Short-Term Neurodevelopmental Outcome in Term Neonates Treated with Phenobarbital versus Levetiracetam: A Single-Center Experience

BACKGROUND: Phenobarbital (PB) has been traditionally used as the first-line treatment for neonatal seizures. More recently, levetiracetam (LEV) has been increasingly used as a promising newer antiepileptic medication for treatment of seizures in neonates. OBJECTIVES: The aim of our study was to compare the effect of PB vs. LEV on short-term neurodevelopmental outcome in infants treated for neonatal seizures. METHOD: This randomized, one-blind prospective study was conducted on term neonates admitted to the Neonatal Intensive Care Unit of S. Bambino Hospital, University Hospital "Policlinico-Vittorio Emanuele," Catania, Italy, from February 2016 to February 2018. Thirty term neonates with seizures were randomized to receive PB or LEV; the Hammersmith Neonatal Neurological Examination (HNNE) was used at baseline (T0) and again one month after the initial treatment (T1). RESULTS: We found a significantly positive HNNE score for the developmental outcomes, specifically tone and posture, in neonates treated with LEV. There was no significant improvement in the HNNE score at T1 in the neonates treated with PB. CONCLUSION: This study suggests a positive effect of levetiracetam on tone and posture in term newborns treated for neonatal seizures. If future randomized-controlled studies also show better efficacy of LEV in the treatment of neonatal seizures, LEV might potentially be considered as the first-line anticonvulsant in this age grou

Identification of aroma compounds of Vitis vinifera L. flowers by SPME GC-MS analysis

Using a gas chromatographic method (GC-MSanalysis), it was possible to determine the volatile constituent of an odorous flower from Vitis vinifera varieties growing in Sicily. More than 50 compounds were identified and the technique allowed us to determine that sesquiterpenes, as well as monoterpenes such as limonene and cymene, were the principal components. The odour-profiles allowed us to distinguish between variety groups or even single varieties.

Osteoporosis and diabetes

Diabetes mellitus and osteoporosis are chronic diseases with an elevated and growing incidence in the elderly. Recent epidemiological studies have demonstrated an elevated risk of hip, humerus and foot fractures in elder diabetic subjects. While type 1 diabetes is generally associated with a mild reduction in bone mineral density (BMD), type 2 diabetes, more prevalent in old subjects, is frequently linked to a normal or high BMD. Studies on experimental models of diabetes have suggested an altered bone structure that may help to explain the elevated risk of fractures observed in these animals and may as well help to explain the paradox of an incremented risk of fractures in type 2 diabetic elderly in the presence of normal or elevated BMD. In addition, diabetic elderly have an increased risk of falls, consequent at least in part to a poor vision, peripheral neuropathy, and weaken muscular performance. Diabetes may affect bone tissue by different mechanisms including obesity, hyperinsulinemia, deposit of advanced glycosilation end products in collagen fibre, reduced circulating levels of IGF-1, hypercalciuria, renal function impairment, microangiopathy and chronic inflammation. A better understanding of these mechanisms may help implement the prevention of fractures in the growing population of mature diabetics

Impact of mediterranean diet on chronic non-communicable diseases and longevity

The average life expectancy of the world population has increased remarkably in the past 150 years and it is still increasing. A long life is a dream of humans since the beginning of time but also a dream is to live it in good physical and mental condition. Nutrition research has focused on recent decades more on food combination patterns than on individual foods/nutrients due to the possible synergistic/antagonistic effects of the components in a dietary model. Various dietary patterns have been associated with health benefits, but the largest body of evidence in the literature is attributable to the traditional dietary habits and lifestyle followed by populations from the Mediterranean region. After the Seven Countries Study, many prospective observational studies and trials in diverse populations reinforced the beneficial effects associated with a higher adherence to the Mediterranean diet in reference to the prevention/management of age-associated non-communicable diseases, such as cardiovascular and metabolic diseases, neurodegenerative diseases, cancer, depression, respiratory diseases, and fragility fractures. In addition, the Mediterranean diet is ecologically sustainable. Therefore, this immaterial world heritage constitutes a healthy way of eating and living respecting the environment

Anthocyanin variation in individual 'Shiraz' berries as affected by exposure and position on the rachis

This study was done on 'Shiraz'/Richter 99 grapes with the intention to define the variation of skin anthocyanin content in a single berry. The effects of berry position (on the rachis), berry exposure, berry weight category, part of the skin of a single berry, and their interactions, were analysed. The anthocyanin concentration of externally facing berries decreased and that of the internally facing berries increased from the apical part to the basal part of the bunch. Highest values were recorded in internally facing berries and lowest values in the externally facing (exposed) berries, of the basal rachis area. Anthocyanin values of small berries seemed to decrease from the apical part of the rachis to the basal part, whereas those of the larger berries generally increased. Anthocyanin distribution in the skin of a single berry was similar for all the berry weight categories. The median concentric layer of the berry showed the highest anthocyanin concentration. The study showed significant intra-berry variation, indicating that even at full ripeness stage there is still variation in every single smaller or larger berry. The results highlighted the very complicated management challenges to grape producers to increase bunch uniformity in quantity and quality.

Nutrition, physical activity, and other lifestyle factors in the prevention of cognitive decline and dementia

Multiple factors combined are currently recognized as contributors to cognitive decline. The main independent risk factor for cognitive impairment and dementia is advanced age followed by other determinants such as genetic, socioeconomic, and environmental factors, including nutrition and physical activity. In the next decades, a rise in dementia cases is expected due largely to the aging of the world population. There are no hitherto effective pharmaceutical therapies to treat age-associated cognitive impairment and dementia, which underscores the crucial role of prevention. A relationship among diet, physical activity, and other lifestyle factors with cognitive function has been intensively studied with mounting evidence supporting the role of these determinants in the development of cognitive decline and dementia, which is a chief cause of disability globally. Several dietary patterns, foods, and nutrients have been investigated in this regard, with some encouraging and other disappointing results. This review presents the current evidence for the effects of dietary patterns, dietary components, some supplements, physical activity, sleep patterns, and social engagement on the prevention or delay of the onset of age-related cognitive decline and dementia. © 2021 by the authors. Licensee MDPI, Basel, Switzerland

Age and Depositional Environment of Whale-Bearing Sedimentary Succession from the Lower Pliocene of Tuscany (Italy): Insights from Palaeomagnetism, Calcareous Microfossils and Facies Analyses

A c. 31 m thick section straddling the fossil find of an Early Pliocene baleen whale ("Brunella", hereafter), made in 2007 in the sedimentary fill of the Middle Ombrone Basin of Tuscany, is investigated for depositional age and environment combining palaeomagnetic, micropalaeontological (Foraminifera and calcareous nannofossils) and sedimentary facies analyses. Resting unconformably onto Late Miocene continental deposits, the Early Pliocene marine deposits include, from bottom to top, a coarse-grained wave-winnowing lag, the few metres-thick fossiliferous sandstone bedset from which Brunella was unearthed, and several metres of clays. The stratigraphic organisation of these deposits indicate deposition in a deepening upward inner shelf environment. Successful isolation of characteristic remanent magnetisation and calcareous nannofossil content indicate the investigated marine section was deposited during the interval of polarity Chron C3n.2n corresponding to the basal part of the Mediterranean nannofossil zone MNN13 (between Helicosphaera sellii Base common and the Amaurolithus primus Top) and allow estimating the depositional age of Brunella to c. 4.6 Ma. Sedimentary facies, benthic Foraminifera association and anisotropy of magnetic susceptibility characterising the deposits that embedded Brunella suggest deposition above the fair-weather base level

On the performance of a pilot hybrid constructed wetland for stormwater recovery in Mediterranean climate

Abstract The overall efficiency of a pilot-scale hybrid constructed wetland (H-CW), located on a retail store's parking area in Eastern Sicily, for alternative treatment of stormwater runoff and of sequential batch reactor (SBR) effluent was evaluated. Experimental activities were focused on system performances, including wastewater (WW) quality and hydraulic monitoring. System design, macrophyte growth and seasonal factors influenced the pilot plant performance. Very high removal efficiency for microbial indicators were reported within the subsurface horizontal flow unit (HF), playing a strategic role for Clostridium perfringens. The algal growth occurred in the free water surface (FWS) unit and inhibited removal efficiencies of total suspended solids (TSS), biochemical oxygen demand (BOD5) and chemical oxygen demand (COD), impairing water quality. The whole H-CW showed good efficiency in trace metals removal, especially for Pb, Zn, and Cu. Preliminary results suggested the reliability of the H-CW technology in decentralised water treatment facilities for enhancing water recovery and reuse