Propranolol as first-line treatment for life-threatening diffuse infantile hepatic hemangioma: a case report

[No abstract available

Differences between computed tomoghaphy and surgical findings in acute complicated diverticulitis

Summary Background/Objective: A preoperative reliable classification system between clinical and computed tomography (CT) findings to better plan surgery in acute complicated diverticulitis (ACD) is lacking. We studied the inter-observer agreement of CT scan data and their concordance with the preoperative clinical findings and the adherence with the intraoperative status using a new classification of diverticular disease (CDD). Methods: 152 patients operated on for acute complicated diverticulitis (ACD) were retrospectively enrolled. All patients were studied with CT scan within 24 h before surgery and CT images were blinded reanalyzed by 2 couples of radiologists (A/B). Kappa value evaluated the inter-observer agreement between radiologists and the concordance between CDD, preoperative clinical findings and findings at operation. Univariate and multivariate analysis were used to evaluate the predicting values of CT classification and CDD stage at surgery on postoperative outcomes. Results: Overall inter-observer agreement for the CDD was high, with a kappa value of 0.905 (95% CI Z 0.850e0.960) for observers A and B, while the concordance between radiologica

Ultrasound assisted osmotic dehydration of organic cranberries (Vaccinium oxycoccus): Study on quality parameters evolution during storage.

Cranberries are appreciated for their high amount of antioxidants such as flavonoids, anthocyanins,phenolic acids, carotenoids and vitamins. However, due to their sour and tart taste they request to beprocessed into sweeter dried fruits in order to be acceptable for the consumers. The aim of this work wasto analyse the effect of ultrasound assisted osmotic dehydration on mass transfer parameters and onquality characteristics during storage of cranberries. Ultrasound treatment was performed at the fre-quency of 21 kHz for 30 min in three osmotic solutions - 61.5% sucrose, 30% sucrose with an addition of0.1% of steviol glycosides and 40% trehalose on cut in half cranberries. Afterwards, the cranberry sampleswere subjected to osmotic dehydration process at 40C for 72 h. The osmodehydrated samples both withor without ultrasound pre-treatment were collected and stored at 10C in climatic chamber in micro-perforated plastic bags (PLA) for 8 weeks. The weight reduction, dry matter, water activity, colour, andmicrobiological analysis were performed after 1, 2, 4 and 8 weeks of storage. The obtained resultsindicated that ultrasound application significantly affected the mass transfer parameters during osmotictreatment, as well as it did the type of osmotic solution used. Thermal analysis showed variations insugar melting temperature and enthalpy as a result of osmotic treatment and storage. During the storage,lower weight loss and higher lightness were observed in US pre-treated samples. The sample thatpreserved the best chemico-physical and microbiological characteristics during storage was the onetreated with 61.5% sucrose solution, due to its lowest water activity

Sustainable valorization of citrus by-products: natural deep eutectic solvents for bioactive extraction and biological applications of Citrus sinensis peel

Orange is one of the most consumed fruits worldwide, generating significant byproducts and wastes. By following the principles of green chemistry, the reuse of orange by-products can be made sustainable. In this context, natural deep eutectic solvents (NADES) have emerged as a promising alternative. The present study aims to analyze the physicochemical characteristics and biological effects of orange peel extracts obtained with choline chloride-based NADES. An investigation was conducted on the extracts, including a chromatographic analysis of phenolic and volatile compounds, a spectroscopic FTIR analysis, as well as the evaluation of their antioxidant capacity, their antimicrobial activity on different pathogens, and their capacity to modulate the activity of digestive enzymes. Both chromatographic approaches and FTIR studies indicated that different NADES had various extraction efficiencies towards phenolic compounds, affecting the antioxidant capacity of extracts. The volatile profile of NADES extracts was primarily composed of alcohols, aldehydes, and terpenes, whereas the ethanolic extract (50% (v/v), used as a control) exhibited a higher abundance of terpenes. All extracts were demonstrated to enhance pepsin enzyme activity without affecting that of chymotrypsin. Only choline chloride: glycerol: citric acid gave an extract capable of inhibiting trypsin and amylase activity, as well as the proliferation of pathogenic microorganisms. In conclusion, choline chloride-based NADES may represent a sustainable method for reusing orange byproducts, as they are more effective in extracting valuable bioactive compounds from orange peel when compared to old-fashioned organic solvents

Potential of Natural Antimicrobials for the Production of Minimally Processed Fresh-Cut Apples

Background: Minimally processed fruit are susceptible to microbial spoilage and loss of sensory quality. In this experimental work, in order to increase the shelf-life and to maintain quality parameter (texture and colour) of sliced apples (Malus communis, var. Golden delicious), the use of natural antimicrobials was proposed. Materials and methods: Natural antimicrobials were purposed to produce fresh-cut apples. Hexanal, citral, and combinations of hexanal+citral, citron essential oil+carvacrol, citral+2-(E)-hexenal, citral+citron essential oil and hexanal+2- (E)-hexenal were used in dipping step. After treatment, sample were stored at 6°C in ordinary atmosphere. During storage, yeast and lactic acid bacteria were monitored. Also volatile and electronic nose profiles, colour and texture analyses were considered. The samples were compared with a control (apples dipped in ascorbic and citric acid solution). Results: Yeast cell loads showed that natural antimicrobials changed naturally occurring yeast growth parameters. The combination of citron+carvacrol prolonged the yeast lag phase of 6 d comparing with control, while citral and hexanal+2-(E)- hexenal decreased the maximum reached yeast cell load and growth rate, respectively. After 8 d, samples with hexanal+2-(E)- hexenal and citral showed equivalent or even better quality attributes compared to the controls, suggesting that this approach is a useful tool for fresh-cut apple production. Highlight: Natural antimicrobial can be useful for the dipping of minimally processed apples Citral and hexanal+2-(E)-hexenal prolonged the apples shelf-life. Apples treated with Citral and hexanal+2-(E)-hexenal had good quality attributes

Acute diverticulitis: beyond the diagnosis: predictive role of CT in assessing risk of recurrence and clinical implications in non-operative management of acute diverticulitis

Purpose The aim of the study is to identify CT findings that are predictive of recurrence of acute uncomplicated colonic diverticulitis, to better risk-stratify these patients for whom guidelines recommend a conservative outpatient treatment and to determine the appropriate management with an improvement of health costs. Materials and Methods Over the past year, 33 patients enrolled in an outpatient integrated care pathway (PDTA) for uncomplicated acute diverticulitis with 1-year follow-up period, without recurrence, and 33 patients referred to Emergency Department for a recurrent acute diverticulitis were included. Images of admission CT were reviewed by two radiologists and the imaging features were analyzed and compared with Chi-square and Student t tests. Univariate and multivariate Cox regression models were employed to identify parameters that significantly predicted recurrence in 1-year follow-up period and establish cutoff and recurrence-free rates. The maximally selected rank statistics (MSRS) were used to identify the optimal wall thickening cutoff for the prediction of recurrence. Results Patients with recurrence showed a greater mean parietal thickness compared to the group without recurrence (16 mm vs. 11.5 mm; HR 1.25, p < 0.001) and more evidence of grade 4 of peridiverticular inflammation (40% vs. 12%, p = 0.009, HR 3.44). 12-month recurrence-free rates progressively decrease with increasing thickness and inflammation. In multivariate analysis, only parietal thickness maintained its predictive power with an optimal cutpoint > 15 mm that causes a sixfold increased risk of recurrence (HR 6.22; 95% CI, 3.05-12.67; p < 0.001). Beyond thickness and peridiverticular inflammation, predictive value of early recurrence within 90 days from the 1st episode resulted also an Hinchey Ib on admission CT. Conclusions The maximum wall thickening and the grade of peridiverticular inflammation can be considered as predictive factors of recurrence and may be helpful in selecting patients for a tailored treatment to prevent the risk of recurrence

Antibodies against Immature Virions Are Not a Discriminating Factor for Dengue Disease Severity

Humoral immunity plays an important role in controlling dengue virus (DENV) infection. Antibodies (Abs) developed during primary infection protect against subsequent infection with the same dengue serotype, but can enhance disease following secondary infection with a heterologous serotype. A DENV virion has two surface proteins, envelope protein E and (pre)-membrane protein (pr)M, and inefficient cleavage of the prM protein during maturation of progeny virions leads to the secretion of immature and partially immature particles. Interestingly, we and others found that historically regarded non-infectious prM-containing DENV particles can become highly infectious in the presence of E- and prM-Abs. Accordingly, we hypothesized that these virions contribute to the exacerbation of disease during secondary infection. Here, we tested this hypothesis and investigated the ability of acute sera of 30 DENV2-infected patients with different grades of disease severity, to bind, neutralize and/or enhance immature DENV2. We found that a significant fraction of serum Abs bind to the prM protein and to immature virions, but we observed no significant difference between the disease severity groups. Furthermore, functional analysis of the Abs did not underscore any specific correlation between the neutralizing/enhancing activity towards immature DENV2 and the development of more severe disease. Based on our analysis of acute sera, we conclude that Abs binding to immature virions are not a discriminating factor in dengue pathogenesis

A study of CP violation in B-+/- -> DK +/- and B-+/- -> D pi(+/-) decays with D -> (KSK +/-)-K-0 pi(-/+) final states

A first study of CP violation in the decay modes $B^\pm\to [K^0_{\rm S} K^\pm \pi^\mp]_D h^\pm$ and $B^\pm\to [K^0_{\rm S} K^\mp \pi^\pm]_D h^\pm$, where $h$ labels a $K$ or $\pi$ meson and $D$ labels a $D^0$ or $\overline{D}^0$ meson, is performed. The analysis uses the LHCb data set collected in $pp$ collisions, corresponding to an integrated luminosity of 3 fb$^{-1}$. The analysis is sensitive to the CP-violating CKM phase $\gamma$ through seven observables: one charge asymmetry in each of the four modes and three ratios of the charge-integrated yields. The results are consistent with measurements of $\gamma$ using other decay modes

Studies of beauty baryon decays to D0ph− and Λ+ch− final states

Decays of beauty baryons to the $D^0 p h^-$ and $\Lambda_c^+ h^-$ final states (where $h$ indicates a pion or a kaon) are studied using a data sample of $pp$ collisions, corresponding to an integrated luminosity of 1.0 fb$^{-1}$, collected by the LHCb detector. The Cabibbo-suppressed decays $\Lambda_b^0\to D^0 p K^-$ and $\Lambda_b^0\to \Lambda_c^+ K^-$ are observed and their branching fractions are measured with respect to the decays $\Lambda_b^0\to D^0 p \pi^-$ and $\Lambda_b^0\to \Lambda_c^+ \pi^-$. In addition, the first observation is reported of the decay of the neutral beauty-strange baryon $\Xi_b^0$ to the $D^0 p K^-$ final state, and a measurement of the $\Xi_b^0$ mass is performed. Evidence of the $\Xi_b^0\to \Lambda_c^+ K^-$ decay is also reported.Decays of beauty baryons to the D0ph− and Λc+h− final states (where h indicates a pion or a kaon) are studied using a data sample of pp collisions, corresponding to an integrated luminosity of 1.0  fb−1, collected by the LHCb detector. The Cabibbo-suppressed decays Λb0→D0pK− and Λb0→Λc+K− are observed, and their branching fractions are measured with respect to the decays Λb0→D0pπ− and Λb0→Λc+π−. In addition, the first observation is reported of the decay of the neutral beauty-strange baryon Ξb0 to the D0pK− final state, and a measurement of the Ξb0 mass is performed. Evidence of the Ξb0→Λc+K− decay is also reported.Decays of beauty baryons to the $D^0 p h^-$ and $\Lambda_c^+ h^-$ final states (where $h$ indicates a pion or a kaon) are studied using a data sample of $pp$ collisions, corresponding to an integrated luminosity of 1.0 fb$^{-1}$, collected by the LHCb detector. The Cabibbo-suppressed decays $\Lambda_b^0\to D^0 p K^-$ and $\Lambda_b^0\to \Lambda_c^+ K^-$ are observed and their branching fractions are measured with respect to the decays $\Lambda_b^0\to D^0 p \pi^-$ and $\Lambda_b^0\to \Lambda_c^+ \pi^-$. In addition, the first observation is reported of the decay of the neutral beauty-strange baryon $\Xi_b^0$ to the $D^0 p K^-$ final state, and a measurement of the $\Xi_b^0$ mass is performed. Evidence of the $\Xi_b^0\to \Lambda_c^+ K^-$ decay is also reported

Study of forward Z + jet production in pp collisions at √s=7 TeV

A measurement of the $Z(\rightarrow\mu^+\mu^-)$+jet production cross-section in $pp$ collisions at a centre-of-mass energy $\sqrt{s} = 7$ TeV is presented. The analysis is based on an integrated luminosity of $1.0\,\text{fb}^{-1}$ recorded by the LHCb experiment. Results are shown with two jet transverse momentum thresholds, 10 and 20 GeV, for both the overall cross-section within the fiducial volume, and for six differential cross-section measurements. The fiducial volume requires that both the jet and the muons from the Z boson decay are produced in the forward direction ($2.0<\eta<4.5$). The results show good agreement with theoretical predictions at the second-order expansion in the coupling of the strong interaction.A measurement of the $Z(\rightarrow\mu^+\mu^-)$+jet production cross-section in $pp$ collisions at a centre-of-mass energy $\sqrt{s} = 7$ TeV is presented. The analysis is based on an integrated luminosity of $1.0\,\text{fb}^{-1}$ recorded by the LHCb experiment. Results are shown with two jet transverse momentum thresholds, 10 and 20 GeV, for both the overall cross-section within the fiducial volume, and for six differential cross-section measurements. The fiducial volume requires that both the jet and the muons from the Z boson decay are produced in the forward direction ($2.0<\eta<4.5$). The results show good agreement with theoretical predictions at the second-order expansion in the coupling of the strong interaction