Breast Milk Hormones and Regulation of Glucose Homeostasis

Growing evidence suggests that a complex relationship exists between the central nervous system and peripheral organs involved in energy homeostasis. It consists in the balance between food intake and energy expenditure and includes the regulation of nutrient levels in storage organs, as well as in blood, in particular blood glucose. Therefore, food intake, energy expenditure, and glucose homeostasis are strictly connected to each other. Several hormones, such as leptin, adiponectin, resistin, and ghrelin, are involved in this complex regulation. These hormones play a role in the regulation of glucose metabolism and are involved in the development of obesity, diabetes, and metabolic syndrome. Recently, their presence in breast milk has been detected, suggesting that they may be involved in the regulation of growth in early infancy and could influence the programming of energy balance later in life. This paper focuses on hormones present in breast milk and their role in glucose homeostasis

Open Surgery for Sportsman's Hernia a Retrospective Study

Sportsman's hernia is a painful syndrome in the inguinal area occurring in patients who play sports at an amatorial or professional level. Pain arises during sport, and sometimes persists after activity, representing an obstacle to sport resumption. A laparoscopic/endoscopic approach is proposed by many authors for treatment of the inguinal wall defect. Aim of this study is to assess the open technique in terms of safety and effectiveness, in order to obtain the benefit of an open treatment in an outpatient management. From October 2017 to July 2019, 34 patients underwent surgery for groin pain syndrome. All cases exhibited a bulging of the inguinal posterior wall. 14 patients were treated with Lichtenstein technique with transversalis fascia plication and placement of a polypropylene mesh fixed with fibrin glue. In 20 cases, a polypropylene mesh was placed in the preperitoneal space. The procedure was performed in day surgery facilities. Early or late postoperative complications did not occur in both groups. All patients returned to sport, in 32 cases with complete pain relief, whereas 2 patients experienced mild residual pain. The average value of return to sport was 34.11 ± 8.44 days. The average value of return to play was 53.82 ± 11.69 days. With regard to postoperative pain, no substantial differences between the two techniques were detected, and good results in terms of the resumption of sport were ensured in both groups. Surgical treatment for sportsman's hernia should be considered only after the failure of conservative treatment. The open technique is safe and allows a rapid postoperative recovery

A Retrospective Case Series in Fournier’s Disease. And Its Emergency Management et Grafting Technique for Penis Coverage

Fournier’s gangrene is a necrotizing soft tissue infection of the genital, perineal, and perirectal areas. A primary isolated involvement of the penis is rare, but it can be elected in some circumstances. •epurpose ofthiscase series isto present the …ndings of our thirteen years’ experience in the reconstruction of the penis in Fournier’s gangrene and our full-thickness grafting technique to cover the penis rod. We retrospectively reviewed patient data who underwent a penis reconstruction following Fournier’s gangrene in 2018. •e data was analyzed to report the estimated percentage of complications, of patients with primary or secondary gangrene of the penis, the number of reinterventions, and …nally the percentage of deaths or recovery. 23 patients underwent reconstruction with our technique of full-thickness skin graft. In all cases, the skin graft was harvested from the upper armwith anarrow shapemark. Nofurther penile revision surgery was required, and neither patient complained about retraction, nor traction, or pain during erection. •e donor site healed without any complications. We believe that the coverage of the penis using our grafting technique is safe, easily reproducible, and demonstrates excellent esthetic and functional results

New classifications of axillary lymph nodes and their anatomical-clinical correlations in breast surgery

BACKGROUND: In the last decade, two research groups, the French group by Clough et al. (Br J Surg. 97:1659-65, 2010) and the Chinese one by Li et al. (ISRN Oncol 2013:279013, 2013), proposed two types of classification of axillary lymph nodes in breast cancer, identifying novel anatomic landmarks for dividing the axillary space in lymph node dissection.MAIN BODY: Knowledge of the exact location of the sentinel node helps to focus the surgical dissection and to reduce the morbidity of sentinel lymph node biopsy procedures, in particular the risk of arm lymphedema, without compromising sensitivity.CONCLUSION: In this article, we aimed at focusing on the clinical impact that the most recent classifications of axillary lymph nodes have obtained in literature, highlighting the importance of defining new demarcations to preserve the axillary lymph nodes as much as possible in breast surgery

Il neofascismo nell'Italia meridionale tra eversione e legalità

Dottorato di ricerca internazionale in studi umanistici: Teorie, storie e tecniche dell'interpretazione dei testi, Ciclo XXIX, a.a. 2016-2017Università della Calabri

Primary Stability Study in Implantology: Correlation of Micromovements to Bone Density and Peak Insertion Torque

In modern implantology, one of the relevant issues regards the assessment of the primary stability. In particular, the role played by micromevements and their effects on various factors such as the intertional torque and bone density are of highest interest. A detailed knowledge of interconnections would be of great clinical relevance in suggesting a more rational application of the immediate loading thus reducing the failure rate. However, the study of the correlations of insertional torque and cortical and cancellous bone densities led to controversial results concerning micromovements and finally the primary stability. We propose here a more focused study on direct evaluations of micromovements

Non-Profit Organizations as Facilitators of the Sustainable Social Innovation of Firms: An Italian Case Study

Non-profit organizations (NPOs) are becoming top players in the business arena and can significantly contribute to socially sustainable development by leading several open innovation (OI) processes. The present study investigated the functioning of an NPO (ELIS, based in Rome, Italy), that acts as an open innovation intermediary in a large consortium of enterprises. By adopting a mixedmethod approach, key aspects related to the NPO’s organizational culture, the OI management process within the consortium, as well as leadership skills and values were investigated among 77 employees and 8 managers of the NPO. Results showed that the managers’ approach to OI, teamwork, and market challenges significantly affected the NPO’s ability to produce OI among the consortium members. Moreover, empowering leadership, and a culture of trust and mistake acceptance were highly valued by the NPO in view of an effective OI performance. The study contributes to the current literature by highlighting the conditional factors of the NPO’s capability to create open innovation with enterprises, and push them toward societal change. Implications for OI development have been discussed

X-Evolution: A System for XML Schema Evolution and Document Adaptation

The structure of XML documents, expressed as XML schemas, can evolve as well as their content. Systems must be frequently adapted to real-world changes or updated to fix design errors and thus data structures must change accordingly in order to address the new requirements. A consequence of schema evolution is that documents instance of the original schema might not be valid anymore. Currently, users have to explicitly revalidate the documents and identify the parts to be updated. Moreover, once the parts that are not valid anymore have been identified, they have to be explicitly updated. All these activities are time consuming and error prone and automatic facilities are required

Artichoke (Cynara cardunculus L. var. scolymus) waste as a natural source of carbonyl trapping and antiglycative agents

The role of polyphenolic compounds extractable from artichoke solid wastes in the formation of advanced glycation end products (AGEs) was studied. Outer bracts and stems were extracted using different water-ethanol mixtures and HPLC-DAD analyses indicated aqueous and hydro-alcoholic 20:80 stem extracts as the richest in polyphenols. The samples were characterized in their phenolic composition (using mass spectrometry) and antioxidant capacity. Antiglycative capacity was evaluated by in vitro BSA-sugars (glucose, fructose, and ribose) and BSA-methylglyoxal (MGO) tests, formation of Amadori products assay, direct glyoxal (GO) and MGO trapping capacity. Results indicated both extracts as effective inhibitors of fructosamine formation and antiglycative agents. In particular, aqueous extract showed the best activity in the systems containing glucose and fructose, differently from ethanolic extract, that was demonstrated able to better inhibit AGEs formation when ribose or MGO act as precursors. Ethanolic extract was also shown to be able to trap MGO and GO, with efficiency increasing after 24 hours of incubation time. These activities are partially correlated with the antioxidant effect of the extract, as demonstrated by the scavenger capacity against ABTS cation and DPPH stable radicals; this relationship is evident when the model system, containing protein incubated with ribose or MGO, is considered. The different activities of the tested extracts could probably be ascribed to the different composition in chlorogenic acids (CQAs), being aqueous extract richer in 1-CQA, 3-CQA, and 1,3-di-CQA, and ethanolic extract in 5-CQA, caffeic acid, 1,5-di-CQA. These findings support further investigations to study the stability of the different CQAs in simil-physiological conditions and the feasibility of artichoke waste as antiglycative agents in food or pharmacological preparations