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Invasive mosquitoes are an emerging public health issue, as many species are competent vectors for pathogens. We assessed how multiple environmental and socio-economic factors affected the engagement of municipalities in Italy (n = 7679) in actions against Aedes albopictus, an invasive mosquito affecting human health and well-being, between 2000 and 2020. We collected information about mosquito control from official documents and municipal websites and modeled the role played by multiple environmental and socioeconomic factors characterizing each municipality through the random forest algorithm. Municipalities are more prone to manage A. albopictus if more urbanized, in lowlands and with long infestation periods. Moreover, these variables are more predictive of management in municipalities with a high median income and thus more economic resources. Only 25.5% of Italian municipalities approved regulations for managing A. albopictus, and very few of them were in Southern Italy, the most deprived area of the country. Our findings indicate that local economic conditions moderate the effect of other drivers of mosquito control and ultimately can lead to better management of A. albopictus. If the management of invasive mosquitoes, or other forms of global change, is subjected to local economic conditions, economic inequalities will jeopardize the success of large-scale policies, also raising issues of environmental and climate justice., (© 2024. The Author(s).)

This study investigated the deposition of airborne microplastics (MPs) in the urban area of Milan across 12 sites and at a background control site (northern Italy) using 3-month transplants of the fruticose lichen species Evernia prunastri (exposed in triplicate). The primary objective was to evaluate the use of lichen transplants for the assessment of MP deposition; as such, the study sites spanned a gradient in vehicular traffic and population density across four concentric land-use zones (i.e., urban parks, centre, semi-periphery, and periphery). A total of 149 MP particles were detected in the exposed lichen samples; 94.6% were classified as fibres and 5.4% as fragments. The control site and urban parks experienced a similar number of MPs per gram of dry lichen (20-26 MP/g), while a higher number of MPs were detected in central and peripheral areas (44-56 MP/g), with a clear increasing gradient from the city centre towards the periphery. We estimated the MP deposition in Milan to be in the range of 43-119 MPs m 2 /d, indicating that people living in Milan are exposed to airborne MPs, with potential health effects. This study suggests that lichens are suitable biomonitors of airborne MPs under a relatively short exposure of three months in urban environments.

Purpose: The impact of anastomotic leaks (AL) on oncological outcomes after low anterior resection for mid-low rectal cancer is still debated. The aim of this study was to evaluate overall survival (OS), disease-free survival (DFS), and local and distant recurrence in patients with AL following low anterior resection., Methods: This is an extension of a multicentre RCT (NCT01110798). Kaplan-Meier method and the log-rank test were used to estimate and compare the 3-, 5-, and 10-year OS and DFS, and local and distant recurrence in patients with and without AL. Predictors of OS and DFS were evaluated using the Cox regression analysis as secondary aim., Results: Follow-up was available for 311 patients. Of them, 252 (81.0%) underwent neoadjuvant chemoradiotherapy and 138 (44.3%) adjuvant therapy. AL occurred in 63 (20.3%) patients. At a mean follow-up of 69.5 ± 31.9 months, 23 (7.4%) patients experienced local recurrence and 49 (15.8%) distant recurrence. The 3-, 5-, and 10-year OS and DFS were 89.2%, 85.3%, and 70.2%; and 80.7%, 75.1%, and 63.5% in patients with AL, and 88.9%, 79.8% and 72.3%; and 83.7, 74.2 and 62.8%, respectively in patients without (p = 0.89 and p = 0.84, respectively). At multivariable analysis, AL was not an independent predictor of OS (HR 0.65, 95%CI 0.34-1.28) and DFS (HR 0.70, 95%CI 0.39-1.25), whereas positive circumferential resection margins and pathological stage impaired both., Conclusions: In the context of modern multimodal rectal cancer treatment, AL does not affect long-term OS, DFS, and local and distant recurrence in patients with mid-low rectal cancer., (© 2022. The Author(s).)

Magnetic biomonitoring methodologies were applied at Villa Farnesina, Rome, a masterpiece of the Italian Renaissance, with loggias frescoed by renowned artists such as Raffaello Sanzio. Plant leaves were sampled in September and December 2020 and lichen transplants were exposed from October 2020 to early January 2021 at increasing distances from the main trafficked road, Lungotevere Farnesina, introducing an outdoor vs. indoor mixed sampling design aimed at assessing the impact of vehicular particulate matter (PM) on the Villa Loggias. The magnetic properties of leaves and lichens - inferred from magnetic susceptibility values, hysteresis loops and first order reversal curves - showed that the bioaccumulation of magnetite-like particles, associated with trace metals such as Cu, Ba and Sb, decreased exponentially with the distance from the road, and was mainly linked to metallic emission from vehicle brake abrasion. For the frescoed Halls, ca. 30 m from the road, the exposure to traffic-related emissions was very limited or negligible. Tree and shrub leaves of the Lungotevere and of the Villa's Gardens intercepted much traffic-derived PM, thus being able to protect the indoor cultural heritage and providing an essential conservation service. It is concluded that the joint use of magnetic and chemical analyses can profitably be used for evaluating the impact of particulate pollution on cultural heritage within complex metropolitan contexts as a preventive conservation measure., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 The Author(s). Published by Elsevier B.V. All rights reserved.)

Robotics in right colectomy are still under debate. Available studies compare different techniques of ileocolic anastomosis but results are non-conclusive. Our study aimed to compare intraoperative outcomes, and short-term postoperative results between robotic and standard laparoscopic right colectomies for cancer with intracorporeal anastomosis (ICA) fashioned with the same technique. All consecutive patients scheduled for laparoscopic or robotic right hemicolectomies with ICA for cancer in two hospitals, one of which is a tertiary care centre, were prospectively enrolled in our prospective observational study, from April 2018 to December 2019. ICA was fashioned with the same stapled hand-sewn technique. Continuous and categorical variables were analysed using t test and chi-squared test as required. Statistical significance was set at p < 0.05. Forty patients underwent laparoscopic surgery, and 48 underwent robotic right colectomy and were included in the intention-to-treat analysis. Operative time was not statistically different between the two groups (robotic group 265.9 min vs laparoscopic group 254.2 min, p = 0.29). The robotic group had a significantly shorter time for stump oversewing (ileum reinforcement: robotic group 9.3 min vs laparoscopic group 14.2 min, p < 0.001; colon reinforcement: robotic 7.7. min, laparoscopy 13.9 min, p < 0.001) and for ICA (robotic 31.6 min vs laparoscopy 43.0, p < 0.001). One patient underwent extracorporeal anastomosis in the robotic group. The short-term outcomes were comparable between standard laparoscopic and robotic right colectomies with ICA. The limitation of the study is its small sample size and the fact that it was done in two institutions under the supervision of one person. Our data demonstrate that intracorporeal ileocolic anastomosis is safe, and faster and easier with robotic systems. Robotics can facilitate more challenging ICA in minimally invasive surgery., (© 2021. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.)