La microlitiasi testicolare: una caratteristica inedita della sindrome di McCune-Albright maschile

Obiettivo: Accertare l’incidenza della microlitiasi testicolare (MT) nei maschi con sindrome di McCune-Albright (SMA). Disegno dello studio: La popolazione studiata consiste in 8 maschi con SMA la cui anamnesi patologica remota è stata valutata con particolare attenzione. Tutti i ragazzi sono stati sottoposti ad una valutazione clinica e ultrasonografica (US) della regione inguino-scrotale. I reperti US dei ragazzi con SMA sono stati confrontati con quelli ottenuti in due popolazioni di controllo rappresentate da 20 soggetti sani e 12 ragazzi con pubertà precoce centrale (PPC) idiopatica e non trattata. Risultati: La valutazione clinica non ha evidenziato alterazioni urologiche in nessun paziente, mentre gli US hanno messo in evidenza un tipico quadro di MT in 5 ragazzi su 8. In nessuno dei soggetti appartenenti alle popolazioni di controllo è stata osservata la presenza di MT (X2 =15. 2 e 11.3 rispettivmente; P<O. 001). Conclusioni: In un gruppo di 8 ragazzi con SMA abbiamo evidenziato un’alta prevalenza (62%) di MT non associata a patologie benigne o maligne. È improbabile che questi risultati possano essere solo occasionali, considerando la prevalenza molto bassa di MT riportata finora in bambini e giovani adulti sani e nelle nostre popolazioni di controllo. La MT potrebbe essere un altro marker per SMA

Use of Portable Devices and an Innovative and Non-Destructive Index for In-Field Monitoring of Olive Fruit Ripeness

A new non-destructive index of absorbance difference (IAD), calculated with different wavelengths as references, near the chlorophyll absorbance peak or that for anthocyanin, has been used to determine the fruit ripening of several fruit species using portable devices such as Standard DA-Meter® and Kiwi-Meter®. In this study, for the first time, the application of the IAD was evaluated on single, intact olives of the Leccino cultivar, as a single non-destructive maturity index to follow ripening in the field, directly on the tree. The IAD determined by both devices was found to be useful for monitoring the olive ripening, however, better performance was achieved with the Kiwi-Meter®. In fact, the IAD determined by this device was more effective at measuring all the studied olive ripening parameters in the calibration and validation datasets with acceptable accuracy. Specifically, better performance of the IDA by Kiwi-Meter® was observed in estimation of the color index (R2 = 0.817, DRMSEC = 0.404 and RPIQ = 3.863 for calibration and R2 = 0.752, DRMSECV = 0.574 and RPIQ = 3.244 for validation), confirming its potential for evaluating the degree of olive ripeness. This novel index has significant applicative possibilities, since it would allow rapid, on-site screening of the best harvesting time to improve the olive production in terms of both yield and quality

Italian pediatric nutrition survey

Introduction the prevalence of malnutrition in children and its impact on clinical outcomes is underrecognized by clinicians in Italy as well as worldwide. A novel definition of pediatric malnutrition has been recently proposed by a working group of the Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.), based on the correlation between illness and the use of zscores of anthropometric measurements. Aim to investigate the prevalence of malnutrition and related nutritional support among hospitalized children in Italy, in a nationwide survey performed in a single day (16/4/2015). Methods an open access website (http://nday.biomedia.net) was used to collected data from 73 hospitals and 101 wards in 14 Italian regions (1994 patients). Anonymous information was collected on hospitals' characteristics, patient's anthropometry, admission diagnosis, presence of chronic diseases and use of nutritional support: oral nutritional supplements (ONS), enteral nutrition (EN) or parenteral nutrition (PN). Z-scores of anthropometric measurements, calculated with Epi Info 7.1.5, defined nutritional status: wasting was identified by BMI or Weight-for-Length z-score (<−1 mild, <−2 moderate, <−3 severe), stunting by Height-for-Age Z-score <−2. WHO 2006 and CDC 2000 growth charts were used respectively for children younger and older than 2 years old. Results 1790 complete records were obtained for hospitalized patients aged 0–20 years, with median age 6.16 (0.1–20 years and 53.3% males). 52.9% were aged 0–6 years and 58.8% of children suffered from chronic diseases. Wasting was detected in 28.7% of the total sample with higher occurrence observed in age ranges 0–6 and 14–20 years, while 17.3% of patients showed stunting; surprisingly almost 27% of them were aged 0–2. A ranking of the admission diagnosis with the highest rate of malnutrition was complied. The prevalence of wasting was significantly (p < 0.005) higher amongst children with chronic diseases (34.1% vs. 27.1%); stunting prevalence tripled in patients with chronic disease (24.5% vs. 8.3%). Only 23.5% of malnourished children (17%, 25.6% and 36.7%, respectively mild, moderate and severe malnutrition) received nutritional support: 11.7% received oral nutrition supplements (ONS, modular or complete), 11.5% enteral nutrition (EN, 6.4% via nasogastric tube, 5.1% via gastrostomy) and 6.8 % received parenteral nutrition (PN); in some patients a combination of two. Nutritional support is more commonly used among stunting patients, 39.5% of children under treatment. Conclusion Malnutrition of any grade was observed in nearly 1/3 and stunting in 17% of the reported hospitalized children, and it is likely to be underrecognized as the nutritional support reached only a small part of the malnourished children

Italian pediatric nutrition survey

Introduction the prevalence of malnutrition in children and its impact on clinical outcomes is underrecognized by clinicians in Italy as well as worldwide. A novel definition of pediatric malnutrition has been recently proposed by a working group of the Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.), based on the correlation between illness and the use of zscores of anthropometric measurements. Aim to investigate the prevalence of malnutrition and related nutritional support among hospitalized children in Italy, in a nationwide survey performed in a single day (16/4/2015). Methods an open access website (http://nday.biomedia.net) was used to collected data from 73 hospitals and 101 wards in 14 Italian regions (1994 patients). Anonymous information was collected on hospitals' characteristics, patient's anthropometry, admission diagnosis, presence of chronic diseases and use of nutritional support: oral nutritional supplements (ONS), enteral nutrition (EN) or parenteral nutrition (PN). Z-scores of anthropometric measurements, calculated with Epi Info 7.1.5, defined nutritional status: wasting was identified by BMI or Weight-for-Length z-score (<â\u88\u921 mild, <â\u88\u922 moderate, <â\u88\u923 severe), stunting by Height-for-Age Z-score <â\u88\u922. WHO 2006 and CDC 2000 growth charts were used respectively for children younger and older than 2 years old. Results 1790 complete records were obtained for hospitalized patients aged 0â\u80\u9320 years, with median age 6.16 (0.1â\u80\u9320 years and 53.3% males). 52.9% were aged 0â\u80\u936 years and 58.8% of children suffered from chronic diseases. Wasting was detected in 28.7% of the total sample with higher occurrence observed in age ranges 0â\u80\u936 and 14â\u80\u9320 years, while 17.3% of patients showed stunting; surprisingly almost 27% of them were aged 0â\u80\u932. A ranking of the admission diagnosis with the highest rate of malnutrition was complied. The prevalence of wasting was significantly (p < 0.005) higher amongst children with chronic diseases (34.1% vs. 27.1%); stunting prevalence tripled in patients with chronic disease (24.5% vs. 8.3%). Only 23.5% of malnourished children (17%, 25.6% and 36.7%, respectively mild, moderate and severe malnutrition) received nutritional support: 11.7% received oral nutrition supplements (ONS, modular or complete), 11.5% enteral nutrition (EN, 6.4% via nasogastric tube, 5.1% via gastrostomy) and 6.8 % received parenteral nutrition (PN); in some patients a combination of two. Nutritional support is more commonly used among stunting patients, 39.5% of children under treatment. Conclusion Malnutrition of any grade was observed in nearly 1/3 and stunting in 17% of the reported hospitalized children, and it is likely to be underrecognized as the nutritional support reached only a small part of the malnourished children