Gestational diabetes mellitus in patients undergoing assisted reproductive techniques or conceiving spontaneously: an analysis on maternal and foetal outcomes.

PURPOSE: With the rise of medically assisted reproductive techniques (ART) the number of pregnancies complicated by gestational diabetes mellitus (GDM) has increased. The aim of this study was to evaluate retrospectively the outcomes of pregnancies complicated by GDM who conceive trough ART (cases) compared to those who conceived spontaneously (controls). METHODS: In 670 women with GDM, 229 cases and 441 controls, followed by the Diabetology of Padua, between 2010-2022, clinical-metabolic maternal characteristics and maternal-foetal outcomes were evaluated. RESULTS: As for the maternal clinical-metabolic characteristics, plasma glucose levels at 60' and 120' under oral glucose tolerance test (OGTT) at time of diagnosis were significantly higher in cases (177.4 ± 31.1 vs 170.9 ± 34.1 mg/dl, p = 0.016; 151.5 ± 32.2 vs 144.0 ± 33.4 mg/dl, p = 0.005 respectively). Furthermore, at diagnosis, cases show higher levels of total cholesterol (257 ± 53 mg/dl vs 246 ± 52 mg/dl; p = 0.012) and triglycerides (199.8 ± 83.2 mg/dl vs 184.9 ± 71.3 mg/dl; p = 0.02) compared to controls. As for maternal outcomes, thyroid disfunction, was recorded in a higher percentage in case (21.4% vs 14.3%; p = 0.008), as well as, the frequency of cesarean section (50.3% vs 41.2%; p = 0.038) and twin pregnancies (16.2% vs 2.5%; p < 0.001). As for neonatal outcomes, there were no statistically significant differences, except for the birth weight of the second twin, which was significantly lower in cases (2268 ± 536 vs 2822 ± 297 g; p = 0.002). No other significant differences were found. CONCLUSION: This study showed no meaningful differences in the outcomes of GDM pregnancies who were conceived with ART compared to that arose spontaneously as the patients were promptly diagnosed and treated.

Decadal trends in water chemistry of Alpine lakes in calcareous catchments driven by climate change.

High mountain lakes are considered sensitive indicators of the effects of natural and anthropogenic drivers, including atmospheric deposition and climate change. In this study, we assess long-term trends in the chemistry of a group of high altitude lakes in the Western Alps, Italy, lying in bedrock with a relevant presence of basic, soluble rocks. An in-depth investigation was performed on two key-sites (Lakes Boden Inferiore and Superiore) for which continuous chemical data are available for a period of 30 years. A group of 10 additional lakes in the same area was also considered; these lakes were sampled at the end of the ice-free period during irregular surveys in the period 1980-2017. Water samples were analysed for the main chemical variables, including pH, electrical conductivity, major ions (Ca2+, Mg2+, Na+, K+, HCO3-, Cl-, SO42-, NO3-) and algal nutrients (phosphorus and nitrogen compounds, reactive silica). A steep increase in conductivity and ion concentrations was detected at the key-sites: conductivity increased from 40-45 to 60-70 µS cm-1 over the period 1984-2017; sulphate concentrations more than doubled over the same period (from 50-60 to 120-180 µeq L-1) and base cations increased from 400-500 to 600-750 µeq L-1. An increase in the solute content was also detected in the survey lakes (average conductivity from 39 ± 20 to 57 ± 23 µS cm-1). The analysis of meteorological data revealed a significant increase of air temperature (0.019 °C y-1 over the period 1950-2017), mainly in spring and summer (0.033 °C y-1), and a decrease of snow cover depth and duration. Meteo-climatic drivers were identified as the responsible for the chemical changes occurred in the lakes. Climate-driven effects on weathering rates were mainly indirect and occurred by affecting the flow paths of water at both surface and subsurface level. Cryosphere modification (reduced snow cover and permafrost thawing) also played a role.

Sequence-dependent cross-resistance of combined radiotherapy plus BRAFV600E inhibition in melanoma.

INTRODUCTION: Treatment of patients with metastatic melanoma is hampered by drug-resistance and often requires combination with radiotherapy as last-resort option. However, also after radiotherapy, clinical relapses are common. METHODS & RESULTS: Our preclinical models indicated a higher rate of tumour relapse when melanoma cells were first treated with BRAFV600E inhibition (BRAFi) followed by radiotherapy as compared to the reverse sequence. Accordingly, retrospective follow-up data from 65 stage-IV melanoma patients with irradiated melanoma brain metastases confirmed a shortened duration of local response of mitogen-activated protein kinase (MAPK)-inhibitor-pretreated compared with MAPK-inhibitor-naïve intracranial metastases. On the molecular level, we identified JARID1B/KDM5B as a cellular marker for cross-resistance between BRAFi and radiotherapy. JARID1Bhigh cells appeared more frequently under upfront BRAFi as compared with upfront radiation. JARID1B favours cell survival by transcriptional regulation of genes controlling cell cycle, DNA repair and cell death. CONCLUSION: The level of cross-resistance between combined MAPK inhibition and radiotherapy is dependent on the treatment sequence. JARID1B may represent a novel therapy-overarching resistance marker.

The role of forest type in the variability of DOC in atmospheric deposition at forest plots in Italy.

Dissolved organic carbon (DOC) was studied in atmospheric deposition samples collected on a weekly basis in 2005-2009 at 10 forest plots in Italy. The plots covered a wide range of geographical attributes and were representative of the main forest types in Italy. Both spatial and temporal variations in DOC concentrations and fluxes are discussed, with the aim of identifying the main factors affecting DOC variability. DOC concentration increased from bulk to throughfall and stemflow water samples at all sites, as an effect of leaching from leaves and branches, going from 0.7-1.7 mg C L(-1) in bulk samples to 1.8-15.8 mg C L(-1) in throughfall and 4.2-10.7 mg C L(-1) in stemflow, with striking differences among the various plots. Low concentrations were found in runoff (0.5-2.0 mg C L(-1)), showing that the export of DOC via running waters was limited. The seasonality of DOC in throughfall samples was evident, with the highest concentration in summer when biological activity is at a maximum, and minima in winter due to limited DOC production and leaching. Statistical analysis revealed that DOC had a close relationship with organic and total nitrogen, and with nutrient ions, and a negative correlation with precipitation amount. Forest type proved to be a major factor affecting DOC variability: concentration and, to a lesser extent, fluxes were lower in stands dominated by deciduous species. The character of evergreens, and the size and shape of their leaves and needles, which regulate the interception mechanism of dry deposition, are mainly responsible for this.

Reversed-phase HPLC separation of complex mixtures of trace metals as dibenzyldithiocarbamate chelates.

The dibenzyldithiocarbamate chelates of Cd(II), Pb(II), Bi(III), Hg(II), Ni(II), Cu(II), As(III), Fe(III), Co(III) and In(III) are separated by reversed-phase HPLC in isocratic conditions. The procedure is simple, rapid, and gives satisfactory separations with high efficiency and sensitivity at mobile phase compositions very rich in organic modifier (85-88% CH(3)CN). The detection limits range from 1.4 to 14 mug/1. The elution order is correlated with the ability of the central metal atom to affect the electronic distribution of the ligand, which has readily polarizable donor atoms. Infrared spectroscopy data corroborate this assumption.