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Caputo B, Langella G, Petrella V, Virgillito C, Manica M, Filipponi F, Varone M, Primo P, Puggioli A, Bellini R, D’Antonio C, Iesu L, Tullo L, Rizzo C, Longobardi A, Sollazzo G, Perrotta MM, Fabozzi M, Palmieri F, Saccone G, Rosà R, della Torre A, Salvemini M. Aedes albopictus bionomics data collection by citizen participation on Procida Island, a promising Mediterranean site for the assessment of innovative and community-based integrated pest management methods. PLoS Negl Trop Dis 2021; 15:e0009698. [PMID: 34529653 PMCID: PMC8445450 DOI: 10.1371/journal.pntd.0009698] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Accepted: 08/02/2021] [Indexed: 02/05/2023] Open
Abstract
In the last decades, the colonization of Mediterranean Europe and of other temperate regions by Aedes albopictus created an unprecedented nuisance problem in highly infested areas and new public health threats due to the vector competence of the species. The Sterile Insect Technique (SIT) and the Incompatible Insect Technique (IIT) are insecticide-free mosquito-control methods, relying on mass release of irradiated/manipulated males, able to complement existing and only partially effective control tools. The validation of these approaches in the field requires appropriate experimental settings, possibly isolated to avoid mosquito immigration from other infested areas, and preliminary ecological and entomological data. We carried out a 4-year study in the island of Procida (Gulf of Naples, Italy) in strict collaboration with local administrators and citizens to estimate the temporal dynamics, spatial distribution, and population size of Ae. albopictus and the dispersal and survival of irradiated males. We applied ovitrap monitoring, geo-spatial analyses, mark-release-recapture technique, and a citizen-science approach. Results allow to predict the seasonal (from April to October, with peaks of 928-9,757 males/ha) and spatial distribution of the species, highlighting the capacity of Ae. albopictus population of Procida to colonize and maintain high frequencies in urban as well as in sylvatic inhabited environments. Irradiated males shown limited ability to disperse (mean daily distance travelled <60m) and daily survival estimates ranging between 0.80 and 0.95. Overall, the ecological characteristics of the island, the acquired knowledge on Ae. albopictus spatial and temporal distribution, the high human and Ae. albopictus densities and the positive attitude of the resident population in being active parts in innovative mosquito control projects provide the ground for evidence-based planning of the interventions and for the assessment of their effectiveness. In addition, the results highlight the value of creating synergies between research groups, local administrators, and citizens for affordable monitoring (and, in the future, control) of mosquito populations.
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Affiliation(s)
- Beniamino Caputo
- Department of Public Health and Infectious Diseases, University of Rome La Sapienza, Rome, Italy
| | - Giuliano Langella
- Department of Agriculture, University of Naples Federico II, Naples, Italy
| | - Valeria Petrella
- Department of Biology, University of Naples Federico II, Naples, Italy
| | - Chiara Virgillito
- Department of Public Health and Infectious Diseases, University of Rome La Sapienza, Rome, Italy
- Department of Biodiversity and Molecular Ecology, Edmund Mach Foundation, San Michele all’Adige, Italy
| | - Mattia Manica
- Department of Biodiversity and Molecular Ecology, Edmund Mach Foundation, San Michele all’Adige, Italy
- Center for Health Emergencies, Bruno Kessler Foundation, Trento, Italy
| | - Federico Filipponi
- Department of Public Health and Infectious Diseases, University of Rome La Sapienza, Rome, Italy
- Istituto Superiore per la Protezione e la Ricerca Ambientale, Rome, Italy
| | - Marianna Varone
- Department of Biology, University of Naples Federico II, Naples, Italy
| | - Pasquale Primo
- Department of Biology, University of Naples Federico II, Naples, Italy
| | | | - Romeo Bellini
- Centro Agricoltura Ambiente “Giorgio Nicoli”, Crevalcore, Italy
| | | | - Luca Iesu
- Department of Biology, University of Naples Federico II, Naples, Italy
| | - Liliana Tullo
- Department of Biology, University of Naples Federico II, Naples, Italy
| | - Ciro Rizzo
- Department of Biology, University of Naples Federico II, Naples, Italy
| | | | - Germano Sollazzo
- Department of Biology, University of Naples Federico II, Naples, Italy
| | | | - Miriana Fabozzi
- Department of Biology, University of Naples Federico II, Naples, Italy
| | - Fabiana Palmieri
- Department of Biology, University of Naples Federico II, Naples, Italy
| | - Giuseppe Saccone
- Department of Biology, University of Naples Federico II, Naples, Italy
| | - Roberto Rosà
- Department of Biodiversity and Molecular Ecology, Edmund Mach Foundation, San Michele all’Adige, Italy
- Centre Agriculture Food Environment, University of Trento, San Michele all’Adige (TN), Italy
| | - Alessandra della Torre
- Department of Public Health and Infectious Diseases, University of Rome La Sapienza, Rome, Italy
| | - Marco Salvemini
- Department of Biology, University of Naples Federico II, Naples, Italy
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Silverio A, Esposito L, Fierro G, Di Maio M, Di Feo F, Iannicelli A, Varone M, Vigorito F, Maione A, Di Muro M, Attisano T, Vecchione C, Galasso G, Baldi C. Clinical outcome of patients with ST-elevation myocardial infarction and angiographic evidence of coronary artery ectasia. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.1618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Coronary artery ectasia (CAE) is a relatively frequent finding in patient with ST-elevation myocardial infarction (STEMI) who undergo emergent coronary angiography. However, the long-term outcome of STEMI patients with CAE as compared to Non-CAE has been poorly investigated.
Purpose
To compare the baseline features and outcome of patients with and without CAE in the clinical setting of STEMI.
Methods
All patients with STEMI who underwent emergent coronary angiography from January 2012 to December 2017 at our Institution were retrospectively enrolled. Baseline demographic, clinical, instrumental, angiographic and percutaneous coronary intervention (PCI) findings were collected for patients with and without CAE. The study outcome measures were recurrent myocardial infarction (MI) and all-cause death. The propensity score weighting (PSW) technique was used to take into account for potential selection bias in treatment assignment between CAE and Non-CAE groups.
Results
The study included 534 patients with STEMI (mean age 62.9±12.0 years), 154 were CAE and 380 Non-CAE. The two groups were significantly different in terms of sex (90.9% in CAE vs 72,6% in Non-CAE, p<0.001), diabetes (11.7% vs. 25.8%; p=0.009) and smoking status (72.1% vs. 62.4%; p=0.042). The right coronary artery was more commonly treated in CAE patients (41.6% vs. 30.8%, p=0.023) and, as expected, the stent diameter (p<0.001) and the TIMI frame count (p<0.001) were significantly higher in CAE group. The myocardial blush grade was higher in Non-CAE (p<0.001). The Kaplan-Meyer analysis showed a comparable rate of all-cause death among the two groups (3.4/100 person/years in CAE vs. 3.5 per 100 person/years in Non-CAE, Log-Rank = 0.86).
The survival free from recurrent MI was lower, although not statistically significant, in CAE vs. Non-CAE patients (3.1/100 person/years vs. 4.8/100 person/years; Log-Rank = 0.068).
After PSW, an optimal balance was obtained as demonstrated by a standardized mean difference <0.1 for all the variables included in the model. The adjusted Cox regression analysis showed a significantly higher risk of recurrent MI in CAE vs. Non-CAE groups (HR = 1.93; p=0.009). No difference in the risk of all-cause death was observed (HR = 0.83, p=0.501).
Conclusions
Patient with STEMI and angiographic evidence of CAE have a different clinical profile compared to Non-CAE. In this analysis focused on STEMI patients, CAE was associated with a higher risk of recurrent MI at long-term follow-up.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- A Silverio
- AOU S. Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy
| | - L Esposito
- AOU S. Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy
| | - G Fierro
- AOU S. Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy
| | - M Di Maio
- Maria SS Addolorata Hospital, Eboli, Italy
| | - F Di Feo
- AOU S. Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy
| | - A Iannicelli
- AOU S. Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy
| | - M Varone
- AOU S. Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy
| | - F Vigorito
- AOU S. Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy
| | - A Maione
- AOU S. Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy
| | - M.R Di Muro
- AOU S. Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy
| | - T Attisano
- AOU S. Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy
| | - C Vecchione
- AOU S. Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy
| | - G Galasso
- AOU S. Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy
| | - C Baldi
- AOU S. Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy
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