Long-term outcome of Rockwood capsular shift for recurrent shoulder dislocation

Purpose. To review the long-term outcome of Rockwood capsular shift for recurrent shoulder dislocation secondary to trauma. Methods. Records of 30 males and 4 females who underwent Rockwood capsular shift for recurrent (≥2 episodes) anterior shoulder dislocation were reviewed. An additional Bankart repair with different techniques was performed in 24 of the patients by 2 different surgeons. The outcome was assessed using the Western Ontario Shoulder Instability Index (WOSI) and the Western Ontario Osteoarthritis of the Shoulder (WOOS) index questionnaires, the modified Rowe score, and the Constant-Murley score. Shoulder range of motion (ROM) was measured. Degenerative joint changes were evaluated on radiographs. Results. During a mean follow-up of 13 (range, 10–16) years, 6 (18%) patients had a mean of 1.2 recurrent dislocations. Four of the patients reported a traumatic event during recurrent dislocation. Of the 6 patients, 3 had undergone a Bankart lesion repair. Better Rowe and adjusted Constant scores were associated with lower age at first dislocation, at the index surgical procedure, and at follow-up. Four patients developed glenohumeral osteoarthritis: 2 were mild or moderate and 2 were severe and symptomatic. Glenohumeral osteoarthritis was associated with follow-up duration (p=0.03) and poorer Rowe score (p=0.012), adjusted Constant score (p=0.001), and WOOS score (p=0.006). Conclusion. Rockwood capsular shift can preserve shoulder ROM, with rates of recurrent dislocation and degenerative joint changes comparable with other techniques

Histology and ultrastructure of a tissue-engineered collagen meniscus before and after implantation

The collagen meniscus implant (CMI) is a tissue-engineering technique designed to stimulate regeneration of meniscus-like tissue in cases of irreparable tears or previous meniscectomy. CMI morphology was investigated before and after implantation by light microscopy, scanning electron microscopy (SEM), and transmission electron microscopy (TEM). In a case series biopsy specimens were harvested from four patients who underwent a second arthroscopic look 6 months after placement of the CMI. CMI sections appeared composed of parallel connective laminae of 10-30 mu m, connected by smaller bundles (5-10 mu m). This connective network formed lacunae with diameters between 40 and 60 mu m. At greater magnification, the walls of the lacunae demonstrated tightly packed and randomly distributed collagen fibrils, with diameters ranging from 73 to 439 nm. In the biopsy specimens, the lacunae were filled with connective tissue that contained newly formed vessels and fibroblast-like cells, presenting an abundant rough endoplasmic reticulum and several mitochondria. In the extracellular matrix, the collagen fibrils showed uniform diameters (126 nm +/- 32 nm). The original structure of CMI was still recognizable, and no inflammatory cells were detected within the implant. The morphological findings of this case series demonstrate that CMI provides a three-dimensional scaffold suitable for colonization by precursor cells and vessels and leading to the formation of a fully functional tissue

Martian atmosphere as observed by VIRTIS‐M on Rosetta spacecraft

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/95134/1/jgre2651.pd

Infrared observations of Io from Juno

The Jovian InfraRed Auroral Mapper (JIRAM) on board the NASA Juno spacecraft is a dual-band imager and spectrometer, primarily designed to study the Jovian atmosphere and aurorae. In addition to its primary goal, JIRAM has been used to obtain images and spectra of the Galilean satellites, Jupiter's largest moons, when the spacecraft attitude was favourable to achieve this goal. Here we present JIRAM's first images and spectra of Io. These observations are used to characterize the location and possible morphology, and some temperatures, of Io's volcanic thermal sources; the identification of SO2 and the possible identification of other materials. A new hot spot/volcano is identified close to the South Pole of Io, and others are seen in lower latitude regions, which were previously unmapped. Images of the same region taken 2 months apart also show variations of hot spot intensity, possibly due to new lava flows or to lava flow breakouts

Five Years of Observations of the Circumpolar Cyclones of Jupiter

The regular polygons of circumpolar cyclones, discovered by Juno in 2017, are one of the most puzzling features of Jupiter. Here we show new recent global pictures of the North polar cyclones' structure. These are the first simultaneous images of the whole structure since 2017, and we find that it remained almost unperturbed, just like the South one. The observation of these long-lasting structures poses questions regarding the formation mechanism of cyclones, and on their vertical structure. Data by Juno/JIRAM infrared camera collected over the last 5 years show that cyclones migrate around what may seem like equilibrium positions, with timescales of a few months but, aside from that, the cyclones systems are very stable. Our analysis of the observations shows that the motion of cyclones around their equilibrium position is uncorrelated with their position if a barotropic approximation (β-drift) is assumed. Thus, a different dynamical explanation than the barotropic β-drift is needed to explain the stability of the observed features. Each cyclone has a peculiar morphology, which differs from the others and is stable over the observed lapse of time in most cases

Stability of the Jupiter Southern Polar Vortices Inspected Through Vorticity Using Juno/JIRAM Data

The Jovian InfraRed Auroral Mapper (JIRAM) onboard the NASA Juno mission monitored the evolution of Jupiter’s polar cyclones since their first observation ever in February 2017. Data acquired by JIRAM have revealed cloudy cyclones organized in a complex, yet stable geometrical pattern at both poles. Several studies have investigated the dynamics and the structure of these cyclones, to understand the physical mechanisms behind their formation and evolution. In this work, we present vorticity maps deduced from the wind fields for the region poleward of ∼−80°, which has been extensively covered over the last four years of observations. The cyclonic features related to the stable polar cyclones are embedded in a slightly, but diffused anticyclonic circulation, in which short-living anticyclones emerge with respect to the surroundings. Although the general stability of both the cyclones and the whole system is strongly confirmed by this work, variations in the shape of the vortices, as well as changes in the local structures, have been observed

Juno/JIRAM: Planning and commanding activities

In the context of space missions, where science is the most important goal, careful planning and detailed commanding are fundamental. The planning and commanding phases are activities whose complexity depends on the instrument characteristics, environmental constraints and scientific goals. The purpose of this work is to describe in detail these activities for the Jovian Infrared Auroral Mapper (JIRAM) on board the Juno spacecraft, a NASA mission to Jupiter. To maximize the scientific return, we fully employ the flexibility offered by the JIRAM operational modes to efficiently plan observations of various Jovian targets, in spite of the harsh Jovian radiation environment and the spinning state of the Juno spacecraft. Moreover, the JIRAM observations are limited by the challenging pointing and timing scheme of the mission, which impose constraints on both the observation planning and instrumental commanding

Clinical features and comorbidity pattern of HCV infected migrants compared to native patients in care in Italy: A real-life evaluation of the PITER cohort

Background: Direct-acting antivirals are highly effective for the treatment of hepatitis C virus (HCV) infection, regardless race/ethnicity. We aimed to evaluate demographic, virological and clinical data of HCV-infected migrants vs. natives consecutively enrolled in the PITER cohort. Methods: Migrants were defined by country of birth and nationality that was different from Italy. Mann-Whitney U test, Chi-squared test and multiple logistic regression were used. Results: Of 10,669 enrolled patients, 301 (2.8%) were migrants: median age 47 vs. 62 years, (p < 0.001), females 56.5% vs. 45.3%, (p < 0.001), HBsAg positivity 3.8% vs. 1.4%, (p < 0.05). Genotype 1b was prevalent in both groups, whereas genotype 4 was more prevalent in migrants (p < 0.05). Liver disease severity and sustained virologic response (SVR) were similar. A higher prevalence of comorbidities was reported for natives compared to migrants (p < 0.05). Liver disease progression cofactors (HBsAg, HIV coinfection, alcohol abuse, potential metabolic syndrome) were present in 39.1% and 47.1% (p > 0.05) of migrants and natives who eradicated HCV, respectively. Conclusion: Compared to natives, HCV-infected migrants in care have different demographics, HCV genotypes, viral coinfections and comorbidities and similar disease severity, SVR and cofactors for disease progression after HCV eradication. A periodic clinical assessment after HCV eradication in Italians and migrants with cofactors for disease progression is warranted