Insular endemism in the Mediterranean vascular flora: the case of the Aeolian Islands (Sicily, Italy)

The present paper briefly provides the state of the art of the knowledge on vascular plant endemism in the oceanic (“thalassogenous”) Aeolian Archipelago (Sicily). Preliminary analysis of distribution areas and review of recent literature on biosystematics of endemic species revealed that: (a) Aeolian strictly endemic taxa are just 6, i.e. about the 0.7 % of the local vascular flora; among them, just 4 can be considered (with doubt) derived from in situ evolution. (b) The other 18 endemics are taxa occurring in wider areas, so they cannot be generally considered “locally evolved” but relicts. This preliminary analysis confirms that not only continental (“chersogenous”) but all Mediterranean islands are primarily conservative rather than evolutionary active systems

PPI Deprescribing Practices for GERD in Primary Care Offices In Western CT

Proton pump inhibitors (PPIs) are considered the mainstay of medical therapy for gastroesophageal reflux disease (GERD). PPIs have become widely accessible to patients as many of them are currently available over the counter and require no prescription. While PPIs are highly effective at reducing stomach acid, they are not without risks. Short term uses of PPIs are generally well tolerated and involve little risk; however, chronic use of PPIs is associated with significant side effects including diarrhea, impaired B12 absorption, hypomagnesemia, clostridium difficile infection, hip fractures and pneumonia. Currently, the American Academy of Family Physician recommends that PPIs be used only when there is an appropriate diagnosis, at the lowest effective dose and shortest duration of therapy, with a typical regimen lasting 2-12 weeks. Yet even with these guidelines patients are often kept on PPIs for months or years without adequate diagnostic reason. To promote improved PPI management a better understanding of deprescribing and tapering practices amongst primary care physicians must be rendered. The aim of this project is to determine the barriers that prevent PPI deprescribing in cases of GERD.https://scholarworks.uvm.edu/fmclerk/1685/thumbnail.jp

Ohio\u27s Sex Offender Residency Restriction Law: Does it Protect the Health and Safety of the State\u27s Children or Falsely Make People Believe So

The fact of the matter is that residency laws often force all registered sex offenders to pay the price for a few high-profile cases and the public\u27s fear and beliefs regarding sex offenders is often misguided and not well-founded. Sex offender residency laws may actually increase recidivism rates while placing unjustified burdens on sex offenders and their family members. Furthermore, because these laws target stranger perpetrators, they do not prevent the majority of sex crimes committed by acquaintances or family members of the victim. This results in parents being lulled into a false sense of security that their children are protected from these laws, when in fact they are not. Yet supporters of these laws maintain that prohibiting known child sex offenders from living near schools or similar facilities bears a reasonable relationship to protecting children since the amount of incidental contact and opportunity to commit crimes is reduced. However, no research shows any link between where sex offenders live and recidivism rates. Still, courts have unanimously upheld sex offender residency restriction against a variety of constitutional attacks. Despite criticisms and concerns, states continue to enforce and defend laws restricting where sex offenders may live even though these laws do not protect children effectively. Ohio is one state that restricts where sex offenders may live by prohibiting registered sex offenders from residing within 1000 feet of any school premises. Ohio\u27s law applies to all registered sex offenders regardless of the crime\u27s severity, whether or not the victim was a minor, or if the offender presents a future risk of danger. The statute applies even if the offender is not on parole or probation and often applies for the sex offender\u27s entire life

The ideal duplication

In this paper we present and study the ideal duplication, a new construction within the class of the relative ideals of a numerical semigroup S, that, under specific assumptions, produces a relative ideal of the numerical duplication S⋈bE. We prove that every relative ideal of the numerical duplication can be uniquely written as the ideal duplication of two relative ideals of S; this allows us to better understand how the basic operations of the class of the relative ideals of S⋈bE work. In particular, we characterize the ideals E such that S⋈bE is nearly Gorenstein