How Does SARS-CoV-2 Affect the Central Nervous System? A Working Hypothesis

Interstitial pneumonia was the first manifestation to be recognized as caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); however, in just a few weeks, it became clear that the coronavirus disease-2019 (COVID-19) overrun tissues and more body organs than just the lungs, so much so that it could be considered a systemic pathology. Several studies reported the involvement of the conjunctiva, the gut, the heart and its pace, and vascular injuries such as thromboembolic complications and Kawasaki disease in children and toddlers were also described. More recently, it was reported that in a sample of 214 SARS-CoV-2 positive patients, 36.4% complained of neurological symptoms ranging from non-specific manifestations (dizziness, headache, and seizures), to more specific symptoms such hyposmia or hypogeusia, and stroke. Older individuals, especially males with comorbidities, appear to be at the highest risk of developing such severe complications related to the Central Nervous System (CNS) involvement. Neuropsychiatric manifestations in COVID-19 appear to develop in patients with and without pre-existing neurological disorders. Growing evidence suggests that SARS-CoV-2 binds to the human Angiotensin-Converting Enzyme 2 (ACE2) for the attachment and entrance inside host cells. By describing ACE2 and the whole Renin Angiotensin Aldosterone System (RAAS) we may better understand whether specific cell types may be affected by SARS-CoV-2 and whether their functioning can be disrupted in case of an infection. Since clear evidences of neurological interest have already been shown, by clarifying the topographical distribution and density of ACE2, we will be able to speculate how SARS-CoV-2 may affect the CNS and what is the pathogenetic mechanism by which it contributes to the specific clinical manifestations of the disease. Based on such evidences, we finally hypothesize the process of SARS-CoV-2 invasion of the CNS and provide a possible explanation for the onset or the exacerbation of some common neuropsychiatric disorders in the elderly including cognitive impairment and Alzheimer disease

Root polytopes and abelian ideals

We study the root polytope $\mathcal P_\Phi$ of a finite irreducible crystallographic root system $\Phi$ using its relation with the abelian ideals of a Borel subalgebra of a simple Lie algebra with root system $\Phi$. We determine the hyperplane arrangement corresponding to the faces of codimension 2 of $\mathcal P_\Phi$ and analyze its relation with the facets of $\mathcal P_\Phi$. For $\Phi$ of type $A_n$ or $C_n$, we show that the orbits of some special subsets of abelian ideals under the action of the Weyl group parametrize a triangulation of $\mathcal P_\Phi$. We show that this triangulation restricts to a triangulation of the positive root polytope $\mathcal P_\Phi^+$.Comment: 41 pages, revised version, accepted for publication in Journal of Algebraic Combinatoric

Basics and frontiers on pancreatic cancer for radiation oncology: Target delineation, SBRT, SIB technique, MRgRT, particle therapy, immunotherapy and clinical guidelines

Pancreatic cancer represents a modern oncological urgency. Its management is aimed to both distal and local disease control. Resectability is the cornerstone of treatment aim. It influences the clinical presentation\u2019s definitions as up-front resectable, borderline resectable and locally advanced (unresectable). The main treatment categories are neoadjuvant (preoperative), definitive and adjuvant (postoperative). This review will focus on i) the current indications by the available national and international guidelines; ii) the current standard indications for target volume delineation in radiotherapy (RT); iii) the emerging modern technologies (including particle therapy and Magnetic Resonance [MR]-guided-RT); iv) stereotactic body radiotherapy (SBRT), as the most promising technical delivery application of RT in this framework; v) a particularly promising dose delivery technique called simultaneous integrated boost (SIB); and vi) a multimodal integration opportunity: the combination of RT with immunotherapy

Gut-dependent inflammation and alterations of the intestinal microbiota in individuals with perinatal HIV exposure and different HIV serostatus

Objective: HIV-exposed infected (HEI) and uninfected (HEU) children represent the two possible outcomes of maternal HIV infection. Modifications of the intestinal microbiome have been linked to clinical vulnerability in both settings, yet whether HEI and HEU differ in terms of gut impairment and peripheral inflammation/activation is unknown. Design: We performed a cross-sectional, pilot study on fecal and plasma microbiome as well as plasma markers of gut damage, microbial translocation, inflammation and immune activation in HIV-infected and uninfected children born from an HIV-infected mother. Methods: Fecal and plasma microbiome were determined by means of 16S rDNA amplification with subsequent qPCR quantification. Plasma markers were quantified via ELISA. Results: Forty-seven HEI and 33 HEU children were consecutively enrolled. The two groups displayed differences in fecal beta-diversity and relative abundance, yet similar microbiome profiles in plasma as well as comparable gut damage and microbial translocation. In contrast, monocyte activation (sCD14) and systemic inflammation (IL-6) were significantly higher in HEI than HEU. Conclusion: In the setting of perinatal HIV infection, enduring immune activation and inflammation do not appear to be linked to alterations within the gut. Given that markers of activation and inflammation are independent predictors of HIV disease progression, future studies are needed to understand the underlying mechanisms of such processes and elaborate adjuvant therapies to reduce the clinical risk in individuals with perinatal HIV infection

Basics and frontiers on pancreatic cancer for radiation oncology: Target delineation, SBRT, SIB technique, MRgRT, particle therapy, immunotherapy and clinical guidelines

Pancreatic cancer represents a modern oncological urgency. Its management is aimed to both distal and local disease control. Resectability is the cornerstone of treatment aim. It influences the clinical presentation’s definitions as up-front resectable, borderline resectable and locally advanced (unresectable). The main treatment categories are neoadjuvant (preoperative), definitive and adjuvant (postoperative). This review will focus on i) the current indications by the available national and international guidelines; ii) the current standard indications for target volume delineation in radiotherapy (RT); iii) the emerging modern technologies (including particle therapy and Magnetic Resonance [MR]-guided-RT); iv) stereotactic body radiotherapy (SBRT), as the most promising technical delivery application of RT in this framework; v) a particularly promising dose delivery technique called simultaneous integrated boost (SIB); and vi) a multimodal integration opportunity: the combination of RT with immunotherapy

Psychosocial assessment of families caring for a child with acute lymphoblastic leukemia, epilepsy or asthma: Psychosocial risk as network of interacting symptoms

The purpose of this study is to assess psychosocial risk across several pediatric medical conditions and test the hypothesis that different severe or chronic pediatric illnesses are characterized by disease specific enhanced psychosocial risk and that risk is driven by disease specific connectivity and interdependencies among various domains of psychosocial function using the Psychosocial Assessment Tool (PAT). In a multicenter prospective cohort study of 195 patients, aged 5-12, 90 diagnosed with acute lymphoblastic leukemia (ALL), 42 with epilepsy and 63 with asthma, parents completed the PAT2.0 or the PAT2.0 generic version. Multivariate analysis was performed with disease as factor and age as covariate. Graph theory and network analysis was employed to study the connectivity and interdependencies among subscales of the PAT while data-driven cluster analysis was used to test whether common patterns of risk exist among the various diseases. Using a network modelling approach analysis, we observed unique patterns of interconnected domains of psychosocial factors. Each pathology was characterized by different interdependencies among the most central and most connected domains. Furthermore, data-driven cluster analysis resulted in two clusters: patients with ALL (89%) mostly belonged to cluster 1, while patients with epilepsy and asthma belonged primarily to cluster 2 (83% and 82% respectively). In sum, implementing a network approach improves our comprehension concerning the character of the problems central to the development of psychosocial difficulties. Therapy directed at problems related to the most central domain(s) constitutes the more rational one because such an approach will inevitably carry over to other domains that depend on the more central function

Effect of plasma activated water (PAW) on rocket leaves decontamination and nutritional value

Plasma Activated Water (PAW) obtained by exposing water to cold atmospheric pressure plasma, has recently emerged as a promising alternative for food decontamination, compared to the use of traditional chemical sanitizers. The aim of the study was to evaluate the efficacy of PAW treatments for rocket salad decontamination. Washing with PAW for 2, 5, 10 and 20 min was assessed against different endogenous spoilage microorganisms and compared to untreated water and hypochlorite solution. The chemical composition of PAW as a function of treatment and delay time was characterized and the effect on product quality and nutritional parameters was evaluated. Results showed that PAW allowed an average reduction of 1.7–3 Log CFU/g for total mesophilic and psychrotrophic bacteria and Enterobacteriaceae following 2–5 min washing with minimal variation of qualitative and nutritional parameters. Overall, experimental results highlighted the potentiality of PAW treatments as a promising alternative to chlorine having the advantage of a minor adverse impact on environment and consumers' health. Industrial relevance: To meet consumers demand, the minimally processed fruit and vegetable industry needs to find sustainable solutions as alternative to the use of traditional chemical sanitizers that allow to increase product shelf-life and preserve safety, qualitative and nutritional characteristics. Plasma activated water represents a promising strategy for food decontamination, but its effects on foods have been only limitedly investigated. The present research is the first study on the use of plasma activated water on fresh rocket leaves, providing new and important information on microbial inactivation and quality of the fresh cut product

Funciones de rendimiento volumétrico en pie y en aserradero para la lenga (Nothofagus pumilio)

Una tarea compleja y azarosa al realizar inventarios forestales en bosques de Nothofagus pumilio es estimar volúmenes aprovechables en pie, así como el rendimiento de un aserradero en función de las trozas a procesar. Los objetivos del presente trabajo fueron desarrollar un sistema de ecuaciones para estimar el rendimiento volumétrico de un bosque de N. pumilio a lo largo de un rango de calidades de sitio, a partir de variables de fácil obtención en árboles en pie, y estimar funciones de rendimiento de madera procesada para un aserradero mediano en Tierra del Fuego. Utilizando variables de uso corriente en inventarios (DAP, clase social, sanidad, forma y obtención de fustes) y durante la fiscalización del aprovechamiento (diámetro y largo de las trozas), se pudieron desarrollar modelos sencillos de fácil construcción. El modelo propuesto para el cálculo de volumen de trozas en árboles en pie contiene dos componentes: un discriminante (I) que pondera a una ecuación (M) que se aplica a árboles individuales; mientras que el modelo de rendimiento de un aserradero quedó conformado por variables simples (largo y diámetro). Estos modelos brindan parte de la información necesaria para una mejor planificación en el aprovechamiento de nuestro recurso forestal, siendo una eficaz herramienta para la realización de planes de manejo.The volume of logs to be harvested in a Nothofagus pumilio forest and the sawn-timber yield after processing in sawmill are often difficult to estimate. The aims of this work were to develop a mathematical model to estimate the timber volume of a N. pumilio forest (along a site quality classes) from simple variables of standing-trees, and to develop a function to predict the yield of a medium-scale sawmill in Tierra del Fuego. Variables from current forest inventories (DBH, crown classes, health, stem form and stem extraction possibility) and yield measurements (diameter and length of logs) were used to fit the models. The proposed yield-log model of standing-trees had two components: one discriminate (I), which weigh up an equation (M) to be applied to the individual trees. The sawmill yield model were finally conformed for simply variables, as length and diameter of logs. These equations provide the necessary information required to improve the management of our forest resource, and could be an efficient tool for the implementation of a forest management.Facultad de Ciencias Agrarias y Forestale