High-Flow Nasal Cannula System in Respiratory Failure Associated with Interstitial Lung Diseases: A Systematic Review and Narrative Synthesis.

Background: High-flow nasal cannula (HFNC) therapy has emerged as a promising treatment modality for interstitial lung disease (ILD)-related respiratory failure. This systematic review aims to evaluate the efficacy and safety of HFNC therapy in patients with ILDs. Methods: A comprehensive literature search was conducted using major electronic databases to identify relevant studies investigating the use of HFNC therapy in ILD patients with respiratory failure. Outcome measures of interest included improvements in oxygenation, dyspnea relief, respiratory rate control, hospital length of stay, and mortality. Results: Twelve studies were analyzed with an overall population of 715 patients included. Idiopathic Pulmonary Fibrosis (IPF) was the most prevalent type of ILD. Evaluated clinical settings were acute (7 studies), chronic (2 studies), and end-stage (3 studies) ILDs. The HFNC as a support for acute respiratory failure seems not inferior to non-invasive ventilation while offering better comfort and patient's perception. Poor data are available about use in chronic/long-term or rehabilitative settings. In end of life/palliative care, an HFNC might improve quality of life. Despite the promising results, further research is warranted to establish optimal HFNC protocols, identify patient subgroups most likely to benefit, and explore long-term outcomes. Conclusions: Overall, the HFNC appears to be a valuable therapeutic option for managing respiratory failure in ILD patients, offering potential improvements in oxygenation and symptom relief.

Discarded bottles entrap endemic small mammals species in a large Mediterranean island.

We examined the entrapment effect of discarded bottles on small mammals, along a road network located in North-Western Sardinia (Italy). On 162 bottles, 49 (> 30%) contained at least one animal specimen (invertebrate or vertebrate) and 26 (16%) entrapped 151 small mammals: insectivorous shrews (Soricomorpha) were more frequently recorded. Larger bottles (66 cl.) showed a higher number of entrapped mammals, but difference was not significant when compared to smaller bottles (33 cl.). Our data highlighted as abandoned bottles represent a threatening factor for small mammals on a large Mediterranean island with over-represented endemic shrews (predators of high trophic level) attracted by insects entrapped in bottles. Correspondence analysis suggest a weak segregation between bottles of different size, related to the abundance of the most entrapped species, the Mediterranean shrew (Crocidura pachyura). This still neglected type of litter, reducing number and biomass of insectivorous mammals of high trophic level and high ecological value may affect the food web in terrestrial insular communities, yet impoverished for biogeographical reasons. However, discarded bottles may represent as low-cost surrogate pitfall traps useful to improve knowledge in poor studied areas. Following the DPSIR (Driving force, Pressure, State, Impact, Response) approach as a framework to select indicator, we suggest as the effectiveness of removal clean-ups could be monitored using both the density of discarded bottles (as indicator of threat pressure) and the abundance of entrapped animals (as indicator of impact on small mammals).

Italian odonates in the Pandora's box: A comprehensive DNA barcoding inventory shows taxonomic warnings at the Holarctic scale.

The Odonata are considered among the most endangered freshwater faunal taxa. Their DNA-based monitoring relies on validated reference data sets that are often lacking or do not cover important biogeographical centres of diversification. This study presents the results of a DNA barcoding campaign on Odonata, based on the standard 658-bp 5' end region of the mitochondrial COI gene, involving the collection of 812 specimens (409 of which barcoded) from peninsular Italy and its main islands (328 localities), belonging to all the 88 species (31 Zygoptera and 57 Anisoptera) known from the country. Additional BOLD and GenBank data from Holarctic samples expanded the data set to 1,294 DNA barcodes. A multi-approach species delimitation analysis involving two distance (OT and ABGD) and four tree-based (PTP, MPTP, GMYC and bGMYC) methods was used to explore these data. Of the 88 investigated morphospecies, 75 (85%) unequivocally corresponded to distinct molecular operational units, whereas the remaining ones were classified as 'warnings' (i.e. showing a mismatch between morphospecies assignment and DNA-based species delimitation). These results are in contrast with other DNA barcoding studies on Odonata showing up to 95% of identification success. The species causing warnings were grouped into three categories depending on if they showed low, high or mixed genetic divergence patterns. The analysis of haplotype networks revealed unexpected intraspecific complexity at the Italian, Palearctic and Holarctic scale, possibly indicating the occurrence of cryptic species. Overall, this study provides new insights into the taxonomy of odonates and a valuable basis for future DNA and eDNA-based monitoring studies.

Bats in a Mediterranean Mountainous Landscape: Does Wind Farm Repowering Induce Changes at Assemblage and Species Level?

We reported data on flying bat assemblages in a Mediterranean mountain landscape of central Italy on a 5-year time span (2005-2010) where a wind farm repowering has been carried out (from 2009, 17 three-blade turbines substituted an a priori set of one-blade turbines). In 4 yearly based surveys, we calculated a set of univariate metrics at species and assemblage level and also performing a diversity/dominance analysis (k-dominance plots) to evaluate temporal changes. Nine species of bats were present (eight classified at species level, one at genus level). Number of detected taxa, Margalef richness, and Shannon-Wiener diversity apparently decreased between 2005-2007 (one-blade turbine period) and 2009-2010 (three-blade turbines period). We showed a weak temporal turnover only between 2007 and 2009. In k-dominance plots, the occurrence curves of the years before the new wind farming activity (2005 and 2007) were lower when compared to the curves related to the 2009 and 2010 years, suggesting an apparent stress at assemblage level in the second period (2009 and 2010). Myotis emarginatus and Pipistrellus pipistrellus significantly changed their relative frequency during the three-blade wind farming activity, supporting the hypothesis that some bats may be sensitive to repowering. Further research is necessary to confirm a possible sensitivity also for locally rare bats (Miniopterus schreibersii and Plecotus sp.).