Unlike stratospheric ozone (O₃), which is beneficial for Earth due to its capacity to screen the surface from solar ultraviolet radiation, tropospheric ozone poses a number of health and environmental issues. It has multiple effects that drive anthropogenic climate change, ranging from pure radiative forcing to a reduction of carbon sequestration potential in plants. In the central Mediterranean, which itself represents a hotspot for climate studies, multi-year data on surface ozone have been analyzed at the Lamezia Terme (LMT) WMO/GAW coastal observation site, located in Calabria, Southern Italy. The site is characterized by a local wind circulation pattern that results into a clear differentiation between western-seaside winds, which are normally depleted in pollutants and GHGs, and northeastern-continental winds, which are enriched in these compounds. This study is a first detailed attempt at evaluating ozone concentrations at LMT and their correlations with meteorological parameters, which provide new insights on the source of locally observed tropospheric ozone mole fractions. This research shows that surface ozone daily and seasonal patterns at LMT are “reversed” compared to the patterns observed by comparable studies applied to other parameters and compounds, thus confirming the general complexity of anthropogenic emissions into the atmosphere and their numerous effects on atmospheric chemistry. These observations could contribute to the monitoring and verification of new regulations and policies on environmental protection, cultural heritage preservation, and the mitigation of human health hazards in Calabria.

In 2020, the Covid-19 outbreak led many countries across the globe to introduce lockdowns (LDs) that effectively caused most anthropic activities to either stop completely or be significantly reduced. In Europe, Italy played a pioneeristic role via the early introduction of a strict nationwide LD on March 9^th. This study is aimed at evaluating, using both chemical and meteorological data, the environmental response to that occurrence as observed by the Lamezia Terme (LMT) GAW/WMO station in Calabria, Southern Italy. The first 2020 lockdown has therefore been used as a “proving ground” to assess CO, CO₂, CH₄, BC, and NO_x concentrations in a rather unique context by exploiting the location of LMT in the context of the Mediterranean Basin. In fact, its location on the Tyrrhenian coast of Calabria and local wind circulation both lead to daily cycles where western-seaside winds depleted in anthropogenic pollutants can be easily differentiated from northeastern-continental winds, enriched in anthropogenic outputs. In addition to that, the first Italian LD occurred during the seasonal transition from Winter to Spring and, consequently, Summer, thus providing new insights on emission outputs correlated with seasons. Findings have clearly indicated BC and, in particular, CO as strongly correlated with average daily temperatures, and possibly domestic heating. CO₂’s reduction during the lockdown and consequent increase in the post-lockdown period, combined with wind data, has allowed to constrain local source of emissions located northeast from LMT. NO_x reductions during specific circumstances are consistent with hypotheses from previous research which linked them to rush hour traffic and other forms of transportation emissions. CH₄’s stable patterns are consistent with livestock, landfills, and other sources assumed to be nearly constant during LD periods.

In this study, the application of the main algorithms used for SDM, namely Boosted Regression Tree (BRT), Generalized Linear Model (GLM), Multivariate Adaptive Regression Splines (MARS), Maximum Entropy (MAXENT) and Random Forest (RF), were considered in order to simulate the citrus probability of distribution in a Mediterranean area, based on presence data and a random background sample, and in relation to several predictors. The predictors were grouped under 19 bioclimatic variables, elevation described through a Digital terrain model, soil physical properties, and irrigation. Sensitivity analysis was carried out by: modifying the values of the main models’ parameters; and reducing the input presence points.

Algeria, the main fire hotspot on the southern rim of the Mediterranean Basin, lacks complete fire dataset with official fire perimeters, and the existing one contains inconsistencies. Preprocessed global and regional burned area (BA) products provide valuable insights into fire patterns, characteristics and dynamics over time and space, and into their impact on climate change. Nevertheless, they exhibit certain limitations linked with their inherent spatio-temporal resolutions. To address the need for reliable BA information in Algeria, we systematically reconstructed, validated and analyzed a 40-year (1984–2023) BA product (NEALGEBA; North Eastern ALGeria Burned Area) at 30-m spatial resolution in the typical Mediterranean Ecosystems of this region, following international standards. We used Landsat data and the BA Mapping Tools (BAMTs) in the Google Earth Engine (GEE) to map BAs. The spatial validation of NEALGEBA, performed for 2017 and 2021 using independent 10-m spatial resolution Sentinel-2 reference data, showed overall accuracies > 98.10 %; commission and omission errors < 8.20 %; Dice coefficients > 91.90 %, and relative biases < 3.44 %. The temporal validation, however, using MODIS and VIIRS active fire hotspots, emphasized the limitation of Landsat-based BA products in temporal fire reporting accuracy terms. The intercomparison with five readily available BA products for 2017, by using the same validation process, demonstrated the overall outperformance of NEALGEBA. Furthermore, our BA product exhibited the highest correspondence with the ground-based BA estimates. NEALGEBA currently represents the most extensive and reliable time series of BA history at fine spatial resolution for NE Algeria, offering a significant contribution for further national and international fire hazard and impact assessments and acts as a reference dataset for contextualizing future weather extremes, such as the 2023 exceptional heat wave, which we show not to have led to the most extreme fire year over the last four decades.

South Italy is characterised by a semi-arid climate with scarce rain and high evaporative demand, therefore the need to optimise water resources in this area is crucial, and climate change could worsen this condition. In citrus cultivation, which is one of the most important crops bred in Southern Italy, and more generally in Mediterranean regions, deficit irrigation strategies are im-plemented in order to cope with limited resource availability. On this basis, knowledge on how the territorial distribution of citrus would change in relation to these strategies constitutes valuable information for the stakeholders. Therefore, the objective of this study was to determine the prob-ability of presence of citrus in Sicily at changing of the percentage of water deficit application, in order to analyse change in the surface area and localisation of the crop. The methodology was based on the application of Species Distribution Models and Geographic Information Systems to the case study of the Province of Syracuse in Sicily. Different geostatistical and machine learning models were applied, based on 3-decades bioclimatic variables, DTM and irrigation; assessment of the outcomes was carried by using classification evaluation metrics. The analysis of the outcomes showed that uncorrelated predictor layers mainly included water input that affected most the probability of presence. Moreover, GIS analyses showed that deficit irrigation strategies would generate an overall reduction of cultivation surfaces in the territory and a decrease of citrus pres-ence in southern areas of the considered territory, where climate conditions are less favourable in terms of temperature and precipitations, thus providing useful information for decision support tools in agriculture and land use policy.

The Lambousa fishtank, an archaeological structure entirely carved in bedrock, can be easily recognized and measured in plan on Google Earth (GE). We surveyed in situ this excellent archaeological marker in 2016 through direct measurements using traditional field measurements, such as metric tapes and invar rods, and terrestrial photogrammetry, using Structure from Motion (SfM) methods. The bedrock on which the fishtank is founded is an Upper Pleistocene calcarenite also containing Persistrombus Latus. The age of the studied fishtank has not been previously published, but on the basis of the construction technique and the interpretation provided by [1] and references therein . We assume that it was built in the period between 2.1 and 1.8 ka BP, like similar fishtanks in the Mediterarranen area. Architectural structures consist of an evident crepido ora a stone base, and a tunnel which allows for sea water exchange during high tides. The aforementioned hole is well correlated with the crepido which lies around the fishtank. These architectural components allow to evaluate the palaeosea level with significant precision during the time when the fishtank was active. MIS 5.5 coastal deposits that outcrop in the study area are located at a maximum altitude of a few meters, while the inner margin of the MIS 5.5 terrace allows us to hypothesize a “quasi-tectonic stability” also in the long-term. We have also tested several GIA predictions of relative sea level at Lambousa for the past 3.5 kyr according to GIA models ICE-6G (VM5a), ICE-7G (VM7) and to the GIA model by Lambeck and Purcell (2015), obtained with the SELEN4 sea level equation solver.

In the Mediterranean area, vegetation dynamics and phenology analyzed over a long time can have an important role in highlighting changes in land use and cover as well as the effect of climate change. Over the last 30 years, remote sensing has played an essential role in bringing about these changes thanks to many types of observations and techniques. Satellite images are to be considered an important tool to grasp these dynamics and evaluate them in an inexpensive and multidisciplinary way thanks to Landsat and Sentinel satellite constellations. The integration of these tools holds a dual potential: on one hand, allowing to obtain longer historical series of reflectance data, while on the other hand, making data available with a higher frequency even within a specific timeframe. The study aims to conduct a comprehensive cross-comparison analysis of long-time series pixel values in the Mediterranean regions. For this scope comparisons between Landsat-7 (ETM+), Landsat-8 (OLI), and Sentinel-2 (MSI) satellite sensors were conducted based on surface reflectance products. We evaluated these differences using Ordinary Least Squares (OLS) and Major Axis linear regression (RMA) analysis on points extracted from over 15,000 images across the Mediterranean basin area from 2017 to 2020. Minor but consistent differences were noted, necessitating the formulation of suitable adjustment equations to better align Sentinel-2 reflectance values with those of Landsat-7 or Landsat-8. The results of the analysis are compared with the most used harmonization coefficients proposed in the literature, revealing significant differences. The root mean square deviation, the mean difference and the orthogonal distance regression (ODR) slope show an improvement of the parameters for both models used (OLS and RMA) in this study. The discrepancies in reflectance values lead to corresponding variations in the estimation of biophysical parameters, such as NDVI, showing an increase in the ODR slope of 0.3. Despite differences in spatial, spectral, and temporal characteristics, we demonstrate that integration of these datasets is feasible through the application of band-wise regression corrections for a sensitive and heterogeneous area like those of the Mediterranean basin area.

The coastal wetlands of the Mediterranean area are among the most vulnerable and threatened environments due to human pressure and activities. Fragmentation is generally considered as one of the most driving factors in habitats loss. In this paper, we investigated the floristic composition, structure, conservation status, and trends of the habitat types sensu 92/43EEC Directive of a coastal wetland area in south-eastern Sicily (“Saline di Priolo” SAC). Based on 128 phytosociological surveys and several plant collections, a total of 304 taxa, 28 plant communities and 16 habitats have been identified. Furthermore, three new plant associations were described, including two in the wetland and one on the rocky coasts. For the classification of plant communities and habitats, a hierarchical clustering was performed by using Euclidean coefficient and beta-flexible algorithm. The life form spectrum of the current flora highlights the dominance of therophytes and hemicryptophytes. The Mediterranean species are largely prevailing with 123 taxa. The cartographic analysis performed with ArcGis 10.3 shows a radical reduction of the wetland habitats in the last 70 years, and a strong alteration of the ecological succession of the psammophilous-hygrophilous vegetation. Moreover, landscape configuration of the coastal vegetation and habitat types was well highlighted by a set of specific landscape metrics. In particular, our outcomes identify three habitats (2110, 2210, and 5220* EU code) with bad conservation status, among which one of priority conservation (Zyziphus arborescent matorral), that requires urgent restoration measures.

Marine Protected Areas (MPAs) are vital for biodiversity conservation, yet their effectiveness in preserving foundation seaweeds remains understudied. This study investigates the diversity and distribution of Cystoseira sensu lato (including Cystoseira, Ericaria and Gongolaria) populations in the an MPA located in the central Mediterranean Sea, comparing them with those in two unprotected control sites. We hypothesize that MPA Cystoseira s.l. populations will display higher diversity and structure compared to outside control sites. Results reveal a total of 19 Cystoseira s.l. species at depths of 0-20 m, with the MPA exhibiting a higher diversity than control sites. Thus, MPAs can play a crucial role in fostering the diversity of Cystoseira s.l. populations. However, no significant differences were observed among the MPA's protection zones, raising questions about the zoning effectiveness. Additionally, our survey uncovered a substantial presence of non-indigenous seaweeds within the MPA. In conclusion, while MPAs improve Cystoseira s.l. diversity compared to unprotected sites, the varying efficacy of protection within MPA zones suggests a necessity for site-specific conservation strategies. The presence of non-indigenous seaweeds emphasizes ongoing challenges. This study provides a baseline for understanding Cystoseira s.l. population dynamics, crucial for future monitoring and conservation efforts in the face of climate change.

Background: Chronic Heart failure (CHF)constitutes a major health problem, representing the leading cause of hospitalization in people over 65 years old. Several studies have associated the Mediterranean diet with a cardioprotective function, improving prognosis in patients with high cardiovascular risk. Our main objective is to determine whether greater adherence to the Mediterranean diet is associated with a lower severity of CHF, depending on the number of heart failure decompensations and complications of the disease. Methods: The study was a single-center restrospective cohort study conducted at the Virgen del Rocío Hospital (Seville). Adherence to a Mediterranean diet was determined by the Mediterranean Diet Adherence Screener (MEDAS) in patients with chronic heart failure in a state of clinical stability, and their cardiac and analytical profiles were evaluated. Results: Seventy-two patients were included (35 with high adherence to the Mediterranean diet and 37 with low adherence). The average age was 81.29 ± 0.86 years. A trend towards fewer cardiac decompensations (1,49 ± 0,14 vs 1,92 ± 0,17), p= 0,054) and lower NT-proBNP values 2897,02 ± 617,16 vs 5227,96 ± 1047,12; p = 0,088) was observed in patients with high adherence compared to those with low adherence to the Mediterranean diet. Conclusions: Our results suggest that patients with CHF and high adherence to the Mediterranean diet have a tendency towards improved cardiac profile, indicated by fewer decompensations and lower NT-proBNP levels. Future clinical trials are needed to substantiate these hypotheses.

The family context has been associated with children's weight status. This study aims to investigate the association between parents' adherence to the Mediterranean diet and family time with the weight status of children. The research is part of the BeE-school, a cluster randomized trial implemented in primary schools located in social vulnerable contexts. A total of 735 children (380 boys), aged 6 to 10, participated in the study. Anthropometrics were assessed during school time, weight status categorized, while parents self-reported sociodemographic variables, adherence to the Mediterranean diet (MEDAS questionnaire), and family time. Children from families with higher education levels whose parents have a high adherence to the Mediterranean diet, have lower odds to have overweight/obesity (odds ratio (OR) 0.301, 95% CI 0.143-0.634, p=0.002). Also, children from families with lower education levels who have more time together with their family, have lower odds to have overweight/obesity (OR 0.731, 95% CI 0.573-0.934, p=0.012). The family environment, mainly family time together and adherence to Mediterranean diet, exerts a significant influence on children’s weight status. Professionals working in children’s health should consider the family when fostering health-promoting behaviors.

Seawater has been proposed as a reservoir for antibiotic resistant bacteria and antibiotic resistance genes, thus representing a risk to public health. In this study, we evaluated the presence of antibiotic resistance determinants (bacteria and genes) in 77 seawater samples collected at different points along the coast of the Gulf of Valencia (Spain). Specifically, indicators of fecal contamination bacteria, Escherichia coli and Enterococcus sp. were isolated, and their antibiotic resistance profiles were analyzed by using the Sensititre® system, followed by the detection of main antibiotic resistance genes (blaTEM, qnrS, tetW, sulI, and ermB). The highest frequencies of resistance in E. coli isolates were detected against ampicillin (35.1%) and ciprofloxacin (17.5%), followed by sulfamethoxazole and trimethoprim (15.7%), while 23% of enterococci isolates showed resistance to a single antibiotic, 20% against tetracycline and 3% against daptomycin. By PCR, 93% of the E. coli strains showed the blaTEM and sulI resistance genes. Among the enterococci, the presence of the blaTEM gene was detected in 40% of the isolates, while the rest of the genes were present at very low rates. Among the water samples, 57% were positive for at least one of the tested genes, being blaTEM gene the most commonly found (47%), followed by qnrS (33%) and sulI (23%) genes. These results show that seawater, in addition to having a high rate of fecal contamination, can contribute to the spread of antibiotic resistance.

As a result of climate change, the Mediterranean Sea has been exposed to an increase in frequency and intensity of marine heat waves in the last decades, some of which caused mass mortality events of benthic invertebrates, including sponges. Sponges are an important component of benthic ecosystems and can be the dominant group in some rocky shallow-water areas in the Mediterranean Sea. In this study, we exposed the common shallow-water Mediterranean sponge Chondrilla nucula (Demospongiae: Chondrillidae) to six different temperatures for 24 h, ranging from temperatures experienced in the field during the year (15, 19, 22, 26, 28 °C) and above normal temperatures (32 °C) and metabolic (respiration rate) and behavioural (clearance rate) were measured. Both respiration and clearance rates were affected by temperature. Respiration rates increased at higher temperatures but were similar between 26 and 32 °C treatments. Clearance rates decreased at temperatures > 26 °C, indicating a drop in food intake that was not reflected by respiration rates. This decline in feeding, while maintaining high respiration rates, may indicate a negative energy balance that could affect this species under chronic or repeated thermal stress exposure. C. nucula will probably be a vulnerable species under climate change conditions, affecting its metabolic performance, ecological functioning and the ecosystem services it provides.

the main objective was to determine the association between sleep hygiene and adherence to the Mediterranean diet in Chilean schoolchildren from rural public schools in southern Chile. Non-experimental, analytical, cross-sectional study. A total of 265 students (56.6% women, mean age 13.5±1.8) from a rural community in southern Chile were recruited. Sleep habits were evaluated with the Life Habits and Adolescence Questionnaire, section 6: Sleep and Rest; and adherence to the Mediterranean diet was assessed with the KIDMED Mediterranean Diet Adherence Questionnaire. Main results indicated that 52.8% of schoolchildren need to improve adherence to the Mediterranean diet and 16.6% have a low-quality Mediterranean diet. A high percentage of schoolchildren have behaviors related to poor sleep hygiene (going to bed late (46%), waking up tired and wanting to continue sleeping (63.8% and having problems falling asleep (42.6%). schoolchildren who got up after 8:30 a.m., those who fell asleep after 12:00 a.m., those who woke up tired and those who had trouble falling asleep had a lower level of adherence to the Mediterranean diet compared to schoolchildren who got up earlier 8:30 a.m., fell asleep before 12:00 a.m., did not wake up tired, and those who did not find it difficult to fall asleep, respectively. In conclusion, having poor sleep hygiene is associated with less adherence to the Mediterranean diet in schoolchildren from rural public schools in southern Chile. It is important to monitor these variables in schoolchildren, as well as to promote healthy lifestyle habits within the educational community.

The Mediterranean Corn Borer (MCB), Sesamia nonagrioides, poses a significant threat to maize crops, necessitating effective pest management strategies. This study investigates the compatibi-lity of two entomopathogenic nematode (EPN) isolates, Steinernema feltiae KV6 and Heterorhabditis bacteriophora EO7, with four registered insecticides for MCB control: deltamethrin, flubendiamide, spinetoram, and betacyfluthrin. The impact of these insecticides on EPN mortality, infectivity, and reproduction was assessed. Results indicate that deltamethrin exhibits the lowest toxicity to EPNs, with mortality rates of 1.3% for S. feltiae and 0.63% for H. bacteriophora at field dose (FD) after 24 hours, and 4.63% and 1.96% respectively after 48 hours. In contrast, spinetoram and flubendiamide showed higher toxicity, with mortality rates of 38.04% and 14.17% for S. feltiae at FD after 48 hours. The infectivity assays demonstrated that deltamethrin-treated EPNs caused up to 100% mortality in MCB larvae, while the reproduction capacity varied significantly between the EPN species and insecticides. H. bacteriophora exhibited higher progeny production, especially in the presence of Deltamethrin (87,900 IJs/larva). The findings suggest that integrating EPNs with selective insec-ticides like deltamethrin can enhance pest control efficacy and support sustainable agricultural practices. This study provides valuable insights for developing integrated pest management (IPM) strategies aimed at mitigating MCB infestations in maize while minimizing environmental im-pacts.

Background. Our knowledge regarding the epidemiology of pediatric cardiomyopathy is based on large national population studies reporting an annual incidence of 1 case per 100 000 children with a higher incidence observed in infancy and among selected populations. The aim is to document the epidemiology of pediatric cardiomyopathy in a Mediterranean population. Methods. Children younger than 18 years of age, living on the Mediterranean island of Crete, Greece and evaluated during 20 years since the establishment of tertiary pediatric cardiology services (2002-2022) were included in this retrospective study. Results. A total of 40 children were included, corresponding to an average annual incidence of pediatric cardiomyopathy of 1.59 cases (95% CI: 1.4-2,3) and a prevalence of 26 cases per 100.000 children. In decreasing order of frequency most cases corresponded to dilated cardiomyopathy (50%) followed by hypertrophic (42.5%), arrhythmogenic (5%) and restrictive (2.5%). An etiology was identified in 40%, including a genetic diagnosis in 22.5%. Conclusion. The incidence of pediatric cardiomyopathy in the Mediterranean island of Crete is higher compared with that reported previously for other Caucasian populations. Further study is needed to investigate the exact prevalence and specific genetic factors associated with the epidemiology of pediatric cardiomyopathy in Mediterranean populations.

Tamarix is native to Eurasia, plus the northern and southern territories of Africa, with some species being introduced into America and Oceania. They are usually found in arid, desertic or subdesertic areas, often on saline or subsaline soils, under Mediterranean, Temperate or Subtropical climates. The genus is renowned by its complex taxonomy, which has usually based on rather variable or unstable characters, which led to contrasting taxonomic treatments. As part of the taxonomic revision of Tamarix undertaken by the authors, nine names (i.e., T. africana, T. bounopoea, T. malenconiana, T. muluyana, T. tenuifolia, T. tingitana, T. trabutii, T. valdesquamigera, and T. weyleri) published from material collected in the southwestern parts of the Mediterranean basin are taxonomically and nomenclaturally discussed after analysing their original and/or type material. Seven intended holotypes are corrected here to lectotypes; one epitype is designated for T. africana to warrant current use of the name; and one isotype, 27 isolectotypes and 11 syntypes are also identified for the studied names. Further, the taxonomic identity of all names and their eventual synonymic placement are accordingly discussed.

In late April 2022, during the hearing of the audio files from an unsupervised bioacoustic assessment of the shearwater populations (Aves, Procellariiformes) on the coast of Pantelleria island (Italy, Sicily), a cricket song of unknown attribution was heard. The first bioacoustic analyses, including FFT-based spectrograms and sound pressure envelopes, confirmed that it could not be attributed to the known sound of any Italian nor Mediterranean species of cricket. In the ensuing weeks, field research made on purpose in the original station and in further localities in the southern coast of Pantelleria provided photographs, living specimens and further audio records. As soon as the photos were shared among the authors, it became clear that the species belonged to the genus Acheta. Further bioacoustic analyses and morphological comparison with type specimens of Mediterranean and North-African congenerics in relevant collections and in the scientific literature were conducted: they confirmed that the findings could only be attributed to a still undescribed species, that escaped detection due to its impervious and unfrequented habitat. Acheta pantescus n. sp. is apparently restricted to the effusive coastal cliffs of the island of Pantelleria, a habitat whose scant extension and vulnerability require environmental protection actions such as the inclusion in a special Red List by the IUCN Italian Committee.

The nutritional habits regulate the gut microbiota and may provoke and/or prevent autoimmune disease. Western diet is rich in sugars, meat and poly-unsaturated fatty acids, which lead to dysbiosis of intestinal microbiota, disruption of gut epithelial barrier and chronic mucosal inflammation. On the other hand, Mediterranean Diet (MedDiet) is rich in ω3 fatty acids, fruits and vegetables and has anti-inflammatory properties, which can restore gut eubiosis. The effect of MedDiet and its components in health and disease states have been thoroughly analyzed in several studies. Moreover, several studies have specifically investigated the association between MedDiet, microbiota and risk for autoimmune diseases. Furthermore, the MedDiet has been associated with lower risk of cardiovascular diseases, which plays a critical role in reducing mortality in patients suffering from autoimmune diseases with comorbidities. The aim of the present review is to specifically highlight current knowledge regarding possible interactions of MedDiet with the patterns of intestinal microbiota focusing on autoimmunity and a blueprint through dietary modulations for the prevention and management of diseases’s activity and progression.

The purpose of this study was to (a) compare macro- and micronutrient intakes between male and female CD patients (b) compare micronutrient intakes of CD patients to a representative population of healthy individuals, and; (c) describe Mediterranean diet scores (P-MDS) of male and female CD patients in remission recruited from an IBD clinic in Calgary, AB. Consecutive patients with ileal and/or colonic CD in endoscopic remission were recruited for participation in this cross-sectional study. Sixty-seven patients were enrolled, with a mean age of 45, and a BMI ≥ 25. Compared with the healthy population, patients with CD had similar energy, protein, carbohydrate and total fat intake. However, PUFA, omega-6 and 3 and MUFA were lower in CD patients and dietary fibre intake was higher. Vitamins C, D, thiamin, niacin, magnesium, phosphorus, zinc and potassium were all significantly lower in all CD patients compared to a healthy population. Few patients with CD met P-MDS criteria for olive oil, vegetable, legumes, and fish intake or consuming Sofrito sauce (mean 4.5, SD=1.1 in males and 4.7, SD=1.8 in females). Patients with CD in remission have suboptimal dietary intakes and patterns and targeted dietary interventions may be beneficial in this population to improve intake.

NCDs are the leading cause of mortality globally which estimated 40 million death per year (68% of total death), with cardiovascular diseases, cancers, chronic respiratory diseases and diabetes. In the Eastern Mediterranean Region (EMR), around 60% of all deaths are attributed to NCDs. Two-thirds of NCD premature deaths are linked to 4 shared modifiable behavioural risk factors: tobacco use, unhealthy diet, physical inactivity and harmful use of alcohol. These unhealthy behaviours lead to 4 key metabolic/biological changes that increase the risk of NCDs: raised blood pressure, overweight/obesity, high blood glucose levels/diabetes, and hyperlipidemia (high levels of fat in the blood). Globally, countries are already working towards agreed global goals on maternal and infant nutrition and on the prevention of NCDs, and both these include halting the increase in overweight and obesity and reducing NCD diet-related risk factors including reducing saturated fatty acids (SFA) and Trans fatty acid (TFA) intake. According to values reported for countries of the Eastern Mediterranean Region, average SFA intake is estimated at 10.3% of energy intake (EI), thus exceeding the WHO recommended level of 10% EI. Average TFA intake in EMR countries is estimated at 1.9% EI, which also exceeds the WHO recommended levels of 1% EI. The EMR region was reported amongst the regions with the highest levels of TFA intake. The highest SFA intake was reported from Djibouti, Kuwait, Saudi-Arabia and Yemen, while the highest TFA intakes were reported from Egypt and Pakistan. If countries of the Eastern Mediterranean region receive immediate public health attention, that toll of NCD-related morbidity and mortality can be considerably decreased if evidence-based preventive interventions are implemented effectively. In this context, reductions in saturated fat and trans fat intakes have been highlighted as cost-effective strategies that may hamper the growth of the NCD epidemic.

Wildfires have always been a part of the history of Mediterranean forests. However, forest regeneration after a wildfire is not certain. It depends on many factors, some of which may be influenced by land management activities. Failure of regeneration will cause a regime shift in the ecosystem, reducing the provision of ecosystem services and ultimately leading to desertification. How can we increase Mediterranean forests’ resilience to fire? To answer this question, we did a literature review, investigating chains of processes that allow forests to regenerate (which we label “regeneration mechanisms”), and assessed the impact of selected management practices documented in the WOCAT database on the regeneration mechanisms. We identified three distinct regeneration mechanisms that enable Mediterranean forests to recover, as well as the time frame before and after a fire in which they are at work, and factors that can hinder or support resilience. The three regeneration mechanisms enabling a forest to regenerate after a fire consist of regeneration (1) from a seed bank; (2) from resprouting individuals; and (3) from unburned plants that escaped the fire. Management practices were grouped into four categories: (1) fuel breaks, (2) fuel management, (3) afforestation, and (4) mulching. We assessed how and under what conditions land management modifies the ecosystem’s resilience. The results show that land management influences resilience by interacting with resilience mechanisms before and after the fire, and not just by modifying the fire regime. Our analysis demonstrates a need for adaptive – i.e. context- and time-specific – management strategies.

Climate change presents an urgent global challenge, manifesting in rising temperatures and extreme weather events with severe societal impacts. The Eastern Mediterranean, warming faster than the global average, faces immediate repercussions. Climate literacy emerges as pivotal, empowering individuals to comprehend climate science and act accordingly. This study delves into climate literacy, attitudes, and 'greening' behaviours in the Eastern Mediterranean hotspot of Greece, based on a survey of 1,962 citizens. Findings indicate high climate literacy but lower adoption of 'greening' behaviours, especially those involving financial costs. Regression analyses highlight the significant role of climate literacy, concerns about personal impacts, coping appraisal and trust in institutions in promoting 'greening' behaviours. The study underscores the need for multifaceted strategies emphasizing financial motivation, trust-building, and societal norm shifts. Socio-demographic disparities, including gender and occupation, highlight areas for targeted interventions. The emphasis on the mental health impacts of climate-related events underscores the need for holistic disaster management. Policy implications are discussed, highlighting the potential of expanded climate literacy to catalyze collective action toward sustainability.

The occurrence and abundance of Astrospartus mediterraneus (Risso, 1826) have significantly increased in the last three decades in several areas of the Mediterranean Sea. In the Tavolara – Punta Coda Cavallo Marine Protected Area (NE Sardinia, Tyrrhenian Sea), 61 specimens were observed mainly on the granitic shoals of the Tavolara Channel, an area characterized by very intense currents and high sedimentation. The basket stars were mainly found living as epibionts of gorgonians (E. verrucosa, P. clavata and L. sarmentosa) and massive sponges (Spongia officinalis, S. lamella, Sarcotragus foetidus). We also documented 20 small specimens (3-20 mm in diameter of the oral disc) observed in June 2024 between 27 and 52 m depth on Eunicella verrucosa and Paramuricea clavata colonies. The bimodal size-frequency distribution of these specimens suggested that, probably, specimens belong to two different reproductive events occurring in spring 2023 and 2024.

In recent decades, the cultivation of avocados has expanded throughout the Iberian Peninsula, with most of the production occurring on the southern Atlantic and Mediterranean coast, as well as in the Canary Islands and the north. This expansion is due to high demand and high prices, which have made the crop very attractive. However, climatic suitability criteria have not always been followed, putting sustainability at risk. Avocados originate from tropical and subtropical areas and have very specific climatic requirements that must be met to ensure good production. This study analyzed key climatic variables, including winter cold damage, pollen viability, and flowering and fruit set temperatures. Using daily climate data from 1975 to 2022, advanced spatial analysis techniques were applied to produce suitability maps. The results indicate that the ex-pansion of the crop is possible in certain areas of southern Andalusia, but not in the rest of the peninsula. Minimum winter and March temperatures are the main limiting factors. This work provides valuable insights into the potential for sustainable agricultural intensification, the sus-tainability of agricultural decision-making, and resilience to climate change.

The present study analyzes students' weather-related hazard and risk literacy in Greece, a climate change hotspot region in the Eastern Mediterranean. In this context, we examine the students' level in two core literacy variables, namely knowledge and competency. In addition, we explore how knowledge, attitudes and socio-demographic variables influence students' competencies related to weather and climate risk assessment and adaptability. A questionnaire-based survey was conducted on 474 students aged 12-16. The regression results showed that knowledge significantly affects the level of competency. Self-belief and confidence in science were the most influential among the attitudinal variables. We conclude by discussing educational and behavioural issues highlighted as essential to address with targeted policies and measures in formal education complemented by non-formal educational activities.

The current invasion of the Mediterranean Sea by the Atlantic blue crab Callinectes sapidus entails the implementation of effective strategies of control and management. In native areas, the species is highly appreciated as a hard- and soft-shell seafood, and hard-shell fisheries are developing in a number of invaded countries. Here, to verify alternative approaches for enhancing the commercial value of the species, we carried out a pilot experiment to test a flow-through system for the production of soft-shell blue crabs. Fifty crabs were collected in the Lesina lagoon (Adriatic Sea, Italy) and inspected for the coloration of the line on the distal edge of the fifth pereiopod. Accordingly, they were grouped into three groups showing no, white, and red lines, symptomatic of the progression of the pre-molt phase, and maintained for 31 days in a flow-through pond system. The overall mortality rate determined during the trial was similar across the three groups and ranged between 10 and 20%, indicating that the flow-through system was effective for rearing the crabs. In addition, the molting rate was 10%, 65%, and 85% for individuals at an early, intermediate, and advanced pre-molt stage, confirming that the line coloration can be used as an effective indicator of the advancement of the molting process. Our study provides a first contribution towards the introduction in the Mediterranean fishery sector of novel procedures and practices for the production of soft-shell blue crabs, which may represent a cost-effective strategy to enhance the capture and commercialization of this invasive species as a high quality and valuable shellfish product.

Knowledge about the genesis and evolution of black soils in the Eastern Mediterranean is vital for sustainable land management. In this study, the black soils that currently occur in the Eastern Mediterranean were analyzed in different bioclimatic zones and were found to genetically be long to three soil types: 1-Calcareous black soils (Rendzina, Para-Rendzina) (Rendzic or Somerirendzic Leptosols -Typic Rendolls or Lithic Rendolls), 2-Hydromorphic black soils (Calcic Chernozems -Haploxerolls). 3- Black soils on Basalt (Somerirendzic Leptosols) (Haploxerolls). The impact of the relief was obvious on both the thickness of the solum and the mollic horizon. Rendzina occurs on the toe and feet slope, Para-Rendzina on the shoulders, and Chernozems on a flat plain. The color of the epipedon in Rendzina reflects the origin of the prevailing parent material from which they are derived: Proper Rendzina found on limestone, chalk, sandstone, conglomerate, and claystone; Reddish Rendzina on Dolomite and hard limestone, and Grayish Rendzina on Serpentine. It was also found that the Hydromorphic black soils only occur on calcic marl and lacustrine deposits in the depressions arising from the Dead Sea faults under saturation or bad drainage conditions. This soil has a thick, dark mollic horizon and high organic matter content.

Sideritis royoi is described from limestone rocky habitats of the Port Massif (southern Catalonia, Spain). The species was first collected by the local botanist Lluís de Torres in the late part of the 20th century, but the specimens have remained unidentified positively in herbaria for over 40 years. Sideritis royoi likely belongs to section Sideritis subsection Hyssopifoliae and shows some morphological affinities with the relatively widespread South European species S. hyssopifolia L., but it much differs in having subspinescent upper leaves, main surfaces of the leaves glabrous or glabrescent, the main abaxial surface of the bracts without eglandular hairs, and shorter inflorescences. Weaker similarities were also observed with some species belonging to S. subsection Fruticulosae Obón &amp; D.Rivera. A description for the new orophilous species is provided, along with a detailed illustration, field photographs, and a comparison with closely related species. We include an assessment of its conservation status and a dichotomous key for identification of all the species of Sideritis subsection Hyssopifoliae.

Increasing evidence indicates that the cultivation of mindful eating, adherence to the Mediterranean lifestyle, and the development of psychological resilience may contribute to the enhancement of overall health and well-being. The purpose of this study was to explore the association between mindful eating and the Mediterranean lifestyle in relation to psychological resilience and the maintenance of a healthy weight. In a framework of a cross-sectional study, 288 individuals voluntarily took part in an online research survey conducted in Greece. Results showed that both mindful eating and the Mediterranean diet were significantly correlated (p<0.001) with psychological resilience. Multiple regression models identified mindful eating and the Mediterranean diet as predictive factors of psychological resilience (p<0.001). There was a statistically significant (p<0.05) intercorrelation between mindful eating, the Mediterranean diet and psychological resilience. Following the application of multiple regression model, mindful eating and Mediterranean diet were identified as predictive factors of psychological resilience (p<0.0001). Individuals with a normal Body Mass Index (BMI) displayed stronger adherence to mindful eating and the Mediterranean lifestyle, in contrast to those classified in the overweight and obesity BMI groups. People with higher mindful eating scores had 14% better odds maintaining their weight loss after a weight reducing diet, than those with a lower mindful eating score (OR: 1.142, 95% CI: 1.084, 1.204, p <0.0001). In summary, the integration of mindful eating and the Mediterranean lifestyle may represent a feasible approach to bolstering psychological resilience, overall health, and well-being.

The search for a continuous continental record of interglacial periods in semi-arid regions is problematic due to the absence of stable and continuous sedimentary systems over time in this type of climate. In this work, a relatively stable basin is described and analyzed during the last interglacial in a semi-arid region of the western Mediterranean. For this purpose a geomorphological, stratigraphic and sedimentological study has been carried out, with dating through 230Th. A semi-endorrheic Pleistocene basin has been identified, with two units that correspond to a fluvial-lacustrine system (unit P1) and an alluvial system (unit P2). Unit P1 has been dated in the MIS 5e interglacial episode. A framework is described in which the Aljezares Quaternary basin can be considered as a possible source of paleoenvironmental and paleoclimatic information in semi-arid regions from the last interglacial period in future studies.

Fish Aggregating Devices (FADs) are anchored floating structures often made with cheap scrapped materials and used to aggregate pelagic fish under their artificial shadow. Globally, the dangerous impact of FADs has well known. They pose a severe threat due to known and unknown levels of bycatch, the danger to navigation, and their high potential to become marine litter. Entanglement and consequent mortality in FADs of protected species and species of conservation concern (e.g., sharks, sea turtles, and cetaceans) are a serious concern for several international inter-governmental bodies (e.g., EU, GFCM, and IWC). This work describes the first case of a cetacean, a striped dolphin (Stenella coeruleoalba), killed by a FAD in the Mediterranean Sea. This dolphin was found stranded along the coast of the central Tyrrhenian Sea. The evidence suggests that this specimen suffered a painful death. Although this is the first confirmed case of a cetacean killed by a FAD in Italian waters, given the extent of the deployment of FADs, the scale of this type of interaction with protected species might be seriously underestimated. Therefore, actions and monitoring need to be implemented urgently to effectively protect and conserve marine biodiversity.

Rangelands are a key resource present all over the world as it covers half of emerged lands. They are even more important in drylands, where they cover 48% of the total area. Intensification and the additional pressure added by climate change push these systems towards desertification. Over the last two decades, we have developed and applied System Dynamics (SD) models for the study of Mediterranean grasslands. In addition, we have developed procedures and analysis tools, such as global sensitivity analysis, stability analysis condition, or risk analysis, in order to detect the main drivers of these socio-ecological systems and provide indicators about their long-term sustainability. This paper reviews these works, their scientific background, and the most relevant conclusions, including purely technical and rangeland-related ones as well as our experience as systemic modelers in a world driven by field specialists.

Background: Malnutrition has negative consequences in hospitals, like poor disease recovery, increased mortality, length of hospitalization, readmission, and health care costs.Aims: This review was designed to determine malnutrition prevalence in hospitals located in eastern Mediterranean region (EMR).Study design: To conduct this systematic review, papers, including original articles, related references and conference proceedings on the prevalence of malnutrition in adult hospitalized patients published in international journals and scientific databases from 1 Jan 2017 to 31 Jan 2022 will be included. The following keywords and their alternatives will be used in the literature search: malnutrition, patient, and EMR. The protocol has been registered at PROSPERO (code: CRD42022339426).Methods: After initial screening based on inclusion and exclusion criteria, the full text articles will be read carefully and eligible documents will be selected according to the defined objectives. Afterward, the selected papers will be reviewed for methodological quality and the required information will be extracted. Finally, in case of sufficient data, a meta-analysis will be performed. Screening, selection, quality assessment, and data extraction will be done by at least two independent reviewers.Results: This review is ongoing and will be completed until the end of year 2023.Conclusion: This review aims to provide comprehensive evidence about the prevalence of malnutrition among adult inpatients in EMR hospitals. This can provide regional authorities, health managers and policy makers good information regarding current status to make appropriate decisions for promoting the health status in hospitals.

The Seven Country study showed that traditional Japanese diet and Mediterranean diets are protective against cardiovascular diseases (CVDs). Japanese diet is considered the healthiest because it provides highest longevity and health to Japanese. DASH diet and Mediterranean style diets are also considered the healthy diets, although, it is possible that Indo-Mediterranean style diet may provide better protective effects among patients with CVDs, compared to other diets. The concept of Indo-Mediterranean type of diets was developed, after examining its role in the prevention of CVDs in India, the value of which was confirmed by a landmark study from France; The Lyon Heart Study. These workers found that eating alpha-linolenic acid rich Mediterranean style diet can cause significant decline in CVDs and all-cause mortality. Later on in 2018, PREDIMED Study from Spain also reported that a modified Mediterranean style diet can cause significant decline in CVDs, type 2 diabetes mellitus (T2DM) and cancer. The Indo-Mediterranean diet may be superior to DASH diet and Mediterranean diet because it contains millets, porridge, beans and spices; turmeric, cumin, fenugreek and coriander which may have better anti-inflammatory and cardio-protective effects. These foods are rich sources of nutrients; flavonoids, calcium and iron as well as proteins which are useful in the prevention of under as well as over-nutrition and related diseases. It is known that DASH diet and Mediterranean style diets have similar influence on CVDs. However, Indo-Mediterranean style diet, may be as good as Japanese diet, due to improved food diversity and high content of antioxidants in the diets.

The Eastern Mediterranean is a highly populated area with air quality problems as well where climate change already is noticed by higher temperatures and changing precipitation pattern. The anthropogenic aerosol affects health and changing concentra-tions and properties of the atmospheric aerosol affect radiation balance and clouds. Continuous long-term observations are essential in assessing the influence of anthro-pogenic aerosols on climate and health. We present 6 years of observations from Navarino Environmental Observatory (NEO), a new station located at the south west tip of Pelo-ponnese, Greece. The two sites at NEO, were evaluated to show the influence of the local meteorology but also to assess the general background aerosol possible. It was found that the background aerosol was originated from aged European aerosols and was strongly influenced by biomass burning, fossil fuel combustion, and industry. When subsiding into the boundary layer, local sources contributed in the air masses moving south. Mesoscale meteorology determined the diurnal variation of aerosol properties such as mass and number by means of typical sea breeze circulation, giving rise to pronounced morning and evening peaks in pollutant levels. While synoptic scale meteorology, mainly large-scale air mass transport and precipitation, strongly influenced the season-ality of the aerosol properties.

The Mediterranean Sea is one of the most impacted basin in terms of microplastics pollution. Land-based activities are the major sources of plastic litter to the ocean, with harbors probably representing significant hotspots. In the framework of the SPlasH! project (Stop alle Plastiche in H2O, Interreg Marittimo project), microplastics were sampled in three north-western Mediterranean harbors during summer and winter. In this study, the areal concentrations of microplastics ranged from 5,576 to 379,965 items.km-2. A decreasing gradient was observed from the inner to the outer zones of the studied harbors, pointing out these enclosed systems as hotspots regarding microplastic pollution. During the summer, because of an enhancement of port activities, the areal concentrations of microplastics were higher than in winter. The investigation microplastics size classes distribution in the surface waters revealed that microplastic within a size range between 300 µm and 500 µm were depleted. During this study, we assessed trace metal partitioning (Pb, Fe, Cu, V, Cd and As) between the dissolved phase and biofilm, thus highlighting concentrations within the biofilm two and six orders higher than those in the dissolved phase. This result strongly suggest trace metal bioaccumulation within the biofilm. When trace metal concentrations are normalized over the corresponding surface of microplastics and microplastics, higher values were obtained for microplastics evidencing their enhanced capacities to bioaccumulate contaminants with respect to macroplastics.

The effect of salinity on seed germination/emergence in narrow-leaved ash (Fraxinus angustifolia) was studied both under field and laboratory conditions, in order to detect critical values to NaCl exposure. Research Highlights: Novel statistical methods in germination ecology has been applied (i) to determine the effects of chilling length and salinity (up to 150 mM NaCl) on Fraxinus angustifolia subsp. oxycarpa seed emergence, and (ii) to estimate threshold limits treating germination response to salinity as a biomarker. Background and Objectives: Salinity cut values at germination stage had relevant interest for conservation and restoration aims of Mediterranean floodplain forests in coastal areas subjected to salt spray exposure and/or saline water introgression. Results: Salinity linearly decreased germination/emergence both in the field and laboratory tests. Absence of germination was observed at 70 mM NaCl in the field and at 150 mM NaCl for 4-week (but not for 24-week) chilling. At 50 mM NaCl germination percentage was 50% (or 80%) of control for 4-week (or 24- week) chilling. Critical values for salinity were estimated between freshwater and 50 (75) mM NaCl for 4-week (24-week) chilling by Bayesian analysis. After 7-week freshwater recovery, critical cut-off values included all tested salinity levels up to 150 mM NaCl, indicating a marked resumption of seedling emergence. Conclusions: Fraxinus angustifolia is able to germinate at low salinity and to tolerate temporarily moderate salinity conditions for about two months. Prolonged chilling widened salinity tolerance.

The Mediterranean diet (MED) is highly recommended. Medical nutrition therapy is the cornerstone of diabetes treatment. We assessed adherence to the MED, and resultant micronutrient intake and glycemic control in youth with type 1 diabetes. Twenty adolescents, median age 18 years (interquartile range: 15.5-21), median diabetes duration 9 years (7-14), using continuous glucose monitoring devices, received personalized diet regimes based on MED. At 6 months post-intervention, the caloric intake remained unchanged; however, the carbohydrate proportion was lower (p=0.058) and the intakes of some monounsaturated fats increased (p=0.049). Sodium intake exceeded the recommended daily allowance by 250% (p=0.653), before and after the intervention. For blood glucose, the percent time-in-range 70-180 mg/dL improved from 52% (38-60) to 63% (47-71) (p=0.047). The total insulin dose decreased marginally, from 0.76 u/kg (0.64-0.97) to 0.72u/kg (0.61-0.89) (p=0.067). BMI z-score and waist circumference did not change (p=0.316 and p=0.161, respectively). Diastolic blood pressure percentile decreased from 73% (68-88) to 69% (50-79) (p=0.028), and LDL cholesterol from 114mg/ dl (105-134) to 104mg/dl (96-124) (p=0.059). The Israeli Mediterranean diet screener score increased, from 8 (7-11) to 13 points (12-14) (p=<0.001). The MED-based intervention demonstrated feasibility and improvements in glycemic outcomes and in certain nutritional parameters.

Familial Mediterranean fever (FMF) is a genetically determined autoinflammatory disease transmitted by an autosomal recessive mechanism. The cause of the nosology is point mutations of the MEFV (Mediterranean FeVer) gene coding for pyrin protein. Inflammasomes are molecular platforms altered in autoinflammatory diseases. The aim of this study was to evaluate the expression of inflammasome genes (p65, Casp-1, MEFV-d2, MEFV-I, NLRP3) in patients with FMF compared to controls to understand the changes that may play a key role in disease development. We found altered expression levels of the full-length MEFV isoform as well as Casp1 and p65 in FMF patients versus controls. This, once again highlighted the significance of inflammasome genes in terms of FMF.

Mediterranean diet has been widely suggested to exert significant beneficial effects on endothelial oxida-tive status and cardiometabolic health. Greek Orthodox monasteries, due to their specific nutritionaland sartorial habits, comprise a population which strictly adheres to nutritional patterns with restricted eating and a plant-based subset of the Mediter-ranean diet, often accompanied by profound hypovitaminosis D. Time –restricted eating is also adopted from a large part of general lay Greek population for health promoting reasons, without restrictions on an-imal product consumption, as imposed by Orthodox religious fasting. However, comparative effects of these nutritional patterns on oxidative stress markers remain scarce. The present study attempted to evaluate the effects of Christian Orthodox fasting (COF) in a group of vitamin D –deficient and overweight Orthodox nuns from Central and Northern Greece, compared to the implementation of TRE, 16:8 dietary regimen in a cohort of adult women from the general population from the same region, with regard to markers of endothelial oxidative status. A group of 50 women from two Orthodox monasteries in Northern Greece and one group of 50 healthy lay women were included. During enrollment a detailed recording of dietary habits was performed, along with a scientific registry of demographic and anthropometric characteristics (via bioimped-ance).Orthodox nuns followed a typical Orthodox fasting regimen[daily feeding window (8 am–4 pm)] whereas lay women followed a TRE 16:8 regimen with the same feeding time-window with recommenda-tion to follow a low-fat diet, without characteristics of the Mediterranean diet. We included a complete biochemical analysis, as well as calciotropic profiles [Calcium-Ca, Albumin, Parathyroid hormone-PTH, 25-hydroxyvitamin D- 25(OH)D] as well as and markers of TAC (trichloroacetic acid), (glutathione) GSH and thiobarbituric acid reactive substances (TBARS) concentrations, as markers of oxidative status. All groups were comparable at baseline for calcium, PTH and 25(OH)D concentrations, with no significant differences between groups. Orthodox nuns manifested a lower median GSH compared to con-trols (6.0 vs. 7.2, p 0.04) and a higher median TAC (0.92 vs. 0.77, p <0.001). TBARS comparisons showed no significant difference between the two groups. No significant associations of oxidative status with 25(OH)D, PTH and markers of glucose homeostasis were evident. Results of this small pilot study indicate that both dietary regimens have advantages over oxidative markers compared to each other, with increased TAC in the groups of Orthodox Nuns after a 16th week period of COF compared to a 16:8 TRE and increased GSH concentrations in the lay women group. Future randomized trials are required to investigate superiority or non-inferiority between these dietary patterns, in the daily clinical setting.

Obesity is a risk factor for the development of gestational diabetes mellitus (GDM). However, the most optimal type of nutritional intervention to prevent GDM in high-risk women is not clearly defined. This study investigates if nutritional treatment based on the Mediterranean diet (MedDiet) before 12th gestational week (GW) in women at high risk due to a body mass index (BMI)≥25kg/m2, reduces the rate of GDM and metabolic syndrome (MetS) at 3 years postpartum. We performed a post-hoc analysis of the San Carlos Gestational Prevention Study. A total of 735 women with BMI≥25kg/m2 were evaluated between 2015-2018, 246 in standard diet control group (CG) and 489 in MedDiet intervention group (IG). The rate of GDM was significantly lower in IG compared to CG (25.1%vs31.7%;p=0.037). Postnatal follow-up was completed by 141 women in CG (57%) and 312 women in IG (64%). At 3 years postpartum, we observed a reduction (relative risk 95% confidence interval) in the rates of impaired fasting glucose (IFG) (0.51 (0.28-0.92);p=0.019), obesity (0.51 (0.28-0.92),p=0.041), waist circumference (WC)≥89.5cm (0.54 (0.31-0.94);p=0.022) and MetS (0.56 (0.33-0.94);p=0.003). MedDiet reduces the rate of GDM and postpartum MetS in women with BMI)≥25kg/m2, suggesting that its implementation should be routinely recommended from the first GWs.

This work reports 60 marine alien molluscs, collected by two Belgian citizen scientists, from nine countries across the Mediterranean Sea and the Sea of Marmara. Some of their published observations concerning the collecting dates are compared with the year of first publication for these alien molluscs reported in the literature, which enabled to backdate some of these introductions. This underlines the importance of collaboration between volunteers and institutional scientists in tracing variations and changes in the environment and biodiversity.

Decapod crustaceans are important components of the fauna of soft bottom habitats. In this work, biogeographical updates of decapod crustaceans are provided through the analysis of a large soft bottom benthic macroinvertebrates data set of the central Mediterranean Sea. Decapod crustacean assemblages were collected in the last twenty years by a Van Veen grab on 42 study sites located along the Italian coasts at depths ranging from the surface up to 120 meters. Spatial distribution of the crustaceans examined, which include 123 species belonging to 40 families, has been investi-gated according to the biogeographical zones identified in the Italian Seas. Spatial distribution of 39 species has been updating, comparing the ISPRA decapod crustacean dataset with the most recent Italian checklists. For the species updated, number of specimens and environmental data, such as bathymetric range and habitat details, are provided for each site investigated. Data are discussed and compared with the existing literature, also referring to what is reported in the World Register of Marine Species (WoRMS), with the aims to contribute to the knowledge of biodiversity of the marine species provide useful data to assist the insiders to update checklists and registers at national and global scale and information on species ecology.

Vitamin K is a multifunctional micronutrient essential for human health, and deficiency has been linked to multiple pathological conditions. In this study we aimed to develop and validate a new food frequency questionnaire (FFQ) to estimate total vitamin K intake, over the course of a 30-day interval, in a Portuguese, Mediterranean-based, population. We conducted a prospective study in a non-random sample of 38 healthy adult volunteers. The FFQ was designed based on a validated Portuguese FFQ used in nationally representative studies and on literature reviews, to include foods containing ≥ 5μg of vitamin K/100g and foods with a lower vitamin K content, yet commonly in-cluded in a Mediterranean diet. Vitamin K intake was estimated from 24h recalls and six days of food records. The final FFQ included 54 food items which, according to regression analyses, explains 90% of vitamin K intake. Mean differences in vitamin K intake based on food records (80±47.7 μg/day) and on FFQ (96.5±64.3 μg/day) were statistically non-significant. Further, we found a strong correlation between both methods (r= 0.7; p=0.003). Our results suggest that our new FFQ is a valid instrument to assess the last 30-days of vitamin K intake in the Portuguese Mediterranean population.

This study evaluates for the first time the plastic litter occurrence in Posidonia spheroids of four Mediterranean sandy beaches at different anthropogenic impact. A total of 80 spheroids was analyzed and 202 plastic items were found. Spheroids entangled a high number of plastic litter (132 plastic items/kg) with significant differences between beaches. Our results highlight the importance to implement the beach cleaning plan for the removal of all spheroids in order to prevent them from flaking and releasing the marine litter trapped inside them again in the environment. Spheroids should be manually removed in order to protect the banquettes. The removal should be involved all spheroids, independently from their size. This study adds data for the implementation of the monitoring program of marine litter and contributes to the development of specific management measures as well as implement Mediterranean action plans.

Currently, the Israeli energy industry faces the challenge of a considerable increase in solar electricity production. Being a relatively isolated system, the significant expansion of solar electricity may cause problems with electricity quality. The electrical storage installation can resolve this problem. In Israel's situation, the optimal solution can be the creation of a channel between the Mediterranean and the Dead Sea. The channel can solve three closely related problems: the increased production of desalinated water for domestic, industrial, and agricultural needs; the prevention of a permanent Dead Sea level decline and its imminent disappearance; the development of hydro-pumping electrical storage stations; and the creation of numerous PV facilities in the Negev area for national electricity generation. However, a detailed analysis should be done for the estimation of the possible increase of solar electric generation with the consideration of a stochastic PV outcome and a potential ability to use the Dead Sea for the brine discharge from electrical hydro-storage plants.

The Greek seas as a part of the Eastern Mediterranean Sea, have been considered as a hotspot for the entrance of non-indigenous species (NIS). Ballast water functions as a major pathway for the spread of NIS in new environments, posing significant threats to both the ecosystems and human health. Nine non-indigenous fish species, originating from the Red Sea, have been introduced to the Greek seas since 1925. Despite the implemented laws for limiting the spread of NIS and the subsequent impacts, current global environmental issues, such as climate change and micro-plastic pollution, could result in a rapid spread and establishment of NIS in hot-spot regions, including the Greek seas. A more systematic use of advanced tools for the systematic monitoring of all NIS in the Mediterranean Sea is necessary.

The direct radiative effects of atmospheric aerosols are essential for climate, as well as for other societal areas, like the energy sector. The goal of the present study is to exploit the newly devel-oped ModIs Dust AeroSol (MIDAS) dataset for quantifying the direct effects on the downwelling surface solar irradiance (DSSI), induced by the total and dust aerosols amount, under clear-sky conditions and the associated impacts on solar energy for the broader Mediterranean basin, over the period 2003 – 2017. Aerosol optical depth (AOD) and dust optical depth (DOD) derived by the MIDAS dataset, along with additional aerosol and dust optical properties and atmospheric variables were used as inputs to radiative transfer modeling to simulate DSSI components. A 15-year climatology of AOD, DOD and of clear-sky Global Horizontal Irradiation (GHI) and Direct Normal Irradiation (DNI) was derived. The spatial and temporal variability of the aerosol and dust effects on the different DSSI components was assessed. Aerosol attenuation of annual GHI and DNI range from 1-13% and 5-47%, respectively. Significant attenuation by dust 2-10% and 9-37% was found over North Africa and the Middle East, contributing to 45-90% of the total aero-sol effects. The mean GHI and DNI attenuation during extreme dust episodes reached values up to 12% and 44%, respectively, for different areas. After 2008 a decline of aerosol effects on DSSI was found, attributed mainly to the dust component. Sensitivity analysis using different AOD/DOD inputs from Copernicus Atmosphere Monitoring Service (CAMS) reanalysis dataset, revealed CAMS underestimation of aerosol and dust radiative effects compared to MIDAS, due to slight AOD and stronger DOD underestimation, respectively.

Mediterranean Ridge accretionary complex (MAC) is one of the most critical subduction zones in the world. It is known that the region exhibits a continuous mass change (horizontal/vertical movements). This process is associated with the devastating and tragic earthquakes shaking the MAC for centuries. Here, we investigate the ocean bottom pressure (OBP) anomalies in the MAC derived from the Gravity Recovery and Climate Experiment (GRACE) and GRACE Follow On (GRACE-FO) satellite missions. The OBP time series for the MAC comprises a decreasing trend in addition to 1-, 1.53-, 2.36-, 3.67-, and 9.17-year periodic components partially explained by the atmosphere, oceans, and hydrosphere (AOH) processes, and Earth's pole movement. We noticed that the OBP anomalies appear to link to a rising trend and periods in earthquakes' power time series. This finding sheds new light on the mechanisms controlling the most destructive natural hazard.

Coxiella burnetii (Derrick) Philip, the causative agent of Q fever, is mainly transmitted by aerosols, but ticks can also be a source of infection. Transstadial and transovarical transmission of C. burnetii by Hyalomma lusitanicum (Koch) has been suggested. There is a close relationship between this tick species, wild animals and C. burnetii but the transmission in a natural environment has not been demonstrated. In this study, we collected 80 engorged nymphs of H. lusitanicum from red deer and wild rabbits. They molt to adults under laboratory conditions and we feed them artificially through silicone membranes after a preconditioning period. C. burnetii DNA was tested in ticks, blood and feces samples using real-time PCR. The pathogen was found in 36.25% of fed adults demonstrating that transstadial transmission from nymph to adult occurs in nature. The presence of DNA in the 60% of blood samples confirms that adults transmit the bacteria during feeding. Further studied are needed about co-feeding and other possible transmission routes to define the role of this tick species in the cycle of C. burnetii.

A Mamdani-type fuzzy-logic model has been developed to link Mediterranean seagrass abundance to the prevailing environmental conditions. Big Databases, as UNEP-WCMC (seagrass abundance), CMEMS and EMODnet (oceanographic/environmental) and human-impact parameters were utilized for this expert system. Model structure and input parameters were tested according to their capacity to accurately predict seagrass families at specific locations. The optimum FIS comprised of four input variables: water depth, sea surface temperature and nitrates and bottom chlorophyll-a concentration, exhibiting fair accuracy (76%). Results illustrated that Posidoniaceae prefers cool (16-18oC) and low chlorophyll-a presence (&lt; 0.2 mg/m3); Zosteraceae favors cool (16-18oC) and mesotrophic waters (Chl-a &gt; 0.2 mg/m3), but also slightly warmer (18-19.5 oC) with lower Chl-a levels (&lt; 0.2 mg/m3); Cymodoceaceae lives from warm, oligotrophic (19.5-21.0oC and Chl-a &lt; 0.3 mg/m3) to moderately warm mesotrophic sites (18-21.3oC and 0.3 – 0.4 mg/m3 Chl-a). Finally, Hydrocharitaceae thrives in warm Mediterranaean waters (21-23oC) of low chlorophyll-a content (&lt; 0.25 mg/m3). Climate change scenarios showed that Posidoniaceae and Zosteraceae tolerate bathymetric changes, Posidoniaceae and Zosteraceae are mostly affected by sea temperature rise, while Hydrocharitaceae exhibits tolerance in higher sea temperature rise. This FIS could be used by national and regional policy-makers and public authorities.

Endemic freshwater fish from semiarid environments are among the most threated species in the world due to the water overexploitation and habitat fragmentation problems. Stepped or pool-type fishways are used worldwide to reestablish longitudinal connectivity and mitigate fish migration problems. Many of them are being installed or planned in rivers of semiarid environments, however, very few studies about fish passage performance through pool-type fishways has been carried out to date on these regions. The present work focuses on the passage performance of two potamodromous cyprinids endemic of these regions, with different ecological and swimming behavior: southern Iberian barbel (Luciobarbus sclateri) and Iberian straight-mouth nase (Pseudochondrostoma polylepis), in two of the most common types of stepped fishways: vertical slot and submerged notch with bottom orifice fishways. Experiments were carried out during the spawning season in the Segura River (South-Eastern Spain), using a PIT tag and antennas system. Ascent success was greater than 80%, with a median transit time lower than 17 minutes per meter of height in all trials and for both species and fishway types. Results show that both types of fishways, if correctly designed and built, provide interesting alternatives for the restoration of fish migration pathways on these regions.

Over half of adult Americans now have diabetes or prediabetes and worse, this epidemic is now world-wide and shows no signs of slowing, with rates of both diabetes and diabetes-related health complications still rising. When advising patients with diabetes on food choices, many providers rely on nutrition guidelines provided by the American Diabetes Association (ADA), and these guidelines influence other recommendations across the globe. Given the alarming trends in diabetes, it is paramount to review the treatment guidelines to ensure they are based on rigorous and accepted scientific methods. Our review included the evidence cited by the ADA in support of its claims and recommendations for eating patterns to combat diabetes (see Description of Eating Patterns, Supplemental Appendix), as presented in the most current edition of the annual ADA’s Standards of Medical Care in Diabetes (2018 Standards). Our review also includes sources cited in the latest edition of the ADA’s Nutrition Therapy Recommendations for Adults with Diabetes (2014 Recommendations), which also informed the 2018 Standards. In October 2018 low carbohydrate was named as a recommended eating pattern by the ADA and European Association for the Study of Diabetes (EASD)⁵but only citations from the 2014 and early 2018 ADA documents were reviewed.

Soil quality offers a holistic approach to understanding the relationships between soil’s biological, chemical, and physical properties, which is crucial for the sustainable land use and the management of non-renewable soil resources. This study evaluates the impact of land use on 23 physicals, chemicals, and biologicals soil quality indicators (SQIs) across five land uses of the Mediterranean agro-ecosystems: forest, olive groves, wheat fields, and a corn / wheat crop rotation system. Over two consecutive years, seasonal soil samplings were conducted across three conventionally farmed fields for each land use. Through multivariate analysis, five key soil quality factors—organic matter, microbial biomass, nutrients, the C/N ratio, and compaction—were identified as reflective alterations in soil quality due to land use change. Discriminant analysis revealed the soil properties of total nitrogen (Ntot) and the C/N ratio, which highlights the quantity and quality of soil organic matter, as particularly sensitive indicators of soil quality changes in Mediterranean agroecosystems incorporating most of the information derived from the entire set of initials SQIs. These proposed indicators offer a simplified yet effective means of assessing soil resource sustainability in the Mediterranean agroecosystems, providing practical tools for monitoring and managing soil quality.

Urban public space comfort is vital for enhancing the quality of life and perceptions of livability, especially as climate change increasingly impacts outdoor thermal environments. This study investigates the use of ENVI-met, a 3D microclimate simulation tool, to assess thermal comfort concerning demographic factors like age and gender. While ENVI-met is often used to analyze urban microclimates, there is limited research on its application for simulating heat emission variations across different demographic groups. The findings highlight significant disparities in thermal stress vulnerability: elderly individuals are at higher risk due to elevated maximum PET values, while children experience broader ranges of thermal stress and higher baseline values. Despite cooling effects in the evening, children continue to face greater stress. The study emphasizes the need for tailored management strategies, as morning PET values are consistent but afternoon data reveals children’s ongoing vulnerability. Overall, the research calls for further investigation to enhance urban planning, thermal comfort strategies, and public health interventions amid rising temperatures. It advocates for expanding ENVI-met's capabilities to include diverse demographic factors, promoting a more comprehensive approach to urban resilience and well-being.

The primary aim of this study is to investigate the relationship of the Mediterranean diet (MD) with metabolic syndrome (MetS) and its components in Caucasian subjects between 35 and 74 years. The secondary aim is to analyze sex differences. Methods: A cross‑sectional trial. This study utilized data from the EVA, MARK, and EVIDENT studies, a total of 3417 subjects with a mean age of 60.14±9.14 years (57% men). MetS was defined based on the Joint Scientific Statement National Cholesterol Education Program III. Waist circumference, blood pressure, fasting plasma glucose, and lipid profile were measured. Adherence to the MD was assessed with the 14-item Mediterranean Diet Adherence Screener (MEDAS) questionnaire used in the PREDIMED study. Good adherence was considered when the MD value was higher than the median value. Results: The mean value of the MEDAS questionnaire was 5.83±2.04; (Men 5.66±2.06 and women 6.04±1.99; p&lt;0.001). Adherence to the MD was observed by 38.6% (34.3% men and 40.3% women; p&lt;0.001). MetS was observed in 41.6% (39.0% men and 45.2%women p&lt;0.001). In the multiple regression analysis after adjusting for possible confounders, the mean MD value showed a negative association with the number of MetS components per subject (β=-0.336), and with the different components of MetS: Systolic blood pressure (β=-0.011), Diastolic blood pressure (β=-0.029), glycemia (β=-0.009), Triglycerides (β=-0.004), Waist circumference (β=-0.026), except with the HDL-cholesterol value which showed a positive association (β=0.021); (p&lt;0.001 in all cases). The adjusted logistic regression models showed that an increase in MDA decreases the probability of MetS (OR =0.56) and its components: blood pressure ≥130/85 mmHg (OR = 0.63), fasting plasma glucose ≥100 mg/dL (OR = 0.62); triglycerides ≥150 mg/dL (OR = 0.65); waist circumference ≥88 cm in women and ≥102 cm in men (OR = 0.74), and increases high-density lipoprotein cholesterol &lt;40 mg/dL in men or &lt;50 mg/dL in women (OR = 1.70); (p&lt;0.001 in all cases). The results by sex were similar, both in multiple regression and logistic regression. Conclusion: The results of this study suggest that a greater adherence to the Mediterranean diet decreases the probability of presenting Mets globally and by sex.

We have carried out a systematic review of the scientific literature published on PM and, more specifically, on its presence in fish and seafood of interest to the population from Mediterranean area. Given its preference and wide acceptability in the scientific community, we followed the PRISMA. The potential functional and clinical toxicity in humans due to MP in fish must be considered by the chemical composition of the microplastics the presence of PM and its additives, associated contaminants and pathogens in fish and shellfish, as well as the possible effects on human health, requires improving legislation on evaluation and providing a basis for consumer protection.

Knowledge of post-larval swordfish (Xiphias gladius) ecology in the world’s oceans is incomplete as they are rarely found in ichthyoplankton samplings or commercial catches and individuals are difficult to observe in the marine ecosystem. Analyses of stomach contents of apex predators can provide otherwise unobtainable ecological insights. Two well-preserved bills of post-larval swordfish were identified among the partially digested stomach contents of an adult male dolphinfish (Coryphaena hippurus) caught in the northern Tyrrhenian Sea. The lower jaw to fork lengths of the two predated swordfish were estimated at respectively, 18 and 22 cm, corresponding to 81- and 99-day-old swordfish hatched in the 2022 spawning season. This analysis and recent information on the reproductive dynamics of swordfish in the same area reported in the literature shed light not only on the early stages of swordfish growth but also on dolphinfish ecology in the Tyrrhenian Sea. The two species share the same habitat and are both caught with commercial pelagic surface longlines. Environmental shifts associated with climate change could unpredictably modify the reproduction dynamics, growth, recruitment and distribution of both species. This knowledge is important for the sustainable management of regional fisheries.

Food Neophobia (FN), defined as the reluctance to eat new or unfamiliar foods, mainly concerns fruit, vegetables, and legumes, typical of the Mediterranean Diet (MD). Considering these premises, this study aimed to clarify the relationship between FN and AMD in a sample of Italian children and their association with some socio-demographic factors and children's nutritional status. A sample of 288 children aged 3-11 years, participated to an assessment carried out with a questionnaire evaluating FN and AMD, respectively with Child Food Neophobia Scale (CFNS) and the KIDMED Test. Most of the sample showed an intermediate (67.3%) or high level of FN (18.1%) with high rates among 6-11 years old children (63.9%) and especially in only-child (50%). The AMD was mostly low (29.5%) or medium (54.8%) and reached lower levels among higher neophobic children (51.9%; p value &lt; 0.05). Present results confirm the study hypothesis that FN is a driver of MD abandonment and show the positive effects on children's eating habits of having siblings. Finally, this study proves the relevance of adopting effective feeding strategies against FN to avoid its maintenance in adulthood and detrimental effects on future overall health and well-being.

Mass mortality events and anthropogenic impacts were increasingly documented affecting Paramuricea clavata (Risso, 1826) during the last decades. These impacts enhance the settling of epibiontic organisms on the injured colonies. The epibiosis was studied by photographic sampling carried out on the granitic outcrops of the Tavolara Channel within the Tavolara-Punta Coda Cavallo Marine Protected Area (NE Sardinia) between 2017-2023 at 35-55 m. The number of colonies and percent surface involved in epibiosis, the specific richness of the epibiontic community and the temporal evolution of the phenomenon were investigated. Almost all the investigated gorgonians (93%) showed parts involved in epibiosis, with a high percentage of covering (one-third of the surface). Out of the 37 epibiontic species recorded, the most recurrent described an ecological succession dominated by hydrozoans, sponges, bryozoans, serpulids and the parasitic soft coral Alcyomiun coralloides. Nevertheless, single colonies studied through time revealed the unpredictability of the colonization process. The peculiar habitat of a high naturalistic value of the granitic outcrops hosting the P. clavata forests demonstrates a widespread suffering condition, supported both by environmental and anthropogenic sources of stress. Such considerations make it necessary to review the current zonation of the area, where the actual vulnerability and usability evaluations are based on obsolete information.

Turkey is located in the heart of complex transition geography between Eurasia and the Middle East. In the grand scheme, the so-called Eastern Mediterranean Basin is almost amidst the dusty belt and a hot spot of climate change. The downstream location of dust carrying winds from the closer desert sources reveals Turkey as an open plane to particulate matter exposure throughout the year. In order to clarify this phenomenon, it is aimed to find out the desert dust climatology of Turkey via CALIPSO onboard Lidar. This prominent instrument enables us to understand clouds, aerosols and their types and relatedly climatic systems with its valuable products. In this study, 9-year CALIPSO derived pure dust product is formed to explain horizontal and vertical distributions, transport heights and case incidences. Results indicated mass and conditional abundancy are higher with the location shifts from west to east. In the same direction, dominant spring months change to summer and autumn. Mountain range systems surrounding Anatolia are the main obstacles against lofted and buoyant dust particles travelling to northern latitudes. Even if high ridges accumulate mass load on the southern slopes, it also enables elevated particles to reach the ground level of the inner cities.

The Mediterranean diet represents one of the most studied dietary patterns, however, there is no single tool for measuring the grade of adherence and no single criteria to adapting these indices to pregnant women. We characterized the adherence to the Mediterranean diet (MDA) of pregnant women participating in the NELA cohort and identified the sociodemographic determinants and lifestyle habits associated with a higher risk of a low MDA. Maternal diet during gestation was assessed by a validated Food Frequency Questionnaire (FFQ) (n=665). We estimated Relative Mediterranean Diet score (rMED), Alternative Mediterranean Diet score (aMED) and Alternate Healthy Index-2010 (AHEI-2010). Multivariate regression models were performed to identify the sociodemographic and lifestyle factors associated to each index. Mothers with lower age and more previous deliveries had a greater probability of low MDA (P &lt;0.05). Only, for aMED index, mothers with university education and / or who practiced 2 or more hours per week sport activities had a lower probability of a low MDA (P &lt;0.01). These results may be useful in order to design intervention strategies and dietary recommendation for pregnant women.

Mediterranean catchments are characterized by significant spatial and temporal hydrological variability caused by the interaction of natural as well human-induced abiotic and biotic factors. This study investigates the (non-)linearity rainfall-runoff relationship at multiple temporal scales in representative small Mediterranean catchments (i.e., < 10 km2) to achieve a better understanding of the hydrological response. Rainfall-runoff relationship was evaluated in 44 catchments at annual and event –203 events in 12 of these 44 catchments– scales. A linear rainfall-runoff relation was observed at annual scale with higher scatter in pervious than impervious catchments. Larger scattering was observed at event scale, although pervious lithology and agricultural land use promoted significant rainfall-runoff linear relations in winter and spring. These relationships were particularly analysed during five hydrological years in Es Fangar catchment (3.35 km2; Mallorca, Spain) as a temporal downscaling to assess intra-annual variability in which antecedent wetness conditions played a significant role in runoff generation.

There is evidence that optimal nutrition is fundamental to human health and in the prevention of non-communicable diseases (NCDs) later in adult life. The identification, production and consumption of functional foods worldwide can increase health benefits for all who can access and afford such foods subject to advice from nutritionists. Recent meetings organized by the health agencies, give a crucial opportunity to make nutrition, a central part of the post-2015 sustainable human and agricultural development agenda. The aim of discussions in these meetings was to provide functional crops and foods to achieve optimal health by prevention of NCDs. It is possible that these efforts might ensure that the goals and targets set in the agenda are adequate to address the many challenges of global undernutrition as well as obesity which are major risk factors of NCDs. In many developing and middle income countries, food security provided by the governments, in one sense understandably, gave least consideration to functional foods supply and the prevention of obesity and metabolic syndrome, resulting in to emergence of NCDs. The Thailand Declaration reiterates that commitments to eradicate hunger and undernutrition as well as over-nutrition, and to increase investments in effective interventions; designers foods and designers crops. However, in planning coherent policies, our past experience on rapidly absorbed, energy-rich processed foods should be taken in to account while developing sustainable food systems. The food industry should be educated to exploit the expertise of food scientists and health professionals in designing functional foods taking cognizance of manufacturing and processing. Similarly, agriculture scientists may be actively involved in educating farmers so as to grow cash crops providing functional foods. The aim should be to achieve an increase in the availability of functional foods to an extent, or by a policy, by which such foods are available to poors, at affordable cost to prevent hunger and undernutrition and related diseases as well as NCDs. In addition our efforts might help in developing an international consensus on how to approach the development of new designer foods by farmers and food industry to produce low glycemic index foods. Such efforts may establish an international framework for the prevention of NCDs, so that human susceptibility to these diseases is substantially diminished.

Compared with maize monocropping systems, maize double-cropping production systems have a much greater nitrogen extraction capacity. This study aims to assess if in these farming systems, animal manures could be applied, using adequate management practices, exceeding the maximum annual amount of livestock manure established in the European Nitrate Directive for vulnerable zones (170 kg N ha-1) without increasing the risk of water nitrate contamination. We compare the risk of nitrate leaching under two fertilisation strategies, one with synthetic fertilisers (M) and the second with maximized application of pig slurry (P). The study was conducted in two contrasting soil types, a deep and heavy-textured soil and a shallow and stony soil. Crop yields and N extractions were not affected by the fertilisation strategies. The nitrate concentrations in the soil below the crop root zone were lower in the deep soil than in the shallow soil, where values exceeded 1000 mg L-1. The soil nitrate concentration was not affected by fertilisation strategies at each site. The results show that pig slurry can be applied above the limit of 170 kg N ha-1, in the conditions of the study up to 360 kg N ha-1, without increasing the risk for nitrate leaching.

The aim of this study was to analyze the relationship between healthy vascular aging (HVA) and the Mediterranean diet alongside other lifestyles in a Spanish population aged 35 to 75 years without previous cardiovascular diseases. Methods: Cross-sectional descriptive study with 501 individuals aged 35 to 75 years recruited from five health centers by random sampling stratified by age and sex (55.90±14.24 years, 49.70% men). HVA was determined in two steps. Step 1: Subjects with vascular damage to the carotid arteries or peripheral arterial disease were classified as non-HVA. Step 2: The study population was classified by age and sex using the percentiles of the vascular aging index (VAI), with VAI ≤p25 considered HVA and >p25 considered non-HVA. The VAI was estimated using the following formula (VAI = (log (1.09) × 10 cIMT + log (1.14) cfPWV) × 39.1 + 4.76. Carotid-femoral pulse wave velocity (cfPWV) was measured with the SphygmoCor^® device and carotid intima-media thickness using Sonosite Micromax^® ultrasound. Mediterranean diet (MD) adherence, alcohol and tobacco use were recorded through validated questionnaires. Physical activity was assessed with the ActiGraph-GT3X^® accelerometer. Results: The mean VAI value was 61.23±12.86; (Men 63.47±13.75 and women 59.04±11.54; p<0.001). HVA was found in 18.9% (men 19.9% and women 17.8%). In the multiple regression analysis after adjusting for possible confounding factors, the mean VAI value showed a positive association with alcohol use (β=0.020) and sedentary hours per week (β=0.109), and a negative association with hours of activity per week (β=-0.102) and with the number of healthy lifestyles (β=-0.640). In the logistic regression analysis after adjusting for possible confounding factors, and compared to those classified as non-HVA, subjects classified as HVA were more likely to show adherence to MD (OR = 0.571), perform more than 26 hours per week of physical activity (OR = 1.735), spend less than 142 hours per week being sedentary (OR = 1.696), and have more than two healthy lifestyles (OR = 1.877). Conclusion: The results of this study suggest that the more time spent doing physical activity and the less time spent sitting, the lower the vascular aging index and the greater likelihood of being classified in the group of subjects showing HVA.

The Mediterranean Diet, characterized by high intake of plant foods and unsaturated fats, has been suggested to improve assisted reproductive technology (ART) outcomes. This literature review aimed to summarize the evidence from observational studies on the associations between preconception Mediterranean Diet and ART outcomes. PubMed/MEDLINE, Embase, ScienceDirect, and Google Scholar databases were searched to identify relevant studies. Seven observational studies (n=2,321 women on ART) were included. Adherence to the Mediterranean Diet was assessed by food frequency questionnaires with 6-195 items. Three studies found that higher Mediterranean Diet scores improved Clinical Pregnancy or Live Birth rates, while two studies showed a positive effect on ART eggs and embryos. However, two studies reported no significant associations with ultimate ART success, and four studies found no effects on oocyte and embryo number or quality. Evidence for the effects of greater adherence to the Mediterranean Diet on ART outcomes is limited but promising. Additional rigorous research is needed to clarify and weigh the degree of association between the Mediterranean Diet and ART success.

Coastal zones experience increasing climatic and human pressures, which lead to growing risks and tipping points (TPs) under future scenarios and natural resource scarcity. To avoid crossing TPs with irreversible coastal losses, this paper proposes the development of adaptation pathways based on advanced coastal oceanography and engineering knowledge that enables an objective assessment of evolving coastal risks. These pathways feature sequential interventions, combining conventional engineering works with nature-based solutions (NbS), steered by simulations and observations as a function of available coastal resources (space and sediment) and risks for infrastructure and socioeconomic assets. Such an adaptation has been developed for urban and peri-urban Mediterranean beaches, considering conventional coastal engineering together with NbS. Both types of interventions are assessed in terms of key physical variables, which serve to evaluate performance and estimate TPs. This analysis supports the new coastal protection and management plan promoted by the local government and the coastal adaptation plan of the central government. The approach and results illustrate the potential of adaptation pathways for beach sustainability, enhancing the compatibility between short/long-term coastal protection objectives under present/future climate and management scenarios. The adaptation pathways development underpins an increasing stakeholder cooperation to achieve shared decisions for coastal sustainability.

Particulate organic carbon (POC) is a pivotal component within the marine carbon cycle, actively involved in diverse biogeochemical processes. This study focuses on Mediterranean as the research region, selecting the most influential factors from 47 potential ones influencing surface POC. Using geographic detector for factor identification, ten primary influencers were identified. Preliminarily optimized random forest (BRF), backpropagation neural network, adaptive boosting, and extreme gradient boosting were utilized to construct POC assessment models. Notably BRF exhibited superior performance in estimating the sea surface POC. Further optimization of RF using the tuneRanger R package resulted in R² of 0.868, mean squared error of 1.119 (mg/m³) ², and mean absolute error of 1.041 (mg/m³). Surface POC concentrations in the Mediterranean for May and June 2017 were estimated. Spatial distribution analysis unveiled higher concentrations in the west, lower in the east, higher in the north, lower in the south, with higher levels near the coast and lower far from the coast. Additionally, the study deliberated on the impact of human activities on surface POC in the Mediterranean. This research contributes a high-precision method for satellite retrieval of surface POC concentrations in the Mediterranean, thereby enriching the understanding of POC dynamics in the area.

Unmanned aerial vehicles (UAVs), commonly known as drones, present a cost-effective solution for the swift collection of data from vast and remote areas that are otherwise difficult to access. The Mediterranean Basin, known for being a hot spot for plant biodiversity, hosts several habitats and taxa of significant naturalistic value. However, many of these areas are often inaccessible to botanists, making exploration and research challenging. The aim of this paper is to involve the utilization of drone surveys and open-source software for botanical research. Our primary goal is to show the effectiveness of these tools in the field and demonstrate their practical application in Natura 2000 sites. The protected area chosen for this research is Rocca di Novara, situated in northeastern Sicily. Thanks to our drone investigations, we were able to capture images of the mountain’s side that is inaccessible to humans. This allowed us to observe the habitat of some species in detail. One of the most fascinating discoveries was the reappearance of Saxifraga callosa subsp. australis, which had not been confirmed in this area for over 140 years. Using drones for botanical research can boost field research, making monitoring easier and more cost-effective over time, especially in Natura 2000 sites.

The rapid spread of non-indigenous species (NIS) poses a significant threat to biodiversity globally, with the Mediterranean region being particularly susceptible due to increased human activities and its status as a marine biodiversity hotspot. In this study, we focus on the introduction and distribution of Fistularia petimba, a member of the Fistulariidae family, in the eastern Mediterranean Sea, specifically on the coasts of Amorgos Island, Greece. Through a baseline fisheries study conducted over 12 months, utilizing experimental sampling with gillnets, trammel nets, and longlines, one individual of F.petimba was captured off the coast of Katapola Bay. Morphological examination confirmed its identity, with measurements on meristic characteristics obtained and stomach content analyzed. This finding represents a significant addition to the documented distribution of F. petimba in the Mediterranean Sea, particularly in the Aegean Sea, underscoring the importance of ongoing research in uncovering new occurrences and expanding our understanding of marine biodiversity and ecosystem changes. Further investigation into the ecological preferences and population dynamics of F.petimba in the Aegean Sea is crucial for informed conservation and management efforts.

The search of DNA polymorphisms useful for the genetic improvement of dairy farm animals lasts more than 40 years with relevant findings in cattle for milk traits, where the best combination of alleles for dairy processing have been found in casein genes and in the DGAT1. Nowadays, similar results are not reached yet in river buffaloes despite advanced genomic technologies and accurate phenotype records are available. The aim of the present study was to investigate and validate in a larger buffalo population the effect on six milk traits of four single nucleotide polymorphisms (SNP) in the CSN1S1, CSN3, SCD and LPL genes, previously reported to be associated with or affect dairy traits in smaller populations often belonging to one farm. A total of 800 buffaloes were genotyped. Daily milk yield (dMY, kg), protein yield (dPY, kg) and fat yields (dFY, kg), fat and protein contents (dFP, % and dPP, %), somatic cell count (SCC, 103cell/ml) and urea (mg/dl) were individually recorded in each month for the whole lactation from 2010 to 2021. A total of 15,742 individual milk test day records (2,496 lactations) were available on 680 buffalo cows with 3.6±1.7 parity (from 1 to 13) and 6.1±1.2 test day records per lactation on average. Three out four SNP in CSN1S1, CSN3 and LPL were associated with at least one of analyzed traits. In particular, the CSN1S1 (AJ005430:c.578C&gt;T) gave favorable associations with all yield traits (dMY, p=0.022; dPY, p=0.014 ; dFY, p=0.029) and SCS (p=0.032), whereas the CSN3 (HQ677596: c.536C&gt;T) positively associated with SCS (p=0.005) and milk urea (p=0.04). Favorable effect on dMY (p=0.028), dFP (p=0.027) and dPP (p=0.050) were observed for the LPL. Conversely, SCD did not show any association with milk traits. This is the first example of confirmation study carried out in the Mediterranean river buffalo for genes of economic interest in dairy field and it represents a very important indication for the preselection of young bulls destined to breeding programs in the view of a more sustainable dairy production.

This bibliographic study addresses key aspects related to fishing, product safety, and climate change in the Adriatic Sea region. The examination of product safety focuses on the assessment of contaminants originating from human activities such as industry, mining, agriculture, and household waste disposal. The contamination of the aquatic environment has emerged as a pressing global concern, extending to the Adriatic subbasin. Aquatic organisms, including fish, are prone to accumulating pollutants directly from polluted water sources and indirectly through the food web. The bio-accumulation of potentially hazardous substances, particularly heavy metals, pesticides, PCBs, PAHs, and antibiotic resistance in aquatic organisms, poses a significant threat to human health. Climate change effects will deplete our seafood supply in terms of quantity and safety owing to negative consequences such as higher levels of pollution, parasites, viruses, infections, acidification, and toxicities such as shellfish poisoning. Global food safety strategies should be developed to reduce greenhouse gas emissions and promote environmentally friendly technology, which indirectly affects seafood quality and microbiological safety, especially for Adriatic Sea, which is part of the Mediterranean Sea, characterized by the most polluted waters in the world.

Olive orchards cover over 10 million hectares worldwide, with production techniques undergoing significant changes in the past three decades. The traditional rainfed approach, involving minimal inputs, has given way to irrigated super-intensive systems with higher planting density, in-creased productivity, greater use of fertilizers and phytopharmaceuticals, and total mechaniza-tion. Its impact on soil chemical properties remains a topic of great debate and no definitive consensus has been reached. Our main objective was to examine the different effects of traditional olive orchards and super-intensive ones on soil chemistry over a decade. We collected and ana-lyzed 1500 soil samples from an irrigation perimeter in southern Portugal in 2003 and 2013. Our findings indicate that compared to traditional olive orchards, super-intensive ones show, in a decade, a significant decrease in soil organic matter (less 22.8% - p<0.001) and an increase in so-dization (more 33.8% of Ext Na - p<0.001) highlighting the importance of monitoring this factor for soil fertility. In comparison to other irrigated crops in the region, super-intensive olive orchards promote a significant soil acidification (from 7.12 to 6.58), whereas the pH values of the other crops increase significantly (more 3.3%, 13.5%, 3.0% in corn, tomato and cereals, respectively). Mainly because organic matter levels decrease, soil acidification and soil sodization we can un-derline that hedgerow olive orchards can affect soil characteristics negatively when compared with traditional ones.

Globally, between 10% and 15% of couples experience infertility. Given the high demand for Assisted Reproductive Techniques (ART), there is growing interest in exploring modifiable factors influencing their outcomes. In this context, the objective of this review was to investigate the impact of adherence to the Mediterranean Diet (MD), recognized for its benefits in reproductive health, on ART outcomes. Methodology: A systematic review was conducted following the PRISMA methodology. International databases were consulted, selecting studies published between 2010 and 2023, in English and Spanish, involving patients aged 18-55, and examining intermediate and/or clinical outcomes of ART. Systematic reviews, meta-analyses, and animal studies were excluded. Results: Of the 9 included articles, 5 found statistically significant associations between adherence to the MD and positive outcomes in ART, such as a higher number and quality of embryos, clinical and biochemical pregnancy, and live births. However, other studies found no such associations. Conclusions: There is a potential association between adherence to the MD and ART outcomes. The evidence is very limited, necessitating further investigation.

The study's objective was to assess the impact of Mediterranean diet/lifestyle interventions for weight loss on Positive airway pressure (PAP) adherence, Body mass index (ΒΜΙ), sleepiness, and blood pressure measurements (BP) in patients with obstructive sleep apnea (OSA). We designed a randomized, controlled trial, including overweight and obese patients with moderate-to-severe OSA, randomized to standard care (SCG, n=37) and Mediterranean diet group (MDG, n=37). SCG received healthy lifestyle advice, while MDG underwent a 6-month behavioral intervention aiming to enhance weight loss and adherence to Mediterranean diet. PAP adherence, BMI, Epworth Sleepiness Scale (ESS) and BP measurements were evaluated pre- and post-intervention. Post-intervention PAP use was higher in MDG compared to SCG (6.1 vs 5.4, p=0.02). Diet/lifestyle intervention was one of the most significant predictive factors for PAP adherence (OR = 5.458, 95% CI = 1.144-26.036, p=0.03). The SCG demonstrated a rise in BMI, while the MDG displayed a decline (0.41 vs -0.75, p=0.02). The MDG also demonstrated a substantial reduction in adjusted SBP (-5.5 vs 2.8, p=0.014) and DBP (-4.0 vs 2.5, p=0.01). Ultimately, incorporating a dietary/lifestyle intervention with standard care yields superior PAP adherence, BMI, and BP measurements in contrast to standard care alone, underscoring the potential benefits of allocating increased time and support within the MDG group. Trial registry: ClinicalTrials.gov; No.: NCT05881824; URL: www.clinicaltrials.gov.

Genetic and environmental factors including lifestyle are thought to play an important role in the pathophysiology of rheumatoid arthritis (RA). There is evidence that diet can enhance the inflammatory response in genetically predisposed individuals. On the other hand, certain types of diets are thought to alleviate RA symptoms due to their anti-inflammatory and antioxidant activities. Also, natural compounds with potential effectiveness in RA management belong to different chemical classes such as flavonoids, polyphenols, carotenoids, and alkaloids with their antioxidant characteristics. In this paper, the nutritional approaches to prevent or extenuate the disease progress were examined in the light of current literature. Mediterranean and vegan diets equally have been shown to exhibit positive effects on RA as the consumption of dietary fiber, antioxidants and anti-inflammatory compounds from fruits, vegetables, grains, nuts, and seeds are high. Whereas Mediterranean diet additionally includes beneficial nutrients of animal origin such as omega-3 polyunsaturated fatty acids from fish and seafood, patients on vegan diet need to be monitored closely for intake of all critical nutrients. Certain calorie restrictions and intermittent fasting diets have been shown to benefit RA patients although there is an obvious need for further studies to establish solid evidence-based recommendations and guidelines. The research data available strongly suggest that dietary approaches may help delay the onset of RA and/or improve symptoms and thus nutrition should be routinely addressed to facilitate management of the disease.

Pufferfish (Tetraodontidae) inhabiting the Mediterranean Sea can represent an emerging public health risk due to the possible accumulation of marine neurotoxins (TTXs and STXs) in their tissues. In this study, the presence of pufferfish species in the Strait of the Sicily (Lampedusa Island, Italy) was investigated using a Citizen Science (CS) approach involving local fishermen. A sub-group of specimens collected were sent to the National reference Laboratory on Marine Biotoxins for de-termining the presence of TTXs using a validated HILIC-MS/MS method on fish tissue. The STXs presence was also screened in some specimens. Overall, 56 specimens, identified as Sphoeroides pachygaster (Müller &Troschel, 1848) were collected. Data on specimen total length, body weight, fishing method, catch area (with relative depth temperature and salinity) were analyzed and compared with the S. pachygaster records reported in Guardone et al. (2018), which were appro-priately updated until 2022. All the analysed tissues were found to be negative for both TTXs and STXs. The key role of the CS in monitoring potentially toxic marine species was proved. Outcomes from this study, the first investigating the toxicity of S. pachygaster in Italian waters, may provide useful data for the proper assessment of this emerging risk

The aim of this paper is to apply a new lane separation methodology for the maritime sector emissions attributed to the different vessel types and marine traffic loads in the Mediterranean and the Black Sea defined via the European Marine and Observation Data network (EMODnet), developed in 2016. This methodology is implemented for the first time on the Copernicus Atmospheric Monitoring Service Global Shipping (CAMS-GLOB-SHIP v2.1) nitrogen dioxide (NOX) emissions inventory, on the Sentinel-5 Precursor TROPOspheric Monitoring Instrument (TROPOMI) nitrogen dioxide (NO2) tropospheric vertical column densities and on the LOTOS-EUROS (LOng Term Ozone Simulation – EURopean Operational Smog) chemical transport model simulations. By applying this new, EMODnet-based lane separation method to the CAMS-GLOB-SHIP v2.1 emission inventory, we find that cargo and tanker vessels account for approximately 80% of the total emissions in the Mediterranean, followed by fishing, passenger, and other vessel emissions with contributions of 8%, 7% and 5%, respectively. Tropospheric NO2 vertical column densities sensed by TROPOMI for 2019 and simulated by the LOTOS-EUROS CTM have been successfully attributed to the major vessel activities in the Mediterranean; the mean annual NO2 load of the observations and the simulations reported for the entire maritime EMODnet-reported fleet of the Mediterranean is in satisfactory agreement, 1.26 ± 0.56x1015 molecules cm-2 and 0.98 ± 0.41x1015 molecules cm-2, respectively. The spatial correlation of the annual maritime NO2 loads of all vessel types between observation and simulation ranges between 0.93 and 0.98. On seasonal basis, both observations and simulations show a common variability. The winter-time comparisons are in excellent agreement for the highest emitting sector, cargo vessels, with the observations reporting a mean load of 0.98 ± 0.54 and the simulations of 0.81 ± 0.45x1015 molecules cm-2 and correlation of 0.88. Similarly, the passenger sector reports 0.45 ± 0.49 and 0.39 ± 0.45x1015 molecules cm-2 respectively, with correlation of 0.95. In summertime, the simulations report a higher decrease in modelled tropospheric columns than the observations, however still resulting in a high correlation between 0.85 and 0.94 for all sectors. These encouraging findings will permit us to proceed with creating a top-down inventory for NOx shipping emissions using S5P/TROPOMI satellite observations and a data assimilation technique based on the LOTOS-EUROS chemical transport model.

The coronavirus pandemic (COVID-19) resulted in lockdowns and social distancing measures enforced by governments. Using a cross-sectional design, this study aimed to identify changes in adherence to the Mediterranean diet (MD) and physical activity (PA) and associations with personality, during lockdown in Qatar. A sample of 543 participants was recruited online between April and May 2020. Results showed a reduction in Mediterranean diet (MD) adherence during lockdown (5.9 ± 0.08) compared to before lockdown (6.1 ± 0.08) (p ˂ 0.001). Although there was an increase in the percentage of participants who consumed ≥4 tablespoons olive oil per day (9% vs 12%; p ˂ 0.001), vegetables (54.3% vs 58.7%; p = 0.005), legumes (11.8% vs 15.3%; p = 0.007) and sofrito (70.9% vs 77.3%; p ˂ 0.001), there was also a significant decrease in the percentage of participants who consumed fresh fruit (39.4% vs 15.8%; p ˂ 0.001) and fish/seafood (5.9% vs 3.9%; p = 0.035) and an increase in saturated fat consumption (45.9% vs 53.8%; p ˂ 0.001), during lockdown compared to before lockdown. Participants who scored high in the extraversion personality dimension had a higher MD adherence (B = 0.84; 95% CI = 0.04, 1.64; p = 0.039) before lockdown compared to participants who scored high in the agreeableness personality dimension, although this difference did not reach statistical significance during lockdown. Those who scored high in openness had the lowest change in MD adherence score (B = -0.31; 95% CI = -0.58, -0.04; p = 0.026). Total PA (B = -506.26; 95% CI = -678.60, -333.92; p ˂ 0.001), vigorous activity (B = -155.95; 95% CI = -274.64, - 38.21; p = 0.010), moderate activity (B = -93.04; 95% CI = -148.07, -38.01; p = 0.010) and walking (B = -257.27; 95% CI = -337.87, -176.67; p ˂ 0.001) were decreased during lockdown, while sitting was increased compared to before lockdown (B = 940.91, 95% CI = 831.9, 1049.90; p ˂ 0.001). Openness was positively associated with all PA (B = 562.2; 95% CI = 62.7, 106.7; p = 0.027), including walking (B = 241.7; 95 % CI = 29.4, 454.0; p = 0.026) and negatively associated with sitting (B= -303.4; 95% CI = -590.0; -16.8; p = 0.038) when compared to those with high agreeableness scores, before lockdown. During lockdown, the time spent sitting was lower in those with high scores on neuroticism when compared to those with high agreeableness scores (B= -619.5; 95 % CI = -1215,-23.9; p = 0.042). Differential changes in lifestyle habits by personality dimensions during lockdown, suggest the need to tailor lifestyle interventions based on people’s personality types, for more effective lifestyle change.

The new coronavirus disease 2019 (COVID-19) pandemic is an emerging situation with high rates of morbidity and mortality, in the pathophysiology of which inflammation and thrombosis are implicated. The disease is directly connected to the nutritional status of patients and a well-balanced diet is recommended by official sources. Recently, the role of platelet activating factor (PAF) was suggested in the pathogenesis of COVID-19. In the present review several micronutrients (vitamin A, vitamin C, vitamin E, vitamin D, selenium, omega-3 fatty acids, minerals), phytonutrients and Mediterranean diet compounds (olive oil, fish, honey, plant foods) with potential anti-COVID activity are presented. We further underline that the well-known anti-inflammatory and anti-thrombotic actions of the investigated nutrients and/ or holistic dietary schemes, such as the Mediterranean diet, are also mediated through PAF. In conclusion, although there is no single food to prevent coronavirus, the aim is to follow a healthy diet containing PAF inhibitors in order to target both inflammation and thrombosis and try to avoid or/and reduce the deleterious effects of the COVID-19 epidemic.

Cystoseira is a relevant alga, which forms dense meadows on rocky substrates up to 100 meters deep. They are widely recognized as bioindicators for their restricted habitat (sub-coastal zone) and low tolerance to pollution. We have monitored Cystoseira sensu lato (sl) spp. in abrasion platforms in Cabo de Las Huertas (Alicante, SE Spain), a total of seven species. A cladogram has been constructed using fifteen phenotypic taxonomic relevant characters. We have also optimized Cystoseira DNA extraction and sequenced amplicons from mt23S, tRNA-Lys, and psbA genes of five Cystoseira sl species from Cabo de Las Huertas. Our phylogenetic supertree, built with these sequences, backs three clades in the genus. Rare species Treptacantha sauvageauana and Treptacantha algeriensis, sequenced for the first time, are included with T. elegans and the Atlantic species T. baccata and T. abies-marina in Cystoseira-VI or Cystoseira-II clades. Our data supports a complex colonization of Cystoseira (sl) spp. in the Mediterranean, perhaps involving Atlantic clades.

Egyptian mongoose (Herpestes ichneumon) is a medium-size carnivore that in Europe is restricted to Iberia. The bio-ecology of this species remains to be elucidated in several dimensions, including gut microbiota that is nowadays recognized as a fundamental component of mammals. In this work, we investigated the gut microbiota of this herpestid by single-molecule real-time sequencing of twenty paired male (n=10) and female (n=10) intestinal samples. This culture-independent approach enabled microbial profiling based on 16S rDNA and investigation of taxonomical and functional features. The core gut microbiome of the adult subpopulation was dominated by Firmicutes, Fusobacteria, Actinobacteria, and Proteobacteria. Eight genera were uniquely found in adults and five in non-adults. When comparing gut bacterial communities across sex, four genera were exclusive of females and six uniquely found in males. Despite these compositional distinctions, alpha- and beta-diversity analyses showed no statistically significant differences across sex or between adult and non-adult specimens. However, males presented a significantly higher abundance of amino acid and citrate cycle metabolic pathways, compared to the significant overrepresentation in females of galactose’ metabolic pathways. Adults showed a significantly higher abundance of cationic antimicrobial peptide resistance pathways, while non-adults bared a significant overrepresentation of two-component systems associated with antibiotic synthesis, flagellin production and chemotaxis control. This study adds new insights into mongoose bio-ecology palette, highlighting taxonomical and functional microbiome dissimilarities across sex and age classes, possibly related to primary production resources and life-history traits that impact on behavior, diet and gut ecosystem.

Grazing exclusion has been proved to be one of the main measures for rehabilitating degraded arid steppes. However, the effect of this management practice on plant species diversity and composition is ambiguous, specially under prolonged droughts. Concurrently considering the responses of individual plant species, diversity of functional groups, α-diversity, and β-diversity (and its components) may be crucial to the holistic understanding of grazing exclusion effects on plant communities under drought conditions. Here, we investigated the response of these diversity measures to short-term sheep exclusion under severe drought episode in arid steppes of Alfa-grass (Stipa tenacissima) with a long evolutionary history of livestock grazing. Individual species responses were tested based on species occurrence and abundance in either grazed or grazing-excluded steppes, in addition, we used indicator species analysis to assess the strength of the association between plant species and management type. Likewise, α-diversity, abundance- and incidence-based β-diversity, as well as the functional groups’ diversities were quantified using Hill Numbers and compared between the two management types. Sheep grazing exclusion enabled the recovery of various Alfa-steppe indicator species and improved the size of regional species pool, overall α-diversity, and the diversity of therophytes. This management practice decreased the abundance-based β-diversity and the nestedness-resultant fraction of the incidence-based β-diversity at the local scale, while at the landscape scale increased the abundance-based β-diversity and its balanced variation fraction and reduced the incidence-based β-diversity and its turnover component. Furthermore, protection from grazing altered β-diversities scaling patterns by maintaining higher balanced variation in species abundance at large spatial scale and greater abundance-gradient in species composition at the fine-scale. Our results suggest that the implementation of short-term grazing exclusion in degraded arid steppes would be the appropriate management practice for vegetation restoration and plant diversity conservation during prolonged drought periods.

Sea level rise is one of the main factor of risk for the preservation of cultural heritage sites located along the coasts of the Mediterranean basin. Coastal retreat, erosion and storm surges are yet posing serious threats to archaeological and historical structures built along the coastal zones of this region. In order to assess the coastal changes by the end of 2100 under an expected sea level rise of about 1 m, a detailed determination of the current coastline position and the availability of high resolution DSM, is needed. This paper focuses on the use of very high-resolution UAV imagery for the generation of ultra-high resolution mapping of the coastal archaeological area of Pyrgi, near Rome (Italy). The processing of the UAV imagery resulted in the generation of a DSM and an orthophoto, with an accuracy of 1.94 cm/pixel. The integration of topographic data with two sea level rise projections in the IPCC AR5 2.6 and 8.5 climatic scenarios for this area of the Mediterranean, were used to map sea level rise scenarios for 2050 and 2100. The effects of the Vertical Land Motion (VLM) as estimated from two nearby continuous GPS stations located as much as close to the coastline, were included in the analysis. Relative sea level rise projections provide values at 0.30±0.15 cm by 2050 and 0.56±0.22 by 2100, for the IPCC AR5 8.5 scenarios and at 0.13±0.05 cm by 2050 and 0.17±0.22 by 2100, for the IPCC AR5 2.6 scenario. These values of rise will correspond to a potential beach loss between 12.6% and 23.5% in 2100 for RCP 2.6 and 8.5 scenarios, respectively, while during the highest tides the beach will be reduced up to 46.4%. With these sea level rise scenarios, Pyrgi with its nearby Etruscan temples and the medieval castle of Santa Severa will be soon exposed to high risk of marine flooding, especially during storm surges, thus requiring suitable adaptation strategies.

Mercury (Hg) fish and seafood contamination is a global concern and needs worldwide sea investigations in order to protect consumers. The aim of this study was to investigate the Hg concentration by means of a rapid and simple analytical technique with direct Mercury Analyzer (DMA-80) in pelagic fish species, Tetrapturus belone (spearfish), Thunnus thynnus (tuna) and Xiphias gladius (swordfish) caught in the Mediterranean Sea. Hg contents were evaluated also in Salmo salar (salmon) as pelagic fish not belonging to the Mediterranean area. The results obtained were variable ranging between 0,015-2,562 mg kg-1 for T. thynnus specie, 0,477-3,182 mg kg-1 for X. gladius, 0,434-1,730 mg kg-1 for T. belone and 0,004-0,019 mg kg-1 for S. salar, respectively. The total Hg tolerable weekly intake (TWI) and % tolerable weekly intake (TWI%) values according to the European Food Safety Authority (EFSA) were calculated. The results highlighted that the pelagic species caught in the Mediterranean Sea should be constantly monitored due to their high Hg contents as well as their TWI and TWI% with respect to S. salar samples.

The temperature variations caused by the climate changes taking place in the Basilicata region, southern Italy - Ionian Seaside of the Gulf of Taranto - on the territory of the DOP Matera vineyard, were studied by means of an analysis of temperature trends considering both the period of the vegetative-productive season of the vineyards and the whole year. Two datasets were analyzed for this study: data from ERA5-Land of the C3S Climate Data Store -relative to the 1981-2022 window- and data from 5 weather stations belonging to the agrometeorological network of the Lucanian Agency for Development and Innovation in Agriculture (SAL-ALSIA), relative to the 2000-2023 window. From the results of this study, it can be deduced that, for the historical period analyzed, the Matera DOP area showed a clear and worrying trend of increasing temperatures and, in par-ticular, minimum temperatures. This increase, moreover, is more evident at higher elevations than at lower elevations close to the sea. At lower altitudes, in fact, temperatures are strongly “buffered” by the thermoregulatory activity of the bordering Ionian Sea. It follows that the DOP Matera viticultural areas, and in particular the areas furthest from the coastal strip, will already have to adapt to severe climatic conditions that will undoubtedly affect the quality and typicality of the wines.

Heart failure (HF) is a global health concern with rising incidence and poor prognosis. While the essential role of nutritional and dietary strategies in HF patients is acknowledged in the existing scientific guidelines and clinical practice, there are no comprehensive nutritional recommendations for optimal dietary management of HF. In this review, we discuss results from recent studies on the obesity paradox and the effects of calorie restriction and weight loss, intermittent fasting, the Western diet, the Mediterranean diet, the ketogenic diet, and the DASH diet on HF progression. Many of these strategies remain under clinical and basic investigation for their safety and efficacy, and there is considerable heterogeneity in the observed response, presumably because of heterogeneity in the pathogenesis of different types of HF. In addition, while specific aspects of cardiac metabolism, such as changes in ketone body utilization, might underlie the effects of certain dietary strategies on the heart, there is a critical divide between supplement strategies (i.e. with ketones) and dietary strategies that impact ketogenesis. This review aims to highlight this gap by exploring emerging evidence supporting the importance of personalized dietary strategies to prevent progression and improve outcomes in the context of HF.

The study assesses the direct effects of climate change by 2060, including extreme events, on the productivity of regional crop farming and livestock in Greece, and the broader socio-economic effects on the agri-food and other sectors. Different approaches (i.e., agronomic models, statistical regression models, equations linking thermal stress to livestock output) were combined to estimate the effects on productivity from changes in the average values of climatic parameters, and subsequently the direct economic effects from this long-term climate change. Recorded damages from extreme events together with climatic thresholds per event and crop were combined to estimate the direct economic effects of these extremes. The broader socio-economic effects were then estimated through input-output analysis. Under average levels of future extreme events, the total direct economic losses for the Greek agriculture due to climate change will be significant, from €437 million/ year to €1 billion/ year. These losses approximately double when indirect effects on other sectors using agricultural products as inputs (e.g., food and beverage, hotels, restaurants) are considered, and escalate further under a tenfold impact of extreme events. Losses in the GDP and employment are moderate at the national level, but significant in regions where the contribution of agriculture is high.

Tidal notches, long regarded as reliable indicators of mean sea level, have been extensively studied along carbonate coasts in the central Mediterranean Sea. Previous studies revealed a correlation between the genesis of tidal notches and tidal range, lithology, cliff foot depth and wave energy. In the 2020 Geoswim campaign at Lampedusa, the southernmost island of the Pelagie archipelago (Italy), 'anomalous' tidal notches were identified. Unlike normal notches observed elsewhere, those in Lampedusa's southern bays exhibited a particular behavior —constantly deepening in the inner part of the bays, reaching a maximum depth of approximately 30 cm below sea level and narrowing inwards. Similar phenomena were previously observed by [1] near Marseille (France) and in Gozo Island (Malta). Time-lapse images, alongside measurements of morphometric param-eters, were collected during the survey. Despite the rapid morphological changes of the notches within the bay, the tectonic stability of the studied areas was confirmed by literature and data. Our hypothesis indicates that a combination of marine factors, influenced by local meteomarine conditions driven by the local morphology of the small bays exposed to southern quadrants con-tribute to the formation of these unique landforms. The latter manifest higher lowering erosion rates slightly below mean sea level in sheltered areas, challenging conventional notions about tidal notch formation.

Thermaikos Gulf (TG) is a semi-enclosed, river-influenced, marine system situated in the eastern Mediterranean Sea, sustaining both urban coastal regions and ecologically preserved natural areas. Facing a plethora of environmental and anthropogenic pressures, the TG serves as a critical nexus where human activities intersect with marine ecosystems. The second largest city of Greece, Thessaloniki, is located in the northern part of the gulf, while a large environmentally protected zone with multiple river deltas is lying along its western coasts. The quality and health of the TG’s marine environment are tightly linked to the socioeconomic activities of the coastal communities comprising approximately 1.5 million inhabitants. The main features of TG’s environmental dynamics and ecological status have been scrutinized by dedicated research endeavours during the last 50 years. This review synthesizes the seminal findings of these investigations, offering an evaluation of their contribution to research, their present collective impact, and their trajectory toward the future. A severe deterioration of the TG’s environmental quality was detected in the 1970s and 1980s when treatment of urban wastewater was completely absent. A steady trend of recovery was observed after the 1990s, however without achieving, so far, the goal of a “good environmental state”, mandated by national legislation and European directives. The most important research gaps and uncertainties are also discussed and specific recommendations for the improvement of monitoring and understanding about the physical, biochemical, and ecological state of the gulf are provided. The most significant discrepancy is related to the fragmentary monitoring of the TG in both space (partial coverage) and time (temporal gaps), which has been intensified after 2010 due to the reduced funding for environmental research and protection under the severe Greek economic recession. This review aspires to highlight the importance of bolstering monitoring initiatives that can provide continuous observations and further understanding on the TG's ecological and physicochemical conditions. Targeted recommendations, aimed at ameliorating the fragmented monitoring processes, are also provided, advocating for a holistic approach that can safeguard the ecological integrity of the Thermaikos Gulf and uphold its role as a crucial link to marine biodiversity and sustainability in the Mediterranean basin.

Overweight and obesity adversely affect health-related quality of life (HRQOL) through day-to-day impairments of both mental and physical functioning. It is assumed that polyphenols within the Mediterranean diet may contribute to improve HRQOL. This investigation aimed at studying the effects of a polyphenol-rich ingredient on HRQOL in overweight and obese but otherwise healthy individuals. A randomized, double-blind, placebo-controlled study including 72 volunteers was conducted. Subjects were randomly assigned to receive for a 16-week period either 900 mg/day of the supplement or a placebo. Dietary recommendations were individually determined, and intakes were recorded; daily physical mobility was monitored. Improvement of HRQOL was set as the primary outcome and assessed at baseline and at the end of the investigation, using the Short-Form 36 (SF-36) Health survey. Body composition was analyzed using dual-energy X-ray absorptiometry (DXA). Physical activity level was calculated using International Physical Activity Questionnaire (IPAQ). After 16 weeks, despite there was no adherence to the Mediterranean Diet Serving Score (MDSS), supplemented individuals experienced significant HRQOL improvement (+5.3%; P=0.001), including enhanced perceived physical (+11.2%; P=0.002) and mental health (+4.1%; P=0.021) components; bodily pain, vitality, and general health, being the greatest contributors. Besides, body fat mass significantly decreased (-1.2 kg; P=0.033), mainly within trunk area (-1.0 kg; P=0.002). Engagement in physical activity significantly increased (+1308 Met-min/week; P=0.050). Hence, chronic supplementation with a nutritional diversity and dose of a Mediterranean diet-inspired polyphenol-rich ingredient resulted in a significant amelioration in both perceived physical and mental health, concomitant with the improvement of body composition, in healthy subjects with excessive adiposity.

We used population reconstruction techniques to assess for the first time the population dynamics of a seagrass, Cymodocea nodosa, exposed to long-term elevated CO₂ near three volcanic seeps and compare them with reference sites away from the seeps. Under high CO₂, the density of shoots and of individuals (apical shoots), and the vertical and horizontal elongation and production rates, were higher. Nitrogen effects on rhizome elongation and production rates and on biomass, were stronger than CO₂ as these were highest at the location where the availability of nitrogen was highest. At the seep where the availability of CO₂ was highest and nitrogen lowest, density of shoots and individuals were highest, probably due to CO₂ effects on shoot differentiation and induced reproductive output, respectively. In all three seeps there was higher short- and long-term recruitment and growth rates around zero, indicating that elevated CO₂ increases the turnover of C. nodosa shoots.

Although it is known that the gut microbiota (GM) can be modulated by diet, the efficacy of specific dietary interventions in determining its composition and diversity in obese patients remains to be ascertained. The present work aims to evaluate the impact of a moderately hypocaloric Mediterranean diet on the GM of obese and overweight patients (OB). The GM of 23 OB patients (F/M= 20/3) was compared before (T0) and after 3 months (T3) of the nutritional intervention (NI). Fecal samples were analyzed by Illumina MiSeq sequencing of the 16S rRNA gene. At baseline, the GM characterization confirmed the typical obesity-associated dysbiosis. After 3 months of NI, patients presented a statistically significant reduction of the body weight and fat mass, along with changes in the relative abundance of many microbial patterns. In fact, we observed an increased abundance in several Bacteroidetes taxa (i.e. Sphingobacteriaceae, Sphingobacterium, Bacteroides spp., Prevotella stercorea) and depletion of many Firmicutes taxa (i.e. Lachnospiraceae members, Ruminococcaceae and Ruminococcus, Veillonellaceae, Catenibacterium, Megamonas). In addition, the phylum Proteobacteria showed an increased abundance, while the genus Sutterella, within the same phylum, decreased after the intervention. Metabolic pathways, predicted by bioinformatic analyses, showed a decrease in membrane transport and cell motility after NI. The present study extends our knowledge of the GM profiles in OB, highlighting the potential benefit of a moderate caloric restriction in counteracting the gut dysbiosis.

Extra virgin olive oil, water, and water/oil mixture (W/O) were used to fry, boil and sautée Mediterranean vegetables. We determined the variations between unused and used water and oil for the contents of total (TPC) and individual phenolic compounds measured by HPLC, and the antioxidant capacity (AC) by DPPH, FRAP and ABTS methods. The highest TPC value was found in water used to boil tomato, whereas the lowest in the EVOO from the W/O used for boiling potatoes. The TPC decreased in the processed EVOO, whereas the water was enriched after boiling. After processing, the concentrations of phenols exclusive to EVOO diminished with differentiated behavior, from complete elimination of hydroxytyrosol and tyrosol after sautéeing and W/O boiling, to conservation of pinoresinol. The transfer of phenols such as chlorogenic, gallic, dihydroxybenzoic, hydroxybenzoic and hydroxyphenylacetic acids, as well as luteolin, apigenin and vanillic acid from the vegetable to the oil was frequent when eggplant, tomato and pumpkin were cooked. The cooking water was enriched in most of the phenols analysed, as the case of chlorogenic acid and phenols exclusive to EVOO after W/O boiling. The values of AC in the fresh oil decreased or were maintained after being used to cook the vegetables. With some exceptional increases in the oil used for frying (p<0.05). The cooking techniques were classified in decreasing order according to the AC as follows: raw>deep frying>sautéing>boiling. This pattern was more consistent with DPPH results (from potato, eggplant and pumpkin) than in those of ABTS (pumpkin) and FRAP (eggplant). The water fraction recovered from boiling was enriched in Trolox equivalents being higher when EVOO was added. Phenolic content and AC in the EVOO decreased after cooking Mediterranean Diet vegetables, whereas the water was enriched after the boiling processes, particularly when oil was included.

To estimate The potential inventory of natural gas hydrates in the Levant Basin we correlated the gas hydrate stability zone (GHSZ), modeled with locally estimated thermodynamic parameters, with seismic indicators of gas. Compilation of oceanographic measurements define the deep-water temperature and salinity to 13.8°C and 38.8‰ respectively, predicting the top GHSZ at a water depth of 1250±5 m. Assuming beneath the seafloor a hydrostatic pore-pressure, the water body salinity, and geothermal gradients ranging between 20 to 28.5°C/km, yields a useful first-order base-GHSZ approximation. Our model predicts that the entire northwestern half of the Levant Basin lies within the GHSZ, with a median thickness of ~150 m. High amplitude seismic reflectivity (HASR) imaged on an extensive 3D seismic dataset, consistently correlates with verified active seafloor gas seepage and is pervasively distributed across the deep-sea fan of the Nile within the Levant. Two main trends observed for the distribution of HASR are suggested to represent: (1) shallow gas and possibly hydrates, within buried channel-lobe systems 25 to 100 m beneath the seafloor; and (2) a regionally discontinuous bottom simulating reflection (BSR) broadly matching the modeled base GHSZ. We therefore estimate the potential methane hydrates reserve within the Levant Basin at ~4 Tcf.

Digital Terrain Models (DTMs) are currently a fundamental source of information in Earth Sciences. However, DTM-based studies can contain remarkable biases if limitations and inaccuracies of these models are disregarded. In this work, four freely available datasets such as SRTM C-SAR DEM, ASTER GDEM V2 and two airborne LiDAR derived DTMs (at 5 and 1 m spatial resolution, respectively) were analysed in a comparative study in three geomorphologically contrasted catchments located in Mediterranean geoecosystems under intensive human land use influence. Vertical accuracy as well as the influence of each dataset characteristics on hydrological and geomorphological modelling applicability were assessed by using classic geometric and morphometric parameters and the more recently proposed index of sediment connectivity. Overall vertical accuracy – expressed as Root Mean Squared Error (RMSE) and Normalized Median Deviation (NMAD) – revealed the highest accuracy in the cases of the 1 m (RMSE = 1.55 m; NMAD = 0.44 m) and 5 m LiDAR DTMs (RMSE = 1.73 m; NMAD = 0.84 m). Vertical accuracy of SRTM was lower (RMSE = 6.98 m; NMAD = 5.27 m) but considerably higher than in the case of ASTER (RMSE = 16.10 m; NMAD = 11.23 m). All datasets were affected by systematic distortions. As a consequence, propagation of these errors caused negative impacts on flow routing, stream network and catchment delineation and, to a lower extent, on the distribution of slope values. These limitations should be carefully considered when applying DTMs for hydrogeomorphological modelling.

Objective: To explore the effect of time exposure to flat screen electronic devices with LED 14 lighting and the Mediterranean diet on macular pigment optical density (MPOD). Methods: MPOD 15 was measured by heterochromatic flicker photometry in 164 eyes (47 of young women 20-31 years 16 and 35 adult women 42-70 years). Exclusion criteria: evidence of macular degeneration and eyes 17 with cataracts. Data on the use of electronic devices and Mediterranean diet adherence were col- 18 lected through a survey. Nonparametric analysis of variance and independent sample t-tests were 19 used to compare subjects. Results: Significant differences (p<0.01) were found in total time of expo- 20 sure to LEDs (hours per day) between both groups (9.31 ± 3.74 young women vs 6.33 ± 3.64 old 21 women). The MPOD values for the young and adult populations were significantly different: 0.38 ± 22 0.16 and 0.47 ± 0.15 (p<0.01), respectively. When comparing both groups for the same time of expo- 23 sure to LEDs, differences were obtained between MPOD values of both populations: For total expo- 24 sures greater than 6 hours per day, the MPOD values were lower in young women than in adult 25 ones (0.37 ± 0.14 vs 0.50 ± 0.14, p<0.01). On the other hand, a significantly higher adherence was 26 found in the old women in comparison with the young women (OW 9.23± 2.50 vs YW 7.70 ± 2.08, 27 p<0.01), with higher MPOD values, (OW (0.52 ± 0.14) vs (YW (0.34 ± 0.18). Conclusions: Higher 28 MPOD values are observed with decreasing exposure time to electronic devices with LED lighting 29 screens and high adherence to the Mediterranean diet.

The Dual-Frequency Precipitation Radar (DPR) on the Core GPM satellite provides spaceborne 3-dimensional observations of the precipitation field and surface rainfall rate with quasi global coverage. The present study evaluates the behavior of liquid precipitation intensity, radar reflectivity factor (ZKu and ZKa) and Drop Size Distribution (DSD) parameters (weighted mean diameter Dm and intercept parameter Nw) of the GPM DPR derived products version 07 from 2014 to 2023. Observations from seven Parsivel disdrometers located in different topographic zones in the Western Mediterranean are taken as ground reference. Four matching techniques between satellite estimates and ground level observations were tested, and best results were found for the so-called optimal comparison approach. Overall, GPM DPR products capture well the variability of the observed DSD at different rainfall intensities. However, overestimation of the mean Dm and underestimation of the mean Nw are observed, being much more sensitive to errors in drop diameters larger than 1.5 mm. Moreover, lowest errors were found for radar reflectivity factor and Dm, and highest for Nw and rainfall rate. In addition, the GPM DPR convective and stratiform classification was tested and it was found a substantial overestimation of stratiform cases compared to disdrometer observations.