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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]

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: Direct Antiviral Agents (DAAs) for HCV therapy represents a step ahead in the cure of chronic hepatitis C. Notwithstanding the promising results in several clinical trials, few data are available on adverse effects in real life settings., Methods: We have evaluated 170 patients with persistent infection and on those eligible to treatment we have followed up them through a network managed by clinician and hospital pharmacist., Results: According to our data we have found that 41% (32 out of 78) of enrolled patients experienced adverse reactions, of these 40% were in those under 65 years while 60% was in patients older than 65 years, SVR was achieved in 88% of the patients (including drop-out). We had 4 drop-out treatment due to major adverse reaction (heart and lung related)., Conclusion: Even if new antiviral drugs seem to be promising, according to SVR, they require careful follow-up, possibly managed by clinician and hospital pharmacist, to avoid unrecognized side effects which may affect adherence and the real impact of these drugs on chronically infected subjects.

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.

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.