Biodegradable Food Packaging of Wild Rocket (Diplotaxis tenuifolia L. [DC.]) and Sea Fennel (Crithmum maritimum L.) Grown in a Cascade Cropping System for Short Food Supply Chain

The environmental impact of food products is significantly affected by their packaging. Therefore, this study aimed to assess the effect of PLA (polylactic acid) film, as an alternative to petroleum-based bags, on the shelf-life of fresh-cut wild rocket and sea fennel grown in a cascade cropping system (CCS). To this end, wild rocket (main crop) was cultivated using either peat or compost as a growing medium. Sea fennel (secondary crop) was subsequently grown in a floating system with leachates from the primary crop as a nutrient solution. The leaves of both crops were harvested and packaged in OPP- (oriented polypropylene) or PLA-based bags and stored for 7 days at 4 ◦C. The leaves of wild rocket and sea fennel showed lower dehydration and lower respiration when compost was used as a growing medium or leachate. Wild rocket in compost increased in nitrate and vitamin C contents at harvest while leachates had scarce influence on their contents in sea fennel. After storage, regardless of the crop, no relevant detrimental changes were observed on leaves packaged with PLA, being a product microbiologically safer when compared to OPP. The bag type had almost no influence on most relevant phytochemical compounds. In conclusion, the use of a PLA-based film on minimally processed wild rocket and sea fennel leaves is a sustainable alternative to petroleum-based plastic for a short food supply chain.The research was supported by Grant PID2020-114410RB-I00 funded by MCIN/AEI/ 10.13039/501100011033, and Grant AGROALNEX funded by Comunidad Autónoma de la Región de Murcia through Fundación Séneca—Agencia de Ciencia y Tecnología de la Región de Murcia and European Union NextGenerationEU. Angelo Signore was also funded by a grant of the Re-qualification of the Spanish University System, Maria Zambrano modality (Grant UP2021-033 funded by Ministerio de Universidades and by the “European Union NextGenerationEU/PRTR”). Víctor Gallegos was also funded by a grant of the Re-qualification of the Spanish University System, Margarita Salas modality, by the University of Almería (Grant UP2021-004 funded by Ministerio de Universidades and by the “European Union NextGenerationEU/PRTR”). Almudena Giménez was also funded by a grant of the Re-qualification of the Spanish University System, Margarita Salas modality, by the University of Cartagena (Grant UP2021-004 funded by Ministerio de Universidades and by the “European Union NextGenerationEU/PRTR”)

Closing the cycle: leverage agroindustrial compost leachate to cultivate sea fennel (Crithmum maritimum L.) in a floating system

[SPA] El objetivo de este estudio fue producir hinojo marino reduciendo la descarga de nutrientes mediante sistemas de cultivo en cascada (SCC). Los SCC consistían en un cultivo primario de rúcula [Diplotaxis tenuifolia (L.) DC] cultivada en dos sustratos de cultivo: compost y turba. El drenaje recogido se utilizó para cultivar hinojo marino (Crithmum maritimum L.) en un sistema flotante con los siguientes tratamientos: T1-100% drenaje de turba; T2-100% drenaje de compost; T3-mezcla de drenaje de turba y SN (50%/50%); T4- mezcla de drenaje de compost y SN (50%/50%); T5-100% SN. La reutilización del drenaje de compost como SN produjo un mayor rendimiento, uso eficiente de agua (WUE) y uso eficiente de nitrógeno (NUE) que la reutilización del drenaje de turba. Se necesita más investigación para optimizar el porcentaje de drenaje reutilizado para maximizar el rendimiento y la calidad del hinojo marino en un sistema flotante. [ENG] The objective of this study was to produce sea fennel reducing the nutrients unload by closing the cascade cropping systems (CCS). The CCS consisted of a primary crop of rocket salad [Diplotaxis tenuifolia (L.) DC] cultivated in two different growing media: agro-industrial compost and peat. The collected drainage was used to cultivate sea fennel (Crithmum maritimum L.) in a floating system with the following treatments: T1 – 100% peat leachate; T2 – 100% compost leachate; T3 - mixture of peat leachate and fresh nutrient solution (NS) (50/50 v/v); T4 - mixture of compost leachate and fresh NS (50/50 v/v); T5- 100%fresh NS. Reusing compost drainage at 100% as a NS produced higher yield, water use efficiency (WUE) and nitrogen use efficiency (NUE) than reusing peat drainage. However, further research is needed to optimize the percentage of reused drainage to maximize yield and quality of sea fennel in a floating system.Esta investigación se enmarca en el proyecto Agricultura urbana innovadora para una producción sostenible (Proyecto PID2020-114410RB-I00) financiado por MCIN /AEI /10.13039 /501100011033. Esta investigación ha recibido financiación externa a través de una ayuda posdoctoral Margarita Salas del Ministerio de Universidades y de la Unión Europea

Agro-Industrial Compost in Soilless Cultivation Modulates the Vitamin C Content and Phytochemical Markers of Plant Stress in Rocket Salad (Diplotaxis tenuifolia (L.) DC.)

Rocket salad is an important vegetable for the ready-to-eat sector, normally cultivated under greenhouse conditions, either in soil or soilless systems. In the latter case, as well as in the nurseries, its cultivation is usually carried out by using peat as a growing medium—a non-renewable substrate—for which it is urgent to find a replacement. Similarly to peat, compost may be used as a growing medium; however, depending on its origin, the chemical and physical characteristics may not bet suitable for plants’ cultivation. In this study, we propose the use of agro-industrial compost as a substitute for peat for rocket salad cultivation. Plants grown in compost, alone or in combination with the second cut of rocket salad, gave better results in several biometric parameters, without negatively affecting yield and dry weight percentage. As a mechanistic approach to further understand how compost can affect plants’ stress, the qualitative profile of phytochemicals (glucosinolates and (poly)phenols)—recognized markers of biotic and abiotic plant stress—were monitored and exhibited a decreasing trend in plants grown using compost relative to those cultivated with peat. The analysis of vitamin C provided information on the achievement of an enhanced concentration by the compost, especially in the second cut. It can be inferred from the results obtained that the compost used as a growing medium may be used as a peat-free substrate for rocket crop cultivation.This research was funded by Grant PID2020-114410RB-I00 funded by MCIN/AEI/10.13039/ 501100011033, and Grant AGROALNEX funded by Comunidad Autónoma de la Región de Murcia through Fundación Séneca—Agencia de Ciencia y Tecnología de la Región de Murcia and European Union NextGenerationEU. Angelo Signore was also funded by a grant of the Re-qualification of the Spanish University System, Maria Zambrano modality (Grant UP2021-033 funded by Ministerio de Universidades and by the “European Union NextGenerationEU/PRTR”). Víctor Gallegos was also funded by a grant of the Re-qualification of the Spanish University System, Margarita Salas modality, by the University of Almería (Grant UP2021-004 funded by Ministerio de Universidades and by the “European Union NextGenerationEU/PRTR”)

The rapid spread of SARS-COV-2 Omicron variant in Italy reflected early through wastewater surveillance

The SARS-CoV-2 Omicron variant emerged in South Africa in November 2021, and has later been identified worldwide, raising serious concerns. A real-time RT-PCR assay was designed for the rapid screening of the Omicron variant, targeting characteristic mutations of the spike gene. The assay was used to test 737 sewage samples collected throughout Italy (19/21 Regions) between 11 November and 25 December 2021, with the aim of assessing the spread of the Omicron variant in the country. Positive samples were also tested with a real-time RT-PCR developed by the European Commission, Joint Research Centre (JRC), and through nested RT-PCR followed by Sanger sequencing. Overall, 115 samples tested positive for Omicron SARS-CoV-2 variant. The first occurrence was detected on 7 December, in Veneto, North Italy. Later on, the variant spread extremely fast in three weeks, with prevalence of positive wastewater samples rising from 1.0% (1/104 samples) in the week 5–11 December, to 17.5% (25/143 samples) in the week 12–18, to 65.9% (89/135 samples) in the week 19–25, in line with the increase in cases of infection with the Omicron variant observed during December in Italy. Similarly, the number of Regions/Autonomous Provinces in which the variant was detected increased fromone in the first week, to 11 in the second, and to 17 in the last one. The presence of the Omicron variant was confirmed by the JRC real-time RT-PCR in 79.1% (91/115) of the positive samples, and by Sanger sequencing in 66% (64/97) of PCR amplicons

The rapid spread of SARS-COV-2 Omicron variant in Italy reflected early through wastewater surveillance

The SARS-CoV-2 Omicron variant emerged in South Africa in November 2021, and has later been identified worldwide, raising serious concerns. A real-time RT-PCR assay was designed for the rapid screening of the Omicron variant, targeting characteristic mutations of the spike gene. The assay was used to test 737 sewage samples collected throughout Italy (19/21 Regions) between 11 November and 25 December 2021, with the aim of assessing the spread of the Omicron variant in the country. Positive samples were also tested with a real-time RT-PCR developed by the European Commission, Joint Research Centre (JRC), and through nested RT-PCR followed by Sanger sequencing. Overall, 115 samples tested positive for Omicron SARS-CoV-2 variant. The first occurrence was detected on 7 December, in Veneto, North Italy. Later on, the variant spread extremely fast in three weeks, with prevalence of positive wastewater samples rising from 1.0% (1/104 samples) in the week 5-11 December, to 17.5% (25/143 samples) in the week 12-18, to 65.9% (89/135 samples) in the week 19-25, in line with the increase in cases of infection with the Omicron variant observed during December in Italy. Similarly, the number of Regions/Autonomous Provinces in which the variant was detected increased from one in the first week, to 11 in the second, and to 17 in the last one. The presence of the Omicron variant was confirmed by the JRC real-time RT-PCR in 79.1% (91/115) of the positive samples, and by Sanger sequencing in 66% (64/97) of PCR amplicons. In conclusion, we designed an RT-qPCR assay capable to detect the Omicron variant, which can be successfully used for the purpose of wastewater-based epidemiology. We also described the history of the introduction and diffusion of the Omicron variant in the Italian population and territory, confirming the effectiveness of sewage monitoring as a powerful surveillance tool

Beta-Blocker Use in Older Hospitalized Patients Affected by Heart Failure and Chronic Obstructive Pulmonary Disease: An Italian Survey From the REPOSI Register

Beta (β)-blockers (BB) are useful in reducing morbidity and mortality in patients with heart failure (HF) and concomitant chronic obstructive pulmonary disease (COPD). Nevertheless, the use of BBs could induce bronchoconstriction due to β2-blockade. For this reason, both the ESC and GOLD guidelines strongly suggest the use of selective β1-BB in patients with HF and COPD. However, low adherence to guidelines was observed in multiple clinical settings. The aim of the study was to investigate the BBs use in older patients affected by HF and COPD, recorded in the REPOSI register. Of 942 patients affected by HF, 47.1% were treated with BBs. The use of BBs was significantly lower in patients with HF and COPD than in patients affected by HF alone, both at admission and at discharge (admission, 36.9% vs. 51.3%; discharge, 38.0% vs. 51.7%). In addition, no further BB users were found at discharge. The probability to being treated with a BB was significantly lower in patients with HF also affected by COPD (adj. OR, 95% CI: 0.50, 0.37-0.67), while the diagnosis of COPD was not associated with the choice of selective β1-BB (adj. OR, 95% CI: 1.33, 0.76-2.34). Despite clear recommendations by clinical guidelines, a significant underuse of BBs was also observed after hospital discharge. In COPD affected patients, physicians unreasonably reject BBs use, rather than choosing a β1-BB. The expected improvement of the BB prescriptions after hospitalization was not observed. A multidisciplinary approach among hospital physicians, general practitioners, and pharmacologists should be carried out for better drug management and adherence to guideline recommendations

The “Diabetes Comorbidome”: A Different Way for Health Professionals to Approach the Comorbidity Burden of Diabetes

(1) Background: The disease burden related to diabetes is increasing greatly, particularly in older subjects. A more comprehensive approach towards the assessment and management of diabetes’ comorbidities is necessary. The aim of this study was to implement our previous data identifying and representing the prevalence of the comorbidities, their association with mortality, and the strength of their relationship in hospitalized elderly patients with diabetes, developing, at the same time, a new graphic representation model of the comorbidome called “Diabetes Comorbidome”. (2) Methods: Data were collected from the RePoSi register. Comorbidities, socio-demographic data, severity and comorbidity indexes (Cumulative Illness rating Scale CIRS-SI and CIRS-CI), and functional status (Barthel Index), were recorded. Mortality rates were assessed in hospital and 3 and 12 months after discharge. (3) Results: Of the 4714 hospitalized elderly patients, 1378 had diabetes. The comorbidities distribution showed that arterial hypertension (57.1%), ischemic heart disease (31.4%), chronic renal failure (28.8%), atrial fibrillation (25.6%), and COPD (22.7%), were the more frequent in subjects with diabetes. The graphic comorbidome showed that the strongest predictors of death at in hospital and at the 3-month follow-up were dementia and cancer. At the 1-year follow-up, cancer was the first comorbidity independently associated with mortality. (4) Conclusions: The “Diabetes Comorbidome” represents the perfect instrument for determining the prevalence of comorbidities and the strength of their relationship with risk of death, as well as the need for an effective treatment for improving clinical outcomes

Antidiabetic Drug Prescription Pattern in Hospitalized Older Patients with Diabetes

Objective: To describe the prescription pattern of antidiabetic and cardiovascular drugs in a cohort of hospitalized older patients with diabetes. Methods: Patients with diabetes aged 65 years or older hospitalized in internal medicine and/or geriatric wards throughout Italy and enrolled in the REPOSI (REgistro POliterapuie SIMI—Società Italiana di Medicina Interna) registry from 2010 to 2019 and discharged alive were included. Results: Among 1703 patients with diabetes, 1433 (84.2%) were on treatment with at least one antidiabetic drug at hospital admission, mainly prescribed as monotherapy with insulin (28.3%) or metformin (19.2%). The proportion of treated patients decreased at discharge (N = 1309, 76.9%), with a significant reduction over time. Among those prescribed, the proportion of those with insulin alone increased over time (p = 0.0066), while the proportion of those prescribed sulfonylureas decreased (p < 0.0001). Among patients receiving antidiabetic therapy at discharge, 1063 (81.2%) were also prescribed cardiovascular drugs, mainly with an antihypertensive drug alone or in combination (N = 777, 73.1%). Conclusion: The management of older patients with diabetes in a hospital setting is often sub-optimal, as shown by the increasing trend in insulin at discharge, even if an overall improvement has been highlighted by the prevalent decrease in sulfonylureas prescription

Prescription appropriateness of anti-diabetes drugs in elderly patients hospitalized in a clinical setting: evidence from the REPOSI Register

Diabetes is an increasing global health burden with the highest prevalence (24.0%) observed in elderly people. Older diabetic adults have a greater risk of hospitalization and several geriatric syndromes than older nondiabetic adults. For these conditions, special care is required in prescribing therapies including anti- diabetes drugs. Aim of this study was to evaluate the appropriateness and the adherence to safety recommendations in the prescriptions of glucose-lowering drugs in hospitalized elderly patients with diabetes. Data for this cross-sectional study were obtained from the REgistro POliterapie-Società Italiana Medicina Interna (REPOSI) that collected clinical information on patients aged ≥ 65 years acutely admitted to Italian internal medicine and geriatric non-intensive care units (ICU) from 2010 up to 2019. Prescription appropriateness was assessed according to the 2019 AGS Beers Criteria and anti-diabetes drug data sheets.Among 5349 patients, 1624 (30.3%) had diagnosis of type 2 diabetes. At admission, 37.7% of diabetic patients received treatment with metformin, 37.3% insulin therapy, 16.4% sulfonylureas, and 11.4% glinides. Surprisingly, only 3.1% of diabetic patients were treated with new classes of anti- diabetes drugs. According to prescription criteria, at admission 15.4% of patients treated with metformin and 2.6% with sulfonylureas received inappropriately these treatments. At discharge, the inappropriateness of metformin therapy decreased (10.2%, P < 0.0001). According to Beers criteria, the inappropriate prescriptions of sulfonylureas raised to 29% both at admission and at discharge. This study shows a poor adherence to current guidelines on diabetes management in hospitalized elderly people with a high prevalence of inappropriate use of sulfonylureas according to the Beers criteria