Tools for the evaluation of low back pain impairment: a critical review.

Low back pain is a common musculoskeletal disorder which affects the lumbar segment of the spine. It can be either acute, subacute or chronic in its clinical presentation. Typically, the symptoms of low back pain do show significant improvement within two to three months from its onset. In a significant number of individuals, low back pain tends to be recurrent in nature with a waxing and waning quality to it. In a small proportion of sufferers this condition can become chronic. Population studies show that back pain affects most adults at some stage in their life and accounts for more sick leave and disability than any other single medical condition. This book presents new leading-edge research on this topic. The Chapt VI “Tools for the Evaluation of Low Back Pain Impairment: A Critical Review” put on light different LBP questionnaires and the different aspects of LBP they can report. In particular here is examined the role of Visual Analogic Scale (VAS) compared with the Owestry Questionnaire and the Roland-Morris Disability Questionnaire. Many works and researchers in scientific literature considered these test and their different data are here analysed to better point our attention in the tools to be considered to evaluate LBP

Berberine and Dyslipidemia: Different Applications and Biopharmaceutical Formulations Without Statin-Like Molecules—A Meta-Analysis

The aim of this study was to analyze the efficacy of berberine taken alone or in other formulations (with silymarin or other mixtures) on dyslipidemia through a systematic review of the literature and a meta-analysis. A systematic investigation was conducted on 19 studies that were selected based on inclusion and exclusion criteria. Both controlled trials (n = 12) and cross-sectional trials (n = 7) were included. The following formulations were examined: berberine used alone (n = 5), berberine combined with silymarin (n = 8), and other mixture containing berberine (n = 6). A meta-analysis was performed using a fixed-effects model and meta-regression. Total cholesterol (TC), low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, and triglycerides were considered. Moreover, possible associations of each parameter with age and the dose and duration of the treatment were analyzed. The data obtained showed a significant reduction in TC and LDL cholesterol for each formulation. A reduction in triglycerides was also observed for both TC and LDL but with a smaller impact. As regards HDL, a slight increase was observed, but it was not statistically significant. The formulation of berberine in association with silymarin was found to have the greatest impact on TC, LDL, HDL, and triglycerides. The greater efficacy of the formulation consisting of berberine associated with silymarin can probably be accounted for by the fact that the latter increases the bioavailability of berberine. However, it is necessary to carry out further clinical studies to better define the efficacy of the treatment and which patients show the best response

Real-Life Analysis with Erenumab: First Target Therapy in the Episodic and Chronic Migraine’s Prophylaxis

open7noBackground: to research retrospectively the efficacy of Erenumab’s treatment, thus allowing to describe a summary more in line with the reality observed every day in clinical practice, relative to a sample of patients widely heterogeneous. The study aims to confirm the efficacy of Erenumab, in terms of reduction of migraine days per month, from baseline to month 12 of treatment. Additional objectives included a reduction in the number of days of symptomatic drug use and change from baseline in the Migraine Disability Assessment Score Questionnaire (MIDAS); Methods: the analysis included all patients treated for 12 months with Erenumab during the year 2019–2020. The population analyzed consists of twenty-six patients from the Neurology outpatient clinic in Fossombrone. Several quantitative and qualitative variables were recorded by reading the medical records of the patients. The MIDAS was administered to patients to assess the disability related to migraine; Results: at the end of treatment, a statistically significant reduction in the mean number of monthly migraine days, acute medication use per month, and MIDAS questionnaire score was observed; Conclusions: as a preventive treatment of episodic and chronic migraine, our analysis data confirm the efficacy of Erenumab for the prevention of the migraine. The success is achieved in 96% of casesopenMaraia, Zaira; Ricci, Diletta; Rocchi, Marco Bruno Luigi; Moretti, Alessandro; Bufarini, Celestino; Cavaliere, Arturo; Peverini, ManolaMaraia, Zaira; Ricci, Diletta; Rocchi, Marco Bruno Luigi; Moretti, Alessandro; Bufarini, Celestino; Cavaliere, Arturo; Peverini, Manol

Effect of a Klamath algae product ("AFA-B12") on blood levels of vitamin B12 and homocysteine in vegan subjects: a pilot study

none8Vitamin B12 is a critical nutrient that is often inadequate in a plant-based (vegan) diet, thus the inclusion of a reliable vitamin B12 source in a vegan diet is recommended as essential. Unfortunately, many natural sources of vitamin B12 have been proven to contain biologically inactive vitamin B12 analogues, inadequate for human supplementation. The aim of this non-randomized open trial was to determine whether supplementation with a natural Klamath algae-based product ("AFA-B12", Aphanizomenon flos-aquae algae plus a proprietary mix of enzymes) could favorably affect the vitamin B12 status of a group of 15 vegan subjects. By assessing blood concentration of vitamin B12, folate, and more importantly homocysteine (Hcy, a reliable marker in vegans of their B12 absorption), the vitamin B12 status of the participants at the end of the 3-month intervention period, while receiving the Klamath-algae supplement (T2), was compared with their vitamin B12 status at the end of the 3-month control period (T1), when they were not receiving any supplement, having stopped taking their usual vitamin B12 supplement at the beginning of the study (T0). Compared to the control period, in the intervention period participants improved their vitamin B12 status, significantly reducing Hcy blood concentration (p=0.003). In conclusion, the Klamath algae product AFA-B12 appears to be, in a preliminary study, an adequate and reliable source of vitamin B12 in humans.openL.Baroni; S.Scoglio; S.Benedetti; C.Bonetto; S.Pagliarani; Y.Benedetti; M.Rocchi; F.CanestrariL., Baroni; S., Scoglio; Benedetti, Serena; C., Bonetto; S., Pagliarani; Y., Benedetti; Rocchi, MARCO BRUNO LUIGI; Canestrari, Franc

Comunidad de paseriformes nidificantes de la Península Valdés (Patagonia, Argentina)

The Valdes Peninsula is a high-natural value area, located on the east coast of Argentine Patagonia. The aim of the reported research was to analyze the community of breeding passerine birds of the inland areas, with the purpose to identify the species that characterize each community, determining the main environmental typologies frequented, in order to study the relationships between bird richness and abundance, and environmental structure. During the breeding season 2011, 107 point counts were performed. 869 birds belonging to 23 passerine species were contacted and analyzed through a cluster analysis using the Indicator Value method. Results revealed the existence of two different communities: one that essentially refers to the grassy steppe where the characteristic species are Shortbilled Pipit (Anthus furcatus) and Common Miner (Geositta cunicularia), and the other one, which occupies the shrub-steppe consisting of more characteristic species, starting from the Rufous-collared Sparrow (Zonotrichia capensis), the most widespread species. These results update previous results on the community of passerines living in the study area and provide some useful insights for management purposes.La Península de Valdes es un area de gran riqueza natural, localizada en la costa Este de la Pa- tagonia Argentina. El propósito de este trabajo fue analizar la comunidad de aves Passeriformes de las areas internas de la región, con el proposito de identificar las especies que caracterizan cada comuni- dad, determinando las principales tipologias ambientales frecuentadas, para poder estudiar las rela- ciones entre la riqueza y abundancia de aves y la estructura del ambiente. Se realizaron 107 puntos de conteo durante la temporada reproductiva de 2011, en donde se detectaron 869 aves pertenecientes a 23 especies de Passeriformes. Para los análisis se usó el método de agrupamiento por el método del Indicator Value. Los resultados evidencian la existencia de dos diferentes comunidades: una asociada exclusivamente a la estepa herbácea y caracterizada por las especies Cachirla uña corta (Anthus furca- tus) y Minero común (Geositta cunicularia); mientras que la otra, asociada a la estepa arbustiva, es car- acterizada por diferentes especies típicas, como el Chingolo (Zonotrichia capensis), que es la especie de mayor distribución. Estos resultados constituyen una actualización al conocimiento de la fauna de la Península de Valdés, los cuales pueden ser útiles para el manejo y conservación de la avifauna de la región.Fil: Pruscini, Fabio. Università Di Urbino; ItaliaFil: Morelli, Federico. Università Di Urbino; ItaliaFil: Sisti, Davide. Università Di Urbino; ItaliaFil: Perna, Paolo. Universita Degli Di Camerino. Scuola Di Scienze Ambientale; ItaliaFil: Catorci, Andrea. Universita Degli Di Camerino. Scuola Di Scienze Ambientale; ItaliaFil: Bertellotti, Nestor Marcelo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Nacional Patagónico; ArgentinaFil: Rocchi, Marco Bruno Luigi. Università Di Urbino; ItaliaFil: Santolini, Ricardo. Università Di Urbino; Itali

Treatment of Achilles Tendinopathy in Recreational Runners with Peritendinous Hyaluronic Acid Injections: A Viscoelastometric, Functional, and Biochemical Pilot Study

Background: Achilles tendinopathy (AT) affects ca. 10 million recreational runners in Europe; the practice of hyaluronic acid (HA) infiltration is being increasingly adopted. The aim of this pilot study was to monitor the effects of a three-local time-spaced injections regimen of HA in the treatment of AT in middle-aged runners combining for the first time viscoelastometric, biochemical, and functional methodologies with routine clinical examinations. Methods: Eight male runners (Age 49.3 ± 3.9), diagnosed for unilateral AT, were given three ultrasound (US) guided peritendinous HA injections at the baseline (T0) and every fifteenth day with a follow-up on the forty-fifth day (T1, T2, and T3). At all-time points patients were assessed for viscoelastic tone and stiffness, maximal voluntary isometric contraction (MVIC), and pain level (Likert scale 0-5). The peritendinous effusions of the injured tendon were collected at T0 and T2 to quantify the volume variations and the IL-1β and MMP-3 levels. Results: At T0 MVIC and pain score were significantly lower and higher, respectively, in injured tendons. The volume, IL-1β and MMP-3 levels decreased in the course of treatment and the clinical endpoints ameliorated over time. Tone, stiffness, and functional performance also varied significantly at T2 and T3, as compared to T0. Conclusions: The sequential peritendinous injections of HA were effective in the amelioration of the clinical symptoms, as well as of the functional and viscoelastic state associated with AT. The determination of the viscoelastometric state may help to precisely evaluate the healing process in AT patients

Seroprevalence of SARS-CoV-2–Specific Antibodies in Cancer Patients Undergoing Active Systemic Treatment: A Single-Center Experience from the Marche Region, Italy

none13noSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) seroprevalence in cancer patients may vary widely dependent on the geographic area and this has significant implications for oncological care. The aim of this observational, prospective study was to assess the seroprevalence of SARS-CoV-2 IgM/IgG antibodies in solid cancer patients referred to the academic institution of the Marche Region, Italy, between 1 July and 26 October 2020 and to determine the accuracy of the rapid serological test. After performing 3767 GCCOV-402a rapid serological tests on a total of 949 patients, seroconversion was initially observed in 13 patients (1.4%). Ten (77% of the total positive) were IgG-positive, 1 (8%) were IgM-positive and 2 (15%) IgM-positive/IgG-positive. However, only 7 out of 13 were confirmed as positive at the reference serological test (true positives), thus seroprevalence after cross-checking was 0.7%. No false negatives were reported. The kappa value of the consistency analysis was 0.71. Due to rapid serological test high false positive rate, its role in assessing seroconversion rate is limited, and the standard serological tests should remain the gold standard. However, as rapid test negative predictive value is high, GCCOV-402a may instead be useful to monitor patient immunity over time, thus helping to assist ongoing vaccination programsopenCantini, Luca; Bastianelli, Lucia; Lupi, Alessio; Pinterpe, Giada; Pecci, Federica; Belletti, Giovanni; Stoico, Rosa; Vitarelli, Francesca; Moretti, Marco; Onori, Nicoletta; Giampieri, Riccardo; Rocchi, Marco Bruno Luigi; Berardi, RossanaCantini, Luca; Bastianelli, Lucia; Lupi, Alessio; Pinterpe, Giada; Pecci, Federica; Belletti, Giovanni; Stoico, Rosa; Vitarelli, Francesca; Moretti, Marco; Onori, Nicoletta; Giampieri, Riccardo; Rocchi, Marco Bruno Luigi; Berardi, Rossan

Evaluation of Two-Month Antibody Levels after Heterologous ChAdOx1-S/BNT162b2 Vaccination Compared to Homologous ChAdOx1-S or BNT162b2 Vaccination

none11noWe evaluated the post-vaccination humoral response of three real-world cohorts. Vaccinated subjects primed with ChAdOx1-S and boosted with BNT162b2 mRNA vaccine were compared to homologous dosing (BNT162b2/BNT162b2 and ChAdOx1-S/ChAdOx1-S). Serum samples were collected two months after vaccination from a total of 1248 subjects. The results showed that the heterologous vaccine schedule induced a significantly higher humoral response followed by homologous BNT162b2/BNT162b2 and ChAdOx1-S/ChAdOx1-S vaccines (p < 0.0001). Moreover, analyzing factors (i.e., vaccine schedule, sex, age, BMI, smoking, diabetes, cardiovascular diseases, respiratory tract diseases, COVID-19 diagnosis, vaccine side effects) influencing the IgG anti-S response, we found that only the type of vaccine affected the antibody titer (p < 0.0001). Only mild vaccine reactions resolved within few days (40% of subjects) and no severe side effects for either homologous groups or the heterologous group were reported. Our data support the use of heterologous vaccination as an effective and safe alternative to increase humoral immunity against COVID-19.openBarocci, Simone; Orlandi, Chiara; Diotallevi, Aurora; Buffi, Gloria; Ceccarelli, Marcello; Vandini, Daniela; Carlotti, Eugenio; Galluzzi, Luca; Rocchi, Marco Bruno Luigi; Magnani, Mauro; Casabianca, AnnaBarocci, Simone; Orlandi, Chiara; Diotallevi, Aurora; Buffi, Gloria; Ceccarelli, Marcello; Vandini, Daniela; Carlotti, Eugenio; Galluzzi, Luca; Rocchi, Marco Bruno Luigi; Magnani, Mauro; Casabianca, Ann

Are there sex differences in physiological parameters and reaction time responses to overload in firefighters?

Male and female firefighters work side-by-side in the same in strenuous and risky conditions. Anthropometrics, physiological, and reaction time (mean of reaction time -MRT-, and errors made -E) parameters of 12 Female and 13 Male firefighters were compared. Effect of overload (step test with and without equipment) on the MRT and E were analyzed on 3 trials (T1 = 1-1s, T2 = 0.5-1s, T3 = 0.5-0.5s), compared with a pre-test condition (basal). T-test between males and females was applied to assess differences (p<0.05) in all parameters. ANOVA with repeated measures and Bonferroni on 3 conditions of step test between males and females was applied in reaction time variables. Between MRT and E, in T1, T2 and T3 trials and the 3 test conditions, ANCOVA models with interactions were used. Differences (p<0.05) in anthropometric, physiological and reaction time data emerged across groups, and on the 3rd trials (T3 vs T1 and T2) in reaction time parameters of each group. ANCOVA showed differences (p<0.001) in E among trials. Post hoc showed significant differences in T1vsT3 and T1vsT2. MRT x trial interaction was extremely significant (P<0.001). Implementing fitness and reaction time exercise programs is important to decrease the injury risk and increase work capacity in firefighters with reference to female workers

chemical composition antioxidant antimicrobial and anti inflammatory activity of prunus spinosa l fruit ethanol extract

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