The Lipo-DIEP Flap Breast Reconstruction: A Valuable Innovation for Maximizing Abdominal Tissue Volume.

Background: The deep inferior epigastric perforator (DIEP) flap is universally considered the gold standard technique for breast reconstruction (BR), though it cannot always be proposed to patients with insufficient donor-site volume. We explore the efficacy of autologous fat transfer (AFT) of the Holm abdomen zone IV in the retropectoral plane during DIEP flap reconstruction (lipo-DIEP flap), to enhance the volume provided by the abdominal donor site in patients with low body mass index (BMI).

Methods: We prospectively enrolled patients with BMI less than 25 kg/m and candidates for lipo-DIEP flap BR (group A) comparing them with a control group (group B) undergoing traditional DIEP flap BR with the same characteristics of the first group (BMI < 25 kg/m).

Real-time wastewater quality monitoring by fluorescence sensors: Validation for COD and CEC monitoring and implication for carbon footprint reduction.

This study investigated the applicability of a protein-like fluorescence sensor for wastewater quality monitoring. Several wastewater matrices, including raw, primary, secondary and tertiary effluents from three different wastewater treatment plants were used. Furthermore, the sensor was tested for the monitoring of quaternary effluent in a pilot scale plant installed downstream of a water reuse facility.

Fluorescence sensor enabled control of contaminants of emerging concern in reclaimed wastewater using ozone-based treatment processes.

Contaminants of emerging concern (CEC) pose significant challenges to environmental and human health. The development of the wastewater reuse sector, coupled with progressively stringent regulations, needs innovative systems that integrate advanced treatment processes with in-situ and real-time monitoring of CEC. This study investigates the use of a tryptophan-like fluorescence sensor for real-time and online monitoring of CEC within a pilot plant employing O-based advanced oxidation processes (AOPs).

Online control of UV and UV/HO processes targeted for the removal of contaminants of emerging concern (CEC) by a fluorescence sensor.

This study assessed the online and real-time monitoring of contaminants of emerging concern (CEC) using a microbial/tryptophan-like fluorescence sensor in a quaternary AOP (advanced oxidation process) pilot plant installed downstream of a tertiary municipal wastewater treatment plant (WWTP). Real-time fluorescence measurements were validated with lab-scale tryptophan-like fluorescence. Changes in water quality induced by different UV or UV/HO doses were detected by the fluorescence sensor allowing real-time control of processes.

BIA-ALCL and BIA-SCC: Updates on Clinical Features and Genetic Mutations for Latest Recommendations.

Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) and Breast Implant-Associated Squamous Cell Carcinoma (BIA-SCC) are emerging neoplastic complications related to breast implants. While BIA-ALCL is often linked to macrotextured implants, current evidence does not suggest an implant-type association for BIA-SCC. Chronic inflammation and genetics have been hypothesized as key pathogenetic players, although for both conditions, the exact mechanisms and specific risks related to breast implants are yet to be established.

The FALD-V: A predictive formula for preoperative volume assessment of adipose tissue transplantation in FALD flap.

Background: The fat-augmented latissimus dorsi (FALD) flap is an evolution of the traditional latissimus dorsi (LD) flap, which allows to obtain a total autologous breast reconstruction (BR) avoiding the use of breast implants. The aim of this study was to develop a predictive preoperative formula in order to estimate and optimize the amount of fat to be transferred during FALD flap BR, using only anthropometric measurements.

Methods: We conducted a prospective clinical study between September 2020 and April 2023.

Conformity to masculine norms, interoceptive dysfunction, and changes in muscle dysmorphia symptoms.

Muscle dysmorphia (MD) is a psychiatric illness characterized by preoccupation and compulsive behaviors to increase muscle size/definition. Despite its severity, few risk factors/mechanisms for MD have been identified. Conformity to masculine norms may be a MD risk factor.

Fat-Augmented Latissimus Dorsi Flap for Secondary Breast Reconstruction in Small to Medium-Sized Irradiated Breasts.

Background: Secondary breast reconstruction (BR) is recognized as a challenging procedure, particularly when radiotherapy (RT) has previously been performed. The aim of this study was to compare operative data and aesthetic outcomes between secondary irradiated and immediate BR using the fat-augmented latissimus dorsi (FALD) flap.

Methods: The authors conducted a prospective clinical study between September of 2020 and September of 2021.

Wastewater-based epidemiology approach: The learning lessons from COVID-19 pandemic and the development of novel guidelines for future pandemics.

Wastewater-based epidemiology (WBE) provides a comprehensive real-time framework of population attitude and health status. This approach is attracting the interest of medical community and health authorities to monitor the prevalence of a virus (such as the severe acute respiratory syndrome coronavirus 2, SARS-CoV-2) among a community. Indeed, WBE is currently fine-tuning as environmental surveillance tool for coronavirus disease 2019 (COVID-19) pandemic.

Microwave regeneration of granular activated carbon saturated with PFAS.

This study investigated the regeneration of PFAS-saturated granular activated carbons (GACs) by microwave (MW) irradiation. Two commercially available GACs (bituminous coal based GAC [BCGAC] and lignite coal based GAC [LCGAC]) were saturated with perfluorooctanoic acid (PFOA) and perfluorooctane sulfonic acid (PFOS) and then irradiated at different MW conditions (applied power = 125 - 500 W, irradiation time = 3 - 12 min). The performance of MW regeneration for PFOS- or PFOA-saturated GACs was assessed by evaluating the variation of GAC adsorption capacity (regeneration efficiency, RE) and weight loss percentage (WL).

Remediation of petrol hydrocarbon-contaminated marine sediments by thermal desorption.

In this study, a hydrocarbon-contaminated marine sediment was treated applying ex-situ thermal desorption (ESTD) at bench-scale. Temperatures up to 280 °C and heating times (t) in the 5-30 min range were investigated. Results revealed that temperatures in the range 200-280 °C led to Total Petrol Hydrocarbon (TPH)-removal efficiency (RE) from 75 to 85% (t = 10 min).

Microwave based regenerating permeable reactive barriers (MW-PRBs): Proof of concept and application for Cs removal.

The present study evaluates the concept of permeable reactive barrier (PRB) coupled with microwaves (MWs) as in situ-regenerating technology with focus on Cs-contaminated water. Experimental and modelling results data from batch and column tests were carried out, evaluating several chemical-physical and environmental parameters. Main results showed a very rapid increase in GAC temperature during MW irradiation up to ∼680 °C.

Field technical applicability and cost analysis for microwave based regenerating permeable reactive barriers (MW-PRBs) operating in Cs-contaminated groundwater treatment.

The present study tests the potentiality of a novel microwave based regenerating permeable reactive barrier (MW-PRB) system as combined treatment for Cs-contaminated groundwater. Granular activated carbon (GAC) was selected as adsorptive materials in batch and column MW-regeneration experiments. Experimental and modeling data were elaborated for technical and economic considerations in order to assess the MW-PRB feasibility jointly with essential information regarding its real field applicability.

Inner filter effect, suspended solids and nitrite/nitrate interferences in fluorescence measurements of wastewater organic matter.

In this study, it was assessed the effectiveness to correct for inner filter effect (IFE) the fluorescence spectra of several wastewaters (i.e., primary, secondary and tertiary wastewater effluents) and wastewater-impacted surface waters using a common method based on UV absorbance measurements.

Data on the effects of filters, storage conditions, and chlorination in fluorescence and absorbance wastewater measurements.

Data presented in this data article show artifacts (bias and error) that influence fluorescence measurement of dissolved organic matter (DOM) due to samples handling and storage. Data show interferences in fluorescence measurements related to filtration of water by different filter materials, including 0.7 μm glass microfiber filter, 0.

Removal of poly- and perfluoroalkyl substances (PFAS) from water by adsorption: Role of PFAS chain length, effect of organic matter and challenges in adsorbent regeneration.

Poly- and perfluoroalkyl substances (PFAS) are a wide group of environmentally persistent organic compounds of industrial origin, which are of great concern due to their harmful impact on human health and ecosystems. Amongst long-chain PFAS, perfluorooctanoic acid (PFOA) and perfluorooctane sulfonic acid (PFOS) are the most detected in the aquatic environment, even though their use has been limited by recent regulations. Recently, more attention has been posed on the short-chain compounds, due to their use as an alternative to long-chain ones, and to their high mobility in the water bodies.

Data on the inner filter effect, suspended solids and nitrate interferences in fluorescence measurements of wastewater organic matter.

Data presented in this article show the extent of the inner filter effect (IFE) in fluorescence measurements of wastewater and wastewater-impacted surface water samples. Particularly, data show the effectiveness of a commonly used method for IFE correction based on UV absorbance measurement to reinstate the linearity of the relationship between fluorescence intensities and absorbance values. Data report also the effect of nitrates in fluorescence measurements of wastewater samples.

Absorbance and EEM fluorescence of wastewater: Effects of filters, storage conditions, and chlorination.

Aim of this study was to delineate sample handling procedures for accurate fluorescence and UV absorbance measurements of wastewater organic matter. Investigations were performed using different wastewater qualities, including primary, secondary and tertiary wastewater effluents, and a wastewater-impacted surface water. Filtration by 0.

How to Avoid and Manage Mental Nerve Injury in Transoral Thyroidectomy.

Transoral endoscopic thyroidectomy by vestibular approach (TOETVA) represents an innovative and scarless technique for thyroid surgery. The procedure is conducted via a three-port technique at the oral vestibule using a 10mm port for the 30° endoscope and two additional 5mm ports for the dissecting and coagulating instruments. Patients meeting the following criteria can be considered as candidates for TOETVA: (a) an ultrasonographically (US) estimated thyroid diameter =10cm; (b) US-estimated gland volume =45mL; (c) nodule size =50mm; (d) presence of a benign tumor, such as a thyroid cyst or a single- or multinodular goiter; (e) Bethesda 3 and/or 4 categories, and (f) papillary microcar-cinoma without the evidence of metastasis.

Extravasation of fluid in arthroscopic shoulder surgery requiring prolonged intubation: a case report.

Background: Shoulder arthroscopy is a safe and effective procedure with a low complication rate. Although rare, there are potentially life-threatening risks such as fluid extravasation causing airway compromise.

Case Presentation: We report the case of a 65-year-old female treated with an arthroscopic rotator cuff repair who had significant extravasation of arthroscopic fluid causing severe facial and neck swelling.

The mitochondrial genome of the planorbid snail .

The complete mitochondrial genome of a freshwater planorbid snail, (Mollusca, Gastropoda) was recovered from assembly of genomic sequences generated with the Illumina NextSeq500 platform. The mitogenome (14,217 base pairs) is AT rich (72.69%) and comprises 13 protein-coding genes, two ribosomal subunit genes, and 22 transfer RNAs.

Total thyroidectomy in Basedow-Graves' disease treatment: our experience.

In the present study the authors, after a short historical description of the Basedow-Graves' disease, describe their case-study gathered over the last five years. They mention the most widely accepted hypothesis regarding disease's etiology, strongly linked to autoimmune disorders, and the role that some viral agents (Coksackie B and HTLV-II) may have in initiating autoantibody production and T cells activation in genetically predisposed individuals. Basic and clinical aspects of the diagnosis and disease treatment, highlighting the use of thyroidectomy, are addressed.

Toxic multinodular goitre. Personal case histories and literature review.

The authors reviewed their own case histories of surgical thyreopathy over the last 20 years in order to establish how many multinodular goitre (MNG) patients developed hyperthyroidism during the follow-up period. In agreement with the findings reported in literature, the authors observed that 220 out of 1117 patients with MNG developed hyperthyroidism caused by the appearance of hyperfunctioning nodules after 6-18 years from the initial diagnosis of MNG.

Parathyroid carcinoma: case report.

The authors present a case of parathyroid carcinoma in a patient with primary hyperparathyroidism. Following a literature review, the clinical and diagnostic profile, treatment and prognosis of this rare disease are discussed.