Supporting local farming communities and crop production resilience to climate change through giant reed (Arundo donax L.) cultivation: An Italian case study.

Bioenergy crops are well known for their ability to reduce greenhouse gas emissions and increase the soil carbon stock. Although such crops are often held to be in competition with food crops and thus raise the question of current and future food security, at the same time mitigation measures are required to tackle climate change and sustain local farming communities and crop production. However, in some cases the actions envisaged for specific pedo-climatic conditions are not always economically sustainable by farmers. In this frame, energy crops with high environmental adaptability and yields, such as giant reed (Arundo donax L.), may represent an opportunity to improve farm incomes, making marginal areas not suitable for food production once again productive. In so doing, three of the 17 Sustainable Development Goals (SDGs) of the United Nations would be met, namely SDG 2 on food security and sustainable agriculture, SDG 7 on reliable, sustainable and modern energy, and SDG 13 on action to combat climate change and its impacts. In this work, the response of giant reed in the marginal areas of an agricultural district of southern Italy (Destra Sele) and expected farm incomes under climate change (2021-2050) are evaluated. The normalized water productivity index of giant reed was determined (WP; 30.1gm-2) by means of a SWAP agro-hydrological model, calibrated and validated on two years of a long-term field experiment. The model was used to estimate giant reed response (biomass yield) in marginal areas under climate change, and economic evaluation was performed to determine expected farm incomes (woodchips and chopped forage). The results show that woodchip production represents the most profitable option for farmers, yielding a gross margin 50% lower than ordinary high-input maize cultivation across the study area.

Bone remodelling in THA: A comparative DXA scan study between conventional implants and a new stemless femoral component. A preliminary report.

Periprosthetic bone loss is a major cause for concern in patients undergoing total hip arthroplasty (THA). There are many different factors that may determine the pattern of bone loss and bone remodelling following THA, such as the quality of the bone before the hip replacement, skeletal bone mass at the time of the operation, material and method of fixation and implant design. Recent developments in dual-energy X-ray absorptiometry (DXA) have made it possible to quantify bone mineral density (BMD) to evaluate changes around the prosthesis and to measure bone stock and bone density redistribution after a total hip replacement. In this cross-sectional multicentre clinical study the DXA method was used to compare bone mass after uncemented THA of a custom-made stemless design with five groups of conventional cementless implants (Alloclassic, Mayo, CFP, IPS, ABG). The adaptive bone changes of the proximal femur three years after implantation were evaluated. Periprosthetic BMD was measured in 130 subjects in the seven regions of interest (ROI) based on Gruen zones. Significant differences were found between the stemless implant and the other five groups in zones 1, 4 and 7. The CFP, IPS, and ABG groups showed decreased BMD in ROI 1, and the Mayo, IPS and Alloclassic in ROI 7. An increased BMD in ROI 4 was observed in the Mayo, IPS, ABG and Alloclassic groups. The results of the present study suggest that a conservative stemless implant with complete proximal load transfer produces a homogeneous and more physiological redistribution of bone density, allowing maintenance of proximal periprosthetic bone stock.

Long-term intramuscular teicoplanin treatment of chronic osteomyelitis due to oxacillin-resistant Staphylococcus aureus in outpatients.

Oxacillin-resistant staphylococci are the most serious pathogens in chronic osteomyelitis and only glycopeptides have been shown to be efficacious against them. We assessed the safety and efficacy of a regimen of teicoplanin 400 mg/day i.m. as long-term treatment in outpatients with osteomyelitis. A total of 76 patients received teicoplanin. Twenty-five patients had chronic prosthetic osteomyelitis (20 hip) and 51 patients had osteomyelitis caused by osteo-synthesis devices. Oxacillin-resistant Staphylococcus aureus was isolated in pure culture in 55 patients (72%). A total of 21 patients had polymicrobial infection with a total of 48 isolated strains. All patients were treated with teicoplanin 400 mg i.m. once-a-day alone or with other drugs for a minimum of 4 months. Only one patient had side effects requiring discontinuation of treatment. The teicoplanin dose was reduced to 200 mg/day i.m. in 2 patients to decrease creatinine clearance values. Seventy out of 76 patients were cured.

Voluntary dislocation of the hip (a case report).

An extremely rare case is presented of voluntary dislocation of the hip not preceded by trauma. Some pathogenetic hypotheses are discussed. The surgical treatment is described and illustrated and the result is followed up.

[Reimplantation of the gallbladder. Indications and results]. / Il reimpianto della colecisti. Indicazioni e risultati

There is no good reason why a gallbladder that has been compressed and displaced by a parasitic or malformative cyst, but is otherwise free of anatomical or irreversible lesions, should be irrevocably sacrificed. Treatment of the primary lesion can thus be followed by re-implantation of the gallbladder. The indications for this surgical technique and its limitations are described with reference to a personal series.