Ten-Year Longitudinal Study of Thyroid Function in Children with Down's Syndrome

Background/Aims: The natural history of thyroid function in children with Down's syndrome is relatively unknown. We hypothesized that in these patients the occurrence of thyroid dysfunction rises during development. Methods: Thyroid function was assessed yearly in 145 children with Down's syndrome, all followed from birth up to 10 years of age. Heteroskedastic binary and ordinary logistic regression for repeated measures was used to evaluate the relationship of thyroid function with continuous time. Results: Congenital hypothyroidism was detected in 7% of cases. The probability of acquired thyroid dysfunction increased from 30% at birth to 49% at 10 years (p < 0.001). The subclinical hypothyroidism was nearly stable during the follow-up. The probability of hypothyroidism increased from 7 to 24% at 10 years (p < 0.001). Positive anti-thyroglobulin antibodies were associated with higher odds of more severe hypothyroidism (odds ratio 3.6). Positive anti-thyroid peroxidase antibodies were a better predictor of more severe hypothyroidism (odds ratio 6.1). Diffuse hypoechogenicity on thyroid ultrasound was found in 34 out of 145 children. Conclusion: The probability of thyroid dysfunction increasing during development is higher than previously reported. Such children should be carefully monitored annually to early identify thyroid dysfunction

Impaired GH Secretion in Patients with SHOX Deficiency and Efficacy of Recombinant Human GH Therapy.

Background/Aims: Mutations of the short stature homeobox-containing (SHOX) gene on the pseudoautosomal region of the sex chromosomes cause short stature. GH treatment has been recently proposed to improve height in short patients with SHOX deficiency. The aim of this study was to evaluate GH secretion and analyze growth and safety of recombinant human GH (rhGH) therapy in short children and adolescents with SHOX deficiency. Patients and Design: We studied 16 patients (10 females; 9.7 ± 2.9 years old; height -2.46 ± 0.82 standard deviation score, SDS) with SHOX deficiency. All subjects underwent auxological evaluations, biochemical investigations, and were treated with rhGH (0.273 ± 0.053 mg/kg/week). Results: Impaired GH secretion was present in 37.5% of the studied subjects. Comparing baseline data with those at the last visit, we found that rhGH treatment improved growth velocity SDS (from -1.03 ± 1.44 to 2.77 ± 1.95; p = 0.001), height SDS (from -2.41 ± 0.71 to -1.81 ± 0.87; p < 0.001), and IGF-1 values (from -0.57 ± 1.23 to 0.63 ± 1.63 SDS, p = 0.010) without affecting body mass index SDS. Height SDS measured at the last visit was significantly correlated with chronological age (r = -0.618, p = 0.032), bone age (r = -0.582, p = 0.047) and height SDS (r = 0.938, p < 0.001) at the beginning of treatment. No adverse events were reported on rhGH therapy which was never discontinued. Conclusion: These data showed that impaired GH secretion is not uncommon in SHOX deficiency subjects, and that rhGH therapy may be effective in increasing height in most of these patients independent of their GH secretory status, without causing any adverse events of concern

Efficiency assessment of hybrid coatings for natural building stones : advanced and multi-scale laboratory investigation

The efficiency of a hybrid patented consolidant (PAASi) and two commercially available hybrid coatings (a consolidant named AlSiX and a hydrophobic product named WS3) properly modified was assessed on a calcarenite substrate. Test routines based on standard recommendations were first applied to evaluate the performances of the consolidant and protective treatments, while the investigation of additional aspects such as penetration depth and interaction with the substrate was achieved by a multi-scale approach based on classic intrusion methods (mercury intrusion porosimetry) and Drilling Resistance Measurement System (DRMS), combined with non-invasive imaging techniques (X-ray computed micro-tomography and neutron radiography) and small angle neutron scattering (SANS). A distinct interaction of the products with the pore network of the stone was quantified in the range 0.007–200 µm. Their effects on capillary water absorption were also visualized with neutron imaging. The suitability of the products on the selected substrate was discussed, highlighting also how the applied routine can support conservation material studies. The results indicated that the Al-Si-based product led to unwanted effects. Alternative application methods and/or curing procedures have to be explored to overtake these undesirable changes. On the contrary, the polyamidoamine-based product seemed to be more suitable for calcarenite substrates conservation. The performances of the hydrophobic coating, when used in combination with consolidants, were strictly influenced by the pre-consolidation of the substrate

Anchoring selenido-carbonyl ruthenium clusters to functionalised silica xerogels

Silica Xerogels containing carbonyl Ru3Se2 nido clusters were prepared in three different ways. The simple dispersion of [Ru3(mu3-Se)2(CO)7(PPh 3)2] via sol gel process produces an inhomogeneous material; by contrast, homogeneous xerogels were obtained by reaction of [Ru3(mu3-Se)2(CO)8(PPh 3)] with functionalised xerogels containing grafted diphenylphosphine moieties and by reaction of [Ru3(CO)12] with a xerogel containing grafted phosphine-selenide groups. The reaction between [Ru3(CO)12] and dodecyldiphenylphosphine selenide led to the formation of four selenido carbonyl clusters, which are soluble in hydrocarbon solvents and can be deposited as thin films from their solution by slow evaporation. Xerogéis de silica contendo carbonilas metálicas polinucleares (clusters) com estrutura nido Ru3Se2 foram preparadas através de três rotas diferentes. A simples dispersão do cluster [Ru3(mi3-Se)2(CO)7(PPh 3)2] pelo processo sol gel produz um material não homogêneo. Xerogéis homogêneos foram obtidos através da reação de [Ru3(mi3-Se)2(CO)8(PPh 3)] com xerogéis funcionalizados contendo fragmentos difenilfosfino enxertados, e pela reação do [Ru3(CO)12] com um xerogel contendo grupos fosfinoseleneto enxertados. A reação entre [Ru3(CO)12] e seleneto de dodecildifenilfosfinoseleneto resultou na formação de quatro clusters contendo ligantes carbonil e seleneto, solúveis em solventes apolares e que podem ser empregados na confecção de filmes

Wood impregnated with metal chelates dissolved in organic media tested for termite resistance

Wood manufactured products are subjected to biological decay due to fungi and insects. The use of copper chelates as biocides was proposed, due to their high stability which minimizes copper leaching in the environment. Considering the remarkable effectiveness showed by copper chelates on brown rot fungi, zinc and copper chelate complexes were prepared in order to have metal chelates soluble in organic media available. The present study aimed at evaluating these metal chelates complexes as preservative agents for wood treatment against termites. Trials were performed on Reticulitermes lucifugus (Rossi) and Kalotermes flavicollis (Fabricius). Results showed that in both termite species wood consumption was significantly lower on Cu-chelates treated samples compared to untreated wood, whereas the wood slices impregnated with Zn-chelates and the organic media alone gave an intermediate response. Interestingly, in one case solvent-impregnated wood was significantly more attractive than untreated wood for both species and further investigations are being carried out to clarify this behaviour

A Multicenter Retrospective Survey regarding Diabetic Ketoacidosis Management in Italian Children with Type 1 Diabetes

We conducted a retrospective survey in pediatric centers belonging to the Italian Society for Pediatric Diabetology and Endocrinology. The following data were collected for all new-onset diabetes patients aged 0-18 years: DKA (pH < 7.30), severe DKA (pH < 7.1), DKA in preschool children, DKA treatment according to ISPAD protocol, type of rehydrating solution used, bicarbonates use, and amount of insulin infused. Records (n = 2453) of children with newly diagnosed diabetes were collected from 68/77 centers (87%), 39 of which are tertiary referral centers, the majority of whom (n = 1536, 89.4%) were diagnosed in the tertiary referral centers. DKA was observed in 38.5% and severe DKA in 10.3%. Considering preschool children, DKA was observed in 72%, and severe DKA in 16.7%. Cerebral edema following DKA treatment was observed in 5 (0.5%). DKA treatment according to ISPAD guidelines was adopted in 68% of the centers. In the first 2 hours, rehydration was started with normal saline in all centers, but with different amount. Bicarbonate was quite never been used. Insulin was infused starting from third hour at the rate of 0.05-0.1 U/kg/h in 72% of centers. Despite prevention campaign, DKA is still observed in Italian children at onset, with significant variability in DKA treatment, underlying the need to share guidelines among centers

High levels of shading as a sustainable application for mitigating drought, in modern apple production

The sustainability of reducing light in apple orchards under well-watered (ww) and water stress (ws) conditions was evaluated for water relations, plant gas exchanges, fruit growth, yield determinants, and fruit quality over three years. A black (B) 28% shading net was compared with two different 50% shading nets: red (R) and white (W). Each net was combined with two irrigation regimes (ww and ws) based on plant water status. Under ww and ws conditions, increasing shade from 28% to 50% was not detrimental for plant gas exchanges, yield, or quality over three years. Higher shade improved plant water status regardless of irrigation regime. Higher shading could be considered sustainable in apple orchards over several seasons. Fruit quality was more sensitive to plant water status than to light reduction. ws increased fruit soluble solid content and relative dry matter, regardless of shading, and this was positively reflected in consumer’s preference. When water availability is limited, increasing shading to 50% can help save water and maintain high-quality yields associated with water stress. Given the likely reductions of water availability in agriculture, growers and consultants may consider shading apple orchards as a sustainable and safe horticultural technique to save water

Gastrointestinal strongyles egg excretion in relation to age, gender, and management of horses in Italy

Current equine helminth control strategies play a key role in strongyle epidemiology and anthelmintic resistance and have led to the recommendation for new treatment plans, which include diagnostic and efficacy surveillance. Assessing the equine strongyle distribution patterns would thus be useful and this study describes the strongyle prevalence in the equine population in Italy through coprological analysis and coproculture. In addition, individual data on each animal were collected in order to identify risk factors associated with strongyle egg shedding. Of the total number of stables investigated, 86.4% were found to have at least one positive animal and a 39.5% prevalence of strongyle egg shedding with a mean eggs per gram (EPG) of 245. A total of 80% of the total recorded EPG was shed from 12.8% of positive horses, thus confirming the need for new targeted intervention strategies. Significant differences in parasite prevalence were found based on season, sex, geographical distribution, management and rearing system, and breed. Significantly lower EPG values were found in horses that had received anthelmintic treatment, and macrocyclic lactones (MLs) were the most effective. Lastly, although large strongyles are more pathogenic, horses in Italy are mainly burdened by small strongyles, which pose an important animal health risk requiring continuous parasitological monitoring