IntroductionThe COVID-19 pandemic forced the Italian government to issue extremely restrictive measures on daily activities since 11 March 2020 (‘lockdown’), which may have influenced the metabolic control of type 1 diabetes mellitus (T1D). The aims of the study were to investigate continuous glucose monitoring (CGM) metrics in children and adults with T1D during lockdown and to identify their potentially related factors.Research design and methodsWe enrolled 130 consecutive patients with T1D (30 children (≤12 years), 24 teenagers (13–17 years), and 76 adults (≥18 years)) using either Dexcom or FreeStyle LibreCGM>70% during the study period, without hybrid closed-loop insulin pump. CGM metrics during the 20 days before and the 20 days after lockdown were calculated. By telephonic contact, we performed validated physical activity and perceived stress questionnaires.ResultsIn children, significantly lower glucose SD (SDglu) (p=0.029) and time below range (TBR)<54 mg/dL (TBR2) (p=0.029) were detected after lockdown. CGM metrics were comparable in teenagers before and during lockdown. After lockdown, adults improved significantly time in range (TIR) 70–180 mg/dL (p<0.001) and remaining metrics, except percent coefficient of variation and TBR2. In adults, considering the changes in SDglu and TIR occurred before and during lockdown, we identified a group with improved TIR and SDglu who performed more physical activity, one with improved glucose variability who was younger than the other patients, and one with worsened glucose variability who showed higher perceived stress than others.ConclusionIn patients with T1D during lockdown, CGM metrics mostly improved in children and adults, whereas it was unchanged in teenagers. In adults, age, physical activity, and perceived stress may be relevant contributing factors.
Ant (Hymenoptera: Formicidae) assemblages were sampled with pitfall traps in three different habitats associated with a rehabilitated mine district and in undisturbed forests in Tuscany, Italy. The four habitats were (1) open fields (3-4 years old); (2) a middle-age mixed plantation (10 years); (3) an old-age mixed plantation (20 years); and (4) an oak woodland (40 years) not directly affected by mining activities. The aim of the study was to analyze ant recolonization patterns in order to provide insights on the use of Mediterranean ant fauna as indicators of restoration processes. Species richness and diversity were not significantly different among the four habitats. However, multivariate analyses showed that the assemblages in the different habitats were clearly differentiated, with similarity relationships reflecting a successional gradient among rehabilitated sites. The observed patterns of functional group changes along the gradient broadly accord with those of previous studies in other biogeographic regions. These were (1) a decrease of dominant Dolichoderinae and opportunists; (2) an increase in the proportion of cold-climate specialists; and (3) the appearance of the Cryptic species in the oldest plantations, with a maximum of abundance in the woodland. In conclusion, the results of our study supported the use of Mediterranean ants as a suitable tool for biomonitoring of restoration processes, and in particular, the functional group approach proved a valuable framework to better interpret local trends in terms of global ecological patterns. Further research is, however, needed in order to obtain a reliable classification of Mediterranean ant functional groups.
1. The organisation of an ant assemblage inhabiting an olive orchard in central Italy was analysed and patterns of dominance among ant species were described in order to assess (i) the relationship between thermal dependency and degree of behavioural dominance, and (ii) the relationship between dominance and discovery ability. 2. Activity patterns of the most abundant species on trees were examined in a sample of 120 trees during spring and summer. The degree of behavioural dominance and the ability of different species to discover new food sources were assessed using tuna baiting on a subset of 80 trees. 3. Different ant species showed contrasting patterns of activity. Some species (such as Lasius lasioides, Camponotus lateralis, and Camponotus piceus) were most active during the warmer part of the day, while others restricted their activity to the cooler hours (Camponotus aethiops and Plagiolepis pygmaea). Some species (such as Crematogaster scutellaris) were active irrespective of the time of day. 4. No clear relationship was observed between temperature of maximal activity and degree of behavioural dominance. There was, however, a positive relationship between behavioural dominance and thermal range of activity. A positive relationship between dominance and ability to find resources, with the most behaviourally dominant and aggressive species being most efficient in finding food items, was also observed. 5. The results support the idea that the temperature–dominance relationship is much more complex in Mediterranean‐type habitats than in other ecosystems. Of particular interest is the positive dominance–discovery relationship. This finding contrasts with previous investigations, which reported a negative relationship between dominance and discovery ability and suggested that this pattern plays a role in promoting the coexistence of species in ant communities.
1 Stable isotopes signatures ( ␦ 13 C and ␦ 15 N) of the most important tree-dwelling ants in an olive orchard were examined, together with the signatures of the most common herbivores, predators and sap-sucking insects. The olive orchard consists of separate subunits (trees) surrounded by a matrix of grasses or bare ground, and the role of ants in such a system is not fully understood. 2 None of the selected ant species was exclusive to the olive trees because they were also observed foraging on vegetation (mainly thistle) under the tree crowns. Hence, the relative contributions of these two sources of energy (olive trees versus herbs/grasses) were assessed by comparing the ␦ 13 C of ants with the signatures of plants and those of other arthropods collected on the trees and on nearby thistles. Next, the trophic level occupied by the ants and their ecological role within the olive food web were determined by examining the ␦ 15 N values and their relationship with indices of ecological performance measuring the potential pressure exerted by each species on the ecosystem. 3 The analysis of 13 C signatures revealed a different contribution of the two energy sources, olive trees versus herbs and grasses, with the former being more important for ants. The analysis of 15 N signatures suggested separate roles for different ant species: some ( Crematogaster scutellaris , Lasius lasioides ) occupied a higher trophic level, mostly involved in predation, whereas others ( Camponotus piceus , Camponotus lateralis ) occupied a lower level, probably involved more in homopteran tending. A fifth species ( Camponotus aethiops ) was in an intermediate position. Finally, the ␦ 15 N levels of the species were significantly correlated with indices of ecological performance.
Setting: Retrospective analysis and retrospective follow-up. Introduction: Spinal cord injury (SCI) patients have today a nearly normal lifespan. Avoidance of medical complications is key to this end. The aim of the study was to analyse health in individuals surviving 25 years or more after traumatic SCI in Stockholm and Florence, and compare medical complications. Methods: Data from the databases of the Spinal Unit of Florence and from the Spinalis, Stockholm were analysed. Patients included were C2-L 2, American Spinal Cord Association (ASIA) Impairment Scale (AIS) A-C, and X25 years post traumatic SCI. Patients underwent a thorough neurological and general examination, and were interviewed about medical events during those years. Analysed data include: gender, age at injury, current age, neurological level, AIS, cause of injury, presence of neuropathic pain (NP), and spasticity and medical complications. Results: A total of 66 Italian patients and 74 Swedish patients were included. The only statistical difference between the groups was cause of injury due to falls was higher in the Florence group (Po0.01). Male/female ratio was 4:1. Traffic accidents were the most common cause of injury. In all, 60% were paraplegics. Pressure ulcers (PU) occurred in nearly 60% and 32% experienced NP. Respiratory complications (RC) occurred in 25% among tetraplegics. Neurological deterioration occurred in 14%. Conclusion: PU, bony fractures, spasticity and NP are important problems after SCI. RC are of clinical importance in the tetraplegics. Complications occur during all periods after injury. Many patients are otherwise healthy 25 years or more after SCI.
1. The spatial arrangement of individuals and populations may have deep influences on all the biotic interactions within a community.2. The spatial distribution of nests of the ant Crematogaster scutellaris Olivier was analysed in an olive orchard in central Italy. As this species nests inside tree trunks, the regular structure of this simplified ecosystem may help to reduce the confounding effect of habitat heterogeneity on the spatial distribution of nests. In total, 531 trees were mapped and their shape (size and structure of the trunk) recorded. The presence of C. scutellaris nests in each tree was assessed in spring-summer and autumn 2006 and 2007. 3. The number of occupied trees changed in time, from a maximum of 129 (summer 2006) to a minimum of 60 (autumn 2007). Occupancy of tree was related to its shape, with larger trees being more frequently and more steadily occupied than smaller ones. 4. Nests were spatially aggregated, forming well-defined clusters, but aggregation was not explained by a corresponding clumping of larger trees. Nests belonging to the same cluster were usually not aggressive to each other, whereas aggression was more common between nests belonging to different clusters. The dynamic nature of the system coupled with the clustered distribution of nests, is consistent with a hypothesis of seasonal polydomy, and suggest that whereas some trees are steadily occupied (core) others are opportunistically colonised when new resources are discovered (satellites). 5. Clusters size distribution was shown to follow a truncated power-law, a finding consistent with the idea that clusters are self-organised structures dependent on local interactions. These results suggest that spatial self-organisation in ant colonies may in principle be more common than previously thought, although the mechanisms generating these patterns still need to be clarified.
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