Search Results (52)

Fresh pasta was enriched with olive pomace (OP) and artichoke by-products (AB), respectively, at three concentrations: 13.5%, 14.5%, and 15% for OP, and 15%, 17%, and 19% for AB. Both control and fortified samples were assessed for technological properties, nutritional content and sensory quality. A Life Cycle Assessment was also performed to estimate the carbon footprint associated with pasta production. Results demonstrated a worsening of pasta quality, above all the resistance to break for row pasta and sandiness and taste for cooked samples, even though the pasta remained in an acceptable range. Fibers, polyphenol content, flavonoids, and antioxidant activity were found to be better in fortified samples than in the control pasta. With AB as new ingredient, the antioxidant activity increased substantially. The environmental impact revealed two different scenarios: compared to the control (1.08 kgCO₂eq), lower carbon footprint values were found for pasta fortified with OP (from 0.96 to 0.98 kgCO₂eq) and higher values for pasta fortified with AB (from 1.53 to 1.62 kgCO₂eq), due to the energy consumption associated with by-product processing (dehydration at 50 °C and grinding). Thus, combining sensory quality, nutritional improvements and environmental impact, a Global Quality Index (GQI) was also calculated for each sample. The GQI values, according to the weighting scheme of this index, revealed that the benefits of AB superimposed the drawbacks and suggested that 15% AB fortification is the best solution to balance pros and cons of by-product recycling. Full article

Background and Objective: Prostate cancer (PC) is the most common cancer among males in the Western World. Androgens are key growth regulators both in normal and malignant prostate growth. Several new types of androgen pathway inhibitors (ARPIs) have been developed for the treatment of PC. Despite the lack of evidence, sequential use of ARPIs has been adopted into everyday clinical practice. This study aimed to assess real-life ARPI use patterns, especially sequential use and treatment costs, in Finland. Methods: Nationwide register data on all ARPI (enzalutamide, apalutamide, darolutamide, abiraterone) purchases recorded in the National Health Insurance scheme register maintained by the Social Insurance Institution of Finland from January 2012 to December 2023 were used. The data included patient demographics and medicine purchase details, which were descriptively analysed. Results: During the study period, 8369 patients initiated ARPIs. The median age of the users was 75.1 years. Of these, 32.1% (n = 2685) used at least two ARPIs sequentially. The proportion of treatment initiations leading to sequential use increased from 36% in 2012 to 56% in 2017, then decreased to 14% in 2022. The total cost of sequential use was €43.8 million. Limitations include the unrecorded phase of PC. The study’s strength is its inclusion of all reimbursed ARPI purchases nationwide. Conclusions: Despite the lack of evidence, sequential ARPI use was initially prevalent but declined after the introduction of new guidelines. Randomised trials are needed to guide the sequential use of these medicines. Patient summary: Androgen pathway inhibitors (ARPIs) are widely used in prostate cancer in Finland. One-third of patients use at least two ARPIs sequentially to inhibit testosterone effect. However, there are no large clinical trials published demonstrating the benefits of sequential treatment. More evidence is needed to justify sequential use. Full article

This study investigated the cognitive profiles of Italian university students with dyslexia using the WAIS-IV, comparing them to peers without specific learning disorders. Seventy-one participants took part: 36 with a diagnosis of dyslexia and 35 matched controls. While dyslexic adults showed lower Full Scale IQ (FSIQ) scores compared to controls, their scores remained within the average range. They showed deficits in Working Memory Index (WMI) and Processing Speed Index (PSI) but performed similarly to controls in Verbal Comprehension Index (VCI) and Perceptual Reasoning Index (PRI). Significant group differences also emerged in Arithmetic Reasoning, Symbol Search, and Coding subtests. Logistic regression identified WMI and PSI as the most reliable predictors of dyslexia, showing a good predictive value in discriminating between adults with and without dyslexia. Additionally, dyslexic adults displayed lower Cognitive Proficiency Index (CPI) scores relative to their General Ability Index (GAI), and lower FSIQ scores compared to controls. Overall, dyslexic adults exhibit a distinctive cognitive profile with strengths and weaknesses. This pattern can aid in dyslexia diagnosis, particularly in individuals who have compensated through extensive reading experience in a highly regular orthography. Full article

At diagnosis, metastatic prostate cancer (PC) is sensitive to androgen deprivation therapy (ADT), and patients are usually referred to as having castration-sensitive prostate cancer (mCSPC). The combination of ADT and androgen receptor pathway inhibitors (ARPI) is the current standard of care for mCSPC. This study aimed to review the literature on economic evaluations and health economic models related to mCSPC. A literature search was performed covering Medline, Embase, and Scopus with additional grey literature sources. Studies with data on health economic evaluations focusing on Europe or North America were relevant. 18 peer-reviewed articles and 10 grey literature documents were included. The majority (n = 23) had a deterministic Markov structure and applied either Markov cohort or partitioned survival models. Evaluations investigated various types of ADT-based combinations, comparing the addition of ARPI, chemotherapy agents, or radiation therapy to ADT alone. We concluded that economic evaluations in the field of PC are widely published, and there are a large number of publications even in the specific subgroup of mCSPC. Regardless of the investigated interventions, most studies applied similar methodologies and simulated patients from the mCSPC state until the development of mCRPC or death. Full article

Purpose: The identification of cardiovascular risk factors in metastatic prostate cancer (PCa) patients prior to the initiation of androgen receptor pathway inhibitors (ARPIs) is important yet challenging. Methods and Results: A nationwide cohort study was conducted utilizing data from the National Health Insurance Research Database containing the Taiwan Cancer Registry. The study population comprised 4739 PCa patients who received abiraterone or enzalutamide between 1 January 2014, and 28 February 2022. The cohort was divided into a training set (n = 3318) and a validation set (n = 1421). Machine learning techniques with random survival forest (RSF) model incorporating 16 variables was developed to predict major adverse cardiovascular events (MACEs). Over a mean follow-up period of 2.1 years, MACEs occurred in 10.9% and 11.3% of the training and validation cohorts, respectively. The RSF model identified five key predictive indicators: age < 65 or ≥75 years, heart failure, stroke, hypertension, and myocardial infarction. The model exhibited robust performance, achieving an area under the curve (AUC) of 85.1% in the training set and demonstrating strong external validity with an AUC of 85.5% in the validation cohort. A positive correlation was observed between the number of risk factors and the incidence of MACEs. Conclusions: This machine learning approach identified five predictors of MACEs in PCa patients receiving ARPIs. These findings highlight the need for comprehensive cardiovascular risk assessment and vigilant monitoring in this patient population. Full article

Objective: To conduct a comparative analysis of layer-by-layer macular thickness, peripapillary retinal nerve fiber layer (pRNFL), and minimum rim width (MRW) between the eyes of patients with prostate cancer undergoing treatment with androgen receptor pathway inhibitors (ARPIs) and those of age- and sex-matched healthy controls, with the aim of assessing the potential effects of ARPIs on retinal structure. Methods: In this prospective cross-sectional study, 80 eyes of 80 patients with ARPI-treated metastatic prostate cancer and 80 eyes of 80 age-matched healthy controls were evaluated using Heidelberg Spectralis optical coherence tomography (OCT). Layer-by-layer macular thickness, pRNFL, and MRW were measured and compared between groups. Results: Thickness in most segments of retinal layers and pRNFL, as well as all MRW values, were significantly lower in the ARPI-treated group than in the controls (p < 0.05). No significant differences were observed between groups in terms of age, visual acuity, intraocular pressure, central corneal thickness, or lens status. Conclusions: This study is the first to evaluate layer-by-layer macular thickness in patients with metastatic prostate cancer treated with ARPIs, revealing significant thinning in nearly all macular layers, pRNFL, and MRW. These findings suggest that ARPI therapy may induce neurodegenerative changes in retinal and optic nerve structures. Therefore, further research is warranted to assess the ocular safety of these therapeutic agents. Full article

In this study different strategies have been adopted to promote the shelf-life prolongation of fresh chicken nuggets. Two different by-products, grape pomace powder (GPP) and pomegranate peel extract (PE), alone and in combination with lactic acid, were suggested as meat preservatives. The antioxidant properties measured by different assays confirmed the presence of bioactive compounds in both by-products. To test their effects on meat samples, a control nugget without any compounds and a nugget with sole lactic acid were also used for comparison. During a refrigerated storage of about 2 weeks, microbiological stability and changes in sensory properties were monitored to assess the product shelf life. Results demonstrated that GPP promoted a good preservation of meat, and its combination with other compounds further increased the effectiveness. The control without any active agent remained acceptable for less than 1 day, the control with lactic acid for less than 2 days (p > 0.05). The other active samples lasted longer depending on the combinations of active compounds. When the sole GPP was used, about 3 days of shelf life were recorded (p < 0.05). While the combination of GPP with PE promoted only a slight increase of shelf life by 1 day (2.9 vs. 3.9 days), the combination of GPP with LA prolonged the shelf life to more than 6 days (2.9 vs. 6.58 days) (p < 0.05). The best results were found when both LA and PE were combined with GPP because the nuggets lasted about 10 days (p < 0.05). To better highlight the single and combined effects of the tested active agents, a proper index $\left(∆\%\right),$ comprising the normalized percent difference between the shelf life of the sample with the most antimicrobials and that of the sample with the least antimicrobials, was calculated, thus comparing the various samples and demonstrating the potential synergic effects among them. Full article

Alterations in aggressive-variant prostate cancer-associated tumor suppressor genes (AVPC-TSG: TP53, RB1, PTEN) are related with androgen insensitivity and aggressive disease. However, their prognostic and predictive role in metastatic hormone-sensitive prostate cancer (mHSPC) is unclear. This single-center retrospective study assesses the value of AVPC-TSG alterations in refining prognosis and predicting the response to androgen receptor pathway inhibitors (ARPIs) in mHSPC. We included 158 patients with genomic tumor sequencing undergoing treatment for mHSPC between 2013 and 2023. We compared patients with AVPC-TSGalt tumors (≥1 alteration in TP53, RB1, or PTEN/PI3K/AKT pathway genes) to those with AVPC-TSGwt tumors (i.e., without alterations in AVPC-TSG). Cox analyses were performed for progression-free survival (PFS) and overall survival (OS). AVPC-TSGwt status was associated with improved PFS and OS in both univariate and multivariate (MV) analyses (MV PFS: HR 0.58, 95%CI: 0.38–0.89, p = 0.012; MV OS: HR 0.48, 95%CI: 0.26–0.91, p = 0.025). AVPC-TSGalt mHSPC patients seemed to derive no PFS benefit from ARPI addition (PFS: HR 1.13, 95%CI: 0.58–2.19, p = 0.721), while AVPC-TSGwt mHSPC patients did (PFS: HR 0.51, 95%CI: 0.28–0.93 p = 0.029). Integrating AVPC-TSG status with CHAARTED volume criteria, we identified three distinct subgroups: “good risk” (AVPC-TSGwt low volume), “intermediate risk” (either AVPC-TSGalt low volume or AVPC-TSGwt high volume), and “poor risk” (AVPC-TSGalt high volume) with median PFS of 46.8, 28.2, and 15.7 months, respectively. Only the “intermediate risk” subgroup seemed to derive PFS benefit from ARPI addition (HR 0.36, 95%CI: 0.19–0.70, p = 0.002). AVPC-TSG status assessment refines prognosis and may predict PFS benefits of ARPIs in mHSPC. AVPC-TSGalt mHSPC patients should be considered for clinical trials as they may not benefit from current standard approaches. Full article

Background/Objectives: The present study aimed to investigate letter processing in children with dyslexia and typically developing readers as a function of the type of orthographic context. Methods and Results: In Experiment 1A, children performed a two-alternative forced choice task (Reicher–Wheeler paradigm) using as probes either high-frequency words, pronounceable pseudo-words, or unpronounceable non-words. The group differences in letter recognition were clearly distinguished from those present in typical word and pseudo-word reading conditions (Experiment 1B), as a global factor was present only in the latter case. In Experiment 2, the two-alternative forced choice task required the child to search for the target letter in the subsequent multi-letter string (i.e., words, pseudo-words, or non-words), thus reducing the memory load. Detecting the target letter was more difficult in a word than in a pseudo-word or non-word array, indicating that the word form’s lexical activation interfered with the target’s analysis in both groups of children. In Experiment 3, children performed the two-alternative forced choice task with symbols (Greek letters) either in the Reicher–Wheeler mode of presentation (Experiment 3A) or in the search condition (Experiment 3B). Children with dyslexia performed identically to typically developing readers in keeping with the selectivity of their orthographic difficulties. Conclusions: The present data indicate that children with dyslexia suffer from an early deficit in making perceptual operations that require the conjunction analysis of a set of letters. Still, this deficit is not due to an inability to scan the letter string. The deficit is confined to orthographic stimuli and does not extend to other types of visual targets. Full article

Background: The optimal diagnostic and therapeutic strategies for prostate cancer (PCa) in patients aged ≥75 years (mild-old and oldest-old) are still contentious. Resource allocation and ideal treatment for older patients are challenges, mainly due to their comorbidities and reduced life expectancy. This survey aims to assess current clinical practices and the experiences of healthcare providers in the diagnosis and management of elderly patients with PCa. Materials and Methods: In Northeast Italy, members of the Gruppo Uro-Oncologico del Nord-Est (GUONE) conducted a survey involving 104 physicians of different specialties (Nuclear Medicine, Medical Oncology, Radiation Oncology, Radiology, Urology) between 1 November 2024 and 30 November 2024. The survey encompassed 51 questions, evaluating various diagnostic and therapeutic scenarios. Results: Digital rectal exam (DRE) was recommended by 35.9% of physicians for patients aged 75 or older at risk of PCa. PSA testing was continued in 76.3% of these patients. For 36.5% of the physicians, there should be no age limit for prostate biopsy. Moreover, 42.6% of physicians recommended a magnetic resonance imaging (MRI)-guided prostate biopsy regardless of age. A prostate biopsy was deemed mandatory before initiating any form of hormonal therapy by 57.7% of the participants. For 22.3% and 34.7% of physicians, there should be no age limit for prostate MRI and PET/CT for staging purposes. Interestingly, PET/CT was not recommended in 52% of cases as a staging tool for patients older than 85 years. For patients without comorbidities, the age limit to consider radical prostatectomy (RP) was 75, with 58.6% of physicians in favor. There were no definitive limits for radiotherapy (RT). Chemotherapy had an age limit for 81.6% of the respondents; for 18.4%, 22.5%, and 26.5% of physicians, age limits were 75, 80, and 85 years, respectively. The use of androgen receptor pathway inhibitors (ARPIs) had no definitive age limits for 46.5% of respondents. For patients with no comorbidities and low-volume metastatic PCa, the preferred option was androgen deprivation therapy + ARPIs + RT. The follow-up schedule after RP or RT exhibited heterogeneity with no consensus regarding the frequency of PSA testing or the age at which it should be discontinued. Conclusions: This survey highlights the need for consensus guidelines in diagnosing and managing mild-old and oldest-old elderly PCa patients. With the aging population, standardized protocols are essential to ensure optimal care. Full article

There has been a proliferation of novel treatments for the management of advanced prostate cancer (PCa), including androgen receptor pathway inhibitors (ARPI). Although there are health economic analyses of novel PCa treatments, such as ARPIs for specific health states, there is a lack of sequential analyses. Our paper aims to fill this gap. We developed a Monte Carlo Markov model to simulate the management of advanced PCa to end-of-life. We modeled patients who begin in metastatic and nonmetastatic castration-sensitive PCa (mCSPC and nmCSPC), with risk stratification for mCSPC, progressing to metastatic castration-resistant PCa (mCRPC). Using current guidelines and recent literature, we simulated admissible treatment sequences over these states along a 15-year horizon. We report the best treatment sequences in terms of efficacy and cost-effectiveness. We find that the most cost-effective use of ARPIs is early in advanced PCa for a cost-effectiveness threshold (CET) of CAD 100K per QALY. For a CET of CAD 50K per QALY, early ARPI use is most cost-effective in mCSPC-starting patients but not nmCSPC-starting. We conclude that the most cost-effective way to use ARPIs is when patients first enter advanced PCa. The most cost-effective ARPI at current Canadian prices is abiraterone, mostly due to abiraterone’s lower price level. Full article

Due to the increasing concern about the negative impact of the modern food system and the need to design foods to improve their healthiness and sustainability, in the current study, a fortified cheesecake was developed by using juice, peels, and pomace from prickly pears, which are fruit by-products rich in active compounds. After proper dehydration and being ground to produce a fine powder, some traditional ingredients were substituted with fruit juice and by-products. The water content loss during dehydration and the energy consumed per g of dehydrated by-product were assessed using a proper mathematical approach. A sensory evaluation was carried out using a panel test, thus verifying that the new dessert made with prickly pears was comparable to the traditional one; both recorded high scores of acceptability (sensory score ranged between 8 and 9). The centesimal composition of the two cheesecakes also demonstrated that the ingredient substitution did not affect the energetic value of the final product (290 vs. 248 kcal/100 g); on the contrary, it promoted an increase in carbohydrates (27.38 vs. 26.26 g/100 g), lipids (16.98 vs. 12.94 g/100 g), and total fibers (5.7 vs. 4.2 g/100 g). To demonstrate that the recycling of by-products from prickly pears could represent an advantage from an environmental point of view, a full Life Cycle Assessment (LCA) was carried out. In relation to this, three environmental impact categories, such as Global Warming Potential, Acidification and Eutrophication, which are associated with three different biowaste treatment options—such as composting, landfilling, and recycling—were assessed. The results from the LCA highlighted that recycling always emerged as the most sustainable biowaste management option. For all environmental impact categories analyzed, recycling resulted in an overall environmental saving (−7.63 kgCO₂eq/kg biowaste; −0.116 kgSO₂eq/kg biowaste; and −0.055 kgPO₄³⁻eq/kg biowaste). In addition, the comparison between the traditional cheesecake and the fortified one, in terms of impacts per kg of cheesecake, demonstrated that replacing food items with recycled biowaste may result in a general reduction in emissions and resources. Therefore, this case study represents a valid example of zero-waste production, offering a concrete suggestion as to how processed foods can be redesigned to make them healthier from a more sustainable perspective. Full article

Triazole pesticides are widely used throughout the world, but their abuse causes toxic effects in non-targeted organisms. In the present study, the cytotoxic effect of the triazole ipconazole was evaluated in porcine and ram spermatozoa. Ipconazole significantly reduced sperm viability, increased ROS levels, altered catalase and SOD enzyme activity, and caused alterations in the molecular mRNA expression of structural biomarkers (PRM1, ODF2, AKAP4, THEG, SPACA3 and CLGN) related to fertility in males, as well as the overexpression of BAX (cell death) and ROMO1 (oxidative stress) mRNA. Our results indicate that the fungicide triazole is involved in cellular, enzymatic and molecular alteration of porcine and ram spermatozoa, and is possibly a factor in the development of infertility in male mammals. Full article

The optimization of the prickly pear peel (PPP) dehydration temperature was addressed. Two indicators of efficiency were used to select the optimal dehydration temperature: one related to the process productivity, another to the energy consumption. To calculate them the PPP dehydration kinetics were measured at three different temperatures (i.e., 50, 60, and 70 °C) along with the energy consumption of the process. A mathematical model was used to fit the dehydration kinetics. The influence of the temperature on the kinetics was assessed by analyzing the dependence of the fitting parameters on the dehydration temperature. It was found that both the kinetic parameters and the equilibrium parameter depend on the temperature through an exponential-type equation. The model was also used to calculate both the process productivity and the average energy consumed by the dehydration cabinet per grams of evaporated water when 99% dehydration is reached. The two efficiency indicators suggested that the optimal drying temperature is 70 °C, both being the indicators decreasing function of the temperature. Full article

Lake ice has a major impact on the functioning of lake ecosystems, the thermal and gas regimes of lakes, habitat conditions, socio-economic aspects of human life, local climate, etc. The multifaceted influence of lake ice makes it important to study its changes associated with global warming, including lake ice phenology, ice thickness, and the snow–ice fraction. This article presents a study of lake ice changes in different regions of Eurasia: the Arctic (Lake Imandra in the Murmansk region and Lake Kilpisjärvi in Finland), the temperate zone (six small and medium lakes in Karelia, Mozhaysk Reservoir in the Moscow region, and Lake Pääjärvi in Finland), the arid zone (Lake Ulansuhai in China), and the highlands (lakes Arpi and Sevan in Armenia). In the study regions, a statistically significant increase in winter air temperature has been recorded over the past few decades. The number of days with thaw (air temperature above 0 °C) has increased, while the number of days with severe frost (air temperature below −10 °C and −20 °C) has decreased. The share of liquid or mixed precipitation in winter increases most rapidly in the temperate zone. For two Finnish lakes, lakes Vendyurskoe and Vedlozero in Karelia, and Mozhaysk Reservoir, a decrease in the duration of the ice period was revealed, with later ice-on and earlier ice-off. The most dramatic change occurred in the large high-mountain Lake Sevan, where the water area has no longer been completely covered with ice every winter. In contrast, the small high-mountain Lake Arpi showed no significant changes in ice phenology over a 50-year period. Changes in the ice composition with an increase in the proportion of white ice and a decrease in the proportion of black ice have occurred in some lakes. In the temperate lakes Pääjärvi and Vendyurskoe, inverse dependences of the thickness of black ice on the number of days with thaw and frost in December–March for the first lake and on the amount of precipitation in the first month of ice for the second were observed. In the arid study region of China, due to the very little winter precipitation (usually less than 10 mm) only black ice occurs, and significant interannual variability in its thickness has been identified. Full article