CHEMICAL ARTS AND RELIGION IN ANTIQUITY. AN INTRODUCTION

Introduction to the special issue dedicated to chemical arts and religion in Antiquit

Anorectal Manometry for the Diagnosis of Hirschsprung Disease: New Heights for the Balloon or Just Hot Air?

In this issue of the Journal of Pediatric Gastroenterology and Nutrition, Meinds et al (1) report on the performance of a modified anorectal manometry (ARM) protocol for the diagnosis of Hirschsprung Disease (HSCR). In a prospective study of 105 patients suspected of having HSCR they showed that both the sensitivity and specificity of their modified ARM protocol were equivalent to rectal suction biopsy (RSB) with a 100% negative predictive value. They conclude that ARM is a viable screening tool for HSCR and could be used as a first diagnostic step to exclude HSCR across all age groups and ultimately reduce the need for rectal biopsies

The evaluation and management of recurrent abdominal pain in childhood

Recurrent abdominal pain (RAP) is a common complaint in children. Previously considered a single entity, RAP is now used as a descriptive term and sub-classified in the recently published Rome IV criteria, into four functional abdominal pain disorders (FAPD), including functional dyspepsia and irritable bowel syndrome. All share common pathogenic mechanisms of visceral hypersensitivity and central hypervigilance, resulting from disruption of the microbiota–gut–brain axis and abnormal enteric neuro–immune interactions. Although FAPDs are benign in nature, the persistence of symptoms and effects on everyday life can have significant secondary effects including psychosocial morbidity. The diagnosis of FAPDs is based on careful history and examination looking for ‘alarm signs’, although a limited battery of laboratory investigations to screen for organic disease may be of value. The management of FAPDs should be multidisciplinary and based on the bio-psychosocial model of care with careful education and engagement of patients/parents. There is currently little evidence to support the routine use of pharmacotherapy, probiotics or diet and a significant placebo effect should be considered when assessing treatment effect. Hypnotherapy has been shown to be an effective therapy. Approximately 50% of FAPDs cases will achieve resolution, especially those that have engaged with the appropriate model of management

Ion-Exchanged Waveguides in Glass Doped with PbS Quantum Dots

The lowest-loss (≤1 dB/cm) ion-exchanged waveguides in glass doped with PbS quantum dots are presented. Near-field mode profile and refractive index profile using the refracted near-field technique were measured for these waveguides. We demonstrate that the optical properties of this glass unchanged during the ion-exchange process

Gastro-Esophageal Reflux in Children

Gastro-esophageal reflux (GER) is common in infants and children and has a varied clinical presentation: from infants with innocent regurgitation to infants and children with severe esophageal and extra-esophageal complications that define pathological gastro-esophageal reflux disease (GERD). Although the pathophysiology is similar to that of adults, symptoms of GERD in infants and children are often distinct from classic ones such as heartburn. The passage of gastric contents into the esophagus is a normal phenomenon occurring many times a day both in adults and children, but, in infants, several factors contribute to exacerbate this phenomenon, including a liquid milk-based diet, recumbent position and both structural and functional immaturity of the gastro-esophageal junction. This article focuses on the presentation, diagnosis and treatment of GERD that occurs in infants and children, based on available and current guidelines

Behavioral and biological adaptations underlying neonatal opioid withdrawal syndrome

Opioid-linked overdose death rates have reached unprecedented levels in the United States. The growing incidence of Opioid Use Disorder (OUD) is concomitant with elevated rates of OUD in women during pregnancy and through parturition. Neonates born to mothers with active OUD can develop opioid dependence in utero and display various signs of postnatal withdrawal, a condition termed Neonatal Opioid Withdrawal Syndrome (NOWS). Common symptomatic features of NOWS include sleep disturbances, low birth weight, altered heart and respiratory rates, increased irritability, high-pitched crying, feeding difficulties. Many of these symptomatic presentations are driven by dysregulated function of the autonomic nervous system and hyperirritability of the sympathetic nervous system. Given the increasing incidence of NOWS, there is an alarming lack of knowledge regarding the long-term effects of perinatal opioid exposure on behavioral and neurodevelopmental outcomes. Murine models provide efficient means to understand the neurobiological adaptations impacted by opioid exposure during perinatal neurodevelopment that drive long-term effects on cognitive, social, affective, and reward-related behaviors. We describe a rodent model of third-trimester-equivalent opioid exposure which produces replicable, opioid withdrawal-related phenotypes including robust thermal hyperalgesia and altered ultrasonic vocalization (USV) profiles. We present results from two drug regimens of the model, differing in the schedule of opioid administration (once or twice daily injections of morphine from postnatal day (P) 1-14; 15.0 mg/kg). Beyond hyperalgesia and altered USV profiles, both drug regimens lead to weight loss. Furthermore, both models resulted in transcriptional adaptations within brain regions relevant to opioid dependence and withdrawal. Twice-daily exposure resulted in sex-specific changes in metabolic gene expression in the brainstem, while once-daily exposure resulted in down-regulation of genes related to myelin and dopaminergic circuitry development in the nucleus accumbens. We found minimal evidence for behavioral consequences associated with once-daily morphine exposure during adulthood; there were no significant effects of perinatal morphine on cognitive, reward-related, or fear learning tasks. This could potentially indicate compensatory mechanisms that mitigate the adverse effects of third trimester-equivalent morphine exposure over time. Lastly, we identified epigenetic mechanisms potentially driving dysregulation of normal development within the central nervous system following pre-natal opioid exposure in humans. We analyzed placental samples from pregnancies with opioid exposure and identified gene networks containing altered DNA methylation patterns. Notably, we found enrichment within the ‘integral component of the plasma membrane’ and ‘synapse assembly’ functional networks, indicating potential effects of prenatal opioid exposure on neural connectivity and transmission. Together, the transcriptional adaptations identified in rodent brain tissue and the epigenetic modifications identified in human placental tissue provide novel mechanistic insight as to how perinatal opioid exposure impacts neural and fetal development

A lattice NRQCD computation of the bag parameters for ΔB\Delta B = 2 operators

We present an update of our NRQCD calculation of $B_B$ at $\beta$=5.9 with increased statistics. We also discuss a calculation of $B_S$, which is relevant to the width difference in the $B_s-\bar{B}_s$ mixing.Comment: LATTICE99 (Heavy Quarks), 3 pages, 2 figures, espcrc2.st

Histopathological features of gastrointestinal mucosal biopsies in children with juvenile idiopathic arthritis

BACKGROUND: The association between inflammatory bowel disease and joint involvement is well established. There is a paucity of data describing histopathological features of the gut in relation to juvenile idiopathic arthritis (JIA). METHODS: We retrospectively identified 33 (21 male) children aged 3-16 y with JIA (11 with oligoarthritis, 5 with polyarthritis, 8 with systemic onset arthritis, 8 with enthesitis-related arthritis (ERA), and 1 with psoriatic arthritis) with significant gastrointestinal (GI) symptoms who underwent upper and/or lower endoscopy. The histopathological findings were reviewed in addition to presence of autoantibodies and concomitant treatment. RESULTS: The most common GI indications for endoscopy were persistent abdominal pain (14/33 (42%)) and diarrhea (10/33 (30%)). Of the 33 children, 28 (85%) had gut mucosal inflammation, mostly affecting the colon (80%). Active inflammation of the gut was found in 5 of 28 (17%) children, and 15 of 28 (53%) children showed mild nonspecific inflammation. Eight patients (27%) had predominantly an eosinophilic infiltrate. Twenty-six patients had previously received treatment for JIA. There was a negative association with the use of immunomodulators and the presence of eosinophil inflammation. CONCLUSION: The majority of children with JIA and GI symptoms have histological evidence of mild nonspecific inflammation, but some having active colitis and prominent eosinophil infiltrate

Stable Catechol Keto Tautomers in Cytotoxic Heterodimeric Cyclic Diarylheptanoids from the Seagrass Zostera marina

Two diarylheptanoid heterodimers, zosterabisphenones A (1) and B (2), were isolated from the seagrass Zostera marina. They feature unprecedented catechol keto tautomers, stable because of steric constraints. Their structure elucidation was based on extensive low-temperature NMR studies and ECD and MS data, with the essential aid of DFT prediction of NMR and ECD spectra. Zosterabisphenone B (2) was selectively cytotoxic against the adenocarcinoma colon cancer cell line HCT116 with IC50 3.6 ± 1.1 μM at 48 h