The developmental pathways of preschool children with acute lymphoblastic leukemia: communicative and social sequelae one year after treatment

Early childhood is considered to be a period of rapid development, with the acquisition of abilities predicting future positive school competences. Motor, cognitive, and social diculties related to cancer therapies heavily impact the development of children with cancer. This study focused on two main aims: To assess the developmental pathways of preschool children with acute lymphoblastic leukemia one year post-treatment and to compare these abilities both with those of a control group of healthy peers and with Italian norms. Forty-four children and their families, recruited through the Hematology-Oncologic Clinic of the Department of Child andWoman Health (University of Padua), agreed to participate in this study. The children\u2019s mean age was 4.52 years (SD = 0.94, range = 2.5\u20136 years), equally distributed by gender, all diagnosed with acute lymphoblastic leukemia. Matched healthy peers were recruited through pediatricians\u2019 ambulatories. Each family was interviewed adopting the Vineland adaptive behavior scales. Paired sampleWilcoxon tests revealed that children were reported to have significantly more developmental diculties than their healthy peers. When compared with Italian norms, they scored particularly low in verbal competence, social, and coping skills. No significant association was found between treatment variables and developmental abilities. These findings suggest that the creation of specialized interventions, both for parents and children, may fill the possible delays in children\u2019s development probably due to stress, lack of adequate stimulation, or dicult adaptation

Neutron spectrometer for fast nuclear reactors

In this paper we describe the development and first tests of a neutron spectrometer designed for high flux environments, such as the ones found in fast nuclear reactors. The spectrometer is based on the conversion of neutrons impinging on $^6$Li into $\alpha$ and $t$ whose total energy comprises the initial neutron energy and the reaction $Q$-value. The $^6$LiF layer is sandwiched between two CVD diamond detectors, which measure the two reaction products in coincidence. The spectrometer was calibrated at two neutron energies in well known thermal and 3 MeV neutron fluxes. The measured neutron detection efficiency varies from 4.2$\times 10^{-4}$ to 3.5$\times 10^{-8}$ for thermal and 3 MeV neutrons, respectively. These values are in agreement with Geant4 simulations and close to simple estimates based on the knowledge of the $^6$Li(n,$\alpha$)$t$ cross section. The energy resolution of the spectrometer was found to be better than 100 keV when using 5 m cables between the detector and the preamplifiers.Comment: submitted to NI

Health-related quality of life in AYA cancer survivors who underwent HSCT compared with healthy peers

This\ue002study\ue002was\ue002aimed\ue002at\ue002comparing\ue002adolescent\ue002and\ue002young\ue002adult\ue002(AYA)\ue002Hematopoietic\ue002 Stem Cell Transplantation (HSCT) paediatric cancer survivors and a control group of healthy peers in terms of Health- Related Quality of Life (HRQOL) and frequency of posttraumatic\ue002stress\ue002symptoms\ue002(PTSS).\ue002The\ue002participants\ue002were\ue00232\ue002AYA\ue002HSCT\ue002survi- vors and 28 matched healthy peers. The survivors were, on average, 19.4 years old (SD = 3.8), with an average age of 8.1 years (SD = 4.3) at diagnosis, and with a mean time, since treatment was completed, of 8.5 years (SD = 3.2). The majority of survi- vors (78.1%) did not show clinical PTSS, with intrusion symptoms most frequently reported in those who had undergone autologous HSCT (F = 3.3; df = 2; p = 0.05) and relapse presence in their treatment associated with more PTSS avoidance symptoms (r = 0.4; p\ue002=\ue0020.002).\ue002Women\ue002reported\ue002more\ue002problems\ue002in\ue002the\ue002SF-\ue00236\ue002pain\ue002scale\ue002(t = 2.1; df = 31; p\ue002=\ue0020.04)\ue002than\ue002men.\ue002Additionally,\ue00287.5%\ue002of\ue002survivors\ue002fell\ue002below\ue002the\ue00225th\ue002per- centile\ue002in\ue002the\ue002SF-\ue00236\ue002general\ue002well-\ue002being\ue002scale,\ue002and\ue00270.8%\ue002had\ue002the\ue002same\ue002trend\ue002for\ue002the\ue002 SF-\ue00236\ue002fatigue\ue002scale.\ue002Survivors\ue002reported\ue002better\ue002emotional\ue002well-\ue002being\ue002(t\ue002=\ue0022.6,\ue002df = 27, p = 0.01) and fewer limitations than their healthy peers (t = 2.5, df = 27, p = 0.02), while they perceived a lower life satisfaction referring to the past (t\ue002=\ue002 122.8,\ue002df = 27, p = 0.009)

Search for Neutron Flux Generation in a Plasma Discharge Electrolytic Cell

Following some recent unexpected hints of neutron production in setups like high-voltage atmospheric discharges and plasma discharges in electrolytic cells, we present a measurement of the neutron flux in a configuration similar to the latter. We use two different types of neutron detectors, poly-allyl-diglicol-carbonate (PADC, aka CR-39) tracers and Indium disks. At 95% C.L. we provide an upper limit of 1.5 neutrons cm^-2 s^-1 for the thermal neutron flux at ~5 cm from the center of the cell. Allowing for a higher energy neutron component the largest allowed flux is 64 neutrons cm^-2 s^-1. This upper limit is two orders of magnitude smaller than what previously claimed in an electrolytic cell plasma discharge experiment. Furthermore the behavior of the CR-39 is discussed to point our possible sources of spurious signals.Comment: 4 pages, 3 figure

Quality of Life and psychopathology in adults who underwent Hematopoietic Stem Cell Transplantation (HSCT) in childhood: a qualitative and quantitative analysis.

Background: Patients who undergo pediatric Hematopoietic Stem Cell Transplantation (HSCT) may experience long-term psychological sequelae and poor Quality of Life (QoL) in adulthood. This study aimed to investigate subjective illness experience, QoL, and psychopathology in young adults who have survived pediatric HSCT. Method: The study involved patients treated with HSCT in the Hematology-Oncology Department between 1984 and 2007. Psychopathology and QoL were investigated using the SCL-90-R and SF-36. Socio-demographic and medical information was also collected. Finally, participants were asked to write a brief composition about their experiences of illness and care. Qualitative analysis of the texts was performed using T-LAB, an instrument for text analysis that allows the user to highlight the occurrences and co-occurrences of lemma. Quantitative analyses were performed using non-parametric tests (Spearman correlations, Kruskal-Wallis and Mann-Whitney tests). Results: Twenty-one patients (9 males) participated in the study. No significant distress was found on the SCL-90 Global Severity Index, but it was found on specific scales. On the SF-36, lower scores were reported on scales referring to bodily pain, general health, and physical and social functioning. All the measures were significantly (p < 0.05) associated with specific socio-demographic and medical variables (gender, type of pathology, type of HSCT, time elapsed between communication of the need to transplant and effective transplantation, and days of hospitalization). With regard to the narrative analyses, males focused on expressions related to the body and medical therapies, while females focused on people they met during treatment, family members, and donors. Low general health and treatment with autologous HSCT were associated with memories about chemotherapy, radiotherapy, and the body parts involved, while high general health was associated with expressions focused on gratitude (V-Test \ub1 1.96). Conclusion: Pediatric HSCT survivors are more likely to experience psychological distress and low QoL in adulthood compared with the general population. These aspects, along with survivors' subjective illness experience, show differences according to specific medical and socio-demographic variables. Studies are needed in order to improve the care and long-term follow-up of these families

ALCOHOL- AND DRUG-RELATED CONTENTS IN THE NURSING PROGRAM AT ESPÍRITO SANTO FEDERAL UNIVERSITY: A CRITICAL ANALYSIS

The study was based on the project sponsored by the Organization of American States which wasdeveloped by São Paulo Federal University College of Nursing aiming at analyzing the alcohol- and drug-relatedcourse contents taught in undergraduate nursing programs in Brazil. Its purpose was to evaluate teachingconditions concerning this theme in the undergraduate nursing program at Espírito Santo Federal Universitythrough a descriptive survey applied to 86 nursing students. To 95% of the students, the problem related to theconsumption of alcohol and drugs is a theme of great interest. The inclusion of these themes in nursing programsis a facilitating condition for the education of nurses in this area

Equation of motion for dislocations with inertial effects

An approximate equation of motion is proposed for screw and edge dislocations, which accounts for retardation and for relativistic effects in the subsonic range. Good quantitative agreement is found, in accelerated or in decelerated regimes, with numerical results of a more fundamental nature.Comment: 6 pages, 4 figures, LaTe

Systematics of Xanthorrhoeaceae Sensu Lato, with an Emphasis on Bulbine

We provide here results of a combined analysis of plastid genes rbcL, matK, and ndhF for Xanthorrhoeaceae s.l., the Asphodelaceae/Xanthorrhoeaceae/Hemerocallidaceae clade, which are well supported by the DNA data. Xanthorrhoea (often treated as the sole member of Xanthorrhoeaceae) is sister to the hemerocallid clade (former Hemerocallidaceae); and the asphodelid clade (formerly Asphodelaceae) is sister to them both. For additional species of Bulbine and Jodrellia (both Asphodeloideae), we also collected rps16 intron and ITS nuclear ribosomal DNA sequences to better assess their relationships. Bulbine, with Jodrellia, embedded are sister to the collective genera of subfamily Alooideae in which all species are characterized by strongly bimodal and nearly identical karyotypes, whereas that of Bulbine is much more variable. Cytological studies have previously shown Bulbine to possess a range of karyotypes from graduated to clearly bimodal (although never exactly like the aloid genera) and point toward a lower level of bimodality in the Australian members, all of which are autotetraploid, than in the African members, all of which are diploid. Therefore, there have been two events of particular interest within Bulbine, a change in ploidy and a long-range dispersal event