Potentially toxic elements speciation in bottom ashes from a municipal solid waste incinerator: A combined SEM-EDS, µ-XRF and µ-XANES study

Bottom Ashes from Municipal Solid Waste Incinerators and Waste to Energy plants represent an interesting source of secondary raw materials for many applications, like urban mining and inclusion in concrete, and road pavement. However, Bottom Ashes may contain potentially toxic elements, whose actual toxicity depends essentially on their oxidation state and mineralogical environment. For this reason, a representative sample of bottom ashes from Parma Waste to Energy plant has been selected to investigate the chemical speciation of Cr, Ni, Pb, Co, Zn and Cu by means of complementary techniques: Scanning Electron Microscopy with Energy Dispersive X-Ray Spectroscopy (SEM-EDS), micro X-Ray Fluorescence (µ-XRF) mapping and X-Ray Absorption Near Edge Structure (XANES) measurements by synchrotron radiation. This multi-technique approach allowed to obtain a general image of the mineralogical and chemical environment in which these elements are found. SEM-EDS analyses show the presence of Zn and Pb both in minerals and in glass matrix. Cr has been detected in the form of oxide and in spinel structure (chromite) whereas Co and Cu are found as alloy or metal inclusions. µ-XRF mapping reveals that Cu, Ni and Cr are generally associated to Na, K and Si suggesting their presence in glass matrix. XANES investigations exhibit that Cu has a variable oxidation state that suggesting its presence in the form of oxide, hydroxide, acetate and metal. Zn is mainly found as +II and in a number of different phases (including Zn-carbonates, in agreement with SEM-EDS data). Cr has been found only as +III, with XANES features resembling those of chromite, whereas as +VI was never identified. Ni and Co were found either as metal form and oxides. Pb spectra show a good match with oxides

Particle size and potential toxic element speciation in municipal solid waste incineration (Mswi) bottom ash

The speciation of potentially toxic elements (PTE) in bottom ashes from municipal solid waste incineration (MSWI) and their relationship with grain size is investigated. The proposed enrichment of several potential toxic elements in lower sized grains is discussed, comparing the literature and new data on Parma’s waste incinerator. Results from X-ray fluorescence spectrometry (XRF), SEM-EDS, and XRD analyses on different grain size show (1) a positive Si-trend, correlated with grain size and few lithophile elements, such as Zr and Rb. In Parma, Al, K, Mg, and Fe also correlate with Si for the portion below 2 mm; (2) a Ca-trend, with a strong negative correlation with Si and a positive correlation with loss on ignition (LOI), S, Cl, Ti, Zn, Pb, and Sn. Mineralogical composition shows a little change in grain size, as in previous investigations, but with substantial differences in amorphous content. SEM-EDS analysis shows that the amorphous portion is highly heterogeneous, with portions coming from melting during incineration, residual glass, and unburnt loss on ignition (LOI). The above results show that PTE elements are either present as metals (such as Cu and Ni, or Zn, Pb and Sn) in carbonate, sulfate, and amorphous residual LOI portions

Medical responsibility, insurance policies, new laws and European directives. Is it time to reform the status of Italian medical residents?

In Italy there is an ongoing debate on the need to clarify the legal aspects related to the clinical activities of medical residents. While residents attend university medical schools, specific policies should be implemented to guarantee their proper utilization in health organizations also for the direct and indirect legal responsibilities of patients health and safety. It seems necessary to create an uniform and clearer legal framework to surmount criticism of the utilization of residents. We recommend Ministries of University and Health to change the current training contract into a job-training one, in line with experiences for residents of other European countries. This initiative could promote a no-blame culture and also help Italian specialist doctors of future generations to be trained in order to move and be competitive across European country borders and finally promote the sustainability of the Italian public NHS through a patient-centred and inter-professional integrated approach

Sinonasal cancer and occupational exposure in a population-based registry.

We examined occupational exposures among subjects with sinonasal cancer (SNC) recorded in a population-based registry in the Lombardy Region, the most populated and industrialized Italian region. The registry collects complete clinical information and exposure to carcinogens regarding all SNC cases occurring in the population of the region. In the period 2008-2011, we recorded 210 SNC cases (137 men, 73 women). The most frequent occupational exposures were to wood (44 cases, 21.0%) and leather dust (29 cases, 13.8%), especially among men: 39 cases (28.5%) to wood and 23 cases (16.8%) to leather dust. Exposure to other agents was infrequent (<2%). Among 62 subjects with adenocarcinoma, 50% had been exposed to wood dust and 30.7% to leather dust. The proportions were around 10% in subjects with squamous cell carcinoma and about 20% for tumors with another histology. The age-standardized rates (×100,000 person-years) were 0.7 in men and 0.3 in women. Complete collection of cases and their occupational history through a specialized cancer registry is fundamental to accurately monitor SNC occurrence in a population and to uncover exposure to carcinogens in different industrial sectors, even those not considered as posing a high risk of SNC, and also in extraoccupational settings

Impact of an asbestos cement factory on mesothelioma incidence: Global assessment of effects of occupational, familial, and environmental exposure

Few studies have examined the incidence of malignant mesothelioma (MM) associated with distinct sources of asbestos exposure (occupational, familial, or environmental). We assessed the impact of asbestos exposure—global and by source—on the incidence of MM in Broni, an Italian town in which an asbestos cement factory once operated (1932–1993). Based on data collected by the Lombardy Mesothelioma Registry, we calculated the number of observed and expected MM cases among workers, their cohabitants, and people living in the area in 2000–2011. We identified 147 MM cases (17.45 expected), 138 pleural and nine peritoneal, attributable to exposure to asbestos from the factory. Thirty-eight cases had past occupational exposure at the factory (2.33 expected), numbering 32 men (26 pleural, six peritoneal) and six women (four pleural, two peritoneal). In the families of the workers, there were 37 MM cases (4.23 expected), numbering five men (all pleural) and 32 women (31 pleural, one peritoneal). Among residents in Broni or in the adjacent/surrounding towns, there were 72 cases of pleural MM (10.89 expected), numbering 23 men and 49 women. The largest MM excess was found in the towns of Broni (48 observed, 3.68 expected) and Stradella (16 observed, 1.85 expected). This study documents the large impact of the asbestos cement factory, with about 130 excess MM cases in a 12-year period. The largest MM burden was among women, from non-occupational exposure. Almost half of the MM cases were attributable to environmental exposure. Keywords: Asbestos, Mesothelioma, Cancer incidence, Occupational exposure, Familial exposure, Environmental exposur

Fluorescent Silver Nanoclusters Embedded in Hydrogel Matrix and Its Potential Use in Environmental Monitoring

The optical absorption and fluorescence of silver nanoclusters (AgNCs) are widely exploited in many different application fields such as sensors, bio-imaging, drug delivery, etc. In the sensor field, optical devices are highly versatile thanks to their ease of fabrication and low costs and, therefore, are optimal candidates to replace expensive apparatuses commonly used. In this study, we synthesized AgNCs in aqueous phase by photochemical synthesis using poly methacrylic acid (PMAA) as a stabilizer. Colloidal water solutions of these NCs showed a very good sensitivity to Pb(II) ions, and in order to fabricate a solid-state sensor, we introduced them in a hydrogel material formed by poly(ethylene glycol) diacrylate with a molecular weight of 700 g/mol (PEGDA700). The systems were characterized using absorption and fluorescence spectroscopy and transmission electron microscopy (TEM). Finally, the sensitivity to Pb(II) ions has been tested with the aim to use these systems as solid-state optical sensors for water quality

Incidence of mesothelioma in Lombardy, Italy: exposure to asbestos, time patterns and future projections

Objectives In Italy, asbestos has been extensively used from 1945 to 1992. We evaluated the impact of exposure to asbestos on occurrence of malignant mesothelioma (MM) in the Lombardy Region, Northwest Italy, the most populated and industrialised Italian region. Methods From the Lombardy Mesothelioma Registry, we selected all incident cases of MM diagnosed between 2000 and 2012. We described sources of exposure to asbestos and examined time trends of MM rates. Using Poisson age-cohort models, we derived projections of burden of MM in the Lombardy population for the period 2013-2029. Results In 2000-2012, we recorded 4442 cases of MM (2850 men, 1592 women). Occupational exposure to asbestos was more frequent in men (73.6%) than in women (38.2%). Non-occupational exposure was found for 13.6% of women and 3.6% of men. The average number of cases of MM per year was still increasing (+3.6% in men, +3.3% in women). Incidence rates were still increasing in individuals aged 65+ years and declining in younger people. A maximum of 417 cases of MM (267 men, 150 women) are expected in 2019. We forecast there will be 6832 more cases (4397 in men, 2435 in women) in the period 2013-2029, for a total of 11274 cases of MM (7247 in men, 4027 in women) in 30years. Conclusions This study documented a high burden of MM in both genders in the Lombardy Region, reflecting extensive occupational (mainly in men) and non-occupational (mainly in women) exposure to asbestos in the past. Incidence rates are still increasing; a downturn in occurrence of MM is expected to occur after 2019