55 research outputs found
Spin-polarized oxygen hole states in cation deficient La(1-x)CaxMnO(3+delta)
When holes are doped into a Mott-Hubbard type insulator, like lightly doped
manganites of the La(1-x)CaxMnO3 family, the cooperative Jahn-Teller
distortions and the appearance of orbital ordering require an arrangement of
Mn(3+)/Mn(4+) for the establishment of the insulating canted antiferromagnetic
(for x<=0.1), or of the insulating ferromagnetic (for 0.1<x<= 0.2) ground
state. In the present work we provide NMR evidence about a novel and at the
same time puzzling effect in La(1-x)CaxMnO(3+delta) systems with cation
deficience. We show that in the low Ca-doping regime, these systems exhibit a
very strong hyperfine field at certain La nuclear sites, which is not present
in the stoichiometric compounds. Comparison of our NMR results with recent
x-ray absorption data at the Mn K edge, suggests the formation of a
spin-polarized hole arrangement on the 2p oxygen orbitals as the origin of this
effect.Comment: 10 pages, 4 Figures, submitted to PR
Semiconductive and Photoconductive Properties of the Single Molecule Magnets Mn-Acetate and FeBr
Resistivity measurements are reported for single crystals of
Mn-Acetate and FeBr. Both materials exhibit a
semiconductor-like, thermally activated behavior over the 200-300 K range. The
activation energy, , obtained for Mn-Acetate was 0.37 0.05
eV, which is to be contrasted with the value of 0.55 eV deduced from the
earlier reported absorption edge measurements and the range of 0.3-1 eV from
intramolecular density of states calculations, assuming = , the
optical band gap. For FeBr, was measured as 0.73 0.1 eV,
and is discussed in light of the available approximate band structure
calculations. Some plausible pathways are indicated based on the crystal
structures of both lattices. For Mn-Acetate, we also measured
photoconductivity in the visible range; the conductivity increased by a factor
of about eight on increasing the photon energy from 632.8 nm (red) to 488 nm
(blue). X-ray irradiation increased the resistivity, but was insensitive
to exposure.Comment: 7 pages, 8 figure
Non-Celiac Gluten Sensitivity: The New Frontier of Gluten Related Disorders
Non Celiac Gluten sensitivity (NCGS) was originally described in the 1980s and recently a “re-discovered” disorder characterized by intestinal and extra-intestinal symptoms related to the ingestion of gluten-containing food, in subjects that are not affected with either celiac disease (CD) or wheat allergy (WA). Although NCGS frequency is still unclear, epidemiological data have been generated that can help establishing the magnitude of the problem. Clinical studies further defined the identity of NCGS and its implications in human disease. An overlap between the irritable bowel syndrome (IBS) and NCGS has been detected, requiring even more stringent diagnostic criteria. Several studies suggested a relationship between NCGS and neuropsychiatric disorders, particularly autism and schizophrenia. The first case reports of NCGS in children have been described. Lack of biomarkers is still a major limitation of clinical studies, making it difficult to differentiate NCGS from other gluten related disorders. Recent studies raised the possibility that, beside gluten, wheat amylase-trypsin inhibitors and low-fermentable, poorly-absorbed, short-chain carbohydrates can contribute to symptoms (at least those related to IBS) experienced by NCGS patients. In this paper we report the major advances and current trends on NCG
Helicobacter Pylori Infection in Pediatric Patients Living in Europe: Results of the EuroPedHP Registry 2013 to 2016
Objectives: The aim of the study was to assess clinical presentation, endoscopic findings, antibiotic susceptibility and treatment success of Helicobacter pylori (H. pylori) infected pediatric patients.
Methods: Between 2013 and 2016, 23 pediatric hospitals from 17 countries prospectively submitted data on consecutive H. pylori-infected (culture positive) patients to the EuroPedHP-Registry.
Results: Of 1333 patients recruited (55.1% girls, median age 12.6 years), 1168 (87.6%) were therapy naïve (group A) and 165 (12.4%) had failed treatment (group B). Patients resided in North/Western (29.6%), Southern (34.1%) and Eastern Europe (23.0%), or Israel/Turkey (13.4%). Main indications for endoscopy were abdominal pain or dyspepsia (81.2%, 1078/1328). Antral nodularity was reported in 77.8% (1031/1326) of patients, gastric or duodenal ulcers and erosions in 5.1% and 12.8%, respectively. Primary resistance to clarithromycin (CLA) and metronidazole (MET) occurred in 25% and 21%, respectively, and increased after failed therapy. Bacterial strains were fully susceptible in 60.5% of group A, but in only 27.4% of group B. Primary CLA resistance was higher in Southern and Eastern Europe (adjusted odds ratio [ORadj] = 3.44, 95% confidence interval [CI] 2.22-5.32, P < 0.001 and 2.62, 95% CI: 1.63-4.22, P < 0.001, respectively) compared with Northern/Western Europe. Children born outside Europe showed higher primary MET resistance (ORadj = 3.81, 95% CI: 2.25-6.45, P < 0.001). Treatment success in group A reached only 79.8% (568/712) with 7 to 14 days triple therapy tailored to antibiotic susceptibility.
Conclusions: Peptic ulcers are rare in dyspeptic H. pylori-infected children. Primary resistance to CLA and MET is markedly dependent on geographical regions of birth and residence. The ongoing survey will show whether implementation of the updated ESPGHAN/NASPGHAN guidelines will improve the eradication success.info:eu-repo/semantics/publishedVersio
Diagnosis of Non-Celiac Gluten Sensitivity (NCGS)
Non-Celiac Gluten Sensitivity (NCGS) is a syndrome characterized by intestinal
and extra-intestinal symptoms related to the ingestion of gluten-containing
food, in subjects that are not affected by either celiac disease or wheat
allergy. Given the lack of a NCGS biomarker, there is the need for
standardizing the procedure leading to the diagnosis confirmation. In this
paper we report experts’ recommendations on how the diagnostic protocol should
be performed for the confirmation of NCGS. A full diagnostic procedure should
assess the clinical response to the gluten-free diet (GFD) and measure the
effect of a gluten challenge after a period of treatment with the GFD. The
clinical evaluation is performed using a self-administered instrument
incorporating a modified version of the Gastrointestinal Symptom Rating Scale.
The patient identifies one to three main symptoms that are quantitatively
assessed using a Numerical Rating Scale with a score ranging from 1 to 10. The
double-blind placebo-controlled gluten challenge (8 g/day) includes a one-week
challenge followed by a one-week washout of strict GFD and by the crossover to
the second one-week challenge. The vehicle should contain cooked,
homogeneously distributed gluten. At least a variation of 30% of one to three
main symptoms between the gluten and the placebo challenge should be detected
to discriminate a positive from a negative result. The guidelines provided in
this paper will help the clinician to reach a firm and positive diagnosis of
NCGS and facilitate the comparisons of different studies, if adopted
internationally
Follow-up practices for children and adolescents with celiac disease: results of an international survey
Adequate follow-up in celiac disease is important to improve dietary compliance and treat disease-related symptoms and possible complications. However, data on the follow-up of celiac children is scarce. We aimed to assess current pediatric celiac follow-up practices across Europe. Pediatricians and pediatric gastroenterologists from 35 countries in Europe, Israel, Turkey, and Russia completed an anonymous survey which comprised a 52-item questionnaire developed by the ESPGHAN Special Interest Group on Celiac Disease. A total of 911 physicians, the majority of whom exclusively worked in pediatric care (83%) and academic institutions (60%), completed the questionnaire. Mean age and mean experience with celiac care were 48.7 years (+/- 10.6) and 15.7 years (+/- 9.9), respectively. The vast majority (>= 92%) always assessed anthropometry, dietary adherence, and tissue-transglutaminase IgA-antibodies at every visit, with the first visit being between 3 and 6 months after diagnosis. Other parameters (% always tested) were as follows: complete blood count (60%), iron status (48%), liver enzymes (42%), thyroid function (38%), and vitamin D (26%). Quality of life was never assessed by 35% of the responding physicians. Transition to adult care was mostly completed via a written transition report (37%) or no formal transition at all (27%).Conclusions: Follow-up of celiac children and adolescents in Europe may be improved, especially regarding a more rational use of (laboratory) tests, dietary and QoL assessment, and transition to adult care. Evidence-based advice from international scientific societies is needed.Transplantation and immunomodulatio
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