The aim was to evaluate the incidence, clinical course, and outcome of adenoviral infection (AdVI) in pediatric patients diagnosed and treated due to cancer and in pediatric recipients of ...hematopoietic stem cell. Over a 72‐month period, all‐in 5599 children with cancer: 2441 patients with hematological malignancy (HM) and 3158 with solid tumors (ST), and 971 patients after transplantation: 741 after allogeneic (allo‐HSCT) and 230 after autologous (auto‐HSCT) were enrolled into the study. Among cancer patients, 67 episodes of AdVI appeared in 63 (1.1%) children, including 45 (1.8%) with HM and 18 (0.6%; P < .001) with ST. Within transplanted patients, AdVIs were responsible for 88 episodes in 81 (8.3%) children (P < .001), including 78 (10.5%) patients after allo‐HSCT and 3 (1.3%) after auto‐HSCT. Time to develop AdVI was short, especially after allo‐HSCT. The most common clinical manifestation in cancer patients was enteritis diagnosed in 63 (94.0%) cases, while among HSCT recipient asymptomatic adenoviremia was found in 36 (40.9%) cases and the most common clinical manifestation was urinary tract infection. Cancer patients with disseminated disease, as well as HSCT recipients with either asymptomatic viremia or disseminated disease, received antiviral treatment. The most commonly used first‐line therapy was cidofovir. None of the cancer patients died due to AdVI, while within HSCT recipients three patients developed disseminated adenoviral disease and died despite antiviral treatment. In cancer patients, AdVIs are rare and associated with very good prognosis even without specific treatment. However, in allo‐HSCT recipients, disseminated disease with fatal outcome is more likely to occur.
Highlights
Low incidence of HAdV causing less severe infections not requiring antiviral therapy but with satisfactory outcome within cancer patients.
In allo‐HSCT recipients disseminated disease requiring antiviral drugs and at risk of fatal outcome is more likely to occur.
Monitoring for HAdV in all patients, and especially in those who underwent AdVI prior to HSCT or had MD or MMUD‐HSCT, at early posttransplantation period should be recommended.
Clostridium difficile
infection (CDI) is one of the most common causes of nosocomial infectious diarrhea in children during anticancer therapy or undergoing hematopoietic stem cell transplantation ...(HSCT) in Europe. Immunosuppression in these patients is a risk factor for CDI. Malignant diseases, age, acute graft-versus-host disease (aGVHD), HLA mismatch, or use of total body irradiation may play an important role in CDI course. The aim of this study was to evaluate the incidence, course, and outcome of CDI in children treated for malignancy or undergoing HSCT. Between 2012 and 2015, a total number of 1846 patients were treated for malignancy in Polish pediatric oncological centers (PHO group) and 342 underwent transplantation (HSCT group). In PHO group, episodes of CDI occurred in 210 patients (14%). The incidence of CDI was higher in patients with hematological malignancies in comparison to that with solid tumors. Patients with acute myeloblastic leukemia had shorter time to episode of CDI than those with acute lymphoblastic leukemia. Patients over 5 years and treated for acute leukemia had more severe clinical course of disease in PHO group. In HSCT group, CDI occurred in 29 (8%) patients. The incidence of CDI was higher in patients transplanted for acute leukemia. The recurrence rate was 14.7% in PHO and 20.7% in HSCT patients. CDI incidence was highest in patients with hematological malignancies. Most of patients experienced mild CDI. Age < 5 years and diagnosis other than acute leukemia were the positive prognostic factors influencing clinical CDI course.
Introduction and Objective. Irritable Bowel Syndrome (IBS) became recently a common problem among the population of highly developed countries. Most patients suffer from chronic abdominal pain and ...various bowel habit disorders. Although the pathogenesis of IBS was not yet entirely defined, intestinal dysbiosis is frequently mentioned as one of the most possible mechanisms. There may be a way to permanently cure IBS, by replacing patient’s dysbiotic intestinal microflora with a Fecal Microbiota Transplantation (FMT) from a healthy donor. The purpose of this paper is to present FMT as a method of IBS treatment.Review methods. Search using PubMed database using the combined keywords: "Irritable Bowel Syndrome", "Fecal Microbiota Transplantation", "Dysbiosis" "Intestinal Microbiota". An attempt was made to present a comprehensive state of knowledge while indicating areas that require further research. Brief description of the state of knowledge. Effectiveness of FMT in IBS has been clinically proven and seems to be donor-dependent. Superdonor’s microbiota profile has not been defined yet. FMT is gradually gaining popularity as new research appears confirming long-term effectiveness of the procedure.Summary. Research results are promising and it seems likely that FMT will be introduced as a treatment method routinely used in clinical practice. Differences in test results may be related to the use of material from various donors. It is important to establish the exact dosage, frequency of the procedure, criteria for selecting superdonors, and if material from more than one donor should be used, among other things.
•Biopsy sampling and modelling enabled us to express the difference in development stage of fruit.•The rate constants for colour and taste were similar between cultivars.•Sugars and organic acids ...follow a generic pattern modulated for each component and cultivar.
Colour and taste are important attributes of apple fruit quality and have therefore been widely studied. Nevertheless, because of the destructive sampling methods commonly used to obtain the data, and of the subsequent traditional analyses, ignoring the effects of biological variation, the knowledge on the kinetic mechanisms of synthesis and degradation of individual quality components during fruit development and growth is still lacking. Spatio-temporal changes of taste components (sugars: fructose, sucrose, glucose, organic acids: malic, citric, shikimic and fumaric acid) and colour aspects (a*) in individual apple fruits were monitored to assess the dynamics and mechanisms of change during development and ripening with respect to location within fruit as a factor and the variation between individual apples. Data were analysed with non-linear indexed regression based on either a logistic or an exponential process oriented model assessing the technical variation simultaneously. The rate constants for colour or taste component were roughly similar between cultivars, suggesting a similar mechanism of development and confirming the generic nature of the model. There was a very large biological variation in individual quality components observed in the raw data (the biological variation), which can be almost exclusively explained by the difference in the maturity stage between individual fruit. The explained parts (R2adj) were, with one exception, higher than 0.90. The major contribution of this study is the fact that all the herein monitored taste defining components can be analysed and described with the same process-oriented model.
A laser supported method to join ceramic materials with metals has been studied. Using a CO
2-laser and an active braze filler material, Al
2O
3-ceramics have been brazed to steel. The microstructure ...of the interface has been examined and also the mechanical strength of the brazed joint using bending tests. Typical processing times are of the order of several minutes, which is faster than furnace brazing. The results of the mechanical tests show that the failure of the brazed metal–ceramic joint occurs within the ceramic close to the interface between the braze filler metal and the ceramic part. Thermally induced stresses may lead to cracks within the ceramic, which initiates the failure under mechanical loading. The typical bending strength varies between 40 and 80
MPa with a Weibull modulus ranging from 4.3 to 6.1.
AIMS: This article describes the qualitative and quantitative analyses of untypical compounds in the cuticular and internal lipids of four dipteran species. For isolated compounds, antimicrobial ...activity against 18 reference strains of bacteria and fungi was determined. METHODS AND RESULTS: In this study, gas chromatography (GC) combined with mass spectrometry (GC–MS) was used to analyse the surface and internal compounds of four fly species. Seven untypical compounds from both pre‐imaginal and imaginal stages of examined insects were identified. Azelaic acid (AA) was the most abundant, while phenylacetic and phenylpropionic acids occurred in lower concentration. Minor quantities of sebacic acid, 2‐methyl‐2‐hydroxybutanoic acid, tocopherol acetate and trace amounts of 2,4‐decadienal were also detected. Tocopherol acetate was found only in cuticular lipids of Musca domestica larvae. Each compound was tested against several species of fungi and bacteria by determining minimal inhibitory concentration (MIC). Human pathogenic fungi were also investigated. Phenylpropionic acid showed the greatest antifungal activity. Bacterial strains were insensitive to the presence of identified compounds, apart from 2,4‐decadienal which strongly inhibited bacterial growth. CONCLUSIONS: This is the first time that the chemical composition and the antimicrobial activity of untypical compounds in the cuticular and internal lipids of four fly species has been analysed. SIGNIFICANCE AND IMPACT OF THE STUDY: Determination of untypical compounds and their antimicrobial activity can effectively contribute to the knowledge concerning insect defence mechanisms.
The distribution and morphology of antennal sensilla coeloconica in parasitic and predaceous biting midges were studied in females of Forcipomyia (feeding on the blood of frogs), Atrichopogon ...(feeding on haemolymph), Austroconops, Culicoides (feeding on the blood of birds and mammals) and Brachypogon (feeding on haemolymph and dissolved tissues of insects) (all: Diptera: Ceratopogonidae). A Lower Cretaceous female of Archiculicoides (Diptera: Ceratopogonidae) from Lebanese amber, which fed on the blood of unknown vertebrates, was also examined. In sensilla coeloconica ringed by microtrichia, the peg is grooved longitudinally and protrudes distinctly from the pit. We suggest that the microtrichia encircling the protruding peg form a structure resembling a picket fence in order to maintain a higher level of humidity, which facilitates the capture and transport of odour molecules through the channels in the peg wall. Sensilla coeloconica ringed by microtrichia function as very effective chemoreceptors in host‐ and prey‐seeking activity. During the evolution of Ceratopogonidae, sensilla coeloconica with a fence of microtrichia have evolved twice in groups feeding on the blood of vertebrates (i.e. in the basal lineage: Lower Cretaceous or earlier) and in the subgenus Lasiohelea of Forcipomyia (Palaeogene). Sensilla coeloconica ringed by microtrichia are described for the first time in the relict genus Austroconops.
Background
Hodgkin (HL) and non‐Hodgkin lymphoma (NHL) represent a spectrum of lymphoid malignancies that are often curable with currently applied treatment regimens; however, 15%‐30% of lymphoma ...patients still suffer from relapsed or refractory (rel/ref) disease. Although hematopoietic stem cell transplantation (HSCT) improves outcomes of second‐line therapy for lymphoma in childhood, the complication rates in this group of patients, especially infectious complications (IC), remain unclear.
Objective
The aim of this population‐based cohort study was a retrospective analysis of incidence, epidemiology and profile of bacterial infections (BI), invasive fungal disease (IFD), and viral infections (VI) in primary or rel/ref lymphoma patients, both HL and NHL.
Patients and methods
We subdivided lymphoma patients into three groups: patients with primary conventional chemotherapy/radiotherapy regimens (group A), patients with rel/ref lymphoma treated with second‐line chemotherapy (group B), and rel/ref lymphoma patients who underwent HSCT (group C). The medical records of the patients were biannually reported by each pediatric oncology center, and the data were analyzed centrally.
Results
Within 637 patients with primary lymphoma, at least one IC was diagnosed in 255 (40.0%), among 52 patients with rel/ref lymphoma 24 (46.2%) ICs were observed, and in transplanted group, 28 (57.1%) out of 49 children were diagnosed with IC (P = .151). The distribution of etiology of IC differed between the patient groups (A, B, C), with a predominance of BI in group A (85.6% vs 72.0% and 47.9%, respectively), VI in group C (9% and 16.0% vs 46.6%, respectively), and IFD in group B (5.4% vs 12.0% vs 5.5%, respectively). Overall, 500 (68.0%) episodes of bacterial IC were diagnosed in the entire group. Apart from HL patients treated with chemotherapy, in all the other subgroups of patients Gram‐positives were predominant. The rate of multidrug‐resistant bacteria was high, especially for Gram‐negatives (41.1% in group A, 62.5% in group B, and 84.6% in group C). The infection‐related mortality was comparable for each group.
Conclusions
The incidence of IC was comparable during first‐ and second‐line chemotherapy and after HSCT, but their profile was different for primary or re/ref lymphoma and depended on the type of therapy.
Samples were taken from apple flesh while at the tree (‘Gala’ and ‘Pinova’) using a biopsy sampling system. After sampling the wound was closed with vaseline, which prevented wound responses. Samples ...were taken at different times over the circumference of the apples (at about 70° above the equator) to monitor the spatio-temporal distribution of acids (malic, citric, fumaric) and sugars (glucose, fructose and sucrose). At the same time the skin colour was assessed with a Minolta colour meter at the same location. The distribution over the circumference of the apples revealed for both cultivars a sinusoidal pattern for all colour aspects and for citric acid, while only fructose in ‘Gala’ showed a clear sinusoidal pattern. For all other variables measured, the pattern was only faint, with a low amplitude. Although the system is still prone to a large measuring error, biopsy sampling is a powerful tool to study the spatio-temporal distribution of taste components.
The cytosolic portion of CD45, a major transmembrane glycoprotein found on nucleated hematopoietic cells, contains protein tyrosine phosphatase activity and is critical for T-cell receptor-mediated ...T-cell activation. CD45 inhibitors could have utility in the treatment of autoimmune disorders and organ graft rejection. A number of 9,10-phenanthrenediones were identified that reversibly inhibited CD45-mediated p-nitrophenyl phosphate (pNPP) hydrolysis. Chemistry efforts around the 9,10-phenanthrenedione core led to the most potent inhibitors known to date. In a functional assay, the compounds were also potent inhibitors of T-cell receptor-mediated proliferation, with activities in the low micromolar range paralleling their enzyme inhibition. It was also discovered that the nature of modification to the phenanthrenedione pharmacophore could affect selectivity for CD45 over PTP1B (protein tyrosine phosphatase 1B) or vice versa.
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