Oncoplastic central quadrantectomies

Tumors localized in the central quadrant (centrally located breast tumors) have always represented a challenge for the surgeon because of the critical aesthetical matters related to the nipple-areola complex (NAC). Many years of experience with breast cancer patients treated by using various oncoplastic techniques, has allowed us to develop the modified hemibatwing for the treatment of central breast tumors, where the NAC is involved. Modified hemibatwing-along with the removal of the NAC-is a useful oncoplastic technique and it represents an ideal option for the treatment of central tumors because it assures oncological safety, a reduced surgical timetable and greater aesthetical results

Predicting LVOT Obstruction in Transcatheter Mitral Valve Replacement for Failed Surgical Annuloplasty

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Bioimpedance Vector References Need to Be Period‐ Specific for Assessing Body Composition and Cellular Health in Elite Soccer Players: A Brief Report

none9noPurpose: Bioimpedance data through bioimpedance vector analysis (BIVA) is used to evaluate cellular function and body fluid content. This study aimed to (i) identify whether BIVA patters differ according to the competitive period and (ii) provide specific references for assessing bioelectric properties at the start of the season in male elite soccer players. Methods: The study included 131 male soccer players (age: 25.1 ± 4.7 yr, height: 183.4 ± 6.1 cm, weight: 79.3 ± 6.6) registered in the first Italian soccer division (Serie A). Bioimpedance analysis was performed just before the start of the competitive season and BIVA was applied. In order to verify the need for period-specific references, bioelectrical values measured at the start of the season were compared to the reference values for the male elite soccer player population. Results: The results of the two-sample Hotelling T2tests showed that in the bivariate interpretation of the raw bioimpedance parameters (resistance (R) and reactance (Xc)) the bioelectric properties significantly (T2= 15.3, F = 7.6, p ≤ 0.001, Mahalanobis D = 0.45) differ between the two phases of the competition analyzed. In particular, the mean impedance vector is more displaced to the left into the R-Xc graph at the beginning of the season than in the first half of the championship. Conclusions: For an accurate evaluation of body composition and cellular health, the tolerance ellipses displayed by BIVA approach into the R-Xc graph must be period-specific. This study provides new specific tolerance ellipses (R/H: 246 ± 32.1, Xc/H: 34.3 ± 5.1, r: 0.7) for performing BIVA at the beginning of the competitive season in male elite soccer players.openBongiovanni T.; Mascherini G.; Genovesi F.; Pasta G.; Iaia F.M.; Trecroci A.; Ventimiglia M.; Alberti G.; Campa F.Bongiovanni T.; Mascherini G.; Genovesi F.; Pasta G.; Iaia F.M.; Trecroci A.; Ventimiglia M.; Alberti G.; Campa F

ISMuLT Guidelines for muscle injuries

Muscle injuries are frequent in high demand sports. No guidelines are available in the scientific literature. ISMuLT, the "Italian Society of Muscles, Ligaments and Tendons", in line with its multidisciplinary mission, is proud to cover this gap

Antisemitism and Covid-19 on Twitter. The search for hatred online between automatisms and qualitative evaluation Antisemitismo e Covid-19 in Twitter. La ricerca dell’odio online tra automatismi e valutazione qualitativa

The article presents a case study on Antisemitic hate speech in Twitter in the period September 2019-May 2020, with a particular focus on the months of the Covid-19 emergency. The corpus, consisting of 160.646 tweets selected by keywords, was investigated in terms of the amount of hate for each month, rhetoric and forms of Antisemitism. The analysis is carried out through social network analysis (SNA) techniques, with the goalof understanding whether it is possible to automate the process of identifying Antisemitic hatred. 26.11% of tweets contain hatred, that prejudice is the most commonrhetoric (44%) and association with financial power the prevailing form (74%). The sample was also compared with another research methodology that only detects the presence of hate words. It emerges that, in addition to an in-depth knowledge of the phenomenon, it is necessary to integrate the automatic classification phase with the manual contribution

30 years of seismicity in the south-western Alps and northern Apennines as recorded by the Regional Seismic Network of northwestern Italy

The aim of this work is to describe the seismicity of the South-western Alps and Northern Apennines from the very detailed picture provided by thirty years of operation of the Regional Seismic Network of northwestern Italy .PublishedTeatro Metastasio - Palazzo Vaj, Prato, Italy1.1. TTC - Monitoraggio sismico del territorio nazionaleope

Management of anterior thigh injuries in soccer players: practical guide

Most of the anterior thigh injuries are contusions or strains, however, some of these injuries can be career ending. Early diagnosis and correct treatment are key to successful outcome. Analyzing injury mechanism and adding both clinical and imaging findings, clinicians can make the right treatment decisions already often in the acute phase of the injury. Low grade contusions and muscle strains are treated well with planned rehabilitation, but complete tendon injuries or avulsions can require operative treatment. Also, neglected minor injuries could lead to chronic disabilities and time lost from play. Typical clinical presentation of anterior thigh injury is swelling and pain during hip flexion or knee extension. In more severe cases a clear gap can be palpated. Imaging methods used are ultrasound and magnetic resonance imaging (MRI) which are helpful for clinicians to determine more exact the extent of injury. MRI can identify possible tendon retractions which may need surgery. Clinicians should also be aware of other traumatic lesions affecting anterior thigh area such as myositis ossificans formation. Optimal treatment should be coordinated including acute phase treatment with rest, ice, and compression together with designed return-to-play protocol. The anatomical structure involved lines the treatment pathway. This narrative review describes these more common reasons for outpatient clinical visits for anterior thigh pain and injuries among soccer players

Characteristics and outcome of anti-hepatitis D virus positive patients with hepatocellular carcinoma

Background & aims: Chronic hepatitis D virus (HDV) often leads to end-stage liver disease and hepatocellular carcinoma (HCC). Comprehensive data pertaining to large populations with HDV and HCC are missing, therefore we sought to assess the characteristics, management, and outcome of these patients, comparing them to patients with hepatitis B virus (HBV) infection. Methods: We analysed the Italian Liver Cancer database focusing on patients with positivity for HBV surface antigen and anti-HDV antibodies (HBV/HDV, n = 107) and patients with HBV infection alone (n = 588). Clinical and oncological characteristics, treatment, and survival were compared in the two groups. Results: Patients with HBV/HDV had worse liver function [Model for End-stage Liver Disease score: 11 vs. 9, p < .0001; Child-Turcotte-Pugh score: 7 vs. 5, p < .0001] than patients with HBV. HCC was more frequently diagnosed during surveillance (72.9% vs. 52.4%, p = .0002), and the oncological stage was more frequently Milan-in (67.3% vs. 52.7%, p = .005) in patients with HBV/HDV. Liver transplantation was more frequently performed in HBV/HDV than in HBV patients (36.4% vs. 9.5%), while the opposite was observed for resection (8.4% vs. 20.1%, p < .0001), and in a competing risk analysis, HBV/HDV patients had a higher probability of receiving transplantation, independently of liver function and oncological stage. A trend towards longer survival was observed in patients with HBV/HDV (50.4 vs. 44.4 months, p = .106). Conclusions: In patients with HBV/HDV, HCC is diagnosed more frequently during surveillance, resulting in a less advanced cancer stage in patients with more deranged liver function than HBV alone. Patients with HBV/HDV have a heightened benefit from liver transplantation, positively influencing survival

Muscle injuries: a brief guide to classification and management

Muscle injuries are frequent in athletes. Despite their high incidence, advances in clinical diagnostic criteria and imaging, their optimal management and rehabilitation strategies are still debated in literature. Furthermore, reinjury rate is high after a muscle lesion, and an improper treatment or an early return to sports can increase the rate of reinjury and complications. Most muscle injuries are managed conservatively with excellent results, and surgery is normally advocated only for larger tears. This article reviews the current literature to provide physicians and rehabilitation specialists with the necessary basic tools to diagnose, classify and to treat muscle injuries. Based on anatomy, biomechanics, and imaging features of muscle injury, the use of a recently reported new classification system is also advocated

Regional coda Q variations in the western Alps (northern Italy)

To study the microseismicity of the central segment of the western Alps, a local temporal seismic network of six stations was installed in addition to the regional centralized network operating in the area. In 3 months about 220 shocks, with magnitude ranging between 1.0 and 3.8, have been analyzed and located. The epicenter distribution shows a possible subdivision into seismogenetic bands. This subdivision is also recognizable from the spectral characteristics of the analyzed seismic signals. A study of the wave attenuation, in a restricted area well covered by the local network, was carried out through a \u2018coda\u2019 analysis. The results show strong spatial Qc variations, in agreement with the strong lateral heterogeneities that characterize this area. In particular, the Brian\ue7onnais domain, the crystalline massifs and the inner part of the Alpine arc appear to behave as decreasing attenuation bands