Reducing Plastic Pollution by Recovery and Recycling: Evidence from a "Blue Economy" Project Impacting Policy-Making in Italy

This paper recognizes the relevance of the Seabed Cleaning Project, created by the Angelo Vassallo Sindaco Pescatore Foundation in 2010, and presents it as a tool to achieve benefits in environmental, social, and economic terms, in line with the innovative framework of the Blue Economy. The project suggests a practical, feasible, and scalable solution to plastic pollution that can be obtained thanks to the activity performed by fishermen in cooperation with the municipality and local community (in a multi-level cooperation perspective). The data show a significant reduction of plastic on the seafloor thanks to the project, but further research is needed in order to collect further positive outcomes from different applications of the project. In 2022, the "Salva Mare" Law was approved in the Senate, extending the good practices proposed by the Foundation nationwide and showing how small gestures and concrete actions can provide significant improvements in pursuit of a healthier, safer, greener, and smarter city for the future.

Correction to: Circular Economy Research in the COVID-19 Era: A Review and the Road Ahead

[This corrects the article DOI: 10.1007/s43615-023-00265-2.].

Circular Economy Research in the COVID-19 Era: a Review and the Road Ahead

The onset of the Coronavirus Disease 2019 (COVID-19) pandemic has resulted in a major crisis that has severely impacted numerous economic, environmental, and social aspects of human life. During the pandemic, the potential of the circular economy (CE) has gained increasing attention as a prospective remedy for numerous sustainability problems. This systematic literature review charts CE research in the COVID-19 era. To this end, 160 journal articles were selected from the Scopus database. The performance indicators of the literature were determined and described through a bibliometric analysis. Moreover, the conceptual structure of CE research was identified via a keyword co-occurrence network. Based on bibliographic coupling, the focus of CE research in the COVID-19 era revolves mainly around five thematic areas, including: (1) waste management; (2) digitalization and sustainable supply chain management; (3) the impact of COVID-19 on food systems; (4) sustainable development goals, smart cities, and bioeconomy; and (5) closed-loop supply chains. Overall, this review contributes to enriching the literature by determining the main thematic areas and future research directions that can help to advance the transition to the CE and reduce the impact of COVID-19 and similar disasters in the future.

The impact of public infrastructure project delays on sustainable community development

Over the years, public infrastructure projects have generated substantial attention as they take the initiative to enrich sustainable community development. This paper looks to identify if the delays in public projects significantly impact the sustainable community development. A questionnaire survey approach is used to collect data. This study employed the partial least square structural equation modeling to examine the hypothesized model. Data obtained from 325 project experts in the Pakistani construction industry provided empirical support for the study. The outcome of the statistical analysis showed that project delay significantly influences sustainable community development. Based on the findings, this study suggests valuable insights to project management planners and executors to improve strategic planning for project executions through proper sustainability approaches.

Enhancing the strategic alignment between environmental drivers of sustainability and the performance management system in Italian manufacturing firms

Purpose

The purpose of this paper is to provide managers with suitable strategic KPIs in decision-making processes, which aim to integrate the environmental dimension of sustainability at a business level in manufacturing organisations.

Design/methodology/approach

In view of the research proposal addressed, semi-structured interviews were conducted, based on theoretical milestones of the performance management system (PMS), with 48 managers that work in Italian manufacturing firms and specialise in green practices.

Findings

The authors developed a novel environmentally performed framework to adequately integrate environmental value drivers at a strategic level.

Practical implications

The resulting issues addressed in this paper, and their integration in the business strategy for managing environmental complexity, allows contributing, firstly, to the existing literature by suggesting the relevant key value drivers that need to be mostly studied from an accounting point of view. In addition, from these results, though their experience managers will have up-to-date key measures that could, in the future, help the integration process between the environmental aspect of the sustainability dimension and the PMS.

Originality/value

The results generate a robust roadmap for future analysis in this research field. Accordingly, the paper engenders a strategic alignment in the green transition process, providing scholars and practitioners with a clear view of the key sustainable drivers, metrics and potential solutions that have not been addressed to date.

Reflective backward analysis to assess the operational performance and eco-efficiency of two industrial districts

Purpose

The best strategy to apply for the future cannot disregard a careful analysis of the past and is the one capable of seizing opportunities from outside. Manufacturing sectors are characterized by sudden changes, and in this work, we analyze the ceramic tiles sector characterized by a mature technology in which innovation has played a key role.

Design/methodology/approach

This study aims to provide a sectorial analysis based on a historical data set (2004–2019) to highlight how an industry is performing both operationally and in terms of eco-efficiency. For this purpose, from a methodological point of view, the data envelopment analysis (DEA) was used.

Findings

The results of the analysis show that the Spanish ceramics industry shows a growing economic trend by taking advantage of lower industrial costs, while the Italian industry is characterized by a modest decline partially mitigated by exports. The industrial districts are an aggregation of companies that in the ceramic sector has allowed to combine innovation, sustainability and digitalization and is a model toward the maximization of sustainable efficiency because it is a place of aggregation of resources and ideas.

Originality/value

This study experiments with an innovative way of addressing traditional industry analysis, namely, integrating the reflective management approach with DEA-based backward analysis. This provides decision makers with the basis for new interpretations of variable trends.

Carotid endarterectomy in diabetic patients

OBJECTIVE

The purpose of the current study was to identify the possible short- and long-term effects of diabetes on the outcome of carotid endarterectomy.

METHODS

Medical records were reviewed for 781 carotid endarterectomies (in 734 patients) performed by the same vascular surgeon in a university medical center between January 1994 and December 1998. Patients were divided two groups: those with diabetes (n = 181 patients; 193 operations) and those without diabetes (n = 553; 588 operations). The two groups were similar with respect to mean age, male-female ratio, and contralateral lesions. The only significant differences were a higher prevalence of peripheral vascular disease and dyslipidemia in the diabetic group and a higher prevalence of hemispheric transient ischemic attacks among the nondiabetic patients. Carotid color duplex ultrasound scan had been performed in all patients, and in 56 patients from the diabetic group and 56 patients from the nondiabetic group (matched for age, sex, and contralateral lesions), the distal extension of the lesion from the carotid bifurcation had also been defined. Both of these subgroups were fully representative of their respective groups of origin. Carotid endarterectomy was performed after the induction of general anesthesia; electroencephalographic monitoring was continuous.

RESULTS

Except for the significantly higher prevalence of calcified plaques in the diabetic patients (P <.0001), the characteristics of the carotid disease in the two groups were similar. In the 56-member subgroups, 73.2% of the diabetic and 35.7% of the nondiabetic patients (P <.0001) had lesions extending more than 2 cm beyond the carotid bifurcation. Mean length of plaque beyond the bifurcation was 2.3 +/- 0.09 cm for the diabetic and 1.7 +/- 0.08 cm for the nondiabetic patients (P <.0001). Diabetes was the only factor significantly correlated with plaque length. In the diabetic subgroup, surgery was characterized by significantly longer carotid arteriotomies (P =.03) and clamp times (P <.003). Operative mortality was 1.5% in the diabetic group (2 myocardial infarctions + 1 stroke) and 0.5% in the nondiabetic group (1 myocardial infarction + 2 strokes; P value not significant); stroke rates were 1.5% (3 major strokes) and 0.5% (2 major strokes + 1 minor stroke), respectively (P = not significant). Long-term survival (5 years) was not significantly lower among the diabetic patients.

CONCLUSIONS

Diabetes mellitus does not seem to significantly increase the surgical risk for carotid endarterectomy. The presence of more extensive plaques has no significant effect on the results of surgery.

[Update on cerebral monitoring and protective methods]

Clamping ischaemia is responsible for the 20-30% of the neurological complications during carotid surgery. It is impossible at present to determine preoperatively for certainty the patients who are at risk and the ones who are not at risk for clamping ischemia. Intraoperative monitoring is mandatory in all the cases to point out cerebral ischemia and to prevent neurological deficit with an adequate brain protection. Methods used to predict brain ischaemia include local anesthesia, EEG, SEP, stump pressure measurement, transcranial doppler, regional cerebral blood flow measurement and evaluation of venous blood gases from the internal jugular vein. Local anesthesia is a safe and simple method of assessing cerebral ischemia during carotid clamping but has some limits particularly in case of brain ischaemia for the technical difficulties to install an indwelling shunt in an awake and often troubled patient. Moreover the only possibility of cerebral protection under local anesthesia is an increase in systemic blood pressure with a resulting growth in cardiac morbidity and mortality. For these reasons operation should be performed under general anesthesia to assure a better farmacogical brain protection when preoperative evaluation demonstrates a reduction of cerebral vasoreactivity, with a consequent high risk of clamping ischemia. At present EEG is one of the most used technique of cerebral monitoring under general anesthesia with a sensibility and specificity in the diagnosis of brain ischaemia that is about 90%. The best cerebral protection is obtained with a selective shunting. Burst suppression, with high dose thiopentone, has recently demonstrated its reliability alone or in association with an indwelling shunt in patients at high risk for clamping ischaemia. Of course a systematic cerebral protection together with an accurate control of the blood pressure is necessary in all the patients. This behaviour allowed us to obtain good results in the last 500 patients with a morbidity and mortality respectively of 1% and 1.6% with no significant differences between patients who tolerated carotid clamping and those with clamping ischaemia.

Cerebral haemodynamics during carotid cross-clamping

Carotid artery cross-clamping ischaemia during carotid endarterectomy (CEA) causes 5-30% of perioperative neurological deficits. This study was performed to identify possible clinical situations at higher risk for carotid cross-clamping ischaemia. 606 consecutive patients underwent CEA and were retrospectively studied; they were grouped according to risk factors, presence of associated vascular diseases, clinical pattern, angiographic and CT scan findings. Stump pressure measurement was provided in all patients, perioperative monitoring during CEA was performed by electroencephalogram (EEG) in 469 (77%) and somatosensorial evoked potentials (SEP) in 137 (23%). Local anaesthesia was used in 88 (14.5%) patients. Ischaemic changes during carotid cross-clamping were registered in 118 patients (19.5%). The incidence of cross-clamping ischaemia was then related to different factors; it affected 5.6% of asymptomatics, 25.4% of patients with fixed stroke and 38.5% of those with stenosis and contralateral occlusion. Angiographic and clinical correlation showed that patients with more severe lesions are mostly affected by clamping ischaemia (up to 55% in those with stroke and stenosis with contralateral occlusion). Age, hypertension and diabetes do not significantly affect incidence of ischaemic changes. Positive CT scan increased this risk; statistical relevance was found in regard to patients with unilateral or bilateral stenosis and in those with transient ischaemic attacks. A higher risk can be expected for subjects with more severe clinical and instrumental findings, even if no patients can be considered completely at risk or risk free. Perioperative monitoring is always mandatory and is of great importance in detecting ischaemic changes and preventing cerebral damage using a temporary intraluminal shunt.

Detection of a diurnal rhythm in arterial blood pressure in the evaluation of 24-hour antihypertensive therapy

Uncertainty in defining hypertensive disease makes a prolonged study of blood pressure pattern necessary, using continuous or semicontinuous blood pressure recordings. Its pathophysiological meaning involves data sufficiently indicative of blood pressure profile with reference to the continuous stimulations of different intensity and duration, which are met by subjects both in their daily activities and in the passage from an active life to sleep. Such a parameter is, in fact, an indispensable premise for a correct course of therapy. The aim of our work was at first the detection of a diurnal rhythm in blood pressure, using data obtained in a 24-h ambulatory monitoring away from the conditioning of different activities and daily routine. We have employed three groups of 34 males each. The first group consisted of hypertensive outpatients, while hospitalized subjects comprised the second group. The third group was composed of normal subjects. Furthermore, after finding this system productive, we started studying whether this rhythm of blood pressure could be modified under the influence of a single administered drug dose, and whether information obtained could be easily interpreted. We studied 12 male patients with essential hypertension, which had been untreated. Each patient underwent three 24-h blood pressure ambulatory monitorings. Two different doses of nifedipine (10 and 20 mg) were randomly administered to each of the patients at the beginning of the second and third readings. We observed a significant fall in systolic blood pressure and a minor decrease in diastolic blood pressure after administration of a single 10 mg nifedipine tablet.

Fully automated ambulatory blood pressure in the diagnosis and therapy of hypertension

Technical characteristics of a fully automatic apparatus for ambulatory semicontinuous blood pressure monitoring are described. Initially, we ascertained the reliability and the fidelity in the reproduction of studied events (blood pressure, heart rate, ECG). Good results were obtained, even in comparison with other methods (blood pressure semiautomatic or invasive monitoring). We then studied the results of the research on 200 hypertensive subjects. The easy applicability of this method allowed us to demonstrate blood pressure variability over a 24-h patient period. We now can evaluate the factors contributing to blood pressure variability and the alterations contributing to the meaning of circadian rhythm. We are now able to comment on the prevalent incidence of organic or neurogenic components in single hypertensive states, the possible coexistence of asymptomatic coronary heart disease, and on the choice and efficacy of hypotensive drugs.