Determinants of insurance companies' enviromental, social, and governance awareness

Environmental, social, and governance (ESG) criteria are increasingly important in all fields of economics. However, despite increasing interest from policy makers and financial regulators, literature relating to the insurance industry is still scarce. This paper aims to fill this gap by exploring the interaction between a set of financial ratios and environmental social governance scores of 107 large, listed US insurance companies for the period 2010–2018 for the purpose of identifying the determinants of ESG awareness. Larger, more profitable, and more solvent insurance companies show the highest level of ESG awareness. Our model contributes to shed light on the unfolding of ESG practices in the insurance industry

Protected areas as refuges for pest species? The case of wild boar

Abstract Protected areas are often blamed for offering refuge to pest species populations, giving rise to the so-called "reserve effect". Nevertheless, this major conservation side effect has seldom been investigated or verified on a local scale. Along the borders of two protected areas of different size, we modelled wild boar individual likelihood of being either inside or outside the protected areas throughout the year, considering their activity rhythms and resource availability. No evidence of reserve effect was found in the small protected area, yet the percentage of wild boar moving across the border was smaller in the large one. Moreover, although wild boar use of the large protected area resulted to increase in autumn, we showed that this was not the consequence of hunting avoidance. Our results clearly highlighted the importance to verify reserve effect on a local scale with studies based on detailed information on animal spatial behaviour and environmental variables

Thoracic ultrasound for pleural effusion in the intensive care unit: A narrative review from diagnosis to treatment

Pleural effusion (PLEFF), mostly caused by volume overload, congestive heart failure, and pleuropulmonary infection, is a common condition in critical care patients. Thoracic ultrasound (TUS) helps clinicians not only to visualize pleural effusion, but also to distinguish between the different types. Furthermore, TUS is essential during thoracentesis and chest tube drainage as it increases safety and decreases life-threatening complications. It is crucial not only during needle or tube drainage insertion, but also to monitor the volume of the drained PLEFF. Moreover, TUS can help diagnose co-existing lung diseases, often with a higher specificity and sensitivity than chest radiography and without the need for X-ray exposure. We review data regarding the diagnosis and management of pleural effusion, paying particular attention to the impact of ultrasound. Technical data concerning thoracentesis and chest tube drainage are also provided

Hydrogeochemical processes controlling water and dissolved gas chemistry at the Accesa sinkhole (southern Tuscany, central Italy).

The 38.5 m deep Lake Accesa is a sinkhole located in southern Tuscany (Italy) that shows a peculiar water composition, being characterized by relatively high total dissolved solids (TDS) values (2 g L-1) and a Ca(Mg)-SO4 geochemical facies. The presence of significant amounts of extra-atmospheric gases (CO2 and CH4), which increase their concentrations with depth, is also recognized. These chemical features, mimicking those commonly shown by volcanic lakes fed by hydrothermal-magmatic reservoirs, are consistent with those of mineral springs emerging in the study area whose chemistry is produced by the interaction of meteoric-derived waters with Mesozoic carbonates and Triassic evaporites. Although the lake has a pronounced thermocline, water chemistry does not show significant changes along the vertical profile. Lake water balance calculations demonstrate that Lake Accesa has &gt;90% of its water supply from sublacustrine springs whose subterranean pathways are controlled by the local structural assessment that likely determined the sinking event, the resulting funnel-shape being then filled by the Accesa waters. Such a huge water inflow from the lake bottom (~9·106 m3 yr-1) feeds the lake effluent (Bruna River) and promotes the formation of water currents, which are able to prevent the establishment of a vertical density gradient. Consequently, a continuous mixing along the whole vertical water column is established. Changes of the drainage system by the deep-originated waters in the nearby former mining district have strongly affected the outflow rates of the local mineral springs; thus, future intervention associated with the ongoing remediation activities should carefully be evaluated to preserve the peculiar chemical features of Lake Accesa.</p

Distinct patterns of expression of fibroblast growth factors and their receptors in human atheroma and nonatherosclerotic arteries. Association of acidic FGF with plaque microvessels and macrophages

Because fibroblast growth factors (FGFs) modulate important functions of endothelial cells (EC) and smooth muscle cells (SMC), we studied FGF expression in human vascular cells and control or atherosclerotic arteries. All cells and arteries contained acidic (a) FGF and basic (b) FGF mRNA. Northern analysis detected aFGF mRNA only in one of five control arteries but in all five atheroma tested, while levels of bFGF mRNA did not differ among control (n = 3) vs. plaque specimens (n = 6). Immunolocalization revealed abundant bFGF protein in control vessels (n = 10), but little in plaques (n = 14). In contrast, atheroma (n = 14), but not control arteries (n = 10), consistently exhibited immunoreactive aFGF, notably in neovascularized and macrophage-rich regions of plaque. Because macrophages colocalized with aFGF, we tested human monocytoid THP-1 cells and demonstrated accumulation of aFGF mRNA during PMA-induced differentiation. We also examined the expression of mRNA encoding FGF receptors (FGFRs). All cells and arteries contained FGFR-1 mRNA. Only SMC and control vessels had FGFR-2 mRNA, while EC and some arteries contained FGFR-4 mRNA. The relative lack of bFGF in plaques vs. normal arteries suggests that this growth factor may not contribute to cell proliferation in advanced atherosclerosis. However, aFGF produced by plaque macrophages may stimulate the growth of microvessels during human atherogenesis

Could the use of bedside lung ultrasound reduce the number of chest x-rays in the intensive care unit?

Background: Lung ultrasound can be used as an alternative to chest radiography (CXR) for the diagnosis and follow-up of various lung diseases in the intensive care unit (ICU). Our aim was to evaluate the influence that introducing a routine daily use of lung ultrasound in critically ill patients may have on the number of CXRs and as a consequence, on medical costs and radiation exposure. Methods: Data were collected by conducting a retrospective evaluation of the medical records of adult patients who needed thoracic imaging and were admitted to our academic polyvalent ICU. We compared the number of CXRs and relative costs before and after the introduction of lung ultrasound in our ICU. Results: A total of 4134 medical records were collected from January 2010 to December 2014. We divided our population into two groups, before (Group A, 1869 patients) and after (Group B, 2265 patients) the introduction of a routine use of LUS in July 2012. Group A performed a higher number of CXRs compared to Group B (1810 vs 961, P = 0.012), at an average of 0.97 vs 0.42 exams per patient. The estimated reduction of costs between Groups A and B obtained after the introduction of LUS, was 57%. No statistically significant difference between the outcome parameters of the two groups was observed. Conclusions: Lung ultrasound was effective in reducing the number of CXRs and relative medical costs and radiation exposure in ICU, without affecting patient outcome

Fishmeal replacement with hermetia illucens meal in aquafeeds: Effects on zebrafish growth performances, intestinal morphometry, and enzymology

Fishmeal (FM) is still the most important protein source in aquafeeds. However, due to the reduction of wild fish stocks used for FM production, its manufacturing it is now unsustainable. Insect meal represents a valid alternative to FM, due to the low carbon footprint of its production and its high nutritional value. The aim of this study was to investigate the potentials of replacing FM with black soldier fly (Hermetia illucens) meal (HIM) in aquafeeds, using zebrafish as the animal model. Four diets were formulated with increasing HIM/FM replacement rate (the control diet contained 20% FM). Mortality rates, growth performances, and feed consumptions were measured, and fish intestine samples were collected for histological and enzymatic analysis. After 49 days, all groups almost tripled their initial body weight (cumulative body weight gain ranged between 143.9 and 155.2 mg), and no statistically significant differences among treatments were observed in relation to growth performances and histological traits. Contrarily, trypsin, alkaline phosphatases, and alpha amylase–glucoamylase activities were significantly reduced when the FM replacement rate was increased. In conclusion, HIM may represent an alternative to FM, since no adverse effects were observed when it was included up to 20% in the zebrafish diet, even when replacing 100% of the FM

A Wireless, Battery-Powered Probe Based on a Dual-Tier CMOS SPAD Array for Charged Particle Sensing

A compact probe for charged particle imaging, with potential applications in source activity mapping and radio-guided surgery was designed and tested. The development of this technology holds significant implications for medical imaging, offering healthcare professionals accurate and efficient tools for diagnoses and treatments. To fulfill the portability requirements of these applications, the probe was designed for battery operation and wireless communication with a PC. The core sensor is a dual-layer CMOS SPAD detector, fabricated using 150 nm technology, which uses overlapping cells to produce a coincidence signal and reduce the dark count rate (DCR). The sensor is managed and interfaced with a microcontroller, and custom firmware was developed to facilitate communication with the sensor. The performance of the probe was evaluated by characterizing the on-board SPAD detector in terms of the DCR, and the results were consistent with the characterization measurements taken on the same chip samples using a purposely developed benchtop setup

A search for He I airglow emission from the hot Jupiter tau Boo b

The helium absorption line at 10830 {\AA}, originating from the metastable triplet state 2$^3$S, has been suggested as an excellent probe for the extended atmospheres of hot Jupiters and their hydrodynamic escape processes, and has recently been detected in the transmission spectra of a handful of planets. The isotropic re-emission will lead to helium airglow that may be observable at other orbital phases. The goal of this paper is to investigate the detectability of He I emission at 10830 {\AA} in the atmospheres of exoplanets using high-resolution spectroscopy, providing insights into the properties of the upper atmospheres of close-in gas giants. We estimated the expected strength of He I emission in hot Jupiters based on their transmission signal. We searched for the He I 10830 {\AA} emission feature in tau Boo b in three nights of high-resolution spectra taken by CARMENES at the 3.5m Calar Alto telescope. The spectra from each night were corrected for telluric absorption, sky emission lines, and stellar features, and were shifted to the planetary rest frame to search for the emission. The He I emission is not detected in tau Boo b, reaching a 5 sigma contrast limit of 4$\times$10$^{-4}$ for emission line widths above 20 km/s. This is roughly a factor of 8 above the expected level of emission (assuming a typical He I transit absorption of 1% for hot Jupiters). This suggests that targeting the He I emission with well-designed observations using upcoming instruments such as VLT/CRIRES+ and E-ELT/HIRES is possible.Comment: Accepted for publication in A&A; 9 pages, 9 figure

From intensive care to step-down units: Managing patients throughput in response to COVID-19

Quality problem or issue: The on-going COVID-19 pandemic may cause the collapse of healthcare systems because of unprecedented hospitalization rates. Initial assessment: A total of 8.2 individuals per 1000 inhabitants have been diagnosed with COVID-19 in our province. The hospital predisposed 110 beds for COVID-19 patients: On the day of the local peak, 90% of them were occupied and intensive care unit (ICU) faced unprecedented admission rates, fearing system collapse. Choice of solution: Instead of increasing the number of ICU beds, the creation of a step-down unit (SDU) close to the ICU was preferred: The aim was to safely improve the transfer of patients and to relieve ICU from the risk of overload. Implementation: A nine-bed SDU was created next to the ICU, led by intensivists and ICU nurses, with adequate personal protective equipment, monitoring systems and ventilators for respiratory support when needed. A second six-bed SDU was also created. Evaluation: Patients were clinically comparable to those of most reports from Western Countries now available in the literature. ICU never needed supernumerary beds, no patient died in the SDU, and there was no waiting time for ICU admission of critical patients. SDU has been affordable from human resources, safety and economic points of view. Lessons learned: COVID-19 is like an enduring mass casualty incident. Solutions tailored on local epidemiology and available resources should be implemented to preserve the efficiency and adaptability of our institutions and provide the adequate sanitary response