Science.gov

Sample records for italo mancini alla

  1. Italo Svevo and the first psychoanalytic novel.

    PubMed

    Esman, A

    2001-12-01

    The first fictional work that used psychoanalysis as a central plot device was La Coscienza di Zeno (Confessions of Zeno), published in 1923 by Ettore Schmitz, a Triestino Jewish businessman who wrote under the pseudonym of 'Italo Svevo'. This paper describes Svevo's background, his relations with such important literary figures as James Joyce and with such central figures in Italian psychoanalysis as Dr Edoardo Weiss. It seeks to demonstrate to the Anglophone reader the particular psychoanalytic elements in the novel and to relate them to Svevo's personal experience (including his indirect contacts with Freud) and to the intellectual currents of the period in a city which had, until the aftermath of the First World War, been a crossroads of European culture.

  2. [Determination of serum haptoglobin concentration in the acute phase of myocardial infarct by means of Mancini's simple radial immunodiffusion test].

    PubMed

    Boguschewski, K D; Mann, D; Röhr, A; Steinbrück, U

    1981-12-01

    In 14 patients with an according to the WHO-criteria definitive myocardial infarction quantitative serum haptoglobin course controls were performed in the first week after the pain event. The haptoglobin estimations were performed by means of simple radial immunodiffusion after Mancini on M-partigen plates. Up to the fifth day after the pain event an increase of the haptoglobin concentration could be established. On the two following days a decreasing tendency could be observed. In a comparative group of five with chronic ischaemic heart diseases and angina pectoris syndrome under the same conditions of examination no increase of haptoglobin could be observed during the first five days after the pain event. These examination results correspond with the literary data, that in disease with tissue destruction increases of haptoglobin are to be observed.

  3. The influence of citrate and phosphate on the Mancini single radial immunodiffusion technique and suggested improvements for the determination of urinary albumin.

    PubMed

    Gustafsson, J E; Uzqueda, H R

    1978-12-15

    When adapting the immediate bromcresol green method for urinary albumin determination a correlation study with the Mancini single radial immunodiffusion (SRID) method was performed. This study showed large disparities between the two methods, SRID giving the higher results. The unsuitability of the currently used SRID methods is demonstrated and improvements to the method are suggested. Known amounts of albumin were added to urine samples as well as to a "synthetic urine", both giving falsely elevated results with the SRID method. On investigating the different components of the "synthetic urine", it was found that the disparities were due to the influence of citrate and phosphate. On addition of citric acid or phosphate to the dilution buffer and/or the gel buffer, the results of the SRID method agreed with those of other methods and with the expected values. The findings presented in this paper can probably be extended to other immunological methods too since it seems to be the antigen-antibody reaction which is affected.

  4. Quantitative estimation of diphtheria and tetanus toxoids. 2. Single radial immuno-diffusion tests (Mancini) and rocket immuno-electrophoresis test in comparison with the flocculation test.

    PubMed

    Ljungqvist, L; Lyng, J

    1987-01-01

    The concentration in Lf units, of an unknown diphtheria or tetanus toxoid preparation is estimated in the flocculation test relative to reference preparations of tetanus and diphtheria antitoxins, respectively. By replacing the antitoxin reference preparations with toxoid reference preparations it should be possible to use immunological methods other than the flocculation test for the quantitative estimation of toxoids in Lf units. A number of diphtheria and tetanus toxoids were tested by rocket immuno-electrophoresis and single radial immuno-diffusion (Mancini test). The concentrations of the unknown toxoids were expressed relative to a diphtheria toxoid calibrated in Lf units (DIFT) and a tetanus toxoid calibrated in Lf units (TEFT), respectively. These two toxoid preparations are regarded as candidates for establishment as international standard preparations. The results obtained in the two tests were compared with those obtained in the flocculation test. In most cases the differences between the results did not exceed 10%. It is concluded, therefore, that the rocket electrophoresis or the radial immuno-diffusion tests can be used as alternatives to the flocculation test.

  5. [Promotion of healthy life style and growth in primary school children (OKkio alla SALUTE)].

    PubMed

    Spinelli, A; Baglio, G; Cattaneo, C; Fontana, G; Lamberti, A

    2008-01-01

    In October 2007, the Italian Ministry of Health, the Centre for Disease Control and the Regions entrusted the National Institute of Health with the coordination of the initiative "Okkio alla Salute"--Promotion of healthy lifestyle and growth in primary school children. This programme is linked to the European programme "Gaining health" and the National Plan for Prevention. The objective of the project was to develop and maintain a monitoring system for both the health services and the schools that could also be used to better target public health interventions. The first national survey to estimate the prevalence of overweight and obesity in children and to collect information on diet and physical activity has been conducted in close collaboration with the individual regions. In the first nine months of the project, 1025 health workers and approximately 1500 school teachers have received training, and, using standardised methods, they have collected data and weighed and measured nearly 45000 third grade students (median age 8.8 years) in 2000 schools throughout the country. Participation rates have exceeded 95%. The results obtained to date indicate that the methodology is sustainable using existing health and educational resources and can be adopted as a national surveillance system.

  6. Preparation of Al-La Master Alloy by Thermite Reaction in NaF-NaCl-KCl Molten Salt

    NASA Astrophysics Data System (ADS)

    Jang, Poknam; Li, Hyonmo; Kim, Wenjae; Wang, Zhaowen; Liu, Fengguo

    2015-05-01

    A NaF-NaCl-KCl ternary system containing La2O3 was investigated for the preparation of Al-La master alloy by the thermite reaction method. The solubility of La2O3 in NaF-NaCl-KCl molten salt was determined by the method of isothermal solution saturation. Inductively coupled plasma-optical emission spectroscopy and x-ray diffraction (XRD) analyses were used to consider the content of La2O3 in molten salt and the supernatant composition of molten salt after dissolution of La2O3, respectively. The results showed that the content of NaF had a positive influence on the solubility of La2O3 in NaF-NaCl-KCl molten salts, and the solubility of La2O3 could reach 8.71 wt.% in molten salts of 50 wt.%NaF-50 wt.% (44 wt.%NaCl + 56 wt.%KCl). The XRD pattern of cooling molten salt indicated the formation of LaOF in molten salt, which was probably obtained by the reaction between NaF and La2O3. The kinetic study showed that the thermite reaction was in accord with a first-order reaction model. The main influence factors on La content in the Al-La master alloy product, including molten salt composition, amount of Al, concentration of La2O3, stirring, reduction time and temperature, were investigated by single-factor experimentation. The content of La in the Al-La master alloy could be reached to 10.1 wt.%.

  7. Quantification of character-impacting compounds in Ocimum basilicum and 'Pesto alla Genovese' with selected ion flow tube mass spectrometry.

    PubMed

    Amadei, Gianluca; Ross, Brian M

    2012-02-15

    Basil (Ocimum basilicum) is an important flavourant plant which constitutes the major ingredient of the pasta sauce 'Pesto alla Genovese'. The characteristic smell of basil stems mainly from a handful of terpenoids (methyl cinnamate, eucalyptol, linalool and estragole), the concentration of which varies according to basil cultivars. The simple and rapid analysis of the terpenoid constituents of basil would be useful as a means to optimise harvesting times and to act as a quality control process for basil-containing foodstuffs. Classical analytical techniques such as gas chromatography/mass spectrometry (GC/MS) are, however, slow, technically demanding and therefore less suitable for routine analysis. A new chemical ionisation technique which allows real-time quantification of traces gases, Selected Ion Flow Tube Mass Spectrometry (SIFT-MS), was therefore utilised to determine its usefulness for the assay of terpenoid concentrations in basil and pesto sauce headspace. Trace gas analysis was performed using the NO(+) precursor ion which minimised interference from other compounds. Character-impacting compound concentration was measured in basil headspace with good reproducibility and statistically significant differences were observed between cultivars. Quantification of linalool in pesto sauce headspace proved more difficult due to the presence of interfering compounds. This was resolved by careful selection of reaction product ions which allowed us to detect differences between various commercial brands of pesto. We conclude that SIFT-MS may be a valid tool for the fast and reproducible analysis of flavourant terpenoids in basil and basil-derived foodstuffs.

  8. [Surveillance system OKkio alla SALUTE: the role of primary school in the promotion of healthy life style--results in 2008].

    PubMed

    Lamberti, A; Spinelli, A; Baglio, G; Nardone, P; Silani, M T; Mastantuono, E; Teti, S; Menzano, M T; Galeone, D

    2010-01-01

    In 2007 the Italian Ministry of Health/CCM promoted and funded the project "System of surveys of behavioral risks in ages 6-17", coordinated by the National Institute of Health. One of the aims of the project is the definition and implementation of a data collection system on the weight of primary school children, their eating habits, physical activity and school initiatives favoring the healthy growth of children, called "OKkio alla SALUTE". In 2008 the first survey of OKkio was conducted in 18 Italian regions. 45,590 third grade school children in 2610 classes participated. Information was collected from 2461 schools. The responses of the head teachers showed that 64% of the schools have a canteen, used by 70% of children. Only 12% of schools include the provision of a balanced mid-morning snack. Frequently there are educational activities related to physical activity and healthy eating that, in some cases, also involve the families of the children. 29% of the schools cannot guarantee two hours of physical activity as suggested by the school curriculum because of the lack or inadequacy of the gym or the structure of the timetables. The information gathered through the cooperation of school administrators, teachers and health workers, has helped to describe the major health educational activities of the school, that is confirmed to be the ideal venue for promoting healthy lifestyles in young people.

  9. VizieR Online Data Catalog: Multi-band light curve of WASP-36 (Mancini+, 2016)

    NASA Astrophysics Data System (ADS)

    Mancini, L.; Kemmer, J.; Southworth, J.; Bott, K.; Molliere, P.; Ciceri, S.; Chen, G.; Henning, T.

    2016-05-01

    17 light curves of five transits of the extrasolar planetary system WASP-36, observed between 2012 and 2015, are presented. Four of the transits were observed simultaneously in the SDSS griz passbands using the seven-beam GROND imager on the MPG 2.2-m telescope. A fifth was observed in Cousins R with the CAHA 1.23-m telescope. (2 data files).

  10. Exercises for mind and body: Giulio Mancini, collecting, and the beholding of landscape painting in the seventeenth century.

    PubMed

    Gage, Frances

    2008-01-01

    This article explores the intellectual foundations for the development of princely art collections, and of Italian picture galleries in particular, as spaces for combined physical and mental exercise and recreation. This study then establishes the relationship between the therapeutic function of picture galleries and the manner in which landscape paintings produced for princely collectors at this moment in Italy embodied ideals of both exercise and repose.

  11. Una ricerca sul bilinguismo precoce italo-inglese (Research on Early Italian-English Bilingualism).

    ERIC Educational Resources Information Center

    Taeschner, Traute; And Others

    1978-01-01

    The purpose of this study was to attempt to verify the theory of Taeschner and Volterra (1976) that bilingual children pass through three distinct phases while becoming perfectly bilingual. The 12 subjects were English-Italian bilingual children between the ages of 1.6 and 4.6. (CFM)

  12. Aqui y Alla en California. (Here and There in California).

    ERIC Educational Resources Information Center

    Galarza, Ernesto

    One in the series "Coleccion Mini-Libros" (Mini-Book Collection) written in Spanish as an enrichment tool for the Spanish speaker, the booklet is a compilation of photographs accompanied by brief descriptions of various points of beauty and interest throughout the State of California. Among the points of interest described are La Sierra Nevada,…

  13. Aqui y Alla: Exploring Our Lives through Poetry--Here and There

    ERIC Educational Resources Information Center

    Schlessman, Elizabeth

    2010-01-01

    The bilingual poetry and stories of Salvadoran writer Jorge Argueta have been an invaluable resource in this author's classroom. She has used poems from "Talking with Mother Earth" for homework and class analysis during a study of ecosystems, the story "Xochitl and the Flowers" to lead into persuasive writing, and "Bean Soup" to teach…

  14. "Alla en Guatemala": Transnationalism, Language, and Identity of a Pentecostal Guatemalan-American Young Woman

    ERIC Educational Resources Information Center

    Ek, Lucila D.

    2009-01-01

    This article examines the transnationalism of a Pentecostal Guatemalan-American young woman who is a second-generation immigrant. Amalia traveled to Guatemala from when she was six months old until her sophomore year in college. These visits to Guatemala have helped her maintain her Guatemalan language, culture, and identity in the larger Southern…

  15. Dalla A alla Z: l'alfabeto dei bambini (From A to Z: The Children's Alphabet).

    ERIC Educational Resources Information Center

    Palandra, Maria; Cardone, Romolo

    This Italian alphabet book designed for kindergarten and first grade students presents each letter in upper and lower case form accompanied by an illustration and a single sentence caption. The sentence contains two or more words that begin with the letter in question. The book has a teacher's introduction and is illustrated by pen-and-ink…

  16. "Tanto Necesitamos De Aqui Como Necesitamos De Alla": "Leer Juntas" among Mexican Transnational Mothers and Daughters

    ERIC Educational Resources Information Center

    de la Piedra, Maria Teresa

    2011-01-01

    This paper presents part of the results of a qualitative study about literacy practices of Mexican transnational mothers, who live in and frequently cross the border between two countries (the United States and Mexico). Drawing on sociocultural approaches to literacy and literature on transnationalism, I analyze one practice: "leer…

  17. I termini di Cassini e Laplace della rifrazione atmosferica misurati alla Meridiana Clementina

    NASA Astrophysics Data System (ADS)

    Sigismondi, Costantino

    2016-05-01

    The measures of the atmospheric refraction terms of Cassini and Laplace are made at the Clementine Meridian Line of S. Maria degli Angeli in Rome by comparing the observed positions of the center of the Sun with the ones calculated without atmosphere. Three linear systems with the data of 21 Dec 2015; 18 Jan and 6 Feb 2016 give the refraction terms of tan(z) and tan3(z).

  18. Experimental Generation of non-Kolmogorov Turbulence using a Liquid Crystal Spatial Light Modulator

    DTIC Science & Technology

    2011-01-01

    performance evaluations. ACKNOWLEDGEMENTS This research was performed while the author Italo Toselli holds a National Research Council Research...REFERENCES 1. Larry C. Andrews, Ronald L. Phillips. Laser Beam Propagation through Random Media, 2nd ed. (SPIE, 2005). 2. Italo Toselli , Larry C...2008). 3. Italo Toselli , Larry C. Andrews, Ronald L. Phillips, Valter Ferrero. Free space optical system performance for a Gaussian beam propagating

  19. Dall'italo-austrliano all'italiano: apprendmento linguistico fra gli scolari della seconda generazione (From Italian-Australian to Italian: Language Acquisition among the Students of the Second Generation).

    ERIC Educational Resources Information Center

    Rubino, Antonia

    1989-01-01

    Discusses the results of research to determine the success of the efforts currently being made in schools to teach pure Italian to the second generation of Italians in Australia in order to replace Italian Australian, a mixture of Italian dialects, Italian, and English. 33 references. (CFM)

  20. Alla Chopinta Akosk Ummona: Little Children First. Choctaw Conference on Early Childhood Development (December 7-8, 1971).

    ERIC Educational Resources Information Center

    Mississippi Band of Choctaw Indians, Philadelphia.

    Included in this conference report are: a preface; an open letter; a keynote address on the importance of instilling positive self images at an early age; five group reports; the conference agenda; and a list of participants. The group reports address: programs for children with special consideration for education, physical and mental health and…

  1. Let the Doors of Learning Be Open to All--A Case for Recognition of Prior Learning

    ERIC Educational Resources Information Center

    Singh, A. M.

    2011-01-01

    Recognition of Prior Learning (RPL) is a process of evaluating an adult learners previous experience, skills, knowledge and informal learning and articulating it towards a formal qualification. Whilst RPL is enshrined in a number of international qualifications frameworks, there are certain barriers which have prevented its application and…

  2. Il contributo di G. Braga alla Sociologia del linguaggio (The Contributions of G. Braga to the Sociology of Language).

    ERIC Educational Resources Information Center

    Tessarolo, Marisella

    1989-01-01

    Discusses Braga's contribution to the study of the sociology of language. Braga developed a dynamic interdisciplinary model of verbal communication based on theories of sociology and linguistics and stressed the importance of language in the acculturation of an individual and in the determination of that individual's status in society. (CFM)

  3. Crop water use measurement using a weighing lysimeter at the Dayr Alla Research Station in the Jordan Valley, Jordan

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Since 2003, a regional project funded by USDA-ARS-OIRP has focused on improving irrigation scheduling in Jordan, Palestine and Israel. The Middle Eastern Regional Irrigation Management Information Systems (MERMIS) project involves cooperators from Palestine, Jordan, Israel and the United States, all...

  4. Canine Antithrombin-III: Some Biochemical and Biologic Properties

    DTIC Science & Technology

    1987-06-02

    4. Radial Immunodiffusion Immunologic quantitation of AT-III in normal dog plasma was assessed by radial immunodiffusion as described by Mancini ...appears to be an almost. perfect homology to the human product. D. IMMUNOLOGIC QUANTITATrON OF CANINE AT-III The radial immunodiffusion of Mancini ... Mancini , G., Carbonara, A.Q., Hermans, J.F.: Immunochemical quantitation of antigens by single radial immunodiffusion . Internat. J. Immunochem. 2:235

  5. Aqui y Alla (Here and There) Information-Based Learning Corridors between Tennessee and Puerto Rico: The Five Golden Rules in Intercultural Education

    ERIC Educational Resources Information Center

    Mehra, Bharat; Allard, Suzie; Qayyum, M. Asim; Barclay-McLaughlin, Gina

    2008-01-01

    This article proposes five information-based Golden Rules in intercultural education that represent a holistic approach to creating learning corridors across geographically dispersed academic communities. The Golden Rules are generated through qualitative analysis, grounded theory application, reflective practice, and critical research to…

  6. Sull' Applicazione di Paradigmi della Linguistica alla Theoria dei Testi Letterari (On the Application of Linguistic Paradigms to Literary Text Theory).

    ERIC Educational Resources Information Center

    Fasoli, Paolo

    1992-01-01

    Summarizes trends over the last century of analyzing literature (poetry and prose) through the aid of linguistic theory. The contributions and shortcomings of various schools (Structuralist, Danish, Formalist, Transformationalist, Generativist) to the evaluation of literature are briefly outlined. (LET)

  7. From Here to There. Economic Organization Booklet 2. Teacher's Edition=De aqui a alla. Organizacion economica libro 2. Manual para El Maestro.

    ERIC Educational Resources Information Center

    California State Univ., Los Angeles. National Dissemination and Assessment Center.

    The booklet is part of a grade 10-12 social studies series produced for bilingual education. The series consists of six major thematic modules, with four to five booklets in each. The interdisciplinary modules are based on major ideas and designed to help students understand some major human problems and make sound, responsive decisions to improve…

  8. You and Beyond. Culture and Social Organization Booklet 2. Teacher's Edition=Tu y mas alla. Cultura y organizacion social libro 2. Manual para El Maestro.

    ERIC Educational Resources Information Center

    California State Univ., Los Angeles. National Dissemination and Assessment Center.

    The booklet is part of a grade 10-12 social studies series produced for bilingual education. The series consists of six major thematic modules, with four to five booklets in each. The interdisciplinary modules are based on major ideas and designed to help students understand some major human problems and make sound, responsive decisions to improve…

  9. Ventricular fibrillation

    MedlinePlus

    ... Meaney PA, Bobrow BJ, Mancini ME, et al. Cardiopulmonary resuscitation quality: [corrected] improving cardiac resuscitation outcomes both ... IG, Nadkarni VM, et al. Cardiac arrest and cardiopulmonary resuscitation outcome reports: update of the Utstein Resuscitation ...

  10. Genetics Home Reference: Baraitser-Winter syndrome

    MedlinePlus

    ... This Condition BRWS cerebro-frontofacial syndrome, type 3 Fryns-Aftimos syndrome iris coloboma with ptosis, hypertelorism, and ... JF, Chassaing N, Drouin-Garraud V, Fry AE, Fryns JP, Gripp KW, Kempers M, Kleefstra T, Mancini ...

  11. Enteroclysis

    MedlinePlus

    ... chap 28. Maglinte DD. Fluoroscopic and CT enteroclysis: evidence-based clinical update. Radiol Clin North Am . ... Mary C. Mancini, MD, PhD, Department of Surgery, Louisiana State University Health Sciences Center-Shreveport, Shreveport, ...

  12. Genetics Home Reference: trichohepatoenteric syndrome

    MedlinePlus

    ... Lachaux A, Lemale J, Mancini J, Marinier E, Martinez-Vinson C, Peretti N, Perry A, Roquelaure B, ... 9. Citation on PubMed Fabre A, Charroux B, Martinez-Vinson C, Roquelaure B, Odul E, Sayar E, ...

  13. Heart bypass surgery - slideshow

    MedlinePlus

    ... 24/2016 Updated by: Mary C. Mancini, MD, PhD, Department of Surgery, Louisiana State University Health Sciences ... reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team. ...

  14. Quantitation of Interacting Molecular Species and Measurement of Molecular Avidity by Single Radial (Immuno) Diffusion

    DTIC Science & Technology

    1989-09-01

    FIGURE LEGEND 1lL ;Ta ,j - ’V y ilii INTRODUCTION Mancini et al. (1965) developed a single radial immunodiffusion (SRID) method for the quantitation of...quantitation of antigens by single radial immunodiffusion . Immunochem, 2, 5. Mancini , G., Nash, D. R. and Heremans, J. F. (1970) Further studies on...FIELD GROUP SUB-GROUP Single radial immunodiffusion , Single radial diffusion, Molecular interaction, Molecular avidity, endotoxin ’-." 19 A63TRACT

  15. Staphylococcal Enterotoxin A (SEA)

    DTIC Science & Technology

    1981-01-01

    751 and [77]. Assay Method C Serologic Activity. Many immunodiffusion procedures have been suc- cessfully employed, but we find the radial diffusion...method of Mancini et Ao E. P. Casman, MI. S. Beftdoll, and J. Robinson, J. Bacterial. 8S, 715 (1963). NTIS MU& ’M. S. Bergdoll. C. R. Burla R. N...A. Oeorgiades, G. J. Stanton. F. Dianzani. and H. M. Johnson. Infect. Inman. 26, 36 (1979). "G,. Mancini , A. 0. Carbonara. and 3. F. Heremans

  16. Bisogni linguistici dei discenti di italiano alla scuola di lingua e cultura italiana per stranieri di Siena (Linguistic Needs of Students of Italian at the School of Italian Language and Culture for Foreigners of Siena).

    ERIC Educational Resources Information Center

    Maggini, Massimo; Parigi, Valerio

    1986-01-01

    Presents the results of a questionnaire administered to students of Italian at the School for Foreigners of Siena to determine the following: (1) student characteristics; (2) student motivations for studying Italian; (3) student interests; (4) student linguistic needs; and (5) student evaluation of the program. (CFM)

  17. The Languages of Italian Canadians.

    ERIC Educational Resources Information Center

    Vizmuller-Zocco, Jana

    1995-01-01

    Examines the transplantation of dialects of Italian abroad, particularly to Canada. Argues that any discussion of the language of immigrants from Italy has to start from the premise that they brought their dialect, not Italian, to their new home. Conclusions indicate that "Italo-Canadian" shares many linguistic characteristics with…

  18. Quantitation of specific antibodies in the aqueous humor.

    PubMed

    Michiels, J; Dernouchamps, J P

    1976-01-01

    Six normal rabbits were injected intravitreally with bovine gamma-globulin (BGG). Quantitation of immunoglobulins A, M and G, in the aqueous and in the serum, was performed by the single radial immunodiffusion following the method described by MANCINI et. al. Concentration of anti-BGG antibodies was determined by the reversed Mancini method. The antibody quotient was calculated; it reached to 8 and 5.96 in the aqueous of the injected eyes 10 days after intravitreal injection, 22.69 and 24 days, 22.52 after 28 days and 14.93 after 31 days.

  19. Laser nephelometric measurement of seven serum proteins compared with radial immunodiffusion.

    PubMed

    Guiguet, M; Padieu, P; Mack, G; Dalebroux, M

    1983-04-01

    Quantification of immunoglobulins IgG, IgA, IgM, C3 complement, siderophilin, alpha 2-macroglobulin and haptoglobin in serum by a Behring laser nephelometer coupled with a date processing apparatus was compared with values obtained by the radial immunodiffusion method of Mancini. The precision was not improved by the use of the laser nephelometer as compared to Mancini radial immunodiffusion, but within run precision was better than that among runs for both methods. The analytical recovery studies for laser nephelometry showed a close concordance between the theoretical and measured values for all proteins. The two techniques were also compared by means of correlation studies.

  20. Mammalian Toxicity of Munition Compounds. Phase II. Effects of Multiple Doses. Part IV. Nitrocellulose

    DTIC Science & Technology

    1976-09-01

    The imnunodiffusion technique of Mancini et al.5-/was used for de- termination of serun IgE titer. Replicate 1 ml samples of serum from the normal...control dogs and dogs treated with various levels of NC at various in- tervals were placed in wells in an immunodiffusion chamber along with suit- able...of IgE of rats fed NC were determined. 2. Material and Method As described for the dogs in Section I.B.2., the immuno- diffusion technique of Mancini -5

  1. Risk Aversion: As Perceived by U.S. and Swedish Officers

    DTIC Science & Technology

    2011-06-10

    Gottfridsson wrote about risk in the thesis ―‗Alla soldater ner - alla hem‘: riskbedömning vid tjänstgöring i utlandsstyrkan; en fallstudie av insatserna i...Neuroeconomics: The consilience of brain and decision. Science 306, no. 5695 (October 2004): 447-452. Gottfridsson, Per. 2006. Alla soldater ner

  2. Innovations in Master's Nursing Education: New Ways of Learning for the Marketplace. Proceedings of the American Association of Colleges of Nursing Annual Conference on Master's Education (7th, San Antonio, Texas, December 4-6, 1997).

    ERIC Educational Resources Information Center

    American Association of Colleges of Nursing, Washington, DC.

    This proceedings document presents eight papers given at a 1997 conference on nursing education at the master's degree level. The papers are: (1) "Reality of the Marketplace for Advanced Practice Nursing" (Mary Elizabeth Mancini); (2) "Providing Faculty with the Skills to Teach in a Changing World" (Diane Skiba); (3) "Charting New Territory:…

  3. Obtaining Life-Cycle Cost-Effective Facilities in the Department of Defense

    DTIC Science & Technology

    2013-01-01

    requirements at the best value to the government through the MILCON program involves maxi - mizing the effectiveness of capital construction expenditures...www.dbia-mar.org/downloads/DBIA%20Brief% 2017 %20MAY%202011.pdf Newsham, Guy R., Sandra Mancini, and Benjamin J. Birt, “Do LEED-Certified Buildings

  4. [Immunoglobulin content of the cervix mucosa in early pregnancy].

    PubMed

    Schiller, S; Donat, H

    1976-01-01

    The immunglobulins IgA, IgG and IgM in the extracts of homogenised cervical tissue from pregnant women were measured with the help of radial immunodiffusion of Mancini et al. The values of IgA and IgG increased during investigation. The low concentrations of IgM could not be evaluated quantitatively.

  5. [Blood serum immunoglobulins in thyrotoxicosis].

    PubMed

    Epishin, A V

    1978-01-01

    Serum immunoglobulin content was determined in 85 patients with thyrotoxicosis and in 80 healthy persons by radial immunodiffusion in agar after Mancini by means of monospecific antisera (made at the N. F. Gamaleya Institute of Epidemiology immunoglobulins of classes G and M. The most pronounced increase was noted in patients with severe and moderate thyrotoxicosis.

  6. [Secretory immunoglobulin A in the amniotic fluid of healthy pregnant females].

    PubMed

    Briese, V; Straube, W; Brock, J; Stark, K H; Lorenz, U

    1983-01-01

    Amniotic fluid levels of secretory immunoglobulin A (S-AgA) were measured by simple radial immunodiffusion according to the method of Mancini using a monospecific antiserum against the human secretory component. 256 samples from healthy pregnant women were examined. Amniotic fluid S-IgA concentration increases significantly during normal pregnancy and shows a loose correlation to the phospholipid level.

  7. Host Defense against Opportunist Microorganisms Following Trauma.

    DTIC Science & Technology

    1984-09-27

    47-56. 8. Mancini , G., A.0. Carbonara, and J.F. Heremans. 1965. Immunochemi- - cal quantitation of antigens by single radial immunodiffusion . Immuno...concentrations Iof C3 were determined by radial immunodiffusion [81 using the same antiserum and pooled normal guinea pig serum as the reference standard

  8. [Immunoblobulin concentrations in the cervix mucosa].

    PubMed

    Schiller, S; Donat, H

    1975-01-01

    IgG, IgA and IgM in the extracts of homogenised cervical tissue were measured with the help of radial immunodiffusion of Mancini et al. IgG IgA were found to vary crith periods. On account of low concentration IgM could not be evaluated.

  9. Effect of analytical factors on immunochemical reference limits for complement component C3 in serum of a reference pediatric population.

    PubMed

    Buffone, G J; Lewis, S A

    1977-06-01

    We evaluated analytical factors such as antibody specificity, standard materials, and methodology for the measurement of C3. Mancini-type radial immunodiffusion and immunonephelometry were shown to give comparable data if variables other than procedural variables are eliminated. The most significant analytical factors affecting the measurement were antiserum specificity and source of standard material.

  10. Molecular Confirmation of Anopheles (Anopheles) lesteri from the Republic of South Korea and its Genetic Identity with An. (Ano.) anthropophagus from China (Diptera: Culicidae)

    DTIC Science & Technology

    2003-12-08

    genus Anopheles (Beebe et al. 1999; Fritz 1998; Marinucci et al. 1999; Paskewitz et al. 1993; Wilkerson et al. In press). Morphological...Control Association, 16, 189- 198. Marinucci , M., Romi, R., Mancini, P., Di, L.M. & Severini, C. (1999) Phylogenetic relationships of seven

  11. Fibromyalgia

    MedlinePlus

    ... symptoms. The first type of treatment may involve: Physical therapy Exercise and fitness program Stress-relief methods, including ... M, Balzarini L, Mancini C, Ramponi S, Marvisi C. Fibromyalgia is frequent in obstructive sleep apnea and responds to CPAP therapy. Eur J Intern Med . 2015;26(9):e49- ...

  12. The Institute for the Study of Non–Model Organisms and other fantasies

    PubMed Central

    Sullivan, William

    2015-01-01

    In his classic novel Invisible Cities, Italo Calvino describes a series of fantastic imagined cities that fulfill core human needs that remain unmet in ordinary cities. In light of the recent founding of a number of high-profile biomedical institutes, Calvino's descriptions encourage us to consider the unmet needs of the biomedical community and imagine unorthodox institutes designed to fulfill these needs. PMID:25633358

  13. Anthropology: Focus Upon Ethnic Studies.

    ERIC Educational Resources Information Center

    New York State Education Dept., Albany. Bureau of General Education Curriculum Development.

    This course syllabus is designed to serve as the basis for a one-semester, 12th grade anthropology course or a one-year, 12th grade ethnic studies course. As such it can be used as the culminating course in a kindergarten-grade 12 sequence. The ethnic studies component is based on data collected by an Italo-American Curriculum Studies Project and…

  14. Latin America Report.

    DTIC Science & Technology

    2007-11-02

    because of the EEC’s decision to reduce Trinidad and Tobago’s share of the maket because of production shortfalls, Caroni Limited is faced with a...immediately with the CGT, the political parties, and the various social sectors to take joint action." Buenos Aires NOTICIAS ARGENTINAS in Spanish... Social Pastoral team of the Catholic Church, Msgr Italo Di Stefano, called on the government to "explain itself with regard to the foreign debt

  15. A Career in Manuscripts: Genres and Purposes of a Physician's Writing in Rome, 1600-1630.

    PubMed

    De Renzi, Silvia

    2011-07-01

    Following the stellar career of papal physician Giulio Mancini, the article brings into focus learned doctors' uses of, and relationships with, manu- scripts. Manuscripts were the main outcome of their practice - as letters of consultation to patients and colleagues, as consilia of various kinds, including for use in courts of law, and also in the form of key professional tools such as casebooks. Clues found in Mancini's rich paper-trail shed light on material aspects of his professional writing and on the role that circulating knowledge in manuscript had in creating and sustaining medical networks. The article also argues that even in a domain as shaped by print as early modern medicine, physicians' use of this medium should not be taken for granted; especially in courtly settings, scribal, as opposed to print, publishing provided them with an effective means of building the social relationships on which their careers depended.

  16. Cyber-Physical Multi-Core Optimization for Resource and Cache Effects (C2ORES)

    DTIC Science & Technology

    2014-03-01

    minimize these costs by automating and optimizing the allocation of software to computing cores [2] for cyber- physical DoD systems . An open problem in...Bertossi, L. Mancini, and F. Rossini. Fault -Tolerant Rate-Monotonic First-Fit Sche- duling in Hard-Real-Time Systems . IEEE Transactions On Parallel and...Korea [19] J. White and D. C. Schmidt, Automated Configuration of Component-based Distributed Real-time and Embedded Systems from Feature Models

  17. Near Infrared Spectroscopy to Reduce the Prophylactic Fasciotomies for and Missed Cases of Acute Compartment Syndrome in Solders Injured in OEF/OIF

    DTIC Science & Technology

    2015-11-01

    correlations between muscle degeneration, edema , hemorrhage and NIRS values were found, as well as a rebound in oxygenation following fasciotomy...using near-infrared spectroscopy during severe sepsis: confounding effects of tissue edema on StO2 values. Intensive Care Med 32: 788-789. 11. Mancini DM...skin to fascia was never more than 2.5 cm, 265 regardless of the presence of swelling, edema , or high body mass index. This study 266 showed that

  18. Immunoglobulin levels in SFD newborn babies.

    PubMed

    Kobielowa, Z; Miecznikowska, M; Kubiczek, K; Michalik, R

    1975-01-01

    The IgG, IgA and IgM levels were determined by the technique of radial immunodiffusion of Mancini et al. in 40 SFD and 30 normal control newborn infants. The mean value of IgG concentrations was found to be raised but without statistical significance when compared with control. On the contrary the increased mean amounts of IgM were statistically significant.

  19. [Use of radial immunodiffusion for quantitative determination of antibody to ribonucleoprotein antigen of influenza virus].

    PubMed

    Vaciaev, A I; Isupov, F G

    1975-01-01

    The possibility of quantitative determination of antibody to the inner type-specific antigen of influenza A virus by means of radial immunodiffusion test by the method of Mancini was demonstrated. Development of a method for preparation of a concentrated antigen will make it possible to use the test in practical laboratories. By means of radial immunodiffusion test antibody in paired sera from convalescents, vaccinees as well as animals and birds may be determined.

  20. A quantitative study of the distribution of IgG sub-classes in a group of normal human sera.

    PubMed

    Shakib, F; Stanworth, D R; Drew, R; Catty, D

    1975-01-01

    The radial immunodiffusion method of Mancini has been applied to quantitative study of IgG subclasses in a normal population. The method was assessed in terms of both reproducibility and antiserum consumption. The distribution of IgG subclasses in a group of normal individuals was studied, and compared with their incidence in a series of monoclonal proteins investigated by previous workers and particularly with other quantitative studies on groups of normal individual's sera.

  1. [Estimation of secretory immunoglobulin A in serum of pregnant women (author's transl)].

    PubMed

    Briese, V; Lorenz, U; Brock, J; Straube, W

    1982-01-01

    Secretory immunoglobulin A (S-IgA) was measured by means of radial immunodiffusion, according to Mancini, with a self-made antiserum to the secretory component being used together with a S-IgA standard. S-IgA serum concentrations went up with significance in the course of pregnancy, which was probably attributable to increased production of secretory protein in the breasts in preparation for lactation.

  2. Amniotic fluid secretory immunoglobulin A in normal pregnancy and in pregnancy complicated by rhesus isoimmunization.

    PubMed

    Briese, V; Straube, W; Brock, J; Stark, K H; Lorenz, U

    1982-01-01

    Amniotic fluid levels of secretory immunoglobulin A (S-IgA) were measured by simple radial immunodiffusion according to the method of Mancini using a monospecific antiserum against the human secretory component. We examined 256 samples from healthy pregnant women and 149 samples from mothers suffering from rhesus isoimmunization. During normal pregnancy amniotic fluid S-IgA increased significantly and showed a loose correlation with the phospholipid levels. This was not observed in pregnancies complicated by rhesus isoimmunization.

  3. Immune Function and Psychological Stress

    DTIC Science & Technology

    1988-09-08

    protein concentration was radial immunodiffusion (RID) based on the method of Mancini , Carbonara, and Heremans (1965). RESULTS: 1. What is the relationship...It is then analyzed with radial immunodiffusion assays (RID) yielding a measure of the total concentration of IgA protein. Results from these studies...A.O., and Hermans, J.F. (1965). Immunochemical quantitation of antigens by single radial immunodiffusion . 1rmmtunhemkUy, 2. 235-254. McClelland, D.C

  4. Staphylococcal Enterotoxin: Role of Intestinal Immunity in Enterotoxin B Intoxication

    DTIC Science & Technology

    1994-02-01

    radial immunodiffusion ( Mancini , Carbonara and Heremans 1965) was done using commercially available plates for mouse IgG total, IgG subclasses, IgA and IgM...present in sera of peroral immunized animals were found to be too low to be accurately measured by the radial immunodiffusion method. The quantitative...animal) and individual serum was quantified for immunoglobulin classes and subclasses by the radial immunodiffusion technique. Compared to control animals

  5. X-Ray Laser Program Final Report for FY92

    DTIC Science & Technology

    1993-07-01

    q..b Ŕ = 4) ot -4-D C’) co E 0 A- 10 .0 0-- (fwz) Ajisuap ~ Igd !jl £ýu 16 large increase in spectral output in this region due to the introduction of...Transfer 34,447 (1985). 26. J. C. Weisheit, J. Quant. Spectrosc. Radiat. Transfer 22,585 (1979). 27. R. C. Mancini , R. F. Joyce, and C. F. Hooper, Jr., J

  6. The Biological and Clinical Significance of Androgen Receptor Variants

    DTIC Science & Technology

    2014-04-01

    transfer in skeletal muscle: plasmid DNA- based immunization against the hepatitis B virus surface antigen. Vaccine 1994; 12: 1503 17. Zhao H. Nolley R...ison of methods for detection of hepatitis B virus DNA J Clin Microbial 1994; 32: 2088. 16. Davis HL, Michel ML, Mancini M et al : Direct gene...RESPONSIBLE PERSON USAMRMC a. REPORT U b . ABSTRACT U c. THIS PAGE U UU 28 19b. TELEPHONE NUMBER (include area code) Table

  7. WindWaveFloat

    SciTech Connect

    Weinstein, Alla

    2011-11-01

    Presentation from the 2011 Water Peer Review includes in which principal investigator Alla Weinstein discusses project progress in development of a floating offshore wind structure - the WindFloat - and incorporation therin of a Spherical Wave Energy Device.

  8. Provocative pattern of rearrangements of the genes for the gamma and beta chains of the T-cell receptor in human leukemias.

    PubMed Central

    Goorha, R; Bunin, N; Mirro, J; Murphy, S B; Cross, A H; Behm, F G; Quertermous, T; Seidman, J; Kitchingman, G R

    1987-01-01

    To examine the distribution of rearrangements of the gamma- and beta-chain T-cell receptor (TCR) genes in T- and non-T acute lymphoblastic leukemias (ALLs), and potentially to determine which genes rearrange first in ontogeny, we analyzed high molecular weight DNA from 102 patients with acute leukemia. Rearranged gamma- and beta-chain genes were found in all T-cell ALLs (22/22) examined. Overall, 27% (18/66) of B-lineage ALLs had beta-chain gene rearrangements, and 41% (24/58) had gamma-chain gene rearrangements, but the distribution of rearranged genes varied according to the stage of B-cell differentiation. The gamma-chain genes were rearranged in 11% (1/9) of the B-lineage patients negative for the common acute lymphoblastic leukemia antigen (cALLA) and 50% (23/46) of cALLA+ ALL patients, while the beta-chain genes were not rearranged in any of the 7 cALLA- ALL patients examined but were rearranged in 32% (18/56) of the cALLA+ patients. Neither TCR gene was found to be rearranged in acute nonlymphoid leukemia patients (0/12) or in patients with B-cell (surface immunoglobulin-positive) leukemia (0/3). Of the 44 cALLA+ patients in which a direct comparison of gamma- and beta-chain gene rearrangements could be made, 34% had both genes rearranged, 16% had only gamma-chain gene rearrangements, and the remaining 50% had both genes in the germ-line configuration. beta-Chain rearrangements have not been found in the absence of gamma-chain rearrangements, thus supporting a proposed hierarchy of TCR gene rearrangements. A provocative finding was that only a small percentage (11%) of the patients with cALLA- B precursor cell ALLs had rearranged TCR genes, while 50% of the cALLA+ leukemia patients had at least gamma-chain rearrangement, raising a question as to whether indeed cALLA- cells are precursors to cALLA+ cells. Interestingly, 18% (2/11) of the cytoplasmic immunoglobulin (cIg)-positive cALLA+ (pre-B) ALLs involved TCR gene rearrangements, compared to 60% (21/35) of

  9. Nuclear Dynamics of BRCA1-Dependent Transcription Regulation

    DTIC Science & Technology

    2006-08-01

    are ligand- and domain-dependent Z. Dave Sharp1,*, Maureen G. Mancini2,*, Cruz A. Hinojos2,*, Fangyan Dai2, Valeria Berno2, Adam T. Szafran2, Kelly P... Barron et al., 1989; Cao et al., 1987; Crenshaw et al., 1989; Day et al., 1990; Howard and Maurer, 1995; Ingraham et al., 1990; Mangalam et al., 1989...References Barron , E. A., Cao, Z., Schneider, B. G., Kraig, E., Carrillo, A. J. and Sharp, Z. D. (1989). Dual functions of a cis-acting element within the

  10. Host Defense against Opportunist Microorganisms Following Trauma.

    DTIC Science & Technology

    1982-08-31

    were measured as described above. Quantitation of immunochemical concentrations of C3 and B was also performed by single radial immunodiffusion using...concentrations of H and I in the sera were measured by single radial immunodiffuston (63). Agarose (1%) dissolved in veronal buffer (m - 0.05, pH - 8.6...Sdi. 74:1683-1687, 1917. 63. Mancini , G., Carbonara, A.0., and Ileremans, J.F., lmunochem. 2:235-254, 1954. 64. tNydegger, U.E., Fearon, D.T., and

  11. [Indirect hemagglutination inhibition reactions as a method of titrating immune serums. V. Application of the reaction to the quantitative determination of immunoglobulins A, M and G in human blood sera].

    PubMed

    Konikova, R E; Semenova, B N; Noskov, F S; Shakhanina, K L; Malkina, L A

    1975-01-01

    The authors present the results of using the indirect hemagglutination inhibition test (IHIT) for quantitative determination of A, M and G immunoglobulins in the blood sera of humans in comparison with the method of radial immunodiffusion in agar (RID) after Mancini. The results of IHIT were no less precise and reproducible than those of RID. The significance of the correlation coefficient of grades after Spirman constituted greater than 99.9% for both tests. On this basis a conclusion was made that, having a number of advantages over RID, IHIT could be recommended for quantitative titration of immunoglobulins of various classes.

  12. [Serum concentration of pregnancy-associated alpha 2-glycoprotein (alpha 2-PAG, protein of pregnancy zone, PZ) in patients with dermatological diseases (author's transl)].

    PubMed

    Mattheus, A; Hofmann, R; Straube, W

    1981-01-01

    Radial immunodiffusion, according to Mancini, was applied to 15 hospitalised patients, both during and after hospitalisation. They were of both sexes and all afflicted with dermatological diseases (psoriasis, eczema, mycosis). Determination of serum concentration of pregnancy-associated alpha 2-glycoprotein (alpha 2-PAG, PZ) was the purpose of the tests. While in the acute phase of the disease the PZ serum levels of the three groups of patients were higher than those recorded from a control group, conventional therapy failed to have any impact upon PZ serum concentration. Continuous decline in PZ serum concentration was recordable from psoriasis patients in response to photochemotherapy (PUVA).

  13. [Alpha 1-antitrypsin, alpha 2-macroglobulin and reactive protein C in gastric cancer].

    PubMed

    Dumitraşcu, D; Radu, D; Stanciu, L; Ioniţă, A; Petcovici, M

    1989-01-01

    Proteins of acute phase: alpha 1-antitrypsin (AAT), alpha 2-macroglobulin (AMG), reactive C protein (RCP) were determined in the serum of 50 patients with gastric cancer. The Mancini, simple radial immunodiffusion method was used (SRID). The concentration of these proteins increased at 32/50 (64%) for AAT; 30/50 (60%) for AMG and 33/50 (66%) for RCP. By cumulative evaluation, the positivity of serum markers increased to 88%. The importance of differential diagnosis with regard to the benign gastric lesions (adenoma, ulcer, segmentary fibrosis, before receiving the bioptic result, is emphasized.

  14. Immunoglobulin in intestinal secretions.

    PubMed

    Cutropia de Guirao, C

    1977-12-01

    The objective of the present investigation is the study and interpretation of the role played by the immunoglobulins, especially IgA, during acute diarrhea in children. IgA, IGG and IgM values in serum and IgA in intestinal secretions were studied in a group of children (between 3 months and 5 years of age) during diarrhea, convalescence and in normals. The method of simple radial immunodiffusion according to Mancini was employed. IgA is the immunoglobulin which suffers the greastest alteration in acute diarrhea. The precipitation halos (the average values), were lower during the diarrhea than in convalescence and in normals.

  15. [Secretory immunoglobulin A in amniotic fluid].

    PubMed

    Briese, V; Straube, W; Brock, J; Lorenz, U

    1983-01-01

    Secretory immunoglobulin A (S-IgA) was estimated in amniotic fluid samples by means of the single radial immunodiffusion according to Mancini. A monospecific antiserum against human secretory component was used. 163 amniotic fluid samples from normal pregnancies and risk pregnancies respectively were investigated. Within the 3rd trimenon the S-IgA content in amniotic fluid increased significantly. With respect to literature and examinations performed previously a connection between S-IgA content in amniotic fluid and fetal lung maturity seems to be possible.

  16. [Immunoturbidimetric determination of C-3 components of complement systems using nonlinear calibration].

    PubMed

    Rohácek, J; Semrád, V; Klierová, E; Zápotocná, M

    1991-01-01

    A method for the immunoturbidimetric analysis of the C-3-component in the complement system was elaborated by means of the antiserum Q-SwAHu/C3 USOL (SEVAG) Praha. A diluted human control serum USOL (SEVAG) Praha with declared values of plasma proteins was applied as a standard solution. The relation between concentration and absorption in an eight step calibration series is well described by a parabola of the 2nd degree. The precision in series and the accuracy of the method are mentioned. The proposed technique is in a relatively good correlation with the radial immunodiffusion according to MANCINI.

  17. Characterization of monoclonal gammopathies, a new approach.

    PubMed

    Nerenberg, S T; Mallin, J

    1975-08-01

    A new approach to the characterization (typing) of L- and H-chains of monoclonal immunoglobulins and Bence-Jones protein utilizing elution of a monoclonal immunoglobulin in conjunction with solid-support electrophoresis and the reverse Mancini procedure of radial immunodiffusion on Mylar-backed cellulose acetate membranes is described. A number of benefits are derived, particularly the use of only a fraction (1/200) of the antisera used with agar immunoelectrophoresis. The importance of "standardizing" commercial antisera (and a method for carrying this out) with the techniques described is emphasized.

  18. Estimation of peptidoglycan antibodies by an immunoperoxidase technique.

    PubMed

    Helgeland, S; Grov, A

    1975-07-01

    An immunoperoxidase technique developed for the detection and measurement of anti-peptidoglycan antibodies is described. The technique is based on the Mancini single radial immunodiffusion test with the addition of a reaction step with peroxidase-labelled anti-immunoglobulins. The dark-brown colour produced by the enzyme and a H2O2-diaminobenzidine solution increased the sensitivity considerably. The test was found to be highly specific and valuable both for the screening of total amounts of anti-peptidoglycan antibodies in sera as well as in studies of antibody specificity.

  19. [Determination of immunoglobulins IgG, IgM and IgA in maternal serum in patients with intrauterine growth retardation].

    PubMed

    Möller, U; Seewald, H J; Groh, A; Ader, B

    1987-01-01

    Immunoglobulin IgG, IgM, and IgA were analysed in maternal serum of 33 patients with intrauterine growth retardation and 30 patients without hypotrophic newborns. The estimations of the immunoglobulins were carried out by means of single radial immunodiffusion according to Mancini and coworkers. There were no significant differences between both groups of patients. Therefore IgG, IgM, and IgA are no additional parameters for estimation of the placental function of the 3rd trimester of pregnancy.

  20. Purification of Clostridium toxoids.

    PubMed

    Buchowicz, I; Hay, M; Schiller, B; Korbecki, M; Sochańska, R

    1977-01-01

    A two-step fractionation procedure was applied for purification and concentration of the individual Clostridium toxoids. The toxoids were precipitated with hydrochloric acid in the presence of sodium sextametaphosphate, then antigenic fractions were separated from inactive contaminants by Sephadex G-75 filtration. Specific activity of the preparations thus obtained, as determined by Mancini radial immunodiffusion, was 150--565 binding units per mg of protein nitrogen for Clostridium perfringens toxoid, 204--352 binding units for Clostridium oedematiens toxoid and 26.6 -- 51.2 binding units for Clostridium septicum toxoid.

  1. [pH and IgA determination of nasal secretions--possible use in occupational medicine-rhinologic diagnosis in relation to function].

    PubMed

    Hummel, K; Winkler, U; Hennebach, U

    1990-06-01

    For the recognition of nasal lesions in exposure to non-toxic metallic dusts with crystalline SiO2-content in 100 foundry workers the in vitro determinations of the pH-value as well as the statement of IgA in the serum and nasal discharge were performed by means of simple radial immunodiffusion according to Mancini. The two functional-diagnostic method did not show any significant differences in comparison to the control groups. At present an use in the clinical and occupational-medical practice cannot be recommended.

  2. [Secretory immunoglobulin of the stomach in patients with chronic gastritis].

    PubMed

    Ostrovskiĭ, A B; Nikolaeva, O V; Isakova, V N

    1988-01-01

    The determination of the level of secretory IgA by a method of radial immunodiffusion after Mancini in the gastric juice of 48 patients with chronic gastritis in correlation with the status of the gastric mucosa, the level of acidification and the phase of exacerbation has shown diagnostic potentialities of the method. The highest IgA level was detected in patients with "rearrangement" gastritis and in patients with sharply suppressed gastric secretion. In marked atrophy of the gastric mucosa IgA secretion was significantly lowered. The period of remission was attended by a decrease in IgA secretion as compared with the phase of exacerbation.

  3. [Transferrin in various hematological syndrome].

    PubMed

    Gepner-Woźniewska, M; Sitarska, E; Kluciński, W; Konopka, L; Roszkowski, S

    1977-01-01

    In 100 patients with various haematological syndromes and in 22 healthy subjects serum transferrin was determined by the method of radial immunodiffusion of Mancini. The results were correlated with total iron-binding capacity, iron concentration, beta1 globulin and albumin levels. A statistically significant rise in serum transferrin concentration was demonstrated only in patients with sideropenic anaemia. In the remaining groups of patients transferrin concentration was decreased without regard to associated disturbances of iron metabolism and iron level. The comparison of the total iron-binding capacity with transferrin level determined by radial immunodiffusion may suggest presence of iron-binding proteins other than transferrin.

  4. [Optimization of the conditions for the immunochemical nephelometric analysis of IgG, IgA and IgM].

    PubMed

    Sorokina, N V; Zhuravleva, N I

    1990-01-01

    Immunonephelometric analysis (INA) is widely used in practical chemistry. the authors have examined the possibility of using Soviet reagents in an ICS Analyzer Beckman (USA) nephelometer. The effects of polyethylene glycol concentration, the reaction buffer pH and ionic strength on the results of INA were under study. Optimal conditions for INA with the test systems anti-IgA-IgA, anti-IgG-IgG, and anti-IgM-IgM with Soviet reagents have been developed. Lyophilized immunoreagents from the Mancini radial immunodiffusion kit, prepared at the N. F. Gamaleia Research Institute for Epidemiology and Microbiology, can be employed for analysis with this nephelometer.

  5. Trichodorus elefjohnsoni n. sp. (Nemata: Trichodoridae) from Undisturbed Appalachian Forest

    PubMed Central

    Bernard, E. C.

    1992-01-01

    A new species of Trichodoridae, Trichodorus elefjohnsoni, is described from undisturbed regions of Great Smoky Mountains National Park, United States. It resembles T. orientalis De Waele &Hashim, 1984, T. persicus De Waele &Sturhan, 1987, and T. taylori De Waele, Mancini, Roca, ' Lamberti, 1982 in arrangement of ventromedian cervical papillae and posterior preanal supplements, but differs by combinations of the following characteristics: body length 516-731 μm; spicule length 33-50 μm, spicules densely striated, constricted medially; vaginal sclerotizations ovate; one pair of lateral body pores near vulva. PMID:19283205

  6. Staphylococcal protein A; its preparation and an application to rubella serology.

    PubMed Central

    Mallinson, H; Roberts, C; Bruce White, G B

    1976-01-01

    Good yields of staphylococcal protein A are obtained by growing the staphylococcus Cowan type 1 on cellophane agar. The activity of these preparations in removing immunoglobulin G (IgG) from human serum can be readily measured by the Mancini radial-diffusion technique and the correct in-use dilution determined. Treatment with protein A of sera from women with a history of rubella may help in the identification of those having specific antibody in the IgM and IgA fractions. This relatively simple procedure may have worthwhile application in the diagnosis of rubella. PMID:1002846

  7. Molecular dynamics and theory for the contact values of the radial distribution functions of hard-disk fluid mixtures.

    PubMed

    Luding, Stefan; Santos, Andrés

    2004-11-01

    We report molecular dynamics results for the contact values of the radial distribution functions of binary additive mixtures of hard disks. The simulation data are compared with theoretical predictions from expressions proposed by Jenkins and Mancini [J. Appl. Mech. 54, 27 (1987)] and Santos et al. [J. Chem. Phys. 117, 5785 (2002)]. Both theories agree quantitatively within a very small margin, which renders the former still a very useful and simple tool to work with. The latter (higher-order and self-consistent) theory provides a small qualitative correction for low densities and is superior especially in the high-density domain.

  8. Multimodality imaging of bilateral pheochromocytoma. A case report.

    PubMed

    Paladino, Nunzia Cinzia; Lowery, Aoife; Guérin, Carole; Taïeb, David; Sebag, Frédéric

    2015-06-22

    I feocromocitomi bilaterali sono rari; nella maggior parte dei casi presentano origine ereditaria e sono legati a mutazioni germinali relative ai geni RET, VHL o SDHx, tuttavia in altri casi non viene ritrovata alcuna eziologia. A tal proposito riportiamo il caso clinico di una donna di 76 anni, giunta alla nostra osservazione per malessere generale sopravvenuto in concomitanza di crisi ipertensive responsabili di ospedalizzazione. Il profilo ormonale realizzato in tale occasione, era suggestivo di feocromocitoma (metanefrine plasmatiche ed urinarie 10 volte superiori al range di normalità). Gli esami radiologici (TC e RMN) rivelavano due lesioni surrenaliche bilaterali di diametro rispettivamente a destra di 47 mm ed a sinistra di 26 mm. Mentre la TC definiva le dimensioni di queste lesioni, il loro carattere eterogeneo e la loro ipervascolarizzazione oltre ai rapporti con gli organi adiacenti, la RMN si esprimeva già in favore di feocromocitoma bilaterale. La scintigrafia alla MIBG mostrava una iperfissazione a carico della lesione surrenalica destra mentre sulla surrenale controlaterale evidenziava una fissazione limitata, relativa alla midollare normale. Tenuto conto del forte sospetto di feocromocitoma bilaterale, veniva eseguita una TEP alla 18F-FDOPA che mostrava un intenso ipermetabolismo a carico della massa surrenalica destra, mentre controlateralmente una fissazione simile a quella del fegato e pertanto non sospetta, nonostante molti studi sostengano una sensibilità uguale o addirittura superiore della TEP alla 18-FDOPA rispetto alla scintigrafia MIBG nei pazienti con feocromocitoma o paraganglioma. In un primo tempo veniva eseguita una surrenalectomia destra per via laparoscopica. In fase post-operatoria, in seguito alla constatazione del persistente incremento delle metanefrine plasmatiche ed urinarie, veniva realizzata una TEP alla 18 FDG che confermava la presenza di un’area di ipermetabolismo intenso a carico della lesione surrenalica sinistra

  9. [Detection and quantification of weak concentrations of antigens using a sensitive and direct method of demonstrating immunoprecipitation reactions].

    PubMed

    Rochu, D; Crespeau, H; Fine, A; Marneux, M; Fine, J M

    1989-09-01

    Using agarose gel coated on GelBond film sheets, and using Coomassie blue stain followed by silver stain, a sensitive microassay has been developed for detecting small amounts of antigen-antibody precipitates, and for quantitating low concentrations of antigen. In order to obtain a high sensitivity, antigen-antibody ratios were adjusted imperatively close to the equivalence in double-diffusion, and for quantitative estimation, single radial immunodiffusion was performed, according to Mancini, by measuring circles at the end point. The use of a double staining procedure allows to detect as little as 8 micrograms/ml antigen by Ouchterlony and 200 ng/ml by Mancini technique. The sensitivity of the method is 100 times greater than classical techniques and other advantages such as the need for minimal amounts of unconcentrated samples, the absence of radioactive labelling, and the absence of interference due to a second or a third antibody coat, make this assay useful for analyzing and quantitating monoclonal antibodies obtained by hybridoma or B-cell immortalization.

  10. Determination of residual erythrocytes in rat tissue homogenates using commercially available anti-red blood cell sera.

    PubMed

    Schümann, K; Kreppel, H; Elsenhans, B

    1989-07-01

    A method to determine the residual erythrocyte content in rat tissue homogenates by means of radial immunodiffusion (Mancini et al., 1965) is described. The method makes use of commercially available antisera against rat erythrocytes. Tissues were homogenized after addition of digitonin and applied on Mancini plates. To measure within the linear part of the calibration curve, the tissue homogenates were diluted to concentrations between 0.062% and 2.5% wet weight content, depending on the type of tissue and on the degree of bleeding before the death of the animal. Recovery data of added blood as well as a comparison with results from organ distribution studies with 59Fe-labeled erythrocytes demonstrated that this simple method is sufficiently reliable and sensitive. The present procedure is to control experiments in which drug tissue levels (e.g., antibiotics) are to be determined and in which the drug content of residual blood is likely to bias the results to an unknown extent. It can be used as well in organ distribution studies of substances with a high affinity for erythrocytes (e.g., Pb; As in rats). It is possible to individually control the success of procedures without the use of isotopes--such as exsanguination or vascular perfusion--that are performed in order to reduce the blood content in the organs under consideration.

  11. Modeling toxicity due to intermittent exposure of rainbow trout and common shiners to monochloramine

    SciTech Connect

    Meyer, J.S.; Gulley, D.D. . Dept. of Zoology and Physiology); Goodrich, M.S. ); Szmania, D.C.; Brooks, A.S. . Center for Great Lakes Studies)

    1995-01-01

    The authors evaluated the ability of three mathematical models to predict toxicity to common shiners and rainbow trout during intermittent (pulsed) exposures to monochloramine, based on data from continuous-exposure toxicity tests. If a power term for the exposure-water concentration was included in the models, a concentration x time (Cxt) model and the Mancini uptake-depuration model predicted pulse LC50s to within [+-]50% of the observed pulse LC50s, for the first four pulses in toxicity tests with 2-h pulse/22-h recovery cycles. Beyond the fourth pulse cycle, though, the pulse LC50s predicted using the Cxt model appeared to diverge considerably from the trend of the experimental pulse LC50s, partly because this model does not predict an incipient lethal level (C[sub ILL]) for either continuous or intermittent exposures. The Mancini model predicted the C[sub ILL] moderately well in the common shiner intermittent-exposure test but not in the rainbow trout intermittent-exposure test. The Breck three-dimensional damage-repair model did not predict pulse LC50 or C[sub ILL] values as well as did the other two models, probably because not enough partial-mortality data were available to parameterize the model adequately. Although the underlying processes appear to be more complex than what these simple models assume, the models may still be adequate for use in regulating a few pulse discharges of monochloramine.

  12. Modeling the effect of intermittent monochloramine concentrations on survival of freshwater fish. Final report

    SciTech Connect

    Meyer, J.S.; Gulley, D.D.; Bergman, H.L.

    1993-03-01

    In this project we developed and evaluated mathematical models to predict toxicity to freshwater fish during continuous and intermittent exposures to monochloramine (NH{sub 2}Cl). A simple concentration x time model and three models based on the general Mancini uptake-depuration model were included in this analysis. Performance of the models was evaluated using published continuous- and intermittent-exposure toxicity data for rainbow trout (Oncorhynchus mykiss) and common shiners (Notropis cornutus) exposed to NH{sub 2}Cl at 12{degrees}C and 25{degrees}C, respectively. Currently used models predicted LC50s for the first four pulses during intermittent exposures moderately well when the fish were exposed to repeated 2-h pulse/22-h recovery cycles; however, predicted pulse LC50s appeared to diverge from the trend for the observed LC50s as the number of pulses increased. This accuracy may be suitable for regulatory purposes, if LC50s are to be predicted for only the initial few cycles of a pulse-recovery exposure regime. However, itappears that details of the complex physiological mechanisms of monochloramine toxicity may not be adequately modeled by the Mancini type models or by the simplistic concentration x time model. If more accuratepredictions are desired, either more complex models or other models based on different basic structures must be developed. Development of these new models should be based on studies of the physiological processes underlying uptake and depuration of chlorine-related compounds.

  13. Modeling the effect of intermittent monochloramine concentrations on survival of freshwater fish

    SciTech Connect

    Meyer, J.S.; Gulley, D.D.; Bergman, H.L. )

    1993-03-01

    In this project we developed and evaluated mathematical models to predict toxicity to freshwater fish during continuous and intermittent exposures to monochloramine (NH[sub 2]Cl). A simple concentration x time model and three models based on the general Mancini uptake-depuration model were included in this analysis. Performance of the models was evaluated using published continuous- and intermittent-exposure toxicity data for rainbow trout (Oncorhynchus mykiss) and common shiners (Notropis cornutus) exposed to NH[sub 2]Cl at 12[degrees]C and 25[degrees]C, respectively. Currently used models predicted LC50s for the first four pulses during intermittent exposures moderately well when the fish were exposed to repeated 2-h pulse/22-h recovery cycles; however, predicted pulse LC50s appeared to diverge from the trend for the observed LC50s as the number of pulses increased. This accuracy may be suitable for regulatory purposes, if LC50s are to be predicted for only the initial few cycles of a pulse-recovery exposure regime. However, itappears that details of the complex physiological mechanisms of monochloramine toxicity may not be adequately modeled by the Mancini type models or by the simplistic concentration x time model. If more accuratepredictions are desired, either more complex models or other models based on different basic structures must be developed. Development of these new models should be based on studies of the physiological processes underlying uptake and depuration of chlorine-related compounds.

  14. Some New Reflections on Mr. Palomar

    NASA Astrophysics Data System (ADS)

    Bertolami, O.

    2009-08-01

    The character Mr. Palomar, the alter-ego of the Italian author Italo Calvino, appeared for the first time in 1975 on the pages of the ``Il Corriere della Sera'', and then more or less regularly till its debut as a book in 1983. Through illuminating thoughts and reflections based on observations, for instance, of sea waves, Mr. Palomar discovers that they induce a peaceful and inspirational state of mind that prevents coronary and mental illnesses, and also holds the key to capturing the complexity of the world reducing it into its most elementary mechanisms. In this contribution I will survey some of Mr. Palomar's thoughts while he observes the sky and speculate on others that he might have explored if he shared our contemporary knowledge of the cosmos. I will also discuss the thoughts of other authors on how, cosmological thinking affects the human condition.

  15. Entropy and complexity analysis of hydrogenic Rydberg atoms

    SciTech Connect

    Lopez-Rosa, S.; Toranzo, I. V.; Dehesa, J. S.; Sanchez-Moreno, P.

    2013-05-15

    The internal disorder of hydrogenic Rydberg atoms as contained in their position and momentum probability densities is examined by means of the following information-theoretic spreading quantities: the radial and logarithmic expectation values, the Shannon entropy, and the Fisher information. As well, the complexity measures of Cramer-Rao, Fisher-Shannon, and Lopez Ruiz-Mancini-Calvet types are investigated in both reciprocal spaces. The leading term of these quantities is rigorously calculated by use of the asymptotic properties of the concomitant entropic functionals of the Laguerre and Gegenbauer orthogonal polynomials which control the wavefunctions of the Rydberg states in both position and momentum spaces. The associated generalized Heisenberg-like, logarithmic and entropic uncertainty relations are also given. Finally, application to linear (l= 0), circular (l=n- 1), and quasicircular (l=n- 2) states is explicitly done.

  16. A comparison of LMC and SDL complexity measures on binomial distributions

    NASA Astrophysics Data System (ADS)

    Piqueira, José Roberto C.

    2016-02-01

    The concept of complexity has been widely discussed in the last forty years, with a lot of thinking contributions coming from all areas of the human knowledge, including Philosophy, Linguistics, History, Biology, Physics, Chemistry and many others, with mathematicians trying to give a rigorous view of it. In this sense, thermodynamics meets information theory and, by using the entropy definition, López-Ruiz, Mancini and Calbet proposed a definition for complexity that is referred as LMC measure. Shiner, Davison and Landsberg, by slightly changing the LMC definition, proposed the SDL measure and the both, LMC and SDL, are satisfactory to measure complexity for a lot of problems. Here, SDL and LMC measures are applied to the case of a binomial probability distribution, trying to clarify how the length of the data set implies complexity and how the success probability of the repeated trials determines how complex the whole set is.

  17. Measuring complexity in Brazilian economic crises

    PubMed Central

    Mortoza, Letícia P. D.; Piqueira, José R. C.

    2017-01-01

    Capital flows are responsible for a strong influence on the foreign exchange rates and stock prices macroeconomic parameters. In volatile economies, capital flows can change due to several types of social, political and economic events, provoking oscillations on these parameters, which are recognized as economic crises. This work aims to investigate how these two macroeconomic variables are related with crisis events by using the traditional complex measures due to Lopez-Mancini-Calbet (LMC) and to Shiner-Davison-Landsberg (SDL), that can be applied to any temporal series. Here, Ibovespa (Bovespa Stock Exchange main Index) and the “dollar-real” parity are the background for calculating the LMC and SDL complexity measures. By analyzing the temporal evolution of these measures, it is shown that they might be related to important events that occurred in the Brazilian economy. PMID:28301506

  18. [Immunological aspects of a case of extragenital endometriosis localized in the mouth].

    PubMed

    Akre, D P; Konan, K E; Seka, S J; Dasse, S R; Koffi, K A; Abauleth, R

    2010-06-01

    To appreciate the role of the immune system in transportation and development of endometer cells in mouth, authors reported the results of immunological parameters analysis in one patient suffering to a mouth localisation healed endometriosis out of hormonal therapy in experimental and analytic study. Immunoglobulin A, G, M and C3, C4 complement fractions were measured by Mancini radial immunodiffusion. The count of CD4+, CD8+and B Cell was performed by BD FASCalibur flow cytometer. Autoimmune diseases were searched after by measuring autoantibodies using agglutination and immunofluoresence methods. The results showed any antibodies detected and the count of CD4, CD8 and B cells was normal. However, IgG and IgA increased. But C3, C4 factions and IgM decreased. This seems an immunological disorder which could be more explored in NK cells and cytokines study.

  19. [Immunochemical investigations on the protein of the "pregnancy zone". XI. Serum concentration of the pregnancy-associated alpha2-glycoprotein (Pregnancy Zone protein) in normal pregnancy (author's transl)].

    PubMed

    Straube, W; Hofmann, R; Klausch, B; Grummt, B; Rockstroh, K; Kruse, H J

    1976-09-17

    A quantitative study of the pregnancy zone proteins was made in the sera of 383 healthy pregnant women by means of radial immunodiffusion according to Mancini and co-workers. The serum levels related to a pregnancy serum standard were measured from the 6th to 44th week of pregnancy. The serum concentration of the protein showed a considerable individual variation. The mean concentration began to rise in gestational weeks 8 to 24. Until the week 32 a rather stable average level was reached. Before delivery a slight decrease was observed. Women with over term pregnancies showed particular high mean concentrations. The differences of serum levels were statistically significant until the gestational week 14.

  20. [Serum immunoglobulin E level in bronchial asthma].

    PubMed

    Denchev, K; Radkov, M; Lipcheva, N

    1976-01-01

    Serum immunoglobulin E level was determined in 50 patients with bronchial asthma, treated in the out-patients department and clinical conditions at the Faculty Hospital--Varna. The quantitative determination of immunoglobulin E was carried out by radial immunodiffusion according to Mancini with monospecific anti-IgE globulin serum from Behringswerke (GFR). A considerable elevation of immunoglobulin E in the patients' sera was found, at an average of 394 IU (control 124 IU). A discrepancy in serum immunoglobulin E level was established with the different clinical forms of asthma. The highest are the values with infectious-allergic astmha-424 IU. High are the values both in the treated and not-treated with corticosteroids, without an essential difference between the two patient groups. Some of the rest immunoglobulins showed also an elevationppIgG 2620 mg% and IgA 366 mg%.

  1. [Detection of secretory immunoglobulin A in cervical secretion and in cervicovaginal irrigation fluids].

    PubMed

    Briese, V; Hofmann, R; Meissner, J; Straube, W

    1983-01-01

    Secretory immunoglobulin A (S-IgA) is an essential part of local immune system of female genital tract. Accordingly the estimation of S-IgA in female genital secretions is important for judgement of immunologic problems in female genital tract. The estimation of S-IgA was carried out by means of an antiserum against human secretory component (anti SC) and S-IgA standard. It was used the single radial immunodiffusion according to Mancini and co-workers. Our results refer to changes in the quantity of S-IgA locally produced in the mucous membranes of female genital tract correlated to the menstrual cycle. The essential results are a decrease of S-IgA in midcycle in cervical mucus and vaginal fluids as well as of fertile and sterile patients.

  2. [Determination of immunoglobulin fractions in the blood serum of El Tor cholera patients and carriers].

    PubMed

    Pokrovskiĭ, V I; Reshetniak, T V; Bol'shakova, N Ia; Stefani, D V

    1975-01-01

    The authors present the results of examination of patients and carriers of El Tor vibrios for the purpose of detection in their blood sera of individual immunoglobulin fractions. The content of three immunoglobulin fractions (A, G and M) was determined by radial immunodiffusion after Mancini in 118 blood sera of 50 patients with cholera and in 61 sera from 31 vibrio carriers. Blood sera of 23 apparently healthy persons were examined for control. It was found that in cholera patients the level of all the immunoglobulin classes was much greater than in healthy individuals; at the period of convalescence the IgA content increased, and the IgM content decreased. The blood sera of vibrio carriers displayed an equally high IgA and IgG level. There was no significant difference in the immunoglobulin indices in patients with a different severity of the disease.

  3. [Secretory immunoglobulin A (S-IgA) in amniotic fluid and in pharyngeal mucus and urine of newborn infants].

    PubMed

    Briese, V; Brock, J; Lorenz, U; Straube, W

    1983-01-01

    S-IgA was estimated in amniotic fluid and in mucus samples of pharyngeal cavities and urine samples of newborns for assistance of the hypothesis that there is a connection between S-IgA content in amniotic fluid and fetal pulmonary maturity. It was used an antiserum against human secretory component and an S-IgA standard in the single radial immunodiffusion according to Mancini and coworkers. High S-IgA concentrations in the mucus samples of pharyngeal cavities refer to fetal bronchial-pulmonary system as the probable essential part in the synthesis of S-IgA established in amniotic fluid of the 3rd trimenon in pregnancy.

  4. Serum immunoglobulins in Nigerian neonates.

    PubMed

    Akinwolere, O A; Akinkugbe, F M; Oyewole, A I; Salimonu, L S

    1989-01-01

    Serum immunoglobulins G, M and A levels were studied in 187 Nigerian neonates. Estimations were done by the radial immunodifusion method of Mancini. Immunoglobulin G shows a fall in value in the first few days of life to about 62% of the value in the last days of the neonatal period. There is however a gradual increase in the level of IgM to about double at the end of the neonatal period. IgA level remained relatively constantly low throughout this period. The effect of maternal education on the levels of immunoglobulins of their neonates was also investigated. This had a positive influence at the secondary educational level, affecting only the IgG and IgA.

  5. [Tears' immunology in acute eye diseases].

    PubMed

    Ignat, F; Godeanu, L; Davidescu, L; Voiculescu, M

    2001-01-01

    The aim of the study is to research the immunoglobulins' concentration into the tears liquid and into the blood serum at the patients with acute affections of the anterior ocular pole. The study was accomplished on two groups of patients: one group with herpetic Keratitis, the other with anterior uveitis, the second having a different etiology--that the viral one. Another group of patients with senile cataract was used like witness-group. The immunoglobulins concentration were detected into the serum and into the tears by the Mancini method of the radial immunodiffusion. The results indicate a general immunodefficiency signed by the decrease of IgG and IgM into the serum on the one hand, and the increase of local defense mechanisms reflected on the growing of IgA and IgG level into the tears, on the other hand.

  6. The concentration of alpha-1-antichymotrypsin in blood serum of women in labour.

    PubMed

    Wasiluk, A; Dabrowska, M; Jaworski, S; Prokopowicz, J

    1999-01-01

    Concentration of alpha-1-antichymotrypsin (A-1-ACT) in blood serum of parturient women was determined. The investigation was conducted in 33 women bearing eutrophic newborns and 36 women bearing hypotrophic newborns. The control group consisted of 30 healthy non-pregnant women in reproductive age. Concentrations of A-1-ACT were determined using the radial immunodiffusion method according to Mancini et al. Maximal concentration of A-1-ACT determined in group I was three times higher than minimal concentration. Maximal concentration of A-1-ACT determined in group II was two times higher than minimal concentration. In the control group, the difference between minimal and maximal concentrations of A-1-ACT was inconsiderable. The lack of statistically significant differences between these three groups suggests that labour stress does not influence serum concentrations of this inhibitor. The importance of A-1-ACT in the placental tissue may be connected with immunological mechanisms that assure development and maintenance of pregnancy.

  7. alpha-1-antitrypsin in breast milk of healthy Nigerian mothers.

    PubMed

    Omeme, J A; Lantos, J D; Ihongbe, J C

    1981-01-01

    Alpha-1-antitryspin (x-1-AT) may play a possible role as effector of immunological stasis. This study examines the levels of this glycoprotein in 73 breast milk samples from 60 healthy Nigerian mothers. Levels of x-1-AT were measured by single radial immunodiffusion according to the method of Mancini. Serum protein was measured by Lowry's method, albumin by Doumas' method. Highest mean levels of x-1-AT were found in colostrum (25 mg/dl). The level was significantly higher compared to transitional milk (14.2 mg/dl) or mature milk (165 mg/dl) (p0.001). Breast milk contains substantial amounts of x-1-AT which is not destroyed by pasturization at 56 degrees Centigrade. The immunological protective properties of breast milk are ideal for newborn babies, particularly those who are low birthweight and are thus most susceptible to neonatal necrotizing enterocolitis.

  8. Determination of retinol-binding protein in serum by kinetic immunonephelometry with polyethylene glycol pretreatment.

    PubMed

    Hallworth, M J; Calvin, J; Price, C P

    1984-11-01

    This work describes the use of polyethylene glycol as a pretreatment reagent to remove endogenous light scattering material from serum samples prior to automated immunonephelometric analysis on a centrifugal analyser. An assay system for retinol-binding protein is described, which allows rapid (10 minutes) quantitation of retinol-binding protein in serum samples with a detection limit of 5 mg/L and between-assay coefficients of variation ranging from 2.9% to 4.0%. The assay range is 5-80 mg/L and accuracy comparisons with a Mancini single radial immunodiffusion method yield a regression line y = 0.89 x + 0.52 (r = 0.98, n = 22). The problem of analyte precipitation associated with use of pretreatment regimes is discussed.

  9. Multivariate analysis of the serum-cerebrospinal fluid-protein-relation for the diagnosis of neurological diseases of the central nervous systems.

    PubMed

    Prosiegel, M; Neu, I S; Pelka, R B; Fateh-Moghadam, A

    1983-12-01

    In a population comprising 197 patients, serum and CSF proteins were assayed using the radial immunodiffusion technique devised by Mancini. Multiple discriminants analysis was applied to investigate whether the measured CSF/serum protein relations and their ratios could be regarded as an indicator of specific neurological diseases. One significant finding was that the slope angle alpha of the regression line between the serum/CSF relation and molecular weight may represent an important indicative parameter. A small angle is suggestive of enhanced permeability of the BBB, a large angle of a correspondingly lowered permeability. Further, the analyses demonstrated that the combined use of several predictors can markedly improve differential diagnosis. The study also demonstrates the potential of a statistical analytic technique that is still rarely applied in medicine.

  10. [Comparative serum and secretory IgA studies in recurrent bronchial infections (preliminary note)].

    PubMed

    Russu, R; Popescu, C

    1976-01-01

    In a group of 84 patients with recidivating bronchial infections IgA were evaluated with the aid of radial immunodiffusion according to Mancini. In all the patients IgA were determined from expectoration extractions and in 50 of them serum IgA were also determined. In 38 cases the determinations were simultaneous. Concentration of S IgA was low in most of the cases (65%). These results are probably influenced by the technical difficulties raised by detaching the connections existing between S IgA and mucus fibrils from the bronchial secretion. The results obtained in the dosage of serum IgA are comparable with those mentioned in the current literature. No correlations were possible between S IgA and serum IgA and there proteins can be considered as independent.

  11. [Diagnosis of central nervous system diseases. Multivariate analysis of the serum-cerebrospinal fluid- protein relation].

    PubMed

    Neu, I S; Pelka, R B; Fateh-Moghadam, A

    1983-09-22

    In a population comprising 197 patients serum and CSF proteins were assayed using the radial immunodiffusion technique devised by Mancini. Multiple discriminant analysis was applied to investigate whether the measured CSF/serum protein relations and their ratios could be regarded as an indicator of specific neurologic diseases. One significant finding was that the slope angle alpha of the regression line between the serum/CSF relation and molecular weight may represent an important indicative parameter. A small angle is suggestive of enhanced permeability of the blood-brain barrier, a large angle of a correspondingly lowered permeability. Further, the analyses demonstrated that the combined use several predictors can markedly improve differential diagnosis. The study also demonstrates the potential of a statistical analytic technique that is still rarely applied in medicine.

  12. [Levels of alpha-2-macroglobulin in blood serum of women giving birth to hypotrophic and eutrophic newborns].

    PubMed

    Wasiluk, A; Dabrowska, M; Jaworski, S; Prokopowicz, J

    2000-01-01

    We tested the concentration of alpha-2-macroglobulin in sera of 33 women bearing eutrophic newborns, 36 women bearing hypotrophic newborns and 30 healthy not pregnant women in reproductive age. The concentration of this inhibitor was measured using radial immunodiffusion method according to Mancini et al. We found distinct decrease of alpha-2-macroglobulin concentration in sera of bearing women. In women bearing eutrophic newborns we found 154 mg/dl, in women bearing hypo-trophic newborns 171 mg/dl whereas in controls 250 mg/dl. We have noted statistically significant differences between tested groups to controls and between investigated groups. Taking under consideration the role of alpha-2-macroglobulin as the modulator of immune system as well as the activity of several cytokins, therefore one can suppose that alpha-2-M may affect on cellular growth developed foetus in intrauterine.

  13. [Quantitative determination of immunoglobulins in serum and saliva of patients with denture stomatitis].

    PubMed

    Popova, E; Stankova, G; Dermendzieva, S

    1989-01-01

    A quantitative study on the immunoglobulins G, M, and A in serum and saliva was performed as well as of secretory immunoglobulin A and of the secretory component in the saliva of 35 patients with prosthetic stomatitis and 30 healthy controls without prostheses. The method of radial immune-diffusion in agar according to Mancini, modification of G. Stankova et al. (1983) was used. The study established that there was no statistically significant difference (p greater than 0.05) in the values of immunoglobulins G, M and A in the sera of the subjects from both groups. Statistically significant increase (p less than 0.001) of the values of the immunoglobulin A, secretory immunoglobulin A and secretory component was established in the saliva of the patients with prosthetic stomatitis as compared with the same values in the control group, very likely due to the local reaction of saliva to the present prosthetic constructions.

  14. [Alpha fetoprotein in umbilical cord blood].

    PubMed

    Guibaud, S; Bonnet, M; Thoulon, J M; Dorche, J; Dumont, M

    1975-02-08

    Quantitative measurement of alpha-foetoprotein was made on the cord blood of 158 new-born of gestational age ranging between 15 and 43 weeks. The technique used was that of simple radial immunodiffusion of Mancini which made possible the exact measurement of A.F.P. in all the specimens apart from 3. The correlation coefficient between the A.F.P. level in cord blood and gestational age is significant (r equals 0,85 for a risk p equals 0,001). However, the degree of difference at a given point in pregnancy and the difference in levels found in certain cases of twin pregnancies, suggest that factors other than gestational age (certain complications of pregnancy, for example) may influence foetal A,F.P.

  15. Gene dosage effect for fumarate hydratase (FH; E.C. 4.2.1.2) in partial trisomy 1.

    PubMed

    Braunger, R; Kling, H; Krone, W; Schmid, M; Olert, J

    1977-08-31

    A strain of fibroblasts partially trisomic for the larger part of 1q (Norwood and Hoehn, 1974) contains about 1.5 times as much fumarate hydratase (FH) as various control-strains. This gene dosage effect was ascertained by (1) comparative measurements of the specific activity; (2) relating the specific activity of FH to that of reference enzymes, not influenced by the chromosomal anomaly; and (3) by immunoprecipitation methods, using a rabbit antiserum against pig heart FH which cross-reacts with the human enzyme. Among others, this gene dosage effect can be demonstrated numerically by the following parameters: Ratio of the average specific activity of FH in the trisomic strain to that of the control strains: 1.53. Corresponding ratio after dividing FH activity by that of reference enzymes; for acid phosphatase: 1.58, for glutamate dehydrogenase: 1.53. Average ratio of the immunoprecipitation areas obtained upon radial immunodiffusion according to Mancini et al. (1965): 1.56.

  16. Serum immunoglobulins and complement (C'3) in oral lichen planus.

    PubMed

    Sklavounou, A D; Laskaris, G; Angelopoulos, A P

    1983-01-01

    Serum immunoglobulins and complement (C'3) were determined by single radial immunodiffusion according to the method of Mancini and co-workers in fifty patients with oral lichen planus and twenty persons with clinically normal oral mucosa. Significantly increased levels of serum IgG (p less than 0.05) and a significant reduction of serum IgA concentration (p less than 0.05) in the experimental group as compared with normal controls were observed. Mean serum IgM and complement (C'3) levels were similar in patients and controls. No correlation between disease variety or extensiveness and immunoglobulin or complement levels was noticed. These results suggest that patients with oral lichen planus may have a generalized immunologic disorder in which humoral immunity is disturbed. Whether humoral immunity is of etiologic significance, contributes to the disease process, or, finally, represents an event secondary to the pathologic changes seen in the disease remains to be determined.

  17. [Significance of alpha-1-antitrypsin and alpha-2-pregnancy-associated glycoprotein in the serum of patients with bronchial carcinoma].

    PubMed

    Homolka, J; Voslárová, Z; Malbohan, I

    1987-01-01

    The authors investigated alpha-1-antitrypsin and pregnancy associated alpha-2-glycoprotein at diagnosis and follow-up of patients with bronchogenic carcinoma. Both proteins were determined by single radial immunodiffusion according to Mancini in 60 patients with bronchogenic carcinoma, in 31 patients with nontumorous respiratory diseases, and in 10 patients with tumour metastases in the lungs. The statistical significance of differences was evaluated using Student's t-test. None of the determined proteins was found to be a specific and sensitive marker of bronchogenic carcinoma. The concentration of alpha-1-antitrypsin is increasing with the growth of the tumour, and the values of pregnancy associated alpha-2-glycoproteins are decreasing at the same time. Alpha-1-antitrypsin can be used in follow-up after tumour resection, where recurrent increase of its concentration may indicate a relapse of the tumour.

  18. Serum immunoglobulin profile in normal Kashmiri adults.

    PubMed

    Bhat, G A; Mubarik, M; Bhat, M Y

    1995-01-01

    Serum levels of the immunoglobulins IgG, IgA and IgM were estimated in 102 apparently healthy Kashmiri adults in the age group of 16-60 years, using single radial immunodiffusion method of Mancini et al. The mean serum levels of IgG, IgA and IgM were observed to be 1289.19 +/- 234.9, 216.18 +/- 50.70 and 118.97 +/- 41.88 respectively. No significant difference in the mean serum levels was observed between the two sexes as such, but IgM showed a significant increase in females in the age group of 16-30 years. IgA showed a significant increase with age, with no such increase in case of IgG and IgM.

  19. [Biological and immunological researches on snake venom. V. Application of the immunochemical technics to the titration of specific antibodies to the alpha toxin of Naja nigricollis venom (author's transl)].

    PubMed

    Mangalo, R; Fouque, F; Boquet, P

    1977-01-01

    In order to establish a simple method to titrate antitoxin antibodies in the antivenom sera, we suggest a new immunochemical technic. To a constant dose of a pure toxin extracted from a snake venom, increasing volumes of specific immune serum are added so as an excess of toxin remains free. This residual toxin is titrated by electroimmunodiffusion technic according to Laurell or by radial immunodiffusion method of Mancini. The experimental results in vitro are compared to those obtained in vivo. If a given volume of immune serum neutralize X microgram of toxin by the in vivo technic it will combine in vitro to 2 X or 1.2 X of the same toxin, respectively if we refer to electroimmunodiffusion or to radial immunodiffusion technic results.

  20. A Career in Manuscripts: Genres and Purposes of a Physician’s Writing in Rome, 1600–1630*

    PubMed Central

    De Renzi, Silvia

    2011-01-01

    Following the stellar career of papal physician Giulio Mancini, the article brings into focus learned doctors’ uses of, and relationships with, manu- scripts. Manuscripts were the main outcome of their practice — as letters of consultation to patients and colleagues, as consilia of various kinds, including for use in courts of law, and also in the form of key professional tools such as casebooks. Clues found in Mancini’s rich paper-trail shed light on material aspects of his professional writing and on the role that circulating knowledge in manuscript had in creating and sustaining medical networks. The article also argues that even in a domain as shaped by print as early modern medicine, physicians’ use of this medium should not be taken for granted; especially in courtly settings, scribal, as opposed to print, publishing provided them with an effective means of building the social relationships on which their careers depended. PMID:22298938

  1. A search for association between IgD concentrations and immunoglobulin allotypes in 936 sera from a genetic isolate in Newfoundland.

    PubMed

    Salimonu, L S; Bryant, D G; de Lange, G; Marshall, W H; Newton, R M; Van Loghem, E

    1979-04-01

    Immunoglobulin allotype (Gm) data has been analysed agaonst immunoglobulin D (IgD) concentrations in a population study in Newfoundland. There was no significant difference between the distribution of IgD concentrations in people homozygous for the alleles G1m(f) and G3m(b) when compared with people homozygous for the alleles G1m(a) and G3m(g). These findings, involving 573 homozygous individuals as opposed to ninety-eight in an earlier study on a New York population, do not confirm the earlier findings. Thus a genetic influence on IgD concentration by Gm genes or genes closely linked to them is not universally demonstrable by typing for these four markers and by using the Mancini technique for mearusing IgD concentration.

  2. Trichodorus petrusalberti n. sp. (Nematoda: Trichodoridae) from Rice with Additional Notes on the Morphology of T. sanniae and T. rinae

    PubMed Central

    De Waele, D.

    1988-01-01

    A new species in the family Trichodoridae, from the rhizosphere of rice (Oryza sativa L.) in Northern Natal, South Africa, is described and illustrated. Trichodorus petrusalberti n. sp. resembles T. taylori De Waele, Mancini, Roca, and Lamberti, 1982, T. hooperi Loof, 1973, and T. complexus Rahman, Jairajpuri, and Ahmad, 1985, from which it is distinguished by the shape of the spicules. It is distinguished from the former two species by the nonthickened terminal cuticle in the males and by the shape and sclerotization of the vulval-vaginal region in lateral view in the females. Additional morphological details are given for T. sanniae Vermeulen and Heyns, 1985 and T. rinae Vermeulen and Heyns, 1985. PMID:19290188

  3. Transanal endoscopic video-assisted (TEVA) resection of early rectal lesions using a SILS port A single center experience.

    PubMed

    Cipolla, Calogero; Ferro, Giuseppina; Graceffa, Giuseppa; Morini, Lorenzo; Guercio, Giuseppina; Vieni, Salvatore; Pantuso, Gianni

    2016-01-01

    L’escissione chirurgica endoscopica transanale video-assistita (TEVA) mediante SILSTM– Port (Single Incision Laparoscopic Surgery) si è affermata come una tecnica valida per la rimozione completa di lesioni benigne del retto non trattabili endoscopicamente e per le neoplasie maligne del retto in fase precoce. La TEVA rappresenta una valida alternativa alla escissione microchirurgica transanale (TEM), alla chirurgia transanale convenzionale ed alla resezione transaddominale. Nella nostra Unità Operativa sono state effettuate con successo 8 resezioni di voluminosi adenomi del retto impiegando la tecnica TEVA con con il SILSTM–Port. L’età media dei pazienti è stata di 51,1 anni, il BMI medio è stato di 23. Non sono state registrate complicanze post-operatorie né conversioni verso interventi resettivi maggiori per via trans-addominale. Il decorso post-operatorio dei pazienti è stato regolare. Il tempo medio di ospedalizzazione è stato di 3 giorni. I risultati della nostra esperienza, sia pure poco numerosa, in ci consentono di valutare la tecnica TEVA con SILSTM– Port più semplice da realizzare rispetto alla TEM. La metodica infatti non richiede lunghi periodi di apprendimento né l’impiego di materiale costoso come quello impiegato nella TEM.

  4. Transanal endoscopic video-assisted (TEVA) resection of early rectal lesions using a SILS port A single center experience.

    PubMed

    Cipolla, Calogero; Ferro, Giuseppina; Graceffa, Giuseppa; Morini, Lorenzo; Guercio, Giuseppina; Vieni, Salvatore; Pantuso, Gianni

    2015-11-30

    L’escissione chirurgica endoscopica transanale video-assistita (TEVA) mediante SILSTM– Port (Single Incision Laparoscopic Surgery) si è affermata come una tecnica valida per la rimozione completa di lesioni benigne del retto non trattabili endoscopicamente e per le neoplasie maligne del retto in fase precoce. La TEVA rappresenta una valida alternativa alla escissione microchirurgica transanale (TEM), alla chirurgia transanale convenzionale ed alla resezione transaddominale. Nella nostra Unità Operativa sono state effettuate con successo 8 resezioni di voluminosi adenomi del retto impiegando la tecnica TEVA con con il SILSTM–Port. L’età media dei pazienti è stata di 51,1 anni, il BMI medio è stato di 23. Non sono state registrate complicanze post-operatorie né conversioni verso interventi resettivi maggiori per via trans-addominale. Il decorso post-operatorio dei pazienti è stato regolare. Il tempo medio di ospedalizzazione è stato di 3 giorni. I risultati della nostra esperienza, sia pure poco numerosa, in ci consentono di valutare la tecnica TEVA con SILSTM– Port più semplice da realizzare rispetto alla TEM. La metodica infatti non richiede lunghi periodi di apprendimento né l’impiego di materiale costoso come quello impiegato nella TEM.

  5. 78 FR 29772 - Information Collection Activities: Decommissioning Activities, Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-21

    ... search. Follow the instructions to submit public comments and view all related materials. We will post... stub or mud line suspension equipment and subsea protective covering; other departures; and all...(a)(2) Request approval from District Manager to 0.25. test all BOP system components to...

  6. Autotransplantation of pancreatic islets. A single-center first experience.

    PubMed

    Magistri, Paolo; Andreani, Sara; Lo Conte, Domenico; Ferrari, Giovanni Carlo; Forgione, Antonello; Pugliese, Raffaele

    2016-01-01

    L’autotrapianto d’isole pancreatiche (IAT) è una procedura ben nota che consente di migliorare il controllo glicemico dopo una pancreasectomia totale (o completamento di pancreasectomia dopo duodenocefalopancreasectomia) rispetto alla sola terapia insulinica. In questo lavoro presentiamo la nostra esperienza nel campo dell’ IAT riportando il caso clinico di una donna di sessanta anni, sottoposta a completamento di pancreasectomia per episodi ricorrenti di acuzie in un quadro di pancreatite cronica. Il trattamento IAT è stato somministrato mediante iniezione trans-epatica intra-portale. Il recupero post-procedurale è stato ottimale, fatta eccezione per un’infezione di ferita che ha richiesto un trattamento con tecnologia a pressione negativa. La paziente è stata dimessa in ventisettesima giornata postoperatoria, in buone condizioni generali, dopo regolare ripresa dell’alimentazione e della canalizzazione. I dati presenti in letteratura dimostrano che la IAT è una procedura sicura, garantendo nel lungo periodo un vantaggio rispetto alla terapia insulinica in termini di rapporto costo-beneficio. Riguardo alla procedura chirurgica, è qui utile ricordare che la mortalità a 30 giorni dopo pancreasectomia totale associata a IAT è del 5%, ed è pertanto sovrapponibile ai risultati della pancreasectomia totale senza IAT. Riportando questa esperienza intendiamo contribuire alla crescita della casistica chirurgica attuale in questo campo, proponendo nel futuro un più ampio sviluppo e una più estesa applicazione di tale approccio.

  7. Le verifiche della relatività generale

    NASA Astrophysics Data System (ADS)

    Tempesti, Piero

    2005-10-01

    La relatività di Einstein. La relatività generale messa alla prova. Le tre verifiche classiche: L'avanzamento del perielio di Mercurio - La deflessione della luce - Il redshift gravitazionale. Le verifiche di seconda generazione: Il rallentamento della luce - L'effetto Nordtvedt - Le onde gravitazionali e la "pulsar binaria".

  8. First optical observations of artificial Earth's satellites

    NASA Astrophysics Data System (ADS)

    Rykhlova, L. V.

    2008-08-01

    A review of the first optical observations of the artificial satellites in the USSR as well as in former communist countries (DDR, Romania,Poland) is given. The role by Alla G. Masevich, I.D. Zhongolovich and Yu.V. Batrakov is underlined in the organization of observations.

  9. Careers and people

    NASA Astrophysics Data System (ADS)

    2016-07-01

    Medical physicist Alla Reznik's work on next-generation positron emission tomography (PET) devices - which recently won her a Leadership Award from the Ontario Research and Innovation Optical Network (ORION) - developed out of more than a decade of research into the fundamental properties of wide band-gap semiconductors.

  10. Policies on Special Needs Education: Competing Strategies and Discourses

    ERIC Educational Resources Information Center

    Tisdall, E. Kay M.; Riddell, Sheila

    2006-01-01

    This paper critically examines the array of policy approaches that have been adopted in the field of special needs education in Scotland over recent years. These are characterized in the following ways: (1) supporting or changing the child--an individualized approach; (2) making schools inclusive for all--a systems approach; (3) challenging the…

  11. SCDC Spanish Curricula Units. Fine Arts Strand, Unit 9, Grade 3, Supplement & Ditto Packet.

    ERIC Educational Resources Information Center

    Spanish Curricula Development Center, Miami Beach, FL.

    The supplement and ditto packet to the fine arts strand of unit nine for third graders contains illustrations, ditto masters, and four songbooks to help the teacher carry out the fine arts activities of this unit. Materials for both group activities and seatwork are included. Kit 33 uses the songbook "Canciones de Aqui y de Alla" and…

  12. Three Dimensional Stress Fields in Cracked Plates.

    DTIC Science & Technology

    1980-11-01

    of Elasticity, 4th Edition, New York: Dover, 1944. 19. Marcolongo, R., La theorie delle equazioni integrali e le sue applicazioni alla Fisica ... matematica , Atti Reale Accad. de Lincel 16, 742-749 (1907). 20. Heixner J., Strenge Theorie der Beugung elektromagnetischer Wellen an der vollkommen leitenden

  13. Provocative pattern of rearrangements of the genes for the. gamma. and. beta. chains of the T-cell receptor in human leukemias

    SciTech Connect

    Goorha, R.; Bunin, N.; Mirro, J. Jr.; Murphy, S.B.; Cross, A.H.; Behm, F.G.; Quertermous, T.; Seidman, J.; Kitchingman, G.R.

    1987-07-01

    To examine the distribution of rearrangements of the ..gamma..- and ..beta..-chain T-cell receptor (TCR) genes in T- and non-T acute lymphoblastic leukemias (ALLs), and potentially to determine which genes rearrange first in ontogeny, the authors analyzed high molecular weight DNA from 102 patients with acute leukemia. Rearranged ..gamma..- and ..beta..-chain genes were found in all T-cell ALLs (22/22) examined. Overall, 27% (18/66) of B-lineage ALLs had ..beta..-chain gene rearrangements, and 41% (24/58) had ..gamma..-chain gene rearrangements, but the distribution of rearranged genes varied according to the stage of B-cell differentiation. The ..gamma..-chain genes were rearranged in 11% (1/9) of the B-lineage patients negative for the common acute lymphoblastic leukemia antigen (cALLA) and 50% (23/46) of cALLA/sup -/= ALL patients, while the ..beta..-chain genes were not rearranged in any of the 7 cALLA/sup -/ ALL patients examined but were rearranged in 32% (18/56) of the cALLA/sup +/ patients. Of the 44 cALLA/sup +/ patients in which a direct comparison of ..gamma..- and ..beta..-chain gene rearrangements could be made, 34% had both genes rearranged, 16% had only ..gamma..-chain gene rearrangements, and the remaining 50% had both genes in the germ-line configuration. ..beta..-Chain rearrangements have not been found in the absence of ..gamma..-chain rearrangements, thus supporting a proposed hierarchy of TCR gene rearrangements.

  14. Panic attacks and possession by djinns: lessons from ethnopsychiatry

    PubMed Central

    Bragazzi, Nicola Luigi; Del Puente, Giovanni

    2012-01-01

    This clinical case report shows how important it is for a psychiatrist to have a knowledge of the cultural and religious context of the patient, in order to understand fully his or her complaints. Culture and religion, in fact, are not neutral, but convey symbols, meanings, and myths that should be properly explored to shed light on the patient’s inner world. Patient D was a 19-year-old Muslim Italo-Tunisian girl, who consulted a psychiatrist for anxiety and panic attacks, and reported being possessed by djinns (ie, “evil creatures”, as described in the Qur’an). A culturally informed interview was carried out, together with administration of psychometric scales, including the Symptom Checklist-90 Revised and Psychological Measure of Islamic Religiousness. Based on her scores and the results of this multidimensional assessment, patient D was treated with transcultural psychotherapy and fluoxetine. After a year of follow-up, she reported no further episodes of panic disorder. For proper assessment and treatment, a combined anthropological, sociological, and psychopathological approach was necessary. PMID:23293545

  15. Isla Hispaniola: A trans-boundary flood risk mitigation plan

    NASA Astrophysics Data System (ADS)

    Brandimarte, Luigia; Brath, Armando; Castellarin, Attilio; Baldassarre, Giuliano Di

    It is sadly known that over the past decades Isla Hispaniola (Haiti and the Dominican Republic) has been exposed to the devastating passage of several hurricanes and tropical storms. Territories that are economically weak and extremely poor in terms of natural resources have been shaken by severe flood events that caused the loss of thousands of human lives, displacement of people and damage to the environment. On May 24th 2004, the flooding of the trans-boundary river Soliette killed over 1000 Haitian and Dominican people, wiping out villages and leaving behind desolation and poverty. After this catastrophic flood event, the General Direction for Development and Cooperation of the Italian Department of Foreign Affairs funded through the Istituto Italo-Latino Americano (IILA, www.iila.org) an international cooperation initiative (ICI), coordinated and directed by the University of Bologna. The ICI involved Haitian and Dominican institutions and was twofold: (a) institutional capacity building on flood risk management and mitigation measures and policies; (b) hydrological and hydraulic analysis of the May 2004 flood event aimed at formulating a suitable and affordable flood risk mitigation plan, consisting of structural and non-structural measures.

  16. The Genetic Polymorphisms and Colonization Process of Olive Fly Populations in Turkey

    PubMed Central

    Dogaç, Ersin; Kandemir, İrfan; Taskin, Vatan

    2013-01-01

    The olive fruit fly, Bactrocera oleae, is the most important pest of olives in olive growing regions worldwide, especially in the Mediterranean basin and North America. Despite the economic importance of the olive fly, the colonization route of this species is unclear. We used nuclear microsatellite markers and mitochondrial DNA to provide information about the population structure and invasion route of olive fly populations in Turkey, as representative of the Eastern Mediterranean region. Adult fly samples were collected from 38 sublocations covering all olive growing regions in Turkey. The simple sequence variability data revealed a significant genetic variability in olive fly populations and a certain degree of differentiation between Mediterranean and Aegean populations. Mediterranean populations harbor higher levels of microsatellite variation than Aegean populations, which points to the eastern part of the Mediterranean as the putative source of invasion. mtDNA results suggest olive flies from the western part of Turkey are closely related to Italo-Aegean flies of the Mediterranean basin and the olive fly populations have invaded the northern part of the Mediterranean basin through western Turkey. In addition, finding specific American haplotypes in high frequencies might indicate that Turkey is the possible source of American olive fly populations. In order to more precisely characterize the population structure and invasion routes of this organism, more DNA-based sequence analysis should be carried out worldwide. PMID:23457499

  17. Panic attacks and possession by djinns: lessons from ethnopsychiatry.

    PubMed

    Bragazzi, Nicola Luigi; Del Puente, Giovanni

    2012-01-01

    This clinical case report shows how important it is for a psychiatrist to have a knowledge of the cultural and religious context of the patient, in order to understand fully his or her complaints. Culture and religion, in fact, are not neutral, but convey symbols, meanings, and myths that should be properly explored to shed light on the patient's inner world. Patient D was a 19-year-old Muslim Italo-Tunisian girl, who consulted a psychiatrist for anxiety and panic attacks, and reported being possessed by djinns (ie, "evil creatures", as described in the Qur'an). A culturally informed interview was carried out, together with administration of psychometric scales, including the Symptom Checklist-90 Revised and Psychological Measure of Islamic Religiousness. Based on her scores and the results of this multidimensional assessment, patient D was treated with transcultural psychotherapy and fluoxetine. After a year of follow-up, she reported no further episodes of panic disorder. For proper assessment and treatment, a combined anthropological, sociological, and psychopathological approach was necessary.

  18. Understanding how active volcanoes work: a contribution from synchrotron X-ray computed microtomography

    NASA Astrophysics Data System (ADS)

    Polacci, M.; Baker, D. R.; Mancini, L.

    2009-04-01

    and their implications on the rheological properties of magmas and on the intensity of explosive activity at volcanoes. Andronico, D., R. A. Corsaro, A. Cristaldi, and M. Polacci (2008), Characterizing high energy explosive eruptions at Stromboli volcano using multidisciplinary data: An example from the 9 January 2005 explosion, J. Volcanol. Geotherm. Res., 176, 541-550. Burton, M. R., H. M. Mader, and M. Polacci (2007), The role of gas percolation in quiescent degassing of persistently active volcanoes, E. Planet. Sci. Lett., 264, 46-60. Colò, L., D. R. Baker, M. Polacci, and M. Ripepe (2007), Magma vesiculation and infrasonic activity in open conduit volcanoes, abstract presented at the AGU 2007 Fall meeting, 10-14 December, San Francisco, California, USA. Piochi, M., M. Polacci, G. De Astis, R. Zanetti, A. Mangiacapra, R. Vannucci, and D. Giordano (2008), Texture and composition of pumices and scoriae from the Campi Flegrei caldera (Italy): implications on the dynamics of explosive eruptions, G-cubed, doi:10.1029/2007GC001746. Polacci, M., D. R. Baker, L. Mancini, G. Tromba, F. Zanini (2006), Three-dimensional investigation of volcanic textures by X-ray microtomography and implications for conduit processes, Geophys. Res. Lett., 33, L13312, doi:10.1029/2006GL026241. Polacci, M., D. R. Baker, L. Bai, and L. Mancini (2008a), Large vesicles record pathways of degassing at basaltic volcanoes, Bull. Volcanol., 70, 1023-1029, doi:10.1007/s00445-007-0184-8. Polacci, M., D. R. Baker, L. Mancini, S. Favretto, and R. Hill (2008b), Vesiculation in magmas from Stromboli (Aeolian Archipelago, Italy) and implications for normal Strombolian activity and paroxysmal explosions in basaltic systems, J. Geophys. Res., doi:10.1029/2008JB005802

  19. California Black Oak Drying Problems and the Bacterial Factor.

    DTIC Science & Technology

    1979-01-01

    identify and separate lumber with pores with tyloses . Moisture movement shrinkage in thickness. Except for the infected heartwood from noninfected...through the vessels is retarded by the air-dried board with mixed heartwood, material. Results from this study tyloses and bacterial debris. Tensile all...a tissue. These shrinkage data in figure 6 reduction in drying degrade. Bacterially The presence of tyloses is generally suggest a comparsion with

  20. Radar Waveform Synthesis for Target Identification.

    DTIC Science & Technology

    1983-06-05

    presented elsewhere [6]. 6. Experiment A facility for the measurement of transient electromagentic waves scattered by various targets illuminated by short...or the excitation signal for the zero-mode response, allA n and Bn are set to be zero. For this case [dm ] will have non- trivial solutions only...duration, transient TEM waves has been improved and modified over the past year. The experimental arrangement is indicated in Fig. 9. A spherical TEM

  1. Modular, Portable, and Reconfigurable Wireless Sensing System for the Aircraft Cabin

    DTIC Science & Technology

    2009-09-01

    that can be retargeted to measure a number of different parameters for use in a wide range of environments. The objective of the current system... number of contaminants that one may wish to measure, the need for flexibility becomes very apparent. Integrating enough sensors to measure all...as they are common serial data communication protocols. This memory size and pin variety allows the system to implement a large variety and number

  2. Parental Encouragement of Healthy Lifestyles for Their Children and Personally Caring about Healthy Lifestyles Is Positively Associated with Children Using Vitamin D Supplements.

    PubMed

    Munasinghe, Lalani L; Yuan, Yan; Faught, Erin L; Willows, Noreen D; Veugelers, Paul J

    2016-09-24

    Supplement users have better vitamin D status, and parenting is key to promoting a child's healthy behaviours. We examined the association of parental encouragement of and caring about healthy lifestyles with children's use of vitamin D supplements and multivitamins. A provincially representative sample of grade 5 students (n = 2686; 10-11 years) and their parents across the province of Alberta, Canada, was surveyed in 2014. Students were asked about use of multivitamins and/or vitamin D supplements. Parents were asked whether they cared about and encouraged healthy lifestyles. Mixed effect multiple logistic regression identified the association of parental responses with children's use of supplements; 29% and 54% of children took vitamin D supplements and multivitamins, respectively. They were more likely to take vitamin D supplements if their parents cared 'very much' vs. 'not at all/a little bit' about eating healthy foods (OR = 1.43; 95% CI = 1.08, 1.89), cared 'quite a lot' (OR = 1.55; 95% CI = 1.17, 2.04) and 'very much' (OR = 1.67; 95% CI = 1.26, 2.21) vs. 'not at all/a little bit' about physical activity, and encouraged 'very much' vs. 'not at all/a little bit' their children to eat healthy foods (OR = 1.51; 95% CI = 1.05, 2.17). Children whose parents personally cared for eating healthy foods were more likely to take multivitamins ('quite a lot' and 'very much' compared to 'not at all/a little bit' (OR = 1.60; 95% CI = 1.13, 2.28 and OR = 1.46; 95% CI = 1.04, 2.06, respectively). Education and parental encouragement of healthy lifestyles should be part of the public health initiatives to promote supplementation of vitamin D among children.

  3. A Result on the Computational Complexity of Heuristic Estimates for the A Algorithm.

    DTIC Science & Technology

    1983-01-01

    compare these algorithms according to the criterion ’number of node expansions," which is discussed and general - ly accepted in the published...alla Teoria doi Problemi." i i 4 a..... . - 22 - P__ e£jnjs of AICA 1980, Bari, Italy, 177-193 (in Italian). [HNRaph68] Hart, Peter A., Nils J. Nilsson...Intoijigence, 15 (1980), pp. 241-254. [Kibler82] Kibler, Dennis. "Natural Generation of Admissible Heuristics." Technical Report TR-188, Information and

  4. Optimization and Persistence

    DTIC Science & Technology

    1997-09-01

    and production costs are amplified by first-time applica- tion of high technology , security, and lim- ited production quantities. Alternate can...stred spendmg levels, average fleet age, average " technological advantage" of the fleet, and so forth. (The persistent features we discuss have all...a precise concept when dealing with nonmonetary units, such as technological advantage, but all elastic penalties are usually adjusted by the same

  5. Organization of face and object recognition in modular neural network models.

    PubMed

    Dailey, M N.; Cottrell, G W.

    1999-10-01

    There is strong evidence that face processing in the brain is localized. The double dissociation between prosopagnosia, a face recognition deficit occurring after brain damage, and visual object agnosia, difficulty recognizing other kinds of complex objects, indicates that face and non-face object recognition may be served by partially independent neural mechanisms. In this paper, we use computational models to show how the face processing specialization apparently underlying prosopagnosia and visual object agnosia could be attributed to (1) a relatively simple competitive selection mechanism that, during development, devotes neural resources to the tasks they are best at performing, (2) the developing infant's need to perform subordinate classification (identification) of faces early on, and (3) the infant's low visual acuity at birth. Inspired by de Schonen, Mancini and Liegeois' arguments (1998) [de Schonen, S., Mancini, J., Liegeois, F. (1998). About functional cortical specialization: the development of face recognition. In: F. Simon & G. Butterworth, The development of sensory, motor, and cognitive capacities in early infancy (pp. 103-116). Hove, UK: Psychology Press] that factors like these could bias the visual system to develop a processing subsystem particularly useful for face recognition, and Jacobs and Kosslyn's experiments (1994) [Jacobs, R. A., & Kosslyn, S. M. (1994). Encoding shape and spatial relations-the role of receptive field size in coordination complementary representations. Cognitive Science, 18(3), 361-368] in the mixtures of experts (ME) modeling paradigm, we provide a preliminary computational demonstration of how this theory accounts for the double dissociation between face and object processing. We present two feed-forward computational models of visual processing. In both models, the selection mechanism is a gating network that mediates a competition between modules attempting to classify input stimuli. In Model I, when the modules

  6. Lo Gnomone Clementino Astronomia Meridiana in Basilica

    NASA Astrophysics Data System (ADS)

    Sigismondi, Costantino

    2014-05-01

    Costruito per chiara volontà del papa 70 anni dopo il caso Galileo, lo Gnomone Clementino è un grande telescopio solare che non fa uso di lenti a 92 anni dall’invenzione del cannocchiale. Queste due caratteristiche basterebbero da sole a giustificare l’interesse verso questo strumento. L’astronomia meridiana è alla base dell’astrometria e dell’astrofisica moderna. Lo Gnomone Clementino sta oggi all’astronomia, come il veliero “Amerigo Vespucci” sta alla Marina Italiana. E’ possibile svolgere ogni genere di osservazione e studio su questo strumento, e dal 2002 vi tengo lezioni teorico-pratiche del corso di Storia dell’Astronomia e La Terra nel Sistema Solare della Sapienza, Università di Roma, Facoltà di Lettere e Filosofia. Questo testo aggiunge alcuni tasselli alla ricerca storica sulla meridiana, appoggiandosi, com’è naturale, sulle spalle di giganti che mi hanno preceduto in questi studi. In particolare la misura dell’azimut della meridiana, ed il suo inquadramento tra gli strumenti simili ed alcuni studi di astrometria sui dati del 1701-1703 di Bianchini, che sono apparsi fin’ora soltanto su riviste specializzate ed in Inglese vengono qui proposti in Italiano e semplificati, per valorizzare sempre più questa straordinaria opera d’arte e di scienza.

  7. Melena as presentation of primary small intestine inflammatory myofibroblastic tumor in an adult woman. A case report.

    PubMed

    Alloni, Rossana; Ancona, Gianluca; Gallo, Ida; Crescenzi, Anna; Coppola, Roberto

    2015-07-29

    È il caso di una paziente di 32 anni affetta da Miofibroblastoma non noto, trasferita da altra struttura sanitaria presso il nostro reparto perché affetta da melena da fonte non determinata. All’anamnesi risultava un precedente ricovero in altro Pronto Soccorso per un quadro clinico caratterizzato da dispnea, cefalea, tachicardia e astenia profonda., oltre a profonda anemia (Hg 5.8 g/dl). La gastroscopia non aveva evidenziato alcun motivo di sanguinamento e l’ecografia addomino-pelvica era risultata negativa. Dopo ripetute emotrasfusioni la tentata rettosigmoidoscopia era stata interrotto per intolleranza della paziente. Una volta stabilizzata si era proceduto al trasferimento presso la nostra struttura, e qui alla Risonanza Magnetica dell’addome veniva evidenziato, un ispessimento parietale esteso per 8 cm a del digiuno medio distale, in corrispondenza del fianco destro, antero – lateralmente al duodeno, ed adiacente ad esso una formazione ipervascolare solida di 20 mm. In prima ipotesi poteva trattarsi di un tratto invaginato del piccolo intestino con all’apice una lesione parietale solida, verosimile causa del sanguinamento. Persistendo il quadro anemico e avendo localizzato una lesione sospetta, la paziente è stata sottoposta ad intervento chirurgico, che portava alla conferma dell’esistenza di una lesione nodulare parietale del piccolo intestino, per cui si procedeva ad una sua resezione segmentaria comprendente la suddetta massa, sottoponendo il pezzo operatorio ad esame istologico definitivo. L’anatomo-patologo formulava la diagnosi isto-immunologica di pseudotumore infiammatorio (c.d. Tumore miofibroblastico infiammatorio) responsabile di invaginazione digiuno-digiunale. I margini di resezione risultavano indenni. Dimessa dopo un decorso postoperatorio senza complicanze, al follow-up di 6 mesi non si è ripresentato alcun sintomo di nuovo sanguinamento. Il sanguinamento della neoformazione responsabile della melena da fonte ignota era

  8. [Determination of serum immunoglobulins in asthmatic patients].

    PubMed

    Cabrera Jiménez, M; Valdés Sánchez, A F; Argüelles Sobrino, D; Gómez Echevarría, A H; Lastra Alfonso, G

    1989-01-01

    One hundred eighty one asthmatic patients were evaluated at the Allergy Consultation in Hermanos Ameijeiras Clinical Surgical Hospital. A case history was made for each of the patients, where the family background and personal history of allergy was collected; possible precipitating factors (such as inhalable, food, infectious, irritant, as well as climate factors) and physical and respiratory examinations. Serum immunoglobulin tests (by means of the ultramicroanalitic system (SUMA) and the rest of Igs: IgA, IgG, IgM by means of Mancini's simple radial immunodifusion method were made. Total eosinophil count was made to all of the patients in the study as well as serial studies of the faces. An increase in the IgE and IgM figures was found in asthmatic patients related to individual controls, and in relation to the normal figures for the adult population in our country. IgA and IgG determinations were normal both in the asthmatic and control groups, related to the standard figures.

  9. Regional Stratigraphy and Petroleum Systems of the Illinois Basin, U.S.A.

    USGS Publications Warehouse

    Swezey, Christopher S.

    2009-01-01

    The publication combines data on Paleozoic and Mesozoic stratigraphy and petroleum geology of the Illinois basin, U.S.A., in order to facilitate visualizing the stratigraphy on a regional scale and visualizing stratigraphic relations within the basin. Data are presented in eight schematic chronostratigraphic sections arranged approximately from north to south, with time denoted in equal increments along the sections, in addition to the areal extent of this structural basin. The stratigraphic data are modified from Hass (1956), Conant and Swanson (1961), Wilman and others (1975), American Association of Petroleum Geologists (1984, 1986), Olive and McDowell (1986), Shaver and others (1986), Thompson (1986), Mancini and others (1996), and Harrison and Litwin (1997). The time scale is taken from Gradstein and others (2004). Additional stratigraphic nomenclature is from Harland and others (1990), Babcock and others (2007), and Bergstrom and others (2008). Stratigraphic sequences as defined by Sloss (1963, 1988) and Wheeler (1963) also are included, as well as the locations of major petroleum source rocks and major petroleum plays. The stratigraphic units shown are colored according to predominant lithology, in order to emphasize general lithologic patterns and to provide a broad overview of the Illinois basin. For the purpose of comparison, three columns on the right show schematic depictions of stratigraphy and interpreted events in the Illinois basin and in the adjacent Michigan and Appalachian basins.

  10. Correlation Energy of A Model Problem

    NASA Astrophysics Data System (ADS)

    Campuzano, Mauricio; Fessatidis, Vassilios; Mancini, Jay D.; Bowen, Samuel P.

    2006-03-01

    The search for new analytic methods of calculating details of the energy spectrum of strongly interacting systems has long been the vocation of both theoretical chemists and physicists. In particular, the accurate calculation of both the ground-state and correlation energies are important in settling issues relating to the exact nature of the ground-state and low-lying excited states. Furthermore there exist a number of physically relevant systems that cannot be treated by perturbation theory or in which other approximation schemes yield completely erroneous results. Exact diagonalization studies are well known to suffer from size effects, while the neglection of correlations in fluctuations in mean-field theories, although calculationally tractable, leave much to be desired. Here we wish to apply a recently developed Generalized Moments Expansion (GMX) [1] to the problem of N coupled one dimensional harmonic oscillators given by the Hamiltonian: H=12∑j=1^N( -d^2dxj^2+2circ % xj^2) +g^2∑ij^Nxij. Comparisons are then made with other methods such as a Lanczos tridiagonalization scheme as well as a Canonical Sequence Method approach. 1] V. Fessatidis, J.D. Mancini, R. Murawski and S.P. Bowen, Phys. Lett. A.

  11. Treatment with zincum metallicum CH5 in patients with liver cirrhosis. Preliminary study.

    PubMed

    Bădulici, S; Chirulescu, Z; Chirilă, P; Chirilă, M; Roşca, A

    1994-01-01

    The zinc, an important enzymatic cofactor, is involved in many metabolic processes. Its deficiency might be due either to malabsorption or to excessive utilization. In the medical literature of the latest 10 years, zinc was considered to play a part in the immune processes. The authors of the present paper intend to study the zinc and immunoglobulin levels in various diseases, i.e., chronic progressive hepatitis, liver cirrhosis (LC), dermatitis, bronchial asthma. This preliminary investigation was carried out in 30 patients with LC in whom serum zinc values were assayed by atomic absorption spectrophotometry and the immunoglobulin levels were determined using the Mancini type simple radial immunodiffusion technique. All these patients presented considerable decrease of serum zinc concentration, the values ranging between 3.06 and 7.65 mumol/l as compared with 19.8 +/- 1.5 mumol/l in the controls, alongside with the increase of immunoglobulins G and M. In the patients treated with Zincum metallicum CH5 it was observed after about 30 days of treatment that the clinical state was considerably improved and IgG and IgM as well as serum zinc had resumed their normal values. This treatment should not be interrupted since in LC, without permanent additional supply, the serum zinc returns rapidly to the initial deficit or even lower.

  12. [Expression and secretion of alpha-2-macroglobulin by dust-stimulated alveolar macrophages].

    PubMed

    Ossege, L M; Voss, B; Müller, K M

    1994-04-01

    In dust-induced, fibrosing lung processes macrophages are increased activated by foreign body reactions. The release of monokines and proteolytic enzymes, which depends on phagocytosis, may lead to destruction of the extracellular matrix with the consequence of degradation and restitution. Also the transcellular signaling or cell-matrix-interaction may finally result in development of fibrosis. However the proteolytic effect of elastase and collagenase can be inhibited by alpha-2-macroglobulin. Alpha-2-macroglobulin is a protease-inhibitor, which is synthesized by macrophages and has a wide spectrum of inhibitory abilities. Our interest was focused on observation of the production of alpha-2-macroglobulin by alveolar macrophages after stimulation with inorganic dusts of different chemical and physical properties. Rat alveolar macrophages were isolated by bronchoalveolar lavage and exposed to crocidolite, quarz or welder steam dust in vitro. The expression and secretion of alpha-2-macroglobulin was examined by non radioactive in situ hybridization, indirect immunofluorescence and radial immunodiffusion according to Mancini. The stimulated rat alveolar macrophages showed an increased expression of alpha-2-macroglobulin-mRNA and also an enhanced synthesis of alpha-2-macroglobulin-protein. Besides only small differences between the substances used for stimulation were demonstrated.

  13. [IgE antibodies in human Fasciola hepatica distomiasis].

    PubMed

    Sampaio Silva, M L; Vindimian, M; Wattré, P; Capron, A

    1985-09-01

    In patients infected by Fasciola hepatica, total IgE and specific IgE antibodies have been determined by radioimmunoassays, and IgG, IgA, IgM levels by radial immunodiffusion test (Mancini, 1965). Moreover, total and specific IgE levels have been related to parasite egg burden, age, clinical features and eosinophilia. Elevated total IgE and specific IgE antibodies levels have been found respectively in 76% and 48% of the patients whereas there was no significant variations in other immunoglobulins levels. However, though the amount of total and specific IgE was lower than in other helminthic diseases, it appears to be a significant data of the immune response to parasites as it has been reported and discussed previously. It has been shown a significant relationship between total and specific IgE levels, the number of lines by immunoelectrophoresis, and the results of the indirect haemagglutination and indirect fluorescent antibody techniques; each method appeared to be in equal value to perform the early diagnosis of human Fasciola hepatica. In addition, specific IgE antibodies levels were correlated with eosinophilia specially when it exceeds 15%. This results demonstrate the availability of their measurement in the diagnosis of fascioliasis versus other diseases with marked eosinophilia.

  14. Kinetic abnormalities of carbamyl phosphate synthetase-I in a case of congenital hyperammonaemia.

    PubMed

    Qureshi, I A; Letarte, J; Ouellet, R; Lemieux, B; Cathelineau, L

    1986-01-01

    A sensitive direct colourimetric method has been employed to measure kinetic parameters and pH dependence of carbamyl phosphate synthetase-I, in a liver sample from a 2 1/2-month-old girl, who died from complications of a late-developing congenital hyperammonaemia. The residual activity of carbamyl phosphate synthetase-I was 25%, whereas other urea cycle enzymes were within normal range. Apparent Km for ammonium ion (0.73 mmol/L) was significantly increased (normal range 0.24-0.51). Km for bicarbonate ion was normal, while Km for NAG showed a slight variation from normal. The pH dependence curve of the patient's enzyme was flat, as compared to two controls showing pH optima at 7.8. Radial immunodiffusion (Mancini) of the abnormal enzyme against human enzyme antiserum gave a cross-reacting material of 10-20%. The methodological approach presented can be used to characterize abnormal enzymes in cases of partial deficiency with only 100-200 mg of liver tissue.

  15. Specific assays of hemostasis proteins: fibrinogen.

    PubMed

    Palareti, G; Maccaferri, M

    1990-01-01

    Fibrinogen levels are considered a useful indicator in several pathological conditions and recent epidemiological studies have indicated a relationship between fibrinogen levels and increased risk of cardiovascular disease. An accurate measurement of this protein is therefore recommended and the Italian Committee for Standardization of Methods in Hematology and Laboratory has carried out a collaborative study to determine accuracy, precision and comparability of results obtained by six different methods, i.e., 1. Blombäck and Blombäck method, 2. clotting assay according to von Clauss, 3. radial immunodiffusion according to Mancini et al., 4. total amount of clottable fibrinogen by means of turbidimetric assay according to Ellis and Stransky, and 5. with ChromotimeSystem, 6. prothrombin time (PT)-derived fibrinogen assay on ACL coagulometer. The most accurate resulted the von Clauss method, but only if calibrated with an internal standard; in fact, when the manufacturer's tables are used, the method proved to be highly inaccurate. The best precision, both intra- and between-laboratory, was obtained by the PT-derived test on ACL. On the basis of this still incomplete evaluation of the CISMEL study data, we can conclude that: i. some methods used in clinical laboratories give accurate results only after adequate calibration; ii. a reference standard pool may be a valid tool for calibration and for a better between-laboratory comparability; iii. a predilution of the samples with high fibrinogen levels seems indicated; iv. automation markedly increases the precision of methods.

  16. Inaccurate measurement of a polymeric IgA myeloma protein by nephelometric and fluorometric instrumentation.

    PubMed

    Levinson, S S; Goldman, J O; Markyvech, L; Nathan, L E

    1986-11-01

    The concentration of IgA in a serum was 5.99 g/L as assayed nephelometrically with reagent from one company, but varied between 5 and 3 g/L (for sixfold and 36-fold dilutions, respectively) without giving a definitive answer when assayed with reagent from another source. Immunofixation electrophoresis indicated an IgA lambda monoclonal protein of 45 g/L. Radial immunodiffusion showed two components, having a total concentration of 41 g/L. By fluorometry the IgA was 3.1 g/L. Increasing the dilution caused the (dilution-corrected) lower values to increase. Although the most frequent cause of such discrepant findings is an IgA2 myeloma, which occurs in about one of every 100 myeloma cases, Ouchterlony double diffusion indicated the major component to be IgA1. A polymer, Mr 670,000, was identified by column chromatography. Contrary to the usual behavior of polymers assayed with radial immunodiffusion, which underestimates their concentration, this polymer reached equivalency in agreement with its true concentration as assayed by the Mancini-Heremans technique.

  17. [The quantitative immunochemical determination of specific antibodies against Candida albicans within the scope of immunological testing in the malignant melanoma (author's transl)].

    PubMed

    Schwartze, G; Friedrich, E; Kühn, G; Lübbe, D

    1980-01-01

    Precipitating antibodies against a polysaccharide antigen from Candida albicans were in the human serum determined quantitatively by the aid of a reversed radial immunodiffusion technique. The gel, therewith, contained the antigens, whilst into the gel's punching holes the serum specimens and the calibrated standards were filled in. Amplifying examinations of the course in patients suffering from malignant melanoma, the findings of the methods used hitherto were compared within the scope of an immunological status (in vivo-skin testing by dinitrochlorobenzene, Candida antigen, trichophytin, and tuberculin, precipitation test after Ouchterlony, immunofluorescence-optical evidence of Candida antibodies as well as determination of the Candida antibodies. In contrast to the hitherto available qualitative or semi-quantitative methods evidencing humoral antibodies, we consider the feasibility of simply workable quantitative determinations of antibodies to be an enrichment of the scale of methods. The reversed Mancini technique, simultaneously, is appropriate to determine specific antibodies against other diagnostically relevant antigens, so far as precipitating antigen/antibody complexes are formed. Therewith, commercially available testing kits could favour the standardization.

  18. [Maternal serum IgA in intrauterine fetal growth retardation].

    PubMed

    Briese, V; Straube, W

    1983-01-01

    The problem was to prove the significance of IgA estimations in maternal serum samples with regard to the diagnosis and the monitoring of intrauterine fetal growth retardation. IgA was estimated in serum samples from two groups of patients. The first was formed from 62 serum samples of 14 primi- and multiparae delivered from new-borns with a birth weight below the 10th centile. The second was the control group. 82 serum samples from 18 gravidae were available. The IgA estimations were carried out by means of single radial immunodiffusion according to Mancini and co-workers. The IgA values of the two groups were different considering that linear regression model was used; negative correlation between IgA and pregnancy weeks in group with retarded new-borns (y = -151,78 X + 7579,8; r = -0,39) and positive correlation of these parameters in control group (y = 73,59 X -429,38; r = 0,26). It could be that IgA is an additional parameter within placental function tests of the 3rd trimester of pregnancy.

  19. [Secretory immunoglobulin A (S-IgA) in the amniotic fluid supports the fetal maturity profile].

    PubMed

    Briese, V; Brock, J; Stark, K H

    1987-01-01

    Amniotic fluid levels of secretory immunoglobulin A(S-IgA) were measured by single radial immunodiffusion according to the method of Mancini using a monospecific antiserum against the human secretory component. 114 amniotic fluid samples were examined. The S-IgA values showed a correlation (r = 0.49) with the phospholipid levels. Additionally, it was observed no correlation between Serum and amniotic fluid S-IgA concentrations estimated as parallel investigations in 20 patients. S-IgA values greater than or equal to 82 mg/l were used to diagnose a sufficient fetal lung maturity. False negative values of S-IgA are possible. In 19 cases of newborns without signs of respiratory distress syndrome amniotic fluid S-IgA estimations were performed up to 32 hours before the delivery. False negative phospholipid levels were estimated in 2 cases, false negative S-IgA levels in 4 cases. The measurement of S-IgA in amniotic fluid will serve as an additional parameter for the estimation of fetal lung maturity.

  20. [Changes in some of the kallikrein-kinin system indices in patients with acute pancreatitis].

    PubMed

    Uchikov, P; Terzieva, D; Shtereva, S; Sirakova, I

    1999-01-01

    Proceeding from the major role played by kinins in the pathophysiology of endogenic intoxication among acute pancreatitis patients (AP), and the conflicting and scarce literature data on the issue, the changes in the level of prekallikrein, high-molecular kininogen, alpha 2-macroglobulin, alpha 1-antitrypsin, plasminogen and carboxypeptidase N in the blood are studied in dynamics at 1, 3, 5, 7, 9 and 14 days after admission of 48 patients with mild, and 121 with severe form of acute pancreatitis. Forty-eight individuals are used for control purpose. PK, KG and plasminogen are assayed using the colorimetric method of the Boehringer Company--Mannheim, KG--by chronometric test of the Sigma Diagnostics Company, CPO N--after Folk's method, as modified by Erdös, alpha 2-MG--by radial immunodiffusion according to Mancini, and alpha 1-AJ--by immunoturbidometric method. As shown by the results, in acute pancreatitis KKS activation occurs, demonstrated by the reduced PK, KG and alpha 2-MG values, and by the statistically significant enhancement of alpha 1-DJ, COP N and plasminogen activity. In patients presenting mild forms the aforementioned changes are rather weakly manifested and transient, while in the serious forms they are markedly expressed and persisting. In either form the deviations are rather pronounced in the first three days of disease. Coinciding with a clinical course characterized by cardiovascular changes similarly strongly manifested.

  1. [Amyloidosis associated with chronic hemodialysis. The prognostic significance of beta 2-microglobulin changes in patients with terminal chronic kidney failure treated by repeated hemodialysis].

    PubMed

    Manasia, M; Meseşan, M; Gherman-Căprioară, M; Malide, D; Paţiu, I M; Pârvu, L; Vlăduţiu, D; Spânu, C S

    1991-01-01

    In patients with chronic renal insufficiency (CRI) treated by programmed haemodialysis (HD) were detected, during the last years, amyloid stores at the level of carpal tunnel, of some joints, bones etc., finding which permitted to describe a new type of amyloid, the so-called "dialysis associated amyloid". The immunochemical structure of this amyloid is similar to that of the beta-2-microglobulin (beta-2m). Patients display various clinical manifestations. The variations of serum and urinary beta-2m were studied in 51 uraemic patients chronically dialyzed by means of dialyzers with cuprophan membrane, the average duration of the HD treatment being of 51.5 months. The pre- and postdialysis values of the beta-2-m were determined by Mancini radial immunodiffusion. A considerable increase--about 25 times--of serum beta-2-m was observed, which was more marked in anuric patients and those with a duration of more than 5 years of HD treatment. Among these, 15.7% show various articular manifestations (detected clinically and radiologically): a carpal tunnel syndrome (one patient required surgery) and arthropathies with various sites (scapulohumeral, knee). During a HD sitting with cuprophan membrane dialyzers, an increase of beta-Z-m was recorded, but it was statistically non-significant.(ABSTRACT TRUNCATED AT 250 WORDS)

  2. [The practical assessment of complement involvement in anaphylactoid reactions].

    PubMed

    Watkins, J

    1982-01-01

    While no single test is entirely satisfactory for the investigation of anaphylactoid response to intravenous anaesthetic drugs, changes in plasma chemistry are particularly easy to measure and may be carried out at centres remote from the clinical incident. Analysis should be carried out on a sequence of blood samples taken into EDTA over the 24 hours following such reaction. Few reactions are classical Type I, IgE antibody mediated, reactions and most involved the complement proteins in some specific manner. By measuring changes in the levels and activity of the complement proteins, particularly C3, C4 and C5, between samples, it is possible to deduce the likely mechanism of a reaction and thus to advise more wisely on future treatment of the patient. Although levels of any plasma protein may be readily measured by single radial immunodiffusion (Mancini technique) using appropriate specific antisera, one assessment of complement activity (degree of conversion) has until now largely been restricted to technically exacting Laurell immunoelectrophoresis. Two simple immunoelectrophoretic techniques are described here which do not require such expertise.

  3. The validity of the radial immunodiffusion method for the quantitative determination of human IgM. Evaluation of a modified method.

    PubMed

    de Bruyn, A M; Klein, F

    1976-01-01

    Three subgroups of human IgM can be distinguished on the basis of differences of slopes of the D2 versus absolute concentration plot in the radial immunodiffusion technique (Klein et al., 1973). Individual IgM fractions, whether mono- or polyclonal, always belong to only one of these groups. The differences between the subgroups disappear after reduction of the IgM to 7S subunits. These findings provide an explanation for the large discrepancies between absolute IgM determinations in different laboratories. It follows that most of the readings of individual IgM values in the Mancini technique must be wrong by any standard, including WHO reference preparations. The insertion of a simple reduction step in the assay abolishes the differences in quantitative reactivity between IgM subgroups as well as between natural 7S and 19S IgM. This allows an absolute determination of both forms together. The values thus obtained differ considerably from the estimates given by Humphrey and Batty (1974). It also appears that the International Units of the WHO do not represent the same quantity of IgM in different reference sera. The modified method allows the determination of total monoclonal as well as polyclonal human IgM by weight.

  4. [Immunoglobulins in the tear secretion in cases of herpetic keratitis].

    PubMed

    Malachi, A; Stan, C

    1999-01-01

    The goal of this study is to analyse the immunoglobulins of patients with herpetic keratitis. Tears have been collected from 36 patients with herpetic keratitis (study group) and 20 healthy volunteers (control group). Quantitative determination of A, G, M immunoglobulins and secretor IgA has been performed by Mancini radial immunodiffusion method. Our study has revealed the following results: a decrease in IgM and IgA levels compared with control group (p < 0.01) and an increase in secretory IgA compared with fellow eye (p < 0.05) in patients with herpetic keratitis of the first manifestation; eyes with recidivant herpetic keratitis showed higher level of IgA than the control group (p < 0.01) and a higher level of IgG than the first disease manifestation group (p < 0.05); the IgA level in the healthy eye of the patients with herpetic keratitis appeared significantly lower than in the control group (p < 0.001).

  5. [Effect of Neowetadina and Polyvaccinum on serum levels of immunoglobulins and total proteins in calves during the industrial fattening process].

    PubMed

    Rzedzicki, J; Gliński, Z; Kaźmir, Z; Mikucki, J

    1986-01-01

    The usefulness of nonspecific stimulating preparations-Neowetadina (Biowet) and Poliwakcyna (Polfa) for stimulation of the serum level of immunoglobulins of the classes IgG, IgA and IgM and total protein was determined in calves of the black and white breed at the age of 9-10 weeks (average body weight 75-80 kg) over 8 weeks from the onset of industrial fattening in technological groups. The stimulants were given in single intramuscular injections at the following doses: 0.08 and 0.4 ml of Neowetadina per 1 kg of body weight, 0.4 ml of Poliwakcyna forte per 1 kg of body weight. The level of the particular classes of immunoglobulins in the calf sera was determined by radial immunodiffusion according to Mancini et al., modified by Fahey and McKelvey, and that of total protein by the biuret method. The serum of the IgG class immunoglobulins increased statistically significantly (P less than or equal to 0.05), starting from the 4th week after the administration of the preparations and reached its maximal value in the 5th week. However, the serum level of IgA increased in the 8th week of observation. Poliwakcyna and Neowetadina effected only slightly the increase of the serum level of IgM immunoglobulins. The preparations also stimulated the increase of total protein level in the blood serum of the calves.

  6. [Serum apolipoprotein and lipoprotein levels in patients with diabetes mellitus type 2].

    PubMed

    Gosiewska, A; Zarzycki, W; Depta, K; Składanek, J; Kinalski, M; Lopaczyński, W

    1989-04-01

    Lipid disturbances were evaluated in type II diabetes comparing the results of determinations of total cholesterol and HDL-cholesterol with apolipoprotein A and B levels. The study was carried out in 32 diabetics with type II disease with mean duration 7 +/- 9 years, 15 males and 17 females, and in 30 controls. In all cases postprandial glycaemia, haemoglobin A1C, total cholesterol concentration (by the Liebermann-Burchardt method), HDL-cholesterol (by the Błaszczyszyn method), triglycerides (by the enzymatic method), an apolipoprotein A and B (by Mancini radial immunodiffusion method using a Bio-Merieux kit) were determined. A significant correlation was demonstrated between the concentrations of cholesterol and apolipoprotein A, on the one hand, and blood glucose level, on the other, and apolipoprotein A was found to be a better indicator of lipid disturbances in the aspect of diabetes control then apolipoprotein B. The latter was a better indicator of lipid disturbances in diabetes connected with obesity, than total cholesterol.

  7. Chlamydia pneumoniae antibodies and inflammatory reaction in patients with ischemic heart disease.

    PubMed

    Zdrenghea, D; Bodizs, G; Taloş, C; Stanciu, A; Roşu, R; Timiş, D; Aluaş, D

    We studied the relationship between Chlamydia pneumoniae antibodies, C-reactive protein (CRP) and interleukine 8 (IL-8) in 87 patients with ischemic heart disease: 29 patients with acute myocardial infarction, 18 patients with unstable angina pectoris and 40 patients with stable effort angina. We determined in all patients IgG and IgA antibodies to Chlamydia pneumoniae, CRP and IL-8. Species specific antibodies to Chlamydia pneumoniae (IgG and IgA) were detected by indirect ELISA technique (Savyon Diagnostics Ltd, Israel). Interleukine-8 measured by a commercially available ELISA kit (CLB, Amsterdam, The Netherlands). CRP was determined by radial immunodiffusion (Mancini). The IgG antibodies were present in 25 patients (29%), the greatest percentage being noted in patients with unstable angina pectoris (50%). The IgA antibodies were present, as a sign of chronic Chlamydia pneumoniae infection, in 56% of the patients with IgG antibodies. CRP was positive in 52% of the 25 patients with positive IgG antibodies, but in only 34% of the 62 patients without IgG antibodies (p < 0.01). IL-8 was positive in 12% of the patients with IgG antibodies, and in 21% of the patients without IgG antibodies but the difference is not significant (p > 0.05). It is concluded that there is a relationship between the presence of the Chlamydia pneumoniae infection and inflammatory reaction in patients with ischemic heart disease, but the neutrophils are not implied in this process.

  8. [Incidence of varying factors on the immunochemical behavior of alpha 1-acid glycoprotein].

    PubMed

    Biou, D; Durand, G; Feger, J; Agneray, J

    1980-02-01

    Electroimmunodiffusion methods of Laurell and radial immunodiffusion method of Mancini are compared for the qualitative and quantitative analysis of native and desialylated alpha 1-acid glycoprotein. Samples are incubated under different conditions at decreasing pH (3.5 to 0.5 pH units), with increasing ionic strength and with neuraminidase during different time intervals. Results show a pronounced decrease in electrophoretic mobility of alpha 1-acid glycoprotein treated either with acidic reagents or with neuraminidase (ionic strength has no effect). Such a procedure might involve chemical or enzymatic hydrolysis by which sialyl residues are removed. This hydrolysis implicates lower results in the estimation of the desialylated glycoprotein by electroimmunodiffusion. On the other hand, the amounts of alpha 1-acid glycoprotein evaluated by radial immunodiffusion are not modified after incubation. This is expected since diffusion and antigenic properties are not related to the sialic acid content. The data suggest that radial immunodiffusion, less accurate and sensitive than electroimmunodiffusion, is nevertheless more adequate for estimating native and desialylated alpha 1-acid glycoprotein.

  9. [Immunological features of renal lesion in chronic alcoholism].

    PubMed

    Tarasova, N S; Beloborodova, E I

    2001-01-01

    One hundred and sixty males whose mean age was 42 years were examined. Of them there were 122 patients with stage II chronic alcoholism (CA), 92 with renal lesion following the type of chronic glomerulonephritis (CG) (Group 1); 30 patients with CA without renal lesion (Group 2), and 42 patients had CG alone (Group 3). Methods that characterize humoral immunity were used. These included detection of circulating immune complexes (CIC) by polyethylene glycol precipitation, measurement of the concentrations of IgA, IgM, and IgG by the Mancini radial immunodiffusion assay, detection DNA antibodies by the Farre test modified by V. V. Koshelev, that of serum anticomplement activity, measurement of the levels of complement by its hemolytic activity, determination of the activity of the lysosomal enzymes acid RNAase, acid DNAase, and cathepsin by the procedure of A. A. Pokrovsky et al. Complex estimation of the content of CIC, immunoglobulins, DNA antibodies and the activity of the lysosomal enzymes in patients with renal lesion makes it possible to evaluate the severity of a pathological process and to make its prognosis.

  10. Clinico-immunological aspects of vernal catarrh in hilly terrains of Himachal Pradesh.

    PubMed

    Bisht, R; Goyal, A; Thakur; Singh, T; Sharma; Vijay; Goyal, B K

    1992-01-01

    Very few immunological studies in vernal catarrh have been conducted in India and abroad, but none in Himachal Pradesh in spite of its high incidence in the State. In the present study 25 patients of vernal catarrh residing at a height ranging between 1000 to 2500 meters above mean sea level have been evaluated. Their immunological status of serum and tears after detailed clinical assessment was studied by single radial immunodiffusion technique of Mancini et al. The values of serum IgA and IgM were significantly higher in patients than in controls. The serum IgE level had no significant difference. The IgG was significantly lower in patients with vernal catarrh. The values of tear IgM, IgE and IgA in these patients were significantly higher than in controls. However, in no case or control group C3C and C4 were detected in tears. The limbal type of vernal catarrh was found to be the most common in this part of the country. No mixed case was seen. Derangement of the immune system in the pathogenesis of vernal catarrh is suggested.

  11. [IgG subclasses in healthy children and in children with frequent respiratory tract infections].

    PubMed

    Griese, M; Walda, M; Meuser, M; Reinhardt, D

    1990-10-01

    A group of 130 children presenting with frequent respiratory tract infections was examined for serum levels of IgG-subclasses IgG1, IgG2, IgG3 and IgG4 using radial immunodiffusion according to Mancini. Additionally a control group of 175 children not prone to infections was investigated. Both, low and high levels compared to controls were observed for IgG3 and IgG4. 11.5% of the children with frequent airway infections had IgG3 values below 2 SD below the mean for age compared to 2.8% in the control group (p less than 0.01). Likewise a low IgG4 level was observed more frequently in children prone to airway infections (9.8% versus 2.8% in control; p less than 0.05). IgG4 was undetectable (level less than 3.4 mg/dl) in 5 of the 175 control children. Despite an accumulation of low or undetectable IgG3 or IgG4 levels in children with frequent respiratory tract infections, no correlation between low IgG subclass-levels and the degree of the individual disease could be detected. Based on this lack of a simple causal relationship between frequent respiratory tract infections and the finding of low or undetectable IgG-subclass levels, an immunoglobulin replacement therapy has to be considered with reserve.

  12. Polystyrene as an affinity chromatography matrix for the purification of antibodies.

    PubMed

    Staak, C; Salchow, F; Clausen, P H; Luge, E

    1996-08-14

    Affinity chromatography is used for the purification of diagnostic polyclonal antibodies in order to ensure specificity. Most commonly, activated bead-formed agarose or its derivatives are used as gel matrices. Alternative matrix materials have been described, but as yet they do not appear to offer important advantages. In this study, pulverized polystyrene (PS 158K, BASF, Mannheim, Germany) was used as a solid phase for the immobilisation of bovine immunoglobulins (Ig). Affinity chromatography was performed using these coated polystyrene beads as the column matrix material in the purification of anti-bovine Ig. The polystyrene binding capacity for the different bovine Ig classes was compared using the Mancini single radial immunodiffusion technique, and ELISA procedures were used to monitor the antibody reactivity of purified and unpurified antibodies. The degree of purification was comparable to the most commonly used procedure using gel matrices from activated bead-formed agarose (e.g. CNBr-activated Sepharose 4B, Pharmacia/LKB Biotechnology, Uppsala, Sweden), but the antibody yield per ml column volume was distinctly lower. In order to raise the yield, such polystyrene bead columns with immobilized antigen can be re-used without loss of activity or larger column volumes can be used to raise the binding capacity. The polystyrene material is quite durable, chemically and immunologically inert and has a long shelf life. We conclude that polystyrene based affinity chromatography is efficient, simple and cheap.

  13. Cultural, social and personal ways of experiencing love - an analysis of the perception of subjectivity.

    PubMed

    Gori, Claudia

    2011-11-01

    This article is based on analysis of 4 couple's personal and public documents, in order to integrate personal choices, values and ideas with cultural representations and social attitudes. Moreover, being based on Italian sources from the nineteenth century, the study offers an historical insight on the Italian nation-building process and its political and social foundations. This study is based on archival and printed primary sources from: Gianna Maffei and Ercole Trotti Mosti (Museo Centrale del Risorgimento - Roma - MCRR); Augusto Pierantoni and Grazia Mancini (Museo Centrale del Risorgimento - Roma); Luigi Majno and Ersilia Bronzini (Archivio Unione Femminile Nazionale - Milano); Angiolo Orvieto and Laura Cantoni (Archivio Contemporaneo Bonsanti del Gabinetto Vieuesseux - Firenze - ACGV). This study reflects on love as a political and moral issue, by linking the personal sphere of subjectivity to the public dimension of the political community. An extensive understanding of the role played by the perception and the expression of sentiments can be considered as the central issue of this analysis.

  14. Operational flood-forecasting in the Piemonte region - development and verification of a fully distributed physically-oriented hydrological model

    NASA Astrophysics Data System (ADS)

    Rabuffetti, D.; Ravazzani, G.; Barbero, S.; Mancini, M.

    2009-03-01

    A hydrological model for real time flood forecasting to Civil Protection services requires reliability and rapidity. At present, computational capabilities overcome the rapidity needs even when a fully distributed hydrological model is adopted for a large river catchment as the Upper Po river basin closed at Ponte Becca (nearly 40 000 km2). This approach allows simulating the whole domain and obtaining the responses of large as well as of medium and little sized sub-catchments. The FEST-WB hydrological model (Mancini, 1990; Montaldo et al., 2007; Rabuffetti et al., 2008) is implemented. The calibration and verification activities are based on more than 100 flood events, occurred along the main tributaries of the Po river in the period 2000-2003. More than 300 meteorological stations are used to obtain the forcing fields, 10 cross sections with continuous and reliable discharge time series are used for calibration while verification is performed on about 40 monitored cross sections. Furthermore meteorological forecasting models are used to force the hydrological model with Quantitative Precipitation Forecasts (QPFs) for 36 h horizon in "operational setting" experiments. Particular care is devoted to understanding how QPF affects the accuracy of the Quantitative Discharge Forecasts (QDFs) and to assessing the QDF uncertainty impact on the warning system reliability. Results are presented either in terms of QDF and of warning issues highlighting the importance of an "operational based" verification approach.

  15. [Normal values of serum IgD in children depending on their age].

    PubMed

    Siwińska-Gołebiowska, H; Borysewicz, G

    1981-01-01

    In the Institute of Mother and Child in Warsaw there were determined normal values of IgG, IgA, IgM and IgE for different ages of children and youth. The determination of normal IgD levels is the last stage in this kind of studies concerning immunoglobulins. IgD levels were estimated in 372 cases in 19 age groups: in the cord sera, infant sera and older healthy children as well as in healthy adults sera. The IgD concentration was determined by Mancini method and given in I.U/ml. The results were statistically analysed. In all samples of cord sera no IgD traces were found. In infant sera (up to one year) IgD level is very low and was detected in 27% of cases. The percentage of detectability as well as the mean IgD concentration in serum grows systematically to the age of 15 years. There is high statistically significant correlation between serum IgD concentration and the age both for the arithmetical means (r = 0,33) and for geometrical values (r = 0,39). The correlation coefficients between detectability of serum IgD and age are higher (linear dependence-r = 0,67, square dependence - r = 0,75).

  16. Visual detail about the body modulates tactile localisation biases.

    PubMed

    Margolis, Aaron N; Longo, Matthew R

    2015-02-01

    The localisation of tactile stimuli requires the integration of visual and somatosensory inputs within an internal representation of the body surface and is prone to consistent bias. Joints may play a role in segmenting such internal body representations, and may therefore influence tactile localisation biases, although the nature of this influence remains unclear. Here, we investigate the relationship between conceptual knowledge of joint locations and tactile localisation biases on the hand. In one task, participants localised tactile stimuli applied to the dorsum of their hand. A distal localisation bias was observed in all participants, consistent with previous results. We also manipulated the availability of visual information during this task, to determine whether the absence of this information could account for the distal bias observed here and by Mancini et al. (Neuropsychologia 49:1194-1201, 2011). The observed distal bias increased in magnitude when visual information was restricted, without a corresponding decrease in precision. In a separate task, the same participants indicated, from memory, knuckle locations on a silhouette image of their hand. Analogous distal biases were also seen in the knuckle localisation task. The accuracy of conceptual joint knowledge was not correlated with tactile localisation bias magnitude, although a similarity in observed bias direction suggests that both tasks may rely on a common, higher-order body representation. These results also suggest that distortions of conceptual body representation may be more common in healthy individuals than previously thought.

  17. Cultural, social and personal ways of experiencing love – an analysis of the perception of subjectivity

    PubMed Central

    Gori, Claudia

    2011-01-01

    Summary This article is based on analysis of 4 couple’s personal and public documents, in order to integrate personal choices, values and ideas with cultural representations and social attitudes. Moreover, being based on Italian sources from the nineteenth century, the study offers an historical insight on the Italian nation-building process and its political and social foundations. This study is based on archival and printed primary sources from: Gianna Maffei and Ercole Trotti Mosti (Museo Centrale del Risorgimento – Roma – MCRR); Augusto Pierantoni and Grazia Mancini (Museo Centrale del Risorgimento – Roma); Luigi Majno and Ersilia Bronzini (Archivio Unione Femminile Nazionale – Milano); Angiolo Orvieto and Laura Cantoni (Archivio Contemporaneo Bonsanti del Gabinetto Vieuesseux – Firenze – ACGV). This study reflects on love as a political and moral issue, by linking the personal sphere of subjectivity to the public dimension of the political community. An extensive understanding of the role played by the perception and the expression of sentiments can be considered as the central issue of this analysis. PMID:22037756

  18. Medical competence, anatomy and the polity in seventeenth-century Rome

    PubMed Central

    De Renzi, Silvia

    2007-01-01

    At the centre of this article are two physicians active in Rome between 1600 and 1630 who combined medical practice with broader involvement in the dynamic cultural, economic and political scene of the centre of the Catholic world. The city's distinctive and very influential social landscape magnified issues of career-building and allows us to recapture physicians’ different strategies of self-fashioning at a time of major social and religious reorganization. At one level, reconstructing Johannes Faber and Giulio Mancini's medical education, arrival in Rome and overlapping but different career trajectories contributes to research on physicians’ identity in early modern Italian states. Most remarkable are their access to different segments of Roman society, including a dynamic art market, and their diplomatic and political role, claimed as well as real. But following these physicians from hospitals to courts, including that of the Pope, and from tribunals to the university and analysing the wide range of their writing – from medico-legal consilia to political essays and reports of anatomical investigations – also enriches our view of medical practice, which included, but went beyond, the bedside. Furthermore, their activities demand that we reassess the complex place of anatomical investigations in a courtly society, and start recovering the fundamental role played by hospitals – those quintessential Catholic institutions – as sites of routine dissections for both medical teaching and research. (pp. 551–567) PMID:21949463

  19. Photometric Observations and Study of the Transiting Exoplanetary System HAT-P-8

    NASA Astrophysics Data System (ADS)

    Tan, H. B.; Wang, X. B.; Gu, S. H.; Cameron, A. C.

    2013-11-01

    Three transit events of HAT-P-8 are observed by using the 1 m telescope of Yunnan Observatory and 2.4 m telescope of Lijiang Observing Station in 2009 and 2012, respectively. The observational data were reduced with the coarse de-correlation and SysRem algorithms in order to obtain high signal to noise ratio for the transit feature. The MCMC (Markov Chain Monte Carlo) technique is applied to analyze three transit light curves simultaneously, then the new parameters of HAT-P-8 system are derived. The new value of the radius for HAT-P-8b is smaller than the one given by Latham et al., but it is consistent with the value derived by Mancini et al. recently. By linear fitting to the 23 mid-transit times with high precision, the orbital period of HAT-P-8b is refined as P=3.0763461±0.0000021 d. No obvious TTV (Transit Timing Variation) signal can be found from the present (O-C) analysis.

  20. Photometric Observation and Study of the Transiting Exoplanetary System HAT-P-8

    NASA Astrophysics Data System (ADS)

    Tan, Hong-Bo; Wang, Xiao-Bin; Gu, Sheng-Hong; Cameron, Andrew Collier

    2014-07-01

    Three transit events of HAT-P-8 were observed by using the 1 m telescope of Yunnan Observatory and the 2.4 m telescope of Lijiang Astronomical Station in 2009 and 2012, respectively. The observational data are reduced with the coarse de-correlation and SysRem algorithms in order to improve the signal to noise ratio of the transit signals. The MCMC (Markov Chain Monte Carlo) technique is applied to analyzing the three transit light curves simultaneously, then the new parameters of the HAT-P-8 system are derived. The new value of the radius of HAT-P-8b is smaller than that given by Latham et al., while it is consistent with the value derived recently by Mancini et al. By linear fitting on the 23 high-precision mid-transit times, the orbital period of HAT-P-8b is refined as P =3.0763461±0.0000021 d, and from the (O - C) analysis no obvious TTV (Transit Timing Variation) signal has been detected.

  1. Snow accumulation variability in Adelie Land (East Antarctica) derived from radar and firn core data. A 600 km transect from Dome C

    NASA Astrophysics Data System (ADS)

    Verfaillie, D.; Fily, M.; Le Meur, E.; Magand, O.; Jourdain, B.; Arnaud, L.; Favier, V.

    2012-07-01

    Polar ice sheets mass balance is a timely topic intensively studied in the context of global change and sea-level rise. However, obtaining mass balance estimates in Antarctica in particular, remains difficult due to various logistical problems. In the framework of the TASTE-IDEA program, labeled as an International Polar Year project, continuous Ground Penetrating Radar (GPR) measurements were carried out during a traverse realised in Adelie Land (East Antarctica) during the 2008-2009 austral summer between the Italo-French Dome C (DC) polar plateau site and French Dumont D'Urville (DdU) coastal station. The aim of this study was to process and interpret GPR data in terms of snow accumulation, to analyse its spatial and temporal variability along the DC-DdU traverse and compare it with historical data and modeling. The emphasis has been put on the last 300 yr, from the pre-industrial to recent time period. Beta-radioactivity counting and gamma spectrometry were studied in cores at LGGE laboratory, providing a depth-age calibration for radar measurements. Over the 600 km of usable GPR data, depth and snow accumulation were determined with the help of three distinct layers visible on the radargrams (≈1730, 1799 and 1941 AD). Preliminary results reveal a gradual accumulation increase towards the coast and the occurrence of previously undocumented undulating structures between 300 and 600 km from DC. Results agree fairly well with data from previous studies and modeling. Concluding on temporal variations is difficult because of the margin of error introduced by density estimation. This study should have various applications such as for model validation.

  2. Second-order overtone and combination Raman modes of graphene layers in the range of 1690-2150 cm(-1).

    PubMed

    Cong, Chunxiao; Yu, Ting; Saito, Riichiro; Dresselhaus, Gene F; Dresselhaus, Mildred S

    2011-03-22

    Though graphene has been intensively studied by Raman spectroscopy, in this letter, we report a study of the second-order overtone and combination Raman modes in a mostly unexplored frequency range of 1690-2150 cm(-1) in nonsuspended commensurate (AB-stacked), incommensurate (folded) and suspended graphene layers. On the basis of the double resonance theory, four dominant modes in this range have been assigned to (i) the second order out-of-plane transverse mode (2oTO or M band), (ii) the combinational modes of in-plane transverse acoustic mode and longitudinal optical mode (iTA+LO), (iii) in-plane transverse optical mode and longitudinal acoustic mode (iTO+LA), and (iv) longitudinal optical mode and longitudinal acoustic mode (LO+LA). Differing from AB-stacked bilayer graphene or few layer graphene, single layer graphene shows the disappearance of the M band. Systematic analysis reveals that interlayer interaction is essential for the presence (or absence) of the M band, whereas the substrate has no effect on the presence (or absence) of the M band. Dispersive behaviors of these "new" Raman modes in graphene have been probed by laser excitation energy-dependent Raman spectroscopy. It is found that the appearance of the M band strictly depends on the AB stacking, which could be used as a fingerprint for AB-stacked bilayer graphene. This work expands upon the unique and powerful abilities of Raman spectroscopy to study graphene and provides another effective way to probe phonon dispersion, electron-phonon coupling, and to exploit the electronic band structure of graphene layers.

  3. [Empathy in the nurse practitioners of medical area].

    PubMed

    Facco, Simona; Cirio, Luigi; Galante, Jenni; Dimonte, Valerio

    2014-01-01

    Introduzione. Attualmente sono pochi gli studi che indagano la capacità empatica nella popolazione infermieristica. Obiettivo di questo studio è analizzare la capacità empatica degli infermieri che prestano servizio in area medica in relazione a genere, età, formazione e anzianità di servizio. Materiali e metodi. Lo studio è di tipo descrittivo-osservazionale, su un campione di 60 infermieri. Lo strumento utilizzato per la valutazione dell’empatia è la scala di valutazione JSPE (versione HP) costituita da 20 item, in cui gli intervistati indicano il loro accordo o disaccordo con una scala Likert a 7 punti. Il range di valori possibili è da 20 a 140: il punteggio più alto corrisponde a una maggiore capacità empatica. Il questionario ha dimostrato la validità e l'affidabilità della versione italiana del JSPE con un coefficiente alfa di Cronbach di 0,85. Il punteggio Il livello di significatività statistica accettato è pari a P ≤ 0,05. Risultati. La media della capacità empatica dei professionisti intervistati è risultata di 104/140. Dai dati analizzati, emerge che con l’aumentare degli anni di servizio alla professione si verifica una diminuzione dell’empatia così come il permanere nello stesso reparto provoca una diminuzione empatica. Inoltre è emersa una maggiore empatia degli infermieri della neurologia rispetto alla medicina generale. Conclusioni. Lo studio evidenzia come i professionisti abbiano necessità di incrementare la capacità empatica soprattutto col trascorrere degli anni di esercizio alla professione. Probabilmente come meccanismo di difesa, il professionista tende a proteggersi dal coinvolgimento emotivo, favorendo le attività di natura più tecnico-gestuale, piuttosto che relazionale.

  4. Plasma viscosity: a potential predictor of both medical treatment response and clinical stage of ulcerative colitis.

    PubMed

    Tolga, Yakar; Mansur, Cosar Arif; Savas, Gokturk Hu Seyin; Gulhan, Unler Kanat Ayse; Alper, Parlakgumus; Ilknur, Kozanoglu; Ender, Serin

    2016-01-01

    La colite ulcerosa (UC) è una delle maggiori forme di colonpatia infiammatoria cronica recidivante. La capacità di identificare tipo, gravità e sensibilità alla terapia su parametri di laboratorio è da tempo oggetto di ricerca degli studi clinici. Lo scopo di questo studio è quello di accertare la relazione tra la viscosità del plasma (PV), l’attività della malattia e la risposta al trattamento medico. Lo studio si è svolto su 105 pazienti con UC e 42 volontari sani. I prelievi di sangue sono stati utilizzati per valutare la viscosità del plasma (PV), la velocità di eritrosedimentazione (ESR), la proteina C-reattiva ultrasensibile (hs-CRP), il D-dimero e il fibrinogeno. I pazienti con UC sono stati raggruppati in relazione al grado di attività flogistica (cioè 59 attivi e 46 in remissione). La PV è risultata più elevata in quelli con UC attiva rispetto a quella dei soggetti in remissione o nei soggetti sani. È risultata significativamente più elevata sia nei casi di UC refrattaria al trattamento steroideo rispetto a quelli sensibili (p< 0.001), e nelle UC rafrattarie alla ciclosrporina rispetto a quelli sensibili (p= 0.003). Con l’aumento della PV nei pazienti affetti da UC sono risultati significativamente associati il punteggio del SCCAI (Increased Simple Clinical Colitis Activity Index), dell’EGS (Endoscopic Grading Scale) e del HAD (Histological Disease Activity (HAD). Si conclude che la PV è un marker utile per la previsione di sensibilità al trattamento sterorideo e con ciclosporina nei pazienti con UC attiva. Potrebbe essere rimpiazzata dalla ESR e dalla hs-CRP come misura della risposta in fase acuta in quanto sufficientemente sensibile. Questi risultati possono essere utili per l’identificazione dei pazienti con UC attiva da destinare alla colectomia.

  5. Laparoscopic surgery in pregnant patients with acute abdomen.

    PubMed

    Kocael, Pinar Cigdem; Simsek, Osman; Saribeyoglu, Kaya; Pekmezci, Salih; Goksoy, Ertugrul

    2015-01-01

    Nonostante i significativi vantaggi della chirurgia laparoscopica rispetto a quella laparotomica, essa era considerata controindicata per le donne gestanti. Attualmente si confrontano opinioni contrastanti riguardo alla sicurezza durante la gestazione della chirurgia laparoscopica, specie se nell’ultimo trimestre. Lo scopo di questo studio è quello di valutare la fattibilità della chirurgia laparoscopica in donne gestanti in caso di addome acuto analizzando retrospettivamente la casistica della pazienti ricoverate tra il gennaio 1995 ed il gennaio 2013 presso l’Emergency Department della Cerrahpasa Medical Faculty. Sono stati pertanto analizzati tutti i dati clinici riguardanti le gestanti sottoposte a chirurgia laparoscopica, comprese le cartelle cliniche, gli interventi eseguiti, i reperti anatomopatologici, e le informazioni riguardanti il parto. Nella casistica sono rientrate 14 donne gravide (in media alla 19,2° settimana di gestazione, distribuite tra 9 e 33 settimane), di cui 11 sottoposte ad appendicectomia laparoscopica, 2 a colecistectomia laparoscopica ed 1 per scopi diagnostici. In media il parto si è espletato alla 37,4° settimana di gestazione (tra la 35° e la 40° settimana). Due pazienti hanno avuto un parto prematuro, ma in nessune dei casi si sono verificate complicazioni durante le manovre laparoscopiche, e cioè danni all’utero, morti fetali o mortalità materna. Si conclude che la chirurgia laparoscopica può essere effettuata nel corso di tutti i trimestri della gravidanza, con il possibile vantaggio di una utile diagnosi differenziale in caso di dolori addominali acuti durante la gravidanza, e diminuzioni delle morti fetali dovute a ritardi diagnostici, e che tempi chirurgici più brevi riducono gli effetti negativi sulla madre e sul feto.

  6. [The ladder game. An international history].

    PubMed

    Anheim, Etienne; Gattinara, Enrico Castelli

    2009-01-01

    The book Jeux d'echelles. La microanalyse a l'expérience, which appeard in 1996 under the direction of Jacques Revel, was translated in Italy in 2006 by the Viella editions under the title Giochi di scala. La microstoria alla prova dell'esperienza. This occasion seemed propicious for a historiographic and epistemological return to the microhistorical experience between France and Italy. It had to do with cross reperencing the reflections of a French historian and those of an Italian philosopher to seek to place in evidence, from a distance, the theoretical presuppositions of microhistory, and to measure the displacements undergone.

  7. The acoustic design of the Centro Nacional de las Artes in Mexico City

    NASA Astrophysics Data System (ADS)

    Cooper, Rusell

    2002-11-01

    In this paper the acoustic design of the separate buildings housing the school of music, school of drama, and school of dance that opened in 1996 will be described. Spaces that JHA designed included practice rooms, studios, rehearsal rooms, black box, and concert hall. Details of room acoustic treatments, sound isolation measures, and venturi air flow will be illustrated. An overview of the entire project will also include the 500 seat multipurpose theater (with variable absorption systems) and the Alla Magna. Differences between the American and Mexican styles of consulting, importing of materials, installation, and commissioning will also be discussed.

  8. Perceived quality in Day Surgery Units Proposal of an enquiry postoperative questionnaire.

    PubMed

    Palumbo, Piergaspare; Perotti, Bruno; Amatucci, Chiara; Pangrazi, Maria Pia; Leuzzi, Barbara; Vietri, Francesco; Illuminati, Giulio

    2016-01-01

    La soddisfazione dei pazienti assume particolare importanza nell’attività chirurgica in Day Surgery, al fine di mantenere ed incrementare la domanda di prestazioni da parte dell’utenza ed inoltre di valutare le abilità e le competenze dello staff clinico dedicato. Sono stati valutati i risultati di un questionario somministrato dal 2007 al 2012, divisi in due gruppi, alla dimissione e a 30 giorni dall’intervento. Tali risultati hanno permesso di valutare i principali vantaggi e limiti del questionario in termini di comprensibilità, di corretto timing di somministrazione, e di utilità per lo staff clinico.

  9. Program to Study AC Loss in High-Tc Superconductors

    DTIC Science & Technology

    2007-11-02

    larger), which is assumed here. Then since one can always write (27) t ■" »trwuport + »nwgiwtlMtlon v ’ the intragrain current is all...as in (25), since the direction of the intragrain current depends on the local electric field inside a grain. The only transport-like current comes...that of the intragrain circulating current or that of percolation loops are important, the high-Te case is quite different from the low-T« case

  10. The Use of Ion Implantation for Materials Processing.

    DTIC Science & Technology

    1983-09-28

    SPUTTERING ANALYSIS WITH PIXE.......................... 31 J.M. Lambert, P.A. Treado, D . Trbojevic ,2 R.G. Alias, A.R. Knudson, G.W. Reynolds and F.R...Lambert and P. . Treado I D . Trbojevic R. G. Allas and A. R. Knudson 3 G. W. Reynolds and F. R. Vozzo 4 IGeorgetown University Washington, D . C. and...D.C. 20057 and 20375 D . Trbojevic Georgetown University, Washington, D.C. 20057 R.G. Alias and A.R. Knudson Naval Research Laboratory, Washington, D.C

  11. Parental Encouragement of Healthy Lifestyles for Their Children and Personally Caring about Healthy Lifestyles Is Positively Associated with Children Using Vitamin D Supplements

    PubMed Central

    Munasinghe, Lalani L.; Yuan, Yan; Faught, Erin L.; Willows, Noreen D.; Veugelers, Paul J.

    2016-01-01

    Supplement users have better vitamin D status, and parenting is key to promoting a child’s healthy behaviours. We examined the association of parental encouragement of and caring about healthy lifestyles with children’s use of vitamin D supplements and multivitamins. A provincially representative sample of grade 5 students (n = 2686; 10–11 years) and their parents across the province of Alberta, Canada, was surveyed in 2014. Students were asked about use of multivitamins and/or vitamin D supplements. Parents were asked whether they cared about and encouraged healthy lifestyles. Mixed effect multiple logistic regression identified the association of parental responses with children’s use of supplements; 29% and 54% of children took vitamin D supplements and multivitamins, respectively. They were more likely to take vitamin D supplements if their parents cared ‘very much’ vs. ‘not at all/a little bit’ about eating healthy foods (OR = 1.43; 95% CI = 1.08, 1.89), cared ‘quite a lot’ (OR = 1.55; 95% CI = 1.17, 2.04) and ‘very much’ (OR = 1.67; 95% CI = 1.26, 2.21) vs. ‘not at all/a little bit’ about physical activity, and encouraged ‘very much’ vs. ‘not at all/a little bit’ their children to eat healthy foods (OR = 1.51; 95% CI = 1.05, 2.17). Children whose parents personally cared for eating healthy foods were more likely to take multivitamins (‘quite a lot’ and ‘very much’ compared to ‘not at all/a little bit’ (OR = 1.60; 95% CI = 1.13, 2.28 and OR = 1.46; 95% CI = 1.04, 2.06, respectively). Education and parental encouragement of healthy lifestyles should be part of the public health initiatives to promote supplementation of vitamin D among children. PMID:27669295

  12. Imagineering the astronomical revolution - Essay review

    NASA Astrophysics Data System (ADS)

    Jardine, Nicholas.

    2006-11-01

    Concerning following Books: (I) Transmitting knowledge - words, images, and instruments in early modern Europe. Kusukawa and Maclean (eds.), OUP, Oxford, 2006; (II) Widmung, Welterklärung und Wissenschaftslegitimierung: Titelbilder und ihre Funktionen in der wissenschaftlichen Revolution. Remmert, Harrassowitz, Wiesbaden, 2005; (III) The power of images in early modern science. Lefevre, Renn and Schoepflin (eds.), Birkhäuser, Basel, 2003; (IV) Immagini per conoscere - dal Rinascimento alla rivoluzione scientifica. Meroi and Pogliano (eds.), Olschki, Florenz, 2001; (V) Erkenntnis Erfindung Konstruktion - Studien zur Bildgeschichte von Naturwissenschaften und Technik vom 16. bis zum 19. Jahrhundert. Holländer (ed.), Mann, Berlin, 2000.

  13. Investigation of Lithium Sulfur Dioxide (Li/SO2) Battery Safety Hazards -- Chemical Studies.

    DTIC Science & Technology

    1982-04-01

    ID-Alla 363 EIC LAOS INC NEWTON MA F/B 10/3 INVESTIGATION OF LITHIUM SULFUR DIOXIDE ILI/SO2) BATTERY SAFETY-ETC(U) APR 82 K M ABRAHAM, H W RUPICH, L...Contract No. N60921-81-C-0084 0o Prepared by K. M. Abraham M. W. Rupich L. Pitts EIC Laboratories, Inc. 67 Chapel Street Newton , Massachusetts 02158...Chapel Street Newton , Massachusetts 02158 II. CONTROLLING OFFICE NAME AND ADDRESS 12. REPORT DATE Naval Surface Weapons Center April 1982 Silver Spring

  14. Information-Theoretical Complexity Analysis of Selected Elementary Chemical Reactions

    NASA Astrophysics Data System (ADS)

    Molina-Espíritu, M.; Esquivel, R. O.; Dehesa, J. S.

    We investigate the complexity of selected elementary chemical reactions (namely, the hydrogenic-abstraction reaction and the identity SN2 exchange reaction) by means of the following single and composite information-theoretic measures: disequilibrium (D), exponential entropy(L), Fisher information (I), power entropy (J), I-D, D-L and I-J planes and Fisher-Shannon (FS) and Lopez-Mancini-Calbet (LMC) shape complexities. These quantities, which are functionals of the one-particle density, are computed in both position (r) and momentum (p) spaces. The analysis revealed that the chemically significant regions of these reactions can be identified through most of the single information-theoretic measures and the two-component planes, not only the ones which are commonly revealed by the energy, such as the reactant/product (R/P) and the transition state (TS), but also those that are not present in the energy profile such as the bond cleavage energy region (BCER), the bond breaking/forming regions (B-B/F) and the charge transfer process (CT). The analysis of the complexities shows that the energy profile of the abstraction reaction bears the same information-theoretical features of the LMC and FS measures, however for the identity SN2 exchange reaction does not hold a simple behavior with respect to the LMC and FS measures. Most of the chemical features of interest (BCER, B-B/F and CT) are only revealed when particular information-theoretic aspects of localizability (L or J), uniformity (D) and disorder (I) are considered.

  15. Quantitative estimation of IgE and IgD by laser nephelometry.

    PubMed

    Bergmann, K C; Crisci, C D; Jinnouchi, H; Oehling, A

    1979-01-01

    The advantages and disadvantages of Laser Nephelometry (LN) in the determination of IgD and IgE are reported. Two laser nephelometer models (Behringwerke/Marburg), different batches of LN cuvettes, WHO reference standard sera, rabbit anti-human antisera and randomly selected allergic patients' sera were used for the standardization of the method. Cuvette blank values were significantly lower in the new model of laser nephelometer and the precision of these measurements was very high when two different cuvette charges were compared. In the determination of IgE by LN, it was possible to detect levels down to 125 IU/ml, the accuracy of the estimations varying between 4.8 and 8.2% and the repeatability between 3.2 and 24.4%, the highest variation coefficient being obtained in low level samples. The overall agreement between LN and RIST in 55 serum samples was 71%, and at concentrations below 200 IU/ml (normal) and above 400 IU/ml (increased) 80% and 85% respectively. In the determination of IgD by LN, the accuracy of the estimations was also very good (2.4 to 7.8%) and the variation coefficient varied between 2.8 and 13.3%. In the comparison of IgD estimations with LN and radial immunodiffusion in 27 samples a correlation coefficient of r = 0.82 was obtained. Although normal adult IgE values cannot be analysed, the clinically important increased IgE levels are correctly determined by LN. The method is more sensitive than the Mancini technique for IgE determination and in comparison with RIST, though low values are not obtained, LN is quicker, simpler and cheaper.

  16. [Immunological studies on patients with mycosis fungoides].

    PubMed

    Greiding, L; Mathov, E; Casalá, A; Borda, J M; Slazer, M; Núñez, J; Antonowicz, E

    1975-01-01

    Recently, much has been published on the immunological status of patients affected with various lymphomas. In the particular case of Mycosis fungoide, there was no general agreement on the immunological status of the corresponding patients. In fact, López Borrasca et al, found severe depression of cellular immunity in such patients. On the contrary, Blaylock and Clendenning found very little change in cellular immunity, but a very high serum-IgA. We want to offer our experience on this problem with the immunological survey of four patients with the Alibert-Bazin-form of Mycosis fungoide. The following tests were performed on each patient: a) Intracutaneous test with candidina, PPD and other bacterial antigens. b) Sensitization to a concentrate solution of dinitrochlorobencene (DNCB). c) Lymphocyte Transformation Test (LTT), with phytohemagglutinin as mitogen. d) Quantitative determination of IgG, IgM, IgA and beta1C, with the radial immunodiffusion technique (Mancini et al.). e) Agar immunoelectrophoresis. The following results were obtained: 1) The cellular immunity was markedly depressed in the four patients when any of a, b or c-test was performed. 2) All the patients showed very high levels of serum IgA, 150% higher than control. The reason for this is unknown. On the contrary, IgG in serum was less elevated and IgM and beta1C serum levels were normal. 3) No monoclonal bands were found in any case (immunoelectrophoresis). 4) No definite conclusions could be reached due to the limited number of cases, but the uniformity of results should encourage to carry this work further.

  17. Immunologic studies in pneumococcal disease.

    PubMed

    Dee, T H; Schiffman, G; Sottile, M I; Rytel, M W

    1977-06-01

    Many patients die from pneumococcal disease despite the availability of effective antimicrobial agents. Immunologic studies including detection, typing, and quantitation of serum pneumococcal capsular polysaccharide (PCP) antigen by counterimmunoelectrophoresis (CIE), quantitation of PCP antibody by radioimmunoassay (RIA), and quantitation of serum complement components C3, C4, and C3PA and serum immunoglobulins IgG, IgM, and IgA by the radial immunodiffusion technique of Mancini were performed with the sera of 18 patients. Five patients died (group I), and 13 survived (group II) pneumococcal infection. Both groups were comparable in age, underlying disease, and leukopenia on admission. All patients of group I and 10 of 13 (77%) of group II patients were bacteremic. Two patients in each group had an extrapulmonary focus infection. PCP antigen was detected in the sera of all group I and nine of 13 group II patients. PCP antigen levels were larger than or equal to 15 microng/ml in four of five group I and two of 13 group II patients (p = 0.022). Levels of antibody to PCP exceeded 100 ng/ml of antibody nitrogen (AbN) in 10 of 12 group II and one of five group I patients (p = 0.027) during the course of illness. All group I patients and three of 12 group II patients had decreased levels of one or more complement components on admission (p less than 0.01). One or more complement components remained decreased until death in four group I patients but returned to normal or elevated levels in all group II patients. No difference in serum immunoglobulin concentrations were found.

  18. Alpha 1-microglobulin, beta 2-microglobulin and retinol binding protein in childhood febrile illness and renal disease.

    PubMed

    Donaldson, M D; Chambers, R E; Woolridge, M W; Whicher, J T

    1990-07-01

    Serum and urinary levels of alpha-1-microglobulin (A1M), beta-2-microglobulin (B2M) and retinol binding protein (RBP) were measured using a Mancini radial immunodiffusion technique in 52 children with renal disease, 36 with non-renal febrile illness and 29 controls. In controls the mean serum level for A1M was 25 +/- 4.6 (SD) mg/l for B2M 1.7 +/- 0.5 mg/l and for RBP 31 +/- 8 mg/l. A1M levels were not significantly altered by febrile illness while B2M was elevated and RBP markedly depressed. Serum A1M and B2M were elevated in the nephrotic syndrome, while serum B2M was also raised during infancy. Coefficients of log-transformed data with creatinine-derived glomerular filtration rate (GFR) were -0.87 for B2M, -0.71 for RBP, and -0.62 for A1M. In the urine A1M was always measurable in controls while B2M and RBP were undetectable in all but a small number. The urine levels of all three proteins increased in response to non-renal febrile illness, and rose invariably when GFR fell to below 40-50 ml/min per 1.73 m2. Of the three proteins A1M was most frequently elevated in the urine with febrile and renal illness. RBP was rarely detectable when the other two proteins were not. Urinary A1M was consistently elevated in the nephrotic syndrome in contrast to B2M, possibly as a reflection of the increased glomerular permeability. We conclude that serum B2M is superior to A1M and RBP as an index of glomerular filtration, although its levels should be interpreted with caution in febrile disease.(ABSTRACT TRUNCATED AT 250 WORDS)

  19. [Protein profile and vitamin A in children of school age in Ivory Coast].

    PubMed

    Yapi, H F; Ahiboh, H; Ago, K; Aké, M; Monnet, D

    2005-01-01

    The purpose of this transverse prospective study was to determine blood nutritional, immunity and inflammatory proteins change in vitamin A deficiency in children of school-age (262 children, aged 7 to 15 years). Blood vitamin A has been determined by HPLC with UV detection. Proteins have been measured by radial immunodiffusion according to Mancini. Results showed that 96 children (36.6%) presented a vitamin A deficiency (vitamin A < 200 microg/L with a retinol binding protein/transthyretin molar ratio = 0.29 +/- 0.06) while 166 (63.3%) children presented normal blood concentrations of vitamin A (vitamin A > or = 200 microg/L with a Retinol Binding Protein/Transthyretin molar ratio = 0.40 +/- 0.08). This study showed that the retinol binding protein and the immunoglobulin A are lower in children with vitamin A deficiency. On the other hand, an isolated increase of alpha-1 glycoprotein acid has been observed in boys with vitamin A deficiency. The vitamin A deficiency observed in this survey is due to a micronutrients deficiency in the diet which is essentially based on glucides. The positive correlation between vitamin A and immunoglobulin A concentrations might be the result of the vitamin A inductive effect during immunoglobulins A synthesis. The isolated increasing of alpha-1 glycoprotein acid in boys with vitamin A deficiency has been assigned to the ecosensitiveness of the unfavourable environment. We therefore concluded that, in Ivorian primary-school-aged children with vitamin A deficiency, nutritional, immunity and inflammatory proteins which are modified are respectively retinol binding protein, immunoglobulin A and alpha-1 glycoprotein acid.

  20. Analysis of chicken bile by gel precipitation reactions using a lectin in the place of antibody.

    PubMed

    Cotter, P F

    2000-09-01

    A lectin obtained from black turtle beans (BTB) was precipitated with IgA in chicken bile samples in various forms of agarose gel systems. Ouchterlony-type double-diffusion (ODD) precipitation patterns between the lectin, bile IgA, and heavy chain-specific antibody contained spurs of the type suggestive of partial immunologic identity. The immunoelectrophoresis precipitation patterns between the same three reactants were mirror images and fused on the cathodic side of the immunoelectrophoresis origin. In addition to use in ODD-type gels, BTB could also be incorporated into agarose gels suitable for Mancini (radial immunodiffusion) or Laurell-type rocket electrophoresis. Bile samples obtained from Cornell lines OS and C, broiler breeder males, and University of California-Davis congenic lines were investigated using BTB- and antibody-based methods. The results of this study indicated that IgA was the most frequently detected isotype in bile, occurring in 139 of 156 (89%) samples. Most bile samples (128/156; 82%) also contained IgG, whereas fewer (19/156; 12%) contained IgM. Cornell lines appeared to differ from broiler breeders, having a higher frequency of IgM-positive samples. Of the total bile samples studied, 11% (17/156) of samples from broiler breeders and the Cornell lines appeared to be devoid of IgA; the bile of one broiler breeder was found to be devoid of all three isotypes. Instances were found in which bile samples shown to be negative for IgA by antibody-ODD were shown to be positive by BTB-ODD. Thus BTB appears to be a suitable adjunct to antibody for the study of IgA.

  1. Levels of serum immunoglobulins in apparently healthy children and adults in Port Harcourt, Nigeria.

    PubMed

    Obiandu, C; Okerengwo, A A; Dapper, D V

    2013-06-30

    Serum levels of the immunoglobulins: IgG, IgA and IgM were determined by the single radial immunodiffusion technique of Mancini in a total of 122 apparently healthy subjects consisting of 43 children (20 males; 23 females) aged 5-12 years and 79 adults (39 males; 40 females) aged 18-65 years resident in Port Harcourt, southeastern Nigeria. The effects of age and sex on the serum levels of the various immunoglobulin types were also determined. The mean values and ranges for the various immunoglobulin types are presented for both children and adults. Although, female children were found to have significantly lower mean values of IgA compared to male children (p<0.05), there were no significant differences in the mean values of both IgG and IgM between male and female children involved in the present study (p>0.05). However, female adults had significantly higher mean values of IgG and significantly lower mean values of IgA compared to male adults (p<0.05); suggesting a significant gender difference in the value of both IgG and IgA amongst adult subjects. No significant differences were observed in the mean values of any of the various types of immunoglobulin between adults and children. The present study reports mean values of the various types of immunoglobulin in apparently healthy children and adults resident in Port Harcourt, southeastern Nigeria. Significant gender differences were observed for some of the immunoglobulin types only amongst adults. Our results suggest that these gender differences amongst adults were apparently a gradual build-up from childhood. The results also confirm suggestions that levels of some immunoglobulin types seen amongst African adults may have possibly been attained during childhood. Our study could be of value since previous reports in this regard have been relatively scanty especially in this part of Nigeria.

  2. Observation of Interspecies Ion Separation in Inertial-Confinement-Fusion Implosions via Imaging X-ray spectroscopy

    NASA Astrophysics Data System (ADS)

    Joshi, Tirtha Raj

    2016-10-01

    Interspecies ion separation has been proposed as a yield-degradation mechanism in inertial-confinement-fusion (ICF) experiments. We present direct experimental evidence of interspecies ion separation in direct-drive ICF experiments performed at the OMEGA laser facility. These experiments were designed based on the fact that interspecies ion thermo-diffusion would be strongest for species with large mass and charge difference. The targets were spherical plastic shells filled with D2 and Ar (1% by atom). Ar K-shell spectral features were observed primarily between the time of first-shock convergence and slightly before neutron bang time, using a time- and space-integrated spectrometer, streaked crystal spectrometer, and two gated multi-monochromatic X-ray imagers fielded along quasi-orthogonal lines-of-sight. Detailed spectroscopic analyses of spatially resolved Ar K-shell lines reveal deviation from the initial 1%-Ar gas fill and show both Ar-concentration enhancement and depletion at different times and radial positions of the implosion. The experimental results are interpreted with radiation-hydrodynamic simulations that include recently implemented, first-principles models of interspecies ion diffusion. The experimentally inferred Ar-atom-fraction profiles agree gently with calculated profiles associated with the incoming and rebounding first shock. This work was done in collaboration with P. Hakel, S. C. Hsu, E. L. Vold, M. J. Schmitt, N. M. Hoffman, R. M. Rauenzahn, G. Kagan, X.-Z. Tang, Y. Kim, and H. W. Herrmann of LANL, and R. C. Mancini of UNR. LA-UR-16-24804. Supported by the LANL ICF and ASC Programs under US-DoE contract no. DE-AC52-06NA25396.

  3. Experimental investigation of opacity models for stellar interiors, inertial fusion, and high energy density plasmas

    NASA Astrophysics Data System (ADS)

    Bailey, James

    2008-11-01

    Theoretical opacities are required for calculating energy transport in plasmas. In particular, understanding stellar interiors, inertial fusion, and Z-pinches depends on the opacities of mid-atomic-number elements in the 150-300 eV temperature range. These models are complex and experimental validation is crucial. For example, solar models presently disagree with helioseismology and one possible explanation is inadequate opacities. Testing these opacities requires a uniform plasma at temperatures high enough to produce the ion charge states that exist in the sun. Typical opacity experiments heat a sample using x-rays and measure the spectrally resolved transmission with a backlight. The difficulty grows as the temperature increases because the heating x-ray source must supply more energy and the backlighter source must be bright enough to overwhelm the plasma self emission. These problems were overcome using the dynamic hohlraum x-ray source at Sandia's Z facility to measure the transmission of a mixed Mg-Fe plasma heated above 150 eV. This capability will also advance opacity science for other high energy density plasmas. This tutorial describes opacity experiment challenges including accurate transmission measurements, plasma diagnostics, and quantitative model comparisons. The solar interior serves as a focal problem and Z facility experiments are used to illustrate the techniques. **In collaboration with C. Iglesias (LLNL), R. Mancini (U. Nevada), J.MacFarlane, I. Golovkin and P. Wang (Prism), C. Blancard, Ph. Cosse, G. Faussurier, F. Gilleron, and J.C. Pain (CEA), J. Abdallah Jr. (LANL), and G.A. Rochau and P.W. Lake (Sandia). ++Sandia is a multiprogram laboratory operated by Sandia Corporation, a Lockheed Martin Company, for the United States Department of Energy under contract DE-AC04-94AL85000.

  4. Analysis of spontaneous MEG activity in mild cognitive impairment and Alzheimer's disease using spectral entropies and statistical complexity measures

    NASA Astrophysics Data System (ADS)

    Bruña, Ricardo; Poza, Jesús; Gómez, Carlos; García, María; Fernández, Alberto; Hornero, Roberto

    2012-06-01

    Alzheimer's disease (AD) is the most common cause of dementia. Over the last few years, a considerable effort has been devoted to exploring new biomarkers. Nevertheless, a better understanding of brain dynamics is still required to optimize therapeutic strategies. In this regard, the characterization of mild cognitive impairment (MCI) is crucial, due to the high conversion rate from MCI to AD. However, only a few studies have focused on the analysis of magnetoencephalographic (MEG) rhythms to characterize AD and MCI. In this study, we assess the ability of several parameters derived from information theory to describe spontaneous MEG activity from 36 AD patients, 18 MCI subjects and 26 controls. Three entropies (Shannon, Tsallis and Rényi entropies), one disequilibrium measure (based on Euclidean distance ED) and three statistical complexities (based on Lopez Ruiz-Mancini-Calbet complexity LMC) were used to estimate the irregularity and statistical complexity of MEG activity. Statistically significant differences between AD patients and controls were obtained with all parameters (p < 0.01). In addition, statistically significant differences between MCI subjects and controls were achieved by ED and LMC (p < 0.05). In order to assess the diagnostic ability of the parameters, a linear discriminant analysis with a leave-one-out cross-validation procedure was applied. The accuracies reached 83.9% and 65.9% to discriminate AD and MCI subjects from controls, respectively. Our findings suggest that MCI subjects exhibit an intermediate pattern of abnormalities between normal aging and AD. Furthermore, the proposed parameters provide a new description of brain dynamics in AD and MCI.

  5. [Validazione del Gambling Disorder Screening Questionnaire, un questionario diagnostico autosomministrato per il gioco d'azzardo patologico basato sui criteri del DSM-5].

    PubMed

    Villella, Corrado; Pascucci, Marco; de Waure, Chiara; Bellomo, Antonello; Conte, Gianluigi

    2016-01-01

    RIASSUNTO. Scopo. Il DSM-5 presenta delle modifiche nei criteri diagnostici per il gioco d'azzardo patologico, rispetto alla precedente edizione del manuale; è pertanto necessario sviluppare nuovi strumenti diagnostici. Questo studio ha valutato le caratteristiche psicometriche del Gambling Disorder Screening Questionnaire (GDSQ), un questionario sviluppato per l'autosomministrazione, basato sui criteri diagnostici del DSM-IV e del DSM-5 per il gioco d'azzardo patologico, misurandone la validità e la consistenza interna e sottoponendo il questionario all'analisi delle componenti principali. Metodi. 71 pazienti reclutati da un ambulatorio dedicato al gioco d'azzardo patologico e 70 controlli sono stati valutati con il GDSQ, con il South Oaks Gambling Screen (SOGS) e con valutazione psichiatrica. Risultati. Il test ha mostrato una buona sensibilità, specificità, consistenza interna, correlazione con il SOGS. L'esclusione del criterio degli atti illeciti e l'abbassamento del punteggio di cut-off a quattro criteri positivi, come suggerito dal DSM-5, migliora la sensibilità e consistenza interna del test. Discussione e conclusioni. Il GDSQ può essere considerato un utile test di screening per il gioco d'azzardo patologico. Inoltre, questo studio conferma il miglioramento nell'accuratezza diagnostica dei criteri elencati nella quinta edizione del Manuale Diagnostico e Statistico dei Disturbi Mentali rispetto alla precedente edizione.

  6. Prospective evaluation of interobserver diagnostic agreement for focal urinary bladder wall abnormalities detected by ultrasound.

    PubMed

    Francica, G; Scarano, F; Bellini, S A; Miragliuolo, A

    2011-03-01

    Sommario INTRODUZIONE: È stata valutata prospetticamente la variabilità interosservatore relativamente alla diagnosi di alterazioni focali della parete vescicale tra due operatori con diverso livello di esperienza. MATERIALI E METODI: Due operatori con diverso livello di esperienza in ecografia hanno esaminato indipendentemente nella stessa sessione 87 pazienti consecutivi (età media 68 anni; range 33–80; 75 maschi; 15 donne) sottoposti successivamente a cistoscopia entro 1–2 giorni. Prima dell’inizio dello studio la metodologia di studio è stata standardizzata. Il grado di accordo sulla presenza, sede, dimensioni e numero delle alterazioni parietali della vescica è stato calcolato con il metodo della Kw. RISULTATI: Il grado più elevato di accordo (k = 1) è stato raggiunto relativamente alla presenza delle alterazioni parietali, mentre un accordo sostanziale è stato ottenuto per le dimensioni (k = 0.78), numero (k = 0.72) e sede (k = 0.62). CONCLUSIONI: In questo studio la differenza di esperienza tra due operatori non è emersa nella diagnostica delle alterazioni parietali della vescica anche in ragione di una metodologia standardizzata di studio.

  7. Polar asymmetry of La{sub (1−δ)}Al{sub (1+δ)}O{sub 3}/SrTiO{sub 3} heterostructures probed by optical second harmonic generation

    SciTech Connect

    Rubano, Andrea; De Luca, Gabriele; Marrucci, Lorenzo; Paparo, Domenico; Schubert, Jürgen; Wang, Zhe; Zhu, Shaobo; Schlom, Darrell G.

    2015-09-07

    By combining transport measurements and optical second harmonic generation, we have investigated heterostructures formed between crystalline thin films of LaAlO{sub 3}, with varying stoichiometry and TiO{sub 2}-terminated SrTiO{sub 3}(001) substrates. Optical second harmonic generation directly probes the polarity of these heterostructures, thus complementing the transport data. The stoichiometry and the growth temperature are found to be critical parameters for controlling both the interfacial conductivity and the heterostructure polarity. In agreement with the previous work, all of the samples display an insulator-to-metal transition in the Al-reach region, with the conductivity first increasing and then saturating at the highest Al/La ratios. The second harmonic signal also increases as a function of the Al/La ratio, but, at the highest growth temperature, it does not saturate. This unusual behavior is consistent with the formation of an ordered structure of defect dipoles in the LaAlO{sub 3} film caused by the off-centering of excess Al atoms in agreement with the theory.

  8. Laparoscopic cholecystectomy and concomitant diseases Effectiveness of the single step treatment.

    PubMed

    Caglià, Pietro; Tracia, Angelo; Amodeo, Luca; Tracia, Lucio; Amodeo, Corrado; Veroux, Massimiliano

    2015-01-01

    Con il diffondersi della chirurgia video-laparoscopica si è posto in maniera crescente il problema di dover affrontare più patologie addominali coesistenti. La colecistectomia laparoscopica, in particolare, è stata spesso associata ad altre procedure laparoscopiche quali appendicectomia, splenectomia, ernioplastica o laparoplastica, interventi ginecologici ed altri. Sono stati esaminati retrospettivamente i dati relativi a 23 pazienti sottoposti a colecistectomia video-laparoscopica simultaneamente ad altri interventi. Solo di 19 pazienti è stato possibile raccogliere tutte le notizie cliniche necessarie alla valutazione. La colelitiasi rappresentava la prima patologia in 11 pazienti. La colecistectomia laparoscopica è stata associata a 1 fundoplicatio sec. Nissen, 1 adrenalectomia destra, 6 ernioplasiche inguinali, 2 laparoplastiche, 1 asportazione di cisti ovarica. In altre 8 pazienti (4 appendiciti sub-acute o croniche, 1 cisti endometrioide ovarica, 1 dermoide ovarico, 2 varicoceli sx) la calcolosi della colecisti è stata diagnosticata come patologia concomitante e trattata simultaneamente con il consenso del paziente. Tutti gli interventi sono stati eseguiti in anestesia generale e dallo stesso team. Nonostante il limitato numero di pazienti inclusi nella nostra serie, i risultati sono simili a quelli riportati da altri Autori. Il lieve aumento dei tempi operatori, rilevato durante le procedure chirurgiche associate, viene compensato dall’innegabile vantaggio di una singola esposizione all’anestesia e di una unica degenza ospedaliera. Particolare attenzione va comunque riservata alla valutazione dei fattori di rischio relativi ai singoli pazienti.

  9. Multidisciplinary approach to follicular thyroid carcinoma with giant mandibular and multiple sites metastases Case report.

    PubMed

    De Pasquale, Loredana; Rabbiosi, Dimitri; Bardazzi, Alessandro; Autelitano, Luca; Moro, Giacomina Pierina; Ghilardi, Giorgio

    2014-01-01

    I tumori metastatici in genere hanno una cattiva prognosi, con sopravvivenza breve e raramente sono candidabili al trattamento chirurgico. Nel caso dei carcinomi differenziati della tiroide, la prognosi è solitamente migliore, grazie alla possibilità di un approcio multidisciplinare e soprattutto al trattamento radiometabolico dei secodarismi, dopo l’asportazione del tumore primitivo. Il caso presentato riguarda una donna di 65 anni, che è giunta alla nostra osservazione per una tumefazione mandibolare, risultata successivamente una metastasi da carcinoma follicolare della tiroide, a partenza da un voluminoso gozzo cervico-mediastinico normofunzionante, con ulteriori secondarismi a livello polmonare. Dopo un accurato studio pre-operatorio la Paziente è stata sottoposta a resezione della mandibola sinistra con ricostruzione mediante una protesi metallica e a tiroidectomia totale. Successivamente è stata trattata con quattro cicli di terapia radiometabolica con buona risposta. La Paziente è viva, senza ulteriore progressione di malattia a un follow-up di quarantasei mesi. Anche nei casi di tumori differnziati della tiroide in fase metastatica, l’opzione chirurgica va presa in considerazione per consentire alle terapie complementari di migliorare la prognosi in termini di sopravvivenza.

  10. Adrenal incidentalomas and subclinical Cushing syndrome: indications to surgery and results in a series of 26 laparoscopic adrenalectomies.

    PubMed

    Pisano, Giuseppe; Calò, Pietro Giorgio; Erdas, Enrico; Pigliaru, Francesca; Piras, Stefano; Sanna, Sandro; Manca, Alessandro; Dazzi, Claudio; Nicolosi, Angelo

    2015-01-01

    Il riscontro di un incidentaloma surrenalico comporta un approfondimento diagnostico rivolto da un lato a chiarire la natura della lesione e nello stesso tempo ad accertare la presenza di una attività endocrina subclinica. Quest’ultima molto spesso è caratterizzata da una sindrome metabolica nella quale sono presenti Ipertensione arteriosa, Diabete Mellito di tipo 2 ed Obesità. Tali manifestazioni cliniche, indotte da una alterata secrezione cortisolica, configurano quindi una Sindrome di Cushing subclinica (SCS) nella quale, con il passare del tempo può verificarsi una compromissione della funzione cardiaca nonché un aggravamento del DM e dell’obesità. L’attuale orientamento di fronte ad una SCS, pur oggetto di dibattito, è a favore della surrenectomia laparoscopica (SL), anche in rapporto ai favorevoli risultati della terapia chirurgica nei confronti del trattamento medico. Gli Autori alla luce dell’esperienza personale su 26 casi di SL effettuati in un periodo di 6 anni, riportano i loro risultati in merito alla casistica generale e in particolare nei casi in cui era riconoscibile una SCS. Scopo del lavoro: verificare nel tempo se la SL ha comportato una normalizzazione dell’alterata secrezione cortisolica e un miglioramento della sindrome metabolica associata. Nell’arco temporale gennaio 2009-gennaio 2015 presso il Reparto di Chirurgia Generale A del Policlinico Universitario di Monserrato sono state effettuate 26 SL in 5 maschi e 21 femmine di età media di 53 anni. Le indicazioni alla SL comprendevano 11 incidentalomi, 7 sindromi di Cushing, 5 lesioni sospette per metastasi e 3 sindromi di Conn. Le SL sono state portate a termine in 22 casi (percentuale di conversione 15%), la durata media dell’intervento è stata di 162 minuti (range 65- 225) Nessuna mortalità e complicanze pari all’11%. Degenza media postoperatoria 5,6 giorni. L’esame istologico definitivo ha evidenziato 20 adenomi corticali, 2 iperplasie nodulari, 2 cisti, 1

  11. Introduzione Nuove tecnologie in urologia.

    PubMed

    Bianchi, Giampaolo

    2011-03-30

    Negli ultimi anni sono state introdotte in urologia nuove tecniche chirurgiche alcune già applicabili nella pratica clinica, altre ancora in corso di sperimentazione. Quella che ha trovato attualmente applicazione è la LESS (Laparo Endoscopic Single-site Surgery); essa riguarda tutte le metodiche che utilizzano una sola porta (multiaccesso) per eseguire interventi laparoscopici. I vantaggi apparenti di questa metodica rispetto alla laparoscopia tradizionale sono soltanto un dimostrato miglior risultato estetico. Mancano studi prospettici randomizzati. NOTES (Natural Orifices Transluminal Endoscopic Surgery) È una metodica ancor più nuova che sfrutta gli orifizi naturali (bocca, retto, vagina, vescica per accedere alla cavità addominale. Rispetto alla LESS questa tecnica utilizza prevalentemente i gastroscopi e lo strumentario dei gastoenterologi per eseguire interventi demolitivi. In urologia l'impiego di questa metodica è puramente sperimentale, comunque piccoli passi sono stati fatti nel migliorare lo strumentario. I chirurghi stanno consolidando questa metodica sull'uomo riguardo alla colecistectomia, ma i risultati sono scarsi, discordanti sulla via d'accesso e limitati a case reports. Oggi i risultati più incoraggianti li ha descritti Estevao Lima, un ingegnoso portoghese che utilizzando una tecnica NOTES di terza generazione (accesso combinato trans-vescicale e trans-gastrico) è riuscito ad eseguire una serie di nefrectomie sul maiale. Tanto si sa e si è speculato riguardo al robot da Vinci®, che oggi la prostatectomia senza di lui non è più competitiva. Moltissimi sono i centri che lo hanno, molti quelli che lo usano, tanti quelli che hanno risultati migliori rispetto alla tecnica laparoscopica classica. Ancora ad oggi però non esistono studi prospettici randomizzati che dimostrino la sua superiorità; inoltre una spina nel fianco sono i costi. Un ulteriore sviluppo futuro di da Vinci® forse potrebbe vedersi nell'assistere le nuove tecniche

  12. PREFACE: FLUIDOS 2010: XI Meeting on Recent Advances in the Physics of Fluids and their Applications

    NASA Astrophysics Data System (ADS)

    Bove, Italo; Cabeza, Cecilia; Martí, Arturo C.; Sarasúa, Gustavo

    2011-04-01

    anticipate enjoying another successful FLUIDOS meeting to be held in one of the main cultural centres of the continent. Italo Bove, Cecilia Cabeza, Arturo C Martí, and Gustavo SarasúaEditors

  13. The orbital record in stratigraphy

    NASA Technical Reports Server (NTRS)

    Fischer, Alfred G.

    1992-01-01

    Orbital signals are being discovered in pre-Pleistocene sediments. Due to their hierarchical nature these cycle patterns are complex, and the imprecision of geochronology generally makes the assignment of stratigraphic cycles to specific orbital cycles uncertain, but in sequences such as the limnic Newark Group under study by Olsen and pelagic Cretaceous sequence worked on by our Italo-American group the relative frequencies yield a definitive match to the Milankovitch hierarchy. Due to the multiple ways in which climate impinges on depositional systems, the orbital signals are recorded in a multiplicity of parameters, and affect different sedimentary facies in different ways. In platform carbonates, for example, the chief effect is via sea-level variations (possibly tied to fluctuating ice volume), resulting in cycles of emergence and submergence. In limnic systems it finds its most dramatic expression in alternations of lake and playa conditions. Biogenic pelagic oozes such as chalks and the limestones derived from them display variations in the carbonate supplied by planktonic organisms such as coccolithophores and foraminifera, and also record variations in the aeration of bottom waters. Whereas early studies of stratigraphic cyclicity relied mainly on bedding variations visible in the field, present studies are supplementing these with instrumental scans of geochemical, paleontological, and geophysical parameters which yield quantitative curves amenable to time-series analysis; such analysis is, however, limited by problems of distorted time-scales. My own work has been largely concentrated on pelagic systems. In these, the sensitivity of pelagic organisms to climatic-oceanic changes, combined with the sensitivity of botton life to changes in oxygen availability (commonly much more restricted in the Past than now) has left cyclic patterns related to orbital forcing. These systems are further attractive because (1) they tend to offer depositional continuity

  14. Development of ion-plated aluminide diffusion coatings for thermal cyclic oxidation and hot corrosion protection of a nickel-based superalloy and a stainless steel

    NASA Astrophysics Data System (ADS)

    Elsawy, Abdel Raouf

    This project was carried out at the University of Toronto and Cametoid Ltd of Whitby, Ontario. Ohno continuous casting; a novel net shape casting technique, was used to generate, Al-Y, Al-Ce, Al-La, and Al-Si-Y, in form of 1.6 to 1.7 mm diameter alloy wires. These alloy wires exhibited suitable properties for use as feed materials to an Ion Vapor Deposition facility. The deposition parameters were optimized to provide coatings with a compact and cohesive columnar structure with reduced porosity and diffusion barriers that were essential to ensure the success of the diffusion process in the subsequent stage. Solid-state diffusion heat treatment processes were developed in order to form the stable aluminide phases, AlNi and FeAl, on IN738 and S310 substrates, respectively. Experiments simulating the coating service conditions and environments encountered during the prospective aerospace and fuel cell applications were conducted to evaluate the performance of each aluminide coating developed during this study. Thermal cyclic oxidation and molten sulfate corrosion studies were performed on coated IN738 pins at 1050°C and 900°C, respectively, simulating the service environment of turbine engine blades and other hot section components. Molten carbonate corrosion behavior was investigated for coated S310 coupons that were immersed in, or covered with a thin film of molten carbonate, at 650°C, in air plus 30%CO2, to simulate the operating conditions of the cathode-side separator plates of molten carbonate fuel cells. The behavior of the reactive elements, yttrium, cerium, lanthanum, and silicon in enhancing the adhesion of the protective aluminum oxide scale was determined by weight variation experiments, structural examination and compositional analysis. The influence of the base material elements, nickel, chromium, and iron, on the formation of protective oxides was investigated. All coatings were found to provide significant improvement for thermal cyclic oxidation

  15. [Health expenditure for prevention in Italy (2006-2013): descriptive analysis, regional trends and international comparisons].

    PubMed

    Signorelli, Carlo; Odone, Anna; Bianco, Daniela; Di Vivo, Natalia; Bevere, Francesco

    2016-01-01

    Il dato dell'Organizzazione per la cooperazione e lo sviluppo economico (OCSE) del 2012, che indicava l'Italia come il Paese con la più bassa spesa in prevenzione sanitaria, ha dato lo spunto per una raccolta sistematica e un'analisi critica dei flussi disponibili sulla spesa per le attività di prevenzione in Italia. Le statistiche correnti di spesa sanitaria sono raccolte centralmente dall'Agenzia nazionale per i servizi sanitari regionali (Agenas) attraverso i modelli di rilevazione dei costi dei livelli essenziali di assistenza (LEA) delle aziende USL. Le tre macroaree dei LEA sono: assistenza distrettuale, assistenza ospedaliera e assistenza sanitaria collettiva in ambiente di vita e di lavoro. Le spese per la prevenzione rientrano in quest'ultima e sono ripartite nelle seguenti voci: attività di prevenzione rivolte alle persone, igiene degli alimenti e della nutrizione, igiene e sanità pubblica, prevenzione e sicurezza negli ambienti di lavoro, sanità pubblica veterinaria, attività medico-legale per finalità pubblica. Tra il 2006 e il 2013, ultimo dato disponibile, la spesa per le attività di prevenzione del Servizio sanitario nazionale (SSN) è rimasta costante in rapporto alla spesa sanitaria totale (4,2%), pari a 4,9 miliardi nel 2013. Nel periodo di studio considerato (2006-2013) appaiono in aumento le spese per le attività rivolte alle persone (+8,7%), attribuibili soprattutto a vaccinazioni e screening, e in diminuzione le attività di igiene pubblica (-5,7%) e quelle della sanità pubblica veterinaria (-3,8%). I confronti internazionali indicano una spesa per la prevenzione del 2,9% rispetto alla spesa sanitaria totale, costante negli anni e nella media dei Paesi OCSE. Per la prevenzione, l'Italia spende tanto quanto i Paesi che non possiedono un servizio sanitario pubblico; il dato risulta inferiore del 5% rispetto alla programmazione nazionale, con poche eccezioni e molta variabilità regionale all'interno delle componenti delle voci di spesa

  16. Ultrasound examination using contrast agent and elastosonography in the evaluation of single thyroid nodules: Preliminary results.

    PubMed

    Ferrari, F S; Megliola, A; Scorzelli, A; Guarino, E; Pacini, F

    2008-06-01

    Sommario SCOPO: Valutare l'utilità dell'ecografia con ecoamplificatore e dell'elastosonografia nella caratterizzazione del nodulo tiroideo. MATERIALI E METODI: Periodo novembre 2006–luglio 2007, studiati 23 pazienti con nodulo solitario tiroideo, sottoposti a ecografia B-mode e power Doppler, ecografia con mezzo di contrasto, elastosonografia e FNAC (Fine Needle Aspiration Citology). Sedici pazienti sono stati sottoposti a tiroidectomia. RISULTATI: I 23 noduli studiati comprendevano 14 lesioni benigne e 9 maligne. Alla valutazione delle curve intensità/tempo le lesioni maligne presentavano un tempo di wash-in (8,8 ± 1,3 vs 12,1 ± 2,6 secondi; p = 0,002, t-test) e un tempo di picco (15,3 ± 4,6 vs 22,2 ± 3,9 secondi; p = 0,001, t-test) significativamente più precoci rispetto alle lesioni benigne. La fase di wash-out presentava andamento monofasico nel 70% dei noduli benigni e in nessuno dei maligni; polifasico nel 30% dei noduli benigni e nel 100% dei maligni. L'andamento polifasico è associato in maniera statisticamente significativa (p = 0,0007, χ) alla malignità. L'andamento polifasico ha mostrato sensibilità del 100%, specificità del 71%, VPP (valore predittivo positivo) del 69%, VPN (valore predittivo negativo) del 100% e accuratezza diagnostica dell'83%. Nel 78% (11/14) dei noduli benigni sono stati rilevati i pattern elastosonografici 1–2 (maggiore elasticità), nel 88% (8/9) dei noduli maligni i pattern 3–4 (minore elasticità). L'elastosonografia ha mostrato sensibilità dell'88%, specificità del 78%, VPP dell'72%, VPN del 91% e accuratezza diagnostica del 82%. Il pattern elastosonografico 3–4 è associato (p = 0,001, χ) alla malignità. CONCLUSIONI: L'ecografia con ecoamplificatore e l'elastosonografia possono rappresentare ausili diagnostici nella valutazione del nodulo tiroideo solitario, soprattutto quando la FNAC è non diagnostica, quando indica lesione follicolare e nei noduli <1 cm.

  17. Three-port colectomy: reduced port laparoscopy for general surgeons. A single center experience.

    PubMed

    Cocorullo, Gianfranco; Tutino, Roberta; Falco, Nicolò; Salamone, Giuseppe; Gulotta, Gaspare

    Le resezioni coliche laparoscopiche sia per patologie benigne che maligne sono state investigate da importanti RCT che ne hanno dimostrato la sovrapponibilità alla tecnica open convenzionale. La laparoscopia con un numero ridotto di trocar ha da quel momento trovato ampio sviluppo nell’ottica di massimizzare i benefici della mini-invasività. Proponiamo un’analisi dei nostri risultati nell’utilizzo della tecnica three-port nella emicolectomia sinistra attraverso un confronto con la classica resezione laparoscopica con quattro/ cinque accessi. Come è noto i laparoceli si sviluppano maggiormente su incisioni mediane mentre non vi è differenza tra lo sviluppo di questi dopo tecnica open o laparoscopica. Nell’ottica della chirurgia a numero ridotto di accessi, la tecnica single-port sembra dare vantaggi di minor traumatismo ma ciò a costo di aumentate difficoltà di esecuzione, aumento dei tempi operatori e dell’utilizzo di strumenti per lo più dedicati, con incisioni ombelicali che possono superare i 5 cm. Le resezioni coliche three port consentono di ridurre il numero di accessi e dunque delle complicanze a questi correlate con l’utilizzo di strumentazione standard e la possibilità di esecuzione su larga scala da parte di ogni chirurgo. L’analisi che abbiamo eseguito ha dimostrato nella nostra serie una riduzione dei tempi operatori nella tecnica three port e ciò può essere dovuto all’inserimento dei trocar addizionali ed al loro controllo ma soprattutto alla possibilità/ necessità del chirurgo esperto di essere meno influenzato da fattori quali una equipe non dedicata. Non sono stati evidenziati vantaggi nella riduzione della degenza operatoria. Il tasso di conversione è stato maggiore nella tecnica a ridotto numero di accessi, questo è possibile sia un bias legato alle conversioni precoci prima del posizionamento di restanti trocar in casi particolarmente complessi. In conclusione, la tecnica three port appare comparabile alla

  18. Minilaparoscopic cholecystectomy a one year record.

    PubMed

    Di Bartolomeo, Nicola; Mascioli, Federico; Ciampaglia, Franco

    2015-01-01

    Negli ultimi anni, alcuni chirurghi hanno cercato di rendere sempre meno invasiva la procedura della colecistectomia videolaparoscopica, riducendo il calibro degli strumenti. Nel nostro studio si vogliono dimostrare i vantaggi nell’utilizzo di strumenti miniaturizzati (con diametro di 3mm), comparandoli con la colecistectomia laparoscopica realizzata con strumenti da 5mm. I parametri analizzati nello studio sono: la durata dell’intervento, la durata della degenza, il dolore postoperatorio, le complicanze ed il risultato estetico. Lo studio si basa su una casistica personale di 114 pazienti trattati in un periodo di 12 mesi. Tutti i pazienti sono stati trattati per calcolosi sintomatica della colecisti o per poliposi della colecisti. In 102 pazienti si è trattato di colecistectomia minilaparoscopica e in 12 colecistectomia laparoscopica con strumenti da 5mm o perchè presentavano un eccessivo spessore delle pareti della colecisti che rendeva difficoltosa la presa sull’organo con strumenti di 3mm, o perchè presentavano calcoli lungo la via biliare principale e si rendeva quindi necessario eseguire una colangiografia intraoperatoria. L’esecuzione della tecnica minilaparoscopica richiede particolari accorgimenti per superare piccole difficoltà tecniche in rapporto alla maggiore flessibilità degli stumenti di ridotto calibro e all’impossibilità di applicare clips metalliche con i trocars da 3mm. E’ necessario legare con filo di sutura il dotto cistico mediante nodi intracorporei e coagulare l’arteria cistica con corrente monopolare. La durata dell’intervento risulta in media di 47 minuti per la colecistectomia con strumenti da 5mm e di 50 minuti per la colecistectomia minilaparoscopica. La degenza media è stata di 49 ore per la colecistectomia con strumenti da 5mm e di 18 ore per la colecistectomia minilaparoscopica; 73 pazienti sono stati dimessi lo stesso giorno dell’intervento. Il dolore post operatorio è risultato inferiore nei pazienti

  19. Long waiting lists and health care spending The example of cholecystectomy.

    PubMed

    Palmisano, Silvia; Benvenuto, Chiara; Casagranda, Biagio; Dobrinja, Chiara; Piccinni, Giuseppe; de Manzini, Nicolò

    2014-05-05

    Lo scopo dello studio è stato valutare l’incidenza di complicanze correlate alla calcolosi della colecisti in pazienti in lista d’attesa per l’intervento di colecistectomia e quantificare le implicazioni economiche di quest’attesa in termini di costi sanitari relativi agli esami ematochimici, strumentali, alla degenza, all’intervento chirurgico e alle terapie somministrate. La popolazione oggetto dello studio è stata di 86 pazienti, 39 uomini e 47 donne, inseriti in lista d’attesa per intervento chirurgico di colecistectomia in un periodo compreso fra aprile 2007 e aprile 2010. Di tali pazienti sono stati raccolti dati anagrafici, la durata del tempo d’attesa, dettagli sugli accessi in PS ed eventuali ricoveri durante l’attesa, esami e terapie eseguite, il tipo di intervento chirurgico effettuato e i giorni di degenza. È stato fatto uno studio comparativo di natura economica tra tre gruppi di pazienti: A: asintomatici durante l’attesa, B: complicati ma non operati in urgenza, C: complicati e operati in regime d’urgenza. Utilizzando il tariffario regionale delle prestazioni di assistenza specialistica ambulatoriale e quello delle prestazioni di assistenza ospedaliera per acuti erogate in regime di ricovero diurno abbiamo stimato che un singolo paziente complicato ma non operato in regime d’urgenza abbia determinato un ingente spesa per il sistema sanitario ( gruppo B: circa 3513,2 €) circa 1.9 volte in più se paragonata a un paziente che durante l’attesa non abbia sviluppato complicanze ( gruppo A: circa 1.849,4 €) o 1.36 volte in più di un paziente precocemente operato in regime d’urgenza (gruppo c: circa 2.584,6 €). Nel nostro limitato, ma a nostro parere esplicativo, campione abbiamo stimato i costi specifici legati alla lunghezza delle liste d’attesa pari a circa 26.112 €. In questo periodo di crisi economica, che ha portato numerosi tagli anche al sistema sanitario, questo significativo ammontare di denaro, a nostro

  20. Long waiting lists and health care spending The example of cholecystectomy.

    PubMed

    Palmisano, Silvia; Benvenuto, Chiara; Casagranda, Biagio; Dobrinja, Chiara; Piccinni, Giuseppe; de Manzini, Nicolò

    2015-01-01

    Lo scopo dello studio è stato valutare l’incidenza di complicanze correlate alla calcolosi della colecisti in pazienti in lista d’attesa per l’intervento di colecistectomia e quantificare le implicazioni economiche di quest’attesa in termini di costi sanitari relativi agli esami ematochimici, strumentali, alla degenza, all’intervento chirurgico e alle terapie somministrate. La popolazione oggetto dello studio è stata di 86 pazienti, 39 uomini e 47 donne, inseriti in lista d’attesa per intervento chirurgico di colecistectomia in un periodo compreso fra aprile 2007 e aprile 2010. Di tali pazienti sono stati raccolti dati anagrafici, la durata del tempo d’attesa, dettagli sugli accessi in PS ed eventuali ricoveri durante l’attesa, esami e terapie eseguite, il tipo di intervento chirurgico effettuato e i giorni di degenza. È stato fatto uno studio comparativo di natura economica tra tre gruppi di pazienti: A: asintomatici durante l’attesa, B: complicati ma non operati in urgenza, C: complicati e operati in regime d’urgenza. Utilizzando il tariffario regionale delle prestazioni di assistenza specialistica ambulatoriale e quello delle prestazioni di assistenza ospedaliera per acuti erogate in regime di ricovero diurno abbiamo stimato che un singolo paziente complicato ma non operato in regime d’urgenza abbia determinato un ingente spesa per il sistema sanitario ( gruppo B: circa 3513,2 €) circa 1.9 volte in più se paragonata a un paziente che durante l’attesa non abbia sviluppato complicanze ( gruppo A: circa 1.849,4 €) o 1.36 volte in più di un paziente precocemente operato in regime d’urgenza (gruppo c: circa 2.584,6 €). Nel nostro limitato, ma a nostro parere esplicativo, campione abbiamo stimato i costi specifici legati alla lunghezza delle liste d’attesa pari a circa 26.112 €. In questo periodo di crisi economica, che ha portato numerosi tagli anche al sistema sanitario, questo significativo ammontare di denaro, a nostro

  1. Long waiting lists and health care spending: the example of cholecystectomy.

    PubMed

    Palmisano, Silvia; Benvenuto, Chiara; Casagranda, Biagio; Dobrinja, Chiara; Piccinni, Giuseppe; de Manzini, Nicolò

    2014-03-28

    Lo scopo dello studio è stato valutare l’incidenza di complicanze correlate alla calcolosi della colecisti in pazienti in lista d’attesa per l’intervento di colecistectomia e quantificare le implicazioni economiche di quest’attesa in termini di costi sanitari relativi agli esami ematochimici, strumentali, alla degenza, all’intervento chirurgico e alle terapie somministrate. La popolazione oggetto dello studio è stata di 86 pazienti, 39 uomini e 47 donne, inseriti in lista d’attesa per intervento chirurgico di colecistectomia in un periodo compreso fra aprile 2007 e aprile 2010. Di tali pazienti sono stati raccolti dati anagrafici, la durata del tempo d’attesa, dettagli sugli accessi in PS ed eventuali ricoveri durante l’attesa, esami e terapie eseguite, il tipo di intervento chirurgico effettuato e i giorni di degenza. È stato fatto uno studio comparativo di natura economica tra tre gruppi di pazienti: A: asintomatici durante l’attesa, B: complicati ma non operati in urgenza, C: complicati e operati in regime d’urgenza. Utilizzando il tariffario regionale delle prestazioni di assistenza specialistica ambulatoriale e quello delle prestazioni di assistenza ospedaliera per acuti erogate in regime di ricovero diurno abbiamo stimato che un singolo paziente complicato ma non operato in regime d’urgenza abbia determinato un ingente spesa per il sistema sanitario ( gruppo B: circa 3513,2 €) circa 1.9 volte in più se paragonata a un paziente che durante l’attesa non abbia sviluppato complicanze ( gruppo A: circa 1.849,4 €) o 1.36 volte in più di un paziente precocemente operato in regime d’urgenza (gruppo c: circa 2.584,6 €). Nel nostro limitato, ma a nostro parere esplicativo, campione abbiamo stimato i costi specifici legati alla lunghezza delle liste d’attesa pari a circa 26.112 €. In questo periodo di crisi economica, che ha portato numerosi tagli anche al sistema sanitario, questo significativo ammontare di denaro, a nostro

  2. Ultrasound in the evaluation of interstitial pneumonia.

    PubMed

    Lo Giudice, V; Bruni, A; Corcioni, E; Corcioni, B

    2008-03-01

    Sommario PREMESSA: L'ecografia del torace soltanto di recente ha assunto una sua completa dignità di metodica diagnostica: esperti ecografisti, con esperienza pneumologica, hanno, infatti, dimostrato la possibilità di una applicazione degli ultrasuoni in ambito toraco-polmonare, soprattutto in situazioni critiche, quali quelle emergenti in urgenza, in terapia intensiva o in ambito pediatrico o in corso di gravidanze. SCOPO: Da queste premesse si origina il lavoro, che si propone di individuare, se esistenti, gli aspetti ultrasonografici delle polmoniti interstiziali a genesi infettiva, e il ruolo di supporto (alla radiologia) degli ultrasuoni anche in questo ambito. MATERIALI E METODI: Sono stati studiati 55 soggetti afferiti, nel quinqennio 2001–2006, alla UOS di Ecografia toracica (UOC Pneumologia I) dell'Ospedale M. Santo e dell'UOS di Ecografia Internistica (UOC di Medicina Generale) dell'Ospedale di Rogliano dell'AO di Cosenza, perché affetti da sospetta patologia infettiva respiratoria virale o simil-virale. Tali pazienti sono stati valutati con indagini clinico-funzionali e strumentali (anamnesi + es. obiettivo + esami ematochimici + prove di funzionalità respiratoria + broncoscopia + Rx e HRTC del torace) e con esame ecografico, in cieco, del torace. RISULTATI: Dalla valutazione comparativa tra dati clinico-laboratoristico-strumentali e dati ecografici è emerso che i 55 soggetti studiati sono risultati affetti da polmonite interstiziale. In tali soggetti la diagnosi è stata formulata con l'ausilio delle comuni tecniche di studio, ma anche l'esame US ha permesso la individuazione di segni considerati diagnostici (Lichtenstein) di patologia interstiziale. Dei soggetti esaminati, infatti, 31 (56,36%) hanno mostrato all'ecografia la presenza di artefatti a coda di cometa (>5 per lato) nelle regioni anteriore e laterale del polmone (dato patognomico di patologia interstiziale) e 24 (46,64%) di “quadri misti” (aree di addensamento

  3. Late surgical complications of subtotal colectomy with antiperistaltic caeco-rectal anastomosis for slow transit constipation A critical analysis.

    PubMed

    Marchesi, Federico; Rapacchi, Chiara; Cecchini, Stefano; Sarli, Leopoldo; Tartamella, Francesco; Roncoroni, Luigi

    2016-01-01

    La stipsi grave da rallentato transito è stata negli ultimi anni definitivamente riconosciuta come una condizione potenzialmente chirurgica, e nuove varianti tecniche sono state proposte in alternativa alla colectomia totale con ileo-retto anastomosi con l’obiettivo di minimizzare il rapporto rischi-benefici per il paziente. In quest’ottica la colectomia subtotale con anastomosi ceco-rettale (SCCRA) rappresenta nella nostra esperienza una valida alternativa, riducendo, a parità di efficacia, l’incontinenza e l’urgency postoperatoria, grazie alla preservazione della valvola ileo-cecale e del reservoir cecale. Tuttavia, a fronte di una buona percentuale di successi, legati soprattutto al miglioramento della selezione dei pazienti, la chirurgia della stipsi da rallentato transito presenta tuttora un non trascurabile numero di insuccessi e di complicanze tardive, spesso imprevedibili, e correlate alle varianti tecniche adottate. Nello specifico caso della SCCRA, la preservazione di un segmento colico verosimilmente malfunzionante (il ceco) è stata imputata come possibile causa di recidiva di stipsi cosiccome origine di complicanze chirurgiche tardive (distensione cecale, volvolo). L’obiettivo di questo studio è di analizzare in maniera critica le complicanze tardive di SCCRA, esaminando i rischi specifici della procedura per identificare possibili misure di prevenzione. A tal fine sono stati valutati i dati di 43 pazienti aderenti al follow-up sottoposti a SCCRA presso il nostro Istituto. Sono stati inclusi i pazienti sottoposti a re-intervento per complicanza tardiva chiaramente correlata a SCCRA presso il nostro centro. Sono state identificate 3 complicanze tardive (7%): una distensione cecale, un volvolo ileo-cecale, un volvolo ileale. Tutti i pazienti sono stati trattati chirurgicamente con successo. Solo nel primo caso è stata identificata una evidente condizione predisponente: la presenza di una defecazione ostruita non risolta associata ad un

  4. Malignant transformation in non-recurrent peritoneal cystic mesothelioma Our experience and review of the literature.

    PubMed

    Santangelo, Giuseppe; Accardo, Marina; De Vita, Ferdinando; Del Giudice, Santolo; Gallucci, Federica; Fabozzi, Alessio; De Falco, Massimo

    2016-01-29

    Il mesotelioma peritoneale cistico è un tumore raro. Si tratta di un tumore benigno, che tuttavia va incontro a recidive locali post-chirurgiche in oltre il 50% dei casi. È proprio a seguito di recidive ricorrenti che si possono determinare trasformazioni maligne di questa neoplasia, come descritto in Letteratura. Nel Giugno del 2004 un paziente di 73 anni è giunto presso la nostra struttura con una tumefazione addominale causa di dolore gravativo: si trattava di una massa di 16 cm, la cui struttura, agli esami strumentali (ecografia, TC con m.d.c. e RMN), appariva pluricistica. Attraverso una laparotomia mediana si è provveduto alla sua rimozione e il paziente è stato dimesso in VIII giornata post-operatoria senza complicanze. L’esame istologico, corredato da studio immunoistochimico e di microscopia elettronica, ha consentito di porre diagnosi di mesotelioma peritoneale pluricistico in trasformazione maligna. D’accordo con gli oncologi, in considerazione della scarsa efficacia dei trattamenti adiuvanti e della scarsità dei dati riportati in Letteratura sull’argomento, si è deciso di sottoporre il paziente unicamente ad uno stretto follow-up, con esecuzione di ecografia addominale ogni sei mesi e TC addominale ogni anno. Ad oggi, dieci anni dopo il trattamento, il paziente, di 83 anni, gode di un discreto stato di salute e non si sono verificate riprese o recidive di malattia, né locali, né a distanza. Oltre al fatto di essere risultato maligno alla sua prima manifestazione e non dopo ripetute recidive, il caso presenta altre particolarità: il mesotelioma peritoneale cistico, infatti, solitamente colpisce soggetti di sesso femminile (con un rapporto F:M di 4,5:1) ad un’età media di 60 anni, mentre il caso descritto riguarda un soggetto di sesso maschile di 73 anni. La nostra osservazione dimostra la possibilità che il mesotelioma peritoneale vada incontro a trasformazioni maligne già alla sua prima manifestazione e non esclusivamente dopo

  5. Aortic valve replacement in a patient with ostegenesis imperfecta A case report.

    PubMed

    Concistrè, Giovanni; Casali, Giovanni; Della Monica, Paola Lilla; Montalto, Andrea; Ranocchi, Federeico; Fiorani, Brenno; Musumeci, Francesco

    2014-01-01

    L’Osteogenesi Imperfecta (OI) è un’alterazione ereditaria del tessuto connettivo in cui l’estrema fragilità ossea causa fratture. La dilatazione aneurismatica della radice aortica, l’insufficienza valvolare aortica ed il prolasso mitralico sono rare manifestazioni cardiovascolari di OI. L’intervento cardiochirurgico in questi pazienti può presentare importanti complicanze legate alla incrementata fragilità tissutale e capillare. Noi riportiamo un caso di chirurgia a cuore aperto in una donna con insufficienza valvolare aortica isolata secondaria ad OI. Il decorso postoperatorio è stato privo di complicanze maggiori e la paziente è stata dimessa presso propria abitazione in ottava giornata postoperatoria. È stata seguita con controlli frequenti per un anno. Nonostante la fragilità tissutale non abbia avuto impatto sul decorso postoperatorio, bisogna sempre tenere in considerazione la possibilità di eventi avversi nei pazienti con tale disordine connettivale. È necessario pertanto una meticolosa tecnica chirurgica che possa anticipare possibili complicanze postoperatorie.

  6. Geographic variation in social acceptability of wildland fuels management in the western United States

    USGS Publications Warehouse

    Brunson, M.; Schindler, Bruce A.

    2004-01-01

    Contemporary natural resource management requires consideration of the social acceptability of management practices and conditions. Agencies wishing to measure, respond to, and influence social acceptability must understand the nuances of public perception regarding controversial issues. This study explores social acceptability judgments about one such issue: reduction of wildland fuel hazards on federal lands in the western United States. Citizens were surveyed in four locations where fire has been a significant ecological disturbance agent and public land agencies propose to reduce wildland fuel levels and wildfire hazards via prescribed burning, thinning, brush removal, and/or livestock grazing. Respondents in different locations differed in their knowledge about fire and fuel issues as well in their acceptability judgments. Differences are associated with location-specific social and environmental factors as well as individual beliefs. Results argue against using a??one-size-fits-alla?? policies or information strategies about fuels management.

  7. L'eliosismologia: onde sismiche per studiare l'interno del Sole

    NASA Astrophysics Data System (ADS)

    Di Mauro, M. P.

    2014-12-01

    Negli ultimi cinquanta anni siamo stati testimoni di una straordinaria rivoluzione della conoscenza e comprensione della nostra stella grazie alla nascita dell'Eliosismologia, lo studio delle oscillazioni solari. Analogamente a ciò che accade nella Terra durante i terremoti, anche l'interno del Sole è pervaso continuamente da onde sismiche che provocano piccole oscillazioni, ovvero deformazioni della fotosfera. Le oscillazioni sono la manifestazione di diversi processi che avvengono all'interno della struttura del Sole e le frequenze sismiche dei modi osservati e misurati sulla superficie sono legate direttamente ai parametri fisici degli strati interni attraversati dalle onde sismiche. Lo studio delle oscillazioni rappresenta, quindi, l'unico metodo diretto per studiare la struttura e la dinamica interna del Sole. In questo articolo verranno illustrate le caratteristiche generali delle oscillazioni solari e verranno presentati i risultati importanti e i progressi notevoli raggiunti grazie all'Eliosismologia.

  8. Sonographic examination of epiaortic vessels in patients with peripheral vertigo.

    PubMed

    Salvaggio, G; Gargano, R; Campisi, A; Cantisani, V; Ricci, P; Gallina, S; Midiri, M; Caruso, G

    2010-09-01

    Sommario INTRODUZIONE: Valutare l’utilità dell’eco-color Doppler (CDU) dei vasi epiaortici nei pazienti con vertigine periferica da causa sconosciuta. MATERAILI E METODI: Centocinquantasei pazienti (gruppo studio; 42 uomini e 114 donne; età media 61,86 ± 14,14) e 161 pazienti (gruppo controllo; 80 uomini e 81 donne; età media 62,31 ± 13,69) sono stati sottoposti a CDU dei vasi epiaortici. Sono stati valutati i seguenti parametri: presenza di placche ateromasiche a livello dell’arteria carotide (CA) comune e/o interna; spessore medio intimale (IMT) della CA comune; picco di velocità sistolica (PSV) e indice di resistenza (RI) a livello delle arterie vertebrali (VA).Sono stati utilizzati test parametrici (T-test) e non parametrici (Mann–Whitney U-test e Kolmogorov–Smirnov test). È stata eseguita un’analisi di regressione logistica per fornire un odds ratio indice di grandezza del rischio di vertigine. Sono state considerate variabili indipendenti (età, sesso), fattori di rischio vascolare (ipercolesterolemia, diabete, ipertensione) e variabili CDU (IMT, placche, PSV e RI). RISULTATI: Placche ed IMT > 1 mm sono stati trovati in 31 (19,8%) e 98 (62,8%) pazienti del gruppo di studio e in 43 (26,7%) e 125 (77,6%) pazienti del gruppo controllo. I test statistici, applicati a PSV e RI, non hanno dimostrato differenze significative (p-valore > 0,05). Alla regressione logistica le vertigini sono risultate associate ad età, sesso, ipercolesterolemia, diabete, ipertensione e IMT (p < 0,01), mentre placche, PSV ed RI non erano fattori significativi (p > 0,05). DISCUSSIONE: IMT è la sola variabile CDU significativamente associata alla vertigine, specialmente nelle classi di età inferiore (35-45 e 45-55) del gruppo studio.

  9. Contrast-enhanced ultrasound in planning thermal ablation of liver metastases: Should the hypervascular halo be included in the ablation volume?().

    PubMed

    Andreano, A; Meneghel, E; Bovo, G; Ippolito, D; Salvioni, A; Filice, C; Sironi, S; Meloni, M F

    2010-12-01

    Sommario INTRODUZIONE: All’ecografia con Mezzo di Contrasto (CEUS) dei tumori secondari epatici si evidenzia spesso un alone periferico ipervascolare, che non ha corrispondenza sull’immagine ecografica di base e non è ancora stato caratterizzato istologicamente. Lo scopo dello studio è di caratterizzare tale alone al fine di determinare se sia necessario includerlo nel volume di necrosi pianificato. MATERIALI E METODI: Questo studio prospettico ha incluso 25 pazienti inviati per terapia termo-ablativa di tumori secondari epatici. Prima del trattamento tutti i pazienti sono stati sottoposti a CEUS. Il diametro maggiore della lesione è stato determinato: pre-contrasto, durante la fase arteriosa e durante la fase venosa portale. I diametri delle lesioni pre e post-contrasto sono stati confrontati mediante il test di Turkey–Kramer. Due campioni bioptici sono stati prelevati con ago 21-gauge e analizzati istologicamente: 1) uno dalla zona centrale del tumore e 2) uno dall’alone periferico ipervascolare, identificato alla CEUS solamente nella fase arteriosa. RISULTATI: Il diametro massimo medio delle lesioni è risultato (±deviazione standard): 2,67 ± 1,2 cm pre-contrasto; 3,50 ± 1,4 cm in fase arteriosa; 2,71 ± 1,2 cm in fase venosa. La differenza media tra il diametro massimo pre-contrasto e in fase arteriosa è risultata di 0,84 ± 0,45cm (p<0,0001). All’esame istologico, 24/25 campioni (96%) hanno dimostrato flogosi senza evidenza di tumore microscopico. DISCUSSIONE: L’alone ipervascolare periferico è costituito da infiltrato infiammatorio, non da tessuto tumorale. Esistono evidenze in letteratura che l’infiammazione cronica promuova la neovascolarizzazione e la produzione di fattori di crescita per le cellule neoplastiche. Sembra quindi opportuno includere completamente l’alone ipervascolare periferico evidente alla CEUS nel volume di termo-ablazione.

  10. Influence of fear of movement on total knee arthroplasty outcome.

    PubMed

    Kocic, Mirjana; Stankovic, Anita; Lazovic, Milica; Dimitrijevic, Lidija; Stankovic, Ivona; Spalevic, Marija; Stojiljkovic, Predrag; Milenkovic, Marina; Stojanovic, Zorica; Nikolic, Dejan

    2015-01-01

    RiassuntoLo scopo dello studio è quello di verificare l’incidenza del timore postoperatorio ai movimenti nei pazienti sottoposti ad artroplastica totale del ginocchio (TKA) e di determinare l’associazione di questo timore con i provvedimenti da adottare. Lo studio prospettico riguarda 78 pazienti sottoposti ad TKA primaria per osteoartrite. L’incidenza di timore al movimento è stata detenninata con l’uso della Tampa Scale of Kinesiophobia (TSK). I pazienti sono stati valutati in tre fasi temporali: 2 settimane. 4 settimane e 6 mesi dopo l’intervento chirurgico. In tutte e tre le fasi sono stati valutati il dolore e l’entità della flessione, mentre l’aspetto funzionale è stato preso in considerazione soltanto sei mesi dopo l’intervento, secondo la Oxford knee score 1. Il timore al movimento è stato registrato in 17 pazienti (21,8%). Quelli con maggiore entità di timore hanno dimostrato di conseguire risultati significativamente meno buoni in termini di dolore, grado di flessione e funzionalità rispetto a quelli con limitata paura. Miglioramento del dolore e della flessione sono stati progressivamente conseguiti nel tempo in entrambi i gruppi, ma i risultati migliori vengono raggiunti nel gruppo con minore paura al movimento. Lo studio ha dimostrato che la paura postoperatoria alla motilità si associa significativamente con il dolore, l’entità della flessione e la funzionalità del ginocchio. Altri Autori haImo rilevato che il timore preoperatorio alla motilità del ginocchio fa prevedere limitazioni funzionali postoperatorie. In conclusione il timore della motilità si rileva in una significativa proporzione dei pazienti dopo TKA e si associa con gonalgia, e minore flessione e funzionalità, e dunaue questa paura rappresenta un richio di scarsi risultati dopo artroplastica totale del ginocchio.

  11. Scienza dei servizi

    NASA Astrophysics Data System (ADS)

    Cavenago, Dario; Mezzanzanica, Mario

    I servizi sono oramai centrali nella vita sociale di ogni Paese. L'aspettativa di ogni attore sociale, sia esso cittadino/utente e/o istituzione, è quella di ricevere da uno scambio che ha alla base un servizio un contributo che si caratterizza per una qualità intrinseca. Il mantenimento di tale promessa richiede all'azienda erogatrice un forte coinvolgimento, nel disegno del servizio, degli utenti ed una capacità di gestione della conoscenza; ciò è particolarmente significativo per quei servizi che si caratterizzano per una forte personalizzazione o complessità progettuale. Disegnare un servizio, metterlo in produzione e gestirne l'erogazione ha una complessità variabile in base al grado di coinvolgimento dei destinati ed alle dimensioni critiche che esprimono le condizioni di fattibilità di un servizio di qualità appropriato alle attese degli utilizzatori. Ugualmente la globalizzazione dell'economia e la scarsità delle risorse ha portato l'attenzione, ai fini della sostenibilità delle condizioni sopra richiamate, di una ricerca di modelli e strumenti che permettano una valutazione e una standardizzazione dei processi di produzione ed erogazione secondo condizioni di economicità. Tali primi e sintetici elementi hanno condotto diversi attori istituzionali, grandi imprese ed università attraverso i loro centri di ricerca, ad una azione di riflessione sul grado di "ingegnerizzazione" dei processi sottesi alla erogazione dei servizi ed in particolare ai servizi che attuano le politiche dei grandi settori di base dell'economia di una Nazione: educazione, sanità, sociale, sviluppo infrastrutture ecc.

  12. Laparoscopic intra-operative ultrasound in liver and pancreas resection: Analysis of 93 cases.

    PubMed

    Piccolboni, D; Ciccone, F; Settembre, A; Corcione, F

    2010-03-01

    Sommario INTRODUZIONE: L’ispezione laparoscopica in chirurgia del pancreas o del fegato è un approccio ampiamente utilizzato. L’aggiunta dell’ecografia intra-operatoria alla laparoscopia ha di recente ulteriormente migliorato la valutazione chirurgica. Lo scopo di questo studio è stato di valutare l’impatto dell’ecografia intra-operatoria open (IOUS) o laparoscopica (LIOUS) in chirurgia del fegato e del pancreas. MATERIALI E METODI: Negli anni 2005–2008, 45 pazienti, di età 42–75 anni, sono stati selezionati per chirurgia epatica resettiva e 48 pazienti, di età 14–72 anni, per resezione parziale del pancreas. L’ecografia intra-operatoria è stata effettuata per mezzo di un apparecchio Aloka SSD-550 (Aloka, Tokyo, Giappone), con sonda lineare laparoscopica a punta flessibile e sonda elettronica lineare a T. RISULTATI: Tra i pazienti epatici, la LIOUS ha evitato inutili laparotomie in sei pazienti (13,3%) ed, insieme alla IOUS, ha consentito di trovare noduli non diagnosticati ed ha cambiato la strategia chirurgica in cinque pazienti (11,1%). Nel gruppo pancreas, la LIOUS ha escluso 7 pazienti (14,4%) dalla chirurgia radicale, per infiltrazione della vena mesenterica, coinvolgimento dei linfonodi celici o para-aortici, micro-metastasi epatiche e peritoneali. In 11 lesioni benigne, ha consentito la definizione dei rapporti con il dotto di Wirsung ed i vasi splenici, in 6 ha guidato l’aspirazione di liquido per analisi chimiche e citologiche. CONCLUSIONI: Nella nostra esperienza la LIOUS e la IOUS hanno avuto la massima importanza sia nella selezione dei pazienti per la chirurgia resettiva e nel pianificare l’approccio chirurgico, influenzando la strategia chirurgica in 11 pazienti epatici (24,4%) e 13 pazienti pancreatici (27%).

  13. [Nursing between ethic and aesthetic. Profession described by media].

    PubMed

    Gradellini, Cinzia; Idamou, Sara; Lusetti, Simona

    2013-01-01

    Da una presa visione del messaggio mediatico, riguardo alla figura infermieristica, il ruolo e l’evoluzione che la professione ha avuto negli anni, restano sconosciuti ai non addetti ai lavori. L’obiettivo della ricerca è definire come l’immagine dell’infermiere è descritta dai media. Metodo: analisi di articoli di due quotidiani (a tiratura locale e nazionale) in merito a numero di articoli riguardante la professione, posizione dell’articolo, argomento (malasanità, truffe/reati, lavoro/tagli, riconoscimenti/elogi). A questo è seguita un’integrazione con analisi di quotidiani on line, utilizzando parole chiave. Analisi dei medical drama televisivi, relativamente a presenza, competenze, relazione con medico e paziente, aspetti sociali, contesto di cura in cui opera, impatto sul benessere della persona ed eventuali aspetti etico-deontologici. Risultati: su circa trecento articoli relativi all’ambito della salute, trentanove parlano di infermieri; cinque di questi hanno rilevanza da prima pagina. Il 39% degli articoli parla di truffe/reati, il 19% lavoro/tagli, il 15% malasanità. Dai quotidiani on line emerge un 66% di articoli relativi a truffe/reati. Nei format televisivi alla figura si porge poca attenzione, con competenze generiche a qualsiasi figura diversa da quella medica; quasi esclusivamente di sesso femminile, rispecchia stereotipi considerati di genere. Discussione: da entrambi i media presi in esame emerge una figura poco professionale; nello specifico della televisione, la figura dell’infermiere non ha una precisa identità ed è relegata a un ruolo di debolezza, riscontrabile nel contesto lavorativo e privato.

  14. Primary intra-abdominal synovial sarcoma: a case report.

    PubMed

    Travaglini, Grazia; Biagetti, Simona; Alfonsi, Simona; Bearzi, Italo; Marmorale, Cristina

    2013-09-03

    Il caso clinico che vi presentiamo riguarda la straordinaria localizzazione intra-addominale di un sinovial-sarcoma. Questo tumore dei tessuti molli generalmente interessa le piccole e grandi articolazioni. Sono state descritte altre localizzazioni a livello intra-addominale e retroperitoneale. La nostra paziente si ricovera per una tumefazione dolente dell’addome, alla TC addome si evidenzia una voluminosa massa intra-addominale che comprime e disloca i parenchimi e visceri circostanti e che affiora ai tessuti più superficiali della parete addominale. La biopsia eco-guidata della lesione, insieme allo studio immunoistochimico, permette di porre la diagnosi di sinovial-sarcoma. La paziente viene candidata ad un trattamento chemioterapico a scopo neoadiuvante. Per il sopraggiungere di anemizzazione da sanguinamento della neoplasia, valutata anche la risposta parziale al trattamento sistemico, si pone indicazione all’intervento chirurgico. La massa con peduncolo vascolare maggiore costituito dai vasi gastroepiploici di destra, viene completamente asportata. L’esame definitivo conferma la diagnosi di Sinovial-Sarcoma bifasico. L’indagine genetica condotta sul campione conservato in formalina non ha permesso, a causa della difficoltà di estrarre ed amplificare un quantitativo adeguato di RNA, di identificare la traslocazione (X; 18) (p 11.2; q 11.2) specifica del Sinovial-Sarcoma. La paziente è stata dimessa dopo un decorso clinico regolare. Il follow-up ad un anno non ha mostrato ripresa di malattia ma dopo 18 mesi alla TC torace-addome di rivalutazione si evidenzia la ripresa di malattia a livello intra-addominale e la presenza di metastasi polmonari bilaterali.

  15. [Nutritional self-care promotion in community-dwelling older people: a protocol of mixed method research].

    PubMed

    Raffaele, Barbara; Matarese, Maria; Piredda, Michela; De Marinis, Maria Grazia

    2016-01-01

    Scopo. Descrivere un progetto di ricerca disegnato per promuovere il self-care in ambito nutrizionale nelle persone anziane. La ricerca si propone di: a) valutare l’efficacia di un intervento educativo per la modifica di conoscenze, comportamenti e atteggiamenti in ambito nutrizionale; b) descrivere l’abilità e i comportamenti di self-care in rapporto alla nutrizione; c) identificare i fattori favorenti o le barriere ai cambiamenti nelle conoscenze, comportamenti e atteggiamenti nutrizionali. Metodo. Il disegno di ricerca sarà di tipo misto sequenziale esplicativo. Lo studio prevede l’arruolamento di 50 persone di età uguale o superiore a 65 anni. Nella prima fase quantitativa sarà usato un disegno pre-test e post-test per la realizzazione di un intervento educativo mirato alla modificazione di conoscenze, comportamenti e atteggiamenti in ambito nutrizionale. Sulla base dei risultati dell’intervento educativo sarà condotta la fase qualitativa dello studio con la realizzazione di focus group in sottogruppi di anziani. In una terza fase i risultati quantitativi e qualitativi saranno integrati. I dati quantitativi saranno analizzati attraverso metodi statistici descrittivi e inferenziali e i dati qualitativi attraverso l’analisi del contenuto. Risultati. Lo studio fornirà nuove conoscenze su come le persone anziane si prendono cura di sé, e sui fattori che promuovono il self-care in ambito nutrizionale. Conclusioni. La promozione del self-care è un obiettivo importante per il personale infermieristico nell’ambito dell’assistenza alle persone anziane. I programmi educativi rivolti al mantenimento di una corretta alimentazione nell’anziano possono contribuire a ridurre la malnutrizione e le malattie correlate e devono basarsi su conoscenze derivate dalla ricerca che possono rendere gli interventi più efficaci ed individualizzati.

  16. Laparoscopic and ultrasound assisted management of gallstone ileus after biliointestinal bypass Case report and a review of literature.

    PubMed

    Zago, Mauro; Bozzo, Samantha; Centurelli, Andrea; Giovanelli, Alessandro; Vasino, Michele Ciocca

    2016-05-24

    L’ileo biliare (IB) è una rara urgenza chirurgica, secondaria alla formazione di una fistola colecisto-enterica. È una patologia ancora gravata da una elevata mortalità (15-18%), soprattutto perchè prevalente nella popolazione anziana. L’IB si manifesta con i sintomi aspecifici dell’occlusione intestinale (dolore e distensione addominale, alvo chiuso a feci e gas, vomito) e, per tale ragione, la diagnosi eziologica preoperatoria non è frequente. La triade radiologica di Rigler (pneumobilia, presenza di un calcolo ectopico, livelli idro-aerei) è patognomonica, ma identificabile solo in circa il 15% dei casi alla radiografia dell’addome. A motivo della rarità della patologia, non vi è unanime consenso circa il trattamento dell’IB. In letteratura sono pochi i lavori che riportano l’insorgenza di IB in pazienti precedentemente sottoposti a chirurgia bariatrica. La revisione della letteratura ha permesso di reperire tre casi di ileo biliare successivi a chirurgia bariatrica, di cui due conseguenti a bypass biliodigestivo. Viene presentato un ulteriore caso di una paziente di 41 anni che ha sviluppato un ileo biliare otto anni dopo un intervento bariatrico di bypass bilio-intestinale laparoscopico. Nei pazienti sottoposti a intervento di bypass bilio-digestivo per obesità patologica, viene confezionata una anastomosi tra la colecisti ed il digiuno in modo da conservare la circolazione enteropatica, riducendo le conseguenze del malassorbimento. L’analisi della letteratura relativa ai casi di ileo biliare post-bariatrici pubblicati e di quella più generale sull’ileo biliare, permette di elaborare considerazioni di pratica utilità inerenti la diagnosi pre-operatoria, il ruolo dell’ecografia nella pianificazione della strategia chirurgica e il trattamento chirurgico laparoscopico a cui è stata sottoposta la paziente.

  17. Nationwide program of education for undergraduates in the field of disaster medicine: development of a core curriculum centered on blended learning and simulation tools.

    PubMed

    Ingrassia, Pier Luigi; Ragazzoni, Luca; Tengattini, Marco; Carenzo, Luca; Della Corte, Francesco

    2014-10-01

    In recent years, effective models of disaster medicine curricula for medical schools have been established. However, only a small percentage of medical schools worldwide have considered at least basic disaster medicine teaching in their study program. In Italy, disaster medicine has not yet been included in the medical school curriculum. Perceiving the lack of a specific course on disaster medicine, the Segretariato Italiano Studenti in Medicina (SISM) contacted the Centro di Ricerca Interdipartimentale in Medicina di Emergenza e dei Disastri ed Informatica applicata alla didattica e alla pratica Medica (CRIMEDIM) with a proposal for a nationwide program in this field. Seven modules (introduction to disaster medicine, prehospital disaster management, definition of triage, characteristics of hospital disaster plans, treatment of the health consequences of different disasters, psychosocial care, and presentation of past disasters) were developed using an e-learning platform and a 12-hour classroom session which involved problem-based learning (PBL) activities, table-top exercises, and a computerized simulation (Table 1). The modules were designed as a framework for a disaster medicine curriculum for undergraduates and covered the three main disciplines (clinical and psychosocial, public health, and emergency and risk management) of the core of "Disaster Health" according to the World Association for Disaster and Emergency Medicine (WADEM) international guidelines for disaster medicine education. From January 2011 through May 2013, 21 editions of the course were delivered to 21 different medical schools, and 524 students attended the course. The blended approach and the use of simulation tools were appreciated by all participants and successfully increased participants' knowledge of disaster medicine and basic competencies in performing mass-casualty triage. This manuscript reports on the designing process and the initial outcomes with respect to learners

  18. Straddle injury with anal sphincter and rectal rupture in a young girl Case report.

    PubMed

    Pietroletti, Renato; Delreno, Federica; D'Orsi, Amalia; Caoci, Stefano; Carlei, Francesco

    2015-07-29

    Negli incidenti stradali o sportivi è possibile l’eventualità di lesioni traumatiche indicate come “straddle injury”, “trauma a cavalcioni”, per caduta o urto del perineo su un corpo solido a gambe divaricate. Per lo più si tratta di traumi chiusi di lieve-moderata entità, esitanti in ematomi ecchimosi o abrasioni. Il caso descritto riguarda una quattordicenne vittima in un incidente stradale di un trauma chiuso “a cavalcioni”. Alla presentazione lamentava dolore e sanguinamento perineale e all’esame obiettivo una ferita lacero contusa in sede perianale anteriore. La TC non risultava diagnostica. L’esame in anestesia documentava la rottura completa dello sfintere esterno a livello della commissura anale anteriore, in continuità con una rottura a tutto spessore del retto per un’estensione prossimale di circa 15 cm. Dopo lavaggio e sutura delle lesioni, la laparoscopia verificava assenza di lesioni nella pelvi e nella cavità addominale, e consentiva il confezionamento di una colostomia su bacchetta mediante allargamento dell’accesso laparoscopico. Decorso post-operatorio regolare e dimissione in VIII giornata. A sei mesi chiusura della colostomia previa verifica di normalità dei parametri di fisiologia anorettale. Al follow up recente assenti incontinenza o soiling. I traumi chiusi “a cavalcioni” coinvolgono per lo più il settore uro genitale, ma il coinvolgimento anorettale si riscontra in quelli di maggiore gravità e/o con meccanismo penetrante. Il caso descritto aveva comportato un’importante lesione anorettale pur trattandosi di un trauma chiuso perineale, verosimilmente per la dinamica dell’incidente e lo stato di sovrappeso. Essenziale è l’esame in anestesia generale, di valore superiore alla diagnostica per immagini, che è utile per escludere lesioni viscerali o ossee. L’approccio laparoscopico è utile anche per l’eventuale confezionamento di una colostomia di protezione.

  19. Capsule implosions driven by dynamic hohlraum x-rays

    NASA Astrophysics Data System (ADS)

    Bailey, James

    2005-10-01

    Dynamic hohlraum experiments at the Z facility already implode capsules with up to 80 kJ absorbed x-ray energy. However, many challenging issues remain for ICF. The present experiments use diagnostic capsules to address two of these issues: symmetry measurement and control and building understanding of the capsule/hohlraum implosion system. A suite of x-ray spectrometers record time and space resolved spectra emitted by Ar tracer atoms in the implosion core, simultaneously from up to three different quasi-orthogonal directions. Comparing the results with simulation predictions provide severe tests of understanding. These data also can used to produce a tomographic reconstruction of the time resolved core temperature and density profiles. X-ray and neutron diagnostics are used to examine how the implosion conditions change as the capsule design changes. The capsule design changes include variations in CH wall thickness and diameter, Ge-doped CH shells, and SiO2 shells. In addition, a new campaign investigating Be capsule implosions is beginning. Be capsules may offer superior performance for dynamic hohlraum research and it may be possible to investigate NIF-relevant Be implosion issues such as the fill tube effects, sensitivity to columnar growth associated with sputtered Be capsule fabrication, and the effect of Cu dopants on implosion conditions. Sandia is a multiprogram laboratory operated by Sandia Corporation, a Lockheed Martin Company, for the U.S. Dept. of Energy under contract No. DE-AC04-94AL85000. * In collaboration with G.A. Rochau, G.A. Chandler, S.A. Slutz, P.W. Lake, G. Cooper, G.S. Dunham, R.J. Leeper, R. Lemke, T.A. Mehlhorn, T.J. Nash, D.S. Nielsen, K. Peterson, C.L. Ruiz, D.B. Sinars, J. Torres, W. Varnum, Sandia; R.C. Mancini, T.J. Buris-Mog, UNR; I. Golovkin, J.J. MacFarlane, PRISM; A. Nikro, D. Steinman, J.D. Kilkenny, H. Xu, General Atomics; M. Bump, T.C. Moore, K-tech; D.G. Schroen, Schafer

  20. Serum concentration of secretory IgA during pregnancy and in gynaecological diseases affecting glands and mucosas.

    PubMed

    Briese, V; Seyfarth, M; Brock, J

    1991-01-01

    Secretory IgA (S-IgA) was measured in serum samples from pregnant women by means of radial immunodiffusion according to Mancini with an antiserum against the secretory component and an S-IgA standard. The results neglect the differentiation in SC, S-IgA, and S-IgM. The study includes S-IgA serum levels during pregnancy and post partum as well as in patients with cervical carcinoma and inflammation of the genital tract. The S-IgA serum levels of pregnant women (2nd and 3rd trimester) and after delivery were increased significantly in comparison to nonpregnant women (p less than 0.01). The S-IgA levels in genital inflammation diseases and cervical carcinoma were only sometimes elevated. Pregnant women, 1st trimester: means = 40.0 mg/l (s = 12.2); pregnant women, 2nd trimester: means = 60.13 mg/l (s = 18.9); pregnant women, 3 rd trimester: means = 73.5 mg/l (s = 17.4); post partum: means = 77.5 mg/l (s = 29.52); cervical carcinoma: means = 41.9 mg/l (s = 17.3); adnexitis: means = 46.46 mg/l (s = 16.8); controls: means = 38.61 mg/l (s = 10.5). In a second part S-IgA could be estimated in serum samples of pregnant women by means of an enzyme-linked immunosorbent assay (ELISA). The levels ranged from 7.1 mg/l to 19.3 mg/l in the 1st trimenon and from 16.8 mg/l to 82 mg/l in the 3rd trimenon (means = 11.72 mg/l; s = 4.419; n = 21 and means = 40.01 mg/l; s = 15.117; n = 60). This increasing was significant too (p less than 0.01).

  1. C1q complement component and -antibodies reflect SLE activity and kidney involvement.

    PubMed

    Horák, P; Hermanová, Z; Zadrazil, J; Ciferská, H; Ordeltová, M; Kusá, L; Zurek, M; Tichý, T

    2006-07-01

    The role of the complement system in the pathogenesis of systemic diseases is very ambivalent. In systemic lupus erythematosus (SLE), many abnormalities in the activation of the complement system have been reported. The most important antibodies formed against the complement system in SLE are the ones associated with the C1q component. The aim of this study was to assess separately the anti-C1q antibodies and C1q component in the serum from 65 patients with SLE, then in individuals with (n=33) and without (n=32) lupus nephritis and with active (n=36) and nonactive (n=29) form of the disease (European Consensus Lupus Activity Measurement, ECLAM>3, ECLAMMancini was used to measure the C1q complement component. The mean serum levels were 90.89+/-13 IU/ml for anti-C1q antibodies and 145+/-52 mg/l for C1q. The significant difference in C1q antibodies levels was found between individuals with and without lupus nephritis (117.5+/-52 IU/ml vs. 28.2+/-12.2 IU/ml, p=0.0001) and between those with active and nonactive SLE (154.6+/-115 IU/ml vs. 50.6+/-73, p=0.001). C1q complement component was statistically lower in patients with lupus nephritis (144+/-30 mg/l vs. 175+/-50 mg/ml, p=0.002) and in active patients (138+/-40 mg/l vs. 202+/-20 mg/l, p=0.001). If the two parameters are measured together, they seem to have a mirror-like pattern of serum concentration, and they are potential markers of SLE activity and of the presence of lupus nephritis.

  2. [Quantitative study of immunoglobulins A and G in the salivary secretion of asthmatic patients].

    PubMed

    Frouchtman, R; Viñas, J; Rodríguez, J L; Olivé, A

    1975-01-01

    "Quantitative study of IgG and IgA in the saliva of asthmatics." In this paper the data obtained from the quantitative determination of the IgG and IgA contents of saliva in a group of 56 asthmatic patients of different ages and a group of 54 non-asthmatic healthy controls are compared and discussed. The method of Mancini has been used for measuring the contents of IgG and IgM, both in serum and saliva, the correction proposed by Hobbs has been applied to these values. The following findings are reported: 1. The IgG and IgA levels in the saliva of asthmatic patients (both children and adults) showed a trend to an increased dispersion, when compared with the values observed in the corresponding normal healthy controls. 2. In the group of asthmatic children studied, the measurement of the concentration of these immunoglobulins in saliva showed, as a whole, a significative decrease of IgA (p less than 0,001) and an increase of IgG (p less than 0,01). It is not possible, however, from this data to infer any type of correlation between the concentration of IgA or IgG in saliva and etiology or clinical picture. On the other hand, no statistical difference could be demonstrated between the concentration of these immunoglobulins in the saliva of the group of adult asthmatic patients and the corresponding healthy controls. 3. The present data does not support the existence of any correlation between the concentration of these immunoglobulins in saliva and serum in a group of asthmatic patients. It is of interest to point out, however, that the only three adult asthamtic patients with an IgA serum concentration higher than 400 mg/100 ml. show increased IgA levels in saliva. The authors are planning to proceed this study adding in furture cases the measurement of IgE and IgD with the purpose of confirming the difference found between the concentrations of IgA and IgG in the saliva of asthmatic children versus healthy controls, and of looking at the existence of other

  3. Resource Assessment of the In-Place and Potentially Recoverable Deep Natural Gas Resource of the Onshore Interior Salt Basins, North Central and Northeastern Gulf of Mexico

    SciTech Connect

    Ernest A. Mancini

    2006-09-30

    -five percent of the gas is estimated to be from late cracking of oil in the source rock. Lewan (2002) concluded that much of the thermogenic gas produced in this basin is the result of cracking of oil to gas in deeply buried reservoirs. The efficiency of expulsion, migration and trapping has been estimated to range from 0.5 to 10 percent for certain basins (Schmoker, 1994: Zimmerman, 1999). The estimate of the total hydrocarbons generated for the Mississippi Interior Salt Basin is 910 billion barrels using the method of Schmoker (1994), and the estimate of the total hydrocarbons generated is 1,540 billion barrels using the Platte River software application. The estimate of gas generated for this basin is 3,130 TCF using the Platte River software application, and 4,050 TCF using the method of Schmoker (1994). Seventy-five percent of the gas is estimated to be from late cracking of oil in the source rock. Claypool and Mancini (1989) report that the conversion of oil to gas in reservoirs is a significant source of thermogenic gas in this basin. The Manila and Conecuh Subbasins are oil-prone. Although these subbasins are thermally mature for oil generation and expulsion, they are not thermally mature for secondary, non-associated gas generation and expulsion. The gas produced from the highly productive gas condensate fields (Big Escambia Creek and Flomaton fields) in these subbasins has been interpreted to be, in part, a product of the cracking of oil to gas and thermochemical reduction of evaporite sulfate in the reservoirs (Claypool and Mancini, 1989). The areas in the North Louisiana and Mississippi Interior Salt Basins with high potential for deeply buried gas reservoirs (>15,000 ft) have been identified. In the North Louisiana Salt Basin, these potential reservoirs include Upper Jurassic and Lower Cretaceous facies, especially the Smackover, Cotton Valley, Hosston, and Sligo units. The estimate of the secondary, non-associated gas generated from cracking of oil in the source

  4. Effects of surface states, defects and dopants on the optical and magnetic properties of low-dimensional materials

    NASA Astrophysics Data System (ADS)

    Podila, Ramakrishna

    a range of magnetic properties in ZnO can result, depending on the sample preparation and annealing conditions. For example, within the same ZnO sample we have observed ferro- to para- and diamagnetic responses depending on the annealing conditions. We also explored the effects of surface states on the magnetic behavior of nanoscale ZnO through detailed calculations. In the case of grapheme, we have observed new combination modes in the range from 1650 to 2300 cm-1 in single-(SLG), bi-, few-layer and incommensurate bilayer graphene (IBLG) on silicon dioxide substrates. A peak at ˜1860 cm-1 (iTALO- ) is observed due to a combination of the in-plane transverse acoustic (iTA) and the longitudinal optical (LO) phonons. The intensity of this peak decreases with increasing number of layers and this peak is absent for bulk graphite. The overtone of the out-of-plane transverse optical (oTO) phonon at ˜1750 cm-1, also called the M band, is suppressed for both SLG and IBLG. In addition, two previously unidentified modes at ˜2200 and ˜1880 cm-1 are observed in SLG. The 2220 cm -1 (1880 cm-1) mode is tentatively assigned to the combination mode of in-plane transverse optical (iTO) and TA phonons (oTO+LO phonons) around the K point in the graphene Brillouin zone. Finally, the peak frequency of the 1880 (2220) cm-1 mode is observed to increase (decrease) linearly with increasing graphene layers. Finally, we find that the high curvature in sub-nm SWCNTs leads to (i) an unusual S-like dispersion of the G-band frequency due to perturbations caused by the strong electron-phonon coupling, (ii) an activation of diameter-selective intermediate frequency modes that are as intense as the radial breathing modes (RBMs), and (iii) a clear observation of the IR modes.

  5. Laparoscopic adrenalectomy in a case of congenital duplication of the inferior vena cava. Case report.

    PubMed

    Pisano, Giuseppe; Calò, Pietro Giorgio; Piras, Stefano; Pisano, Umberto; Nicolosi, Angelo

    2013-07-25

    L’eventualità di un’emorragia intraoperatoria è la complicanza più temuta nel corso di una surrenectomia laparoscopica. Tale rischio diventa ancora più importante nel caso in cui siano presenti anomalie anatomiche rappresentate da duplicità della Vena Cava Inferiore (VCI) e da anomali confluenze delle vene surrenali. Tale riscontro, osservato nel caso descritto, ha fornito lo spunto per uno studio sull’incidenza di dette anomalie e sulle metodiche utili a prevenire la complicanza emorragica. Una donna di 39 anni è giunta alla nostra osservazione a causa di una neoformazione non funzionante del surrene destro andata incontro ad un lento ma progressivo accrescimento volumetrico. Tale neoformazione era stata riconosciuta a distanza di tempo nel corso di controlli clinici e strumentali praticati per una Poliposi Familiare del Colon, sottoposta in altra sede a Proctocolectomia Restorativa circa 8 anni prima. Già in quell’epoca era stata documentata una duplicità congenita della VCI associata ad altre anomalie vascolari e viscerali. Nel corso della surrenectomia laparoscopica, dopo aver clippato e sezionato la vena surrenalica alla sua confluenza cavale, è stata riconosciuta una seconda vena con sbocco nella vena renale destra; anch’essa trattata in modo analogo e con esito favorevole. La presenza di una duplice VCI, pur essendo un reperto piuttosto raro, è divenuta di più frequente riscontro con la diffusione di tecniche di diagnostica per immagini sempre più elaborate, in particolare l’AngioTC. La presenza di tali anomalie può rendere problematiche alcune manovre di radiologia interventistica quali il posizionamento di un filtro cavale o il cateterismo selettivo di una vena surrenalica. È però in ambito chirurgico che la duplicità della VCI può causare i maggiori inconvenienti, rappresentati da un possibile danno vascolare. La maggior parte degli Autori ritiene in proposito indispensabile un valido studio per immagini preoperatorio quale

  6. [Modello di Management (Mo.Ma) del paziente affetto da schizofrenia: controllo della crisi, mantenimento, prevenzione delle ricadute e recovery con gli antipsicotici LAI].

    PubMed

    Brugnoli, Roberto; Rapinesi, Chiara; Kotzalidis, Georgios D; Marcellusi, Andrea; Mennini, Francesco S; De Filippis, Sergio; Carrus, Dario; Ballerini, Andrea; Francomano, Antonio; Ducci, Giuseppe; Del Casale, Antonio; Girardi, Paolo

    2016-01-01

    RIASSUNTO. La schizofrenia colpisce circa l'1% della popolazione e rappresenta un grave disturbo mentale con un notevole impatto anche sul funzionamento sociale, lavorativo e sulle attività della vita quotidiana. Le persone con schizofrenia hanno un tasso di mortalità superiore di 2-2,5 rispetto a quello della popolazione generale. La non aderenza ai farmaci antipsicotici è uno dei più importanti fattori di rischio per le ricadute e le ospedalizzazioni, sia nei pazienti con disturbo cronico sia al primo episodio, e conseguentemente contribuisce all'aumento dei costi sanitari. Gli antipsicotici atipici LAI possono migliorare l'aderenza al trattamento contribuendo a diminuire i tassi di ricaduta nei pazienti affetti da schizofrenia fin dall'esordio. Gli obiettivi primari nella gestione dei pazienti schizofrenici sono diretti, non solo alla riduzione dei sintomi nel breve termine, ma anche al mantenimento fisico e della funzionalità mentale, migliorando la qualità della vita e promuovendo il recupero del paziente. Scopo. Proporre un modello integrato, basato sulle evidenze, che fornisca un algoritmo efficace per il recupero del paziente schizofrenico e indagare l'efficacia e la sicurezza degli antipsicotici LAI nel trattamento, nel mantenimento, nella prevenzione delle ricadute e nella recovery dei pazienti affetti da schizofrenia. Metodi. Dopo un'accurata analisi di letteratura abbiamo identificato, raccolto e analizzato gli elementi qualificanti per un'ottimale gestione del paziente schizofrenico, definendo un modello di gestione e selezione delle alternative terapeutiche. Conclusioni. Il modello di gestione della schizofrenia proposto potrebbe consentire un migliore recupero funzionale del paziente grazie alla scelta di iniziare il percorso terapeutico, fin dalle prime fasi del disturbo soprattutto se in giovane età e al primo episodio, con un farmaco atipico LAI. All'interno dei farmaci antipsicotici atipici la formulazione LAI rappresenta una scelta

  7. Post-ERCP pancreatitis. A single center experience and an update on prevention strategies.

    PubMed

    D'Arpa, Francesco; Tutino, Roberta; Battaglia, Emanuele Onofrio; Orlando, Giuseppina; Salamone, Giuseppe; Licari, Leo; Gulotta, Gaspare

    2015-01-01

    La pancreatite rimane ad oggi la maggiore complicanza dell’ERCP nonostante numerose misure tese alla sua prevenzione siano state proposte negli anni. La sua incidenza è del 3.5% e raggiunge in alcune serie di casi anche il 25%; solitamente è lieve-moderata nel 90%. La stratificazione dei pazienti in base al grado di rischio è necessaria per destinare i casi più complessi a centri di terzo livello presenti nel territorio; per far questo, un’analisi dei possibili fattori di rischio è stata originariamente proposta da Freeman ed è poi stata modificata dall’ESGE sulla base dei contributi dei singoli centri, con importanti modifiche. Il presente studio analizza l’incidenza di pancreatite post- ERCP in un centro di terzo livello analizzando, sulla scorta dei fattori di rischio proposti, l’aderenza dei dati. Negli anni 2012-2013, 492 pazienti sono stati sottoposti ad ERCP da due esperti endoscopisti. Secondo le classificazioni di Freeman e Cotton sono state osservate 14 PEP (2.8%), di cui 6 lievi, 4 moderate e 4 severe. È stata condotta un’analisi multivariata che ha evidenziato come fattori di rischio l’elevato numero di tentativi di incannulamento della via biliare e l’iniezione di mezzo di contrasto nel dotto pancreatico; sono risultati fattori protettivi l’early pre-cut e il fallimento della procedura con la sua interruzione. Nella discussione sono state inoltre brevemente analizzate le varie misure profilattiche, quali il posizionamento di protesi pancreatiche e l’utilizzo dei FANS. È interessante notare come i nostri risultati rafforzino gli ultimi orientamenti nel management dell’ERCP, circa l’utilizzo della tecnica di incannulamento filo-guidato e del pre-cut; questi infatti riducono il numero di tentativi di incannulamento ed il conseguente trauma alla papilla promuovendo un incannulamento biliare selettivo e prevenendo l’iniezione di mezzo di contrasto nel dotto pancreatico. Nonostante la pancreatite sia un

  8. Laparoscopic drainage of a recurrent psoas abscess.

    PubMed

    Neola, Benedetto; D'Ambra, Michele; Capasso, Stefano; Russo, Milena; Ferulano, Giuseppe Paolo

    2014-03-28

    Negli ultimi anni, gli ascessi del muscolo ileopsoas sono stati riportati in letteratura con crescente frequenza, probabilmente a causa del largo impiego della TC nella diagnostica differenziale delle algie lombari. Qui presentiamo il caso di una paziente che ha sviluppato un ascesso dell’ileopsoas post-traumatico. Una donna di 43 anni riferiva febbre da 4 settimane, anoressia, dolore al fianco destro e alla regione lombare e difficoltà alla deambulazione. Tale sintomatologia, insorta per la prima volta 20 anni prima in seguito ad una caduta da cavallo, si ripresentava ciclicamente. Per il controllo della febbre e del dolore, la paziente assumeva una terapia antibiotica empirica. Al momento del ricovero gli esami ematochimici mostravano una moderata leucocitosi. La TC dell’addome evidenziava un grosso ascesso multiloculato dello psoas destro ed una lesione ipodensa del sesto segmento epatico. Considerando la lunga storia di infezioni ricorrenti e l’indicazione ad investigare ulteriormente la lesione epatica, si optava per il drenaggio laparoscopico della lesione: aperta completamente la parete dell’ascesso, venivano drenati 550ml di liquido purulento la cui coltura evidenziava la presenza di Stafilococco aureo. Una ecografia del fegato intraoperatoria con sonda laparoscopica escludeva la presenza di una lesione resecabile del sesto segmento epatico e ne confermava la natura infiammatoria. La paziente veniva dimessa in terza giornata operatoria con terapia antibiotica mirata sull’antibiogramma. Nè febbre, nè dolore sono stati più riferiti ai successivi controlli a 1, 6, 12 e 24 mesi dall’intervento. Molti Autori ritengono che gli ascessi dell’ileopsoas possano essere controllati con terapia antibiotica ed eventualmente attraverso il drenaggio percutaneo, riservando il drenaggio chirurgico ai casi complessi o recidivanti. Tuttavia la letteratura non chiarisce se sia da preferire il drenaggio chirurgico con accesso open o laparoscopico. Nella nostra

  9. Cutaneous metastasis from lung cancer. Case report.

    PubMed

    Fratus, Giorgio; Tagliabue, Fabio; Mariani, Pierpaolo; Bottazzi, Enrico Coppola; Spinelli, Luisella; Novellino, Lorenzo

    2014-07-21

    Il cancro del polmone rappresenta la patologia maligna maggiormente diagnosticata a livello mondiale. La diffusione metastatica della malattia è piuttosto frequente. Oltre ai classici siti di metastatizzazione (ossea, surreni, fegato, cervello) un sito particolare è rappresentato dalla cute. Il caso presentato riguarda appunto un paziente di 66 anni con metastasi cutanea da neoplasia del polmone. Un uomo di 66 anni, con anamnesi positiva per anuerisma aortico sottorenale, BPCO, cardiopatico e diabetico, giunge alla nostra osservazione per neoplasia del lobo inferiore del polmone sinistro. Dopo un accurato staging preoperatorio, il paziente viene sottoposto a lobectomia inferiore sinistra. L’esito dell’esame istologico è di carcinoma squamocellulare moderatamente e scarsamente differenziato G2-3 pT2bN0. Il paziente viene pertanto inviato al collega oncologo per il regolare follow up. Dopo circa 6 mesi il paziente ritorna alla nostra attenzione per la comparsa a livello del fianco/fossa iliaca di destra di nodulo cutaneo, duro, discromico, dolente ed ulcerato. Le biopsie eseguite, hanno dato esito di carcinoma squamocellulare moderatamente e scarsamente differenziato. Il paziente veniva sottoposto a un TC torace- addome che evidenziava in sede della parete addominale l’assenza d’infiltrazione dei piani muscolo-aponeurotici da parte della neoformazione. Il paziente è stato quindi sottoposto ad intervento chirurgico di asportazione della lesione cutanea. L’esame istologico del pezzo operatorio ha confermato trattarsi di carcinoma squamocellulare metastatico. Le metastasi cutanee da carcinoma del polmone si presentano nel 2,5 - 7,5% dei casi. La sopravvivenza mediana di questi pazienti è di circa 2,9 mesi. L’istotipo maggiormente coinvolto, secondo autori Giapponesi, è l’adenocarcinoma seguito dal carcinoma squamocellulare. Alcuni studi hanno dimostrato la validità dell’approccio chirurgico seguito dalla chemioterapia nei casi di metastasi singole

  10. Comparison of multiple training models of surgical rotation for third-year medical students A prospective study.

    PubMed

    Magistri, Paolo; Nigri, Giuseppe; Petrucciani, Niccolò; Aurello, Paolo; D'Angelo, Francesco; Ramacciato, Giovanni

    2016-01-01

    Considerata la necessità di elaborare un sistema di rotazione nei reparti di Chirurgia che venga incontro alle necessità degli studenti, abbiamo ideato questo studio prospettico presso la Facoltà di Medicina e Psicologia di “Sapienza, Università di Roma”. Nella nostra Istituzione, gli studenti del terzo anno del corso di laurea di Medicina e Psicologia trascorrono un periodo di 2 mesi presso il reparto di Chirurgia Generale per prepararsi all’esame di Semeiotica Medico-Chirurgica. Spesso i feedback di tale esperienza riportano una certa insoddisfazione, soprattutto per la scarsità dell’attività pratica al letto del paziente. Pertanto, abbiamo deciso di confrontare cinque modelli per stabilire il migliore approccio in termini di apprendimento e soddisfazione degli studenti. 28 studenti sono stati coinvolti nello studio e divisi in cinque gruppi (da A ad E). Il Gruppo A ha eseguito una rotazione standard così come prevista dall’ordine degli studi, 5 accessi in reparto seguiti dal proprio tutor. Gli studenti del gruppo B hanno frequentato il reparto una volta la settimana, arrivando dopo la visita della mattina, trascorrendo un’ora con il tutor ed il resto della mattina con gli specializzandi. Il gruppo C è stato diviso in piccoli gruppi, ciascuno assegnato per 2 volte all’ambulatorio chirurgico, 2 volte in reparto (standard) e 2 volte al servizio di preospedalizzazione. Gli studenti del gruppo D hanno frequentato il reparto una volta la settimana arrivando la mattina presto, trascorrendo 2 ore con il tutor ed il resto della mattina con gli specializzandi. Il gruppo E è stato diviso in 2 gruppi, ciascuno assegnato 3 volte al reparto (standard) e 3 volte alla sala operatoria. Ciascuno studente ha completato un questionario con 20 item di semeiotica all’inizio ed alla fine dello studio per valutare la progressione dell’apprendimento, ed un questionario finale di valutazione della soddisfazione. I risultati hanno dimostrato come tutti i gruppi

  11. Varicose veins: new trends in treatment in a Vascular Surgery Unit.

    PubMed

    Mazzaccaro, Daniela P; Stegher, Silvia; Occhiuto, Maria Teresa; Muzzarelli, Lorenzo; Malacrida, Giovanni; Nano, Giovanni

    2016-01-01

    La recente introduzione di tecniche meno invasive in alternativa al tradizionale stripping safenico ha rivoluzionato il trattamento delle vene varicose (VV), soprattutto nelle Unità Operative a prevalente indirizzo flebologico, ove la scleroterapia con mousse, il laser o la termoablazione con radiofrequenza (RFA) vengono applicate sempre più frequentemente con parallela riduzione del ricorso alle tecniche di chirurgia open. Nella nostra Unità Operativa Complessa di Chirurgia Vascolare, la patologia venosa viene affrontata da sempre, parallelamente a quella arteriosa; in particolare dal 2013, superata la prima fase di apprendimento, anche nella nostra Unità Operativa è stato introdotto l’uso sistematico della RFA per il trattamento dell’incontinenza della vena grande safena (VGS). Abbiamo dunque retrospettivamente esaminato la nostra esperienza nel trattamento delle VV con particolare analisi del modo in cui il nostro approccio terapeutico è cambiato nel corso degli ultimi anni. I dati di tutti i pazienti trattati consecutivamente dal 1 settembre 2013 al 31 Luglio 2015 per VV essenziali e recidive sono stati pertanto retrospettivamente raccolti e analizzati. L’analisi statistica è stata effettuata utilizzando il software JMP 5.1.2 (SAS Institute). Sono state trattate in totale 409 gambe in 378 pazienti. La percentuale di stripping della VGS per VV essenziali è diminuita nel corso degli anni (67% nel 2013 contro il 15.2% nel 2015), a differenza di quello che è successo alla percentuale della RFA della VGS (14.3% vs. 31.5% rispettivamente nel 2013 e nel 2015) e alla percentuale di gambe trattate con la tecnica ASVAL (8.7% vs 31.5%, rispettivamente, nel 2013 e nel 2015). Analogamente, nel 2013 la maggior parte delle procedure è stata eseguita utilizzando l’anestesia spinale (77.5%), mentre nel 2015 le tecniche anestesiologiche più utilizzate sono state l’anestesia locale e l’anestesia locale con sedazione (rispettivamente 35.9% e 29.3%). Il

  12. Crystallization kinetics in magmas during decompression

    NASA Astrophysics Data System (ADS)

    Arzilli, Fabio; Burton, Mike; Carroll, Michael R.

    2016-04-01

    aspect to understand magma evolution in the magma chamber and in the conduit, which in turn has strong effects on magma rheology. The onset of the crystallization process in basaltic melts during experiments was characterized by an initial nucleation event within the first hour of the experiment, which produced the largest amount of plagioclase [3]. This nucleation event, at short experimental duration, can produce a dramatic change in crystal number density and crystal fraction, triggering a significant textural evolution in only 1 h. The obtained results show that crystallization kinetics are strictly related to undercooling, time, final pressure, superheating and water content in the melt. Here we show that a small decrease in pressure could induce a dramatic increase of crystallinity in few hours, in natural systems this may affect the magma rheology and eruptive dynamics on very short time scales. References: [1] Ghiorso MS (1997) Thermodynamic models of igneous. Annu Rev Earth Planet Sci 25:221-241. [2] Arzilli F, Carroll MR (2013) Crystallization kinetics of alkali feldspars in cooling and decompression-induced crystallization experiments in trachytic melt. Contrib Mineral Petrol 166:1011-1027. [3] Arzilli F, Agostini C, Landi P, Fortunati A, Mancini L, Carroll MR (2015) Plagioclase nucleation and growth kinetics in a hydrous basaltic melt by decompression experiments. Contrib Mineral Petrol 170:55.

  13. Geological and geophysical activities at Spallanzani Science Department (Liceo Scientifico Statale "Lazzaro Spallanzani" - Tivoli, Italy)

    NASA Astrophysics Data System (ADS)

    Favale, T.; De Angelis, F.; De Filippis, L.

    2012-04-01

    The high school Liceo Scientifico "Lazzaro Spallanzani" at Tivoli (Rome) has been fully involved in the study of geological and geophysical features of the town of Tivoli and the surrounding area in the last twelve years. Objective of this activity is to promote the knowledge of the local territory from the geological point of view. Main activities: • School year 2001-2002: Setting up inside the school building of a Geological Museum focusing on "Geological Evolution of Latium, Central Italy" (in collaboration with colleagues M. Mancini, and A. Pierangeli). • March, 15, 2001: Conference of Environmental Geology. Lecturer: Prof. Raniero Massoli Novelli, L'Aquila University and Società Italiana di Geologia Ambientale. • School years 2001-2002 and 2002-2003: Earth Sciences course for students "Brittle deformation and tectonic stress in Tivoli area". • November, 2003: Conference of Geology, GIS and Remote Sensing. Lecturers: Prof. Maurizio Parotto and Dr Alessandro Cecili (Roma Tre University, Rome), and Dr Stefano Pignotti (Istituto Nazionale per la Ricerca sulla Montagna, Rome). • November, 2003, 2004 and 2005: GIS DAY, organized in collaboration with ESRI Italia. • School year 2006-2007: Earth Sciences course for students "Acque Albule basin and the Travertine of Tivoli, Latium, Central Italy" (focus on travertine formation). • School year 2010-2011: Earth Sciences course for students "Acque Albule basin and the Travertine of Tivoli. Geology, Hydrogeology and Microbiology of the basin, Latium, Central Italy" (focus on thermal springs and spa). In the period 2009-2010 a seismic station with three channels, currently working, was designed and built in our school by the science teachers Felice De Angelis and Tomaso Favale. Our seismic station (code name LTTV) is part of Italian Experimental Seismic Network (IESN) with identification code IZ (international database IRIS-ISC). The three drums are online in real time on websites http

  14. Integration of porosity, connectivity and permeability measurements to determine syn-eruptive degassing processes during a sub-plinian basaltic eruption

    NASA Astrophysics Data System (ADS)

    Jordan, Simone; Gurioli, Lucia; Colombier, Matthieu; Le Pennec, Jean-Luc; Roche, Olivier

    2015-04-01

    samples, however, show that the vesicles in each clast are fully connected to each other, while the permeability of the clasts varies by two orders (10-11-10-13m2). Textural analysis of the different vesicle networks will give better insights into the cause of this discrepancy. These interesting results indicate the importance of both connectivity and permeability measurements and textural analysis for the evaluation of the presence of a vesicle network and the potential for degassing prior to fragmentation. References: Polacci, M., Baker, D.R., La Rue, A., Mancini, L., Allard, P., 2012. Degassing behaviour of vesiculated basaltic magmas: an example from Ambrym volcano, Vanuatu Arc. J. Volcanol. Geotherm. Res., 233-234, 55-64. Rust, A.C., Cashman, K.V., 2004. Permeability of vesicular silicic magma: inertial and hysteresis effects. Earth Planet. Sci. Lett., 228, 93-107. Saar, M.O., Manga, M., 1999. Permeability-porosity relationship in vesicular basalts. Geophs. Res. Lett., 26, 111-114. Takeuchi, S., Nakashima, S., Tomiya, A., 2008. Permeability measurements of natural and experimental volcanic materials with a simple permeameter: Toward an understanding of magmatic degassing processes. J. Volcanol. Geotherm. Res., 177, 329-339.

  15. Western closure of the Corinth Rift: Stratigraphy and structure of the Lakka fault block

    NASA Astrophysics Data System (ADS)

    Palyvos, Nikos; Ford, Mary; Mancini, Marco; Esu, Daniela; Girotti, Odoardo; Urban, Brigitte

    2013-04-01

    conglomerates, lignites and mudstones (Koumaris formation). In the area of the Meganitis and Selinous rivers, the Profitis Ilias group underlies and may be partly laterally equivalent to the Early to Middle Pleistocene Middle group comprising Gilbert deltas sourced from the south. New data indicate that the Profitis Ilias group was a fluvio-lacustrine system sourced from the north. Accommodation was probably created by an, as yet, unidentified south dipping fault on the north side of or below the present Gulf. The same fluvio-lacustrine system may be traced into the Patras area, further west. The Profitis Ilias group depocentre may have been part of the NE limit of the Patras rift. The westernmost Corinth rift was therefore dominated by continental facies until late Middle Pleistocene. The Rion Straits did not open west to the Mediterranean until well after 400 Ka. Any marine influence in the earlier rift came from the east. Palyvos N., Mancini M., Sorel D., Lemeille F., Pantosti D., Julia R., Triantaphyllou M., De Martini P.M. (2010) - Geomorphological, stratigraphic and geochronologic evidence of fast Pleistocene coastal uplift in the westernmost part of the Corinth Gulf (Greece). Geological Journal, 45, 78-104.

  16. [Knowledge and common sense of nurses on the health's inequities: an exploratory study.

    PubMed

    Cotichelli, Giordano; Di Meo, Giorgia; Giampieri, Paolo

    2016-01-01

    Introduzione. I dati statistici per il 2015 parlano di un peggioramento generale delle condizioni di vita e di salute della popolazione in Italia. Le possibili ricadute chiamano l’infermiere ad un coinvolgimento in tema di disuguaglianze nella salute. Lo studio è stato realizzato con lo scopo di valutare quanto gli infermieri conoscono e percepiscono la correlazione fra le condizioni di salute della popolazione e le iniquità di sistema. Metodo. E’ stato condotto uno studio esplorativo attraverso un aggiornamento bibliografico rispetto a precedenti lavori e la somministrazione di questionari a campioni di convenienza di professionisti e studenti di infermieristica e valutazione dei risultati secondo la prospettiva del mixed method. Risultati. La bibliografia infermieristica presente sul piano quantitativo è molto limitata. Il questionario fornisce risposte utili alla valutazione della percezione delle disuguaglianze nella salute in termini di equità orizzontale e verticale. Conclusioni. La conoscenza delle disuguaglianze nella salute non può essere al margine dei lavori scientifici e della stessa letteratura professionale. E’ necessario ridurre il divario fra gli aspetti valoriali propri della professione, che riverberano nella percezione delle iniquità esistenti, e l’assunzione piena del sapere correlato ai determinanti socio-economici della salute e della malattia.

  17. Usefulness of ileostomy defunctioning stoma after anterior resection of rectum on prevention of anastomotic leakage A retrospective analysis.

    PubMed

    Salamone, Giuseppe; Licari, Leo; Agrusa, Antonino; Romano, Giorgio; Cocorullo, Gianfranco; Falco, Nicolò; Tutino, Roberta; Gulotta, Gaspare

    2016-01-01

    Una delle principali e più temute complicanze della resezione anteriore di retto è stata ed è la deiscenza anastomotica. Solitamente, sia essa una scelta di principio od a discrezione del chirurgo operatore, viene confezionata una ileostomia laterale di sicurezza con lo scopo di prevenire tale circostanza. Scopo di tale studio è stato quello di investigare circa la utilità della stomia laterale di sicurezza quale strumento di prevenzione della deiscenza anastomotica, mettendo a paragone il decorso post-operatorio dei paziente con e senza stomia laterale. Le evidenze hanno portato alla conclusione che il confezionamento della stomia laterale di sicurezza è fattore di protezione non tanto dell’evento deiscenza anastomotica in senso stretto, quanto delle complicanze e della evoluzione clinica della stessa, vedasi ad esempio tasso di ricorrenza di deiscenza/quadro clinico in corso di deiscenza/ tempi di degenza, pur rendendosi necessario sottolineare l’assenza di significatività statistica nel tasso di mortalità nei due gruppi in studio. Cosi detto appare dunque sinottico affermare che il confezionamento di ileostomia laterale di sicurezza in corso di resezione anteriore di retto non determina una diretta azione sull’evento “deiscenza anastomotica” né “morte”, purtuttavia modifica certamente in positivo il decorso clinico ed evolutivo dell’evento “deiscenza anastomotica”.

  18. Sonographic tomography for the preoperative staging of breast cancer prior to surgery.

    PubMed

    Grady, I; Gorsuch-Rafferty, H; Hansen, P

    2010-06-01

    Sommario INTRODUZIONE: Scopo del presente lavoro è effettuare un’analisi preliminare retrospettiva di una nuova tecnica ad immagini, la TC ad ultrasuoni, utilizzata per determinare l’estensione della massa neoplastica mammaria, prima di decidere un’eventuale asportazione chirurgica. MATERIALI E METODI: Nel periodo compreso tra agosto 2007 e giugno 2008, 41 donne con diagnosi di tumore mammario hanno avuto una stadiazione della neoplasia usando la TC ad ultrasuoni. In seguito le pazienti sono state sottoposte a risonanza magnetica con mezzo di contrasto del seno per evidenziare ulteriori aree di estensione tumorale, la presenza di linfoadenopatie del cavo ascellare, di multifocalità e di bilateralità, che avrebbero potuto compromettere l’intervento chirurgico. Entrambe le tecniche sono state poi comparate per confrontarne l’accuratezza. RISULTATI: L’accuratezza della nuova tecnica, la TC ad ultrasuoni è stata del 68%, mentre quella della risonanza magnetica del 54%. L’incremento dell’accuratezza della diagnosi che ne è derivato è stato del 14% (2–28%). La TC ad ultrasuoni non appare, pertanto, inferiore alla risonanza magnetica. CONCLUSIONI: È necessario un ulteriore studio per meglio valutare la capacità e le prospettive di questa nuova tecnica nella fase pre-operatoria.

  19. Pneumatic positioning and mesh fixation in laparoscopic ventral/incisional hernia repair. New surgical technique and a new device.

    PubMed

    Darecchio, Antonio; Bocchi, Paolo; Kukleta, Jan F

    2015-01-01

    Oggetto di questa pubblicazione è la descrizione di una nuova tecnica chirurgica per la riparazione videolaparoscopica di laparoceli ed ernie della parete addominale anteriore. Tale tecnica è strettamente dipendente dall’utilizzo di un nuovo strumento pneumatico per il posizionamento della protesi. Attualmente esistono in commercio svariati tipi di protesi intraperitoneali con valide caratteristiche strutturali. Tuttavia lo scoglio concettuale rimane sui metodi e sui mezzi di fissaggio delle protesi. I mezzi meccanici di qualsiasi conformazione per il fatto stesso di essere dei mezzi meccanici (spirali metalliche ancorette e viti) espongono al pericolo di danno iatrogeno le strutture vascolari nervose che possono incontrare nel loro percorso. La nuova tecnica proposta mira alla perfetta distensione delle protesi per utilizzo intraperitoneale ed ai loro ottimale fissaggio con adesivo chirurgico in condizioni di sicurezza per le strutture circostanti. Tale tecnica è stata eseguita su cadavere di suino* con protesi intraperitoneali di poliestere-gel-collageno e cyanoacrylate come adesivo chirurgico ma non è esclusa la fattibilità con altri tipi di colle, di protesi, protesi auto-adesive già esistenti in commercio o che potrebbero essere appositamente prodotte.

  20. Ureidoglycolate hydrolase, amidohydrolase, lyase: how errors in biological databases are incorporated in scientific papers and vice versa.

    PubMed

    Percudani, Riccardo; Carnevali, Davide; Puggioni, Vincenzo

    2013-01-01

    An opaque biochemical definition, an insufficient functional characterization, an interpolated database description, and a beautiful 3D structure with a wrong reaction. All these are elements of an exemplar case of misannotation in biological databases and confusion in the scientific literature concerning genes and enzymes acting on ureidoglycolate, an intermediate of purine catabolism. Here we show biochemical evidence for the relocation of genes assigned to EC 3.5.3.19 (ureidoglycolate hydrolase, releasing ammonia), such as allA of Escherichia coli or DAL3 of Saccharomyces cerevisiae, to EC 4.3.2.3 (ureidoglycolate lyase, releasing urea). The EC 3.5.3.19 should be more appropriately named ureidoglycolate amidohydrolase and include genes equivalent to UAH of Arabidopsis thaliana. The distinction between ammonia- or urea-releasing activities from ureidoglycolate is relevant for the understanding of nitrogen metabolism in various organisms and of virulence factors in certain pathogens rather than a nomenclature problem. We trace the original fault in database annotation and provide a rationale for its incorporation and persistence in the scientific literature. Notwithstanding the technological distance, yet not surprising for the constancy of human nature, error categories and mechanisms established in the study of the work of amanuensis monks still apply to the modern curation of biological databases.

  1. New "all-in-one" device for mesh plug hernioplasty: the Trabucco repair.

    PubMed

    Gossetti, Francesco; Massa, Salvatore; Abbonante, Francesco; Calabria, Michele; Ceci, Francesca; Viarengo, Maria Antonietta; Manzi, Emy; D'Amore, Linda; Negro, Paolo

    2015-01-01

    Sebbene la tecnica Mesh Plug rappresenti una procedura di indubbia efficacia nel trattamento dell’ernia inguinale, tuttora permangono dubbi in relazione alla storia naturale del plug. In particolare, il plug può andare incontro a coartazione (shrinkage) con formazione di un “meshoma” responsabile di una sintomatologia dolorosa cronica. Più raramente, il plug può migrare e provocare erosione delle strutture anatomiche circostanti. Nel passato sono stati proposti alcuni devices per cercare di risolvere il problema della migrazione; nessuno di questi, tuttavia, ha raggiunto la popolarità dei plug conici o a forma di fiore. Il presente lavoro riporta i risultati di uno studio pilota condotto con l’impiego di un nuovo device tridimensionale, il NeT Plug & Patch. I risultati dopo 12 mesi di follow-up, hanno dimostrato una ridotta incidenza di dolore postoperatorio e cronico, senza rischio di migrazione. Inoltre è stata registrata una compliance soddisfacente sia dei pazienti che degli operatori. La protesi NeT Plug & Patch ha dimostrato di poter realizzare un’ernioplastica semplice ed efficace per la riparazione dell’ernia inguinale.

  2. Padus, Sandalus, Gens Fadiena. Underwater Surveys in Palaeo-Watercourses (ferrara District - Italy)

    NASA Astrophysics Data System (ADS)

    Bucci, G.

    2015-04-01

    In the ambit of our program of researches on ancient rivers in Ferrara hinterland (Italy), we have been joining a Scientific - Didactic Project between Soprintendenza per i Beni Archeologici dell'Emilia Romagna, Comune di Portomaggiore Assessorato alla Cultura, CMAS A.CDCI. - Confédération Mondiale des Activités Subaquatiques Federation ITA F07 - Associazione CMAS Diving Center Italia. The Project is focused on underwater archaeological surveys in ex quarry lakes, following the Rivers Padus and Sandalus between Voghiera, Gambulaga and Portomaggiore (Ferrara District). Here we are going to introduce our most recent results, after the last immersions and a 3D bathymetrical survey completed by echo-side scan sonar in Tramonto Lake at Gambulaga, explaining the connection with remote sensing investigations and direct surveys applied to underwater archaeology of the inland water. The main submerged structure individuated is a part of wooden dock on the left side of Padus, in front of the Necropolis of Fadieni (1st-3rd cent. A.D.). Thanks to the study of 183 finds coming from the lake, involving students and young collaborators of the Archaeological National Museum of Ferrara, we are reconstructing the ancient landscape between Proto-Imperial Age and Late Antique.

  3. Combined chelation based on glycosyl-mono- and bis-hydroxypyridinones for aluminium mobilization: solution and biodistribution studies.

    PubMed

    Chaves, Sílvia; Dron, Paul I; Danalache, Florina A; Sacoto, Diana; Gano, Lurdes; Santos, M Amélia

    2009-11-01

    Taking into account the recognized interest of a poly-pharmacological strategy in chelation therapy, a study of aluminium combined chelation based on 3-hydroxy-4-pyridinone (3,4-HP) compounds with complementary properties, associated to different denticity, size and extrafunctionality, is presented herein. In particular, Al-chelation has been explored, using a tetradentate IDA bis-(3,4-HP) ligand, L, and two N-glycosyl mono-(3,4-HP) derivatives (A or B). Combined complexation studies with the tetradentate and the most promising bidentate ligand (A) evidenced the formation of ternary complexes with high thermodynamic stability (Al-L-A) being the predominant species at physiological pH. In vivo studies on the ability for radiotracer ((67)Ga) removal from loaded mice, as a model of aluminium accumulation in body, have shown that the simultaneous administration to (67)Ga-loaded mice of a mono- and a bis-(3,4-HP) chelator (e.g. A and L) leads to a rapid metal elimination from main organs and whole animal model. This may be rationalized by coadjuvation and eventual synergistic effects, due to complementary accessibility of the chelators to different cellular compartments.

  4. Successful use of rFVIIa for major breast surgery prophylaxis in congenital factor VII deficiency.

    PubMed

    Varricchio, Antonio; Schettino, Michela; Ciampa, Antonio; Iannace, Carlo; Lo Conte, Domenico; Donnarumma, Bernadette; Vigorito, Raffaella; Lepore, Mariolina

    2014-06-24

    emorragiche. In questo articolo descriviamo un caso di una paziente di 46 anni con deficit congenito del fattore VII che si è sottoposta a trattamento chirurgico con successo grazie al trattamento con Novoseven prima della procedura. È stato utilizzato il modello riportato sotto per valutare i livelli di PTT e aPTT nel paziente. Per il prelievo ematico il sangue venoso della paziente è stato raccolto in provette di plastica (0.129 M di citrato di sodio, con sistema Vacutainer). Il tempo di protrombina è stato misurato con Recombiplastin (IL, Milano Italy), l’aPTT è stato misurato con l’APTT-SP (IL, Milano Italy). Come primo approccio profilattico alla paziente è stata utilizzata la vitamina K intramuscolo ma con scarsi risultati, poi si è valutato l’uso del Prothromplex, senza però ottenere un effetto significativo. L’ultimo step è stata la somministrazione di una terapia con Novoseven ® 15μg/kg somministrato 30 minuti prima dell’intervento and 4-5 h dopo la prima infusione. L’infusione del farmaco ha risolto i problemi di coagulazione permettendo il trattamento chirurgico, senza rischio nè emorragico nè trombotico per la paziente.

  5. Innovative technique for large septal perforation repair and radiological evaluation.

    PubMed

    Mocella, S; Muia, F; Giacomini, P G; Bertossi, D; Residori, E; Sgroi, S

    2013-06-01

    La perforazione del setto nasale ha cause molteplici: traumatiche, iatrogene, infettive, degenerative, da abuso di vasocostrittori, da uso di cocaina e di recente anche da chemioterapici antineoplastici. Le perforazioni sono altresì classificate in funzione delle dimensioni e della tipologia del deficit cartilagineo o osteocartilagineo e della sede anteriore, mediana e posteriore. Molteplici tecniche di riparazione chirurgica del danno sono state proposte nel tempo e vengono riassunte nel presente lavoro per tipologia di approccio; i risultati conseguiti, sono soddisfacenti per le perforazioni di piccole e medie dimensioni, ma nelle grandi perforazioni non garantiscono sempre la permanente obliterazione del difetto. Spesso si rende necessario l'utilizzo di tessuti prelevati all'interno delle fosse nasali come i turbinati o il prelievo di cartilagine da altre sedi donatrici come l'orecchio o la costa; le varie tecniche vengono illustrate alla luce della più recente letteratura. Gli Autori hanno valutato i pazienti osservati negli ultimi 8 anni e i risultati chirurgici conseguiti in particolare considerando, gli approcci chirurgici effettuati in approccio aperto o chiuso, endoscopico ed i materiali impiegati. Gli autori propongono tra le varie tecniche impiegate in questa serie di pazienti, una tecnica innovativa utilizzabile con successo in molti dei casi considerati di perforazione settale iatrogena che prevede l'utilizzo del gibbo osteocartilagineo quale sede donatrice, nonché la rinosettoplastica riduttiva quale scelta mirata per ottenere agevolmente lembi di scorrimento mucopericondrale e talora produrre anche un miglioramento estetico morfologico.

  6. Measurement of thermophysical properties coupled with LCA assessment for the optimization of a historical building retrofit

    NASA Astrophysics Data System (ADS)

    Bortolin, A.; Bison, P.; Cadelano, G.; Ferrarini, G.; Fortuna, S.

    2015-11-01

    Historical buildings are a significant part of the Italian building stock and, in most cases, need deep refurbishment interventions to reach the energy criteria required by the current standards. A workflow that integrates on-site surveys and building modeling is mandatory to obtain effective energy saving measures. This work describes the analysis and modeling of the San Vito alla Rivera church, a XIV century building that was damaged during 2009 L'Aquila earthquake, suffering a partial collapse of the façade and of the roof. The latter was selected for a complete restoration that could improve its thermal performance while maintaining, as much as possible, the original structure. Several elements of the roof were collected in situ in order to measure, in laboratory, its thermophysical properties applying standard techniques and alternative methods based on infrared thermography. The accurate characterization of the materials was the starting point for the estimation of the environmental impact of the retrofit aimed to reach a defined thermal transmittance. A model of the building was created with TRNSYS software to calculate the energy consumption before and after the intervention. A Life Cycle Assessment (LCA) analysis was conducted on different insulation materials to determine the one with the lowest impact.

  7. Nursing diagnoses and theoretical frameworks in neonatal units: a literature review.

    PubMed

    Di Sarra, Luca; D'Agostino, Fabio; Cocchieri, Antonello; Vellone, Ercole; Zega, Maurizio; Alvaro, Rosaria

    2016-01-01

    Obiettivo: Identificare le diagnosi infermieristiche ed i quadri teorici utilizzati nelle unità neonatali attraverso una revisione della letteratura. Metodo: Per effettuare questo studio sono stati usati database come Cinahl, Medline e Lilacs. I descrittori usati sono: "Diagnosi infermieristica" AND "Modelli, Infermieristici" OR "Teoria infermieristica" AND "Infante" OR "Neonato". La ricerca era limitata agli arti- coli pubblicati dal 2000 al novembre 2013. Venivano selezionati soltanto gli studi scritti in inglese, spagnolo, portoghese e italiano. Risultati: Nella revisione della letteratura sono state identificate due tassonomie e sei impor- tanti quadri teorici. Le diagnosi infermieristiche più frequentemente individuate sono: intol- leranza alle attività, ridotta ventilazione spontanea, modello di respirazione inefficace, rischio di aspirazione, ritardo nella crescita e nello sviluppo, allattamento al seno inefficace, modello di alimentazione infantile inefficace, ipertermia/ipotermia, rischio di infezione, alterazione dell’integrità cutanea, interruzione dei processi familiari, rischio di compromissione della genitorialità, rischio di riduzione dell’attaccamento. Sono state identificate diagnosi appli- cabili alla sfera psico-sociale genitoriale che consentivano una valutazione integrale del neonato, compresa la famiglia. Conclusioni: Le diagnosi infermieristiche consentono agli infermieri che lavorano nelle unità neonatali l’opportunità di gestire efficacemente il processo assistenziale, nonché la disponibilità dei dati necessari per il continuo miglioramento della qualità nella cura infer- mieristica. L'utilizzo di un unico modello o di più modelli di riferimento costituisce un modo per aiutare l'agire professionale.

  8. [Effectiveness of lacosamide in the treatment of refractory neuropathic pain: an open observational trial].

    PubMed

    Gómez-Argüelles, José M; Bermejo, Pedro E; Lara, Manuel; Almajano, Jerónimo; Aragón, Esther; García del Carrizo, Fernando; Blanco, M Victoria; Valenzuela-Rojas, Francisco J; Colás, Juan; Sánchez-Del Valle, Octavio; Ceballos, M Ángeles; Toribio-Díaz, M Elena; Latorre-González, Germán; Costa-Frossard, Lucienne; Morin-Martin, M del Mar

    2014-10-01

    Introduccion. Aunque se dispone de diferentes tratamientos para el dolor neuropatico, en muchas ocasiones estos pacientes son refractarios, lo que hace necesario probar tratamientos que, por su utilidad en otras patologias, podrian ser eficaces en el dolor neuropatico. Pacientes y metodos. Se recogieron las historias clinicas de pacientes que hubieran sido tratados con lacosamida para el dolor neuropatico, en diferentes hospitales de la zona centro peninsular, y que cumplieran unas caracteristicas similares en cuanto a refractariedad a otros tratamientos estandares, en un seguimiento de al menos seis meses, o que hubiesen tenido que suspender el tratamiento con dicho farmaco por cualquier motivo. Se obtuvo una muestra de 114 pacientes, 61 varones y 53 mujeres, con una edad media de 60,5 años. Resultados. Las causas de dolor neuropatico mas frecuentes fueron: polineuropatia diabetica (31,6%), neuralgia postherpetica (22,8%), neuralgia del trigemino (17,5%), neuralgia suboccipital y lumbociatalgia (un 12,3% en ambas). La eficacia fue buena/muy buena en la mayoria de los pacientes, con un descenso medio en la escala analogica visual tras seis meses de 7,7 a 4,8. No se registraron efectos secundarios graves en ningun paciente, pero en 12 y 10 pacientes no hubo registro mas alla de seis meses, por ineficacia e intolerancia al tratamiento, respectivamente. Conclusiones. El tratamiento con lacosamida en el dolor neuropatico de diferentes causas podria considerarse como una alternativa efectiva y bien tolerada para aquellos pacientes que no respondan a los tratamientos estandares.

  9. Appendix stump closure with endoloop in laparoscopic appendectomy.

    PubMed

    Caglià, Pietro; Tracia, Angelo; Spataro, Daniele; Borzì, Laura; Lucifora, Bibiana; Tracia, Luciano; Amodeo, Corrado

    2014-01-01

    L’appendicite acuta rappresenta la più comune patologia infiammatoria della cavità adddominale. Mc Burney ne ha per primo descritto il trattamento chirurgico utilizzando la classica incisione nel quadrante addominale inferiore destro. Tale approccio è stato considerato il trattamento standard della patologia appendicolare per più di un secolo, fino all’inizio dell’era video laparoscopica. I rapidi cambiamenti tecnici e gli innegabili vantaggi della procedura videolaparoscopica ha portato ad una ampia diffusione della metodica in ambito clinico. La chiusura del moncone appendicolare, durante l’appendicectomia video laparoscopica, rappresenta uno degli aspetti tecnici fondamentali della procedura per le gravi potenziali complicanze che possono derivare da un suo non appropriato trattamento. Gravi complicanze sono infatti rappresentate da deiscenza, fistole stercoracee e peritonite. La chiusura con endostapler, hem-o-look e legatura intracorporea rappresentano le metodiche più comunemente utilizzate. Tutte le alternative descritte presentano vantaggi e svantaggi e vanno rapportate ai diversi stadi clinici della patologia appendicolare. Va inoltre notato che le differenti metodiche di trattamento del moncone appendicolare non sono state testate in studi randomizzati. In base alla nostra esperienza si può affermare che il trattamento del moncone appendicolare con endoloop può essere utilizzato con sicurezza e dovrebbe essere considerata la metodica di scelta anche in relazione al rapporto costo-beneficio. Metodi alternativi di chiusura del moncone appendicolare andrebbero utilizzati in caso di appendicite flemmonosa o gangrenosa, ascesso peritiflitico e/o contemporaneo trattamento di diverticolo di Meckel.

  10. Statin safety: an appraisal from the adverse event reporting system.

    PubMed

    Davidson, Michael H; Clark, John A; Glass, Lucas M; Kanumalla, Anju

    2006-04-17

    The adverse event (AE) profiles of 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitor (statin) agents are of great interest, in particular the most recently approved statin, rosuvastatin. The forwarding of reports of AEs has been shown to be influenced by several reporting biases, including secular trend, the new drug reporting effect, product withdrawals, and publicity. Comparative assessments that use AE reporting rates are difficult to interpret under these circumstances, because such effects can themselves lead to marked increases in AE reporting. Consequently, many comparative reporting rate analyses are best carried out in conjunction with other metrics that put reporting burden into context, such as report proportion. All-AE reporting rates showed a temporal profile that resembled those of other statins when marketing cycle and secular trend were taken into account. A before-and-after cerivastatin withdrawal comparison showed a substantial increase in the reporting of AEs of interest for the statin class overall. Report proportion analyses indicated that the burden of rosuvastatin-associated AEs was similar to that for other statin agents. Analyses of monthly reporting rates showed that the reporting of rosuvastatin-associated rhabdomyolysis and renal failure have increased following AE-specific mass media publicity. Postrosuvastatin AE reporting patterns were comparable to those seen with other statins and did not resemble cerivastatin.

  11. Characterization of size, strength and structure of aluminum-polymer dual-coagulant flocs under different pH and hydraulic conditions.

    PubMed

    Rong, Hongyan; Gao, Baoyu; Dong, Min; Zhao, Yanxia; Sun, Shenglei; Yanwang; Yue, Qinyan; Li, Qian

    2013-05-15

    The objectives of this study are to investigate the impact of papermaking sludge product (LA) on coagulation performance and floc properties under different solution pH and hydraulic conditions. LA was synthetized by grafting acrylamide onto the lignin that contained in papermaking sludge. Characterization of LA, such as FTIR, SEM, zeta potential and molecular weight, showed that target product was obtained successfully. LA was used in combination with aluminum sulfate or polyaluminum chloride, namely Al-LA (Al was dosed firstly) and LA-Al (LA was dosed firstly), in humic acid water treatment. Floc properties and coagulation behaviors of aluminum salts and the dual-coagulants were comparatively evaluated. Results showed that DOC removal was improved by LA at pH 4 ~ 9 and the removal variations caused by different pH were decreased. Flocs formed at pH 5 and pH 8 gave quite large floc size. Floc recoverability declined as initial pH increased. Floc size, growth rate and recoverability were in the order of Al-LA>LA-Al>Al. Furthermore, flocs formed at pH 7 showed the weakest resistance to increasing shear force. Fractal dimension was rather high at pH 7 and 8 and it was in the following order: Al>LA-Al>Al-LA.

  12. [Glucagon-like peptide-1 (GLP-1) mimetics: a new treatment for Alzheimer's disease?].

    PubMed

    García-Casares, Natalia; García-Arnés, Juan Antonio; Gómez-Huelgas, Ricardo; Valdivielso-Felices, Pedro; García-Arias, Carlota; González-Santos, Pedro

    2014-12-01

    Introduccion. Los analogos del glucagon-like peptide-1 (GLP-1) son una opcion terapeutica establecida en los pacientes con diabetes tipo 2. Sin embargo, las propiedades de los analogos del GLP-1 van mas alla del control estrictamente metabolico del paciente diabetico. Los efectos neuroprotectores de los analogos del GLP-1 se han puesto de manifiesto en estudios recientes y han abierto nuevos campos de investigacion en trastornos neurodegenerativos como la enfermedad de Alzheimer (EA), entre otros. Objetivo. Revision sistematica de los estudios experimentales y ensayos clinicos en humanos que demuestran las propiedades neuroprotectoras de los analogos del GLP-1 en la EA. Desarrollo. Los estudios experimentales que se han llevado a cabo en modelos de roedores con EA demuestran las propiedades neuroprotectoras de los analogos del GLP-1 sobre el sistema nervioso central que reducen las placas de beta-amiloide, el estres oxidativo y la respuesta inflamatoria cerebral. Recientemente se han puesto en marcha estudios con analogos del GLP-1 en humanos con deterioro cognitivo y EA. Conclusiones. Los analogos del GLP-1 presentan propiedades neuroprotectoras. Al considerarse la diabetes tipo 2 un factor de riesgo para el deterioro cognitivo y la demencia, deben considerarse los beneficios de los analogos del GLP-1 sobre la cognicion. Del mismo modo, los analogos del GLP-1 suponen un tratamiento prometedor en la EA.

  13. Stress fractures of the base of the metatarsal bones in young trainee ballet dancers.

    PubMed

    Albisetti, Walter; Perugia, Dario; De Bartolomeo, Omar; Tagliabue, Lorenzo; Camerucci, Emanuela; Calori, Giorgio Maria

    2010-02-01

    Classical ballet is an art form requiring extraordinary physical activity, characterised by rigorous training. These can lead to many overuse injuries arising from repetitive minor trauma. The purpose of this paper is to report our experience in the diagnosis and treatment of stress fractures at the base of the second and third metatarsal bones in young ballet dancers. We considered 150 trainee ballet dancers from the Ballet Schools of "Teatro Alla Scala" of Milan from 2005 to 2007. Nineteen of them presented with stress fractures of the base of the metatarsal bones. We treated 18 dancers with external shockwave therapy (ESWT) and one with pulsed electromagnetic fields (EMF) and low-intensity ultrasound (US); all patients were recommended rest. In all cases good results were obtained. The best approach to metatarsal stress fractures is to diagnose them early through clinical examination and then through X-ray and MRI. ESWT gave good results, with a relatively short time of rest from the patients' activities and a return to dancing without pain.

  14. [Language disorders in acute cerebellitis: beyond dysarthria].

    PubMed

    Barragan-Martinez, D; Nunez-Enamorado, N; Berenguer-Potenciano, M; Villora-Morcillo, N; Martinez de Aragon, A; Camacho-Salas, A

    2017-01-01

    Introduccion. La cerebelitis aguda es una de las principales causas de sindrome cerebeloso en la infancia. Entre un amplio elenco de manifestaciones, en el que predominan la cefalea y la ataxia, podemos encontrar otras menos habituales, aunque interesantes, como las alteraciones del lenguaje, mas alla de la bien conocida disartria cerebelosa. Las diferentes combinaciones en que pueden aparecer los sintomas, especialmente cuando no se acompañan de ataxia, hacen de este cuadro un verdadero reto para el clinico. Casos clinicos. Se presentan dos pacientes, de 2 y 4 años, con clinica, pruebas de laboratorio y neuroimagen compatibles con cerebelitis aguda parainfecciosa, que asociaron una llamativa alteracion del lenguaje, uno en forma de mutismo cerebeloso y otro en forma de hipofluencia y agramatismo, y este ultimo cursaba ademas en ausencia de ataxia. La evolucion de ambos casos fue buena, y persistieron leves alteraciones del habla en el seguimiento posterior. Conclusiones. Casos como estos amplian el espectro de manifestaciones clinicas de la cerebelitis aguda. Cada vez cobra mayor importancia la participacion del cerebelo en procesos neurocognitivos como el lenguaje y, aunque muchos aspectos son aun especulativos, alcanzar a definir su verdadero papel tendra una repercusion en el diagnostico, el tratamiento y el pronostico a largo plazo de estos pacientes.

  15. [Reversible neuropsychological deterioration associated to zonisamide in a paediatric patient with tuberous sclerosis].

    PubMed

    Fournier-Del Castillo, M Concepción; Melero-Llorente, Javier; Blanco-Beregana, Miriam; Robles-Bermejo, Fernando; Budke, Marcelo; Garcia-Fernandez, Marta; Garcia-Penas, Juan José; Perez-Jimenez, M Ángeles

    2015-01-16

    Objetivo. Documentar el deterioro cognitivo reversible asociado a altas dosis de zonisamida, utilizando indices de cambio fiable para controlar los efectos de practica derivados de evaluaciones neuropsicologicas repetidas. Caso clinico. Niño de 11 años con complejo esclerosis tuberosa y epilepsia refractaria del lobulo frontal izquierdo, evaluado en el contexto de un programa de cirugia de la epilepsia pediatrica. La zona epileptogena se relaciono con un tuber epileptogeno localizado en el giro frontal inferior del hemisferio izquierdo. Los efectos de altas dosis de zonisamida mimetizaron una afectacion de la corteza elocuente en la zona epileptogena y un impacto de las crisis no controladas en el funcionamiento cognitivo asociado al hemisferio dominante para el lenguaje. La retirada del farmaco mejoro significativamente, mas alla de los efectos de practica, el cociente intelectual total, el indice intelectual de comprension verbal y habilidades cognitivas especificas sustentadas en el lenguaje. Conclusiones. La diferenciacion entre los efectos cognitivos de los farmacos y la existencia de un deficit funcional por afectacion de la corteza elocuente en el area epileptogena puede ser crucial para la toma de decisiones en cirugia de la epilepsia.

  16. Stress fractures of the base of the metatarsal bones in young trainee ballet dancers

    PubMed Central

    Albisetti, Walter; De Bartolomeo, Omar; Tagliabue, Lorenzo; Camerucci, Emanuela; Calori, Giorgio Maria

    2009-01-01

    Classical ballet is an art form requiring extraordinary physical activity, characterised by rigorous training. These can lead to many overuse injuries arising from repetitive minor trauma. The purpose of this paper is to report our experience in the diagnosis and treatment of stress fractures at the base of the second and third metatarsal bones in young ballet dancers. We considered 150 trainee ballet dancers from the Ballet Schools of "Teatro Alla Scala" of Milan from 2005 to 2007. Nineteen of them presented with stress fractures of the base of the metatarsal bones. We treated 18 dancers with external shockwave therapy (ESWT) and one with pulsed electromagnetic fields (EMF) and low-intensity ultrasound (US); all patients were recommended rest. In all cases good results were obtained. The best approach to metatarsal stress fractures is to diagnose them early through clinical examination and then through X-ray and MRI. ESWT gave good results, with a relatively short time of rest from the patients’ activities and a return to dancing without pain. PMID:19415273

  17. Contralateral botulinum injections in patients with residual facial asymmetry and contralateral hyperkinesis after primary facial palsy surgery.

    PubMed

    Bartoli, Davina; Battisti, Andrea; Cassoni, Andrea; Terenzi, Valentina; Della Monaca, Marco; Pagnoni, Mario; Valentini, Valentino; Priore, Paolo

    2015-01-01

    Ogni trattamento, medico e chirurgico, della paralisi facciale è finalizzato al recupero della simmetria facciale statica e dinamica. La tossina botulinica di tipo A può essere utilizzata nei pazienti affetti da paralisi del nervo facciale, sottoposti in precedenza a chirurgia primaria, al fine di ridurre la residua asimmetria facciale e le progressive ipercinesie controlaterali al lato affetto, che caratterizzano tali soggetti. Sono stati inclusi nel nostro studio sei pazienti (1 maschio e 5 femmine) affetti da paralisi del nervo facciale monolaterale secondaria a diverse cause, classificata secondo la scala di House-Brackmann in grado III e IV. I pazienti inclusi nello studio sono stati sottoposti in precedenza a trattamento chirurgico riabilitativo specifico per la paralisi facciale stessa; successivamente ciascuno di essi è stato trattato con 50 unità di tossina botulinica di tipo A a livello del lato non affetto del volto, al fine di ridurre le ipercinesie muscolari ed aumentare l’asimmetria e l’abilità muscolare del volto. L’età media dei soggetti era di 44,5 anni. I pazienti sono stati esaminati a 7, 14, 30, 60, 90 e 120 giorni dopo il trattamento con tossina botulinica. Lo studio dimostra la riduzione delle ipercinesie controlaterali alla paralisi facciale ed il miglioramento della simmetria del volto nei pazienti sottoposti precedentemente a trattamento chirurgico primario per la riabilitazione del nervo facciale stesso. Tutti i pazienti si sono dimostrati soddisfatti del trattamento con tossina botulinica di tipo A.

  18. Preliminary studies concerning the application of different braking arrangements on Italian freight trains

    NASA Astrophysics Data System (ADS)

    Pugi, Luca; Rindi, Andrea; Ercole, Andrea Giuseppe; Palazzolo, Alessandro; Auciello, Jury; Fioravanti, Duccio; Ignesti, Mirko

    2011-08-01

    Freight wagons are usually equipped with the standard Union Internationale des Chemins de Fer pneumatic brake. On long trains, the propagation of the pneumatic signals along the pipe and different braking/loading conditions may produce delays and/or differences in the application of the braking effort along the train. This phenomenon may cause heavy longitudinal forces exchanged between wagons through buffers and draw gear. In particular, the workgroup n.6 (freight trains composition) of the Italcertifer committee has performed some preliminary studies concerning the application of LL braking operative conditions on freight wagons trains travelling on Italian lines. Partners have cooperated in this workgroup; however, in this paper, the attention is focused on methodologies and results concerning the contribution of University of Florence. The results of this activity, coordinated by RFI-CESIFER have been used to emanate the 20/07 rule of the RFI ('Modifiche alla Prefazione Generale all'Orario di Servizio') which modify the composition criterion rules of freight trains on the Italian Railways in order to introduce and discipline the application of the LL braking operative condition.

  19. Fokker-Planck Modelling of PISCES Linear Divertor Simulator

    NASA Astrophysics Data System (ADS)

    Batishchev, O. V.; Krasheninnikov, S. I.; Schmitz, L.

    1996-11-01

    The gas target operating regime in the PISCES [1] linear divertor simulator is characterized by a relatively high plasma density, 2.5 × 10^19 m-3, and low temperature, 8 eV, in the middle section of an ≈ 1 m long plasma column. Near the target, the plasma temperature and density as measured by Langmuir probes drop to 2 eV and 3.5 × 10^18 m-3, respectively, as a result of electron energy loss due to dissociation, ionization, and radiation. Such a sharp gradient in the plasma parameters can enhance non-local effects. To study these, we performed kinetic simulations of the relaxation of the electron energy distribution function on the experimentally measured background plasma using the adaptive finite-volumes code ALLA [2]. We discuss the effects of the observed incompletely equilibrated electron distribution function on key plasma parameter measurements and plasma - neutral particle interactions. cm [1] L.Schmitz et al., Physics of Plasmas 2 (1995) 3081. cm [2] A.A.Batishcheva et al., Physics of Plasmas 3 (1996) 1634. cm ^*Under U.S. DoE Contracts No.DE-FG02-91-ER-54109 at MIT, DE-FG02-88-ER-53263 at Lodestar, and DE-FG03-95ER54301 at UCSD.

  20. Surgical strategies for cutaneous neoplasm of the scalp. State of art.

    PubMed

    Vitagliano, Tiziana; Greco, Manfredi; Dessy, Luca Andrea; Atzeni, Matteo; Ciriaco, Antonio Greto; Ribuffo, Diego

    2015-01-01

    La ricostruzione dello scalpo è sempre stato un compito arduo ed una sfida, in particolare dopo una demolizione oncologica, e questo articolo offre una visione globale dello stato dell’arte sulle strategie ricostruttive. A questo scopo abbiamo elaborato un algoritmo sistematico per la ricostruzione dello scalpo basato sulla sede e l’estensione del difetto, la presenza o meno del periostio, il coinvolgimento osseo, la qualità dello scalpo circostante, la presenza o meno dei capelli, la localizzazione della linea del capillifero, le comorbilità del paziente e le differenti procedure comunemente usate in chirurgia plastica. Come risultato il nostro algoritmo consente ai chirurghi plastici di procedere alla ricostruzione dello scalpo dopo i difetti più devastanti, ed il successo della ricostruzione richiede una attenta pianificazione preoperatoria ed un approfondita conoscenza dell’anatomia dello scalpo, la fisiologia dei capelli, la varietà dei tessuti localmente disponibili e le procedure di chirurgia plastica, come pure la conoscenza dei sostituiti sintetici e dei prodotti forniti dall’ingegneria tissutale. La sfida attuale è comunque quella di ottenere risultati cosmetici di eccellenza, di cui sono esempio i cinque casi dell’iconografia.

  1. Typical and atypical lymphatic flows in breast carcinoma.

    PubMed

    Pasta, Vittorio; Monteleone, Francesco; D'Orazi, Valerio; Del Vecchio, Luca; Sottile, Daniela; Iacobelli, Silvia; Monti, Massimo

    2015-01-01

    La pratica, universalmente riconosciuta, della ricerca e biopsia del linfonodo sentinella nella stadiazione dei tumori ha evidenziato una serie di situazioni anatomiche e fisiologiche che hanno consentito una più approfondita conoscenza del comportamento del flusso linfatico nel soggetto sano e nel paziente affetto da neoplasia. In particolar modo abbiamo concentrato la nostra attenzione sulle pazienti sottoposte a ricerca linfoscintigrafica del linfonodo sentinella in vista di interventi chirurgici per carcinoma mammario; abbiamo valutato statisticamente la sede in cui è stato reperito il LS e nell’eventualità di drenaggio in sedi anomale il percorso del flusso linfatico. Si è fatto riferimento, per questo studio, alla casistica del Dipartimento di Scienze Chirurgiche dell’Università La Sapienza di Roma maturata negli ultimi 2 anni. Lo scopo del nostro studio è stato quello di valutare statisticamente la sede del linfonodo sentinella, le possibilità di flussi linfatici in direzione non usuale e in questi casi dove, quando e perché. Ne sono emersi riscontri degni di analisi critica e considerazioni oggetto del presente lavoro.

  2. Technical and social challenges of laparoscopic appendectomy performed in a rural setting.

    PubMed

    Kucuk, Gultekin Ozan

    2015-01-01

    Lo studio illustra i dettagli tecnici e sociali delle difficoltà da affrontare nell’adozione dell’appendicectomia laparoscopica in un ospedale periferico in ambiente rurale, e suggerisce le soluzioni, includendo la casistica nell’intervallo tra aprile 2009 e dicembre 2010, di cui sono analizzati le caratteristiche demografiche, i reperti operatori ed i risultati. La casistica si riferisce a 51 pazienti (28 uomini e 23 donne) sottoposti ad appendicectomia laparoscopica, di età media di 23 anni (tra 13 e 74 anni). In media l’intervento ha richiesto 45 minuti (tra 20 e 75 minuti). La base appendicolare è stata trattata con endoloop in 4 casi (7,8%) o per nodo intracorporeo in 46 casi (90,2%); in un caso la base è stata suturata. In 20 casi (39,2%) si sono dovute fronteggiare difficoltà tecniche, ed in un paziente (2%) si è fatto ricorso alla conversione al trattamento laparotomico. La degenza postoperatoria è stata di 2.4 ± 0.8 giorni, ed in un paziente (2%) si è sviluppato un ascesso intra-addominale. In conclusione la appendicectomia laparoscopica può essere adottata con sicurezza in ambiente rurale, anche se si tratta di casi complicati. Si discutono alcune difficoltà tecniche e sociali da affrontare, e le soluzioni adottate.

  3. The Milky Way and the Local Group

    NASA Astrophysics Data System (ADS)

    Rampazzo, Roberto; D'Onofrio, Mauro; Zaggia, Simone; Lattis, James M.; van der Kruit, Pieter C.; Vallenari, Antonella; Calzetti, Daniela; Madore, Barry F.; Karachentseva, Valentina; Ibata, Rodrigo; Gallart, Carme; Lake, George; Tully, Brent R.; Gilmore, Gerald F.

    The beauty and the charm of the Milky May (MW) have been celebrated by countless poets and writers of many Countries along the centuries (see e.g. the beautiful anthology of Piero Boitani 2012 ). The stellar nature of the MW was firstly observed by Galileo. In 1610 in the Sidereus Nuncius ( Galilei 1993 ) Galileo wrote that the MW is "nient'altro che una congerie di innumerevoli Stelle, disseminate a mucchi; chè in qualunque regione di essa si diriga il cannocchiale, subito una ingente folla di Stelle si presenta alla vista, delle quali parecchi si vedono abbastanza grandi e molto distinte; ma la moltitudine delle piccole è del tutto inesplorabile". In the same paragraph, Galileo remarked that observations with his telescope, for the first time, wipe out centuries of philosophical discussions about the nature of the MW. Three more centuries have been necessary to complete a second radical Copernican Revolution that displaces the solar system from being roughly at the center of the MW and project this latter in the vast Universe populated by billions of similar spiral galaxies (see Chap. 1).

  4. Childhood obesity: know it to prevent it.

    PubMed

    Bozzola, M; Bozzola, E; Abela, S; Amato, S

    2012-01-01

    Obesity can be defined as an excess of adipose tissue. It is associated to a significantly increased risk of cardiovascular disease, hypertension, diabetes mellitus and hypercholesterolemia. The results of the Italian survey called Okkio alla Salute (2010), which was attended over 42'000 students of third-class of primary school and 44'000 parents, confirm bad eating habits, sedentary lifestyles and excess weight. In particular, 22,9% of the children resulted overweight and 11,1% obese. The prevalence of obesity is higher in the south of Italy than in the north and in males rather than in females. Moreover, parents do not always have a real idea of the physical aspect of their son: 36% of the mothers of overweight or obese children are do not believe their child is overweight. Just 29% of them think that the quantity of food eaten by their child is excessive. The relative risk for an obese child to become an obese adult increases with the age and is directly correlated to the severity of overweight. Among obese children of preschool age, 26 to 41% will be an obese adult., Among scholar children, the percentage increases to 69%. The paper describes a multidisciplinary approach the disease, in fact, dietary and behavioural modifications, associated with physical activity, have the purpose of educate overweight and of preventing the onset of complications or reducing their severity if already present and reversible.

  5. Adolescents and young adults with acute lymphoblastic leukemia.

    PubMed

    Stock, Wendy

    2010-01-01

    During the last decade, increasing attention has been paid to a unique group of patients with acute lymphoblastic leukemia (ALL) who lie at the crossroad of therapeutic care by pediatric and adult hematologists/oncologists. ALL is a disease that affects infants, children, adolescents, and adult patients. With current therapies, the vast majority of children with ALL are now long-term survivors; unfortunately, the same good results have not yet been obtained for adults with ALL. This review will describe current controversies surrounding the treatment of adolescents and young adults with ALL--a group who finds themselves in the transition from "pediatric" to "adult" treatment approaches. The review focuses on recent insights into disease biology, prognostic factors, and treatment outcomes that have led to a series of prospective clinical trials specifically designed for adolescents and younger adults (AYAs) with ALL. These trials have been designed to provide important new clinical, psychosocial, and biological insights, and to further improve the survival of this challenging and unique group of patients.

  6. The origin of the Dargom canal in the oasis of Samarkand (Uzbekistan). A new scenario from geoarcheological data

    NASA Astrophysics Data System (ADS)

    Marconi, V.; Mantellini, S.; Picotti, V.; Gabbianelli, G.; Tosi, M.

    2009-04-01

    As the main oases developed in the arid regions of Central Asia, the region of Samarkand is the outcome of large hydraulic works carried out since the past times. The main result of such a great landscape transformation is a complex irrigation network formed by several artificial channels and useful for both urban water supply and irrigation purposes. Within the framework of the Italo-Uzbek Archaeological Project begun in 2001, a specific study was aimed to reconstruct the history of Dargom, the primary canal on the South of the city, and its relationships with the settlement dynamics. According to the most accepted theories, the Dargom was dug during the Achaemenid Age (6th-4th c. BC) as a consequence of a master plan linked to a strong central political power. The new investigations carried out by a joined team of Archaelogists and Geologists from the University Bologna allowed a new hypothesis on the way of digging and the chronology of the Dargom itself. The analyses on the historical settlement patterns seem to suggest a low development of Samarkand's territory during the Achaemenid times, whilst the increasing of sites during the Early Middle Age (5th-8th c.) can be explained throughout the rich trades along the Silk Road as well as the development of irrigated agriculture. The present-day Dargom is a high sinuosity channel deeply incised into the bedrock flowing to the east, strongly resembling a natural channel. It has been excavated for around 70 km along an apron of alluvial fans sourced by a southern mountain range. Its morphology clearly document a natural evolution after excavation: incision and meandering took place, likely due to the increasing gradient related to the headward migration of lowering of the base-level and the decrease of the bed load through time. Field survey around the fortress of Kafir Kala, the main archeological site geographically linked to the Dargom, allowed reconstructing the original bed of the canal, marked by a layer of

  7. Imaging detection of new HCCs in cirrhotic patients treated with different techniques: Comparison of conventional US, spiral CT, and 3-dimensional contrast-enhanced US with the Navigator technique (Nav 3D CEUS)().

    PubMed

    Giangregorio, F; Comparato, G; Marinone, M G; Di Stasi, M; Sbolli, G; Aragona, G; Tansini, P; Fornari, F

    2009-03-01

    Sommario INTRODUZIONE: Il sistema “Navigator” di Esaote consente di ottenere ricostruzioni 3-D di tutto il fegato (corrette volumetricamente da un sistema di guida) mediante singola acquisizione con CEUS (mediante scansione perpendicolare all'asse lungo del fegato, per una completa acquisizione 2-D del suo asse corto) e sovrappone tali ricostruzioni 3-D con quelle ottenute con la TC. SCOPO: valutare la capacità di tale sistema di diagnosticare nuovi HCC rispetto all'US e alla TC in una popolazione di HCC su cirrosi precedentemente trattati con varie metodiche. MATERIALI E METODI: Settantadue cirrotici con pregressi HCC (M/F: 38/34; tutti HCV +vi, Child A/B: 58/14, con detection di 49 nuovi noduli (N) in 34 pazienti; 10 nuovi HCC multinodulari (NMulti); 6 riprese locali di malattia (Ri) in 4 pazienti (3 riprese singole, in un paziente tre noduli con ripresa di malattia); 47 HCC trattati efficacemente (neg) in 22 pazienti + 2 pazienti con HCC multinodulare senza segni di ripresa (neg-Multi) sono stati sottoposti a 100 esami (1 esame: 48 pazienti; 2 esami: 20 pazienti; 3 esami: 4 pazienti) dal 1 novembre 2006 al novembre 2007. La Nav 3D CEUS è stata eseguita con SonoVue (BR1; Bracco) e con l'ecografo Esaote MPX collegato a un sistema “Navigator” con software di ricostruzione 3-D dedicato. La TC spirale di controllo è stata eseguita entro 30 giorni dall'esecuzione di Nav 3D CEUS. Sono stati valutati sensibilità, specificità, accuratezza diagnostica (ODA), valore predittivo positivo (PPV) e negativo (NPV). RISULTATI: La diagnosi finale fu: 34 pazienti con 49 nuove lesioni (N), 10 con HCC multiN e 6 recidive loco-regionali in 4 pazienti; 47 noduli in 24 pazienti senza nuove lesioni durante il follow-up. Gli US hanno ottenuto: 29 N (+5 multinodularN e 3 LR), 20 falsi negativi (+5 Nmulti e 3 LR) (sensibilità: 59,2, specificità: 100%; accuratezza diagnostica: 73;6; VPP: 100; VPN: 70, 1); la TC spirale ha ottenuto: 42 N (+9 multinodularN e 7 LR), 7 falsi

  8. How changes in nutrition have influenced the development of allergic diseases in childhood

    PubMed Central

    2012-01-01

    The increasing prevalence of allergic diseases in childhood in the last decades could be linked to concomitant dietary changes, especially with the modified and lower consumption of fruit, vegetables and minerals. The consumption of these foods by pregnant women and children in the first years of life seems to be associated with a reduced risk of asthma and related symptoms. Foods that can prevent the development of wheezing through their antioxidant effects contain vitamin C and selenium; blood levels of these elements correlate negatively with the risk of wheezing. Intake of vitamin E during pregnancy also appears to be correlated with a reduced risk of wheezing for the unborn child. Similarly, low intake of zinc and carotenoids by pregnant women is associated with an increased risk of wheezing and asthma in childhood. Fiber also has anti-inflammatory properties and protective effects against allergic diseases such as atopic dermatitis and asthma. The consumption of fat influences the development of the airways. Populations in Western countries have increased their consumption of n-6 PUFAs and, in parallel, reduced n-3 PUFAs. This has led to decreased production of PGE2, which is believed to have a protective effect against inflammation of the airways. Conflicting hypotheses also concern vitamin D; both an excess and a deficiency of vitamin D, in fact, have been associated with an increased risk of asthma. Further studies on the role of these substances are necessary before any conclusions can be drawn on a clinical level. Astratto La crescente prevalenza negli ultimi decenni delle malattie allergiche in età pediatrica potrebbe essere legata a concomitanti cambiamenti nella dieta, in particolare alla minore e modificata introduzione di frutta, verdura e minerali. Il consumo di questi alimenti da parte delle donne in gravidanza e dei bambini nei primi anni di vita sembra essere associato ad un ridotto rischio di asma e di sintomi correlati. Gli alimenti che

  9. A 16-year experience of carotid artery stenting for carotid artery stenosis.

    PubMed

    Nano, Giovanni; Stegher, Silvia; Occhiuto, Maria Teresa; Muzzarelli, Lorenzo; Malacrida, Giovanni; Mazzaccaro, Daniela P

    2016-01-01

    Da più di 50 anni l’endoarteriectomia carotidea (CEA) è stata considerata il trattamento standard per le stenosi carotidee gravi asintomatiche e sintomatiche. Lo stenting carotideo (CAS) è progressivamente emerso negli ultimi 15 anni come alternativa alla chirurgia, specialmente nei pazienti ad alto rischio. Da allora, molti studi clinici randomizzati sono stati pubblicati per valutare la superiorità di un metodo rispetto all’altro, tuttavia i risultati dei trials hanno generato più dubbi che certezze nell’interpretazione dei loro risultati, gravati come sono da diverse limitazioni: la principale riguarda la ridotta competenza endovascolare richiesta per gli operatori che hanno eseguito lo stenting carotideo e partecipato ai trials. Inoltre questi trials sono stati eseguiti circa 10 anni fa, con materiali e farmaci differenti rispetto a quelli usati attualmente. Attualmente i registri su larga scala e le casistiche che riportano risultati a lungo termine sono maggiormente rappresentativi di una esperienza reale, che riflette ciò che accade di routine nella pratica clinica. Nella nostra Unità Operativa di Chirurgia Vascolare, il CAS è stato offerto dal 1999 come alternativa alla CEA per il trattamento delle stenosi carotidee sintomatiche e asintomatiche nei pazienti a rischio moderato-alto. Scopo del nostro lavoro è di riportare la nostra esperienza retrospettiva, con alcuni consigli e suggerimenti che derivano da ciò che abbiamo imparato in più di 16 anni. Abbiamo pertanto raccolto e analizzato retrospettivamente i dati di tutti i pazienti consecutivi che sono venuti per una stenosi carotidea significativa dal 1 ° gennaio 1999 al 31 agosto 2015. I risultati basilari sono stati la mortalità e la morbilità cerebrovascolare maggiore (MCE) sia a 30 giorni che a lungo termine. Lo studio è stato condotto su 1017 pazienti (677 maschi, 66.6%, età media 74 anni, IQR 69-79 anni) trattati sia per stenosi carotidea sintomatica (n=392, 38.5%) che

  10. Malignant rectal melanoma. Case report.

    PubMed

    Morlino, Andrea; La Torre, Giuseppe; Vitagliano, Giulia; Cammarota, Aldo

    2015-03-26

    Il Melanoma Anorettale è una malattia rara e aggressiva ed è il terzo tipo più comune di melanoma maligno dopo quello della cute e della retina. Il sintomo più comune è il sanguinamento rettale, che è spesso scambiato per sanguinamento associato a emorroidi. La diagnosi è molto difficile, e quella iniziale può essere corretta solo in circa 80% dei casi. Il caso clinico che proponiamo riguarda un uomo di 71 anni giunto alla nostra osservazione per dolore anale, tenesmo rettale, sanguinamento. L’eplorazione rettale ci ha mostrato una neofromazione dolorosa, di colorito brunastro nel canale anale. La colonscopia e la endoscopia hanno evidenziato la presenza di una grande massa stenotica interessante il canale anale ed il retto con un diametro di circa 90 mm. La biopsia è positiva per melanoma a cellule maligne pigmentate. La TAC ha mostrato un ispessimento della parete rettale e linfonodi nel tessuto adiposo, nel distretto otturatore bilaterale e metastasi polmonari bilaterali. Il dato di laboratorio del Ca 19-9 è nei livelli normali. Il paziente è stato sottoposto a resezione addomino-perineale con dissezione linfonodale. Non ci sono studi dimostranti che la resezione radicale del melanoma primario ano-rettale è associata ad un miglioramento del controllo locale e della sopravvivenza. I pazienti con malattia localizzata dovrebbero essere sottoposti a escissione locale ogniqualvolta ciò sia tecnicamente fattibile. Il ruolo predominante del trattamento chemio radioterapico preoperatorio è quello di ridurre le recidive locoregionale e della cavità pelvica, e per ottenere un più alto tasso di conservazione dell’apparato sfinteriale. Inoltre facilita la rimozione delle potenziali micrometastasi e riduce le metastasi a distanza.

  11. Real-time elastography in the diagnosis of prostate tumor.

    PubMed

    Ferrari, F S; Scorzelli, A; Megliola, A; Drudi, F M; Trovarelli, S; Ponchietti, R

    2009-03-01

    Sommario SCOPO: Verificare il guadagno diagnostico dell'elastosonografia transrettale real-time (RTE) rispetto alla ecografia transrettale B-mode nel rilievo del tumore prostatico in una popolazione di pazienti con sospetto di neoplasia. MATERIALI E METODI: Ottantaquattro pazienti con sospetto clinico-laboratoristico di tumore prostatico sono stati valutati mediante ecografia transrettale, elastosonografia e biopsia transperineale. RISULTATI: L'esame bioptico è stato considerato lo standard di riferimento. Nella valutazione per paziente, la sensibilità dell'ecografia B-mode è stata del 56%; la specificità dell'80%; il valore predittivo positivo (VPP) del 70%, il valore predittivo negativo (VPN) del 67%. Nella valutazione sul totale dei prelievi bioptici la sensibilità è stata del 33%, la specificità del 92%, il VPP del 69%, il VPN del 73%. La RTE ha ottenuto i seguenti risultati nella valutazione per paziente: sensibilità 51%, specificità 75%, VPP 64% e VPN 64%. Nella valutazione sul totale dei prelievi bioptici: sensibilità 36%, specificità 93%, VPP 72%, VPN 74%. Confrontando i valori di accuratezza dell'ecografia B-mode e della RTE per i tumori della zona periferica, è stata trovata una differenza significativa. Nella valutazione sul totale dei prelievi bioptici della zona periferica la sensibilità dell'ecografia B-mode è stata del 48%, la specificità dell'81%, il VPP del 75%, il VPN del 58%. La RTE ha ottenuto i seguenti valori: sensibilità 66%, specificità 78%, VPP 77%, VPN 67%. CONCLUSIONI: La RTE rappresenta un valore aggiunto all'ecografia B-mode. Ha presentato un'accuratezza superiore rispetto all'esame B-mode nella valutazione della prostata periferica e nella possibilità di indirizzare i prelievi bioptici.

  12. Tension-free primary closure for the treatment of pilonidal disease.

    PubMed

    Arer, Ilker Murat; Yabanoglu, Hakan; Caliskan, Kenan

    2015-01-01

    Il sinus pilonidali (SP) è una patologia comune che colpisce in genere la popolazione giovane e localizzandosi nella regione intergflutea. Per la sua cura sono state utilizzate tecniche conservative e descritte diverse tecniche chirurgiche, queste ultime consistenti in chiusura primaria dell’escissione chirurgica, la marsupializzazione e le chiusura con flap della breccia chirurgica. Il presente studio si propone di valutare l’efficacia di un metodo chirurgico. La casistica si riferisce a 151 pazienti sottoposti a trattamento chirurgico tra Gennaio 2007 e Settembre 2014, che vengono suddivisi per età, sesso, durata dell’intervento e della degenza postoperatoria, oltre alle complicanze (deiscenze ed infezioni della ferita), recidive e domensioni pel pezzo operatorio. L’età media dei pazienti affetti da sinus pilonidalis si aggira tra i 14 ed i 66 anni (media 25,18). In 105 pazienti (69,5% del totale) si è proceduto a chiusura primaria della ferita, ed il 46 (30,5% del totale) si è adottata la tecnica tension-free. Non si sono osservate differenze statistiche tra i gruppi rispetto all’età, al sesso, alla durata dell’intervento ed a quella della degenza postoperatoria. Solo 9 pazienti operati con chiusura primaria (8,6%) e 3 pazienti (6,5%) operati con tecnica tension-free hanno presentato una recidiva postoperatoria. In 17 pazienti (7,9%) si è osservata la deiscenza della ferita, di cui 15 (14,3%) tra quelli trattati con chiusura primitive e 2 (4,3%) in quelli trattati con tecnica tension- free. Il 16 pazienti (10.6%) è stata osservata la formazione postoperatoria di sieroma o di infezione. In conclusione la tecnica tension free si dimostra metodo altrettanto efficace della chiusura primitiva.

  13. The intraoperative use of the mini-gamma camera (MGC) in the surgical treatment of primary hyperparathyroidism: Technical reports and immediate results from the initial experience.

    PubMed

    Scerrino, Gregorio; Castorina, Serena; Melfa, Giuseppina Irene; Lo Piccolo, Clotilde; Raspanti, Cristina; Richiusa, Pierina; Costa, Renato Patrizio; Gulotta, Gaspare

    2015-01-01

    Il trattamento dell’iperparatiroidismo primario è quasi esclusivamente chirurgico e consiste nell’esplorazione sistematica delle quattro ghiandole con asportazione di quella( e) patologica(e). Le più moderne tecniche di diagnosi (ecotomografia, scintigrafia 99 mTc sestamibi), migliorando le possibilità di individuare la ghiandola responsabile della malattia, consentono l’esecuzione di tecniche miniinvasive quando vi è concordanza tra i risultati delle due tecniche, ma la sensibilità di tali indagini è inficiata dalle ectopie ghiandolari, da paratiroidi intratiroidee, da malattia multighiandolare o dalla contemporanea presenza di malattie tiroidee. Il presente studio illustra una nuova tecnica di imaging scintigrafico intraoperatorio ed indaga sulla sua possibilità di migliorare la localizzazione intraoperatoria della paratiroide patologica. A tal fine, 5 pazienti sono state sottoposte a tale metodica, tutte trattate con paratiroidectomia previa esplorazione completa delle quattro ghiandole con tecnica tradizionale, con monitoraggio intraoperatorio del paratormone. Alla tecnica convenzionale è stato aggiunto l’impiego della gamma camera intraoperatoria. Abbiamo valutato la concordanza dei risultati di tale esame con i dati dell’esplorazione chirurgica e con il dosaggio intraoperatorio del paratormone. In tutte e 5 le pazienti si è osservata una perfetta concordanza tra la localizzazione della ghiandola patologica con la scintigrafia intraoperatoria e l’esplorazione chirurgica, ed il dosaggio intraoperatorio del paratormone ha confermato i dati. Anche il follow-up ad un mese ha confermato l’eradicazione della malattia. La gamma camera intraoperatoria sembra quindi poter migliorare le possibilità di localizzazione della ghiandola responsabile dell’iperparati-roidismo primario, favorendo l’impiego di tecniche mini-invasive e migliorando i risultati dinanzi a casi “difficili”.

  14. Multilevel brown tumors of the spine in a patient with severe secondary hyperparathyroidism A case report and review of the literature.

    PubMed

    Salamone, Daniela; Muresan, Simona; Muresan, Mircea; Neagoe, Radu

    2016-03-31

    Il tumore bruno è una forma estrema dell’osteite fibroso- cistica, che rappresenta una complicazione grave della forma avanzata di iperparatitroidismo primitivo o secondario. Può indorgere nel caso che si sviluppino elevati livelli di paratormone, come si verifica nell’iperparatiroidismo primitivo e secondario con una frequenza rispettivamente del 3-4% e del 1,5-13% , e colpisce per lo più l’età giovanile. Gli Autori presentano il caso di una donna di 45 anni in trattamento dialitico da molto tempo, che presentava un iperparatiroidismo grave. I principali sintomi clinici erano rappresentati da dolori cervicali, dolori al tratto toraco-lombare dorsale, e debolezza ad entrambi gli arti inferiori. La TC ha messo in evidenza la presenza di tumori bruni a livello delle vertebre cervicali, toraciche e lombari. Dopo un parziale successo al trattamento per due anni con Cinacalcet si è verificato un deterioramento dell’iperparatiroidismo secondario (ipercalcemia ed iperfosfatemia) ed è stata indicata ed eseguita la paratidoidectomia con autotrapianto, cui ha fatto seguito un risultato postoperatorio positivo. In conclusione l’iperparatiroidismo secondario può comportare lo sviluppo di lesioni osteolitiche ossee indicate come “tumori bruni”. Se il trattamento medico fallisce, l’unico rimedio alla progressione della patologia è rappresentato dalla paratiroidectomia con autotrapianto. Dopo revisione della abbondante letteratura in lingua Inglese (fino a marzo 2015) si rilevano 24 casi di tumori bruni sintomatici a livello vertebrale. A conoscenza degli Autori questo è il primo caso che descrive una diffusione vertebrale a più livelli, ed il primo che segnala una localizzazione al tratto vertebrale cervicale.

  15. Emerico Luna, an anatomist and a fervid intellectual.

    PubMed

    Gerbino, Aldo

    2004-01-01

    On 11 March 2004, the Section of Human Anatomy of Palermo was dedicated and registered to the anatomist Emerico Luna (Palermo 1882-1963) with a ceremony (moderated by Giovanni Zummo) with the participation of institutional personalities and Italian anatomists. Luna, who was an acute morphologist and a scholar of Riccardo Versari (1865-1943), was the continuator of Francesco Todaro's Anatomical School and occupied the Chair at the University of Palermo that had belonged to Levi since 1919. His wide histo-anatomical culture culminates in the collaboration to the "Trattato di Neurologia", the richly composed treatise by Bertelli (1931). Then his studies and his teaching reached to the Anatomia Clinica Regionale (1951). In charge of Histology and Normal Human Anatomy in 1920-21, he became a full professor and a master till 1952. He had so many students: among them Ignazio Fàzzari (1889-1986) who had the chair in the University of Florence, Alberto Monroy who had the charge of Compared Anatomy in the University of Palermo and Arcangelo Pasqualino from Marineo. Luna was co-founder and leader of the "Italian Society of Anatomy". He developed an intense research above all on the nervous system, the connective tissues, the arteries of the brain, and the experimental embryology, developing the radiological and clinical anatomy. He also dedicated himself to literature writing in 1953, among the scientific and literary works, a booklet titled Alla Fiera Delle Fantasie where he discuss the fantasy in a style that recall the literary evasion of the last period of crepuscolarism.

  16. [Mortality from respiratory diseases in the provinces of Apulia Region (Southern Italy) from 1933 to 2010].

    PubMed

    Montinari, Maria Rosa; Gianicolo, Emilio Antonio Luca; Vigotti, Maria Angela

    2016-01-01

    OBIETTIVI: valutare l'andamento temporale della mortalità per patologie respiratorie nelle province pugliesi utilizzando dati omogenei per fonte e metodologia di calcolo. DISEGNO: analisi ecologica storica degli andamenti temporali di mortalità per tumori e patologie dell'apparato respiratorio nelle province pugliesi, in Puglia e nelle ripartizioni geografiche italiane dal 1933 al 2010. SETTING E PARTECIPANTI: i dati di mortalità e le popolazioni residenti sono di fonte Istat. Sono state esaminate tutte le cause di decesso, il tumore della laringe, il tumore del polmone, l'insieme dei tumori respiratori, la bronchite, la polmonite e la broncopolmonite considerate congiuntamente, e l'insieme delle patologie respiratorie. Le analisi sono disaggregate per sesso dal 1969. PRINCIPALI MISURE DI OUTCOME: rapporti standardizzati di mortalità (SMR%) in riferimento all'Italia, con intervalli di confidenza al 95%, e tassi di mortalità standardizzati col metodo diretto (TSD ) in riferimento alla popolazione standard europea. RISULTATI: dal 1933 al 2010, i TSD per tumori respiratori e per bronchiti diminuiscono in tutte le aree analizzate. Tuttavia, nelle province di Taranto, Brindisi e Lecce, l'SMR% per tumori respiratori, inferiore al riferimento nazionale fino agli anni Sessanta, si allinea (a Brindisi) e supera (a Lecce e Taranto) il riferimento negli anni successivi. Nelle province di Foggia e Bari il numero dei decessi per tumore del polmone è costantemente inferiore all'atteso. CONCLUSIONI: la ricostruzione storica e l'analisi dei trend temporali di mortalità dal 1933 al 2010 mostrano alcune criticità sanitarie in periodi specifici. L'elaborazione dei dati di mortalità per un arco temporale di circa 80 anni ha messo in evidenza la maggiore rilevanza di queste criticità con l'avvio dello sviluppo industriale.

  17. Pre and postoperative evaluation of transcranial Doppler pulsatility index of the middle cerebral artery in patients with severe carotid artery stenosis.

    PubMed

    Bracale, Umberto Marcello; Spalla, Flavia; Caioni, Federica; Solari, Domenico; Narese, Donatella; Pecoraro, Felice; Del Guercio, Luca

    2016-01-01

    Il Doppler transcranico (TCD) viene frequentemente utilizzato per la valutazione delle resistenze periferiche cerebrali e del flusso cerebrale a livello dell’arteria cerebrale media sia prima che durante chirurgia carotidea. Nella gestione della stenosi carotidea severa particolare importanza deve essere data alla valutazione del rischio di eventi ischemici cerebrali intraoperatori. Il nostro studio ha analizzato la possibile relazione tra l’indice di Gosling dell’arteria cerebrale media, calcolato mediante TCD preoperatorio e la Stump Pressure (SP) intra-operatoria, al fine di identificare i pazienti con elevato rischio di eventi ischemici. Inoltre, abbiamo registrato l’indice di Gosling pre e post operatorio correlandolo con possibili eventi durante il follow-up. In un lasso di tempo di un anno 47 pazienti sono stati sottoposti ad endoarterectomia carotidea (CEA) o stenting carotideo (CAS) con sistema di protezione embolica prossimale. Tutti i pazienti sono stati sottoposti a TCD pre e post-operatorio con calcolo dell’Indice Gosling e SP intra-operatoria. Abbiamo osservato che l’aumento di valori pre-operatori dell’Indice di Gosling sono associati a più bassi valori intra-operatori di SP, elementi che rappresentano un rischio più elevato di incidenti ischemici cerebrovascolari; Questo risultato è particolarmente evidente quando si osserva la sotto-popolazione di pazienti diabetici. Non vi e’ stata alcuna differenza statisticamente significativa, per quanto concerne eventi ischemici perioperatori, tra i pazienti sottoposti a CEA o CAS. Il TCD e la SP sono esami validi e semplici che possono aiutare a identificare precocemente i pazienti con un rischio più elevato di incidenti cerebro-vascolari correlati al trattamento chirurgico o endovascolare.

  18. Scale evolution, sequence phylogeny, and taxonomy of thaumatomonad Cercozoa: 11 new species and new genera Scutellomonas, Cowlomonas, Thaumatospina and Ovaloplaca.

    PubMed

    Scoble, Josephine M; Cavalier-Smith, Thomas

    2014-06-01

    We describe 11 new species of Thaumatomonadida using light and electron microscopy and rDNA gene sequences (18S, ITS1, 5.8S, ITS2). We found clear distinctions between major clades in molecular and morphological traits that support now splitting Thaumatomastix into three genera: new marine genera Ovaloplaca (oval plate-scales) and Thaumatospina (triangular plate-scales), both with distinctive radially-symmetric bobbin-based spine-scales, restricting Thaumatomastix to freshwater species with putatively non-homologous eccentric-spine scales and thicker triangular plate-scales. New genus Scutellomonas lacks spine-scales, having oval plate-scales with deeply-dished upper tier as in Ovaloplaca, with which it forms a clade having short/absent anterior cilium. Cowlomonas gen. n. is possibly naked. We describe two new Allas species, two new Thaumatomonas, and one new Reckertia species, and transfer R. hindoni to Thaumatomonas. Triangular-scaled Reckertia has varied plate-scales and ciliary scales. Thaumatomonas rDNA trees reveal two clades: zhukovi/seravini (predominantly triangular scales); coloniensis/oxoniensis/lauterborni/constricta/solis (scales mostly oval). We hypothesise that the ancestor of Thaumatomonadidae had radially-symmetric bobbin-based spine-scales and triangular plate-scales, bobbin-based spine-scales being lost in one lineage and eccentric-spine scales evolving in Thaumatomastix. Bobbin-based spine-scales arguably evolved from triangular plate-scales and single-tier ciliary scales (Ovaloplaca and Reckertia only) from plate-scale rudiments. We present a unified scheme for scale evolution and development in Imbricatea.

  19. Meningococco B: controllo di due focolai epidemici mediante vaccinazione

    PubMed Central

    2014-01-01

    Riassunto La problematica di un efficace approccio vaccinale nei confronti del Meningococco B (MenB) è stata superata identificando con la metodica della "reverse vaccinology" alcuni antigeni capaci di indurre una risposta verso la maggior parte dei ceppi di MenB circolanti nel mondo. Il nuovo vaccino MenB a 4 componenti (4CMenB) è stato autorizzato in Europa, Australia e Canada, ed è entrato nei calendari di immunizzazione pediatrica internazionali: Australia, Canada, UK. In Italia, le prime regioni che hanno raccomandato la vaccinazione contro il MenB sono state Basilicata e Puglia. La gestione di epidemie/focolai epidemici richiede la messa in atto di una risposta rapida da parte delle autorità sanitarie nei confronti di una emergenza sanitaria ad elevato impatto, anche emotivo, sulla popolazione, come recentemente dimostrato in due università americane. Alla dichiarazione di focolaio epidemico in atto, in entrambi i contesti si è attivata una procedura per l'uso del vaccino 4CMenB non ancora autorizzato negli USA. È stato così possibile organizzare gli interventi di profilassi attiva nei due campus universitari, adottando il primo impiego su larga scala del nuovo vaccino 4CMenB e conseguendo, in tempi relativamente brevi, elevati tassi di copertura vaccinale. A fronte di circa 14000 studenti immunizzati con almeno una dose, non è stata segnalata alcuna problematica di eventi avversi conseguenti all'immunizzazione; ad oggi non si sono verificati casi nei soggetti che hanno ricevuto il vaccino. Come conseguenza dei due focolai descritti, è oggi in corso la valutazione da parte dell'FDA per l'estensione dell'uso del vaccino 4CMenB negli Stati Uniti negli adolescenti e giovani adulti. PMID:25916017

  20. Bio-Engineering tissue and V.A.C. therapy: A new method for the treatment of extensive necrotizing infection in the diabetic foot.

    PubMed

    Armenio, Andrea; Cutrignelli, Daniela Anna; Nardulli, Maria Luisa; Maggio, Giulio; Memeo, Giuseppe; De Santis, Valerio; Giudice, Giuseppe; Ressa, Cosmo Maurizio

    2016-12-06

    La prevalenza mondiale del diabete nel 2000 è stata stimata essere del 2.8% con una previsione del 4.4% nel 2030. A causa della neuropatia e dei processi ischemici che ne derivano, i pazienti diabetici sono purtroppo predisposti all’insorgenza di infezioni a carico del piede con un rischio di amputazione molto elevato. A tal proposito, un trattamento rapido ed efficace del processo necrotizzante impedirebbe complicanze maggiori e la stessa amputazione. Il nostro studio consiste in un’analisi retrospettiva condotta su 20 pazienti atta a valutare l’efficacia del sostituto dermico autologo bioingegnerizzato (Hyalograft 3D Autograft) in associazione alla V.A.C (vacuum assisted closure) Therapy per il trattamento delle ulcere diabetiche, rispetto ai metodi sinora impiegati. I pazienti selezionati, a seconda del trattamento eseguito, sono stati suddivisi in due gruppi omogenei di dieci pazienti ciascuno. Il gruppo controllo è stato trattato con il metodo standard, ovvero con debridment chirurgico e innesti cutanei autologhi, mentre il gruppo studio è stato trattato con il metodo in analisi. La raccolta dei dati ha suggerito come l’impiego combinato del sostituto dermico bioingegnerizzato e della pressione negativa determini, rispetto al gruppo controllo, un aumento della percentuale di guarigione, una riduzione del tasso di recidiva di lesioni anche estese e una maggiore ripresa della deambulazione autonoma. In conclusione, la nostra analisi ha evidenziato un metodo sicuro, affidabile e competitivo per il trattamento di ampie lesioni necrotizzanti del piede diabetico. Anche se ulteriori valutazioni sono necessarie, crediamo fortemente che l’associazione del derma bioingegnerizzato e della pressione negativa possa condurre ad una rapida ed efficace guarigione delle ulcere, migliorando la qualità della vita del paziente diabetico.

  1. Ultrasound in developmental dysplasia of the hip: A screening study in Sardinian newborns.

    PubMed

    Dessì, A; Crisafulli, M; Vannelli, E; Fanos, V

    2009-06-01

    Sommario INTRODUZIONE: La displasia evolutiva dell'anca (DDH) costituisce la deformità più frequente dell'apparato locomotore. Lo screening ecografico è la metodica più utilizzata nell'identificazione della DDH, considerando la brevità del periodo in cui la diagnosi è possibile prima della comparsa dei sintomi clinici. Un intervento terapeutico appropriato precoce può avere un effetto positivo in relazione all'evoluzione di tale patologia. METODI: L'esame ecografico, la sua valutazione, la classificazione e la tipizzazione delle anche sono stati effettuati secondo il metodo descritto dal Graf. I pazienti sono stati valutati per mezzo di un'analisi retrospettiva volta a identificare i casi di DDH. Tutti i casi sono stati classificati e in base a ciò si è deciso il tipo di trattamento da attuare. RISULTATI: Complessivamente sono state osservate 145 anche in 122 bambini che presentavano un certo grado di displasia. L'età alla diagnosi variava da 14 a 90 giorni con una media di 52 giorni di vita. Un mese dopo la diagnosi ecografica le anche di tipo 2a, sia bilaterali che unilaterali, sono risultate normali nel 94%. Il restante 6% così come i tipi 2b, 2c, D e 3 sono stati trattati con un divaricatore e la guarigione completa è stata ottenuta dopo due mesi di trattamento. Il tipo 4 è stato monitorato esclusivamente da un chirurgo ortopedico per un trattamento specialistico. CONCLUSIONI: Una volta effettuata l'indagine ecografica da operatori esperti si può decidere il tipo di trattamento più adeguato. L'ottima prognosi osservata a seguito del trattamento iniziale della DDH sottolinea la necessità di eseguire uno screening dell'anca allo scopo di effettuare una diagnosi e un trattamento precoce in questa patologia.

  2. [I costi farmacologici della terapia di conversione con farmaci biologici nel carcinoma del colon-retto con metastasi epatiche].

    PubMed

    Giuliani, Jacopo; Bonetti, Andrea

    2016-08-01

    Riassunto. Lo scopo di questo studio è quello di valutare i costi dei farmaci (con particolare riferimento alle terapie con farmaci biologici) utilizzati nella terapia di conversione in una popolazione non selezionata di pazienti affetti da carcinoma del colon-retto in stadio avanzato, al fine di ottenere una resezione epatica R0. In questa rassegna sono stati selezionati i report completi e gli aggiornamenti di tutti gli studi clinici randomizzati (di fase II e fase III) che confrontassero almeno 2 regimi di terapia con farmaci biologici in prima linea in pazienti affetti da carcinoma del colon-retto in stadio avanzato di malattia. I costi dei farmaci sono stati ricavati dalla nostra Farmacia Ospedaliera e sono espressi in euro (€). Il nostro studio inizia con la valutazione di 683 abstract. 48 tria sono stati considerati adeguati per una successiva analisi. Una valutazione più approfondita ha portato all'esclusione di 37 trial, lasciando alla valutazione finale 11 studi clinici randomizzati (3 trial di fase II, per un totale di 522 pazienti, e 8 studi di fase III, per un totale di 7191 pazienti). I costi dei farmaci utilizzati nella terapia di conversione aumentano con la sostituzione del 5-fluorouracile con la capecitabina e, in misura maggiore, con l'introduzione degli agenti biologici. In questo lavoro sono presentati due punti chiave. Primo, i costi degli agenti farmacologici utilizzati nei regimi di prima linea a base di agenti biologici più comunemente utilizzati nel trattamento del carcinoma del colon-retto in stadio avanzato sono molto variabili. Secondo, i dati di efficacia dei regimi pubblicati, in termini di tassi di resezione, dipendono dalla selezione dei pazienti, dalle caratteristiche del tumore e dal tipo di schema di terapia.

  3. Metastasis of the gallbladder from the breast cancer.

    PubMed

    Fleres, Francesco; Rossitto, Maurizio; Foti, Agata; Macrì, Antonio; Cucinotta, Eugenio

    2014-12-29

    Le lesioni metastatiche della colecisti costituiscono una condizione clinica non frequente. Nella maggior parte dei casi si tratta di metastasi da melanoma, da tumore renale e da tumori della cervice. Lesioni metastatiche colecistiche da tumore primitivo della mammella sono descritte raramente in letteratura. In questa nota viene presentato il caso di una donna di 83 anni, sottoposta ad intervento chirurgico di colecistectomia videolaparoscopica (VL) per colelitiasi, con riscontro all’esame istologico del pezzo operatorio di una lesione di tipo metastatico Il carcinoma della mammella ed in particolare la varietà istologica duttale infiltrante si associa con elevata frequenza a metastasi loco-regionali e a distanza, quest’ultime a carico di ossa, fegato, polmone e SNC. Lesioni metastatiche a carico del tratto gastrointestinale, del peritoneo, del retroperitoneo e della pelvi possono essere causate soprattutto dal carcinoma lobulare invasivo, variante istologica meno frequente rispetto al tumore duttale rappresentando circa il 10% di tutti i carcinomi mammari. In questa nota è stata condotta una analisi dei dati della Letteratura sulle lesioni secondarie della colecisti da carcinoma della mammella che ha permesso di confermare la rarità di tale patologia descritta solamente in 18 pazienti: 12 di origine lobulare infiltrante, 1 di origine duttale e 2 misto duttale e lobulare infiltrante. La prognosi del carcinoma mammario metastatico è considerato incerto e spesso infausto. Clinicamente è difficile sospettare una localizzazione metastatica da carcinoma mammario primario nella colecisti, ma riteniamo che sia necessario conoscere bene questa possibilità di metastasi e da tenere a mente durante il follow-up di pazienti con cancro al seno. Sebbene la colecistectomia sia considerata come trattamento palliativo nelle pazienti con metastasi alla colecisti da carcinoma mammario, è consigliabile nei casi sintomatici.

  4. [Nursing students' satisfaction and perception of their first clinical placement: observational study].

    PubMed

    Comparcini, Dania; Simonetti, Valentina; Tomietto, Marco; Galli, Francesco; Fiorani, Catia; Di Labio, Luisa; Cicolini, Giancarlo

    2014-01-01

    Background. Gli ambienti di apprendimento clinico sono definiti come una rete di fattori interagenti nel contesto, in grado di influenzare gli esiti dell’apprendimento degli studenti. La soddisfazione degli studenti è considerata un indicatore del raggiungimento degli esiti dell’apprendimento ed è determinante a partire dalla prima esperienza di tirocinio. Scopo. Analizzare l’esperienza di apprendimento clinico degli studenti infermieri del primo anno di corso dopo il primo tirocinio clinico ed identificare i principali determinanti della soddisfazione degli studenti. Metodo. Lo studio osservazionale è stato realizzato in cinque sedi universitarie italiane del Corso di Laurea in Infermieristica. 420 studenti hanno compilato la versione italiana della “Clinical Learning Environment, Supervision and plus Nurse Teacher (CLES+T) scale” al termine del primo tirocinio clinico. Risultati. I punteggi medi assegnati alle dimensioni della scala variano da 4.02 (clima di apprendimento) a 3.30 (relazione di tutorato). La maggior parte degli studenti è soddisfatto della propria esperienza di tirocinio (75.6%), ma sono emerse differenze in relazione alle diverse sedi di tirocinio clinico. Discussione. I principali determinanti della soddisfazione sono lo stile di leadership del coordinatore infermieristico e l’integrazione teoria-pratica nella relazione fra tutor clinico, universitario e studente. Conclusioni. I risultati dello studio contribuiscono alla comprensione della prima esperienza di tirocinio degli studenti. Tuttavia, sono necessarie ulteriori ricerche per determinare le variabili organizzative specifiche e i modelli tutoriali in grado di aumentare la soddisfazione degli studenti, per sviluppare strategie formative basate sull’integrazione tra tutor universitari e guide di tirocinio.

  5. Diffuse malignant biphasic peritoneal mesothelioma with cystic areas.

    PubMed

    Cabibi, Daniela; Tutino, Roberta; Salamone, Giuseppe; Cocorullo, Gianfranco; Agrusa, Antonino; Gulotta, Gaspare

    2016-06-20

    Il mesotelioma peritoneale maligno è una patologia rara la cui diagnosi è resa particolarmente difficile dalla molteplicità delle possibili presentazioni cliniche e morfologiche. A differenza della patologia pleurica, questa sembra avere una minore correlazione con l’esposizione all’asbesto. La prognosi è sfavorevole con una sopravvivenza media di 5.4 mesi. Riportiamo un caso di mesotelioma peritoneale in un paziente di 73 anni con esposizione professionale all’asbesto. La diagnosi è verosimilmente avvenuta dopo diversi inquadramenti clinici, che hanno compreso addominalgie attribuite ad IBD, poi non accertate istologicamente, e ad un’appendicite acuta. Per ultimo il paziente è giunto alla nostra osservazione con un quadro subocclusivo che l’indagine TC attribuiva ad una verosimile carcinosi peritoneale a primitivo sconosciuto. La laparoscopia esplorativa, poi convertita in approccio laparotomico, ha mostrato un quadro di peritonite incapsulante che coinvolgeva estesamente l’intestino tenue. È stata eseguita una resezione intestinale del tenue coinvolto ed una asportazione di un’area nodulare peri-splenica. L’esame istologico con l’integrazione di indagini immunoistochimiche ha permesso la diagnosi di mesotelioma peritoneale cistico maligno con istotipo bifasico che risulta essere il primo descritto in letteratura. Le aree cistiche avevano inizialmente fatto propendere per una diagnosi di mesotelioma multicistico benigno o di mesotelioma cistico con secondaria proliferazione miofibroblastica pseudosarcomatosa. Negli ultimi anni la prognosi di questa patologia ha trovato nell’utilizzo della chirurgia citoriduttiva e della chemioterapia intraperitoneale un miglioramento prognostico, queste nuove tecniche sono disponibili in centri di riferimento e trovano ad oggi indicazione solo in casi selezionati e in istotipi poco aggressivi. Il nostro paziente a causa dell’estensione della malattia, dell’istotipo non favorevole e dell

  6. [Encephalopathy and neuromyelitis optica: the importance of recognising atypical symptoms].

    PubMed

    Hervás-García, José V; Grau-López, Laia; Doménech-Puigcerver, Sira; Ramo-Tello, Cristina

    2014-01-01

    Introduccion. La neuromielitis optica (NMO) o enfermedad de Devic es un trastorno autoinmune, inflamatorio y desmielinizante del sistema nervioso central, que afecta principal y caracteristicamente al nervio optico y a la medula espinal. Los anticuerpos antiacuaporina-4 (AQ-4) son un biomarcador especifico de esta entidad y, desde su descubrimiento, se ha ampliado el numero de sintomas y datos radiologicos de la enfermedad y se ha definido el concepto de espectro clinico de NMO. Caso clinico. Mujer de 66 años diagnosticada de NMO por haber sufrido brotes de neuritis optica y mielitis de repeticion junto con anticuerpos AQ-4 positivos. Presento un cuadro de disminucion del nivel de conciencia, con resonancia magnetica cerebral que mostro multiples lesiones en la sustancia blanca, sin realce de contraste, que se resolvio sin tratamiento. Un mes despues, sufrio empeoramiento del estado general, sindrome confusional y ceguera. En la resonancia magnetica cerebral se observaron nuevas lesiones en la sustancia blanca y aumento del tamaño de otras ya existentes. Se emitio el diagnostico de encefalopatia en el contexto de NMO y se trato a la paciente con corticoides e inmunoglobulinas intravenosas, con lo que se produjo mejoria clinica y radiologica. Conclusiones. Desde el descubrimiento de los anticuerpos AQ-4, ha aumentado el numero de manifestaciones clinicas y radiologicas de la NMO mas alla de la afectacion del nervio optico y de la medula espinal, entre ellas las manifestaciones cerebrales. Reconocerlas es muy importante para hacer un diagnostico precoz, evitar pruebas complementarias no necesarias e instaurar el tratamiento adecuado.

  7. Abdominal compartment syndrome and open abdomen management with negative pressure devices.

    PubMed

    Surace, Alessandra; Ferrarese, Alessia; Marola, Silvia; Cumbo, Jacopo; Valentina, Gentile; Borello, Alessandro; Solej, Mario; Martino, Valter; Nano, Mario

    2015-01-01

    Per sindrome compartimentale addominale (SCA) si intende un incremento della pressione intra-addominale (PIA) a valori superiori a 20 mmHg, associato ad una ridotta perfusione e disfunzione d’organo. La mortalità della SCA è del 50%; la sua incidenza tra i pazienti in RIA è del 30-50%. Il trattamento chirurgico consiste sostanzialmente nella decompressione addominale con apertura dell’addome; attualmente la metodica più utilizzata per la gestione della SCA è la terapia a pressione negativa. Nel 2009 è stata realizzata una classificazione dell’addome aperto, che stratifica i pazienti in base alla cronologia naturale del miglioramento o del deterioramento clinico dei pazienti con addome aperto. Lo scopo del trattamento è mantenere l’addome aperto del paziente al livello più basso ed evitare la progressione ad un livello più complesso. Secondo quanto riportato in letteratura questa metodica consente un tasso di chiusura fasciale tra i 65 e il 100% dei casi, riduce i tassi di mortalità e i tempi di degenza nei reparti di terapia intensiva. La chiusura dell’addome può avvenire progressivamente (per ridurre il rischio di fascite) oppure mediante l’utilizzo di una protesi biologia spessa su cui viene posizionata una copertura in plastica e impostato il lavaggio nel sottocute: la parete addominale deve essere chiusa dopo 24 ore. Se non fosse possibile chiudere tutti gli strati della parete addominale, il tentativo deve riguardare almeno il peritoneo, per ridurre morbilità e mortalità.

  8. Application of the FADS system on the Re-entry Module

    NASA Astrophysics Data System (ADS)

    Zhen, Huang

    2016-07-01

    The aerodynamic model for Flush Air Data Sensing System (FADS) is built based on the surface pressure distribution obtained through the pressure orifices laid on specific positions of the surface,and the flight parameters,such as angle of attack,angle of side-slip,Mach number,free-stream static pressure and dynamic pressure are inferred from the aerodynamic model.The flush air data sensing system (FADS) has been used on several flight tests of aircraft and re-entry vehicle,such as,X-15,space shuttle,F-14,X-33,X-43A and so on. This paper discusses the application of the FADS on the re-entry module with blunt body to obtain high-precision aerodynamic parameters.First of all,a basic theory and operating principle of the FADS is shown.Then,the applications of the FADS on typical aircrafts and re-entry vehicles are described.Thirdly,the application mode on the re-entry module with blunt body is discussed in detail,including aerodynamic simulation,pressure distribution,trajectory reconstruction and the hardware shoule be used,such as flush air data sensing system(FADS),inertial navigation system (INS),data acquisition system,data storage system.Finally,ablunt module re-entry flight test from low earth orbit (LEO) is planned to obtain aerodynamic parameters and amend the aerodynamic model with this FADS system data.The results show that FADS system can be applied widely in re-entry module with blunt bodies.

  9. Made in Italy for hernia: the Italian history of groin hernia repair.

    PubMed

    Negro, Paolo; Gossetti, Francesco; Ceci, Francesca; D'Amore, Linda

    2016-01-01

    La storia della chirurgia erniaria è lunga quanto la storia della chirurgia. Per secoli medici, anatomisti e chirurghi si sono dedicati a questa patologia, che ha afflitto il genere umano durante tutto il corso della sue evoluzione. Fin dall’antichità il ruolo della chirurgia italiana è stato significativo, con numerosi illustri personaggi che hanno lasciato una traccia indelebile. Sono numerosi gli autori, i ricercatori ed i pionieri che hanno offerto il loro contributo in ogni periodo, dall’epoca classica attraverso il Medio Evo ed il Rinascimento, fino al ‘700. Nel 18o secolo, le nuove acquisizioni nel campo dell’anatomia umana, ad opera principalmente di Antonio Scarpa, hanno preparato la strada al rivoluzionario metodo di Bassini, che può a ragione essere definito come la prima procedura moderna di riparazione dell’ernia inguinale su base anatomica. La tecnica di Bassini ha avuto una grandissima diffusione, fino a diventare l’intervento più eseguito nel mondo. Dopo la II Guerra Mondiale, con l’introduzione delle protesi sintetiche è iniziata una nuova era che ha visto ancora una volta i chirurghi italiani pronti ad offrire un sostanziale contributo, primo fra tutti Ermanno Trabucco. Ma il ruolo italiano nella chirurgia dell’ernia inguinale va ben oltre la chirurgia estendendosi all’educazione, con la creazione a Roma della prima scuola di chirurgia della parete addominale, ed alla partecipazione di numerosi chirurghi alle società scientifiche internazionali, in ruoli di prestigio. Il presente lavoro ha voluto riassumere questa lunga storia ed evidenziare il “made in Italy” nella chirurgia dell’ernia inguinale.

  10. [Aicardi syndrome: retrospective study of a series of seven case reports].

    PubMed

    Fernández-Ramos, Joaquín Alejandro; López-Laso, Eduardo; Simón-De Las Heras, Rogelio; Camino-León, Rafael; Guerra-García, Pilar; Camacho-Salas, Ana; Aguilar-Quintero, María; Núñez-Enamorado, Noemí

    2013-12-01

    Introduccion. El sindrome de Aicardi es un trastorno presumiblemente dominante ligado al cromosoma X, que afecta en exclusiva a mujeres, clasicamente definido por la triada de agenesia del cuerpo calloso, lagunas coriorretinianas y espasmos infantiles, letal en varones en la vida intrauterina. Pacientes y metodos. Estudio descriptivo retrospectivo de pacientes diagnosticadas y seguidas hasta el final de la edad pediatrica de sindrome de Aicardi en dos hospitales universitarios durante un periodo de 29 años. Resultados. Encontramos siete niñas, todas desarrollaron espasmos infantiles antes de los 6 meses de edad. La evolucion fue a espasmos mas alla de la infancia (n = 2), a epilepsia parcial farmacorresistente (n = 3) y a epilepsia parcial bien controlada (n = 1). Seis casos presentaron retraso mental grave-profundo, y uno, moderado-grave. Fallecieron dos niñas a los 2 y 6 años. En todas, los estudios de neuroimagen mostraron agenesia del cuerpo calloso, quistes intracraneales y malformaciones del desarrollo cortical cerebral, ademas de lesiones oftalmologicas: lagunas coriorretinianas (n = 7), anoftalmia/microftalmia (n = 4) y coloboma del nervio optico (n = 3). Otros hallazgos fueron cardiopatia congenita, anomalias costovertebrales, linfangioma cervical e hipertricosis focal. Conclusiones. El sindrome de Aicardi debe sospecharse en niñas con espasmos infantiles y agenesia del cuerpo calloso. Deben descartarse en estas pacientes las alteraciones oftalmologicas, las anomalias de la migracion y organizacion neuronal y los quistes intracraneales. El pronostico es grave por su elevada morbimortalidad y por la frecuente evolucion a epilepsia refractaria y retraso mental grave.

  11. Science Fiction In Naples In The Middle Of The 19th Century

    NASA Astrophysics Data System (ADS)

    Capaccioli, Massimo; Cirella, Emilia Olostro; Stendardo, Enrica; Virgilio, Nicla

    Astronomer, intellectual, passionate patriot, and refined humanist, Ernesto Capocci Belmonte (Picinisco, May 31, 1798 - Naples, January 6, 1864) was a prominent figure of the scientific, cultural, and political life in Naples around the middle of the 19th century. He acquired international recognition for his studies on the orbits of comets and, since 1833, he was named director of the newly built Osservatorio Astronomico in Capodimonte: A prestigious position that he lost for political retaliation as a result of his participation in the movement against the Bourbon rulers in 1848, but which he regained in 1860 upon the arrival in Naples of Giuseppe Garibaldi. An intuitive and open-minded scholar, he looked always at the contemporary experiences in Europe and, as a scientist and cultivated human being, he sought to serve the community by enthusiastically devoting himself also to education and public outreach. He developed clear interests in literature and, as a forerunner, he dared to tackle the genre of science fiction. His short novel Relazione del viaggio alla Luna fatto da una donna nell'anno di grazia 2057 (Report of the Trip to the Moon done by a Woman in the Year of our Lord 2057), written in the period of his exile from the Observatory and practically given up as lost until a private copy was found in the library of one of Capocci's descendants, offers an interesting overview of astronomical knowledge and taste for the elegance in writing, and gives an unusual, and often ironic, viewpoint on the situation of sciences in Naples in the middle of the 19th century.

  12. Integrated clinical-ultrasonographic diagnosis in acute appendicitis.

    PubMed

    Summa, M; Perrone, F; Priora, F; Testa, S; Quarati, R; Spinoglio, G

    2007-12-01

    Sommario SCOPO: L'appendicite acuta è una delle urgenze chirurgiche addominali più comuni. Se non trattata, può rapidamente progredire verso complicanze severe, quali la perforazione e la peritonite. Spesso i chirurghi optano per un intervento chirurgico precoce anche in caso di diagnosi solo probabile, con il rischio di eseguire una quota importante di appendicectomie inutili. Lo scopo dello studio è di analizzare la nostra esperienza con la diagnosi integrata clinico-ultrasonografica dell'appendicite acuta. MATERIALI E METODI: Durante il periodo gennaio 1999-dicembre 2006 1447 pazienti sono stati sottoposti a valutazione clinica, a conta leucocitaria, dosaggio della proteina C reattiva ed ecografia addominale. È stata utilizzata la tecnica ecografia di compressione graduale, con sonda ad alta frequenza. RISULTATI: È stata formulata diagnosi ecografica di appendicite acuta in 368 pazienti (25%). Ulteriori 8 pazienti sono stati operati sulla base del solo giudizio clinico. Abbiamo osservato 7 casi di falsi positivi ecografici. In 1079 (75% del totale) pazienti è stato espresso un giudizio diagnostico negativo per appendicite acuta: in 173 di essi (12%) è stata formulata una diagnosi diversa. I restanti 906 pazienti sono stati sottoposti a controllo clinico fino alla risoluzione della sintomatologia, senza alcuna complicanza. I nostri risultati hanno dimostrato una sensibilità dell'ecografia del 98%, una specificità del 99%, un valore predittivo positivo del 98% e un valore predittivo negativo del 99%. L'accuratezza diagnostica globale è stata del 99%. CONCLUSIONI: La diagnosi integrata (clinica, di laboratorio ed ecografica) dell'appendicite acuta consente una diagnosi sicura, con risparmio di risorse evitando il ricorso ad appendicectomie inutili.

  13. [Waiting time between acute event and rehabilitation: continuity of nursing care and rehabilitation. Analysis and suggestions for a Service of Protected Discharge].

    PubMed

    D'Ilio, Ilaria; Raimondi, Anna Maria; Radice, Laura; Di Mauro, Stefania

    2014-01-01

    INTRODUZIONE. In Italia negli ultimi anni l’aumento della sopravvivenza della popolazione ha comportato il cambiamento dello stato di salute, che vede l’incremento nella prevalenza delle patologie croniche (Osservatorio, 2011). L’ospedale, riservato alla fase acuta delle patologie, si integra necessariamente con le cure primarie. La continuità assume particolare rilevanza per la cura, assistenza e riabilitazione della persona assistita, così come l’appropriato utilizzo delle diverse tipologie di offerta socio sanitaria assistenziale e riabilitativa. OBIETTIVO. Al San Gerardo di Monza, nell’ambito della riabilitazione del paziente post-acuto, si analizza la fase che intercorre tra la dimissione prevista dall’ospedale e la data di accettazione presso gli istituti di riabilitazione. E’ possibile quantificare i tempi di attesa? L’ allocazione delle persone assistite è appropriata? Scopo dello studio osservazionale descrittivo è accertare la distribuzione dei giorni di attesa. Inoltre si ipotizza il ricorso all’Assistenza Domiciliare Integrata e a soluzioni innovative. Obiettivi sono la diminuzione delle giornate di degenza inappropriate e l’utilizzo delle risorse in modo congruo. RISULTATI. Delle 1083 persone in attesa di riabilitazione il 55% (652), a cui sono associate 4505 giornate “inappropriate”, è stato dimesso dall’ospedale oltre i tempi previsti. CONCLUSIONI. L’utilizzo dell’assistenza domiciliare, vantaggiosa per l’ospedale, può essere utilizzata solo per una minoranza di pazienti e in modo diseconomico. Per abbattere la totalità delle giornate, una soluzione innovativa può essere l’istituzione di posti letto a basso costo. E dato che la maggioranza dei casi sono solo ad alta complessità assistenziale ma a bassa intensità clinica potrebbero essere letti gestiti da infermieri.

  14. A giant inguinoscrotal hernia associated with other abdominal wall defects A case report.

    PubMed

    Iovino, Francesco; Auriemma, Pasquale Pio; Dani, Luca; Giordano, Giovanni; Barbarisi, Alfonso

    2016-04-29

    Le ernie giganti sono rare nei Paesi sviluppati ed ancora più raramente sono associate ad altre ernie della parete addominale, come un’ernia inguinale controlaterale o un’ernia ombelicale. La presenza di più difetti di parete facilità il riposizionamento in addome del contenuto di una voluminosa ernia inguinale senza compromettere la funzionalità cardiorespiratoria, ma il rischio di intasamento o strozzamento intestinale negli altri orifizi erniari aumenta. In letteratura non esistono opinioni convergenti se riparare simultaneamente o in maniera sequenziale, cioè in maniera distanziata nel tempo, le diverse ernie di parete, quando sono associate ad un’ernia gigante. Riportiamo in questo lavoro il caso clinico di un uomo di 60 anni, italiano, che si recò nel nostro ambulatorio di chirurgia lamentando da molti anni la presenza di un’ernia inguinale gigante associata ad un’ernia inguinale controlaterale ed un’ernia ombelicale. Il paziente alla visita presentava difficoltà di deambulazione, ma non riferiva disturbi di canalizzazione. Aveva diverse comorbidità e tra queste quella più importante era una insufficienza respiratoria severa. Dopo un accurato studio cardiologico, respiratorio e metabolico il paziente fu sottoposto a riparazione delle ernie a partire da quella gigante, in maniera sequenziale ed in anestesia spinale secondo la tecnica di Lichtenstein. L’ernia ombelicale fu riparata per ultima con tecnica diretta, senza protesi, ed anch’essa in anestesia spinale. Il decorso operatorio fu regolare dopo i tre interventi e non si ebbe alcuna complicanza respiratoria, cardiologica né di canalizzazione. In conclusione riteniamo che nei pazienti con importanti comorbidità la riparazione di un’ernia gigante associata ad altre ernie di parete debba avvenire in maniera sequenziale, monitorando con attenzione la canalizzazione e soprattutto il progressivo adattamento dei visceri in addome attraverso la palpazione degli orifizi erniari. I dati

  15. [The nursing image in Italy: an analysis of the historic archive of national newspaper].

    PubMed

    Dignani, Lucia; Montanari, Paola; Dante, Angelo; Guarinoni, Milena Giovanna; Petrucci, Cristina; Lancia, Loreto

    2014-01-01

    Scopo. Descrivere l'immagine dell'infermiere delineata da uno dei principali quotidiani nazionali. Metodo. Studio retrospettivo condotto attraverso l'analisi degli articoli pubblicati nel periodo compreso tra il 1906 e il 2005 sul quotidiano nazionale “La Stampa”. Risultati.Dall'analisi dei 2017 articoli sono emerse 11 categorie tematiche. Gli articoli a maggior occorrenza sono stati quelli relativi alla tematica “cronaca”, che hanno registrato un importante incremento a partire dalla seconda metà degli anni '80, seguiti da “condizioni di lavoro”, che hanno mostrato massima diffusione a partire dagli anni '90. Gli articoli a minore occorrenza, invece, sono stati quelli riguardanti “estetica” e “concorsi”. Oltre la metà degli articoli inerenti la “carenza infermieristica” riferivano di disservizi da essa provocati. La quasi totalità degli articoli relativi a casi di “malasanità” evidenziava l'inadeguata assistenza erogata dagli infermieri con un trend di pubblicazione omogeneo a partire dagli anni '50. Gli articoli categorizzati nella tematica “carenza infermieristica”, “innovazione”, e “formazione”, hanno avuto la loro massima diffusione a partire dagli anni '90. Conclusioni. L'analisi condotta attraverso gli articoli apparsi sul quotidiano “La Stampa” ha consentito di leggere la storia della professione infermieristica come travagliata, fatta di conquiste professionali ottenute con lotte, rivendicazioni e innumerevoli cambiamenti, sia di tipo organizzativo che in ambito formativo, anche se gli articoli esaminati non sempre hanno contribuito a far apprezzare la professione per i suoi reali contenuti e contributi forniti al miglioramento della salute nella popolazione.

  16. Bilobate wandering spleen with doble torsion of the vascular pedicle. A case report.

    PubMed

    Barra, Sossio; Lepore, Renata; Cappabianca, Adele; Barra, Floriana

    2017-03-08

    Il trattamento della torsione del peduncolo di milza migrante è generalmente di tipo conservativo e consiste nella splenopessia,la splenectomia è indicata nei casi complicati da ischemia irreversibile dell’organo. Nel caso in oggetto si tratta di un donna adulta che giunge due volte alla nostra osservazione. Al primo accesso in Pronto Soccorso la donna lamenta dolore epigastrico a sbarra che si irradia in regione dorsale da alcuni giorni, alvo regolare non vomito. Addome trattabile dolente all’epigastrio, assenza di masse patologiche palpabili. Sottoposta ad esame radiografico di diretta addome ed esame ecografico dell’addome completo, si reperta l’assenza di milza nella sua sede anatomica e la presenza di essa in fossa iliaca sinistra senza alterazioni focali eco strutturali del parenchima con minima falda fluida perisplenica qualche livello idroaereo in flessura sinistra. La paziente viene sottoposta anche a TC in urgenza senza somministrazione di mdc e.v. che conferma milza migrante con minima falda di versamento perilienale con sospetta anomala rotazione del peduncolo vascolare. In anamnesi la paziente era a conoscenza di essere portatrice di milza ectopica. Migliorata la sintomatologia la paziente rifiuta ricovero. Il giorno successivo ritorna in Pronto Soccorso per dolore non più localizzato all’epigatrio ma diffuso a tutto l’addome .Sulla scorta degli esami precedenti viene sottoposta subito ad esame MSTC con mezzo di contrasto che mostra milza migrante, dismorficabilobata,aumentata notevolmente di volume rispetto al giorno precedente con doppio coiling del peduncolo vascolare completamente avascolarizzata con infarto massivo. Nel caso presentato, l’angio MSTC ha permesso di documentare anche una sottile frattura mediana della milza non sanguinante.Questi reperti hanno orientato al trattamento chirurgico d’urgenza di splenectomia. Il trattamento chirurgico conservativo va effettuato qualora non siano presenti segni di sofferenza vascolare

  17. [Usefulness of electronic drug registers: Spanish register of patients treated with fingolimod (Gilenya ®)].

    PubMed

    Fernández, Óscar; Rodríguez-Antigüedad, Alfredo; Oreja-Guevara, Celia; Garcia-Garcia, Margarida; Montalban, Xavier

    2014-01-16

    Introduccion. Se describe el diseño de un registro electronico de los pacientes con esclerosis multiple que inician tratamiento con fingolimod en España, que se plantea como una herramienta para monitorizar su manejo en la practica clinica habitual que permita optimizar su uso. Objetivos. Conocer el perfil de los pacientes con esclerosis multiple en tratamiento con fingolimod y determinar la efectividad y seguridad de este tratamiento en la practica clinica habitual. Desarrollo. Se establece un registro observacional, retrospectivo y prospectivo, multicentrico, que estara activo durante cinco años. Participaran 40 neurologos de España. Se incluiran pacientes tratados con fingolimod que cumplan los criterios de seleccion. Las variables de efectividad que se evaluaran son: la discapacidad medida mediante la escala ampliada del estado de discapacidad, la tasa de brotes, las lesiones captantes de gadolinio en secuencia T1 y las lesiones nuevas en secuencia T2, y el porcentaje de pacientes libres de actividad y aquellos que requieran tratamientos concomitantes. Las variables de seguridad que se evaluaran son: la tasa de pacientes que presenten acontecimientos y reacciones adversas, respectivamente, analizandose separadamente aquellos que se presenten tras la primera dosis o relacionados con el plan de manejo del riesgo de fingolimod, y la tasa de abandonos del tratamiento. Conclusiones. Los nuevos farmacos de reciente comercializacion requieren mayor informacion acerca de su efectividad y seguridad, mas alla del entorno controlado de un ensayo clinico. Las iniciativas de registros electronicos como el registro Gilenya son la solucion para dar respuesta a dicha necesidad, proporcionando informacion en el menor tiempo posible acerca del manejo mas adecuado para conseguir su uso mas optimo y eficiente posible.

  18. Septic complications involving hand and wrist in patients with pre-existing rheumatoid arthritis: The role of magnetic resonance imaging and sonography.

    PubMed

    Bortolotto, C; Gregoli, B; Coscia, D R; Draghi, F

    2012-06-01

    Sommario SCOPO DEL LAVORO: L'artrite settica (SA), che spesso coinvolge mano e polso, è comune nei pazienti con artrite reumatoide (AR) a causa dell'eziologia immunomediata della AR e dell'uso di farmaci immunosoppressivi. Le caratteristiche cliniche e di laboratorio possono non essere utili per distinguere tra recidiva di AR e sovrapposizione di SA. Il ruolo della risonanza magnetica (RM) è stata descritto in diversi studi. Il nostro obiettivo è quello di valutare il ruolo della ecografia (US). Materiali e Metodi. Negli ultimi 4 anni sono stati eseguiti 31 esami di risonanza magnetica della mano e del polso nel sospetto di SA come complicanza di AR. È stata utilizzata una risonanza magnetica da 1.5 T (Siemens Symphony, Erlangen, Germania) con protocollo standardizzato, che comprendeva la somministrazione di mezzo di contrasto; è stata eseguita anche un'ecografia con power Doppler utilizzando un ecografo Philips IU22. RISULTATI: Sono stati analizzati undici punti (secondo lo studio di Graif) per ogni esame di RM e di US. Alla RM il versamento articolare (37,5% di recidiva AR vs 100% sovrapposizioni di SA) e l'edema dei tessuti molli (25% vs 100%) erano indicativi di SA. Anche ecograficamente il versamento articolare (31.3% di AR recidiva 73,3% vs sovrapposizione di SA) e l'edema dei tessuti molli (12,5% vs 60%) erano indicativi di SA. CONCLUSIONE: I nostri risultati confermano che il versamento articolare e l'edema dei tessuti molli sono suggestivi per sovrapposizione di SA e che la RM è più sensibile nella loro valutazione. Anche se l'US è meno sensibile della RM, essa è importante nel guidare procedure invasive e nella valutazione dei pazienti che non possono essere sottoposti a RM.

  19. [The health care through the critical eyes of the users: a survey].

    PubMed

    Sacco, Carmelo; Castiglioni, Carlotta; Cocco, Gabriele; Vario, Massimiliano

    2016-01-01

    Introduzione: L’ospedalizzazione si configura come una condizione nella quale l’individuo cessa le sue normali attività quotidiane per essere preso in carico da una struttura ospedaliera, allo scopo di risolvere un problema di salute. Il personale sanitario ha la responsabilità di rendere l’evento “ricovero” il meno traumatico possibile, considerando l’accoglienza un momento cruciale, un “biglietto da visita” per la struttura, che condizionerà in buona parte l’esito di gradimento della degenza. Obiettivo: Esplorare l’esperienza di ricovero degli utenti intervistati, per delineare i temi princi- pali che influenzano la qualità assistenziale fornita nel contesto di due ospedali romani e, in rela- zione alle aree tematiche riscontrate, rilevare le criticità prevalenti. Metodo: raccolta dati attraverso somministrazione di questionari semi-strutturati, successivo approccio fenomenologico focalizzato all’analisi dei vissuti esperienziali delle persone reclutate per estrarne i temi di significato con tecnica induttiva di Van Kaam. Risultati: Dalle interviste effettuate aventi per oggetto il vissuto dell’utente rispetto all’esperienza dell’ospedalizzazione, sono stati delineati 4 elementi essenziali che condizionano la qualità dell’as- sistenza fornita e, in questi, rilevate le criticità più evidenti; si è evidenziata pertanto un’asimme- tria relazionale e comunicativa tra operatore sanitario e utente ed inoltre una scarsa consapevo- lezza del personale sanitario riguardo l’importanza del “primacy effect”, quale elemento prelimi- nare per rafforzare le successive percezioni positive delle cure ospedaliere. Conclusioni: Alla luce dei risultati emersi, lo studio può fornire interessanti spunti ed indica- zioni a tutti coloro che, a diverso titolo, operano nell’ambito delle professioni sanitarie.

  20. Maternal age and intracytoplasmic sperm injection outcome in infertile couples at Khartoum, Sudan

    PubMed Central

    Ahmed, Mohamed; Shareef, Osama; Adam, Ishag; Rayis, Duria

    2015-01-01

    Background Intracytoplasmic sperm injection (ICSI) was considered as the mainstay of treatment for male infertility. Nowadays, the scope of ICSI has been widened to include other causes of infertility. There are few published data on ICSI in countries with low incomes. Aims A cross-sectional study was conducted at Saad AbuAlla and Banoun Centers, Khartoum, Sudan to investigate outcomes of ICSI and to determine the parameters that might predict pregnancy success rate following ICSI. Methods The study included 191 infertile couples who underwent 296 ICSI cycles between 1st April 2013 and 31 March 2014. Results One hundred and ninety one couples (comprising 296 cycles of ICSI) were enrolled to the study. The mean (SD) number of retrieved oocytes was 9.7 (7.5).  The mean (SD) number of transferred embryos was 2.9 (1.0). Out of these, 50 (26.2%) and 40 (20.9%) had chemical and clinical pregnancy, respectively. Thirty–six couples (18.8%) and five couples (2.6%) had miscarriage and had ectopic pregnancy, respectively. Under logistic regression, younger age (OR = 0.8, 95% CI= 0.81 ─ 0.96, P = 0.004) and endometrial thickness (OR = 1.3, 95% CI= 1.07─1.60, P = 0.009) were the significant predictors for the success of ICSI in inducing pregnancy. Conclusion                 The rates of successful fertilisation and pregnancy-to-term rates in this setting depend mainly on the maternal age. PMID:27347370

  1. Assimilation of multiple river flow data for enhanced operational flood forecasts

    NASA Astrophysics Data System (ADS)

    Ercolani, Giulia; Castelli, Fabio

    2016-04-01

    that is minimized during the variational assimilation procedure.Results show that more significant improvements are obtained in floods events than in false alarms. For instance, error on peak flow reduces respectively of about 30% and 20% (lead time of nearly 20 hours) at the measurement station that is representative of river network outlet (S. Giovanni alla Vena).The best performances correspond to single peak flood events, while in some more complex cases DA does not significantly improve modeled discharges, possibly because of shortcomings in model structure.Forecasts at downstream locations enhance especially when peak flow of the main upstream tributaries is included in the assimilation window. In conclusion, the operational hydrologic forecasting chain can effectively benefits from the developed assimilation system, although in the limit of the model structure.

  2. Gastric paraganglioma: a case report and a review of the literature.

    PubMed

    Pruiti, Vincenzo; Mazzeo, Francesca; Rossitto, Maurizio; Foti, Agata; Macrì, Antonio; Cucinotta, Eugenio

    2014-12-29

    I paragangliomi sono tumori neuroendocrini derivati dalla cresta neurale, provenienti dai paragangli, organi neuroendocrini dispersi e caratterizzati da cellule producenti catecolamine e peptidi. Presentano un’incidenza annuale stimata in 1 / 100.000, rappresentando il 10% dei tumori secernenti catecolamine. Riportiamo il caso di un uomo di 76 anni giunto alla nostra osservazione per la presenza di una lesione polipoide di 4 cm, vegetativaulcerata, tra il corpo e dell’antro gastrico rilevata durante una gastroscopia per la comparsa di anemia. Il paziente è stato sottoposto a gastrectomia subtotale con omentectomia e anastomosi gastrodigiunale. L’esame istologico ha rivelato un carcinoma gastrico polipoide ulcerato con cellule scarsamente aderenti con infiltrazione della parete gastrica muscolare e incidentalmente è stata identificata una lesione della parete gastrica posteriore incidentale che si rilevava essre un paraganglioma con la positività alle indagini di immunocitochimica per NSE e negatività per CD117, S100, CD34 e SMA. Con il termine di feocromocitoma si indica esclusivamente i tumori derivanti dalla midollare del surrene, mentre il paraganglioma extra-surrenalico suggerisce tumori delle cellule cromaffini con altre posizioni. La localizzazione gastrica o perigastrica, come nel nostro caso, è molto rara per queste neoplasie, e in letteratura vi sono solo pochi case report. La predisposizione genetica si osserva nel 30% di questi tumori e può essere responsabile della malattia ereditaria caratterizzata da differenze nella distribuzione del tumore, nella produzione di catecolamine, nel rischio di metastasi, e nell’associazione con altri tipi di tumori. In conclusione, nei pazienti con sintomi di tumore secernente cromaffini o in pazienti con una storia familiare di feocromocitoma-paraganglioma, che portano mutazioni e sottoposti a screening per il tumore asintomatico, la prima indagine diagnostica è determinare i livelli di metanefrina

  3. An approach to complicated diverticular disease. A retrospective study in an Acute Care Surgery service recently established.

    PubMed

    Occhionorelli, Savino; Zese, Monica; Tartarini, Daniela; Lacavalla, Domenica; Maccatrozzo, Stefano; Groppo, Giacomo; Sibilla, Maria Grazia; Stano, Rocco; Cappellari, Lorenzo; Vasquez, Giorgio

    2016-01-01

    Obiettivo: La patologia diverticolare acuta è attualmente molto frequente nei paesi occidentalizzati. L’aumento costante del numero dei pazienti ricoverati nelle Unità operative di Chirurgia per il trattamento d’Urgenza sta portando alla necessità di individuare nuove Classificazioni e Scores per il corretto e razionale trattamento medico e chirurgico, anche in relazione all’assenza di linee guida ufficiali. Metodi: Si tratta di uno studio retrospettivo che prende in considerazione tutti i pazienti ricoverati presso il nostro Dipartimento, con diagnosi di diverticolite acuta perforata, nel periodo di tempo compreso tra giugno 2010 e marzo 2015. Risultati: Nel nostro studio 41 pazienti sono stati trattati conservativamente. I restanti 58 pazienti sono stati sottoposti ad intervento chirurgico: 25 con procedura di Hartmann, 29 con intervento di resezione e consensuale confezionamento di anastomosi senza ileostomia di protezione, 3 pazienti sono stati sottoposti a riparazione diretta della lesione diverticolare (rafia) e 2 a lavaggio peritoneale laparoscopico con posizionamento di drenaggio. Di questi ultimi due pazienti, uno è stato dimesso dopo 7 giorni in buone condizioni cliniche generali ed uno è stato poi sottoposto a resezione e confezionamento di anastomosi. Abbiamo correlato i pazienti suddividendoli nei vari gruppi Hinchey modificati e sovragruppi, associandoli ai diversi trattamenti, identificandone i fattori di rischio, l’ASA score e le complicanze. Discussione: L’utilizzo di nuove tecnologie, come la TC, si sta rivelando molto utile per la diagnosi delle diverticoliti perforate. Il loro trattamento è invece ancora piuttosto dibattuto: per i pazienti Hinchey I e II è, tendenzialmente conservativo, a meno di fattori concomitanti che ne pregiudichino l’andamento clinico. I pazienti Hinchey III e IV sono di competenza chirurgica. Il trattamento preferenziale è la procedura di Hartmann ma negli ultimi anni la resezione con consensuale

  4. PPH vs Milligan-Morgan: early and late complications in the treatment of haemorrhoidal disease with circumferential prolapse.

    PubMed

    Sammarco, Giuseppe; Ferrari, Francesco; Carpino, Antonio; Russo, Emilio; Vescio, Giuseppina; Ammendola, Michele; Sacco, Rosario

    2013-07-23

    In questo studio osservazionale retrospettivo abbiamo confrontato le complicanze post-operatorie tardive e precoci di pazienti affetti da malattia emorroidaria con prolasso circonferenziale (P4-E4 secondo la classificazione PATE 2000) sottoposti ad intervento chirurgico con tecnica Milligan-Morgan (variante laser a fibre ottiche) e con tecnica PPH-Stapler. Nello studio sono stati inclusi 160 pazienti sottoposti a trattamento chirurgico tra gli anni 2001 e 2007. Il gruppo A è composto da 80 pazienti (50 maschi; 30 femmine; età media di 39; range 23-57 anni) trattati con tecnica Milligan-Morgan (variante laser a fibre ottiche); il gruppo B composto da 80 pazienti (58 maschi; 22 femmine; età media di 40; range 23-60 anni) trattati con tecnica PPH-Stapler. Le complicanze precoci sono state eventi trombotici (6 casi in M-M vs 1 in PPH) e ritenzione urinaria (13 MM vs 5 PPH) senza casi di sepsi. Le complicanze tardive invece sono state: sanguinamento occasionale del 13.5 % nel gruppo M-M vs 10 % nel gruppo PPH; incontinenza alla defecazione 2.5 % (M-M-group) vs 5% (PPH-group) con p < 0.1; dolore persistente 2.5 % (MM) vs 5 % (PPH) con p < 0.1; soiling 18.75 % (MM) vs 0 % (PPH) con p < 0.001; eventi ricorrenti 5 % nel gruppo PPH vs 0 % in M-M (p < 0.05); residuo di malattia 7.5 % nel gruppo M-M vs 0 % in PPH con p < 0.01. In conclusione, dai nostri dati osservati, la tecnica PPHStapler risulta essere più indicata della tecnica Milligan- Morgan per il trattamento chirurgico del prolasso emorroidario nonostante possa essere seguita da gravi complicanze con una specifica indicazione però nella malattia emorroidaria con prolasso circonferenziale tipo P4- E4. Nella malattia emorroidaria con uno o più noduli invece, crediamo sia più indicato un trattamento chirurgico con tecnica Milligan-Morgan (variante laser a fibre ottiche).

  5. Cochlea size variability and implications in clinical practice.

    PubMed

    Pelliccia, P; Venail, F; Bonafé, A; Makeieff, M; Iannetti, G; Bartolomeo, M; Mondain, M

    2014-02-01

    Gli obbiettivi di questo studio sono stati: 1) lo studio della variabilità delle dimensioni cocleari in relazione all'età e al grado di ipoacusia; 2) calcolare la lunghezza dell'elettrodo dell'impianto cocleare richiesta per ottenere l'angolo ideale d'inserzione profonda di 270°. Per raccogliere i dati riguardanti le ossa temporali sono stati inclusi nello studio 241 pazienti (482 ossa temporali) che hanno ricevuto una Tomografia Computerizzata a alta risoluzione (HRCT) dell'orecchio nel nostro Policlinico Universitario tra il 2003 e il 2008; i pazienti sono stati divisi in 3 Gruppi: 97 (194 orecchie) aventi una ipoacusia neurosensoriale severa o profonda bilaterale (Gruppo A), 70 (140 orecchie) aventi una ipoacusia neurosensoriale moderata bilaterale (Gruppo B), 74 pazienti (148 orecchie) senza ipoacusia neurosensoriale o mista (gruppo C). In ciascuno dei 3 gruppi, sono stati identificati 5 sottogruppi in base all'età: 1) sottogruppo 1: soggetti ≤ 5 anni, 2) sottogruppo 2: soggetti da 6 a 10 anni; 3) sottogruppo 3: pazienti da 11 a 15 anni, 4) sottogruppo 4: pazienti da 16 a 20 anni, 5) sottogruppo 5: soggetti >; 20 anni. Sono stati misurati la lunghezza della coclea (L), l'altezza della coclea (H), il diametro del lume del giro basale (BTLD) e il Volume della coclea (V). Il Test di Mann-Whitney è stato utilizzato per verificare l'ipotesi alternativa che a livello di queste dimensioni esiste una differenza statisticamente significativa tra i differenti gruppi e sottogruppi. La seguente equazione è stata adottata per calcolare la Lunghezza di un elettrodo rettilineo che segue la parete esterna della scala timpani necessaria per ottenere l'angolo ideale di inserzione profonda di 270° (LIC): [Formula: see text]. Secondo i nostri risultati alla nascita la coclea è completamente sviluppata e ha già raggiunto le dimensioni dell'adulto. Il Grado di ipoacusia non influenza la Lunghezza (L) e il Volume (V) della coclea, mentre può influenzare la sua altezza (H

  6. Rare extra-adrenal paraganglioma mimicking a painful Schwannoma: case report.

    PubMed

    Picchetto, Andrea; M Paganini, Alessandro; Balla, Andrea; Quaresima, Silvia; Cantisani, Vito; D'Ambrosio, Giancarlo; Lezoche, Emanuele

    2014-09-26

    paragangliomi extra-surrenalici sono raramente riconosciuti duranti gli esami preoperatori. Questo errore è spesso dovuto alla sua capacità di simulare vari altri tipi di tumore. Gli Autori credono che i paragangliomi possano essere resecati con successo tramite approccio laparoscopico, che essi sono difficili da distinguere altri tipi di tumore e che debbano essere sospettati anche se i risultati preoperatori depongono per qualcos’altro.

  7. Characterizing coal beds in western Kentucky with the Al-La-Sc coherent triad

    USGS Publications Warehouse

    Chyi, L.L.; Medlin, J.H.

    1996-01-01

    Cyclic sedimentation and lateral facies changes make coal bed correlations inconclusive and difficult. This uncertainty can be further complicated if a coal basin has been structurally deformed. Coal macerals can be studied to indicate the nature and degree of coalification. Their use in coal bed correlation, however, is limited. Most of the trace elements and their ratios that have been studied show significant within-bed lateral and stratigraphic variations, and thus are not effective in correlating coal beds regionally. Geochemically coherent groups of elements, such as rare earth elements (REE) and platinum group elements (PGE), appear to be highly differentiated in coal-forming environments. Geochemical coherent elemental triads appear to be useful for coal bed identification or fingerprinting. The best triad which was demonstrated to be effective in coal bed characterization in western Kentucky, is that of Al, La and Sc. These three elements are highly correlated with one another and they can be determined accurately and simultaneously with instrumental neutron activation analysis (INAA). The elemental triad Al-La-Sc is used to identify and fingerprint three key coal beds in western Kentucky: the Springfield (western Kentucky No. 9), the Davis (western Kentucky No. 6), and the Mining City and Dawson Springs are both considered to be the No. 4 coal bed in western Kentucky). Four distinct groupings can be recognized by use of the Al-La-Sc triad. The Dawson Springs coals have the highest Al/(La + Sc) ratios, followed by the Springfield, the Davis and the Mining City. The Mining City coal bed generally has the highest La/Sc ratio. However, the Dawson Springs is not correlated with the Mining City using the triad analysis, even though they have reportedly similar stratigraphic positions in the western Kentucky coal basin. The Al-La-Sc triad appears to be effective in discriminating between the Springfield and the Davis coal beds throughout the entire Illinois

  8. Prasugrel compared to clopidogrel in patients with acute coronary syndrome undergoing percutenaous coronary intervention: a Spanish model-based cost effectiveness analysis.

    PubMed

    Davies, A; Sculpher, M; Barrett, A; Huete, T; Sacristán, J A; Dilla, T

    2013-01-01

    Objetivo: Evaluar a largo plazo el coste-efectividad de 12 meses de tratamiento con prasugrel frente a clopidogrel en pacientes con síndrome coronario agudo (SCA) sometidos a intervención coronaria percutánea (ICP) desde la perspectiva del sistema nacional de salud español. Métodos: Se desarrolló un modelo de Markov de transición entre estados para estimar los resultados en salud, los años de vida ajustados por calidad (AVACs), los años de vida (AV) y los costes a lo largo de la vida de los pacientes. Los datos clínicos fueron obtenidos de un análisis del ensayo clínico TRITON-TIMI 38. Los reingresos hospitalarios registrados durante el ensayo en un subestudio de pacientes provenientes de ocho países, (y las subsiguientes rehospitalizaciones fueron modeladas para acumularse más alla del horizonte temporal del ensayo) fueron asignados a grupos relacionados con el diagnóstico españoles para estimar los costes de hospitalización. Resultados: Los costes medios totales del tratamiento con prasugrel y clopidogrel fueron 11.427 ??y 10.910 ?, respectivamente. El coste medio del fármaco fue 538 ??superior para prasugrel frente a clopidogrel, pero los costes de rehospitalización a los 12 meses fueron 79 ??menores para prasugrel debido a la reducción en las tasas de revascularización. Los costes de hospitalización más allá de los 12 meses fueron 55 ??superiores con prasugrel, debido a la mayor esperanza de vida (+0,071 AV y +0,054 AVACs) asociada a la reducción de la tasa de infartos de miocardio no mortales en el grupo de prasugrel. El coste-efectividad incremental por año de vida y AVAC ganado con prasugrel fue 7.198 ??y 9.489 ?, respectivamente. Conclusión: Considerando el umbral de disponibilidad a pagar de 30.000 ?/ AVAC para España, prasugrel representa una opción coste-efectiva en comparación con clopidogrel en pacientes con SCA sometidos a ICP.

  9. A sputnik IV saga

    NASA Astrophysics Data System (ADS)

    Lundquist, Charles A.

    2009-12-01

    The Sputnik IV launch occurred on May 15, 1960. On May 19, an attempt to deorbit a 'space cabin' failed and the cabin went into a higher orbit. The orbit of the cabin was monitored and Moonwatch volunteer satellite tracking teams were alerted to watch for the vehicle demise. On September 5, 1962, several team members from Milwaukee, Wisconsin made observations starting at 4:49 a.m. of a fireball following the predicted orbit of Sputnik IV. Requests went out to report any objects found under the fireball path. An early morning police patrol in Manitowoc had noticed a metal object on a street and had moved it to the curb. Later the officers recovered the object and had it dropped off at the Milwaukee Journal. The Moonwarch team got the object and reported the situation to Moonwatch Headquarters at the Smithsonian Astrophysical Observatory. A team member flew to Cambridge with the object. It was a solid, 9.49 kg piece of steel with a slag-like layer attached to it. Subsequent analyses showed that it contained radioactive nuclei produced by cosmic ray exposure in space. The scientists at the Observatory quickly recognized that measurements of its induced radioactivity could serve as a calibration for similar measurements of recently fallen nickel-iron meteorites. Concurrently, the Observatory directorate informed government agencies that a fragment from Sputnik IV had been recovered. Coincidently, a debate in the UN Committee on Peaceful Uses of Outer Space involved the issue of liability for damage caused by falling satellite fragments. On September 12, the Observatory delivered the bulk of the fragment to the US Delegation to the UN. Two days later, the fragment was used by US Ambassador Francis Plimpton as an exhibit that the time had come to agree on liability for damage from satellite debris. He offered the Sputnik IV fragment to USSR Ambassador P.D. Morozov, who refused the offer. On October 23, Drs. Alla Massevitch and E.K. Federov of the USSR visited the

  10. Conscientious Objection to Animal Experimentation in Italian Universities

    PubMed Central

    Baldelli, Ilaria; Massaro, Alma; Penco, Susanna; Bassi, Anna Maria; Patuzzo, Sara; Ciliberti, Rosagemma

    2017-01-01

    Simple Summary This paper examines the trend of Italian academic faculties in complying with the obligation to inform university students of their right to exercise their conscientious objection to scientific or educational activities involving animals, hereafter written as “animal CO”, as established by Law 413/1993, “Norme sull’obiezione di coscienza alla sperimentazione animale” (“Rules on conscientious objection to animal experimentation”), thereafter “Law 413/1993”. Despite an increasing interest in the principles of animal ethics by the international community, this law is still largely disregarded more than 20 years after its enactment. The Ethics Committees, Animal Welfare Committees, as well as the Italian Ministry of Education, University and Research should preside over and monitor the Universities’ compliance with the duty to disclose animal CO. Abstract In Italy, Law 413/1993 states that public and private Italian Institutions, including academic faculties, are obliged to fully inform workers and students about their right to conscientious objection to scientific or educational activities involving animals, hereafter written as “animal CO”. However, little monitoring on the faculties’ compliance with this law has been performed either by the government or other institutional bodies. Based on this premise, the authors have critically reviewed the existing data and compared them with those emerging from their own investigation to discuss limitations and inconsistencies. The results of this investigation revealed that less than half of Italian academic faculties comply with their duty to inform on animal CO. Non-compliance may substantially affect the right of students to make ethical choices in the field of animal ethics and undermines the fundamental right to express their own freedom of thought. The Italian Ministry of Education, Universities and Research, ethics committees and animal welfare bodies should cooperate to make

  11. Ambienti Circumstellari ed Interstellari di Supernovae di vario Tipo ed Applicazioni Astrofisiche

    NASA Astrophysics Data System (ADS)

    Boffi, Francesca R.

    extra-galattiche per via puramente geometrica (Sparks 1994; 1996). Osservazioni da terra, in imaging e polarimetria, sono state utilizzate per selezionare un numero promettente di candidati, che mostrano emissione visibile alla posizione della supernova. Tali candidati sono promettenti non solo per l' applicazione del metodo descritto ma anche per dedurre informazioni circa le supernovae medesime e le relative popolazioni stellari.

  12. The ``Perrier Oceans'' Of Europa And Enceladus (Invited)

    NASA Astrophysics Data System (ADS)

    Matson, D.; Johnson, T. V.; Lunine, J. I.; Castillo, J. C.

    2010-12-01

    NASA contract, and for JIL under "Incentivazione alla mobilita' di studiosi straineri e italiani residenti all'estero" of Italy.

  13. FAMeS: Fidelity of Analysis of Metagenomic Samples

    DOE Data Explorer

    Hardy, Isidore Rigoutsos, Asaf Salamov, Frank Korzeniewski, Miriam Land, Alla Lapidus, Igor Grigoriev, Paul Richardson, Philip Hugenholtz, Nikos C Kyrpides, Nature Methods 2007 Jun;4(6):495-500.

  14. Effect of field history on the cereal leafminer Syringopais temperatella Led. (Lepidoptera: Scythrididae) and its preference to different wheat and barley cultivars.

    PubMed

    Al-Zyoud, Firas Ahmad

    2012-02-15

    Due to the importance of wheat and barley production in Jordan, prevention of the cereal leafminer, Syringopais temperatella Led. (Lepidoptera: Scythrididae) is of vital importance. The insect is a severe pest and plays an important role in limiting the production of these crops. The use of insecticides is neither economic nor sustainable, so that there is an urgent need to initiate a viable alternative to chemical control. Therefore, this study aimed at investigating the effect of crop rotation on S. temperatella and its preference to different wheat and barley cultivars. The field history experiment was conducted using five different crop rotations. For the preference experiments in the laboratory, two major experimental groups were conducted. The first was set up to measure the consumed leaf area and the second one to record the number of larval attaches. Each group consisted of four different subgroups; 6 wheat cultivars, 6 barley cultivars, two and one cultivar of each crop. The results indicated that the infestation percentage and number of larvae were significantly the lowest in the crop rotation, wheat/chickpea/wheat while the highest were recorded for barley/barley/barley. The preference results showed that wheat cultivar, Horani Nawawi is significantly the most preferred while Horani 27 is the least cultivar. In case of barley, Mutah was the most preferred cultivar and the least preference was recorded for Athroh. Also, wheat was significantly less preferred than barley. The wheat cultivars, Sham, Em-Qees and Acsad 65 had the highest number of attaches and Deer Alla the least. In contrast, the barley cultivar, Acsad 176 had the highest and Athroh and Rum 1 had the least attaches. Barley cultivars had higher attaches than wheat ones. There was a positive relation between the infestation percent and number of larvae, as well as the consumed area and number of attaches in all of the four subgroups. In conclusion, the crop rotation, wheat

  15. The ancient harbour system of Terracina (Latium, Italy) obtained by gravity survey.

    NASA Astrophysics Data System (ADS)

    di Nezza, M.; di Filippo, M.

    2009-04-01

    Historical research has shown that Terracina (Latina, Latium) played a fundamental role in the maritime and land traffic since before the foundation of the colony. The settlement was established where the organized system of maritime, land, coastal, and fluvial transport had the most ideal conditions to constitute an important commercial crossroads, apparently since the beginning of recorded history. In order to reconstruction the buried archaeological structures attributed to the ancient Roman port, traditionally attributed to Traiano, in the current area of the harbour of Terracina, it was carried out a gravity survey, more than 380 gravity stations. This method enables to recognize the cavity and the structures of the buildings underground through the results of variations density in the subsoil. In the residual gravity anomaly map a series of positive anomalies are visible which confirm the round structures and the pier of the buried foundations of the Imperial harbour. Unfortunately, little remains of the functioning facilities of the harbour's activities. The modern construction of the harbour, in fact, has to be developed around the new inhabitable commercial area, know today as Terracina Bassa or Borgo alla Marina. It had to be developed with a modern infrastructure of a harbor area, as in the construction of the rooms for storage of goods, warehouses, as well as for the thermal baths, hotels and amphitheatre. Furthermore, there are always the positive anomalies that characterize the area to the north-east of "Montone" hill where archaeological remains are easily visible near Via Lungolinea Pio VI. A large negative anomaly is situated in correspondence with "Montone". Gravity information shows an average density of the hill approximately 1.10 g/cm3, notably less than the recorded data relative to dry sand, approximately 1.6 g/cm3. The low value founds hits at the possibility of an "emptiness" in the subsoil of "Montone" hill, attribuiting to the possible

  16. Two-dimensional combinatorial screening of a bacterial rRNA A-site-like motif library: defining privileged asymmetric internal loops that bind aminoglycosides.

    PubMed

    Tran, Tuan; Disney, Matthew D

    2010-03-09

    RNAs have diverse structures that are important for biological function. These structures include bulges and internal loops that can form tertiary contacts or serve as ligand binding sites. The most commonly exploited RNA drug target for small molecule intervention is the bacterial ribosome, more specifically the rRNA aminoacyl-tRNA site (rRNA A-site) which is a major target for the aminoglycoside class of antibiotics. The bacterial A-site is composed of a 1 x 1 nucleotide all-U internal loop and a 2 x 1 nucleotide all-A internal loop separated by a single GC base pair. Therefore, we probed the molecular recognition of a small library of four aminoglycosides for binding a 16384-member bacterial rRNA A-site-like internal loop library using two-dimensional combinatorial screening (2DCS). 2DCS is a microarray-based method that probes RNA and chemical spaces simultaneously. These studies sought to determine if aminoglycosides select their therapeutic target if given a choice of binding all possible internal loops derived from an A-site-like library. Results show that the bacterial rRNA A-site was not selected by any aminoglycoside. Analyses of selected sequences using the RNA Privileged Space Predictor (RNA-PSP) program show that each aminoglycoside preferentially binds different types of internal loops. For three of the aminoglycosides, 6''-azido-kanamycin A, 5-O-(2-azidoethyl)-neamine, and 6''-azido-tobramycin, the selected internal loops bind with approximately 10-fold higher affinity than the bacterial rRNA A-site. The internal loops selected to bind 5''-azido-neomycin B bind with an affinity similar to that of the therapeutic target. Selected internal loops that are unique for each aminoglycoside have dissociation constants ranging from 25 to 270 nM and are specific for the aminoglycoside they was selected to bind compared to the other arrayed aminoglycosides. These studies further establish a database of RNA motifs that are recognized by small molecules that

  17. Landslide hazard prediction in the North-Eastern Apennines (Italy)

    NASA Astrophysics Data System (ADS)

    Disperati, L.; Guastaldi, E.; Rindinella, A.

    2003-04-01

    training dataset of occurrences and a test dataset, a cross validation is made. The valuation both for flows and slides was performed through Prediction Rate Curves (PRC). By utilising the occurrences of the test dataset, PRC derived from the relation between CF trend in the whole area (cumulative percentage), portion of total area and number of landslides. As result, engineering geology can be indicated as the dominant factor for PRC of flows; likewise engineering geology, land use and RBS combination is the more effective combination. On the other side, slope and aspect resulted less determinative in best PRC trend. Moreover, the combination of engineering geology and slope allowed the computation of best PRC for landslide. References CARMIGNANI L. (2001): Realizzazione della cartografia geologica e geotematica e dei relativi supporti informatici alla scala 1/10.000 -- Progetto 1 -- Zona Nord. Progetti strumentali alla funzione di ricostruzione. Interventi strutturali comunitari obiettivo 5b -- Misura 3.1.4 Azioni di ricostruzione e recupero del tessuto urbano infrastrutturale nei territori colpiti dal sisma (Azione 7). Contratto tra la Regione Marche -- Servizio Urbanistica e Cartografia e l'Università degli Studi di Siena. Rapporto Finale. Università degli Studi di Siena, Dipartimento di Scienze della Terra, Dicembre 200 1, pp. 6 I. CHUNG C. J. (1999): Prediction models in spatial data analysis for landslide hazard mapping -- Natural Resources Canada, Geological Survey of Canada-Mineral Resources Division-Spatial Data Analysis Laboratory, http://www.nrcan.gc.ca/gsc/mrd/sdalweb/landslides/index.htm. CHUNG C. J., FABBRI A.G. (1993): The representation of geoscience information for data integration. Non-renewable Resources, v. 2., n. 3, pp. 1 22-139. CHUNG C. J., FABBRI A.G., VAN WESTEN C.J (1995).- Multivariate regression analysis for landslide hazard zonation. In Carrara, A. and Guzzetti, F., eds.: "Geographical Information Systems in Assessing Natural Hazards

  18. The benefits and harms of intravenous thrombolysis with recombinant tissue plasminogen activator within 6 h of acute ischaemic stroke (the third international stroke trial [IST-3]): a randomised controlled trial

    PubMed Central

    2012-01-01

    recruited in IST-3, despite the early hazards, thrombolysis within 6 h improved functional outcome. Benefit did not seem to be diminished in elderly patients. Funding UK Medical Research Council, Health Foundation UK, Stroke Association UK, Research Council of Norway, Arbetsmarknadens Partners Forsakringsbolag (AFA) Insurances Sweden, Swedish Heart Lung Fund, The Foundation of Marianne and Marcus Wallenberg, Polish Ministry of Science and Education, the Australian Heart Foundation, Australian National Health and Medical Research Council (NHMRC), Swiss National Research Foundation, Swiss Heart Foundation, Assessorato alla Sanita, Regione dell'Umbria, Italy, and Danube University. PMID:22632908

  19. Neoproterozoic tectonic evolution of the Jebel Saghro and Bou Azzer - El Graara inliers, eastern and central Anti-Atlas, Morocco

    USGS Publications Warehouse

    Walsh, Gregory J.; Aleinikoff, John N.; Harrison, Richard W.; Burton, William C.; Quick, James E.; Benziane, Foudad; Yazidi, Abdelaziz; Saadane, Abderrahim

    2012-01-01

    much of the lower Ouarzazate Supergroup volcanic rocks in the area are probably related to caldera out-flow facies and collapse. Late stage PA3 intrusive rocks include the Bouskour–Sidi Flah and Timijt rhyolitic dike swarms at about 563 Ma, the voluminous pink Isk-n-Alla granite (559 ± 5 Ma), and volumetrically minor gabbro of Tagmout (556 ± 5 Ma). Rhyolite flows from the upper part of the Ouarzazate Supergroup, above a regional angular unconformity, yielded ages of 558 ± 4 and 556 ± 4 Ma. The youngest ages place an upper limit on block faulting and weak folding during latest Pan-African tectonic activity (PA3), coincident with the departure of the Cadomian crustal fragment from the northern margin of the WAC.

  20. Calibrazioni a terra e prestazioni in volo di spettrometri ad immagine nel visibile e nel vicino infrarosso per l'esplorazione planetaria

    NASA Astrophysics Data System (ADS)

    Filacchione, Gianrico

    2006-10-01

    Nel corso dell’ultimo decennio l’esplorazione planetaria ha potuto beneficiare dei dati prodotti dagli spettrometri ad immagine: grazie a questa nuova classe di strumenti, realizzati per l’osservazione in remoto di superfici ed atmosfere planetarie, è possibile acquisire dati iperspettrali con elevati poteri risolutivi spaziali e spettrali. Il principale vantaggio offerto dagli spettrometri ad immagine, rispetto alle camere ed agli spettrometri puntuali, è rappresentato dalla capacità di misurare, identificare e mappare le unità composizionali delle superfici planetarie; queste informazioni permettono di investigare sia l’evoluzione geochimica delle superfici sia la dinamica e la composizione delle atmosfere. Sebbene i primi spettrometri ad immagine siano stati francesi (Phobos/ISM, Imaging Spectrometer for Mars) e statunitensi (Galileo/NIMS, Near Infrared Mapping Spectrometer), il nostro paese nel corso degli ultimi anni è stato in grado di proporre alla com unità spaziale internazionale degli strumenti dalle elevate prestazioni che sono stati infatti accettati come payload scientifici su diverse missioni interplanetarie: dai canali visibili di VIMS (Visual and Infrared Mapping Spectrometer) su Cassini (Nasa, JPL, ESA, ASI) e di OMEGA (Observatoire pour la Minéralogie, l’Eau, les Glacies et l’Activitè de Mars) su MarsExpress (ESA) ai due VIRTIS (Visible and Infrared Thermal Imaging Spectrometer) su Rosetta (ESA) e VenusExpress (ESA) fino a VIR-MS (Visible and Infrared Mapping Spectrometer) su Dawn (Nasa). In questo momento inoltre altri due spettrometri sono in avanzata fase di studio: JIRAM (Jovian InfraRed Auroral Mapper) su Juno (missione New Discovery Nasa) e VIHI (Visible and Infrared Hyperspectral Imager) integrato nel payload italiano di remote sensing SIMBIO-SYS di BepiColombo (missione cornerstone ESA). La realizzazione di uno spettrometro ad immagini da utilizzare su una missione interplanetaria richiede un’accurata analisi in fase

  1. [Ecological study on the mortality of residents in Manfredonia (Apulia Region, Southern Italy) from 1970 to 2013].

    PubMed

    Gianicolo, Emilio Antonio Luca; Mangia, Cristina; Cervino, Marco; Bruni, Antonella; De Marchi, Bruna; Biggeri, Annibale; Porcu, Rosa; Vigotti, Maria Angela

    2016-01-01

    OBIETTIVI: valutare lo stato di salute della popolazione residente nel comune di Manfredonia dal 1970 al 2013. DISEGNO: analisi descrittiva dell'andamento temporale della mortalità generale, per gruppi di cause, dal 1970 al 2013. SETTING E PARTECIPANTI: i dati di mortalità e le popolazioni residenti sono di fonte Istat. Sono state esaminate 55 cause di decesso. Le analisi sono disaggregate per sesso e periodo. PRINCIPALI MISURE DI OUTCOME: sono stati elaborati i rapporti standardizzati di mortalità (SMR%), con i rispettivi intervalli di confidenza al 90% (IC90%), e i tassi di mortalità standardizzati col metodo diretto (TSD ). RISULTATI: lo stato di salute misurato dal tasso di mortalità per tutte le cause migliora nel tempo: i TSD passano da 92 x10.000 negli anni 1970-1974 a 52 x10.000 nel biennio 2012-2013 negli uomini, da 70 x10.000 a 39 x10.000 nelle donne. Tuttavia, rispetto alla media regionale Manfredonia perde progressivamente il suo vantaggio, passando da -20% a -10% negli uomini, e da -20% a +1,5% nelle donne. Questo andamento è molto evidente per il complesso delle cause cardiovascolari, mentre i tumori maligni sono in generale nella media regionale. Nell'ultimo periodo disponibile per causa di decesso (2006-2011), la mortalità per infarto miocardico è stata più alta della media regionale (uomini: +35%; donne: +54%). I rapporti standardizzati di mortalità (SMR) mostrano tra gli uomini valori in crescita, in particolar modo rispetto al riferimento provinciale, con un eccesso a cominciare dal periodo 2006-2011 (22 decessi/anno e 19 attesi; SMR%: 117,2; IC90% 101,1-135,2; riferimento: provincia di Foggia). Anche tra le donne gli SMR% superano i riferimenti provinciali negli ultimi periodi esaminati (nel 2012-2013: 7 decessi/ anno e 4,2 attesi; SMR%: 116,4; IC90% 97,0-260,7; riferimento: provincia di Foggia). CONCLUSIONI: la mortalità a Manfredonia è diminuita in misura minore rispetto a quella osservata nei riferimenti provinciali e regionali

  2. New disposition for pain therapy in Italy, center for headache should be integrated in the network.

    PubMed

    Gensini, Gian Franco

    2011-05-01

    On March 15th 2010, Italy adopted the Law no. 38 "Disposizioni per garantire l'accesso alle cure palliative e alla terapia del dolore" (Provisions aimed at ensuring access to palliative care and pain therapy). The aim of pain therapy is to enable patients with chronic diseases to achieve pain control. Palliative care, as defined by the World Health Organization, aims at "improving the quality of life of patients and families, who face the problems associated with incurable diseases, through prevention and relief from suffering, achieved through an early identification and treatment of pain by pharmacological medication and other physical, psychosocial and spiritual techniques". The main issues addressed by the law concern the monitoring of pain (the doctors will have to record on the clinical report form every level of pain intensity suffered by the patient, the appropriate therapy administered, and the pain relief achieved. This report must be kept accurately in all settings: hospital, day hospital and in outpatients). The law also suggests the establishment of two kinds of regional networks. One network (including Hospices) ensures the administration of palliative care to terminally ill patients; the other, including clinics and centers of pain therapy, provides assistance to patients with chronic pain. These networks involve general practitioners, hospital specialists and pain therapy specialists in order to ensure the best patient care. Simplification of the prescription of opiate drugs is also included in the law. In the prescription of opiates, the National Health Service medical staff can use the normal prescription form, and opiates will reimbursed by the NHS, like all other drugs. In addition, the technical papers provide precise indications of the appropriate modality of administration. The law allocates (art. 12, paragraph 2) 100 million euros per year and € 2,450,000 in the biennium 2010-2011 to implement experimental regional projects: "hospital

  3. Sediment yield estimation in mountain catchments of the Camastra reservoir, southern Italy: a comparison among different empirical methods

    NASA Astrophysics Data System (ADS)

    Lazzari, Maurizio; Danese, Maria; Gioia, Dario; Piccarreta, Marco

    2013-04-01

    using sediment storage in reservoirs provides a good opportunity: i) to test the reliability of the empirical methods used to estimate the sediment yield; ii) to investigate the catchment dynamics and its spatial and temporal evolution in terms of erosion, transport and deposition. References Ciccacci S., Fredi F., Lupia Palmieri E., Pugliese F., 1980. Contributo dell'analisi geomorfica quantitativa alla valutazione dell'entita dell'erosione nei bacini fluviali. Bollettino della Società Geologica Italiana 99: 455-516. Mitasova H, Hofierka J, Zlocha M, Iverson LR. 1996. Modeling topographic potential for erosion and deposition using GIS. International Journal of Geographical Information Systems 10: 629-641. Renard K.G., Foster G.R., Weesies G.A., McCool D.K., Yoder D.C., 1997. Predicting soil erosion by water: a guide to conservation planning with the Revised Universal Soil Loss Equation (RUSLE), USDA-ARS, Agricultural Handbook No. 703.

  4. The ancient harbour system of Terracina (Latium, Italy) obtained by gravity and seismic surveys.

    NASA Astrophysics Data System (ADS)

    di Nezza, Maria; di Filippo, Michele

    2010-05-01

    Historical research has shown that Terracina (Latina, Latium) played a fundamental role in the maritime and land traffic since before the foundation of the colony. The settlement was established where the organized system of maritime, land, coastal, and fluvial transport had the most ideal conditions to constitute an important commercial crossroads, apparently since the beginning of recorded history. In order to reconstruction the buried archaeological structures attributed to the ancient Roman port, traditionally attributed to Traiano, in the current area of the harbour of Terracina, it was carried out a gravity survey, more than 380 gravity stations. The gravity method enables to recognize the cavity and the structures of the buildings underground through the results of variations density in the subsoil. Seismic tomography treats the problem of identifying a buried structure as a wave propagation process by inverting the linearized wave equation to compute the spatial distribution of the slowness of the velocity. The purpose of our tomographic study is to further test the method and to guide archaeologists in their future excavations by locating and identifying buried structures. In the residual gravity anomaly map a series of positive anomalies are visible which confirm the round structures and the pier of the buried foundations of the Imperial harbour. Unfortunately, little remains of the functioning facilities of the harbour's activities. The modern construction of the harbour, in fact, has to be developed around the new inhabitable commercial area, know today as Terracina Bassa or Borgo alla Marina. It had to be developed with a modern infrastructure of a harbor area, as in the construction of the rooms for storage of goods, warehouses, as well as for the thermal baths, hotels and amphitheatre. Furthermore, there are always the positive anomalies that characterize the area to the north-east of "Montone" hill where archaeological remains are easily visible

  5. Enceladus' Interior: A Liquid Circulation Model

    NASA Astrophysics Data System (ADS)

    Matson, Dennis L.; Johnson, Torrence; Lunine, Jonathan; Castillo-Rogez, Julie

    transferred to the near-surface ice. The water is now relatively cold and dense. It absorbs the remaining bubbles and descends via fractures or defects in the ice, and percolates down to the "ocean". The water is in intimate contact with the ice and chemical interactions and heat exchange are possible. While the formation of the briny "ocean" was envisioned as due to the exclusion of non-water chemical species from the ice as it froze [8], a number of mechanisms permit a variety of organic and inorganic species to be present in the ice. The downward percolation of briny water facilitates these by making a large volume of the ice accessible along the crack surfaces. References: [1] J. H. Waite Jr et al., Nature, 460, 487-490 (2009). [2] F. Postberg et al., Nature, 459, 1098-1101 (2009). [3] S. W. Kieffer et al., Science, 314, 1764-1766 (2006). [4] C. Howett, J. R. Spencer, J. Pearl, M. Segura, Bull. Am. Astron. Soc., 41, 1122 (2009). [5] O. Abramov, J. R. Spencer, Icarus, 199, 189-196 (2009). [6] G. D. Crawford, D. J. Stevenson, Icarus, 73, 66-79 (1988). [7] S. L. Murchie, J. W. Head, LPS XVII, 583-584 (1986). [8] M. Y. Zolotov, Geophysical Research Letters, 34, L23203 (2007). This work has been conducted at the Jet Propulsion Laboratory, California Institute of Technology under a contract with the National Aeronautics and Space Administration, and for JIL under the program "Incentivazione alla mobilita' di studiosi straineri italiani residenti all'estero" of Italy.

  6. Polypoid anal melanoma. A case report and review of the literature.

    PubMed

    Tutino, Roberta; Clerico, Giuseppe; Luc, Alberto Realis; Gallo, Gaetano; Trompetto, Mario

    2016-11-12

    canale anale, risultata poi all’esame istologico un melanoma pigmentato con indice mitotico di 16/10HPF e positività per S-100 e HMB45 e negatività per Melan-A/Mart-1 e KER pan e margini parzialmente coinvolti. L’analisi del BRAF ha dimostrato la presenza di un wild type senza mutazioni. Il c-KIT è risultato negativo. La TC e la PET non hanno dimostrato secondarismi. Per la presenza di margini di resezione positivi e l’impossibilità di asportazione radicale con preservazione degli sfinteri, è stata proposta alla paziente una amputazione addomino-perineale sec. Miles, seguita da una chemioterapia adiuvante, che questa ha rifiutato. Questo report dimostra la difficoltà nel corretto management di questa neoplasia che necessita della creazione di un database internazionale per ottenere una maggior conoscenza della sua storia naturale che porti ad una scelta terapeutica condivisa.

  7. PREFACE: DICE 2006—Quantum Mechanics between Decoherence and Determinism

    NASA Astrophysics Data System (ADS)

    Diósi, Lajos; Elze, Hans-Thomas; Vitiello, Giuseppe

    2007-06-01

    and sponsors generously supported the workshop and their representatives and, in particular, the citizens of Piombino are deeply thanked for the hospitality: G. Anselmi (Sindaco del Comune di Piombino), O. Dell'Omodarme (Assessore alle Culture), A. Tempestini (Assessore alla Pubblica Istruzione), E. Murzi (Assessore al Turismo), A. Falchi (Dirigente dei Servizi Educativi e Culturali), M. Gianfranchi (Responsabile del Servizio Promozione Culturale), T. Ghini (Ufficio Beni Culturali), and L. Grilli, C. Boggero and P. Venturi (Ufficio Cultura), M. Pierulivo (Segreteria del Sindaco), L. Pasquinucci (URP e Comunicazione). Thanks go to Idearte (Cooperativa di Servizi Culturali) and especially to L. Pesce (Vitrium Galleria, Populonia). Funds made available by Universitá di Pisa (Centro Interdisciplinare per lo Studio dei Sistemi Complessi -- CISSC and Domus Galilaeana) and Universitá di Salerno (Dipartimento di Fisica and INFN) are gratefully acknowledged. The research papers presented at the workshop, often incorporating further developments since then, have been edited by L. Diósi, H.-T. Elze and G. Vitiello. They are collected here, essentially following the program of the workshop, however, divided into Invited Lectures and Contributed Papers, respectively. In the name of all participants, we would like to thank G. Douglas (IOP Publishing, Bristol) for his friendly advice and immediate help during the editing process. Lajos Diósi, Hans-Thomas Elze and Giuseppe Vitiello Budapest, Pisa, Salerno, March 2007 1Decoherence and Entropy in Complex Systems ed H-T Elze Lecture Notes in Physics 633 (Berlin: Springer, 2004) 2Proceedings of the Second International Workshop on Decoherence, Information, Complexity and Entropy DICE 2004 ed H-T Elze Braz. J. Phys. 35, 2A and 2B (2005) pp 205 529 freely accessible at: www.sbfisica.org.br/bjp

  8. EDITORIAL The 17th Central European Workshop on Quantum Optics

    NASA Astrophysics Data System (ADS)

    Man'ko, Margarita A.

    2011-02-01

    -correlation function for graphs with and without time-reversal symmetry: the open system case Michał Ławniczak, Szymon Bauch, Oleh Hul and Leszek Sirko Independent nonclassical tests for states and measurements in the same experiment Alfredo Luis and Ángel Rivas On the classical capacity of quantum Gaussian channels Cosmo Lupo, Stefano Pirandola, Paolo Aniello and Stefano Mancini Entropic inequalities for center-of-mass tomograms Margarita A Man'ko Semiclassical dynamics for an ion confined within a nonlinear electromagnetic trap Bogdan M Mihalcea Zeno-like phenomena in STIRAP processes B Militello, M Scala, A Messina and N V Vitanov A beam splitter with second-order nonlinearity modeled as a nonlinear coupler V Peřinová, A Lukš and J Křepelka Energy-level shifts of a uniformly accelerated atom between two reflecting plates L Rizzuto and S Spagnolo Cross-Kerr nonlinearities in an optically dressed periodic medium K Słowik, A Raczyński, J Zaremba, S Zielińska-Kaniasty, M Artoni and G C La Rocca An approximate effective beamsplitter interaction between light and atomic ensembles Richard Tatham, David Menzies and Natalia Korolkova Stochastic simulation of long-time nonadiabatic dynamics Daniel A Uken, Alessandro Sergi and Francesco Petruccione

  9. Editorial . Quantum fluctuations and coherence in optical and atomic structures

    NASA Astrophysics Data System (ADS)

    Eschner, Jürgen; Gatti, Alessandra; Maître, Agnès; Morigi, Giovanna

    2003-03-01

    the quantum level leads naturally to the issue of entanglement. This is an exclusive feature of the quantum world, which represents a valuable resource for quantum information processing and for high-precision measurements. The de.nition and criteria for measuring entanglement have been traditionally formulated within the Hilbert-space formalism (the quantum state formalism). However, quantum structures are intrinsically multi-mode systems, for which the Hilbert-space approach is often unpractical and cumbersome. More appealing are the "classical looking" phase space descriptions, where it is hence of great importance to reformulate concepts such as entanglement or Bell inequalities. The paper by Santos addresses the general problem of characterizing the entanglement properties of an electromagnetic field in the language of Q-representation. Entanglement involving the spatial modes of the electromagnetic field carrying orbital angular momentum provides new degrees of freedom and could play an important role in the field of quantum information, since such non-classical states enable the possibility of multichannel communications. The paper by Barbosa discusses quantum states of twin photons produced by parametric down-conversion and entangled in polarization and orbital angular momentum. The issue of entanglement is intrinsically connected to decoherence, and to the transition from the quantum to the classical world. In particular, massive systems are characterized by strong interactions with the environment, and at room temperature they usually exhibit classical behaviour. In this context, the paper by Karlsson discusses the decay of quantum correlations of protons and positive muons in condensed matter, a system characterized by strong coupling to the environment, and proposes experiments where such quantum correlations could be measured. Mancini et al. investigate macroscopic manifestations of quantum features, presenting a proposal for entangling the macroscopic

  10. 3D modelling of the Austroalpine-Penninic collisional wedge of the NW Alps: dataset management and preliminary results

    NASA Astrophysics Data System (ADS)

    Monopoli, Bruno; Bistacchi, Andrea; Bertolo, Davide; Dal Piaz, Giovanni; Gouffon, Yves; Massironi, Matteo; Sartori, Mario; Vittorio Dal Piaz, Giorgio

    2016-04-01

    considered as a sort of pseudo-stratigraphy, since they are the oldest feature that can be traced continuously at the map scale. For this reason we have developed a set of attributes identifying the tectonic and lithological units (a "legend"), implemented both in the GIS database and in the 3D models, which at the same time is compatible with the data structure of 3D modelling packages like Move and Skua/Gocad, and allows tracing the complex hierarchic classification of the units mapped in the GIS. This allows for the almost automatic and consistent two-way transfer of data between the GIS and geomodelling environments. E.g. results of 3D modelling, which is based on input data originally stored in the GIS, will eventually be transferred back to the GIS. The results of this study, which are preliminarily presented here, will open new opportunities to study the collision- and subduction-related nappe architecture and kinematics with younger deformations removed, and will eventually lead (with additional studies) to a step-by-step retrodeformation supported by modern technologies, following the path traced by Argand at the beginning of the 20th century. Argand E. 1909. L'exploration géologique des Alpes pennines centrales. Bull. Soc. Vaudoise Sci. Nat., 45, 217-276. Argand A. 1911. Les nappes de recouvrement des Alpes pennines et leurs prolongements structuraux. Mat. Carte Géol. Suisse, 31, 25. Argand A. 1916. Sur l'arc des Alpes occidentales. Eclogae Geol. Helv., 14, 145-191. Franchi S., Mattirolo E., Novarese V., Stella A. & Zaccagna D. 1908. Carta geologica delle Alpi Occidentali alla scala 1:400.000. Regio Ufficio Geologico, Roma. Gerlach H. 1869. Die Penninischen Alpen. N. Denkschr. Schweiz. Natf. Ges., 23, 132. Gerlach H. 1871. Das Suedwestliche Wallis. Beitraege Geol. Karte Schweiz, 9, 175. Giordano F. 1869. Sulla orografia e sulla geologica costituzione del Gran Cervino. Atti R. Acc. Sci. Torino, 4, 304-321.

  11. Geomorpho-Landscapes

    NASA Astrophysics Data System (ADS)

    Farabollini, Piero; Lugeri, Francesca; Amadio, Vittorio

    2014-05-01

    value -referring to biodiversity, geodiversity, culture- which can be considered as a special heritage. Starting from the concept of Geomorphosite, a geomorphologic landform with a scientific, cultural and socio-economical value (Panizza 2001), we propose a further definition, useful in the preliminary steps of the landscape analysis: "geomorpho-landscape" as a spatial object or component of a geological landscape, whose geo-morphological evolution, linked to the geological setting, are elements of aesthetical, semiological as well as historical and cultural value. The structure of the landscape is represented by the physical shape and spatial organization, in dynamic way: it is necessary to provide a readout of the landscape components that supplements the geo-morphological, lithological, geodiversity data (Lugeri et alii, 2012). The concept of "geomorpho-landscape" is conceived to address the need to describe by a synthetic approach the geological processes emerging at the landscape scale, allowing to link spatial patterns to geological processes Each geo-form has in itself geological, geo-morphological, landmark, historical and cultural features, of such special relevance, that they can be defined in terms of scientific quality, rarity, aesthetic appeal and educational and cultural value. Reference List AMADIO V. (2003). Analisi di sistemi e progetti di paesaggio. Franco Angeli, Milano, pp 236 AMADIO V, AMADEI M, BAGNAIA R, DI BUCCI D, LAURETI L, LISI A, LUGERI FR, LUGERI N. (2002). The role of Geomorphology in Landscape Ecology: The Landscape Unit Map of Italy', Scale 1: 250,000 ("Carta della Natura" Project). In: Allison RJ (ed) Applied Geomorphology: theory and practice. John Wiley & Sons, London, pp 265-282 APAT (2003). Carta della natura alla scala 1:250,000: metodologie di realizzazione. APAT, Manuali e linee guida 17/2003, Roma, pp 103 LUGERI F.R., FARABOLLINI P., GRAVIANO G. & AMADIO V. (2012). Geoheritage: Nature and culture in a landscape approach. European

  12. VIMOS - a Cosmology Machine for the VLT

    NASA Astrophysics Data System (ADS)

    2002-03-01

    bundle can simultaneously observe a continuous sky area measuring no less than 56 x 56 arcsec 2. A dedicated machine, the Mask Manufacturing Unit (MMU) , cuts the slits for the entrance apertures of the spectrograph. The laser is capable of cutting 200 slits in less than 15 minutes. This facility was put into operation at Paranal by the VIRMOS Consortium already in August 2000 and has since been extensively used for observations with the FORS2 instrument; more details are available in ESO PR 19/99. Fast start-up of VIMOS at Paranal ESO PR Photo 09d/02 ESO PR Photo 09d/02 [Preview - JPEG: 473 x 400 pix - 280k] [Normal - JPEG: 946 x 1209 pix - 728k] ESO PR Photo 09e/02 ESO PR Photo 09e/02 [Preview - JPEG: 400 x 438 pix - 176k] [Normal - JPEG: 800 x 876 pix - 664k] Caption : PR Photo 09d/02 : The VIRMOS team in the MELIPAL control room, moments after "First Light" on February 26, 2002. From left to right: Oreste Caputi, Marco Scodeggio, Giovanni Sciarretta , Olivier Le Fevre, Sylvie Brau-Nogue, Christian Lucuix, Bianca Garilli, Markus Kissler-Patig (in front), Xavier Reyes, Michel Saisse, Luc Arnold and Guido Mancini . PR Photo 09e/02 : The spiral galaxy NGC 5364 was the first object to be observed by VIMOS. This false-colour near-infrared, raw "First Light" photo shows the extensive spiral arms. Technical information about this photo is available below. VIMOS was shipped from Observatoire de Haute-Provence (France) at the end of 2001, and reassembled at Paranal during a first period in January 2002. From mid-February, the instrument was made ready for installation on the VLT MELIPAL telescope; this happened on February 24, 2002. VIMOS saw "First Light" just two days later, on February 26, 2000, cf. PR Photo 09e/02 . During the same night, a number of excellent images were obtained of various objects, demonstrating the fine capabilities of the instrument in the "direct imaging"-mode. The first spectra were successfully taken during the night of March 2 - 3, 2002 . The slit

  13. AAS 227: Day 1

    NASA Astrophysics Data System (ADS)

    Kohler, Susanna

    2016-01-01

    Editors Note:This week were at the 227th AAS Meeting in Kissimmee, FL. Along with several fellow authors from astrobites.com, I will bewritingupdates on selectedevents at themeeting and posting at the end of each day. Follow along here or at astrobites.com, or catch ourlive-tweeted updates from the @astrobites Twitter account. The usual posting schedule for AAS Nova will resumenext week.Things kicked off last night at our undergraduate reception booth. Thanks to all of you who stopped by we were delightedto have so many people tell us that they already know about and useastrobites, and we were excited to introduce a new cohort of students at AAS to astrobites for the first time.Tuesday morning was the official start of the meeting. Here are just a few of the talks and workshops astrobiters attended today.Opening Address (by Becky Smethurst)The President of the AAS, aka our fearless leader Meg Urry kicked off the meeting this morning at the purely coffee powered hour of 8am this morning. She spoke about the importance of young astronomers at the meeting (heres looking at you reader!) and also the importance of the new Working Group for Accessibility and Disabilities (aka WGAD pronounced like wicked) at the AAS. The Society has made extra effort this year to make the conference accessible to all,a message which was very well received by everyone in attendance.Kavli Lecture: New Horizons Alan Stern (by Becky Smethurst)We were definitely spoilt with the first Plenary lecture at this years conference Alan Stern gave us a a review of the New Horizons mission of the Pluto Fly By (astrobites covered the mission back in July with this post). We were treated to beautiful images, wonderful results and a foray into geology.Before (Hubble) and after #NewHorizons. #thatisall #science #astro alanstern #aas227 pic.twitter.com/kkMt6RsSIR Science News (@topsciencething) January 5, 2016Some awesome facts from the lecture that blew my mind:New Horizons is now 2AU (!) beyond Pluto