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Etruscodytes nethuns, new genus and species of subterranean water beetle, is described from Italy. This phreatic beetle was collected pumping water from a well in Tuscany (Central Italy). It is the third genus of stygobiontic dytiscid beetle from Europe and the first record of a stygobiontic water beetle in Italy.Etruscodytesbelongs to the subfamily Hydroporinae as well as the related genusSiettitiaAbeille de Perrin, 1904 from France. The new genus shares withSiettitiathe lateral stria on the pronotum entire, but differs from it in very wide subsquare head, prosternal process in contact with the lobed anterior projection of metasternum, absence of fusion of the sterna 2 and 3, elytra not completely fused and several other peculiar features. [ABSTRACT FROM PUBLISHER]

Since the nineteenth century, the mud snail Potamopyrgus antipodarum (Gray 1843), native to New Zealand, has been introduced into several European countries, Italy included. As a first step to contain its spread and establishment, it seems necessary to understand the characteristics of the environment that are more favourable for this species' invasion. To this aim, we analysed a number of physico-chemical and biotic parameters of four streams, two invaded and two not yet invaded, in the National Park of the Foreste Casentinesi, Monte Falterona, Campigna (Central Italy), where the species was first recorded in 2008. The two categories of streams, invaded and non-invaded, differ in only three of the 20 analysed characteristics of the habitat; that is, availability of crevices, width stream, and maximum water depth. This suggests that, despite P. antipodarum's documented tolerance to pollution, the high-quality waters of the park are highly susceptible to its invasion, if its vectors and pathways are not identified and adequately monitored. Most of the environmental parameters analysed in the studied streams were shown to be similar to those reported in the literature as preferred/tolerated by the species. Our findings pinpoint the vulnerability of nature reserves to species invasions, and call for more effective preventative measures. [ABSTRACT FROM AUTHOR]

Abies alba Mill. is a prominent European tree species predominantly inhabiting cool and humid montane environments. However, paleoecological evidence reveals that during the Eemian and mid-Holocene, A. alba thrived in much warmer and drier climates. This capacity is nowadays reflected in cryptic meso- and sub-Mediterranean lowland populations. To link A. alba populations across diverse climates spanning from the Mediterranean lowlands to the Alpine timberline, we genotyped 421 specimens from Italy and Switzerland at 190 single-nucleotide polymorphisms (SNPs). Population genetic structure analyses indicate that isolated meso- and sub-Mediterranean lowland populations in Tuscany and Ticino align genetically with higher elevation populations in each region, suggesting that their capacity to thrive in warmer, drier conditions cannot be attributed to plantations with planting stock originating from different climates or to the occurrence of a single warm-adapted lineage showing a disjunct distribution, unless migration between Tuscany and Ticino stands occurred. Genotype-environment associations reveal that temperature seasonality, precipitation during critical seasons, and relative humidity are important for explaining the species' genetic variation. With genotype-environment and genotype-phenotype associations, we identified candidate adaptive genes potentially linked to climatic conditions and drought response. While certain adaptive alleles may have spread from Tuscany and Southern Italy or could be explained by a shared ancestry of Ticino and Tuscan populations, local adaptation may have occurred at specific loci. These findings underscore the importance of considering the hitherto overlooked lowland Mediterranean populations of A. alba to better understand the species' climatic niche and its potential for forest conservation and management under global warming., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2025 The Authors. Published by Elsevier B.V. All rights reserved.)

In highly climate-change-sensitive regions, such as the Mediterranean, increasing knowledge of climate-driven growth dynamics is required for habitat conservation and forecasting species adaptability under future climate change. In this study, we test a high spectrum of climatic signals, not only monthly and seasonal but also on a multi-year scale and include the single tree analysis to answer this issue, focusing on a low-elevation thermophilic old-growth beech forest surrounding the Bracciano Lake in Central Italy. Through a dendroecological and isotope analysis, we evaluate both short- and long-term sensitivity of F. sylvatica and the coexisting better-drought-adapted species Q. cerris to climatic and hydrological variability in terms of growth reduction and δ 13C responses. After the 1990s, beech trees showed a climate-driven decrease in growth compared to oak, especially after 2003 (-20 % of basal area increment), with a significant growth trend reversal between the species. For F. sylvatica, the significant correlations with precipitation decreased, whereas for Q. cerris, they increased, with a higher number of trees positively influenced. However, the temperature highlighted more clearly the contrasting climate-growth correlation pattern between the two species. In F. sylvatica after the '90s, the negative effect of temperatures has significantly intensified, as shown by past summer values up to four years previously, involving about half of the trees. Surprisingly, the water-level fluctuations showed a highly significant influence on tree-ring growth in both species. Nevertheless, it reduced after the '90s. Finally, Q. cerris trees showed a significantly higher ability to recover their growth levels after extreme droughts (+55 %). The growth trend reversal and the shift in iWUE of the last years may point to potential changes in the future species composition, raising the need for climate-adaptive silviculture (e.g., selective thinning) to reduce growth decline, enhance resilience and favour the natural regeneration of the target species for habitat conservation., Competing Interests: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Gianluigi Mazza reports financial support was provided by Regional Natural Park of Bracciano-Martignano (Lazio region, Italy)., (Copyright © 2023 Elsevier B.V. All rights reserved.)

According to the IUCN guidelines, wildlife reintroduction should consider any impacts on humans within feasibility assessments. Eurasian beavers Castor fiber are recovering across their native range, due to protection laws and reintroductions. In Central Italy, a self-sustaining, naturalised population of Eurasian beavers has been identified in the last five years. A questionnaire to measure whether and how citizens in the local area perceive the presence of the beaver was administered to 1114 respondents. We observed a comprehensive awareness of the presence of the beaver in Italy and a high ability to distinguish it from non-native coypus Myocastor coypus (92.3%). We also recorded a general high knowledge of issues related to the presence of the beaver (i.e., potential effects on indigenous biodiversity). The majority (65.5%) of the surveyed population was in favour of reintroducing the beaver in Central Italy, and only 1.2% was firmly against it. The majority of interviewed people was against the removal of beavers from Central Italy (65.8%), whereas only 3.7% was in favor, citing fears of perceived impacts on the river, crops, and fish populations., (© 2023. The Author(s).)

Patients receiving extracorporeal membrane oxygenation (ECMO) often suffer from acute kidney injury (AKI), requiring continuous renal replacement therapy (CRRT). In our clinical practice, we connected the inlet line of a CRRT machine to the postoxygenator Luer port and the outlet line to the inlet Luer port of the oxygenator. In this case series, we analyzed the interaction between the two machines. Between December 31, 2017, and December 31, 2019, we enrolled 15 patients from the ICU of the San Matteo Hospital, Pavia, Italy. All of them suffered from severe acute respiratory distress syndrome and AKI stage 3. We analyzed 570 hours of CRRT combined with venovenous ECMO and collected 261,751 CRRT data. No discontinuation of CRRT occurred before 48 hours. Most of the alarms occurred within 24 hours of the connection: 22/10,831 (0.2%) showed an outranged inlet pressure, 11/10831 (0.11%) showed an outranged transmembrane pressure, 14/10,831 (0.13%) showed an outranged inlet pressure, and 138/10,831 (1.27%) an outranged effluent pressure. The rate per minute set for the ECMO circuit was correlated with the inlet (β = 5.38; CI, 95% 1.42-9.35; p = 0.008), transmembrane (β = 4.6; CI, 95% 1.97-7.24; p = 0.001), effluent (β = 3.02; CI, 95% 1.15-4.90; p = 0.002), and outlet pressures (β = 597; CI, 95% 2.31-9.63; p = 0.001) of the CRRT circuit. We reported that our configuration could be safe and effective, however well-designed studies would be beneficial for determining the potential risks and benefits., (Copyright © ASAIO 2022.)

Background: We aimed to verify the usefulness of electroencephalographic (EEG) activity recording (that is mandatory according to the Italian law), in addition to two clinical evaluations spaced 6 h, among the procedures of brain death determination (BDD) in adult individuals., Methods: The study is a monocentric, retrospective analysis of all BDDs performed in the last 10 years at Policlinico Le Scotte in Siena (Italy)., Results: Of the 428 cases revised (mean age 67.6 ± 15.03 years; range 24-92 years), 225 were males and 203 females. In total, 212 out of 428 patients (49.5%) were donors. None of the BDD procedures were interrupted due to the reappearance of EEG activity (neither for clinical reasons) at any sampling time, with the exception of one case that was considered a false negative at critical reinspection of the EEG. In 6/428 cases (1.4%), a cardiac arrest occurred during the 6 h between the first and second evaluation, thus missing the opportunity to take organs from these patients because the BDD procedure was not completed., Conclusions: Once the initial clinical examination before convening the BDD Commission has ascertained the absence of brainstem reflexes and of spontaneous breathing, and these clinical findings are supported by a flat EEG recording, the repetition of a 30-min EEG twice over a 6 h period seems not to add additional useful information to clinical findings. Current data, if confirmed in other centers and possibly in prospective studies, may help to promote a scientific and bioethical debate in Italy, as well as in other countries where the EEG is still mandatory, for eventually updating the procedures of BDD., (© 2022. The Author(s).)

The invasive ricaniid species Pochazia shantungensis (Chou & Lu, 1977), an Asiatic pest in China and Korea, is reported for the first time in Italy. This is the fourth confirmed record from Europe after Turkey, France, and Germany. The list of the host plants recorded in Europe is given. Illustrations of male and female genital structures (external and internal) are also presented.

To be effective, management strategies of invasive alien species cannot ignore their spatiotemporal behavior particularly those exerting serious damages to human activities. The black planthopper Ricania speculum is an Asian insect that has been reported as an alien invasive species in Italy, where it threatens local plant diversity, including important crops. In our work, we analyzed the activity rhythms of this species through circular statistics and the efficiency of chromotropic traps to capture adult individuals. Captures were carried out in central Italy, where the black planthopper is showing a remarkable range expansion, after its first discovery in 2009. We observed that the species was mainly crepuscular, with a high intersexual activity overlap. Activity rhythms changed between July-August and September-October, with changing heliophany, but peaked at sunset and were the lowest in the second half of the night and early morning. The insects were mostly caught by green traps, particularly in September, which is the period of egg-laying inside the leaves; conversely, orange ones were avoided, and yellow ones captured proportionally to their local availability. Strategies for controlling this species should consider concentrating trapping effort during the activity peak, using green sticky traps to enhance the capture success of each trap, with the lowest impact over non-target species.

Rhynchophorus ferrugineus is considered the worst pest of palm species, and few natural enemies are reported for this parasite in its area of origin. Here, we report the first recovery of the entomopathogenic fungus Metarhizium pingshaense associated with R. ferrugineus from Vietnam. The morphological, biochemical, and toxicological features of this strain were studied and compared with those of another Metarhizium strain associated with this weevil in Sicily (Italy), an area of recent introduction. The potential use of these fungi as biocontrol agents was tested against adult insects in laboratory trials and a similar mortality rate was found. Both strains were able to produce toxins and cuticle-degrading proteases, but they showed dissimilar enzymatic and toxicological profiles, suggesting a different virulence activity., (© 2014 Federation of European Microbiological Societies. Published by John Wiley & Sons Ltd. All rights reserved.)

Objectives: Intraductal papillary mucinous neoplasms (IPMNs) of the pancreas are diagnosed frequently in asymptomatic patients. It is still not clear what follow-up is indicated for patients not undergoing surgical resection., Methods: Review of all reports of magnetic resonance cholangiopancreatography (MRCP) from June 2005 to June 2010, identifying all patients diagnosed with IPMN; subsequent reconstruction of the initial therapeutic decision, indications for and adherence to scheduled follow-up, and IPMN evolution by morphology and by biology., Results: Overall, 4943 MRCP reports were analyzed, identifying 234 patients with IPMN. Although 143 (61.1%) of these were comprised in Sendai criteria for resection, surgical resection was considered in only 42 (17.9%) patients. Of the remainder, 52 were not subjected to any control, 58 to a single short time check, 77 to MRCP-based regular annual follow-up, and 5 were treated for associated ductal adenocarcinoma. With a median follow-up of 39.5 months (range, 12-72), 37.6% of 125 patients in follow-up had a morphological evolution, but only 2.4% has developed a malignant IPMN. No deaths were recorded, directly related to IPMN, in all 187 conservatively managed patients., Conclusions: In the analyzed series, fewer patients than expected underwent surgical resection, and only 67.2% undergo regular follow-up, but no more than 2.4% developed malignancy.

The aim of this study was to look for the maximum tolerated dose (MTD) of gemcitabine and 5-fluorouracil in a new regimen also containing the antiangiogenic bevacizumab and immunotherapy (IT) for the treatment of metastatic renal cell cancer. The primary objective of this multicenter dose-finding study was to establish the MTD of chemotherapy (CT) in combination with fixed doses of IT and bevacizumab. The secondary objective was to assess the combination's activity. Five escalated dose levels of CT with intravenous gemcitabine and 5-fluorouracil (days 1 and 8 every 28 d), were associated together with intravenous bevacizumab (10 mg/kg on days 1 and 15 every 28 d), subcutaneous interleukin-2 (1 MIU/m² bid on days 8, 9, 15, 16, and 1 MIU/m²/d on days 10-12 and 17-19), and interferon-α-2a (3 MIU on days 10, 12, 17, 19). Of the 27 enrolled patients, 59% had been pretreated. The MTD was not reached. The highest CT dose studied was gemcitabine 1000 mg/m² and 5-fluorouracil 600 mg/m². More frequent grade 3 to 4 toxicities included neutropenia (63%), thrombocytopenia (33%), and fever (26%). The response rate was 33% according to the Response Evaluation Criteria in Solid Tumors. This is the first study that explored the feasibility and safety of combined bevacizumab, IT, and CT in metastatic renal cell cancer. The activity of this regimen is interesting and its efficacy warrants further trials.