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<dc:title>Studio di un modello di correlazione tra la fluttuazione del tenore di metalli pesanti e di altri fattori ambientali e la salute umana in Sardegna</dc:title>
<dc:creator>SANNA, ALESSANDRO</dc:creator>
<dc:subject>economic geology</dc:subject>
<dc:subject>geologia medica</dc:subject>
<dc:subject>giacimentologia</dc:subject>
<dc:subject>medical geology</dc:subject>
<dc:subject>Settore BIO/13 - Biologia Applicata</dc:subject>
<dc:description>Since the first half of the 20th century, the incidence of Multiple Sclerosis (MS), Type 1 Diabetes (T1D) and&#xd;
Autism Spectrum Disorders (ASDs) has increased in Sardinia. T1D results from autoimmune destruction of&#xd;
insulin, producing beta cells of the pancreas; MS is a chronic disease of the central nervous system, causing&#xd;
neurological affliction; Autism is defined as a complex developmental disability that generally appears&#xd;
during the first three years of life. Concerning MS and T1D, Sardinia island has one of the highest incidence&#xd;
rate in the world. In this island, there is the presence of phenotypes of these diseases, due to the&#xd;
homogeneous genetic background of the local population. Indeed, Sardinia population is a genetic isolate.&#xd;
The genetic background by itself does not explain such increasing incidence. T1D and MS increase with&#xd;
latitude, but Sardinia is an exception. Furthermore, mining exploitation was one of the most important&#xd;
economic activities in Sardinia during the past centuries and a lot of data are today available for the&#xd;
researchers. For this reasons Sardinia is an ideal setting to study a possible correlation between&#xd;
environmental factors and the diseases above, because of sardinian people genetic background and&#xd;
environmental peculiarities of the island.&#xd;
A set of environmental data and the frequency data of MS, T1D and ASD were investigated to evaluate the&#xd;
correlation between environmental factors and the frequency of these diseases. In particular, among the&#xd;
environmental factors, geochemical data are included in the Geochemical Database of the Department of&#xd;
Civil, Environmental Engineering and Architecture (DICAAR) of the Cagliari University. This Database is&#xd;
populated by thousands of data concerning soils, rocks and stream sediments. A stream-sediment-type&#xd;
sampling, which is widely used for mineral prospecting, has the advantage of effectively representing the&#xd;
overall geochemical print of a wide portion of territory such as a stream basin. Environmental and diseases&#xd;
data were analyzed through the statistical methods which were used by mining prospections activities.&#xd;
Environmental factors considered in this study are: geochemical values of each lithology, lithology and&#xd;
geology, sun exposure and climate. Also spatial analysis distribution of MS, T1D and ASDs was done.&#xd;
Therefore, a correlation between the environmental factors in reference to the total population and the&#xd;
frequency of the diseases was evaluated. Moreover, the correlation between the environmental factors in&#xd;
both male and female population and the frequency of the diseases was investigated. In a first time these&#xd;
relationships were investigate for each municipalities. Afterwards, 109 Homogeneous Areas (HA) from&#xd;
lithological point of view were identified. Each Homogeneous Area includes one or more municipalities,&#xd;
which have the same lithological features. Then, the relationship between the environmental factors and the&#xd;
frequency of diseases was evaluated for each HA.&#xd;
About T1D analyses, they revealed negative associations between the incidence of the disease and some&#xd;
elements, such as Cu (r = -0.349, Pvalue = 2*10-4) and Zn (r = -0.332, Pvalue = 4.20*10-4), while, concerning&#xd;
MS, a mild correlation was present between Cu (r = -0.460, Pvalue = 1*10-3) and the distribution of the&#xd;
disease in the male gender. A significant correlations was calculated among Pb (r = 0.478, Pvalue = 3.43*10-&#xd;
6), Cd (r = 0.412, Pvalue = 8.10*10-5), Zn (r = -0.378, Pvalue = 3.3*10-4) and the presence of ASDs.&#xd;
In this research was used for the first time a geo-epidemiological approach to identify environmental factors&#xd;
involved to the geographical distribution of above diseases. Moreover, the elements significantly correlated&#xd;
with MS, T1D and ASDs could be markers (pathfinders) of other elements not analyzed in this study&#xd;
(confounding), but they could be potentially involved on the onset of the diseases. Also, our results should be&#xd;
considered as hypothesis-generating rather than hypothesis testing study. This kind of study is unusual and it&#xd;
has a deep interdisciplinary approach so the present results must be better confirmed in future studies.</dc:description>
<dc:date>2016-03-10</dc:date>
<dc:type>info:eu-repo/semantics/doctoralThesis</dc:type>
<dc:identifier>http://hdl.handle.net/11584/266896</dc:identifier>
<dc:language>ita</dc:language>
<dc:relation>numberofpages:126</dc:relation>
<dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
<dc:publisher>Università degli Studi di Cagliari</dc:publisher>
<dc:rights>license:Non specificato</dc:rights>
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