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

QoL in Southtyrol T1D Pediatric Patients Psycho-social Well-being, Quality of Life, Health Status and Family Conflicts in a South-tyrolean Group of Pediatric Patients with Diabetes Mellitus Type I

Background:Psychological well-being and metabolic control in pediatric patients with diabetes mellitus type I (T1D) could be negatively influenced by adolescence current age, age at the diagnosis, lower economic condition and lower education status and by higher family conflict. However, they reported lower or comparable levels of emotional difficulties compared with normative population.Objective:To understand psycho-social symptoms, quality of life, health status and family conflicts of pediatric patients with T1D in the unique cultural environment of South-Tyrol. The present study has two goals. The first is to understand psychological symptoms and to investigatethe possible risk factors. The second deals with the subgroup of adolescents, comparing their psychological functioning with a healthy control group.Methods:Patients (n=59) with a mean age of 13.19 years (SD=3.26; range 8\u201318) were contacted at the Day Hospital check-ups and self-and proxy-reported questionnaires were administered: CBCL/ YSR, DFCS-R, DQOLY-SF. From this group, 45 patients aged 11\u201318 were matched by gender and age in months with a control group of healthy peers. Results:Glycemic control was severely inadequate and a subgroup of patients showed lower indexes of total competencies and activities performed, especially if they were of poor economic condition and had the illness for a longer duration. The adolescent patients self-reported better psychological functioning than their healthy peers, except for conduct problems. Conclusions:Specific psycho-social interventions should address the dangerous levels of metabolic control indexes and mitigate the patients\u2019 conduct problems

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)

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

Animal-Based Measures for the On-Farm Welfare Assessment of Geese

Currently, no specific animal-based measures (ABMs) protocols are available for geese in commercial meat production systems. Following a critical review of the literature and consultation of experts, seven ABMs, potentially valid and feasible for the on-farm welfare assessment of geese, were identified and then tested in 12 farms in Poland to assess their inter-observer reliability. Two observers conducted the assessment, which was divided into two phases. First, a handling test assessed the human\u2013animal relationship (HAR), and a 100% inter-observer reliability was achieved by the observers when evaluating the attitudes of stockpeople and the reactions of geese to humans. Next, an animal inspection was conducted, and the observers simultaneously and independently visually evaluated 100 randomly selected geese per farm and assessed whether the selected ABMs could be identified. In terms of inter-observer reliability, high correlation coecients were found for plumage dirtiness (r = 0.745; p &lt; 0.01), twisted wings (r = 0.890; p &lt; 0.001), and broken/twisted wings (r = 0.858; p &lt; 0.001). The results showed that plumage dirtiness, twisted wings, and broken/twisted wings are valid and reliable measures. Further research should address the reliability of ABMs of geese in other types of production systems

A dynamic distention protocol for whole-organ bladder decellularization: histological and biomechanical characterization of the acellular matrix

A combined physical\u2013chemical protocol for whole full-thickness bladder decellularization is proposed, based on organ cyclic distention through repeated infusion/withdrawal of the decellularization agents through the urethra. The dynamic decellularization was intended to enhance cell removal efficiency, facilitating the delivery of detergents within the inner layers of the tissue and the removal of cell debris. The use of mild chemical detergents (hypotonic solution and non-ionic detergent) was employed to limit adverse effects upon matrix 3D ultrastructure. Inspection of the presence of residual DNA and RNA was carried out on decellularized matrices to verify effective cell removal. Histological investigation was focused on assessing the retention of adequate structural and functional components that regulate the biomechanical behaviour of the acellular tissue. Biomechanical properties were evaluated through uniaxial tensile loading tests of tissue strips and through ex vivo filling cystometry to evaluate the whole-organ mechanical response to a physiological-like loading state. According to our results, a dynamic decellularization protocol of 17 h duration with a 5 ml/min detergent infusion flow rate revealed higher DNA removal efficiency than standard static decellularization, resulting in residual DNA content\u2009<\u200950 ng/mg dry tissue weight. Furthermore, the collagen network and elastic fibres distribution were preserved in the acellular ECM, which exhibited suitable biomechanical properties in the perspective of its future use as an implant for bladder augmentation

Primary extraskeletal osteosarcoma of the post-hepatic caudal vena cava in a dog—Case report

Extraskeletal osteosarcoma (EOSA) in dogs is a rare malignant mesenchymal tumor of somatic soft tissues or more commonly visceral organs with a poor prognosis. In dogs, EOSAs have been described as arising from multiple locations, but differently from humans, never from a main vessel. In this report, we describe the first case of an EOSA arising from the post-hepatic caudal vena cava in a 7-year-old male neutered mix breed dog. This report focuses on the description of the diagnostic challenges to obtain a preoperative diagnosis, highlights the importance of histopathology for a correct diagnosis, and introduces a new differential diagnosis for an animal presenting with a suspected thrombus of the vena cava

Predicting PCB concentrations in cow milk: validation of a fugacity model in high-mountain pasture conditions

A fugacity model reported in the literature was applied to a high - altitude pasture in the Italian Alps. The model takes into account three compartments (digestive tract, blood and fat tissues) in unsteady-state conditions using food as the contamination source. Disregarding biotransformation inside cow tissues, the predicted concentrations of 14 polychlorinated biphenyls (PCBs) in milk were in good agreement with the observed data, especially for congeners known for their resistance to biotransformation (e.g., CB-138 and 153). In contrast, the predicted concentrations were clearly overestimated for congeners with high biotransformation susceptibilities. Therefore data measured in milk and faeces were used to calculate the first-order-biotransformation rate constants in dairy cows. The PCB absorption efficiency observed for pasture conditionswas lower than that observed in the cowshed. The final version of the model included biotransformation and observed PCB absorption andwas able to predict PCB concentrations in cow milkwith mean differences between the predicted and measured data below \ub120% for most congener