The Effectiveness of a Diverse COVID-19 Vaccine Portfolio and Its Impact on the Persistence of Positivity and Length of Hospital Stays: The Veneto Region’s Experience

The vaccination campaign for the Veneto region (northeastern Italy) started on 27 December 2020. As of early December 2021, 75.1% of the whole Veneto population has been fully vaccinated. Vaccine efficacy has been demonstrated in many clinical trials, but reports on real-world contexts are still necessary. We conducted a retrospective cohort study on 2,233,399 residents in the Veneto region to assess the reduction in the COVID-19 burden, taking different outcomes into consideration. First, we adopted a non-brand-specific approach borrowed from survival analysis to estimate the effectiveness of vaccination against SARS-CoV-2 in preventing infections, hospitalizations, and deaths. We used t-tests and multivariate regressions to examine vaccine impact on breakthrough infections, in terms of the persistence of positivity and the length of hospital stays. Evidence emerging from this study suggests that unvaccinated individuals are significantly more likely to become infected, need hospitalization, and are at a higher risk of death from COVID-19 than those given at least one dose of vaccine. Cox models indicate that the effectiveness of full vaccination is 88% against infection, 94% against hospitalization, and 95% against death. Multivariate regressions suggest that vaccination is significantly correlated with a shorter period of positivity and shorter hospital stays, with each step toward completion of the vaccination cycle coinciding with a reduction of 3.3 days in the persistence of positivity and 2.3 days in the length of hospital stay.

Determinants of Recreational Activities Choice in Protected Areas

Conciliating nature conservation and tourism development is an increasingly important task for authorities in charge of managing protected areas and requires an adequate knowledge of visitors′ preferences and recreational behavior. In this light, we used data collected by means of a choice experiment to investigate recreational preferences at Dolomiti Bellunesi National Park, a protected area located in Northeastern Italy. More specifically, we analyzed the determinants of visitors’ decisions to engage with different activities in the park. This is important information for park managers, as different recreational activities have both different impact on the natural heritage and different capability to generate revenue for nature conservation and for enhancing the quality of life of local communities. The findings of our study suggest that the choice of recreational activities is mainly driven by the features of recreational sites and by visitors’ personal characteristics. Concerning park features, visitors’ choices seem to be mostly driven by features directly related to each activity, such as thematic trails for hiking and climbing routes for rock climbing. Among visitors′ characteristics, we found that both previous experience with the activity and socio-demographic characteristics had a significant effect on activity choice. Overall, the results of our study can help park authorities in developing management plans aimed specifically at attracting a larger number of visitors of a certain type, which is an important tool to foster the more sustainable forms of tourism.

A corpus-based approach to map target vowel asymmetry in Brazilian Veneto metaphony

Metaphony targeting upper-mid vowels /e, o/ is a characteristic of Central Veneto, a dialect of Veneto spoken in northeastern Italy. In a closely related understudied dialect spoken in southern Brazil, namely Brazilian Veneto (locally known as Talian), metaphony is also observed. Although the phenomenon is reported as variable for both dialects, little is known about how such variation is structured. In this paper, we explore the structural conditioning of metaphony in Talian through a corpus study. We show that metaphony in this dialect is asymmetrical, as /e, o/ exhibit different rates of application, which are conditioned by number of syllables in the word and morphology. We formalize this asymmetry using a MaxEnt Grammar. Finally, we introduce the Talian Corpus, a corpus of written materials in Talian that promotes the linguistic study of this variety.

Elderly People’s Access to Emergency Departments during the COVID-19 Pandemic: Results from a Large Population-Based Study in Italy

Across the world, people have avoided seeking medical attention during the coronavirus pandemic, resulting in a marked reduction in emergency department (ED) visits. This retrospective cohort study examines in detail how the present pandemic affects ED use by the elderly. The regional database on ED visits in Veneto (northeastern Italy) was consulted to extract anonymous data on all ED visits during 2019 and 2020, along with details concerning patients’ characteristics (access mode, triage code, chief complaint, and outcome). A year-on-year comparison was drawn between 2019 and 2020. There was a 25.3% decrease in ED visits in 2020 compared to the previous year. The decrease ranged from −52.4% in March to −18.4% in September when comparing the same months in the two years. This decrease started in late February 2020, with the lowest numbers of visits recorded in March and April 2020 (during the “first wave” of the COVID-19 pandemic in Italy), and in the autumn (during the “second wave”). The proportion of visits to the ED by ambulance has increased sharply since March 2020, and patients arrived more frequently with severe conditions (red or yellow triage tags) that often required a hospitalization. The greatest decrease was in fact observed for non-urgent complaints. This decreased concerned a wide range of conditions, including chest pain and abdominal pain. The sharp reduction observed in the present study is unlikely to be attributed entirely to the effect of lockdown measures. Individual psychological and media-induced fear of contagion most likely played a relevant role in leading people to avoid seeking medical attention.

Heteropelta boboi n. gen., n. sp. an armored archosauriform (Reptilia: Archosauromorpha) from the Middle Triassic of Italy

Heteropelta boboi is a new archosauriform reptile from the upper Anisian of northeastern Italy represented by a fragment of dorsal armor with a row of neural arches of the dorsal vertebrae. The dorsal armor of the new taxon is composed of two columns of paramedian osteoderms and at least six columns of lateral osteoderms. Unlike other armored archosaurs, the osteoderms are imbricated with the posterior osteoderm overlapping the anterior one. The low neural arches bear small neural spines and long postzygapophyses. The osteoderms of the lateral columns increase in size and change in shape from the most medial to the most lateral columns. Among the Archosauriformes, only the non-archosaur proterochampsians Vancleavea campi, Litorosuchus somnii, and the doswelliids have dorsal armor comprised of more than two columns of osteoderms per side, but the morphology and arrangement of their osteoderms is unlike those of the new Italian taxon. A cladistic analysis of Archosauromorpha positions Heteropelta boboi as either a basal phytosaur or a basal suchian. However, a second cladistic analysis focused on armored archosaurs alternatively positions the new taxon as a basal archosauriform, basal suchian, basal loricatan or crocodylomorph. Better resolution of the phylogenetic relationships of Heteropelta boboi will likely be obtained only with the discovery of cranial and postcranial remains associated with its diagnostic armor elements.

Antimicrobial Resistance Patterns in Diabetic Foot Infections, an Epidemiological Study in Northeastern Italy

This study is a retrospective epidemiological assessment of bacterial species isolated from a cohort of out-patients with diabetic foot infections referred to our “Diabetic Foot Unit” over one year, with particular attention to index pathogens, as identified by the EARS Network. Staphylococcus aureus and Pseudomonas aeruginosa accounted for 33.5% and 11.9% of cases, respectively. MRSA was isolated in 27.1% of patients, with 14.06% showing additional resistance to three antimicrobial classes. Pseudomonas aeruginosa presented extensive resistance to fluoroquinolones (57.3%), which was associated with resistance to piperacillin in 17.6% or to carbapenems in 23.5% of cases. Other pathogens, such as methicillin resistant Staphylococcus epidermidis, Escherichia coli and Morganella morganii ESBL and Enterococcus faecium VRE, were also found.

Cortinarius anaunianus (Agaricales, Cortinariaceae): a new species of the Humolentes clade from Italy

Cortinarius anaunianus is described as a new species within the Humolentes clade of the section Calochroi s. lato from alpine silver fir forests (Abies alba) in northeastern Italy (Val di Non, province of Trento). Phylogeny based on the combined nrDNA ITS and LSU, rpb1, rpb2 and the coded gaps of the ITS region supports the independence of C. anaunianus from the closest taxa and its sister position to C. humolens from which it differs by (i) more vivid olivaceous tinges on pileus and lamellae when young, (ii) pileus surface strongly turning ocher-brown with age and exposure (iii) growing in silver fir forests rather than in association with broadleaved trees. Photos of fresh basidiomes in field and a full description of its main macro- and micromorphological features are provided and compared to those of the morphologically most similar species.