Treatment of Infected Hip Arthroplasty

The clinical outcomes of a consecutive series of deep total joint infections treated with a prosthesis retaining protocol were reviewed. The treatment of deep periprosthetic joint infections is challenging. In recent years, two-stage exchange arthroplasty has emerged as the gold standard for successful elimination of infection. With success rates averaging 82% to 96%, this treatment method has both the highest and most consistent rate of infection eradication. Another alternative in the treatment of the deep periprosthetic infection is the single-stage exchange arthroplasty. Successful eradication of infection after single-stage exchange arthroplasty has been reported to average from 60% to 83% after total hip infections. While both the single and two-stage exchange arthroplasty are viable treatment options, they are associated with negative factors such as they are time consuming, expensive, and may entail a 6- to 12-week period with a minimally functioning extremity after prosthesis removal. This paper reports the general principles of management, the treatment of acute infection occurring in the postoperative period or later, and the treatment of chronic infection by exchange arthroplasty or resection arthroplasty

A test on Ellenberg indicator values in the Mediterranean evergreen woods (Quercetea ilicis)

The consistency and reliability of Ellenberg’s indicator values (Eiv) as ecological descriptors of the Mediterranean evergreen vegetation ascribed to the phytosociological class Quercetea ilicis have been checked on a set of 859 phytosociological relevés × 699 species. Diagnostic species were identified through a Twinspan analysis and their Eiv analyzed and related to the following independent variables: (1) annual mean temperatures, (2) annual rainfall. The results provided interesting insights to disentangle the current syntaxonomical framework at the alliance level demonstrating the usefulness of ecological indicator values to test the efficiency and predictivity of the phytosociological classification

Segnalazione per la flora siciliana di Trifolium ornithopodioides L. (Fabaceae) e revisione della sua area di distribuzione.

Trifolium ornithopodioides (L.) Sm. (Fabaceae) a new record for the Sicilian flora – T. ornithopodioides, a rare element of the Italian flora, is recorded for the first time in the territory of Palermo (Western-Sicily). The population identified, consisting of about one hundred individuals, colonizes a narrow area between the roadside and the edge of the freshwater temporary pond of Rebuttone, on acidic substratum (flysch) at 720 m a.s.l. After the examination of herbarium specimens (RO and FI) and literature, some incongruences have been found on the Italian distribution of this taxon. A distribution map including the new record, new literature data and corrections is presented

Recolonization after habitat restoration leads to decreased genetic variation in populations of a terrestrial orchid

Colonization is crucial to habitat restoration projects that rely on the spontaneous regeneration of the original vegetation. However, as a previously declining plant species spreads again, the likelihood of founder effects increases through recurrent population founding and associated serial bottlenecks. We related Amplified Fragment Length Polymorphism markers genetic variation and fitness to colonization history for all extant populations of the outcrossing terrestrial orchid Dactylorhiza incarnata in an isolated coastal dune complex. Around 1970, D. incarnata suffered a severe bottleneck yet ultimately persisted and gradually spread throughout the spatially segregated dune slacks, aided by the restoration of an open vegetation. Genetic assignment demonstrated dispersal to vacant sites from few nearby extant populations and very limited inflow from outside the spatially isolated reserve. Results further indicated that recurrent founding from few local sources resulted in the loss of genetic diversity and promoted genetic divergence (FST = 0.35) among populations, but did not influence population fitness. The few source populations initially available and the limited inflow of genes from outside the study reserve, as a consequence of habitat degradation and spatial isolation, may have magnified the genetic effects of recurrent population founding

Conservation genetics of an endemic from the Mediterranean Basin: high genetic differentiation but no genetic diversity loss from the last populations of the Sicilian grape hyacinth Leopoldia gussonei

The Mediterranean Basin is a biodiversity hotspot, housing > 11.000 narrowly endemic plant species, many of which are declining due to mass tourism and agricultural intensification. To investigate the genetic resource impacts of ongoing habitat loss and degradation, we characterized the genetic variation in the last known populations of Leopoldia gussonei, a self-compatible endangered Sicilian Grape Hyacinth numbering less than 3,000 remaining individuals, using AFLP. Results demonstrated significant genome-wide genetic differentiation among all extant populations (I broken vertical bar(ST) = 0.05-0.56), and genetic clustering according to geographic location. Gene diversity was fairly constant across population (mean H-E = 0.13) and was neither affected by current population size nor by spatial isolation. Vegetation analysis showed the presence of known invasive weeds in a quarter of the populations, but we found no relation between genetic diversity and plant community composition. The marked genetic differences among populations and the profusion of rare and private alleles indicate that any further population loss will lead to significant losses of genetic diversity. Conservation efforts should therefore focus on the preservation of all sites where L. gussonei still occurs, yet the deliberate introduction of diverse material into the smallest populations seems unneeded as clonality likely mitigated genetic drift effects thus far. More generally, our findings support the view that endemic plant species with a narrow ecological amplitude, as many specialists in Mediterranean coastal ecosystems, are highly genetically differentiated and that conservation of their genetic diversity requires preservation of most, if not all of their extant populations

Propagation of Calendula maritima Guss. (Asteraceae) through Biotechnological Techniques for Possible Usage in Phytotherapy

The genus Calendula (Asteraceae) includes several species that are renowned for their therapeutic properties and/or use as ingredients in the preparation of cosmetics. The rare and critically endangered sea marigold, Calendula maritima Guss., an endemic species from Western Sicily, has also been recognized as a potential "farm plant species" for several important compounds used in cosmetics. However, the few remnant populations of this species are currently threatened with extinction because of several factors, such as hybridization with the congeneric species Calendula suffruticosa subsp. fulgida (Raf.) Guadagno and anthropogenic disturbance of its habitat. Therefore, in order to preserve the genetic integrity from pure genetic lineages, seed-based propagation and seed storage are not recommended for either conservation or massive production purposes. In this paper, we describe a protocol adopted for mass propagation of C. maritima from selected genotypes. Nodal segments collected from selected plants growing in the field were used as starting explants and were cultured for micropropagation on MS medium with and without phloroglucinol. New shoots produced were cultured for rooting under several conditions with the aim of finding the best procedure favoring root induction. The best rooting performance was obtained with zeolite and rooted plants were successfully acclimatized outdoors. The technique described allowed the multiplication of genotypes of interest as well as to overcome the problems of hybridization of this species, hence contributing concretely to the conservation of the sea marigold

Survey of viral infections in spontaneous grapevines from natural environments in Sicily

The presence of nine of the most economical important grapevine viruses was surveyed in eight spontaneous grapevine populations from natural areas of Sicily. Arabis mosaic virus (ArMV), Grapevine fanleaf virus (GFLV), Grapevine leafroll-associated virus 1, 2 and 3 (GLRaV-1, -2 and -3), Grapevine virus A and B (GVA, GVB), Grapevine rupestris stem pitting-associated virus (GRSPaV) and Grapevine fleck virus (GFKV) infections were assessed by molecular and serological methods in 73 vines collected in summer 2013 and winter 2013-2014. Reverse transcription-multiplex PCR detected nine GRSPaV- and one GFLV-infected plants in five and one grapevine populations, respectively, while no ArMV, GLRaV-1, GLRaV-2, GLRaV-3, GVA, GVB, GFKV infections were detected. ELISA tests on dormant wood confirmed the result of the molecular detection. The relationship of Sicilian wild grapevine isolates with isolates from grapevines of different geographic origin was investigated through sequencing of the complete coat protein (CP) region of GRSPaV, and partial CP and homing protein (HP) domains of GFLV. Pairwise comparison among the Sicilian GRSPaV CP sequences showed identity scores ranging from 81.67 % to 99.87 % and from 92.66 % to 100 % at nucleotide (nt) and amino acid level (aa), respectively. For GFLV, the CP sequence showed identity ranges from 84.28 % to 90.48 % (nt) and from 89.39 % to 97.11 % (aa); higher variability was obtained analysing the HP domain with identity scores ranging from 68.42 to 93.28 % (nt) and from 58.02 % to 93.23 % (aa). According to phylogenetic analyses, GRSPaV and GFLV isolates from Sicilian wild grapevines clustered with isolates from cultivated grapevines without any correlation between isolate distribution and their geographic origin