A PM10 chemically characterised nation-wide dataset for Italy. Geographical influence on urban air pollution and source apportionment

: Urban textures of the Italian cities are peculiarly shaped by the local geography generating similarities among cities placed in different regions but comparable topographical districts. This suggested the following scientific question: can such different topographies generate significant differences on the PM10 chemical composition at Italian urban sites that share similar geography despite being in different regions? To investigate whether such communalities can be found and are applicable at Country-scale, we propose here a novel methodological approach. A dataset comprising season-averages of PM10 mass concentration and chemical composition data was built, covering the decade 2005-2016 and referring to urban sites only (21 cities). Statistical analyses, estimation of missing data, identification of latent clusters and source apportionment modelling by Positive Matrix Factorization (PMF) were performed on this unique dataset. The first original result is the demonstration that a dataset with atypical time resolution can be successfully exploited as an input matrix for PMF obtaining Country-scale representative chemical profiles, whose physical consistency has been assessed by different tests of modelling performance. Secondly, this dataset can be considered a reference repository of season averages of chemical species over the Italian territory and the chemical profiles obtained by PMF for urban Italian agglomerations could contribute to emission repositories. These findings indicate that our approach is powerful, and it could be further employed with datasets typically available in the air pollution monitoring networks

Treatment of seafood processing wastewater by dissolved air flotation carbon adsorption and free chlorination

According to the European targets for 2030, for managing a policy of improving the environmental sustainability of buildings it is essential to assess the buildings and building components impacts both in the construction and in the utilization phases. The use of building is essential on the environmental impacts (equal to about 90%) as consequence the commitment must be aimed at reducing energy consumption and CO2 emissions of buildings during their lifetime, through correct design and proper selection of materials and technologies; above all, the use of thermal insulation materials is fundamental. A useful support tool for manufacturers and designers for the eco-design innovation of products and production processes is the LCA - Life Cycle Assessment: the assessment allows to identify and to quantify energy, consumed materials and residues released as environment impact during the processes. Comparison of the environmental impact data of the different products it is possible by adopting the EPD - Environmental Product Declarations approach, which envisages, for each group of products, the elaboration of a specific technique, the PRC - Product Category Rules. In the building sector, among the thermal insulating materials currently in use, the rigid expanded polyurethane (thermoset polymeric insulation products with a substantially closed cell structure including both polymer types based on PIR and PUR), allows to obtain excellent characteristics of very low density masses, resulting in a reduction in energy consumption deriving from transport, installation and disposal or recycling at the end of life. Numerous studies on environmental impacts during the polyurethane life cycle have shown that the amount of resources consumed for the production of polyurethane foam is amortized in the use phase of buildings thanks to the energy savings determined by thermal insulation. Very important features of polyurethane is the high durability in time (higher or equal to the life of the building). This is demonstrated following some tests of physical characterization and verification of durability of rigid polyurethane insulation panels used in different types of building and construction, without maintenance: according to the determination of thermal conductivity and of the compressive strength is proven as the values are unchanged despite the years of use (over 40 years). The paper presents the LCA evaluation of a polyurethane panel; the durability of thermal properties has been verified by experimental tests

The TTCYB Study Protocol: A Tailored Print Message Intervention to Improve Cardiovascular Patients’ Lifestyles

This article describes the development of the “Time to Change Your Behavior” (TTCYB) study protocol, a theory-based, tailored print message intervention to improve compliance with the self-care regimen in patients with cardiovascular diseases. A design with a baseline measurement and two follow-ups at six and 12 months will be applied. At baseline and the six-month follow-up, patients will complete self-report questionnaires evaluating lifestyle habits and socio-demographic and psychological variables; at the 12-month follow-up, patients will answer a telephone interview assessing lifestyle habits. After the baseline measurement, patients will be randomized into one of three groups: (1) the tailored group, which will receive tailored health brochures; (2) the “non-tailored” group, which will receive non-tailored health brochures; or (3) the usual care group, which will receive no print information materials. The effectiveness of the intervention will be assessed through patients’ judgments of the brochures and changes in lifestyle. The role of socio-demographic and psychological variables as potential moderators of the materials’ effectiveness will be explored. If the TTCYB is efficacious, it will have implications for the design and implementation of tailored communication programs. Concepts from this study can be potentially extended to primary prevention among high-risk groups

Valutazione dell'efficacia di interventi di efficienza energetica negli edifici scolastici

The energy performance of Italian public buildings, especially of schools, is very poor: 67% of the 43,000 Italian school buildings stock were built before 1974, ie before the publication of the first national law that limited the energy consumption. The numerous publications concerning energy monitoring campaigns aim to demonstrate the importance of accurate energy diagnosis. The diagnosis operation, however, is only the first step towards an efficient use of energy: in a subsequent phase, it is fundamental to involve the various actors, from the building designers to the installers, from maintenance and plant operators to the users, in order to produce a virtuous process, based on correct monitoring and functioning, which leads to effective savings. This paper shows the results of an energy analysis on a part of the school buildings of the Province of Treviso; these results enabled us to assess the effectiveness and economic feasibility of some interventions on the thermal systems and the envelopes and to propose an overall strategy aimed at improving the reliability of the instruments used in the forecasting phase

The Situational Version of the Brief COPE: Dimensionality and Relationships With Goal-Related Variables

This study is aimed at investigating the dimensionality of the situational version of the Brief COPE, a questionnaire that is frequently used to assess a broad range of coping responses to specific difficulties, by comparing five different factor models highlighted in previous studies. It also aimed at exploring the relationships among coping responses, personal goal commitment and progress. The study involved 606 adults (male = 289) ranging in age from 19 to 71. Using confirmatory factor analysis, we compared five models and assessed relationships of coping responses with goal commitment and progress. The results confirmed the theoretical factor structure of the situational Brief COPE. All the 14 dimensions showed acceptable reliability and relationships with goal commitment and progress, attesting the reliability and usefulness of this measure to evaluate coping responses to specific events

A longitudinal inquiry into directionality of effects between coping and information needs in hypertensive patients

Purpose: It is well recognized that effective health communication is associated with better adherence to medical prescriptions, behavioral changes, and enhanced perception of control over the disease. However, there is limited knowledge about the variables on which to tailor health messages. This study examined whether coping strategies were related to information needs over time in a sample of patients with hypertension. Patients and methods: A three-wave longitudinal design was used to examine the potential reciprocal relationships among variables. The sample included 271 patients (43.5% women) affected by essential arterial hypertension with a mean age of 54.66 years (SD =10.74 years; range 30-78 years). Data on patients' demographic characteristics, coping strategies, and information needs were collected three times over 12 months. To test the directionality of the relationships linking coping to information needs, cross-lagged path analyses were applied in a structural equation modeling approach. Results: Active coping was related to a greater need for information regarding behavioral habits; avoidance coping was negatively associated with the need for information regarding daily life activities, while passive coping showed a positive relationship with this need. Moreover, results sustained the hypothesis that the relationship between coping and information needs was bi-directional. In fact, greater need for information about the disease and its pharmacological treatment was related to greater adoption of active coping strategies. The need for information about risk and complications was associated with the coping strategy related to alcohol use. Conclusion: These results provide important suggestions for implementing more effective intervention programs aimed at fostering patients' self-care abilities. As it was possible to modify coping strategies, health care providers may consider measuring patients' strategies before the medical examination so they have time to refine the information they give to patients.status: publishe

Effectiveness of a tailored communication intervention to improve physical activity in hypertensive patients: a twelve-month randomized controlled trial

Abstract Background Cardiovascular diseases (CVDs) are a leading cause of morbidity and mortality globally. Arterial hypertension is one of the main cardiovascular risk factors. Despite this, individuals with hypertension often fail to follow medical advice to counteract cardiovascular risks. A physically active lifestyle is one of the most challenging behaviors to adopt. This study aimed to preliminarily investigate the effectiveness of a tailored print message intervention to increase physical activity in patients with arterial hypertension. Methods A sample of 188 patients with hypertension (mean age = 63 years; SD = 10.9; 50% men) participated in a theory-based tailored health communication intervention. Participants were randomly assigned to three parallel groups: (1) the tailored group, which received tailored health brochures; (2) the non-tailored group, which received non-tailored health brochures; or (3) the usual care group, which received no informative print materials. The longitudinal physical activity trajectories (baseline, 6- and 12-month follow-ups) were examined using repeated measures ANOVA and growth curve models. Results At the baseline, 38.8% of patients achieved the target physical activity. This percentage rose to 43.0% at 6-month follow-up and 46.0% at 12-month follow-up. The descriptive statistics divided in function of the experimental group suggested differences in the longitudinal trend of the mean physical activity depending on the experimental group. However, statistical significance using repeated measures ANOVA did not support this observation. The analysis of the growth curves suggested that the tailored group showed a progressive increase in physical activity over twelve months (the model that best described the longitudinal trajectory was a linear growth model). The non-tailored group showed an increase in physical activity six months after the beginning of the intervention, followed by a decrease (free time score model). The usual care group did not change over time (no-growth model). Conclusions Findings suggest the effectiveness of the tailored intervention proposed. However, further investigations and empirical confirmations are required. Trial registration ISRCTN13415993 ( https://doi.org/10.1186/ISRCTN13415993 ). Registration date: 08/04/2019

Communication and disease management: a qualitative study on coronary disease

This study investigated doctor–patient communication and its role in the management of coronary disease. The aim was to identify patients’ information needs and related issues and to compare these findings with doctors’ perceptions of patients’ needs and communication barriers. Two focus groups were conducted with eight patients who suffered from coronary disease and six cardiologists. Recorded sessions were coded thematically and analyzed with interpretative phenomenological analysis. The results showed a “frustration of understanding” in both groups. Patients reported difficulty in understanding experts’ language, and physicians found it difficult to translate the medical terminology into simple words. However, they accused each other of creating these difficulties. Patients described physicians as an “elite” group with excessive technical language, and physicians reported that patients’ age and education (respectively, high and low) are real obstacles to good communication. Patients evaluated an autonomous search for health information as a way to better manage fear and anxiety related to the illness, but physicians considered it as a lack of trust and, thus, judged it negatively. Patients reported multiple unfilled needs, which were mainly related to information about how other people experienced the same illness and to specific information for their relatives, especially their spouses. Physicians stressed the need to transmit information about drug therapy and the need for adherence to manage chronic conditions. The analysis of patients’ information preferences and the awareness of patients’ information needs might strongly improve the overall quality of chronic disease management by suggesting new communication strategies

Deposition processes over complex topographies: experimental data meets atmospheric modelling

The present paper describes the assessment of the atmospheric deposition processes in a basin valley through a multidisciplinary approach based on the data collected within an extensive chemical-physical characterization of the soils, combined with the local meteorology. Surface soil cores were collected on a NNW-SSE transect across the Terni basin (Central Italy), between the Monti Martani and the Monti Sabini chains (956 m a.s.l.), featuring the heavily polluted urban and industrial enclave of Terni on its bottom. Airborne radiotracers, namely 210Pb and 137Cs, have been used to highlight atmospheric deposition. We observed an increased deposition flux of 210Pb and 137Cs at sites located at the highest altitudes, and the associated concentration profiles in soil allowed to evaluate the role of atmospheric deposition. We also obtained a comprehensive dataset of stable anthropogenic pollutants of atmospheric origin that showed heterogeneity along the transect. The behavior has been explained by the local characteristic of the soil, by seeder-feeder processes promoted by the atmospheric circulation, and was reconciled with the concentration profile of radiotracers by factor analysis. Finally, the substantial impact of the local industrial activities on soil profiles and the role of the planetary boundary layer has been discussed and supported by simulations employing a Lagrangian dispersion model