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  1. Article ; Online: Long-term personalized low FODMAP diet in IBS.

    De Palma, Giada / Bercik, Premysl

    Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society

    2022  Volume 34, Issue 4, Page(s) e14356

    Abstract: Irritable bowel syndrome (IBS) patients often resort to dietary interventions to manage their symptoms, as these are frequently exacerbated by various food items. A diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols ( ... ...

    Abstract Irritable bowel syndrome (IBS) patients often resort to dietary interventions to manage their symptoms, as these are frequently exacerbated by various food items. A diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) is now considered by many a first-line treatment option for IBS, as it has been found to be superior to alternative dietary interventions. However, concerns have been raised as restricting fermentable carbohydrates might result in nutritional deficits or alter composition and function of the gut microbiome in the long term. The study by Staudacher et al., published in this issue of the journal, is the first prospective study to follow IBS patients after completing all three phases of the low FODMAPs diet (restriction, reintroduction, and personalization), demonstrating that this is safe and effective in long-term, when patients are supervised by a dietician. This mini-review provides an up-to-date overview of the use of fermentable carbohydrate's restrictions for symptom management in IBS patients, while summarizing the current knowledge on the possible mechanisms of action behind low fermentable carbohydrate diet efficacy.
    MeSH term(s) Carbohydrates ; Diet ; Diet, Carbohydrate-Restricted/adverse effects ; Disaccharides/adverse effects ; Fermentation ; Humans ; Irritable Bowel Syndrome ; Monosaccharides/adverse effects ; Oligosaccharides ; Prospective Studies
    Chemical Substances Carbohydrates ; Disaccharides ; Monosaccharides ; Oligosaccharides
    Language English
    Publishing date 2022-03-16
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1186328-6
    ISSN 1365-2982 ; 1350-1925
    ISSN (online) 1365-2982
    ISSN 1350-1925
    DOI 10.1111/nmo.14356
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Diet-microbial cross-talk underlying increased visceral perception.

    De Palma, Giada / Reed, David E / Bercik, Premysl

    Gut microbes

    2023  Volume 15, Issue 1, Page(s) 2166780

    Abstract: Visceral hypersensitivity, a fundamental mechanism of chronic visceral pain disorders, can result from both central or peripheral factors, or their combination. As an important regulator of normal gut function, the gut microbiota has been implicated as a ...

    Abstract Visceral hypersensitivity, a fundamental mechanism of chronic visceral pain disorders, can result from both central or peripheral factors, or their combination. As an important regulator of normal gut function, the gut microbiota has been implicated as a key peripheral factor in the pathophysiology of visceral hypersensitivity. Patients with chronic gastrointestinal disorders, such as irritable bowel syndrome, often present with abdominal pain secondary to adverse reactions to dietary components. As both long- and short-term diets are major determinants of gut microbiota configuration that can result in changes in microbial metabolic output, it is becoming increasingly recognized that diet-microbiota interactions play an important role in the genesis of visceral sensitivity. Changes in pain signaling may occur via diet-induced changes in secretion of mediators by both the microbiota and/or host cells. This review will examine the peripheral influence of diet-microbiota interactions underlying increased visceral sensitivity.
    MeSH term(s) Humans ; Gastrointestinal Microbiome/physiology ; Irritable Bowel Syndrome ; Diet ; Microbiota ; Perception
    Language English
    Publishing date 2023-01-19
    Publishing country United States
    Document type Review ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2575755-6
    ISSN 1949-0984 ; 1949-0984
    ISSN (online) 1949-0984
    ISSN 1949-0984
    DOI 10.1080/19490976.2023.2166780
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Subjective Dry Eye Symptoms and Objective Ocular Surface Signs in a Civil Air Crew Population: A Cross-Sectional Study.

    Fachinetti, Anna / Marelli, Edoardo / Velati, Paola / Minoretti, Piercarlo / De Palma, Giuseppe / Sigurtà, Camilla

    Cureus

    2024  Volume 16, Issue 1, Page(s) e51447

    Abstract: Background Aviation professionals are often exposed to conditions such as low cabin air pressure, reduced humidity, and prolonged artificial lighting, which may predispose them to dry eye disease (DED). We therefore designed a cross-sectional study with ... ...

    Abstract Background Aviation professionals are often exposed to conditions such as low cabin air pressure, reduced humidity, and prolonged artificial lighting, which may predispose them to dry eye disease (DED). We therefore designed a cross-sectional study with three primary objectives. Our first aim was to determine the prevalence of subjective dry eye symptoms among civil flight personnel. To achieve this, we administered the Standard Patient Evaluation of Eye Dryness (SPEED) questionnaire. Second, we performed ocular examinations to assess objective DED indicators, such as the Schirmer's-1 (SCH-1) test and tear film break-up time (TBUT). We then correlated the results of these objective tests with the subjective symptoms reported by the participants. Last, we aimed to identify the independent risk factors for positive SCH-1 and TBUT results among aircrew personnel who did not report subjective dry eye symptoms. Methods The study sample consisted of 189 aircrew personnel (94 men and 95 women; mean age: 35.8 ± 10.4 years). They completed the SPEED questionnaire, a tool for assessing ocular surface symptoms. Participants' symptoms were classified as normal (SPEED scores 0-6), moderate (SPEED scores 7-15), or severe (SPEED scores 16-28). The objective assessment included the SCH-1 test for tear production and the TBUT test for tear film quality. Results A significant majority of participants (n = 165; 87.3%) did not report any subjective symptoms of DED. However, 12.2% (n = 23) and 0.5% (n = 1) of the study subjects experienced moderate and severe symptoms, respectively. The SCH-1 test and TBUT test were positive in 25.4% (n = 48) and 24.9% (n = 47) of the participants, respectively. Interestingly, among the aircrew personnel who did not report any subjective dry eye symptoms (SPEED scores 0-6), 18.8% (n = 31) and 17.6% (n = 29) showed abnormal results on the SCH-1 test and TBUT, respectively. Age was identified as the only independent predictor of a positive TBUT (odds ratio = 1.05, 95% confidence interval (CI) = 1.01-1.08, p = 0.01), with a borderline significant association with a positive SCH-1 test (odds ratio = 1.03, 95% CI = 0.99-1.07, p = 0.06). Conclusions The disparity between subjective symptoms and objective tests emphasizes the significance of incorporating objective measures for screening and diagnosing DED in civil flight personnel. If independently confirmed by future research, our findings could potentially lead to the routine implementation of surveillance protocols that incorporate objective DED indicators. Moreover, as age emerged as an independent predictor of positive results on objective tests, it is crucial to consider age-specific screening strategies.
    Language English
    Publishing date 2024-01-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.51447
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The food, the bug, and the ugly: A recipe for food-induced gut pain.

    Rondeau, Liam Emile / De Palma, Giada / Caminero, Alberto

    Allergy

    2021  Volume 77, Issue 1, Page(s) 334–336

    MeSH term(s) Diarrhea ; Food/adverse effects ; Humans ; Intestinal Mucosa ; Mast Cells ; Pain
    Language English
    Publishing date 2021-07-28
    Publishing country Denmark
    Document type News ; Research Support, Non-U.S. Gov't
    ZDB-ID 391933-x
    ISSN 1398-9995 ; 0105-4538
    ISSN (online) 1398-9995
    ISSN 0105-4538
    DOI 10.1111/all.15018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Alterations in fecal β-defensin-3 secretion as a marker of instability of the gut microbiota.

    Saqib, Zarwa / De Palma, Giada / Lu, Jun / Surette, Michael / Bercik, Premysl / Collins, Stephen Michael

    Gut microbes

    2023  Volume 15, Issue 1, Page(s) 2233679

    Abstract: Compositional changes in the microbiota (dysbiosis) may be a basis for Irritable Bowel Syndrome (IBS), but biomarkers are currently unavailable to direct microbiota-directed therapy. We therefore examined whether changes in fecal β-defensin could be a ... ...

    Abstract Compositional changes in the microbiota (dysbiosis) may be a basis for Irritable Bowel Syndrome (IBS), but biomarkers are currently unavailable to direct microbiota-directed therapy. We therefore examined whether changes in fecal β-defensin could be a marker of dysbiosis in a murine model. Experimental dysbiosis was induced using four interventions relevant to IBS: a mix of antimicrobials, westernized diets (high-fat/high-sugar and high salt diets), or mild restraint stress. Fecal mouse β-defensin-3 and 16S rRNA-based microbiome profiles were assessed at baseline and during and following these interventions. Each intervention, except for mild restraint stress, altered compositional and diversity profiles of the microbiota. Exposure to antimicrobials or a high-fat/high-sugar diet, but not mild restraint stress, resulted in decreased fecal β-defensin-3 compared to baseline. In contrast, exposure to the high salt diet increased β-defensin-3 compared to baseline. Mice exposed to the mix of antimicrobials showed the largest compositional changes and the most significant correlations between β-defensin-3 levels and bacterial diversity. The high salt diet was also associated with significant correlations between changes in β-defensin-3 and bacterial diversity, and this was not accompanied by discernible inflammatory changes in the host. Thus, dietary change or antimicrobial exposure, both recognized factors in IBS exacerbations, induced marked dysbiosis that was accompanied by changes in fecal β-defensin-3 levels. We propose that serial monitoring of fecal β-defensins may serve as a marker of dysbiosis and help identify those IBS patients who may benefit from microbiota-directed therapeutic interventions.
    MeSH term(s) Animals ; Humans ; Mice ; beta-Defensins ; Diet, High-Fat ; Dysbiosis/microbiology ; Feces/microbiology ; Gastrointestinal Microbiome ; Irritable Bowel Syndrome/microbiology ; RNA, Ribosomal, 16S/genetics ; Sugars
    Chemical Substances beta-Defensins ; RNA, Ribosomal, 16S ; Sugars ; beta-defensin 3, mouse
    Language English
    Publishing date 2023-07-19
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2575755-6
    ISSN 1949-0984 ; 1949-0984
    ISSN (online) 1949-0984
    ISSN 1949-0984
    DOI 10.1080/19490976.2023.2233679
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Metabolic polymorphisms and biomarkers of effect in the biomonitoring of occupational exposure to low-levels of benzene: state of the art.

    De Palma, G / Manno, M

    Toxicology letters

    2014  Volume 231, Issue 2, Page(s) 194–204

    Abstract: Current levels of occupational exposure to benzene, a genotoxic human carcinogen, in Western countries are reduced by two-three orders of magnitude (from ppm to ppb) as compared to the past. However, as benzene toxicity is strongly dependent on ... ...

    Abstract Current levels of occupational exposure to benzene, a genotoxic human carcinogen, in Western countries are reduced by two-three orders of magnitude (from ppm to ppb) as compared to the past. However, as benzene toxicity is strongly dependent on biotransformation and recent evidence underlines a higher efficiency of bio-activation pathways at lower levels of exposure, toxic effects at low doses could be higher than expected, particularly in susceptible individuals. Currently, biological monitoring can allow accurate exposure assessment, relying on sensitive and specific enough biomarkers of internal dose. The availability of similarly reliable biomarkers of early effect or susceptibility could greatly improve the risk assessment process to such an extent that risk could even be assessed at the individual level. As to susceptibility biomarkers, functional genetic polymorphisms of relevant biotransformation enzymes may modulate the risk of adverse effects (NQO1) and the levels of biomarkers of internal dose, in particular S-phenylmercapturic acid (GSTM1, GSTT1, GSTA1). Among biomarkers of early effect, genotoxicity indicators, although sensitive in some cases, are too aspecific for routine use in occupational health surveillance programmes. Currently only the periodical blood cell count seems suitable enough to be applied in the longitudinal monitoring of effects from benzene exposure. Novel biomarkers of early effect are expected from higher collaboration among toxicologists and clinicians, also using advanced "omics" techniques.
    MeSH term(s) Acetylcysteine/analogs & derivatives ; Acetylcysteine/urine ; Benzene/chemistry ; Benzene/toxicity ; Biomarkers ; Environmental Monitoring/methods ; Environmental Pollutants/chemistry ; Environmental Pollutants/toxicity ; Gene Expression Regulation/physiology ; Glutathione Transferase/genetics ; Glutathione Transferase/metabolism ; Glutathione Transferase/urine ; Humans ; NAD(P)H Dehydrogenase (Quinone)/genetics ; NAD(P)H Dehydrogenase (Quinone)/metabolism ; Occupational Exposure/analysis ; Polymorphism, Genetic/physiology ; Transcriptome
    Chemical Substances Biomarkers ; Environmental Pollutants ; S-phenyl-N-acetylcysteine (4775-80-8) ; NAD(P)H Dehydrogenase (Quinone) (EC 1.6.5.2) ; NQO1 protein, human (EC 1.6.5.2) ; Glutathione Transferase (EC 2.5.1.18) ; Benzene (J64922108F) ; Acetylcysteine (WYQ7N0BPYC)
    Language English
    Publishing date 2014-12-01
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 433788-8
    ISSN 1879-3169 ; 0378-4274
    ISSN (online) 1879-3169
    ISSN 0378-4274
    DOI 10.1016/j.toxlet.2014.10.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The neuroimmunological toll of nutrient absorption.

    De Palma, Giada / Caminero, Alberto / Jiménez-Saiz, Rodrigo

    Allergy

    2020  Volume 75, Issue 9, Page(s) 2415–2417

    MeSH term(s) Humans ; Intestinal Mucosa ; Neuroimmunomodulation ; Nutrients
    Language English
    Publishing date 2020-07-13
    Publishing country Denmark
    Document type News ; Research Support, Non-U.S. Gov't
    ZDB-ID 391933-x
    ISSN 1398-9995 ; 0105-4538
    ISSN (online) 1398-9995
    ISSN 0105-4538
    DOI 10.1111/all.14458
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Systematic Review and Meta-analysis on the Association of Occupational Exposure to Free Crystalline Silica and Rheumatoid Arthritis.

    Morotti, A / Sollaku, I / Franceschini, F / Cavazzana, I / Fredi, M / Sala, E / De Palma, G

    Clinical reviews in allergy & immunology

    2021  Volume 62, Issue 2, Page(s) 333–345

    Abstract: Key messages: • Occupational exposure to free crystalline silica and tobacco smoking are associated with an increased risk rheumatoid arthritis, with the evidence of an interaction in seropositive subjects. • Further studies in the field are needed to ... ...

    Abstract Key messages: • Occupational exposure to free crystalline silica and tobacco smoking are associated with an increased risk rheumatoid arthritis, with the evidence of an interaction in seropositive subjects. • Further studies in the field are needed to support such association We carried out a systematic search for all published epidemiological studies concerning the association between occupational exposure to free crystalline silica (FCS) and subsequent development of rheumatoid arthritis (RA). A meta-analysis was conducted on relevant studies. We searched PubMed and Embase, search engines, for original articles published (from 1960 to November 2019) in any language. In addition, we also searched reference lists of included studies manually for additional relevant articles. Finally, twelve studies were included in the meta-analysis (seven case-control cases and five cohort studies). The odds risks and 95% confidence interval (CI) were calculated using a random effect meta-analysis. A primary meta-analysis (using a random effect model)-regarding RA risk in subjects exposed to FCS-yelled to an overall OR of 1.94 (95% CI 1.46-2.58). We also conducted three further meta-analysis, taking into account the presence of autoantibodies (anti-RF or anti-ACPA) and smoking habits and found a significant association between FCS and RA in both seropositive and seronegative subjects (OR 1.74, 95% CI 1.35-2.25 and OR 1.23, 95% CI 1.06-1.4, respectively) and in seropositive subjects which were smokers (OR 3.30, 95% CI 2.40-4.54). The studies that have investigated the association between RA and occupatational exposure to FCS are still scarce and the heterogeneity between the studies remains high. Some critical limitations have been identified within studies, among which, the methods for assessing exposure stand out. Although with due caution, our results confirm the hypothesis of an association between occupational exposure to FCS and RA development. There was an interaction between FCS and tobacco smoking in RA seropositive workers.
    MeSH term(s) Arthritis, Rheumatoid/etiology ; Autoantibodies ; Humans ; Occupational Exposure/adverse effects ; Risk Factors ; Silicon Dioxide/adverse effects
    Chemical Substances Autoantibodies ; Silicon Dioxide (7631-86-9)
    Language English
    Publishing date 2021-03-02
    Publishing country United States
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 1239045-8
    ISSN 1559-0267 ; 1080-0549
    ISSN (online) 1559-0267
    ISSN 1080-0549
    DOI 10.1007/s12016-021-08846-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Effectiveness of BNT162b2 vaccine against the B.1.1.7 variant of SARS-CoV-2 among healthcare workers in Brescia, Italy.

    Sansone, E / Tiraboschi, M / Sala, E / Albini, E / Lombardo, M / Castelli, F / De Palma, G

    The Journal of infection

    2021  Volume 83, Issue 1, Page(s) e17–e18

    MeSH term(s) BNT162 Vaccine ; COVID-19 ; COVID-19 Vaccines ; Health Personnel ; Humans ; Italy/epidemiology ; SARS-CoV-2 ; Vaccines
    Chemical Substances COVID-19 Vaccines ; Vaccines ; BNT162 Vaccine (N38TVC63NU)
    Language English
    Publishing date 2021-05-07
    Publishing country England
    Document type Letter
    ZDB-ID 424417-5
    ISSN 1532-2742 ; 0163-4453
    ISSN (online) 1532-2742
    ISSN 0163-4453
    DOI 10.1016/j.jinf.2021.04.038
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Book ; Online: The Entropy Power Inequality with quantum conditioning

    De Palma, Giacomo

    2018  

    Abstract: The conditional entropy power inequality is a fundamental inequality in information theory, stating that the conditional entropy of the sum of two conditionally independent vector-valued random variables each with an assigned conditional entropy is ... ...

    Abstract The conditional entropy power inequality is a fundamental inequality in information theory, stating that the conditional entropy of the sum of two conditionally independent vector-valued random variables each with an assigned conditional entropy is minimum when the random variables are Gaussian. We prove the conditional entropy power inequality in the scenario where the conditioning system is quantum. The proof is based on the heat semigroup and on a generalization of the Stam inequality in the presence of quantum conditioning. The entropy power inequality with quantum conditioning will be a key tool of quantum information, with applications in distributed source coding protocols with the assistance of quantum entanglement.
    Keywords Quantum Physics ; Computer Science - Information Theory ; Mathematical Physics ; Mathematics - Probability
    Publishing date 2018-08-24
    Publishing country us
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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