Current and future distribution of a parasite with complex life cycle under global change scenarios: Echinococcus multilocularis in Europe.

Global change is expected to have complex effects on the distribution and transmission patterns of zoonotic parasites. Modelling habitat suitability for parasites with complex life cycles is essential to further our understanding of how disease systems respond to environmental changes, and to make spatial predictions of their future distributions. However, the limited availability of high quality occurrence data with high spatial resolution often constrains these investigations. Using 449 reliable occurrence records for Echinococcus multilocularis from across Europe published over the last 35 years, we modelled habitat suitability for this parasite, the aetiological agent of alveolar echinococcosis, in order to describe its environmental niche, predict its current and future distribution under three global change scenarios, and quantify the probability of occurrence for each European country. Using a machine learning approach, we developed large-scale (25 × 25 km) species distribution models based on seven sets of predictors, each set representing a distinct biological hypothesis supported by current knowledge of the autecology of the parasite. The best-supported hypothesis included climatic, orographic and land-use/land-cover variables such as the temperature of the coldest quarter, forest cover, urban cover and the precipitation seasonality. Future projections suggested the appearance of highly suitable areas for E. multilocularis towards northern latitudes and in the whole Alpine region under all scenarios, while decreases in habitat suitability were predicted for central Europe. Our spatially explicit predictions of habitat suitability shed light on the complex responses of parasites to ongoing global changes.

Litter impacts on marine birds: The Mediterranean Northern gannet as case study.

Litter are ubiquitous and increasing in the coastal and marine environments. Entanglement with litter is one of the principal causes of mortality in seabirds, but the population-level consequences are unknown. Currently, all seabirds collect litter for nesting material. Northern Gannets are not the exception and there are several cases where elevated percentages of polymers are part of the life cycle of gannets, especially during breeding. This baseline paper presents an analysis of litter content and its related impacts on the two gannet nests located in South France (Carry-Le-Rouet) and Northwest Italy (Portovenere) from 2017 to 2019. 654 items from both gannet nests were collected with 277 items (42%) being of natural origin, while 377 items (58%) were litter. Most of the nesting material was nautical cordage, which appears to be used preferentially. A more restrictive litter management regulation must be adopted to reduce litter generation from fishing/aquaculture-related activities.

Usage of urban green space and related feelings of deprivation during the COVID-19 lockdown: Lessons learned from an Italian case study.

This study investigated perceptions and behavioral patterns related to urban green space (UGS) in Italian cities, during the period of national lockdown imposed due to the outbreak of SARS-CoV-2 in the spring of 2020. A survey was used to examine the responses of population groups in different municipal areas, comparing those in government-defined "red zones", mostly in the northern regions of the country, with "non-red zones" in the rest of the country, where the rate of infection was much lower. A total of 2100 respondents participated in the survey. The majority of respondents declared themselves to be habitual users of UGS, especially of parks or green areas outside the town - mainly visiting for relaxation and physical exercise, but also for observing nature. In the northern regions people more commonly reported the adoption of sustainable practices, in terms of the utilization of tools for "green mobility". During the lockdown, habits changed significantly: only one third of respondents reported visiting UGS, with frequent visits made mainly for the purpose of walking the dog. Other motivations included the need for relaxing, mostly in the red zones, and for physical exercise in non-red zones. The reduction in travel to urban parks was accompanied by increased visitation of gardens and other green spaces in close proximity, as social distancing and other regulations imposed restrictions on movement. In all regions, respondents who could not physically access UGS expressed a feeling of deprivation which was exacerbated by living in towns located in red zones, being a usual visitor of UGS and having no green view from the window. The extent to which these visitors missed UGS depended on the frequency of visitation before the pandemic and the UGS distance, as well as the type of previous activity. In fact, those activities that were most common before the pandemic were missed the most, reinforcing the importance of green areas for social gathering, sports, and observing nature - but simply "spending time outdoors" was also mentioned, even by those who visited UGS during the lockdown, as the time outdoors was not enough or not fully enjoyed. The feeling of missing UGS was only partially alleviated by the green view from the window - only a more open view to a natural landscape or adaptation to a view with little greenery reduced such feeling.

Effects of the COVID-19 pandemic on the use and perceptions of urban green space: An international exploratory study.

Urban green space (UGS) is an essential element in the urban environment, providing multiple ecosystem services as well as beneficial effects on physical and mental health. In a time of societal crisis these effects may be amplified, but ensuring that they are maintained requires effective planning and management - which is a complex challenge given the rapid changes in modern society and the need for continual adaptation. This study aims to identify the drivers that normally attract visitors to UGS, and to assess the effects of social isolation on the usage and perception of UGS during the COVID-19 pandemic. We conducted an online survey during the period in which restrictive measures were imposed in response to the pandemic (March-May 2020), in Croatia, Israel, Italy, Lithuania, Slovenia and Spain. Results showed that urban residents normally have a need for accessible UGS, mainly for physical exercise, relaxing and observing nature. The reduction in UGS visitation during the containment period was related to distinct changes in the motivations of those who did visit, with a relative increase in "necessary activities" such as taking the dog out, and a reduction in activities that could be considered non-essential or high-risk such as meeting people or observing nature. Behavioral changes related to proximity were also observed, with an increase in people walking to small urban gardens nearby (e.g. in Italy) or tree-lined streets (e.g. in Spain, Israel), and people traveling by car to green areas outside the city (e.g. in Lithuania). What the respondents missed the most about UGS during the pandemic was "spending time outdoors" and "meeting other people" - highlighting that during the COVID-19 isolation, UGS was important for providing places of solace and respite, and for allowing exercise and relaxation. Respondents expressed the need for urban greenery even when legally mandated access was limited - and many proposed concrete suggestions for improved urban planning that integrates green spaces of different sizes within the fabric of cities and neighborhoods, so that all residents have access to UGS.

Citizen Science, Education, and Learning: Challenges and Opportunities.

Citizen science is a growing field of research and practice, generating new knowledge and understanding through the collaboration of citizens in scientific research. As the field expands, it is becoming increasingly important to consider its potential to foster education and learning opportunities. Although progress has been made to support learning in citizen science projects, as well as to facilitate citizen science in formal and informal learning environments, challenges still arise. This paper identifies a number of dilemmas facing the field-from competing scientific goals and learning outcomes, differing underlying ontologies and epistemologies, diverging communication strategies, to clashing values around advocacy and activism. Although such challenges can become barriers to the successful integration of citizen science into mainstream education systems, they also serve as signposts for possible synergies and opportunities. One of the key emerging recommendations is to align educational learning outcomes with citizen science project goals at the planning stage of the project using co-creation approaches to ensure issues of accessibility and inclusivity are paramount throughout the design and implementation of every project. Only then can citizen science realise its true potential to empower citizens to take ownership of their own science education and learning.

Growth Charts for Height, Weight, and BMI (6-18 y) for the Tuscany Youth Sports Population.

Overweight during youth is a large-scale public health issue. Engaging in regular physical activity generally reduces weight status. The hypothesis of the study is that organized sport plays an active role in maintaining a correct body weight during youth. The purpose of this study is to trace growth charts by height, weight, and body mass index (BMI) to be applied to the youth sports population. A retrospective study was conducted on 14,700 young athletes (10,469 males and 4231 females) aged between 6 and 18 years from surveillance carried out during the pre-participation screening of sports eligibility. The calculation of the prevalence of overweight and obesity was also performed. The new percentiles for the youth sports population show BMI values at 18 years 21.9 kg/m2 for males and 20.7 kg/m2 for females at the 50th percentile. The male sample shows 12.3% of the subjects were overweight and 1.5% were obese, while the female sample shows 9.8% are overweight and 1.1% obese. The higher prevalence of excess weight is evident up to 12 years old in both sexes and then gradually decreases. The development of the new specific growth charts for the youth sports population could reduce the risk of error in identifying the correct weight status of young athletes.

Effects of deciduous shade trees on surface temperature and pedestrian thermal stress during summer and autumn.

In a context of urban warming, the effects of trees on outdoor thermal stress are important even during the increasingly hot autumn season. This study examines the effects of a deciduous tree species (Tilia x europaea L) on surface temperature over different ground materials and in turn on human thermal comfort, with a particular focus on tree shade variation due to leaf fall. Grass, asphalt, and gravel-covered ground surfaces, both sun-exposed and under the Tilia, were monitored in Florence, Italy, during the summer (2014) and autumn (2017) seasons. The Index of Thermal Stress (ITS) was used to gauge the micrometeorological effects of the changing tree canopy, with tree defoliation quantified by the Plant Area Index. On clear summer days, thermal discomfort was especially pronounced over exposed asphalt, and even more intense above exposed gravel due to its higher reflectivity-while shaded surfaces showed large reductions in thermal stress. Even though incoming solar radiation decreases over the course of the fall season, the direct radiation under the gradually defoliating tree canopy actually increases. Due to this diminished shading effect, the differences in surface temperature between exposed and shaded asphalt shrink dramatically from about 20 to 3 °C. However, since ambient conditions become milder as the season progresses, the Tilia demonstrated a double benefit in terms of ITS: providing thermal comfort under its full canopy at the beginning of autumn and maintaining comfort even as its canopy thins out. At the same time, tree species with earlier defoliation may be unable to replicate such benefits.

Testing decontaminated sediments as a substrate for ornamentals in field nursery plantations.

When canals and harbours are dredged, huge amount of polluted sediments has to be stocked and transported to the landfill with incredibly high costs of management. Among the remediation techniques for the reclamation of polluted sediments and soils, phytoremediation represents a sustainable and effective technique though still not fully promoted or commercialized. In this study we have tested the suitability for plant nursing of a substrate resulting from sediments dredged from a canal and treated with phytoremediation. The experiment was set up in 2014. It aimed to test the physical, chemical and hydrological characteristics of two mixes of remediated sediments and agronomic soil (at 33% and 50% by volume) compared to control soil (100% agronomic soil), and to assess the growth of three ornamental species (Viburnum tinus L., Photinia x fraseri var. red robin, Eleagnus macrophylla Thunb.) together with the suitability for root balling. The mixed substrates produced good results in terms of water drainage, and were similar to the control in terms of soluble nutrients, guaranteeing and enhancing the aboveground and belowground growth of all the three species, especially V. tinus. In contrast, mixed substrates impaired root ball compaction with root ball breakage observed especially in 50% sediment/soil mix. Therefore, the use of remediated sediments in plant nursery can be limited to specific productions or practices.

Impact of seasonality and air pollutants on carotid-femoral pulse wave velocity and wave reflection in hypertensive patients.

OBJECTIVE: The effects of seasonality on blood pressure (BP) and cardiovascular (CV) events are well established, while the influence of seasonality and other environmental factors on arterial stiffness and wave reflection has never been analyzed. This study evaluated whether seasonality (daily number of hours of light) and acute variations in outdoor temperature and air pollutants may affect carotid-femoral pulse wave velocity (PWV) and pressure augmentation. DESIGN AND METHOD: 731 hypertensive patients (30-88 years, 417 treated) were enrolled in a cross-sectional study during a 5-year period. PWV, central BP, Augmentation Index (AIx) and Augmentation Pressure (AP) were measured in a temperature-controlled (22-24°C) room. Data of the local office of the National Climatic Data Observatory were used to estimate meteorological conditions and air pollutants (PM10, O3, CO, N2O) exposure on the same day. RESULTS: PWV (mean value 8.5±1.8 m/s) was related to age (r = 0.467, p<0.001), body mass index (r = 0.132, p<0.001), central systolic (r = 0.414, p<0.001) and diastolic BP (r = 0.093, p = 0.013), daylight hours (r = -0.176, p<0.001), mean outdoor temperature (r = -0.082, p = 0.027), O3 (r = -0.135, p<0.001), CO (r = 0.096, p = 0.012), N2O (r = 0.087, p = 0.022). In multiple linear regression analysis, adjusted for confounders, PWV remained independently associated only with daylight hours (ß = -0.170; 95% CI: -0.273 to -0.067, p = 0.001). No significant correlation was found between pressure augmentation and daylight hours, mean temperature or air pollutants. The relationship was stronger in untreated patients and women. Furthermore, a positive, independent association between O3 levels and PWV emerged in untreated patients (ß: 0.018; p = 0.029; CI: 0.002 to 0.034) and in women (ß: 0.027; p = 0.004; CI: 0.009 to 0.045). CONCLUSIONS: PWV showed a marked seasonality in hypertensive patients. Environmental O3 levels may acutely reduce arterial stiffness in hypertensive women and in untreated patients.

Urban Soil: Assessing Ground Cover Impact on Surface Temperature and Thermal Comfort.

The urban population growth, together with the contemporary deindustrialization of metropolitan areas, has resulted in a large amount of available land with new possible uses. It is well known that urban green areas provide several benefits in the surrounding environment, such as the improvement of thermal comfort conditions for the population during summer heat waves. The purpose of this study is to provide useful information on thermal regimes of urban soils to urban planners to be used during an urban transformation to mitigate surface temperatures and improve human thermal comfort. Field measurements of solar radiation, surface temperature (), air temperature (), relative humidity, and wind speed were collected on four types of urban soils and pavements in the city of Florence during summer 2014. Analysis of days under calm, clear-sky condition is reported. During daytime, sun-to-shadow differences for , apparent temperature index (ATI), and were significantly positive for all surfaces. Conversely, during nighttime, differences among all surfaces were significantly negative, whereas ATI showed significantly positive differences. Moreover, was significantly negative for grass and gravel. Relative to the shaded surfaces, was higher on white gravel and grass than gray sandstone and asphalt during nighttime, whereas gray sandstone was always the warmest surface during daytime. Conversely, no differences were found during nighttime for ATI and measured over surfaces that were exposed to sun during the day, whereas showed higher values on gravel than grass and asphalt during nighttime. An exposed surface warms less if its albedo is high, leading to a significant reduction of during daytime. These results underline the importance of considering the effects of surface characteristics on surface temperature and thermal comfort. This would be fundamental for addressing urban environment issues toward the heat island mitigation considering also the impact of urban renovation on microclimate.

Modeling Tree Shade Effect on Urban Ground Surface Temperature.

There is growing interest in the role that urban forests can play as urban microclimate modifiers. Tree shade and evapotranspiration affect energy fluxes and mitigate microclimate conditions, with beneficial effects on human health and outdoor comfort. The aim of this study was to investigate surface temperature () variability under the shade of different tree species and to test the capability in predicting of a proposed heat transfer model. Surface temperature data on asphalt and grass under different shading conditions were collected in the Cascine park, Florence, Italy, and were used to test the performance of a one-dimensional heat transfer model integrated with a routine for estimating the effect of plant canopies on surface heat transfer. Shading effects of 10 tree species commonly used in Italian urban settings were determined by considering the infrared radiation and the tree canopy leaf area index (LAI). The results indicate that, on asphalt, was negatively related to the LAI of trees ( reduction ranging from 13.8 to 22.8°C). On grass, this relationship was weaker probably because of the combined effect of shade and grass evapotranspiration on ( reduction ranged from 6.9 to 9.4°C). A sensitivity analysis confirmed that other factors linked to soil water content play an important role in reduction of grassed areas. Our findings suggest that the energy balance model can be effectively used to estimate of the urban pavement under different shading conditions and can be applied to the analysis of microclimate conditions of urban green spaces.

An approach to evaluate the intra-urban thermal variability in summer using an urban indicator.

Urban planners and managers need tools to evaluate the performance of the present state and future development of cities in terms of comfort and quality of life. In this paper, an approach to analyse the intra-urban summer thermal variability, using an urban planning indicator, is presented. The proportion of buildings and concrete surfaces in a specific buffer area are calculated. Besides, the relationship between urban and temperature indicators is investigated and used to produce thermal maps of the city. This approach is applied to the analysis of intra-urban variability in Florence (Italy), of two thermal indices (heat index and cooling degree days) used to evaluate impacts on thermal comfort and energy consumption for indoor cooling. Our results suggest that urban planning indicators can describe intra-urban thermal variability in a way that can easily be used by urban planners for evaluating the effects of future urbanization scenarios on human health.

Central obesity in Yemeni children: A population based cross-sectional study.

AIM: To establish percentile curves and to explore prevalence and correlates of central obesity among Yemeni children in a population based cross-sectional study. METHODS: A representative sample of 3114 Yemeni children (1564 boys, 1550 girls) aged 6-19 years participating in the HYpertension and Diabetes in Yemen study was studied. Data collection was conducted at home by survey teams composed of two investigators of both genders. Study questionnaire included questions about demographics, lifestyle, and medical history. Anthropometric measurements included body weight, height, waist circumference (WC) and hip circumferences. Waist to hip ratio (WHR) and waist-to-height ratio (WHtR) were then calculated. Age and gender specific smoothed percentiles of WC, WHR, and WHtR were obtained using lambda-mu-sigma parameters (LMS method). The independent predictors of central obesity defined as (1) WC percentile ≥ 90(th); (2) WHtR ≥ 0.5; or (3) WC percentile ≥ 90(th) and WHtR ≥ 0.5, were identified at multivariate logistic regression analysis adjusted for age, gender, urban/rural location, years of school education, sedentary/active life-style. RESULTS: Percentile curves for WC, WHR and WHtR are presented. Average WC increased with age for both genders. Boys had a higher WC than girls until early adolescence and thereafter girls had higher values than boys. WHR decreased both in boys and girls until early adolescence. Thereafter while in boys it plateaued in girls it continued to decrease. Mean WHtR decreased until early adolescence with no gender related differences and thereafter increased more in girls than in boys towards adult age. Prevalence of central obesity largely varied according to the definition used which was 10.9% for WC ≥ 90(th) percentile, 18.3% for WHtR ≥ 0.5, and 8.6% when fulfilling both criteria. At adjusted logistic regression WC ≥ 90(th) percentiles and WHtR ≥ 0.5 were less prevalent in rural than in urban areas (OR = 0.52, 95%CI: 0.41-0.67 and 0.66, 0.54-0.79 respectively), being more prevalent in children with sedentary lifestyle rather than an active one (1.52, 95%CI: 1.17-1.98 and 1.42, 95%CI: 1.14-1.75, respectively). CONCLUSION: Yemeni children central obesity indices percentile curves are presented. Central obesity prevalence varied according to the definition used and was more prevalent in urban sedentary subjects.

Epidemiology of hypertension in Yemen: effects of urbanization and geographical area.

Although globalization can contribute to increased blood pressure by spreading unhealthy behaviors, it also provides powerful means to tackle hypertension. The dissemination of information about and advice on cardiovascular prevention and facilitated contact with health services are valuable resources. To investigate the effects of urbanization, geographical area, and air temperature on hypertension burden and kidney damage, a survey was performed in 2008 with a door-to-door approach among urban and rural adult dwellers of three geographic areas (capital, inland, coast) of Yemen. Subjects (n=10 242) received two visits several days apart to confirm the diagnosis of hypertension. Proteinuria (dipstick test +1) was used as a marker of kidney damage. Prevalence rates were weighted to represent the Yemen population aged 15-69 years in 2008. Rates of hypertension and proteinuria progressively increased from the capital (6.4%; 95% confidence level (CI) 5.8-7.0 and 5.1%; 4.4-5.9, respectively), to inland areas (7.9%; 7.0-8.7 and 6.1%; 5.1-7.1), to the coastal area (10.1%; 8.9-11.4 and 8.9%; 7.3-10.4). When compared with urban dwellers, rural dwellers had similar hypertension prevalence (adjusted odds ratios (ORs) 1.03; 95% CI 0.91-1.17) but higher proteinuria rates (adjusted ORs 1.55; 1.31-1.85). Overall, home temperature was associated with a lower hypertension rate (adjusted OR 0.98; 0.96-0.99). This large population study reveals that the highest burden of hypertension and kidney damage is detectable in remote areas of the country.

Seasonal blood pressure changes: an independent relationship with temperature and daylight hours.

Seasonal blood pressure (BP) changes have been found to be related to either outdoor or indoor temperature. No information regarding the independent effects of temperature measured proximally to the patient, the personal-level environmental temperature (PET), is available. Inclusion of daylight hours in multivariate analysis might allow exploring the independent interaction of BP with seasonality. To investigate whether ambulatory BP monitoring is affected by PET or by seasonality, 1897 patients referred to our hypertension units underwent ambulatory BP monitoring with a battery-powered temperature data logger fitted to the carrying pouch of the monitor. Predictors of 24-hour daytime and nighttime BP and of morning BP surge were investigated with a multivariate stepwise regression model, including age, sex, body mass index, antihypertensive treatment, office BP, ambulatory heart rate, PET, relative humidity, atmospheric pressure, and daylight hours as independent variables. At adjusted regression analysis, daytime systolic BP was negatively related to PET (-0.14; 95% confidence interval, -0.25 to -0.02); nighttime BP was positively related to daylight hours (0.63; 0.37-0.90); and morning BP surge was negatively related to daylight hours (-0.54; -0.87 to -0.21). These results provide new evidence that PET and seasonality (daylight hours) are 2 independent predictors of ambulatory BP monitoring.

Impact of one or two visits strategy on hypertension burden estimation in HYDY, a population-based cross-sectional study: implications for healthcare resource allocation decision making.

CONTEXT: The prevalence of hypertension in developing countries is coming closer to values found in developed countries. However, surveys usually rely on readings taken at a single visit, the option to implement the diagnosis on readings taken at multiple visits, being limited by costs. OBJECTIVE: To estimate more accurately the magnitude and extent of the resource that should be allocated to the prevention of hypertension. DESIGN: Population-based cross-sectional survey with triplicate blood pressure (BP) readings taken on two separate home-visits. SETTING: Rural and urban locations in three areas of Yemen (capital, inland and coast). PARTICIPANTS: A nationally representative sample of the Yemen population aged 15-69 years (5063 men and 5179 women), with an overall response rate of 92% in urban and 94% in rural locations. MAIN OUTCOME MEASURE: Hypertension diagnosed as systolic BP ≥140 mm Hg and/or diastolic BP ≥90 mm Hg and/or self-reported use of antihypertensive drugs. RESULTS: Hypertension prevalence (age-standardised to the WHO world population 2001) based on fulfilling the same criteria on both visits (11.3%; 95% Cl 10.7% to 11.9%), was 35% lower than estimation based on the first visit (17.3%; 16.5% to 18.0%). Advanced age, blood glucose ≥7 mmol/l or proteinuria ≥1+ at dipstick test at visit one were significant predictors of confirmation at visit 2. The 959 participants found to be hypertensive at visit 1 or at visit 2 only and thus excluded from the final diagnosis had a rate of proteinuria (5.0%; 3.8% to 6.5%) comparable to rates of the general population (6.1%; 5.6% to 6.6%), and of subjects normotensive at both visits (5.6%; 5.1% to 6.2%). Only 1.9% of Yemen population classified at high or very high cardiovascular (CV) risk at visit 1 moved to average, low or moderate CV risk categories after two visits. CONCLUSIONS: Hypertension prevalence based on readings obtained after two visits is 35% lower than estimation based on the first visit, subjects were excluded from final diagnosis belonging to low CV risk classes.

Weather-related changes in 24-hour blood pressure profile: effects of age and implications for hypertension management.

A downward titration of antihypertensive drug regimens in summertime is often performed on the basis of seasonal variations of clinic blood pressure (BP). However, little is known about the actual interaction between outdoor air temperature and the effects of antihypertensive treatment on ambulatory BP. The combined effects of aging, treatment, and daily mean temperature on clinic and ambulatory BP were investigated in 6404 subjects referred to our units between October 1999 and December 2003. Office and mean 24-hour systolic BP, as well as morning pressure surge, were significantly lower in hot (>90th percentiles of air temperature; 136+/-19, 130+/-14, and 33.3+/-16.1 mm Hg; P<0.05 for all), and higher in cold (<10th percentiles) days (141+/-12, 133+/-11, and 37.3+/-9.5 mm Hg; at least P<0.05 for all) when compared with intermediate days (138+/-18, 132+/-14, and 35.3+/-15.4 mm Hg). At regression analysis, 24-hour and daytime systolic pressure were inversely related to temperature (P<0.01 for all). Conversely, nighttime systolic pressure was positively related to temperature (P<0.02), with hot days being associated with higher nighttime pressure. Air temperature was identified as an independent predictor of nighttime systolic pressure increase in the group of elderly treated hypertensive subjects only. No significant relationship was found between air temperature and heart rate. Our results show for the first time that hot weather is associated with an increase in systolic pressure at night in treated elderly hypertensive subjects. This may be because of a nocturnal BP escape from the effects of a lighter summertime drug regimen and may have important implications for seasonal modulation of antihypertensive treatment.