Zoonoses and information of the public: the role of media, with special reference to Italy

The significance of zoonoses varies depending on many socio\u2010economic factors and on the specific situation that prevails in a specific area. The role of the media often determines the importance given to a disease. In resource\u2010rich countries, a zoonosis may be perceived as being important due to inaccurate information that has been circulated by mass media on the risk of infection for animals and humans and on the possible use of the agent for terrorist actions. Images of sick or dead people and animals, drastic methods of control and others, can contribute to an overestimation of the significance of a disease. Information can be lacking or absent in regard to socio\u2010economic factors that clarify occurrence and also on geographic distribution. Therefore, the sensitivity of people can be influenced rapidly and negative socio\u2010economic consequences can occur. These zoonoses can be named \u2018mediaoriented (emphasised) zoonoses\u2019. On the contrary, some zoonoses are scarcely considered for several reasons, for instance: occurrence in poverty\u2010stricken areas and populations, risks of infection for people not considered important enough to deserve medical care, little interest from the media, decision\u2010makers and health services, lack of information and official reports. These zoonoses can be named \u2018neglected zoonoses\u2019. Some examples of zoonoses included in the above categories are described

Chronic kidney disease: Which role for xanthine oxidoreductase activity and products?

The present review explores the role of xanthine oxidoreductase (XOR) in the development and progression of chronic kidney disease (CKD). Human XOR is a multi-level regulated enzyme, which has many physiological functions, but that is also implicated in several pathological processes. The main XOR activities are the purine catabolism, which generates uric acid, and the regulation of cell redox state and cell signaling, through the production of reactive oxygen species. XOR dysregulation may lead to hyperuricemia and oxidative stress, which could have a pathogenic role in the initial phases of CKD, by promoting cell injury, hypertension, chronic inflammation and metabolic derangements. Hypertension is common in CKD patients and many mechanisms inducing it (upregulation of renin-angiotensin-aldosterone system, endothelial dysfunction and atherosclerosis) may be influenced by XOR products. High XOR activity and hyperuricemia are also risk factors for obesity, insulin resistance, type 2 diabetes and metabolic syndrome that are frequent CKD causes. Moreover, CKD is common in patients with gout, which is characterized by hyperuricemia, and in patients with cardiovascular diseases, which are associated with hypertension, endothelial dysfunction and atherosclerosis. Although hyperuricemia is undoubtedly related to CKD, controversial findings have been hitherto reported in patients treated with urate-lowering therapies

Ricin: An ancient story for a timeless plant toxin

The castor plant (Ricinus communis L.) has been known since time immemorial in traditional medicine in the pharmacopeia of Mediterranean and eastern ancient cultures. Moreover, it is still used in folk medicine worldwide. Castor bean has been mainly recommended as anti-inflammatory, anthelmintic, anti-bacterial, laxative, abortifacient, for wounds, ulcers, and many other indications. Many cases of human intoxication occurred accidentally or voluntarily with the ingestion of castor seeds or derivatives. Ricinus toxicity depends on several molecules, among them the most important is ricin, a protein belonging to the family of ribosome-inactivating proteins. Ricin is the most studied of this category of proteins and it is also known to the general public, having been used for several biocrimes. This manuscript intends to give the reader an overview of ricin, focusing on the historical path to the current knowledge on this protein. The main steps of ricin research are here reported, with particular regard to its enzymatic activity, structure, and cytotoxicity. Moreover, we discuss ricin toxicity for animals and humans, as well as the relation between bioterrorism and ricin and its impact on environmental toxicity. Ricin has also been used to develop immunotoxins for the elimination of unwanted cells, mainly cancer cells; some of these immunoconjugates gave promising results in clinical trials but also showed critical limitation

Effect of maize, rumen-protected fat and whey permeate on energy utilisation and milk fat composition in lactating goats

The efficiency of utilisation of diets with different proportions of energy sources (starch, fat, lactose) was studied with three pairs of lactating Saanen goats; the animals were fed, in a Latin square design, 3 silage-based diets containing (on DM basis) the following energy sources: 32% maize meal (diet M); 4.7% rumen-protected fat (Megalac®) and 23.5% maize meal (diet F); 9.8% milk whey permeate powder and 22.3% maize meal (diet W). During each of the three experimental periods, 8 days of total collection balance trials were conducted during which goats were allocated for 72 h (three 24 h cycles) in open circuit respiration chambers to determine methane and heat production and, hence, the energy balance. Diet F, in comparison with diets M and W, significantly increased the milk fat content (4.13 vs 3.11 and 3.14%, P<0.001) and the 4%-FCM yield (3367 vs 2927 and 3055 g/d, P<0.01 and P<0.05, respectively), while no relevant changes were observed for milk protein content and yield. Energy digestibility was equal in diets F and W. Megalac® did not decrease fibre digestibility. The partition of the gross energy intake (EI) differed significantly between diets: diet M had lower DE (72.4 vs 74.3 and 74.3%; P<0.01) and ME (62.1 vs 64.7 and 63.5%; P<0.05) in comparison with diets F and W, respectively. Energy lost as methane was not significantly decreased by the inclusion of rumen- protected fat in the diet, although a trend for a reduction of methanogenesis was observed. Heat production deter- mined by treatment F was lower in comparison with the other treatments. This difference was almost significant (P=0.056) when expressed as a percentage of the ME. Milk energy output increased significantly (+12%, P<0.001) by including fat in the diet, as compared with treatments M and W: 21.4 vs 19.1 and 19.0% of the EI. The net ener- gy content of the protected fat was 27.94 MJ NEl/kg DM (+340% vs maize meal); its kl value resulted 0.77. The corresponding values for whey permeate were 7.76 MJ NEl/kg DM (-5% vs maize meal) and 0.50, respectively. Summarizing, the efficiency of energy utilization in diet M was significantly lower in comparison with the other two diets in terms of digestibility and metabolisability, while its NEl content was similar to that of diet W. On the other hand, diet F had a significantly higher ME (P<0.01) and NEl (P<0.05) as compared to the other two diets. Diet F greatly influenced the fatty acid composition of the milk fat with less short (-30%) and medium (-33%) chain fatty acids and more (+18%) long chain fatty acids. In conclusion, whey permeate and even more Megalac® can be suc- cessfully used as feed ingredients in the diet of highly productive lactating goats, but the economical convenience of their utilisation must be evaluated based on the market values of feedstuffs

Steady-state visual evoked potentials and phase synchronization in migraine

We investigate phase synchronization in EEG recordings from migraine patients. We use the analytic signal technique, based on the Hilbert transform, and find that migraine brains are characterized by enhanced alpha band phase synchronization in presence of visual stimuli. Our findings show that migraine patients have an overactive regulatory mechanism that renders them more sensitive to external stimuli.Comment: 4 page

Advancing the Provision of Pain Education and Learning (APPEAL) study

Objectives Unrelieved pain is a substantial public health concern necessitating improvements in medical education. The Advancing the Provision of Pain Education and Learning (APPEAL) study aimed to determine current levels and methods of undergraduate pain medicine education in Europe. Design and methods Using a cross-sectional design, publicly available curriculum information was sought from all medical schools in 15 representative European countries in 2012–2013. Descriptive analyses were performed on: the provision of pain teaching in dedicated pain modules, other modules or within the broader curriculum; whether pain teaching was compulsory or elective; the number of hours/credits spent teaching pain; pain topics; and teaching and assessment methods. Results Curriculum elements were publicly available from 242 of 249 identified schools (97%). In 55% (133/242) of schools, pain was taught only within compulsory non-pain-specific modules. The next most common approaches were for pain teaching to be provided wholly or in part via a dedicated pain module (74/242; 31%) or via a vertical or integrated approach to teaching through the broader curriculum, rather than within any specific module (17/242; 7%). The curricula of 17/242 schools (7%) showed no evidence of any pain teaching. Dedicated pain modules were most common in France (27/31 schools; 87%). Excluding France, only 22% (47/211 schools) provided a dedicated pain module and in only 9% (18/211) was this compulsory. Overall, the median number of hours spent teaching pain was 12.0 (range 4–56.0 h; IQR: 12.0) for compulsory dedicated pain modules and 9.0 (range 1.0–60.0 h; IQR: 10.5) for other compulsory (non-pain specific) modules. Pain medicine was principally taught in classrooms and assessed by conventional examinations. There was substantial international variation throughout. Conclusions Documented pain teaching in many European medical schools falls far short of what might be expected given the prevalence and public health burden of pain