Nutritional management of lactose intolerance : the importance of diet and food labelling

Worldwide, 70% of the adult population has limited expression of lactase enzyme with a wide variation among different regions and countries. Lactase deficiency may lead to lactose intolerance (LI). Depending both on the amount of lactose ingested and on the lactase activity, people who suffer from lactose malabsorption might experience numerous gastrointestinal and extra-intestinal symptoms and manifestations. Treatment of LI mainly consists of reducing or eliminating lactose from the diet until the symptoms disappear as well as supplementing lactase, and inducing colon microbiome adaptation by probiotics. Cow's milk is one of the major source of calcium and several other vitamins and minerals. Thus, a complete exclusion of dairy products may favor the development of bone diseases such as osteopenia and osteoporosis. Therefore, the dietetic approach has a crucial role in the management of LI patients. Additionally, the use of lactose and milk-derived products in non-dairy products (e.g., baked goods, breakfast cereals, drinks, and processed meat) has become widespread in the modern industry (the so-called "hidden lactose"). In this regard, a strict adherence to the lactose-free diet becomes challenging for LI patients, forced to continuous check of all products and food labels. In fact, lactose-free product labeling is still controversial. Considering that nowadays a specific cut-off value establishing "lactose-free" labeling policy is lacking and that there is no universal law regulating the production and commercialization of "delactosed" products, identification of specific safe and suitable products with a well-recognized lactose-free logo might help consumers. This narrative review aims to identify the dietary management for lactose intolerant people, avoiding symptoms and nutrients deficiencies, helped by the use of specific labelling to guide them to choose the safer product on the market

Subsidence evolution of the Firenze–Prato–Pistoia plain (Central Italy) combining PSI and GNSS data

Subsidence phenomena, as well as landslides and floods, are one of the main geohazards affecting the Tuscany region (central Italy). The monitoring of related ground deformations plays a key role in their management to avoid problems for buildings and infrastructure. In this scenario, Earth observation offers a better solution in terms of costs and benefits than traditional techniques (e.g., GNSS (Global Navigation Satellite System) or levelling networks), especially for wide area applications. In this work, the subsidence-related ground motions in the Firenze–Prato–Pistoia plain were back-investigated to track the evolution of displacement from 2003 to 2017 by means of multi-interferometric analysis of ENVISAT and Sentinel-1 imagery combined with GNSS data. The resulting vertical deformation velocities are aligned to the European Terrestrial Reference System 89 (ETRS89) datum and can be considered real velocity of displacement. The vertical ground deformation maps derived by ENVISAT and Sentinel-1 data, corrected with the GNSS, show how the area affected by subsidence for the period 2003–2010 and the period 2014–2017 evolved. The differences between the two datasets in terms of the extension and velocity values were analysed and then associated with the geological setting of the basin and external factors, e.g., new greenhouses and nurseries. This analysis allowed for reconstructing the evolution of the subsidence for the area of interest showing an increment of ground deformation in the historic centre of Pistoia Town, a decrement of subsidence in the nursery area between Pistoia and Prato cities, and changes in the industrial sector close to Prato

A methodological approach of QRA for slow-moving landslides at a regional scale

Landslides represent a serious worldwide hazard, especially in Italy, where exposure to hydrogeological risk is very high; for this reason, a landslide quantitative risk assessment (QRA) is crucial for risk management and for planning mitigation measures. In this study, we present and describe a novel methodological approach of QRA for slow-moving landslides, aiming at national replicability. This procedure has been applied at the basin scale in the Arno River basin (9100 km(2), Central Italy), where most landslides are slow-moving. QRA is based on the application of the equation risk = hazard (H) × vulnerability (V) × exposure (E) and on the use of open data with uniform characteristics at the national scale. The study area was divided into a grid with a 1 km(2) cell size, and for each cell, the parameters necessary for the risk assessment were calculated. The obtained results show that the total risk of the study area amounts to approximately 7 billion €. The proposed methodology presents several novelties in the risk assessment for the regional/national scale of the analysis, mainly concerning the identification of the datasets and the development of new methodologies that could be applicable over such large areas. The present work demonstrates the feasibility of the methodology and discusses the obtained results

Ground deformation and associated hazards in NW peloponnese (Greece)

In the last decades, ground deformations were investigated, analysed and monitored using several methods. As a consequence of a spreading urbanization, several phenomena, e.g. landslide and subsidence, were emphasized or triggered causing not only socio-economic damages, but, in some cases, also casualties. The investigation and mapping of these phenomena are important for both local authorities and civil protection in order to promote a higher conscientious urban planning and to highlight the more hazardous areas. Furthermore, the information are a key point for social development connected to the awareness of the environment and the related risk. The Achaia prefecture, in the north-eastern Peloponnese (Greece), close to the Gulf of Patras, is an area strongly affected by subsidence and landslides. Furthermore, this is an earthquake-prone area, a factor that can trigger some mass movements. For this region, a landslide inventory was realized with the help of the interpretation of Persistent Scatterers data, for the period 1992–2008, and high-resolution optical satellite images, available until 2016, in addition to the investigation of the landslide State of Activity. Moreover, for the coastal area, a section was investigated to evidence subsidence

Basin and local scale detection of ground subsidence through persistent scatterer interferometry: The Anthemountas Basin (Northern Greece) case study.

In the framework of the Terrafirma Extension project, a study has been established for ground motion detection and mapping in the Anthemountas basin (Central Macedonia). Terrafirma promotes the exploitation of Persistent Scatterer Interferometry (PSI) techniques, a remote sensing technology based on multi-temporal satellite Synthetic Aperture Radar (SAR) imagery. The potential of SAR interferometry has been exploited through the innovative Wide Area Mapping approach, recently implemented by the German Space Agency (DLR) and aimed at measuring land deformation over large areas. Interferometric results from 1995-2001 by ERS1/2 satellites has been analyzed at a basin scale to investigate spatial patterns of land motion in the wider Anthemountas plain, where subsidence phenomena related to intense groundwater extraction is clearly manifested. The WAP results turned out to be a valuable tool for the characterization at local scale of the land subsidence in the runaways area of the Macedonia airport and in the village of Perea, affected in 2005-2006 by a series of tensile ground ruptures due to excessive groundwater withdrawal. Besides the study of the phenomenon, this work confirmed the suitability of PSI techniques to detect and measure surface displacements with millimetre accuracy and also to reconstruct the deformations history of the investigated areas through displacement time series analysis