Campania Region Of Italy Research Articles

Interferon beta for the treatment of multiple sclerosis in the Campania Region of Italy: Merging the real-life to routinely collected healthcare data.

We aim to overcome limitations of previous clinical and population-based studies by merging a clinical registry to routinely-collected healthcare data, and to specifically describe differences in clinical outcomes, healthcare resource utilization and costs between interferon beta formulations for multiple sclerosis (MS). We included 850 patients with MS treated with interferon beta formulations, from 2015 to 2019, seen at the MS Clinical Care and Research Centre (Federico II University of Naples, Italy) and with linkage to routinely-collected healthcare data (prescription data, hospital admissions, outpatient services). We extracted and computed clinical outcomes (relapses, 6-month EDSS progression using a roving EDSS as reference), persistence (time spent on a specific interferon beta formulation), adherence (medication possession ratio (MPR)), healthcare resource utilization and costs (annualized hospitalization rate (AHR), costs for hospital admissions and DMTs). To evaluate differences between interferon beta formulations, we used linear regression (adherence), Poisson regression (AHR), mixed-effect regression (costs), and Cox-regression models (time varying variables); covariates were age, sex, treatment duration, baseline EDSS and adherence. Looking at clinical outcomes, rates of relapses and EDSS progression were lower than studies run on previous cohorts; there was no differences in relapse risk between interferon beta formulations. Risk of discontinuation was higher for Betaferon®/Extavia® (HR = 3.28; 95%CI = 2.11, 5.12; p<0.01). Adherence was lower for Betaferon®/Extavia® (Coeff = -0.05; 95%CI = -0.10, -0.01; p = 0.02), and Avonex® (Coeff = -0.06; 95%CI = -0.11, -0.02; p<0.01), when compared with Rebif® and Plegridy® (Coeff = 0.08; 95%CI = 0.01, 0.16; p = 0.02). AHR and costs for MS hospital admissions were higher for Betaferon®/Extavia® (IRR = 2.38; 95%CI = 1.01, 5.55; p = 0.04; Coeff = 14.95; 95%CI = 1.39, 28.51; p = 0.03). We have showed the feasibility of merging routinely-collected healthcare data to a clinical registry for future MS research, and have confirmed interferon beta formulations play an important role in the management of MS, with positive clinical outcomes. Differences between interferon beta formulations are mostly driven by adherence and healthcare resource utilization.

Influence of Climatic Conditions on Dynamic Performance of Solar Hybrid Heating and Cooling Systems Integrating Seasonal Borehole Thermal Energy Storages: Application to School Buildings in the Campania Region of Italy

In this paper 5 different case studies of solar hybrid heating and cooling networks serving 5 different school buildings assumed as representative of the 5 provinces of the Campania region (southern Italy) have been modelled, dynamically simulated and analyzed by means of the software TRNSYS over a 5-year period. The plants are based on the operation of solar thermal collectors coupled with a seasonal borehole thermal energy storage; the solar field is also integrated with photovoltaic panels coupled with an electric energy storage; a solar-powered adsorption system is used for covering the cooling requirements. Specific weather data files have been developed for each city based on 1-year in-situ hourly measurements to accurately take into account the influence of climatic conditions on systems’ performance; the effects of thermo-physical properties of underground associated to the different locations have also been taken into consideration according to measured data available in the literature. The proposed systems have been compared with conventional Italian heating and cooling plants from energy, environmental and economic points of view in order to assess the potential benefits, highlight the effects of both weather data and characteristics of underground as well as promote the diffusion of solar systems for Italian applications.

Seismic Vulnerability Assessment and Strengthening Interventions of Structural Units of a Typical Clustered Masonry Building in the Campania Region of Italy

The present paper aims at inspecting the structural behaviour of a typical masonry aggregate located in the historical centre of Cercola, a municipality in the province of Naples. The clustered building under study consists of four structural units mutually connected to each other made of tuff stone and deformable floors. Two distinct structural units, namely in heading and intermediate places, in both isolated and aggregate conditions, are examined to estimate the influence of structural positions on the global seismic response of the examined case study buildings. For this purpose, non-linear static analyses are performed using the 3MURI software. Pushover analyses are conducted to both evaluate the seismic behaviour of examined structural units and improve their earthquake performances while considering proper retrofit interventions on vertical and horizontal structures. The analysis results are plotted in terms of risk factor, stiffness, and ductility. Finally, a set of fragility functions are derived to point out the structural response of the case study buildings before and after retrofit interventions. From the achieved results, it is highlighted that retrofit interventions improve the structural performances of the buildings, especially those of structural units in aggregate conditions.

Kidney Replacement Treatment in South-Western Italy (Campania): Population-Based Study on Gender and Residence Inequalities in Health Care Access.

The aim of this study was to investigate the epidemiology of kidney replacement treatment (KRT) in Italy with a focus on gender and residence. As a population-based study using administrative databases from the Campania region of Italy between 2015 and 2018, the study outcomes included diagnoses of haemodialysis, peritoneal dialysis, kidney transplant, and mortality. A total of 11,713 residents in Campania were on KRT from 2015 to 2018. The annual prevalence ranged between 1000 and 1015 patients per million population (pmp) for haemodialysis, between 115 and 133 pmp for peritoneal dialysis, and between 2081 and 2245 pmp for kidney transplant. The annual incidence ranged between 160 and 185 pmp for de novo haemodialysis and between 59 and 191 pmp for kidney transplant. Annual mortality ranged between 12.8% and 14.2% in haemodialysis, between 5.2% and 13.8% in peritoneal dialysis, and between 2.4% and 3.3% in kidney transplant. In Cox regression targeting mortality, significant HRs were found for age (95%CI = 1.05/1.05), kidney transplant (compared to haemodialysis: 0.37/0.47), residence in suburban areas (1.03/1.24), and de novo dialysis incidence in years 2015–2018 (1.01/1.17). The annual rate of kidney transplant was 2.6%. In regression targeting kidney transplant rate, significant HRs were found for female gender (0.67/0.92), age (0.93/0.94), residence in suburban areas (0.65/0.98), and de novo incidence of dialysis in 2015–2018 (0.49/0.71). The existence of socioeconomic inequities in KRT is suggested by the evidence that gender and suburban residence predicted mortality and/or access to kidney transplant.

A cross-sectional study evaluating hospitalization rates for chronic limb-threatening ischemia during the COVID-19 outbreak in Campania, Italy.

The expansion of coronavirus disease 2019 (COVID-19) prompted measures of disease containment by the Italian government with a national lockdown on March 9, 2020. The purpose of this study is to evaluate the rate of hospitalization and mode of in-hospital treatment of patients with chronic limb-threatening ischemia (CLTI) before and during lockdown in the Campania region of Italy. The study population includes all patients with CLTI hospitalized in Campania over a 10-week period: 5 weeks before and 5 weeks during lockdown (n = 453). Patients were treated medically and/or underwent urgent revascularization and/or major amputation of the lower extremities. Mean age was 69.2 ± 10.6 years and 27.6% of the patients were women. During hospitalization, 21.9% of patients were treated medically, 78.1% underwent revascularization, and 17.4% required amputations. In the weeks during the lockdown, a reduced rate of hospitalization for CLTI was observed compared with the weeks before lockdown (25 vs 74/100,000 inhabitants/year; incidence rate ratio: 0.34, 95% CI 0.32–0.37). This effect persisted to the end of the study period. An increased amputation rate in the weeks during lockdown was observed (29.3% vs 13.4%; p < 0.001). This study reports a reduced rate of CLTI-related hospitalization and an increased in-hospital amputation rate during lockdown in Campania. Ensuring appropriate treatment for patients with CLTI should be prioritized, even during disease containment measures due to the COVID-19 pandemic or other similar conditions.

A Network-Based Indicator of Travelers Performativity on Instagram

The spread of Internet and online social media has created a huge amount of data able to provide new insights to researchers in different disciplinary fields, but it also presents new challenges for data science. Data arising from online social networks can be naturally coded as relational data in affiliation and adjacency matrices, then analyzed with social network analysis. In this study, we apply an interdisciplinary approach (based on automatic visual content analysis, social network analysis, and exploratory statistical techniques) to define and derive a suitable indicator for characterizing places, along with the online activities of travelers, in terms of sharing images. We envisage a novel storytelling perspective where stories are related to places and the narrative activity is realized through posting images. Specifically, we use data extracted from an online social network (i.e., Instagram) to identify travelers’ paths among sites of interests. Starting from a large collection of pictures geolocalized in a pre-specified set of locations (i.e., five locations in the Campania region of Italy during the 2018 Christmas season), we use automatic alternative text to produce an ex-post taxonomy of images on the most recurrent themes emerging from pictures posted on Instagram. Quantitative measures defined on the co-occurrence of locations and the emerging themes are used to build a statistical indicator able to characterize paths among different locations as narrated from travelers’ posts. The proposed analysis, presented and discussed along with real data, can be useful for stakeholders interested in the fields of policy-making, communication design, and territory profiling strategies.

Predicting Crop Evapotranspiration by Integrating Ground and Remote Sensors with Air Temperature Forecasts.

Water use efficiency in agriculture can be improved by implementing advisory systems that support on-farm irrigation scheduling, with reliable forecasts of the actual crop water requirements, where crop evapotranspiration (ETc) is the main component. The development of such advisory systems is highly dependent upon the availability of timely updated crop canopy parameters and weather forecasts several days in advance, at low operational costs. This study presents a methodology for forecasting ETc, based on crop parameters retrieved from multispectral images, data from ground weather sensors, and air temperature forecasts. Crop multispectral images are freely provided by recent satellite missions, with high spatial and temporal resolutions. Meteorological services broadcast air temperature forecasts with lead times of several days, at no subscription costs, and with high accuracy. The performance of the proposed methodology was applied at 18 sites of the Campania region in Italy, by exploiting the data of intensive field campaigns in the years 2014–2015. ETc measurements were forecast with a median bias of 0.2 mm, and a median root mean square error (RMSE) of 0.75 mm at the first day of forecast. At the 5th day of accumulated forecast, the median bias and RMSE become 1 mm and 2.75 mm, respectively. The forecast performances were proved to be as accurate and as precise as those provided with a complete set of forecasted weather variables.

Social Media Use and Mood, Suicidal Ideation and Self-Harm in Adolescents

Objective: The aim of our observational study was to evaluate depressive symptoms in adolescent population, focusing on suicidal ideation and intentionality, and to establish the relationship between depressive symptoms/self-harm and the average time spent in social media. Methods: Our study was an observational cross-sectional study that involved three Middle Schools and three High Schools in the Campania region of Italy. One thousand three hundred sixty-five students 11-19 years of age were recruited (mean age=15 years; female=51%, male=49%). Percentage of adhesion was 95%. All the subjects were administered three self-report questionnaires, filled out anonymously and in the presence of the teachers after illustrating their validity and purpose. Results: In 23% females and 18% males, depressive symptoms were above the norm, with a slight increase in the prevalence of depressive symptoms in high school students compared to middle school ones. Suicidal intentionality was expressed in 4% of the total sample, with no differences between males and females. Suicidal ideation was present in 14% of the total sample, with a higher prevalence in females than in males (17% vs 10%). We found a significant positive relationship between the depressive symptoms and the hours spent on Social Media, in both males and females. A significant relationship was also found between hours on Social Media and suicidal ideation/intentionality. Conclusions: Our study showed a high prevalence of depressive symptoms in adolescents, in keeping with previous studies. Our study also showed a significant association between the use of social networks and the development of depressive symptoms, as well as suicidal ideation and intentionality. Further studies are needed to investigate the nature of this relationship.

Drug Utilization Pattern of Antibiotics: The Role of Age, Sex and Municipalities in Determining Variation.

PurposeThe purpose was to analyze drug prescription and antibiotic use by age and sex in Italy’s Campania Region, and to estimate the distribution of prescription rates in children (≤14 years old), adults (between 15 and 65 years old), and older adults (≥65 years old) at a municipality level.MethodsThis was a retrospective analysis of pharmacy records in Campania (Southern Italy), in 2016. Difference in antibiotic prescriptions in different age groups was assessed by prevalence rates. Age-adjusted prevalence rates were categorized into quintiles and mapped by the patient’s municipality of residence. Relationship between prevalence rates for the different age groups was estimated using the non-parametric Spearman rank correlation test.ResultsThere were 2,738,118 were patients with at least one antibiotic prescription. Antibiotics prescription was higher in children aged <5 years and in the older adults aged >70 years. Prevalence rate distribution was different among municipalities in all age groups. A positive correlation between the rank distribution of prevalence rates at municipality level was identified for children and adults (rs=0.56; P<0.01), adults and the older adults (rs=0.79; P<0.01), and children and the older adults (rs=0.46; P<0.01). Among the studied age groups, the most prescribed antibiotic class was penicillin (except the older adults aged ≥85 years) ranging from 45% in children to 27.2% in the older adults. Fluoroquinolones were the least prescribed antibiotic class, ranging from 0.2% in children to 30.2% in the older adults.ConclusionA considerably high use of antibiotic drugs has been detected in Campania Region, with values exceeding the regional and national average. Prescriptions at municipal level differ from one age group to another. Antibiotic use is often unjustified, and to decrease the number of prescriptions and improve their appropriateness, several measures at territorial level are recommended.

Prevalence of multiple sclerosis in the South of Italy based on healthcare administrative data

Abstract Background Multiple sclerosis (MS) is an heterogenous disease whose prevalence varies in Europe. Hereby, we aimed to estimate prevalence of MS in the Campania Region of Italy. Methods To identify individuals with MS living in the Campania Region of Italy, we extracted data from the following healthcare administrative databases: hospital discharge records, regional drug registry, and specialist outpatient visits from Jan-2015 to 3Dec-2017. Individuals alive on the 1-Jan-2018 were included to capture prevalence on this date. Age-sex standardised prevalence rates were calculated using the direct standardisation method; the European population in 2018 was considered as reference population. To assess differences in the prevalence ratios across the five provinces of the region, standardised morbility ratios (SMR) were calculated. To calculate 95% confidence intervals (95%CI) for the standardised rates, the Byar’s approximation method based on the Poisson distribution was used. Results We identified 5,361 individuals with MS (females 64.5%, age 45.6±12.7 years). Standardised prevalence rate per 100,000 people was 90.0 cases (95%CI=87.60, 92.40) (112.07 for females [95%CI=108.36, 115.88] and 66.20 for males [95%CI=63.26, 69.25]). The SMR in the province of Naples, the most densely populated, was 0.90 (95%CI=0.86, 0.96), whereas the highest SMR was found in the province of Salerno (SMR=1.30; 95%CI=1.23, 1.38), and the lowest in the province of Caserta (SMR=0.89; 95%CI=0.82-0.96). Conclusions Prevalence of MS in the Campania Region is lower than previous estimates from smaller areas in the North of Italy, suggesting a longitudinal gradient. Differences within the Region could be explained by genetic/environmental background and healthcare organization (e.g., missing diagnoses). In the future, healthcare administrative databases could be used to monitor MS prevalence/incidence and to plan healthcare resource utilization. Key messages Prevalence of MS in the Campania Region is 90 cases per 100,000 people. It is lower than previous estimates from smaller areas in the North of Italy, suggesting a longitudinal gradient. Differences within the Region could be explained by genetic/environmental background and healthcare organization (e.g., missing diagnoses).

Patient Evaluation of Food Waste in Three Hospitals in Southern Italy.

In recent years, food waste has received great attention and is now considered the cause of many negative effects, including health, economic, social and environmental issues. A cross-sectional study was conducted among a sample of 762 inpatients at three hospitals of Campania region in Italy. The purpose of this study was to evaluate the amount of food waste occurring in these hospitals using a structured questionnaire and asking inpatients about the average percentage of food they had disposed of in the previous three days. The overall food wasted amounted to 41.6%. The main plates, first (pasta or rice), second plate (meat or fish), resulted in similar amounts of waste (38.5% and 39.7%, respectively). The side plate (vegetable or potatoes), however, generated the greatest amount of waste (55.0%); 40.7% of patients totally discarded this part of their meals. The type of food wastage among the three hospitals reflected similar patient behaviours, with the amount of food wasted never falling below 30%. Females tended to waste more food than males (59.1% vs. 38.2%; p = 0.000). Other variables were correlated with less food waste, such as having a good opinion of the food’s quality (RR = 1.91; 95% C.I. = 1.68–2.17) and satisfaction with the foodservice in general (RR = 1.86; 95% C.I. = 1.64–2.10). Poor quality, different eating habits and the feeling of satiety were the main reasons patients gave for food waste. Our study suggests that the most promising way to reduce food waste in hospitals is to improve the quality of meals and to establish an individual, simplified and flexible meal reservation process based on specific needs and preferences.

Analgesic drug use in elderly persons: A population-based study in Southern Italy.

IntroductionAnalgesics such as non-steroidal anti-inflammatory drugs (NSAIDs), weak and strong opioids are commonly used among elderly persons. The aim of this study was to describe the demographic and clinical characteristics of elderly analgesic users and to measure the frequency of analgesic use, including the frequency of potentially inappropriate analgesic use.MethodsThe Arianna database was used to carry out this study. This database contains prescription data with associated indication of use for 1,076,486 inhabitants registered with their general practitioners (GPs) in the Caserta Local Health Unit (Caserta district, Campania region in Italy). A cohort of persons aged ≥65 years old with >1 year of database history having at least one analgesic drug (NSAIDs, strong or weak opioids) between 2010 and 2014 were identified. The date of the first analgesic prescription in the study period was considered the index date (ID).ResultsFrom a source population of 1,076,486 persons, 116,486 elderly persons were identified. Of these, 94,820 elderly persons received at least one analgesic drug: 36.6% were incident NSAID users (N = 36,629), while 13.2% were incident weak opioid users (N = 12,485) and 8.1% were incident strong opioid users (N = 7,658). In terms of inappropriate analgesic use, 9.2% (N = 10,763) of all elderly users were prescribed ketorolac/indomethacin inappropriately, since these drugs should not be prescribed to elderly persons. Furthermore, at least half all elderly persons with chronic kidney disease or congestive heart failure were prescribed NSAIDs, while these drugs should be avoided.ConclusionAnalgesics are commonly used inappropriately among elderly persons, suggesting that prescribing practice in the catchment area may yet be improved.

Do HCWs adequately know about meningitis and 4CMenB vaccine and recommend its use to parents? A cross sectional analysis in Campania Region, Italy.

SummaryInvasive meningococcal disease (IMD) is a severe disease caused by various Neisseria meningitidis serogroups that represents a serious public health problem worldwide. In Italy, serogroups B and C are the major causes of IMD. On 14 January 2013, the European Medicines Agency authorized the use of the first vaccine available to protect against meningococcal serogroup B (4CMenB).The aim of this study was to assess the IMD epidemiology knowledge and 4CMenB vaccine attitudes of healthcare workers (HCWs) with regard to recommending this vaccine for use, vaccine practices and infectious disease control in the Campania region in Italy. A cross-sectional study was conducted among 293 HCWs (49.5% physicians and 46.4% nurses)interviewed using a self-administered questionnaire.The majority of the HCWs had sufficient knowledge about the disease incidence and lethality, but they were less informed about the higher risk age categories and the serogroups most frequently involved. Additionally, their knowledge about the vaccine was poor with regard to the targeted categories and side effects. Approximately30.0% of the HCWs reported incidences of fever and pain and swelling at the injection site. Moreover,32.8% of the HCWs knew that the risk of developing adverse reactions increases when the 4CMenB vaccine is co-administered with other vaccines.Overall, all of the HCWs were convinced that vaccinations are an important instrument for preventing infectious diseases, and they were aware of their central role in promoting the 4CmenB vaccination and their need to be better informed.

Effectiveness and safety of secukinumab in Italian patients with psoriasis: an 84 week, multicenter, retrospective real-world study

ABSTRACTBackground: Long term data on the real-life use of secukinumab are scant. The aim of this study was to investigate the real-life effectiveness, safety and treatment persistence of secukinumab in patients with moderate-to-severe psoriasis.Research design and methods: This 84-week, multicenter (n = 7) retrospective study analyzed data from patients who initiated and received at least 6 months of secukinumab treatment between June 2016 and June 2018 in the Campania region of Italy. Patient demographic and treatment characteristics, duration of treatment and reasons for discontinuation as well as Psoriasis Area and Severity Index (PASI), Body Surface Area (BSA), and Dermatology Life Quality Index (DLQI) scores were assessed.Results: 324 patients (63% male, mean age 50.2 years) were enrolled and received a mean 11.7 months of secukinumab treatment. Overall, 9.5% discontinued secukinumab, including 5.2% who discontinued due to secondary inefficacy and 1.8% due to adverse events. PASI, BSA and DLQI scores were significantly improved from baseline at every follow-up visit (p < 0.001) and mean PASI decreased from 15.3 ± 6.3 at baseline to 0.5 ± 1.0 at week 84. Secukinumab had comparable effectiveness in biologic naïve and non-naïve patients.Conclusions: This study confirmed the effectiveness and safety of secukinumab in real-world patients with psoriasis.

A laboratory experience on the effect of grains concentration and coarse sediment on the rheology of natural debris-flows

Not only solid volumetric concentration, but also coarse particle content play a relevant role on the rheology of soil mixtures involved in mud, debris, hyper-concentrated and earth flows. This paper is devoted to investigating the influence of bulk solid volume concentration and of coarse fraction on the rheological behavior of granular slurries. Laboratory activity is carried out involving different soils from the source area of real debris flows (from the Campania region in Italy). Experimental results demonstrate that the flowing behavior is the same as yield stress fluids with a static yield stress value larger than the dynamic one. A generalized Herschel–Bulkley model is considered, accounting for a consistent index which is a function of solid volume concentration. Experimental evidence demonstrates that the viscous characteristics (i.e., yield stresses and bulk viscosity) are very sensitive to coarse grain content, and the flow characteristics are deeply affected by small variations of both solid content and particle size. In effect, the tested materials show increasing yield stress (both static and dynamic) with solid concentration and decreasing yield stress for an increment of coarser solid fraction. To the contrary, assuming a constant fine grain relative content, the higher the coarse grain fraction is, the lower the yield stress results. Moreover, the typical transition from solid-like to fluid-like behavior, and vice versa, is strongly influenced by solid concentration and grain size distribution.

Life Cycle Assessment (LCA) of Different Kinds of Concrete Containing Waste for Sustainable Construction

Concrete production causes significant environmental damage during its entire life cycle due to the large consumption of natural aggregate. The aim of this research was to use the Life Cycle Assessment (LCA) methodology to conduct a comparative analysis of four different concrete mixtures, i.e., construction and demolition waste (CDW), incinerator ashes, marble sludge, and blast furnace slag. The LCA study was implemented in the Campania Region of Italy. The main contribution of the study was that it proposed the use of “green” recycled aggregates in concrete production in order to assess the reduction of potential adverse impacts, from both environmental and energy perspectives. SimaPro© software was used to conduct the analysis. The main results of the research showed that the recycled aggregates that were analyzed were preferable to traditional concrete. In particular, the recycled aggregate that had the least adverse impact on the environment was blast furnace waste.

Sr-Nd isotopic fingerprinting as a tool for ceramic provenance: Its application on raw materials, ceramic replicas and ancient pottery

The potentiality of isotope analysis has largely been explored in archaeological sciences to date objects, attribute their provenance and depict ancient human dietary habits. However, the potential of this technique for provenance studies of ancient ceramics has barely been explored, due to the fact that the ceramic process often involves the selection of different raw materials and, consequently, different sources of radiogenic isotopes.In this paper, 87Sr/86Sr and 143Nd/144Nd isotope ratios were measured on raw materials (clays and volcanic temper) that were exploited in antiquity for producing pottery in the Campania region of Italy and, for the first time, on experimental ceramic materials that replicate archaeological pottery. To validate the method, Sr and Nd isotope ratios were also measured on selected archaeological pottery from Cuma.The results of this pioneering approach clearly show that the synthetic mixtures used for the ceramic replicas plot exactly on the theoretical mixing curve between the clay and volcanic temper end-members. On the other hand, technological processes employed during pottery manufacturing such as firing and levigation induce no significant variations in Sr and Nd isotope ratios.Isotope characterisation represents an effective fingerprint of pottery that strictly depends on the geochemical affinity of the raw materials, thus providing a better discrimination among different ceramic productions.

Complete Genome Sequencing of 10 Brucella abortus Biovar 3 Strains Isolated from Water Buffalo.

ABSTRACTBrucellosis is a zoonotic disease that affects both humans and animals. Its distribution is global, concentrated in the Mediterranean area, India, Central Asia, and Latin America. Here, we present a complete genome assembly of 10 Brucella abortus strains isolated from water buffaloes farmed in the Campania region of Italy.

Nitrate trends in groundwater of the Campania region (southern Italy).

The Environmental Protection Agency of the Campania region in Italy (ARPAC) manages a groundwater quality monitoring network. For almost all the polluted waters, the key parameter driving the classification is the concentration of nitrate; hence, the Campania region, in coherence with the EU regulations, outlined the vulnerable areas and undertook remediation policies. The best groundwater quality is recorded for carbonate aquifers of the Apennine chain; on the contrary, the Tyrrhenian coastal plains are affected by severe contamination, with a locally very contaminated groundwater of the shallow and also the deeper aquifers. The study is especially focused on a large coastal plain of Campania region, where nitrate concentration sometimes exceeds 200mg/L. The study, based on almost 200 sampling points for the whole region during the period 2003-2015 (approx two samples per year), verified the effectiveness of the groundwater monitoring network, the present distribution of nitrate in groundwater, and the evolution of nitrate trends at different scales: regional, groundwater body, and single well, using spatial and time series statistical approaches. Significant variations in contamination evolution within the study area have been observed and the correlation with land use has been highlighted.

LCA of the Collection, Transportation, Treatment and Disposal of Source Separated Municipal Waste: A Southern Italy Case Study

This study performed a Life Cycle Assessment of the collection, transport, treatment and disposal of source-separated municipal waste (MW) in Baronissi, a town of 17,000 inhabitants in the Campania region of Italy. Baronissi is a high-performing town in a region with scarcity of MW facilities. The environmental impacts were assessed with three different methods—IPCC 2007, Ecological Footprint and ReCiPe 2008—in order to evaluate how they influence the results as well as how the global warming affects the results, since it is one of the major environmental concerns of people. The obtained results showed how the presence of facilities in the area is fundamental. Their lack means high environmental loads due to the transportation of materials for long distances, particularly for the organic fraction. The presence of a composting plant at 10 km from the municipality would result in a decrease of 65% of the impacts due to the external transport, regardless of the evaluation method. The results obtained with ReCiPe 2008 and Ecological Footprint agreed, while those obtained with IPCC 2007 were very different since global warming is strongly affected by the transport phase. IPCC 2007 does not allow to take into account the advantages obtainable with a good level of separate collection. Considering a single impact evaluation method, there is a high risk of coming to misleading conclusions.