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The evaluation and the subsequent monitoring of the conservation status of habitats is one of the key steps in nature protection. While some European countries have tested suitable methodologies, others, including Italy, lack procedures tested at the national level. The aim of this work is to propose a method to assess the conservation status of habitat 92A0 (Salix alba and Populus alba galleries) in central Italy, and to test the method using data from the Molise region. We selected parameters that highlight the conservation status of the flora and vegetation in order to assess habitat structures and functions at the site level. After selecting the parameters, we tested them on a training dataset of 22 unpublished phytosociological relevés taken from the whole dataset, which consists of 119 relevés (49 unpublished relevés for the study area, and 70 published relevés for central Italy). We detected the most serious conservation problems in the middle and lower course of the Biferno river: the past use of river terraces for agriculture and continual human interventions on the river water flow have drastically reduced the riparian forests of Molise. Our results show that in areas in which forest structure and floristic composition have been substantially modified, certain alien plant species, particularly Robinia pseudoacacia, Amorpha fruticosa and Erigeron canadensis, have spread extensively along rivers. In the management of riparian forests, actions aimed at maintaining the stratification of the forest, its uneven-agedness and tree species richness may help to ensure the conservation status, as well as favour the restoration, of habitat 92A0.

Given the recognized carcinogenicity of cadmium, several regulatory interventions have been carried out over the years to protect exposed workers. The aim of the study is to investigate the prevalence and extent of exposure to cadmium among Italian workers. Data was collected from a nation-wide occupational exposure registry (SIREP, 1996-2022). Gender-specific statistical analysis was carried out for some exposure-related variables (cadmium compound, activity sector, occupational group, firm size). Potentially exposed workers were estimated for some industrial sectors. Concurrent exposures were investigated using cluster analysis. Overall 4,264 measurements were analyzed. Four industrial sectors were found to be most involved by cadmium exposure: base metal manufacturing, fabricated metal products, machinery and equipment, and other transport equipment (55% of measurements). Jewellery/precious-metal workers, and glass/ceramic plant operators were found to be most at exposure risk. A total of 26,470 workers potentially exposed was estimated (69% men). Concurrent exposures to other occupational carcinogens were detected quite frequently (52% of workers). Several situations of exposure and co-exposure to cadmium deserve attention and awareness in order to minimize the risks associated with workers' health. Recognition of potentially hazardous exposure conditions is an important step in prevention strategies to better protect workers against cancer-causing agents. [ABSTRACT FROM AUTHOR]

Background: The study describes the 466 cases of malignant mesotheliomas (MM) collected by the National Mesothelioma Register (ReNaM) in Italy from 1993-2018 relating to subjects with exclusive asbestos exposure in merchant or military navy. Methods: The cases among maritime workers represent 1.8% of the total patients with defined exposure registered in the ReNaM, of which (45.4%) were among merchant maritime workers and 254 cases (54.5%) among the navy. The distribution by site of mesothelioma showed 453 (97.2%) MM cases of the pleura, 11 (2.3%) of the peritoneum, and 2 (0.4%) of the tunica vaginalis of the testis. With regard to occupational exposure, it was classified as certain in 318 (68.2%) cases, probable in 69 (14.8%) cases, and possible in 79 (16.9%) cases. Results: Among the 23 classified jobs, the highest percentages of certain exposures are among naval engineers, motor mechanics, machine captains, and sailors. Machine crew accounted for 49.3% of the cases, and deck crew for 27.6%. All cases began exposure on board between 1926 and 1988. Seamen were exposed to asbestos while at sea by living onboard ships and from the continual release of asbestos fibers due to the motion of a vessel. Conclusions: Epidemiological surveillance through the ReNaM has allowed us to verify among cases in the maritime, navy, and merchant marine sectors that, in the past, subjects were exposed regardless of the ship’s department where they have provided service; therefore, all these cases must be considered occupational diseases. [ABSTRACT FROM AUTHOR]

Background and Objectives. A relatively small number of studies have investigated the characteristics, comorbidities and laboratory measures associated with prognosis in patients with COVID-19, admitted to Internal Medicine Units (IMU) in Italy. Therefore, we performed a retrospective multicentre study to identify baseline features, predisposing to severe disease and poor outcomes, in adult individuals with SARS-CoV2 infection, hospitalized in 5 IMUs in the Emilia-Romagna region (Italy). Materials and Methods. We included 129 consecutive patients (male 75, median age 68 years) from 1st March 2020 to 31st October 2021. Patients’ baseline characteristics, comorbidities, laboratory measures, and outcomes were collected. Results. At admission, the factors significantly associated with a higher risk of in-hospital mortality included: age (median 68 vs. 83 years in survived vs. dead patients, P=0.000), diabetes [Odds Ratio (OR) 4.00, P=0.016], chronic obstructive pulmonary disease (OR 4.60, P=0.022), cancer (OR 5.81, P=0.021), acute- (OR 9.88, P=0.000) and chronicrenal failure (OR 6.76, P=0.004). During the study period, 16 individuals died (12.4%), all over 70 years old. In deceased vs. non-deceased patients were detected: i) more elevated white blood cells and neutrophils-counts and lower lymphocytes count; ii) higher levels of total/direct bilirubin, creatinine, C-reactive-protein, lactate-dehydrogenase, ferritin, but only a slight Interleukin-6 increase; iii) a trend of lower vitamin D values. Conclusions. We proposed a new I index, a modified form of the Age-Adjusted Charlson Comorbidity Index, by considering pO2/FiO2 ratio, to better characterize the severity of COVID-19. Furthermore, we critically discuss our results with the current assumption which considers COVID-19 as a pathological condition associated with cytokine storm. [ABSTRACT FROM AUTHOR]

Background: An increased risk of mesothelioma has been reported in various countries for construction workers. The Italian National Mesothelioma Registry, from 1993 to 2018, reported exposure exclusively in the construction sector in 2310 cases. We describe the characteristics of these cases according to the job title. Methods: We converted into 18 groups the original jobs (N=338) as reported by ISTAT codes ('ATECO 91'). The exposure level was attributed to certain, probable, and possible in accordance with the qualitative classification of exposure as reported in the Registry guidelines. Descriptive analysis by jobs highlights the total number of subjects for every single job and certain exposure, in descending order, insulator, plumbing, carpenter, mechanic, bricklayer, electrician, machine operator, plasterer, building contractor, painter, and laborer. Results: The cases grow for plumbing in 1993-2018, while, as expected, it decreased for the insulator. Within each period considered, the most numerous cases are always among bricklayers and laborers; these data confirm the prevalence of non-specialized "interchangeable" jobs in the Italian construction sector in the past. Conclusions: Despite the 1992 ban, the construction sector still presents an occupational health prevention challenge, and circumstances of asbestos exposure may still occur due to incomplete compliance with prevention and protection measures. [ABSTRACT FROM AUTHOR]

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Groundwater bodies are impacted by substances such as pesticides and N-fertilizers, which usually occur in the environment as complex mixtures rather than isolated pollutants. The threat that these mixtures pose to groundwater-dwelling organisms is still poorly understood. The aims of the present study were to test the acute effect of a binary mixture of a herbicide (Imazamox) and NH 4 + on epigean ( Eucyclops serrulatus ) and hypogean ( Diacyclops belgicus ) freshwater copepod species. In addition, to evaluate if the effect of the mixture can be explained by referencing non-interaction models or by more complex interaction models; and the implications for groundwater risk assessment. Compared with the action of the compounds evaluated separately, the effects of Imazamox and NH 4 + in the binary mixture were more than additive or synergistic for both species. MixTox models evidenced a dose ratio and dose level deviations from concentration addition and independent action traditional models. The hypogean species was three times more sensitive to NH 4 + that the epigean species when assayed as a single chemical. However, D. belgicus was only 1.13 times more sensitive than E. serrulatus when NH 4 + was assayed in the mixture. The use of an integrated approach for substances that are known to interact in groundwater, should include copepods species as test organisms. [ABSTRACT FROM AUTHOR]

The current use and development of applications with silver nanoparticles (Ag NPs) could lead to potential inputs of these NPs to soils. Consequently, it is crucial to understand the ecotoxicological risks posed by Ag NPs in the terrestrial compartment. In the present investigation, the effects produced by PVP-PEI coated Ag NPs were assessed in Eisenia fetida earthworms in comparison with the soluble form (AgNO 3 ). Earthworms were exposed for 1, 3 and 14 days to a range of sublethal concentrations of Ag (0, 0.05 and 50 mg/kg) and at each exposure time, apart from mortality and weight loss of individuals, metallothionein (MT) protein concentration and catalase (CAT) activity were quantified in earthworm tissues. In addition, cellular and molecular level endpoints (cell viability, absolute and relative trophic indices and transcription levels of catalase- cat- and metallothionein- mt- ) were measured in coelomocytes extruded from exposed earthworms. Despite the lack of effects in traditional endpoints (mortality and weight loss), Ag NPs and AgNO 3 posed changes at lower levels of biological complexity (biochemical, cellular and molecular levels). Both Ag forms induced similar changes in the metal detoxification mechanism (MT, mt ) and in the antioxidant response system (CAT, cat ) of E. fetida. In contrast, Ag form dependant cytotoxicity and subpopulation ratio alterations (eleocytes/amoebocytes) were recorded in extruded coelomocytes. Complementarily, the use of coelomocytes to assess molecular level endpoints represented a relevant alternative for development of non-invasive biomarkers. [ABSTRACT FROM AUTHOR]

Italian style fresh sausage is a traditional pork product that is frequently consumed raw, usually after drying. So far, the prediction of the behaviour of microorganisms in varying environments has been carried out through separate growth or death models. The aim of this study is to show how to combine these, in order to describe the kinetics of Yersinia enterocolitica and Listeria monocytogenes in sausage during the drying period. During this time, the storage temperature and the pH are fairly constant, while the water activity decreases, being the primary cause of shifting the organisms’ kinetics from growth to inactivation. The water activity takes up values from growth (R G ), uncertainty (R 0 ) and death (R D ) regions. In the uncertainty region, neither growth nor death is predicted. Among the native flora, lactic acid bacteria may have significant effect on these kinetics. Here we show how to generate predictions for such scenarios, from data that are generated in constant environments. Thus the predictions in our dynamic environments are extrapolations and could be problematic if the environmental fluctuation is extreme. Our approach can be used to predict bacterial growth/death kinetics under temporal variation of storage environments, which is vital when assessing the safety of fresh sausage. We envisage similar applications to other RTE meat products, too. [ABSTRACT FROM AUTHOR]

Background: Crystalline silica is a human carcinogen and its use is widespread among construction, mining, foundries, and other manufacturing industries. Purpose: To evaluate occupational exposure to crystalline silica in Italy. Methods: Data were collected from exposure registries and descriptive statistics were calculated for exposure-related variables. The number of potentially exposed workers was estimated in a subset of industrial sectors. Linear mixed model analysis was performed to determine factors affecting the exposure level. Results: We found 1387 cases of crystalline silica exposure between 1996 and 2012. Exposure was most common in construction work (AM=0.057 mg/m³, N=505), and among miners and quarry workers (AM=0.048 mg/m³, N=238). We estimated that 41 643 workers were at risk of exposure in the selected industrial sectors during the same period. Conclusions: This study identified high-risk sectors for occupational exposure to crystalline silica, which can help guide targeted dust control interventions and health promotion campaigns in the workplace. [ABSTRACT FROM AUTHOR]