Improvement of the Rotation Arch of the Posterior Interosseous Pedicle Flap Preserving Both Reverse Posterior and Anterior Interosseous Vascular Sources.

Abstract PURPOSE: The reverse posterior interosseous artery flap has several advantages, not sacrificing any major blood vessel, but its relatively short pedicle limits the use to cover defects up to the metacarpophalangeal joint. Our purpose is to demonstrate that the ligature of the anterior interosseous artery (AIA), proximal to the communicating branch with the posterior interosseous artery, leads to an improved flap rotation arch, preserving both vascular sources. METHODS: Sixteen fresh cadavers with latex perfusion were analyzed before and after our technique of elongation, and the so-obtained measures were standardized in "percentage of elongation of the pedicle." Eight patient with the loss of substance at the dorsal aspect of the hand have been treated with this technique, and results were evaluated in terms of flap survival and complication rates. RESULTS: The medium length of the pedicle in the normal flap was 10.8\u2009cm, and after the section of the AIA, the medium length of the pedicle was 13.6\u2009cm with a medium increase of 2.8\u2009cm. It means a medium increase of 24% of the length of the pedicle. In all patients treated, full coverage of the defect was obtained, and we did not experience major complications. CONCLUSIONS: This anatomical study supported by our clinical experience demonstrates that the use of the variant described above permits to reach more distal part of the hand without being afraid to stretch the pedicle because of the connection with the anastomotic arcades of the AIA at the wrist reducing the risk of ischemia of the flap

Oral plus vaginal alpha-lipoic acid in women at risk for preterm delivery

Objective: The etiology of preterm labor is multifactorial. An inflammatory response is always involved with the activation of NF-kB that determines synthesis and release of inflammatory molecules, implicated in fetal membrane activation, cervical modifications, abdominal pain and spontaneous uterine contractions. There is a close relationship between preterm birth and cervical shortening in the second quarter of pregnancy. We evaluated the benefits of alpha-lipoic acid administration on women considered at risk of preterm delivery due to the presence of symptoms (pelvic pain and uterine contractions) or reduced cervical length. Patients and Methods: This prospective observational study was carried out at the Gynecology and Obstetrics Unit of Palermo University Hospital (Palermo, Italy), from October 2015 to April 2016. The inclusion criteria were: women aged 18-35, with gestational age between 24 and 33 weeks of amenorrhea, pregnancy at risk of preterm delivery due to cervical length between 35-25 mm (in presence of symptoms) or < 30 and > 15 mm (if asymptomatic), intact membranes and negative for vaginosis. Patients were treated daily with alpha lipoic acid orally (300 mg, twice a day for 30 days) and vaginally (10 mg, once a day for 10 days), or untreated (controls). Patients were evaluated at the baseline (T 0), after 7 days, after 30 days, and at 34 weeks of gestation considering: maternal characteristics, symptomology and cervical length. Results: Among 60 analyzed women, 50 were treated orally and vaginally with alpha-lipoic acid, whereas 10 did not undergo any therapy. In the treated group, 10 patients were asymptomatic and 40 symptomatic. The symptoms disappeared in 37 patients. In the untreated group, 4 women were symptomatic and 6 asymptomatic. At the end all women were symptomatic. Mean cervical length showed a reduction in the untreated group compared to the treated group. Conclusions: The vaginal/oral-combined administration with alpha-lipoic acid showed effectiveness in reducing symptoms and preventing cervical shortening in our set of patients. No adverse effects were detected during the treatment

Structure control of silica-supported mono and bimetallic Au–Pt catalysts via mercapto capping synthesis

Cataloged from PDF version of article.SiO2-supported monometallic and bimetallic platinum-gold catalysts are prepared by deposition of metal nanoparticles stabilized by mercaptopropyltriethoxysilane (MPTES) after different aging time of the solution containing metal ions and MPTES. The materials are tested in the hydrodesulfurization (HDS) reaction of thiophene and compared with corresponding catalysts prepared by the conventional deposition-precipitation (DP) method. The monometallic Pt and the bimetallic Au-Pt prepared by DP have comparable activity. With respect to the platinum catalyst prepared by DP, the corresponding platinum catalyst prepared by MPTES particle stabilization exhibits a substantial enhancement of the activity regardless the solution aging time. On the contrary, the MPTES-assisted Au-Pt catalysts have different activities, depending on the solution aging time, with the most active being the one obtained with the 5-day-aged solution. In accord with XRD, XPS, and FTIR, the aging time of the solution, through the different interaction of Pt or Au precursors with the mercapto groups, has a crucial effect on the structure and on the surface of the catalysts. The observed differences in the catalytic activity are related to the structural and compositional changes of the bimetallic particles. (C) 2012 Elsevier Inc. All rights reserved

Constitutive association of BRCA1 and c-Abl and its ATM-dependent disruption after irradiation

BRCA1 plays an important role in mechanisms of response to double-strand breaks, participating in genome surveillance, DNA repair, and cell cycle checkpoint arrests. Here, we identify a constitutive BRCA1-c-Abl complex and provide evidence for a direct interaction between the PXXP motif in the C terminus of BRCA1 and the SH3 domain of c-Abl. Following exposure to ionizing radiation (IR), the BRCA1-c-Abl complex is disrupted in an ATM-dependent manner, which correlates temporally with ATM-dependent phosphorylation of BRCA1 and ATM-dependent enhancement of the tyrosine kinase activity of c-Abl. The BRCA1-c-Abl interaction is affected by radiation-induced modification to both BRCA1 and c-Abl. We show that the C terminus of BRCA1 is phosphorylated by c-Abl in vitro. In vivo, BRCA1 is phosphorylated at tyrosine residues in an ATM-dependent, radiation-dependent manner. Tyrosine phosphorylation of BRCA1, however, is not required for the disruption of the BRCA1-c-Abl complex. BRCA1-mutated cells exhibit constitutively high c-Abl kinase activity that is not further increased on exposure to IR. We suggest a model in which BRCA1 acts in concert with ATM to regulate c-Abl tyrosine kinase activity

NEW VARIETIES OF DURUM WHEAT (TRITICUM DURUM DESF.) IN SICILY: EVALUATION OF GENOTYPE-ENVIRONMENT INTERACTION

Durum wheat (Triticum durum Desf.) is the typical cereal crop in semi-arid Italian environments, and Sicily, is one of the regions of southern Italy where the cultivation of durum wheat is very spread. The thesis was the comparison of 14 genotypes of durum wheat located in 11 locations typical of the Sicilian cropland in the years 2006-2011. The analysis of the results has allowed to study the productive and qualitative behavior of the tested genotypes. In addition, the study of interaction genotype-environment, has allowed to verify the yield stability in quantity and the quality of the grain by the individual genotypes

Lower Body Kinematics Do Not Differ Between Flat Ground and Mound Baseball Throwing

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Positive Mood and the Perception of Variability Within and Between Groups

Three experiments investigated the effects of positive mood on perceptions of variability within and between groups. Participants formed impressions of two different and highly variable groups under a neutral or positive mood. When participants expected to learn about both groups, positive mood increased perceived intergroup similarity but did not affect perceived intragroup variability. In contrast, when participants expected to learn about only one group, judgments of intergroup and intragroup similarity were both affected by mood. Mood and the intergroup context influenced the nature and degree of information processing and resultant judgments of variability in social groups

Positive Mood and the Perception of Variability Within and Between Groups

Three experiments investigated the effects of positive mood on perceptions of variability within and between groups. Participants formed impressions of two different and highly variable groups under a neutral or positive mood. When participants expected to learn about both groups, positive mood increased perceived intergroup similarity but did not affect perceived intragroup variability. In contrast, when participants expected to learn about only one group, judgments of intergroup and intragroup similarity were both affected by mood. Mood and the intergroup context influenced the nature and degree of information processing and resultant judgments of variability in social groups

The Effect of Seated Posture on Thoracolumbar Fascia, thus Influencing Balance

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