Tracheobronchial ruptures in closed thoracic trauma

Authors refer about their experience on five cases of thoracic trauma. Following a review of international literature, they analyze the clinical, diagnostic and therapeutic aspects of this kind of injuries.     

Penetrating cardiac wounds: prospective study of factors influencing initial resuscitation

A prospective study of 66 consecutive patients with cardiac wounds seen over a 27-month period is reported. No patient was excluded. Patients were stratified by injury mechanism and by physiologic scoring at admission using the cardiovascular-respiratory elements of the Trauma Score (CVRS). Admission cardiac rhythm was obtained in patients with a CVRS of 0 and a Glasgow Coma Scale (GCS) score of 3. Information concerning the anatomic extent of the cardiac wound, the presence or absence of tamponade, and the degree of injury to other structures was also collected prospectively. Seventy percent of the cardiac wounds were caused by gunshots. The probability of successful resuscitation was significantly related to mechanism of injury and physiologic condition on arrival. Among patients arriving with a CVRS of 0 and a GCS score of 3, survival correlated with cardiac rhythm. Pericardial tamponade did not prove to be an independent predictor of early survival. The presence of tamponade was statistically linked to the mechanism of injury. Transport by non-official conveyance was associated with a higher CVRS on arrival. Intoxication with alcohol or cocaine had no evident effect on resuscitation probability.     

A Joint Numerical-Experimental Study on Impact Induced Intra-laminar and Inter-laminar Damage in Laminated Composites

The investigation of the mechanical response of fibre-reinforced composite laminates under impact loads can be very difficult due to the occurrence of simultaneous failure phenomena. Indeed, as a consequence of low velocity impacts, intra-laminar damages, like fibre and matrix cracking, and inter-laminar damages, such as delaminations, can take place simultaneously. These damage mechanisms can lead to significant reductions in strength and stability of the composite structure. In this paper a joint numerical-experimental study is proposed which, by means of non-destructive testing techniques (Ultra-sound and thermography) and non-linear explicit FEM analyses, aims to completely characterise the impact induced damage in composite laminates under low velocity impacts. Indeed the proposed numerical tool has been used to improve the understanding of the experimental data obtained by Non-Destructive Techniques. Applications on samples tested according to the AECMA (European Association of Aerospace Manufacturers) prEn6038 standard at three different impact energies are presented. The interaction between numerical and experimental investigation allowed to obtain an exhaustive insight on the different phases of the impact event considering the inter-laminar damage formation and evolution.     

Experimental analysis of functional stability of sagittal split ramus osteotomies secured by miniplates and position screws

PURPOSE: This study determined the relative functional stabilities of various miniplate systems and configurations used to stabilize sagittal split ramus osteotomies (SSROs) and compared them with conventional internal screw fixation. MATERIALS AND METHODS: The biomechanical model was a reproducible prototype of a mandible sagittal osteotomy with consistent material and geometric properties. After advancing the distal segment by 7 mm, each set of mandible analogs (1 set = 3 analogs) was fixed bilaterally by one of three miniplate systems applied in various configurations, and tested with and without a supplemental 2.4-mm bicortical screw applied in the retromolar region. Reduced analogs were placed in a straining frame, and simulated masticatory loads were applied alternatively to the mandibular first molars. Ensuing osteotomy site displacements were measured by transducers attached to a computer-based data acquisition program. A coordinate transformation procedure was used to convert the component displacements captured by the individual transducers into a common "instability factor" to reflect fixation stability for each construct and loading condition. Instability factors for the individual constructs were compared with each other and with those obtained from analogs reduced exclusively with 2.4-mm position screws. RESULTS: Osteotomies stabilized with a combination of miniplates and position screws were more stable than those stabilized exclusively with miniplates (P < .0001). Post-hoc comparisons of mean instability factors (Dunnet's method) showed the miniplate-position screw combinations to be more stable than the 2.4-mm position screw system used as standard (P < .05). Miniplate systems alone were the least stable of the test constructs, with differential rates of failure between the individual miniplate systems. CONCLUSIONS: Exclusive use of miniplate fixation may not provide the consistent stability necessary for early functional restoration after SSROs. The addition of a position screw in the retromolar region substantially enhances the fixation stability of miniplate systems. The use of miniplates with retromolar position screws offers both technical and stability advantages over conventional miniplate or internal screw fixation. The fixation stability of the miniplate-position screw combination is independent of the type of miniplate system used.     

Nanotechnology Meets Oncology: A Perspective on the Role of the Personalized Nanoparticle-Protein Corona in the Development of Technologies for Pancreatic Cancer Detection

In recent years nanotechnology has opened exciting opportunities in the struggle against cancer. In 2007 Dawson and coworkers demonstrated that nanomaterials exposed to biological fluids are coated with plasma proteins that form the so-called “protein corona”. A few years later our joint research team made of physicists, chemists, biotechnologists, surgeons, oncologists, and bioinformaticians introduced the concept of “personalized protein corona” and demonstrated that it is unique for each human condition. This concept paved the way for the development of nano-enabled blood (NEB) tests for the diagnosis of pancreatic ductal adenocarcinoma (PDAC). These studies gave an impetus to serious work in the field that came to maturity in the late 2010s. In this special issue, we provide the reader with a comprehensive overview of the most significant discoveries of our research team in the field of PDAC detection. We focus on the main achievements with an emphasis on the fundamental aspects of this arena and how they shaped the integration of different scientific backgrounds towards the development of advanced diagnostic technologies. We conclude the review by outlining future perspectives and opportunities to transform the NEB tests into a reliable clinical diagnostic technology for early diagnosis, follow-up, and management of PDAC patients.     

Type 2 Transglutaminase in Coeliac Disease: A Key Player in Pathogenesis,Diagnosis and Therapy

Type 2 transglutaminase (TG2) is the main autoantigen in coeliac disease (CD), a widespread inflammatory enteropathy caused by the ingestion of gluten-containing cereals in genetically predisposed individuals. As a consequence, serum antibodies to TG2 represent a very useful marker in CD diagnosis. However, TG2 is also an important player in CD pathogenesis, for its ability to deamidate some Gln residues of gluten peptides, which become more immunogenic in CD intestinal mucosa. Given the importance of TG2 enzymatic activities in CD, several studies have sought to discover specific and potent inhibitors that could be employed in new therapeutical approaches for CD, as alternatives to a lifelong gluten-free diet. In this review, we summarise all the aspects regarding TG2 involvement in CD, including its enzymatic reactions in pathogenesis, the role of anti-TG2 antibodies in disease management, and the exploration of recent strategies to reduce deamidation or to use transamidation to detoxify gluten.     

A Survey on 3D Virtual Object Manipulation: From the Desktop to Immersive Virtual Environments

Interactions within virtual environments often require manipulating 3D virtual objects. To this end, researchers have endeavoured to find efficient solutions using either traditional input devices or focusing on different input modalities, such as touch and mid‐air gestures. Different virtual environments and diverse input modalities present specific issues to control object position, orientation and scaling: traditional mouse input, for example, presents non‐trivial challenges because of the need to map between 2D input and 3D actions. While interactive surfaces enable more natural approaches, they still require smart mappings. Mid‐air gestures can be exploited to offer natural manipulations mimicking interactions with physical objects. However, these approaches often lack precision and control. All these issues and many others have been addressed in a large body of work. In this article, we survey the state‐of‐the‐art in 3D object manipulation, ranging from traditional desktop approaches to touch and mid‐air interfaces, to interact in diverse virtual environments. We propose a new taxonomy to better classify manipulation properties. Using our taxonomy, we discuss the techniques presented in the surveyed literature, highlighting trends, guidelines and open challenges, that can be useful both to future research and to developers of 3D user interfaces.     

Occurrence of non-lactic acid bacteria populations involved in protein hydrolysis of cold-stored high moisture Mozzarella cheese

The aim of this study was to analyse non-lactic acid bacteria populations (NLABPs) and evaluate their role in proteolysis of cold-stored high moisture (HM) Mozzarella cheese. NLABPs reached values close to 8 log cfu mL⁻¹ after seven days of cold storage. Sequencing of 16 rDNA and rpoB genes and molecular biotyping allowed to identify 66 bacterial strains belonging to 25 species from 15 genera, mainly represented by Pseudomonas, Acinetobacter, and Rahnella. Fifteen strains showed proteolytic activity values higher than 1000.00 μg Gly mL⁻¹ after 24 h of growth in skimmed milk. Moreover, as shown by Urea-PAGE, 11 proteolytic strains caused partial or total disappearance of at least one of the caseins. Their proteolytic behaviour was assessed even when they grew inside the governing liquid together with HM Mozzarella cheese at 4 °C for 12 days. This is the first report that throws light on the complexity of NLABPs in HM Mozzarella cheese, demonstrating that some strains caused the partial hydrolysis of α, β, and γ caseins on its outer surface where a concomitant wrinkling and successive exfoliation became visible without significant changes in texture characteristics.