Family history of cancer and the risk of cancer: a network of case-control studies

Background The risk of many cancers is higher in subjects with a family history (FH) of cancer at a concordant site. However, few studies investigated FH of cancer at discordant sites. Patients and methods This study is based on a network of Italian and Swiss case-control studies on 13 cancer sites conducted between 1991 and 2009, and including more than 12 000 cases and 11 000 controls. We collected information on history of any cancer in first degree relatives, and age at diagnosis. Odds ratios (ORs) for FH were calculated by multiple logistic regression models, adjusted for major confounding factors. Results All sites showed an excess risk in relation to FH of cancer at the same site. Increased risks were also found for oral and pharyngeal cancer and FH of laryngeal cancer (OR = 3.3), esophageal cancer and FH of oral and pharyngeal cancer (OR = 4.1), breast cancer and FH of colorectal cancer (OR = 1.5) and of hemolymphopoietic cancers (OR = 1.7), ovarian cancer and FH of breast cancer (OR = 2.3), and prostate cancer and FH of bladder cancer (OR = 3.4). For most cancer sites, the association with FH was stronger when the proband was affected at age <60 years. Conclusions Our results point to several potential cancer syndromes that appear among close relatives and may indicate the presence of genetic factors influencing multiple cancer site

Understanding labour productivity in maternity wards

This paper provides a causal estimate of labour productivity in maternity wards. We consider an Italian law that defines the staffing requirements of hospital maternity units according to the annual number of births. We exploit the discontinuities in the availability of medical staff caused by thresholds in the law to define both instrumental variables and a regression discontinuity framework that allows us to estimate the causal effect of different teams of professionals on the mode of delivery and on the health status of newborns and mothers at delivery. The analysis is based on detailed patient-level data on births in an Italian region. We find that maternity units with annual births above the thresholds are more likely to have a 'full team' of professionals at delivery. We find that having a full team has no effect on the mode of delivery (caesarean section vs vaginal birth). However, the presence of a full team has a significant impact on health outcomes. We find an improvement in both neonatal and maternal outcomes associated with a more intensive use of medical interventions, suggesting that larger hospitals are better than smaller units at managing deliveries with appropriate treatments to avoid complications. In addition, we do not find substantial heterogeneous effects across days of the week, time of day, or nationality of mothers

Ensaio regional de linhagens de arroz irrigado do Programa de Melhoramento Genético da Embrapa no RS - safra 2008/09.

O Ensaio Regional de linhagens de arroz irrigado visa selecionar genótipos que apresentem alta adaptabilidade e estabilidade aos diversos ambientes em que são cultivadas e que expressem elevado rendimento de grãos, associado à características agronômicas, industriais e culinárias adequadas. Este experimento teve como objetivo avaliar linhagens do programa da Embrapa no Ensaio Regional de Rendimento

Desempenho de linhagens elites de arroz irrigado de ciclo precoce do Programa de Melhoramento Genético da Embrapa em ensaios VCU no RS - safra 2008/09.

O objetivo deste trabalho foi avaliar o desempenho em rendimento de grãos e características agronômicas de interesse das linhagens de ciclo precoce geradas pelo programa de melhoramento genético da Embrapa, em diferentes regiões orizícolas do Rio Grande do Sul, para verificar a possibilidade de indicação de novas cultivares

Desempenho de linhagens elite de arroz irrigado de ciclo médio do Programa de Melhoramento Genético da Embrapa em ensaios VCU no RS - safra 2008/09.

O objetivo deste trabalho foi avaliar o desempenho das linhagens geradas pelo Programa de Melhoramento Genético da Embrapa, em diferente regiões orizícolas do Rio Grande do Sul, visando possível lançamento de novas cultivares

The development of spontaneous facial responses to others’ emotions in infancy. An EMG study

Viewing facial expressions often evokes facial responses in the observer. These spontaneous facial reactions (SFRs) are believed to play an important role for social interactions. However, their developmental trajectory and the underlying neurocognitive mechanisms are still little understood. In the current study, 4- and 7-month old infants were presented with facial expressions of happiness, anger, and fear. Electromyography (EMG) was used to measure activation in muscles relevant for forming these expressions: zygomaticus major (smiling), corrugator supercilii (frowning), and frontalis (forehead raising). The results indicated no selective activation of the facial muscles for the expressions in 4-month-old infants. For 7-month-old infants, evidence for selective facial reactions was found especially for happy faces (leading to increased zygomaticus major activation) and fearful faces (leading to increased frontalis activation), while angry faces did not show a clear differential response. This suggests that emotional SFRs may be the result of complex neurocognitive mechanisms which lead to partial mimicry but are also likely to be influenced by evaluative processes. Such mechanisms seem to undergo important developments at least until the second half of the first year of life

Laryngeal mask airway in neonatal stabilization and transport: a retrospective study.

Laryngeal mask airway (LMA) may be considered by health caregivers of level I–II hospitals for neonatal resuscitation and stabilization before and during interhospital care, but literature provides little information on this aspect. This study reviewed the use of LMA during stabilization and transport in a large series of neonates. This is a retrospective study evaluating the use of LMA in infants who underwent emergency transport by the Eastern Veneto Neonatal Emergency Transport Service between January 2003 and December 2021. All data were obtained from transport registry, transport forms, and hospital charts. In total, 64/3252 transferred neonates (2%) received positive pressure ventilation with an LMA, with increasing trend over time (p = 0.001). Most of these neonates were transferred after birth (97%), due to a respiratory or neurologic disease (95%). LMA was used before the transport (n = 60), during the transport (n = 1), or both (n = 3). No device-related adverse effects were recorded. Sixty-one neonates (95%) survived and were discharged/transferred from the receiving center

The effect of co-payments on the take-up of prenatal tests

Noninvasive prenatal screening tests help identify genetic disorders in a fetus, but their take-up remains low in several countries. Using a regression discontinuity design, we test the causal effect of a policy that eliminated co-payments for noninvasive screening tests in Italy. We identify the treatment effects by a discontinuity in women's eligibility for a free test based on their conception date. We find that the policy increases the probability of women's undergoing noninvasive screening tests by 5.5 percentage points, and the effect varies by socioeconomic status. We do not find evidence of substitution effects with more expensive and riskier invasive diagnostic tests. In addition, the increase in take-up does not affect pregnancy termination or newborn health. We find some evidence of positive effects on mothers’ health behaviors during pregnancy as measured by reductions in mothers’ weight gain and hospital admissions during pregnancy, but these are statistically significant only at the 10 percent level

Osteochondritis dissecans of the knee: Epidemiology, etiology, and natural history.

Osteochondritis dissecans of the knee is a disease that typically affects skeletally immature patients. Clinically manifested with knee pain, limping, and joint disfunction, this condition has remained misunderstood and undervalued for a long period. Although being a rare condition, its awareness is of utmost clinical interest because of the possible severe consequences it can bring when misrecognized or inadequately treated. Its etiology remains unclear and is still debated. Many theories have been proposed, including inflammation, local ischemia, subchondral ossification abnormalities, genetic factors, and repetitive mechanical microtrauma, with a likely interplay of the same. This review article aims to deliver and discuss current and up-to-date concepts on epidemiology, etiology, and natural history of this pediatric condition. Level of evidence: level V