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- Cortinovis, Chiara, et al.
(författare)
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Mapping Ecosystem Services, Disservices, and Ecological Requirements to Enhance Urban Forest Planning and Management in Padova
- 2021
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Ingår i: Ecosystem Services and Green Infrastructure : Perspectives from Spatial Planning in Italy - Perspectives from Spatial Planning in Italy. - Cham : Springer International Publishing. - 2520-8314 .- 2520-8306. - 9783030543457 - 9783030543471 ; , s. 167-179
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Bokkapitel (refereegranskat)abstract
- In Padova, the municipal department of green infrastructure monitors the urban forest through a continuously updated database that stores information about locations, species, dimensions, health conditions, and management of more than 47,000 trees. The aim of the research presented in this chapter was to support urban forest planning and management by integrating the existing database with information about ecosystem services, disservices, and the ecological requirements of trees. We combined a quantitative analysis through i-Tree Eco with a qualitative assessment based on literature review and expert knowledge, and filled in 17 new fields for each tree in the database. Then, through a GIS, we investigated the spatial distribution of the analysed features across the city, thus revealing inequalities among different areas and mismatches with citizens’ preferences and needs. The enhanced database could potentially become a powerful tool, not only to identify and prioritize management interventions, but also, in a longer term perspective, to identify strategic goals with a view to coordinating local actions, thus ensuring a sustainable development of the urban forest and an equitable provision of ecosystem services to present and future generations.
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| 2. |
- Geneletti, Davide, et al.
(författare)
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Identifying Ecosystem Service Hotspots to Support Urban Planning in Trento
- 2021
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Ingår i: Ecosystem Services and Green Infrastructure : Perspectives from Spatial Planning in Italy - Perspectives from Spatial Planning in Italy. - Cham : Springer International Publishing. - 2520-8314 .- 2520-8306. - 9783030543457 - 9783030543440 ; , s. 153-165
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Bokkapitel (refereegranskat)abstract
- This chapter presents the mapping of ecosystem service hotspots in the city of Trento, in the Italian Alps, and discusses the possible uses of the results to support the drawing of the new Urban Plan. Hotspots are defined as areas characterized by high levels of provision of multiple services. Particularly, the following ecosystem services were selected: biodiversity support, risk mitigation, mitigation of air pollution and noise from transport infrastructures, forest landscape value, food production, nature-based recreation, and microclimate regulation. Maps of the different ecosystem services were produced using a variety of assessment methods, and then overlaid to obtain a multiple-hotspot map. The results show that hotspots are found not only among forests and natural areas surrounding the city, but also in the intensely urbanized valley floor (e.g., within agricultural patches and green wedges). In terms of policy relevance, the ecosystem service hotspots are becoming part of the “structural elements” of the Urban Plan currently being drafted, along with more traditionally recognized elements, such as protected areas. The hotspots are intended to be preserved from urbanization and different actions are under consideration to improve the current network of green and blue spaces, thus increasing both connectivity and the provision of ecosystem services.
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| 3. |
- Prusakov, Pavel, et al.
(författare)
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A global point prevalence survey of antimicrobial use in neonatal intensive care units : The no-more-antibiotics and resistance (NO-MAS-R) study
- 2021
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Ingår i: eClinicalMedicine. - : Elsevier. - 2589-5370. ; 32
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Tidskriftsartikel (refereegranskat)abstract
- Background: Global assessment of antimicrobial agents prescribed to infants in the neonatal intensive care unit (NICU) may inform antimicrobial stewardship efforts.Methods: We conducted a one-day global point prevalence study of all antimicrobials provided to NICU infants. Demographic, clinical, and microbiologic data were obtained including NICU level, census, birth weight, gestational/chronologic age, diagnoses, antimicrobial therapy (reason for use; length of therapy), antimicrobial stewardship program (ASP), and 30-day in-hospital mortality.Findings: On July 1, 2019, 26% of infants (580/2,265; range, 0-100%; median gestational age, 33 weeks; median birth weight, 1800 g) in 84 NICUs (51, high-income; 33, low-to-middle income) from 29 countries (14, high-income; 15, low-to-middle income) in five continents received >= 1 antimicrobial agent (92%, antibacterial; 19%, antifungal; 4%, antiviral). The most common reasons for antibiotic therapy were "rule-out" sepsis (32%) and "culture-negative" sepsis (16%) with ampicillin (40%), gentamicin (35%), amikacin (19%), vancomycin (15%), and meropenem (9%) used most frequently. For definitive treatment of presumed/confirmed infection, vancomycin (26%), amikacin (20%), and meropenem (16%) were the most prescribed agents. Length of therapy for culture-positive and "culture-negative" infections was 12 days (median; IQR, 8-14) and 7 days (median; IQR, 5-10), respectively. Mortality was 6% (42%, infection-related). An NICU ASP was associated with lower rate of antibiotic utilization (p = 0.02).Interpretation: Global NICU antibiotic use was frequent and prolonged regardless of culture results. NICU-specific ASPs were associated with lower antibiotic utilization rates, suggesting the need for their implementation worldwide.
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