Health properties of the Italian San Martino® mineral-rich water: A self-controlled pilot study.

Abstract The effect of hyper-mineral waters on human health has long been debated. This pilot study evaluated the influence of San Martino® water (Sardinia, Italy), on clinical and biological parameters, following the treatment of 10 hospitalized patients. Crenotherapy consisted of 1–2 L of the water daily for 10 days. A complete blood count, serum electrolytes, liver and kidney function tests, fasting lipid profile and plasma glucose, and abdominal ultrasound imaging were assessed before and at the end of treatment. In addition, body weight, dyspeptic symptoms, bowel movements, diuresis, uricuria and blood pressure were evaluated daily. According to its physico-chemical properties, the water is hyper-mineral (TDS 2808 mg/L) with a high content of bicarbonate and iron. At the end of the study, diuresis increased by 60% (850 vs 1295 ml/24 h, P = 0.009) and uricuria by 41% (362 vs 490 mg/24 h, P = 0.022) respectively, whereas plasma uric acid level decreased by 7% (4.7 vs 4.3 mg/dL, P = 0.043). Compared to the basal values, serum gamma-glutamyl transferase, alkaline phosphatase and total bilirubin levels, showed a reduction of 65% (31 vs 18 U/L, P = 0.022), 15% (96 vs 90 U/L, P = 0.041), and 11% (0.53 vs 0.45 g/dL, P = 0.041), respectively. Bowel movements improved in 62.5% of patients with constipation, and 80% of dyspeptic patients experienced symptoms relief. Compliance to the treatment reached 100%. Mild differences were observed in body weight and blood pressure, although not in ultrasound imaging during crenotherapy. These findings suggest that the San Martino® hyper-mineral water may have some benefits to human health. Additional studies with a larger-sized cohort and for a longer period are needed to confirm these preliminary results

Does the longevity of the Sardinian population date back to Roman times? A comprehensive review of the available evidence

The discovery early in this century of the exceptional longevity of the Sardinian population has given new impetus to demographic studies of this phenomenon during the classical period. In the 1970s, it was hypothesised that the average mortality rate in Roman Sardinia was lower than in metropolitan Rome itself, postulating an ancient precedent for the remarkable longevity observable nowadays in the island's population. In the present study, the available evidence was examined in order to test this hypothesis. Literary, juridical, epigraphic, papyrological, anthropological and archaeological sources regarding the population of the Roman Empire, including Sardinia, were retrieved by accessing Science Direct, PubMed, Scopus and Google Scholar databases, as well as regional libraries, regardless of time limitation, and were independently reviewed by the authors. For Roman Sardinia, only funerary epitaphs were retrieved, in contrast with the numerous sources available for the whole Roman Empire. Inscriptions revealing the existence of three alleged nonagenarians, two centenarians, two ultracentenarians and one supercentenarian were found, corresponding to 2% in a total of 381 inscriptions. The majority were located in a highly Romanised rural area of central-western Sardinia. However, the ages reported in the epitaphs may be inaccurate because of the influence of confounders such as age rounding, approximations and/or amplifications, and are unrelated to the total number of inhabitants. In conclusion, the funerary evidence, the only available data from Roman Sardinia, is too weak to estimate the life expectancy of the local ancient population and cannot offer valuable arguments to support the hypothesis that exceptional longevity has been a Sardinian trait since Roman times

KULIAH PRAKTEK PENGALAMAN LAPANGAN UNIVERSITAS NEGERI YOGYAKARTA SMA Negeri 2 Wates Alamat : Jl. KH Wahid Hasyim, Bendungan Wates, Kulon Progo 55651 Telepon : (0274) 773005

Praktek Pengalaman Lapangan (PPL) 2014 yang dilaksanakan di SMA Negeri 2 Wates, bertujuan untuk memberikan pengalaman pada mahasiswa dalam bidang pembelajaran dan administrasi di sekolah dalam rangka melatih dan mengembangkan potensi keguruan atau kependidikan. Selain itu memberikan kesempatan kepada mahasiswa untuk mempelajari, mengenal administrasi sekolah, dan melaksanakan praktik pembelajaran kelas, serta dapat digunakan oleh mahasiswa untuk meningkatkan kemampuan menerapkan ilmu pengetahuan dan keterampilan yang telah dikuasai secara interdisipliner ke dalam kehidupan nyata di sekolah yakni dengan cara menumbuhkan motivasi atas dasar kekuatan sendiri, dan meningkatkan hubungan kemitraan antara Universitas Negeri Yogyakarta (UNY) dengan sekolah dan pemerintah daerah. Kegiatan pelaksanaan Praktik Pengalaman Lapangan (PPL) di mulai dari tanggal 01 Juli 2014 sampai dengan 17 September 2014. Tahap kegiatannya dimulai dari observasi sekolah, observasi kelas, perencanaan program, konsultasi program dengan pihak sekolah (guru pembimbing) dan penetapan program. Program kerja Praktik Pengalaman Lapangan (PPL) yang dirancang meliputi: pembuatan Rencana Pelaksanaan Pembelajaran (RPP), Praktik Mengajar, dan Evaluasi hasil mengajar. Hasil pelaksanaan PPL kurang lebih selama 2 bulan di SMA Negeri 2 Wates dapat dipetik hasilnya oleh mahasiswa berupa penerapan ilmu pengetahuan dan praktik keguruan, dalam hal ini bidang studi Ilmu Pengetahuan Sosial yang diperoleh dari bangku kuliah Universitas Negeri Yogyakarta. Dari program PPL ini maka praktikan dapat mengambil beberapa pengalaman faktual mengenai proses belajar mengajar dan kegiatan persekolahan lainnya yang selanjutnya sangat berguna bagi praktikan untuk mengembangkan dirinya sebagai guru dan tenaga pendidik yang profesional, memiliki nilai, sikap dan pengetahuan serta keterampilan yang diperlukan

Effect of age, period and birth-cohort on the frequency of glucose-6-phosphate dehydrogenase deficiency in Sardinian adults.

Glucose-6-phosphate dehydrogenase (G6PD) deficiency is an inherited disorder common in Sardinia. In this study, the frequency variation of G6PD-deficiency across age groups and birth cohorts was investigated using Age-Period-Cohort analysis.Data were collected from the clinical records of 11,252 patients (6975 women, age range 17-94 years) who underwent endoscopy between 2000 and 2016 at a teaching hospital (University of Sassari), Italy. G6PD status was assessed by enzymatic assay based on G6PD/6GPD ratio. A Poisson log-linear regression model was used to identify age and time trend in G6PD deficiency.Enzyme deficiency was detected in 11.4% of the entire cohort (men: 7.9%; women: 13.6%). Age-Period-Cohort analysis showed no inflection points across age groups, especially after age 80. The effects of time period and birth cohorts on G6PD deficiency were negligible (frequencies before and after 1950 were 11.0% and 11.8%, respectively).These findings indicate that the frequency of G6PD deficiency does not vary significantly in oldest subjects. The lack of evidence for selection across the malaria eradication time may be explained by other factors, including somatic cell selection or misclassification of heterozygotes women as G6PD normal in the older birth cohorts. Additional molecular studies may help clarify these issues. Key message The frequency of glucose-6-phosphate dehydrogenase deficiency is stable across age groups and does not vary in generations born before or after malaria eradication

G6PD deficiency does not enhance susceptibility for acquiring <i>Helicobacter pylori</i> infection in Sardinian patients

Background: Subjects with glucose-6-phosphate dehydrogenase (G6PD) deficiency may be more susceptible to infections due to impaired leukocyte bactericidal activity. The disorder is common in the Mediterranean area. The aim of this study was to investigate whether G6PD deficiency may be a risk factor for acquiring H. pylori infection. Methods: We performed a retrospective study. Data from clinical records of 6565 patients (2278 men and 4287 women, median age 51, range 7‒94) who underwent upper endoscopy between 2002 and 2014 were collected. H. pylori status, assessed by histology plus rapid urease test or 13C-urea breath test, and G6PD status were also reported. A multiple logistic regression model was used to investigate the association between G6PD deficiency and H. pylori infection. Results: Enzyme deficiency was detected in 12% (789/6565) of the entire cohort, and more specifically in 8.3% of men and in 14.0% of women. Overall, the proportion of patients positive for H. pylori was 50.6% and 51.5% among G6PD deficient and non-deficient patients (χ² = 0.271; p = 0.315). Moreover, among G6PD-deficient and normal patients the frequency of previous H. pylori infection was similar. After adjustment for age and gender the risk for acquiring H. pylori infection was similar in G6PD-deficient and normal patients. Only age was a strong statistically significant risk predictor. Conclusions: These results demonstrate for the first time that G6PD deficiency does not enhance patients’ susceptibility to acquire H. pylori infection in Sardinia

Risk factors associated with <i>Helicobacter pylori</i> infection among children in a defined geographic area

Factors influencing the pattern of Helicobacter pylori infection among children living in adjacent urban and rural areas of northern Sardinia, Italy, were compared. The seroprevalence of H. pylori infection was 22% (625 of 2810 children) in the study population and was significantly higher among children in rural areas (37%) than in urban areas (13%) (odds ratio [OR], 3.8; 95% confidence interval [CI], 3.2–4.7; P &lt;.005). This difference was consistent within each age group. In rural areas, children who had dogs were at greatest risk for H. pylori infection (OR, 1.8; 95% CI, 1.3–2.6; P &lt;.05). No association was seen between H. pylori sero-positivity and a history of breast-feeding. Urban children attending day care centers had a higher prevalence of infection (17%) than did those who never attended (12%) (OR, 1.5; 95% CI, 1.1–2.0; P &lt;.05). The epidemiology of H. pylori infection is complex; even within the same geographic area, different factors influence acquisition of H. pylori infection

Efficacy of a “Rescue” Ciprofloxacin-Based Regimen for Eradication of Helicobacter pylori Infection after Treatment Failures

The aim of our study was to evaluate the efficacy and tolerability of a ciprofloxacin-based regimen for H. pylori eradication failures as an alternative to bismuth based quadruple therapy. Methods. Design: prospective single-center study. Patients in whom a first eradication trial with omeprazole/esomeprazole, clarithromycin plus amoxicillin or tinidazole/metronidazole had failed were included. H. pylori status: established by histology, rapide urease test and polymerase chain reaction. Intervention: esomeprazole 20 mg, ciprofloxacin 500 mg, and metronidazole 500 mg, administered together before breakfast and dinner for 10 days. Susceptibility testing was performed by the Epsilometer test. Ciprofloxacin resistance was defined as a MIC of ≥1 μg/mL. Eradication was established by a negative 13C-UBT and 4–6 weeks post-therapy. Efficacy and side effects were determined. Results. 34 patients were enrolled, 32 completed the study. Compliance was excellent (100%). Side effects were mild. Ciprofloxacin-based therapy cured 65% (22/34) of patients by intention to treat and 69% (22/32) per protocol analysis. The prevalence of ciprofloxacin resistance was 8%. Conclusions. The effectiveness of ciprofloxacin-based therapy was greatly reduced despite the high prevalence of ciprofloxacin sensitive H. pylori strains. Bismuth based quadruple therapy still remain the best choice as a “rescue” regimen in our region

Listeria Infection during Biologic Therapy: An Update

n/

Effect of short heat treatments with a sodium bicarbonate solution on storability of the yellow germoplasm plum 'Meloni'

The behavior of a Sardinian plum, cv. Meloni, was investigated with regard to short-heat treatments at 20, 50, 55 or 60°C in water with 0 or 2% NaHCO3 (SBC) for 0, 15, 30, 45 or 60 seconds. Fruits were stored for one month at 5°C and 95% RH followed by a simulated marketing period (SMP) at 20°C and 80% RH for six days. Quality and decay percentagewere monitored. In addition, fruits were artificially inoculated with P. expansum and stored for 10 days at 25°C and 95% RH. Compared to the control, all short-heat dip treatments lowered the degree of decay, and the efficacy was positively correlated with temperature and treatment duration. The use of SBC increased the efficacy of decay control and the best results were attained at 55 and 60°C. Heat treatments increased levels of total flavonoids and antioxidant activity after SMP. None of the heat treatments induced rind damage (browning or discoloration), but the overall appearance decreased significantly when fruit was treated at 55 or 60°C for 60 s after SMP. Scanning electron microscopy (SEM) observations showed that treatments at 55 and 60°C with SBC cause damage and loss of cuticular wax on fruit surface

The Association of Childhood Asthma and Helicobacter pylori Infection in Sardinia

Background: It has been suggested that Helicobacter pylori infection might reduce the risk of atopic conditions, such as asthma, in childhood. This risk reduction could relate to the &quot;hygiene hypothesis&quot; which proposes an association between childhood exposure to microbes and risk of atopy. Objectives: To examine the association between Hp infection and childhood acquired asthma in Sardinia. Patients and Methods: Children from Northern Sardinia who were between the ages of 10 months to 6 years and were screened for Hp infection in 1994-1995 using IgG serology, were asked in 2012, whether they had developed asthma and/or allergic disease in pediatric age, using the global initiative on asthma guidelines questionnaire. Results: A total of 64 children participated in the study. The sero-positivity for Hp infection was 14.1%. Eleven (17.2%) children had a confirmed diagnosis of asthma with onset before the age of 5 years, 85.9% were Hp negative and 14.1% Hp positive. Eight children of the 53 without asthma were Hp positive (15%) compare to one children positive for the infection of the 11 patients (0.09%) with asthma (8/53 vs. 1/11; P = 0.6). The majority of children (73%) were from urban areas and 43.8% had a family history of asthma or allergies. Multiple logistic regression analysis was not able to find a studied variable, including Hp infection, significantly associated with pediatric asthma. Conclusions: Our results speak against Hp infection itself playing a role to protect from the risk to develop childhood asthma although household hygiene was not directly assessed