Capsular closure after hip arthroscopy: our experience

BACKGROUND AND AIM OF THE WORK: In the last decade, arthroscopic treatment of hip diseases has significantly spread and evolved and currently it represents the gold standard for the treatment of femoral- acetabular impingement. In the recent years, the function of the joint capsule (and therefore the results of an arthroscopic capsulotomy) has been hugely developed, opening a heated debate. The Literature is still torn about the need for a capsular suture, but more recent studies are more oriented in its execution at the end of the surgical procedure. According to these recent studies, the joint capsule performs an essential function of primary stability, and its closure is therefore necessary to restore the native anatomy and physiology. Nevertheless, capsular management remains a controversial topic. This is a retrospective study with the aim of assessing the influence of capsular suture on the patient's functional outcome in a cohort of patients with femoral-acetabular impingement arthroscopically treated. HYPOTHESIS: Our hypothesis is that an adequate capsular suture positively influences the patient's functional outcome. METHODS AND RESULTS: 50 patients treated with hip arthroscopy for femoral-acetabular impingement have been retrospectively enrolled at the Orthopaedic Clinic of Academic Hospital of Udine during a period of two-years (2017-2018); collected data have been analysed and compared with a retrospective model. Patients have been divided into two equivalent groups, 25 treated with capsular suture, 25 without performing the suture. Patient's post-operative functional outcome has been analysed using the modified Harris Hip Score (mHHS), the Non-Arthritic Hip Score (NAHS) and the Hip Outcome Score-Sport Scale (HOS-SS). The functional outcome in patients where capsular sutures were performed was better than in non-sutured patients, in all three analysed scales. CONCLUSIONS: Capsular suture with a single side-to-side stitch at the end of the procedure can positively influence the patient's functional outcome

Entrepreneurial intention studies: A hybrid bibliometric method to identify new directions for theory and research

Fragmentation is the main obstacle to scientific progress on entrepreneurial intention. To address this issue, we systematise the current literature with a hybrid bibliometric method that combines co-citation and bibliographic coupling analysis for the first time in entrepreneurial intention studies to show the field's knowledge base and research fronts and to examine how divergent perspectives have challenged the core knowledge of the field. We highlight three recurring dimensions of entrepreneurial intention studies: (1) personal factors, (2) social factors and (3) investigational settings. In addition to introducing new constructs, divergent perspectives have emphasised the interplay between these components and challenged the mechanisms connecting them. Based on these findings, we extend previous classifications in the literature by providing a framework that integrates divergent perspectives with the field's knowledge base, helping establish future research avenues and improving the theorising process of entrepreneurial intention

Key Parameters and Thresholds Values for Obtaining High Performance Perovskite Solar Cells Indoors from Full Br Compositional and Bandgap Engineering

Perovskite solar cells (PSCs) have different theoretical optimal bandgaps (Eg) for outdoor and indoor light harvesting due to the different spectral distributions of the sun and indoor lamps. This work focuses on understanding how both indoor and outdoor photovoltaic (PV) performance of Cs0.05(MA0.17FA0.83)0.95Pb(I1-xBrx)3 PSCs depend on Br- content (x) spanning the whole 0-100% range, not only efficiency but also stability. Eg increases linearly with x: Eg/eV = 0.75x+1.48. Cells with x = 0.17 delivered the highest efficiency under indoor illumination, which did not correspond to the optimal theoretical bandgap. Via in depth analysis of crystal structure, morphology, and optoelectronic properties, we propose five key parameters and associated threshold values to be surpassed that enable one to achieve indoor efficiencies greater than 25% (1000 lx). First, films should possess average grain sizes greater than 300 nm (i.e., grain sizes > 70% of film thickness) and intergrain spacing ≪ 10 nm. Additionally, On/Off dark current and shunt/series resistance ratios should be higher than 102. Lastly the ratio between current density under indoor illumination and recombination currents in the dark should be >10. The aging rate of cells measured indoors (a fall of 65%) was higher than under 1 sun (41% fall), indicating that device performance is more sensitive to defects arising upon aging when measured under low intensity indoor light. Our investigation provides key parameters that can become a useful tool for researchers aiming to develop improved PSCs for indoor applications

Laser-Scribing Optimization for Sprayed SnO2-Based Perovskite Solar Modules on Flexible Plastic Substrates

Flexible perovskite solar cells (FPSCs) are prime candidates for applications requiring a highly efficient, low-cost, lightweight, thin, and even foldable power source. Despite record efficiencies of lab-scale flexible devices (19.5% on a 0.1 cm(2) area), scalability represents a critical factor toward commercialization of FPSCs. Large-area automized deposition techniques and efficient laser scribing procedures are required to enable a high-throughput production of flexible perovskite modules (FPSMs), with the latter being much more challenging compared to glass substrates. In this work, we introduce the combined concept of laser scribing optimization and automatized spray-coating of SnO2 layers. Based on a systematic variation of the incident laser power and a comprehensive morphological and electrical analysis of laser-based cell interconnections, optimal scribing parameters are identified. Furthermore, spray-coating is used to deposit uniform compact SnO2 films on large-area (>120 cm(2)) plastic substrates. FPSCs with spray-coated SnO2 show comparable performance as spin-coated cells, delivering up to 15.3% efficiency on small areas under 1 sun illumination. When upscaling to large areas, FPSMs deliver 12% power conversion efficiency (PCE) and negligible hysteresis on 16.8 cm(2) and 11.7% PCE on a 21.8 cm(2) active area. Our perovskite devices preserved 78% efficiency when the active area increased from 0.1 to 16.8 cm(2), demonstrating that our combined approach is an effective strategy for large-area manufacturing of perovskite devices on flexible substrates

The role of mercury, selenium and the Se-Hg antagonism on cognitive neurodevelopment: A 40-month follow-up of the Italian mother-child PHIME cohort

Despite a 15-year long effort to define the \u201csafety\u201d of fish intake during pregnancy, there remains still uncertainty on this important public health issue. The evaluation of the toxic effects of contaminants, particularly mercury (Hg) in fish-eating populations is complicated by the fact that sea-food is also rich in beneficial nutrients, such as selenium (Se). There is toxicological plausibility of an antagonistic effects between Se and Hg, and some theoretical support for the inclusion of the Se\u2013Hg interaction to better assess the risk linked with fish intake. To assess the effects of exposure to low-level Hg through fish consumption on the developing brain and the interaction between Hg and Se, we conducted an analysis at age 40 months in Italian children, enrolled in a prospective mother-child cohort, comparing additive and multiplicative models. Participant subjects were the 470 children born within the Northern Adriatic Cohort II (NAC-II) cohort who were tested by using the Bayley Scales of Infant and Toddler Development third edition (Bayley-III) (BSID-III) at age 40. Family demographic and socioeconomic information, pregnancy and delivery history, parental and child medical history and food consumption were assessed through questionnaires. Maternal blood samples were collected during pregnancy, cord blood at birth and maternal milk 1 month after delivery. As other exposures of interest, we considered the level of Se in maternal and cord blood and in breast milk and the potential Se\u2013Hg antagonism. Se and inverse of THg (1:THg) concentrations were categorized according to the tertiles of their distributions, in low, medium and high levels of exposure. The lower end of the composite cognitive score distribution closest to 20% was defined as suboptimal development. Multiple logistic regression were applied to assess the association between the dichotomized composite cognitive score and the categorized exposure to Se and 1:THg, and the antagonism between Se and 1:THg. In the recruiting period, 900 pregnant women were enrolled in the cohort; 767 of these remained in the study at delivery and 470 children at 40 months. After excluding preterm births, 456 children were used in the final analyses. The larger difference in risk for suboptimal neurodevelopment was observed for the category with High THg and Low Se with OR = 2.55 (90% CI 1.02; 6.41) under the multiplicative and OR = 1.33 (90% CI 0.80; 1.87) under the additive model. The category High THg and High Se showed a very slightly better fit of the additive model (OR = 1.07, 90% CI 0.65; 1.50) versus the multiplicative (OR = 1.66, 90% CI 0.73; 1.77). A negative \u2013 antagonistic \u2013 interaction term for this category was estimated under the multiplicative model giving an OR = 1.17 (90% CI 0.42; 3.28). Although this evidence of the effects of the Se\u2013Hg antagonism on the children neuro-development needs to be confirmed, if Se can counterbalance Hg toxicity, the evaluation of the effect on human health of fish consumption, should also consider the diverse ratios between Se and Hg concentration in different fish species

Factors precipitating the risk of aspiration in hospitalized patients: findings from a multicentre critical incident technique study

Objective: To elucidate factors, other than those clinical, precipitating the risk of aspiration in hospitalized patients. Design: The Critical Incident Technique was adopted for this study in 2015. Setting: Three departments located in two academic hospitals in the northeast of Italy, equipped with 800 and 1500 beds, respectively. Participants: A purposeful sample of 12 registered nurses (RN), all of whom (i) had reported one or more episodes of aspiration during the longitudinal survey, (ii) had worked 653 years in the department, and (iii) were willing to participate, were included. Main Outcome Measure(s): Antecedent factors involved in episodes of aspiration as experienced by RNs were collected through an open-ended interview, and qualitatively analysed. Results: In addition to clinical factors, other factors interacting with each other may precipitate the risk of aspiration episodes during hospitalization: at the nursing care level (misclassifying patients, transferring tasks to other healthcare professionals and standardizing processes to remove potential threats); at the family level (misclassifying patients, dealing with the cultural relevance of eating) and at the environmental level (positioning the patient, managing time pressures, distracting patient while eating, dealing with food consistency and irritating oral medication). Conclusions: At the hospital level, an adequate nursing workforce and models of care delivery, as well as time for initial and continuing patient and family assessment are required. At the unit level, patient-centred models of care aimed at reducing care standardization are also recommended; in addition, nursing, family and environmental factors should be recorded in the incident reports documenting episodes of aspiratio

Upscaling Inverted Perovskite Solar Cells: Optimization of Laser Scribing for Highly Efficient Mini-Modules

The upscaling of perovskite solar cells is one of the challenges that must be addressed to pave the way toward the commercial development of this technology. As for other thin-film photovoltaic technologies, upscaling requires the fabrication of modules composed of series-connected cells. In this work we demonstrate for the first time the interconnection of inverted modules with NiOx using a UV ns laser, obtaining a 10.2 cm2 minimodule with a 15.9% efficiency on the active area, the highest for a NiOx based perovskite module. We use optical microscopy, energy-dispersive X-ray spectroscopy, and transfer length measurement to optimize the interconnection. The results are implemented in a complete electrical simulation of the cell-to-module losses to evaluate the experimental results and to provide an outlook on further development of single junction and multijunction perovskite modules

An Interlaboratory Study on the Stability of All-Printable Hole Transport Material–Free Perovskite Solar Cells

Comparisons between different laboratories on long-term stability analyses of perovskite solar cells (PSCs) is still lacking in the literature. This work presents the results of an interlaboratory study conducted between five laboratories from four countries. Carbon-based PSCs are prepared by screen printing, encapsulated, and sent to different laboratories across Europe to assess their stability by the application of three ISOS aging protocols: (a) in the dark (ISOS-D), (b) under simulated sunlight (ISOS-L), and (c) outdoors (ISOS-O). Over 1000 h stability is reported for devices in the dark, both at room temperature and at 65 degrees C. Under continuous illumination at open circuit, cells survive only for few hours, although they recover after being stored in the dark. Better stability is observed for cells biased at maximum power point under illumination. Finally, devices operate in outdoors for 30 days, with minor degradation, in two different locations (Barcelona, Spain and Paola, Malta). The findings demonstrate that open-circuit conditions are too severe for stability assessment and that the diurnal variation of the photovoltaic parameters reveals performance to be strongly limited by the fill factor, in the central hours of the day, due to the high series resistance of the carbon electrode