Luigi Cofone

Dr. Luigi Cofone

Depart. of Public Health and Infectious Diseases,, Sapienza University of Rome, Rome, Lazio, Italy
orcid

Research Focus & Metrics

Academic Career Length

4Years (2023-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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Journal Article
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CZChristian Zanza
Christian Zanza
FSFrancesco Saglietti
Francesco Saglietti
MTManfredi Tesauro
Manfredi Tesauro
YLYaroslava Longhitano
Yaroslava Longhitano
Gabriele SavioliGabriele Savioli
Gabriele Savioli
FRFabrizio Racca
Fabrizio Racca
Cardiogenic pulmonary edema (CPE) is characterized by the development of acute respiratory failure associated with the accumulation of fluid in the lung’s alveolar spaces due to an elevated cardiac filling pressure. All cardiac diseases, characterized by an increasing pressure in the left side of the heart, can cause CPE. High capillary pressure for an extended period can also cause barrier disruption, which implies increased permeability and fluid transfer into the alveoli, leading to edema and atelectasis. The breakdown of the alveolar-epithelial barrier is a consequence of multiple factors that include dysregulated inflammation, intense leukocyte infiltration, activation of procoagulant processes, cell death, and mechanical stretch. Reactive oxygen and nitrogen species (RONS) can modify or damage ion channels, such as epithelial sodium channels, which alters fluid balance. Some studies claim that these patients may have higher levels of surfactant protein B in the bloodstream. The correct approach to patients with CPE should include a detailed medical history and a physical examination to evaluate signs and symptoms of CPE as well as potential causes. Second-level diagnostic tests, such as pulmonary ultrasound, natriuretic peptide level, chest radiograph, and echocardiogram, should occur in the meantime. The identification of the specific CPE phenotype is essential to set the most appropriate therapy for these patients. Non-invasive ventilation (NIV) should be considered early in the treatment of this disease. Diuretics and vasodilators are used for pulmonary congestion. Hypoperfusion requires treatment with inotropes and occasionally vasopressors. Patients with persistent symptoms and diuretic resistance might benefit from additional approaches (i.e., beta-agonists and pentoxifylline). This paper reviews the pathophysiology, clinical presentation, and management of CPE.

16 March 2024 in Healthcare
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Carmela ProtanoCarmela Protano
Carmela Protano
AGAndrea De Giorgi
Andrea De Giorgi
Federica ValerianiFederica Valeriani
Federica Valeriani
EMElisa Mazzeo
Elisa Mazzeo
SZStefano Zanni
Stefano Zanni
Francesca GallèFrancesca Gallè
Francesca Gallè
Digital technologies have greatly developed and impacted several aspects of life, including health and lifestyle. Activity tracking, mobile applications, and devices may also provide messages and goals to motivate adopting healthy behaviors, namely physical activity and dietary changes. This review aimed to assess the effectiveness of digital resources in supporting behavior changes, and thus influencing weight loss, in people with overweight or obesity. A systematic review was conducted according to the PRISMA guidelines. The protocol was registered in PROSPERO (CRD42023403364). Randomized Controlled Trials published from the database’s inception to 8 November 2023 and focused on digital-based technologies aimed at increasing physical activity for the purpose of weight loss, with or without changes in diet, were considered eligible. In total, 1762 studies were retrieved and 31 met the inclusion criteria. Although they differed in the type of technology used and in their design, two-thirds of the studies reported significantly greater weight loss among electronic device users than controls. Many of these studies reported tailored or specialist-guided interventions. The use of digital technologies may be useful to support weight-loss interventions for people with overweight or obesity. Personalized feedback can increase the effectiveness of new technologies in motivating behavior changes.

29 September 2024 in Urban Science
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LPLorenzo Paglione
Lorenzo Paglione
MDMaria Assunta Donato
Maria Assunta Donato
LCLuigi Cofone
Luigi Cofone
MSMarise Sabato
Marise Sabato
Letizia AppolloniLetizia Appolloni
Letizia Appolloni
DDDaniela D'Alessandro
Daniela D'Alessandro
Recently, there has been a growing interest in exploring the relationship between walkability and various aspects such as health, urban planning, and sustainability. This interest stems from the acknowledgement of the impact of walking on issues such as obesity, pollution, and other diseases, even if these are only weakly correlated. This scoping review was carried out to shed light on the link between walkability and health. The main objectives of this review are to describe the tools used to evaluate walkability, to highlight the variations in measurement methods, and to offer a critical evaluation of these tools. The final analysis includes a review of the most recent and comprehensive studies and online resources. Finally, an evaluation of the tools was carried out, with a focus on urban and architectural expertise relating to design, functions, and activities in public spaces, analysing the few available bibliographic references that correlate walkability with measured health outcomes using validated tools and health information flow. Neighbourhood walkability is influenced by the availability of functional amenities, activities, and safety. Failure to consider its importance on human health could lead to urban social inequalities and thus failure to create salutogenic cities, which could have major implications in terms of public health.

30 April 2025 in Sustainability
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LCLuigi Cofone
Luigi Cofone
MSMarise Sabato
Marise Sabato
CPCarolina Di Paolo
Carolina Di Paolo
SGStefano Di Giovanni
Stefano Di Giovanni
MDMaria Assunta Donato
Maria Assunta Donato
LPLorenzo Paglione
Lorenzo Paglione
Today, urbanisation and environmental changes are increasingly influencing the social and biological landscape of our planet. This systematic review aims to assess the relationship between urban–architectural and socioeconomic factors and vector concentrations in the urban environment. Following the Preferred Reporting Methodology for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, the PubMed, Scopus, and Cochrane libraries were screened for studies conducted in urban contexts and those involving only arboviruses and potential exposure to arboviral vectors in urban environments, published from the beginning to 22 April 2025. Out of a total of 171 identified studies, 132 were selected for further analysis. Of these, 14 studies were eligible. The included studies reported different ways of measuring vector density and different considerations of the urban–architectural or socio-demographic factors related to it. The studies were set in different urban contexts: Asia, Central and South America, Africa and Oceania. Among the vector species, Aedes aegypti was the most analysed, often with Aedes albopictus. Socioeconomic status emerges as a determining factor. Low-income areas experience higher mosquito densities due to overcrowding, sub-optimal infrastructure, and environmental neglect. This review highlights the importance of implementing a standardised and effective global approach in urban health planning.

23 November 2023 in Air Quality, Atmosphere & Health
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FCFederica Castellani
Federica Castellani
Matteo VitaliMatteo Vitali
Matteo Vitali
AAArianna Antonucci
Arianna Antonucci
LCLuigi Cofone
Luigi Cofone
Gabriele D'AnconaGabriele D'Ancona
Gabriele D'Ancona
Carmela ProtanoCarmela Protano
Carmela Protano
Formaldehyde is a toxic and carcinogenic compound, still used in several occupational settings due to its properties. Thus, in these working scenarios, it is necessary to provide effective measures to reduce workers’ exposure to formaldehyde. The aim of this systematic review is to provide a picture of the worldwide mitigation strategies implemented in occupational environments for minimizing the exposure to formaldehyde and which ones are the most effective for this purpose.The systematic review was performed according to PRISMA statement; the protocol was registered in PROSPERO (CRD42022302207). The search was performed on three electronic databases (PubMed, Scopus, and Web of Science). Studies were considered eligible if they describe strategies for mitigating formaldehyde occupational exposure and their efficacy. We included articles reporting observational studies, semi-experimental, and experimental studies and published in the English language, from the inception to March 26th, 2023. The quality assessment was performed using the Newcastle–Ottawa Quality Assessment Scale.In total, 28 articles were included in the review. The employment scenarios/activities studied were human and veterinary anatomy, autopsy, histopathology or pathology laboratories, embalming procedures, hospital, operating theaters, aquaculture, textile or foundry industries, industry using 3-D printers, offices, and firefighters’ activities. Different methods have proven useful in mitigating formaldehyde exposure, such as the use of personal protective equipment, engineering control methods, organization methods, and technical strategies, with a reduction of airborne formaldehyde until to 99.6%. The highest reduction was obtained in an anatomy laboratory through locally exhausted dissection tables equipped with activated carbon filters.The specific suitable procedures should be standardized and applied in all work settings for an appropriate risk management, in order to protect the health of exposed workers.

28 March 2024 in Food Additives & Contaminants: Part A
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FCFederica Castellani
Federica Castellani
Matteo VitaliMatteo Vitali
Matteo Vitali
AAArianna Antonucci
Arianna Antonucci
GMGiammarco Del Morrone
Giammarco Del Morrone
LCLuigi Cofone
Luigi Cofone
Carmela ProtanoCarmela Protano
Carmela Protano
Bisphenols and phthalates are wide classes of endocrine disrupting chemicals (EDCs) extensively used as additives in plastic products. In this study, a fast and reliable analytical method based on matrix solid-phase dispersion (MSPD) coupled with LC-MS/MS was developed and optimized for simultaneous determination of 8 bisphenols and 7 phthalates in raw mussel extract. The LC-MS/MS method was tested for linearity (R-2), inter- and intra-day repeatability, limit of detection and quantification, both for matrix-free and matrix-matched solutions. The MSPD method was optimized in terms of ratio between sample and sorbent, and the type and quantity of the eluents in order to maximize the recoveries and to minimize matrix effects. The obtained recoveries (values between 75% and 113%), limits of detection (values between 0.048 and 0.36 mu g kg(-1)), limits of quantification (values between 0.16 and 1.28 mu g kg(-1)), repeatability (RSD% between 1.30% and 8.41%) and linearity (R-2 > 0.998) were satisfactory and suitable for the determination of target micropollutants in food samples. In addition, the low solvent consumption and fast execution make this method ideal for routinely determinations of bisphenols and phthalates in mussels.