Evaluation of Ecosystem Services in Mining Basins: An Application in the Piedmont Region (Italy)

Mining activities impact on the territorial system in various ways, affecting its environmental and socio-economic components. Specific evaluation tools can support decision-making processes in the context of the sustainable planning and management of mining activities. Within the evaluation procedures of mining activities, a growing interest in the analysis of Ecosystem Services (ES) is emerging. ES refer to the benefits that the natural system delivers to society, linking the health of ecosystems and human well-being. Starting from a real-world case related to the adoption of the Regional Plan of Mining Activities (PRAE) of the Piedmont region (Northern Italy), the paper aims to explore the ES valuation by considering three different mining quarries. The state of the art of the basins is compared with alternative planning scenarios from the point of view of the ES produced. The valuation is developed through GIS and the Simulsoil software, detecting the biophysical benefits produced and estimating their economic performance. The simulation results can be used to support the formulation of planning strategies, estimating the trade-offs in terms of competitive land-use values. The study also demonstrates that the integration of ES into Strategic Environmental Assessment (SEA) can produce a comprehensive impact assessment of a mining project, guaranteeing the protection and valorisation of the environmental system.

Influence of scattered trees in grazing areas on soil properties in the Piedmont region of the Colombian Amazon

Trees dispersed in grazing areas are contribute to the sustainability of livestock systems. The interactions between trees and soil are ecological processes that allow the modification of the biology, fertility, and physics of the soil. This study was aimed to assess the influence of dispersed trees in pastures on soil properties in grazing areas for dual-purpose cattle systems in the Piedmont region of the Colombian Amazon. The work was done in grazing areas with scattered trees at the Centro de Investigaciones Amazónicas CIMAZ–Macagual in Florencia—Caquetá—Colombia. We evaluated the effect of five tree species, Andira inermis, Bellucia pentámera, Guarea Guidonia, Psidium guajava and Zygia longifolia, on soil properties (up to 30 cm soil depth) under and outside the influence of the crown. Under the tree crown, three points were systematically taken in different cardinal positions. This was done at a distance corresponding to half the radius of the tree crown. The sampling points in the open pasture area (out of crown) were made in the same way, but at 15 m from the crown border. The ANOVA showed significant interaction (P < 0.0001) between tree species and location for macrofauna abundance up to 30 cm soil depth. For this reason, we performed the comparison between locations for each tree species. Chemical soil variables up to 10 cm soil depth only showed interaction of tree species-location for exchangeable potassium (P = 0.0004). Soil physical soil characteristics up to 30 cm soil depth only showed interaction of tree species-location at 20 cm soil depth (P = 0.0003). The principal component analysis for soil properties explained 61.1% of the total variability of the data with the two first axes. Using Monte Carlo test, we found crown effect for all species. Trees help to control exchangeable mineral elements that can affect the soil, potentiate basic cations such as magnesium and potassium, increase the abundance of soil macrofauna; but some trees with high ground level of shade in grazing areas could increase soil compaction due to the greater concentration of cattle in these areas.

294 Incidence trends and long-term outcomes of juvenile myocardial infarction: does gender matter?

Aims Data about long-term clinical outcomes of young patients experiencing an acute myocardial infarction (MI), along with the potential impact of gender on incidence and prognosis in such subset are scant and mostly including USA populations. Thus, there is a paucity of data about European patients suffering from a juvenile MI. Purpose. The purpose of the current study was to investigate temporal trends, survival, MI recurrence, and sex differences among subjects who experienced their first MI at young age in the Piedmont region (Italy) between 2007 and 2018. Methods and results Hospital Discharge Register records of Piedmont region (Italy) from 2007 to 2018 were interrogated to identify incident juvenile MI cases and MI recurrences (ICD-9-CM codes: ‘410’, ‘411’, and their subcodes). Patients were considered young if the first MI occurred before or at 47 years of age. Incidence of first Juvenile MI event and subsequent overall survival among patients who survived to hospital discharge were defined as primary outcomes of interest. Subgroup analysis were performed according to sex category, comorbidities and clinical intervention (obtained from the HDRs records). Incidence of MI recurrence among patients who survived to hospital discharge was defined as secondary outcome of interest. Lastly, we evaluated whether experiencing a MI recurrence was associated with a lower overall survival at follow-up. Out of 114 816 hospitalizations due to MI, 4482 occurred in people aged ≤47, with median age 44 years old. At baseline, men had more hypertension (13% vs. 9.4%, P &lt; 0.006) and dyslipidaemia (18.2% vs. 9.9%, P &lt; 0.001), while women more cardiac arrest at presentation (2.9% vs. 1.7%, P = 0.03), cardiogenic shock (2.1% vs. 1.3%, P = 0.06), and less likely to undergone PCI (53.9% vs. 74.3%, P &lt; 0.001). More women (n = 14; 1.9%) than men (n = 33; 0.9%) died while in-hospital, adjusted OR: 2.12; 1.13–3.99. After a median follow-up was 7.2 years (IQR: 4.2–9.9), the survival rate after the first MI was 94.8%, without differences between men and women (HR: 1.05; 0.69–1.60). Age at first MI, year of hospitalization, hospitalization length, chronic kidney disease, cardiogenic shock, third degree atrio-ventricular block, and PCI were found independent predictors of long term survival. 348 (7.8%) experienced at least one MI recurrence and it was more common in men than women (adjusted HR: 0.72; 0.52–0.99). After multivariate adjustment, MI recurrence was associated with a significantly higher risk of death at follow-up as compared with a single MI episode (HR: 3.05; 1.9–4.80, all 95% CI). Conclusions In young patients with a MI, women had more in-hospital mortality compared to men, but among patients who survived to hospital discharge, overall long-term prognosis did not differ. MI recurrences were more common in men and were associated with lower long-term survival rate.

Diagnostic Re-Evaluation and Potential Predictor Factors of Transient and Permanent Congenital Hypothyroidism in Eutopic Thyroid Gland

Background: The incidence of congenital hypothyroidism (CH) has increased over the years, and many predictors for detecting newborns with transient forms (TCH) as early as possible have been considered. Methods: All newborns diagnosed with primary CH and eutopic gland in the Piedmont region of Italy in the period of January 2014–June 2019 were enrolled and re-evaluated at the age of 2 years. Results: 105 newborns were diagnosed with CH during the study period. Dyshormonogenesis was observed in 55/105. At re-evaluation, we found that 52.7% had permanent CH (PCH), while 47.3% had TCH. Male/female rate, TSH levels at diagnosis, levothyroxine requirement at withdrawal and extra-thyroid congenital malformations rate were higher in the PCH group (p = 0.02, p = 0.009, p = 0.02 and p = 0.01), while fT4 levels at diagnosis were lower (p = 0.03). Sensitivity of 72.4% and specificity of 80.7% for serum TSH above 60 mcUI/mL, sensitivity of 73% and specificity of 72.4% for serum fT4 level below 7.2 pg/mL and sensitivity of 66% and specificity of 68% for drug requirement above 2.25 mcg/kg/day were observed in PCH. Conclusions: Demographic, clinical and hormonal data at diagnosis and levothyroxine requirement during the first two years should be adequately monitored to identify infants who are most likely to discontinue therapy after the age of 24 months.

Rural Landscape Changes in the Piedmont Region (Italy). A Method for the Interpretation of Possible Effects of CAP

As a result of various regulatory reforms, the Common Agricultural Policy (CAP) has gradually achieved value and environmental awareness. However, the most recent studies carried out in the fields of environmental assessment and spatial planning seem to indicate that agricultural policies have not been very effective in achieving landscape aims. Understanding how the CAP affects the landscape can help us to improve its effectiveness and foster a more efficient territorial and targeted approach. This paper aims to show a replicable method for evaluating rural landscape changes and understanding the possible role of CAP as one of the main driving forces. The analysis was conducted in the Piedmont Region (Italy) at the supra-local and local scales by observing land use changes and landscape changes. The main results show that the CAP seems quite effective in maintaining the territorial presence on rural landscapes and in preventing the spread of forests. However, it seems less effective in limiting urban and peri-urban sprawl. The research also shows that in areas with high CAP support, factors that produce negative effects on landscape have increased. In conclusion, the author shows a possible way for the CAP to achieve the landscape purposes.

Rethinking Terraces and Dry-Stone Walls in the Alps for Sustainable Development: The Case of Mombarone/Alto Eporediese in Piedmont Region (Italy)

Nowadays, agricultural terraces and dry-stone walls have become protagonists of a territorial “rebirth” through a process of resemantization that recognizes them as a local resource. In relation to this focus, this article deals with a specific case study located in the Mombarone/Alto Eporediese area, in the northern part of the Piedmont Region (Italy), where terraced landscapes represent a unique environmental heritage, which has been partially abandoned. In this article, we illustrate the process carried out by local institutions in the Strategic Plan “Dalla Dora al Mombarone” and by the European Project Interreg Alcotra “Vi.A.- Route of Alpine Vineyards” which have involved many stakeholders of the local communities. In particular, starting from the results obtained by the engagement of social and territorial scientists in the projects mentioned above, we examined how terraces can support the reconstruction of a specific sense of place by the local community and the implementation of a sustainable development model through innovative solutions that go beyond the tradition in a frame of a green, soft and inclusive economy.

Thinking Together and Governance in Transport Planning

Sustainability issues challenge most conventional approaches to policy design and implementation. One broader concern is how to create the conditions for the desired sustainability options to be realized. In this pursuit, policy design has several tasks to accomplish, such as strengthening governance, promoting learning, and enabling self-organization. The case study presented in this paper is an example of this undertaking. It is part of activities carried out at IRES Piemonte for supporting the sustainability-oriented transport plan of the Piedmont region in Italy. It deals with the development of an ICT tool to address the following question: given the list of the transport plan’s interventions which ones are more likely to be a successful package and achieve the desired goals most effectively? The paper outlines the conceptual and methodological underpinnings of the tool and illustrates the main results of an application which involved participants from different regional departments.

Thinking Together and Governance in Transport Planning

Sustainability issues challenge most conventional approaches to policy design and implementation. One broader concern is how to create the conditions for the desired sustainability options to be realized. In this pursuit, policy design has several tasks to accomplish, such as strengthening governance, promoting learning, and enabling self-organization. The case study presented in this paper is an example of this undertaking. It is part of activities carried out at IRES Piemonte for supporting the sustainability-oriented transport plan of the Piedmont region in Italy. It deals with the development of an ICT tool to address the following question: given the list of the transport plan’s interventions which ones are more likely to be a successful package and achieve the desired goals most effectively? The paper outlines the conceptual and methodological underpinnings of the tool and illustrates the main results of an application which involved participants from different regional departments.