Improvements in one severe progressive multiple sclerosis patient quality of life after an intensity fluid dynamic treatment.

Clinical case: A 49-year-old man (MM72) affected by Secondary Progressive Multiple Sclerosis (SP-MS) since 1998. On last 3 years, neurologists valued 9.0 the patient MM72's EDSS. Methods: MM72 was treated by acoustic waves, modulated in frequency and power by the MAM device, according to an ambulatory intensive protocol. Patient's treatments schedule was organized in thirty cycles of DrenoMAM and AcuMAM, and manual cervical spinal adjustments. Before and after treatments, MSIS-29, Barthel, FIM, EDSS, ESS, and FSS questionnaires were administered to the patient. Results: MM72 patient had improvements in all index score (MSIS-29, Barthel, FIM, EDSS, ESS and FSS) after 30 treatments by MAM plus cervical spine chiropractic adjustments. He showed a significative improvement of his disability and the restore of many functions. After MAM treatments, MM72's cognitive sphere improved of 370%. Fur-thermore, after 5 years of paraplegy, he regained his lower limbs and feet fingers movements with an increase of 230%. Conclusion: We suggest ambulatory intensive treatments by fluid dynamic MAM protocol in SP-MS patients. Statistical analyses are in progress on a larger sample of SP-MS patients.

The incidence of the multiple sclerosis in Italy: 2011-2015.

Introduction: There are very few scientific papers (and only on de-limited areas) about incidence and prevalence of the multiple sclerosis (MS) in Italy. We analysed 2011-2015 national data by correlating INPS database with ISTAT data. Materials: we assessed 10,725 MS invalids. We compared geographical distribution of MS patients with the Italian census. Results: We found a MS mean incidence equal to 3.54 patients every 100,000 Italian residents. The female MS mean incidence was 4.52 versus the male mean incidence of 2.52 (p<0.001). MS incidence is growing up from 2011 to 2015. Incidence values, for 100,000 inhabitants, become from 2.8 to 4.0 (female from 3.6 to 5.2 and male from 1.9 to 2.7). During 2011-2015 period, the MS patients median age decreases of two years (p<0.01). Conclusions: We couldn't calculate the MS prevalence because we do not have an official database managed by a national authority. This work wishes to be a stimulus to investigate more deeply and to promote public health in the care of the multiple sclerosis patients. We propose our work to realize a base more appropriate health planning on the national and regional territories for MS patients care.

Associations between bone retraction, lost teeth, and metabolic syndrome. A cross-sectional study in dentistry patients aged over 60 years.

INTRODUCTION: In Italy, the number of elder is growing and people over 70 may be a problem in public health on present and next years. [ISTAT 2019]. METHODS: In this paper we analysed 150 patients aged 60÷99 by medical and instrumental examinations. Results. We analysed all data patients into three age groups: "A" patients aged 60÷69 years; "B" patients aged 70÷79 years, and "C" patients aged 80÷99 years. CONCLUSION: This is the first study carried out on old and very old dentistry patients. Our people sample showed lost teeth, and bone retractions more than 6 millimetres associated with unilateral and/or bilateral carotidal plaques. They also suffered for many other pathologies connected with cardiovascular system. In our paper, we showed these specific aspects more in "B" subjects than in "A" and "C" elder patients.

Choosing the individual rehabilitation program for patients with intermittent claudication.

This study is aimed at identifying the collateral circulation in case of femoral-aorta-iliac axis obstruction, with the purpose of a more correct therapeutic indication being either medical or surgical or physiotherapeutic or combined.

Risk of jugular compression blocks in workers exposed to prolonged upright posture.

BACKGROUND: The working posture affects the peripheral venous circulation, although the current literature does not report any correlation between working posture and the abnormalities of the jugular veins flow. The purpose of this preliminary research is to study, in female workers, the prevalence of Venous Compressive Syndrome (VCS) caused by total block of the internal jugular veins flow, so-called "White Compression". Due to complete compression by postural, muscular, fascial, anatomical or bone anomalies, White Compression is not visible by EchoColorDoppler (ECD) and its flow can only be detected by the rotational movements of the head or by Valsalva's maneuver. METHODS: We studied a sample of female workers with ECD (n=128), in supine and upright position divided into subgroups according to the obliged posture maintained during working hours: group A, seated work (n = 61; 47.7%); group B, standing work (n = 41; 32.0%); group C, mixed (both standing and seated work) (n = 26; 20.3%). The total sample (n = 128) had the mean age of 46 ± 10 years (minimum 18 and maximum 67 years) and mean Body Mass Index (BMI) of 23 ± 4 kg/m2 (min 16 kg/m2 and a maximum of 42 kg/m2). RESULTS: Group A and group C did not show any White Compression in orthostatic and clinostatic position. The 9.75% (p = 0.0125) of Group B had a White Compression in orthostatic position: two female workers on the left side (4.9%) and two female workers on the right side (4.9%). CONCLUSIONS: We conclude that there is a risk of jugular compression blocks in female workers exposed to prolonged upright posture. Yet there is no longitudinal study that identifies the White Compressions as etiology of a chronic neurodegenerative disease. The authors hope that some wider studies can confirm the prevalence of these compressions in standing posture and their patho-physiological consequences.

Innovations in low input and organic dairy supply chains--what is acceptable in Europe?

The growth in organic and low-input farming practices is driven by both market demand for high quality, safe food, and European Union policy support, and these types of farming practices are considered in European Union policies for sustainable production, food quality, healthy life, and rural development. However, many constraints to the development of low-input and organic dairy farming supply chains have been identified, including economic, political, and technical constraints. In order for these types of supply chains to develop and provide further benefits to society, innovations are required to improve their sustainability. However, an innovation will only be taken up and result in desirable change if the whole supply chain accepts the innovation. In this paper, Q methodology is used to identify the acceptability of dairy supply chain innovations to low-input and organic supply chain members and consumers in Belgium, Finland, Italy, and the United Kingdom. A strong consensus existed across all respondents on innovations that were deemed as unacceptable. The use of genetically modified and transgenic organisms in the farming system and innovations perceived as conflicting with the naturalness of the production system and products were strongly rejected. Innovations that were strongly liked across all participants in the study were those related to improving animal welfare and improving forage quality to be able to reduce the need for purchased concentrate feeds. Only minor differences existed between countries as to where the priorities lay in terms of innovation acceptability.

[The 1st national multicenter study of the CHIVA (Conservative Therapy and Hemodynamics in Venous Insufficiency in Outpatient Departments) method of treatment of varices. One-year follow-up]. / I multicentrica Nazionale sulla metodica CHIVA nel trattamento delle varici. Follow-up ad un anno.

The authors present clinical and instrumental results of N. 543 operations executed by CHIVA system. These cases are the result of trial performed in seven SIOC (Italian Society of CHIVA Operators) centers executed from November '87 to July '89. Functional and aesthetic results had been very good on over 85% of all cases; superficial thrombosis were verified on 10% of all cases but almost completely asymptomatic. The aa. propose to start a deeper trial on 500 patients choose by rigorous criteria of inclusion.

[Role of Doppler velocimetry in diagnosis of TMJ dysfunction. 2. Clinical evaluation]. / Ruolo della velocimetria per effetto Doppler nella diagnosi delle disfunzioni dell'ATM. Nota II: valutazione clinica.

In order to evaluate the efficacy of Doppler effect in the diagnosis of dysfunctional TMJ sounds, we have analysed ten Doppler tracings of normal subjects, ten of subjects with reciprocal clicking and ten with locking (complete anterior dislocation of the disc). The results show that to every dysfunctional pathology corresponds a precise type of tracing whose acknowledgment is immediate.

[Role of Doppler velocimetry in diagnosis of TMJ dysfunction. 1. Experimentation on Macaca fascicularis]. / Ruolo della velocimetria per effetto Doppler nella diagnosi delle disfunzioni dell'ATM. NOta I: sperimentazione su Macaca fascicularis.

The aim of this work has been to demonstrate that the tracing obtained by Doppler examination is the graphic representation of the movement and the speedy of the condyle and the disk. In order to achieve this result we have proved Doppler examination first of all on entire TMJ of a Macaca Fascicularis monkey and than on the same joint without the disk.