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Three measurement campaigns were conducted on the island of Culuccia (Sardinia, Italy) to evaluate particulate matter (PM) concentrations and the contribution of sea spray aerosol (SSA) across different seasons in a largely uncontaminated coastal environment. The goal is not only to analyze PM concentration in relation to meteorological parameters such as temperature, relative humidity (rH), and wind speed but also to provide a chemical analysis of SSA. The chemical composition of PM was determined using Raman spectroscopy and SEM-EDX, allowing for precise identification of individual particles. Results showed seasonal variations in PM composition, with sodium nitrate and sodium chloride prevalent in March and June and sulfates dominating in October. A correlation between the PM composition and meteorological parameters was observed according to the value of the deliquescence relative humidity (DRH), highlighting the reciprocal influence of rH and coarse and fine PM trends. This multi-technique approach offers valuable insights into the relative abundance of different PM compound classes based on the varying conditions for SSA formation. This enhances our understanding of the behavior of sea spray aerosol and other PM in natural coastal environments.

The touristic use of caves causes multiple environmental alterations to the subterranean ecosystem, having potential effects on all components, from the atmosphere to lithosphere, hydrosphere, and biosphere. Setting a baseline on the current knowledge of the ecological status of world show caves is pivotal to implement monitoring and management programs aiming at their conservation. However, information on this topic is scattered throughout several publications, making it difficult to access data and ultimately delaying advances towards a sustainable touristic use of show caves. We provide a literature-based dataset relative to the knowledge on the ecological status of 265 show caves worldwide. Data were collated from 289 papers selected through a systematic literature survey of an initial set of more than 1,000 scientific papers. We made the compiled information available through two complementary datasets, reporting: (i) references of the selected papers and (ii) 44 fields relative to the main characteristics of show caves investigated in literature. These fields encompass information about geographic locations, cave general characteristics, natural heritage, and the specific environmental components—and related environmental parameters—investigated in each of the considered study. Such a dataset improves our accessibility to the basic information provided by literature on the ecological status of show caves, also pointing out some literature gaps that should be addressed by future research. By making these data freely available and re-usable, we hope to stimulate research in the field of cave tourism, cave conservation, and cave-based ecology.

Textile wastewater is polluted by inorganic/organic substances, polymers, dyes, and microfibers (MFs), which are microplastics (MPs) and natural fibers. This work is aimed at the preliminary investigation of MFs and MPs in textile industrial wastewater, and at evaluating the removal efficiency of an on-site wastewater treatment plant (WWTP). Ten samples of inflows and outflows of the WWTP of a textile company (applying a physic-chemical process) have been analyzed. Firstly, the samples underwent a pretreatment with 15% hydrogen peroxide at 25 °C for 5 days to remove organic compounds. Secondly, the MFs were recovered from the aqueous phase by pre-screening centrifugation, density separation, and filtration as alternative options. Filtration obtained the best performances, compared to the other recovery processes. Thirdly, the MFs were counted through optical microscopy and the MPs were identified through micro-FTIR. The MFs amount in the inflow samples was in the range of 893–4452 MFs/L. The outflow samples (310–2404 MFs/L) exhibited a 38–65% reduction compared to the inflows, demonstrating that up to 62% of residual MFs can enter the sewer network or the receiving water body. Cotton and wool, and numerous MPs (acrylic, polyester, polypropylene, polyamide, and viscose/rayon) were identified in the inflow and outflow samples (with the only exception of “dense” viscose (rayon), not detected in the outflows, and probably retained by the WWTP with the sludge). This study, even if just preliminary, offers interesting hints for future research on MFs/MPs detection in textile wastewater, and on the performance of a full-scale WWT process for their removal.

As of 15 June, there have been, globally, a total of 2103 laboratory-confirmed cases and one probable case of Monkeypox, including one death. We report two cases of vesicular infectious diseases, one of those is the first case of Monkeypox in the Campania Region. The report, therefore, highlights a recrudescent infection disease that could represent a challenge in differential diagnosis with other vesicular infectious diseases such as Varicella Zoster Virus, during a pandemic season that does not seem to end. Indeed, varicella should be carefullu considered in differential diagnosis according to its vesicular or pustular rash to have a prompt diagnosis and public health response in case of monkeypox infection.

The acceleration of the global production and consumption of electronic devices and the concerns related to waste electrical and electronic equipment (WEEE) motivated this research. Printed circuit boards (PCB) can be found in almost all types of electronic devices, and their composition contains heavy metals that can cause environmental impacts due to improper disposal. However, on the other hand, there are elements with added value, such as copper, gold, silver, iron, aluminum and other critical raw materials, such as tantalum, that can be recovered. Metal recovery can conserve natural resources since it prevents new minerals from being extracted, being a great contribution to the circular economy. In this research, the PCB element composition was initially determined through the scanning electron microscope analysis. Then, the PCB was shredded in a cutting mill and classified in grain size classes by sieving. Afterwards, magnetic separation has been performed together with gravity and electrostatic separation of the non-magnetic fraction. In gravity separation, the metal recovery was satisfactory for the particle size −0.6 + 0.3 mm and for the particle size −1.18 + 0.6 mm. In electrostatic separation, the efficiencies obtained were higher for the smaller particle size (−0.3 mm).

In the quarry sector, the reduction of landfill material may be obtained not only by finding a suitable recovery of the material as a by-product, but also by identifying the best available cutting technique to be used on the basis of the physical, chemical, and mechanical characteristics of the stones. The choice of the best cutting technique could lead to high efficiency and performance, high quality of the cut surfaces, and a very low environmental impact by reducing energy consumption, decreasing the concentration of heavy metals in the sludge, and producing less waste. In this context, an analysis of the procedures for cutting different types of ornamental stones into slabs together with the evaluation of sludge production for the different cutting methods has been carried out. Two types of analysis were carried out in parallel: evaluation of the stones workability and calculation of the amount of sludge produced in the three different cutting technologies and from the cutting of blocks. A comparison was carried out on the quality of the sludge produced, on type and quantity of metals present, taking into account the different cutting technologies. The performed tests were: chemical analysis, magnetic separation test, and SEM analysis of the metal fraction. The study could provide stone producers with a technological, scientific instrument to identify the best cutting techniques for the processing of their stones, in order to obtain a high-efficiency process, optimize the recovery process, increase the economic advantages, and evaluate the possible reuse of the sludge through a proactive waste management strategy.

Abstract Background The term “humanization” indicates the process by which people try to make something more human and civilized, more in line with what is believed to be the human nature. The humanization of care is an important and not yet a well-defined issue which includes a wide range of aspects related to the approach to the patient and care modalities. In pediatrics, the humanization concept is even vaguer due to the dual involvement of both the child and his/her family and by the existence of multiple proposed models. Objective The present study aims to analyze the main existing humanization models regarding pediatric care, and the tools for assessing its grade. Results The main Humanization care programs have been elaborated and developed both in America (Brazil, USA) and Europe. The North American and European models specifically concern pediatric care, while the model developed in Brazil is part of a broader program aimed at all age groups. The first emphasis is on the importance of the family in child care, the second emphasis is on the child’s right to be a leader, to be heard and to be able to express its opinion on the program’s own care. Several tools have been created and used to evaluate humanization of care programs and related aspects. None, however, had been mutually compared. Conclusions The major models of humanization care and the related assessment tools here reviewed highlight the urgent need for a more unifying approach, which may help in realizing health care programs closer to the young patient’s and his/her family needs.

The management of sawing sludge originated from cutting operations of ornamental stones represents a challenging task as a consequence of its peculiar composition that includes non-negligible amounts of heavy metals resulting from the wear and tear of cutting tools. The aim of the research work presented in this paper was to investigate the feasibility of using these by-products as supplementary constituents of cementitious mixtures employed for the formation of Fluidized Thermal Backfills (FTB). These mixtures are designed and produced for filling operations in pavement subgrades in which high-voltage electrical transmission cables are buried for protection purposes. Two different types of sawing sludge were thoroughly analyzed from a physical and chemical point of view and thereafter employed for the laboratory production of four FTB mixtures. Then, these were subjected to thermal, mechanical, and environmental tests in order to verify their suitability for their intended use. All investigated FTB mixtures exhibited a satisfactory and stable thermal conductivity, and they also displayed enhanced stiffness properties in comparison to standard subgrade and sub-base materials. Controversial results were obtained with respect to environmental properties resulting from leaching tests, thus suggesting that further investigations are needed before any full-scale application can take place.

Serum samples from 83 free living wild pigs (Sus scrofa) from the Nhecolândia region, Pantanal do Mato Grosso, Brazil, were examined for the presence of antibodies against Neospora caninum by means of the indirect fluorescence antibody test (IFAT) with a cut off of 50. Antibodies were present in 10.8%, with titers of: 1:200 in one animal, 1:400 in four and 1:800 in four. Analysis using the χ2 test showed an association between sex and presence of antibodies, with females showing occurrence of 20.5% and males 2.3% (p = 0.017). No association was found between age and occurrences of antibodies against this parasite. This was the first observation of N. caninum antibodies in Brazilian wild pigs from Pantanal.

Textile materials are one of the primary sources of microplastic pollution. The washing procedure is by far the most significant way that textile products release microplastic fibers (MPFs). Therefore, in this study, the effects of various textile raw materials (A acrylic, PA polyamide, PET polyester, RPET recycled polyester and PP polypropylene), fabric construction properties (woven, knitted), thickness and basis weight values on MPFs release at different washing stages (pre-washing, soaping/rinsing) were examined separately. To mimic the most popular home washing procedures, a 10-min pre-wash and a 35-min soaping/rinsing phase at 40 °C were selected for the washing procedure. Utilizing the Image J program on macroscopic images captured by a high-resolution SL. R camera, the microfibers collected by filtering the water have been visually counted. According to the results, knitted fabrics released fewer MPFs than woven fabrics, with the woven acrylic sample (A3-w) exhibiting the highest release (2405 MPFs). The number of MPFs increased along with the thickness and weight of the fabric. Recycled polyester was found to release more MPFs than virgin polyester under the same conditions (1193 MPFs vs. 908 MPFs). This study demonstrates how recycled polyester, although initially an environmentally beneficial solution, can eventually become detrimental to the environment. Furthermore, it is known that the pre-washing procedure—which is optional—releases a lot more MPFs than the soaping and rinsing procedures, and that stopping this procedure will drastically lower the amount of MPFs incorporated into the water. [Display omitted] • Microfiber's release was higher from fabrics with higher basis weight. • Pre-washing caused more microfiber's release than soaping&rinsing. • Woven fabrics released more microfibers than knitted samples. • Acrylic fibers' shed more than other synthetic fibers. • Recycled polyester released more microfibers than virgin polyester. [ABSTRACT FROM AUTHOR]

Abstract Correction to Morelli G, Perrella A, Sbreglia C, Bellopede P, Riccio V, Perrella O: Antiviral therapy in acute viral hepatitis B: why and when. Infectious Agents and Cancer 2009, 4:2.

Abstract Acute viral hepatitis B is cleared in more than 95% of patients, while the remainder ones may develop either chronic HBV infection or, rarely, fulminant hepatitis. Therefore there are elderly patients with severe acute HBV hepatitis caractherized by high serum bilirubin levels >15 mmole/dl, international normalized ratio (INR) with value more than 1.6; these patients are caractherized by a severe outcome of HBV infection. As known, outcome of infection and the pathogenesis of liver diseases are determined by viral and host factors, such as T reg lymphocytes. T regs may be associated with a negative immune response such as an inhibition of gamma- IFN secretion. The impact of viral load on antiviral T cell responses may play a critical role in thaese patients, influencing disease persistence and immune response. Antiviral drugs could be useful in these patients determing a possible down -regulation of T regs.

A coronavirus disease 2019 (COVID-19) surveillance study was performed in March-April 2020 among asymptomatic healthcare workers (HCWs) at a specialist infectious diseases hospital in Naples, Italy. All HCWs underwent two rounds of molecular and serological testing for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). One hundred and fifteen HCWs were tested; of these, two cases of infection were identified by reverse transcriptase polymerase chain reaction and two HCWs were SARS-CoV-2 immunoglobulin G seropositive. The overall prevalence of current or probable previous infection was 3.4%. The infection rate among HCWs was reasonably low. Most of the infected HCWs had been asymptomatic for the preceding 30 days, which supports the need for periodic screening of HCWs for COVID-19. [ABSTRACT FROM AUTHOR]

Microplastic particles are a global problem, which has been widely found in marine and terrestrial environments. However, microplastic pollution in caves and karst aquifers is still poorly studied. To improve the current knowledge of microplastic pollution, we investigated the sediments of a show cave in Italy. We developed a methodology based on a cave-adapted version of the methods used in several studies to detect microplastics from sediments of different environments and with various laboratory tests. The microplastics were extracted from sediments via density separation and subjected to organic matter removal. Filters were observed with and without UV light under a microscope, before and after organic matter removal, and the microplastics were characterised according to shape, colour, and size, with visual identification. About 55% of the fibres observed under the microscope on filters were removed via organic matter removal. An average of 4390 items/kg dry weight was calculated for the touristic zone and 1600 items/kg dry weight for the speleological/research section. Fibre (84.9%) was the most abundant shape, and most microplastics were smaller than 1 mm, accounting for 85.4%, of which 58.4% were shorter than 0.5 mm. The highest microplastic abundance was fluorescent under UV light (87.7%); however, 12.3% of the microplastics observed on filters were not fluorescent. Most fluorescent fibres were transparent (84%), whereas blue (46.1%) and black (22.4%) fibres were more common for the non-fluorescent ones. Our results highlight the presence of microplastics in show caves, and we provide a valid non-invasive and non-expensive analytical technique for the preparation and isolation of microplastics from cave sediments, giving useful information for evaluating the environmental risks posed by microplastics in show caves. [Display omitted] • Show caves are polluted by microplastics. • An average of 4390 microplastics/kg has been found in cave sediment. • Small size and fibre shape microplastics are the most common particles. • The majority of particles are fluorescent under UV light. • A potential environmental impact arises from microplastics in cave. [ABSTRACT FROM AUTHOR]

Background : Despite achieving a sustained virological response (SVR) with direct-acting antivirals (DAAs), an unexpected increase in the occurrence rate of hepatocellular carcinoma (HCC) has been observed among HCV-treated patients. This study aims to assess the long-term follow-up of HCV patients treated with DAAs who achieved an SVR to investigate the potential for late-onset HCC. Methods : In this prospective multicenter study, we enrolled consecutive HCV patients treated with DAAs following Italian ministerial guidelines between 2015 and 2018. Exclusion criteria included active HCC on imaging, prior HCC treatment, HBV or HIV co-infection, or liver transplant recipients. Monthly follow-ups occurred during treatment, with subsequent assessments every 3 months for at least 48 months. Abdominal ultrasound (US) was performed within two weeks before starting antiviral therapy, supplemented by contrast-enhanced ultrasonography (CEUS), dynamic computed tomography (CT), or magnetic resonance imaging (MRI) to evaluate incidental liver lesions. Results : Of the 306 patients completing the 48-months follow-up post-treatment (median age 67 years, 55% male), all achieved an SVR. A sofosbuvir-based regimen was administered to 72.5% of patients, while 20% received ribavirin. During follow-up, late-onset HCC developed in 20 patients (cumulative incidence rate of 6.55%). The pattern of HCC occurrence varied (median diameter 24 mm). Multivariate and univariate analyses identified liver stiffness, diabetes, body mass index, and platelet levels before antiviral therapy as associated factors for late HCC occurrence. Conclusions : Our findings suggest that late HCC occurrence may persist despite achieving SVR. Therefore, comprehensive long-term follow-up, including clinical, laboratory, and expert ultrasonography evaluations, is crucial for all HCV patients treated with DAAs.

Background and Aim: Hepatitis A virus (HAV) causes a transient illness leaving permanent protection against reinfection. Few data are available on the regulatory mechanisms involved in the CD4+ T helper activation. We aimed to investigate the frequency and function of CD3+/CD4+/CD25+ T cells with regulatory function (Tregs) during acute HAV infection., Methods: We enrolled 35 consecutive patients and 15 healthy donors, enumerated Tregs by flow cytometry assay and evaluated, after immunomagnetical sorting with magnetic beads, their ability to inhibit the proliferation of CD4+/CD25- T lymphocytes at different ratios (1:1, 1:10, 1:20)., Results: All patients had the usual course of infection. Our immunological analysis showed Tregs frequency in these patients (6.5% [range, 5-8.8%]; 36 [range, 10-87] cells) did not have any statistical difference compared with healthy donors (6% [range, 5-8%]; 48 (range, 23-71) cells), while their ability to suppress CD4+/CD25- was drastically reduced at different ratios (Mann-Whitney U-test; ratio 1:1, 93% vs 72%, z = -3.34, P < 0.0001; ratio 1:10, 86% vs 51%, z = -4.04, P < 0.001; ratio 1:20, 56% vs 30%, z = -3.43, P < 0.0001). After the seroconversion, CD4+/CD25+ frequency and function in HAV-infected patients did not differ from healthy individuals., Conclusion: CD4+/CD25+ T cells seem to be impaired in their function during the HAV acute infection. This evidence might help to determine an optimal T helper cell immune network that is a predisposing factor for a self-limiting disease.

Aim: To asses the expression of myeloid dendritic cells (CD11c+) subset during acute HCV hepatitis and its possible involvement in natural history of the infection., Methods: We enrolled 11 patients with acute hepatitis C (AHC) (Group A), 10 patients with acute hepatitis A (AHA) (as infective control-Group B) and 10 healthy donors (group C) in this study. All patients underwent selective flow cytometry gating strategies to assess the peripheral number of the myeloid dendritic cells (mDCs) to understand the possible role and differences during acute hepatitis., Results: Eight of 11 patients with acute HCV hepatitis did not show any increase of mDCs compared to healthy individuals, while a significant decrease of mDCs was found in absolute cell count (z = -2.37; P<0.05) and percentage (z = -2.30; P<0.05) as compared with AHA. On the contrary, The remaining three patients of the group A had a higher mDCs number and percentage as occur in group B. Interestingly, after six months, those patients did not show any increase of mDCs subset were chronically infected. while the three subjects with an increase of peripheral mDCs, as in HAV acute infection, resolved the illness., Conclusion: The lack of increase of mDCs during acute hepatitis C might be an important factor involved in chronicization of the infection.