116 research outputs found
Comment on âearly efficacy of intra-articular HYADDÂź 4 (HymovisÂź) injections for symptomatic knee osteoarthritisâ
We read with great interest the study by Priano titledâEarly
efficacy of intra-articular HYADDÂź 4 (HymovisÂź) injections
for symptomatic knee osteoarthritis.â
1
The author would like
to explore the efficacy of intra-articular HYADD 4 (Hymovis)
injections for symptomatic knee osteoarthritis. Results from
this study are very interesting and promising from a clinical
aspect; however, we believe that studying patientâsclinical
status with visual analog scale and Western Ontario and
McMaster Universities Arthritis Index scale should be supported by biomechanical information. From this point of
view, to have more data that could influence the clinical
practice, it is important to note the possible action that intraarticular injections of different kinds of hyaluronic acid could
have on walking biomechanics using an objective measurement tool as gait analysis. In our opinion, the work by Priano1
is promising because it investigates the efficacy of a new
formulation of hyaluronic acid. Nowadays, many hyaluronic
acid formulations are approved for clinical use in Europe and
the United States. Furthermore, hyaluronic acid injectionsâ
efficacy has been demonstrated also in hip osteoarthritis.
2
However, even if these formulations differ in their chemicalâ
physical properties, joint space half-life, rheological properties, and clinical efficacy, there are few studies that investigate hyaluronic acidâs possible action from a biomechanical
point of view.
3,4
From this point of view, we believe that
osteoarthritis management and rehabilitation should be
prescribed after an objective analysis of functional walking
alterations using gait analysis instrumentations. The use
of gait analysis should be desirable during diagnosis and
follow-up. In fact, it is capable to identify different walking
patterns in patient with osteoarthritis of the lower limbs,
whereas the radiology can evaluate the status of the jointâs
structures
Kinematic analysis of reaching movements of the upper limb after total or reverse shoulder arthroplasty
Studies have analyzed three-dimensional complex motion of the shoulder in healthy subjects or patients undergoing total shoulder arthroplasty (TSA) or reverse shoulder arthroplasty (RSA). No study to date has assessed the reaching movements in patients with TSA or RSA. Twelve patients with TSA (Group A) and 12 with RSA (Group B) underwent kinematic analysis of reaching movements directed at four targets. The results were compared to those of 12 healthy subjects (Group C). The assessed parameters were hand-to-target distance, target-approaching velocity, humeral-elevation angular velocity, normalized jerk (indicating motion fluidity), elbow extension and humeral elevation angles. Mean Constant score increased by 38 points in Group A and 47 in Group B after surgery. In three of the tasks, there were no significant differences between healthy subjects and patients in the study groups. Mean target-approaching velocity and humeral-elevation angular velocity were significantly greater in the control group than in study groups and, overall, greater in Group A than Group B. Movement fluidity was significantly greater in the controls, with patients in Group B showing greater fluidity than those in Group A. Reaching movements in the study groups were comparable, in three of the tasks, to those in the control group. However, the latter performed significantly better with regard to target-approaching velocity, humeral-elevation angular velocity and movement fluidity, which are the most representative characteristics of reaching motion. These differences, that may be related to deterioration of shoulder proprioception after prosthetic implant, might possibly be decreased with appropriate rehabilitation
Assessing the cervical range of motion in infants with positional plagiocephaly
Purpose: To determine if infants with positional plagiocephaly
have limitations of active and passive cervical range of motion
measured with simple and reliable methods.
Methods: The examiners assessed bilateral active and passive
cervical rotations and passive cervical lateral flexion. Cervical
assessment was performed twice by 2 different physicians to
assess intertester reliability. To assess intratester reliability the
first investigator performed a second examination 48 hours after
the first one.
Results: One-hundred nine subjects were analyzed; 70.7% of the
sample had head positional preference on the right, while 29.3% had
head positional preference on the left (x2 35.52, P <0.001).
Cervical rotations and lateral flexion showed reliable levels of
agreement for intra and intertester reliability.
Conclusions: The most limited range of motion in infants with
positional plagiocephaly was cervical active rotation which affected
more than 90% of patients. Passive cervical rotations and lateral
flexion were limited in more than 60% of patient
Role of the HCF-1 Basic Region in Sustaining Cell Proliferation
BACKGROUND: The human herpes simplex virus-associated host cell factor 1 (HCF-1) is a conserved human transcriptional co-regulator that links positive and negative histone modifying activities with sequence-specific DNA-binding transcription factors. It is synthesized as a 2035 amino acid precursor that is cleaved to generate an amino- (HCF-1(N)) terminal subunit, which promotes G1-to-S phase progression, and a carboxy- (HCF-1(C)) terminal subunit, which controls multiple aspects of cell division during M phase. The HCF-1(N) subunit contains a Kelch domain that tethers HCF-1 to sequence-specific DNA-binding transcription factors, and a poorly characterized so called "Basic" region (owing to a high ratio of basic vs. acidic amino acids) that is required for cell proliferation and has been shown to associate with the Sin3 histone deacetylase (HDAC) component. Here we studied the role of the Basic region in cell proliferation and G1-to-S phase transition assays. METHODOLOGY/PRINCIPAL FINDINGS: Surprisingly, much like the transcriptional activation domains of sequence-specific DNA-binding transcription factors, there is no unique sequence within the Basic region required for promoting cell proliferation or G1-to-S phase transition. Indeed, the ability to promote these activities is size dependent such that the shorter the Basic region segment the less activity observed. We find, however, that the Basic region requirements for promoting cell proliferation in a temperature-sensitive tsBN67 cell assay are more stringent than for G1-to-S phase progression in an HCF-1 siRNA-depletion HeLa-cell assay. Thus, either half of the Basic region alone can support G1-to-S phase progression but not cell proliferation effectively in these assays. Nevertheless, the Basic region displays considerable structural plasticity because each half is able to promote cell proliferation when duplicated in tandem. Consistent with a potential role in promoting cell-cycle progression, the Sin3a HDAC component can associate independently with either half of the Basic region fused to the HCF-1 Kelch domain. CONCLUSIONS/SIGNIFICANCE: While conserved, the HCF-1 Basic region displays striking structural flexibility for controlling cell proliferation
The analog signal processing board for the HEAT telescopes
Abstract The aim of the Pierre Auger Observatory is to measure with high statistics the flux, the arrival directions and the mass composition of cosmic rays at the highest energies. Since 2009, the Auger Collaboration has added three new High Elevation Auger Telescopes (HEAT) along with a new 25 km 2 infill array in the field of view of the new telescopes. These enhancements have lowered the energy threshold of the Observatory by about an order of magnitude. In combination with the existing telescopes in Coihueco the vertical field of view is extended to about 60°, allowing the measurement of nearby air showers arising from primaries with energies as low as 2Ă10 17 eV. In this paper we describe the new front-end analog board developed to process the signals generated by the photomultipliers of the HEAT telescopes. Eighty analog boards have been produced, fully characterized and tested. The main characteristics of the electronic circuits and the circuit parameters are illustrated
Platelets: Functional Biomarkers of Epigenetic Drift
Cardiovascular disease (CVD) risk factors can be classed as modifiable or non-modifiable. Physical inactivity and obesity represent major behavioural risk factors for the initiation, development and progression of CVD. Platelet dysfunction is pivotal to the aetiology of CVD, a chronic vascular inflammatory condition, which is characterised by a lag time between onset and clinical manifestation. This indicates the role of epigenetic drift, defined by stochastic patterns of gene expression not dependent on dynamic changes in coding DNA. The epigenome, a collection of chemical marks on DNA and histones, is established during embryogenesis and modified by age and lifestyle. Biogenesis and effector function of non-coding RNA, such as microRNA, play a regulatory role in gene expression and thus the epigenetic mechanism. In this chapter, we will focus on the effect of the modifiable risk factors of physical activity/inactivity and overweight/obesity on platelet function, via epigenetic changes in both megakaryocytopoiesis and thrombopoiesis. We will also discuss the role of acute exercise on platelet function and the impact of cardiorespiratory fitness (CRF) on platelet responses to acute exercise. This chapter will highlight the potential role of platelets as circulating functional biomarkers of epigenetic drift to implement, optimise and monitor CVD preventive management strategies
breast screening axillary lymph node status of interval cancers by interval year
Abstract The aim of this study was to determine whether the excess risk of axillary lymph node metastases (N+) differs between interval breast cancers arising shortly after a negative mammography and those presenting later. In a registry-based series of pT1aâpT3 breast carcinoma patients aged 50â74years from the Italian screening programmes, the odds ratio (OR) for interval cancers ( n =791) versus the screen-detected (SD) cancers ( n =1211) having N+ was modelled using forward stepwise logistic regression analysis. The interscreening interval was divided into 1â12, 13â18, and 19â24months. The prevalence of N+ was 28% among SD cancers. With a prevalence of 38%, 42%, and 44%, the adjusted (demographics and N staging technique) OR of N+ for cancers diagnosed between 1â12, 13â18, and 19â24months of interval was 1.41 (95% confidence interval 1.06â1.87), 1.74 (1.31â2.31), and 1.91 (1.43â2.54), respectively. Histologic type, tumour grade, and tumour size were entered in turn into the model. Histologic type had modest effects. With adjustment for tumour grade, the ORs decreased to 1.23 (0.92â1.65), 1.58 (1.18â2.12), and 1.73 (1.29â2.32). Adjusting for tumour size decreased the ORs to 0.95 (0.70â1.29), 1.34 (0.99â1.81), and 1.37 (1.01â1.85). The strength of confounding by tumour size suggested that the excess risk of N+ for first-year interval cancers reflected only their higher chronological age, whereas the increased aggressiveness of second-year interval cancers was partly accounted for by intrinsic biological attributes
Spatial and temporal dynamics of West Nile virus between Africa and Europe
It is unclear whether West Nile virus (WNV) circulates between Africa and Europe, despite numerous studies supporting an African origin and high transmission in Europe. We integrated genomic data with geographic observations and phylogenetic and phylogeographic inferences to uncover the spatial and temporal viral dynamics of WNV between these two continents. We focused our analysis towards WNV lineages 1 (L1) and 2 (L2), the most spatially widespread and pathogenic WNV lineages. Our study shows a Northern-Western African origin of L1, with back-and-forth exchanges between West Africa and Southern-Western Europe; and a Southern African origin of L2, with one main introduction from South Africa to Europe, and no back introductions observed. We also noticed a potential overlap between L1 and L2 Eastern and Western phylogeography and two Afro-Palearctic bird migratory flyways. Future studies linking avian and mosquito species susceptibility, migratory connectivity patterns, and phylogeographic inference are suggested to elucidate the dynamics of emerging viruse
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