Search Results (232)

An indicator-based approach was implemented to assess the contributions of soils in supplying ecosystem services, providing a scalable tool for modeling the spatial heterogeneity of soil functions at regional and local scales. The method consisted of (i) the definition of soil-based ecosystem services (SESs), using available point data and thematic maps; (ii) the definition of appropriate SES indicators; (iii) the assessment and mapping of potential SESs provision for the Emilia-Romagna region (22.510 km²) in NE Italy. Depending on data availability and on the role played by terrain features and soil geography and its complexity, maps of basic soil characteristics (textural fractions, organic C content, and pH) covering the entire regional territory were produced at a 1 ha resolution using digital soil mapping techniques and geostatistical simulations to explicitly consider spatial variability. Soil physical properties such as bulk density, porosity, and hydraulic conductivity at saturation were derived using pedotransfer functions calibrated using local data and integrated with supplementary information such as land capability and remote sensing indices to derive the inputs for SES assessment. Eight SESs were mapped at 1:50,000 reference scale: buffering capacity, carbon sequestration, erosion control, food provision, biomass provision, water regulation, water storage, and habitat for soil biodiversity. The results are discussed and compared for the different pedolandscapes, identifying clear spatial patterns of soil functions and potential SES supply. Full article

River embankments are critical flood defense structures, stretching for thousands of kilometers across alluvial plains. They often originated as natural levees resulting from overbank flows and were later enlarged using locally available soils yet rarely designed according to modern engineering standards. Substantially under-characterized, their performance to extreme events provides an invaluable opportunity to highlight their vulnerability and then to improve monitoring, management, and reinforcement strategies. In May 2023, two extreme meteorological events hit the Emilia-Romagna region in rapid succession, causing numerous breaches along river embankments and therefore widespread flooding of cities and territories. These were followed by two additional intense events in September and October 2024, marking an unprecedented frequency of extreme precipitation episodes in the history of the region. This study presents the methodology adopted to create a regional database of 66 major breaches and damages that occurred during May 2023 extensive floods. The database integrates multi-source information, including field surveys; remote sensing data; and eyewitness documentation collected before, during, and after the events. Preliminary interpretation enabled the identification of the most likely failure mechanisms—primarily external erosion, internal erosion, and slope instability—often acting in combination. The database, unprecedented in Italy and with few parallels worldwide, also supported a statistical analysis of breach widths in relation to failure mechanisms, crucial for improving flood hazard models, which often rely on generalized assumptions about breach development. By offering insights into the real-scale behavior of a regional river defense system, the dataset provides an important tool to support river embankments risk assessment and future resilience strategies. Full article

Geo-historical information deduced from geo-iconographical resources, derived from extensive research and the selection of cartographies and historical documents, enabled the investigation of the natural and anthropic transformations of the perifluvial area of the Po River in the Emilia-Romagna region (Italy). This territory, significant in terms of its historical, cultural, and environmental contexts, for centuries has been the scene of flood events. These have characterised the morphological and dynamic variability in the riverbed and relative floodplain. The close relationship between man and river is well documented: the interference induced by anthropic activity has alternated with the sometimes-damaging effects of river dynamics. The attention given to the fluvial region of the Po River and its main tributaries, in a peculiar lowland sector near Parma, is critical for understanding spatial–temporal changes contributing to current geo-hydrological risks. A GIS project outlined the geomorphological aspects that define the considerable variations in the course of the Po River (involving width reductions of up to 66% and length changes of up to 14%) and its confluences from the 16th to the 21st century. Knowledge of anthropic modifications is essential as a tool within land-use planning and enhancing community awareness in risk-mitigation activities and strategic management. This study highlights the importance of interdisciplinary geo-historical studies that are complementary in order to decode river dynamics in damaging flood events and latent hazards in an altered river environment. Full article

Background/Objectives: Maintaining high childhood vaccination coverage is essential to prevent outbreaks of vaccine-preventable diseases. In Italy, Law No. 119/2017 introduced mandatory childhood immunizations, leading to significant improvements. However, the COVID-19 pandemic disrupted routine services, potentially jeopardizing these gains. This study aimed to evaluate national and regional trends in vaccine coverage across three phases: post-mandate (2015–2016 vs. 2017–2019), pandemic (2017–2019 vs. 2020–2021), and post-pandemic recovery (2020–2021 vs. 2022–2023). Methods: National and regional administrative data on vaccination coverage at 24 months of age were obtained from the Italian Ministry of Health. Temporal trends were analyzed using Joinpoint regression to estimate annual percent changes (APCs), and absolute changes in coverage (Δ) were calculated across defined periods. Pearson correlation coefficients were used to assess associations between baseline coverage and subsequent changes. Results: After the 2017 mandate, coverage increased significantly for varicella (APC = +28.6%), MenB (+22.6%), and measles (+3.4%). Regionally, varicella coverage rose by up to +58.4% in Emilia-Romagna and measles by +11.1% in Campania. During the pandemic, coverage declined for polio (−2.4% in the South) and measles (−6.2% in Abruzzo), while MenB increased in regions with lower initial uptake (r = −0.918, p < 0.001). Post-pandemic, coverage rebounded, with varicella improving by +20.1% in central regions and measles by +13.9% in Abruzzo. A strong inverse correlation between baseline coverage and improvement was observed for varicella across all periods (r from −0.877 to −0.915). Conclusions: Mandatory vaccination policies led to substantial coverage improvements, and despite the disruption caused by the pandemic, recovery trends were observed for most vaccines. The consistent association between low baseline coverage and stronger gains highlights the resilience of the system, but also the ongoing need for regionally tailored strategies to reduce geographic disparities and ensure equitable immunization across Italy. Full article

The ability to differentiate between different Apis mellifera subspecies can have significant implications for their conservation. In this study, we explored the possibility of obtaining multi-level information that could be useful in assigning a colony to the A. m. ligustica subspecies. This was accomplished by combining (1) standard morphometric characteristics of the honeybees with mitochondrial DNA (mtDNA) sequence data obtained from both the (2) honeybees and (3) honey present in a honeycomb sampled from the same colony. Eighty colonies were sampled in the Emilia-Romagna region (Northern Italy). From these colonies, a total of 413 honeybees were analyzed to obtain sequence information of the tRNALeu-COII mtDNA region. When we combined the results obtained from all three methods, 63.75% of the colonies were found to be compatible with being assigned to A. m. ligustica. For 36.25% of the colonies, morphometric analysis indicated a hybrid origin and mtDNA from honeybees or honey samples indicated the presence of mtDNA haplotypes other than those characteristic for this subspecies. Cohen’s Kappa statistic indicated poor agreement in the classification of the colonies between morphometric analysis and the two DNA-based methods, which, in turn, were in substantial agreement with each other. Although not completely effective, mtDNA analysis of honey samples could serve as an initial and practical compromise to begin initiatives aimed at preserving the genetic integrity of A. m. ligustica in the Emilia-Romagna region, as well as in other regions where it is necessary to preserve the genetic integrity of autochthonous honeybee populations. Full article

In agreement with WHO recommendations, the Emilia-Romagna Region, Italy, implemented a population-wide HCV screening program for the treatment of the large asymptomatic infected population. From January 2022, the free-of-charge screening targeted all residents born between 1969 and 1989, prison inmates, and injection drug users. Participants were recruited using phone messages, electronic health record notifications, public advertisement, and direct contact with general practitioners. A single blood sample was collected for anti-HCV IgG testing and, if positive, for reflex HCV–RNA testing. Infected subjects were offered an evidence-based therapeutic pathway. By June 2024, 72.8% of high-risk subjects (n = 19,732), and 36.9% of the general population (n = 488,065) had been screened. A total of 1032 individuals were positive based on the HCV–RNA test, and the detection rate widely differed between the high-risk and the general population (23.8‰ vs. 1.2‰, respectively). Of the infected individuals, 88.1% were seen by a specialist physician, and 74.3% (n = 767) started antiviral therapy. Thanks to multiple recruitment approaches, over one third of the general population participated in HCV screening. The program performance was substantially greater among high-risk individuals compared to the general population. To achieve WHO targets, policymakers might consider expanding the screening to other high-risk subgroups and/or adapting birth cohorts. Full article

Sedimentary basins developed in mountain belts are natural traps of catchment erosion products and can produce comprehensive palaeoflood records that extend beyond instrumental or historical data. This study investigates the Lake Moo plain (1120 m a.s.l.), located in the Mt. Ragola (1712 m a.s.l.) ophiolitic massif in the Northern Apennines (Italy), which serves as an excellent case study for inferring the chronology of past flood events due to its position relative to the dominant atmospheric flow and its favorable geological and geomorphological characteristics. The Northern Apennines is a relatively understudied region regarding the reconstruction of past Holocene flood activity through the analysis of lake sediments and peat bogs, compared with areas like the Alps. The main objective of this research was to analyze sediment cores taken from a lake situated in a catchment area dominated by ultramafic rock lithologies and associated residual weathering cover deposits. This allowed us to detect and characterize past flood events in the Ligurian–Emilian Apennines. A multidisciplinary approach, integrated with reference data on geology, geomorphology, pedology, and petrography, enabled a more detailed description of the changes in the hydrologic cycle. Collectively, these data suggest that periods of increased past flood activity were closely linked to phases of rapid climate change at the scale of the Ligurian–Emilian Apennines. The preliminary results suggest that floods occurring during periods of temperature drops have distinct characteristics compared with those during temperature rises. Full article

Type 2 diabetes mellitus (T2DM) as a comorbidity in amyotrophic lateral sclerosis (ALS) has sparked interest for its potential impact on disease expression and prognosis. In this retrospective cohort study, we investigated the prevalence and clinical correlates of T2DM in a large cohort of patients from the ALS registry of a Northern Italy region, Emilia Romagna, established in 2009. Out of 1756 ALS patients enrolled up to 2021, 145 were affected by T2DM (diALS). Patients with diALS were older than those without T2DM (ndALS) (71.56 vs. 65.76 years, p < 0.001), had a higher body mass index (25.63 vs. 24.23, p < 0.001), but experienced greater weight loss at diagnosis (6.87% vs. 5.44%, p < 0.007). Respiratory onset (6.2% vs. 2.6%, p = 0.013) and respiratory phenotype (4.2% vs. 1.4%, p = 0.04) were more frequent among diALS. Coherently, diALS presented a lower forced vital capacity (74.9% vs. 87.9%, p ≤ 0.001) and more frequently adopted Non-Invasive Ventilation (NIV) (50.35% vs. 37.61%, p = 0.003), with significant influence on time to NIV (HR 1.71, 95% CI 1.07–2.74, p = 0.024). Exploring genetic background, among all the genes examined C9ORF72 emerged as underrepresented among diALS (7.64% in ndALS vs. 0% in diALS, p = 0.039). In conclusion, we confirmed a more severe respiratory dysfunction in diALS, suggesting a specific frailty in respiratory muscles, together with some peculiar clinical features consistent with the previous literature data, such as a later onset. The lower prevalence of C9ORF72 expansion in this population may hint towards a specific role of the gene in metabolism and inflammation, granting more space to non-genetic causes, warranting further studies for confirmation. Full article

Objectives: Feeding and eating disorders (FED) represent a major public health issue and are the second leading cause of death among psychiatric conditions in children and adolescents. Psychopathological comorbidities play a significant role in the onset and persistence of FED, yet research on their underlying structure remains limited. This study explores the psychiatric comorbidities associated with FED, focusing on common etiopathogenetic factors and their clinical implications. Methods: Data were retrospectively collected from the Italian Regional Center for FED in the Emilia-Romagna Region between June 2023 and April 2024. Diagnoses were assigned following DSM-5 criteria using the Italian version of the semi-structured K-SADS-PL diagnostic interview. Principal component analysis (PCA) was performed to identify latent psychological dimensions underlying FED psychopathology, retaining five components based on the scree plot. Additionally, an analysis of covariance (ANCOVA) was conducted to examine differences in factor scores across FED subtypes, while adjusting for potential confounders. Results: Seventy-two participants were included (mean age: 14.6 years; mean BMI: 18.3 kg/m²; male-to-female ratio: 1:8). Diagnoses were distributed as follows: 63.9% anorexia nervosa (AN), 13.9% other specified feeding and eating disorder (OSFED), 6.9% avoidant restrictive food intake disorder (ARFID), 4.2% binge eating disorder (BED), 4.2% unspecified feeding and eating disorder (UFED), and 2.7% bulimia nervosa (BN). All participants met the criteria for at least one psychiatric comorbidity. Identified psychopathological clusters include the following: (1) mood disorders (66.5%); (2) anxiety disorders (87.5%); (3) obsessive–compulsive and related disorders (47.2%); (4) neurodevelopmental disorders, i.e., attention-deficit/hyperactivity disorder (ADHD) (30.5%); (5) disruptive and impulse-control disorders (13.9%); and (6) psychotic symptoms (40.3%). No instances of tic or elimination disorders were detected. Conduct disorder was more prevalent among UFED, BED, and BN patients compared to other FED (p = 0.005), and moderate/severe ADHD was associated with higher body mass index (BMI) (p = 0.035). PCA revealed distinct psychological dimensions underlying FED, while ANCOVA indicated significant differences in factor scores across FED subtypes, supporting the presence of shared transdiagnostic mechanisms. Conclusions: This study highlights the complex interplay between FED and psychiatric comorbidities, emphasizing the need for early intervention and personalized treatment approaches. The dimensional structure identified through PCA suggests that common psychopathological factors may drive FED development, and ANCOVA findings support their differential expression across FED types. Future research should further investigate these transdiagnostic mechanisms to optimize clinical care. Full article

The large growth in the global population requires new solutions for the control of harmful insects that compete for our food. Changing regulatory requirements and public perception, together with the continuous evolution of resistance to conventional insecticides, also require, in addition to innovative molecules with different modes of action, new non-chemical control strategies that can help maintain efficient integrated pest management programs. The last 30 years have inaugurated a new era characterised by the discovery of new mechanisms of action and new chemical families. Although European programs also promote a green deal in the crop protection sector, the existing thorough regulations slow down its spread and the adoption of new products. In light of these changes, this review will describe in more detail the dynamics of discovery and registration of new conventional insecticides and the difficulties that the agrochemical industries encounter. Subsequently, the different innovative control strategies alternative to conventional insecticides based on natural substances of different origin, entomopathogenic microorganisms, semiochemical and semiophysical compounds, and classical and augmentative biological control will be described. The advantages of these green strategies will be illustrated and also the constrains to their diffusion and commercialisation. Finally, the main biotechnological discoveries will be described, from transgenic plants to symbiotic control, classical genetic control, and, more recently, control based on insect genomic transformation or on RNAi. These new biotechnologies can revolutionise the sector despite some constrains related to the regulatory restrictions present in different countries. Full article

Pantoea stewartii subsp. stewartii (Pss) is a Gram-negative bacterium causing Stewart wilt, a severe disease in maize. Native to North America, it has spread globally through the maize seed trade. Resistant maize varieties and insecticides are crucial to mitigate the disease’s economic impact. Pss is a quarantine pest, requiring phytosanitary certification for the seed trade in European countries. Accurate diagnostic tests, including real-time PCR, are fundamental to detect Pss and distinguish it from other bacteria, like Pantoea stewartii subsp. indologenes (Psi), a non-quarantine bacteria associated with maize seeds. Population genetics is a valuable tool for studying adaptation, speciation, population structure, diversity, and evolution in plant bacterial pathogens. In this study, the key activities of interlaboratory comparisons are reported to assess diagnostic sensitivity (DSE), diagnostic specificity (DSP) and accuracy (ACC) for different real-time PCR able to detect Pss in seeds. The results of complete sequencing of Italian bacterial isolates are presented. This study enhances our understanding of molecular methods for diagnosing and identifying pathogens in maize seeds, improving knowledge of Pss genomes to prevent their spread and trace possible entry routes from endemic to non-endemic areas. Full article

This study presented a comprehensive comparison of soil gas sampling methodologies to monitor volatile organic compounds (VOCs) at two industrial sites in northern Italy. Utilizing active sampling techniques, such as stainless-steel canisters, vacuum bottles, and sorbent tubes, alongside passive methods like low-density polyethylene (PE) membranes, sorbent pens, and Waterloo Membrane Samplers (WMS), the research examines their effectiveness under varied environmental conditions. Five field campaigns were conducted in two areas of the industrial sites characterized by BTEX and chlorinated solvent contamination. The results highlighted that active sampling, while expensive, provides real-time, high-resolution VOC concentration data, often outperforming passive methods for heavier compounds (e.g., hexachlorobutadiene). However, using the active systems in certain campaigns, challenges such as high soil humidity or atmospheric air infiltration were observed, resulting in an underestimation of the soil gas concentrations. Passive sampling systems demonstrated cost-effective, efficient alternatives, offering consistent spatial and temporal coverage. These methods showed alignment with active techniques for lighter compounds (e.g., TCE and BTEX) but faced limitations in sorbent saturation and equilibrium time for heavier VOCs (e.g., hexachlorobutadiene), requiring adjustments in exposure duration to enhance accuracy. PE samplers provided results comparable to active methods, especially for BTEX and TCE, while WMS and sorbent pens exhibited lower sensitivity for certain analytes. This underscores the importance of optimizing sampler configurations and deployment strategies. The findings emphasize the value of integrating active and passive approaches to achieve robust VOC assessments in heterogeneous subsurface environments. Full article

This study presents a spatial methodology for integrating climate change (CC) risks and ecosystem service (ES) assessments into strategic spatial planning, applied to the Metropolitan Plan of the Province of Rimini (Emilia-Romagna, Italy). The proposed approach combines IPCC-aligned climate vulnerability analysis with ecosystem service mapping based on the methodology developed by CREN. Climate risks, including urban heat islands, droughts, and urban floods, were assessed using satellite-derived indices such as Land Surface Temperature (LST), Vegetation Health Index (VHI), and hydraulic modeling. For ESs, nine key services were evaluated and mapped by integrating land use, forest cover, and habitat data with biophysical modulation factors (e.g., slope, carbon stock, infiltration capacity). The results highlight priority areas where climate adaptation and ecological functions converge, enabling targeted interventions. This integrated workflow offers a replicable and scalable planning tool to support evidence-based decision-making at the metropolitan level. Its adoption is recommended by other local and regional authorities to strengthen the climate and ecological responsiveness of spatial planning instruments. Full article

Background: Expanded Newborn Screening (ENS) allows the early identification of many inherited metabolic diseases (IMDs) for which timely treatment can modify the natural history. For most IMDs, diagnosis by ENS is pre-clinical. However, clinical symptoms may emerge for certain conditions before screening results become available. Methods: We describe six cases of patients with early-onset IMDs born between 2013 and 2023, who were admitted or transferred to Sant’Orsola University Hospital in Bologna (Italy). Results: Over the study period, 379,013 newborns underwent ENS in the Italian region of Emilia-Romagna. Excluding cases of congenital hypothyroidism, pre-clinical diagnoses from ENS were 410. In addition, six cases of IMD presented with early-onset clinical symptomatology, an antecedent to the outcome of newborn screening (incidence over 11 years of 1.58 cases per 100,000 infants). Among these patients, three were diagnosed with Urea Cycle Disorders (UCDs)—two with Citrullinemia type I (CIT1) and one with Argininosuccinic Acidemia (ASA); two were diagnosed with Methylmalonic Acidemia (MMA); and one was found to have Medium-Chain Acyl-CoA Dehydrogenase Deficiency (MCADD). Conclusions: Our 11-year experience with ENS has shown that clinical onset can occur between the second and fourth day of life, though rare. Even if dried blood spot (DBS) collection was performed 24–48 h after birth, the time required for sample transportation and processing would still delay result availability, making early intervention unlikely. Therefore, our experience supports performing ENS at 48–72 h, as currently implemented in Italy, while also highlighting the advantages and limitations of earlier screening. Full article

CHIKV infection is transmitted by Aedes mosquitoes spp., with Ae. aegypti considered as the primary vector and Ae. Albopictus playing an important role in sustaining outbreaks in Europe. The ECSA-Indian Ocean Lineage (IOL) strain emerged in Reunion, subsequently spreading to areas such as India, the Indian Ocean, and Southeast Asia, also causing outbreaks in naive countries, including more temperate regions, which originated from infected travelers. In Italy, two authocthounous outbreaks occurred in 2007 (Emilia Romagna region) and 2017 (Lazio and Calabria regions), caused by two different ECSA-IOL strains. The phylogenetics, evolution, and phylogeography of ECSA-IOL-CHIKV strains causing the 2007 and 2017 outbreaks in Italy were investigated. The mean evolutionary rate and time-scaled phylogeny were performed through BEAST. Specific adaptive vector mutations or key signature substitutions were also investigated. The estimated mean value of the CHIKV E1 evolutionary rate was 1.313 × 10⁻³ substitution/site/year (95% HPD: 8.709 × 10⁻⁴–1.827 × 10⁻³). The 2017 CHIKV Italian sequences of the outbreak in Lazio and of the secondary outbreak in Calabria were located inside a sub-clade dating back to 2015 (95% HPD: 2014–2015), showing an origin in India. Continued genomic surveillance combined with phylogeographic analysis could be useful in public health, as a starting point for future risk assessment models and early warning. Full article