Capillaroscopy in 2016 : new perspectives in systemic sclerosis

Systemic sclerosis (SSc) is an autoimmune disorder of unknown etiology characterized by early impairment of the microvascular system. Nailfold microangiopathy and decreased peripheral blood perfusion are typical clinical aspects of SSc. The best method to evaluate vascular injury is nailfold videocapillaroscopy, which detects peripheral capillary morphology, and classifies and scores the abnormalities into different patterns of microangiopathy. Microangiopathy appears to be the best evaluable predictor of the disease development and has been observed to precede the other symptoms by many years. Peripheral blood perfusion is also impaired in SSc, and there are different methods to assess it: laser Doppler and laser speckle techniques, thermography and other emerging techniques

Physiopathology and biomechanics of hip osteoarthritis

Several factors seem to play a relevant role in the pathogenesis of hip osteoarthritis. Among these, an altered biomechanic and neuromuscular integrity of the hip joint should be considered. This is a review of the recent international literature concerning the role of loads and strengths acting on the hip joint, in order to better understand the pathogenesis and the physiopathology of the hip osteoarthritis. The study of these factors might be important to prevent the development of the osteoarthritis and might suggest the conservative treatment. In particular, the role of the balance among the muscles working in maintaining the equilibrium of the acting strengths is matter of discussion. The articular and neuromuscular dysfunction might induce an altered load distribution in the hip, particularly on the articular cartilage surface, and seems to favour the development of hip osteoarthritis..

Evidence of positive tectonic inversion in the north-central sector of the Sicily Channel (Central Mediterranean)

In order to unravel the tectonic evolution of the north-central sector of the Sicily Channel (Central Mediterranean), a seismo-stratigraphic analysis of single- and multi-channel seismic reflection profiles has been carried out. This allowed to identify, between 20 and 50 km offshore the central-southern coast of Sicily, a ~80-km-long deformation belt, characterized by a set of WNW\u2013ESE to NW\u2013SE fault segments showing a poly-phasic activity. Within this belt, we observed: i) Miocene normal faults reactivated during Zanclean\u2013Piacenzian time by dextral strike-slip motion, as a consequence of the Africa\u2013Europe convergence; ii) releasing and restraining bend geometries forming well-developed pull-apart basins and compressive structures. In the central and western sectors of the belt, we identified local transpressional reactivations of Piacenzian time, attested by well-defined compressive features like push-up structures and fault-bend anticlines. The reconstruction of timing and style of tectonic deformation suggest a strike-slip reactivation of inherited normal faults and the local subsequent positive tectonic inversion, often documented along oblique thrust ramps. This pattern represents a key for an improved knowledge of the structural style of foreland fold-and-thrust belts propagating in a preexisting extensional domain. With regard to active tectonics and seismic hazards, recent GPS data and local seismicity events suggest that this deformation process could be still active and accomplished through deep-buried structures; moreover, several normal faults showing moderate displacements have been identified on top of the Madrepore Bank and Malta High, offsetting the Late Quaternary deposits. Finally, inside the northern part of the Gela Basin, multiple slope failures, originated during Pleistocene by the further advancing of the Gela Nappe, reveal tectonically induced potential instability processes

Coexistence of osteopoikilosis with seronegative spondyloarthritis and Raynaud's phenomenon: first case report with evaluation of the nailfold capillary bed and literature review.

Osteopoikilosis (OPK) is a rare autosomal dominant bone disorder characterized by numerous hyperostotic areas that tend to localize in periarticular osseous regions. It is usually asymptomatic and is often diagnosed incidentally during X-rays. OPK may be an isolated finding or associated with other pathologies, e.g. skin manifestations, rheumatic and/or skeletal disorders. We report a literature review and, for the first time, the coexistence of OPK with seronegative spondyloarthritis and Raynaud's phenomenon in a 48-year old female. To the best of our knowledge, this is the first case of OPK studied by videocapillaroscopy, demonstrating the absence of specific microvascular abnormalities of nailfold capillaries

Cost of coexisting with a relict large carnivore population: Impact of apennine brown bears, 2005–2015

Human-carnivore conflicts are a major conservation issue. As bears are expanding their range in Europe’s human-modified landscapes, it is increasingly important to understand, prevent, and address human-bear conflicts and evaluate mitigation strategies in areas of historical coexis-tence. Based on verified claims, we assessed costs, patterns, and drivers of bear damages in the relict Apennine brown bear population in the Abruzzo Lazio and Molise National Park (PNALM), central Italy. During 2005–2015, 203 ± 71 (SD) damage events were verified annually, equivalent to 75,987 ± 30,038 €/year paid for compensation. Most damages occurred in summer and fall, with livestock depredation, especially sheep and cattle calves, prevailing over other types of damages, with apiaries ranking second in costs of compensation. Transhumant livestock owners were less impacted than residential ones, and farms that adopted prevention measures loaned from the PNALM were less susceptible to bear damages. Livestock farms chronically damaged by bears represented 8 ± 3% of those annually impacted, corresponding to 24 ± 6% of compensation costs. Further improvements in the conflict mitigation policy adopted by the PNALM include integrated prevention, conditional compensation, and participatory processes. We discuss the implications of our study for Human-bear coexistence in broader contexts

Tectonics and seismicity of the Tindari Fault System, southern Italy: Crustal deformations at the transition between ongoing contractional and extensional domains located above the edge of a subducting slab

The Tindari Fault System (southern Tyrrhenian Sea, Italy) is a regional zone of brittle deformation located at the transition between ongoing contractional and extensional crustal compartments and lying above the western edge of a narrow subducting slab. Onshore structural data, an offshore seismic reflection profile, and earthquake data are analyzed to constrain the present geometry of the Tindari Fault System and its tectonic evolution since Neogene, including the present seismicity. Results show that this zone of deformation consists of a broad NNW trending system of faults including sets of right-lateral, left-lateral, and extensional faults as well as early strike-slip faults reworked under late extension. Earthquakes and other neotectonic data provide evidence that the Tindari Fault System is still active in the central and northern sectors and mostly accommodates extensional or rightlateral transtensional displacements on a diffuse array of faults. From these data, a multiphase tectonic history is inferred, including an early phase as a right-lateral strike-slip fault and a late extensional reworking under the influence of the subductionrelated processes, which have led to the formation of the Tyrrhenian back-arc basin. Within the present, regional, geodynamic context, the Tindari Fault System is interpreted as an ongoing accommodation zone between the adjacent contractional and extensional crustal compartments, these tectonic compartments relating to the complex processes of plate convergence occurring in the region. The Tindari Fault System might also be included in an incipient, oblique-extensional, transfer zone linking the ongoing contractional belts in the Calabrian-Ionian and southern Tyrrhenian compartments

Assessment of treatment effects on digital ulcer and blood perfusion by laser speckle contrast analysis in a patient affected by systemic sclerosis

Laser speckle contrast analysis (LASCA) is a good tool to evaluate the variation in peripheral blood perfu-sion during long-term follow-up andis able to safely monitor digital ulcer evolution inscleroderma patients. It evaluates blood perfusion in different areas within the skin lesions and surrounding them during standard treatment