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Salt marshes are crucial eco-geomorphic features of tidal environments as they provide important ecological functions and deliver a wide range of ecosystem services. Being controlled by the interplay between hydrodynamics, geomorphology, and vegetation, the contribution of both organic matter (OM) and inorganic sediments drives salt marsh vertical accretion. This allows marshes to keep pace with relative sea level rise and likewise capture and store carbon, making them valuable allies in climate mitigation strategies. Thus, soil organic matter (SOM), i.e. the organic component of the soil, plays a key role within salt marsh environments, directly contributing to soil formation and supporting carbon storage. This study aims at inspecting spatial patterns of OM in surface salt marsh soils (top 20 cm), providing further insights into the physical and biological factors driving OM dynamics that affect salt marsh survival and carbon sink potential. Our results reveal two scales of variations in SOM content in marsh environments. At the marsh scale, OM variability is influenced by the interplay between surface elevation and changes in sediment supply linked with the distance from the marsh edge. At the system scale, OM content distribution is dominated by the gradient generated by marine and fluvial influence. The observed variations in SOM are explained by the combination of inorganic and organic input, preservation conditions, and sediment grain size. Our results highlight the importance of marshes as carbon sink environments, further emphasising that environmental conditions within a tidal system may generate strongly variable and site-specific carbon accumulation patterns, enhancing blue carbon assessment complexity. [ABSTRACT FROM AUTHOR]

Salt marshes are crucial eco-geomorphic features of tidal environments as they provide numerous important ecological functions and deliver a wide range of ecosystem services that contribute to human well-being. Being controlled by the interplay between hydrodynamics, geomorphology and vegetation, the deposition of both organic matter (OM) and inorganic sediments drives salt-marsh vertical accretion. This allows marshes to keep pace with relative sea-level rise, and likewise capture and store carbon, making them valuable allies in climate mitigation strategies. Thus, Soil Organic Matter (SOM), i.e. the organic component of the soil, plays a key role within salt-marsh environments, directly contributing to soil formation and supporting carbon storage. This study aims at inspecting spatial patterns of OM in surface salt-marsh soils, providing further insights into the physical and biological factors driving OM dynamics, affecting salt-marsh survival and carbon sink potential. Our results reveal two scales of variations in sedimentary OM content in salt-marsh soils. At the marsh scale OM variability is influenced by the interplay between surface elevation and changes in sediment supply linked with the distance from tidal channels. At the system scale, OM content distribution is dominated by the gradient generated by marine and fluvial influence. Variations in inorganic and organic inputs, both autochthonous and allochthonous, sediment grain size, and preservation conditions may explain the observed variations in SOM. Our results highlight marsh importance as carbon sink environments, furthermore emphasizing that environmental conditions within a tidal system may generate strongly variable and site-specific carbon accumulation patterns, enhancing blue carbon assessment complexity. [ABSTRACT FROM AUTHOR]

Recently, the atrial fibrillation treatment guidelines have been updated to now recommend Non-vitamin K antagonist oral anticoagulants (NOACs) as the preferred alternative to warfarin for systemic embolism and stroke prevention in patients with non-valvular atrial fibrillation. NOACs have major pharmacologic advantages over warfarin, although the most common complications are gastrointestinal bleeding and NOAC-induced nephropathy within 6 weeks after starting therapy, as several recent case-reports stated. We are reporting for the first time a chronic delayed adverse reaction (regularly reported to Authorities) observed in an 82-year-old woman 27 months after starting dabigatran (110 mg twice a day), characterized by concomitant gastrointestinal bleeding and nephropathy. Idarucizumab administration immediately improved both bleeding and renal parameters. Moreover, we are going to highlight the importance of the compliance, the adherence to the therapeutic plan and the supervision of the Hospital Pharmacy on drug prescriptions. In fact in our case, dabigatran was firstly prescribed by the neurologist and delivered by the hospital pharmacy, but the patient continued the treatment for 27 months, prescribed by general practitioner without any laboratory control. This lack of supervision certainly contributed to the onset of the adverse reaction reported. [ABSTRACT FROM AUTHOR]