Age-related changes of elastic fibers in shoulder capsule of patients with glenohumeral instability: A pilot study

Background. Recurrent shoulder dislocations occur much more frequently in adolescents than in the older population but a clear explanation of this incidence does not exist. The aim of the present study was to define the age-related distribution of the elastic fibers (EFs) in the shoulder capsule's extracellular matrix as a factor influencing shoulder instability. Materials and Methods. Biopsy specimens were obtained from the shoulder capsule of patients divided preoperatively into three groups: Group 1 consisted of 10 male patients undergoing surgery for unidirectional traumatic anterior instability (TUBS); Group 2 consisted of 10 male patients undergoing surgery for multidirectional instability (MDI); Group 3 represents the control, including 10 patients with no history of instability. In addition to the group as a whole, specific subgroups were analyzed separately on the basis of the age of subjects: > 22 or < to 22 years. All the samples were analyzed by histochemical (Weigert's resorcinol fuchsin and Verhoeff's iron hematoxylin), immunohistochemical (monoclonal antielastin antibody), and histomorphometric methods. Results. Both the elastin density and the percentage of area covered by EFs were significantly higher in younger subjects (<22 years old). Furthermore, the elastin density and the percentage of area covered by EFs were significantly higher in specimens of group of patients affected by multidirectional shoulder instability in comparison to the other two groups. Conclusion. Data of the present study confirmed the presence of an age-related distribution of EFs in the human shoulder capsule. The greater amount of EFs observed in younger subjects and in unstable shoulders could play an important role in predisposing the joint to first dislocation and recurrence

Age-related changes of elastic fibers in shoulder capsule of patients with glenohumeral instability: A pilot study

Background. Recurrent shoulder dislocations occur much more frequently in adolescents than in the older population but a clear explanation of this incidence does not exist. The aim of the present study was to define the age-related distribution of the elastic fibers (EFs) in the shoulder capsule's extracellular matrix as a factor influencing shoulder instability. Materials and Methods. Biopsy specimens were obtained from the shoulder capsule of patients divided preoperatively into three groups: Group 1 consisted of 10 male patients undergoing surgery for unidirectional traumatic anterior instability (TUBS); Group 2 consisted of 10 male patients undergoing surgery for multidirectional instability (MDI); Group 3 represents the control, including 10 patients with no history of instability. In addition to the group as a whole, specific subgroups were analyzed separately on the basis of the age of subjects: &gt; 22 or &lt; to 22 years. All the samples were analyzed by histochemical (Weigert's resorcinol fuchsin and Verhoeff's iron hematoxylin), immunohistochemical (monoclonal antielastin antibody), and histomorphometric methods. Results. Both the elastin density and the percentage of area covered by EFs were significantly higher in younger subjects (&lt;22 years old). Furthermore, the elastin density and the percentage of area covered by EFs were significantly higher in specimens of group of patients affected by multidirectional shoulder instability in comparison to the other two groups. Conclusion. Data of the present study confirmed the presence of an age-related distribution of EFs in the human shoulder capsule. The greater amount of EFs observed in younger subjects and in unstable shoulders could play an important role in predisposing the joint to first dislocation and recurrence

Experiments on the Control of Esca by Thricoderma

Trichoderma harzianum T39 (Trichodex®) and T. longibrachiatum strain 6 were applied on grapevine to determine their effectiveness against Phaeomoniella chlamydospora on vine cuttings and pruning wounds. Cuttings were dipped in a Trichoderma suspension either before or after callusing. Pre-callusing dips were carried out for 3 years and yielded contradictory results. By contrast, post-callusing Trichoderma dips led to significant growth of hairy roots and a reduction in the longitudinal discolorations caused by P. chlamydospora inoculated into the rootstock after dipping. Trichoderma spp. were also applied to pruning wounds of grafted potted vines, which were then inoculated by placing drops of a conidial suspension of P. chlamydospora on the wound surface. Trichoderma application here prevented black goo and necrosis in the wood below the wound. In the vineyard, T. harzianum T39 was sprayed after pruning for two consecutive years. The biocontrol agent was reisolated from the wood close to the sprayed pruning wounds for up to 2 months after spraying. Although further investigations are necessary, our findings suggest that Trichoderma could be one of the steps in the control of esca

Benefit of Fungicide Treatment after Trunk Renewal of Vines with Different Types of Esca Necrosis

Vines cv. Trebbiano d’Abruzzo grown in three vineyards located in Teramo Province, Abruzzi, Italy, severely affected by esca proper, were subjected to trunk renewal and thereafter treated with triazoles and fosetyl Al fungicides, applied either by trunk injection via syringe, or by ground injection via injector pole. Trunk renewal, by cutting the trunk, made it possible to determine the extent and type of wood deterioration on the residual trunk portion, where it was found that rotted and discoloured wood often still remained. Fungicide treatment was begun in 1995, when trunk renewal was performed, and was continued until 1998; after this the vines continued to be monitored for a further 4 years until 2002. In 2002, vines that had received trunk injections after trunk renewal were in better vegetative condition than vines without such injections, with full yield and lower mortality. Cyproconazole was particularly effective when trunk injected, but was not effective when injected into the ground. A possible explanation for this is given. Moreover the effect that the severity of the wood necrosis observed at the time of trunk renewal had on treatment effectiveness was evaluated. The current lack of similar trials and studies in other vineyards makes standardisation of control methods difficult; any positive effects may have been due to concurrent factors such as cultivar vigour, or peculiar environmental or cultural conditions

Do ACE inhibitors improve the response to exercise training in functionally impaired older adults? A randomized controlled trial

&lt;br&gt;Background: Loss of muscle mass and strength with ageing is a major cause for falls, disability, and morbidity in older people. Previous studies have found that angiotensin-converting enzyme inhibitors (ACEi) may improve physical function in older people. It is unclear whether ACEi provide additional benefit when added to a standard exercise training program. We examined the effects of ACEi therapy on physical function in older people undergoing exercise training.&lt;/br&gt; &lt;b&gt;Methods:&lt;/b&gt; Community-dwelling people aged ≥65 years with functional impairment were recruited through general (family) practices. All participants received progressive exercise training. Participants were randomized to receive either 4 mg perindopril or matching placebo daily for 20 weeks. The primary outcome was between-group change in 6-minute walk distance from baseline to 20 weeks. Secondary outcomes included changes in Short Physical Performance Battery, handgrip and quadriceps strength, self-reported quality of life using the EQ-5D, and functional impairment measured using the Functional Limitations Profile.&lt;p&gt;&lt;/p&gt; &lt;b&gt;Results:&lt;/b&gt; A total of 170 participants (n = 86 perindopril, n = 84 placebo) were randomized. Mean age was 75.7 (standard deviation [SD] 6.8) years. Baseline 6-minute walk distance was 306 m (SD 99). Both groups increased their walk distance (by 29.6 m perindopril, 36.4 m placebo group) at 20 weeks, but there was no statistically significant treatment effect between groups (−8.6m [95% confidence interval: −30.1, 12.9], p = .43). No statistically significant treatment effects were observed between groups for the secondary outcomes. Adverse events leading to withdrawal were few (n = 0 perindopril, n = 4 placebo).&lt;p&gt;&lt;/p&gt; &lt;b&gt;Interpretation:&lt;/b&gt; ACE inhibitors did not enhance the effect of exercise training on physical function in functionally impaired older people.&lt;p&gt;&lt;/p&gt

Existence theorems for multiple integrals of the calculus of variations for discontinuous solutions

The authors prove existence theorems for the minimum of multiple integrals of the calculus of variations with constraints on the derivatives in classes of BV possibly discontinuous solutions. To this effect the integrals are written in the form proposed by Serrin. Usual convexity conditions are requested, but no growth condition. Preliminary closure and semicontinuity theorems are proved which are analogous to those previously proved by Cesari in Sobolev classes. Compactness in L 1 of classes of BV functions with equibounded total variations is derived from Cafiero-Fleming theorems.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/47939/1/10231_2005_Article_BF01766143.pd

Existence theorems concerning simple integrals of the calculus of variations for discontinuous solutions

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/46210/1/205_2004_Article_BF00276912.pd

A Dynamic Splicing Program Ensures Proper Synaptic Connections in the Developing Cerebellum

Tight coordination of gene expression in the developing cerebellum is crucial for establishment of neuronal circuits governing motor and cognitive function. However, transcriptional changes alone do not explain all of the switches underlying neuronal differentiation. Here we unveiled a widespread and highly dynamic splicing program that affects synaptic genes in cerebellar neurons. The motifs enriched in modulated exons implicated the splicing factor Sam68 as a regulator of this program. Sam68 controls splicing of exons with weak branchpoints by directly binding near the 3′ splice site and competing with U2AF recruitment. Ablation of Sam68 disrupts splicing regulation of synaptic genes associated with neurodevelopmental diseases and impairs synaptic connections and firing of Purkinje cells, resulting in motor coordination defects, ataxia, and abnormal social behavior. These findings uncover an unexpectedly dynamic splicing regulatory network that shapes the synapse in early life and establishes motor and cognitive circuitry in the developing cerebellum

Operationalization of the physical frailty & sarcopenia syndrome: rationale and clinical implementation

Over the years, different operational definitions have been elaborated to identify frail older persons, but none of them has received unanimous consensus. This, in turn, has hampered the clinical implementation of frailty as well as the design of targeted interventions. To overcome the current limitations in the field, a novel operationalization of physical frailty (PF) is proposed which grounds its roots in the recognition of sarcopenia as its central biological substrate. This conceptualization is based on the fact that the clinical picture of PF overlaps substantially with that of sarcopenia. The two conditions may therefore be merged into a new clinical entity, the PF & sarcopenia (PF&S) syndrome, in which muscle loss represents both the biological substrate for the development of PF and a major pathway whereby the negative health outcomes of PF occur. All of the components defining the PF&S syndrome are measurable in an objective manner, which will facilitate its incorporation into standard practice. The recognition of a precise biological substratum for PF&S (i.e., skeletal muscle decline) also opens new venues for the development of preventive and therapeutic interventions