First‐principles Assessment of the Role of Water in the Reduction Half Cycle of Low‐Temperature NH3‐SCR over Cu‐CHA

Dispersion corrected density functional theory calculations show that the presence of H2O in the Reduction Half-Cycle (RHC) of NH3-SCR affects the free energy of the kinetically-relevant transition state (TS) leading to a reduction in the rate and activation energy with respect to dry conditions. In particular, H2O enthalpically stabilizes the kinetically-relevant TS by 20 kJ mol(-1) with respect to the dry counterpart. Such enthalpic stabilization vanishes when van der Waals (vdW) interactions are excluded from the calculations, thus showing the preeminent role of non-specific dispersion forces in the reduction of the activation enthalpy. At the same time, the enthalpic stabilization is more than compensated by the additional entropy losses of the TS brought forth by the presence of H2O in the CHA cage. Calculated enthalpy and entropy changes with respect to the dry case agree quantitatively with the experimental measurements and reflect the modified reacting environment in the presence of H2O. As a result, this study provides theoretical underpinnings on the mechanistic role of H2O in the RHC and, on a more general basis, highlights the importance of the molecular scale description of the reaction environment in voids of molecular dimensions

Rituximab in steroid-refractory immune-related pancreatitis: a case report

The use of immune checkpoint inhibitors (ICIs) for treating several types of cancer is increasing, but they may be associated with immune-related adverse events (irAEs). Pancreatitis is a rare irAE, mostly responsive to steroid treatment. There are no published data on the management of steroid-refractory ICI-induced pancreatitis. Rituximab has shown efficacy in the setting of relapsing non-ICI-induced autoimmune pancreatitis. However, its use has not been tested for treating immunotherapy-related pancreatitis. Here, we present the case of a patient with steroid-refractory immune-related pancreatitis successfully treated with rituximab as a potential strategy for irAE management

Influence of Hashimoto thyroiditis on the development of thyroid nodules and cancer in children and adolescents

It is unclear whether patients with Hashimoto thyroiditis (HT) are predisposed to develop thyroid nodules and/or thyroid cancer. The objective of our study was therefore to assess the prevalence of thyroid nodules and/or cancer in patients with HT and to look for possible prognostic factors. A retrospective survey of 904 children/adolescents with HT (709 females, 195 males) regularly followed in nine Italian centers of pediatric endocrinology was performed. Median period of follow-up was 4.5 years (1.2 to 12.8 years). We evaluated free T4, TSH, thyroid peroxidase antibody (TPOAb), thyroglobulin antibodies, and thyroid ultrasound yearly. One hundred seventy-four nodules were detected, with an annual incidence rate of 3.5%. Ten nodules were malignant (8 papillary and 2 papillary follicular variant), giving a 5.7% prevalence of cancer among patients with nodules. The severity of hypo-echogenity at ultrasound, TPOAb, and free T4 serum concentrations were predictive for the appearance of new nodules. Furthermore, a positive correlation was observed between TPOAb titer and the development of thyroid cancer. In conclusion, HT seems to influence the development of thyroid nodules, but not cancer in children and adolescents

Survey on health students' knowledge and perception on body donation for scientific research, education, and training after specific Italian law no. 10/2020

Background: Practicing on the human body was considered extremely relevant for health professionals' education, but a drastic reduction was observed due to an increase in alternative virtual and multimedia means, and, in Italy, also due to a lack of regulation. Italian Law 10/2020 regulates body donation for research and training through an advanced directive for post-mortem body donation. Methods: A cross-sectional study was carried out to investigate the law knowledge and body donation perception of health students of any degree courses enrolled at the University of Pavia, Italy, in 2021, through ad hoc web questionnaire. Results: 485 students participated to this survey; median age was of 21 years (25th-75th percentiles, 20-23), 73.2% were females, and 62.5% were medical students. Among them 14.9% knew the Italian law 10/2020. Age was the only variable associated with students' knowledge of the law. Further, 8.3% reported the current availability of cadaveric practice, 85.6% of health students acknowledged usefulness of cadaveric practice, with a significant difference between medical and non-medical students (71.4% vs 28.6%, p < 0.001). Overall, 59.7% would donate their body, rising to 62.7% with reference to specific law regulation, with 30.5% and 28.7% undecided, respectively. 51.3% of participants answered not practicing religious faith, 82.9% with Catholic families, without significance on the knowledge of the law. Conclusions: Poor knowledge of the law compared with great interest and acknowledged cadaveric practice usefulness highlighted the need for better information, especially among health students, where critical discussion could be more valuable. Then, there arises the urgent need to fill the gaps within university studies and syllabuses, to relaunch the central role that cadaveric practice and research had in the education of health professionals. Consequences on basic and specific health students' skills, on health education quality in general, and further on health professionals' expertise must be carefully considered

Methodological aspects of observational studies discussed by Ethics Committees: a multicentre, cooperative study

The Italian Medicines Agency (AIFA) has recently introduced a set of rules on the classification, planning and conduction of observational studies in pharmacological research. Even though the AIFA rules are aimed mainly at studies involving drugs, they are expected to make an important contribution to improving the quality assurance of all observational studies, which is often still inadequate despite the fact that much biomedical research is observational. The aim of this study was to depict the quality of the observational study protocols presented to some Italian ethics committees (ECs) and to provide a basic framework for evaluating the effectiveness of the AIFA rules, introduced in March 2008. To this end, a survey of six ECs was conducted. A total of 364 protocols presented as observational before March 2008 were examined by two trained and independent reviewers, not EC members at any of the participating centres. The overall quality of the protocols was very similar to that reported in other papers, both international and national. Although the main aspects of the studies were clearly defined in several cases, particularly in the multicentre studies, there emerged a fairly high percentage of protocols that, on post-hoc comparison, were found not to comply with the AIFA rules in spite of the fact that these rules summarize indications that are widely agreed and accepted