Isolated olecranon fractures in children affected by osteogenesis imperfecta type I treated with single screw or tension band wiring system: outcomes and pitfalls in relation to bone mineral density

The purpose of this study is to compare the results of 2 techniques, tension band wiring (TBW) and fixation with screws, in olecranon fractures in children affected with osteogenesis imperfecta (OI) type I. Between 2010 and 2014, 21 olecranon fractures in 18 children with OI (average age: 12 years old) were treated surgically. Ten patients were treated with the screw fixation and 11 with TBW. A total of 65% of olecranon fractures occurred as a result of a spontaneous avulsion of the olecranon during the contraction of the triceps muscle. The average follow-up was 36 months. Among the children treated with 1 screw, 5 patients needed a surgical revision with TBW due to a mobilization of the screw. In this group, the satisfactory results were 50%. In patients treated with TBW, the satisfactory results were 100% of the cases. The average Z-score, the last one recorded in the patients before the trauma, was -2.53 in patients treated with screw fixation and -2.04 in those treated with TBW. TBW represents the safest surgical treatment for patients suffering from OI type I, as it helps to prevent the rigidity of the elbow through an earlier recovery of the range of motion, and there was no loosening of the implant. In analyzing the average Z-score before any fracture, the fixation with screws has an increased risk of failure in combination with low bone mineral density

MENILAI PENGARUH CITRA MEREK, KERAGAMAN MENU, SUASANA TOKO DAN KUALITAS PRODUK TERHADAP KEPUASAN KONSUMEN DAN NIAT BELI ULANG (STUDI PADA KONSUMEN SOCIETY COFFEE HOUSE PURWOKERTO)

Penelitian ini bertujuan untuk menganalisis pengaruh yang timbul dari Citra Merek, Variasi Menu, Suasana Toko dan Kualitas Produk terhadap Kepuasan Konsumen dan pengaruhnya terhadap Niat Pembelian dari konsumen Coffee House Society Purwokerto. Variabel-variabel yang digunakan dalam penelitian ini adalah Citra Merek, Keragaman Menu, Suasana Toko dan Kualitas Produk sebagai variabel independen, kemudian Kepuasan Konsumen sebagai variabel intervening dan Intensi Pembelian sebagai variabel dependen. Sampel dalam penelitian ini adalah konsumen Rumah Kopi Masyarakat Purwokerto dengan jumlah 165 orang dengan menggunakan teknik Purposive Sampling. Dalam penelitian ini dikembangkan model teoritis untuk mengajukan lima hipotesis yang akan diuji menggunakan alat analisis Structural Equation Modeling (SEM) yang dioperasikan melalui program AMOS 21.0. Hasil analisis SEM menunjukkan bahwa variabel Citra Merek, Keragaman Menu, Suasana Toko dan Kualitas Produk berpengaruh positif terhadap Kepuasan Konsumen dan Kepuasan Konsumen Konsumen serta pengaruhnya terhadap Niat Beli. Dan dari hasil pengujian hipotesis menunjukkan bahwa Intensi Pembelian dapat ditingkatkan dengan meningkatkan Citra Merek, Keragaman Menu, Suasana Toko dan Kualitas Produk mempengaruhi Kepuasan Pelanggan sebagai penentu keberhasilan peningkatan Intensi Pembelian

El género textual etiqueta de producto agroquímico desde un abordaje de análisis multinivel: descripción e implicancias pedagógicas para cursos de IFE

Pesticide labels constitute a common textual genre in the domain of the Agronomic Sciences, both in professional and academic contexts. This paper presents the description of the genre on the basis of a multilevel analysis of 41 pesticide labels written in English and available online. The findings show the complex nature of the genre. The analysis evidenced the heterogeneity of the potential readership and of the contexts where the genre circulates. In terms of function, the analysis revealed the preponderance of the prescriptive function, together with the subsidiary functions of informing and contacting. In addition, the analysis showed an increasing standardization of pesticide labels to adjust them to international regulations. Different types of semantic and formal resources were identified that serve the purpose of making labels more accessible to readers. Among the formal elements found, the use of the simple present tense, passive voice and modal verbs are to be highlighted as well as the presence of several paratextual resources. It is possible to conclude that the multilevel analysis frame proved to be a useful tool for the description and that the results of the study can have direct pedagogical implications for ESP courses in the field of the aforementioned Sciences.Las etiquetas de productos agroquímicos constituyen un género discursivo de gran circulación en los ámbitos profesionales y académicos relacionados con las Ciencias Agronómicas. Este trabajo presenta la descripción del género basándose en el análisis multinivel de 41 etiquetas en inglés y disponibles en línea. Del análisis se deriva la naturaleza compleja del género en sus diferentes niveles. Entre los hallazgos se puede remarcar la heterogeneidad de potenciales lectores del género y de los contextos de circulación, la preponderancia de la función prescriptiva del género sobre las funciones informativa y la de contacto, y la creciente estandarización de los textos para ajustarlos a normas internacionales. Asimismo, se observaron diferentes tipos de adecuaciones desde lo semántico y formal para hacer los textos más accesibles a los lectores. Con respecto a los recursos formales, se destacan, entre otros, el uso del tiempo presente del indicativo, el uso de la voz pasiva y de los verbos modales y la presencia de distintos recursos paratextuales que sustancian las funciones del género. Se desprende del estudio, la utilidad del marco de análisis usado y las implicancias pedagógicas de los hallazgos en cursos con orientación IFE

The aftermath of COVID-19 lockdown on daily life activities in orthopaedic patients

Purpose: Following the 2019 coronavirus (COVID-19) pandemic, many reports have investigated the psychosocial effects of the lockdown. The aim of our study was to investigate the effects of the lockdown on the daily life habits of orthopaedic patients.Patients and Methods: Around 30 days after the start of the Italian lockdown, from April 17th to the end of the containment measures on May 18th, the Sapienza University of Rome carried out a 19-item survey on the effects the lockdown caused in patients suffering from an orthopaedic pathology (with regard to changes in lifestyle, pain, treatment) by stratifying the sample by age, sex, profession, pain location, pathogenesis and prior surgeries.Results: A total of 292 subjects with orthopaedic pathologies took part in the survey. Taking into consideration the totality of the sample, physical activity was significantly reduced (p <0.001). The increase of a sedentary lifestyle was statistically significant (p <0.001), as well as an increase in pain (p <0.001) and the need to adjust the pharmacological treatment (p <0.001). The increase in pain was particularly significant in the 50-70 age group, among workers, and in polyarthralgic patients. About 55.48% stated that the lockdown period worsened their underlying pathological condition and 53.77% expressed the need to undergo a new clinical evaluation at the end of the lockdown.Conclusion: The impact of the COVID-19 pandemic lockdown and resulting sudden changes in lifestyle led to a change in patient perception of orthopedic pathology including a worsening of musculoskeletal pain requiring an adjustment or change in pharmacological and physical therapy

Advances in optical sensors for persistent organic pollutant environmental monitoring

Optical chemical sensors are widely applied in many fields of modern analytical practice, due to their simplicity in preparation and signal acquisition, low costs, and fast response time. Moreover, the construction of most modern optical sensors requires neither wire connections with the detector nor sophisticated and energy-consuming hardware, enabling wireless sensor development for a fast, in-field and online analysis. In this review, the last five years of progress (from 2017 to 2021) in the field of optical chemical sensors development for persistent organic pollutants (POPs) is provided. The operating mechanisms, the transduction principles and the types of sensing materials employed in single selective optical sensors and in multisensory systems are reviewed. The selected examples of optical sensors applications are reported to demonstrate the benefits and drawbacks of optical chemical sensor use for POPs assessment

Programa de evaluación genética de caracteres productivos, adaptativos y de comportamiento, en bovinos de carne para áreas desfavorecidas

La producción de carne bovina en áreas subtropical y templadas cálidas se ve afectada en cantidad y calidad debido a las condiciones de calor y humedad a lo largo del año o en determinados meses del año. Las razas tradicionales son las que más sufren esa condición climática y por otra parte, las razas y/o cruzas más adaptadas muestran problemas de calidad de carne, menor precocidad reproductiva y de temperamento. Buena parte de la producción bovina de carne de la provincia de Córdoba está incluida en áreas que sufren durante todo o parte del año de condiciones climáticas desfavorables. Además el fenómeno creciente del calentamiento global incrementará la extensión de esas áreas y agravará el problema en las actuales. Las razas bovinas de origén índico y africano muestran mayor adaptación al estrés térmico y las razas británicas son más susceptibles aunque existe variación individual. Los indicadores climáticos de estrés térmico son variados, aunque humedad relativa del ambiente y temperatura son los más importantes. Ambas variables se combinan en un índice de humedad y temperatura (THI) que es un indicador válido para predecir dicho estrés. En el animal se pueden realizar diversos ensayos que incluyen toma de información de temperatura corporal profunda y frecuencia respiratoria. Dichos ensayos permiten clasificar a los animales como resistentes o susceptibles al estrés térmico. Los trabajos que se han realizado en genética animal en otros países demuestran un importante componente genético aditivo en este comportamiento frente al calor y humedad, esto permitiría pensar en incluir en programas de mejoramiento de producción de carne variables de adaptación al estrés térmico. En general se argumenta que las razas más adaptadas son simultáneamente de menor productividad en las áreas subtropicales, pero esto no queda claro a qué es debido; una menor producitividad primaria de esas áreas o al menor desempeño animal. Una hipótesis similar se puede formular para la calidad de la carne y las dificultades de manejo de esas razas por su temperamento más agresivo. Si la respuesta incluye el desempeño, ésto estaría dado en buena parte por componentes genéticos. Se conocen relaciones positivas entre variables de productividad, adaptabilidad, calidad de carne y temperamento, aunque aún no se han estudiado en nuestra provincia. Una raza sanga de orígen africano (Tuli) y sus cruzas se están ensayando en la UCC como parte de la búsqueda de soluciones a los problemas planteados anteriormente. Se desconocen los mecanismos fisiológicos de adaptación al estrés térmico que son utilizados por estos animales y también se ignoran las consecuencias genéticas de las cruzas con otras razas sobre estos mecanismos. Tampoco se disponen de parámetros poblacionales (fenotípicos y genéticos) de esta raza y sus cruzas.Los animales a utilizar en este trabajo pertenecen a las razas Tuli puros, Aberdeen Angus, Hereford, cruzas F1, cruzas inter sé de las F1 (San Ignacio) y Bradford. De los resultados esperados se podrán extraer sugerencias y desarrollar estrategias para mejorar la producción de carne en el área subtropical de nuestra provincia.Fil: Frank, Eduardo Narciso. Universidad Católica de Córdoba. Facultad de Ciencias Agropecuarias; ArgentinaFil: Alisio, Leonel Ángel. Universidad Católica de Córdoba. Facultad de Ciencias Agropecuarias; Argentin

A case of dengue type 3 virus infection imported from Africa to Italy, October 2009.

In October 2009, a traveller returning from Africa to Italy was hospitalised with symptoms suggestive of a haemorrhagic fever of unknown origin. The patient was immediately placed in a special biocontainment unit until laboratory investigations confirmed the infection to be caused by a dengue serotype 3 virus. This case reasserts the importance of returning travellers as sentinels of unknown outbreaks occurring in other countries, and highlights how the initial symptoms of dengue fever resemble those of other haemorrhagic fevers, hence the importance of prompt isolation of patients until a final diagnosis is reached

Establishment of patient-derived tumor organoids to functionally inform treatment decisions in metastatic colorectal cancer

Colorectal cancer; Personalized medicine; ResistanceCáncer colorrectal; Medicina personalizada; ResistenciaCàncer colorectal; Medicina personalitzada; ResistènciaBackground Metastatic colorectal cancer (mCRC) patients tend to have modest benefits from molecularly driven therapeutics. Patient-derived tumor organoids (PDTOs) represent an unmatched model to elucidate tumor resistance to therapy, due to their high capacity to resemble tumor characteristics. Materials and methods We used viable tumor tissue from two cohorts of patients with mCRC, naïve or refractory to treatment, respectively, for generating PDTOs. The derived models were subjected to a 6-day drug screening assay (DSA) with a comprehensive pipeline of chemotherapy and targeted drugs against almost all the actionable mCRC molecular drivers. For the second cohort DSA data were matched with those from PDTO genotyping. Results A total of 40 PDTOs included in the two cohorts were derived from mCRC primary tumors or metastases. The first cohort included 31 PDTOs derived from patients treated in front line. For this cohort, DSA results were matched with patient responses. Moreover, RAS/BRAF mutational status was matched with DSA cetuximab response. Ten out of 12 (83.3%) RAS wild-type PDTOs responded to cetuximab, while all the mutant PDTOs, 8 out of 8 (100%), were resistant. For the second cohort (chemorefractory patients), we used part of tumor tissue for genotyping. Four out of nine DSA/genotyping data resulted applicable in the clinic. Two RAS-mutant mCRC patients have been treated with FOLFOX–bevacizumab and mitomycin–capecitabine in third line, respectively, based on DSA results, obtaining disease control. One patient was treated with nivolumab–second mitochondrial-derived activator of caspases mimetic (phase I trial) due to high tumor mutational burden at genotyping, experiencing stable disease. In one case, the presence of BRCA2 mutation correlated with DSA sensitivity to olaparib; however, the patient could not receive the therapy. Conclusions Using CRC as a model, we have designed and validated a clinically applicable methodology to potentially inform clinical decisions with functional data. Undoubtedly, further larger analyses are needed to improve methodology success rates and propose suitable treatment strategies for mCRC patients.This Translational Research Fellowship Project was supported by the ESMO with the aid of a grant from Amgen, by the Accelerator (ACRCelerator) [grant number A26825] and Ayuda a médicos jóvenes investigadores from Fundacion Científica—Asociacion Española Contra el Cancer (FC-AECC)/Associazione Italiana per la Ricerca sul Cancro (AIRC)/Cancer Research United Kingdom (CRUK) and by Familia Armangué. Any views, opinions, findings, conclusions or recommendations expressed in this material are those solely of the author(s) and do not necessarily reflect those of ESMO or Amgen. We thank Regione Campania (I-Cure Research Project) [grant number: Cup 21C17000030007], ESMO Translational Research Fellowship Program

Surgical site infections in Italian Hospitals: a prospective multicenter study

<p>Abstract</p> <p>Background</p> <p>Surgical site infections (SSI) remain a major clinical problem in terms of morbidity, mortality, and hospital costs. Nearly 60% of SSI diagnosis occur in the postdischarge period. However, literature provides little information on risk factors associated to in-hospital and postdischarge SSI occurrence. A national prospective multicenter study was conducted with the aim of assessing the incidence of both in-hospital and postdisharge SSI, and the associated risk factors.</p> <p>Methods</p> <p>In 2002, a one-month, prospective national multicenter surveillance study was conducted in General and Gynecological units of 48 Italian hospitals. Case ascertainment of SSI was carried out using standardized surveillance methodology. To assess potential risk factors for SSI we used a conditional logistic regression model. We also reported the odds ratios of in-hospital and postdischarge SSI.</p> <p>Results</p> <p>SSI occurred in 241 (5.2%) of 4,665 patients, of which 148 (61.4%) during in-hospital, and 93 (38.6%) during postdischarge period. Of 93 postdischarge SSI, sixty-two (66.7%) and 31 (33.3%) were detected through telephone interview and questionnaire survey, respectively. Higher SSI incidence rates were observed in colon surgery (18.9%), gastric surgery (13.6%), and appendectomy (8.6%). If considering risk factors for SSI, at multivariate analysis we found that emergency interventions, NNIS risk score, pre-operative hospital stay, and use of drains were significantly associated with SSI occurrence. Moreover, risk factors for total SSI were also associated to in-hospital SSI. Additionally, only NNIS, pre-operative hospital stay, use of drains, and antibiotic prophylaxis were associated with postdischarge SSI.</p> <p>Conclusion</p> <p>Our study provided information on risk factors for SSI in a large population in general surgery setting in Italy. Standardized postdischarge surveillance detected 38.6% of all SSI. We also compared risk factors for in-hospital and postdischarge SSI, thus providing additional information to that of the current available literature. Finally, a large amount of postdischarge SSI were detected through telephone interview. The evaluation of the cost-effectiveness of the telephone interview as a postdischarge surveillance method could be an issue for further research.</p