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1.
Viruses ; 16(1)2024 Jan 18.
Artigo em Inglês | MEDLINE | ID: mdl-38257836

RESUMO

African swine fever (ASF) is one of the most important and serious contagious hemorrhagic viral diseases affecting domestic pigs and wild boar and is associated with high mortality rates while also having an extensive sanitary and socioeconomic impact on the international trade of animal and swine products. The early detection of the disease is often hampered by inadequate surveillance. Among the surveillance strategies used, passive surveillance of wild boars is considered the most effective method for controlling the African swine fever virus (ASFV). Otherwise, the design of a sufficiently sensitive ASF surveillance system requires a solid understanding of the epidemiology related to the local eco-social context, especially in the absence of virus detection. Even if the number of carcasses needed to demonstrate ASF eradication has been established, the scientific context lacks detail compared to protocols applied in the active search for wild boar carcasses. The aim of this study was to describe the protocol applied in the active search for carcasses, providing detailed information on the number of people and dogs as well as the amount of time and space used within the Mediterranean area. Using a specific tool developed to record, trace, and share field data (the GAIA observer app), a total of 33 active searches for wild boar carcasses were organized during 2021-2023. Most of these searches were planned to find carcasses that had previously been reported by hunters. A total of 24 carcasses were found, with only 2 carcasses not previously reported. The final protocol applied involved four people, with an average speed of 1.5 km/h. When a carcass had been previously reported, about 2 km of distance had to be covered in about 1.5 h to find the carcass, and even less time was spent when a dog (untrained) was present. In conclusion, it can be stated that, when searching for carcasses, solid collaboration with local hunters or other forest visitors is necessary to ensure carcasses are reported. The process involves small groups of experts actively searching for carcasses, possibly with the use of hunting dogs without special training. The data presented could be of valid support for those countries characterized by Mediterranean vegetation that are faced with the need to plan active carcass searches.


Assuntos
Vírus da Febre Suína Africana , Febre Suína Africana , Humanos , Animais , Cães , Suínos , Febre Suína Africana/epidemiologia , Febre Suína Africana/prevenção & controle , Comércio , Internacionalidade , Itália/epidemiologia , Ilhas do Mediterrâneo , Sus scrofa
2.
Tuberculosis (Edinb) ; 143S: 102388, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38012923

RESUMO

Recent studies combining macroscopical observations and microCT analysis strongly suggested the diagnosis of tuberculosis for a child from the site of Khirokitia (Cyprus, 7th - early 6th millennium cal. BC), whose age at death is between 5 and 7 years. Many single primary burials were discovered at the site where the dead (MNI = 243) are buried in the same way, whatever their age. Nevertheless, the burial of this child presents a unique feature on the site (a male Ovis trophy marking the limit of the burial pit), probably indicating specific attention for this young deceased. This case is the oldest known in the Mediterranean islands and presents a particular interest from a paleoepidemiological point of view. Indeed, considering, on the one hand, the settlement pattern of the island of Cyprus by migrants from the Near East, and on the other hand, the presence of human tuberculosis in the Near East as early as about 10,500 years BP, it is very likely that the prehistoric migrants brought the disease from mainland to Cyprus.


Assuntos
Mycobacterium tuberculosis , Tuberculose , Criança , Humanos , Masculino , Animais , Ovinos , Pré-Escolar , Chipre/epidemiologia , Ilhas do Mediterrâneo/epidemiologia , Tuberculose/diagnóstico , Tuberculose/epidemiologia , Sepultamento
3.
Parasit Vectors ; 16(1): 323, 2023 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-37697408

RESUMO

BACKGROUND: Worms of the nematode genus Trichinella are zoonotic pathogens with a worldwide distribution. The first report of Trichinella on the Mediterranean island of Sardinia was for Trichinella britovi, one of the four species of this genus circulating in Europe, which was identified in 2005 following an outbreak of trichinellosis in humans due to the consumption of pork from pigs reared in the wild. Since then, T. britovi larvae have been repeatedly isolated from free-ranging pigs, foxes (Vulpes vulpes) and wild boars (Sus scrofa) sampled in the central-eastern region of the island (Orgosolo municipality), but have never been isolated from samples from other areas of the island. The aim of this study was to investigate the parasitological and serological prevalence of T. britovi infection in wild boars in Sardinia over space [eight wild boar hunting management units (HMUs)] and time (seven wild boar hunting seasons). METHODS: Muscle and serum samples of boars killed in the 2014-2015 to 2020-2121 hunting seasons were collected from eight HMUs of central and south-western Sardinia. Trichinella sp. larvae were detected by artificial digestion of predilection muscles. A total of 4111 serum samples of wild boar were collected from the investigated HMUs and tested by enzyme-linked immunosorbent assay as a screening test and by western blot as a confirmatory test using excretory/secretory antigens. RESULTS: Trichinella britovi muscle larvae were detected in six (0.03%) of the 17,786 wild boars tested. All of the Trichinella sp.-positive wild boars had been hunted in Orgosolo municipality (central-eastern area of the island), except for one, hunted in a neighboring municipality. An overall serological prevalence of 3.8% (95% confidence interval, 3.3-4.5) was detected by western blot. No statistical differences were detected between the HMUs where T. britovi larvae were detected in wild boars, foxes, and free-ranging pigs and those where wild boars, foxes and free-ranging pigs tested negative. CONCLUSIONS: The serological prevalence did not vary between the wild boar populations in which the larval load was detectable by artificial digestion (Orgosolo municipality) and those in which the larval load was below the detection limit. Furthermore, the serological prevalence of anti-Trichinella immunoglobulin G in the wild boar populations remained constant during the study period, which covered seven wild boar hunting seasons. As the transmission events (i.e., the serological prevalence) are stable, the high biomass of the parasite in Orgosolo municipality can only have arisen as a consequence of factors independent of its natural cycle, i.e., the presence of a high number of free-ranging pigs, and the concomitant presence of African swine fever, due to illegal pig slaughtering in the field. This epidemiological situation suggests that the natural cycle of T. britovi may be influenced by inappropriate pig husbandry and slaughtering practices.


Assuntos
Febre Suína Africana , Trichinella , Animais , Humanos , Suínos , Biomassa , Raposas , Prevalência , Itália/epidemiologia , Ilhas do Mediterrâneo/epidemiologia , Sus scrofa
4.
Sci Total Environ ; 878: 162948, 2023 Jun 20.
Artigo em Inglês | MEDLINE | ID: mdl-36948306

RESUMO

Seabird colonies have a strong influence on both the physical and chemical soil parameters and plant communities of the islands where they settle to nest. Scientists have studied the effects of the demographic explosion of seabird populations, but few have explored the long-term effects when the colonies were in decline. The aim of this study was to investigate diachronic changes over a 24 year period of soil parameters, floristic composition and plant functionnal types (Raunkiaer growth forms and Grime life strategies) up to the decrease of the number of nesting yellow-legged gulls (Larus michahellis Naumann, 1840) on Mediterranean islands. We used 78 permanent plots to survey the vegetation and the soil parameters on 9 islands and one mainland area within the Calanques National Park (south east of France), for three periods (i.e., 1997, 2008, 2021). Since 1997, the increase of nesting gulls has caused a nitrogen and pH increase and organic carbon and C/N ratio decrease, although the values were still higher than mainland plots without nesting gulls. This has led to changes in plant species composition e.g., higher values of N favouring the development of ruderal plant species, still present in high frequency in 2021. Furthermore, plant species highly tolerant to disturbances (i.e., R Grime strategy) in harsh environments were still favoured even after the decline of gull abundance. However, both the frequency of the chamaephytes and the vegetation cover has increased with the decline of gull colony. In 2021, measures of trace elements' concentrations and calculation of pollution load index (Cu, Pb and Zn) reveals relatively low multi-contamination levels on the mainland and the archipelagos. On naturally oligotrophic and semi-arid Mediterranean islands, gull colonies induce a persistent alteration in soil characteristics that still influences plant communities (composition and functional types), 11 years after the decline in bird abundance.


Assuntos
Charadriiformes , Animais , Monitoramento Ambiental , Solo , Ilhas do Mediterrâneo , Instalações de Eliminação de Resíduos
5.
Environ Sci Pollut Res Int ; 30(19): 57164-57173, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-36864338

RESUMO

We examined the entrapment effect of discarded bottles on small mammals, along a road network located in North-Western Sardinia (Italy). On 162 bottles, 49 (> 30%) contained at least one animal specimen (invertebrate or vertebrate) and 26 (16%) entrapped 151 small mammals: insectivorous shrews (Soricomorpha) were more frequently recorded. Larger bottles (66 cl.) showed a higher number of entrapped mammals, but difference was not significant when compared to smaller bottles (33 cl.). Our data highlighted as abandoned bottles represent a threatening factor for small mammals on a large Mediterranean island with over-represented endemic shrews (predators of high trophic level) attracted by insects entrapped in bottles. Correspondence analysis suggest a weak segregation between bottles of different size, related to the abundance of the most entrapped species, the Mediterranean shrew (Crocidura pachyura). This still neglected type of litter, reducing number and biomass of insectivorous mammals of high trophic level and high ecological value may affect the food web in terrestrial insular communities, yet impoverished for biogeographical reasons. However, discarded bottles may represent as low-cost surrogate pitfall traps useful to improve knowledge in poor studied areas. Following the DPSIR (Driving force, Pressure, State, Impact, Response) approach as a framework to select indicator, we suggest as the effectiveness of removal clean-ups could be monitored using both the density of discarded bottles (as indicator of threat pressure) and the abundance of entrapped animals (as indicator of impact on small mammals).


Assuntos
Invertebrados , Musaranhos , Animais , Cadeia Alimentar , Ilhas do Mediterrâneo , Biomassa
6.
Nutr Health ; 29(2): 287-295, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34985355

RESUMO

Background: Whether older immigrant populations from the Mediterranean region, continue to follow the MD long after they immigrated is not known. Aim: Compare adherence to the MD and successful aging levels between Greeks living in Greece (GG) and Greeks living abroad (GA). Methods: Anthropometrical, clinical, psychological, sociodemographic, dietary and lifestyle parameters were assessed in a cross-sectional manner in a sample of 252 GG and 252 GA. Mediterranean Diet Score (MedDietScore range 0-55) was used to assess adherence to the MD. Successful aging was evaluated with the validated successful aging index (SAI range 0-10). Results: GA presented higher adherence to MD (p < 0.001); they were consuming significantly more cereals, legumes, vegetables, and fruits compared to GG. GG consumed significantly more dairy (3.8 ± 2.9 vs. 1.9 ± 2.2, p < 0.001) and potatoes (2.4 ± 1.6 vs. 1.9 ± 1.5, p < 0.001) compared to GA. Meat (p = 0.27), poultry (p = 0.72), fish (p = 0.68), olive oil (p = 0.16) and alcohol consumption (p = 0.05) were comparable between the two groups (all p's > 0.05). MedDietScore was positively associated with SAI among both groups after adjusting for possible confounders (0.041 ± 0.014, p = 0.003 GG and 0.153 ± 0.035, p < 0.001 GA). Also, legumes, cereals, fruits and vegetables were found to be beneficial for successful aging. Conclusion: Adherence to the MD is associated with higher levels of successful aging among people of the same genetic background living in different environments. However, traditional dietary habits are gradually abandoned in their native countries, when, at the same time, are considered cultural heritage and preserved accordingly among immigrants.


Assuntos
Dieta Mediterrânea , Humanos , Estudos Transversais , Grécia , Comportamento Alimentar , Ilhas do Mediterrâneo
7.
PLoS One ; 17(3): e0256777, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35324899

RESUMO

Biodiversity monitoring plays an essential role in tracking changes in ecosystems, species distributions and abundances across the globe. Data collected through both structured and unstructured biodiversity recording can inform conservation measures designed to reduce, prevent, and reverse declines in valued biodiversity of many types. However, given that resources for biodiversity monitoring are limited, it is important that funding bodies prioritise investments relative to the requirements in any given region. We addressed this prioritisation requirement for a biodiverse Mediterranean island (Cyprus) using a three-stage process of expert-elicitation. This resulted in a structured list of twenty biodiversity monitoring needs; specifically, a hierarchy of three groups of these needs was created using a consensus approach. The most highly prioritised biodiversity monitoring needs were those related to the development of robust survey methodologies, and those ensuring that sufficiently skilled citizens are available to contribute. We discuss ways that the results of our expert-elicitation process could be used to support current and future biodiversity monitoring in Cyprus.


Assuntos
Conservação dos Recursos Naturais , Ecossistema , Biodiversidade , Conservação dos Recursos Naturais/métodos , Investimentos em Saúde , Ilhas do Mediterrâneo
8.
Sci Total Environ ; 805: 150314, 2022 Jan 20.
Artigo em Inglês | MEDLINE | ID: mdl-34543797

RESUMO

Mediterranean islands are considered especially vulnerable to biological invasions by alien plants. However, there is a lack of studies on island scale regarding the factors that determine alien plant's spatial distribution, and the way they affect invasion process. A roadside survey of alien plant species was conducted on Lesvos, the 8th largest island in Mediterranean basin. Data on species counts and explanatory variables were aggregated to a 1 sq. km vector grid and brought together into a single GIS layer. Alien species counts were modelled by using a Negative-binomial model while a Generalised Additive Model was used to examine possible non-linear relationships to the predictors by using splines. A subset of significant factors, related both to human activities and the environment, shaped the spatial distribution of aliens and influenced, in various ways, their future invasion outcome. Transformed areas with high levels of anthropogenic pressures and disturbances, including high population numbers, dense road network, ports, and intensive land use, as is the case for coastal zones, promoted the presence of alien species. Contrary, modified areas, such as grazed lands, seemed to restrict alien species occurrences, possibly due to the long grazing history these areas present, a regime in which aliens are not adapted. Alien plants presence was positively associated with high levels of NPP, diversity of geological substrates, and a west-facing aspect. Anthropogenic determinants of alien spatial patterns were primarily connected to increased propagule pressure, whereas environmental factors demonstrated the preference of alien plants for resource-rich environments.


Assuntos
Espécies Introduzidas , Plantas , Adaptação Fisiológica , Ecossistema , Humanos , Ilhas do Mediterrâneo
9.
Neuromuscul Disord ; 31(12): 1251-1258, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34740514

RESUMO

Comprehensive data on variant transthyretin amyloidosis polyneuropathy (ATTRv-PN) in Greece are lacking. We presently provide an overview of ATTRv-PN in Greece, focusing on unexplored non-endemic regions of the country. In total, we identified 57 cases of ATTRv-PN diagnosed over the past 25 years, including 30 from the island of Crete, an apparent endemic region. Patients carried 10 different TTR mutations (C10R; P24S; V30M; R34G; R34T; I68L; A81T; E89Q; E89K and V94A). Carriers of the common V30M mutation constituted 54.3 % of the cohort. A known founder effect for the V30M mutation was present on the island of Crete. Non-endemic cases identified outside the island of Crete are presently reported in more detail. The age of onset ranged from 25 to 77 years, with a mean of 51.1 years. A mean diagnostic delay of 3.2 years was observed. V30M patients had earlier onset and less cardiac involvement than patients carrying other mutations. Genotype-phenotype correlations were largely consistent with published data. We conclude that, with the exception of the Cretan cluster, ATTRv-PN is not endemic in the Greek population. This makes timely diagnosis more challenging, yet absolutely essential given the availability of therapies that can alter the long-term course of the disease.


Assuntos
Neuropatias Amiloides Familiares/epidemiologia , Neuropatias Amiloides Familiares/genética , Adulto , Idade de Início , Idoso , Feminino , Grécia/epidemiologia , Humanos , Masculino , Ilhas do Mediterrâneo/epidemiologia , Pessoa de Meia-Idade , Pré-Albumina/genética
10.
Arch Gerontol Geriatr ; 97: 104523, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34537513

RESUMO

OBJECTIVES: Comparing lifestyle and successful aging between Greeks living in Greece (GG) and Greeks living abroad (GA) using a multidimensional model of successful aging including both biomedical and non-medical components. METHODS: Anthropometric, clinical, psychological, socio-demographic, dietary and lifestyle parameters were assessed in a random sample of 252 GG and 252 GA. Successful aging was evaluated using the validated successful aging index (SAI range 0-10). RESULTS: GA had better financial and educational status and scored higher in all social activity parameters (p's < 0.05). GA were more likely to be physically active (p < 0.001), had higher adherence to the Mediterranean diet (p < 0.001) and were less likely to be smoking (p = 0.008). Depression was more evident among GG compared to GA (p < 0.001). GA was aging significantly more successfully than GG (p < 0.001). Men irrespective of location were aging significantly more successfully than women (p < 0.05). CONCLUSION: Place of residence and personal choices significantly affect the level of healthy aging among people with similar genetic backgrounds.


Assuntos
Dieta Mediterrânea , Estilo de Vida , Estudos Transversais , Feminino , Grécia/epidemiologia , Humanos , Masculino , Ilhas do Mediterrâneo/epidemiologia
11.
Nat Commun ; 12(1): 2762, 2021 05 12.
Artigo em Inglês | MEDLINE | ID: mdl-33980851

RESUMO

The Mediterranean basin is a hotspot of biodiversity, fuelled by climatic oscillation and geological change over the past 20 million years. Wall lizards of the genus Podarcis are among the most abundant, diverse, and conspicuous Mediterranean fauna. Here, we unravel the remarkably entangled evolutionary history of wall lizards by sequencing genomes of 34 major lineages covering 26 species. We demonstrate an early (>11 MYA) separation into two clades centred on the Iberian and Balkan Peninsulas, and two clades of Mediterranean island endemics. Diversification within these clades was pronounced between 6.5-4.0 MYA, a period spanning the Messinian Salinity Crisis, during which the Mediterranean Sea nearly dried up before rapidly refilling. However, genetic exchange between lineages has been a pervasive feature throughout the entire history of wall lizards. This has resulted in a highly reticulated pattern of evolution across the group, characterised by mosaic genomes with major contributions from two or more parental taxa. These hybrid lineages gave rise to several of the extant species that are endemic to Mediterranean islands. The mosaic genomes of island endemics may have promoted their extraordinary adaptability and striking diversity in body size, shape and colouration, which have puzzled biologists for centuries.


Assuntos
Introgressão Genética , Genoma/genética , Lagartos/genética , Animais , Biodiversidade , Evolução Molecular , Variação Genética , Lagartos/classificação , Ilhas do Mediterrâneo , Filogenia
12.
Environ Pollut ; 283: 117397, 2021 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-34030063

RESUMO

Hg is a global concern given its adverse effects on human health, food security and the environment, and it requiring actions to identify major local Hg sources and to evaluate pollution. Our study provides the first assessment of Hg stock trends on the entire Majorca surface, identifying major Hg sources by studying the spatiotemporal soil Hg variation at two successive times (2006 and 2016-17). The Hg soil concentration ranged from 14 to 258 µg kg-1 (mean 52 µg kg-1). Higher concentrations (over 100 µg kg-1) were found in two areas: (i) close to the Alcudia coal-fired power plant; (ii) in the city of La Palma. During the 11-year, the total Hg stock in Majorcan soil increased from 432.96 tons to 493.18 tones (14% increase). Based on a block kriging analysis, soil Hg enrichment due to power plant emissions was clearly detectable on a local scale (i.e. a shorter distance than 18 km from the power plant). Nonetheless, a significant island-wide Hg increase due to diffuse pollution was reported. This result could be extrapolated to other popular tourist destinations in the Mediterranean islands where tourism has increased in recent decades In short, more than 60 tons of Hg have accumulated on Majorca island in 11 years.


Assuntos
Mercúrio , Poluentes do Solo , Carvão Mineral/análise , Monitoramento Ambiental , Humanos , Ilhas , Ilhas do Mediterrâneo , Mercúrio/análise , Centrais Elétricas , Solo , Poluentes do Solo/análise , Espanha
13.
Sci Total Environ ; 786: 147391, 2021 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-33964774

RESUMO

Herbivory of insular plant communities by introduced animals has been widely studied for decades. Though their diet mainly includes palatable and highly nutritive species, goats will also eat plants that are toxic to other animals. Thus, severe affection of toxic species may indicate high herbivore pressure or a low quality of vegetative food. To evaluate whether herbivory damage to low-palatability shrubs could give us information about feral goat pressure on vegetation, we assessed the predation impact of feral goats on the shrub Euphorbia dendroides (Euphorbiaceae) on Mallorca Island (Spain). We aimed to investigate whether goats consume juvenile E. dendroides and affect their population structure and determine if the plants increase the concentrations of toxic compounds as an adaptation to herbivory. Overall, two experimental plots and analysis of eleven natural populations indicated E. dendroides is affected by ungulates and that the population structure change with the presence of feral goats. Euphorbia dendroides could be used as an ecological indicator to determine the extent of ungulate damage to vegetation or indicate poor food availability, and thus inform the maintenance of optimal animal populations. Depending on the management objective for the territory, E. dendroides could be used as an ecological indicator to determine the extent of ungulate damage to vegetation or indicate poor food availability for animals, and thus inform the maintenance of optimal animal populations.


Assuntos
Cabras , Herbivoria , Animais , Ilhas do Mediterrâneo , Plantas , Espanha
14.
Pest Manag Sci ; 77(5): 2375-2384, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33423381

RESUMO

BACKGROUND: The yellow-legged hornet, Vespa velutina nigrithorax, is an invasive alien species (IAS) which was accidentally introduced in Europe from Asia. This social insect preys primarily on honeybees but also on other pollinators and insects. Consequently, the establishment of this pest has a negative impact on biodiversity, pollination and economy. There is no clear coordination and uniformed methods for eradication measures between countries. Here we present the first field study of the strategy of eradication of the pest species V. velutina that has been conducted in the westernmost Mediterranean archipelago. RESULTS: We investigated the combination of different eradication methods, such as trapping; the use of the citizen science data for detection of presence, the active search of nests and the removal of nests using mechanical methods. The progression of the number of secondary nests found was 1 (2015), 9 (2016) and 20 (2017), with zero during 2018, 2019 and 2020, and just one embryo nest in 2018. More than half of the nests (58%) were detected thanks to citizen science data. The people sent us adult detections, and we started the triangulation method to find the nests. The last hornet found in the traps was in June 2018. CONCLUSION: Early detections of the IAS are crucial to minimise their effects, and citizen science may offer an important source of information to determine the presence and distribution of V. velutina. The findings we present here indicate successful management for this globally significant pest and could contribute to advance the 'science of eradication'. © 2021 Society of Chemical Industry.


Assuntos
Espécies Introduzidas , Vespas , Adulto , Animais , Ásia , Abelhas , Europa (Continente) , Humanos , Ilhas do Mediterrâneo
15.
Diabetes Res Clin Pract ; 171: 108553, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33242514

RESUMO

BACKGROUND: Diagnosis of monogenic diabetes has important clinical implications for treatment and health expenditure. However, its prevalence remains to be specified in many countries, particularly from South Europe, North Africa and Middle-East, where non-autoimmune diabetes in young adults is increasing dramatically. AIMS: To identify cases of monogenic diabetes in young adults from Mediterranean countries and assess the specificities between countries. METHODS: We conducted a transnational multicenter study based on exome sequencing in 204 unrelated patients with diabetes (age-at-diagnosis: 26.1 ± 9.1 years). Rare coding variants in 35 targeted genes were evaluated for pathogenicity. Data were analyzed using one-way ANOVA, chi-squared test and factor analysis of mixed data. RESULTS: Forty pathogenic or likely pathogenic variants, 14 of which novel, were identified in 36 patients yielding a genetic diagnosis rate of 17.6%. The majority of cases were due to GCK, HNF1A, ABCC8 and HNF4A variants. We observed highly variable diagnosis rates according to countries, with association to genetic ancestry. Lower body mass index and HbA1c at study inclusion, and less frequent insulin treatment were hallmarks of pathogenic variant carriers. Treatment changes following genetic diagnosis have been made in several patients. CONCLUSIONS: Our data from patients in several Mediterranean countries highlight a broad clinical and genetic spectrum of diabetes, showing the relevance of wide genetic testing for personalized care of early-onset diabetes.


Assuntos
Diabetes Mellitus Tipo 2/epidemiologia , Adulto , Feminino , Humanos , Masculino , Ilhas do Mediterrâneo/epidemiologia , Adulto Jovem
16.
Neuropediatrics ; 52(1): 56-61, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33111308

RESUMO

BACKGROUND: Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is a rare and disabling immunomediated radiculoneuropathy. Its worldwide epidemiology is heterogeneous and, in adults, CIDP prevalence varies from 0.6 to 9 cases per 100,000 population. Juvenile CIDP (jCIDP) is even rarer, with age-specific prevalence rates varying from 0.23 to 1.26 owing to different diagnostic criteria (American Academy of Neurology [AAN] and European Federation of Neurological Societies/Peripheral Nerve Society [EFNS/PNS]), different age grouping or, genuine differences. OBJECTIVES: We assessed jCIDP incidence and prevalence in Sardinia, an area at very-high risk for autoimmune diseases, using comparable methods. DESIGN: The study area was the northern Sardinia, insular Italy, with 491,571 inhabitants and a pediatric population (0-18 years) of 79,086 individuals. RESULTS: On prevalence day (December 31, 2019) the total crude, age-specific prevalence rate were 6.32 per 100,000 according with AAN criteria, 7.58 per 100,000 population with European Neuromuscular Center (ENMC) criteria, and 8.85 per 100,000 population with both 2006 and 2010 EFNS/PNS criteria. Crude mean incidence rate were 0.42 per 100,000 per year with AAN criteria, 0.50 per 100,000 per year with ENMC criteria, and 0.59 per 100,000 per year using 2006 and 2010 EFNS/PNS criteria. Of the eight patients, six had typical CIDP, one had multifocal-acquired demyelinating sensory and motor neuropathy (MADSAM), and one chronic immune sensory polyradiculopathy (CISP). Patient's disability was generally mild. Clinical course was progressive, monophasic, or relapsing. CONCLUSION: jCIDP prevalence and incidence rates in Sardinia were criteria-dependent, the lowest obtained when using AAN criteria, the highest using the EFNS/PNS. Nonetheless, even with the exclusion of the "possible" category, by using comparable methodology, prevalence rates in Sardinia are considerably higher than the range reported in all previous jCIDP studies.


Assuntos
Polirradiculoneuropatia Desmielinizante Inflamatória Crônica/diagnóstico , Polirradiculoneuropatia Desmielinizante Inflamatória Crônica/epidemiologia , Guias de Prática Clínica como Assunto , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Incidência , Lactente , Itália , Ilhas do Mediterrâneo/epidemiologia , Prevalência
17.
Ann Ig ; 32(6): 674-681, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33175077

RESUMO

BACKGROUND: Toscana virus (TOSV) is an arbovirus transmitted to humans by Phlebotomus spp sandflies. It causes aseptic meningitis and meningoencephalitis with marked seasonality. Here we describe the clinical, microbiological and epidemiological features of two clusters of cases occurred in Tuscany in 2018. METHODS: A confirmed case was defined as the detection of anti-TOSV IgM and IgG in serum sample, in presence of typical clinical manifestations. We consulted hospital records of hospitalized patients to collect clinical information and obtained epidemiological information from the local health authority investigation report. We telephonically interviewed patients using a standard questionnaire for a 6 months follow-up. RESULTS: A total of 12 cases of TOSV meningo-encephalitis with onset between 4th of July and 12th of September accessed health care services in the province of Livorno. Eight cases were males with median age 41,5 and four were not resident in the area. Serological investigations confirmed a recent TOSV infection. Eight cases reported visiting Elba Island and four had a possible occupational-related exposure. CONCLUSIONS: This surge of infection emphasizes the need of information campaigns coupled with adequate surveillance and control interventions against TOSV that, among other arboviruses, is a growing issue of concern in Italy.


Assuntos
Meningoencefalite/epidemiologia , Febre por Flebótomos/epidemiologia , Vírus da Febre do Flebótomo Napolitano , Adulto , Anticorpos Antivirais/sangue , Doenças Transmissíveis Emergentes/epidemiologia , Surtos de Doenças , Feminino , Seguimentos , Humanos , Imunoglobulina G/sangue , Imunoglobulina M/sangue , Entrevistas como Assunto , Itália/epidemiologia , Masculino , Ilhas do Mediterrâneo/epidemiologia , Meningite Asséptica/diagnóstico , Meningite Asséptica/epidemiologia , Meningoencefalite/diagnóstico , Pessoa de Meia-Idade , Doenças Profissionais/epidemiologia , Febre por Flebótomos/diagnóstico , Vírus da Febre do Flebótomo Napolitano/imunologia , Estações do Ano , Inquéritos e Questionários , Turismo , Doença Relacionada a Viagens , Adulto Jovem
18.
Parkinsonism Relat Disord ; 80: 54-57, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32956974

RESUMO

BACKGROUND: The frequency of Huntington's disease (HD) may vary considerably, with higher estimates in non Asian populations. In Italy, two recent studies performed in Ferrara county and Molise provided different prevalence estimates, varying from 4.2 × 105 to 10.8 × 105. Here we present a study performed in the Southern part of Sardinia, a large Italian mediterranean island that is considered a genetic isolate. METHODS: The study area included the two neighbouring counties of South Sardinia and Cagliari with 353,830 and 431,955 inhabitants respectively on December 31st, 2017 (prevalence date). Case-patients were ascertained through multiple sources in Sardinia and Italy. RESULTS: We identified 54 individuals with HD, of whom 47 were alive on prevalence date. The resulting prevalence rate was 5.98 × 105 in the overall study area, however with marked variations between South Sardinia and Cagliari (9.6 × 105 vs. 3.0 × 105, p = 0.02). In the two study areas, we found similar CAG repeat length in normal alleles (17.5 ± 2.1 vs. 17.7 ± 2.2, p = 0.5). CONCLUSIONS: The overall prevalence of HD in Sardinia is close to the correspondent estimates in Europeans. Our findings also highlighted the possibility of local microgeographic variations in the epidemiology of HD.


Assuntos
Doença de Huntington/epidemiologia , Adulto , Idoso , Feminino , Humanos , Itália/epidemiologia , Masculino , Ilhas do Mediterrâneo/epidemiologia , Pessoa de Meia-Idade , Prevalência
19.
Biol Lett ; 16(9): 20200458, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32991822

RESUMO

Mediterranean islands provide shelter and sustenance for millions of migrating birds each year. Humans have historically exploited bird migration through hunting. In Cyprus, trapping birds during their migratory peak is considered a tradition, but has long been against the law. Illegal bird trapping is lucrative, however, with trappers using tape lures that broadcast birdsong to increase capture rates. It results in the slaughter of millions of birds each year. Yet, scientific studies quantifying capture rates of target and nontarget species using methods employed by trappers are lacking. Here, we show using playback experiments that tape lures lead to an order of magnitude greater capture rates of target species, but also significantly increase bycatch, which may include species of conservation concern. Conservation efforts focusing on minimizing illegal bird killing should also consider tape lures and their contribution to the overall impact of trapping on avian populations.


Assuntos
Aves , Conservação dos Recursos Naturais , Animais , Humanos , Ilhas do Mediterrâneo
20.
Mar Pollut Bull ; 159: 111504, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32758796

RESUMO

Mediterranean Sea is among the world's leading tourist destinations; however, the sharp increase in tourists during the high season may affect coastal seawater. The main aim of this study was to evaluate the occurrence and temporal variation of anthropogenic nutrients in coastal seawater in relation to tourist flows in three Mediterranean islands (Cyprus, Sicily and Rhodes), through short-term macroalgae deployments, coupled with δ15N analysis and GIS mapping. In all islands, an overall increase in macroalgae δ15N occurred over the deployment carried out in August in the tourist sites, suggesting the presence of anthropogenic nutrients. Decreasing δ15N values occurred at increasing distance from the coastline in two out of the three islands (Cyprus and Sicily). This study revealed the usefulness of the approach used in the assessment of tourism impact in terms of trophic enrichment and its potential to support competent authorities for the development of sustainable coastal management plans.


Assuntos
Monitoramento Ambiental , Alga Marinha , Chipre , Ilhas do Mediterrâneo , Mar Mediterrâneo , Nutrientes , Sicília
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