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Urban green infrastructure could represent an important mean for environmental mitigation, if designed according to the principles of restoration ecology. Moreover, if suitably executed, managed and sized, they may be assimilated to meta-populations of natural habitats, deserving to be included in the biodiversity monitoring networks. In this chapter, we combined automatised and expert opinion-based procedures in order to select the vascular plant assemblages to populate different microhabitats (differing in terms of light and moisture) co-occurring on an existing green roof in Zurich (Switzerland). Our results lead to identify three main plant species groups, which prove to be the most suitable for the target roof. These guilds belong to mesoxeric perennial grasslands (Festuco-Brometea), nitrophilous ephemeral communities (Stellarietea mediae) and drought-tolerant pioneer species linked to nutrient-poor soils (Koelerio-Corynephoretea). Some ruderal and stress-tolerant species referred to the class Artemisietea vulgaris appear to fit well with local roof characteristics, too. Inspired by plant sociology, this method also considers conservation issues, analysing whether the plants selected through our procedure were characteristic of habitats of conservation interest according to Swiss and European laws and directives. Selecting plant species with different life cycles and life traits may lead to higher plant species richness, which in turn may improve the functional complexity and the ecosystem services provided by green roofs and green infrastructure in general.

Urban environments consist of a mosaic of natural fragments, planned and unintentional habitats hosting both introduced and spontaneous species. The latter group exploits abandoned and degraded urban niches which, in the case of plants, form what is called thethird landscape. In the Anthropocene, cities, open spaces and buildings must be planned and designed considering not only human needs but also those of other living organisms. The scientific approach of habitat sharing is defined asreconciliation ecology, whilst the action of implementing the ecosystem services and functioning of such anthropogenic habitats is calledUrban Rehabilitation. However, urban development still represents the main cause of biodiversity loss worldwide. Yet, the approach of planners and landscape architects highly diverges from that of ecologists and scientists on how to perceive, define and design urban green and blue infrastructure. For instance, designers focus on the positive impact thatnature(generally associated with indoor and outdoor greeneries) has onhumanwell-being, often neglecting ecosystems’ health. Instead, considering the negative impact of any form of development and to achieve theno net lossAichi’s objectives, conservationists apply mitigation hierarchy policies to avoid or reduce the impact and to offset biodiversity. The rationale of this review paper is to set the fundamentals for a multidisciplinary design framework tackling the issue of biodiversity loss in the urban environment bydesign for nature. The method focuses on the building/city/landscape scales and is enabled by emerging digital technologies, i.e., geographic information systems, building information modelling, ecological simulation and computational design.

Green infrastructure is a structural system of naturally developed human societies, capable of preserving and ensuring as much space as possible to the local biodiversity. For this reason, green infrastructure shall be planned and designed so that the urban built environment is in harmony with the surrounding biotic communities. The challenge is to sustain nature-based solutions in order to improve citizens’ awareness towards natural and semi-natural ecosystems while providing our society with a more liveable, healthier, safer and fairer environment. This book puts an emphasis on the services the city can offer to nature, thanks to a multidisciplinary approach involving scientists and practitioners from different backgrounds: vegetation ecologists, architects, landscape architects, engineers and agronomists. The 26 contributions following this first chapter are organised in alphabetical order around three thematic pillars: (a) green infrastructure, urban ecology and vegetation science; (b) planning and implementation of green infrastructure; (c) nature-based solutions and innovative design approaches. The green infrastructure as we intend in this book includes urban and peri-urban spaces seen as semi-natural ecosystems, designed to establish mutually beneficial interactions and synergies with the surrounding natural ecosystems.

Malignant pleural mesothelioma (MPM) is a rare and aggressive neoplasm. Patients are usually diagnosed when current treatments have limited benefits, highlighting the need for noninvasive tests aimed at an MPM risk assessment tool that might improve life expectancy. Three hundred asbestos-exposed subjects (163 MPM cases and 137 cancer-free controls), from the same geographical region in Italy, were recruited. The evaluation of asbestos exposure was conducted considering the frequency, the duration and the intensity of occupational, environmental and domestic exposure. A genome-wide methylation array was performed to identify novel blood DNA methylation (DNAm) markers of MPM. Multiple regression analyses adjusting for potential confounding factors and interaction between asbestos exposure and DNAm on the MPM odds ratio were applied. Epigenome-wide analysis (EWAS) revealed 12 single-CpGs associated with the disease. Two of these showed high statistical power (99%) and effect size (&gt, 0.05) after false discovery rate (FDR) multiple comparison corrections: (i) cg03546163 in FKBP5, significantly hypomethylated in cases (Mean Difference in beta values (MD) = −0.09, 95% CI = −0.12|−0.06, p = 1.2 × 10−7), and (ii) cg06633438 in MLLT1, statistically hypermethylated in cases (MD = 0.07, 95% CI = 0.04|0.10, p = 1.0 × 10−6). Based on the interaction analysis, asbestos exposure and epigenetic profile together may improve MPM risk assessment. Above-median asbestos exposure and hypomethylation of cg03546163 in FKBP5 (OR = 20.84, 95% CI = 8.71|53.96, p = 5.5 × 10−11) and hypermethylation of cg06633438 in MLLT1 (OR = 11.71, 95% CI = 4.97|29.64, p = 5.9 × 10−8) genes compared to below-median asbestos exposure and hyper/hypomethylation of single-CpG DNAm, respectively. Receiver Operation Characteristics (ROC) for Case-Control Discrimination showed a significant increase in MPM discrimination when DNAm information was added in the model (baseline model, BM: asbestos exposure, age, gender and white blood cells), area under the curve, AUC = 0.75, BM + cg03546163 at FKBP5. AUC = 0.89, 2.1 × 10−7, BM + cg06633438 at MLLT1. AUC = 0.89, 6.3 × 10−8. Validation and replication procedures, considering independent sample size and a different DNAm analysis technique, confirmed the observed associations. Our results suggest the potential application of DNAm profiles in blood to develop noninvasive tests for MPM risk assessment in asbestos-exposed subjects.

Green infrastructure and in particular green roofs are crucial to meet the challenge of sustainable urbanisation fostered by the current European Research and Innovation agenda. Several documents were issued in the last decades in Europe for regulating the design, construction and up-keep of roof greening. In particular, the actual German guidelines have been widely adopted as a reference basis for green roof design and regulation worldwide, because of its exhaustiveness and proven building- and landscaping tradition. With the aim to assess the effectiveness of green roof guidelines and norms in supporting plant and soil biodiversity in different ecoregions, and particularly of the Mediterranean one, the German guidelines, the Swiss and Italian norms are screened and discussed in this paper. The German guidelines were chosen for their traditional referential role, the Swiss norm for its peculiar biodiversity approach, the Italian one for its application on a territory with remarkably heterogeneous environmental conditions, stretching from Alpine to Mediterranean ecosystems. Even if the three documents at comparison addressed to some extent biodiversity-related matters, none of them deepened the relationship between plant species selection (local ecotypes), growing medium composition (materials, granular size and thickness) and system build-ups (multi-layers and/or single-layer systems). This is a crucial point for countries, like Italy, encompassing very different climatic conditions. It was concluded that at the current knowledge a guideline/norm taking into account the peculiarities of green roof design in the Mediterranean ecoregion has to be widely refined.

Malignant pleural mesothelioma (MPM) is an aggressive tumor with median survival of 12 months and limited effective treatments. The scope of this study was to study the relationship between blood DNA methylation (DNAm) and overall survival (OS) aiming at a noninvasive prognostic test. We investigated a cohort of 159 incident asbestos exposed MPM cases enrolled in an Italian area with high incidence of mesothelioma. Considering 12 months as a cut-off for OS, epigenome-wide association study (EWAS) revealed statistically significant (p value = 7.7 &times, 10&minus, 9) OS-related differential methylation of a single-CpG (cg03546163), located in the 5&prime, UTR region of the FKBP5 gene. This is an independent marker of prognosis in MPM patients with a better performance than traditional inflammation-based scores such as lymphocyte-to-monocyte ratio (LMR). Cases with DNAm &lt, 0.45 at the cg03546163 had significantly poor survival compared with those showing DNAm &ge, 0.45 (mean: 243 versus 534 days, p value&lt, 0.001). Epigenetic changes at the FKBP5 gene were robustly associated with OS in MPM cases. Our results showed that blood DNA methylation levels could be promising and dynamic prognostic biomarkers in MPM.

Our aim was to add information to the current literature on vulvar Paget disease by reviewing a consistent number of patients who have been all diagnosed, treated, and followed up by the same group of physicians at a single medical institution.Clinical, surgical, histological, and follow-up data of 34 patients (mean [SD] age at diagnosis = 68.7 [10.1] years) with vulvar Paget disease were reviewed during a 27-year period.Primary symptoms were itching (76.5%) and burning (58.8%). Clinical manifestations were present for a mean (SD) of 17.8 (7.2) months before the diagnosis was made. Multifocal lesions were observed in 17 patients (50%) and were associated with a delay in diagnosis exceeding 12 months (p = .03). Of the patients, 10 (29.4%) presented a history of malignancy in other sites. Surgery with various extent of resection was performed as primary treatment in all patients. Definitive histological examination revealed positive surgical margins in 15 cases (44.1%), stromal invasion in 4 (11.7%), and associated adenocarcinoma in 2 (5.9%). Of the patients, 6 (17.6%) underwent reconstructive technique at their primary surgery or radicalization. During a mean (SD) follow-up of 76.9 (51.3) months, 15 patients (44.1%) experienced local recurrence (1 recurrence in 29.4%, 2 recurrences in 5.9%, and 3 recurrences in 8.8%). First recurrence appeared after a mean (SD) time of 45.7 (25.1) months and was associated with multifocal lesions (p = 0.005) and surgical margins involvement (p = 0.03). One patient (2.6%) died of the disease.Vulvar Paget disease is a chronic disease with high recurrence rate and low mortality. Early diagnosis, minimal surgery with free margins, and long-term follow-up are the cornerstones of treatment.