Similar rate of return to sports activity between posterior-stabilised and cruciate-retaining primary total knee arthroplasty in young and active patient

PURPOSE Cruciate-retaining and posterior-stabilised implant designs are available for primary total knee arthroplasty. However, whether the implant design is associated with a difference in the level of activity still remains unclear. This clinical trial compared posterior-stabilised and cruciate-retaining implants in sport-related patient-reported outcome measures, range of motion, rate of return to sport, and weekly time dedicated to sport in active adults. It was also hypothesised that in young and active patients both implants lead to a similar rate of return to sport in terms of hours per week, type of sport, and joint mobility. METHODS All patients were evaluated preoperatively and for a minimum of 36 months follow-up. The University of California Los Angeles activity scores, High-Activity Arthroplasty Score, and Visual Analogue Scale were administered preoperatively and at the last follow-up. The range of motion was investigated at admission and the last follow-up. Data concerning the hours per week dedicated to sports and the type of sport practiced were also collected at admission and at the last follow-up. The Kaplan-Meier Curve was performed to compare implant survivorship. RESULTS Data from 227 procedures (cruciate-retaining: 109, posterior-stabilised: 118) were prospectively collected. At the last follow-up, no difference was reported in The University of California Los Angeles activity scores (p = 0.6), High-Activity Arthroplasty Score (p = 0.1), Visual Analogue Scale (p = 0.9), flexion (p = 0.7) and extension (p = 0.4). No difference was found in the rate of return (p = 0.1) and weekly hours dedicated to sport (p = 0.3). The Kaplan-Meier curve evidenced no statistically significant difference in implant survivorship (p = 0.6). CONCLUSIONS At approximately five years of follow-up, no difference was reported between cruciate-retaining and posterior-stabilised implants in active adults in sport-related patient-reported outcomes measures, range of motion, pain, weekly time dedicated to sport, rate of return to sport, and implant survivorship. LEVEL OF EVIDENCE Level II, prospective study

Long-Term Functional Outcome after Internal Delorme's Procedure for Obstructed Defecation Syndrome, and the Role of Postoperative Rehabilitation

PURPOSE: To evaluate long-term functional outcomes of Internal Delorme's Procedure (IDP) in patients refractory to conservative treatment for Obstructed Defecation Syndrome (ODS), and to compare those who received postoperative rehabilitation with those who did not. MATERIALS AND METHODS: All patients with ODS refractory to nonoperative therapy were identified across three regional pelvic floor referral hospitals, and IDP was performed. Postoperatively selected patients received biofeedback therapy. Functional outcomes were established using the Cleveland Clinic Constipation (CCC) score and obstructed defecation score (OD score) preoperatively at 12 months and at the last available follow-up. Patient satisfaction was assessed with a visual analogue score. RESULTS: From October 2006 to September 2013, IDP was performed in 170 patients: 77 received postoperative biofeedback and 93 did not. Mean follow-up was 6.3 years (range 1-8 years). CCC and OD scores improved significantly in both groups after 12 months and at the last follow-up (p > 0.05). When comparing two groups while there was no significant difference between CCC and OD scores at 12 months, score was significantly better in the group that received rehabilitation at the last follow-up (p = 0.001). Patient satisfaction was higher in the rehabilitation group (67%) compared with those without rehabilitation (55%). Clinical recurrence was recorded in nine patients who did not have postoperative rehabilitation. CONCLUSIONS: It has been demonstrated that IDP is associated with good long-term functional outcomes. Patients receiving rehabilitation had a better long-term follow-up, a higher overall satisfaction, and lower recurrence rate when compared with the patients who did not receive postoperative rehabilitation

Problematiche geoambientali del territorio veneziano

Venezia, la sua laguna ed il territorio circostante sono un patrimonio artistico, storico, culturale ed ambientale tra i più noti al mondo. Il fragile equilibrio, tipico delle lagune, è per Venezia particolarmente vulnerabile; essa infatti risulta modellata da un forte contributo antropico, iniziato secoli or sono con le note deviazioni fluviali, ed è oggi esposta ad azioni antropiche di particolare rilevanza, quali quelle derivanti dalla presenza della zona industriale di Marghera che s'affaccia proprio sulla laguna. Questo delicato equilibrio è legato al particolare assetto geologico-territoriale dell'area veneziana. In questa relazione, forzatamente molto schematica in quanto sintetizza decenni di studi ed indagini a livello sia scientifico che tecnico-applicativo, si vuole indicare l'insostituibile apporto della geologia anche in un'area urbana, quale quella Veneziana. Questo "complesso urbano" è composto da una serie di centri: insulari (centro storico, Murano, Burano, Torcello, ecc.), litorali (Lido, Chioggia, Jesolo), di terraferma ed industriali (Mestre, Scorzè, Marghera, Malcontenta, Fusina, ecc.). Altra caratteristica del complesso veneziano è l'interazione dei vari centri urbani che, malgrado la dislocazione geografica, interagiscono nelle varie problematiche geoambientali con strette relazioni causa-effetto. Questa nota, frutto della collaborazione tra Enti di Ricerca, Pubbliche Amministrazioni e Liberi Professionisti, evidenzia la necessità di lavorare in modo sinergico per affrontare al meglio le complesse tematiche geologico-ambientali che si riscontrano in questo tipo di studi

Hypertensive Disorders of Pregnancy and Fetal Growth Restriction: Clinical Characteristics and Placental Lesions and Possible Preventive Nutritional Targets

Background: The purpose of this study was to describe the placental lesions in pregnancies complicated by hypertensive disorders (HDP) and/or fetal growth restriction (FGR) and in uneventful control pregnancies. Methods: This is a case control study that included singleton pregnancies with HDP and normally grown fetus (HDP-AGA fetus), with HDP and FGR, early FGR, late FGR, and uneventful pregnancies. Feto-placental Doppler velocimetry and sFlt-1/PlGF ratio were performed. Placental histology was evaluated blinded according to the Amsterdam Consensus criteria. Results: Placental lesions with maternal vascular malperfusion (MVM) were significantly more frequent in HDP-FGR and early FGR (92% and 83%). MVM were significantly associated with abnormal feto-placental Doppler parameters, especially in early FGR. Delayed villous maturation (DVM) was associated with late FGR (83%). HDP-AGA fetus cases presented a heterogeneous pattern of placental lesions, including 60% of cases with MVM, but were not associated with abnormal Doppler feto-placental velocimetry. Conclusions: We found a prevalence of placental maternal vascular malperfusion in HDP-FGR and early FGR groups. These lesions were also associated with abnormal, anti-, and angiogenic markers. Conversely HDP-AGA fetus and late FGR presented more heterogeneous placental lesions not severe enough to cause feto-placental Doppler anomalies. These conditions are likely associated with different etiologies, such as maternal pre-pregnancy risk factors for metabolic syndrome. These findings suggest a possible preventive nutritional approach in addition to low-dose aspirin in pregnant women with predisposing factors for HDP-AGA fetuses and late FGR

METTL1 promotes tumorigenesis through tRNA-derived fragment biogenesis in prostate cancer

Newly growing evidence highlights the essential role that epitranscriptomic marks play in the development of many cancers; however, little is known about the role and implications of altered epitranscriptome deposition in prostate cancer. Here, we show that the transfer RNA N-7-methylguanosine (m(7)G) transferase METTL1 is highly expressed in primary and advanced prostate tumours. Mechanistically, we find that METTL1 depletion causes the loss of m(7)G tRNA methylation and promotes the biogenesis of a novel class of small non-coding RNAs derived from 5'tRNA fragments. 5'tRNA-derived small RNAs steer translation control to favour the synthesis of key regulators of tumour growth suppression, interferon pathway, and immune effectors. Knockdown of Mettl1 in prostate cancer preclinical models increases intratumoural infiltration of pro-inflammatory immune cells and enhances responses to immunotherapy. Collectively, our findings reveal a therapeutically actionable role of METTL1-directed m(7)G tRNA methylation in cancer cell translation control and tumour biology

Detection and localization of early- and late-stage cancers using platelet RNA

Cancer patients benefit from early tumor detection since treatment outcomes are more favorable for less advanced cancers. Platelets are involved in cancer progression and are considered a promising biosource for cancer detection, as they alter their RNA content upon local and systemic cues. We show that tumor-educated platelet (TEP) RNA-based blood tests enable the detection of 18 cancer types. With 99% specificity in asymptomatic controls, thromboSeq correctly detected the presence of cancer in two-thirds of 1,096 blood samples from stage I–IV cancer patients and in half of 352 stage I–III tumors. Symptomatic controls, including inflammatory and cardiovascular diseases, and benign tumors had increased false-positive test results with an average specificity of 78%. Moreover, thromboSeq determined the tumor site of origin in five different tumor types correctly in over 80% of the cancer patients. These results highlight the potential properties of TEP-derived RNA panels to supplement current approaches for blood-based cancer screening

Dai social media ai media civici: movimenti ambientali e reti partecipative (From social media to civic media: environmental movements and participatory network)

Il saggio analizza il ruolo dei media nella formazione e sviluppo dei movimenti partecipativi ambientali, sia rispetto alle dinamiche di socializzazione interna che a quelle di interazione e creazione di civicness sul territorio. Le autrici evidenziano 4 profili di movimenti “ movimenti di prossimità”, “movimenti di contatto/educazione ambientale”, “movimenti di sviluppo civico”, “movimenti di setting dell’agenda ambientale” con diversi livelli di variabilità rispetto al livello di partecipazione mediale e al radicamento sul territorio. Si passa, infatti, dall’elaborazione di processi e-democracy in cui gli aderenti alla rete attivano scambi di relazione al livello locale/regionale con le istituzioni e i principali stakeholders, a esperienze di networking cooperativo più complesse e elaborate sul piano internazionale

Dai social media ai media civici: movimenti ambientali e reti partecipative (From social media to civic media: environmental movements and participatory network)

Il saggio analizza il ruolo dei media nella formazione e sviluppo dei movimenti partecipativi ambientali, sia rispetto alle dinamiche di socializzazione interna che a quelle di interazione e creazione di civicness sul territorio. Le autrici evidenziano 4 profili di movimenti \u201c movimenti di prossimit\ue0\u201d, \u201cmovimenti di contatto/educazione ambientale\u201d, \u201cmovimenti di sviluppo civico\u201d, \u201cmovimenti di setting dell\u2019agenda ambientale\u201d con diversi livelli di variabilit\ue0 rispetto al livello di partecipazione mediale e al radicamento sul territorio. Si passa, infatti, dall\u2019elaborazione di processi e-democracy in cui gli aderenti alla rete attivano scambi di relazione al livello locale/regionale con le istituzioni e i principali stakeholders, a esperienze di networking cooperativo pi\uf9 complesse e elaborate sul piano internazionale

Problematiche geoambientali del territorio veneziano

Venezia, la sua laguna ed il territorio circostante sono un patrimonio artistico, storico, culturale ed ambientale tra i più noti al mondo. Il fragile equilibrio, tipico delle lagune, è per Venezia particolarmente vulnerabile; essa infatti risulta modellata da un forte contributo antropico, iniziato secoli or sono con le note deviazioni fluviali, ed è oggi esposta ad azioni antropiche di particolare rilevanza, quali quelle derivanti dalla presenza della zona industriale di Marghera che s'affaccia proprio sulla laguna. Questo delicato equilibrio è legato al particolare assetto geologico-territoriale dell'area veneziana. In questa relazione, forzatamente molto schematica in quanto sintetizza decenni di studi ed indagini a livello sia scientifico che tecnico-applicativo, si vuole indicare l'insostituibile apporto della geologia anche in un'area urbana, quale quella Veneziana. Questo "complesso urbano" è composto da una serie di centri: insulari (centro storico, Murano, Burano, Torcello, ecc.), litorali (Lido, Chioggia, Jesolo), di terraferma ed industriali (Mestre, Scorzè, Marghera, Malcontenta, Fusina, ecc.). Altra caratteristica del complesso veneziano è l'interazione dei vari centri urbani che, malgrado la dislocazione geografica, interagiscono nelle varie problematiche geoambientali con strette relazioni causa-effetto. Questa nota, frutto della collaborazione tra Enti di Ricerca, Pubbliche Amministrazioni e Liberi Professionisti, evidenzia la necessità di lavorare in modo sinergico per affrontare al meglio le complesse tematiche geologico-ambientali che si riscontrano in questo tipo di studi.PublishedBologna, Italy6A. Monitoraggio ambientale, sicurezza e territorioope