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Article ; Online: Research and public health prevention policies of occupational heat exposure in Italy.

Marinaccio, Alessandro / Bonafede, Michela / Morabito, Marco

2022 Volume 79, Issue 3, Page(s) 215–216

MeSH term(s)	Hot Temperature ; Humans ; Italy ; Occupational Exposure/adverse effects ; Occupational Exposure/prevention & control ; Occupational Health ; Public Health ; Public Policy
Language	English
Publishing date	2022-01-12
Publishing country	England
Document type	Letter
ZDB-ID	1180733-7
ISSN	1470-7926 ; 1351-0711
ISSN (online)	1470-7926
ISSN	1351-0711
DOI	10.1136/oemed-2021-107967
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Article ; Online: Development of a Prototype Observatory of Heat-Related Occupational Illnesses and Injuries through the Collection of Information from the Italian Press, as Part of the WORKLIMATE Project.

Ionita, Giulia / Bonafede, Michela / Ariani, Filippo / Marinaccio, Alessandro / Morabito, Marco / Levi, Miriam

International journal of environmental research and public health

2023 Volume 20, Issue 5

Abstract: Exposure to heat is a recognized occupational risk factor. Deaths and accidents at work caused by high temperatures are underestimated. With the aim of detecting and monitoring heat-related illnesses and injuries, a prototype database of occupational ... ...

Abstract	Exposure to heat is a recognized occupational risk factor. Deaths and accidents at work caused by high temperatures are underestimated. With the aim of detecting and monitoring heat-related illnesses and injuries, a prototype database of occupational events attributable to critical thermal conditions reported in Italian newspapers was created. Information was analyzed from national and local online newspapers using a web application. The analysis was conducted from May to September during the three-year period 2020-2022. Articles concerning 35 occupational heat-related illnesses and injuries were selected; 57.1% of the events were reported in 2022, and 31.4% of total accidents occurred in the month of July 2022, when the Universal Thermal Climate Index daily mean values corresponded to "moderate heat stress" (51.0%) and "strong heat stress" (49.0%). Fatal heat-related illnesses were the most frequent conditions described. In most cases, workers had been involved in outdoor activities in the construction sector. A comprehensive report was created by compiling all relevant newspaper articles to enhance awareness of this issue among relevant stakeholders and promote heat-risk prevention strategies in the current context where heatwaves are becoming increasingly frequent, intense and long-lasting.
MeSH term(s)	Humans ; Occupational Exposure ; Occupational Diseases/etiology ; Heat Stress Disorders/complications ; Hot Temperature ; Italy ; Occupational Injuries/complications
Language	English
Publishing date	2023-03-03
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph20054530
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Article: Intradiaphragmatic pulmonary sequestrations: a surgical challenge. Case series.

Oreglio, Chiara / Tocchioni, Francesca / Ghionzoli, Marco / Buccoliero, Annamaria / Morabito, Antonino / Morini, Francesco

Frontiers in surgery

2023 Volume 10, Page(s) 1181007

Abstract: Bronchopulmonary sequestrations (BPSs) are rare congenital anomalies characterized by non-functioning embryonic lung tissue receiving anomalous blood supply. They are most commonly located within the thorax (supradiaphragmatic) or into the abdominal ... ...

Abstract	Bronchopulmonary sequestrations (BPSs) are rare congenital anomalies characterized by non-functioning embryonic lung tissue receiving anomalous blood supply. They are most commonly located within the thorax (supradiaphragmatic) or into the abdominal cavity (infradiaphragmatic). Intradiaphragmatic extralobar BPs (IDEPS) are an exceptionally rare finding, representing a diagnostic and operative challenge. We report three cases of IDEPS and their surgical management, describing our experience and approach to such rare clinical entities. From 2016 to 2022, we treated 3 cases of IDEPS. Surgical techniques, histopathological findings and clinical outcomes were retrospectively evaluated for each case and compared. Three different surgical techniques were used to approach each lesion, from open thoracotomy to a combined laparoscopic and thoracoscopic approach. Histopathological analysis of the specimens revealed hybrid pathological features, proper of both congenital pulmonary airway malformation (CPAM) and extralobar pulmonary sequestration. IDEPS represent a surgical challenge for pediatric surgeons, given their complex surgical planning. In our experience, the thoracoscopic approach is safe and feasible when performed by trained surgeons, even though a combined thoracoscopic-laparoscopic approach allows for optimal vessels control. The presence of CPAM elements within the lesions supports their surgical removal. Additional studies are required to better characterize IDEPS and their management.
Language	English
Publishing date	2023-05-25
Publishing country	Switzerland
Document type	Case Reports
ZDB-ID	2773823-1
ISSN	2296-875X
ISSN	2296-875X
DOI	10.3389/fsurg.2023.1181007
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Article ; Online: A functional seasonal thermal hot-spot classification: Focus on industrial sites.

Guerri, Giulia / Crisci, Alfonso / Congedo, Luca / Munafò, Michele / Morabito, Marco

The Science of the total environment

2021 Volume 806, Issue Pt 4, Page(s) 151383

Abstract: This study was focused on the metropolitan area of Florence in Tuscany (Italy) with the aim to provide a functional spatial thermal anomaly indicator obtained throughout a thermal summer and winter hot-spot detection. The hot-spot analysis was performed ... ...

Abstract	This study was focused on the metropolitan area of Florence in Tuscany (Italy) with the aim to provide a functional spatial thermal anomaly indicator obtained throughout a thermal summer and winter hot-spot detection. The hot-spot analysis was performed by applying Getis-Ord Gi* spatial statistics to Land Surface Temperature (LST) layers, obtained from Landsat 8 remote sensing data during the 2015-2019 daytime summer and winter period, to delimitate summer hot- and cool-spots, and winter warm- and cold-spots. Further, these ones were spatially combined thus obtaining a comprehensive summer-winter Thermal Hot-Spot (THS
MeSH term(s)	Cities ; Climate ; Heat Stress Disorders ; Hot Temperature ; Humans ; Seasons ; Temperature ; Weather
Language	English
Publishing date	2021-11-03
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	121506-1
ISSN	1879-1026 ; 0048-9697
ISSN (online)	1879-1026
ISSN	0048-9697
DOI	10.1016/j.scitotenv.2021.151383
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Article: Epidemiology and Surgical Management of Foreign Bodies in the Liver in the Pediatric Population: A Systematic Review of the Literature.

Gigola, Francesca / Grimaldi, Chiara / Bici, Kejd / Ghionzoli, Marco / Spinelli, Claudio / Muiesan, Paolo / Morabito, Antonino

Children (Basel, Switzerland)

2022 Volume 9, Issue 2

Abstract: Retention of foreign bodies (FB) in the liver parenchyma is a rare event in children but it can bring a heavy burden in terms of immediate and long-term complications. Multiple materials can migrate inside the liver. Clinical manifestations may vary, ... ...

Abstract	Retention of foreign bodies (FB) in the liver parenchyma is a rare event in children but it can bring a heavy burden in terms of immediate and long-term complications. Multiple materials can migrate inside the liver. Clinical manifestations may vary, depending on the nature of the foreign body, its route of penetration and timing after the initial event. Moreover, the location of the FB inside the liver parenchyma may pose specific issues related to the possible complications of a challenging surgical extraction. Different clinical settings and the need for highly specialized surgical skills may influence the overall management of these children. Given the rarity of this event, a systematic review of the literature on this topic was conducted and confirmed the pivotal role of surgery in the pediatric population.
Language	English
Publishing date	2022-01-18
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2732685-8
ISSN	2227-9067
ISSN	2227-9067
DOI	10.3390/children9020120
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Article: Plastic Maps: The New Brain Cartographies of the 21th-Century Neurosciences.

Morabito, Carmela

Nuncius

2018 Volume 32, Issue 2, Page(s) 472–500

Abstract: ... them for clinical use to an anatomical framework onto which information about local properties and functions can be ...

Abstract	Ever since the phrenological heads of the early 19th century, maps have translated into images our ideas, theories and models of the brain, making this organ at one and the same time scientific object and representation. Brain maps have always served as gateways for navigating and visualizing neuroscientific knowledge, and over time many different maps have been produced – firstly as tools to “read” and analyse the cerebral territory, then as instruments to produce new models of the brain. Over the last 150 years brain cartography has evolved from a way of identifying brain regions and localizing them for clinical use to an anatomical framework onto which information about local properties and functions can be integrated to provide a view of the brain’s structural and functional architecture. In this paper a historical and epistemological consideration of the topic is offered as a contribution to the understanding of contemporary brain mapping, based on the assumption that the brain continuously rewires itself in relation to individual experience.
MeSH term(s)	Brain/anatomy & histology ; Brain/physiology ; Brain Mapping/history ; History, 19th Century ; History, 20th Century ; History, 21st Century ; Humans ; Neurosciences/history
Language	English
Publishing date	2018-10-24
Publishing country	Netherlands
Document type	Historical Article ; Journal Article
ISSN	0394-7394
ISSN	0394-7394
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Article: Mitigating heat effects in the workplace with a ventilation jacket: Simulations of the whole-body and local human thermophysiological response with a sweating thermal manikin in a warm-dry environment.

Del Ferraro, Simona / Falcone, Tiziana / Morabito, Marco / Bonafede, Michela / Marinaccio, Alessandro / Gao, Chuansi / Molinaro, Vincenzo

Journal of thermal biology

2023 Volume 119, Page(s) 103772

Abstract: Climate change is increasingly affecting human well-being and will inevitably impact on occupational sectors in terms of costs, productivity, workers' health and injuries. Among the cooling garment developed to reduce heat strain, the ventilation jacket ... ...

Abstract	Climate change is increasingly affecting human well-being and will inevitably impact on occupational sectors in terms of costs, productivity, workers' health and injuries. Among the cooling garment developed to reduce heat strain, the ventilation jacket could be considered for possible use in workplaces, as it is wearable without limiting the user's mobility and autonomy. In this study, simulations with a sweating manikin are carried out to investigate the effects of a short-sleeved ventilation jacket on human thermophysiological responses in a warm-dry scenario. Simulations were performed in a climatic chamber (air temperature = 30.1 °C; air velocity = 0.29 m/s; relative humidity = 30.0 %), considering two constant levels of metabolic rate M (M
MeSH term(s)	Humans ; Sweating ; Body Temperature Regulation/physiology ; Hot Temperature ; Manikins ; Skin Temperature ; Working Conditions ; Workplace ; Respiration
Language	English
Publishing date	2023-12-17
Publishing country	England
Document type	Journal Article
ZDB-ID	1498364-3
ISSN	1879-0992 ; 0306-4565
ISSN (online)	1879-0992
ISSN	0306-4565
DOI	10.1016/j.jtherbio.2023.103772
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Article ; Online: Occupational heat stress, heat-related effects and the related social and economic loss: a scoping literature review.

De Sario, Manuela / de'Donato, Francesca Katherine / Bonafede, Michela / Marinaccio, Alessandro / Levi, Miriam / Ariani, Filippo / Morabito, Marco / Michelozzi, Paola

Frontiers in public health

2023 Volume 11, Page(s) 1173553

Abstract: Introduction: While there is consistent evidence on the effects of heat on workers' health and safety, the evidence on the resulting social and economic impacts is still limited. A scoping literature review was carried out to update the knowledge about ... ...

Abstract	Introduction: While there is consistent evidence on the effects of heat on workers' health and safety, the evidence on the resulting social and economic impacts is still limited. A scoping literature review was carried out to update the knowledge about social and economic impacts related to workplace heat exposure. Methods: The literature search was conducted in two bibliographic databases (Web of Science and PubMed), to select publications from 2010 to April 2022. Results: A total of 89 studies were included in the qualitative synthesis (32 field studies, 8 studies estimating healthcare-related costs, and 49 economic studies). Overall, consistent evidence of the socioeconomic impacts of heat exposure in the workplace emerges. Actual productivity losses at the global level are nearly 10% and are expected to increase up to 30-40% under the worst climate change scenario by the end of the century. Vulnerable regions are mainly low-latitude and low- and middle-income countries with a greater proportion of outdoor workers but include also areas from developed countries such as southern Europe. The most affected sectors are agriculture and construction. There is limited evidence regarding the role of cooling measures and changes in the work/rest schedule in mitigating heat-related productivity loss. Conclusion: The available evidence highlights the need for strengthening prevention efforts to enhance workers' awareness and resilience toward occupational heat exposure, particularly in low- and middle-income countries but also in some areas of developed countries where an increase in frequency and intensity of heat waves is expected under future climate change scenarios.
MeSH term(s)	Humans ; Agriculture ; Climate Change ; Europe ; Occupational Exposure ; Occupational Stress
Language	English
Publishing date	2023-08-02
Publishing country	Switzerland
Document type	Journal Article ; Review ; Research Support, Non-U.S. Gov't
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2023.1173553
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Article ; Online: Combined procedures for surgical short bowel syndrome: experience from two European centres.

Gigola, Francesca / Coletta, Riccardo / Certini, Martina / Del Riccio, Marco / Forsythe, Lynette / Morabito, Antonino

ANZ journal of surgery

2022 Volume 93, Issue 4, Page(s) 1012–1016

Abstract: Background: Autologous gastrointestinal reconstructive surgery (AGIR) has become a key component of intestinal rehabilitation programs. However, the best surgical option for short bowel syndrome (SBS) remains unknown. This paper presents our experience ... ...

Abstract	Background: Autologous gastrointestinal reconstructive surgery (AGIR) has become a key component of intestinal rehabilitation programs. However, the best surgical option for short bowel syndrome (SBS) remains unknown. This paper presents our experience using combined procedures as primary treatment. Methods: We collected data on SBS patients who underwent surgery from 2008 to 2021 in two tertiary European Centres. Combined procedures were defined as more than one technique used on the same patient. Charts were reviewed for demographics, type of procedures, complications, and outcomes. Data are presented as median and IQR. Wilcoxon signed rank was used for all paired analyses. Results: Twenty-one children (12 females) underwent combined procedures. Preoperative median small bowel length was 20 cm (IQR: 15-35 cm); after lengthening, it was 35.5 cm (IQR: 30.75-50.50 cm) (P < 0.001). Combined procedures were simultaneous in 15 patients and sequential in 6. At a median of 9.2 years (IQR: 7.55-9.78 years) follow-up, complications were three bowel obstructions after strictures of anastomosis and two wound infections. Two patients achieved enteral autonomy, and others followed a weaning home parenteral nutrition regimen with a median of 4 nights off (IQR: 3-4 nights) starting with a median of 7 nights (IQR: 7-7 nights). Conclusions: Combined AGIR techniques are practical and safe in SBS treatment when tailored to meet patients' needs, combining lengthening, tailoring, and reducing transit time procedures. Therefore, combined AGIR may be considered a resource in intestinal rehabilitation units' armamentarium.
MeSH term(s)	Child ; Female ; Humans ; Short Bowel Syndrome/surgery ; Short Bowel Syndrome/etiology ; Short Bowel Syndrome/rehabilitation ; Treatment Outcome ; Intestine, Small/surgery ; Intestines/surgery ; Plastic Surgery Procedures ; Retrospective Studies ; Digestive System Surgical Procedures/methods
Language	English
Publishing date	2022-12-13
Publishing country	Australia
Document type	Journal Article
ZDB-ID	2050749-5
ISSN	1445-2197 ; 1445-1433 ; 0004-8682
ISSN (online)	1445-2197
ISSN	1445-1433 ; 0004-8682
DOI	10.1111/ans.18184
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Article ; Online: Does thyroglossal duct arborization play a role in the post-surgical outcome of Sistrunk procedure in children?

Spinelli, Claudio / Ghionzoli, Marco / Ugolini, Clara / Oreglio, Chiara / Guglielmo, Carla / Morabito, Antonino / Patrizio, Armando / Fallahi, Poupak / Ferrari, Silvia Martina / Antonelli, Alessandro

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

2024

Abstract: Purpose: The purpose of the present study is to analyze thyroglossal duct cyst (TGDC) histopathological features, with focus on "arborization", in a cohort of pediatric patients who underwent surgical removal, and evaluate a possible correlation with ... ...

Abstract	Purpose: The purpose of the present study is to analyze thyroglossal duct cyst (TGDC) histopathological features, with focus on "arborization", in a cohort of pediatric patients who underwent surgical removal, and evaluate a possible correlation with clinical recurrences. Methods: A retrospective analysis of all patients who underwent surgical resection for TGDC at the division of Pediatric Surgery of the University of Pisa from 2015 to 2020 was performed; for each patient, the following data were recorded: age, sex, clinical presentation, localization, size of the lesion, diagnostic tools, histopathological features, perioperative complications, recurrence and follow-up. Results: With respect to arborization, following histopathological analysis 25/30 patients (83.3%) presented thyroglossal duct branching. After a median follow-up of 3.5 years, only 2 out of 30 patients (6.7%), one male and one female, respectively aged 4 y.o. and 6 y.o., presented recurrence within one year from first surgery. Conclusion: Surgery for TGDC remains a challenge for pediatric surgeons, while arborization was present in most of our cases which underwent surgery. With respect to the role of arborization, our study did not highlight sufficient conclusive data regarding their role in recurrence: instead, it showed wide resection as satisfactory, being the arborization present in most of the cases at histopathology.
Language	English
Publishing date	2024-04-09
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1017359-6
ISSN	1434-4726 ; 0937-4477
ISSN (online)	1434-4726
ISSN	0937-4477
DOI	10.1007/s00405-024-08631-y
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