"Mushrooms (and a cow) are A Means of Survival for Us": Dissimilar Ethnomycological Perspectives among Hutsuls and Romanians Living Across The Ukrainian-Romanian Border.

Sustainable forest management highlights the multipurpose use of all forest resources, including the use of wild mushrooms, by a variety of forest users and especially for rural livelihoods. To achieve sustainable forest management, among others, decision-makers and forest managers need to identify the important elements for the livelihoods of local communities dependent on forests. Therefore, our aim is to analyse the importance of contemporary use of wild mushrooms for daily livelihoods in rural areas of the Carpathian Mountains by comparing two ethnic groups, Hutsuls and Romanians, living in a similar ecological environment and formerly belonging to the historical region of Bukovina, but currently split by the border between Ukraine and Romania which have different governments and economic situations. One hundred and twenty-one face-to-face semi-structured interviews were conducted in the summers of 2018 and 2019. We compared the Traditional Ecological Knowledge (TEK) of Romanians and Hutsuls living, respectively, in lowlands and mountain areas on both sides of the border. Our results demonstrated the homogenous use of mushroom species for cultural purposes (e.g. ritual foods). Yet, we detected a remarkable difference in the role mushrooms play in providing income: Hutsuls in Ukraine use forest products as a main (rarely additional) source of income, while Romanian Hutsuls use them solely as additional income. Romanians on both sides considered mushrooms mainly as food and did not sell them (probably due in part to less abundance in the area). We also documented the fear of local residents that forest management and protected areas could suppress the right to collect wild mushrooms. The use of mushrooms is an important aspect of local TEK and needs to be considered as a part of sustainable forest management and as a means of poverty reduction in the region.

Practice recommendations for neurovascular ultrasound investigations of acute stroke patients in the setting of the COVID-19 pandemic: an expert consensus from the European Society of Neurosonology and Cerebral Hemodynamics.

BACKGROUND AND PURPOSE: Patients with acute ischemic stroke are at high-risk for contracting COVID-19 infection. Additionally, healthcare professionals including neurovascular ultrasound providers are also at risk of being infected by SARS-CoV-2 virus. Yet, preparedness to continue to guarantee hyperacute treatment is vital for patients outcome. In light of this situation, the European Society of Neurosonology and Cerebral Hemodynamic (ESNCH) appointed a task force to provide consensus recommendations for the performance of neurovascular ultrasound investigations in acute ischemic stroke during the COVID-19 pandemic with the aim of protecting both patients and ultrasound providers. METHODS: The "ultrasound in acute stroke working group" of the ESNCH examined literature articles and reviews using the following key words: "corona virus" or "COVID-19" or "SARS-CoV-2 virus", and "acute stroke" or "cerebrovascular disease", and "ultrasound". Thereafter, a thorough discussion was conducted with the "education and guidelines working group" of the ESNCH. RESULTS: We propose rapid up-to-date recommendations for healthcare personnel involved in the pre-hospital and intra-hospital assessment of stroke patients, with a particular attention to neurovascular ultrasound performance. CONCLUSION: The ESNCH provides a guidance summary for the performance of neurovascular ultrasound investigations in acute ischemic stroke in the time of COVID-19.

Combining olfactory test and motion analysis sensors in Parkinson's disease preclinical diagnosis: a pilot study.

OBJECTIVES: Preclinical diagnosis of Parkinson's disease (PD) is nowadays a topic of interest as the neuropathological process could begin years before the appearance of motor symptoms. Several symptoms, among them hyposmia, could precede motor features in PD. In the preclinical phase of PD, a subclinical reduction in motor skills is highly likely. In this pilot study, we investigate a step-by-step method to achieve preclinical PD diagnosis. MATERIAL AND METHODS: We used the IOIT (Italian Olfactory Identification Test) to screen a population of healthy subjects. We identified 20 subjects with idiopathic hyposmia. Hyposmic subjects underwent an evaluation of motor skills, at baseline and after 1 year, using motion analysis sensors previously created by us. RESULTS: One subject showed significant worsening in motor measurements. In this subject, we further conducted a dopaminergic challenge test monitored with the same sensors and, finally, he underwent [123 I]-FP/CIT (DaTscan) SPECT brain imaging. The results show that he is probably affected by preclinical PD. CONCLUSIONS: Our pilot study suggests that the combined use of an olfactory test and motor sensors for motion analysis could be useful for a screening of healthy subjects to identify those at a high risk of developing PD.

Just beautiful green herbs: use of plants in cultural practices in Bukovina and Roztochya, Western Ukraine.

BACKGROUND: The use of plants in rituals is a little explored corner of biocultural diversity which has developed through time within a complex socio-ecological system. Indeed, rituals are complex interactions between humans and biodiversity shaped by history, culture, and ethnic belonging. Yet, in Western Ukraine, such rituals were forbidden for over 50 years (1939-1991). The current revival of rituals by rural inhabitants is an untapped reservoir of local ecological knowledge. The aim of the present study was to identify the ritual use of wild and cultivated plants in two regions of Western Ukraine, Bukovina and Roztochya, and to compare the findings with historical data. Moreover, we analyzed attitudes toward the ritual use of plants and interactions with the local environment. METHODS: We conducted 31 in-depth semi-structured interviews among Orthodox Hutsuls of Bukovina and 16 interviews among Greek Catholic rural inhabitants of Roztochya during summer 2018 focusing on the ritual uses of plants. RESULTS: We documented  28 plant taxa among Bukovinian Hutsuls and 58 plant taxa among inhabitants in Roztochya that were used in 7 religious festivals (of which two were celebrated differently in the two communities). Plants were mainly used in bouquets, but also for decorating churches and houses or in fruit baskets. In both communities, almost 25% of the interviewees could not name the plants they collected for bouquets, but rather referred to "just beautiful green herbs" one can get in meadows, forests, and gardens. Comparison with historical data shows a smaller number of taxa currently used (wild taxa have been lost), yet the persistence of 18 taxa used both now and a century ago. CONCLUSIONS: Contemporary practices concerning the use of plants in Christian rituals in Bukovina and Roztochya can be contextualized in the broader phenomenon of the revitalization of traditional environmental knowledge and practices that have characterized Europe over the past 30 years and in particular Eastern Europe after socialism. The current religious use of plants is to a certain extent the revitalization of historical rituals supported by various internal (knowledge from older generations) and external (church authorities and fashion in the region) drivers. Further research should address changes in regions with longer and more severe prohibition of religious practices and their revival.

Medicinal plants in the Mediterranean area: synthesis of the results of the project Rubia.

AIM OF STUDY: Within the scope of the European project RUBIA (ICA3-2002-10023), research has been performed on the traditional use and handling of plant species in several Mediterranean countries, Albania, Algeria, Cyprus, Egypt, Italy, Morocco, and Spain. This paper synthesises the chief results related to the medicinal utilization of those plants. MATERIAL AND METHODS: The information has been gathered by means of semi-structured interviews (1256) and techniques of participant observation with 803 informants. In each of the participating countries the study areas were selected by means of uniform criteria defined at the beginning of the study. RESULTS AND CONCLUSIONS: A total of 985 species have been catalogued, of which 406 have medicinal use. This work constitutes the first comparative study performed with ethnobotanical data gathered by a coordinated methodology in the Mediterranean area. An exhaustive list is provided for the species catalogued, indicating the regions where each plant was mentioned. ETHNOPHARMACOLOGICAL RELEVANCE: This information underlines the ethnobotanical richness of the region and the need to broaden this study to other areas of the Mediterranean. Furthermore, this constitutes a base for future phytochemical and pharmacological studies which could lead to new therapeutic products.

[Pilot study of professional exposure and hearing functionality of orchestra musicians of a national lyric theatre]. / Studio pilota dell'esposizione professionale a rumore e della funzionalità uditiva dei musicisti di una orchestra lirica nazionale.

The sound exposure of classic orchestra musicians is not well assessed in Italy even though the protectionistic law includes all the working environments, as stated in the European Directive 2003/10/EC relative to the protection of workers against noise-induced damage. Scientific data in the literature show that the musicians are exposed to high daily personal exposure levels. These levels can systematically exceed the 85 dB(A) in the case of percussionists. In this study, preliminary results are shown relative to an experimental campaign performed in a lyric National Theatre. The aim of the study was the assessment of the risk due to high sound level in the theatre musicians and their cochlear functionality. The noise levels were measured by using wearable phonometers and multichannel sound analyzers. The signals were recorded during the whole working time in the rehearsal hall and in the fossa. The cochlear functionality was monitored before and immediately after rehearsal in a sample of volunteers by means of otoacoustic emission tests. Both TEOAE and DPOAE were measured using the ILO292 portable system. The data show that OAE-based tests can effectively discriminate between different classes of exposure. A good correlation was found between the daily exposure level and the DPOAE level.

Antibiotic prophylaxis in gynecological surgery.

A randomized prospective study was undertaken at the Obstetrics and Gynecology Clinic of the Catholic University of Rome in order to evaluate the effectiveness of two wide spectrum antibiotics: mezlocillin and cefotetan. Both drugs were administered 2 g i.v. 15 to 20 minutes preoperatively to allow optimal serum and tissue levels of antibiotic at the moment of bacterial innoculation. 184 patients undergoing elective gynecological surgery for nonmalignant disease were considered eligible for the study (124 pts abdominal hysterectomy, 58 pts vaginal hysterectomy). We found no statistically significant differences between the results obtained with the two drugs.

Medicinal plants and food medicines in the folk traditions of the upper Lucca Province, Italy.

An ethnopharmacobotanical survey of the medicinal plants and food medicines of the northern part of Lucca Province, north-west Tuscany, central Italy, was carried out. The geographical isolation of this area has permitted the survival of a rich folk phytotherapy involving medicinal herbs and also vegetable resources used by locals as food medicine. Among these are the uncommon use of Ballota nigra leaves as a trophic protective; the use of Lilium candidum bulbs as an antiviral to treat shingles (Herpes zoster); Parmelia sp. as a cholagogue; Crocus napolitanus flowers as antiseptic; Prunus laurocerasus drupes as a hypotensive; and the consumption of chestnut flour polenta cooked with new wine as bechic. Many wild gathered greens are eaten raw in salads, or in boiled mixtures, as 'blood cleansing' and 'intestine cleansing' agents. Of particular interest is the persistence of the archaic use of Bryonia dioica root against sciatica, and the use of ritual plant therapeuticals as good omens, or against the 'evil eye.' Over 120 species represent the heritage of the local folk pharmacopoeia in upper Garfagnana. Anthropological and ethnopharmacological considerations of the collected data are also discussed.

Studies on anti-complementary activity of extracts and isolated flavones from Ligustrum vulgare and Phillyrea latifolia leaves (Oleaceae).

Polar fractions and flavones isolated from methanolic extracts of the leaves of Ligustrum vulgare and Phillyrea latifolia (Oleaceae), whose popular use as an anti-inflammatory is well-known in Mediterranean historical medicine and ethnobotany, showed significant in vitro complement inhibiting effect on the classical pathway of the complement system. Among the isolated flavonoidic structures, apigenin-7-O-glucoside, apigenin-7-O-rutinoside, luteolin-4'-O-glucoside, luteolin-7-O-glucoside and ligustroflavone presented remarkable activity.

Antimicrobial activity of extracts of Clematis vitalba towards pathogenic yeast and yeast-like microorganisms.

A broad activity against pathogenic yeast and yeast-like microorganisms was shown in crude extracts of young shoots of Clematis vitalba. MICs ranging from 1.4 to 12.3 microg/ml were observed. After fractionating with petroleum ether, ethyl acetate and methanol, antimycotic activity has been observed only in methanol fractions.

An ethnopharmacological study on common privet (Ligustrum vulgare) and phillyrea (Phillyrea latifolia).

Ligustrum vulgare and Phillyrea latifolia leaves were well known in the Mediterranean historical medicine for their oropharyngeal anti-inflammatory effects. At the present time a popular phytotheraputical use of these species remains only in a few isolated southern European areas. Phytochemical and phytopharmacological studies of the methanolic extractives of their leaves were carried out. Flavonoidic fractions as well as different isolates, apigenin and luteolin derivatives showed significant in vitro complement inhibiting effects on the classical pathway of the complement system. A possible phytoceutical utilisation of the aerial parts of these species could represent (especially regarding the genus Phillyrea) an interesting perspective for many semi-arid Mediterranean regions.

[Ultrasonic study of the predictability of fetal macrosomia]. / Studio ultrasonografico per la predittività della macrosomia fetale.

Main fetal echobiometric parameters have been considered in 643 pregnant patients and evaluated for fetal macrosomia predictivity. Deliveries occurs within seven days after ultrasound examination. Malformative or other pathologic conditions with could have interfered with a correct ultrasound evaluation of the disease have been excluded. The single parameters are not reliable for a screening of fetal macrosomia. The A. suggest, for a greater accuracy, sequential ultrasound examination during pregnancy or mathematical correlation of several echobiometric parameters.

Isolation and structure elucidation of ligustroflavone, a new apigenin triglycoside from the leaves of Ligustrum vulgare L.

A new flavone, apigenin-7-O-beta-(2",6"-di-alpha-rhamnopyranosyl)-glucopyranoside , named ligustroflavone, was isolated from the leaves of common privet (Ligustrum vulgare L., Oleaceae), whose popular use was well known in the Mediterranean historical medicine and ethnomedicine as anti-inflammatory. The structures of other five apigenin and luteolin derivates, isolated from the polar fractions of the methanolic leaf extracts, were elucidated.

In vitro anti-complementary activity of flavonoids from olive (Olea europaea L.) leaves.

From extracts of olive (Olea europaea L., Oleaceae) leaves showing anti-complementary activity, the flavonoids apigenin, apigenin-4'-O-rhamnosylglucoside, apigenin-7-O-glucoside, luteolin, luteolin-4'-O-glucoside, luteolin-7-O-glucoside, chrysoeriol, chrysoeriol-7-O-glucoside and quercetin-3-O-rhamnoside were isolated. Major isolated constituents strongly inhibited the classical pathway of the complement system.

Natural remedies and nutraceuticals used in ethnoveterinary practices in inland southern Italy.

Traditional animal health practices are today only rarely used in Europe, as many natural remedies applied for the treatment of animals have been replaced by modern pharmaceuticals. Modern institutionalized veterinary services tend to cover every aspect of animal health care, and influence most of the veterinary practices carried out by shepherds and farmers. However, in some areas, particularly of the Mediterranean, such traditional practices persist. Few ethnoveterinary studies have been conducted in the Mediterranean. In this survey, we analysed the natural remedies that are still in use or were used until very recently to treat animals in central Lucania (inland southern Italy). Plants constitute the mainstay of the folk-veterinary regimen (about 40 preparations), but there are also a few animal- and mineral-derived preparations. Among them, the veterinary use of Cistus incanus, Colutea arborescens, Daphne laureola, and Erigeron acer is reported for the first time. Moreover, the study identified diverse traditional plant nutraceuticals used to improve animal health, as well as the quality of milk and dairy products. An important potential output of this study may be the development of eco-sustainable integrated projects focused on the maintenance of traditional animal breeding and healthcare systems. Pharmacological and toxicological considerations relating to possible applications of the recorded traditional knowledge in modern evidence-based veterinary medicine are also discussed.

Antioxidant activity of five vegetables traditionally consumed by South-Asian migrants in Bradford, Yorkshire, UK.

Five vegetables traditionally consumed among South-Asian migrants in Bradford (Yorkshire, UK) were tested for their free radical scavenging activity (FRSA) in the DPPH (1,1-diphenyl-2-picrylhydrazil radical) screening assay (using extracts prepared both by cold maceration and also by boiling the plant in the solvent under reflux) and for their in vitro non-enzymatic inhibition of bovine brain lipid peroxidation. In both antioxidant assays a strong activity was shown by extracts derived from okra (Abelmoschus esculentus, Malvaceae) fruits and charungli (Caralluma edulis, Asclepiadaceae) aerial parts. Extracts from bitter melon (Momordica charantia, Cucurbitaceae) and angular loofah (Luffa acutangula) showed a significant difference in the FRSA between the extract obtained by using cold maceration and that prepared by boiling the plant in the solvent under reflux, suggesting the chemical composition of the plant changed during the heating process, leading to an increase in the amount of antioxidant components. These findings confirm the great interest of the nutraceutical sciences in extracts of Caralluma edulis, whose phytochemistry and phytopharmacology should be investigated further in order to detect possible phytotherapeutic uses in the prevention of ageing related diseases (ARDs) and Alzheimer disease (AD).

[Left atrial thrombosis and acquired coronary artery fistulae: report of a case]. / Trombosi atriale sinistra e fistole coronariche acquisite. Descrizione di un caso.

Many cases of fistulae between coronary arteries and heart chambers are now detectable because of improvement in selective coronary artery angiography. Coronary fistulae may be congenital or secondary to cardiac disease such as atrial tumors, mitral stenosis with atrial thrombosis or ventricular aneurysm. A case of a patient with rheumatic heart disease and multiple fistulae between coronary arteries and left atrium, is reported. A thin mural thrombus adherent to the left atrial wall, unsuspected preoperatively, was discovered at surgery and gave the clue to the pathological origin of the fistulae.

[Uncommon cause of malfunction of a valve prosthesis of the the St. Jude Medical type]. / Causa non comune di malfunzionamento di protesi valvolare del tipo St. Jude Medical.

We report the malfunction of a St. Jude Medical prosthetic valve in mitral position in a 60 year old woman. One of the two leaflets of the valve was locked in closed position because of the interference of a chorda tendinea. The patient was asymptomatic and the valve dysfunction was discovered during a routine control examination. The bi-leaflet design of this prosthetic valve appears to have offered some protection to our patient. The malfunction involved only one of the hemi-disc and the haemodynamic derangement was moderate.