The use of complementary and alternative medicine is frequent in patients with pancreatic disorder

BACKGROUND: Herbal remedies and other complementary and alternative medicine (CAM) are used by 30% of the patients with liver and inflammatory bowel diseases. However, there are no data regarding CAM use in patients with pancreatic disorders, including potential pancreatotoxicity. AIM OF THE STUDY: The aim of the study was to assess the prevalence of CAM use in patients with pancreatic disorders and screen for pancreatotoxicity. MATERIALS AND METHODS: This was a cross-sectional survey of consecutive outpatients seen at a Pancreas Center. Data were collected in a specific questionnaire. Descriptive statistics were used to analyze the prevalence and the patterns of CAM use. Characteristics associated with CAM use were analyzed by appropriate statistics. RESULTS: Of 108 patients (52% male; mean age, 65±13 years), 47 (43.5%) used CAM. The use of CAM was more frequent among patients with previous acute pancreatitis (47%). Reported reasons for the use of CAM were to help standard therapies and for an overall better feeling. About 61% of the patients reported advantages with treatment. As compared with nonusers, CAM users were more often female (55% vs. 42%), with a higher school degree (43% vs. 36%), more frequently performing physical activity (51% vs. 41%), and reporting anxiety (45% vs. 31%). However, none of these differences were statistically significant. Three patients with previous acute pancreatitis reported the use of Serenoa repens that is potentially pancreatotoxic. DISCUSSION: The rate of CAM use in patients with pancreatic disorders is similar to those reported for other digestive diseases. CAM use seems to be more frequent in women with a higher education level and a "healthier lifestyle." Patients might not be aware of the potential pancreatotoxicity of CAM, which should be carefully considered by physician

Building on an oasis in Garamantian times: geoarchaeological investigation on mud architectural elements from the excavation of Fewet (Central Sahara, SW Libya)

The paper describes the micromorphological and mineralogical properties of earthen architectural elements from the excavation of the Garamantian compound of Fewet (Central Sahara, SW Libya), settled between the 2nd century BC and the 1st century AD, and compares this evidence with a set of samples from historical to modern context of Saharan and Sub-Saharan Africa. At Fewet, the production of mud bricks, plasters, and mortars employed in the building of the compound required raw materials available near the settlement. The earthen elements lack almost completely clay and organic temper, and their main components are quartz grains (sandy to silty) and a calcareous and slightly organic mud, available beside former springs. Only plaster and mortars show the addition (in limited quantity) of finely subdivided vegetal remains to the mixture. The technology for earthen elements used in Garamantian times resembles those today applied at many localities in Sub-Saharan Africa. Finally, our analyses showed that in the last millennia archaeological sediments underwent limited postdepositional weathering, mostly related to solute redistribution after occasional rainfalls. Today, the same process affects traditional mud brick buildings

Geomorphology of the Mt. Cusna Ridge (Northern Apennines, Italy) : evolution of a Holocene landscape

The Mt. Cusna ridge, located in the Northern Apennines (North Italy), is a mountain area of relevant geological interest for the interaction through time of distinct geomorphic processes, acting since the end of the Last Glacial Maximum. A geomorphological map at the 1:10,000 scale was produced to characterise the main landforms and processes identifiable on the ridge. From this, a detailed reconstruction of the Holocene landscape history of the area is drawn. After deglaciation, at the end of the Pleistocene, glacial and periglacial processes left wide deposits and barren surfaces. Slope and running water processes acted cyclically on the landscape through phases of stronger slope denudation and landslide activation followed by stability periods. These processes are related to the main climatic changes recorded for the N Apennines during the Holocene. Since the Late Holocene, the impact of human communities may have played a prominent role as an agent of landscape modification

Holocene Critical Zone dynamics in an Alpine catchment inferred from a speleothem multiproxy record : disentangling climate and human influences

Disentangling the effects of climate and human impact on the long-term evolution of the Earth CriticalZone is crucial to understand the array of its potential responses to the ongoing Global Change. This task requires natural archives from which local information about soil and vegetation can be linked directly to climate parameters. Here we present a high-resolution, well-dated, speleothem multiproxy record from the SW Italian Alps, spanning the last ~10,000 years of the present interglacial (Holocene). We correlate magnetic properties and the carbon stable isotope ratio to soil stability and pedogenesis, whereas the oxygen isotope composition is interpreted as primarily related to precipitation amount, modulated at different timescales by changes in precipitation source and seasonality. During the 9.7-2.8 ka period, when anthropic pressure over the catchment was scarce, intervals of enhanced soil erosion are related to climate-driven vegetation contractions and occurred during drier periods. Immediately following the onset of the Iron Age (ca. 2.8 ka), by contrast, periods of enhanced soil erosion coincided with a wetter climate. We propose that the observed changes in the soil response to climate forcing were related to early anthropogenic manipulations of Earth\u2019s surface, which made the ECZ more sensitive to climate oscillations

Geomorphology of the northwestern Kurdistan Region of Iraq: landscapes of the Zagros Mountains drained by the Tigris and Great Zab Rivers

We present the geomorphological map of the northwestern part of the Kurdistan Region of Iraq, where the landscape expresses the tectonic activity associated with the Arabia-Eurasia convergence and Neogene climate change. These processes influenced the evolution of landforms and fluvial pathways, where major rivers Tigris, Khabur, and Great Zab incise the landscape of Northeastern Mesopotamia Anticlinal ridges and syncline trough compose the Zagros orogen. The development of water and wind gaps, slope, and karsts processes in the highlands and the tilting of fluvial terraces in the flat areas are the main evidence of the relationship between tectonics, climate variations and geomorphological processes. During the Quaternary, especially after the Last Glacial Maximum, fluctuating arid and wet periods also influenced local landforms and fluvial patterns of the area. Finally, the intensified Holocene human occupation and agricultural activities during the passage to more complex societies over time impacted the evolution of the landscape in this part of Mesopotamia

Geomorphology of the northwestern Kurdistan Region of Iraq: landscapes of the Zagros Mountains drained by the Tigris and Great Zab Rivers

We present the geomorphological map of the northwestern part of the Kurdistan Region of Iraq, where the landscape expresses the tectonic activity associated with the Arabia-Eurasia convergence and Neogene climate change. These processes influenced the evolution of landforms and fluvial pathways, where major rivers Tigris, Khabur, and Great Zab incise the landscape of Northeastern Mesopotamia Anticlinal ridges and syncline trough compose the Zagros orogen. The development of water and wind gaps, slope, and karsts processes in the highlands and the tilting of fluvial terraces in the flat areas are the main evidence of the relationship between tectonics, climate variations and geomorphological processes. During the Quaternary, especially after the Last Glacial Maximum, fluctuating arid and wet periods also influenced local landforms and fluvial patterns of the area. Finally, the intensified Holocene human occupation and agricultural activities during the passage to more complex societies over time impacted the evolution of the landscape in this part of Mesopotamia

Back to Uluzzo – archaeological, palaeoenvironmental and chronological context of the Mid–Upper Palaeolithic sequence at Uluzzo C Rock Shelter (Apulia, southern Italy)

The tempo and mode of Homo sapiens dispersal in Eurasia and the demise of Neanderthals has sparked debate about the dynamics of Neanderthal extinction and its relationship to the arrival of H. sapiens. In Italy, the so-called ‘Transition’ from Neanderthals to H. sapiens is related to the Uluzzian technocomplex, i.e. the first archaeological evidence for modern human dispersal on the European continent. This paper illustrates the new chronology and stratigraphy of Uluzzo C, a rock shelter and Uluzzian key site located in the Uluzzo Bay in southern Italy, where excavations are ongoing, refining the cultural sequence known from previous excavations. Microstratigraphic investigation suggests that most of the deposit formed after dismantling of the vault of the rock shelter and due to wind input of loess deflated by the continental shelf. The occasional reactivation of the hydrology of the local karst system under more humid conditions further contributed to the formation of specific layers accumulating former Terra Rossa-type soil fragments. Superposed on sedimentary processes, strong bioturbation and the mobilization and recrystallization of calcite have been detected. Optically stimulated luminescence (OSL) ages from Uluzzo C Rock Shelter are congruent with previously published radiocarbon ages obtained on shell beads and tephrachronology from adjacent sites preserving the Uluzzian technocomplex such as Grotta del Cavallo, confirming the onset for the Uluzzian in the area to ca. 39.2–42.0 ka. The OSL chronology from Uluzzo C also provides a terminus post quem for the end of the Mousterian in the region, constraining the disappearance of the Neanderthals in that part of Italy to ≥46 ± 4 ka