Comment on “early efficacy of intra-articular HYADD® 4 (Hymovis®) injections for symptomatic knee osteoarthritis”

We read with great interest the study by Priano titled“Early efficacy of intra-articular HYADD® 4 (Hymovis®) injections for symptomatic knee osteoarthritis.” 1 The author would like to explore the efficacy of intra-articular HYADD 4 (Hymovis) injections for symptomatic knee osteoarthritis. Results from this study are very interesting and promising from a clinical aspect; however, we believe that studying patient’sclinical status with visual analog scale and Western Ontario and McMaster Universities Arthritis Index scale should be supported by biomechanical information. From this point of view, to have more data that could influence the clinical practice, it is important to note the possible action that intraarticular injections of different kinds of hyaluronic acid could have on walking biomechanics using an objective measurement tool as gait analysis. In our opinion, the work by Priano1 is promising because it investigates the efficacy of a new formulation of hyaluronic acid. Nowadays, many hyaluronic acid formulations are approved for clinical use in Europe and the United States. Furthermore, hyaluronic acid injections’ efficacy has been demonstrated also in hip osteoarthritis. 2 However, even if these formulations differ in their chemical– physical properties, joint space half-life, rheological properties, and clinical efficacy, there are few studies that investigate hyaluronic acid’s possible action from a biomechanical point of view. 3,4 From this point of view, we believe that osteoarthritis management and rehabilitation should be prescribed after an objective analysis of functional walking alterations using gait analysis instrumentations. The use of gait analysis should be desirable during diagnosis and follow-up. In fact, it is capable to identify different walking patterns in patient with osteoarthritis of the lower limbs, whereas the radiology can evaluate the status of the joint’s structures

Assessing the cervical range of motion in infants with positional plagiocephaly

Purpose: To determine if infants with positional plagiocephaly have limitations of active and passive cervical range of motion measured with simple and reliable methods. Methods: The examiners assessed bilateral active and passive cervical rotations and passive cervical lateral flexion. Cervical assessment was performed twice by 2 different physicians to assess intertester reliability. To assess intratester reliability the first investigator performed a second examination 48 hours after the first one. Results: One-hundred nine subjects were analyzed; 70.7% of the sample had head positional preference on the right, while 29.3% had head positional preference on the left (x2 35.52, P <0.001). Cervical rotations and lateral flexion showed reliable levels of agreement for intra and intertester reliability. Conclusions: The most limited range of motion in infants with positional plagiocephaly was cervical active rotation which affected more than 90% of patients. Passive cervical rotations and lateral flexion were limited in more than 60% of patient

La soberanía latinoamericana

La realidad, que está también está integrada por modas que constituyen la coronación de la hegemonía ideológica, indicó en las últimas décadas que “nación”, “pueblo”, “patria” y “soberanía” cedían su empuje ante la rutilante “globalización”; que “la república” y “la democracia” sometían a “la nación soberana” y al “pueblo soberano”, aun cuando el enunciado de aquellas carecía de sentido desprendido u opuesto a los últimos enunciados. Acompañando a los desplazados de los Oscar del prestigio académico y político están también en lugares de privilegios los fonemas “imperialismo” y “colonialismo”. Debía ser así porque estos dos conceptos se oponen a la “nación” y al “pueblo”. (Párrafo extraído del texto a modo de resumen)Comisión de Defensa de la Soberanía (UNLP)Facultad de Periodismo y Comunicación Socia

Appropriateness of clinical and organizational criteria for intra-articular injection therapies in osteoarthritis. A Delphi method consensus initiative among experts in Italy

OBJECTIVE: The aim of the study was to identify the main aspects involved in patient selection, the choice of therapeutic agents and the safety profile, as well as the medico-legal and organizational aspects of intra-articular injection therapies for osteoarthritis.METHODS: A committee of 10 experts from Italian universities, public hospitals, territorial services, research institutes and patient associations was set up. Fifty-two clinicians from a large number of Italian medical centers specialized in intra-articular injection therapy took part in a Delphi process aimed at obtaining consensus statements among the participants.RESULTS: Large consensus was obtained for statements grouped under the following main themes: treatment indications; drug/medical device choice; treatment efficacy; and appropriate setting.CONCLUSIONS: The consensus statements developed by a large number of experts may be used as a practical reference tool to help physicians treat osteoarthritis patients by means of intra-articular injection therapies

Il desiderio, la violenza e l’identità: un percorso psicologico

Il lavoro intende presentare alcuni elementi teorici e metodologici relativi all’intervento psicologico rivolto agli autori di violenza, frutto di una esperienza decennale in questo specifico ambito. Con questo articolo si propone di valorizzare la domanda d’intervento dell’autore di violenza e si offre un approfondimento teorico sui concetti di ‘desiderio mimetico’ e ‘desiderio dell’identità’

The Lower Limb Tendinopathies: Etiology, Biology and Treatment

This book examines the subject of lower limb tendinopathy and is divided into two main parts: the first covers the general aspects of tendinopathy, while the second focuses on the specific condition in the lower limb. Each chapter has a clear structure: etiopathogenesis, clinical presentation, imaging, conservative and surgical treatment, and therapeutic indications, making it easy to read. Furthermore, the section on conservative treatment includes important practical application tools

Liberami dalla rabbia, Amen: eliminare o accogliere, dal sintomo all’identità

Non disponibile

La violenza come sintomo: <em>risposta ai commenti al caso clinico</em>

Non disponibile

Effects of underwater exercise on venous return

The effects of water immersion on venous return are discussed