Restoration of Vegetation Greenness and Possible Changes in Mature Forest Communities in Two Forests Damaged by the Vaia Storm in Northern Italy.

Windstorms are rare in the Southern Alps, but their frequency is increasing due to climate change. This research analyzed the vegetation of two spruce forests in Camonica Valley (Northern Italy) destroyed by the Vaia storm to evaluate the vegetation responses to blowdown damage. In each study area, the normalized difference vegetation index (NDVI) was used to evaluate the change in plant cover and greenness from 2018 (before the Vaia storm) to 2021. Furthermore, floristic-vegetation data were analyzed to identify current plant communities and develop models of plant succession. The results showed that the two areas, although located in different altitudinal vegetation belts, are undergoing the same ecological processes. NDVI is increasing in both areas, and pre-disturbance values (~0.8) should be reached in less than ten years. Nevertheless, the spontaneous restoration of pre-disturbance forest communities (Calamagrostio arundinaceae-Piceetum) should not occur in both study areas. In fact, the two plant succession trends are characterized by pioneer and intermediate stages with young trees of Quercus petraea and Abies alba, typical of more thermophilic mature forest communities compared to pre-disturbance ones. These results could reinforce the trend of the upward shift in forest plant species and plant communities in response to environmental changes in mountain areas.

Long-term results from the multicentric European randomized phase 3 trial CWS/RMS-96 for localized high-risk soft tissue sarcoma in children, adolescents, and young adults.

BACKGROUND: CWS/RMS-96 was an international multicenter trial with randomization between two therapy arms of the standard four-drug therapy (vincristine, ifosfamide, adriamycin, dactinomycin [VAIA]) versus an intensified six-drug regimen (carboplatin, epirubicin, vincristine, dactinomycin, ifosfamide, and etoposide [CEVAIE]) for high-risk rhabdomyosarcoma (RMS), extraskeletal Ewing sarcoma (EES), and undifferentiated sarcoma (UDS) in children, adolescents, and young adults aiming to improve their survival. Intensified chemotherapy with CEVAIE did not improve outcome. METHODS: Patients younger than 21 years with a previously untreated localized HR-RMS, EES, and UDS were enrolled from Cooperative Weichteilsarkom Studiengruppe (CWS) centers in Germany, Austria, Poland, Switzerland, and from Italian Soft Tissue Sarcoma Committee (STSC) centers. Randomization (1:1) to receive either 9 × 21 days cycles of VAIA or CEVAIE was performed separately in CWS and STSC. Hyperfractionated accelerated radiotherapy (32-44.8 Gy) was added at week 9-12 according to histology and response to chemotherapy. A secondary microscopically complete nonmutilating resection was performed if possible. Primary endpoints were response to chemotherapy, event-free (EFS) and overall survival (OS). RESULTS: Five hundred fifty-seven patients (HR-RMS: n = 416, EES and UDS: n = 141) underwent randomization: VAIA (n = 273) or CEVAIE (n = 284). Radiotherapy was given to 70% of patients in both groups. A secondary resection was performed in 47% and 48% patients, respectively. The 5-year EFS and OS for the VAIA and CEVAIE treatment arms were 59.8% and 60.8% (p = .89), and 74.2% and 68.3% (p = .16), respectively. No differences in response, toxicity, or second malignancies emerged in the two groups. CONCLUSION: The use of an intensified regimen failed to show a significant improvement in tumor response and outcome of patients with localized HR-RMS, EES, and UDS.

The morphological response of the Tegnas alpine catchment (Northeast Italy) to a Large Infrequent Disturbance.

A recent storm (27th-30th October 2018), named Vaia, hit most part of the Northeast of Italy affecting the geomorphic aspect of almost all mountain catchments of the area. The event triggered new instabilities such as windthrows, landslides and debris flows. At present, few studies dealt with the analysis of the impact of a Large Infrequent Disturbance at large catchment scale. This work provides a focus on the Tegnas Torrent Basin (Belluno Province) and aims at detecting how, where, and how much this storm affected the basin. Moreover, it integrates two different approaches considering both the dynamic and static aspects of the sediment, via DEM of Difference (DoD) and Index of Connectivity (IC), respectively. The Tegnas sub-basins responded contrastingly: the Bordina (volcanic origin and covered by pastures and spruce forests) was mainly affected by windthrows (7% of the sub-basin area) and landslides (0.5%), while the Angheraz (outcropping dolomite rocks), was stricken only by debris flows (1.0%). Morphological changes were clear along the entire channel network, with predominant erosion in the steepest upstream parts (over 2 m of the channel elevation), and deposition in the lower main valley floor (over 3 m of the channel elevation). The IC analysis along the instabilities highlighted that the windthrows occurred mainly in areas of high connectivity, which may be important for future management strategies. Moreover, the proposed integrated approach, based on the combination IC-DoD, permitted a detailed identification of sediment routing and a contemporary estimation of erosion and deposition volumes generated by a high magnitude low-frequency event. Based on these results, cascading processes are expected and further analysis are required to fully consider the impact of a Large Infrequent Disturbance.

Combined forest and soil management after a catastrophic event.

At the end of October 2018, a storm of unprecedented strength severely damaged the forests of the eastern sector of the Italian Alps. The affected forest area covers 42,500 ha. The president of one of the damaged regions asked for help from the University of Padua. After eight months of discussion, the authors of this article wrote a consensus text. The sometimes asper debate brought to light some crucial aspects: 1) even experienced specialists may have various opinions based on scientific knowledge that lead to conflicting proposals for action. For some of them there is evidence that to restore a destroyed natural environment it is more judicious to do nothing; 2) the soil corresponds to a living structure and every ecosystem's management should be based on it; 3) faced with a catastrophe, people and politicians find themselves unarmed, also because they rarely have the scientific background to understand natural processes. Yet politicians are the only persons who make the key decisions that drive the economy in play and therefore determine the near future of our planet. This article is an attempt to respond directly to a governor with a degree in animal production science, who formally and prudently asked a university department called "Land, Environment, Agriculture and Forestry" for help before taking decisions; 4) the authors also propose an artistic interpretation of facts (uncontrolled storm) and conclusions (listen to the soil). Briefly, the authors identify the soil as an indispensable source for the renewal of the destroyed forest, give indications on how to prepare a map of the soils of the damaged region, and suggest to anchor on this soil map a series of silvicultural and soil management actions that will promote the soil conservation and the faster recovery of the natural dynamic stability and resilience. ELECTRONIC SUPPLEMENTARY MATERIAL: Supplementary material is available for this article at 10.1007/s11629-019-5890-0 and is accessible for authorized users.

The surgical management of paediatric bladder and prostate rhabdomyosarcoma.

BACKGROUND: The surgical management of paediatric bladder/prostate rhabdomyosarcoma (B/P RMS) continues to develop, with the goal of maximising organ preservation while achieving successful cancer control. The timing of radiotherapy and surgical excision to improve event-free survival (EFS) and overall survival (OS) remains controversial. METHODS: Previous reports in English on B/P RMS over the past 15 years were identified and reviewed, focusing on studies comparing the effects of radiotherapy and surgery for local control, the effect of local control on OS, and improved means of diagnosing viable tumour after chemotherapy. RESULTS: The concept of lowering the 'cost of cure' drives current protocols. Bladder-sparing surgery is possible for 80% of patients after initial chemotherapy, with a mean 5-year OS of 85%. Overall, half of the patients are continent of urine, and adding radiotherapy might increase the risk of incontinence. Previous studies suggesting that early radiotherapy achieved better EFS than delayed radiotherapy did not control for stage and size of the tumour, which are the primary determinants of EFS. Improved local control does not automatically translate into improved OS. CONCLUSIONS: The current role for the surgical management in B/P RMS is to achieve local control of tumours that do not respond to chemotherapy and radiotherapy. An improved means of detecting viable tumour after initial chemotherapy would improve the ability to decide when local therapy is necessary. The continuing challenge for urologists managing these children is knowing when bladder-sparing surgery would be the best therapy.