Early introduction oral immunotherapy for IgE-mediated cow's milk allergy: A follow-up study confirms this approach as safe and appealing to parents

Introduction: Early introduction oral immunotherapy (E-OIT) in the first year of life can be a safe treatment for infants with cow's milk allergy (CMA). Once the protocol is completed, doubts remain whether children achieve tolerance or remain desensitized. According to current guidelines, this is determined by an avoidance period followed by a re-exposure to the food allergen during an in-hospital oral food challenge (OFC). In real life, this approach can be complicated, time-consuming, and anxiety-provoking for parents. We assessed the long-term safety of E-OIT for CMA in a cohort of children who switched to an unrestricted diet without testing the achievement of tolerance at the end of the OIT protocol. Materials and Methods: We performed a descriptive analysis of the clinical follow-up of a cohort of children diagnosed with IgE-mediated CMA and undergoing E-OIT protocol in their first year of life. In a previous publication, the same cohort of patients had been studied to assess the feasibility of E-OIT for CMA. In the present study, we reported the results of a telephone survey, carried out through a questionnaire to their families enquiring about milk consumption and other ongoing atopic conditions of children. Results: After an average of 4 years from the start of E-OIT, 62/73 patients (85% of the historical cohort) participated in the survey. Among them, all 56 patients who had previously successfully completed the protocol reported an unrestricted cow's milk intake. Ninety–three percent of these children did not experience any further allergic reactions, while the remaining 7% described only mild and transitory reactions until the 6-month period after the end of the protocol. Conclusions: This study confirmed the long-term safety of E-OIT for CMA and challenged the paradigm of the need for allergen food withdrawal to discern between desensitization and tolerance. It could be a starting point for planning future trials on this issue

The digital whomanities project. Best practices for digital pedagogy in the pandemic era

This paper aims to enter the ongoing debate about the critical issues of digital pedagogy through the presentation of Digital WHOmanities, a series of online conferences and workshops held at the University of Bologna. Distance learning has become one of the most discussed topics in educational institutions during the spread of Covid-19, revealing a discrepancy between the rapid development of technology and the ability of learning environments to adapt to this turn. In view of this ongoing debate, Digital WHOmanities tried to define the complex and multifaceted figure of the digital humanist and to provide a methodological framework that could foster further online academic initiatives. Specifically, the accurate organization of timing and contents and the adoption of synchronous and asynchronous approaches have highlighted the effectiveness of flexible digital didactics

Active versus passive acquisition of spatial knowledge while controlling a vehicle in a virtual urban space in drivers and non-drivers

Historically real world studies have indicated a spatial learning advantage for active explorers of environments over those whose experience is more passive; a common contrast is made between car drivers and passengers. An experiment was conducted to explore the dual hypotheses that active explorers learn more about the layout of a virtual environment than passive observers and that real world car drivers will learn more regardless of their experimental Active/Passive status. Consistent with earlier studies in VEs, there was no benefit from activity (controlling exploration/movement), arguably because input control competes with spatial information acquisition. However, the results showed that Drivers were more accurate than Non-Drivers at indicating the positions of target locations on a map, in both active and passive conditions and had better route scores than Non-Drivers in the passive condition. It is argued that driving experience may convey a spatial learning advantage over and above activity per se

Effects of agricultural practices and fungicides on the management postharvest anthracnose and stem-end rot of mango.

Anthracnose and stem-end rot are the main postharvest mango diseases in the Brazilian Northeast. In order to determine the incidence and prevalence of these diseases, near ripe (stage 3) Tommy Atkins fruits were collected from thirty orchards, aged 10 to 12 years old. Inspections and records regarding agricultural practices were undertaken in order to characterize the orchards and evaluate the risk of diseases. Additionally, three experiments were conducted to evaluate different fungicides. Fruits were harvested in Tommy Atkins orchards sprayed with different fungicides and disease incidences were evaluated for two weeks. General averages of incidence and prevalence of stem-end rot were 14.44% and 86.67% respectively, while those of anthracnose were 5.55% and 36.67%. Pearson?s chi-squared test identified a significant association between management practices and the occurrence of diseases. The risk of producing diseased fruits is larger in orchards that do not remove residues beneath or above the canopy or diseased panicles and do not adopt good agricultural practices. For orchards that do not adopt good agricultural practices, the relative risk was a 3.82 times higher chance of producing diseased fruits compared to those that adopt good agricultural practices. The fungicides that exhibited efficiency in disease control were pyraclostrobin (0.10 g/L), copper oxychloride (1.60 g/L) and tetraconazole (0.10 g/L). According to the results, in order to control anthracnose and stem-end rot in mangos, producers should spray the orchards with pyraclostrobin, copper oxychloride and tetraconazole fungicides, remove malformed panicles and diseased residues above and beneath the canop

The dissemination of the black sigatoka in Brazil.

RESUMEN: En febrero de 1998 investigadores de Embrapa Amazonia Occidental detectaran los primeros síntomas de sigatoka negra en bananos en Brasil, en la frontera con Colombia y Perú, en la región del Río Marañón. En mayo de 1998 se confirmó la presencia de la enfermedad en las ciudades de Benjamín Constant y Tabatinga, en el Estado de Amazonas. En Julio, la presencia de la enfermedad fue confirmada en Coari y hasta diciembre del mismo año en todo el Estado de Amazonas. Hasta 2000 toda la región Norte registró la presencia de la enfermedad, con excepción del Estado de Tocantins, donde fue confirmada solamente en 2010. En 1999, la sigatoka negra ya se encontraba en el Estado de Mato Grosso, en la región Centro Oeste de Brasil. En 2004, fue registrada en la región Sudeste de Brasil, en los Estados de Minas Gerais y São Paulo. En el mismo año, la sigatoka negra fue registrada en los tres Estados de la región Sur de Brasil. El trabajo describe la cronología y localización de los registros oficiales de la enfermedad en Brasil y discute las formas de diseminación y las diferencias de sintomatología y virulencia de la enfermedad en diferentes zonas bananeras de Brasil. ABSTRACT: In February 1998, Embrapa Amazonia Ocidental researchers detected black sigatoka symptoms on bananas on the border with Colombia and Peru, in the Brazilian region of the Solimões river. In May of the same year was confirmed the presence of the disease in Benjamin Constant and Tabatinga cities, in the State of Amazonas. In July, black sigatoka presence was confirmed in Coari and until December of the same year in all Amazonas State. Until 2000, the entire Northern Brazilian region registered the presence of the disease, with the exception of the Tocantins State. In 1999, the black sigatoka was present in the Mato Grosso State, in the Centre Western Brazilian region. In 2004, it was registered in the Southeast region of Brazil, in the States of Minas Gerais and São Paulo. In the same year, black sigatoka was registered in the three States of the Southern region of Brazil. This work describes the chronology and location of the official records of the disease in Brazil and discusses forms of dissemination and the differences of symptoms and virulence of the disease in different banana areas of Brazil.Título em Espanhol: Diseminación de la sigatoka negra en Brasil

Dual task interference during gait in patients with unilateral vestibular disorders

<p>Abstract</p> <p>Background</p> <p>Vestibular patients show slower and unsteady gait; they have also been shown to need greater cognitive resources when carrying out balance and cognitive dual tasks (DT). This study investigated DT interference during gait in a middle-aged group of subjects with dizziness and unsteadiness after unilateral vestibular neuronitis and in a healthy control group.</p> <p>Methods</p> <p>Fourteen individuals with subacute unilateral vestibular impairment after neuronitis and seventeen healthy subjects performed gait and cognitive tasks in single and DT conditions. A statistical gait analysis system was used and spatio-temporal parameters were considered. The cognitive task, consisting of backward counting by three, was tape recorded and the number of right figures was then calculated.</p> <p>Results</p> <p>Both patients and controls showed a more conservative gait during DT and between groups significant differences were not found. A significant decrease in cognitive performance during DT was found only in the vestibular group.</p> <p>Conclusions</p> <p>Results suggest that less attentional resources are available during gait in vestibular patients compared to controls, and that a priority is given in keeping up the motor task to the detriment of a decrease of the cognitive performance during DT.</p

Manejo de míldio no cultivo protegido de videira de mesa 'BRS Clara'

O objetivo deste trabalho foi avaliar a eficiência da cobertura de plástico e da tela antigranizo associadas, ou não, a programas de aplicação de fungicidas, no controle de míldio na cultivar de uva de mesa BRS Clara, sob condições de produção das safras normal e temporã do norte do Paraná, e analisar a influência de variáveis micrometeorológicas no progresso da doença. Foram conduzidos experimentos em duas safras normais (setembro a dezembro) e duas safras temporãs (janeiro a maio) nos anos 2008 e 2009. O delineamento experimental foi de blocos ao acaso, com sete tratamentos e quatro repetições: cobertura com tela antigranizo sem uso de fungicidas para controle de míldio ou com uso de fungicidas (padrão do produtor); cobertura de plástico sem uso de fungicidas ou com fungicidas apenas para oídio; cobertura de plástico com 25 ou 50% das aplicações de fungicidas padrão; e cobertura de plástico com tratamento de fosfito e cobre. A cobertura de plástico permite reduzir o número de pulverizações de fungicidas em até 75% em relação à tela antigranizo. A severidade da doença apresenta alta correlação positiva com o número de horas diárias de molhamento foliar e com a umidade relativa do ar maior que 90%. Sob tela antigranizo, a severidade da doença também se correlaciona com a intensidade de chuv