Assessment of the release of metals from cigarette butts into the environment

Cigarette butts are known to contain toxic metals which pose a potential threat to the environment and human health. The seriousness of this threat is largely determined by the leachability of these toxic metals when the butts are exposed to aqueous solutions in the environment. The aims of this study were to determine the presence and mobility of toxic and non-toxic elements found in discarded cigarette butts; to relate this mobility to two different contact situations with leaching liquids: tumbling and trampling (batch test) and percolation in a static position (column test); and finally, to verify possible variations in solubility by simulating different environmental systems. Five leachants with different pH values were used to simulate various environmental conditions The concentrations of the solubilized metals were determined by inductively coupled plasma-atomic emission spectrometry (ICP-AES) and inductively coupled plasma-mass spectrometry (ICP-MS). CH3COOH pH 2.5 showed the greatest capacity to dissolve many elements. On the contrary, weakly acidic or alkaline environments did not favor the leachability of the elements. The best extraction capacity of the column with respect to the batch is statistically significant (p <0.05) for the elements Al, Fe, Ni and Zn, while the batch for P, Si, S. Pb, Cd, As were not detectable in cigarette butts, while Hg had an average concentration of 0.0502 μg/g. However, Hg was < LOD in all different leachants

Glucagon-Like Peptide-1 Receptor Agonists and Cardiovascular Events: A Meta-Analysis of Randomized Clinical Trials

Objective. Data from randomized clinical trials with metabolic outcomes can be used to address concerns about potential issues of cardiovascular safety for newer drugs for type 2 diabetes. This meta-analysis was designed to assess cardiovascular safety of GLP-1 receptor agonists. Design and Methods. MEDLINE, Embase, and Cochrane databases were searched for randomized trials of GLP-1 receptor agonists (versus placebo or other comparators) with a duration ≥12 weeks, performed in type 2 diabetic patients. Mantel-Haenszel odds ratio with 95% confidence interval (MH-OR) was calculated for major cardiovascular events (MACE), on an intention-to-treat basis, excluding trials with zero events. Results. Out of 36 trials, 20 reported at least one MACE. The MH-OR for all GLP-1 receptor agonists was 0.74 (0.50–1.08), P = .12 (0.85 (0.50–1.45), P = .55, and 0.69 (0.40–1.22), P = .20, for exenatide and liraglutide, resp.). Corresponding figures for placebo-controlled and active comparator studies were 0.46 (0.25–0.83), P = .009, and 1.05 (0.63–1.76), P = .84, respectively. Conclusions. To date, results of randomized trials do not suggest any detrimental effect of GLP-1 receptor agonists on cardiovascular events. Specifically designed longer-term trials are needed to verify the possibility of a beneficial effect

Case report: complete long-lasting response to multimodal third line treatment with neurosurgical resection, carmustine wafer implantation and dabrafenib plus trametinib in a BRAFV600E mutated high-grade glioma

Dabrafenib plus trametinib is a promising new therapy for patients affected by BRAFV600E-mutant glioma, with high overall response and manageable toxicity. We described a complete and long-lasting response in a case of recurrent anaplastic pleomorphic xanthoastrocytoma CNS WHO-grade 3 BRAFV600E mutated. Due to very poor prognosis, there are a few described cases of high-grade glioma (HGG) patients treated with the combined target therapy as third-line treatment. The emergence of optimized sequencing strategies and targeted agents, including multimodal and systemic therapy with dabrafenib plus trametinib, will continue to broaden personalized therapy in HGG improving patient outcomes

Reduced humoral response to two doses of COVID-19 vaccine in patients with inflammatory bowel disease: Data from ESCAPE-IBD, an IG-IBD study

Background Patients on immunosuppressive drugs have been excluded from COVID-19 vaccines trials, creating concerns regarding their efficacy. Aims To explore the humoral response to COVID-19 vaccines in patients with inflammatory bowel disease (IBD) Methods Effectiveness and Safety of COVID-19 Vaccine in Patients with Inflammatory Bowel Disease (IBD) Treated with Immunomodulatory or Biological Drugs (ESCAPE-IBD) is a prospective, multicentre study promoted by the Italian Group for the study of Inflammatory Bowel Disease. We present data on serological response eight weeks after the second dose of COVID-19 vaccination in IBD patients and healthy controls (HCs). Results 1076 patients with IBD and 1126 HCs were analyzed. Seropositivity for anti-SARS-CoV-2 IgG was reported for most IBD patients, even if with a lesser rate compared with HCs (92.1% vs. 97.9%; p&lt;0.001). HCs had higher antibody concentrations (median OD 8.72 [IQR 5.2-14-2]) compared to the whole cohort of IBD patients (median OD 1.54 [IQR 0.8-3.6]; p&lt;0.001) and the subgroup of IBD patients (n=280) without any treatment or on aminosalicylates only (median OD 1.72 [IQR 1.0–4.1]; p&lt;0.001). Conclusions Although most IBD patients showed seropositivity after COVID-19 vaccines, the magnitude of the humoral response was significantly lower than in HCs. Differently from other studies, these findings seem to be mostly unrelated to the use of immune-modifying treatments (ClinicalTrials.govID:NCT04769258)

Natural and artificial radioactivity evaluation of some medicinal plants

Several medicinal plants used in Italy were analysed to determine natural and artificial radioactivity in those parts (leaves, fruits, seeds, roots, peduncles, flowers, barks, berries, thallus) used generally as remedies. The radionuclides were determined by alpha ((238)U, (210)Po) and gamma ((214)Pb-Bi, (210)Pb, (40)K and (137)Cs) spectrometry. (238)U ranged between <0.1 and 7.32 Bq kg(dry)(-1); (210)Po between <0.1 and 30.3 Bq kg(dry)(-1); (214)Pb-(214)Bi between <0.3 and 16.6 Bq kg(dry)(-1); (210)Pb between <3 and 58.3 Bq kg(dry)(-1); (40)K between 66.2 and 3582.0 Bq kg(dry)(-1); (137)Cs between <0.3 and 10.7 Bq kg(dry)(-1). The percentage of (210)Po extraction in infusion and decoction was also determined; the arithmetical mean value of percentage of (210)Po extraction resulted 20.7 +/- 7.5

Neptunium-237 determination in depleted uranium ammunition by alpha spectrometry

It is well known that ammunition containing depleted uranium (DU) was used by NATO during the Balkan conflict. To evaluate the DU origin (natural uranium enrichment of or spent nuclear fuel reprocessing) it is necessary to check the presence of activation products (236U, 239Pu, 240Pu, 241Am and 237Np, etc.) in the ammunition. Uranium isotopes, 239Pu, 240Pu, 241Am concentrations in DU were determined in the past in our Laboratory: the present paper describes a new and accurate method for the separation and determination of 237Np ultratraces in a DU penetrator. After sample dissolution, neptunium was separated by two chromatographic columns consisting of micropourous polyethylene (Icorene) supporting tri-n-octylamine (TNOA); after elettrodeposition, Np was counted by alpha spectrometry. The decontamination factor of neptunium from uranium was higher than 106; the detection limit was 0.5 Bq/kg for 0.10 g of ammunition; the average Np yield was 54.0 ± 3.1%. 237Np concentration in DU resulted 30.1 ± 2.4 Bq/kg. The presence of this anthropogenic radionuclides in the penetrator indicates once more that at least part of the uranium originated from the reprocessing of nuclear fuel, but, because of the very low concentration, its radiotoxicological effect is negligible

Natural radionuclides in seafood from the Central Adriatic Sea (Italy)

Activity concentrations of 210Po, 210Pb, and 40K were measured in different samples of marine organisms from the central Adriatic Sea. The marine organisms were purchased from the local consumer market during the four seasons of the year, to evaluate the spatial and temporal distribution of the natural radioactivity. The concentration trend is the following: 40K > 210Po > 210Pb. 40K concentration ranged between 54.9 and 235.9 Bq kg-1 fresh weight, 210Pb concentration arithmetical mean for all samples is < 0.7 Bq kg-1 fresh weight. 210Po activity concentration ranged between 0.3 and 44.6 Bq kg-1 fresh weight; its arithmetic mean was 5.7±7.2 Bq kg-1 fresh weight. Among the pelagic species, anchovy displayed the highest polonium concentration. The data obtained depend upon the type of the marine organism and the period of the sampling. Committed effective dose due to 210Po ingestion from marine food for the individual of two different population groups was calculated to be 95.9 and 466.4 microSv y-1 respectively

Trace elements, 210Po and 210Pb in a selection of berries on commercial sale in Italy

The occurrence of 210Pb, 210Po, trace elements was assessed in a selection of berries on commercial sale in Italy. Data confirmed that berries might serve as an important source of essential elements. The 210Pb, 210Po concentrations found were higher than the reference values reported by UNSCEAR for roots and fruits in the world. There is no risk whatsoever from the intake of toxic elements as Al, As, Cd, Pb, Ni, Hg in berriberries analyzed; it is necessary, however, continuously monitored the levels of these elements to protect consumers against potential adverse health effects especially when consumed in large quantities