Factors Affecting Indoor Radon Levels in Buildings Located in a Karst Area: A Statistical Analysis

In this paper, the averages annual radon concentrations in buildings placed in a karst area are analyzed in order to understand which factors may affect the occurrence of high levels of radon indoor. Statistical analysis on the radon dataset is performed using analytical factors described by two or three levels according to the characteristic of the measured buildings. The factors that determine higher radon levels in terms of arithmetic mean (AM) at ground floor (GF) are mainly the presence of sedimentary calcareous rock (SCR) in walls and the direct attack or crawl space as type of foundation. At first floors (FF), the presence of walls of only SCR showed radon levels higher (in terms of AM) than the one found for walls of mixed typology. These outcomes suggest that in karstic area buildings with SCR as the main construction material and direct attack or crawl space as the type of foundation, can be considered as radon-prone buildings. Moreover, this study confirms the need to measure radon levels not only at below ground floor and at GF, but also at FF and above for buildings in karst areas with construction materials including SCR blocks

Sensitive Detection and Quantification of Anisakid Parasite Residues in Food Products

Anisakids are nematodes whose larval stages are often present in fish, molluscs, and crustaceans. Members of the family Anisakidae belonging to the genera Anisakis and Pseudoterranova are implicated in human infections caused by the consumption of raw or undercooked fish. Adequate cooking will kill anisakid larvae, however, killed or inactivated larvae can still cause sensitization and immunoglobulin E-dependent hypersensitivity in human. This work describes the development of DNA-based tests to detect and quantify the presence of Anisakis spp. and Pseudoterranova spp. larvae in fish and fish-derived products, including fish fillets, surimi, fish sticks, canned fish, and baby food. Primers and TaqMan MGB probes recognizing only Anisakis spp. and Pseudoterranova spp. were designed on the first internal transcribed spacer 1 regions of rDNA for a real-time polymerase chain reaction assay. A commercial probe for 18S rDNA was used to detect and quantify the total eukaryotic DNA of the samples. The specificity and sensitivity of the assays were tested using reference samples prepared from mixtures made of Anisakis larvae in different quantity of codfish, and subsequent dilutions. Studies were performed to assess the ability of the test to detect and quantify anisakids in various products. Results showed that this test is able to detect anisakid DNA contained in a proportion of 1:10(5) in 1 ng of total DNA. The high prevalence of anisakids reported in main fishery species was confirmed by frequently detecting anisakids DNA in fish muscle and fish-derived products. A partial correlation was found between the number of larvae present in the viscera and the level of contamination of fish fillets. In conclusion, this molecular test is useful to detect the presence of Anisakis spp. and Pseudoterranova spp. in fish and fish-derived products and to quantify the level of contamination along the food chain, with potential applications for fish farms, fish markets, and food producers

A pandemic strain of calicivirus threatens rabbit industries in the Americas

Rabbit Hemorrhagic Disease (RHD) is a severe acute viral disease specifically affecting the European rabbit Oryctolagus cuniculus. As the European rabbit is the predominant species of domestic rabbit throughout the world, RHD contributes towards significant losses to rabbit farming industries and endangers wild populations of rabbits in Europe and other predatory animals in Europe that depend upon rabbits as a food source. Rabbit Hemorrhagic Disease virus (RHDV) – a Lagovirus belonging to the family Caliciviridae is the etiological agent of RHD. Typically, RHD presents with sudden death in 70% to 95% of infected animals. There have been four separate incursions of RHDV in the USA, the most recent of which occurred in the state of Indiana in June of 2005. Animal inoculation studies confirmed the pathogenicity of the Indiana 2005 isolate, which caused acute death and pathological changes characterized by acute diffuse severe liver necrosis and pulmonary hemorrhages. Complete viral genome sequences of all USA outbreak isolates were determined and comparative genomics revealed that each outbreak was the result of a separate introduction of virus rather than from a single virus lineage. All of the USA isolates clustered with RHDV genomes from China, and phylogenetic analysis of the major capsid protein (VP60) revealed that they were related to a pandemic antigenic variant strain known as RHDVa. Rapid spread of the RHDVa pandemic suggests a selective advantage for this new subtype. Given its rapid spread, pathogenic nature, and potential to further evolve, possibly broadening its host range to include other genera native to the Americas, RHDVa should be regarded as a threat

Characterisation of a non-pathogenic and non-protective infectious rabbit lagovirus related to RHDV

The existence of non-pathogenic RHDV strains was established when a non-lethal virus named rabbit calicivirus (RCV) was characterised in 1996 in Italy. Since then, different RNA sequences related to RHDV have been detected in apparently healthy domestic and wild rabbits, and recently a new lagovirus was identified in Australia. We have characterised from seropositive healthy domestic rabbits a non-lethal lagovirus that differs from RHDV in terms of pathogenicity, tissue tropism and capsid protein sequence. Phylogenetic analyses have revealed that it is close to the Ashington strain and to the RCV, but distinct. We proved experimentally that it is infectious but non-pathogenic and demonstrated that, contrary to the other described non-pathogenic lagoviruses, it induces antibodies that do not protect against RHDV. Our results indicate the existence of a gradient of cross-protection between circulating strains, from non-protective, partially protective to protective strains, and highlight the extent of diversity within the genus Lagovirus

The impact of the Hippo pathway and cell metabolism on pathological complete response in locally advanced Her2+ breast cancer: the TRISKELE multicenter prospective study

The Hippo pathway and its two key effectors, Yes-associated protein (YAP) and transcriptional coactivator with PDZ-binding motif (TAZ), are consistently altered in breast cancer. Pivotal regulators of cell metabolism such as the AMP-activated protein kinase (AMPK), Stearoyl-CoA-desaturase 1 (SCD1), and HMG-CoA reductase (HMGCR) are relevant modulators of TAZ/YAP activity. In this prospective study, we measured the tumor expression of TAZ, YAP, AMPK, SCD1, and HMGCR by immunohistochemistry in 65 Her2+ breast cancer patients who underwent trastuzumab-based neoadjuvant treatment. The aim of the study was to assess the impact of the immunohistochemical expression of the Hippo pathway transducers and cell metabolism regulators on pathological complete response. Low expression of cytoplasmic TAZ, both alone and in the context of a composite signature identified by machine learning including also low nuclear levels of YAP and HMGCR and high cytoplasmic levels of SCD1, was a predictor of residual disease in the univariate logistic regression. This finding was not confirmed in the multivariate model including estrogen receptor > 70% and body mass index > 20. However, our findings were concordant with overall survival data from the TCGA cohort. Our results, possibly affected by the relatively small sample size of this study population, deserve further investigation in adequately sized, ad hoc prospective studies

Factors that can influence the gingival health of children with cerebral palsy

Estudos têm demonstrado que, quanto maior a severidade do dano neurológico em crianças com paralisia cerebral (PC), maior é o risco das doenças orais. Objetivo: Avaliar a influência dos fatores: déficit intelectual, sensibilidade oral, habilidade manual e padrões clínicos da PC sobre a saúde gengival de crianças com PC. Método: Participaram do estudo 106 crianças (10,7 ± 3,6) com PC, que frequentavam um programa de prevenção em Odontologia numa instituição de referência em reabilitação em São Paulo - SP. Os dados relativos ao sexo, desordem do movimento, tipo clínico da PC e uso contínuo de drogas foram coletados dos prontuários. As avaliações clínicas odontológicas incluíram o Índice de Higiene Oral Simplificado (OIHS), o Índice Gengival (IG) e presença do reflexo de mordida. Ainda foram realizadas as avaliações da sensibilidade oral, intelectual pelo Raven test e a habilidade manual pelo Sistema de Classificação da Habilidade Manual (MACS). Foram utilizados os testes t-Student, Qui-quadrado e regressão logística. Fixou-se nível de significância em 5%. Resultados: O grupo 1 (G1) era composto por 47 crianças sem gengivite e o grupo 2 (G2) por 59 crianças com gengivite. As crianças do G2 eram significantemente mais velhas (p = 0,001), com tetraparesia (p = 0,016), em uso de medicamentos (p < 0,001) e com reflexo de mordida (p = 0,025). As crianças do G2 apresentaram valores significantemente maiores para o IHOS (p < 0,001) e IG (p < 0,001); porcentagens significantemente maiores de crianças com percentis inferiores a 10 (p = 0,036) para o teste Raven e com habilidade manual níveis IV e V (p = 0,002) do MACS. A chance de uma criança apresentar gengivite cresce 23,5% para cada ano de idade, até 5 vezes para cada 1 unidade de aumento do IHOS e cerca de 4,5 vezes com utilização de medicamento. Conclusão: O aumento da idade, o acúmulo do biofilme e o uso de medicamentos aumentam o risco de gengivite em crianças com PC.Studies have shown that the greater the severity of neurological damage in children with cerebral palsy (CP), the greater risk of oral disease. Objective: To evaluate the influence of some factors as intellectual disability, oral sensitivity, manual ability and clinical patterns of cerebral palsy (CP) onto gingival health of CP children. Method: One hundred and six children (10.7 ± 3.6) with CP participated of the study. Descriptive data and continuous use of drugs were collected from their medical records. Clinical assessments included the Simplified Oral Hygiene Index (SOHI), the Gingival Index (GI) and the biting reflex. Were also evaluate oral sensitivity, intellectual assessment by Raven test, and manual dexterity by Manual Ability Classification System Manual (MACS). It was used the chi-square, t Student, and logistic regression tests whit a significance level of 5%. Results: Group 1 (G1) consisted of 47 children without and group 2 (G2) by 59 children with gingivitis. Groups were similar regarding gender (p = 0566), but G2 were significantly older (p = 0.001), with quadriplegia (p = 0.016), who used drugs (p < 0.001) and biting reflex (p = 0.025). G2 children presented significantly higher values for SOHI (p < 0.001) and IG (p < 0.001). Significantly higher percentages of children in G2 presented percentiles below 10 (p = 0.036) for Raven test, with manual skill levels IV and V (p = 0.002) of MACS. The chance of a child present gingivitis grows 23.5% for each year of age, and up to 5 times for every 1 unit increase in SOHI. The use of medication increases the chance of children present gingivitis by about 4.5 times. Conclusion: Increasing age, accumulation of biofilm, and use of drugs increase the risk of gingivitis in children with CP

Cetuximab continuation after first progression in metastatic colorectal cancer (CAPRI-GOIM): A randomized phase II trial of FOLFOX plus cetuximab versus FOLFOX

Background: Cetuximab plus chemotherapy is a first-line treatment option in metastatic KRAS and NRAS wild-type colorectal cancer (CRC) patients. No data are currently available on continuing anti-epidermal growth factor receptor (EGFR) therapy beyond progression. Patients and methods: We did this open-label, 1:1 randomized phase II trial at 25 hospitals in Italy to evaluate the efficacy of cetuximab plus 5-fluorouracil, folinic acid and oxaliplatin (FOLFOX) as second-line treatment of KRAS exon 2 wild-type metastatic CRC patients treated in first line with 5-fluorouracil, folinic acid and irinotecan (FOLFIRI) plus cetuximab. Patients received FOLFOX plus cetuximab (arm A) or FOLFOX (arm B). Primary end point was progressionfree survival (PFS). Tumour tissues were assessed by next-generation sequencing (NGS). This report is the final analysis. Results: Between 1 February 2010 and 28 September 2014, 153 patients were randomized (74 in arm A and 79 in arm B). Median PFS was 6.4 [95% confidence interval (CI) 4.7-8.0] versus 4.5 months (95% CI 3.3-5.7); [hazard ratio (HR), 0.81; 95% CI 0.58-1.12; P = 0.19], respectively. NGS was performed in 117/153 (76.5%) cases; 66/117 patients (34 in arm A and 32 in arm B) had KRAS, NRAS, BRAF and PIK3CA wild-type tumours. For these patients, PFS was longer in the FOLFOX plus cetuximab arm [median 6.9 (95% CI 5.5-8.2) versus 5.3 months (95% CI 3.7-6.9); HR, 0.56 (95% CI 0.33-0.94); P = 0.025]. There was a trend in better overall survival: median 23.7 [(95% CI 19.4-28.0) versus 19.8 months (95% CI 14.9-24.7); HR, 0.57 (95% CI 0.32-1.02); P = 0.056]. Conclusions: Continuing cetuximab treatment in combination with chemotherapy is of potential therapeutic efficacy in molecularly selected patients and should be validated in randomized phase III trials

Radon Spatial Variations in University’s Buildings Located in an Italian Karst Region

In the framework of a collaboration between INAIL and University of Salento, an indoor radon survey in 54 buildings belonging to the UniSalento University (Southeast Italy) was carried out. The monitored buildings differ by type, construction period, materials, etc., and are located in an area with a morphology characterized mainly by marls, calcareous marls, and calcarenites (karst area). The sample of the survey includes 963 rooms at different floors: it consists in rooms mainly located at ground floor (67%), first floor (12%), and below ground (12%). SSNTD passive dosimeters measured the average radon activity concentration for two consecutive semesters (spring/summer and autumn/winter) from which annual radon averages were estimated for each room. The spatial variability within buildings was investigated in terms of variation between floors and among rooms at the same floor. Data analysis provides evidence that the distributions (in terms of arithmetic mean, standard deviation, median, and geometric mean) of indoor radon annual averages at ground floor and at first floor within building are very similar. This highlights that the karstic characteristics of soil and building materials affect radon levels not only below ground and at ground floor, but also at first floor. Moreover, to evaluate the spatial variability of radon among buildings or floors, the analysis of the distribution of coefficient of variation (CV) was carried out: the results show a low spatial variability with median and average values of CVs ≤ 30% both for the whole building and at different floor levels