Near-Reference Air Quality Sensors Can Support Local Planning: A Performance Assessment in Milan, Italy

At present, 4.2 million deaths occur every year due to ambient air pollution, according to the World Health Organization. In view of reducing such a figure, air quality monitoring and reliable data are essential. Nevertheless, local authorities in urban environments, where pollution levels are highest, often face a dilemma. On the one hand, the high costs of reference monitors make their largescale adoption prohibitive, while the easily scalable low-cost sensors often feature significantly lower data quality and lack of calibration. Near reference monitors have been voiced as a promising solution, as they exhibit limited costs, though specific studies assessing their performance against reference monitors are still lacking. This article provides an in-depth assessment of three near reference sensors’ stations performance, through their collocation with regional reference monitors from December 2021 onwards. Two sensors were positioned at high-traffic locations, while the third recorded background pollution levels in Milan, Italy. The sensors’ performance was quantified not only via the coefficient of determination (R2) and the regression model, but also with the Mean Normalized Bias (MNB) and median values. After a first measurement period, sensors were re-calibrated to also appraise their behavioral change, generally exhibiting a performance increase. Results show high correlation for all hourly-recorded pollutants, with peaks for Ozone (O3) (R2 = 0.94) and BC (R2 = 0.93). Although location-specific, such results show an interesting potential for near reference sensors in support of urban air quality planning

LIFE Monza: comparison between ante and post-operam noise and air quality monitoring activities in a Noise Low Emission Zone

AbstractLIFE MONZA project (Methodologies fOr Noise low emission Zones introduction And management) aims at defining an easy-replicable method for the identification and management of theNoise Low Emission Zones(Noise LEZ), urban areas subject to traffic restrictions, usually introduced in order to ensure compliance with the air pollutants limit values, prescribed by the European Directive on ambient air quality 2008/50/EC, whose impacts and potential benefits regarding noise issues have been taken into account, tested and analysed in a pilot area of the city of Monza, located in North Italy. Noise LEZ has been established in Libertà district, introducing infrastructural interventions carried out by the municipality (top-down actions) and encouraging an active involvement of the citizens, in the definition of a more sustainable lifestyle (bottom-up actions). The analysis of potential effects on noise reduction due to the Noise LEZ can contribute to the implementation of the EU Directive 2002/49/EC, related to the assessment and management of environmental noise (Environmental Noise Directive – END), which introduces noise action plans, designed to manage noise issues and their effects, suggesting the adoption of urban and mobility planning. Noise and air quality monitoring activities have been carried out in pilot area inanteandpost-operamconditions. The monitoring methods, the measurement techniques, the analysis procedures, able to describe the effects due to Noise LEZ establishment, for both the main environmental issues are reported in this paper, as proposals to be applied in other different contexts. Results of monitoring activities highlight a reduction of noise, in term of sound pressure levels, betweenanteandpost-operam, during the day and particularly during the night period, and it is essentially due to the interventions realised. The effect of the Noise LEZ on air pollution seems to be negligible for combustion related pollutant and carbon fractions of PM, due both to the moderate spatial effects of the measures undertaken and confounding factors due to concomitant emission sources and meteorology

Clinical features and outcomes of elderly hospitalised patients with chronic obstructive pulmonary disease, heart failure or both

Background and objective: Chronic obstructive pulmonary disease (COPD) and heart failure (HF) mutually increase the risk of being present in the same patient, especially if older. Whether or not this coexistence may be associated with a worse prognosis is debated. Therefore, employing data derived from the REPOSI register, we evaluated the clinical features and outcomes in a population of elderly patients admitted to internal medicine wards and having COPD, HF or COPD + HF. Methods: We measured socio-demographic and anthropometric characteristics, severity and prevalence of comorbidities, clinical and laboratory features during hospitalization, mood disorders, functional independence, drug prescriptions and discharge destination. The primary study outcome was the risk of death. Results: We considered 2,343 elderly hospitalized patients (median age 81 years), of whom 1,154 (49%) had COPD, 813 (35%) HF, and 376 (16%) COPD + HF. Patients with COPD + HF had different characteristics than those with COPD or HF, such as a higher prevalence of previous hospitalizations, comorbidities (especially chronic kidney disease), higher respiratory rate at admission and number of prescribed drugs. Patients with COPD + HF (hazard ratio HR 1.74, 95% confidence intervals CI 1.16-2.61) and patients with dementia (HR 1.75, 95% CI 1.06-2.90) had a higher risk of death at one year. The Kaplan-Meier curves showed a higher mortality risk in the group of patients with COPD + HF for all causes (p = 0.010), respiratory causes (p = 0.006), cardiovascular causes (p = 0.046) and respiratory plus cardiovascular causes (p = 0.009). Conclusion: In this real-life cohort of hospitalized elderly patients, the coexistence of COPD and HF significantly worsened prognosis at one year. This finding may help to better define the care needs of this population

Seasonal and Spatial Variations of the Oxidative Properties of Ambient PM2.5 in the Po Valley, Italy, before and during COVID-19 Lockdown Restrictions

This study describes the chemical and toxicological characteristics of fine particulate matter (PM2.5) in the Po Valley, one of the largest and most polluted areas in Europe. The investigated samples were collected in the metropolitan area of Milan during the epidemic lockdown and their toxicity was evaluated by the oxidative potential (OP), measured using ascorbic acid (OPAA) and dithiothreitol (OPDTT) acellular assays. The study was also extended to PM2.5 samples collected at different sites in the Po Valley in 2019, to represent the baseline conditions in the area. Univariate correlations were applied to the whole dataset to link the OP responses with the concentrations of the major chemical markers of vehicular and biomass burning emissions. Of the two assays, OPAA was found mainly sensitive towards transition metals released from vehicular traffic, while OPDTT towards the PM carbonaceous components. The impact of the controlling lockdown restrictions on PM2.5 oxidative properties was estimated by comparing the OP values in corresponding time spans in 2020 and 2019. We found that during the full lockdown the OPAA values decreased to 80–86% with respect to the OP data in other urban sites in the area, while the OPDTT values remained nearly constant

Seasonal and Spatial Variations of PM10 and PM2.5 Oxidative Potential in Five Urban and Rural Sites across Lombardia Region, Italy

Oxidative potential (OP) of particulate matter (PM) is gaining strong interest as a promising health exposure metric. This study investigated OP of a large set of PM10 and PM2.5 samples collected at five urban and background sites near Milan (Italy), one of the largest and most polluted urban areas in Europe, afflicted with high particle levels. OP responses from two acellular assays, based on ascorbic acid (AA) and dithiothreitol (DTT), were combined with atmospheric detailed composition to examine any possible feature in OP with PM size fraction, spatial and seasonal variations. A general association of volume-normalized OP with PM mass was found; this association may be related to the clear seasonality observed, whereby there was higher OP activity in wintertime at all investigated sites. Univariate correlations were used to link OP with the concentrations of the major chemical markers of vehicular and biomass burning emissions. Of the two assays, AA was particularly sensitive towards transition metals in coarse particles released from vehicular traffic. The results obtained confirm that the responses from the two assays and their relationship with atmospheric pollutants are assay- and location-dependent, and that their combination is therefore helpful to singling out the PM redox-active compounds driving its oxidative properties

The Impact of COVID-19 Lockdown Strategies on Oxidative Properties of Ambient PM₁₀ in the Metropolitan Area of Milan, Italy

This research investigates the impact of controlling pandemic measures on the characteristics of atmospheric particulate matter (PM), with specific concern to its toxicity, measured by its oxidative properties. The investigated PM10 samples were collected in the metropolitan area of Milan during the epidemic lockdown, and their oxidative potential (OP) was assessed using ascorbic acid (AA) and dithiothreitol (DTT) acellular assays. During the full lockdown, we estimated reductions to 46% and 60% for nitrogen dioxide (NO2) and black carbon (BC) concentrations, respectively, based on the aggregated 2018–2019 data of NO2 and BC levels, used as baseline conditions. To quantify the impact of lockdown restrictions on PM oxidative activity, we studied the OP data measured in our laboratory on PM10 filters and directly compared the results from 15–30 April 2020 with those from the same time span in 2019. The OPAA values dropped to nearly 50%, similar to the concentration decrease in Elemental Carbon (EC) and traffic related metals, as well as to the variation in NO2 level. Otherwise, the OPDTT responses decreased to nearly 75%, as described by the corresponding reduction in Organic Carbon (OC) concentration and BC level

Impacts of the COVID-19 lockdown on air pollution at regional and urban background sites in northern Italy

International audienceThe COVID-19 lockdown measures gradually implemented in Lombardy (northern Italy) from 23 February 2020 led to a downturn in several economic sectors with possible impacts on air quality. Several communications claimed in the first weeks of March 2020 that the mitigation in air pollution observed at that time was actually related to these lockdown measures without considering that seasonal variations in emissions and meteorology also influence air quality. To determine the specific impact of lockdown measures on air quality in northern Italy, we compared observations from the European Commission Atmospheric Observatory of Ispra (regional background) and from the regional environmental protection agency (ARPA) air monitoring stations in the Milan conurbation (urban background) with expected values for these observations using two different approaches. On the one hand, intensive aerosol variables determined from specific aerosol characterisation observations performed in Ispra were compared to their 3-year averages. On the other hand, ground-level measured concentrations of atmospheric pollutants (NO2, PM10, O-3, NO, SO2) were compared to expected concentrations derived from the Copernicus Atmosphere Monitoring Service Regional (CAMS) ensemble model forecasts, which did not account for lockdown measures. From these comparisons, we show that NO2 concentrations decreased as a consequence of the lockdown by -30% and -40% on average at the urban and regional background sites, respectively. Unlike NO2, PM10 concentrations were not significantly affected by lockdown measures. This could be due to any decreases in PM10 and PM10 precursors) emissions from traffic being compensated for by increases in emissions from domestic heating and/or from changes in the secondary aerosol formation regime resulting from the lockdown measures. The implementation of the lockdown measures also led to an increase in the highest O-3 concentrations at both the urban and regional background sites resulting from reduced titration of O-3 by NO. The relaxation of the lockdown measures beginning in May resulted in close-to-expected NO2 concentrations in the urban background and to significant increases in PM10 in comparison to expected concentrations at both regional and urban background sites

Gold Nanoparticles Capped by a GC-Containing Peptide Functionalized with an RGD Motif for Integrin Targeting

Gold nanoparticles were obtained by reduction of a tetrachloroaurate aqueous solution in the presence of a RGD-(GC)₂ peptide as stabilizer. As comparison, the behavior of the (GC)₂ peptide has been studied. The (GC)₂ and RGD-(GC)₂ peptides were prepared ad hoc by Fmoc synthesis. The colloidal systems have been characterized by UV–visible, TGA, ATR-FTIR, mono and bidimensional NMR techniques, confocal and transmission (TEM) microscopy, ζ-potential, and light scattering measurements. The efficient cellular uptake of Au-RGD-(GC)₂ and Au-(GC)₂ stabilized gold nanoparticles into U87 cells (human glioblastoma cells) were investigated by confocal microscopy and compared with the behavior of (GC)₂ capped gold nanoparticles. A quantitative determination of the nanoparticles taken up has been carried out by measuring the pixel brightness of the images, a measure that highlighted the importance of the RGD termination of the peptide. Insight in the cellular uptake mechanism was investigated by TEM microscopy. Various important evidences indicated the selective uptake of RGD-(GC)₂ gold nanoparticles into the nucleus

LIFE Monza: comparison between ante and post-operam noise and air quality monitoring activities in a Noise Low Emission Zone

LIFE MONZA project (Methodologies fOr Noise low emission Zones introduction And management) aims at defining an easy-replicable method for the identification and management of the Noise Low Emission Zones (Noise LEZ), urban areas subject to traffic restrictions, usually introduced in order to ensure compliance with the air pollutants limit values, prescribed by the European Directive on ambient air quality 2008/50/EC, whose impacts and potential benefits regarding noise issues have been taken into account, tested and analysed in a pilot area of the city of Monza, located in North Italy. Noise LEZ has been established in Libertà district, introducing infrastructural interventions carried out by the municipality (top-down actions) and encouraging an active involvement of the citizens, in the definition of a more sustainable lifestyle (bottom-up actions). The analysis of potential effects on noise reduction due to the Noise LEZ can contribute to the implementation of the EU Directive 2002/49/EC, related to the assessment and management of environmental noise (Environmental Noise Directive – END), which introduces noise action plans, designed to manage noise issues and their effects, suggesting the adoption of urban and mobility planning. Noise and air quality monitoring activities have been carried out in pilot area in ante and post-operam conditions. The monitoring methods, the measurement techniques, the analysis procedures, able to describe the effects due to Noise LEZ establishment, for both the main environmental issues are reported in this paper, as proposals to be applied in other different contexts. Results of monitoring activities highlight a reduction of noise, in term of sound pressure levels, between ante and post-operam, during the day and particularly during the night period, and it is essentially due to the interventions realised. The effect of the Noise LEZ on air pollution seems to be negligible for combustion related pollutant and carbon fractions of PM, due both to the moderate spatial effects of the measures undertaken and confounding factors due to concomitant emission sources and meteorology

IMMUNOREACT 6: weak immune surveillance characterizes early-onset rectal cancer

Background: Colon cancer in young patients is often associated with hereditary syndromes; however, in early-onset rectal cancer, mutations of these genes are rarely observed. The aim of this study was to analyse the features of the local immune microenvironment and the mutational pattern in early-onset rectal cancer. Methods: Commonly mutated genes were analysed within a rectal cancer series from the University Hospital of Padova. Mutation frequency and immune gene expression in a cohort from The Cancer Genome Atlas ('TCGA') were compared and immune-cell infiltration levels in the healthy rectal mucosa adjacent to rectal cancers were evaluated in the IMMUNOlogical microenvironment in REctal AdenoCarcinoma Treatment 1 and 2 ('IMMUNOREACT') series. Results: In the authors' series, the mutation frequency of BRAF, KRAS, and NRAS, as well as microsatellite instability frequency, were not different between early- and late-onset rectal cancer. In The Cancer Genome Atlas series, among the genes with the most considerable difference in mutation frequency between young and older patients, seven genes are involved in the immune response and CD69, CD3, and CD8β expression was lower in early-onset rectal cancer. In the IMMUNOlogical microenvironment in REctal AdenoCarcinoma Treatment 1 and 2 series, young patients had a lower rate of CD4+ T cells, but higher T regulator infiltration in the rectal mucosa. Conclusion: Early-onset rectal cancer is rarely associated with common hereditary syndromes. The tumour microenvironment is characterized by a high frequency of mutations impairing the local immune surveillance mechanisms and low expression of immune editing-related genes. A constitutively low number of CD4 T cells associated with a high number of T regulators indicates an imbalance in the immune surveillance mechanisms