Wild food plants of popular use in Sicily

In the present work the authors report the result of their food ethnobotanical researches, which have been carried out in Sicily during the last thirty years. Data concerning 188 wild species used in the traditional Sicilian cuisine are reported. The authors underline those species that are partially or completely unknown for their culinary use and they illustrate other species that local inhabitants suggested in the prevention or treatment of symptomatologies caused by a refined diet, poor in vegetables. These data want to contribute to avoid the loss of traditional knowledge on uses and recipes concerning wild food botanicals, and to encourage further studies for those species that have not yet been sufficiently researched in their food chemical and nutritional profile. These studies may also suggest new applications for a few botanicals in medico-nutritional fields. The work includes also a short review of the seaweeds and mushrooms traditionally gathered and consumed in Sicily

Convalescent plasma in patients admitted to hospital with COVID-19 (RECOVERY): a randomised controlled, open-label, platform trial

Background: Many patients with COVID-19 have been treated with plasma containing anti-SARS-CoV-2 antibodies. We aimed to evaluate the safety and efficacy of convalescent plasma therapy in patients admitted to hospital with COVID-19. Methods: This randomised, controlled, open-label, platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]) is assessing several possible treatments in patients hospitalised with COVID-19 in the UK. The trial is underway at 177 NHS hospitals from across the UK. Eligible and consenting patients were randomly assigned (1:1) to receive either usual care alone (usual care group) or usual care plus high-titre convalescent plasma (convalescent plasma group). The primary outcome was 28-day mortality, analysed on an intention-to-treat basis. The trial is registered with ISRCTN, 50189673, and ClinicalTrials.gov, NCT04381936. Findings: Between May 28, 2020, and Jan 15, 2021, 11558 (71%) of 16287 patients enrolled in RECOVERY were eligible to receive convalescent plasma and were assigned to either the convalescent plasma group or the usual care group. There was no significant difference in 28-day mortality between the two groups: 1399 (24%) of 5795 patients in the convalescent plasma group and 1408 (24%) of 5763 patients in the usual care group died within 28 days (rate ratio 1·00, 95% CI 0·93–1·07; p=0·95). The 28-day mortality rate ratio was similar in all prespecified subgroups of patients, including in those patients without detectable SARS-CoV-2 antibodies at randomisation. Allocation to convalescent plasma had no significant effect on the proportion of patients discharged from hospital within 28 days (3832 [66%] patients in the convalescent plasma group vs 3822 [66%] patients in the usual care group; rate ratio 0·99, 95% CI 0·94–1·03; p=0·57). Among those not on invasive mechanical ventilation at randomisation, there was no significant difference in the proportion of patients meeting the composite endpoint of progression to invasive mechanical ventilation or death (1568 [29%] of 5493 patients in the convalescent plasma group vs 1568 [29%] of 5448 patients in the usual care group; rate ratio 0·99, 95% CI 0·93–1·05; p=0·79). Interpretation: In patients hospitalised with COVID-19, high-titre convalescent plasma did not improve survival or other prespecified clinical outcomes. Funding: UK Research and Innovation (Medical Research Council) and National Institute of Health Research

Phytotoxic effects of essential oils of Nepeta curviflora Boiss and Nepeta nuda L.subsp. albiflora growing wild in Lebanon

The chemical composition of the essential oils of two Nepeta species collected in Lebanon was studied by means of GC and GC-MS analysis. The essential oil from N. curviflora Boiss. contained high amounts of β-caryophyllene (41.6%), caryophyllene oxide (9.5%), (E)-β-farnesene (6.2%) and (Z)-β-farnesene (4.8%); in the oil from N. nuda L. subsp. albiflora (Boiss.) Gams. collected in Laklouk the main compounds were β-bisabolene (11.8%), pulegone (10.8%), (E,Z)-nepetalactone (8.0%), (E)-β-farnesene (7.1%) and caryophyllene oxide (6.9%), while N. nuda L. subsp. albiflora collected in Tannourine Cedar Forest contained high percentages of hexadecanoic acid (10.1%), β-bisabolene (7.8%), caryophyllene oxide (7.3%), pulegone (7.2%) and (E,Z)-nepetalactone (4.4%). The effects of the essential oils on germination and initial radical elongation of Raphanus sativus L. (radish) and Lepidium sativum L. (garden cress) were studied, resulting in a significant inhibitory activity against radical elongation of the species tested

Transoral Submucosal Resection of the Inferior Turbinate A Novel Approach to Functional Rhinoplasty

Background: In the presence of turbinate dysfunction, an inferior turbinectomy for persistent hypertrophy of bone and/or mucosa may be performed. We sought to explore anatomic feasibility of a transoral turbinectomy. Methods: After transoral inferior turbinectomy in 12 cadavers, average distances from the external nasal valve to inferior turbinate and from pyriform aperture to inferior turbinate were compared. Average "area of access" was calculated. Preoperative and postoperative nasal length, tip projection, and alar-base width were also compared. Results: Average distance from external nasal valve to inferior turbinate was 32.4 mm. Average distance from aperture to inferior turbinate was 2.4 mm (P < 0.0001). Average "areas of access" to nasal vault through the external nasal valve and mouth were 183.9 mm(2) and 243.6 mm(2) (P = 0.07), respectively. Conclusions: The transoral approach provides a larger "area of access" to the turbinate, a statistically significant reduction of distance to target, no postoperative changes in nasal soft tissue, and easier instrumentation

The sentinel fat pads: the relationship of the ROOF and SOOF to the temporal nerve in facial rejuvenation

BACKGROUNDA great number of studies have reported on the temporal branch anatomy and its relationship to the fascial layers and various fat pads of the temporal region, but no article has included information on the relationship of the temporal nerve to the retro-orbicularis oculi fat (ROOF) and/or the suborbicularis oculi fat (SOOF).OBJECTIVESThe authors report the results of a series of human cadaver temporal nerve dissections, with particular attention paid to its relation to the ROOF and the SOOF. The results of a literature review and a subsequent open browlift are also reported to confirm the results of the cadaver study.METHODSDissection was performed on 15 fresh human cadavers, for a total of 29 hemifaces. The course and relationships of the temporal nerve branch to the fascia, fat pads, and landmarks in the temporal region were noted and detailed. A thorough review was also performed for 23 articles, to compare the author's anatomical findings with data in the previous literature.RESULTSDuring cadaver dissection, the temporal branch was found to lie on the undersurface of the superficial temporal fascia. In the supraorbital area, the ROOF existed in the loose areolar plane or deep layer of the superficial temporal fascia, with the temporal nerve branch directly superficial to it. The temporal branch passed lateral to the SOOF in its superiomedial course at the level of the zygoma. These findings were later confirmed during an in vivo open browlift as well.CONCLUSIONSThe ROOF was formerly unrecognized as an important sentinel marker for possible injury to the temporal nerve branch during browlift. However, this cadaver study and its accompanying literature comparisons show that browlift dissection, whether endoscopic or open, should aim to keep the ROOF fat in the superficial plane, ensuring that the nerve branch is safe from iatrogenic injury

Near-Model Amphiphilic Polymer Conetworks Based on Four-Arm Stars of Poly(vinylidene fluoride) and Poly(ethylene glycol): Synthesis and Characterization

Amphiphilic polymer conetworks (APCN) were prepared in N,N-dimethylformamide (DMF) by the interconnection of four-arm star poly(vinylidene fluoride) (PVDF, Mn = 8800 Da) end-functionalized with benzaldehyde groups and four-arm star poly(ethylene glycol) (PEG, Mn = 10 kDa) end-functionalized with benzaacylhydrazide groups. The PVDF stars were prepared via the reversible addition−fragmentation chain transfer polymerization of vinylidene fluoride using a tetraxanthate chain transfer agent. Equilibrium swelling of the APCNs in various solvents was dependent on the compatibility of the APCN components with the solvent, with the degrees of swelling (DS) varying from 22 in DMF (a good solvent for both PEG and PVDF), down to 8 in water (a good and selective solvent for PEG), and even down to 3 in diethyl ether (a nonsolvent for both polymers). Characterization of the conetworks in D2O using small-angle neutron scattering (SANS) indicated phase separation at the nanoscale, as evidenced by a (broad) correlation peak, consistent with a 19 nm spacing between the formed PVDF-based hydrophobic clusters of ∼10 nm diameter and an aggregation number of ca. 50 (growing in size with PVDF content). This behavior was independent of temperature from 25 to 70 °C and slightly dependent on deviations (±ca. 50 mol %) from the PVDF: PEG stoichiometry. Conetwork characterization in the bulk using atomic force microscopy (AFM) revealed a domain spacing of 14 ± 6 nm, in good agreement with the spacing of 11 nm calculated from the SANS results above (19 nm) but also taking into account the DS in D2O (5.5). Annealing the conetworks at 200 °C, a temperature above the melting point of PVDF, did not improve the morphological order in the AFM images. Finally, APCNs prepared in the room temperature ionic liquid binary mixture lithium bis(trifluoromethanesulfonyl) imide:1-ethyl-3-methylimidazolium bis(trifluoromethanesulfonyl)imide (1:9 molar ratio) exhibited an electrochemical stability up to 4.3 V and a good room temperature ion conductivity of 0.6 mS cm−1