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Simple Summary: Treatment with cyclin-dependent kinase 4/6 inhibitor (CDK4/6i), has demonstrated significantly improved progression-free survival in patients with hormone receptor-positive, HER2-negative, advanced breast cancer, when used in combination with endocrine therapies. However, limited data exists on its cutaneous adverse events (AE). The aim of our retrospective study was to investigate the prevalence, types and management of cutaneous AE during CDK4/6i. 79 adult advanced breast cancer patients affected by 125 skin adverse events during treatment with CDK4/6i were recruited at eleven centers. The most frequent cutaneous reactions were pruritus (49/79 patients), alopecia (25/79), and ec-zematous lesions (24/79). We showed that skin reactions are usually mild in severity, and prompt management may limit the negative impact on patients, facilitating beneficial continuation of oncologic treatment. Background: The introduction of cyclin-dependent kinase inhibitors (CDK4/6i) was a great advance in therapeutics for patients with estrogen receptor+/human epidermal growth factor receptor (HER2) locally advanced and metastatic breast cancer. Despite the increasing use of these agents, their adverse drug-related events have not yet been fully characterized. We describe the spectrum of cutaneous adverse reactions occurring in advanced breast cancer patients treated with cyclin-dependent kinase inhibitors, analyzing types, severity, time to onset, and possible treatment outcomes. Methods: We performed a multicentric retrospective study including patients with advanced breast cancer who developed cutaneous lesions during treatment with CDK4/6i in the period from June 2020 to June 2021. Patients > 18 years were recruited at eleven onco-dermatology units located in Albania (1), Argentina (1), France (1), Greece (3), Italy (3), and Spain (2). We evaluated patients' epidemiological and clinical characteristics, types of cutaneous adverse events, their time to onset, and treatment outcomes. The severity of the skin reactions was assessed using the Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 score. Results: Seventy-nine patients (median age: 62.3 years; range 39–83 years) were included in the study, and, collectively, we recorded a total of 165 cutaneous adverse events during follow-up visits. The most frequent cutaneous reactions were pruritus (49/79 patients), alopecia (25/79), and eczematous lesions (24/79). Cutaneous toxicities were usually mild in severity (>65%) and occurred after a median of 6.5 months. Only four patients (5%) required treatment discontinuation due to the severity of the skin lesions. The majority of the skin reactions were managed with topical treatments. Conclusions: To the best of our knowledge, we present the largest case series of cutaneous adverse events developing in advanced breast cancer patients treated with CDK4/6i. We showed that cutaneous toxicities are usually mild in severity, and manageable with standard supportive care; however, in selected cases, they can lead to treatment discontinuation with possible implications for patients' clinical outcomes. [ABSTRACT FROM AUTHOR]

Abstract: In the North West Mediterranean (NWM), mass mortality events (MME) of long-lived benthic species that have occurred over the last two decades have been related to regional warming trend. Gaining robust data sets on thermal regimes is critical to assess conditions to which species have adapted, detect extreme events and critically evaluate biological impacts. High resolution temperature (T) time series obtained during 1999–2006 from 5 to 40 m depth at four contrasted sites of the NWM were analyzed: Area Marina Protegida de les Illes Medes (NE Spain), Riou (Marseilles, France), Parc National de Port-Cros (France), and Réserve Naturelle de Scandola (Corsica, France). The seasonal pattern showed winter T around 11–13 °C, and summer T mainly around 22–24 °C near surface to 18–20 °C at depth. Stratification dynamics showed recurrent downwellings (>40 m) at Medes, frequent observation (1/3rd of the summer) of deep and cold upwelled waters at Riou, while Scandola exhibited stable summer stratification and highest suprathermoclinal T. Port-Cros showed an intermediate regime that oscillated between Riou and Scandola depending on the occurrence of northern winds. Data distribution study permitted to identify and to characterize 3 large scale positive anomalies concomitant with the mass mortality outbreaks of summers 1999, 2003 and 2006. The analysis of biological surveys on gorgonian populations showed significant impacts during the 3 years with temperature anomalies. Besides the degree of impact showed inter-annual differences which could be related to different T conditions concomitant to mortality events, from slight increase in T extreme of only 1–2 °C over short duration, to lengthened more classical summer conditions. Our results therefore support the hypothesis that shallow NWM populations of long-lived benthic species are living near their upper thermal thresholds. Given actual trends and projections in NWM, the repetition of new MMEs in the next decades is extremely likely. In such context, the acquisition of dedicated high resolution T series proves to be crucial for increasing our detection, understanding and forecasting abilities. [Copyright &y& Elsevier]

Mercury in air has been measured at five coastal Mediterranean sites, involving measurements in Spain, France, Italy, Slovenia and Israel. Four two-weeks long measurements campaigns were performed at the five sites. The measurements were carried out during autumn 2003 and winter, spring and summer 2004. Total gaseous mercury/elemental gaseous mercury, particulate mercury and divalent gaseous mercury were measured in parallel at the five sites. The activities constituted a subtask of the EU funded MERCYMS research project, which also included Mediterranean Sea cruises where both mercury in air and water were measured. The result from an evaluation of all the coastal air data is presented. Mercury concentrations from the different sites are compared with similar data obtained in northern Europe and elsewhere. The result shows that the background concentration of mercury in Mediterranean coastal air is lower than earlier anticipated. Background concentrations of TGM, RGM and TPM corresponded to 1.75–1.80 ng m−3, 1–13 and 3–23 pg m−3, respectively. The measurements also showed that the mercury concentration occasionally can be very high in some areas due to local anthropogenic emissions. It is proposed that diurnal variation in RGM concentrations observed during situation with nocturnal inversion merely is an effect of meteorology rather than due to local photochemistry. [ABSTRACT FROM AUTHOR]