Impact and prevention of groundwater pollution by pesticides and nitrate in hilly vineyards: evaluation of contamination sources and development of best management practices and mitigation measures

Molte attività antropiche danno origine a problemi ambientali per i quali è necessario trovare soluzioni. La presenza di sostanze indesiderabili nell'acqua, infatti, può rappresentare un rischio per la salute e l'igiene sia degli uomini che degli animali. È quindi fondamentale trovare metodi per evitare gli inquinanti di queste matrici, in modo da renderli compatibili con il mantenimento di condizioni ambientali adeguate e salutari. Questa tesi si propone di valutare la qualità delle acque sotterranee di un'area in cui la qualità dell'acqua non è mai stata studiata, in particolare indagando la presenza di pesticidi e nitrati al fine di comprendere l’impatto della viticoltura sull'inquinamento delle acque sotterranee. Questo studio nasce dalla necessità di migliorare la governance delle acque e di implementare le migliori pratiche di gestione e misure di mitigazione per prevenire l'inquinamento delle acque e quello ambientale. I risultati degli studi di monitoraggio hanno mostrato una contaminazione delle acque sotterranee da parte di pesticidi e nitrati e quindi è stata effettuata una valutazione della fonte di contaminazione da pesticidi e nitrati attraverso studi isotopici di N e O di NO3-, e attraverso analisi idrologiche utilizzando il modello CRITERIA 3D. Come una delle principali conclusioni del lavoro si può affermare che la presenza di pesticidi nelle acque sotterranee in un’area ad attività vitivinicola intensa, non può essere correlata solo alle proprietà e al destino chimico-ambientale delle sostanze o alle condizioni pedoclimatiche, ma anche al comportamento dell'utilizzatore finale. In effetti, la fonte di contaminazione valutata, è risultata essere dovuta sia a una contaminazione diffusa che a una contaminazione puntiforme. Per quanto riguarda l'influenza della fertilizzazione a base di azoto sulla presenza di nitrati nelle acque sotterranee, i risultati hanno mostrato un'elevata vulnerabilità dell'acquifero ai cambiamenti esterni. Dalle indagini isotopiche è emerso che la maggior parte dell'NO3- rilevato nelle acque sotterranee, deriva dall'utilizzo di fertilizzanti azotati inorganici, in accordo con le pratiche di uso del suolo e di viticoltura dichiarate dagli agricoltori della zona. Il risultato più importante dello studio, tuttavia, è stato che alla fine del processo, l'approccio multi-actor e la strategia di coinvolgimento adottati, hanno avuto successo nel migliorare gli atteggiamenti verso pratiche più sostenibili.Many anthropic activities give rise to environmental problems for which it is necessary to find solutions. The presence of undesirable substances in water, indeed, can pose a risk to the health and hygiene of both men and animals. It is, therefore, essential to find methods in order to avoid pollutants from these matrices, so as to make them compatible with the maintenance of healthy environmental conditions. This thesis aims to assessing the groundwater quality of an area in which the quality of water was never studied, particularly investigating the occurrence of pesticides and nitrate in order to understand the grant of viticulture on water pollution. This study derives from the necessity to improve the water governance and to implement the best management practices and mitigation measures to prevent groundwater and environmental pollution. The results of monitoring studies showed a contamination of groundwater by pesticides and nitrate and thus an evaluation of PPPs and nitrates source contamination was carried out through isotopic studies of N and O of NO3- , and through hydrologic analysis by use of the model CRITERIA 3D. As one of the main conclusions of the work, the occurrence of PPPs in groundwater in areas with intensive viticultural activities cannot be related just to chemical environmental fate properties or pedoclimatic conditions, but also to end-user behavior. In fact, the contamination source evaluated, resulted to be due to both diffuse and point-source contamination. For what concerns the influence of nitrogen-based fertilization on nitrate occurrence in groundwater, the results showed a high vulnerability of the aquifer to external changes. Isotopic investigations showed that most of the NO3- detected in the groundwater, derived from the use of inorganic nitrogen fertilizers, in agreement with the land use and viticulture practices declared by the farmers. The most important result of the study, however, was that at the end of the overall process, the multi-actor approach and engagement strategy adopted were successful in improving attitudes to more sustainable practices

First evaluation of pesticides occurrence in groundwater of Tidone Valley, an area with intensive viticulture.

Abstract Agricultural practice often involves an intensive and incorrect use of pesticides and fertilizers. These chemicals can leach through the soil profile and contaminate groundwater, including drinking water. For this reason, an effective groundwater monitoring is strongly advisable. The aim of this study was to investigate the groundwater contamination by plant protection products (PPPs) on a hilly area situated in the Tidone Valley, North-West of Italy, a region characterized by an intensive viticulture production. This area is not included in the national groundwater monitoring plan and therefore scarce information is available regarding the quality of groundwater, even though the local Environmental Agency previously revealed the occurrence of PPPs at values higher than the Environmental Quality Standard downstream this area. Hence, a monitoring wells network was developed following an upstream-downstream criterion, a list of pesticides to be monitored, based on a multi-actor approach, and an analytical method for PPPs detection and quantification. The analytical approach involved solid phase extraction followed by High-Performance Liquid Chromatography tandem mass spectrometry. The results of three monitoring campaigns revealed the occurrence of seven PPPs at a level higher than EQS for groundwater (0.1 μg/L) in 30% of the wells. The main pesticides detected were Chlorantraniliprole, Dimethomorph, Fluopicolide, Metalaxyl-M, Penconazole, and Tetraconazole, all commonly used in viticulture, together with S-metolachlor, authorized for cereal cropping. Statistical analysis revealed a significant influence of the sampling time, slope of the soil surrounding the wells, wells depth and wells location on the concentration of five PPPs. Therefore, the results obtained show that the improper use of PPPs for grapevine cultivation may cause groundwater contamination and suggest the need for a deeper analysis of territorial reality, including hydrology studies and farmer behavior and for an urgent introduction of best management practices and mitigation measures to promote a sustainable use of PPPs in viticulture

Multi-actor approach and engagement strategy to promote the adoption of best management practices and a sustainable use of pesticides for groundwater quality improvement in hilly vineyards.

The adoption of pesticide mitigation measures and innovation at farm level, are seen as a drivers to reach the sustainable water policy objectives. With the aim to prevent the pesticide pressure of hilly vineyards on groundwater contamination, a stepwise approach in Tidone Valley was applied using different consultation mechanisms and involvement strategies throughout the overall process. Face to face meetings, direct surveys, participatory monitoring and planning of several activities aiming to inform, educate, improve skills, change of individual behaviour or raise awareness, or even initiatives to build institutional trust or support for new investment in innovation are some examples. These activities allowed us to involve key actors of water use and governance (such as farmers, advisors, representatives of drinking water management, farmer's associations, Winemaking cooperatives, local Health Authority), and to have a deeper knowledge of the context agricultural practices, of farmer's knowledge and skills concerning factors influencing water contamination and also to promote the most suitable Best Management Practices aimed at limiting the pesticide occurrence in groundwater. Indeed, the surveys results highlighted that the majority of the farms are small (64% of vineyards10 ha), that most of the farmers (62%) are not aware of the current legislation on water, even if 64% of them declare to participate regularly to training courses for the prevention of water contamination and that there is a low to moderate level of adoption of Best Practices able to prevent contamination by pesticides. At the end of the overall process, it can be stated that the multi-actor approach and engagement strategy adopted were successful in improving attitudes to more sustainable practices. This is supported also by the monitoring data that show in 2019 a decrease by 44% of pesticides occurrences and a fall by 68% of values above EQ

Evaluation of groundwater contamination sources by plant protection products in hilly vineyards of Northern Italy

Abstract In Europe, 25% of groundwater has poor chemical status. One of the main stressors is agriculture, with nitrates and plant protection products (PPPs) causing failure in 18% and 6.5%, respectively, of groundwater bodies (by area). EU legislation for the placement of the PPPs on the market is one of the most stringent in the world. However, recent monitoring studies in hilly vineyards of Tidone Valley, north-west of Italy, show presence of PPPs used for grapevine cultivation in 15 out of 26 groundwater wells monitored, at values above the Environment Quality Standard (EQS) for groundwater (0.1 μg/L). However, no information about the contamination sources are available. Therefore, the objective of the present work is to evaluate the groundwater contamination sources by PPPs, in a small catchment with intensive viticulture, by collecting and integrating monitoring data, sub-surface water movement data and territorial characteristics. The results show that in wells used for PPP's mixture preparation and sprayer washing located at the top of hilly vineyards, with low slope and no water movement in the surrounding soil, the contamination is most likely from point sources. On the contrary, for wells located in a fenced area at the bottom of the hill, far away from vineyards and being used for drinking water production, the contamination is most likely from diffuse sources. Our results were used to raise awareness on groundwater contamination from PPPs among farmers in the study area; moreover a waterproof platform for sprayers washing, equipped with wastewater recovery and disposal system, able to avoid point-source contamination, was implemented in a local demonstration farm. Several demonstration activities were then organised with the farmers of the entire Valley in order to show its functionality and promote its diffuse use

Spontaneous intracranial hypotension: a case series and literature review

Spontaneous intracranial hypotension (SIH) is a condition of negative intracranial pressure resulting from cerebrospinal fluid (CSF) leakage from the dural sac and is a well-known cause of orthostatic headache. Diagnosis and management can be difficult, often requiring coordination between multiple disciplines. Low CSF pressure and diffuse meningeal enhancement on brain MRI are the major instrumental features of the classic syndrome. Neuroimaging plays a key role in diagnosing SIH, particularly in atypical clinical presentations, by recognizing the specific findings of brain sagging on MRI and detecting the level of CSF leak on spinal imaging, thus guiding therapy accordingly. Since SIH could present with such a heterogeneous clinical picture, careful history taking and increased awareness of atypical presentations are of utmost importance. We review the existing SIH literature, illustrate management, clinical and neuroimaging findings of four consecutive patients with atypical SIH, who were recently referred to our hospital for evaluation to simplify and streamline the management of SIH

Mild encephalitis with a reversible splenial lesion: A clinical benign condition, often underrecognized – Clinical case and literature review

Mild encephalitis with reversible lesion in the splenium is a clinicoradiological syndrome characterized by a variegated symptomatology with a solitary mass in the central portion of the splenium of the corpus callosum. Complete spontaneous resolution is the hallmark of this syndrome, though its pathogenesis is still unknown. We describe the clinical picture of a 51-year-old woman who developed a partial sensitive seizure, with MRI evidence of a lesion localized in the posterior portion of the corpus callosum. The patient made a full recovery thanks to the administration of antiepileptic drugs. Acquiring knowledge of this syndrome, in the wide diagnostic panel which includes vertebrobasilar diseases besides the broad range of metabolic and electrolyte disorders, is crucial to a prompt clinical diagnosis and in establishing a reliable prognosis at an early stage

Mild Encephalitis with a Reversible Splenial Lesion: A Clinical Benign Condition, often Underrecognized – Clinical Case and Literature Review

Mild encephalitis with reversible lesion in the splenium is a clinicoradiological syndrome characterized by a variegated symptomatology with a solitary mass in the central portion of the splenium of the corpus callosum. Complete spontaneous resolution is the hallmark of this syndrome, though its pathogenesis is still unknown. We describe the clinical picture of a 51-year-old woman who developed a partial sensitive seizure, with MRI evidence of a lesion localized in the posterior portion of the corpus callosum. The patient made a full recovery thanks to the administration of antiepileptic drugs. Acquiring knowledge of this syndrome, in the wide diagnostic panel which includes vertebrobasilar diseases besides the broad range of metabolic and electrolyte disorders, is crucial to a prompt clinical diagnosis and in establishing a reliable prognosis at an early stage

First evaluation of pesticides occurrence in groundwater of Tidone Valley, an area with intensive viticulture

Agricultural practice often involves an intensive and incorrect use of pesticides and fertilizers. These chemicals can leach through the soil profile and contaminate groundwater, including drinking water. For this reason, an effective groundwater monitoring is strongly advisable. The aim of this study was to investigate the groundwater contamination by plant protection products (PPPs) on a hilly area situated in the Tidone Valley, North-West of Italy, a region characterized by an intensive viticulture production. This area is not included in the national groundwater monitoring plan and therefore scarce information is available regarding the quality of groundwater, even though the local Environmental Agency previously revealed the occurrence of PPPs at values higher than the Environmental Quality Standard downstream this area. Hence, a monitoring wells network was developed following an upstream-downstream criterion, a list of pesticides to be monitored, based on a multi-actor approach, and an analytical method for PPPs detection and quantification. The analytical approach involved solid phase extraction followed by High-Performance Liquid Chromatography tandem mass spectrometry. The results of three monitoring campaigns revealed the occurrence of seven PPPs at a level higher than EQS for groundwater (0.1\u202f\u3bcg/L) in 30% of the wells. The main pesticides detected were Chlorantraniliprole, Dimethomorph, Fluopicolide, Metalaxyl-M, Penconazole, and Tetraconazole, all commonly used in viticulture, together with S-metolachlor, authorized for cereal cropping. Statistical analysis revealed a significant influence of the sampling time, slope of the soil surrounding the wells, wells depth and wells location on the concentration of five PPPs. Therefore, the results obtained show that the improper use of PPPs for grapevine cultivation may cause groundwater contamination and suggest the need for a deeper analysis of territorial reality, including hydrology studies and farmer behavior and for an urgent introduction of best management practices and mitigation measures to promote a sustainable use of PPPs in viticulture

Influence of nitrogen-based fertilization on nitrates occurrence in groundwater of hilly vineyards

Nitrogen losses from intensive agricultural production may end up as high nitrate (NO3 12) concentrations in groundwater, with a long-term impact on groundwater quality. The main objective of this study was to evaluate the impact of fertilization practices used for grape cultivation on groundwater quality of Tidone Valley, northwest of Italy, following an integrated socio-hydrogeological approach that consists on (i) the involvement of 175 farmers in the description of agricultural and fertilization practices, using a survey of ad hoc questionnaires, (ii) the evaluation of NO3 12 occurrence in groundwater and (iii) the identification of NO3 12 sources through isotopic and hydrochemical analysis. In this area, as for certain particular Apennines shallow aquifers, groundwater is of reduced interest due to its limited storage capacity and there are insufficient wells currently monitored by the local Environmental Agency (ARPAE) to evaluate the impact of agricultural fertilization on existing local aquifers. Farmers' questionnaires results highlighted an extensive use of inorganic nitrogen fertilization and a tendency of farmers to follow their own experience for fertilization. Chemical analyses revealed high variability of major and trace elements concentrations isotope data. NO3 12 concentrations were significantly higher in deeper wells with respects to shallow wells. Isotopic results indicated that groundwater NO3 12 origin is inorganic, in agreement with the land use and the declared viticultural practices. Comparing groundwater NO3 12 occurrence from the studied area with values of entire Emilia-Romagna Region, only 7.7% of groundwater samples showed values above the EQS. (50 mg NO3 12/L) between Nov 2017 and Sept 2018, while in the entire region 11.5% of groundwater samples showed values above the EQS in the same period. Considering that the vineyards surface in the studied area represents almost 75% of the entire regional vineyard surface, the obtained results suggest a low to moderate impact of viticulture on NO3 12concentration of regional groundwater

Current territorial organization for access to revascularization therapies for acute ischemic stroke in the Veneto region (Italy) from 2017 to 2021

IntroductionTo evaluate the access to treatments with intravenous thrombolysis (IVT) and/or mechanical thrombectomy (MT) in acute ischemic stroke patients admitted to stroke units (SUs) of Veneto region (Italy) according to current "hub-and-spoke" model from 2017 to 2021.Patients and methodsWe retrospectively analyzed data on treatments with IVT and/or MT for stroke patients admitted to the 23 SUs (6 Hubs and 17 Spokes) of the 6 macro-areas including 9 local sanitary units (LSUs) and 2 hospitals.ResultsWe reported 6093 treatments with IVT alone, 1114 with IVT plus MT, and 921 with MT alone. Number of stroke unit (SU) beds/100,000 inhabitants ranges from 2.3 to 2.8, and no difference was found among different macro-areas. Number of treatments/100,000 inhabitants/year ranges from 19 to 34 for IVT alone, from 2 to 7 for IVT plus MT, and from 2 to 5 for MT alone. Number of IVT alone/SU bed/year ranges from 9 to 21 in the Hub and from 6 to 12 in the Spokes. Rate of IVT plus MT in patients directly arrived in the same LSU's Hub ranges from 50 to 81%, likewise the one of MT alone ranges from 49 to 84%.ConclusionsTreatment target rates of IVT and MT set by Action Plan for Stroke in Europe 2018-2030 has been globally exceeded in the Veneto region. However, the target rate of MT and access revascularization treatments is heterogeneous among different macro-areas. Further efforts should be made to homogenize the current territorial organization