1
|
Forzieri G, Dutrieux LP, Elia A, Eckhardt B, Caudullo G, Taboada FÁ, Andriolo A, Bălăcenoiu F, Bastos A, Buzatu A, Dorado FC, Dobrovolný L, Duduman ML, Fernandez-Carrillo A, Hernández-Clemente R, Hornero A, Ionuț S, Lombardero MJ, Junttila S, Lukeš P, Marianelli L, Mas H, Mlčoušek M, Mugnai F, Nețoiu C, Nikolov C, Olenici N, Olsson PO, Paoli F, Paraschiv M, Patočka Z, Pérez-Laorga E, Quero JL, Rüetschi M, Stroheker S, Nardi D, Ferenčík J, Battisti A, Hartmann H, Nistor C, Cescatti A, Beck PSA. The Database of European Forest Insect and Disease Disturbances: DEFID2. Glob Chang Biol 2023; 29:6040-6065. [PMID: 37605971 DOI: 10.1111/gcb.16912] [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] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/12/2023] [Revised: 07/17/2023] [Accepted: 07/18/2023] [Indexed: 08/23/2023]
Abstract
Insect and disease outbreaks in forests are biotic disturbances that can profoundly alter ecosystem dynamics. In many parts of the world, these disturbance regimes are intensifying as the climate changes and shifts the distribution of species and biomes. As a result, key forest ecosystem services, such as carbon sequestration, regulation of water flows, wood production, protection of soils, and the conservation of biodiversity, could be increasingly compromised. Despite the relevance of these detrimental effects, there are currently no spatially detailed databases that record insect and disease disturbances on forests at the pan-European scale. Here, we present the new Database of European Forest Insect and Disease Disturbances (DEFID2). It comprises over 650,000 harmonized georeferenced records, mapped as polygons or points, of insects and disease disturbances that occurred between 1963 and 2021 in European forests. The records currently span eight different countries and were acquired through diverse methods (e.g., ground surveys, remote sensing techniques). The records in DEFID2 are described by a set of qualitative attributes, including severity and patterns of damage symptoms, agents, host tree species, climate-driven trigger factors, silvicultural practices, and eventual sanitary interventions. They are further complemented with a satellite-based quantitative characterization of the affected forest areas based on Landsat Normalized Burn Ratio time series, and damage metrics derived from them using the LandTrendr spectral-temporal segmentation algorithm (including onset, duration, magnitude, and rate of the disturbance), and possible interactions with windthrow and wildfire events. The DEFID2 database is a novel resource for many large-scale applications dealing with biotic disturbances. It offers a unique contribution to design networks of experiments, improve our understanding of ecological processes underlying biotic forest disturbances, monitor their dynamics, and enhance their representation in land-climate models. Further data sharing is encouraged to extend and improve the DEFID2 database continuously. The database is freely available at https://jeodpp.jrc.ec.europa.eu/ftp/jrc-opendata/FOREST/DISTURBANCES/DEFID2/.
Collapse
Affiliation(s)
- Giovanni Forzieri
- Department of Civil and Environmental Engineering, University of Florence, Florence, Italy
- European Commission, Joint Research Centre, Ispra, Italy
| | | | | | - Bernd Eckhardt
- European Commission, Joint Research Centre, Ispra, Italy
| | | | - Flor Álvarez Taboada
- DRACONES Research Group, Universidad de León, León, Spain
- Sustainable Forestry and Environmental Management Unit, University of Santiago de Compostela, Lugo, Spain
| | - Alessandro Andriolo
- Ufficio Pianificazione Forestale, Amministrazione Provincia Bolzano, Bolzano, Italy
| | - Flavius Bălăcenoiu
- National Institute for Research and Development in Forestry "Marin Drăcea" (INCDS), Voluntari, Romania
| | - Ana Bastos
- Department of Biogeochemical Processes, Max-Planck Institute for Biogeochemistry, Jena, Germany
| | - Andrei Buzatu
- National Institute for Research and Development in Forestry "Marin Drăcea" (INCDS), Craiova, Romania
| | - Fernando Castedo Dorado
- DRACONES Research Group, Universidad de León, León, Spain
- Sustainable Forestry and Environmental Management Unit, University of Santiago de Compostela, Lugo, Spain
| | - Lumír Dobrovolný
- University Forest Enterprise Masaryk Forest Křtiny, Mendel University in Brno, Brno, Czech Republic
| | - Mihai-Leonard Duduman
- Applied Ecology Laboratory, Forestry Faculty, "Ștefan cel Mare" University of Suceava, Suceava, Romania
| | | | | | - Alberto Hornero
- Instituto de Agricultura Sostenible (IAS), Consejo Superior de Investigaciones Científicas (CSIC), Córdoba, Spain
- Faculty of Engineering and Information Technology (FEIT), The University of Melbourne, Melbourne, Victoria, Australia
| | - Săvulescu Ionuț
- Department of Geomorphology-Pedology-Geomatics, Faculty of Geography, University of Bucharest, Bucharest, Romania
| | - María J Lombardero
- Sustainable Forestry and Environmental Management Unit, University of Santiago de Compostela, Lugo, Spain
| | - Samuli Junttila
- School of Forest Sciences, University of Eastern Finland, Joensuu, Finland
| | - Petr Lukeš
- Czechglobe-Global Change Research Institute, CAS, Brno, Czech Republic
- Ústav pro hospodářskou úpravu lesů-Forest Management Institute (FMI), Brno-Žabovřesky, Czech Republic
| | - Leonardo Marianelli
- CREA Research Centre for Plant Protection and Certification, Florence, Italy
| | - Hugo Mas
- Laboratori de Sanitat Forestal, Servei d'Ordenació i Gestió Forestal, Conselleria d'Agricultura, Desenvolupament Rural, Emergència Climàtica i Transició Ecològica, Generalitat Valenciana, Valencia, Spain
| | - Marek Mlčoušek
- Czechglobe-Global Change Research Institute, CAS, Brno, Czech Republic
- Ústav pro hospodářskou úpravu lesů-Forest Management Institute (FMI), Brno-Žabovřesky, Czech Republic
| | - Francesco Mugnai
- Department of Civil and Environmental Engineering, University of Florence, Florence, Italy
| | - Constantin Nețoiu
- National Institute for Research and Development in Forestry "Marin Drăcea" (INCDS), Craiova, Romania
| | - Christo Nikolov
- National Forest Centre, Forest Research Institute, Zvolen, Slovakia
| | - Nicolai Olenici
- National Institute for Research and Development in Forestry "Marin Drăcea" (INCDS), Voluntari, Romania
| | - Per-Ola Olsson
- Department of Physical Geography and Ecosystem Science, Lund University, Lund, Sweden
| | - Francesco Paoli
- CREA Research Centre for Plant Protection and Certification, Florence, Italy
| | - Marius Paraschiv
- National Institute for Research and Development in Forestry "Marin Drăcea" (INCDS), Brașov, Romania
| | - Zdeněk Patočka
- Department of Forest Management and Applied Geoinformatics, Faculty of Forestry and Wood Technology, Mendel University in Brno, Brno, Czech Republic
| | - Eduardo Pérez-Laorga
- Laboratori de Sanitat Forestal, Servei d'Ordenació i Gestió Forestal, Conselleria d'Agricultura, Desenvolupament Rural, Emergència Climàtica i Transició Ecològica, Generalitat Valenciana, Valencia, Spain
| | - Jose Luis Quero
- Department of Forest Engineering, University of Córdoba, Córdoba, Spain
| | - Marius Rüetschi
- Department of Land Change Science, Swiss Federal Institute for Forest, Snow and Landscape Research, Birmensdorf, Switzerland
| | - Sophie Stroheker
- Swiss Forest Protection, Swiss Federal Institute for Forest, Snow and Landscape Research, Birmensdorf, Switzerland
| | - Davide Nardi
- DAFNAE-Entomology, University of Padova, Padova, Italy
| | - Ján Ferenčík
- Research Station Tatra National Park, Tatranská Lomnica, Slovakia
| | | | - Henrik Hartmann
- Department of Biogeochemical Processes, Max-Planck Institute for Biogeochemistry, Jena, Germany
- Insitute for Forest Protection, Julius Kühn-Institute, Federal Research Federal Research Center for Cultivated Plants, Quedlinburg, Germany
| | - Constantin Nistor
- Department of Geomorphology-Pedology-Geomatics, Faculty of Geography, University of Bucharest, Bucharest, Romania
| | | | | |
Collapse
|
2
|
Thomasdotter A, Shum P, Mugnai F, Vingiani M, Dubut V, Marschal F, Abbiati M, Chenuil A, Costantini F. Spineless and overlooked: DNA metabarcoding of autonomous reef monitoring structures reveals intra- and interspecific genetic diversity in Mediterranean invertebrates. Mol Ecol Resour 2023; 23:1689-1705. [PMID: 37452608 DOI: 10.1111/1755-0998.13836] [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] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Revised: 06/22/2023] [Accepted: 07/04/2023] [Indexed: 07/18/2023]
Abstract
The ability to gather genetic information using DNA metabarcoding of bulk samples obtained directly from the environment is crucial to determine biodiversity baselines and understand population dynamics in the marine realm. While DNA metabarcoding is effective in evaluating biodiversity at community level, genetic patterns within species are often concealed in metabarcoding studies and overlooked for marine invertebrates. In the present study, we implement recently developed bioinformatics tools to investigate intraspecific genetic variability for invertebrate taxa in the Mediterranean Sea. Using metabarcoding samples from Autonomous Reef Monitoring Structures (ARMS) deployed in three locations, we present haplotypes and diversity estimates for 145 unique species. While overall genetic diversity was low, we identified several species with high diversity records and potential cryptic lineages. Further, we emphasize the spatial scale of genetic variability, which was observed from locations to individual sampling units (ARMS). We carried out a population genetic analysis of several important yet understudied species, which highlights the current knowledge gap concerning intraspecific genetic patterns for the target taxa in the Mediterranean basin. Our approach considerably enhances biodiversity monitoring of charismatic and understudied Mediterranean species, which can be incorporated into ARMS surveys.
Collapse
Affiliation(s)
- Anna Thomasdotter
- County Administrative Board of Västerbotten, Umeå, Sweden
- Department of Biological, Geological and Environmental Sciences, University of Bologna, UOS Ravenna, Ravenna, Italy
| | - Peter Shum
- School of Biological and Environmental Sciences, Liverpool John Moores University, Liverpool, UK
| | - Francesco Mugnai
- Department of Biological, Geological and Environmental Sciences, University of Bologna, UOS Ravenna, Ravenna, Italy
| | - Marina Vingiani
- Department of Biological, Geological and Environmental Sciences, University of Bologna, UOS Ravenna, Ravenna, Italy
- National Research Council, Institute of Marine Sciences, CNR-ISMAR, Venice, Italy
| | - Vincent Dubut
- Aix Marseille Université, Avignon Université, CNRS, IRD, IMBE, Marseille, France
| | - Florent Marschal
- Aix Marseille Université, Avignon Université, CNRS, IRD, IMBE, Marseille, France
| | - Marco Abbiati
- Department of Cultural Heritage, University of Bologna, Ravenna, Italy
- National Interuniversity Consortium for Marine Sciences (CoNISMa), Rome, Italy
- Interdepartmental Research Center for Environmental Sciences (CIRSA), Ravenna, Italy
- Institute of Marine Sciences, National Research Council (CNR-ISMAR), Bologna, Italy
| | - Anne Chenuil
- Aix Marseille Université, Avignon Université, CNRS, IRD, IMBE, Marseille, France
| | - Federica Costantini
- Department of Biological, Geological and Environmental Sciences, University of Bologna, UOS Ravenna, Ravenna, Italy
- National Interuniversity Consortium for Marine Sciences (CoNISMa), Rome, Italy
- Interdepartmental Research Center for Environmental Sciences (CIRSA), Ravenna, Italy
| |
Collapse
|
3
|
Mugnai F, Costantini F, Chenuil A, Leduc M, Gutiérrez Ortega JM, Meglécz E. Be positive: customized reference databases and new, local barcodes balance false taxonomic assignments in metabarcoding studies. PeerJ 2023; 11:e14616. [PMID: 36643652 PMCID: PMC9835706 DOI: 10.7717/peerj.14616] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Accepted: 12/01/2022] [Indexed: 01/11/2023] Open
Abstract
Background In metabarcoding analyses, the taxonomic assignment is crucial to place sequencing data in biological and ecological contexts. This fundamental step depends on a reference database, which should have a good taxonomic coverage to avoid unassigned sequences. However, this goal is rarely achieved in many geographic regions and for several taxonomic groups. On the other hand, more is not necessarily better, as sequences in reference databases belonging to taxonomic groups out of the studied region/environment context might lead to false assignments. Methods We investigated the effect of using several subsets of a cytochrome c oxidase subunit I (COI) reference database on taxonomic assignment. Published metabarcoding sequences from the Mediterranean Sea were assigned to taxa using COInr, which is a comprehensive, non-redundant and recent database of COI sequences obtained both from BOLD and NCBI, and two of its subsets: (i) all sequences except insects (COInr-WO-Insecta), which represent the overwhelming majority of COInr database, but are irrelevant for marine samples, and (ii) all sequences from taxonomic families present in the Mediterranean Sea (COInr-Med). Four different algorithms for taxonomic assignment were employed in parallel to evaluate differences in their output and data consistency. Results The reduction of the database to more specific custom subsets increased the number of unassigned sequences. Nevertheless, since most of them were incorrectly assigned by the less specific databases, this is a positive outcome. Moreover, the taxonomic resolution (the lowest taxonomic level to which a sequence is attributed) of several sequences tended to increase when using customized databases. These findings clearly indicated the need for customized databases adapted to each study. However, the very high proportion of unassigned sequences points to the need to enrich the local database with new barcodes specifically obtained from the studied region and/or taxonomic group. Including novel local barcodes to the COI database proved to be very profitable: by adding only 116 new barcodes sequenced in our laboratory, thus increasing the reference database by only 0.04%, we were able to improve the resolution for ca. 0.6-1% of the Amplicon Sequence Variants (ASVs).
Collapse
Affiliation(s)
- Francesco Mugnai
- Department of Biological, Geological and Environmental Sciences (BiGeA), University of Bologna, Ravenna, Italy
| | - Federica Costantini
- Department of Biological, Geological and Environmental Sciences (BiGeA), University of Bologna, Ravenna, Italy,Consorzio Nazionale Interuniversitario per le Scienze del Mare (CoNISMa), Roma, Italy
| | - Anne Chenuil
- Aix Marseille Univ, Avignon Université, CNRS, IRD, IMBE, Marseille, France
| | | | | | - Emese Meglécz
- Aix Marseille Univ, Avignon Université, CNRS, IRD, IMBE, Marseille, France
| |
Collapse
|
4
|
Timoncini A, Costantini F, Bernardi E, Martini C, Mugnai F, Mancuso FP, Sassoni E, Ospitali F, Chiavari C. Insight on bacteria communities in outdoor bronze and marble artefacts in a changing environment. Sci Total Environ 2022; 850:157804. [PMID: 35932861 DOI: 10.1016/j.scitotenv.2022.157804] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [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: 05/17/2022] [Revised: 07/12/2022] [Accepted: 07/30/2022] [Indexed: 06/15/2023]
Abstract
Epilithic bacteria play a fundamental role in the conservation of cultural heritage (CH) materials. On stones, bacterial communities cause both degradation and bioprotection actions. Bronze biocorrosion in non-burial conditions is rarely studied. Only few studies have examined the relationship between bacteria communities and the chemical composition of patinas (surface degradation layers). A better comprehension of bacterial communities growing on our CH is fundamental not only to understand the related decay mechanisms but also to foresee possible shifts in their composition due to climate change. The present study aims at (1) characterizing bacterial communities on bronze and marble statues; (2) evaluating the differences in bacterial communities' composition and abundance occurring between different patina types on different statues; and (3) providing indications about a representative bacterial community which can be used in laboratory tests to better understand their influence on artefact decay. Chemical and biological characterization of different patinas were carried out by sampling bronze and marble statues in Bologna and Ravenna (Italy), using EDS/Raman spectroscopy and MinION-based 16SrRNA sequencing. Significant statistical differences were found in bacterial composition between marble and bronze statues, and among marble patinas in different statues and in the same statue. Marble surfaces showed high microbial diversity and were characterized mainly by Cyanobacteria, Proteobacteria and Deinococcus-Thermus. Bronze patinas showed low taxa diversity and were dominated by copper-resistant Proteobacteria. The copper biocidal effect is evident in greenish marble areas affected by the leaching of copper salts, where the bacterial community is absent. Here, Ca and Cu oxalates are present because of the biological reaction of living organisms to Cu ions, leading to metabolic product secretions, such as oxalic acid. Therefore, a better knowledge on the interaction between bacteria communities and patinas has been achieved.
Collapse
Affiliation(s)
- Andrea Timoncini
- Department of Cultural Heritage, University of Bologna, Via degli Ariani 1, 48121 Ravenna, Italy
| | - Federica Costantini
- Department of Biological, Geological and Environmental Science, UOS Ravenna, University of Bologna, Via Sant'Alberto 163, 48123 Ravenna, Italy; Interdepartmental Center for Industrial Research Renewable Sources, Environment, Sea and Energy, University of Bologna, Ravenna, Italy; Interdepartmental Research Center for Environmental Sciences, University of Bologna, Ravenna, Italy
| | - Elena Bernardi
- Department of Industrial Chemistry "Toso Montanari", University of Bologna, Viale del Risorgimento 4, 40136 Bologna, Italy
| | - Carla Martini
- Department of Industrial Engineering, University of Bologna, Viale del Risorgimento 4, 40136 Bologna, Italy
| | - Francesco Mugnai
- Department of Biological, Geological and Environmental Science, UOS Ravenna, University of Bologna, Via Sant'Alberto 163, 48123 Ravenna, Italy
| | - Francesco Paolo Mancuso
- Department of Earth and Marine Sciences (DiSTeM), University of Palermo, Viale delle Scienze Ed. 16, 90128 Palermo, Italy
| | - Enrico Sassoni
- Department Of Civil, Chemical, Environmental and Materials Engineering, University of Bologna, Via Terracini 28, 40131 Bologna, Italy
| | - Francesca Ospitali
- Department of Industrial Chemistry "Toso Montanari", University of Bologna, Viale del Risorgimento 4, 40136 Bologna, Italy
| | - Cristina Chiavari
- Department of Cultural Heritage, University of Bologna, Via degli Ariani 1, 48121 Ravenna, Italy.
| |
Collapse
|
5
|
Mucchi L, Jayousi S, Martinelli A, Caputo S, Intrieri E, Gigli G, Gracchi T, Mugnai F, Favalli M, Fornaciai A, Nannipieri L. A Flexible Wireless Sensor Network Based on Ultra-Wide Band Technology for Ground Instability Monitoring. Sensors (Basel) 2018; 18:s18092948. [PMID: 30189591 PMCID: PMC6165304 DOI: 10.3390/s18092948] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/19/2018] [Revised: 08/29/2018] [Accepted: 08/30/2018] [Indexed: 12/01/2022]
Abstract
An innovative wireless sensor network (WSN) based on Ultra-Wide Band (UWB) technology for 3D accurate superficial monitoring of ground deformations, as landslides and subsidence, is proposed. The system has been designed and developed as part of an European Life+ project, called Wi-GIM (Wireless Sensor Network for Ground Instability Monitoring). The details of the architecture, the localization via wireless technology and data processing protocols are described. The flexibility and accuracy achieved by the UWB two-way ranging technique is analysed and compared with the traditional systems, such as robotic total stations (RTSs) and Ground-based Interferometric Synthetic Aperture Radar (GB-InSAR), highlighting the pros and cons of the UWB solution to detect the surface movements. An extensive field trial campaign allows the validation of the system and the analysis of its sensitivity to different factors (e.g., sensor nodes inter-visibility, effects of the temperature, etc.). The Wi-GIM system represents a promising solution for landslide monitoring and it can be adopted in combination with traditional systems or as an alternative in areas where the available resources are inadequate. The versatility, easy/fast deployment and cost-effectiveness, together with good accuracy, make the Wi-GIM system a possible solution for municipalities that cannot afford expensive/complex systems to monitor potential landslides in their territory.
Collapse
Affiliation(s)
- Lorenzo Mucchi
- Department of Information Engineering, University of Florence, via di S. Marta 3, 50139 Florence, Italy.
| | - Sara Jayousi
- Department of Information Engineering, University of Florence, via di S. Marta 3, 50139 Florence, Italy.
| | - Alessio Martinelli
- Department of Information Engineering, University of Florence, via di S. Marta 3, 50139 Florence, Italy.
| | - Stefano Caputo
- Department of Information Engineering, University of Florence, via di S. Marta 3, 50139 Florence, Italy.
| | - Emanuele Intrieri
- Department of Earth Sciences, University of Florence, via La Pira 4, 50121 Florence, Italy.
| | - Giovanni Gigli
- Department of Earth Sciences, University of Florence, via La Pira 4, 50121 Florence, Italy.
| | - Teresa Gracchi
- Department of Earth Sciences, University of Florence, via La Pira 4, 50121 Florence, Italy.
| | - Francesco Mugnai
- Department of Earth Sciences, University of Florence, via La Pira 4, 50121 Florence, Italy.
| | - Massimiliano Favalli
- National Institute of Geophysics and Volcanology (INGV), via della Faggiola 32, 56126 Pisa, Italy.
| | - Alessandro Fornaciai
- National Institute of Geophysics and Volcanology (INGV), via della Faggiola 32, 56126 Pisa, Italy.
| | - Luca Nannipieri
- National Institute of Geophysics and Volcanology (INGV), via della Faggiola 32, 56126 Pisa, Italy.
| |
Collapse
|
6
|
Campolmi E, Mugnai F, Riccio M, Santosuosso U, Saccardi A, Giove S, Fortunato S, Ribecco A, Borgognoni L, Pimpinelli N. Simultaneous care and melanoma: preliminary report about the psychoncological approach. GIORN ITAL DERMAT V 2011; 146:425-430. [PMID: 22095174] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
AIM The main aim of the study was to investigate the efficacy of a "take-in- charge" model of advanced stage melanoma patients by a multidisciplinary team and highlight the psychological patterns of the disease. METHODS The study sample involved 44 patients, 27 females and 17 males, who were given a "Questionnaire on Health Status SF-12" which provides two synthetic indexes, one related to physical health PCS-12, and the other to mental health MCS-12. The statistical data was collected through a preliminary analysis of principal components P.C. A., carried out with SPSS software. RESULTS Comparing the scores obtained by the PCS and MCS indexes, the mean score is low: 6.52 out of 10 for PCS and 3.23 out of 10 for MCS. At first consultation, there is evidence which supports patients' need for psycho-oncological support. By dividing the sample patients into two subgroups, cutaneous melanoma and visceral melanoma, it should be noted that the first group obtained a mean of 4.75 for PCS and 3.77 for MCS and the second group 7.53 for PCS and 2.92 for MCS respectively. Therefore, the results show, at first consultation, a more complex situation for patients with cutaneous melanoma. CONCLUSION The results of the study highlight the need to supply some form of psycho-oncological support to help patients while they adapt to the disease. Furthermore, different problems and different coping styles also emerged depending on whether the patient has cutaneous or visceral melanoma. The study therefore demonstrates the need to take into account such variables when devising a personal care system centered on the patient.
Collapse
Affiliation(s)
- E Campolmi
- Department of Medico-Surgical Critical Area, University of Florence, Florence, Italy.
| | | | | | | | | | | | | | | | | | | |
Collapse
|