Association of endometrioid ovarian carcinoma arising from endometriosis, endometrioid endometrial carcinoma, and high-grade undifferentiated endometrial sarcoma. a case report

Endometriosis is a chronic disease that affects women of reproductive age. Malignant transformation in endometriosis is considered to be an unusual event, only occurring in 0.7-0.1% of cases. However the association between endometriosis and endometrial cancer is not well defined. Also in literature, rare cases of uterine sarcoma, about 3% of all uterine malignancies, associated with endometriosis have been reported. The authors report a case of a 47-years-old Italian woman with histologic diagnosis of endometrioid ovarian carcinoma arising from endometriosis, endometrioid endometrial carcinoma, and undifferentiated endometrial sarcoma. Therefore there have been few studies addressing the relationship between endometrial stromal sarcomas (ESS), and endometriosis. Novel scientific findings are necessary to investigate a possible common pathway and an effective treatment, although complete tumor resection can reduce the recurrence rate

Ovarian endometrioid adenocarcinoma diagnosed in pregnancy. a case report

The prevalence of adnexal masses pregnancy is about 0.19-8.8%. The malignancy rate is around 1-6%, and indeed most cases are benign masses. During pregnancy adnexal masses should be accurately evaluated to identify the patients who need surgery from those who need a 'wait-and-see' strategy. The authors report a case of 36-year-old woman (gravida 2, para 2, two vaginal deliveries) referred to the Gynecologic Department with diagnosis of endometrioid ovarian adenocarcinoma. The patient underwent laparotomic surgery with left salpingo-oophorectomy, total hysterectomy, pelvic and para-aortic lymphadenectomy, and peritoneal washing for optimal surgery staging. No ascites or residual tumour in the abdominal cavity were found macroscopically. Histopathology was negative for residual ovarian cancer. Currently the treatment and the management of ovarian cancer are not well established because scientific evidence is limited

How immunosenescence and inflammaging may contribute to hyperinflammatory syndrome in COVID-19

Aging is characterized by the dynamic remodeling of the immune system designated “immunosenescence,” and is associated with altered hematopoiesis, thymic involution, and lifelong immune stimulation by multitudinous chronic stressors, including the cytomegalovirus (CMV). Such alterations may contribute to a lowered proportion of naïve T-cells and to reduced diversity of the T-cell repertoire. In the peripheral circulation, a shift occurs towards accumulations of T and B-cell populations with memory phenotypes, and to accumulation of putatively senescent and exhausted immune cells. The aging-related accumulations of functionally exhausted memory T lymphocytes, commonly secreting pro-inflammatory cytokines, together with mediators and factors of the innate immune system, are considered to contribute to the low-grade inflammation (inflammaging) often observed in elderly people. These senescent immune cells not only secrete inflammatory mediators, but are also able to negatively modulate their environments. In this review, we give a short summary of the ways that immunosenescence, inflammaging, and CMV infection may cause insufficient immune responses, contribute to the establishment of the hyperinflammatory syndrome and impact the severity of the coronavirus disease 2019 (COVID-19) in elderly people

Analytical Delay Evaluation for FPGA based Repetitive Controller in AC Variable Frequency Applications

Repetitive Controller provides a very low THD in the quantities under control. It exhibits an inherent issue when operated to track variable frequency references. The paper deals with the analysis of the operating conditions when the controller is executed at variable frequency without any resynchronization with respect to the PWM carrier, which is the most common mode of operation. The delays introduced are then evaluated analytically concerning the sampling and output frequency that must be tracked. The proposed analysis allows obtaining the maximum delay affecting the control chain, which introduced by the Repetitive Control desynched operation. The knowledge of the delay introduced in the control loops is at the basis of any control tuning procedure and gains selection, even when adaptive control strategies are used

Does postoperative radiation therapy represent a contraindication to expander-implant based immediate breast reconstruction? An update 2012-2014

Post-mastectomy radiotherapy (PMRT) is well known in the plastic surgery community for having a negative impact on expander-implant based immediate breast reconstruction (IBBR), although recently some technical improvements allow better results. Very recent papers would suggest that there is no difference in postoperative complications in patients receiving post-mastectomy radiotherapy using modern techniques. However, study results are often biased by small groups of patients and by heterogeneity of radiotherapy timing, different surgical techniques and measured outcomes

Energy recovery from vinery waste: Dust explosion issues

The concern about global warming issues and their consequences is more relevant than ever, and the H2020 objectives promoted by the EU are oriented towards generating climate actions and sustainable development. The energy sector constitutes a difficult challenge as it plays a key role in the global warming impact. Its decarbonization is a crucial factor, and significant efforts are needed to find efficient alternatives to fossil fuels in heating/electricity generation. The biomass energy industry could have a contribution to make in the shift to renewable sources; the quest for a suitable material is basically focused on the energy amount that it stores, its availability, logistical considerations, and safety issues. This work deals with the characterization of a wine-waste dust sample, in terms of its chemical composition, fire behavior, and explosion violence. This material could be efficiently used in energy generation (via direct burning as pellets), but scarce information is present in terms of the fire and explosion hazards when it is pulverized. In the following, the material is analyzed through different techniques in order to clearly understand its ignition sensitivity and fire effects; accelerating aging treatment is also used to simulate the sample storage life and determine the ways in which this affects its flammability and likelihood of explosion

Biomass from winery waste: Evaluation of dust explosion hazards

Food and drink supply chains have significant environmental impacts due to their use of resources, emissions, and waste production. An efficient method to reduce this impact is the valorisation of biomass waste through energy recovery by using it as a source of heat. The European energy system faces several fundamental challenges being currently the largest emitter of greenhouse gases due to its large dependence on fossil fuels (mostly natural gas). Therefore, the energy sector's decarbonization will play a central role in achieving a climateneutral economy in Europe. Identifying the suitable material for biofuel is basically focused on the amount of energy that the material stores, availability, and logistic considerations. Sawdust and wood chips have been extensively used as biofuel in recent years, but other promising raw and waste materials could be adopted (with the positive effect of reducing the impact on forestry soil and the food chain). Novel materials bring consequently novel challenges, also regarding their safe use. As an example, a relevant waste flow is produced from wine manufacturing. A solid with high moisture content is obtained from grapes pressing, and it could be reused to produce distillates. The obtained exhausted pomace could be considered among the materials potentially involved in energy recovery. It is also carrying dust explosion hazard, as solid residues could be present in the form of coarse and fine powders. In this work, grape pomace is examined: its explosion safety-related properties are evaluated to define the severity of events in which this material could be ignited. Minimum Ignition Energy (MIE), explosion pressure peak (Pmax), deflagration severity index (KSt), autoignition temperature (MIT), and Volatile Point (VP) are measured according to standard procedures. This material's thermal susceptibility and ignition sensitivity are studied and compared with biomasses from different sources (ligneo-cellulosic and herbaceous)

Issues of “Standard” explosion tests for non-spherical dusts

Measurements of the flammability and explosion parameters for non-spherical dusts are performed according to standard procedures in standard explosion equipment developed and tested for spherical dusts. Studies have shown that the standard procedures and equipment applied to spherical particles suffer from many issues: control of the turbulence level, non-uniform dust dispersion, and particle fragmentation due to the injection system. The applicability of the standard procedures and equipment to non-spherical particles is still an open issue. In this work, we have investigated, via CFD simulations, the distribution of turbulence and dust concentration in the standard 20 l spherical vessel for non-spherical particles. Results have shown that a higher turbulence level and a higher amount of dust actually fed into the vessel are reached with respect to spherical particles

Capsular closure after hip arthroscopy: our experience

BACKGROUND AND AIM OF THE WORK: In the last decade, arthroscopic treatment of hip diseases has significantly spread and evolved and currently it represents the gold standard for the treatment of femoral- acetabular impingement. In the recent years, the function of the joint capsule (and therefore the results of an arthroscopic capsulotomy) has been hugely developed, opening a heated debate. The Literature is still torn about the need for a capsular suture, but more recent studies are more oriented in its execution at the end of the surgical procedure. According to these recent studies, the joint capsule performs an essential function of primary stability, and its closure is therefore necessary to restore the native anatomy and physiology. Nevertheless, capsular management remains a controversial topic. This is a retrospective study with the aim of assessing the influence of capsular suture on the patient's functional outcome in a cohort of patients with femoral-acetabular impingement arthroscopically treated. HYPOTHESIS: Our hypothesis is that an adequate capsular suture positively influences the patient's functional outcome. METHODS AND RESULTS: 50 patients treated with hip arthroscopy for femoral-acetabular impingement have been retrospectively enrolled at the Orthopaedic Clinic of Academic Hospital of Udine during a period of two-years (2017-2018); collected data have been analysed and compared with a retrospective model. Patients have been divided into two equivalent groups, 25 treated with capsular suture, 25 without performing the suture. Patient's post-operative functional outcome has been analysed using the modified Harris Hip Score (mHHS), the Non-Arthritic Hip Score (NAHS) and the Hip Outcome Score-Sport Scale (HOS-SS). The functional outcome in patients where capsular sutures were performed was better than in non-sutured patients, in all three analysed scales. CONCLUSIONS: Capsular suture with a single side-to-side stitch at the end of the procedure can positively influence the patient's functional outcome