Enteral nutrition protects children undergoing allogeneic hematopoietic stem cell transplantation from blood stream infections

Enteral Nutrition (EN) is recommended as first line nutritional support for patients undergoing Allogeneic Hematopoietic Stem Cell Transplantation (allo-HSCT), but only few studies exist in the literature which compare EN to Parenteral Nutrition (PN) in the paediatric population. Forty-two consecutive paediatric patients undergoing allo-HSCT at our referral centre between January 2016 and July 2019 were evaluated. Post-transplant and nutritional outcomes of patients receiving EN for more than 7 days (EN group, n = 14) were compared with those of patients receiving EN for fewer than 7 days or receiving only PN (PN group, n = 28). In the EN group, a reduced incidence of Blood Stream Infections (BSI) was observed (p = 0.02) (n = 2 vs. n = 15; 14.3% vs. 53.6%). The type of nutritional support was also the only variable independently associated with BSI in the multivariate analysis (p = 0.03). Platelet engraftment was shorter in the PN group than in the EN group for a threshold of > 20*109/L (p = 0.04) (23.1 vs 35.7 days), but this correlation was not confirmed with a threshold of > 50*109/L. The Body Mass Index (BMI) and the BMI Z-score were no different in the two groups from admission to discharge. Our results highlight that EN is a feasible and nutritionally adequate method of nutritional support for children undergoing allo-HSCT in line with the present literature. Future functional studies are needed to better address the hypothesis that greater intestinal eubyosis maintained with EN may explain the observed reduction in BSI

Paediatric Home Artificial Nutrition in Italy: Report from 2016 Survey on Behalf of Artificial Nutrition Network of Italian Society for Gastroenterology, Hepatology and Nutrition (SIGENP)

Home Artificial Nutrition (HAN) is a safe and efficacious technique that insures children's reintegration into the family, society and school. Epidemiological data on paediatric HAN in Italy are not available. Aim: to detect the prevalence and incidence of Home Parenteral Nutrition (HPN) and Home Enteral Nutrition (HEN), either via tube or mouth, in Italy in 2016. Materials and methods: a specific form was sent to all registered SIGENP members and investigators of local HAN centres, inviting them to provide the requested centre's data and demographics, underlying diseases and HAN characteristics of the patients. Results: we recorded 3403 Italian patients on HAN aged 0 to 19 years from 22 centres: 2277 HEN, 950 Oral Nutritional Supplements (ONS) and 179 HPN programs. The prevalence of HEN (205 pts/million inhabitants) and HPN (16 pts/million inhabitants) has dramatically increased in Italy in the last 9 years. Neurodisabling conditions were the first indication for HEN by tube or mouth while HPN is mainly requested in digestive disorders. Conclusions: HAN is a widespread and rapidly growing treatment in Italy, as well as in other European countries. Awareness of its extent and characteristics helps improving HAN service and patients' quality of life

Prospects for the development of probiotics and prebiotics for oral applications

There has been a paradigm shift towards an ecological and microbial community-based approach to understanding oral diseases. This has significant implications for approaches to therapy and has raised the possibility of developing novel strategies through manipulation of the resident oral microbiota and modulation of host immune responses. The increased popularity of using probiotic bacteria and/or prebiotic supplements to improve gastrointestinal health has prompted interest in the utility of this approach for oral applications. Evidence now suggests that probiotics may function not only by direct inhibition of, or enhanced competition with, pathogenic micro-organisms, but also by more subtle mechanisms including modulation of the mucosal immune system. Similarly, prebiotics could promote the growth of beneficial micro-organisms that comprise part of the resident microbiota. The evidence for the use of pro or prebiotics for the prevention of caries or periodontal diseases is reviewed, and issues that could arise from their use, as well as questions that still need to be answered, are raised. A complete understanding of the broad ecological changes induced in the mouth by probiotics or prebiotics will be essential to assess their long-term consequences for oral health and disease

A rare case of solid pseupapillary tumor of the pancreas in a young girl with celiac disease

Solid papillary cystic tumors of the pancreas are rare entities and occur more frequently in women aged 20\u201340. We report a case of a 11-year old girl followed for celiac disease (CD) with a secondary diagnosis of a pseudocystic pancreatic tumor

A rare case of solid pseudopapillary tumor of the pancreas in a young girl with celiac disease

association between a rare benign tumor of the pancreas and celiac disease in a young girl

Taphonomy of the earliest Cambrian linguliform brachiopods

The Early Cambrian Burgess Shale−type fossil Lagerstätten of Yunnan Province (Chengjiang; Guanshan) are crucial in understanding the Cambrian bioradiation. Brachiopods are applied here as a critical model phylum to analyze the taphonomy of Yunnan fossil Lagerstätten, because shell and tissue composition of modern brachiopods can be compared with exceptionally preserved Cambrian remains. Systematic elemental mapping and energy−dispersive X−ray analyses have been carried out to study fossil brachiopods and their matrix from Cambrian Stages 3–4 and modern linguliform brachiopods from several geographical regions in order to evaluate the detailed structure of the shells and the biological and environmental influences on shell composition. Analyses of earliest Cambrian fossils encompassing the complete spectrum of weathering stages show a primary organo−phosphatic brachiopod shell, visible in unweathered specimens, and a successive dissolution and replacement of the shell during weathering, observable in specimens that underwent dif− ferent stages of weathering. Therefore, our study reveals that earliest Cambrian linguliform brachiopods from the Chengjiang and Guanshan Biotas developed organo−phosphatic shells as their Recent counterparts. Early carbon and apa− tite preservation together with rapid deposition in claystone, instead of early iron adsorption, appears crucial for the pres− ervation of highly delicate tissue. Primary calcium, phosphorus, organic carbon, and a multilayered shell are present, by inference between Cambrian fossils and Recent specimens, through the whole Phanerozoic. Elements such as silicon, sul− phur, calcium, phosphorus, and iron were detected, impregnated with organic compounds in some organs of modern Lingula, and related to the potential of fossilization of Cambrian linguliform brachiopods. Ferromanganese precipitates traced in the shell of in vivo specimens of modern Lingula may enhance the potential for fossilization too

Organophosphorous pesticide detection in olive oil by using a miniaturized, easy-to-use, and cost-effective biosensor combined with QuEChERS for sample clean-up

Herein, we report a portable electrochemical biosensor based on butyrylcholinesterase (BChE) immobilized on carbon black (CB)-modified screen-printed electrodes (SPEs) for the detection of organophosphorous pesticides in olive oil. The BChE/CB-SPE biosensor was developed to detect paraoxon in standard solutions as well as in olive oil samples previously treated with the QuEChERS method to extract pesticides from the whole fatty matrix. The biosensor shows a linear concentration range of between 20 and 100 ppb for paraoxon both in standard solutions (phosphate buffer 0.05 M) and in olive oil extracts, with a detection limit of 6 ppb in olive oil extract, corresponding to 10% of inhibition. The accuracy of this biosensor in olive oil samples was assessed with olive oil spiked with paraoxon, obtaining satisfactory recovery values