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10&nbsp;years; 78.2% included were male with a median age of 37&nbsp;years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

mtDNA sequences of Sphyraena viridensis (Perciformes: Sphyraenidae) from Italy: Insights into historical events and the phylogeny of the genus

The yellowmouth barracuda, Sphyraena viridensis, is a Mediterranean native species whose exact distribution is uncertain due to a long-term taxonomic confusion with Sphyraenasphyraena. Records of this species in the Mediterranean Sea have recently increased, and a northwards expansion of its distribution has been suggested. Three mtDNA regions, namely cytochrome oxidase I, cytochrome b and the control region, were analysed in S.viridensis samples from Italian coastal regions to provide molecular markers useful in species identification, in phylogenetic analysis and in detecting the distribution of genetic variability of the yellowmouth barracuda in this area. The data clearly distinguish S.viridensis from S.sphyraena and the other four (one native and three Lessepsian) Mediterranean Sphyraena species and identify two clearly distinct lineages that diverged during the Pleistocene but are currently panmictic in the investigated area. Both lineages retain signatures of historical population expansion. © 2014 The Linnean Society of London