Focus on cardiologic findings in 30 children with PANS/PANDAS. an italian single-center observational study

Objective: Cardiac involvement in PANS has not been clarified relying on the scientific literature available until today. It is known that streptococcal infections play a role in the etiology of a great number of diseases including Sydenham chorea and rheumatic fever, among others. Based on the suspected pathogenesis of PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections) reported in the medical literature, we decided to investigate the cardiologic involvement in children with a recent PANS/PANDAS diagnosis. Methods: The study population satisfies PANS (1) and PANDAS (2) criteria of diagnoses. Cardiologic assessment was performed through clinical examination, electrocardiography, and echocardiography. Results: In the selected pediatric population, a significant number of children presented mitral valve involvement, systolic murmurs and electrocardiographic abnormalities. High ASLOT levels did not seem to be associated to a cardiac involvement. Conclusions: Often PANS is difficult to diagnose because it is little known by physicians and most of the cardiologic findings described in this study are common among the healthy pediatric population. Also, ASLOT levels seems not to be predictive of cardiac involvement. Furthermore, the existence of PANDAS as a clinical entity is associated with a group of anti-neuronal autoantibodies found in Sydenham chorea is still controversial. We recommend a complete cardiologic evaluation in those children who meet the PANS/PANDAS diagnostic criteria

Vernal Keratoconjunctivitis: an update focused on clinical grading system

Vernal keratoconjunctivitis (VKC) is a severe disease with a prevalence of < 1 case out of 10,000 in Europe, which occurs mainly in pediatric age and is characterized by a severe and often bilateral chronic inflammation of the ocular surface. The diagnosis is generally confirmed by the finding at the ocular examination of conjunctival hyperemia, papillary hypertrophy in the tarsal conjunctiva, giant papillae, papillae in the limbus region

Consensus statement of the Italian society of pediatric allergy and immunology for the pragmatic management of children and adolescents with allergic or immunological diseases during the COVID-19 pandemic

The COVID-19 pandemic has surprised the entire population. The world has had to face an unprecedented pandemic. Only, Spanish flu had similar disastrous consequences. As a result, drastic measures (lockdown) have been adopted worldwide. Healthcare service has been overwhelmed by the extraordinary influx of patients, often requiring high intensity of care. Mortality has been associated with severe comorbidities, including chronic diseases. Patients with frailty were, therefore, the victim of the SARS-COV-2 infection. Allergy and asthma are the most prevalent chronic disorders in children and adolescents, so they need careful attention and, if necessary, an adaptation of their regular treatment plans. Fortunately, at present, young people are less suffering from COVID-19, both as incidence and severity. However, any age, including infancy, could be affected by the pandemic. Based on this background, the Italian Society of Pediatric Allergy and Immunology has felt it necessary to provide a Consensus Statement. This expert panel consensus document offers a rationale to help guide decision-making in the management of children and adolescents with allergic or immunologic diseases

Procedure for the design of a hybrid-series vehicle and the hybridization degree choice

For years, the interest of the UDR1 research group has focused on the development of a Hybrid Series (HS) vehicle, different from the standard one thanks to the use of a Gas Turbine set (GT) as a thermal engine. The reason for this choice resides in the opportunity to reduce weight and dimensions, in comparison to a traditional Internal Combustion Engine (ICE). It is not possible to use the GT engine set directly for the vehicle traction, therefore the UDR1 HS configuration shows the GT set connected with the electric generator only. The result is that the traction is purely electric. The resulting engine configuration is a commonly defined Hybrid Series. Many efforts are spent in the definition of a generic scientific method to define the correct ratio (Degree of Hybridization) between the installed power of the battery pack and that of the GT electric generator, which simultaneously guarantees the life of the battery pack and the capacity of the vehicle to complete a common mission without lack of energy or stopping. This article reports a method to define the power ratio between battery pack and GT generator, applied to a recent commission for the development of a mini city bus

Existence results for strong vector equilibrium problems and their applications

New existence results for the strong vector equilibrium problem are presented,relying on a well-known separation theorem in infinite-dimensional spaces. The main results are applied to strong cone saddle-points and strong vector variational inequalities providing new existence results, and furthermore they allow recovery of an earlier result from the literature

COVID-19 lockdown beneficial effects on lung function in a cohort of cystic fibrosis patients

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Enciclopedia Machiavelliana

Opera enciclopedica dedicata alla figura e all'opera di Niccolò Machiavelli, sul modello dell'Enciclopedia Dantesca