Severe impact of Covid-19 pandemic on breast cancer care in Italy: a senonetwork national survey

Italy was the first Western country hit by the Coronavirus disease 2019 (COVID-19) pandemic, with over 246,000 documented cases and more than 35,000 deaths related to the infection as of July 26, 2020. The first documented case in Italy was reported on February 18, 2020, introducing a rapid sequence of events. A few towns near Milan and in Veneto were locked down soon thereafter. Finally, the entire country was locked down on March 9, 2020, with a national quarantine, which has severely limited the movement of the entire population except for documented work and health circumstances. Since then, many hospitals have restrained non-emergency admissions and ambulatory services, particularly for non-oncologic patients. Despite many medical and scientific reports on the current pandemic, little is known on the effect and magnitude of this health emergency on the care of patients with breast cancer

Constitutively Activated PI3K Accelerates Tumor Initiation and Modifies Histopathology of Breast Cancer

The gene encoding phosphatidylinositol 3-kinase catalytic subunit α-isoform (PIK3CA, p110α) is frequently activated by mutation in human cancers. Based on detection in some breast cancer precursors, PIK3CA mutations have been proposed to have a role in tumor initiation. To investigate this hypothesis, we generated a novel mouse model with a Cre-recombinase regulated allele of p110α (myristoylated-p110α, myr-p110α) along with p53fl/fl deletion and KrasG12D also regulated by Cre-recombinase. After instillation of adenovirus-expressing Cre-recombinase into mammary ducts, we found that myr-p110α accelerated breast tumor initiation in a copy number-dependent manner. Breast tumors induced by p53fl/fl;KrasG12D with no or one copy of myr-p110α had predominantly sarcomatoid features, whereas two copies of myr-p110α resulted in tumors with a carcinoma phenotype. This novel model provides experimental support for importance of active p110α in breast tumor initiation, and shows that the amount of PI3K activity can affect the rate of tumor initiation and modify the histological phenotype of breast cancer

Hierarchical Spatial Organization of Geographical Networks

In this work we propose the use of a hirarchical extension of the polygonality index as a means to characterize and model geographical networks: each node is associated with the spatial position of the nodes, while the edges of the network are defined by progressive connectivity adjacencies. Through the analysis of such networks, while relating its topological and geometrical properties, it is possible to obtain important indications about the development dynamics of the networks under analysis. The potential of the methodology is illustrated with respect to synthetic geographical networks.Comment: 3 page, 3 figures. A wokring manuscript: suggestions welcome

A preliminary spectroscopic approach to evaluate the effectiveness of water-and silicone-based cleaning methods on historical varnished brass

Soiling deposition and wrong conservation practices are among the causes of the decay process that can affect the morphological, mechanical, and compositional features of the varnish, the most exposed layer of an artefact. In this perspective, the identification of the best cleaning practices is a priority. During the 18th century, scientific instruments of the highest quality were built, and peculiar varnishes were produced to confer protection and elegance to their metal elements. For this study, based on a historical recipe, we have reproduced a peculiar spirit varnish, enriched with natural resins and colorants, and we have applied on it a synthetic soiling mixture to simulate the aging conditions. We have then performed a non-invasive multi-analytical study to monitor the effectiveness of two water-based and a silicone-based, cleaning methods, namely, water in agarose, Tween 20 (3%) in agarose, and Velvesil Plus. The study includes colorimetry, Fourier transform infrared (FTIR) spectroscopy and X-ray fluorescence (XRF) mapping, coupled with chemometrics. Principal component analysis applied to FTIR spectral data has been demonstrated to be a powerful tool to enhance weak variations in the IR spectra, empowering the interpretation of cleaning effect versus the application time of each cleaning test

EUSOMA position regarding breast implant associated anaplastic large cell lymphoma (BIA-ALCL) and the use of textured implants

Correction Volume: 48 Pages: 102-102 DOI: 10.1016/j.breast.2019.10.005 Published: DEC 2019During the last two decades the number of breast implants used in aesthetic, oncologic and risk reducing surgery has increased substantially mainly due to the improvement and confirmed safety of these devices. Since identification of the first case of anaplastic large cell lymphoma associated with a breast implant (BIA-ALCL) 20 years ago, there has been an increase in the number of reports of this very rare disease, demonstrating a clear association with breast implants. Whilst the majority of cases are localised and cured by implant removal and full capsulectomy, a small percentage require chemotherapy and the mortality rate is very low. The evidence linking BIA-ALCL to implant surface texturing, as the majority of cases were diagnosed in patients with textured implants, has raised concerns about the long term safety of these devices resulting in patient and regulatory authority concerns globally. We hereby present the current published knowledge about the link between BIA-ALCL and implant surface texture and a review of current regulatory and professional body advice across Europe, which may enable a better understanding of this rare disease, how to manage and ultimately prevent it. We conclude by giving EUSOMA recommendation, towards the unnecessary change in attitudes towards implant based surgery, according to the most recent available published evidence as long as patients are properly informed about the risk of BIA-ALCL. (C) 2019 Elsevier Ltd. All rights reserved.Peer reviewe

Using salinity to improve nutritional and market value of strawberries

Plants respond to salinity by producing antioxidants and osmolytes; some of these are nutritionally useful to humans (e.g. phenolics), or may improve the sensory quality of produce (e.g. sugars). For the current study, strawberries were irrigated with 0, 10, 20 or 40 mM NaCl, and the responses in antioxidants, phenolics, and flavour attributes were measured. A linear positive relationship was observed between salt stress and antioxidant concentrations, and the DPPH antioxidant assay responded more clearly than the FRAP assay. Phenolics were increased with statistical significance by salinity at all treatment levels, although trends differed between total phenolics and the subclasses anthocyanins and total flavonoids. It was seen that mild salinity (10 mM) with a low impact on yield could be used to increase antioxidants (6-10% above control) and total phenolics (11-16% above control). However differences between cultivars outweighed differences due to salinity in treatments below 20 mM NaCl. We found that sugars in strawberries (unlike other fruits) weren’t increased by salinity treatment. The lack of sugar increase can be explained by suggesting that organic acids are more important osmolytes than sugars for strawberries under salinity. However it was also determined that the failure of strawberries to increase their soluble sugars during salt stress can be explained by the lean nutrient regimes used by researchers, which don’t represent commercial production practices. Practically, mild salinity (≤20 mM) can be used to increase strawberry fruit value, but should be combined with an appropriate nutrient regime to avoid harm to flavour quality. The varieties Elsanta and Elsinore are both suitable for salt treatment, but Elsanta is better for antioxidant and phenolic production, as well as being more salt tolerant

Agronomic, nutritional and nutraceutical aspects of durum wheat (Triticum durum Desf.) cultivars under low input agricultural management

Among cereals, durum wheat has a central role in the Italian diet and economy, where there is a historical tradition of pasta making. In the present study, we evaluated the nutrient and nutraceutical properties of 2 old and 6 modern durum wheat varieties grown under low input agricultural management. Considering the lack of available data on the adaptability of existing durum wheat varieties to the low input and organic sectors, the research aimed at providing a complete description of the investigated genotypes, considering the agronomic performance as well as the nutrient and phytochemical composition. The experimental trials were carried out at the same location (Bologna, Northern Italy) for two consecutive growing seasons (2006/2007, 2007/2008). No clear distinction between old and modern varieties was observed in terms of grain yield (mean values ranging from 2.5 to 4.0 t/ha), highlighting that the divergence in productivity, normally found between dwarf and non-dwarf genotypes, is strongly reduced when they are cropped under low input management. All durum wheat varieties presented high protein levels and, in addition, provided remarkable amounts of phytochemicals such as dietary fibre, polyphenols, flavonoids and carotenoids. Some of the investigated genotypes, such as Senatore Cappelli, Solex, Svevo and Orobel, emerged with intriguing nutritional and phytochemical profiles, with the highest levels of dietary fibre and antioxidant compounds. The study provided the basis for further investigations into the adaptability of the durum wheat genotypes to low input management, for the selection of genotypes characterised by higher yield and valuable nutrient and nutraceutical quality

Magnetska rezonancija u dijagnostici ozljeda koljenskoga zgloba

The possibilities of MR diagnosing knee pathology on high field scanners of 1T and 1.5T are well known. A sensitivity of 87%-100% and specificity of 64%-100% in diagnosing meniscal pathology are quoted in the literature. The aim of this work was to define the sensitivity and specificity of evaluation of meniscal lesions and cruciate ligament tears with a 0.2T permanent magnet of low field strength, as well as of other associated lesions of the bone, cartilage and collateral ligaments. We wished to estimate the value of particular sequences and projections of scanning chosen for certain pathology, and to recommend the type of scanning. MR findings were correlated with arthroscopy as the "gold standard method" in evaluating knee pathology. Two radiologists of different clinical experience interpreted MR findings by the principle of "interobserver difference". A total of 40 patients were examined, 32 men and 8 women, aged 17-46, mean age 27±5 years. The following sequences were used always in three projections: SE 1500/38; SE 1500/25; SE 1700/40; SE 200/38; SR 550/25; SR 550/38; GE 100/23/45; GE 100/23/60; and GE 500/23/40. We conclude that low field MRI is as sensitive and specific as diagnostic arthroscopy for traumatic meniscal lesions, yet better due to its noninvasiveness. MRI 0.2 T is of a lower specificity and sensitivity in detecting anterior cruciate ligament and chondral lesions in comparison with arthroscopy.Mogućnosti MR dijagnostike patologije koljenskoga zgloba na uređajima 1 i 1.5 T su poznate. U literaturi se navodi osjetljivost od 87%-100% i specifičnost od 64%-100% u dijagnostici patologije meniska na tim uređajima. Cilj rada bio je ustanoviti osjetljivost i specifičnost, odnosno vrijednost MR-e u pregledu meniska i ukriženih ligamenata koljenskoga zgloba MR-om 0.2T, niske jačine magnetskog polja, kao i procijeniti pridružene ozljede MR-om (ozljede hrskavice, kosti, kolateralnih ligamenata). Dobiveni MR nalazi korelirani su s artroskopijom kao zlatnim standardom. MR nalaze provjerilo je dvoje radiologa po načelu među promatračima ("interobserver difference"). Pregledano je ukupno 40 bolesnika, od toga 32 muškarca i 8 žena, u dobi od 17-46 godina, prosječne životne dobi 27±5 godina. Sljedeće sekvence su bile napravljene uvijek u tri projekcije: SE 1500/38; SE 1500/25; SE 1700/40; SE 200/38; SR 550/25; SR 550/38; GE 100/23/45; GE 100/23/60; GE 500/23/40. U zaključku: MR 0.2T je jednako osjetljiva metoda kao dijagnostička artroskopija u procjeni traumatskih ozljeda meniska, no dajemo joj prednost zbog neinvazivnosti. MR niske jačine polja slabije je osjetljiva metoda od artroskopije u procjeni lezije prednjega ukriženog ligamenta te ozljeda hrskavice