State of art in intra-articular hip injections of different medications for osteoarthritis: a systematic review

Background: Intra-articular hip injections for osteoarthritis represent a useful instrument to reduce pain and disability in the common clinical practice. Several medications can be injected locally with different level of evidence-based efficacy. Objective: The objective of this systematic review is to investigate the effectiveness of intra-articular injections of different medications or substances for the pain treatment and the management of disability in subjects affected by hip osteoarthritis. Methods: Two reviewers selected independently randomised controlled trials published in the last 10 years, using PubMed and Scopus databases. The risk of bias was evaluated with Cochrane library assessment tool. Results: 12 randomised controlled trials have been selected. We found 8 papers comparing hyaluronic acid with platelet rich plasma, with corticosteroids and with saline solution; 1 paper compares two types of hyaluronic acid with different molecular weights; 3 papers study the effects of corticosteroids alone or compared to ketorolac or saline solution. Conclusions: The studies reviewed were heterogeneous regarding sample size, level of osteoarthritis, evaluated with Kellegren-Lawrence score, medications used and follow up timings. However, we have observed that intra-articular injections of platelet-rich plasma seem to decrease pain at short term and disability at long term, in patients affected by hip osteoarthritis better than hyaluronic acid. The association of hyaluronic acid and corticosteroids could give better results compared to hyaluronic acid alone, while the use of intra-articular ketorolac and saline solution requires more studies

Relax-and-fix heuristics applied to a real-world lot-sizing and scheduling problem in the personal care consumer goods industry

This paper addresses an integrated lot-sizing and scheduling problem in the industry of consumer goods for personal care, a very competitive market in which the good customer service level and the cost management show up in the competition for the clients. In this research, a complex operational environment composed of unrelated parallel machines with limited production capacity and sequence-dependent setup times and costs is studied. There is also a limited finished-goods storage capacity, a characteristic not found in the literature. Backordering is allowed but it is extremely undesirable. The problem is described through a mixed integer linear programming formulation. Since the problem is NP-hard, relax-and-fix heuristics with hybrid partitioning strategies are investigated. Computational experiments with randomly generated and also with real-world instances are presented. The results show the efficacy and efficiency of the proposed approaches. Compared to current solutions used by the company, the best proposed strategies yield results with substantially lower costs, primarily from the reduction in inventory levels and better allocation of production batches on the machines

Semantic technologies for the production and publication of open data in ACI - Automobile club d’Italia

Semantic technologies combine knowledge representation techniques with artificial intelligence in order to achieve a more effective management of enterprise knowledge bases, thanks to the separation of the conceptual level of the applications from the logical and physical ones, and to the automatic reasoning services they deploy for data access and control. In this context, Ontology-based Data Management (OBDM) [3] has consolidated itself as a paradigm for data integration and governance, based on a three-tier architecture: the ontology, the data sources, and the mappings, which declaratively link the ontology predicates to the data in the sources. In this talk1 we present a joint project by Sapienza University of Rome, the Automobile Club d’Italia (ACI), and OKKAM S.r.l.2, a spinoff of the University of Trento. The objectives of the project were the definition of an ontology of ACI’s Public Vehicle Register (PRA) and car tax domains, the development of an OBDM system to access the data through such ontology, and the creation of a web portal for the publication of ACI’s car parc data in Linked Open format

A call to action by the italian mesotherapy society on scientific research

: Mesotherapy (local intradermal therapy, LIT) is a technique used to slowly spread drugs in tissues underlying the site of injection to prolong the pharmacological effect with respect to intramuscular injection. Recommendations for proper medical use of this technique have been made for pain medicine and rehabilitation, chronic venous disease, sport medicine, musculoskeletal disorders, several dermatological conditions, skin ageing, and immune-prophylaxis. Although mesotherapy is considered a valid technique, unresolved questions remain, which should be answered to standardize methodology and dosing regimen as well as to define the right indications in clinical practice. New randomized controlled trials are needed to test single products (dose, frequency of administration, efficacy and safety). Even infiltration of substances for dermo-cosmetic purposes must be guided by safety and efficacy tests before being proposed by mesotherapy. In this article, we put forth a preclinical and clinical research plan and a health technology assessment as a call to action by doctors, researchers and scientific societies to aid national health authorities in considering mesotherapy for prevention, treatment and rehabilitation paths

Age-Related Interactions with Wind During Migration Support the Hypothesis of Developmental Learning in a Migrating Long-Lived Seabird

Wind patterns shape migratory pathways and detours of many procellariiform bird species that seasonally migrate between hemispheres. These seabirds are long-lived, and the period of immaturity is presumed to be a time of development and learning the environment, specifically how to use wind to their advantage. We assess how wind encountered by individual Great Shearwaters (Ardenna gravis) varies along the migration journey and compare responses between presumed mature and immature birds (early and late, respectively) in southbound migration and mature birds in northbound migration. We analyze modeled Argos locations from 71 individual tracks of migratory Great Shearwaters with concurrent U (East/West) and V (North/South) wind components. Migration in seabirds is well studied, but there is limited quantitative work measuring individual birds directly interacting with wind and their associated changes in flight behavior during migration. We show that Great Shearwaters made optimal use of winds, and that different age groups made decisions that exposed them to different wind constraints. Overall, Great Shearwaters derived positive responses from wind under most conditions and did not rely on a drifting strategy, which would be suggested if wind effect (difference between ground and airspeed) was predominantly positive during migrations. Instead, they appeared to use a compensating strategy to achieve an acceptable course and speed. The difference we observed in migration phenologies suggests that by migrating later, immature birds might travel the path of least resistance and experience flight conditions that are less risky furthering their ability to withstand a variety of wind conditions encountered later in life as done by adults, which migrate earlier and are subject to more variable flight conditions. We conclude that like other procellariiforms, a longer period of sexual maturity is required to enhance flight performance and mediate energy expenditure through experiential learning and increased fitness

The politics of regulatory enforcement and compliance: Theorizing and operationalizing political influences

There is broad consensus in the literature on regulatory enforcement and compliance that politics matters. However, there is little scholarly convergence on what politics is or rigorous theorization and empirical testing of how politics matters. Many enforcement and compliance studies omit political variables altogether. Among those that address political influences on regulatory outcomes, politics has been defined in myriad ways and, too often, left undefined. Even when political constructs are explicitly operationalized, the mechanisms by which they influence regulatory outcomes are thinly hypothesized or simply ignored. If politics is truly as important to enforcement and compliance outcomes as everyone in the field seems to agree, regulatory scholarship must make a more sustained and systematic effort to understand their relationship, because overlooking this connection risks missing what is actually driving regulatory outcomes. This article examines how the construct of “politics” has been conceptualized in regulatory theory and analyzes how it has been operationalized in empirical studies of regulatory enforcement and compliance outcomes. It brings together scholarship across disciplines that rarely speak but have much to say to one another on this subject in order to constitute a field around the politics of regulation. The goal is to sharpen theoretical and empirical understandings of when and how regulation works by better accounting for the role politics plays in its enforcement

Capacidad de recuperación de los campos naturales entrerrianos a partir del banco de semillas

Se estimó la capacidad de recuperación de los campos naturales a partir del banco de semillas. Se estudiaron cuatro ambientes, analizando la vegetación en pie y el banco de semillas. En la vegetación se estimó densidad en leñosas y frecuencia en herbáceas; densidad para semillas por especie, total y grupo funcional del banco de semillas. Se comparó el banco de semillas con la vegetación y definió el potencial de recuperación. Las gramíneas estivales presentaron mayor frecuencia en la vegetación. En el banco el mayor número fue de 58.379 semillas/m2, siendo las monocotiledóneas no gramíneas las más abundantes. La similitud fue baja y prevaleció un amplio número de especies con banco transitorio. Las gramíneas estivales, monocotiledóneas no gramíneas y dicotiledóneas son los grupos con mayores posibilidades de restaurar la vegetación y las gramíneas invernales y leguminosas solo en situaciones menos degradadas. Las leñosas mostraron bajas posibilidades de regeneración del bosque. En el corto plazo, pueden darse cambios importantes en la vegetación

Optimization of flow shop scheduling through a hybrid genetic algorithm for manufacturing companies

A task scheduling problem is a process of assigning tasks to a limited set of resources available in a time interval, where certain criteria are optimized. In this way, the sequencing of tasks is directly associated with the executability and optimality of a preset plan and can be found in a wide range of applications, such as: programming flight dispatch at airports, programming production lines in a factory, programming of surgeries in a hospital, repair of equipment or machinery in a workshop, among others. The objective of this study is to analyze the effect of the inclusion of several restrictions that negatively influence the production programming in a real manufacturing environment. For this purpose, an efficient Genetic Algorithm combined with a Local Search of Variable Neighborhood for problems of n tasks and m machines is introduced, minimizing the time of total completion of the tasks. The computational experiments carried out on a set of problem instances with different sizes of complexity show that the proposed hybrid metaheuristics achieves high quality solutions compared to the reported optimal cases

Mesotherapy: From Historical Notes to Scientific Evidence and Future Prospects

Intradermal therapy, known as mesotherapy, is a technique used to inject a drug into the surface layer of the skin. In particular, it involves the use of a short needle to deposit the drug in the dermis. The intradermal microdeposit modulates the drug's kinetics, slowing absorption and prolonging the local mechanism of action. It is successfully applied in the treatment of some forms of localized pain syndromes and other local clinical conditions. It could be suggested when a systemic drug-sparing effect is useful, when other therapies have failed (or cannot be used), and when it can synergize with other pharmacological or nonpharmacological therapies. Despite the lack of randomized clinical trials in some fields of application, a general consensus is also reached in nonpharmacological mechanism of action, the technique execution modalities, the scientific rationale to apply it in some indications, and the usefulness of the informed consent. The Italian Mesotherapy Society proposes this position paper to apply intradermal therapy based on scientific evidence and no longer on personal bias