Area Of Tuscany Research Articles

Unraveling genetic, compositional, and organoleptic traits of elephant garlic of different geographical origins

The ancient native variety of elephant garlic, known as “Aglione della Valdichiana” and cultivated in the Valdichiana area of Tuscany, Italy, has gained recent recognition in the National Catalog of Local Varieties. The renewed interest in traditional products has led to a focus on identifying local varieties of elephant garlic, driven by their distinctive organoleptic and nutritional characteristics. However, other types of elephant garlic nowadays available on the market appear similar, but challenges exist in discerning their origin and composition. This study focused on characterizing elephant garlic from Lazio, Italy, and the Val di Chiana region through genetic, chemical, and aromatic analyses to understand genetic and geographic influences. ISSR markers differentiated elephant garlic from common varieties and highlighted regional genetic diversity. Chemical analysis revealed higher polyphenol content and antioxidant activity in elephant garlic compared to common garlic. Moreover, analysis highlights the variability in the concentrations of sulfur-containing compounds between common and elephant garlic. Aromatic and sensory assessments underscored distinctions between garlic types and regions, emphasizing the significant impact of geographic origin and genetic background on metabolite profiles in Allium genotypes.

Protection of viticultural biodiversity: genetic and phenotypic characterisation of grapevine varieties from the northwest coastal area of Tuscany (Italy)

To explore the grapevine biodiversity of some minor viticultural districts located in the northwest coastal area of Tuscany, a total of 99 grapevine samples were collected from field borders or no longer cultivated areas and analysed at the molecular level using 12 microsatellite markers (SSR). The results revealed the presence of 58 unique genotypes among which 42 already known varieties (36 belonging to the Vitis vinifera species and 6 Vitis interspecific crosses) and 16 hitherto unreported genetic profiles. About 50 % of the accessions (52 out of 99) were vegetatively propagated and planted in a vineyard collection to protect them from extinction and to record their phenotypic characteristics. This research has highlighted the potential for using several grapevine cultivars that were probably once widespread and can henceforth be cultivated again to help revive the eco-wine tourism of the Tuscan heroic vineyards and add prestige to the local wine panorama.

Serum alkaline phosphatase is a strong predictor of mortality in ESKD patients: analysis of the RISCAVID cohort

BackgroundMortality in hemodialysis (HD) patients remains unacceptably high compared with that of the general population and despite the continuous improvement of dialysis techniques. This study aimed to assess the role of alkaline phosphatase serum levels on cardiovascular and overall mortality in the RISCAVID study cohort through a long follow-up period, looking for associations with known risk factors for poor outcome.MethodsIn June 2004, a prospective observational study was started focusing on the cardiovascular risk in hemodialysis patients who lived in the north-west area of Tuscany (RISCAVID, “RISchio CArdiovascolare nei pazienti afferenti all’Area Vasta In Dialisi”). The RISCAVID cohort included 572 prevalent patients on maintenance HD for at least three months. Morbid or fatal events were prospectively recorded at 6-month intervals for a follow up time of 216 months.ResultsIn univariable Cox regression analysis, dialysis technique, Geriatric Nutritional Risk Index, peripheral vascular disease, and intact parathyroid hormone and total calcium serum levels were significantly associated with baseline alkaline phosphatase serum levels. Cox multivariable analysis showed that elevated serum alkaline phosphatase levels (the highest quartile), advanced age, dialysis vintage, type of vascular access, Geriatric Nutritional Risk Index, C-reactive protein and calcium serum levels, history of cardiovascular disease and peripheral vascular disease were independent predictors of overall mortality in maintenance HD patients. The fourth quartile of alkaline phosphatase was associated with all-cause 10-year mortality (HR: 1.47; 95% CI: 1.177–1.834) with a 47% increase with respect to the 1st, 2nd, and 3rd quartiles. This was also observed for 18-year all-cause mortality.ConclusionsAdjusted proportional analysis showed the alkaline phosphatase value to be an independent and powerful predictor of overall mortality in the hemodialysis population.Graphical

Hydrodynamics and water quality of a highly anthropized wetland: the case study of the Massaciuccoli basin (Tuscany, Italy)

Owing to increasing anthropogenic impacts, wetlands have suffered a serious environmental decline in recent decades. The sustainable management of these natural resources is fundamental to maintain both the ecosystems and the economic activities. The Lake Massaciuccoli and nearby areas represent one of the largest residual coastal marshy areas in Tuscany (Italy). This wetland is characterized by large-scale and intensive agricultural use and affected by reclamation activities, with consequent problems of erosion, subsidence and lake eutrophication and siltation. In this context, an integrated study combining hydrochemical data (water levels, electrical conductivity, pH, turbidity, major ions, trace metals) and stable isotopes (H, O, S) has been performed in the southernmost part of the basin, to better disentangle processes and interactions between groundwater and surface water and to understand the origin of solutes and their evolution. Our results indicated that both groundwater and surface water have a meteoric origin and that geochemical composition of groundwater is mainly affected by local geological and biological processes. Moreover, surface water is affected by sea water mixing and evapotranspiration/precipitation processes. The impact of agricultural activity and the use of fertilizers on the water quality appears to be limited as regards nitrates, indicating that less intense agricultural practices implemented in recent years have been successful. As regards sulfates, Fe, and Mn, we cannot fully elucidate the mechanisms underlying human influence, but the oscillation of water level and degradation of peat enhanced by reclamation and agriculture activities likely played an important role in controlling the fate of these elements. Overall, these results underline the importance of integrated approaches to disentangle geochemical processes and will be useful in supporting policy implementation and environmental protection in this valuable area of Tuscany. Findings from this work suggest the need for policy-making authorities to take actions as soon as possible to mitigate risks. Closer co-operation is essential between authorities and farmers to reduce inputs of fertilizers and chemicals into the lake and the surrounding area. Also, additional policy measures should be enforced to reduce the mechanical soil tillage and limit erosion and runoff, such as the NBSs implemented within the Phusicos Project.

Mapping the occurrence of Eustrongylides spp. in fish species caught from six lakes in Central Italy (Tuscany and Latium regions): Implications for local fishery supply chains

In the present study, in order to expand the knowledge on the distribution of parasites of the genus Eustrongylides in never investigated Italian lacustrine areas of Tuscany and Latium, fish specimens from four Tuscan lakes (Bilancino, Chiusi, Montedoglio and San Cipriano) and two Latium lakes (Bolsena and Bracciano) were collected and analyzed. The parasitological analysis, consisting of a visual inspection followed by a chloro-peptic digestion, was performed on 1650 specimens belonging to 17 species: European perch (Perca fluviatilis), Pumpkinseed (Lepomis gibbosus), Pike-perch (Sander lucioperca), Largemouth black bass (Micropterus salmoides), Pike (Esox lucius), Big-scale sand smelt (Atherina boyeri), Tench (Tinca), European Whitefish (Coregonus lavaretus), Channel catfish (Ictalurus punctatus), Chub (Squalius cephalus), Rudd (Scardinius erythrophthalmus), Common bleak (Alburnus alborella), South European roach (Sarmarutilus rubilio), South European nase (Protochondrostoma genei), Italian riffle dace (Telestes muticellus), Goldfish (Carassius auratus), and Freshwater bream (Abramis brama). Eustrongylides spp. larvae were only found in one specimen of European perch caught in Bracciano Lake and purchased from a local fishmonger (P = 3.3%; MI = 1; MA = 0.03). The only isolated Eustrongylides spp. larva was submitted to molecular analysis of the ITS gene region and identified as E. excisus. This finding adds Bracciano Lake to the list of the several Italian lakes in which nematodes belonging to this genus have been reported. Even if the observed prevalence is currently low, the presence of the parasite in this local freshwater fish supply chain requires FBOs to adopt risk management measures to prevent contaminated products from reaching final consumer. Moreover, future investigations will show if the parasite expands in these areas.

Abstract 15619: Prevalence of Transthyretin Cardiac Amyloidosis in Elderly Subjects From the General Population: The Catch Study

Introduction: The exact prevalence of transthyretin cardiac amyloidosis (ATTR-CA) in the general population has never been defined. Methods: We conducted a population screening in an area of Tuscany (Italy) where there is no cluster of variant ATTR. Six general practitioners proposed study participation to a total of 2,566 subjects aged ≥65 years, with 1,000 accepting. All subjects underwent first-line exams searching the following elements of suspicion of CA: high sensitivity-troponin T ≥14 ng/L, interventricular septal thickness ≥12 mm, any echocardiographic, ECG or clinical red flag. Individuals with any of these elements were referred to the search for a monoclonal protein and bone scintigraphy. Results: Step two exams (bone scintigraphy and search for a monoclonal protein) were proposed to 346 subjects, and 216 (62%) accepted. Three patients were ultimately diagnosed with ATTR-CA (a 79-year-old woman, an 85-year-old and a 74-year-old man), and the diagnosis was deemed likely in another patient (an 83-year-old woman with mild bone tracer uptake but intense uptake in the inferior wall, not willing to undergo endomyocardial biopsy). No patient had a monoclonal protein nor TTR gene mutations. All patients with ATTR-CA had left ventricular wall thickening and complained of dyspnea on moderate effort. The prevalence of ATTR-CA was 3 out of 870 (654 [Step two not proposed] + 216 [Step two performed]) = 0.34%, or 0.46% if considering also the fourth case. Conclusions: The prevalence of wild-type ATTR-CA in the elderly population is 0.34% (established diagnoses) or 0.46% (established or likely diagnoses).

Cambiamenti climatici in atto: osservazioni sugli impatti degli eventi siccitosi sulle foreste toscane

The empirical observation of the impacts of drought and heat waves that occurred between 2017 and 2022 in several forest areas of Tuscany allowed to describe various processes and effects on forest trees and shrubs. The most severe impacts were observed on the evergreen Mediterranean tall woodlands and the aged coppices (on holm oak trees), causing defoliation and even mortality. In most cases, the attempts of resprouting from dormant buds (from the base of the tree trunk or in the crown), following the drought events, were not successful. Deciduous broad-leaved trees (beech, downy oak) suffered a strong summer defoliation, especially on steep slopes with shallow soils and south-facing aspect. These species were generally able to replenish the foliage the following year. In the most unfavorable conditions, however, we observed extensive attacks of opportunistic parasites, such as the fungi of the genus Biscogniauxia, which were favored by drought and were the ultimate cause of mortality. Turkey oak showed mortality in small groups or individual trees. Heat and drought also affected several minor tree species, with defoliation, desiccation and, in the most serious causes, death of the tree. Some meso-hygrophilous species that are restricted with relict populations to specific microclimatic sites within the Mediterranean and sub-Mediterranean habitats were also impacted, with consequences on biodiversity, regeneration, and production of fruits for wildlife. Increasing drought and heat will trigger regressive dynamic processes that will lead in many sites to the transformation of holm oak forests into bushy forms of scrub, and of scrublands into sparse garrigues or even steppes. A more intense natural thinning of aged coppice stands with especially Turkey oak is also occurring, due to the combined effect of drought and intra- or inter-specific competition. The implementation of a regional monitoring system is recommended, based on the integration of past and existing experiences with new initiatives, to quantify the dynamics, extent and severity of the impacts. A crucial point is the need to adapt forestry, and especially utilization of coppice woods, to the changed ecological conditions to avoid increasing the impact on them.

Multilocus sequence typing of phytoplasmas associated with Flavescence dorée disease in Tuscany vineyards identifies a highly homogeneous lineage in the subgroup 16SrV–C

Flavescence dorée (FD) is the most threatening grapevine yellows (GY) disease in Europe. Despite strict control measures, alarming signs of the spread of the disease in viticultural areas continue to be detected. FD is attributed to infection by phytoplasma strains of an incidentally cited species, ‘Candidatus Phytoplasma vitis’. In 2017, a GY field survey was carried out in traditional viticulture areas of Tuscany, central Italy. FD phytoplasma (FDp) was detected in 85 GY symptomatic vines, accounting for 17% of a total of 500 symptomatic samples screened. The FDp-positive vines were scattered in 50 vineyards across seven Tuscan provinces, indicating the distribution of FDp has further extended to central and southwestern parts of Tuscany including Florence and Livorno. Multilocus sequence typing of 15 representative FDp strains from six affected vineyards revealed that the Tuscan FDp strains constitute a highly homogeneous lineage within the subgroup 16SrV–C (FD-C). Single nucleotide polymorphisms (SNPs) were identified in the 16S rRNA, rp, and secY genes of the Tuscan FDp lineage. Such SNP markers provide clues to understanding the genetic relationships among different FDp lineages present in Europe and are useful for searching potential vectors and reservoirs involved in the spread of the FDp in the Tuscan region.

Protective Measures From Solar Ultraviolet Radiation for Beach Lifeguards in Tuscany (Italy): Shade and Clothing Strategies

BackgroundThe exposure to solar ultraviolet radiation is a significant risk factor generally underestimated by outdoor workers and employers. Several studies have pointed out that occupational solar exposure increased eye and skin diseases with a considerable impact on the lives and productivity of affected workers.The main purpose of this study was to evaluate the effectiveness against ultraviolet radiation of some measures recently undertaken for the protection of lifeguards in a coastal area of Tuscany. MethodsDifferent shading structures (gazebos and beach umbrella) were tested during a sunny summer's day on a sandy beach by means of two radiometers; the UV protection offered by some T-shirts used by lifeguards was also tested in the laboratory with a spectrophotometer. ResultsThe analysed shading structures strongly reduced the ultraviolet radiation by up to 90%, however a not always negligible diffuse radiation is also present in the shade, requiring further protective measures (T-shirt, sunglasses, sunscreen, etc.); the tested T-shirts showed a very good-excellent protection according to the Australian/New Zealand standard. ConclusionResults obtained in this study suggest how the adoption and dissemination of good practices, including those tested, could be particularly effective as a primary prevention for lifeguards who are subjected to very high levels of radiation for long periods.

Influence of the Preservation Method on the Nutritional Profile of Elephant Garlic (Allium ampeloprasum L.) Grown in Valdichiana, a Traditional Cultivation Area of Tuscany, Italy

Influence of the Preservation Method on the Nutritional Profile of Elephant Garlic (Allium ampeloprasum L.) Grown in Valdichiana, a Traditional Cultivation Area of Tuscany, Italy

The Mediterranean trading centre of Vivara (southern Italy): New insights on the production and circulation of pottery during the Bronze Age (16th – 15th century BCE)

The important discoveries at the recent archaeological excavations at Punta d’Alaca site in the west side of the Vivara island (Campania region) highlighted the presence of a Bronze Age thriving settlement attesting the development of a flourishing ceramic production, mainly specialized in the manufacturing of common wares.The archaeometric study performed on twenty representative samples by means of chemical and minero-petrographic techniques revealed that pottery was produced in-situ; however, locally-manufactured vessels here coexisted with imported ones.Coarse-textured, local potteries were made by low-CaO clays mixed with volcanic temper consistent with the volcanic products of Campanian volcanoes. The firing (likely a pit firing) was done in rough conditions, as proved by mineralogical evidence that suggest variable firing temperatures. In fact, low firing temperatures (<700 °C) have been estimated for a group of vases showing a detectable amount of clay minerals (interstratified clays, kaolinite, chlorite), whereas samples showing residual illite/mica likely experienced higher firing temperatures (700–850 °C).It is worth noting that three vessels have different mineralogical and textural features; two account for the presence of siliciclastic temper with rare volcanic grains, despite a geochemical similarity with local pottery. By contrast, one vessel has peculiar mineralogical components such as a coarser temper made of granitoid rocks that distinctively include schorl/dravite tourmaline; this allowed us inferring its provenance from the Tyrrhenian coastal area of Tuscany. Eventually, the archaeological and archaeometric data illuminate that island of Vivara was an important Mediterranean trading centre during the Bronze Age for its strategic position in the Mediterranean Sea for western and eastern commercial circuits, that involved the routes of metallic raw materials.

Bacterial Communities in the Fruiting Bodies and Background Soils of the White Truffle Tuber magnatum.

Tuber magnatum Picco is a greatly appreciated truffle species mainly distributed in Italy. Its price and characteristics mostly depend on its geographical origin. Truffles represent a fundamental step of the life cycle of Tuber species promoting spore dissemination. They consist of two main parts, gleba, the inner part, and peridium, which is in direct contact with ground soil. Within the truffle and around in the growing soil, both the occurrence and abundance of different microbial species seem to play an essential role in truffle production. The development of the next-generation sequencing (NGS) based technology has greatly improved to deepen the role of the composition of microbial communities, thus improving the knowledge of the existing relationships between microbial taxa in a specific condition. Here, we applied a metabarcoding approach to assess the differences in T. magnatum samples collected from three areas in Tuscany (Italy). Peridium and gleba were analyzed separately with the aim to distinguish them based on their microbial composition. Also, soil samples were collected and analyzed to compare productive and unproductive truffle grounds to confirm the presence of specific patterns linked to truffle production. Results indicate that differences occurred between truffle compartments (gleba and peridium) as well as between analyzed soils (productive and unproductive), with distinctive taxa associated. Furthermore, findings also demonstrated specific characteristics associated with truffle collection areas, thus indicating a degree of microbial selection related to different environments.

541 Prevalence of amyloid transthyretin cardiomyopathy in elderly subjects from the general population: first results from the catch study

Abstract Aims Amyloid transthyretin cardiomyopathy (ATTR-CM) has become treatable. Wild-type ATTR-CM is an age-related disorder. Establishing the exact prevalence of ATTR-CM in elderly subjects from the general population may be useful for healthcare providers and policy makers alike. Methods and results The characterizing the burden of Amyloid Transthyretin CardiomyopatHy in the elderly (CATCH) study is a population screening on all subjects aged ≥65 years followed by general practitioners working at the Casa della Salute in Terricciola, in an area of Tuscany where there is no cluster of variant ATTR. The study started on 12 March 2021 and is ongoing. The first step of the evaluation includes clinical history and physical examination, electrocardiogram, transthoracic echocardiogram, and blood sampling with measurement of N-terminal pro-B-type natriuretic peptide and high-sensitivity (hs) troponin T. The following elements are searched: (i) any clinical red flag of amyloidosis (history of carpal tunnel syndrome, lumbar spine stenosis, etc.), (ii) interventricular septal thickness ≥12 mm or other echocardiographic red flags, and (iii) hs-troponin T higher than the upper reference limit (14 ng/l). Patients with any of these elements are referred to a second step including diphosphonate scintigraphy and the search for a monoclonal protein in the serum and urine. The standard diagnostic workup for CA is then followed until the diagnosis is confirmed or discarded. As of 31 October 2021, 514 subjects ≥65 years have been evaluated for possible participation. Among them, 135 (26%) could not be contacted, were reluctant to enter the study, died before being contacted, or were bedridden. Out of the other 379 subjects, 329 (87%) have already undergone the first step. Forty percent of individuals (n = 132) have been referred to the second step. Thirteen subjects have declined (10%); 69 patients have undergone diphosphonate scintigraphy, and the search for a monoclonal protein (while the other 50 are awaiting these exams). Two subjects showed an intense myocardial uptake of the diphosphonate tracer (Perugini score 2–3) and no monoclonal protein, and were then diagnosed with ATTR-CM. They were both women, aged 83 and 78 years, both mildly symptomatic for dyspnoea (New York Heart Association II) and with unexplained hypertrophy. The search for TTR gene mutation was negative in the first case and is still ongoing in the second. Based on these preliminary data, the prevalence of ATTR-CM in the elderly population can be calculated as 2/266 = 0.8% (Figure). Conclusions The CATCH study is expected to enroll at least 1000 subjects and will provide the first data on the epidemiology of ATTR-CM in elderly subjects. Based on an interim analysis, almost 1 in 100 individuals ≥65 years has ATTR-CM.

Comparison of the Mineral and Nutraceutical Profiles of Elephant Garlic (Allium ampeloprasum L.) Grown in Organic and Conventional Fields of Valdichiana, a Traditional Cultivation Area of Tuscany, Italy.

Simple SummaryIn Valdichiana, an agricultural area of Tuscany (C Italy), an antique landrace of elephant garlic (A. ampeloprasum L.) locally known as “Aglione della Valdichiana” has been cultivated for a long time, and has been recently recognized as a traditional agri-food product of Tuscany and of Italy. Two methods of cultivation of elephant garlic are currently in use in Valdichiana: conventional and organic, the latter not making use of mineral fertilizers and chemical pesticides, even if the cultivation of elephant garlic is a low impact one. This paper aimed at testing if there are differences in the mineral and nutraceutical profiles of elephant garlic cultivated conventionally and organically in the Valdichiana area. Our results indicated only small differences and no evidence of healthier food or superior nutraceutical quality for organically grown elephant garlic.In the Valdichiana area (Tuscany, Italy) an ancient native landrace of elephant garlic (Allium ampeloprasum L.), locally known as “Aglione della Valdichiana”, has long been cultivated. The aim of this study was to check whether there are differences in the mineral and nutraceutical profiles of the Aglione della Valdichiana cultivated conventionally and organically. Based on the analysis by ICP-MS of a wide array of major, minor, essential, and non-essential trace elements as well as rare earth elements, and the evaluation of the content of polyphenols, flavonoids, antioxidants, soluble proteins, soluble sugars, and starch, as well as the weight and water content, it was concluded that differences in the mineral and nutraceutical profiles of organically and conventionally grown bulbs were very limited. Only a statistically (p < 0.05) higher concentration of Cd (+2620%), Co (+113%), Mn (+55%), Rb (+180%), and Sb (+180%), as well as glucose (+37%) in conventionally cultivated bulbs emerged. Cadmium was the only element slightly higher than in the “reference plant,” but with a negligible risk (three orders of magnitude lower) for human health based on consumption. It is concluded that we failed to find evidence of healthier food or a higher nutraceutical quality for organically cultivated elephant garlic.

Origin of continuous hydrogen flux in gas manifestations at the Larderello geothermal field, Central Italy

The back arc extensional area of Tuscany is characterized by anomalously high heat flow as a result of lithospheric thinning facilitated by locally intruded granite, which ultimately led to the occurrence of numerous fumaroles and other manifestations of geothermal activity. The present study builds up on molecular and isotopic geochemical analyses of fumarolic gases discharging near Larderello geothermal field in order to report on their origin and generation mechanisms. The fumarole gases are rich in CO2 (15.65–92.5 vol%), poor in CH4 (0.08–3.70 vol%) and highly-depleted in C2+ (< 0.1 vol%) whereas H2 content is rather constant (~4.5 vol%). The δ13CCH4 (from −16.7 to −29.5‰VPDB) and δDCH4 (from −155 to −185.6‰SMOW) suggest an abiotic origin of methane. The heavy δ13CCO2 values (>−4.2‰VPDB) reflect thermo-metamorphic of CO2, however magmatic-volcanic contribution cannot be ruled out.This work tests various hypotheses of the origin of H2: the intruded granite, the ophiolite and/or a deeper source. Petrographic and electron microbeam investigations performed on the Ligurian ophiolite and plutonic granite, which outcrops in the vicinity of the study area, revealed serpentinization of ophiolite (in contact with geothermal fluids at 200 °C) as the most probable source of the measured H2. Hydrogen that forms deeper, potentially near or within the granitic intrusion, at higher temperatures, is likely consumed to form abiotic methane.

Spatial and temporal changes in dry spells in a Mediterranean area: Tuscany (central Italy), 1955–2017

AbstractGlobal change affects precipitation and small modifications in rainfall regimes could compromise water availability, especially in areas characterized by a strong seasonality and a climate ranging from dry sub‐humid to semi‐arid. Drought, in particular, is a creeping phenomenon defined as an important temporary decrease in water availability below the expected value in a certain period and a specific area. Among the different methodologies for analysing drought periods, one of the most used is the evaluation of dry spells. The aim of this study is to investigate spatial and temporal changes in dry spells in Tuscany during the period 1955–2017, by using daily precipitation data. Changes in the number of dry days, maximum duration and 75th percentile of the duration of the dry spells were investigated. Three precipitation thresholds were selected: 1, 5 and 10 mm. The analyses were carried out at annual, September–May, September–November and December–May level. Theil–Sen nonparametric method was used to estimate the slope; Mann–Kendall test and a modification of it, which applies a trend‐free pre‐whitening (TFPW) method to the series having a serial correlation, were applied to look for statistically significant trends. The drought indicators showed increasing trends (some significant) especially at December–May and to a lesser extent at the annual and September–May level; the most pronounced increases were found in the southernmost areas of Tuscany. During September–November period, on the other hand, a prevalence of decreasing trends (rarely significant), with less pronounced decreases in the south of the region, were observed. Mediterranean area is considered a climate change “hot‐spot” from the viewpoint of vulnerability. An increase in long‐lasting dry spells, especially in southern Tuscany, can exacerbate the problems linked to water management and demand.

Potentially Toxic Elements (PTEs) in Soils and Bulbs of Elephant Garlic (Allium ampeloprasum L.) Grown in Valdichiana, a Traditional Cultivation Area of Tuscany, Italy

The aim of this study was to provide, for the first time, data on the concentration of potentially toxic elements (PTEs) in soils and bulbs of elephant garlic (Allium ampeloprasum L.) cultivated in Valdichiana, a traditional agricultural area of Tuscany, Italy. Bulbs of elephant garlic and soil samples were collected in four cultivation fields and analyzed by inductively coupled plasma-mass spectrometry (ICP-MS) to determine the concentrations of As, Cd, Co, Cr, Cu, Ni, Pb, Sb, Tl, U, V, Zn. The concentrations of these PTEs in bulbs and cultivation soils were used to calculate geochemical, ecological and health risk indices. The results of this study suggest that, although bulbs of elephant garlic from the Valdichiana area may present slightly high concentrations of Cd, Ni and Pb, the associated health risk based on the daily intake is absolutely negligible. Cultivation soils had somewhat high Cu concentrations probably due to the diffuse use of Cu-based products in agriculture, but showed overall a very low ecological risk.

The presentations/physician ratio predicts door-to-physician time but not global length of stay in the emergency department: an Italian multicenter study during the SARS-CoV-2 pandemic.

To investigate the effects of the dramatic reduction in presentations to Italian Emergency Departments (EDs) on the main indicators of ED performance during the SARS-CoV-2 pandemic. From February to June 2020 we retrospectively measured the number of daily presentations normalized for the number of emergency physicians on duty (presentations/physician ratio), door-to-physician and door-to-final disposition (length-of-stay) times of seven EDs in the central area of Tuscany. Using the multivariate regression analysis we investigated the relationship between the aforesaid variables and patient-level (triage codes, age, admissions) or hospital-level factors (number of physician on duty, working surface area, academic vs. community hospital). We analyzed data from 105,271 patients. Over ten consecutive 14-day periods, the number of presentations dropped from 18,239 to 6132 (− 67%) and the proportion of patients visited in less than 60 min rose from 56 to 86%. The proportion of patients with a length-of-stay under 4 h decreased from 59 to 52%. The presentations/physician ratio was inversely related to the proportion of patients with a door-to-physician time under 60 min (slope − 2.91, 95% CI − 4.23 to − 1.59, R2 = 0.39). The proportion of patients with high-priority codes but not the presentations/physician ratio, was inversely related to the proportion of patients with a length-of-stay under 4 h (slope − 0.40, 95% CI − 0.24 to − 0.27, R2 = 0.36). The variability of door-to-physician time and global length-of-stay are predicted by different factors. For appropriate benchmarking among EDs, the use of performance indicators should consider specific, hospital-level and patient-level factors.

Hepatitis E Virus RNA Presence in Wild Boar Carcasses at Slaughterhouses in Italy.

Simple SummaryHepatitis E virus (HEV) is a worldwide diffused pathogen responsible for acute hepatitis of humans. Transmission of the pathogen is mostly related to the consumption of contaminated food and water. Although initially the disease was contained in developing countries, in recent years autochthonous infections have been reported in several industrialised countries. A different epidemiological pattern of transmission has been highlighted; while in Africa and Asia transmission is mainly due to waterborne outbreaks caused by low sanitation standards, in Europe and other industrialised countries, the disease has mainly spread due to consumption of raw or undercooked meat and seafood. Although HEV has been identified in several domestic and wild animal species, pigs and wild boar, appear to play a distinct role mainly acting as a reservoir of the pathogen. In this study, we monitored the presence of HEV in carcasses and livers of wild boar sampled in Tuscany at the slaughterhouse following hunting activities. Our data indicate the presence of the pathogen in the liver and the carcasses, suggesting cross-contamination. This evidence highlights the importance of maintaining safety control measures to avoid the spreading of HEV infection.Hepatitis E virus (HEV) is a waterborne and foodborne pathogen largely spread around the world. HEV is responsible for acute hepatitis in humans and it is also diffused in domestic and wild animals. In particular, domestic pigs represent the main reservoir of the infection and particular attention should be paid to the consumption of raw and undercooked meat as a possible zoonotic vehicle of the pathogen. Several studies have reported the presence of HEV in wild boar circulating in European countries with similar prevalence rates. In this study, we evaluated the occurrence of HEV in wild boar hunted in specific areas of Tuscany. Sampling was performed by collecting liver samples and also by swabbing the carcasses at the slaughterhouses following hunting activities. Our data indicated that 8/67 (12%) of liver samples and 4/67 (6%) of swabs were positive for HEV RNA. The presence of HEV genome on swabs indicates the possible cross-contamination of carcass surfaces during slaughtering procedures. Altogether, our data indicated that it is essential to promote health education programmes for hunters and consumers to limit the diffusion of the pathogen to humans.

Evaluating rural viability and well-being: Evidence from marginal areas in Tuscany

Promoting the viability of rural areas is a major objective of the European development and agricultural policies. One of the key aspects for the success of these policies is represented by the possibility to monitor the quality of life in all of its dimensions: social, economic, and environmental. The implementation of tools capable of pointing out the principal criticalities of human satisfaction is complex whether we are referring to the very definition of the concept of well-being or to the operative aspects in evaluating its components. We propose an approach to evaluate community well-being in which the fundamental components are defined referencing Sen's Theory of Capabilities and measured via questionnaires whose purpose is to subjectively evaluate each component on the level of territory of residence. This methodology has been applied to the case of rural areas in Tuscany (Italy). The results show that the main determinants of well-being are the individual perceptions concerning economic condition, security, environmental quality, and educational opportunities.