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BACKGROUND Chronic rhinosinusitis (CRS) includes two main phenotypes without nasal polyps (CRSsNP) and with nasal polyps (CRSwNP). CRS has been reported to be a comorbidity of asthma. Objective The current study aimed to investigate the role of CRS in asthmatic outpatients visited in a real-world setting. METHODS This cross-sectional study enrolled 499 consecutive asthmatic outpatients. Age, sex, BMI, smoking status, lung function, asthma control test, inflammatory type 2 biomarkers (including FeNO, blood eosinophils, serum total IgE, and allergy), treatment step according to GINA, and comorbidities (OSAS, arterial hypertension, bronchiectasis, diabetes mellitus type 2, osteoporosis) were evaluated. RESULTS 179 (35.87%) patients had CRS, in particular 93 (18.64%) had CRSsNP and 86 (17.23%) had CRSwNP. Type 2 inflammation (defined by at least 1 positive biomarker) was present in 81.44% patients FeNO was >30 ppb in 46.9%, blood eosinophils >300 cell/μl in 39.67%, serum total IgE was >100 IU/mL in t51.54%, and allergy in 53.71%. By multivariate analysis, type 2 inflammation and blood eosinophils >300 cell/μl were the main predictors (OR 2.54 and 2.26 respectively) of CRS-asthma association. In particular, CRSwNP comorbidity was predicted by type 2 inflammation (OR 3.4), and blood eosinophils >300 cell/μl (OR 3.0). Smoking had a conflicting outcome. CONCLUSION The present study confirmed that CRS is frequent asthma comorbidity as concerns more than one-third of asthmatic outpatients. CRSwNP is associated with type 2 inflammation and blood eosinophilia. These outcomes underline that CRSwNPasthma phenotype deserves adequate attention for careful management and optimal identification of the best-tailored therapy. HYPOTHESIS Extracellular Vesicles (EVs) are natural nanosized lipid vesicles involved in most intercellular communication pathways. Given their nature, they represent natural cell membrane models, with intermediate complexity between real and synthetic lipid membranes. Here we compare EVs-derived (EVSLB) and synthetic Supported Lipid Bilayers (SLBs) in the interaction with cationic superparamagnetic iron oxide nanoparticles (SPIONs). The aim is twofold (i) exploit SPIONs as nanometric probes to investigate the features of EVSLBs as novel biogenic platforms; (ii) contribute at improving the knowledge on the behavior of SPIONs with biological interfaces. EXPERIMENTS Quartz Crystal Microbalance, X-ray Reflectivity, Grazing-incidence Small-angle X-ray Scattering, Atomic Force Microscopy, Confocal Microscopy data on SPIONs-EVSLB were systematically compared to those on SPIONs challenging synthetic SLBs, taken as references. FINDINGS The ensemble of experimental results highlights the much stronger interaction of SPIONs with EVSLBs with respect to synthetic SLBs. This evidence strongly supports the hypotheses on the peculiar structure of EVSLBs, with cushioned non-flat areas and extended exposed surface; in addition, it suggests that these features are relevant in the response of biogenic membranes to nano-objects. These findings contribute to the fundamental knowledge on EVSLBs, key for their development both as biomimetic membranes, or as platforms for biomedical applications. Co0.85Se nanosheets assembled layer by layer on N-doped carbon nanosheets (NC@Co0.85Se) are designed and fabricated through a facile solvothermal process. The hexamethylenetetramine as the solvent and complexing agent promotes the accumulation of Co0.85Se layer by layer. The long chain diethylenetriamine between the Co0.85Se nanosheets provides buffer space and nanochannels for accelerating the Li+ transportation. The N-doped carbon nansheets in NC@Co0.85Se provide effective conductive network during charge-discharge process. As an anode material for lithium-ion batteries, the NC@Co0.85Se nanocomposites deliver a high specific capacity of 636 mAh g-1 after 100 cycles at current density of 200 mA g-1, and 399 mAh g-1 for 500 cycles at high current density of 5000 mA g-1. No one has validated measuring the wrist's active range of motion (ROM) using smartphone images in patients. It is not known whether pathological factors affect the accuracy of this measurement technique. The purpose of this study was to assess if smartphone photography is as reliable and valid as manual goniometry for measuring wrist joint ROM. We reviewed 38 wrists in 38 patients (21 women and 17 men) with a mean age of 45 years (range, 26-60). Smartphones were used to take digital photos of injured wrists at extremes of wrist motion, including flexion, extension, radial and ulnar deviation. The mean difference in measured ROM between the two measurement methods (digital photos and handheld goniometer) was compared using Student's t test and the relationship determined using Pearson correlation coefficients. Bland-Altman analysis was used to define the limits of agreement (LOA). No significant difference was found when comparing the wrist ROM in the four positions using manual goniometry and digital measurements from photos taken by a surgeon. Between the goniometer measurements and digital photos taken by a surgeon, the Pearson coefficients were high, with most being above 0.8 for the four positions. The Pearson coefficients also show the smartphone measurements were highly precise. MRTX0902 mouse There was high reliability between the photographs taken by surgeons and by patients, as well as high interobserver reliability. Smartphone photography is a reliable and valid method to measure wrist joint ROM in patients. This measurement method can be used to measure outcomes. In cases of osteoarthritis with preserved motion, joint denervation can be an effective alternative to arthroplasty or arthrodesis to reduce joint-related pain. Although denervation is a standardized procedure for wrist osteoarthritis, it is used sparingly for finger joints. We conducted a systematic review to summarize reported cases of finger joint denervation in hand osteoarthritis with a specific focus on surgical procedures and postoperative outcomes. PubMed, Cochrane and Science Direct databases were searched from 1998 to 2019 and 13 relevant articles were selected. Three hundred and twenty-five denervations were conducted on 291 patients. Distal interphalangeal (DIP) joint denervation was performed through a dorsal approach; 83% of patients were satisfied with the surgery and complications occurred in 58%. Proximal interphalangeal (PIP) joint denervation was performed through a palmar approach; 90% of patients were satisfied with the surgery; complications were observed in 14%. Good results were observed in 95% of patients who underwent metacarpophalangeal (MCP) joint denervation; complications were observed in 26%; denervation was carried out with dorsal and palmar approaches in all cases.