Transient polarization dynamics in a CO2_2 laser

We study experimentally and theoretically the polarization alternation during the switch-on transient of a quasi-isotropic CO$_2$ laser emitting on the fundamental mode. The observed transient dynamics is well reproduced by means of a model which provides a quantitative discrimination between the intrinsic asymmetry due to the kinetic coupling of molecules with different angular momenta, and the extrinsic anisotropies, due to a tilted intracavity window. Furthermore, the experiment provides a numerical assignment for the decay rate of the coherence term for a CO$_2$ laser.Comment: 14 pages, 6 figures, submitted to Opt. Com

Brain oscillations in cognitive control: a cross-sectional study with a spatial Stroop task

An important aspect of cognitive control is the ability to overcome interference, by boosting the processing of task-relevant information while suppressing the irrelevant information. This ability is affected by the progressive cognitive decline observed in aging. The aims of this study were to shed light on the neural spectral dynamics involved in interference control and to investigate age-dependent differences in these dynamics. For these reasons two samples of participants of different ages (23 younger and 20 older adults, age range=[18 35] and [66 82], respectively) were recruited and administered a spatial Stroop task while recording electroencephalographic activity. Scalp- and source-based time-frequency analyses revealed a main role of theta and beta frequencies in interference control. Specifically, for the theta band, we found age-dependent differences both for early event-related spectral perturbation (ERSP) Stroop effects at the source level \u2013 which involved dorsomedial and dorsolateral prefrontal cortices \u2013 and for related brain-behaviour correlations. This ERSP Stroop effect in theta was greatly reduced in magnitude in the older group and, differently from what observed in younger participants, it was not correlated with behavioural performance. These results suggest an age-dependent impairment of the theta-related mechanism signalling the need of cognitive control, in line with existing findings. We also found age-related differences in ERSP and source spectral activity involving beta frequencies. Indeed, younger participants showed a specific ERSP Stroop effect in beta \u2013 with the main involvement of left prefrontal cortex \u2013 whereas the pattern of older participants was delayed in time and spread bilaterally over the scalp. This study shows clear age-related differences in the neural spectral correlates of cognitive control. These findings open new questions about the causal involvement of specific oscillations in different cognitive processes and may inspire future interventions against age-related cognitive decline

Soil functionality assessment in degraded plots of vineyards

Land transformation to adapt fields to mechanization in perennial crop farming is a common practice which includes land levelling, deep ploughing, stone-breakage and clearing, application of fertilizers and amendments. Manipulation of the natural soil profile along its entire depth can severely disturb the naturally existing chemical physical,biological and hydrological equilibrium (Costantini and Barbetti, 2008; Costantini et al., 2013). The most common effects of the land transformation are mixing of soil horizons and soil truncation, which result in reduction of soil depth and available water, organic matter depletion, enrichment of calcium carbonate content in the topsoil,imbalance of some element ratio, and decline in the activity and diversity of soil biological communities involved in nutrient cycles. A decline in the capacity of soil to accommodate the soil-dwelling organisms causes a strong impact on several ecosystem services, in particular, the growth of the vine, the quality and quantity of the grapes,the production costs and the risk of erosion. These negative effects of a pre-planting mismanagement can occur simultaneously and interact to decrease soil fertility and grapevine performance (Lanyon et al., 2004; Tagliavini and Rombolà, 2001; Martínez-Casasnovas and Ramos, 2009).Since soil spatial variability is usually high, soil manipulations frequently result into reduced soil functionality and decline of soil ecosystem services in defined plots of the vineyards. Sometimes soil degradation in these areas is very high and compromises not only vine performance and crop yield, but also disease resistance of plants to diseases and their survival. The impact of improper soil manipulations in vineyards may be of particular concern, because vineyards are frequently located on marginal hillsides, which are sensitive to soil erosion and characterized by shallow soil depth (Ramos, 2006). This paper wants to show the assessment of soil functionality in degraded areas within two farms in Tuscany. This work reports the results of the first activities in Italian sites of the ReSolVe Core-organic+ project, aimed at restoring optimal Soil functionality in degraded areas within organic European vineyards

Effects of reduced soil functionality in European vineyards

Improper or excessive land preparation methods in vineyards before planting can have a considerable impact on soil functionality. They include excessive levelling and deep ploughing leading to disturbances of the natural contour of slopes and destruction, truncation and burial of soil horizons. Manipulations may significantly modify chemical, physical, biological and hydrological balance of soils. Problems that may arise from these interventions relate to the reduction of organic substances, enrichment of calcium carbonate and soluble salts, impacting development and health of grapevines. Reduced water retention capacity can lead to increased water stress during dry season, decreased water permeability and circulation of oxygen in the soil, increased runoff volume, surface erosion and landslide risk, reduced biodiversity and limitation of biochemical processes (organic matter mineralization, bioavailability of nutrients, etc.). Soil degradations can lead to the loss of soil functionality even after the planting as a result of accelerated erosion, compaction by agricultural vehicles, excessive loss of organic matter and nutrients, and the accumulation of heavy metals such as copper. In both conventional and organic vineyards, it is quite common to have areas with reduced soil functionality that have negative impact on vine health and grape production and quality. In the framework of the Core organic RESOLVE project, a study was conducted in organic vineyards showing areas with reduced and good soil functionality. Degraded soils resulted in significantly lower amounts of grapes. The chlorophyll index (SPAD) of the grapevine during veraison was significantly lower in areas of degraded soils compared with the situation in areas of the same vineyard with non-degraded soils. In general, causes of soil malfunctioning were related to a lower fertility, including reduced organic carbon, total nitrogen and cation exchange capacity, higher concentrations of carbonates, and increased stoniness in the topsoil. Degraded soils showed lower structure quality and rooting depth limited by shallow saprolite or horizon features such as compaction, scarce fertility and high content of carbonates. The soils in the non-degraded areas showed significant higher content of total nitrogen and higher carbon/nitrogen ratios, thus a better stability of organic matter. On the other hand, biological diversity and activity, monitored by different proxies (microarthropods, nematodes, enzymes, organic matter turnover by Tea bag index) in some vineyards, all managed organically, did not show any clear and significant differences between degraded and not degraded areas. Similarly, no clear difference in overall microbial diversity indices (Shannon, Simpson) and diversity evenness (Pielou) were observed between non-degraded and degraded areas. All indices were relatively high and indicative for rich occurrence of abundant and rare microbial species, high diversity and low abundance of individual species and high species evenness

Assessment and restoring soil functionality in degraded areas of organic vineyards. The preliminary results of the ReSolVe project in Italy

In both conventional and organic Italian vineyards, it is quite common to have areas characterized by problems in vine health, grape production and quality, often caused by improper land preparation before vine plantation and/or management. Causes for soil malfunctioning can include: reduced contribution of the soil fauna to the ecosystem services (i.e. nutrient cycles), poor organic matter content, imbalance of some element ratio, altered pH, water deficiency, soil compaction and/or scarce oxygenation. ReSolVe is a transnational and interdisciplinary 3-years research project aimed at testing the effects of selected organic strategies for restoring optimal soil functionality in degraded areas within vineyard. The different restoring strategies implemented in each plot will be: i) compost produced on farm by manure + pruning residue + grass, ii) faba bean and barley green manure, iii) sowing and dry mulching with Trifolium squarrosum L. During two years of such treatments, the trend of the soil features and the grapevine status will be monitored in detail, to reveal the positive and negative effects of such treatments. The project involves 8 research groups in 6 different EU countries (Italy, France, Spain, Sweden, Slovenia, and Turkey), with experts from several disciplines, including soil science, ecology, microbiology, grapevine physiology, viticulture, and biometry. The experimental vineyards are situated in Italy (Chianti hills and Maremma plain, Tuscany), France (Bordeaux and Languedoc), Spain (La Rioja) and Slovenia (Primorska) for winegrape, and in Turkey (Adana and Mersin) for table grape. Soil features before implementing restoring strategies showed lower content of soil organic matter and enzyme activities, and higher carbonates in degraded areas than in the non-degraded areas. The Biological Soil Quality values of microarthropods were always high, in comparison with data registered in similarly managed vineyards or stable ecosystems, and the data showed homogeneous patterns within the experimental plots. Nematode abundance, taxa richness and maturity (MI) and plant parasitic (PPI) indices were higher in nondegraded than degraded areas, but differences were not significant. Grapevines in degraded areas of both farms showed less vegetative vigour and significantly lower values in the SPAD colour index. The yield and the weight of the grape bunches and berries were greater in the not degraded. The grapes of degraded areas at harvest had instead a sugar content significantly higher (on average +2.5�Brix). The restoration techniques and the monitoring methodologies developed and tested during the ReSolVe project will be described in specific final guidelines. The restoration techniques will be accessible for all the European farmers and will be low cost and environmental-friendly. A protocol of analyses and measurements between the all partners will allow an effective and comparable monitoring of vineyard ecosystemic functioning in European countries

Gastro-intestinal emergency surgery: Evaluation of morbidity and mortality. Protocol of a prospective, multicenter study in Italy for evaluating the burden of abdominal emergency surgery in different age groups. (The GESEMM study)

Gastrointestinal emergencies (GE) are frequently encountered in emergency department (ED), and patients can present with wide-ranging symptoms. more than 3 million patients admitted to US hospitals each year for EGS diagnoses, more than the sum of all new cancer diagnoses. In addition to the complexity of the urgent surgical patient (often suffering from multiple co-morbidities), there is the unpredictability and the severity of the event. In the light of this, these patients need a rapid decision-making process that allows a correct diagnosis and an adequate and timely treatment. The primary endpoint of this Italian nationwide study is to analyze the clinicopathological findings, management strategies and short-term outcomes of gastrointestinal emergency procedures performed in patients over 18. Secondary endpoints will be to evaluate to analyze the prognostic role of existing risk-scores to define the most suitable scoring system for gastro-intestinal surgical emergency. The primary outcomes are 30-day overall postoperative morbidity and mortality rates. Secondary outcomes are 30-day postoperative morbidity and mortality rates, stratified for each procedure or cause of intervention, length of hospital stay, admission and length of stay in ICU, and place of discharge (home or rehabilitation or care facility). In conclusion, to improve the level of care that should be reserved for these patients, we aim to analyze the clinicopathological findings, management strategies and short-term outcomes of gastrointestinal emergency procedures performed in patients over 18, to analyze the prognostic role of existing risk-scores and to define new tools suitable for EGS. This process could ameliorate outcomes and avoid futile treatments. These results may potentially influence the survival of many high-risk EGS procedure

Metabolic Syndrome (MetS), Systemic Inflammatory Response Syndrome (SIRS), and Frailty: Is There any Room for Good Outcome in the Elderly Undergoing Emergency Surgery?

Background: Patients with MetS or SIRS experience higher rates of mortality and morbidity, across both cardiac and noncardiac surgery. Frailty assessment has acquired increasing importance in recent years as it predisposes elderly patients to a worse outcome. The aim of our study was to investigate the influence of MetS, SIRS, and with or without frailty on elderly patients undergoing emergency surgical procedures. Methods: We analyzed data of all patients with nonmalignant diseases requiring an emergency surgical procedure from January 2017 to December 2020. The occurrence of MetS was identified using modified definition criteria used by the NCEP-ATP III Expert Panel: obesity, hypertension, diabetes, or if medication for high triglycerides or for low HDL cholesterol was taken. Systemic inflammatory response syndrome (SIRS) was evaluated according to the original consensus study (Sepsis-1). The frailty profile was investigated by the 5-modified Frailty Index (5-mFI) and the Emergency Surgery Frailty Index (EmSFI). Postoperative complications have been reported and categorized according to the Clavien–Dindo (C–D) classification system. Morbidity and mortality have been mainly considered as the 30-day standard period definition. Results: Of the 2,318 patients included in this study, 1,010 (43.6%) fulfilled the criteria for MetS (MetsG group). Both 5-Items score and EmsFI showed greater fragility in patients with MetS. All patients with MetS showed more frequently a CACI index greater than 6. The occurrence of SIRS was higher in MetSG. LOS was longer in patients with MetS (MetSG 11.4 ± 12 days vs. n-MetSG 10.5 ± 10.2 days, p = 0.046). MetSG has a significantly higher rate of morbidity (353 (35.%) vs. 385 (29.4%), p = 0.005). The mortality rate in patients with MetS (98/1010, 10%) was similar to that in patients without it (129/1308, 10%). Considering patients with MetS who developed SIRS and those who had frailty or both, the occurrence of these conditions was associated with a higher rate of morbidity and mortality. Conclusion: Impact of MetS and SIRS on elderly surgical patient outcomes has yet to be fully elucidated. The present study showed a 43.6% incidence of MetS in the elderly population. In conclusion, age per se should be not considered anymore as the main variable to estimate patient outcomes, while MetS and Frailty should have always a pivotal role

Perforated peptic ulcer (PPU) treatment: an Italian nationwide propensity score-matched cohort study investigating laparoscopic vs open approach

BackgroundPerforated peptic ulcer (PPU) remain a surgical emergency accounting for 37% of all peptic ulcer-related deaths. Surgery remains the standard of care. The benefits of laparoscopic approach have been well-established even in the elderly. However, because of inconsistent results with specific regard to some technical aspects of such technique surgeons questioned the adoption of laparoscopic approach. This leads to choose the type of approach based on personal experience. The aim of our study was to critically appraise the use of the laparoscopic approach in PPU treatment comparing it with open procedure.MethodsA retrospective study with propensity score matching analysis of patients underwent surgical procedure for PPU was performed. Patients undergoing PPU repair were divided into: Laparoscopic approach (LapA) and Open approach (OpenA) groups and clinical-pathological features of patients in the both groups were compared.ResultsA total of 453 patients underwent PPU simple repair. Among these, a LapA was adopted in 49% (222/453 patients). After propensity score matching, 172 patients were included in each group (the LapA and the OpenA). Analysis demonstrated increased operative times in the OpenA [OpenA: 96.4 +/- 37.2 vs LapA 88.47 +/- 33 min, p = 0.035], with shorter overall length of stay in the LapA group [OpenA 13 +/- 12 vs LapA 10.3 +/- 11.4 days p = 0.038]. There was no statistically significant difference in mortality [OpenA 26 (15.1%) vs LapA 18 (10.5%), p = 0.258]. Focusing on morbidity, the overall rate of 30-day postoperative morbidity was significantly lower in the LapA group [OpenA 67 patients (39.0%) vs LapA 37 patients (21.5%) p = 0.002]. When stratified using the Clavien-Dindo classification, the severity of postoperative complications was statistically different only for C-D 1-2.ConclusionsBased on the present study, we can support that laparoscopic suturing of perforated peptic ulcers, apart from being a safe technique, could provide significant advantages in terms of postoperative complications and hospital stay