Search

Water temperature is a vital parameter impacting the growth and survival of aquatic life. Using satellite-derived infrared data, this study analysed the trend of sea surface temperature (SST) from 2008 to 2022 of the Adriatic coastal waters of Italian regions. The "Mediterranean Sea High Resolution and Ultra High Resolution Sea Surface Temperature Analysis" product collected from the Copernicus Marine Service of European Copernicus programme was used, as a good compromise among spatial accuracy, temporal frequency and coverage. SST were derived in 176 locations, placed in the Adriatic Sea from the southern limit of the lagoon of Venice (Veneto) to Santa Maria di Leuca (LE), at a distance from the coast between 500 m and 5000 m (0.3 - 2.7 nautical miles). Time series analysis was applied to average value of daily SST calculated from the selected spatial locations to identify the additive model components: trend, seasonality and random effects. The trend component was isolated and assessed using a linear regression model to determine its significance and magnitude. A 0.010 °C/year increase in SST was observed. Additionally, marine heatwaves and cold spells were consistently registered throughout the entire observation period, with a north-south gradient in intensity.

Purpose: To investigate the impact of diabetes in immigrants on the Italian healthcare system, as well as their compliance with standard protocols of control and treatment., Methods: The prevalence of immigrants with diabetes living in the metropolitan area of Bologna (about 1 million inhabitants) in 2019 was investigated using a database containing all subjects in active follow-up for diabetes, based on antidiabetic drug use, disease-specific copayment exemption, ICD-9 codes, continuous care in diabetes units. Country of origin was derived from fiscal code., Results: The overall prevalence of diabetes (n = 53,941; 51.8% males, median age 64) was 6.1% in both Italy-born and immigrant cohorts. Immigrant prevalence was 12.4%, moderately higher than that observed in the total population (12.2%). Diabetes risk was increased in the whole immigrant cohort (odds ratio (OR) 1.74; 95% Confidence Interval (CI) 1.69-1.79). Among cases with incident diabetes, the proportion of immigrants (median age, 49 vs. 65 in Italy-born individuals) increased progressively from 11.7% to 26.5% from 2011 to 2019 (males, 8.9-21.0%; females, 14.9-32.8%) in all age groups, particularly in young adults, but also in older subjects. Metabolic control was lower in immigrants, as was adherence to shared diagnostic and therapeutic protocols, without systematic differences in antidiabetic drug use, but much lower use of drugs for comorbid conditions., Conclusions: The population with diabetes in the metropolitan area of Bologna is rapidly changing. Quality improvement initiatives are needed to reduce the burden for the universalistic Italian health care system generated by the rapidly-growing high-risk immigrant population., (© 2023. The Author(s).)

Background and Aim: Randomized controlled trials have shown that mRNA vaccines are highly effective in preventing SARS-CoV2 infection. We conducted a study to assess the real-world effectiveness of mRNA vaccines (Pfizer-BioNTech or Moderna) in preventing all and symptomatic SARS-CoV2 infections and COVID-19 related hospitalizations in the staff of the Bologna Health Trust (HT), Italy Methods: We followed up retrospectively 9839 staff of the Bologna HT from December 27, 2020 to April 3, 2020 and calculated the effectiveness in partially and fully vaccinated subjects by applying a multivariable Cox proportional hazard model., Results: Vaccine effectiveness in preventing SARS-CoV2 infections is 85.5% (95%CI: 75.9-91.3) in the partially vaccinated and 84.8% (95%CI: 73.2-91.4) in the fully vaccinated. In preventing symptomatic infection effectiveness is 81.7% (95%CI: 62.7-91.0) in the partially and 87.1% (95%CI: 69.3-94.6) in the fully vaccinated. There were no COVID-19-related hospitalizations in the partially or fully vaccinated vs 15 hospitalization in the unvaccinated cohort., Conclusions: Our results confirm the effectiveness of mRNA vaccines in a real-world setting in Northern Italy.

Highly populated coastal environments receive large quantities of treated and untreated wastewater from human and industrial sources. Bivalve molluscs accumulate and retain contaminants, and their analysis provides evidence of past contamination. Rivers and precipitation are major routes of bacteriological pollution from surface or sub-surface runoff flowing into coastal areas. However, relationships between runoff, precipitation, and bacterial contamination are site-specific and dependent on the physiographical characteristics of each catchment. In this work, we evaluated the influence of precipitation and river discharge on molluscs' Escherichia coli concentrations at three sites in Central Italy, aiming at quantifying how hydrometeorological conditions affect bacteriological contamination of selected bivalve production areas. Rank-order correlation analysis indicated a stronger association between E. coli concentrations and the modelled Pescara River discharge maxima (r = 0.69) than between E. coli concentration and rainfall maxima (r = 0.35). Discharge peaks from the Pescara River caused an increase in E. coli concentration in bivalves in 87% of cases, provided that the runoff peak occurred 1-6 days prior to the sampling date. Precipitation in coastal area was linked to almost 60% of cases of E. coli high concentrations and may enhance bacterial transportation offshore, when associated with a larger-scale weather system, which causes overflow occurrence.

The oomycete Aphanomyces astaci is the causative agent of crayfish plague in native European freshwater crayfish. Molecular analyses showed that several distinct genotype groups of this pathogen, apparently associated with different original host taxa, are present in Europe. Tracking their distribution may contribute to understanding the introduction pathways of A. astaci. We used microsatellite markers to genotype the pathogen strains involved in 7 mass mortalities of the endangered indigenous crayfish Austropotamobius pallipes that occurred between 2009 and 2016 in the Abruzzi and Molise regions, central Italy. Three A. astaci genotype groups (A, B, and D, with the latter represented by 2 distinct multilocus genotypes) were identified, suggesting the existence of multiple infection sources even in a relatively small area. Most crayfish plague episodes were due to genotype groups associated with the North American host species Pacifastacus leniusculus and Procambarus clarkii, although these crayfish are not widespread in the study area. A. astaci genotype group A was detected not only in crayfish plague outbreaks but also in apparently healthy Astacus leptodactylus imported for human consumption from Armenia and kept alive in an aquaculture facility. Imports of chronically infected A. leptodactylus from Armenia, Turkey, and possibly Eastern Europe are an underestimated introduction pathway for A. astaci. Although we cannot exclude the presence of latently infected native populations of A. pallipes in the region, A. astaci infections in legally imported crayfish species considered vulnerable to crayfish plague may represent further reservoirs of A. astaci; this should be reflected in the policies regulating the trade of live crayfish.

Objectives: to develop and validate a predictive model of mortality or emergency hospitalization in all subjects aged 65 years and over., Design: cohort study based on 9 different databases linked with each other., Setting and Participants: the model was developed on the population aged 65 years and over resident at 01.01.2011 for at least two years in the city of Bologna (Emilia-Romagna Region, Northern Italy); 96,000 persons were included., Main Outcome Measures: the outcome was defined in case of emergency hospitalization or death during the one-year follow-up and studied with a logistic regression model. The predictive ability of the model was evaluated by using the area under the Roc curve, the Hosmer-Lemeshow test, and the Brier score in the derivation sample (2/3 of the population). These tests were repeated in the validation sample (1/3 of the population) and in the population of Bologna aged 65 years and over on 01.01.2012, after applying the coefficients of the variables obtained in the derivation model. By using the regression coefficients, a frailty index (risk score) was calculated for each subject later categorized in risk classes., Results: the model is composed of 28 variables and has good predictive abilities. The area under the Roc curve of the derivation sample is 0.77, the Hosmer-Lemeshow test is not significant, and the Brier score is 0.11. Similar performances are obtained in the other two samples. With increasing risk class, the mean age, number of hospitalizations, emergency room service consultations, and multiple drug prescriptions increase, while the average income decreases., Conclusion: the model has good predictive ability. The frailty index can be used to support a proactive medicine and stratify the population, plan clinical and preventive activities or identify the potential beneficiaries of specific health promotion projects.

Blue‑colour variants have been reported in American and Australian freshwater crayfish species. We report here the observation of 2 Austropotamobius pallipes individuals with a blue‑colour carapace in 2 rivers of the Aterno‑Pescara river basin, located in the Abruzzo region, Central Italy.

The aim of this study was to establish whether climate change affected migratory behaviour of Sepia officinalis (Linnaeus, 1758), which is an important resource for small-scale fishermen of Abruzzo region (Italy). Starting at the beginning of March until the end of April, the cuttlefish in this area migrates from deep cold water towards warmer coastal waters, where they spawn. Small-scale fishing of cuttlefish is permitted in costal waters from March to September. During the study period, between March and September 2008, both cuttlefish traps and trammel nets were used in 5 sampling areas along the Abruzzo coast to test their relative efficiency in catching cuttlefish. Trapped specimens were counted, weighed and measured, their gender and sexual maturity were also determined. The data obtained from the sampling were correlated to surface water temperature to assess possible changes in migration behaviours. The obtained data show that during the first months of migration (March and April), a greater percentage of large males was caught, while females and smaller males predominated later in the year. The study also showed that surface water temperature did not reveal any significant shifts from the trend over the last 10 years. As for the efficiency of the fishing methods, traps were found to be more effective than trammel nets.

Crayfish plague, caused by the oomycete Aphanomyces astaci, is a serious disease of European freshwater crayfish and has eliminated entire populations in several European countries. In September 2011, mortality was observed among the Austropotamobius pallipes population of a river basin in the Abruzzi region (central Italy), and A. astaci DNA was detected by PCR in dead crayfish. A systematic survey was carried out to evaluate the spread and the effects of the plague in the river basin. The source of the outbreak remained unknown since North American crayfish species, which frequently act as subclinical carriers of the infection, were not detected in the area. The A. pallipes population disappeared from a river stretch of ~1 km, where A. astaci infection was detected in dead crayfish. However, apparently unaffected crayfish were still present upstream of that area as well as in a tributary that joined the brook in the apparently depopulated stretch. A. astaci infection was not detected in dead individuals collected in the upstream area and tributary. A follow-up visit conducted in the following season showed the presence of A. pallipes in the river stretch hit by the plague. In this outbreak, the spread of the infection could have been limited by a low density of the crayfish population and by the geographic conformation of the river basin, which includes a dense network of small tributaries, characterized by high flow velocity and low water temperature. In this particular setting, crayfish plague outbreaks can remain undetected. This underlines the importance of active monitoring programs aimed at the prompt recognition of both episodes of mortality and the presence of non-indigenous crayfish species.

With the support of European Community funds, three submerged artificial reefs composed of concrete cubes, bell-shaped modules and natural rocks were deployed along the Adriatic coast of the Abruzzi Region to increase the fish population and to prevent illegal trawling. The Provincial governments of Teramo and Pescara requested the Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise 'G. Caporale' to monitor nectobenthic populations. Three sampling operations were conducted each year for each artificial reef. The authors present the results of a study conducted between 2005 and 2007, comparing the catches from the artificial reefs with those from the control sites using several diversity indexes. Artificial reef areas revealed greater species diversity and richness than the control sites. This study demonstrates the value of artificial reefs in response to the problem of low income, non-commercial fisheries as well as to the issue of over-exploitation of halieutic resources. In addition, the authors suggest that artificial reefs may be capable of activating habitat diversification processes that will increase biodiversity.

The study was designed to evaluate the effects of solids in suspension in seawater on clams (Chamelea gallina). The aim was to investigate the possible correlation between the widespread deaths of clams in the coastal waters of the central and northern Adriatic in the last five years and increased concentrations of solids in suspension. The research involved conducting 96-hour tests on clams farmed in aquariums containing filtered seawater. The tests were preceded by a 7-day adaptation stage to allow the molluscs to acclimatise. During this period, the clams were fed on unicellular seaweed (Dunaliella tertiolecta). The molluscs were exposed to particles of solids in suspension consisting of pools of silica gel (SiO2) granules of various sizes, similar to those constituting silt, whose presence and suspension in the sea considerably increase after heavy rain and heavy seas. The study established that the number of deaths caused by solids suspended in seawater at the concentrations used in the tests was not statistically significant.

Healthcare managers are more and more interested in the role of general practitioners (GP) in the treatment of cardiovascular diseases. Continuing adjustments of the health organization are the old/new challenge in improving patient care. The European Society of Cardiology guidelines recommend a disease-management program for heart failure (HF); moreover, observational studies and randomized controlled trials have reported better patient outcomes if patients are in charge of cardiologists rather than GPs or other physicians. Patients with chronic HF are often very old and affected by multiple comorbid conditions, by themselves associated with high rates of morbidity and mortality. Furthermore, too many patients receive neither a correct diagnosis nor treatment until advanced disease occurs. New treatment approaches, some of them requiring the expertise of well-trained cardiologists, are ongoing to improve the clinical outcomes. The optimal management of patients with HF needs teamwork, i.e. GPs, cardiologists, nurses and caregivers, since a multidisciplinary program, only, can embody the best answer for outpatients with chronic HF. Currently, the Cardiovascular Center in Trieste is performing an experimental trial, so far never attempted before, in treating patients with chronic HF using a thorough approach with the full involvement of local cardiologists, GPs and nurses. Such approach is, at the same time, as well a challenge as an opportunity: a challenge because conventional clinical habits must be changed; an opportunity because patients can benefit from a proper whole care-group, aimed at prolonging life and reducing morbidity and symptoms.

Bivalves filter large volumes of water and can concentrate organisms which are pathogenic for humans and animals. Our aim was to evaluate the presence of Cryptosporidium spp. in clams from the Adriatic coast (Abruzzo region) and genetically characterize the oocysts isolated from the clams. From March to July 2003, 960 specimens of clams (Chamelea gallina) present in nature were collected at 500 m from the Tordino, Tronto, Vibrata and Vomano river mouths on the Adriatic sea. The haemolymph and tissues were extracted from the specimens (240 per river mouth) after the specimens had been identified, measured and weighed (live weight). Immunofluorescence tests (IFA) were performed on pools (n = 32) of samples and oocysts of Cryptosporidium spp. were detected in 23 pools of C. gallina. To identify the Cryptosporidium species, all the pools IFA-positive were tested by a PCR assay specific for the Cryptosporidium outer wall protein (COWP) gene. Positive amplicons then were sequenced and analysed. Two pools of clams were positive for Cryptosporidium parvum Genotype 2 (the "bovine" i.e. zoonotic genotype). This is the first time that C. parvum was found in clams from the Adriatic sea in Italy and the case might be of public health importance.