Kind Of Injury Research Articles

A Cross-Sectional Study Of Manually Processed Petroleum Derivatives Burns

Syrian burn centers are facing challenges dealing with burns caused by manually processed petroleum derivatives during the current war due to the lack of energy storage. We are presenting a cross-sectional study conducted at Al-Mouwasat University Hospital from January 2024 to July 2024 in Syria. Based on our results, this kind of injuries is larger in burned area, can affect multiple body parts, is associated with higher prevalence of inhalation injuries, requires more debridement sessions, is more common among young females; and thus, higher mortality and morbidity rates, compared to other burn injuries. Receiving inappropriate first aid, associated with secondary transfer and late referral was the dominant entity in this kind of burn. On the other hand, this injury can be prevented with appropriate precautions. Although the retrospective descriptive nature of the study which relies on the quality of data collected and the consistency of clinical documentation, this paper is considered one of the leading studies to include this high number of cases in relative medical literature, as so far, medical literature is lacking about this specific injury and no national database is yet established.

Professionalizing Emergency Medical Service Response Time

Abstract Prompt responses by emergency medical services (EMSs) are crucial in delivering efficient prehospital emergency treatment. The prompt arrival of EMS is strongly correlated with improved patient outcomes and increased chances of survival. To reduce the occurrence of long-term impairment or illness, the majority of EMS companies follow globally acknowledged response time benchmarks. Internationally, EMSs strive to achieve a response time of 8 min or less for 90% of life-threatening incidents. This research examines many variables that influence EMS response times and their subsequent consequences on patient outcomes. The measurement of response time starts with receipt of a clinical complaint call and concludes upon the arrival of EMS at the site. Timely and effective reactions are essential for the survival of patients, particularly in urgent medical situations. In contrast, there are data indicating that longer reaction times are associated with increased death rates. Various obstacles might hinder prompt EMS responses, including geographical obstacles, unfavorable weather and traffic conditions, and patient-specific considerations such as the kind of injury or sickness, medical history, age, and gender. In addition, a lack of staff, including insufficient workers, poor training, and the absence of standardized, up-to-date technology that simplify care delivery, may also cause delays in response times. Due to the crucial importance of EMS response times in prehospital emergency treatment, it is essential for EMS systems to make every effort to meet their response time goals.

Efficacy of ozonated autohemotherapy for improvement of myocardial injury following traumatic brain injury

BackgroundTraumatic brain injury is a kind of injury caused by external violence on the head. Its danger is not limited to life rescue in the early stage of the disease. Moreover, the subsequent inflammatory reaction and the change in its oxidative stress level will cause secondary myocardial injury. The purpose of this study is to explore the myocardial protective effect of ozone autohemotherapy (OA) in the progression of acute traumatic brain injury (TBI).MethodsForty patients with acute TBI were recruited and divided into The treatment group (Group OA, n = 18) and the Control group (Group C, n = 19). Patients in Group OA received OA before surgery and on the 1st and 2nd postoperative days, while patients in Group C underwent autologous blood transfusion. Venous blood was collected from all patients before (T0) and after 7 days (T1) days of surgery for measurement of cardiac troponin T (cTnT) and amino-terminal pro-B-type natriuretic peptide (NT-proBNP). At T0 and T1, transthoracic cardiac ultrasound was performed to measure left ventricular ejection fraction (LVEF), tricuspid annular plane systolic excursion (TAPSE), and venous blood was sampled to determine the contents of superoxide dismutase (SOD) and malondialdehyde (MDA). NIH Stroke Scale (NIHSS) and Glasgow Coma Scale (GCS) scores were calculated, and other clinical indexes were recorded.Results(1) The levels of cTnT at T1 were significantly higher as compared with that at T0 in both groups (p < 0.01). Compared with Group C, a remarkable decline in the content of NT-proBNP was found in Group OA at T1 (p = 0.021). (2) The LVEF (p = 0.002) and serum SOD (p = 0.015) at T1 were significantly increased in Group OA as compared with those in Group C. (3) The length of Intensive Care Unit and hospitalization time for patients in Group OA was distinctly shorter than that for patients in Group C (p = 0.021, p = 0.015, respectively).ConclusionPerioperative OA treatment can alleviate the secondary myocardial injury during the disease course of TBI, which might be associated with its myocardial protective effect against oxidative stress.Trial registrationThis study was approved by the Ethical Committee of Changzhou NO.2 People's Hospital. The protocol was registered prospectively with the Chinese Clinical Trial Registry (ChiCTR2000029612) on February 02, 2020.

Phytic acid-loaded polyvinyl alcohol hydrogel promotes wound healing of injured corneal epithelium through inhibiting ferroptosis

As the important barrier of intraocular tissue, cornea is easy to suffer various kinds of injuries. Among them, acute alkali burn is a thorny ophthalmic emergency event, which can lead to corneal persistent epithelial defects, ulcers, and even perforation. Ferroptosis, a mode of regulatory cell death, has been found to play a key role in the process of corneal alkali burn, of which lipid peroxidation and intracellular iron levels are considered to be the possible therapeutic targets. To seek new effective treatments, the study herein focused on the occurrence of oxidative stress and ferroptosis in corneal alkali burn, exploring the role of phytic acid (PA), a natural small molecule with both antioxidant and iron chelating capacity, in the repair of corneal epithelial injury. The in vivo therapeutic results showed that PA eyedrops treatment promoted the recovery of corneal morphology and function, and in vitro experiments proved that PA prompted the repair of oxidative stress induced-corneal epithelial injury through ferroptosis inhibition. In addition, better drug treatment effect could be achieved through hydrogel delivery and sustained release, and our in vivo experiments showed the superior therapeutic effects of PA delivered by PVA hydrogels with larger molecular weights on corneal injury. In summary, this study demonstrated the excellent effect of natural small molecule PA with antioxidant and high efficiency chelating ferrous ions on ferroptosis inhibition, and showed the outstanding application prospect of PVA/PA hydrogels in the treatment of corneal epithelial injury.

Indominable Color Schemes

This ten-page visual, poetic essay captures my disenfranchisement from my own art and poetry, as well as the continuous instability of my life. I start with parental expectations, symbolized by negative space or violent lines and shapes, pondering the cost of these expectations on the joys and freedom of youth. I move into encounters of transphobic and racist bullying at primary school, a time when it was impossible to bear the terms for such experiences. This is followed by representations of abuse, only retroactively understood throughout the subsequent exploration of it, as well as the chronic deprivation of opportunity that these kinds of injuries cause. The exponential costs, particularly the emotional ones, that incur from the practical losses that come with life are then considered, along with the re-traumatization of simply trying to survive them. Finally, there are discordant uses of space, cluttered and overlayered images and words, alongside isolating negative spaces, to represent the constant feeling of failure, including being broken even during instances of stability or minor success.

Meniscotibial Ligament Tear and Meniscocapsular Detachment of Anterior Horn of the Lateral Meniscus

The meniscotibial ligament (MTL) tear, along with a meniscocapsular separation, is a very rarely diagnosed injury pattern often missed on magnetic resonance imaging (MRI). The meniscus becomes hypermobile and can cause anterior knee pain, instability, and frequent locking. A 29-year-old female patient presented to the outpatient department with a history of a noncontact injury 3 months ago. Her Tegner Lysholm Knee Score was 41/100. On examination, there was lateral joint line tenderness and a positive McMurray test with a clicking sensation. MRI was performed, which showed torn fascicles in the anterior horn of the lateral meniscus. Knee arthroscopy confirmed that MTL was completely torn along with meniscocapsular detachment. A Scorpion jaw (Arthrex, Naples, FL) loaded with 2-0 FiberWire was used to take three bites from the meniscus. These ends of sutures were loaded on a 2.9 mm PushLock anchor and inserted at the tibia border. An 18G needle was loaded with a monofilament nitinol loop suture and passed through the capsule into the joint. A suture retriever was used to pick suture ends and pass through the loop. The monofilament loop was then pulled to pass the FiberWire ends from the capsule. All six FiberWire ends were passed through the capsule and three knots were tied from outside to reattach the capsule. This kind of injury can lead to anterolateral instability of the knee. Diagnosis of this lesion is very challenging and crucial. Biomechanical instability has prompted us to pay specific attention to its investigation and management. The described repair technique gives good results due to rigid fixation and the postoperative rehabilitation is also fast.

Polystyrene microplastics aggravate radiation-induced intestinal injury in mice

Radiotherapy is a common treatment for abdominal and pelvic tumors, while the radiation-induced intestinal injury (RIII) is one of the major side-effects of radiotherapy, which reduces the life quality and impedes the treatment completion of cancer patients. Previous studies have demonstrated that environmental pollutant microplastics led to various kinds of injury in the gut, but its effects on RIII are still uncovered. In this study, we fed the C57BL/6J mice with distilled water or 50 μg/d polystyrene microplastics (PSMPs) for 17 days and exposed the mice to total abdominal irradiation (TAI) at day 14. Then the severity of RIII was examined by performing histopathological analysis and microbial community analysis. The results demonstrated that PSMPs significantly aggravated RIII in small intestine rather than colon of mice upon TAI. PSMPs increased levels of the histopathological damage and the microbial community disturbance in mice small intestine, shown by the overabundance of Akkermansiaceae and the decrease of microflora including Lactobacillaceae, Muribaculaceae and Bifidobacteriaceae. In conclusion, our results suggested that more microplastics exposure might led to more severe RIII, which should be considered in patients’ daily diet adjustment and clinical radiotherapy plan evaluation. Furthermore, this study also called for the further researches to uncover the underlying mechanism and develop novel strategies to attenuate RIII in mice intestine.

MRNA vaccines protect from the lung microvasculature injury and the capillary blood volume loss occurring in SARS-CoV-2 paucisymptomatic infections.

The reduction of lung capillary blood volume (Vc) had been identified as the microvascular injury mostly underlying the respiratory Long-COVID syndrome following post-COVID-19 pneumonia. The same kind of injury have been recently also found in several individuals after milder paucisymptomatic SARS-CoV-2 infections. Though current guidelines strongly recommend vac-cination, studies aimed to investigate the in vivo protection of anti-SARS-CoV-2 vaccines on lung microvascular targets still are missing to our best knowledge. to assess the protection of mRNA vaccines from the reduction of lung capillary blood volume (Vc) caused by pauci-symptomatic SARS.CoV-2 infections in vaccinated compared to unvaccinated individuals. Non-smoking individuals with recent paucisymptomatic SARS-CoV-2 infection were divided into vaccinated and unvaccinated groups. Lung function parameters, including single-breath diffusing capacity and microvascular blood volume, were compared between groups. fifty vaccinated and twenty-five unvaccinated well-matched individuals were studied. Differently than usual lung function parameters, only the single-breath simultaneous assessment of sDLCO, sDLNO/sDLCO ratio and Vc allowed to identify the occurrence of the lung microvascular injury with high sensitivity and specificity (p<0.001). mRNA vaccines proved to exert a high protection from the loss of lung capillary blood volume (Vc) induced by SARS.CoV-2 paucisymptomatic infections (p<0.001). The availability of this non-invasive investigational model should be regarded as a very helpful tool for assessing and comparing in vivo the protective effect of mRNA vaccines on the human microvascular structures of the deep lung.

The Spine is the Tree of Life: A Systematic Review and Meta-Analysis of the Radiographic Findings Related to Spinal Injuries in Athletes.

This review article explores spinal injuriesin athletes participating in various sporting activities. It also highlights the various mechanisms of injuries that contribute to spinal injuries in each sport. Electronic databases such as PubMed, Cochrane Library, Web of Science, Embase, MEDLINE Ovid, and Google Scholar were searched for articles from 2000 to 2022 on spine injuries in sports and radiological studies discussing the various injury patterns among athletes. Studies werescoured in accordance with the inclusion criteria, and relevant data such as the number of participants, sporting activities, spine injuries, and outcomes were retrieved. Fifteen articles that met the inclusion criteria were included in the study. Cervical spine injuries are common in athletes who participate in contact sports such as football. Similarly, athletes in collision sports such as football, rugby, and hockey are likely to suffer stingers due to traction and compression injuries. Players engaged in such assoccer, baseball, and swimming, are likely to suffer from spondylolysis. Soccer players are more prone to multiple lesions compared toathletes in sports such as baseball because the sport involves training exercises such as jogging and running without kicking any ball. In swimmers, spondylolysis is common in breaststroke and butterfly styles since they involve repeated flexion and hyperextension of the lumbar spine. CT is essential for diagnosing spondylolysis as it demonstrates the lesions more accurately. Ice hockey is associated with a significant incidence of cervical spine injuries, mostly due to players being constantly checked/pushed from behind. Spine injuries are common in elite athletes across several sports. About 10% of spinal injuries in the United States result from sports activities. In diagnosing spine injuries, imaging modalities such as MRI, CT, or plain radiographs are essential. From a radiologist's perspective, these testshelp immensely in deciding which treatment is required for a particular athlete or how the injury can be optimally managed. Achieving recovery from a specific spine injury usually depends on the kind of injury and the rehabilitation process the athletes undergo before returning to play.

Study of Axonal Injury and Degeneration in Drosophila.

A fundamental feature of nervous systems is a highly specified synaptic connectivity between cells and the ability to adaptively change this connectivity through plasticity mechanisms. Plasticity mechanisms are highly relevant for responding to nervous system damage, and studies using nervous system injury paradigms in Drosophila (as well as other model organisms) have revealed conserved molecular pathways that are triggered by axon damage. Simple assays that introduce injuries to axons in either adult flies or larvae have proven to be particularly powerful for uncovering mechanisms of axonal degeneration and clearance. They have also been used to reveal requirements for regrowth of axons and dendrites, as well as signaling pathways that regulate cellular responses to nerve injury. Here we review commonly used and simple to carry out techniques that enable experimenters to study responses to axonal damage in either adult flies (following antennal transection) or larvae (following nerve crush to segmental nerves). Because axons and dendrites in the larval peripheral nervous system can be readily visualized through the translucent cuticle, another versatile method to probe injury responses is to focus high-energy laser light to a small and specific location in the animal. We therefore discuss a method for immobilizing intact larvae for imaging through the cuticle to carry out injury by pulse dye laser, which can be used to generate many different kinds of injuries and directed ablations within intact larvae. These techniques, combined with powerful genetic tools in Drosophila, make the fruit fly an excellent model system for studying the effects of injury and the mechanisms of axon degeneration, synapse plasticity, and immune response.

Analysis of Clinical Outcomes of Percutaneous Kyphoplasty and Vertebroplasty in the Treatment of Osteoporosis-Induced Vertebral Compression Fracture

Percutaneous kyphoplasty (PKP) and Percutaneous vertebroplasty (PVP) have become very effective to treating the Osteoporosis vertebral compression fractures (OVCFs) and patients can get immediate relief from the pain and it can improve the motor functions of patient’s health status and widely used in clinical practice. Vertebroplasty and kyphoplasty are minimally invasive procedures for the treatment of painful vertebral compression fractures (VCF), which are fractures involving the vertebral bodies that make up the spinal column. Vertebroplasty are most often used to treat an injury called a compression fracture. This kind of injuries are most often caused by osteoporosis, which is the reason of bone weakness and osteoporosis are most common in older people. This study aimed to examine the osteoporosis vertebral compression fractures (OVCFs) of Jinan, Shandong province, China, between male and female participants who were over 50 years of age. There are very few pertinent data regarding the relative or absolute contraindication of percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) for severe osteoporotic vertebral compression fractures (OVCFs). The purpose of this research was to assess and contrast the effectiveness of traditional kyphoplasty and vertebroplasty using high-viscosity cement in the treatment of severe OVCFs. In aged people, osteoporotic vertebral compression fractures (OVCFs) are prevalent and can result in significant osteoporosis vertebral compression fractures. Treatment options for individuals with these types of fractures include conservative measures, percutaneous vertebroplasty (PVP), and percutaneous kyphoplasty (PKP). We compared the clinical effectiveness of PVP and PKP in treating osteoporotic vertebral compression fractures in this investigation. Therefore, we conducted a comparative study on Osteoporosis vertebral compression fractures (OVCFs) patients who received either PVP or PKP treatment in our hospitals from January 2020 to December 2020 to investigate the clinical efficacy, advantages and disadvantages of the surgical methods, and to provide a reference for clinical selection of treatment methods.

The Influence of Social Ostracism and Traumatic Experiences in Childhood on Personality Disorder

Human beings are social animals and inevitably have to have relationships and interactions with others to instinctively survive and thrive. In the process of social interaction, it is inevitable to encounter malicious or non-malicious injuries. Based on whether the injuries are malicious or not, they are classified as social ostracism and traumatic experiences, which are further subdivided into verbal and physical violence, the death of a friend or relative, and the deaths of strangers. The correlation between psychological injuries inflicted on the individual by such injurious events that occur during childhood and personality development as well as personality disorders is analyzed and presented through the study of past research in related fields. The analysis finds that, since some individuals in childhood do not have a good ability to cope with such events, even injurious events with different causes and different kinds of injuries could easily cause psychological injuries to individuals, these psychological injuries can further impede the development of the individual's personality, leading to abnormal tendencies in the individual's personality, or even to personality disorders. This paper summarizes the main points of previous empirical studies and provides evidence for further understanding of the relationships between variables.

Screening and Phasewise Management of Burn Injuries.

Thermal, electrical, chemical, or electromagnetic radiationcan cause painful wounds or burns. Spilling hot liquids onto the skin can also cause these kinds of injuries. The two biggest factors contributing to burn injuries in the elderly are smoking and exposure to open flames, while scalding is the primary cause of burn damage in children. Newborns and the elderly make up the majority of burn casualties. In India, there are estimated to be 6-7 million burn cases per year. The high incidence is attributed to the population's illiteracy, poverty, and lack of awareness of safety. The problem is made much worse by the fact that basic and secondary healthcare levels do not provide systematic burn care.Coagulation necrosis is caused by denaturing proteins due to heat from burns. Platelets clump together, arteries narrow, and partly perfused tissue (called the stasis zone) may spread out around the wound. In the stasis zone, tissue is hyperemic and inflammatory. When the skin's natural barrier is breached, microorganisms can enter the body and cause poor temperature regulation, fluid loss, and invasion. Intravascular volume loss is typically worsened by injured or edematous tissues. Significant heat loss may occur from the wounded dermis' lack of thermoregulation, particularly in exposed wounds. The severity determines the different treatments.Serious burns require considerable care, while lesser burns just require cleaning and painkillers. Just-partially thickened burns must be cleansed with soap and water before being clothed. For full-thickness burns, surgery, including skin grafting, is frequently required. Extensive intravenous fluid doses are often required to treat serious burns resulting from tissue edema and capillary fluid leakage.

Evaluating the functional outcomes of tibia and ipsilateral femur fracture, which are floating knee injuries, in adults

Background: High velocity trauma leads to ipsilateral femur and tibia fractures. Despite being very uncommon, they have a significant morbidity rate. Combinations of diaphyseal, metaphyseal, and complicated intra-articular fractures may be present in this kind of injury. Objectives were to assess the functional success of adult patients with ipsilateral femur and tibia fractures treated with various methods. Methods: The 30 adult patients with floating knee injuries underwent surgical treatment as part of the prospective research at the department of orthopedics, govt. medical college, and affiliated group of institutions in Kota. A combination of implants, such as an intra-medullary nail, locking plates, screws, or external fixators, were used to treat both femur and tibia fractures. Results: Karlstrom-Olerud criteria were used for the final evaluation. In our study, five patients (16.6%) had excellent outcomes, ten (33.3%) had good results, seven (23.3%), had acceptable results, and eight (26.6%) had poor results. Conclusions: When the fracture is diaphysis and it is treated with intra-medullary nails for both the femur and the tibia, the results are excellent. In this way, the age of the patient, the kind of fracture, the methods of fracture fixation, and the functional result were all taken into account.

Management of Lateral Luxation Injury in a 3½-year-old Boy

This case report documents the trauma and follow-up care of lateral luxation injury of upper central incisors in a 3½-year-old boy. Traumatic dental injuries in children occur very frequently and lateral luxation is a kind of injury in which the tooth is displaced in either labial or palatal/lingual direction. Lateral luxation injuries are one of the most severe periodontal injuries in dental trauma. A correct diagnosis followed by repositioning of the tooth in the right position is fundamental to the periodontal ligament healing. A 3½-year-old boy reported with a fall on his upper front tooth while laying at home and his upper central incisors got laterally luxated. The teeth were repositioned by digital pressure subsequently, on finding necrotic changes pulpectomy was performed in 51 and 61. Clinical and radiographic follow-up of 7 months is presented showing uneventful healing. Immediate repositioning along with occlusal relief, endodontic management, and proper follow-up with adequate patient engagement can be considered for treating lateral luxation injury.

First experiences with a surgery supporting computer system in regard to education, efficiency and complications

PurposeSince October 2019 a computer software named SPM (surgical process manager) is used in a Level I Trauma center. Workflows were developed for distinct surgical procedures (distal radius fractures, proximal femur fractures, ankle fractures, proximal humerus fractures and vertebral fractures). In addition, these workflows were separated in a shortened „Expert“-versions for consultants and a more detailed „Learner“- versions for residents.This investigation was intended to show, if and what kind of benefits in regard to efficiency (incision to suture and suture to incision time), education and complications a surgery supporting software can bring. MethodsSPM was used in 90 cases during October 2019 to June 2022. A control trial with 108 patients was developed, including patients of the same age, having same kind of injuries, receiving the same surgery technique without using the SPM.The software was installed on the computer in the operation room, projected on head monitors and operated by a foot pedal. Complications could also be documented using the pedal.Groups were divided in surgical procedures and fracture type, qualification of the surgeon, complications and surgery time. Surgery times were taken from the hospital computer system (SAP IS-H). A statistical analysis was performed by using the chi square and Fischer exact test with significance set at a P value <0.05. ResultsIn 51 cases the software was used for the distal radius (control group 54 patients), in 20 cases for Weber fractures (control group 21 patients), in 9 cases for the proximal femur (control group 19 patients), in 5 cases for vertebral fractures (control group 7 patients) and in 5 cases for the proximal humerus (control group 6 patients).Time from incision to closure was significant higher in the intervention group (49 vs 42 min, p- value 0,018) and wasn't significant lower in the “expert” group, fixing radius and ancle fractures (39 to 46 min, p value 0,186).Comparing the SPM and control group concerning closing to incision time, no difference could be observed (56 to 58,5 min, p value 0,828).The greatest time deviation between „Learners“und „Experts“was observed in reduction and fixation (p value 0,006) in ankle fractures. The “Expert“group also needed less time for the approach (p value 0,008) in case of distal radius fractures.Unexpected events were more often observed in the intervention group (5,5 vs 3,7 %). ConclusionsA surgery supporting computer system might be a good tool for detecting and optimizing workflows in the operation room and for improving and analyzing the training of residents and surgical assistants.In addition, it offers the opportunity to document intraoperative complications. However, a saving of time wasn't observed in this study. Further investigations with bigger number of cases and a longer follow-up are necessary to proof these findings statistically.

Predicting Relationship Between Traffic Accidents with Related Injuries

Abstract: Traffic collisions are one of the world's 14 most crucial issues right now since they cause countless fatalities, severe injuries, and financial losses every year. The difficulty of creating accurate forecasting models, Traffic accident severity is important for transportation networks. This study creates models to choose a number of important features and build a model for classifying injury severity. These models are produced utilizing various Machine Learning techniques. The data on traffic accidents, trained and methods for unsupervised machine learning are also used. The primary aim is to draw a connection between the many kinds of injuries and traffic accident types. The study's conclusions imply that unsupervised learning methods may be effective in predicting the severity of harm from traffic accidents.

Unusual Penetrating Mandibular Injury By A Cut-Off Wheel

Penetration wounds on the face caused by foreign bodies other than bullets are rare in today’s life. Most of the adult penetrating injuries reported in the literature were due to industrial accidents, criminal assaults or self-injury. We present an unusual case of a man who suffered a fracture of his lower jaw due to a broken cut- off wheel. This kind of injuries was rare in todays life because of the Poor workplace safety still existing in our country.

Assessment of the knowledge of people training amateur strength sports about the squat and its variations and the benefits from this fact

EntryThe squat pattern is present in the life of every human being from his earliest years. In sports, the squat is one of the most popular exercises, used in almost every discipline in countless variations by both professionals and amateurs. Due to its biomechanics and the degree of involvement of the nervous system and the musculoskeletal system, its use is an essential training link in any plan aimed at developing muscle mass, strength and endurance. The squat pattern is also used in medicine, rehabilitation and improving people suffering from all kinds of injuries and dysfunctions of the locomotor system. Material and methodsThe study used the diagnostic survey method, with the use of a proprietary questionnaire consisting of 37 questions. The study was conducted among a group of 250 men aged 20-50 practicing amateur strength sports. ConclusionsThe current state of knowledge about the squat technique (high bar, low bar, front squat) among men practicing strength sports as amateurs is at an insufficient level. Respondents did not show sufficient knowledge about the impact of squats on the human body.

Fruit Phenology of Two Hazelnut Cultivars and Incidence of Damage by Halyomorpha halys in Treated and Untreated Hazel Groves

Over the past decade, Halyomorpha halys has become one of the main threats to hazelnut production. Its trophic activity makes kernels inedible due to strongly detrimental effects on the organoleptic quality. Its management in Italy is still tricky due to the lack of effective native biocontrol agents and authorized and effective insecticides. A field test was performed on San Giovanni (SG) and Tonda Romana (TR) cultivars (early and late ripening, respectively) to assess the intensity of cimiciato damage with different pest management approaches (no insecticide and integrated pest management, IPM). Moreover, phenological analysis of fruits and the monitoring of stink bug species by traps and plant beating were carried out. In the untreated plots, the SG cv showed a higher cimiciato incidence with respect to the late TR cv (40% SG–NI vs. 23% TR–NI). This was probably due to the different phenological phases in which stink bugs injured the fruits. In fact, stink bug bites provoke different kinds of injuries (blanks, shriveled, and cimiciato) according to the fruit’s development period. Indeed, in the period of highest insect occurrence in the field, the fruits of the early cv (SG) were in kernel expansion, a phenological phase in which bug injuries are more likely in cimiciato defects. Lastly, the IPM did not provide sufficient fruit protection (19% SG–IPM vs. 11% TR–IPM). The interaction between the phenological development of hazelnuts and the brown marmorated stink bug represents a critical aspect in understanding and implementing effective strategies for controlling this key pest on hazelnut trees.