Trace elements in soil pore water: a comparison of sampling methods

This thesis examined a range of methods for sampling soil pore water to investigate the chemistry of trace elements. In particular, the study assessed whether Rhizon samplers, centrifugation, high pressure squeezing and soil suspensions in simulated pore water can be viable approaches for obtaining representative samples of equilibrated soil pore water. Results for metal solubility and speciation were interpreted in terms of both soil morphological effects on trace metal dynamics and artefacts introduced at various stages during sample preparation and handling. The main soil used in the study was an organic-rich sandy silt from a site which has served as a sewage re-processing facility for almost a century. This soil was chosen because of its importance as a long-term repository for metal-enriched sludge applied to arable land, providing a suitable medium on which to study trace metal behaviour. Pore waters were extracted and analysed for major and trace cations and anions, pH, Dissolved Inorganic Carbon (DIC) and Dissolved Organic Carbon (DOC) at two different temperatures (5 degrees Celsius and 15 degrees Celsius), in order to evaluate the extent of bacterial activity, organic decomposition and their consequences on solute composition, during pore water extractions. Speciation was estimated from analysis of pore water chemistry using two software packages (PHREEQCi and WHAM-VI). Pore waters showed different ranges of concentration between the various methods. Different mechanisms and/or chemical reactions were involved during the different extractions; a range of processes was identified, mainly dominated by metal complexation by humus acids and redox reactions. Results revealed that the soil studied was able to partially buffer the free ion activities of the metal ions in pore water with increasing dilutions, but demonstrated virtually no ability to buffer DOC. Identification of the source (i.e. location of pore space) of water extracted was also investigated using water with different isotopic composition (18O/16O). Evidence showed that centrifugation was not able to differentiate between more and less mobile water at FC conditions, rather enhancing the mixing between the two pools of water (native and labelled) by and apparent process of 'infusion'. By contrast, Rhizon samplers appeared to sample water preferentially from the more accessible pool (extra-aggregate), which proved to have a composition showing incomplete mixing with the native water. The results also suggested that mixing of the two pools was rather fast and that was almost completely attained prior to pore water extraction. The study established that the most important factors affecting pore water chemistry during extraction are the conditions to which the samples are exposed during the extraction process. For these reasons Rhizon samplers should be used as a disposable device, and are only applicable for use in high soil moisture soil contents. In contrast, they present no 'side-effects' (providing enough equilibration time) if M2+ (free ion activity) were needed as opposed to Msol (total metal concentration in pore water), as often required in environmental studies. Centrifugation is optimal for bulk solution studies, or when homogenisation represents a key experimental point; targeted studies are also possible. Soil squeezing is subject to severe limitations in the case of prolonged extractions of biologically active soils, due to the effects of anaerobism. Squeezing should only be used for 'fast' extractions of soils. Finally, batch extractions are well suited to studies on M2+ equilibria, but more studies are needed to clarify the effect of soil: solution ratio on metal and DOC solubility

The development of a field-based preservation method for total mercury in water samples using functionalised C18 solid-phase extraction

Mercury (Hg) is considered one of the most toxic elements to human health, due to its persistent and bioaccumulative properties, and is present in all spheres of the environment. Artisanal smallscale gold mining (ASGM) activities in countries, such as in Kenya, use Hg as a method to amalgamate gold from the geological matrix, with the potential to release Hg into the environment and subsequent public health exposure. In order to measure Hg in environmental samples improvements are required on existing recommended preservation methods for Hg in water samples that may not be fit for purpose e.g. acidification or use of glass bottles are potentially hazardous to operators in the field. Additionally, challenges are faced when samples are collected in remote locations far from laboratories with sufficient analytical sensitivity for Hg, requiring a preservation method that is safe to use during fieldwork, will preserve the analytical integrity of the sample and provide sufficient stability over a time period to allow for return to an appropriate laboratory. Therefore, a dithizone functionalised C18 solid phase extraction cartridge (SPE) was developed to preserve Hg in water samples, with the aim of presenting minimal risk to the operator when used in the field and to provide sufficient stability over a minimum of four weeks for subsequent elution and measurement in a laboratory environment – in this case, by ICP-MS. Performance characteristics were defined using a 0.8 µg L-1 Hg spike of a synthetic water matrix typical from an ASGM outflow – 30ml of this spike was passed through the functionalised cartridge and Hg eluted with 15ml of 2-mercaptoethanol (1% v/v with deionised water). The SPE cartridge retained 100% of Hg in the spike solution and provided stability for Hg preservation across a 57-day period, with recoveries of >75% Hg achieved following elution. Further work shows promising recovery rates of up to 90% with adjusted dithizone functionalisation of the SPE, without compromising retention of Hg on the SPE. Initial test data will be presented for ASGM sites in Kakamega County, Kenya

Treatment for acute uncomplicated diverticulitis without antibiotherapy: systematic review and meta-analysis of randomized clinical trials

Background: Use of antibiotics in selected cases of acute uncomplicated diverticulitis (AUD) has recently been questioned. Objective: The aim of this study is to examine the safety and efficacy of treatment regimens without antibiotics compared with that of traditional treatments with antibiotics in selected patients with AUD. Data sources: PubMed, Medline, Embase, Web of Science, and the Cochrane Library Methods: A systematic review was performed according to PRISMA and AMSTAR guidelines by searching through Medline, Embase, Web of Science, and the Cochrane Library for randomized clinical trials (RCTs) published before December 2022. The outcomes assessed were the rates of readmission, change in strategy, emergency surgery, worsening, and persistent diverticulitis. Study selection: RCTs on treating AUD without antibiotics published in English before December 2022 were included. Intervention: Treatments without antibiotics were compared with treatments with antibiotics. Main outcome measures: The outcomes assessed were the rates of readmission, change in strategy, emergency surgery, worsening, and persistent diverticulitis. Results: The search yielded 1163 studies. Four RCTs with 1809 patients were included in the review. Among these patients, 50.1% were treated conservatively without antibiotics. The meta-analysis showed no significant differences between nonantibiotic and antibiotic treatment groups with respect to rates of readmission [odds ratio (OR) = 1.39; 95% CI: 0.93-2.06; P = 0.11; I-2 = 0%], change in strategy (OR = 1.03; 95% CI: 0.52-2,02; P = 0.94; I-2 = 44%), emergency surgery (OR = 0.43; 95% CI: 0.12-1.53; P = 0.19; I-2 = 0%), worsening (OR = 0.91; 95% CI: 0.48-1.73; P = 0.78; I-2 = 0%), and persistent diverticulitis (OR = 1.54; 95% CI: 0.63-3.26; P = 0.26; I-2 = 0%). Limitations: Heterogeneity and a limited number of RCTs. Conclusions: Treatment for AUD without antibiotic therapy is safe and effective in selected patients. Further RTCs should confirm the present findings

Plant Molecular Farming as a Strategy Against COVID-19 - The Italian Perspective

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has killed more than 37,000 people in Italy and has caused widespread socioeconomic disruption. Urgent measures are needed to contain and control the virus, particularly diagnostic kits for detection and surveillance, therapeutics to reduce mortality among the severely affected, and vaccines to protect the remaining population. Here we discuss the potential role of plant molecular farming in the rapid and scalable supply of protein antigens as reagents and vaccine candidates, antibodies for virus detection and passive immunotherapy, other therapeutic proteins, and virus-like particles as novel vaccine platforms. We calculate the amount of infrastructure and production capacity needed to deal with predictable subsequent waves of COVID-19 in Italy by pooling expertise in plant molecular farming, epidemiology and the Italian health system. We calculate the investment required in molecular farming infrastructure that would enable us to capitalize on this technology, and provide a roadmap for the development of diagnostic reagents and biopharmaceuticals using molecular farming in plants to complement production methods based on the cultivation of microbes and mammalian cells

Field method for preservation of total mercury in waters, including those associated with artisanal scale gold mining †

Analysis of mercury (Hg) in natural water samples has routinely been impractical in many environments, for example, artisanal and small-scale gold mines (ASGM), where difficult conditions make monitoring of harmful elements and chemicals used in the processes highly challenging. Current sampling methods require the use of hazardous or expensive materials, and so difficulties in sample collection and transport are elevated. To solve this problem, a solid-phase extraction-based method was developed for the sampling and preservation of dissolved Hg in natural water samples, particularly those found around ASGM sites. Recoveries of 85% ± 10% total Hg were obtained during 4 weeks of storage in refrigerated (4 °C, dark) and unrefrigerated (16 °C, dark) conditions, and from a representative river water spiked to 1 μg L−1 Hg2+, 94% ± 1% Hg recovery was obtained. Solid-phase extraction loading flow rates were tested at 2, 5, and 10 mL min−1 with no breakthrough of Hg, and sorbent stability showed no breakthrough of Hg up to 2 weeks after functionalisation. The method was deployed across five artisanal gold mines in Kakamega gold belt, Kenya, to assess Hg concentrations in mine shaft water, ore washing ponds, and river and stream water, including drinking water sources. In all waters, Hg concentrations were below the WHO guideline limit value of 6 μg L−1, but drinking water sources contained trace concentrations of up to 0.35 μg L−1 total Hg, which may result in negative health effects from long-term exposure. The SPE method developed and deployed here is a robust sampling method that can therefore be applied in future Hg monitoring, toxicology, and environmental work to provide improved data that is representative of total dissolved Hg in water samples

Dynamic characteristics of sulfur, iron and phosphorus in coastal polluted sediments, north China

The cycling of sulfur (S), iron (Fe) and phosphorus (P) in sediments and pore water can impact the water quality of overlying water. In a heavily polluted river estuary (Yantai, China), vertical profiles of fluxes of dissolved sulfide, Fe2+ and dissolved reactive phosphorus (DRP) in sediment pore water were investigated by the Diffusive Gradients in Thin films technique (DGT). Vertical fluxes of S, Fe, P in intertidal sediment showed the availability of DRP increased while the sulfide decreased with depth in surface sediment, indicating that sulfide accumulation could enhance P release in anoxic sediment. In sites with contrasting salinity, the relative dominance of iron and sulfate reduction was different, with iron reduction dominant over sulfate reduction in the upper sediment at an intertidal site but the reverse true in a freshwater site, with the other process dominating at depth in each case. Phosphate release was largely controlled by iron reduction

Influenza vaccine uptake among community-dwelling Italian elderly: results from a large cross-sectional study

<p>Abstract</p> <p>Background</p> <p>Flu vaccination significantly reduces the risk of serious complications like hospitalization and death among community-dwelling older people, therefore vaccination programmes targeting this population group represent a common policy in developed Countries. Among the determinants of vaccine uptake in older age, a growing literature suggests that social relations can play a major role.</p> <p>Methods</p> <p>Drawing on the socio-behavioral model of Andersen-Newman - which distinguishes predictors of health care use in predisposing characteristics, enabling resources and need factors - we analyzed through multilevel regressions the determinants of influenza immunization in a sample of 25,183 elderly reached by a nationally representative Italian survey.</p> <p>Results</p> <p>Being over 85-year old (OR = 1.99; 95% CI 1.77 - 2.21) and suffering from a severe chronic disease (OR = 2.06; 95% CI 1.90 - 2.24) are the strongest determinants of vaccine uptake. Being unmarried (OR = 0.81; 95% CI 0.74 - 0.87) and living in larger households (OR = 0.83; 95% CI 0.74 - 0.87) are risk factors for lower immunization rates. Conversely, relying on neighbors' support (OR = 1.09; 95% CI 1.02 - 1.16) or on privately paid home help (OR = 1.19; 95% CI 1.08 - 1.30) is associated with a higher likelihood of vaccine uptake.</p> <p>Conclusions</p> <p>Even after adjusting for socio-demographic characteristics and need factors, social support, measured as the availability of assistance from partners, neighbors and home helpers, significantly increases the odds of influenza vaccine use among older Italians.</p

Diagnosis, treatment and prevention of pediatric obesity: consensus position statement of the Italian Society for Pediatric Endocrinology and Diabetology and the Italian Society of Pediatrics

The Italian Consensus Position Statement on Diagnosis, Treatment and Prevention of Obesity in Children and Adolescents integrates and updates the previous guidelines to deliver an evidence based approach to the disease. The following areas were reviewed: (1) obesity definition and causes of secondary obesity; (2) physical and psychosocial comorbidities; (3) treatment and care settings; (4) prevention.The main novelties deriving from the Italian experience lie in the definition, screening of the cardiometabolic and hepatic risk factors and the endorsement of a staged approach to treatment. The evidence based efficacy of behavioral intervention versus pharmacological or surgical treatments is reported. Lastly, the prevention by promoting healthful diet, physical activity, sleep pattern, and environment is strongly recommended since the intrauterine phase

Status, sources and contamination levels of organochlorine pesticide residues in urban and agricultural areas: a preliminary review in central–southern Italian soils

Organochlorine pesticides (OCPs) are synthetic chemicals commonly used in agricultural activities to kill pests and are persistent organic pollutants (POPs). They can be detected in different environmental media, but soil is considered an important reservoir due to its retention capacity. Many different types of OCPs exist, which can have different origins and pathways in the environment. It is therefore important to study their distribution and behaviour in the environment, starting to build a picture of the potential human health risk in different contexts. This study aimed at investigating the regional distribution, possible sources and contamination levels of 24 OCP compounds in urban and rural soils from central and southern Italy. One hundred and forty-eight topsoil samples (0–20 cm top layer) from 78 urban and 70 rural areas in 11 administrative regions were collected and analysed by gas chromatography–electron capture detector (GC–ECD). Total OCP residues in soils ranged from nd (no detected) to 1043 ng/g with a mean of 29.91 ng/g and from nd to 1914 ng/g with a mean of 60.16 ng/g in urban and rural area, respectively. Endosulfan was the prevailing OCP in urban areas, followed by DDTs, Drins, Methoxychlor, HCHs, Chlordane-related compounds and HCB. In rural areas, the order of concentrations was Drins > DDTs > Methoxychlor > Endosulfans > HCHs > Chlordanes > HCB. Diagnostic ratios and robust multivariate analyses revealed that DDT in soils could be related to historical application, whilst (illegal) use of technical DDT or dicofol may still occur in some urban areas. HCH residues could be related to both historical use and recent application, whilst there was evidence that modest (yet significant) application of commercial technical HCH may still be happening in urban areas. Drins and Chlordane compounds appeared to be mostly related to historical application, whilst Endosulfan presented a complex mix of results, indicating mainly historical origin in rural areas as well as potential recent applications on urban areas. Contamination levels were quantified by Soil Quality Index (SoQI), identifying high levels in rural areas of Campania and Apulia, possibly due to the intensive nature of some agricultural practices in those regions (e.g., vineyards and olive plantations). The results from this study (which is in progress in the remaining regions of Italy) will provide an invaluable baseline for OCP distribution in Italy and a powerful argument for follow-up studies in contaminated areas. It is also hoped that similar studies will eventually constitute enough evidence to push towards an institutional response for more adequate regulation as well as a full ratification of the Stockholm Convention