Publications by authors named "Anna Degli Esposti"

Article Synopsis
  • The article looks at how Life Cycle Thinking (LCT) helps create Waste Management Plans (WMPs) in Italy.
  • It checks if LCT methods were used in 21 regional WMPs and suggests ways to improve them.
  • The study finds that only 4 out of the 21 WMPs used detailed LCA studies and highlights the need for better waste management practices to follow European rules.
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Waste collection is the first step of waste management, and its characteristics impact workers' health and safety. Arising out of the challenge for waste collection operators to design sustainable systems of work, the authors review the literature on ergonomics and socio-economic sustainability and design a theoretical framework for assessing the sustainability of waste collection. The framework quantitatively assess the impact of the door-to-door collection system on the health and safety of the workers to provide indications to waste collection operators on how the load carried by workers can be minimised and the economic and social sustainability can be improved.

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Waste prevention (WP) can play a significant role in pursuing both sustainable development and decarbonization. Nevertheless, a general method to monitor and evaluate WP does not exist yet. This study proposes a framework for the sustainability assessment and prioritisation of waste prevention measures (WPMs), at consumption level.

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Women living with HIV (WLWH) are at higher risk for HPV-related malignancies. To estimate the factors associated to HPV infection and to pre-neoplastic cervical lesions, we observed 321 WLWH in an HIV care-centre in Florence, Italy. In 2006-2016, WLWH followed at S.

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Persons living with HIV should remain on antiretroviral therapy (ART) indefinitely; however, a switch in the drug regimen is often necessary. In order to investigate if reasons for switching ART changed over time, we retrospectively analyzed reasons for switching and characteristics of switches among patients at Santa Maria Annunziata Hospital (OSMA), Florence area, Tuscany, Italy, over two periods (November 2012-October 2013 and November 2014-October 2015). The reasons for switching were classified as: simplification; virologic failure; occurrence of co-morbidities; and drug tolerability/toxicity issues.

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Objectives: We studied survival and associated risk factors in an Italian nationwide cohort of HIV-infected individuals after an AIDS-defining cancer (ADC) or non-AIDS-defining cancer (NADC) diagnosis in the modern cART era.

Methods: Multi-center, retrospective, observational study of HIV patients included in the MASTER Italian Cohort with a cancer diagnosis from January 1998 to September 2012. Malignancies were divided into ADC or NADC on the basis of the Centre for Disease Control-1993 classification.

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We evaluated the clinical usefulness of spoligotyping, a polymerase chain reaction-based method for simultaneous detection and typing of Mycobacterium tuberculosis strains, with acid-fast bacilli-positive slides from clinical specimens or mycobacterial cultures. Overall sensitivity and specificity were 97% and 95% for the detection of M. tuberculosis and 98% and 96% when used with clinical specimens.

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Spoligotyping was compared with RFLP fingerprinting analysis in the identification of Mycobacterium tuberculosis strains. Spoligotyping sensitivity was 97.6% with a specificity of 47%.

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