Are current dietary habits in Mediterranean islands a reflection of the past? Results from the MEDIS study.

In the 1960s, the recorded dietary pattern of Southern European populations was typical of the traditional Mediterranean diet. However, diets have been rapidly changing. The aim of the current work was to examine the extent by which present food habits of inhabitants residing in various Mediterranean islands uphold past dietary traditions of the Mediterranean diet. A population-based, multi-stage sampling method was used to voluntarily enroll 876 men and 936 women (aged > 65 years) from 12 Mediterranean islands. Demographic, behavioral, clinical, and dietary data were collected. Principal component analysis derived fruits, vegetables, and greens as part of the main dietary pattern across most Mediterranean regions. Surprisingly, Crete had the highest frequency of fast-food and sweets consumption. Malta had the lowest frequency of fish and vegetable consumption and the lowest MedDietScore. As Mediterranean populations gradually move away from traditional dietary patterns, public-health efforts to preserve these diets are needed.

Infective Endocarditis by Pasteurella Species: A Systematic Review.

Pasteurella spp. are non-motile, facultative anaerobic, Gram-negative coccobacilli that are commonly found in the oral cavity and the gastrointestinal tract of some animals and are known to be the cause of infections. Usually, infections by Pasteurella spp. in humans is more common in the context of an animal bite leading to a skin and soft tissue infection (SSTI). Infective endocarditis (IE) is rarely caused by Pasteurella spp.; however, it can pose diagnostic and therapeutic dilemmas due to its rarity. The aim of the present study was to systematically review all cases of IE by Pasteurella spp. in the literature. A systematic review was performed of PubMed, Scopus and the Cochrane Library (through 20 December 2021) for studies providing data on epidemiology and clinical and microbiological characteristics as well as data on treatment and outcomes of IE by Pasteurella spp. A total of 28 studies containing data for 28 patients were included. Prosthetic valve was present in 21.4% of patients. The aorta was the most commonly involved intracardiac site. Fever, sepsis, septic shock and heart failure were the most common clinical presentations. Cephalosporins, aminopenicillins and penicillin were the antimicrobials used most commonly. Overall mortality was 17.9%.

Quality assessment of composts in the Greek market: the need for standards and quality assurance.

An extensive data survey and study of the Greek market for composts or products marketed as such was carried out in order to acquire a comprehensive image of the local situation, in view of the proposed operation of large municipal solid waste (MSW) composting facilities and EU legislation changes. Physical and chemical parameters (moisture, organic matter, electrical conductivity, pH and heavy metals), stability indicators (self-heating potential, germination index) and biological indicators (microbial population, pathogen indicators and selected pathogens) were analyzed for the assessment of product quality. Results revealed wide variations even within the same group of products, which is particularly significant for parameters directly related to environmental protection and public health. The heavy metal content ranged from levels exceeding the fairly lenient Greek standards to below the stringent limits for A+ class compost in Austria. About 25% of the composts examined met the heavy metal limits for the EU eco-label award. Salmonella spp. was not detected in any of the composts but Staphylococcus aureus and Clostridium perfringens were found in 17 and 96% of the composts respectively. Pathogen indicator microorganisms were present at levels above suggested limits in all the composts. The high variability of such important parameters in composts available on the Greek market suggests an urgent need for establishing quality assurance procedures and mechanisms in the country. Moreover, the wide range of limit values within EU member states suggests the need for developing EU compost quality standards, in order to harmonize the compost markets.