Low-Intensity Pulsed Ultrasound in the Treatment of Nonunions and Fresh Fractures: A Case Series

It is estimated that approximately 5% to 10% of fractures will evolve into nonunions. Nonunions have a significant impact on patient quality of life and on socioeconomic costs. Low-intensity pulsed ultrasound (LIPUS) is a non-invasive therapy widely used within the orthopedic community to accelerate the healing of fresh fractures, to minimize delayed healing, and to promote healing of nonunions. In this case series, 46 nonunions and 19 fresh fractures were treated with LIPUS for at least three months or until fracture healing. Bone healing was assessed both at a radiological and a functional level. Of the nonunions healed, 89% had a mean healing time of 89 ± 53 days. In the group of fresh fractures, the healing percentage was 95% with a mean healing time of 46 ± 28 days. LIPUS treatment is proven to be safe and well tolerated; there were no adverse events related to the use of the device, even in the presence of internal fixations and infections. LIPUS therapy should be considered a low-risk option both as an adjunct to surgery or as a standalone therapy in the management of nonunion and fresh fractures

Notulae to the Italian flora of algae, bryophytes, fungi and lichens: 2

In this contribution, new data concerning red algae, lichens and bryophytes of the Italian flora are presented. It includes new records and confirmations for the algal genus Grateloupia, the bryophyte genus Didymodon, and the lichen genera Buellia, Cladonia, Letharia, Pertusaria, and Pyrenula

Notulae to the Italian flora of algae, bryophytes, fungi and lichens: 3

In this contribution, new data concerning bryophytes, fungi and lichens and of the Italian flora are presented. It includes new records and confirmations for the bryophyte genera Dicranodontium, Fontinalis, Lophocoleaand Riccia, the fungal genus Diplolaeviopsis, the lichen genera Agonimia, Cladonia, Protoparmelia, Rhizocarpon, and Scytinium

What Kind of Interventions Were Perceived as Effective Against Coronavirus-19 in Nursing Homes in Italy? A Descriptive Qualitative Study

Purpose: To identify interventions implemented during the first, second and third waves of the Coronavirus disease 2019 (COVID-19) among Italian Nursing Homes (NHs).Patients and Methods: A descriptive qualitative design according to COnsolidated criteria for REporting Qualitative (COREQ) guideline. A purposeful sample of five public NHs, located in the north-east of Italy, equipped with from 60 to 151 beds, participated. Six nurse managers, four clinical nurses and one NH director were interviewed in depth at the end of 2021. These interviews were audio-recorded and then transcribed verbatim. A qualitative content analysis was performed to identify effective interventions as perceived by participants to protect facilities and residents from the pandemic.Results: Three main sets of interventions have been applied, at the environmental, nurse staff and at the resident levels. Some have been enacted in all facilities, others in a few but in a homogeneous fashion, while other interventions have been implemented in some NHs also in contrast with available national or local recommendations.Conclusion: Despite their documented frailty and precarious system, NHs implemented several interventions to protect their residents from the COVID-19. All interventions have been designed and implemented during the event, suggesting the need to increase the NHs' preparedness to face future disasters. Regarding those interventions enacted in contrast to the recommendations or not homogeneously across NHs, future investigations are suggested to assess their actual effectiveness and accumulate evidence for the future

Licheni del Parco Nazionale d'Abruzzo, Lazio e Molise. Stato dell'arte.

See the proper issu

Can Peat Amendment of Mars Regolith Simulant Allow Soybean Cultivation in Mars Bioregenerative Life Support Systems?

Higher plants will play a key role in human survival in Space, being able to regenerate resources and produce fresh food. However, the creation of a fertile substrate based on extra-terrestrial soils is still a challenge for space cultivation. We evaluated the adaptability of soybean (Glycine max (L.) Merr.) cultivar ‘Pr91M10′ to three substrates, the Mojave Mars regolith Simulant MMS-1, alone (R100), and in a mixture with blond sphagnum peat at two different volumes, 85:15 (R85P15) and 70:30 (R70P30), in plants directly sown on the substrates or transplanted after sowing on peat. The low pH of peat (4.34) allowed the mitigation of the alkalinity of the Mars regolith simulant (pH 8.86), lowering the initial pH to neutral (6.98, R85P15), or subacid to neutral (6.33, R70P30) values. Seed germination reached the highest percentage in the shortest time in the mixture of regolith simulant with 15% of peat. The cultivation substrate did not affect the plant growth and nutritional status. However, a significant interaction between the substrate and planting method was found in several growth parameters, with the highest positive effects observed in plants resulting from direct sowing on the regolith mixture with peat

Identification and Characterization of a New Metallo-β-Lactamase, IND-5, from a Clinical Isolate of Chryseobacterium indologenes▿

A new natural IND-type metallo-β-lactamase variant, IND-5, was identified in a clinical isolate of Chryseobacterium indologenes. IND-5 shared 92.8% and 92.4% amino acid homology with IND-1 and IND-3, respectively. Purified enzyme (pI = 8.8, Mr = 25,000) was able to hydrolyze penicillins, some narrow- and expanded-spectrum cephalosporins, and carbapenems but not monobactams

How to make the Lunar and Martian soils suitable for food production - Assessing the changes after manure addition and implications for plant growth

The in-situ resource utilisation (ISRU), in terms of native rocky materials and astronaut wastes, is crucial in contests of soil-based space-farming. Nevertheless, extra-terrestrial soils are very different from Earth soils, lacking any form of organic carbon and associated macro and micronutrients. In this research, we aimed to study and modify two commercially available Lunar and Martian regolith simulants (LHS-1 from Exolith Lab and MMS-1 from Martian Garden) to make them an adequate medium for plant growth. Lettuce was chosen as reference crop to guide the discussion on the results obtained. To reach this main objective, we added to simulants a commercially available monogastric-based organic manure chosen as a substitute of a possible organic amendment produced onboard. The simulant/manure mixture rates were 100:0, 90:10, 70:30, 50:50; w:w. As expected, an approximately linear increase of total and bioavailable contents of macro (N, S, P, Ca, K, Mg) and micro (Fe, Mn, Cu, Zn) nutrients with increasing manure addition to simulants was observed. On the other hand, the very high pH of manure (pH, 9.02) along with its salinity (EC, 6.7 dS m−1) and sodicity (Na, 5.3 g kg−1), did not correct the already high pH of simulants (very high for LHS-1), but rather raised their soluble salt content and sodium amount on the exchange complex. In addition, an increase of toxic soluble aluminium and heavy elements (Pb, Ni, Cr, V) was observed, mainly in the strongly alkaline lunar simulant/manure mixtures. The addition of an organic source also produced a generalised improvement of water retention and hydraulic conductivity of both regolith simulants, in proportion to the percentage of manure addiction. For both situations, the best mixture ratio was 70:30. In terms of water retained, the LHS-1 mixtures benefited more than the MMS-1 ones by manure addition since water was held more in the “dry” (between −100 and −600 cm of matric potential head) than in the “humid” (between −25 and −100 cm of matric potential head) region of water retention. This would make LHS-1 mixtures more useful for cultivation of lettuce, at least in terms of physico-hydraulic properties. Nevertheless, the overall characterisation of the mixtures unveiled that MMS-1-based substrates can ensure better agronomic performances than LHS-1 ones, mainly due to lower pHs and higher nutrient availability; this divergent fertility was particularly evident at 90:10 simulant/manure rate and tend to be mitigated by increasing the levels of manure