Rational application of the ESPGHAN 2022 recommendations for the follow-up of the paediatric coeliac patient: consensus document of scientific societies (SEGHNP, AEPAP, SEPEAP, SEEC, AEG, SEPD, SEMFYC, SEMG and SEMERGEN).

Coeliac disease is a common condition for which the only current treatment is a gluten-free diet. Adherence to this diet is not always easy and is associated with a reduction in quality of life for the patient and their family. Non-adherence is associated with complications of varying severity.

[Use of antibiotics in Paediatric Primary Health Care before and during the COVID-19 pandemic].

Introduction Consumption of antibiotics is high in Spain, primarily in children. Excessive use of then contributes to the development of antimicrobial resistance. The aim of our study is to analyse the evolution of antibiotic consumption at the Primary Health Care in the paediatric population of Asturias, Spain, from 2014 to 2021, and to evaluate the impact of COVID-19 pandemic on it.

A feasibility study to estimate optimal rigid-body registration using combinatorial rigid registration optimization (CORRO).

Purpose: Clinical image pairs provide the most realistic test data for image registration evaluation. However, the optimal registration is unknown. Using combinatorial rigid registration optimization (CORRO) we demonstrate a method to estimate the optimal alignment for rigid-registration of clinical image pairs.

Hippocampus segmentation on noncontrast CT using deep learning.

Purpose: Accurate segmentation of the hippocampus for hippocampal avoidance whole-brain radiotherapy currently requires high-resolution magnetic resonance imaging (MRI) in addition to neuroanatomic expertise for manual segmentation. Removing the need for MR images to identify the hippocampus would reduce planning complexity, the need for a treatment planning MR imaging session, potential uncertainties associated with MRI-computed tomography (CT) image registration, and cost. Three-dimensional (3D) deep convolutional network models have the potential to automate hippocampal segmentation.

Robust CT ventilation from the integral formulation of the Jacobian.

Unlabelled: Computed tomography (CT) derived ventilation algorithms estimate the apparent voxel volume changes within an inhale/exhale CT image pair. Transformation-based methods compute these estimates solely from the spatial transformation acquired by applying a deformable image registration (DIR) algorithm to the image pair. However, approaches based on finite difference approximations of the transformation's Jacobian have been shown to be numerically unstable.

Pulmonary blood mass dynamics on 4DCT during tidal breathing.

We previously reported that apparent lung mass varies across the phases of 4D computed tomography (4DCT) images. We hypothesize that these variations correspond to the physiologic changes in pulmonary perfusion induced during normal tidal breathing, and should therefore be present in every breathing patient. In this study, we characterize and quantify the respiratory induced variation in pulmonary blood mass (▵PBM) on 89 patients treated with stereotactic body radiotherapy.

Influence of cross sectional geometry on surface plasmon polariton propagation in gold nanowires.

We investigated the effects of cross sectional geometry on surface plasmon polariton propagation in gold nanowires (NWs) using bleach-imaged plasmon propagation and electromagnetic simulations. Chemically synthesized NWs have pentagonally twinned crystal structures, but recent advances in synthesis have made it possible to amplify this pentagonal shape to yield NWs with a five-pointed-star cross section and sharp end tips. We found experimentally that NWs with a five-pointed-star cross section, referred to as SNWs, had a shorter propagation length for surface plasmon polaritons at 785 nm, but a higher effective incoupling efficiency compared to smooth NWs with a pentagonal cross section, labeled as PNWs.

Turning the corner: efficient energy transfer in bent plasmonic nanoparticle chain waveguides.

For integrating and multiplexing of subwavelength plasmonic waveguides with other optical and electric components, complex architectures such as junctions with sharp turns are necessary. However, in addition to intrinsic losses, bending losses severely limit plasmon propagation. In the current work, we demonstrate that propagation of surface plasmon polaritons around 90° turns in silver nanoparticle chains occurs without bending losses.

GENESHIFT: a nonparametric approach for integrating microarray gene expression data based on the inner product as a distance measure between the distributions of genes.

The potential of microarray gene expression (MAGE) data is only partially explored due to the limited number of samples in individual studies. This limitation can be surmounted by merging or integrating data sets originating from independent MAGE experiments, which are designed to study the same biological problem. However, this process is hindered by batch effects that are study-dependent and result in random data distortion; therefore numerical transformations are needed to render the integration of different data sets accurate and meaningful.

Detailed mechanism for the orthogonal polarization switching of gold nanorod plasmons.

In this work, we describe an electro-optic material capable of orthogonally switching the polarization of the localized surface plasmon resonance scattering of single gold nanorods, independent of their orientation. Liquid crystal samples are prepared in a sandwich configuration with electrodes arranged so that an applied voltage induces alignment-switching of the liquid crystal molecules covering individual gold nanorods. Due to the birefringence of the nematic liquid crystal, the reorientation in the nematic director alignment causes a change in the output polarization of the scattered light.

Mechanistic study of bleach-imaged plasmon propagation (BlIPP).

Bleach-imaged plasmon propagation, BlIPP, is a far-field microscopy technique developed to characterize the propagation length of surface plasmon polaritons in metallic waveguides. To correctly extract the propagation length from the measured photobleach intensity, it is necessary to understand the mechanism by which dye photobleaching occurs. In particular, 1- vs 2-photon bleaching reactions yield different propagation lengths based on a kinetic model for BlIPP.

Identification of higher order long-propagation-length surface plasmon polariton modes in chemically prepared gold nanowires.

A comprehensive understanding of the type of modes and their propagation length for surface plasmon polaritons (SPPs) in gold nanowires is essential for potential applications of these materials as nanoscale optical waveguides. We have studied chemically synthesized single gold nanowires by a novel technique called bleach-imaged plasmon propagation (BlIPP), which relies on the plasmonic near-field induced photobleaching of a dye to report the SPP propagation in nanowires. We observed a much longer propagation length of 7.

Electromagnetic energy transport in nanoparticle chains via dark plasmon modes.

Using light to exchange information offers large bandwidths and high speeds, but the miniaturization of optical components is limited by diffraction. Converting light into electron waves in metals allows one to overcome this problem. However, metals are lossy at optical frequencies and large-area fabrication of nanometer-sized structures by conventional top-down methods can be cost-prohibitive.

[Early referrals of patients with bile duct lesion improve reconstructive surgery outcome].

Damage to the bile ducts caused during open cholecystectomy or laparoscopic cholecystectomy remains a major problem in the practice of surgery today. This is associated with a poor quality of life and increased morbidity. The incidence of bile duct damage varies with the type of damage and the type of surgery performed.

Bleach-imaged plasmon propagation (BlIPP) in single gold nanowires.

Here, we present a novel approach to visualize propagating surface plasmon polaritons through plasmon-exciton interactions between single gold nanowires and a thin film of a fluorescent polymer. A plasmon polariton was launched by exciting one end of a single gold nanowire with a 532 nm laser. The local near-field of the propagating plasmon modes caused bleaching of the polymer emission.

Low-complexity regions within protein sequences have position-dependent roles.

Background: Regions of protein sequences with biased amino acid composition (so-called Low-Complexity Regions (LCRs)) are abundant in the protein universe. A number of studies have revealed that i) these regions show significant divergence across protein families; ii) the genetic mechanisms from which they arise lends them remarkable degrees of compositional plasticity. They have therefore proved difficult to compare using conventional sequence analysis techniques, and functions remain to be elucidated for most of them.

Incidence, impact, and treatment of portal and hepatic venous complications following pediatric liver transplantation: a single-center 12 year experience.

PVT or PVS and HVOO are known causes of graft and patient loss after pediatric liver transplantation. Increased incidences of these complications have been reported in partial livers including DDSLT or LDLT. From 1997 to 2008, 241 consecutive pediatric patients received 271 hepatic grafts at a single center.

Liver retransplantation in children: the Atlanta experience.

Liver retransplantation is routinely offered at our institution. Previous reports document that patient and graft survival is significantly less after pediatric rLT compared to primary LT. This has engendered intense debate regarding optimal allocation of organs.

Chain-length dependent nematic ordering of conjugated polymers in a liquid crystal solvent.

In this communication we demonstrate the dependence of the solute order parameter on the solute molecular weight for polymer solutes dissolved in liquid crystalline solvents. Using ensemble absorption polarization spectroscopy together with single molecule fluorescence polarization measurements, we have determined the order parameter of the conjugated polymer MEH-PPV (poly[2-methoxy-5-(2'-ethyl-hexyloxy)-1,4-phenylene vinylene]) in the liquid crystal 5CB (4-cyano-4-n-pentylbiphenyl) as a function of polymer chain length. Ensemble absorption polarization measurements agree well with results obtained by single molecule fluorescence polarization spectroscopy, indicating a large-scale ordering of the MEH-PPV solute in 5CB.

Human thyroid tumor cell lines derived from different tumor types present a common dedifferentiated phenotype.

Cell lines are crucial to elucidate mechanisms of tumorigenesis and serve as tools for cancer treatment screenings. Therefore, careful validation of whether these models have conserved properties of in vivo tumors is highly important. Thyrocyte-derived tumors are very interesting for cancer biology studies because from one cell type, at least five histologically characterized different benign and malignant tumor types can arise.

Long-term EGF/serum-treated human thyrocytes mimic papillary thyroid carcinomas with regard to gene expression.

Constitutive activation of the RAS/RAF/MAPK pathway has been found in different tumor types including papillary thyroid carcinomas (PTCs). To get more insight into genes primarily regulated in the human tumor cells, an in vitro model was developed in which primary cultures of human thyrocytes were treated for different times with epidermal growth factor and serum (EGF/serum), which stimulate the MAPK cascade. Gene expression profiles were obtained by microarrays and compared to the expression profiles of PTCs.

Medical and surgical treatment of neonatal hemochromatosis: single center experience.

NH is a rare disorder of iron storage in newborns resulting in rapid liver failure. Outcomes are dismal with 20-30% survival. We report our experience in eight children with NH.

Evaluation of procalcitonin for diagnosis of neonatal sepsis of vertical transmission.

Background: The results of recent studies suggest the usefulness of PCT for early diagnosis of neonatal sepsis, with varying results. The aim of this prospective multicenter study was to determine the behavior of serum PCT concentrations in both uninfected and infected neonates, and to assess the value of this marker for diagnosis of neonatal sepsis of vertical transmission.

Methods: PCT was measured in 827 blood samples collected prospectively from 317 neonates admitted to 13 acute-care teaching hospitals in Spain over one year.

Characterization of a humanized IgG4 anti-HLA-DR monoclonal antibody that lacks effector cell functions but retains direct antilymphoma activity and increases the potency of rituximab.

HLA-DR is under investigation as a target for monoclonal antibody (mAb) therapy of malignancies. Here we describe a humanized IgG4 form of the anti-HLA-DR mAb L243, hL243gamma4P (IMMU-114), generated to provide an agent with selectivity toward neoplastic cells that can kill without complement-dependent cytotoxicity (CDC) or antibody-dependent cellular-cytotoxicity (ADCC), so as to reduce reliance on intact immunologic systems in the patient and effector mechanism-related toxicity. In vitro studies show that replacing the Fc region of hL243gamma1, a humanized IgG1 anti-HLA-DR mAb, with the IgG4 isotype abrogates the effector cell functions of the antibody (ADCC and CDC) while retaining its antigen-binding properties, antiproliferative capacity (in vitro and in vivo), and the ability to induce apoptosis concurrent with activation of the AKT survival pathway.

Gene expression in human thyrocytes and autonomous adenomas reveals suppression of negative feedbacks in tumorigenesis.

The cAMP signaling pathway regulates growth of many cell types, including somatotrophs, thyrocytes, melanocytes, ovarian follicular granulosa cells, adrenocortical cells, and keratinocytes. Mutations of partners from the cAMP signaling cascade are involved in tumor formation. Thyroid-stimulating hormone (TSH) receptor and Gsalpha activating mutations have been detected in thyroid autonomous adenomas, Gsalpha mutations in growth hormone-secreting pituitary adenomas, and PKAR1A mutations in Carney complex, a multiple neoplasia syndrome.