The composition of PM1 and PM2.5 samples, metals and their water soluble fractions in the Bologna area (Italy)

Abstract In this study the metal composition of PM 1 and PM 2.5 samples collected in the surroundings of a municipal incinerator located in a suburban–farming area, less than 10 km away from Northeast of Bologna (Italy) was investigated. Seven out of eight monitoring stations were installed in a domain of 8x9 km 2 around the incinerator plant; the eighth station was placed inside the urban area of Bologna. The coordinates of four monitoring stations were selected on the basis of a preliminary study by using a dispersion model. Eleven metals (Al, Sb, As, Cd, Fe, Mn, Ni, Pb, Cu, V, Zn) were quantified in both the filter acid–digests and in the water extracts. The PM 2.5 collected in all the sites of the domain were highly correlated with exception of the urban site. The daily average metal concentrations in summer were 1.84% and 1.14% for PM 2.5 and PM 1 respectively, indicating that fine particles are less enriched in metals. Fe, Al and Zn were the most abundant elements, and they represented about the 80% of the total amount of the analyzed ones. The average water soluble metal compositions were 0.71% and 0.41% for PM 2.5 and PM 1 respectively. In the sites of the suburban–farming studied area the Principal Component Analysis (PCA) and Cluster Analysis revealed differences between water soluble metal compositions in PM 1 and PM 2.5 . The urban sites were characterized by lower total and soluble metals contents than the other PM 2.5 stations installed around the incinerator plant. However, no noticeable difference in the concentrations of metals in the particulate matter between the sites chosen as maxima of incinerator emissions and the control sites was observed

Colorectal Cancer Stage at Diagnosis Before vs During the COVID-19 Pandemic in Italy

IMPORTANCE Delays in screening programs and the reluctance of patients to seek medical attention because of the outbreak of SARS-CoV-2 could be associated with the risk of more advanced colorectal cancers at diagnosis. OBJECTIVE To evaluate whether the SARS-CoV-2 pandemic was associated with more advanced oncologic stage and change in clinical presentation for patients with colorectal cancer. DESIGN, SETTING, AND PARTICIPANTS This retrospective, multicenter cohort study included all 17 938 adult patients who underwent surgery for colorectal cancer from March 1, 2020, to December 31, 2021 (pandemic period), and from January 1, 2018, to February 29, 2020 (prepandemic period), in 81 participating centers in Italy, including tertiary centers and community hospitals. Follow-up was 30 days from surgery. EXPOSURES Any type of surgical procedure for colorectal cancer, including explorative surgery, palliative procedures, and atypical or segmental resections. MAIN OUTCOMES AND MEASURES The primary outcome was advanced stage of colorectal cancer at diagnosis. Secondary outcomes were distant metastasis, T4 stage, aggressive biology (defined as cancer with at least 1 of the following characteristics: signet ring cells, mucinous tumor, budding, lymphovascular invasion, perineural invasion, and lymphangitis), stenotic lesion, emergency surgery, and palliative surgery. The independent association between the pandemic period and the outcomes was assessed using multivariate random-effects logistic regression, with hospital as the cluster variable. RESULTS A total of 17 938 patients (10 007 men [55.8%]; mean [SD] age, 70.6 [12.2] years) underwent surgery for colorectal cancer: 7796 (43.5%) during the pandemic period and 10 142 (56.5%) during the prepandemic period. Logistic regression indicated that the pandemic period was significantly associated with an increased rate of advanced-stage colorectal cancer (odds ratio [OR], 1.07; 95%CI, 1.01-1.13; P = .03), aggressive biology (OR, 1.32; 95%CI, 1.15-1.53; P < .001), and stenotic lesions (OR, 1.15; 95%CI, 1.01-1.31; P = .03). CONCLUSIONS AND RELEVANCE This cohort study suggests a significant association between the SARS-CoV-2 pandemic and the risk of a more advanced oncologic stage at diagnosis among patients undergoing surgery for colorectal cancer and might indicate a potential reduction of survival for these patients

Monitoraggio automatico delle acque superficiali

Questo articolo riporta i risultati preliminari di una indagine intrapresa per lo studio delle prestazioni di un sistema di monitoraggio delle acque superficiali in automatico. In particolare si sottolineano i problemi legati a questo tipo di approccio, con un primo tentativo di valutazione della sua affidabilit\ue0, condotto mediante il confronto dei risultati di pH, torbidit\ue0, ossigeno disciolto, conducibilit\ue0, ammoniaca e nitrati, raccolti dal sistema di monitoraggio automatico in studio, con quelli ottenuti in laboratorio

Effect of centre volume on pathological outcomes and postoperative complications after surgery for colorectal cancer: results of a multicentre national study

Background: The association between volume, complications and pathological outcomes is still under debate regarding colorectal cancer surgery. The aim of the study was to assess the association between centre volume and severe complications, mortality, less-than-radical oncologic surgery, and indications for neoadjuvant therapy.Methods: Retrospective analysis of 16,883 colorectal cancer cases from 80 centres (2018-2021). Outcomes: 30-day mortality; Clavien-Dindo grade >2 complications; removal of >= 12 lymph nodes; non-radical resection; neoadjuvant therapy. Quartiles of hospital volumes were classified as LOW, MEDIUM, HIGH, and VERY HIGH. Independent predictors, both overall and for rectal cancer, were evaluated using logistic regression including age, gender, AJCC stage and cancer site.Results: LOW-volume centres reported a higher rate of severe postoperative complications (OR 1.50, 95% c.i. 1.15-1.096, P = 0.003). The rate of >= 12 lymph nodes removed in LOW-volume (OR 0.68, 95% c.i. 0.56-0.85, P = 12 lymph nodes removed was lower in LOW-volume than in VERY HIGH-volume centres (OR 0.57, 95% c.i. 0.41-0.80, P = 0.001). A lower rate of neoadjuvant chemoradiation was associated with HIGH (OR 0.66, 95% c.i. 0.56-0.77, P < 0.001), MEDIUM (OR 0.75, 95% c.i. 0.60-0.92, P = 0.006), and LOW (OR 0.70, 95% c.i. 0.52-0.94, P = 0.019) volume centres (vs. VERY HIGH).Conclusion: Colorectal cancer surgery in low-volume centres is at higher risk of suboptimal management, poor postoperative outcomes, and less-than-adequate oncologic resections. Centralisation of rectal cancer cases should be taken into consideration to optimise the outcomes