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Scridel D, Pirrello S, Imperio S, Cecere JG, Albanese G, Andreotti A, Arveda G, Borghesi F, La Gioia G, Massa L, Mengoni C, Micheloni P, Mucci N, Nardelli R, Nissardi S, Volponi S, Zucca C, Serra L. Weather, sex and body condition affect post-fledging migration behaviour of the greater flamingo Phoenicopterus roseus. Mov Ecol 2023; 11:51. [PMID: 37612593 PMCID: PMC10464070 DOI: 10.1186/s40462-023-00409-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Accepted: 06/29/2023] [Indexed: 08/25/2023]
Abstract
BACKGROUND Understanding which intrinsic and extrinsic factors dictate decision-making processes such as leaving the natal area or not (migratory vs resident strategy), departure time, and non-breeding destination are key-issues in movement ecology. This is particularly relevant for a partially migratory meta-population in which only some individuals migrate. METHODS We investigated these decision making-processes for 40 juvenile greater flamingos Phoenicopterus roseus fledged in three Mediterranean colonies and equipped with GPS-GSM devices. RESULTS Contrary to the body size and the dominance hypotheses, juveniles in better body condition were more likely to migrate than those in worse conditions, which opted for a residence strategy. Flamingo probability of departure was not associated with an increase in local wind intensity, but rather with the presence of tailwinds with departure limited to night-time mostly when the wind direction aligned with the migratory destination. Moreover, a positive interaction between tailwind speed and migration distance suggested that juveniles opted for stronger winds when initiating long-distance journeys. In contrast to previous studies, the prevailing seasonal winds were only partially aligned with the migratory destination, suggesting that other factors (e.g., adults experience in mix-aged flocks, availability of suitable foraging areas en route, density-dependence processes) may be responsible for the distribution observed at the end of the first migratory movement. We found potential evidence of sex-biased timing of migration with females departing on average 10 days later and flying ca. 10 km/h faster than males. Female flight speed, but not male one, was positively influenced by tailwinds, a pattern most likely explained by sexual differences in mechanical power requirements for flight (males being ca. 20% larger than females). Furthermore, juveniles considerably reduced their flight speeds after 400 km from departure, highlighting a physiological threshold, potentially linked to mortality risks when performing long-distance non-stop movements. CONCLUSION These results suggest that not only intrinsic factors such as individual conditions and sex, but also extrinsic factors like weather, play critical roles in triggering migratory behaviour in a partially migratory metapopulation. Furthermore, social factors, including conspecific experience, should be taken into consideration when evaluating the adaptive processes underlying migration phenology, flight performance, and final destination selection.
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Affiliation(s)
- Davide Scridel
- Area Avifauna Migratrice (BIO-AVM), Istituto Superiore per la Protezione e la Ricerca Ambientale (ISPRA), via Ca' Fornacetta 9, 40064, Ozzano dell'Emilia, BO, Italy.
- CNR-IRSA National Research Council-Water Research Institute, via del Mulino 19, 20861, Brugherio, MB, Italy.
- Department of Life Sciences, University of Trieste, 34127, Trieste, TS, Italy.
| | - Simone Pirrello
- Area Avifauna Migratrice (BIO-AVM), Istituto Superiore per la Protezione e la Ricerca Ambientale (ISPRA), via Ca' Fornacetta 9, 40064, Ozzano dell'Emilia, BO, Italy
| | - Simona Imperio
- Area Avifauna Migratrice (BIO-AVM), Istituto Superiore per la Protezione e la Ricerca Ambientale (ISPRA), via Ca' Fornacetta 9, 40064, Ozzano dell'Emilia, BO, Italy
| | - Jacopo G Cecere
- Area Avifauna Migratrice (BIO-AVM), Istituto Superiore per la Protezione e la Ricerca Ambientale (ISPRA), via Ca' Fornacetta 9, 40064, Ozzano dell'Emilia, BO, Italy
| | | | - Alessandro Andreotti
- Area Avifauna Migratrice (BIO-AVM), Istituto Superiore per la Protezione e la Ricerca Ambientale (ISPRA), via Ca' Fornacetta 9, 40064, Ozzano dell'Emilia, BO, Italy
| | | | - Fabrizio Borghesi
- Servizio Tutela Ambiente e Territorio, Ufficio Zone Naturali, Comune di Ravenna, via Berlinguer 30, 48121, Ravenna, RA, Italy
| | - Giuseppe La Gioia
- Associazione Ornitologia Mediterranea, via Saponaro 7, 73100, Lecce, LE, Italy
| | - Luisanna Massa
- Parco Naturale Regionale Molentargius Saline, via La Palma n 9, 09126, Cagliari, CA, Italy
| | - Chiara Mengoni
- Area per la Genetica della Conservazione (BIO-CGE), Istituto Superiore per la Protezione e la Ricerca. Ambientale (ISPRA), via Ca' Fornacetta 9, 40064, Ozzano dell'Emilia, BO, Italy
| | - Pierfrancesco Micheloni
- Area Avifauna Migratrice (BIO-AVM), Istituto Superiore per la Protezione e la Ricerca Ambientale (ISPRA), via Ca' Fornacetta 9, 40064, Ozzano dell'Emilia, BO, Italy
| | - Nadia Mucci
- Area per la Genetica della Conservazione (BIO-CGE), Istituto Superiore per la Protezione e la Ricerca. Ambientale (ISPRA), via Ca' Fornacetta 9, 40064, Ozzano dell'Emilia, BO, Italy
| | - Riccardo Nardelli
- Area Avifauna Migratrice (BIO-AVM), Istituto Superiore per la Protezione e la Ricerca Ambientale (ISPRA), via Ca' Fornacetta 9, 40064, Ozzano dell'Emilia, BO, Italy
| | - Sergio Nissardi
- Anthus s.n.c., via Luigi Canepa 22, 09129, Cagliari, CA, Italy
| | - Stefano Volponi
- Area per i pareri tecnici e per le strategie di conservazione e gestione del patrimonio faunistico nazionale (BIO-CFN), Istituto Superiore per la Protezione e la Ricerca Ambientale (ISPRA), via Ca' Fornacetta 9, 40064, Ozzano dell'Emilia, BO, Italy
| | - Carla Zucca
- Anthus s.n.c., via Luigi Canepa 22, 09129, Cagliari, CA, Italy
| | - Lorenzo Serra
- Area Avifauna Migratrice (BIO-AVM), Istituto Superiore per la Protezione e la Ricerca Ambientale (ISPRA), via Ca' Fornacetta 9, 40064, Ozzano dell'Emilia, BO, Italy
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Gillingham MAF, Borghesi F, Montero BK, Migani F, Béchet A, Rendón-Martos M, Amat JA, Dinelli E, Sommer S. Bioaccumulation of trace elements affects chick body condition and gut microbiome in greater flamingos. Sci Total Environ 2021; 761:143250. [PMID: 33248770 DOI: 10.1016/j.scitotenv.2020.143250] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/10/2020] [Revised: 10/19/2020] [Accepted: 10/22/2020] [Indexed: 06/12/2023]
Abstract
Elevated concentrations of trace elements represent a major concern to wetland ecosystems, since river estuaries are geochemical endpoints that accumulate pollution. Although the negative impact of environmental exposure of highly toxic elements such as Pb and Hg has received substantial attention, we still lack a comprehensive understanding of the effects that these and other common trace elements have on natural populations. We used greater flamingos as a study system within three sites that represent a gradient of pollution. Controlling for environmental sediment exposure, we assessed if signatures of bioaccumulation in feathers for ten trace elements (As, Cd, Cr, Cu, Hg, Ni, Pb, Se, Sn and Zn) are associated with two known proxies of health: body condition and the gut bacterial microbiome. We found evidence of an adverse effect of Se, Hg, and Pb bioaccumulation on body condition. Furthermore, bioaccumulation of the elements As, Cu, Se, Pb and Zn influenced different aspects of the gut microbiome. Bioaccumulation of Se led to a shift in the microbiome composition, largely driven by an enrichment of Bacteroides plebeius, which is linked to the breakdown of sulphated polysaccharides of algae. Bacteroides plebeius was negatively associated with chick body condition, suggesting an adverse effect of a microalgae diet rich in Se. Pb bioaccumulation was linked with a decrease in microbial diversity (adjusted-R2 = 10.4%) and an increase in heterogeneity of the microbial community (adjusted-R2 = 10.5%), an indication of impaired gut homeostasis. As, Cu and Zn had more nuanced effects on gut microbiome heterogeneity according to breeding site and bioaccumulation concentration. Our results therefore suggest that in addition to well-studied elements, bioaccumulation of poorly studied elements also adversely affect health of natural populations.
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Affiliation(s)
- Mark A F Gillingham
- University of Ulm, Institute of Evolutionary Ecology and Conservation Genomics, Albert-Einstein Allee 11, D-89069 Ulm, Germany.
| | - Fabrizio Borghesi
- Bologna University, Department of Biological, Geological and Environmental Sciences (BiGeA), Operative Unit of Ravenna, Via Sant'Alberto, 163, 48123 Ravenna, Italy
| | - B Karina Montero
- University of Ulm, Institute of Evolutionary Ecology and Conservation Genomics, Albert-Einstein Allee 11, D-89069 Ulm, Germany; Animal Ecology and Conservation, Hamburg University, Hamburg, Germany.
| | | | - Arnaud Béchet
- Institut de Recherche de la Tour du Valat, Le Sambuc, 13200 Arles, France.
| | - Manuel Rendón-Martos
- R.N. Laguna de Fuente de Piedra, Consejería de Medio Ambiente y Ordenación del Territorio, Junta de Andalucía, Apartado 1, E-29520 Fuente de Piedra, Málaga, Spain.
| | - Juan A Amat
- Department of Wetland Ecology, Estación Biológica de Doñana, (EBD-CSIC), calle Américo Vespucio s/n, E-41092 Sevilla, Spain.
| | - Enrico Dinelli
- Bologna University, Department of Biological, Geological and Environmental Sciences (BiGeA), Operative Unit of Ravenna, Via Sant'Alberto, 163, 48123 Ravenna, Italy.
| | - Simone Sommer
- University of Ulm, Institute of Evolutionary Ecology and Conservation Genomics, Albert-Einstein Allee 11, D-89069 Ulm, Germany.
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Gillingham MAF, Béchet A, Cézilly F, Wilhelm K, Rendón-Martos M, Borghesi F, Nissardi S, Baccetti N, Azafzaf H, Menke S, Kayser Y, Sommer S. Offspring Microbiomes Differ Across Breeding Sites in a Panmictic Species. Front Microbiol 2019; 10:35. [PMID: 30787910 PMCID: PMC6372503 DOI: 10.3389/fmicb.2019.00035] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2018] [Accepted: 01/10/2019] [Indexed: 01/20/2023] Open
Abstract
High dispersal rates are known to homogenize host’s population genetic structure in panmictic species and to disrupt host local adaptation to the environment. Long-distance dispersal might also spread micro-organisms across large geographical areas. However, so far, to which extent selection mechanisms that shape host’s population genetics are mirrored in the population structure of the enteric microbiome remains unclear. High dispersal rates and horizontal parental transfer may homogenize bacterial communities between breeding sites (homogeneous hypothesis). Alternatively, strong selection from the local environment may differentiate bacterial communities between breeding sites (heterogeneous hypothesis). Furthermore, selection from age-specific environmental or physiological factors may differentiate the microbiome between juveniles and adults. Here, we analyzed the cloacal bacterial 16S rRNA gene of fledgling greater flamingos, Phoenicopterus roseus, across nine western Mediterranean breeding sites and four breeding seasons (n = 731) and adult birds (n = 27) from a single site. We found that fledgling cloacal microbiome, as measured by alpha diversity, beta diversity, the relative abundance of assigned sequence variants (ASVs) belonging to a phylum and genus composition within phylum, varied significantly between sampling sites and across time within site despite high adult dispersal rates. The spatio-temporal effects were stronger on individual ASV absence/presence than on ASV abundance (i.e., than on core microbiome composition). Spatial effects had a stronger effect than temporal effects, particularly on ASV abundance. Our study supports the heterogeneous hypothesis whereby local environmental conditions select and differentiate bacterial communities, thus countering the homogenizing effects of high-dispersing host species. In addition, differences in core microbiome between adult vs. fledgling samples suggests that differences in age-specific environmental and/or physiological factors result in differential selection pressure of core enteric microbiome between age classes, even within the same environment. In particular, the genus Corynebacterium, associated with both seasonal fat uptake and migration in previous studies, was much more abundant in high-dispersing fledglings than in more resident adults. To conclude, selection mechanisms that shape the host’s genetic structure cannot be extended to the genetic structure of the enteric microbiome, which has important implications regarding our understanding of both host local adaptation mechanisms and enteric microbiome population genetics.
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Affiliation(s)
| | - Arnaud Béchet
- Institut de Recherche de la Tour du Valat, Arles, France
| | - Frank Cézilly
- Université de Bourgogne, Equipe Ecologie Evolutive, UMR CNRS 6282 Biogéosciences, Dijon, France
| | - Kerstin Wilhelm
- Institute of Evolutionary Ecology and Conservation Genomics, University of Ulm, Ulm, Germany
| | - Manuel Rendón-Martos
- Consejería de Medio Ambiente y Ordenación del Territorio, R.N. Laguna de Fuente de Piedra, Fuente de Piedra, Spain
| | - Fabrizio Borghesi
- Department of Biological Sciences, Geological and Environmental, University of Bologna, Ravenna, Italy
| | | | - Nicola Baccetti
- Istituto Superiore per la Protezione e Ricerca Ambientale, Rome, Italy
| | - Hichem Azafzaf
- Association "Les Amis des Oiseaux" (AAO/BirdLife Tunisie), Ariana Center, Ariana, Tunisia
| | - Sebastian Menke
- Institute of Evolutionary Ecology and Conservation Genomics, University of Ulm, Ulm, Germany
| | - Yves Kayser
- Institut de Recherche de la Tour du Valat, Arles, France
| | - Simone Sommer
- Institute of Evolutionary Ecology and Conservation Genomics, University of Ulm, Ulm, Germany
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Borghesi F, Dinelli E, Migani F, Béchet A, Rendón‐Martos M, Amat JA, Sommer S, Gillingham MAF. Assessing environmental pollution in birds: a new methodological approach for interpreting bioaccumulation of trace elements in feather shafts using geochemical sediment data. Methods Ecol Evol 2016. [DOI: 10.1111/2041-210x.12644] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Fabrizio Borghesi
- Operative Unit of Ravenna Department of Biological, Geological and Environmental Sciences (BiGeA) Bologna University Via Sant'Alberto 163 Ravenna 48123 Italy
| | - Enrico Dinelli
- Operative Unit of Ravenna Department of Biological, Geological and Environmental Sciences (BiGeA) Bologna University Via Sant'Alberto 163 Ravenna 48123 Italy
| | | | - Arnaud Béchet
- Institut de Recherche de la Tour du Valat Le Sambuc Arles 13200 France
| | - Manuel Rendón‐Martos
- Consejería de Medio Ambiente y Ordenación del Territorio R.N. Laguna de Fuente de Piedra Junta de Andalucía Apartado 1 Fuente de Piedra (Málaga) E‐29520 Spain
| | - Juan A. Amat
- Department of Wetland Ecology Estación Biológica de Doñana (EBD‐CSIC) calle Américo Vespucio s/n Sevilla E‐41092 Spain
| | - Simone Sommer
- Institute of Evolutionary Ecology and Conservation Genomics University of Ulm Albert‐Einstein Allee 11 Ulm D‐89069 Germany
| | - Mark A. F. Gillingham
- Institute of Evolutionary Ecology and Conservation Genomics University of Ulm Albert‐Einstein Allee 11 Ulm D‐89069 Germany
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Martín-Lesende I, Recalde E, Viviane-Wunderling P, Pinar T, Borghesi F, Aguirre T, Recio M, Martínez ME, Asua J. Mortality in a cohort of complex patients with chronic illnesses and multimorbidity: a descriptive longitudinal study. BMC Palliat Care 2016; 15:42. [PMID: 27068572 PMCID: PMC4828889 DOI: 10.1186/s12904-016-0111-x] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2015] [Accepted: 03/22/2016] [Indexed: 11/10/2022] Open
Abstract
Background Certain advanced chronic conditions (heart failure, chronic lung disease) are associated with high mortality. Nevertheless, most of the time, patients with these conditions are not given the same level of attention or palliative care as those with cancer. The objective of this study was to assess mortality and its association with other variables in a cohort of complex multimorbid patients with heart failure and/or lung disease from two consecutive telemonitoring studies. Methods This multicentre longitudinal study was conducted between 2010 and 2015. We included 83 patients (27 without telemonitoring) with heart failure and/or lung disease with > 1 hospital admission in the previous year and great difficulties leaving home or were housebound. The following variables were indicators of their complex clinical condition: old age (mean: 81 years), comorbidity (Charlson Comorbidity Index score ≥ 2: 86.2 %), both conditions concurrently (54.2 %) and home oxygen therapy (52 %). We assessed mortality (rate, cause and place of death) and its association with: age, sex, telemonitoring, functional status (Barthel score), quality of life (EQ-5D visual analogue scale), number of medications, and all-cause and condition-specific (due to conditions prompting inclusion) admissions during the previous year. Uni- and bivariate analysis and logistic regression were performed, considering p < 0.05 significant. Results A total of 61 patients died within 5 years, representing 31.2 %/year (95 % CI: 23–40.1 %), considering the overall follow-up (sum of individual follow-up days). Of these, 81 % of deaths (95 % CI: 69.1–89–1 %) were due to the condition prompting inclusion, and 83.3 % (95 % CI: 72–90.7 %) died in hospital (median: 8.5 days). Mortality was lower among those under telemonitoring (p = 0.027), and with fewer condition-specific admissions the previous year (p = 0.006); the latter also showed the strongest association in the multivariate analysis (Exp(B) = 6.115). Conclusions Complex patients with multimorbidity had a high mortality rate, generally dying due to the condition for which they had been included, and in hospital (83.3 %). New approaches for managing such patients should be considered, introducing palliative care as required, and using more comprehensive predictors of mortality (functional status and quality of life), together with those related to the illness itself (previous admissions, progression and symptoms).
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Affiliation(s)
- I Martín-Lesende
- Bilbao-Basurto Integrated Health Organisation, Centro de Salud de San Ignacio Health Centre, C/Larrako Torre, 9, 48015, Bilbao, Spain.
| | - E Recalde
- Begoña Health Centre. Basque Health Service (Osakidetza), Bilbao, Spain
| | - P Viviane-Wunderling
- Bilbao-Basurto Integrated Health Organisation, Centro de Salud de San Ignacio Health Centre, C/Larrako Torre, 9, 48015, Bilbao, Spain
| | - T Pinar
- Bilbao-Basurto Integrated Health Organisation, Centro de Salud de San Ignacio Health Centre, C/Larrako Torre, 9, 48015, Bilbao, Spain
| | - F Borghesi
- Bilbao-Basurto Integrated Health Organisation, Centro de Salud de San Ignacio Health Centre, C/Larrako Torre, 9, 48015, Bilbao, Spain
| | - T Aguirre
- Bilbao-Basurto Integrated Health Organisation, Centro de Salud de San Ignacio Health Centre, C/Larrako Torre, 9, 48015, Bilbao, Spain
| | - M Recio
- Bilbao-Basurto Integrated Health Organisation, Centro de Salud de San Ignacio Health Centre, C/Larrako Torre, 9, 48015, Bilbao, Spain
| | - M E Martínez
- Bilbao-Basurto Integrated Health Organisation, Centro de Salud de San Ignacio Health Centre, C/Larrako Torre, 9, 48015, Bilbao, Spain
| | - J Asua
- Basque Office for Health Technology Assessment (OSTEBA), Department of Health, Government of the Basque Country, Vitoria, Spain
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Andreotti A, Borghesi F, Aradis A. Lead ammunition residues in the meat of hunted woodcock: a potential health risk to consumers. Italian Journal of Animal Science 2016. [DOI: 10.1080/1828051x.2016.1142360] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Borghesi F, Migani F, Andreotti A, Baccetti N, Bianchi N, Birke M, Dinelli E. Metals and trace elements in feathers: A geochemical approach to avoid misinterpretation of analytical responses. Sci Total Environ 2016; 544:476-494. [PMID: 26657393 DOI: 10.1016/j.scitotenv.2015.11.115] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/27/2015] [Revised: 11/04/2015] [Accepted: 11/23/2015] [Indexed: 06/05/2023]
Abstract
Assessing trace metal pollution using feathers has long attracted the attention of ecotoxicologists as a cost-effective and non-invasive biomonitoring method. In order to interpret the concentrations in feathers considering the external contamination due to lithic residue particles, we adopted a novel geochemical approach. We analysed 58 element concentrations in feathers of wild Eurasian Greater Flamingo Phoenicopterus roseus fledglings, from 4 colonies in Western Europe (Spain, France, Sardinia, and North-eastern Italy) and one group of adults from zoo. In addition, 53 elements were assessed in soil collected close to the nesting islets. This enabled to compare a wide selection of metals among the colonies, highlighting environmental anomalies and tackling possible causes of misinterpretation of feather results. Most trace elements in feathers (Al, Ce, Co, Cs, Fe, Ga, Li, Mn, Nb, Pb, Rb, Ti, V, Zr, and REEs) were of external origin. Some elements could be constitutive (Cu, Zn) or significantly bioaccumulated (Hg, Se) in flamingos. For As, Cr, and to a lesser extent Pb, it seems that bioaccumulation potentially could be revealed by highly exposed birds, provided feathers are well cleaned. This comprehensive study provides a new dataset and confirms that Hg has been accumulated in feathers in all sites to some extent, with particular concern for the Sardinian colony, which should be studied further including Cr. The Spanish colony appears critical for As pollution and should be urgently investigated in depth. Feathers collected from North-eastern Italy were the hardest to clean, but our methods allowed biological interpretation of Cr and Pb. Our study highlights the importance of external contamination when analysing trace elements in feathers and advances methodological recommendations in order to reduce the presence of residual particles carrying elements of external origin. Geochemical data, when available, can represent a valuable tool for a correct interpretation of the analytical results.
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Affiliation(s)
- Fabrizio Borghesi
- Bologna University, Biological, Geological and Environmental Sciences Department (BiGeA), Operative Unit of Ravenna, Via Sant'Alberto, 163, 48123 Ravenna, Italy.
| | | | | | | | - Nicola Bianchi
- Siena University, Physical Sciences, Earth and Environment Department, Via Mattioli, 4, 53100 Siena, Italy.
| | - Manfred Birke
- Federal Institute for Geosciences and Natural Resources (BGR), Stillweg, 2, 30655 Hannover, Germany.
| | - Enrico Dinelli
- Bologna University, Biological, Geological and Environmental Sciences Department (BiGeA), Operative Unit of Ravenna, Via Sant'Alberto, 163, 48123 Ravenna, Italy.
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Andreotti A, Borghesi F. Embedded lead shot in European starlings Sturnus vulgaris: an underestimated hazard for humans and birds of prey. EUR J WILDLIFE RES 2013. [DOI: 10.1007/s10344-013-0725-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Cianci R, Stivali G, Gigante A, Di Donato D, Polidori L, Clemenzia G, Borghesi F, Renzulli R, Martina P, Gasperini ML, Barbano B. Primary stenting for renal fibromuscular-dysplastic stenosis: a case report. Eur Rev Med Pharmacol Sci 2009; 13:317-319. [PMID: 19694348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Fibromuscular dysplasia (FMD) is a non-inflammatory, non-atherosclerotic vascular disease that has been reported in renal and internal carotid arteries and in almost every arterial bed, primarily affecting young to middle-aged people, mainly female individuals. These patients may be asymptomatic or may present with hypertension. A 29 year-old hypertensive woman was referred for a renal color Doppler ultrasound (CDU) scan because of a suspicion of renovascular hypertension and we revealed the presence of three separate stenosis on the right renal artery. Digital selective angiography (DSA) and percutaneous transluminal angioplasty (PTA) were performed but an incomplete dilation of the vessel was obtained. Because of the suboptimal result, it was decided to stent the lesions during two different procedures. Percutaneous transluminal renal angioplasty is the primary treatment of renal FMD, but should not be excluded primary stent implantation as an alternative technique to surgical revascularization.
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Affiliation(s)
- R Cianci
- Department of Nephrology, University "La Sapienza", Rome, Italy
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Gigante A, Giannakakis K, Visentini M, Fiorilli M, Barbano B, Renzulli R, Borghesi F, Cianci R. A simultaneous occurrence of Tolosa-Hunt syndrome and fibrillary glomerulonephritis: a case report. J Clin Pathol 2009; 62:190-1. [PMID: 19181638 DOI: 10.1136/jcp.2008.061648] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Fibrillary glomerulonephritis (FibGN) is a rare cause of progressive renal dysfunction, often leading to dialysis within a few years. A 60-year-old woman presented with a 2 month history of right-sided retro-orbital pain and recent diplopia. Laboratory testing revealed an altered renal function with increased serum creatinine and mild proteinuria. MRI of the brain revealed the presence of a soft tissue mass on the right cavernous sinus compatible with the diagnosis of Tolosa-Hunt syndrome (THS). Renal biopsy showed a pattern compatible with fibrillary glomerulonephritis. For this reason steroid therapy was initiated at a dose of 1 mg/kg/day and adjusted according to the clinical course. Neurological symptoms regressed shortly after the beginning of therapy and renal function and proteinuria remained stable for the 3 years following the withdrawal of steroid therapy. Percutaneous renal biopsy was again performed and confirmed the previous diagnosis of FibGN in association with other glomerular-lesion-like mesangial widening, thickening of capillary walls and severe arterio-arteriolosclerosis. This case report describes what is believed to first report of the association of FibGN and THS, which both responded to steroid therapy.
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Affiliation(s)
- A Gigante
- Department of Nephrology, University La Sapienza, Rome, Italy
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