Silicone oil: Different physical proprieties and clinical applications

Silicone oils are important tools in vitreoretinal surgery because they have the ability to displace aqueous humor from the retinal surface, maintaining the adhesion between retina and retinal pigment epithelium. To understand this capability, it is important to know the silicone oil characteristics. Herein, we report first on the main chemical-physical proprieties and then we review the clinical applications of the current silicone oil which is lighter than water with particular reference to their indications with small gauge vitrectomy. Finally, we describe the surgical techniques to inject and remove this type of silicone oil. In the summary of this paper, we explain why silicone oils are today increasingly used and why their introduction has improved the prognosis of several retinal diseases. In fact, having different types of silicone oils allows us to choose the appropriate endotamponade for every single case

New data on the exploitation of obsidian in the mediterranean basin: The harbour of pyrgi and the trade in neolithic age

The contribution shows the first results of ongoing research on the origins and prehistoric assumptions of the well-known Etruscan and Roman harbour of Pyrgi, an ancient Ceretan harbour in southern Etruria. In the light of recent land and submarine investigations, traces of ancient frequentations and contacts dating back to the Neolithic era are emerging when the coastal morphology and environmental characteristics of the site were very different from the current ones. The Etruscan port of Pyrgi, which continues its historical history in Roman and Medieval times, appears as the heir of one or more landing points frequented perhaps already in the Middle Neolithic. As part of this contribution, around 60 obsidian finds (waste resulting from the manufacture of arrowheads) were analyzed using the LA-ICP-MS technique (Laser Ablation Inductively Coupled Plasma Mass Spectrometry). The comparison between the data obtained on the archaeological finds and the bibliographic data relating to the geological obsidians of the peri-Tyrrhenian area allowed the identification of the provenance of the finds. In particular, most of the finds can be attributed to the Aeolian area, highlighting the leading role played by the Aeolian archipelago in the development of trade of this material. Other sources of supply have been identified on the island of Palmarola and in Sardinia (Monte Arci) although with a lower incidence. The discovery of numerous findings in obsidian from overseas, which took place in the area immediately surrounding Pyrgi, offers different suggestions about the origin of the docking place, with traces of centuries-old frequentation, extended from the Neolithic to the modern era

Morpho-Functional Evaluation of Full-Thickness Macular Holes by the Integration of Optical Coherence Tomography Angiography and Microperimetry

(1) Objective: To use optical coherence tomography angiography (OCTA) and microperimetry (MP) to evaluate the correlation between retinal structure and function in patients with idiopathic, full-thickness macular holes (FTMHs) (2) Methods: This prospective, observational study included 11 eyes of 10 patients with FTMHs evaluated before surgery using OCTA and MP. MP sensitivity maps were superimposed and registered on slabs corresponding to superficial capillary plexus (SCP) and deep capillary plexus (DCP) on OCTA, and on the outer plexiform layer (OPL) and the Henle fiber layer (HFL) complex in en face OCT. On these maps, mean retinal sensitivity was calculated at 2 degrees and 4 degrees, all centered on the FTMH. Cystic cavity extension was assessed on the slab corresponding to the OPL + HFL complex in en face OCT and DCP in OCTA using the Image J software (Version 1.49v; National Institutes of Health, Bethesda, MD, USA); (3) Results: Absolute scotomas were observed corresponding to the FTMH. Additionally, rings of relative scotoma in the perilesional area were detected and correlated to the cystic spaces on en face OCT and OCTA. There was a significant correlation between reduced retinal sensitivity at 2 degrees and 4 degrees diameters around the FTMH and the extension of cystic areas (p < 0.01). There was a significant correlation between the extension of cystic cavities and BCVA (p < 0.01). (4) Conclusions: Morpho-functional analysis of FTMH using OCTA and MP, and the correlation between vascular abnormalities and impaired retinal sensitivity, may provide new, useful information. This integrated evaluation of FTMH may be useful to determine the function-structure correlation before and after vitreoretinal surgery, in order to gain a better understanding of the functional consequences induced by the morphological alterations, assessing outcomes in a more objective way, and potentially adding new surgical prognostic factors

Archaeometric approach for the study of mortars from the underwater archaeological site of Baia (Naples) Italy: Preliminary results

This work was aimed to evaluate the features of mortar samples taken from the underwater archaeological area of Baia (Naples, Italy), an important site, where the remains of the ancient Roman city of Baiae and Portus Iulius are submerged after bradyseism events, started from 4th century AD. Several architectural structures are still preserved into the submerged environment, such as: luxurious maritime villas, imperial buildings, private houses, thermae, tabernae and warehouses. In particular, some samples were collected from the masonry walls belonging to a building of the underwater area called Villa a Protiro. A first archaeometric approach has been applied to analyse twelve archaeological mortars samples in order to define: textural features, chemical composition and raw materials used for their production. For this purpose different analytical methods were used, such as, polarizing optical microscope (POM) and scanning electron microscopy (SEM-EDS).This work was financially supported by national national research project “COMAS” (Planned COnservation, “in situ”, of underwater archaeological artifacts), funded by the Italian Ministry of Education, Universities and Research (MIUR).Peer reviewe

OXIDIZED CELLULOSE WRAP IN SECONDARY INTENTION HEALING OF THE ORAL MUCOSA IN THE TREATMENT OF ONJ

Osteonecrosis of the jaws (ONJ) due to the use of bisphosphonate drugs is a particularly complex condition. The mechanisms through which this pathology develops are manifold. To date, the management of ONJ is controversial.This study analyzed out-patients with documented ONJ treated in Oral and maxillofacial surgery Unit of University "Magna Graecia" of Catanzaro.A total of 11 patients, 8 women and 3 men, were enrolled. The inclusion criteria were: (1) refusal to surgical treatment with flaps; (2) absence of antiplatelet therapy which would also make it impossible to prepare gel from platelet-rich plasma (PRP) or similar; (3) absence of antiblastic therapy in the healing phase. Each case was staged according to the classification of the Italian Societies of Oral Medicine and Maxillofacial Surgery (SICMF-SIPMO classification): a clinical-radiological bone involvement.The following data were recorded: clinical data, comorbidities and concomitant drugs, antibiotic drugs used, type of treatment adopted, clinical mucosal healing time.Each patient underwent antibiotic protocol prior to surgery. Endpoint with surgery was: complete removal of necrotic tissues, packaging of a "re-epithelialization trench" (RET) and apposition of a compress of oxidized cellulose inside this RET. 100% of the patients endured the post-surgery very well, 10 out of 11 (90,91%) patients had excellent healing by secondary intention of the surgical wound. Only one patient (9.09%) had prolonged bone exposure; he subsequently resumed antiblastic therapy and was therefore excluded from work.The results indicate how the use of an oxidized cellulose pack associated with the correct packaging of a re-epithelialization site can guarantee satisfactory post-operative comfort and rapid wound healing. Radiological follow-up was performed at one year. It confirmed the correct healing of the site (clinical and radiological healing)

FLASH radiotherapy with electrons: issues related to the production, monitoring, and dosimetric characterization of the beam

Various in vivo experimental works carried out on different animals and organs have shown that it is possible to reduce the damage caused to healthy tissue still preserving the therapeutic efficacy on the tumor tissue, by drastically reducing the total time of dose delivery (<200 ms). This effect, called the FLASH effect, immediately attracted considerable attention within the radiotherapy community, due to the possibility of widening the therapeutic window and treating effectively tumors which appear radioresistant to conventional techniques. Despite the experimental evidence, the radiobiological mechanisms underlying the FLASH effect and the beam parameters contributing to its optimization are not yet known in details. In order to fully understand the FLASH effect, it might be worthy to investigate some alternatives which can further improve the tools adopted so far, in terms of both linac technology and dosimetric systems. This work investigates the problems and solutions concerning the realization of an electron accelerator dedicated to FLASH therapy and optimized for in vivo experiments. Moreover, the work discusses the saturation problems of the most common radiotherapy dosimeters when used in the very high dose-per-pulse FLASH conditions and provides some preliminary experimental data on their behavior