The 1980 earthquake in southern Italy: rescue of trapped victims and mortality.

A retrospective survey was undertaken on the health effects of the 1980 earthquake in southern Italy. The study population included 3619 people living in 7 villages situated near the epicentre of the disaster. The overall casualty rate (dead and injured) was 19.7%. Nearly all the deaths (192/202) occurred among trapped people who died before they could be rescued. Eighty per cent of all the trapped people were extricated within 2 days, mostly without the use of sophisticated means. The probability of survival decreased sharply, the longer the time before extrication. The crude mortality during the 18 months following the earthquake was 19.0 per thousand among the injured people who received treatment, and 14.1 per thousand among non-injured people. After age standardization, there was no significant difference between these two figures and the expected mortality figures for the Italian population in normal times (14.4 per thousand). These results stress the importance of providing rescue activities in the first 48 hours after the impact. Strengthening the self-reliance of the community in disaster preparedness is suggested as the best way to improve the effectiveness of relief operations. In disaster-prone areas, training and education in methods of rescue should be an integral part of any primary health care programme

The Interval Kicking Program (IKP) as a Reprogramming Technique for the Soccer Player in an Anterior Cruciate Ligament (ACL) Rehabilitation: A Technical Report

Introduction. We can state as technical-athletic gestural movements that we might call clinical (pivoting, cutting maneuvers, sidestep cuts, changes of direction) associated with ACL injuries. Objective. This technical report was conducted to research methods of reprogramming basic technical skills in the soccer player after anterior cruciate ligament reconstructive surgery. Technical report results. The Interval Kicking Program (IKP) is a model proposed as a neuromotor remodelling of basic gestures and techniques after an ACL injury in soccer player. The teaching progression is ordered regarding the diversified techniques of passing and receiving the ball. The volume, intensity, and progression steps are governed by 1) clinical status (i.e., type of injury, conservative/surgical treatment type, type of sport), 2) performance status, and 3) objective evaluative analysis of periodic follow-ups. The steps provid-ed by the IKP can be 15 and end with the introduction of the player into technical drills with the presence of opponents the first sessions include about 30 minutes of sport-specific, low-intensity exercises, while in the last ones, the volume remains constant, but the intensity and technical complexity of the movements increase. Conclusions. In this technical report, we have highlighted how IKP can be a teaching model for reprogramming basic technical skills in the soccer player after injury. It remains fair to point out how aberrant technical movement partners, side-to-side asymmetries, and postur-al dysfunction are predictive of the risk of compliance and second injury. Further studies and insights are needed to customize the reprogramming of the soccer player’s gestural movements during return to play. © 2023, EDRA S.p.A. All rights reserved

Virtual reality and sports performance: a systematic review of randomized controlled trials exploring balance

Introduction: Our systematic literature review aimed to select randomized controlled trials (RCTs) in which virtual reality (VR) has been used in athletes or players to evaluate the effectiveness of this technology in gaining performance. Methods: In accordance with PRISMA guidelines, a systematic literature search was conducted in the MEDLINE, Scopus and Web of Science databases using the keyword set [(Virtual reality) OR (VR)] AND [(Athletes) OR (Players)] AND [(Performance) OR (Balance)]. Peer-reviewed articles published within the last ten years in English and open access were included. The methodological quality of the articles was assessed using the Jadad scale, while the eligibility criteria were evaluated using the PICOS approach. Results: Specifically, six RCTs were selected, one of which scored 5/5 on the Jadad scale, four scored 3/5 and one scored 2/5. Importantly, five RCTs found a positive influence of VR on performance in terms of balance, stability, sprinting, jumping, neurocognitive function, reaction time and technical skills, while only one RCT found no difference in these parameters. Discussion: In conclusion, the results included in our systematic review showed that VR seems to have a positive effect in improving sports performance. However, the heterogeneity of the studies did not allow for a comparison of the data to clarify the relevance of VR technology in performance, suggesting the need for in-depth investigations to confirm its efficacy in sports

Success of Endoscopic Pharyngoesophageal Dilation after Head and Neck Cancer Treatment

To assess clinical success and safety of endoscopic pharyngoesophageal dilation after chemoradiation or radiation for head and neck cancer and to identify variables associated with dilation failure

Justicia conciliatoria durante el liberalismo hispano en el Perú: el caso de Huamanga

The 1812 Constitution established the division of powers, except at local level. Mayors held powers in the internal government of towns and villages and were lay judges in settlements, an obligatory procedure for litigants and for resolving any dispute before the legal courts —district or provincial judges. Based on the case study of Huamanga, the pla - yers and the type of causes settled during the two stages in which the vice-royalty of Peru practised Spanish liberal politics —1812-1814 and 1820-1824— are analysed. The muni - cipal judicial culture was dominated by a series of changes and demands, which provide new perspectives towards an understanding of the convulsed times of the wars of indepen - dence of the Andes that sometimes extended to the early republic.La Constitución de 1812 estableció la división de poderes, excepto en el ámbito local. Los alcaldes tenían competencias en el gobierno interior de los pueblos y, al mismo tiempo, eran los jueces legos en las conciliaciones, un trámite preceptivo para los litigantes y para dirimir cualquier conflicto ante la justicia letrada —jueces de partido o audiencias. A partir del estudio de caso de Huamanga, se analizan los actores y la tipología de las causas dirimidas durante las dos etapas en que el virreinato del Perú ensayó la política liberal hispana —1812-1814 y 1820-1824. La cultura jurídica municipal estuvo dominada por una serie de cambios y reivindicaciones, que aportan nuevas perspectivas para comprender los convulsos tiempos de las guerras por la independencia en los Andes y que en ocasiones trascendieron a la temprana república

Mapping European Association of Urology Guideline Practice Across Europe: An Audit of Androgen Deprivation Therapy Use Before Prostate Cancer Surgery in 6598 Cases in 187 Hospitals Across 31 European Countries

Background: Evidence-practice gaps exist in urology. We previously surveyed European Association of Urology (EAU) guidelines for strong recommendations underpinned by high-certainty evidence that impact patient experience for which practice variations were suspected. The recommendation “Do not offer neoadjuvant androgen deprivation therapy (ADT) before surgery for patients with prostate cancer” was prioritised for further investigation. ADT before surgery is neither clinically effective nor cost effective and has serious side effects. The first step in improving implementation problems is to understand their extent. A clear picture of practice regarding ADT before surgery across Europe is not available. Objective: To assess current ADT use before prostate cancer surgery in Europe. Design, setting, and participants: This was an observational cross-sectional study. We retrospectively audited recent ADT practices in a multicentre international setting. We used nonprobability purposive sampling, aiming for breadth in terms of low- versus high-volume, academic, versus community and public versus private centres. Outcome measurements and statistical analysis: Our primary outcome was adherence to the ADT recommendation. Descriptive statistics and a multilevel model were used to investigate differences between countries across different factors (volume, centre type, and funding type). Subgroup analyses were performed for patients with low, intermediate, and high risk, and for those with locally advanced prostate cancer. We also collected reasons for nonadherence. Results and limitations: We included 6598 patients with prostate cancer from 187 hospitals in 31 countries from January 1, 2017 to May 1, 2020. Overall, nonadherence was 2%, (range 0–32%). Most of the variability was found in the high-risk subgroup, for which nonadherence was 4% (range 0–43%). Reasons for nonadherence included attempts to improve oncological outcomes or preoperative tumour parameters; attempts to control the cancer because of long waiting lists; and patient preference (changing one's mind from radiotherapy to surgery after neoadjuvant ADT had commenced or feeling that the side effects were intolerable). Although we purposively sampled for variety within countries (public/private, academic/community, high/low-volume), a selection bias toward centres with awareness of guidelines is possible, so adherence rates may be overestimated. Conclusions: EAU guidelines recommend against ADT use before prostate cancer surgery, yet some guideline-discordant ADT use remains at the cost of patient experience and an additional payer and provider burden. Strategies towards discontinuation of inappropriate preoperative ADT use should be pursued. Patient summary: Androgen deprivation therapy (ADT) is sometimes used in men with prostate cancer who will not benefit from it. ADT causes side effects such as weight gain and emotional changes and increases the risk of cardiovascular disease, diabetes, and osteoporosis. Guidelines strongly recommend that men opting for surgery should not receive ADT, but it is unclear how well the guidance is followed. We asked urologists across Europe how patients in their institutions were treated over the past few years. Most do not use ADT before surgery, but this still happens in some places. More research is needed to help doctors to stop using ADT in patients who will not benefit from it

Photonic molecules and spectral engineering

This chapter reviews the fundamental optical properties and applications of pho-tonic molecules (PMs) - photonic structures formed by electromagnetic coupling of two or more optical microcavities (photonic atoms). Controllable interaction between light and matter in photonic atoms can be further modified and en-hanced by the manipulation of their mutual coupling. Mechanical and optical tunability of PMs not only adds new functionalities to microcavity-based optical components but also paves the way for their use as testbeds for the exploration of novel physical regimes in atomic physics and quantum optics. Theoretical studies carried on for over a decade yielded novel PM designs that make possible lowering thresholds of semiconductor microlasers, producing directional light emission, achieving optically-induced transparency, and enhancing sensitivity of microcavity-based bio-, stress- and rotation-sensors. Recent advances in material science and nano-fabrication techniques make possible the realization of optimally-tuned PMs for cavity quantum electrodynamic experiments, classical and quantum information processing, and sensing.Comment: A review book chapter: 29 pages, 19 figure

Scope

Scope, later retitled Centerscope, was published by the Boston University Medical Center to report on events at and around the Center