In vitro effects of particulate matter associated with a wildland fire in the north-west of Italy

Wildland fires, increasing in recent decades in the Mediterranean region due to climate change, can contribute to PM levels and composition. This study aimed to investigate biological effects of PM2.5 (Ø 10 (Ø 10 and PM2.5 were measured during the fire suggesting that near and distant sites were influenced by fire pollutants. The PM10 and PM2.5 extracts induced a significant mutagenicity in all sites and the mutagenic effect was increased with respect to historical data. All extracts induced a slight increase of the estrogenic activity but a possible antagonistic activity of PM samples collected near fire was observed. No cytotoxicity or DNA damage was detected. Results confirm that fires could be relevant for human health, since they can worsen the air quality increasing PM concentrations, mutagenic and estrogenic effects

Palliative Treatment for Malignant Jaundice: Endoscopic vs Surgical Approach

In this retrospective, comparative study a total of 107 patients, presenting with malignant inoperable strictures of common bile duct, due to a pancreatico-biliary malignancy, underwent palliative treatments. In a group, consisting of 82 patients (76.64%), endoscopic stenting procedures were performed; polyethylene stents or self-expanding metal stents were applied in 37 and 45 patients, respectively. The prerequisites for a successful endoscopic stenting were a) accuracy of diagnosis and b) exclusion of patients presenting with tumors potentially treatable by a curative resection. In the other group, consisting of 25 patients (23.36%), biliary-enteric bypass procedures were performed. Endoscopic treatment was successful in 97.5% of the cases (80/82); complication rate was 7.3% (6 patients on 82), and mortality rate was 3.6% (3 patients on 82). Median hospital stay was 13.4 and 7.3 days in patients treated with plastic stents and metallic stents, respectively. Bypass surgery was successful in 99% of the cases (24/25); complication rate was 24% (6 patients on 25), and mortality rate was 16% (4 patients on 25). Median hospital stay was 26 days. For the patients in whom a curative resection could not be performed, both the above mentioned methods resulted in a high rate of immediate technical and therapeutic success. However, the surgical approach showed a significantly higher rate in procedure-related mortality and morbidity; in addition, the hospital stay lasted longer in surgically treated patients. The patients who are definitely unsuitable for curative resection are better managed by positioning a stent. The use of metal stents should be preferred in those less serious patients who may supposedly survive longer

Influence of start-up phase of an incinerator on inorganic composition and lead isotope ratios of the atmospheric PM10

A municipal solid waste incinerator (MSWI) was installed in a peripheral area of the city of Turin. In this study, we evaluated the contribution of this plant to the massive concentration of PM10, to its chemical composition and to the distribution of the lead isotopes during the start-up phase.We assessed the inorganic composition of PM10 collected in the vicinity of the Turin incinerator by inductively coupled plasma atomic emission spectroscopy (ICP-AES), magnetic sector inductively coupled plasma mass spectrometer (SF-ICP-MS) and ion chromatography (IC). The lead isotope ratios in PM10 samples were determined by SF-ICP-MS by a method developed and optimized using experimental design approach. Element trends and data chemometric treatment evidence that the vehicular traffic, increased in this area due to the opening of the MSWI plant, and, to a lesser degree, the direct incinerator emissions influence As, Cd, Cr, Cu, Ba, Mo, Pb, Sn and Zn concentrations. As a whole, however, the element concentrations in PM10 and the Enrichment Factors (EFs) were comparable with the values reported for other urban sites and target pollutant concentrations of MSWI emissions, namely Cd, Cr, Cu and Pb, were lower than in PM10 emitted from older MSWIs. This confirms that incinerators of new installation have a lower impact on atmospheric PM10 composition thanks to stricter current legislation and up-to-date technologies. The lead isotope ratios investigation allowed to distinguish the diverse sources (crustal, vehicular traffic and MSWI) that influence lead concentration in PM10 collected near incinerator during start-up phase