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Throughout the Mediterranean, salinization threatens water quality, especially in coastal areas. This salinization is the result of concomitant processes related to both seawater intrusion and water–rock interaction, which in some cases are virtually indistinguishable. In the Nurra region of northwestern Sardinia, recent salinization related to marine water intrusion has been caused by aquifer exploitation. However, the geology of this region records a long history from the Palaeozoic to the Quaternary, and is structurally complex and comprises a wide variety of lithologies, including Triassic evaporites. Determining the origin of the saline component of the Jurassic and Triassic aquifers in the Nurra region may provide a useful and more general model for salinization processes in the Mediterranean area, where the occurrence of evaporitic rocks in coastal aquifers is a common feature. In addition, due to intensive human activity and recent climatic change, the Nurra has become vulnerable to desertification and, in common with other Mediterranean islands, surface water resources periodically suffer from severe shortages. With this in mind, we report new data regarding brackish and surface waters (outcrop and lake samples) of the Na-Cl type from the Nurra region, including major ions and selected trace elements (B, Br, I, and Sr), in addition to isotopic data including δ18O, δD in water, and δ34S and δ18O in dissolved SO4. To identify the origin of the salinity more precisely, we also analysed the mineralogical and isotopic composition of Triassic evaporites. The brackish waters have Cl contents of up to 2025 mg L−1 , and the ratios between dissolved ions and Cl, with the exception of the Br / Cl ratio, are not those expected on the basis of simple mixing between rainwater and seawater. The δ18O and δD data indicate that most of the waters fall between the regional meteoric water line and the global meteoric water line, supporting the conclusion that they are meteoric in origin. A significant consequence of the meteoric origin of the Na-Cl-type water studied here is that the Br / Cl ratio, extensively used to assess the origin of salinity in fresh water, should be used with care in carbonate aquifers that are near the coast. Overall, δ34S and δ18O levels in dissolved SO4 suggest that water–rock interaction is responsible for the Na-Cl brackish composition of the water hosted by the Jurassic and Triassic aquifers of the Nurra, and this is consistent with the geology and lithological features of the study area. Evaporite dissolution may also explain the high Cl content, as halite was detected within the gypsum deposits. Finally, these Na-Cl brackish waters are undersaturated with respect to the more soluble salts, implying that in a climate evolving toward semi-arid conditions, the salinization process could intensify dramatically in the near future.

The High Agri Valley (southern Italy) is one of the largest intermontane basin of the southern Apennines affected by intensive agricultural and industrial activities. The study of groundwater chemical features provides much important information useful in water resource management. In this study, hydrogeochemical investigations coupled with multivariate statistics, saturation indices, and stable isotope composition (δD and δ18O) were conducted in the High Agri Valley to determine the chemical composition of groundwater and to define the geogenic and anthropogenic influences on groundwater quality. Twenty-four sampling point ( including well and spring waters) have been examined. The isotopic data revealed that groundwater has a meteoric origin. Well waters, located on recent alluvial-lacustrine deposits in shallow porous aquifers at the valley floor, are influenced by seasonal rainfall events and show shallow circuits; conversely, spring waters from fissured and/or karstified aquifers are probably associated to deeper and longer hydrogeological circuits. The R-mode factor analysis shows that three factors explain 94% of the total variance, and F1 represents the combined effect of dolomite and silicate dissolution to explain most water chemistry. In addition, very low contents of trace elements were detected, and their distribution was principally related to natural input. Only two well waters, used for irrigation use, show critical issue for NO3- concentrations, whose values are linked to agricultural activities. Groundwater quality strongly affects the management of water resources, as well as their suitability for domestic, agricultural, and industrial uses. Overall, our results were considered fulfilling the requirements for the inorganic component of the Water Framework Directive and Italian legislation for drinking purposes. The water quality for irrigation is from “good to permissible” to “excellent to good” although salinity and relatively high content of Mg2+ can occasionally be critical.

•Gender differences in use/abuse of psychoactive and psychotic drugs are discussed.•Differences may be due to both sociocultural factors and biological differences.•A crucial role played by ovarian hormones has been evidenced for stimulants.•Gender can influence the experienced effects to the same drug intake.•Gender may affect the relationship between drug absorption and intoxication. Gender differences in substance use/abuse have been the focus of research in the last 15 years. Initiation, use patterns, acceleration of disease course, and help-seeking patterns are known to be influenced by gender differences with regard to biological, psychological, cultural and socioeconomic factors. This paper presents a systematic review of published data on gender differences in the use/abuse of psychoactive and psychotic drugs, focusing on the importance of a multidisciplinary approach. The basis for this paper was obtained by Medline searches using the search terms “human” and “gender”, combined with individual drug names or “drugs of abuse”. The reference lists of these papers were further checked for other relevant studies. The gender difference in drug abuse is more evident in adults than in adolescents (13–19 years): adult men are 2–3 times more likely than women to develop drug abuse/dependence disorders and approximately 4 times as likely to have an alcohol use disorder. Such prevalence rates have not been observed in adolescents. Differences between men and women involve: (i) the biological response to the drug, (ii) the progression to drug dependence, and (iii) the comorbid psychiatric diagnoses, which may be due to both sociocultural factors and innate biological differences. A crucial role played by ovarian hormones (oestrogens and progesterone) has been documented in both human and animal model studies. Epidemiological data on how particular psychobiological and physiological characteristics in females influence vulnerability to both drug addiction and toxicological consequences of drugs are still in their infancy. Significant gaps remain in our knowledge, which are primarily attributable to the lack of empirical data that only a systematic and multidisciplinary approach to the topic can generate. The introduction of gender into forensic toxicological evaluations may help elucidate the relationship between the body's absorption of abused drugs (alone or in combination) and the onset of intoxications, both lethal and none.

In this study Cr(tot), Cr(VI), major and trace elements were determined in groundwater of northern sector of the Pollino Massif (southern Italy). The investigated area is characterized by ophiolitic rocks consisting of metabasites, shales and calcschists and fractured serpentinites. Two main hydro-facies were observed, reflecting low temperature water–rock interaction. The Mg-HCO3 hydrofacies is due to the weathering of serpentinites, Ca-HCO3 groundwaters are linked to the interaction with calcschist and metabasites. High Cr(VI) concentrations were detected, exceeding the maximum admissible concentrations by Italian regulation, due to the release of Cr(III) from ophiolitic rocks into water and its oxidation to the hexavalent state. Remediation tests were carried out using two synthetized nanomaterials, Fe(0) and magnetite, characterized by a mean size lower than 50 nm. The experiments were conducted at fixed nanoparticles/Cr(VI) molar ratio and according to previous studies. In addition, the kinetic data were interpreted with a suitable mathematical model.

Identifying the origin of nitrate is important for the control and management of groundwater quality in aquifer systems. In the southern Apennines (Italy), the Mount Vulture volcanic aquifer is a large and valuable resource of potable and mineral water supply. Unfortu- nately, signs of anthropogenic impact, especially nitrogen contamination, have recently become evident. In this study, and for the first time, stable isotope ratios ( δ 15 N and δ 18 O) of NO 3 - were determined in groundwater to identify their origins and evaluate the presence of transformation pro- cesses. The Mount Vulture groundwaters are meteoric in origin, as demonstrated by measurements of δ D and δ 18 O, and can be divided into two distinct areas based on their NO 3 - content. In the southeastern area, characterized by active agricultural land use, the high NO 3 - content and the δ 15 N-NO 3 isotopic values are due to anthropogenic con- tamination (inorganic fertilizer). In groundwaters from the western area, the NO 3 - contents below 4 mg/L and the δ 15 N-NO 3 values can be associated at organic soil N. Evidence for local denitrification may be assumed in a few groundwater samples of the western area showing rela- tively heavy δ 15 N values and low concentrations of nitrate. Finally, the low measured δ 18 O values indicate that nitri- fication occurred in both investigated areas.

Background: Pregnant women can be considered a sentinel population, because they are a relatively unselected population whose prevalence data may be extended to the general population. Methods: A seroepidemiological study was carried out in Padua (North-East Italy) to assess the epidemiological aspects of HCV, HBV and HIV infection in 2059 pregnant women consecutively seen at the Department of Obstetrics and Gynaecology during 1996. Out of them, 1804 (87.2%) were indigenous and 255 (12.8%) immigrants. Sociodemographical and sanitary data were collected for each woman. Results: The overall prevalence of anti-HCV was 1.9% (42.5% with detectable HCV-RNA); HBsAg was found in 1.0%; the prevalence of anti-HIV was 0.3%. Findings are substantially consistent with the epidemiological picture of such infections in the general population of our geographic area. A parenteral risk factor for HCV infection was found in 19 subjects (47.5%): 18 were intravenous drug users and 1 a blood transfusion recipient. HBsAg seroprevalence was higher in immigrants than in autochthonous (3.1% vs. 0.7% respectively, p < 0.01). One of the 6 anti-HIV positive women was intravenous drug user. Logistic regression analysis was carried out for each viral agent to determine which characteristics were independently associated with infection: anti-HCV prevalence resulted independently associated to Italian origin (OR: 3.7), unmarried status (OR: 2.7), unemployed condition (OR: 6.1) and history of previous abortion (OR: 2.8). HBsAg prevalence was independently associated to unemployed condition (OR: 10.8), whereas HIV positivity was significantly related to the unmarried status (OR: 18.5). Conclusion: Our study pinpoints the need of screening all pregnant women for HCV and HIV infection, in addition to the HBsAg screening which is compulsory in Italy.

The risk of hepatitis C virus (HCV) infection in the newborn is estimated to be around 5%, but becomes very high in the case of coinfection with HIV. One of the main factors associated with the vertical transmission of HCV is the viral load. Our objective was to investigate the behavior of HCV viral load during pregnancy in relation to HIV coinfection, liver enzymes, and vertical transmission. Three thousand seven hundred forty-eight women seen consecutively in their first trimester of pregnancy were screened for HCV infection. Sixty-five were found to be anti-HCV+/HCV RNA+ and were followed up with clinical and serological assessment (i.e., transaminases and quantitative polymerase chain reaction [PCR] for viral load) in their second and third trimesters and 6 months after delivery. All were anti-HIV and hepatitis B surface antigen negative. HCV RNA was 12.0 ± 19.9 × 106 copies/ml in the first trimester and 10.9 ± 13.3 × 106 in the second, but increased to 19.5 ± 25.1 × 106 in the third trimester. Six months after delivery the viral load returned to the baseline levels; the changes in viral load did not reach any statistical significance, however. Transaminases tended toward a reduction from the baseline during the second and third trimesters, and then an increase in both AST and ALT was recorded 6 months after delivery. However, when the group whose AST/ALT were found abnormal at the first test was considered, no significant changes were recorded during the follow-up. The overall rate of vertical transmission was 4.6%. With HCV+ mothers monitoring transaminases during pregnancy is unnecessary, and testing liver enzymes at the beginning of pregnancy is sufficient. Qualitative PCR should be done once during the pregnancy, but any staging of the liver disease should be taken after delivery. Quantitative PCR testing is expensive and pointless. Any decision for elective cesarean section in HCV RNA+ mothers should be confirmed by other studies.

Ballantyne syndrome (also called mirror syndrome or triple edema) describes the unusual association of fetal and placental hydrops with maternal preeclampsia. This is a case report illustrating a 37-year-old patient who was referred to our clinics at 28 weeks of gestation (wg) because of fetal hydrothorax. On examination, the woman did not show signs of preeclampsia. The fetal ultrasound examination revealed bulky hydrothorax, generalized subcutaneous edema, placental edema, and polyhydramnios. It was not possible to find the cause of the fetal hydrops. At 29 weeks and 4 days of gestation, the fetal hydrothorax was removed by two pleuro-amniotic shunts, but at the moment of our intervention anasarca was already present. In the following 3 days, despite observing bed rest, the mother developed edema of hands and face, while blood pressure remained normal. At 30 wg the patient underwent cesarean section because fetal movements ceased and the fetal heart rate monitoring showed loss of variability and decelerations. Before dying, the neonate lived for 20 days in a state of deep hypotension.

Objective. Preeclampsia is considered as a multifactorial disorder with a genetic predisposition. Alterations in the endothelin-1 (ET-1) system are considered to take part in triggering the vasoconstriction seen in preeclampsia. Methods. In order to investigate the possible association of the −231 G > A polymorphism in the endothelin-1 type A receptor gene (EDNRA), previously shown to be associated with other conditions characterized by vasospasm, we examined 77 Caucasian preeclamptic women and 67 matched controls including normotensive subjects without history of thromboembolic event, abnormalities in blood pressure, proteinuria, edema and preeclampsia. The genotype was assessed by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) on genomic DNA extracted from blood samples. Case vs. control allele frequencies and genotype distributions were compared. Results. No significant differences were found when considering both genotype (χ2 = 0.58, p = 0.75) and allelic frequencies (χ2 = 0.08, p = 0.77). Furthermore, no significant genotype-related difference was found in relation to clinical features, such as gestational age at onset, systolic and diastolic blood pressure, proteinuria on admission and delivery week. Conclusions. No association between the −231 G > A polymorphism in the EDNRA gene and preeclampsia as well as any correlation with the main clinical features of the disorder were found, thus excluding a role for this polymorphism in susceptibility to preeclampsia.

Environmental isotope techniques, hydrogeochemical analysis and hydraulic data are employed to identify the main recharge areas of the Mt. Vulture hydrogeological basin, one of the most important aquifers of southern Italy. The groundwaters are derived from seepage of rainwater, flowing from the highest to the lowest elevations through the shallow volcanic weathered host-rock fracture zones. Samples of shallow and deep groundwater were collected at 48 locations with elevations ranging from 352 to 1,100 m above sea level (a.s.l.), for stable isotope (δ 18 O, δD) and major ion analyses. A complete dataset of available hydraulic information has been integrated with measurements carried out in the present study. Inferred recharge elevations, estimated on the basis of the local vertical isotopic gradient of δ 18 O, range between 550 and 1,200 m a.s.l. The isotope pattern of the Quaternary aquifer reflects the spatial separation of different recharge sources. Knowledge of the local hydrogeological setting was the starting point for a detailed hydrogeochemical and isotopic study to define the recharge and discharge patterns identifying the groundwater flow pathways of the Mt. Vulture basin. The integration of all the data allowed for the tracing of the groundwater flows of the Mt. Vulture basin.