Acute Promyelocytic Leukemia in Children: A Model of Precision Medicine and Chemotherapy-Free Therapy

Acute promyelocytic leukemia (APL) represents a paradigm of precision medicine. Indeed, in the last decades, the introduction of all-trans retinoic acid (ATRA) and arsenic trioxide (ATO) completely revolutionized the therapeutic approach to this previously highly fatal disorder. This entirely chemotherapy-free treatment, which provided excellent survival rates, has been initially validated in adults and, recently, translated in the pediatric setting. This review summarizes currently available data on the use of ATRA and ATO combination in pediatric APL, providing a particular focus on peculiar issues and challenges, such as the occurrence of pseudotumor cerebri and death during induction (early death), as well as the advantage offered by the ATO/ATRA combination in sparing long-term sequelae.     

Distinctive Microbial Signatures and Gut-Brain Crosstalk in Pediatric Patients with Coeliac Disease and Type 1 Diabetes Mellitus

Coeliac disease (CD) and Type 1 diabetes mellitus (T1DM) are immune-mediated diseases. Emerging evidence suggests that dysbiosis in the gut microbiome plays a role in the pathogenesis of both diseases and may also be associated with the development of neuropathy. The primary goal in this cross-sectional pilot study was to identify whether there are distinct gut microbiota alterations in children with CD (n = 19), T1DM (n = 18) and both CD and T1DM (n = 9) compared to healthy controls (n = 12). Our second goal was to explore the relationship between neuropathy (corneal nerve fiber damage) and the gut microbiome composition. Microbiota composition was determined by 16S rRNA gene sequencing. Corneal confocal microscopy was used to determine nerve fiber damage. There was a significant difference in the overall microbial diversity between the four groups with healthy controls having a greater microbial diversity as compared to the patients. The abundance of pathogenic proteobacteria Shigella and E. coli were significantly higher in CD patients. Differential abundance analysis showed that several bacterial amplicon sequence variants (ASVs) distinguished CD from T1DM. The tissue transglutaminase antibody correlated significantly with a decrease in gut microbial diversity. Furthermore, the Bacteroidetes phylum, specifically the genus Parabacteroides was significantly correlated with corneal nerve fiber loss in the subjects with neuropathic damage belonging to the diseased groups. We conclude that disease-specific gut microbial features traceable down to the ASV level distinguish children with CD from T1DM and specific gut microbial signatures may be associated with small fiber neuropathy. Further research on the mechanisms linking altered microbial diversity with neuropathy are warranted.     

Effectiveness of portable HEPA air cleaners on reducing indoor PM2.5 and NH3 in an agricultural cohort of children with asthma: A randomized intervention trial

We conducted a randomized trial of portable HEPA air cleaners with pre-filters designed to also reduce NH₃ in non-smoking homes of children age 6-12 with asthma in Yakima Valley (Washington, USA). Participants were recruited through the Yakima Valley Farm Workers Clinic asthma education program. All participants received education on home triggers while intervention families additionally received two HEPA cleaners (child's sleeping area, main living area). Fourteen-day integrated samples of PM_2.5 and NH₃ were measured at baseline and one-year follow-up. We fit ANCOVA models to compare follow-up concentrations in HEPA vs control homes, adjusting for baseline concentrations. Seventy-one households (36 HEPA, 35 control) completed the study. Most were single-family homes, with electric heat and stove, A/C, dogs/cats, and mean (SD) 5.3 (1.8) occupants. In the sleeping area, baseline geometric mean (GSD) PM_2.5 was 10.7 (2.3) μg/m³ (HEPA) vs 11.2 (1.9) μg/m³ (control); in the living area, it was 12.5 (2.3) μg/m³ (HEPA) vs 13.6 (1.9) μg/m³ (control). Baseline sleeping area NH₃ was 62.4 (1.6) μg/m³ (HEPA) vs 65.2 (1.8) μg/m³ (control). At follow-up, HEPA families had 60% (95% CI, 41%-72%; p < .0001) and 42% (19%-58%; p = .002) lower sleeping and living area PM_2.5, respectively, consistent with prior studies. NH₃ reductions were not observed.     

Influence of lanthanum on enhancement of mechanical and electrical properties of Cu-Al_2O_3 composites

Two kinds of Cu-Al_2O_3 composites(with and without La) were prepared via mechanical alloying-spark plasma sintering(MA-SPS) method. Microstructure, mechanical properties and electrical resistivity were investigated systematically using metallography, scanning electron microscopy, transmission electron microscopy, mechanical and electrical properties testing. The results indicate that an appropriate amount of La can homogenize the distribution of Al_2O_3. As such, yield strength, ultimate tensile strength and elongation of Cu-Al_2O_3-La are greatly increased. Some semi-coherent interface between Cu and Al_2O_3 is found, which means a low interface energy. The grain shape of Cu changes to irregular band with the addition of La. This change results in a density decrease of grain boundary and reduces electrical resistance. Lanthanum may exist in the form of La_2O_3.     

依托泊苷联合卡铂用于复发性髓母细胞瘤患儿的疗效与安全性

目的:探讨依托泊苷联合卡铂用于复发性髓母细胞瘤患儿的疗效与安全性。方法:选取浙江大学医学院附属儿童医院在2011年1月至2014年6月收治的72例复发性髓母细胞瘤患儿（3～15岁），随机分为CE组和对照组，每组36例，CE组采用依托泊苷＋卡铂给药方式化疗；对照组采用经典伊立替康＋替莫唑胺＋长春新碱方案化疗。比较两组患儿临床疗效、卡诺夫斯基健康状况量表（KPS）评分、儿科生活质量测定量表4.0（PedsQLTM4.0）评分、总生存期（OS）、无事件生存（EFS），记录患儿治疗期间药物不良反应的发生情况。结果:治疗后CE组和对照组完全缓解率（CR）分别为41.67%（15/36）和27.78%（10/36），总缓解率（OR）分别为94.44%（34/36）和77.78%（28/36），差异有统计学意义（P<0.05）。两组患儿治疗前KPS评分及PedsQLTM4.0评分无统计学差异（P＞0.05），治疗后CE组和对照组的KPS评分分别为（80±8）和（75±10）分，PedsQLTM4.0评分分别为（89±11）和（84±11）分，差异均有统计学意义（均P<0.05）。截至末次随访时间，CE组有3例失访，对照组有2例失访。截至末次随访时间，CE组和对照组总生存率分别为78.8%（26/33）和55.9%（19/34），差异有统计学意义（P<0.05），无事件生存率分别为72.7%（24/33）和52.9%（18/34），差异无统计学意义（P＞0.05）。CE组化疗期间共出现10例3级以上不良反应，发生率为27.78%（10/36），对照组化疗期间共出现9例3级以上不良反应，发生率为25.00%（9/36），差异无统计学意义（P＞0.05）。结论:依托泊苷联合卡铂方案能够明显提高患儿临床缓解率，延长患儿总生存率，同时不增加化疗不良反应，但对无事件生存率的影响并不明显。     

谈陶瓷装饰中的婴戏纹饰与西方艺术品中的儿童形象

婴戏纹饰即描绘儿童游戏时的画作,是中国人物画的一种,更是陶瓷装饰中常见的传统题材。其主要以儿童为主要绘画对象,表现儿童纯真,或借以其他物象,组成吉祥图案,在我国陶瓷绘画上广泛运用,有着深刻的社会形态特征和思想文化的背景。其始于唐代,兴盛于宋金,明清两朝日臻成熟,并延续至今。在西方艺术史当中,儿童形象大都通过神话人物或宗教相关的艺术品走进人们视野,用以表现某些宗教思想或精神诉求。本文主要探讨陶瓷婴戏纹饰在我国历史发展历程中的演变概况,以及笔者对我国陶瓷婴戏纹饰和西方艺术品中儿童形象横向对比下的一些思考。     

Methodology for dependence-based integrated constitutive modelling: An illustrative application to SiCp/Al composites

In industrial forming and machining process, the large plastic deformation of material takes place in wide loading ranges of strain-rate and forming temperature. A satisfactory modelling of quasi-static and dynamic material behaviors is of great importance for understanding physical process and processes optimization. A dependence-based integrated methodology, together with an improved weighted multi-objective parameter identification strategy is presented for the development of phenomenological constitutive model and the parameter identification using experimental data from quasi-static and dynamic tests with instantaneous strain rate variations and plastic strain-related temperature changes. The improved multi-objective parameter identification model is reformulated by introducing three weighting factors for valuing different measure errors and fit standard errors in individual objective function corresponding to each test, considering the sampling point number and active material parameter number under different loading conditions, and balancing optimization opportunity of quasi-static and dynamic sub-objective functions. The methodology is verified for feasibility through illustrative constitutive identification for SiC_p/Al composites. This may provide a methodology of constitutive modelling for predicting material behaviors in quasi-static and dynamic modes equally well.     

Tuning effect of silicon substitution on magnetic and high frequency electromagnetic properties of R2Fe17 and their composites

In this work, we report the tuning effect of the Si substitution on the magnetic and high frequency electromagnetic properties of R₂Fe₁₇ compounds and their paraffin composites. It is found that the introduction of Si can remarkably improve the magnetic and electromagnetic properties of the R₂Fe₁₇ compounds, making the R₂Fe_17–xSi_x-paraffin composites excellent microwave absorption materials (MAMs). By introducing the Si element, their saturation magnetizations decrease slightly, while much higher Curie temperatures are obtained. Furthermore, better impedance match is reached due to the decrease of the high-frequency permittivity ε′ by about 40%–50%, which finally enhances the performance of the microwave absorption. The peak frequency (f_RL) of the reflection loss (RL) curve moves toward high frequency domain and the qualified bandwidth (QB, RL ≤ ?10 dB) increases remarkably. The maximum QB of 3.3 GHz (12.0–15.3 GHz) is obtained for the Sm_1.5Y_0.5Fe₁₅Si₂-paraffin composite (d = 1.0 mm) and the maximum RL of ?53.6 dB is achieved for Nd₂Fe₁₅Si₂-paraffin composite (d = 2.2 mm), both surpassing most of the reported MAMs. Additionally, a distinguished dielectric microwave absorption peak is observed, which further increases the QB in these composites.     

儿童用品TBT通报数据可视化预警研究

探索采用数据可视化技术分析儿童用品TBT通报数据,以可视化图形图像呈现通报热点并揭示趋势信息,提出对策与建议,助力为儿童用品产业升级、TBT预警数据分析和信息传播工作提供新思路,提高中小企业的国外市场准入机会。     

Association of solid fuel use with risk of stunting in children living in China

Stunting adversely affects physical and mental outcomes of children. It has not been examined whether household air pollution from solid fuel combustion is a risk factor for stunting in children. In a total of 41,439 children aged 6-17 across China, height was measured using a unified protocol. Multivariable linear regression models and logistic regression models were used to assess the associations of solid fuel use for cooking/heating with stunting in children. Adjusted for covariates, cooking/heating with solid fuel was significantly associated with a lower z-score for height for age and sex (β = −0.21 [−0.32 to −0.09] and −0.17 [−0.31 to −0.03], respectively) and an increased risk of stunting with an estimated ORs of 1.34 [1.07~1.68] and 1.37 [1.02~1.83], respectively. The risk of stunting associated with solid fuel use was statistically significant in high-age children. And the effect was greater on girls than on boys, though the difference was not statistically significant. Our study suggested that Chinese children living in households using solid fuel had a significantly higher risk of stunting than those living in households using cleaner fuel.