Dietary Intake, and Child Feeding Practices in the context of Climate Change among Indigenous and rural Communities in Uganda

Climate change is and is projected to impact negatively on health, food security and nutrition, and its effects are likely to be greater among vulnerable – including Indigenous – communities. However, literature assessing the relationship between dietary intake and child feeding, and climatic factors among Indigenous populations is scarce. The thesis’s aim is to characterize the diet of Indigenous Batwa and neighbouring non-Indigenous Bakiga communities living in southwestern Uganda, and to explore the likely impact of weather and seasonality on nutrients in foods (Chapter 2), on child feeding practices (Chapter 6), and on dietary intake (Chapter 7). This dissertation uses participatory community-based approaches, and mixed methods research to explore commonly consumed foods, included in a locally-relevant food composition database (Chapter 3 & 4), adult and child nutrition. Multiple fieldwork methods are included, such as in-depth interviews, focus group discussions, shop and market assessment, dietary surveys, and also the analysis of secondary data (Chapter 5) and a systematic review. At global level, climate change impacts on food nutritional content, particularly in marine species. Socio-cultural context and environmental factors, including seasonality, influence Batwa and Bakiga’s diet. Nutrient and caloric intake of both communities are inadequate over wet and dry months, especially for women and children. They mostly consume cereal and vegetable-based dishes, poor in vitamin A, zinc, iodine, and fats. Although breastfeeding prevalence is high, food insecurity linked to extreme climatic events, poverty, low health education, and alcoholism limit optimal child and maternal nutrition. This project contributes to filling the research gap on climatic and non-climatic factors influencing diets among Indigenous communities. Also, it offers insights towards the implementation of nutritional programs for vulnerable food-insecure populations by considering the likely effect of climatic changes. Interventions that are adapted to the unique environmental and cultural context of Indigenous populations can better address individuals’ nutritional needs and reduce malnutrition

Urothelial bladder carcinoma metastasizing to the eye: a systematic review and case report

The eye is a rare site for disseminated malignancies; nevertheless, several tumors may metastasize to ocular structures. Few cases of urothelial and bladder cancer with eye involvement have been described in the literature thus far. The rarity of metastatic ocular localization implies an accurate differential diagnosis among the possible primary tumor sites. However, a specific diagnostic algorithm is not currently available, nor a defined therapeutic approach. Eye metastases are associated with advanced disease and poor prognosis. Physicians should be made aware of the possibility of eye involvement in patients with a past medical history of urothelial bladder cancer associated with ocular symptoms. The present case reports discusses the first documented case, to the best of our knowledge, of an urothelial bladder cancer metastasizing to the retro bulbar region that infiltrates the lacrimal gland. Furthermore, the report provides a systematic qualitative review of the current literature on eye metastases from urothelial bladder cancer using the Preferred Reporting Items for Systematic Reviews and Meta Analyses

Accuracy of magnetic resonance imaging to identify pseudocapsule invasion in renal tumors

Purpose: To evaluate accuracy of MRI in detecting renal tumor pseudocapsule (PC) invasion and to propose a classification based on imaging of PC status in patients with renal cell carcinoma. Methods: From January 2017 to June 2018, 58 consecutive patients with localized renal cell carcinoma were prospectively enrolled. MRI was performed preoperatively and PC was classified, according to its features, as follows: MRI-Cap 0 (absence of PC), MRI-Cap 1 (presence of a clearly identifiable PC), MRI-Cap 2 (focally interrupted PC), and MRI-Cap 3 (clearly interrupted and infiltrated PC). A 3D image reconstruction showing MRI-Cap score was provided to both surgeon and pathologist to obtain complete preoperative evaluation and to compare imaging and pathology reports. All patients underwent laparoscopic partial nephrectomy. In surgical specimens, PC was classified according to the renal tumor capsule invasion scoring system (i-Cap). Results: A concordance between MRI-Cap and i-Cap was found in 50/58 (86%) cases. ρ coefficient for each MRI-cap and iCap categories was: MRI-Cap 0: 0.89 (p < 0.0001), MRI-Cap1: 0.75 (p < 0.0001), MRI-Cap 2: 0.76 (p < 0.0001), and MRI-Cap3: 0.87 (p < 0.0001). Sensitivity, specificity, positive predictive value, negative predictive value, and AUC were: MRI-Cap 0: Se 97.87% Spec 83.3%, PPV 95.8%, NPV 90.9%, and AUC 90.9; MRI-Cap 1: Se 77% Spec 95.5%, PPV 83.3%, NPV 93.5%, and AUC 0.86; MRI-Cap 2- iCap 2: Se 88% Spec 90%, PPV 79%, NPV 95%, and AUC 0.89; MRI-Cap 3: Se 94% Spec 95%, PPV 88%, NPV 97%, and AUC 0.94. Conclusions: MRI-Cap classification is accurate in evaluating renal tumor PC features. PC features can provide an imaging-guided landmark to figure out where a minimal margin could be preferable during nephron-sparing surgery

Citron kinase controls abscission through RhoA and Anillin.

The small GTPase RhoA plays a crucial role in the different stages of cytokinesis, including contractile ring formation, cleavage furrow ingression, and midbody abscission. Citron kinase (CIT-K), a protein required for cytokinesis and conserved from insects to mammals, is currently considered a cytokinesis-specific effector of active RhoA. In agreement with previous observations, we show here that, as in Drosophila cells, CIT-K is specifically required for abscission in mammalian cells. However, in contrast with the current view, we provide evidence that CIT-K is an upstream regulator rather than a downstream effector of RhoA during late cytokinesis. In addition, we show that CIT-K is capable of physically and functionally interacting with the actin-binding protein anillin. Active RhoA and anillin are displaced from the midbody in CIT-K-depleted cells, while only anillin, but not CIT-K, is affected if RhoA is inactivated in late cytokinesis. The overexpression of CIT-K and of anillin leads to abscission delay. However, the delay produced by CIT-K overexpression can be reversed by RhoA inactivation, while the delay produced by anillin overexpression is RhoA-independent. Altogether, these results indicate that CIT-K is a crucial abscission regulator that may promote midbody stability through active RhoA and anillin

Real-life data on monoclonal antibodies and antiviral drugs in Italian inborn errors of immunity patients during COVID-19 pandemic

BackgroundSince the beginning of the COVID-19 pandemic, patients with Inborn Errors of Immunity have been infected by SARS-CoV-2 virus showing a spectrum of disease ranging from asymptomatic to severe COVID-19. A fair number of patients did not respond adequately to SARS-CoV-2 vaccinations, thus early therapeutic or prophylactic measures were needed to prevent severe or fatal course or COVID-19 and to reduce the burden of hospitalizations.MethodsLongitudinal, multicentric study on patients with Inborn Errors of Immunity immunized with mRNA vaccines treated with monoclonal antibodies and/or antiviral agents at the first infection and at reinfection by SARS-CoV-2. Analyses of efficacy were performed according to the different circulating SARS-CoV-2 strains.ResultsThe analysis of the cohort of 192 SARS-CoV-2 infected patients, across 26 months, showed the efficacy of antivirals on the risk of hospitalization, while mabs offered a positive effect on hospitalization, and COVID-19 severity. This protection was consistent across the alpha, delta and early omicron waves, although the emergence of BA.2 reduced the effect of available mabs. Hospitalized patients treated with mabs and antivirals had a lower risk of ICU admission. We reported 16 re-infections with a length of SARS-CoV-2 positivity at second infection shorter among patients treated with mabs. Treatment with antivirals and mabs was safe.ConclusionsThe widespread use of specific therapy, vaccination and better access to care might have contributed to mitigate risk of mortality, hospital admission, and severe disease. However, the rapid spread of new viral strains underlines that mabs and antiviral beneficial effects should be re- evaluated over time

Interlaminar Toughening of Epoxy Carbon Fiber Reinforced Laminates:Soluble Versus Non-Soluble Veils

This work describes the evaluation of different interlaminar veils to improve the toughening of epoxy/carbon fiber composites manufactured by resin infusion. Three commercial veils have been used in the study: two electro spun thermoplastic nanofiber (Xantulayr® from Revolution Fibres) with different areal weight, and one micro carbon fibers veil (Optiveil® from TFP). Two laboratory made veils were also manufactured by electrospinning commercial polyethersulfone (PES) tougheners (Virantage by Solvay). The veils were selected to be either soluble or non-soluble in the epoxy resin matrix during curing. The solubility was analyzed by scanning electron microscopy and dynamic mechanical analysis testing on the cured laminates. The fracture energy was evaluated by double cantilever bending (DCB) testing under Mode I loading. The insoluble thermoplastic nanofibers showed the highest toughening efficiency, followed by the soluble nanofiber veils. The carbon fiber based veil showed no toughness improvement