Organic Vegetable Crops Managed with Agro-Ecological Practices: Environmental Sustainability Assessment by DEXi-met Decision Support System

In the last decade, there has been an increasing interest in sustainable agricultural techniques and the environmental evaluation of the effects of agricultural practices. In the present study, we evaluated both the production capacity of organic horticultural systems, and the ex-post sustainability through a new multi-attribute decision model named "DEXi-met". This qualitative model is able to estimate the environmental sustainability of cropping systems managed with different agro-ecological approaches. In particular, we compared the following three horticultural systems: (i) ECO, an organic system with full implementation of agro-ecological strategies (agro-ecological services crops (ASC), strip cultivation, and organic amendment); (ii) GM, an organic system with the introduction of the ASC; (iii) NO ASC, an organic system without ASC. The treatments with ASC presence (ECO and GM) showed similar total energy outputs (substantially higher than the NO ASC), indicating the positive effect of this agro-ecological practice. The findings pointed out that the ECO system, which followed the principles of natural ecosystems, can contribute to building up more complex agro-ecosystems, increasing both resilience and biodiversity. This management strategy reached a good compromise between the production of vegetable cropping systems and environmental sustainability achievement. Then, it is possible to optimize the use of natural resources, support climate adaptation, and reduce greenhouse gas emissions

The Role of Optic Flow and Gaze Direction on Postural Control

Objective: The observers use the optic flow to control self-motion. However, the current state of knowledge indicates that it is difficult to understand how optic flow is used by the visual system without a direct measurement of the changes in the flow patterns caused by eye movements during natural behaviour. The purpose of this literature review is to highlight the importance of the integration between optic flow and eye movements for postural control. Methods: A literature review of the electronic papers through July 2022 was independently performed by three investigators. The selection of the studies was made by a search on PubMed, Scopus, and Google Scholar with two groups of selected keywords. We excluded papers performed on subjects with pathologies, children, and the elderly. Results: The results of this literature analysis highlight that eye movements are required to drive visual motion processing and heading perception in both static and dynamic contexts. Conclusion: Although we now know many neural mechanisms that process heading direction from the optic flow field, a consideration of optic flow patterns relative to gaze direction provides more detailed information on how the retinal flow field is used to control body balance. Doi: 10.28991/ESJ-2022-06-06-020 Full Text: PD

Choice of three different intramedullary nails in the treatment of trochanteric fractures: outcome, analysis and consideration in midterm

paragone di 3 differenti impianti per frattura pertrocanterica femoreThe purpose of this study is to compare the results obtained using three different systems of osteosynthesis, developed for the surgical treatment of fractures of the trochanteric region of the femur, based on the principle intramedullary nailing: the Gamma nail, the Affixus nail and the ZNN nail. This is a retrospective study: 72 trochanteric fractures treated with the Gamma nail, 68 treated with the Affixus nail and 69 treated with the ZNN nail, between the years 2012 and 2014, with the prerequisite of a minimum follow-up of 18 months. The fractures were classified according to the AO system; the most commonly reported subtype was the A2 fracture. Clinical and radiographic examinations were performed, both at hospital admission and post-operatively, at 1, 3, 6, 12 and 18 months. Of the 209 patients, 171 were women and 38 were men. The average age was 83.12 years old. All three systems guaranteed an early mobilization and ambulation in most of the patients. There were no significant differences in the use of the three nails in terms of recovery of previous functional capacity, or in terms of the time required for the fracture to heal. There were no advantages encountered with the use of one intramedullary nail over another and, in particular, when observing the complications and patient outcome, there were no statistically significant differences detected

Fractures and dislocations of the lisfranc tarso-metatarsal articulation: outcome related to timing and choice of treatment

A Lisfranc injury is when one or more of the metatarsals are displaced from the tarsus. The term is more commonly used to describe an injury to the midfoot, centred on the 2nd tarso-metatarsal joint. These fractures are sometimes easily overlooked, especially if they are part of a polytrauma. They are often difficult to diagnose and treat, but if they go undetected and are not properly treated, they can cause long-term or chronic disability. Our team reviewed a group of 71 patients with a Lisfranc fracture dislocation. The lesions were classified according to Meyerson classification. All the patients were re-evaluated 3 years after their surgeries by clinical examination, Ankle-Hindfoot Scale AOFAS questionnaire, X-rays and baropodometric analysis. This review outlines the treatment outcome of this injury, taking into consideration the timing of diagnosis

Mediterranean Cropping Systems: The Importance of Their Economic and Environmental Sustainability

The COVID-19 pandemic has drastically changed the lives of people, as well as the production and economic systems throughout the world. The flow of raw materials and products, the supply of labor and manpower, and the purchasing power have all been changed to the detriment of individual health and well-being. Such a situation requires placing even more emphasis on the search for virtuous agricultural systems compatible with the goals of economic and environmental development so clearly defined at the world level in the last decades. The present study aimed to assess the environmental and economic performance of some typical Mediterranean crops grown under different agronomical management regimes, such as strawberry, hazelnut, apricot tree, kiwifruit, peach, olive tree, and grapevine, to emphasize the importance of the mentioned issues even in the current pandemic situation. Life cycle assessment (LCA) was used to investigate the environmental profile of the studied crops, while lifecycle costing (LCC) was performed to assess and compare the economic aspects. From the environmental perspective, the hobby-organic olive systems were the most eco-friendly cropping systems, emitting 0.031 to 0.105 kg CO2eq per kg olives, while the organic hazelnut system had the greatest impact (1.001 kg of CO2eq per kg). Apricot, kiwifruit, and peach systems used N and P inputs most effectively, while strawberry systems efficiently used fossil fuels. Olive HO-2, kiwifruit, and peach cropping systems had the lowest budgets, with the costs amounted to 0.12 € kg-1 per fruit for Olive HO-2 and 0.28 € kg-1 per fruit for both kiwifruit and peach. On the contrary, organic strawberry cultivation was the most expensive (4.77 € kg-1). The variability in results due to the large differences between contexts, such as landscape, technical knowledge, and crop management, characterized the studied agricultural systems. To easily identify sustainability classes and to diminish the impact of farming practices, a considerable effort should be expended to combine LCA with LCC, C sequestration estimates, and some other useful indicators for the environmental quality evaluation

Recycling agricultural residues in organic farming by on-farm compost production

This practice abstract was elaborated in the BIO4FOOD project: the project is running from November 2020 to October 2023, and is to contribute to reducing crop wastes providing natural protection products, vegetables rich in health-promoting minerals and biofertilizers

Levels of circulating endothelial cells are low in idiopathic pulmonary fibrosis and are further reduced by anti-fibrotic treatments

Background: It has been suggested that circulating fibrocytes and endothelial cells actively participate in the intense remodelling of the pulmonary vasculature in patients with idiopathic pulmonary fibrosis (IPF). Indeed, fibrotic areas exist that have fewer blood vessels, whereas adjacent non-fibrotic tissue is highly vascularized. The number of circulating endothelial cells (CEC) and endothelial progenitor cells (EPC) might reflect the balance between vascular injury and repair. Thus, fibrocytes as well as endothelial cells could potentially be used as biomarkers of disease progression and treatment outcome. Methods: Peripheral blood samples were collected from 67 patients with a multidisciplinary diagnosis of IPF and from 45 age-matched and sex-matched healthy volunteers. Buffy coat was isolated according to standard procedures and at least 20 million cells were stained with different monoclonal antibodies for the detection of CEC, EPC and circulating fibrocytes. For the detection of CEC and EPC, cells were stained with anti-CD45, anti-CD34, anti-CD133, anti-CD14, anti-CD309 and with the viability probe Far-Red LIVE/DEAD. For the detection of circulating fibrocytes, cells were first stained with LIVE/DEAD and the following monoclonal antibodies: anti-CD3, anti-CD19, anti-CD45, anti-CD34 and anti-CD14, then cells were fixed, permeabilized and stained with fluorochrome-conjugated anti-collagen I monoclonal antibodies. Results: Patients with IPF displayed almost undetectable levels of circulating fibrocytes, low levels of CEC, and normal levels of EPC. Patients treated with nintedanib displayed higher levels of CEC, but lower levels of endothelial cells expressing CD309 (the type II receptor for vascular endothelial growth factor). Treatment with both nintedanib and pirfenidone reduced the percentage of CEC and circulating fibrocytes. Conclusions: Levels of CEC were reduced in patients with IPF as compared to healthy individuals. The anti-fibrotic treatments nintedanib and pirfenidone further reduced CEC levels. These findings might help explain the mechanism of action of these drugs and should be explored as predictive biomarkers in IPF

Colorectal surgery in Italy during the Covid19 outbreak: a survey from the iCral study group

Background The COVID19 pandemic had a deep impact on healthcare facilities in Italy, with profound reorganization of surgical activities. The Italian ColoRectal Anastomotic Leakage (iCral) study group collecting 43 Italian surgical centers experienced in colorectal surgery from multiple regions performed a quick survey to make a snapshot of the current situation. Methods A 25-items questionnaire was sent to the 43 principal investigators of the iCral study group, with questions regard- ing qualitative and quantitative aspects of the surgical activity before and after the COVID19 outbreak. Results Two-thirds of the centers were involved in the treatment of COVID19 cases. Intensive care units (ICU) beds were partially or totally reallocated for the treatment of COVID19 cases in 72% of the hospitals. Elective colorectal surgery for malignancy was stopped or delayed in nearly 30% of the centers, with less than 20% of them still scheduling elective colo- rectal resections for frail and comorbid patients needing postoperative ICU care. A significant reduction of the number of colorectal resections during the time span from January to March 2020 was recorded, with significant delay in treatment in more than 50% of the centers. Discussion Our survey confirms that COVID19 outbreak is severely affecting the activity of colorectal surgery centers partici- pating to iCral study group. This could impact the activity of surgical centers for many months after the end of the emergency

Minimally invasive vs. open segmental resection of the splenic flexure for cancer: a nationwide study of the Italian Society of Surgical Oncology-Colorectal Cancer Network (SICO-CNN)

Background Evidence on the efficacy of minimally invasive (MI) segmental resection of splenic flexure cancer (SFC) is not available, mostly due to the rarity of this tumor. This study aimed to determine the survival outcomes of MI and open treatment, and to investigate whether MI is noninferior to open procedure regarding short-term outcomes. Methods This nationwide retrospective cohort study included all consecutive SFC segmental resections performed in 30 referral centers between 2006 and 2016. The primary endpoint assessing efficacy was the overall survival (OS). The secondary endpoints included cancer-specific mortality (CSM), recurrence rate (RR), short-term clinical outcomes (a composite of Clavien-Dindo > 2 complications and 30-day mortality), and pathological outcomes (a composite of lymph nodes removed >= 12, and proximal and distal free resection margins length >= 5 cm). For these composites, a 6% noninferiority margin was chosen based on clinical relevance estimate. Results A total of 606 patients underwent either an open (208, 34.3%) or a MI (398, 65.7%) SFC segmental resection. At univariable analysis, OS and CSM were improved in the MI group (log-rank test p = 0.004 and Gray's tests p = 0.004, respectively), while recurrences were comparable (Gray's tests p = 0.434). Cox multivariable analysis did not support that OS and CSM were better in the MI group (p = 0.109 and p = 0.163, respectively). Successful pathological outcome, observed in 53.2% of open and 58.3% of MI resections, supported noninferiority (difference 5.1%; 1-sided 95%CI - 4.7% to infinity). Successful short-term clinical outcome was documented in 93.3% of Open and 93.0% of MI procedures, and supported noninferiority as well (difference - 0.3%; 1-sided 95%CI - 5.0% to infinity). Conclusions Among patients with SFC, the minimally invasive approach met the criterion for noninferiority for postoperative complications and pathological outcomes, and was found to provide results of OS, CSM, and RR comparable to those of open resection