Composition and acaricidal activity of Laurus novocanariensis and Laurus nobilis essential oils against Psoroptes cuniculi

The major components of Laurus nobilis and L. novocanariensis leaf oils were identifi ed and their acaricidal activity against Psoroptes cuniculi evaluated. Monoterpenes were predominant in L. nobilis oil (91.8%), while ses quiterpenes were only 1.4%. The main components of this oil were 1,8-cineole (39.2%), α-terpinyl acetate (11.3%), sabinene (10.6%) and linalool (7.4%). The acaricidal activity of L. nobilis oil, at a concentration of 10%, led to a mortality rate of 73%; at 5% the average activity was signifi cantly reduced to 51%, while dilutions of 2.5%, 1.25% and 0.625% were ineffective. Laurus novocanariensis oil, compared to L. nobilis, was richer in sesquiterpenes; the main constituents were α-pinene (10.4%), 1,8-cineole (9.6%) and β-selinene (7.2%). After 24 h of contact, the oil of L. novocanariensis killed all the mites when used at 10% and 5% concentrations. At lower concentrations the mortality signifi cantly decreased; a dilution of 0.625% was ineffective.info:eu-repo/semantics/publishedVersio

Flares in Biopsy-Proven Giant Cell Arteritis in Northern Italy: Characteristics and Predictors in a Long-Term Follow-Up Study

This study evaluated the frequency, timing, and characteristics of flares in a large cohort of Italian patients with biopsy-proven giant cell arteritis (GCA) and to identify factors at diagnosis able to predict the occurrence of flares. We evaluated 157 patients with biopsy-proven transmural GCA diagnosed and followed at the Rheumatology Unit of Reggio Emilia Hospital (Italy) for whom sufficient information was available from the time of diagnosis until at least 4 years of follow-up. Fifty-seven patients (36.5%) experienced ≥1 flares. Fifty-one (46.4%) of the 110 total flares (88 relapses and 22 recurrences) were experienced during the first 2 years after diagnosis. The majority of relapses occurred with doses of prednisone ≤ 10 mg/day (82.9%), whereas only 3.4% of relapses occurred for doses ≥ 25 mg/day. Polymyalgia rheumatica (46.5%) and cranial symptoms (41.9%) were the most frequent manifestations at the time of the first relapse. Cumulative prednisone dose during the first year and total cumulative prednisone dose were significantly higher in flaring patients compared with those without flares (7.8 ± 2.4 vs 6.7 ± 2.4 g, P = 0.02; 15.5 ± 8.9 vs 10.0 ± 9.2 g, P = 0.0001, respectively). The total duration of prednisone treatment was longer in flaring patients (58 ± 44 vs 30 ± 30 months, P = 0.0001).Patients with disease flares had at diagnosis more frequently systemic manifestations (P = 0.02) and fever ≥ 38°C (P = 0.02), significantly lower hemoglobin levels (P = 0.05), more frequent presence at temporal artery biopsy (TAB) specimens of giant cells (P = 0.04) and intraluminal acute thrombosis (P = 0.007), and more moderate/severe arterial inflammation (P = 0.009) compared with those without flares. In the multivariate model fever ≥ 38 °C (hazard ratio 2.14; 95% confidence interval, 1.06-4.32, P = 0.03) and the severity of inflammatory infiltrate (moderate/severe versus mild) (hazard ratio 5.41; 95% confidence interval, 1.64-17.87, P = 0.006) were significantly associated with an increased risk of flares. In conclusion, a flaring course is common in GCA and it is associated with prolonged GC requirements. Fever at diagnosis and severity of inflammation at TAB appear to predict the development of disease flares

Complex interplay between neutral and adaptive evolution shaped differential genomic background and disease susceptibility along the Italian peninsula

The Italian peninsula has long represented a natural hub for human migrations across the Mediterranean area, being involved in several prehistoric and historical population movements. Coupled with a patchy environmental landscape entailing different ecological/cultural selective pressures, this might have produced peculiar patterns of population structure and local adaptations responsible for heterogeneous genomic background of present-day Italians. To disentangle this complex scenario, genome-wide data from 780 Italian individuals were generated and set into the context of European/Mediterranean genomic diversity by comparison with genotypes from 50 populations. To maximize possibility of pinpointing functional genomic regions that have played adaptive roles during Italian natural history, our survey included also ∼250,000 exomic markers and ∼20,000 coding/regulatory variants with well-established clinical relevance. This enabled fine-grained dissection of Italian population structure through the identification of clusters of genetically homogeneous provinces and of genomic regions underlying their local adaptations. Description of such patterns disclosed crucial implications for understanding differential susceptibility to some inflammatory/autoimmune disorders, coronary artery disease and type 2 diabetes of diverse Italian subpopulations, suggesting the evolutionary causes that made some of them particularly exposed to the metabolic and immune challenges imposed by dietary and lifestyle shifts that involved western societies in the last centuries

Salivary Gland Ultrasonography in Sjögren’s Syndrome: A European Multicenter Reliability Exercise for the HarmonicSS Project

Objectives: Salivary gland ultrasonography (SGUS) is increasingly applied for the management of primary Sjögren's syndrome (pSS). This study aims to: (i) compare the reliability between two SGUS scores; (ii) test the reliability among sonographers with different levels of experience. Methods: In the reliability exercise, two four-grade semi-quantitative SGUS scoring systems, namely De Vita et al. and OMERACT, were tested. The sonographers involved in work-package 7 of the HarmonicSS project from nine countries in Europe were invited to participate. Different levels of sonographers were identified on the basis of their SGUS experience and of the knowledge of the tested scores. A dedicated atlas was used as support for SGUS scoring. Results: Twenty sonographers participated in the two rounds of the reliability exercise. The intra-rater reliability for both scores was almost perfect, with a Light's kappa of 0.86 for the De Vita et al. score and 0.87 for the OMERACT score. The inter-rater reliability for the De Vita et al. and the OMERACT score was substantial with Light's Kappa of 0.75 and 0.77, respectively. Furthermore, no significant difference was noticed among sonographers with different levels of experience. Conclusion: The two tested SGUS scores are reliable for the evaluation of major salivary glands in pSS, and even less-expert sonographers could be reliable if adequately instructed.publishedVersio

Definitions and reliability assessment of elementary ultrasound lesions in giant cell arteritis: a study from the OMERACT Large Vessel Vasculitis Ultrasound Working Group

Objectives: To define the elementary ultrasound (US) lesions in giant cell arteritis (GCA) and to evaluate the reliability of the assessment of US lesions according to these definitions in a web-based reliability exercise. Methods: Potential definitions of normal and abnormal US findings of temporal and extracranial large arteries were retrieved by a systematic literature review. As a subsequent step, a structured Delphi exercise was conducted involving an expert panel of the Outcome Measures in Rheumatology (OMERACT) US Large Vessel Vasculitis Group to agree definitions of normal US appearance and key elementary US lesions of vasculitis of temporal and extracranial large arteries. The reliability of these definitions on normal and abnormal blood vessels was tested on 150 still images and videos in a web-based reliability exercise. Results: Twenty-four experts participated in both Delphi rounds. From originally 25 statements, nine definitions were obtained for normal appearance, vasculitis and arteriosclerosis of cranial and extracranial vessels. The 'halo' and 'compression' signs were the key US lesions in GCA. The reliability of the definitions for normal temporal and axillary arteries, the 'halo' sign and the 'compression' sign was excellent with inter-rater agreements of 91-99% and mean kappa values of 0.83-0.98 for both inter-rater and intra-rater reliabilities of all 25 experts. Conclusions: The 'halo' and the 'compression' signs are regarded as the most important US abnormalities for GCA. The inter-rater and intra-rater agreement of the new OMERACT definitions for US lesions in GCA was excellent

Aqueous extract of codonopsis javanica against larval and pupal stages of aedes albopictus

SUMMARY The fight against adults of Aedes albopictus is temporary, unsatisfied, and polluting for the environment, while larval treatment is more localized in time and space, resulting less dangerous. The most common antilarval product used is a crystal protoxin of Bacillus thuringiensis var. israelensis serum-type 14 produced during the sporulation process and considered harmless for humans, fishes, and other not dipteran insects. Unfortunately the antilarval activity of B. thuringiensis is lost after 24 hours, when larvae can develop undisturbed and its activity is completely absent against eggs and pupae. Acqueous extract of roots of Codonopsis javanica Hook. f. & Thoms (Campanulaceae) was tested to develop new natural formulations against larval and pupal stages of A. albopictus showing poor or no activity against larvae; on the contrary, statistically significant activity was observed against pupae after 48 hrs with 75% of mortality both at 12.79% and 6.39% concentration of the decoction. RIASSUNTO Il trattamento delle forme larvali rappresenta il metodo di lotta più efficace contro Aedes albopictus perché consente di ottenere risultati migliori nel tempo e conseguenze minori sull’ambiente rispetto alla lotta contro la forma adulta. Una tossina batterica prodotta da Bacillus thuringiensis var. israelensis sierotipo H-14 è divenuta il prodotto maggiormente utilizzato nel mondo come larvicida perché ritenuto innocuo nei confronti dell’uomo, dei pesci e di altri insetti che non siano ditteri. L’attività antilarvale di questo prodotto, però, si annulla dopo 24 ore, permettendo alle larve appena nate di svilupparsi indisturbate; inoltre, è del tutto inattivo contro uova e pupe. Con questa indagine sono stati studiati gli effetti dell’estratto acquoso delle radici di Codonopsis javanica (Campanulaceae) contro larve e pupe della zanzara. L’estratto possiede attività scarsa o nulla contro le larve, mentre è significativamente attivo nei confronti delle pupe dopo 48 ore di trattamento con mortalità del 75 % alle diluizioni del 12,79 % e del 6,39%

Efficacy and safety of tocilizumab in refractory rheumatoid arthritis: a real life cohort from a single centre

Tocilizumab (TCZ) is an effective treatment in patients with rheumatoid arthritis (RA) refractory to anti-tumour necrosis factor-\u3b1. However, only few studies in real life have evaluated the efficacy of TCZ in long-standing rheumatoid arthritis (LSRA). Our aim was to evaluate the efficacy and safety of tocilizumab in refractory LSRA