CYCLONIC ACTIVITY IN THE MEDITERRANEAN REGION FROM A HIGH RESOLUTION PERSPECTIVE USING ECMWF ERA5 DATASET

This study focuses on developing a new Cyclone Detection and Tracking Method (CDTM) to take advantage of the recent availability of a high-resolution reanalysis dataset of ECMWF ERA5. The proposed algorithm is used to perform a climatological analysis of the cyclonic activity in the Mediterranean Region (MR) into a 40-year window (1979–2018). The tuning of the new CDTM was based on the comparison with currently available CDTMs and verified through careful subjective analysis to fully exploit the finer details of MR cyclones features. The application of the new CDTM to the ERA5 high-resolution dataset resulted in an increase of 40% in the annual number of cyclones, mainly associated with subsynoptic and baroclinic driven lows. The main cyclogenetic areas and seasonal cycle were properly identified into the MR context, including areas often underestimated, such as the Aegean Sea, and emerging new ones with cyclogenetic potential such as the coast of Tunisia and Libya. The better cyclone features description defined three distinct periods of cyclonic activity in the MR with peculiar and persistent characteristics. In the first period (Apr–Jun), cyclones develop more frequently and present higher velocities and deepening rates. In the second (Jul–Sep), the cyclonic activity is governed by thermal lows spreading slowly over short tracks without reaching significant depths. In the last and longest season (Oct–Mar), cyclones become less frequent, but with the highest deepening rates and the lowest MSLP values, ranking this period as the most favourable to intense storms

Evolution of drop size distribution in natural rain

Both numerical modeling and laboratory experiments document the possibility of a raindrop size distribution (DSD) to evolve to an equilibrium stage (EDSD), where all the principal processes occur at steady rates. The aim of this work is to observe the temporal behavior of the DSD and to directly investigate the conditions favorable to the onset of the EDSD in natural rain. We exploited a large disdrometer dataset collected in the framework of the Ground Validation activities related to the NASA Global Precipitation Measurement mission. More than 200,000 one-minute data of two-dimensional video disdrometer (2DVD) are collected over USA to represent a wide range of precipitation types. The original data are averaged over 2 min and an automatic algorithm is used on a selected subset to identify samples with EDSD. Results show that the EDSD occurs mainly in convective events and lasts for very short time intervals (2 to 4 min). It is more frequent for rain rate between 20 and 40 mm h−1 and it mostly occurs during sharp increase of precipitation rates

An Investigation on Super-and Sub-Terminal Drops in Two Different Rain Categories and Climate Regimes

The pressing need for accurate and reliable precipitation measurements and forecasting poses theoretical and technological problems. Remote-sensing instruments with increased coverage and sensitivity (such as space-borne and ground-based radar) are available; however, their full exploitation requires physical calibration and validation based on a deep knowledge of precipitation microphysics. This study reports a detailed analysis of the evidence of non-terminal velocities in a mid-latitude (Bologna, Italy) and a tropical location (Kolkata, India). The data from two identical disdrometers OTT-Parsivel2 were analyzed to shed light on the nature of the raindrops that fall at a velocity that is significantly higher (i.e., super-terminal drops) or lower (sub-terminal drops) than the terminal velocity expected for the raindrop sizes. The results show a significant fraction of super- and sub-terminal drops in both locations. The percentages of both super- and sub-terminal drops were higher in Kolkata. However, the difference was more notable for convective rain. The percentages of both super- and sub-terminal drops were found to be high within a drop diameter of 1 mm. The number of sub-terminal drops seemed to increase with an increase in diameter for drops larger than ~2.5 mm. The natural rain in Bologna showed stronger evidence of drop break-up in correspondence with the evolution of non-terminal velocities. Moreover, this study once again pointed toward the fact that the process of break-up cannot be neglected in natural rain of tropical or mid-latitude locations. We found that 7% and 10% of rain samples in Bologna and Kolkata seemed to be subjected to drop break-up. The results indicate that radar measurements of rain in the tropics or mid-latitude regions, relying on the Gunn–Kinzer relationship between velocity and diameter, should be verified by observations of disdrometers for a high precision QPE

Analysis of Thunderstorms Producing Terrestrial Gamma Ray Flashes With the Meteosat Second Generation

Up to now, only few works focused on the meteorological context leading to the production of Terrestrial Gamma ray Flashes (TGFs). In this study, we carry out, for the first time, an analysis on large scale of the meteorological scenario linked to 278 TGFs detected by RHESSI, AGILE, and Fermi, by using the Meteosat Second Generation geostationary satellites. These satellites are useful as they continuously monitor the same geographic region in time, allowing investigations on thunderstorms' development; moreover, they are endowed with channels and products that provide information about the meteorological context under analysis, such as the cloud top temperature and altitude, the cloud extension, the drop effective radius and the cloud phase. Our work confirms what previously found in other studies about the TGF‐associated thunderstorms, by using a different approach and by using for the first time the Meteosat satellites: we find TGFs mostly linked to the development phase of deep convective thunderstorm systems, exhibiting typical characteristics of tropical storms, and providing a first picture on large scale of the TGF‐associated thunderstorm systems.publishedVersio

The Fremantle Back Awareness Questionnaire: cross-cultural adaptation, reliability, and validity of the Italian version in people with chronic low back pain

Background and aim: There is evidence to suggest that assessing back-specific altered self-perception may be useful when seeking to understand and manage low back pain (LBP). The Fremantle Back Awareness Questionnaire (FreBAQ) is a patient-reported measure of back-specific body perception that has never been adapted and psychometrically analysed in Italian. Hence, the objectives of this research were to cross-culturally adapt and validate the Italian version of this outcome measure (namely, the FreBAQ-I), to make it available for use with Italians suffering from chronic LBP. Methods: The FreBAQ-I was developed by forward and backward translation, review by a committee skilled in patient-reported measures and test of the pre-final version to assess its clarity, acceptability, and relevance. The statistical analyses examined: structural validity based on Rasch analysis; hypotheses testing by investigating correlations of the FreBAQ-I with the Roland Morris Disability Questionnaire (RMDQ), a pain intensity numerical rating scale (PI-NRS), the Pain Catastrophising Scale (PCS), and the Tampa Scale of Kinesiophobia (TSK) (Pearson's correlations); reliability by internal consistency (Cronbach's alpha) and test-retest repeatability (intraclass correlation coefficient, ICC (2,1)); and measurement error by determining the minimum detectable change (MDC). After the development of a consensus-based translation of the FreBAQ-I, the new outcome measure was delivered to 100 people with chronic LBP. Results: Rasch analysis confirmed the substantial unidimensionality and the structural validity of the FreBAQ-I. Hypothesis testing was considered good as at least 75% of the hypotheses were confirmed; correlations: RMDQ (r = 0.35), PI-NRS (r = 0.25), PCS (r = 0.41) and TSK (r = 0.38). Internal consistency was acceptable (alpha = 0.82) and test-retest repeatability was excellent (ICC (2,1) = 0.88, 95% CI: 0.83, 0.92). The MDC95 corresponded to 6.7 scale points. Conclusion: The FreBAQ-I was found to be a unidimensional, valid, and reliable outcome measure in Italians with chronic LBP. Its application is advised for clinical and research use within the Italian speaking community

Effects of exercise on balance in patients with non-specific low back pain: a systematic review and meta-analysis

Introduction: Non-specific low back pain (NS-LBP) is one of the most common musculoskeletal conditions related to medical expenses and disability. Evidence suggests that changes in motion patterns could induce trunk instability and impaired postural control. Therefore, this systematic review investigated the effects of exercise on balance in patients with NS-LBP. Evidence acquisition: A systematic review and meta-analysis were conducted. Findings were reported following the 2020 PRISMA statement and the main databases were searched for RCTs. Studies were independently screened through a standardized form and their internal validity assessed by using the Cochrane risk of bias (RoB) tool. Pooled effects were calculated at post-treatment and quality of evidence was assessed through the GRADE framework. Evidence synthesis: Twelve articles were included in the review, eight in the meta-analysis. None of the studies were judged at low RoB. There is very low quality evidence that exercise is effective in reducing Centre of Pressure (CoP) displacement [-16.99 (-27.29, -6.68); p=0.001] and in improving single-leg stance test performance [-28.7 (-48.84, -8.67); p=0.005] and dynamic balance [-4.74 (-8.02, -1.46); p=0.005]. Conversely, no significant results were observed in "ellipse area" and in "limits of stability" indexes. Other results were summarized in a qualitative synthesis. Conclusions: Exercise could be effective in improving both static and dynamic balance in patients with NS-LBP over a short-term period. However, quality of evidence was estimated as very low, hence further double-blinded, high-quality RCTs are needed to address clinical practice and research

Vaccination attitude and communication in early settings: An exploratory study

Background: This study assesses attitudes towards vaccination in mothers of new-born babies and explores its association with different exposures to communication. Methods: Data were collected through questionnaires administered by means of interviews. Results: Data highlighted that 20% of mothers showed an orientation towards vaccine hesitancy. As for the reasons behind the attitude to vaccine hesitancy, data showed that concern is a common feature. As for the different exposures to communication, 49% of mothers did not remember having received or looked for any information about vaccination during pregnancy and post-partum; 25% stated they received information from several healthcare and non-healthcare sources; 26% declared having received or looked for information by means of healthcare and non-healthcare sources, as well as having taken part in a specific meeting during antenatal classes or at birth centres. The attitude towards vaccine hesitancy tends to reduce as exposure to different communication increases. Conclusions: This study supports the hypothesis that participation in interactive meetings in small groups focused on vaccination during the prenatal course or at the birth point may act as an enabling factor contributing to a decrease in the tendency to experience vaccine hesitation

Faecal Microbiota Characterisation of Potamochoerus porcus Living in a Controlled Environment

Intestinal bacteria establish a specific relationship with the host animal, which causes the acquisition of gut microbiota with a unique composition classified as the enterotype. As the name suggests, the Red River Hog is a wild member of the pig family living in Africa, in particular through the West and Central African rainforest. To date, very few studies have analysed the gut microbiota of Red River Hogs (RRHs) both housed under controlled conditions and in wild habitats. This study analysed the intestinal microbiota and the distribution of Bifidobacterium species in five Red River Hog (RRH) individuals (four adults and one juvenile), hosted in two different modern zoological gardens (Parco Natura Viva, Verona, and Bioparco, Rome) with the aim of disentangling the possible effects of captive different lifestyle and host genetics. Faecal samples were collected and studied both for bifidobacterial counts and isolation by means of culture-dependent method and for total microbiota analysis through the high-quality sequences of the V3-V4 region of bacterial 16S rRNA. Results showed a host-specific bifidobacterial species distribution. Indeed, B. boum and B. thermoacidophilum were found only in Verona RRHs, whereas B. porcinum species were isolated only in Rome RRHs. These bifidobacterial species are also typical of pigs. Bifidobacterial counts were about 106 CFU/g in faecal samples of all the individuals, with the only exception for the juvenile subject, showing 107 CFU/g. As in human beings, in RRHs a higher count of bifidobacteria was also found in the young subject compared with adults. Furthermore, the microbiota of RRHs showed qualitative differences. Indeed, Firmicutes was found to be the dominant phylum in Verona RRHs whereas Bacteroidetes was the most represented in Roma RRHs. At order level, Oscillospirales and Spirochaetales were the most represented in Verona RRHs compared with Rome RRHs, where Bacteroidales dominated over the other taxa. Finally, at the family level, RRHs from the two sites showed the presence of the same families, but with different levels of abundance. Our results highlight that the intestinal microbiota seems to reflect the lifestyle (i.e., the diet), whereas age and host genetics are the driving factors for the bifidobacterial population

Limited evidence for blood eQTLs in human sexual dimorphism

The genetic underpinning of sexual dimorphism is very poorly understood. The prevalence of many diseases differs between men and women, which could be in part caused by sex-specific genetic effects. Nevertheless, only a few published genome-wide association studies (GWAS) were performed separately in each sex. The reported enrichment of expression quantitative trait loci (eQTLs) among GWAS-associated SNPs suggests a potential role of sex-specific eQTLs in the sex-specific genetic mechanism underlying complex traits. To explore this scenario, we combined sex-specific whole blood RNA-seq eQTL data from 3447 European individuals included in BIOS Consortium and GWAS data from UK Biobank. Next, to test the presence of sex-biased causal effect of gene expression on complex traits, we performed sex-specific transcriptome-wide Mendelian randomization (TWMR) analyses on the two most sexually dimorphic traits, waist-to-hip ratio (WHR) and testosterone levels. Finally, we performed power analysis to calculate the GWAS sample size needed to observe sex-specific trait associations driven by sex-biased eQTLs. Among 9 million SNP-gene pairs showing sex-combined associations, we found 18 genes with significant sex-biased cis-eQTLs (FDR 5%). Our phenome-wide association study of the 18 top sex-biased eQTLs on >700 traits unraveled that these eQTLs do not systematically translate into detectable sex-biased trait-associations. In addition, we observed that sex-specific causal effects of gene expression on complex traits are not driven by sex-specific eQTLs. Power analyses using real eQTL- and causal-effect sizes showed that millions of samples would be necessary to observe sex-biased trait associations that are fully driven by sex-biased cis-eQTLs. Compensatory effects may further hamper their detection. Our results suggest that sex-specific eQTLs in whole blood do not translate to detectable sex-specific trait associations of complex diseases, and vice versa that the observed sex-specific trait associations cannot be explained by sex-specific eQTLs

Nature-based solutions for hydro-meteorological hazards: revised concepts, classification schemes and databases

Hydro-meteorological hazards (HMHs) have had a strong impact on human societies and ecosystems. Their impact is projected to be exacerbated by future climate scenarios. HMHs cataloguing is an effective tool to evaluate their associated risks and plan appropriate remediation strategies. However, factors linked to HMHs origin and triggers remain uncertain, which poses a challenge for their cataloguing. Focusing on key HMHs (floods, storm surge, landslides, droughts, and heatwaves), the goal of this review paper is to analyse and present a classification scheme, key features, and elements for designing nature-based solutions (NBS) and mitigating the adverse impacts of HMHs in Europe. For this purpose, we systematically examined the literature on NBS classification and assessed the gaps that hinder the widespread uptake of NBS. Furthermore, we critically evaluated the existing literature to give a better understanding of the HMHs drivers and their interrelationship (causing multi-hazards). Further conceptualisation of classification scheme and categories of NBS shows that relatively few studies have been carried out on utilising the broader concepts of NBS in tackling HMHs and that the classification and effectiveness of each NBS are dependent on the location, architecture, typology, green species, environmental conditions as well as interrelated non-linear systems. NBS are often more cost-effective than hard engineering approaches used within the existing systems, especially when taking into consideration their potential co-benefits. We also evaluated the sources of available data for HMHs and NBS, highlighted gaps in data, and presented strategies to overcome the current shortcomings for the development of the NBS for HMHs. We highlighted specific gaps and barriers that need to be filled since the uptake and upscaling studies of NBS in HMHs reduction is rare. The fundamental concepts and the key technical features of past studies reviewed here could help practitioners to design and implement NBS in a real-world situation