The new classification of hemorrhoids: PATE 2000-Sorrento. History of the scientific debate.

BACKGROUND: The history of our proposal for a new classification of hemorrhoids is very old: 7 years of scientific debate had a big impact for the study and the definition of hemorrhoids. METHODS: Nowadays many things have changed mainly in the field of treatment of hemorrhoids. New medical and surgical tools are available for the modern proctologist. RESULTS: The new classification of the disease seems to fit the necessity of introducing these modern opportunities. Many authors recognize the fundamental role and claim for the routine use of a new classification, named PATE 2000 Sorrento. Nevertheless many problems are on debate. Their resolution needs the cooperation of all the experts in order to choose the best version of the classification. CONCLUSIONS: For these reasons the authors analyse all the work carried out till now in order to see what we still need to introduce a new classification of the disease

Assessing the future global impacts of ozone on vegetation.

Ozone is a major secondary air pollutant, the current concentrations of which have been shown to have significant adverse effects on crop yields, forest growth and species composition. In North America and Europe, emissions of ozone precursors are decreasing but in other regions of the world, especially Asia, where much less is known about its impacts, they are increasing rapidly. There is also evidence of an increase in global background ozone concentrations, which will lead to significant changes in global ozone exposure over this century, during which direct and indirect effects of other changes in the global atmosphere will also modify plant responses to ozone. This paper considers how far our current understanding of the mechanisms of ozone impacts, and the tools currently used for ozone risk assessment, are capable of evaluating the consequences of these changing global patterns of exposure to ozone. Risk assessment based on relationships between external concentration and plant response is inadequate for these new challenges. New models linking stomatal flux, and detoxification and repair processes, to carbon assimilation and allocation provide a more mechanistic basis for future risk assessments. However, there are a range of more complex secondary effects of ozone that are not considered in current risk assessment, and there is an urgent need to develop more holistic approaches linking the effects of ozone, climate, and nutrient and water availability, on individual plants, species interactions and ecosystem function