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Sample records for metabolismo dei carboidrati

  1. Elaborazione dei dati sperimentali

    NASA Astrophysics Data System (ADS)

    Dapor, M.; Ropele, M.

    L'analisi statistica dei dati sperimentali, la loro elaborazione ed una corretta stima degli errori sono conoscenze necessarie agli studenti di fisica, biologia, chimica, ingegneria e dei corsi di specializzazione tecnico-scientifici in cui a di laboratorio. Chi si occupa di problemi tecnici e di misure, per studio o per lavoro, deve possedere gli strumenti matematici di calcolo e di analisi necessari ad una corretta interpretazione dei dati sperimentali. Il testo fornisce in modo sintetico, chiaro ed esaustivo, tutte le nozioni e le conoscenze utili allo scopo.

  2. 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.

  3. The "Casa dei Bambini": A Century Concept.

    ERIC Educational Resources Information Center

    Hall, Elizabeth

    2000-01-01

    Reviews the early history of Montessori education from the Italian State Orthophrenic School to the opening of the original Casa dei Bambini in San Lorenzo, Italy on January 6, 1907. Includes a synopsis of Maria Montessori's progressive revelations of the child's developing self over the past century. (JPB)

  4. 77 FR 64836 - Notice of Availability of Draft Environmental Impact Statement (DEIS), Draft Section 4(f...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-23

    ... on the DEIS will be October 19, 2012 and will end on December 18, 2012. One combined public... Harbor Convention Center, 211 East Rezanof Drive, Kodiak AK 99615. DEIS Availability and Review Copies...

  5. 47 CFR 1.1315 - The Draft Environmental Impact Statement (DEIS); Comments.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 1 2012-10-01 2012-10-01 false The Draft Environmental Impact Statement (DEIS... § 1.1315 The Draft Environmental Impact Statement (DEIS); Comments. (a) The DEIS shall include: (1) A... qualified in any way to comment on the environmental impact of the facilities, a statement of his or...

  6. 47 CFR 1.1315 - The Draft Environmental Impact Statement (DEIS); Comments.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 1 2014-10-01 2014-10-01 false The Draft Environmental Impact Statement (DEIS... § 1.1315 The Draft Environmental Impact Statement (DEIS); Comments. (a) The DEIS shall include: (1) A... qualified in any way to comment on the environmental impact of the facilities, a statement of his or...

  7. 47 CFR 1.1315 - The Draft Environmental Impact Statement (DEIS); Comments.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 1 2013-10-01 2013-10-01 false The Draft Environmental Impact Statement (DEIS... § 1.1315 The Draft Environmental Impact Statement (DEIS); Comments. (a) The DEIS shall include: (1) A... qualified in any way to comment on the environmental impact of the facilities, a statement of his or...

  8. 47 CFR 1.1315 - The Draft Environmental Impact Statement (DEIS); Comments.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false The Draft Environmental Impact Statement (DEIS... Environmental Impact Statement (DEIS); Comments. (a) The DEIS shall include: (1) A concise description of the... way to comment on the environmental impact of the facilities, a statement of his or her...

  9. 47 CFR 1.1315 - The Draft Environmental Impact Statement (DEIS); Comments.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 1 2011-10-01 2011-10-01 false The Draft Environmental Impact Statement (DEIS... Environmental Impact Statement (DEIS); Comments. (a) The DEIS shall include: (1) A concise description of the... way to comment on the environmental impact of the facilities, a statement of his or her...

  10. 76 FR 51395 - Draft Environmental Impact Statement for the General Management Plan (DEIS/GMP), Canaveral...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-18

    ... National Park Service Draft Environmental Impact Statement for the General Management Plan (DEIS/GMP... Draft Environmental Impact Statement for the General Management Plan (DEIS/GMP), Canaveral National... 1969 the NPS announces the availability of a DEIS/GMP for Canaveral National Seashore, Florida....

  11. [Sources for the history of malaria in the historical archives of the Accademia Dei XL and the Accademia Dei Lincei].

    PubMed

    Paoloni, G

    1998-01-01

    A research has been performed in the Historical Archives of the Accademia dei XL and the Accademia dei Lincei, to verify the presence of documentary sources concerning the activity of some malariologists members of the above mentioned institutions. During the search, the Authors found out an envelope sealed out by Giovan Battista Grassi in 1925. At the moment, it is not possible to specify what kind of material the envelope keeps, because of the necessity to wait the deliberation of the classes, and consequently the beginning of the Academic courses.

  12. The Athletae Dei: Missing the Meaning of Sport.

    ERIC Educational Resources Information Center

    Hoffman, Shirl J.

    By making virtue of ascesis or self-discipline in their sport, the athlete evangelists (the "athletae-Dei"), unwittingly rob sport of its fundamental theological significance. These proponents of an evangelical brand of protestant theology have shifted drastically from an anti-sport stance of a century ago to a position that not only embraces…

  13. Radioactivity level and toxic elemental concentration in groundwater at Dei-Dei and Kubwa areas of Abuja, north-central Nigeria

    NASA Astrophysics Data System (ADS)

    Maxwell, O.; Wagiran, H.; Lee, S. K.; Embong, Z.; Ugwuoke, P. E.

    2015-02-01

    The activity concentrations of uranium and toxic elements in Dei-Dei borehole, Kubwa borehole, Water Board and hand-dug well water samples in Abuja area were measured using inductively coupled plasma mass spectrometry (ICP-MS) system. The results obtained were used to calculate human radiological risk over lifetime consumption by the inhabitants in the area. The activity concentrations of 238U in all the water supplies for drinking ranges from 0.849 mBq L-1 to 2.699 mBq L-1 with the highest value of 2.699 mBq L-1 noted at Dei-Dei borehole whereas the lowest value of 0.849 mBq L-1 was noted in Kubwa borehole. The highest annual effective dose from natural 238U in all the water samples was found in Dei-Dei borehole with a value of 8.9×10-5 mSv y-1 whereas the lowest value was noted in Kubwa borehole with a value of 2.8×10-5 mSv y-1. The radiological risks for cancer mortality were found distinctly low, with the highest value of 1.01×10-7 reported at Dei-Dei borehole compared to Kubwa borehole with a value of 3.01×10-8. The cancer morbidity risk was noted higher in Dei-Dei borehole with a value of 1.55×10-7 whereas lower value of 4.88×10-9 was reported in Kubwa borehole. The chemical toxicity risk of 238U in drinking water over a lifetime consumption has a value of 0.006 μg kg-1 day-1 in Dei-Dei borehole whereas lower value of 0.002 μg kg-1 day-1 was found in Kubwa borehole. Measured lead (Pb) and chromium (Cr) concentrations reported higher in Water Board compared to Dei-Dei and Kubwa borehole samples. Significantly, this study inferred that the 238U concentrations originate from granitic strata of the tectonic events in the area; thus, there was a trend of diffusion towards north to south and re-deposition towards Dei-Dei area.

  14. 75 FR 17133 - Draft Environmental Impact Statement (DEIS) for Training Range and Garrison Support Facilities...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-05

    ... Department of the Army Draft Environmental Impact Statement (DEIS) for Training Range and Garrison Support Facilities Construction and Operation at Fort Stewart, GA AGENCY: Department of the Army, DoD. ACTION: Notice of Availability (NOA). SUMMARY: The Department of the Army has prepared a DEIS to analyze...

  15. 76 FR 22684 - Draft Environmental Impact Statement (DEIS) for the Real Property Master Plan at the Presidio of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-22

    ... Department of the Army Draft Environmental Impact Statement (DEIS) for the Real Property Master Plan at the Presidio of Monterey (POM), California AGENCY: Department of the Army, DoD. ACTION: Notice of Availability (NOA). SUMMARY: The Department of the Army announces the availability of the DEIS for the Real...

  16. 78 FR 63169 - Intent To Prepare a Draft Environmental Impact Statement (DEIS) for the Navy Base Intermodal...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-23

    ... Environmental Impact Statement (DEIS) to assess the potential social, economic, and environmental effects of the...). The DEIS will assess potential effects of a range of alternatives, including the proposed alternative..., economics, visual resources/aesthetics, general environmental concerns, historic properties, fish...

  17. Probing Alzheimers Disease Pathology and Early Detection at the NSLS with Infrared, XRF, and DEI

    SciTech Connect

    Zhong,Z.; Bennett, D.; Chapman, D.; Chen, J.; Connor, D.; Dilmanian, A.; Faulconer, L.; Kao, T.; Leskovjan, A.; et al

    2008-01-01

    We explored diffraction enhanced imaging (DEI) in both planar and computed tomography (CT) modes for early detection of beta amyloid deposition, a hallmark feature in Alzheimer's disease (AD). Since amyloid plaques precede clinical symptoms by years, their early detection is of great interest. These findings were correlated with results from synchrotron infrared microspectroscopic imaging and X-ray fluorescence microscopy, to determine the secondary structure of the amyloid beta protein and metal concentration in the amyloid plaques, respectively.

  18. Imaging lobular breast carcinoma: comparison of synchrotron radiation DEI-CT technique with clinical CT, mammography and histology

    NASA Astrophysics Data System (ADS)

    Fiedler, S.; Bravin, A.; Keyriläinen, J.; Fernández, M.; Suortti, P.; Thomlinson, W.; Tenhunen, M.; Virkkunen, P.; Karjalainen-Lindsberg, M.-L.

    2004-01-01

    Different modalities for imaging cancer-bearing breast tissue samples are described and compared. The images include clinical mammograms and computed tomography (CT) images, CT images with partly coherent synchrotron radiation (SR), and CT and radiography images taken with SR using the diffraction enhanced imaging (DEI) method. The images are evaluated by a radiologist and compared with histopathological examination of the samples. Two cases of lobular carcinoma are studied in detail. The indications of cancer are very weak or invisible in the conventional images, but the morphological changes due to invasion of cancer become pronounced in the images taken by the DEI method. The strands penetrating adipose tissue are seen clearly in the DEI-CT images, and the histopathology confirms that some strands contain the so-called 'Indian file' formations of cancer cells. The radiation dose is carefully measured for each of the imaging modalities. The mean glandular dose (MGD) for 50% glandular breast tissue is about 1 mGy in conventional mammography and less than 0.25 mGy in projection DEI, while in the clinical CT imaging the MGD is very high, about 45 mGy. The entrance dose of 95 mGy in DEI-CT imaging gives rise to an MGD of 40 mGy, but the dose may be reduced by an order of magnitude, because the contrast is very large in most images.

  19. OCT structural examination of Madonna dei Fusi by Leonardo da Vinci

    NASA Astrophysics Data System (ADS)

    Targowski, Piotr; Iwanicka, Magdalena; Sylwestrzak, Marcin; Kaszewska, Ewa A.; Frosinini, Cecilia

    2013-05-01

    Madonna dei Fusi (`Madonna of the Yarnwider') is a spectacular example of Italian Renaissance painting, attributed to Leonardo da Vinci. The aim of this study is to give an account of past restoration procedures. The evidence of a former retouching campaign will be presented with cross-sectional images obtained non-invasively with Optical Coherence Tomography (OCT). Specifically, the locations of overpaintings/retouchings with respect to the original paint layer and secondary varnishes will be given. Additionally, the evidence of a former transfer of the pictorial layer to the new canvas support by detecting the presence of its structure incised into paint layer will be shown.

  20. Microbiology of the stalactites from Grotta dei Cervi, Porto Badisco, Italy.

    PubMed

    Laiz, L; Groth, I; Schumann, P; Zezza, F; Felske, A; Hermosin, B; Saiz-Jimenez, C

    2000-03-01

    The active stalactites from Grotta dei Cervi, Porto Badisco, southeastern Italy, were sampled to investigate the microbial communities present in these speleothems. Sampling was carried out in a transect about 150 m long in the central gallery, where numerous Gram-positive bacteria were isolated. Actinomycetes of the genus Streptomyces were the most abundant, followed by members of the genus Bacillus. Further isolates were assigned to the genera Amycolatopsis, Arthrobacter; Agromyces. Micrococcus, Nocardiopsis and Rhodococcus of the order Actinomycetales. The ability of actinomycetes to colonize subterranean environments is discussed.

  1. La meridiana di Egnazio Danti nella Torre dei Venti in Vaticano: un'icona della riforma Gregoriana del calendario

    NASA Astrophysics Data System (ADS)

    Sigismondi, Costantino

    2014-05-01

    La Torre dei Venti domina l’angolo Sud Ovest del cortile della Pigna (nell'area dei Musei Vaticani), ed è inclusa negli ambienti dell'Archivio Segreto Vaticano. Non è aperta al pubblico, ma è universalmente nota per la fama che da oltre quattrocento anni la circonda, legata alle vicende della riforma Gregoriana del calendario. La meridiana tracciata da padre Egnazio Danti (1536-1586) nella torre dei Venti, fu visitata anche da Gregorio XIII, probabilmente il 21 marzo 1581 come suppone il padre Stein, per convincersi dell'anticipo ormai arrivato a dieci giorni dell'equinozio di primavera sulla data che il concilio di Nicea aveva fissato al 21 marzo per il computo pasquale. La ricognizione astrometrica del febbraio-marzo 2009 fatta dall'autore viene qui presentata.

  2. 75 FR 12735 - Draft Environmental Impact Statement (DEIS) for Resumption of Year-Round Firing Opportunities at...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-17

    ... preparedness and improve Soldier and Family quality of life by maximizing live-fire training capacity at Fort... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF DEFENSE Department of the Army Draft Environmental Impact Statement (DEIS) for Resumption of Year-Round...

  3. Composition and stratigraphy of the paint layers: investigation on the Madonna dei Fusi by ion beam analysis techniques

    NASA Astrophysics Data System (ADS)

    Grassi, N.

    2005-06-01

    In the framework of the extensive study on the wood painting "Madonna dei fusi" attributed to Leonardo da Vinci, Ion Beam Analysis (IBA) techniques were used at the Florence accelerator laboratory to get information about the elemental composition of the paint layers. After a brief description of the basic principle and the general features of IBA techniques, we will illustrate in detail how the analysis allowed us to characterise the pigments of original and restored areas and the substrate composition, and to obtain information about the stratigraphy of the painting, also providing an estimate of the paint layer thickness.

  4. Near-surface geophysical investigations inside the cloister of the historical palace 'Palazzo dei Celestini' in Lecce, Italy

    NASA Astrophysics Data System (ADS)

    Nuzzo, Luigia; Quarta, Tatiana

    2010-06-01

    Non-invasive geophysical investigations are usually the only way to gain information on subsurface properties that can affect the stability of historical structures and accelerate degradation processes. A combined multi-frequency ground-penetrating radar (GPR) geoelectrical and induced polarization (IP) survey was performed in the cloister of 'Palazzo dei Celestini', Lecce, southern Italy, in order to investigate possible subsurface causes of deterioration. The historical palace was originally a convent connected to the Basilica of 'Santa Croce' and is now the head office of the Province of Lecce Administration and the Prefecture. Built in Pietra Leccese, a fine-grained calcarenite, Santa Croce and Palazzo dei Celestini is the most famous baroque architectural complex of the historical centre of Lecce. The high capillarity of the building material causes deterioration problems especially at some altars of the church and in the lower portion of the walls and pillars of the monumental building. The integrated geophysical survey yielded a detailed description of the shallow stratigraphical and hydro-geological setting of the area and an accurate location of ancient and modern drainage systems. The geophysical information was essential for identifying natural or anthropogenic causes of the local increase in subsoil moisture that could accelerate the degradation process and for developing effective remediation activities.

  5. Microstructure evolution of a quartz-feldspatic gneiss: Cenerigneiss (Serie dei Laghi - N Italy)

    NASA Astrophysics Data System (ADS)

    Bergomi, M. A.; Boriani, A.

    2003-04-01

    The Cenerigneiss (Serie dei Laghi - Southern Alps) is coarse metasandstones to metaconglomerates, with variable abundance of K-feldspar and Pl porphyroclasts, metamorphosed under amphibolite facies condition. They show heterogenous microstuctures mainly related to the presence or the absence of K-felspar porphyroclasts. In the samples without them, the Cenerigneiss show an unusual glomeroblastic microstructure. Although individual grains were constantly changing orientation, position and size during deformation, the mean aggregate grain size is determined by the relative rates, per unit volume, at which new grains were produced by subgrain rotation (N), and rate (G) at which all grains were consumed by grain boundary migration. For any given mineral phase, the mobility of a grain boundary is exponentially dependent on temperature (T). For a given initial grain-size, e/T ratio (e=strain rate) of deformation controls N/G and determines whether recrystallization during deformation controls the grain-size (Bell &Johnson, 1989). The heterogenous grain-size reduction of Cenerigneiss, could be explained by high e/T ratios and N/G>1. The average grain-size should decrease until N/G reaches a value which is in dynamic equilibrium with the e/T conditions (Hickey &Bell, 1996). The size of subgrains and new grains changes as a function of the strain rate and of the H2O content of the rock. For a given strain rate, high water content increases the recrystallization rate. In particular, most K-feldspar porphyroclasts in the Cenerigneiss have undergone a combination of recovery-accommodated dislocation creep and recrystallization-accommodated dislocation creep. In fact, recrystallization in Kfs involved subgrain rotation (SR), assisted by grain-boundary migration (GBM) or kink-band boundary bulging. Where deformation partitioning results in a zone of shear strain cutting through a grain, the lattice is strained, commonly forming a kink band. In the early stages, dislocations

  6. THE DRAINAGE EFFICIENCY INDEX (DEI) AS AN MORPHOLOGIAL INDICATOR OF LANDSLIDE SPATIAL OCCURRENCE IN MOUNTAINOUS CATCHMENTS. A case of study applied in the mountainous region of Brazilian Southeastern.

    NASA Astrophysics Data System (ADS)

    Henrique Muniz Lima, Pedro; Luiza Coelho Netto, Ana; do Couto Fernandes, Manoel

    2016-04-01

    Morphometric parameters, acquired notoriety mainly after the Drainage Density proposition (Horton 1932, 1945) and after they were applied by geomorphologists on the perspective to understand landscape functionalities, quantifying their characteristics through parameters and indexes. After the drainage density, many other parameters which describe the basin characteristics, behavior and dynamics have been proposed. Among them, for example, the DEI was proposed by Coelho Netto and contributors during the 80's, while they were seek to understand the hydrological and erosive dynamics on Bananal river basin (Brazilian Southeastern). Through this investigations the DEI was created, revealing the importance of parameters as hollow and drainage density, conjugated to the topographic gradient (Meis et al. 1982) who prosecute controls on the water flow efficiency along the hollows in order to activate the regressive erosion of the main channel. Later on this index was applied on the basin scale in several works developed in mountainous regions, showing a remarkable correlation with the occurrence of landslides such as showed by Coelho Netto et al. (2007); that posteriorly use this index as one of the components of the landslide susceptibility map for the Tijuca Massif, located in Rio de Janeiro Municipality. This work aims to establish patterns of the DEI index values (applied to mountainous low order basins) and the relationship on the occurrence of Debriflows or shallow translational slides. For this, the DEI index was applied on 4 different study areas located on the Southeastern mountainous region of Brazil to address deeply the connection between the index and the occurrence of landslides of different types applied for first and second order basins. The major study area is the Córrego Dantas Basin, situated in Nova Friburgo municipality (RJ), which is a 53 km² basin was affected by 327 landslides caused by a heavy rainfall on January 2011; Coelho Netto et al. (in

  7. A five year experience of the use of factor IX type DE(I) concentrate for the treatment of Christmas disease of Oxford.

    PubMed

    Lane, J L; Rizza, C R; Snape, T J

    1975-08-01

    A survey is presented of the use of the Oxford type DE(I) II-IX-X concentrate in the treatment of Christmas disease in Oxford from January 1970 to September 1974. 72 different patients were treated with a total of 2436 bottles of this concentrate from 143 different batches (each bottle containing 800-1000 units of factor IX). Although most doses were given for the treatment of minor haemorrhages into joints and muscles, 717 bottles of concentrate were used to treat 11 patients who underwent 14 major surgical operations. No episode of intravascular clotting or pulmonary embolism was seen in any patient receiving the concentrate. A detailed study of the plasma levels of factor V, VIII, total progressive antithrombin, platelets and fibrinogen degradation products was carried out before and after transfusion of type DE(I) concentrate in 14 patients. No significant alteration in those factors was found after the transfusion.

  8. 2D and 3D optical diagnostic techniques applied to Madonna dei Fusi by Leonardo da Vinci

    NASA Astrophysics Data System (ADS)

    Fontana, R.; Gambino, M. C.; Greco, M.; Marras, L.; Materazzi, M.; Pampaloni, E.; Pelagotti, A.; Pezzati, L.; Poggi, P.; Sanapo, C.

    2005-06-01

    3D measurement and modelling have been traditionally applied to statues, buildings, archeological sites or similar large structures, but rarely to paintings. Recently, however, 3D measurements have been performed successfully also on easel paintings, allowing to detect and document the painting's surface. We used 3D models to integrate the results of various 2D imaging techniques on a common reference frame. These applications show how the 3D shape information, complemented with 2D colour maps as well as with other types of sensory data, provide the most interesting information. The 3D data acquisition was carried out by means of two devices: a high-resolution laser micro-profilometer, composed of a commercial distance meter mounted on a scanning device, and a laser-line scanner. The 2D data acquisitions were carried out using a scanning device for simultaneous RGB colour imaging and IR reflectography, and a UV fluorescence multispectral image acquisition system. We present here the results of the techniques described, applied to the analysis of an important painting of the Italian Reinassance: `Madonna dei Fusi', attributed to Leonardo da Vinci.

  9. From Point Cloud to Digital Fabrication: a Tangible Reconstruction of Ca' Venier Dei Leoni, the Guggenheim Museum in Venice

    NASA Astrophysics Data System (ADS)

    Balletti, C.; D'Agnano, F.; Guerra, F.; Vernier, P.

    2016-06-01

    The paper describes how new digital methodologies can be used within the field of Cultural Heritage, not only with the aim of documenting the actual state of an architecture but to review the past transformations it has undergone, conserving and representing these histories as well. The premise to conservation and enhancement of our Heritage is a deep study in terms of position, shape, colour, and also of the historical and artistic features. Survey methods have acquired data acquisition techniques in line with technological progress: today's electronic and IT technologies, that are the tools of modern Geomatics, allow the effective survey and representation of 3D objects, from architectural structures to sculptures or archaeological finds. Over the last few years, the methodologies of acquisition and integrated representation for 3D patrimony documentation have developed and consolidated considerably: the possibilities of the digital realm can augment the understanding and the valorisation of a monument. The specific case offered in the present paper, Ca' Venier dei Leoni, the palace where is the Guggenheim Museum in Venice, is a significant example. It suggests not only the theme of the "no longer existing", or better never built, but also the opportunity to formulate hypotheses regarding its implementation and the impact that the palace would have had in the Venetian contest.

  10. Mapping transitions between healthy and pathological lesions in human breast tissues by diffraction enhanced imaging computed tomography (DEI-CT) and small angle x-ray scattering (SAXS)

    NASA Astrophysics Data System (ADS)

    Conceição, A. L. C.; Antoniassi, M.; Geraldelli, W.; Poletti, M. E.

    2014-02-01

    In this work we have combined the DEI-CT and SAXS technique to study the transition between healthy and pathological breast tissues, which include benign and malignant lesions. The ability of DEI-CT to enhance the contrast between soft tissues was used to localize the tumor region in the sample. Then, the tumor region and its surroundings were scanned by SAXS in order to map the changes promoted by the neoplasias at nano-level.It was clearly observed that pathological tissues present distinguishable SAXS scattering profiles from those of normal tissue. These differences are mainly related to changes in arrangement and diameter of collagen fibrils, evaluated by the higher order of reflection peaks of these fibrils. Differences related to the peak intensities and the total scattered intensity were found by comparing the healthy and pathological regions. The 2nd order of collagen reflection arises only in the healthy region neighboring the benign lesion. A broader peak at q=0.16 nm-1 seems to characterize the malignant lesions. Finally, based on this information, the transition between healthy and pathological human breast tissues was mapped which allowed to get insights into the changes promoted by tumors during growth and progression.

  11. Bulk rock composition and geochemistry of olivine-hosted melt inclusions in the Grey Porri Tuff and selected lavas of the Monte dei Porri volcano, Salina, Aeolian Islands, southern Italy

    USGS Publications Warehouse

    Doherty, Angela L.; Bodnar, Robert J.; De Vivo, Benedetto; Bohrson, Wendy A.; Belkin, Harvey E.; Messina, Antonia; Tracy, Robert J.

    2012-01-01

    The Aeolian Islands are an arcuate chain of submarine seamounts and volcanic islands, lying just north of Sicily in southern Italy. The second largest of the islands, Salina, exhibits a wide range of compositional variation in its erupted products, from basaltic lavas to rhyolitic pumice. The Monte dei Porri eruptions occurred between 60 ka and 30 ka, following a period of approximately 60,000 years of repose. The bulk rock composition of the Monte dei Porri products range from basaltic-andesite scoria to andesitic pumice in the Grey Porri Tuff (GPT), with the Monte dei Porri lavas having basaltic-andesite compositions. The typical mineral assemblage of the GPT is calcic plagioclase, clinopyroxene (augite), olivine (Fo72−84) and orthopyroxene (enstatite) ± amphibole and Ti-Fe oxides. The lava units show a similar mineral assemblage, but contain lower Fo olivines (Fo57−78). The lava units also contain numerous glomerocrysts, including an unusual variety that contains quartz, K-feldspar and mica. Melt inclusions (MI) are ubiquitous in all mineral phases from all units of the Monte dei Porri eruptions; however, only data from olivine-hosted MI in the GPT are reported here. Compositions of MI in the GPT are typically basaltic (average SiO2 of 49.8 wt %) in the pumices and basaltic-andesite (average SiO2 of 55.6 wt %) in the scoriae and show a bimodal distribution in most compositional discrimination plots. The compositions of most of the MI in the scoriae overlap with bulk rock compositions of the lavas. Petrological and geochemical evidence suggest that mixing of one or more magmas and/or crustal assimilation played a role in the evolution of the Monte dei Porri magmatic system, especially the GPT. Analyses of the more evolved mineral phases are required to better constrain the evolution of the magma.

  12. Superimposed positive and negative inversion of the syn-rift fault network preserved in the Montagna dei Fiori Anticline, Central Apennines, Italy

    NASA Astrophysics Data System (ADS)

    Storti, Fabrizio; Balsamo, Fabrizio; Koopman, Anton; Mozafari, Mahtab; Solum, John; Swennen, Rudy; Taberner, Conxita

    2016-04-01

    Syn-rift tectono-sedimentary inheritance is common in thrust-related anticlines exposed in most foreland thrust-fold belts worldwide. Inherited extensional faults provide mechanical weakness zones that typically undergo positive inversion during contraction. This unavoidably has an impact on the evolution of contractional folds. Moreover, duplexing and imbrication of thrust sheets typically produce gravitational instability of inherited fault patterns and negative inversion can be triggered in the late stages of fault-fold interaction. Such polyphase evolutionary histories can deeply influence deformation and fluid flow patterns in fault-related folds and therefore can strongly influence the distribution of structurally controlled processes such as dolomitization. In this contribution we present the results obtained from a multidisciplinary study of the tectono-sedimentary pattern and paleofluid history in carbonates exposed in the Montagna dei Fiori Anticline, at the mountain front of the Central Apennines (central Italy), where the occurrence of both syn-rift fault zones and related sediments has been previously described. Detailed mapping of the central part of the anticline, bed-perpendicular logging of syn-rift and post-rift strata, structural, petrographical, geochemical, microthermometrical, and petrophysical analyses were used to reconstruct the evolution of this anticline, starting from the pre-orogenic architecture up to its subsequent orogenic reworking. These data reveal: (1) the pre-orogenic tectono-sedimentary architecture of a folded Jurassic fault network; (2) multiple superimposition of extensional and contractional episodes of deformation on the same fault zones; (3) the presence of at least one main dolomitization episode, the timing of which is still being deciphered; (4) demonstrate the causal link between faulting and dolomitization, which favoured formation of dolostones along fault zones, particularly in the intersection/abutting areas

  13. 79 AD Vesuvius PDC deposits' temperatures inferred from optical analysis on woods charred in-situ in the Villa dei Papiri at Herculaneum (Italy)

    NASA Astrophysics Data System (ADS)

    Caricchi, C.; Vona, A.; Corrado, S.; Giordano, G.; Romano, C.

    2014-12-01

    Determining the deposit temperature of pyroclastic density currents (PDCs) is a first order priority in the assessment of volcanic hazard. For past eruptions, in which no direct measurements are possible, PDC deposit temperatures have been calculated mainly using magnetic proxies. A more recent and innovative approach consists of the determination of the degree of charring of preserved wood fragments by optical analysis. In this study, we perform optical analyses on wooden beams belonging to the Villa dei Papiri at the archeological site of Herculaneum, which was destroyed by PDCs during the 79 AD eruption of Vesuvius. The new temperature data from this study range between 240 °C and 370 °C, and are in good agreement with literature data for this eruption. The large T variation measured can be interpreted as due to the interaction of the PDCs with the local environment, i.e. the impacted buildings of the villa and the sea shoreline. The study of in situ charred wood allows to constrain the charring kinetics and to evaluate the sensitivity of the reflectance proxy in recording PDC depositional features. We demonstrate that the charcoal reflectance is an excellent proxy for the determination of the PDC deposit temperatures even at a local scale, and it can be used in conjunction with, or in alternative to other more traditional methodologies, especially in case of pre-heating effects which may alter the T determinations by thermoremanent magnetization.

  14. Fiber optic reflectance spectroscopy and hyper-spectral image spectroscopy: two integrated techniques for the study of the Madonna dei Fusi

    NASA Astrophysics Data System (ADS)

    Casini, A.; Bacci, M.; Cucci, C.; Lotti, F.; Porcinai, S.; Picollo, M.; Radicati, B.; Poggesi, M.; Stefani, L.

    2005-06-01

    Reflectance spectroscopy supplies fundamental information for investigating art objects and diagnosing their state of conservation. Until recently, reflectance spectra could be measured only on samples taken from the art objects. Recent progresses in fiber optics reflectance spectroscopy (FORS) and image spectroscopy (IS) have made it possible, however, to perform non-invasive measurements. Moreover, the two techniques can supply data in large enough quantities as to make the use of sophisticated statistical methods significant for detecting variations due to ageing and degradation. FORS and IS are, in a sense, complementary techniques as the former provides information on single points, while the latter provides 2-D maps from which the reflectance spectrum of each pixel can be displayed. Both FORS and IS were applied in the case study on the Lansdowne version of the Madonna dei fusi (Madonna of the Yarnwinder). In particular, IS was realized by means of a hyper-spectral scanner recently assembled at the "Nello Carrara" Istituto di Fisica Applicata. The characteristics of the scanner are: 0.1 mm spatial sampling over a 1x1 m2 surface and ~1 nm spectral sampling in the wavelength range from 400 nm to 900 nm. The information provided by these two techniques was consistent with what supplied by the non-invasive techniques employed by the other teams participating in the case study, in particular as regards the pigments, the preparatory layer, the binding medium, and the previous restoration works.

  15. Girotondo dei Numeri (A Ring of Numbers).

    ERIC Educational Resources Information Center

    Palandra, Maria; And Others

    This workbook in Italian for learning the numbers from one to ten is intended for use in a bilingual education setting. It is introduced and concluded by a song about playing "ring around the rosy" with numbers. Each paqe has a pen and ink drawing illustrating the number and a sentence about the picture and the number. (AMH)

  16. Cost estimates supporting West Valley DEIS

    SciTech Connect

    Pirro, J.

    1981-01-01

    An Environmental Impact Statement (EIS) is being prepared which considers alternate means for solidifying the high level liquid wastes (HLLW) at the Western New York Nuclear Service Center (WNYNSC). For this purpose three basic scenarios were considered. In the first scenario, the HLLW is converted into terminal waste form of borosilicate glass. Before vitrification, the non-radioactive chemical salts are separated from the radioactive and transuranic (TRU) constituents in the HLLW. In the second scenario, the HLLW is converted into an intermediate form-fused salt. The stored HLLW is dewatered and melted and the solids are transported to a Department of Energy (DOE) site. The fused salt will be processed of the DOE site at a later date where it will be converted to a vitrified form in a facility that will be constructed to treat HLLW stored at that site. The vitrified salt will be eventually removed for permanent disposal at a Federal repository. In the third scenario, the HLLW is solidified in the existing HLLW storage tanks with cement and returned for on-site disposal in the existing tanks or additional tanks as needed to accommodate the volume. To support the EIS, the costs to accomplish each of the alternatives is provided. The purpose of this cost estimate is to provide a common basis to evaluate the expenditures required to immobilize the HLLW presently stored at the WNYNSC. (DMC)

  17. Impact of nutrition since early life on cardiovascular prevention

    PubMed Central

    2012-01-01

    preventivo fondamentale sin dall’epoca prenatale e nelle diverse età della crescita. La condizione metabolica e neuro-endocrino cui è sottoposto il feto è rilevante per la “programmazione metabolica”. E’ dimostrata inoltre l’importanza delle modalità di allattamento e divezzamento con particolare interesse per l’assunzione di proteine nel controllo dei fattori di rischio cardiovascolari. La corretta distribuzione di macronutrienti (lipidi, proteine e carboidrati) dall’infanzia all’adolescenza favorisce una crescita corretta e risulta utile a prevenire l’insorgenza dei determinanti di rischio di malattia cardiovascolare in età adulta. Nella presente review verrà esaminato l’impatto della nutrizione dalle più precoci fasi delle vita sul rischio cardiovascolare. PMID:23259704

  18. L'algebra dei transiti planetari sul Sole

    NASA Astrophysics Data System (ADS)

    Sigismondi, Costantino

    2016-05-01

    The periodicity of Mercury and Venus' transits is regulated by the resonances of the orbital periods of these planets with the Earth's one. A simple algebraic approach is presented for explaining the resonance of 243 years of Venus and the one of 46 years for Mercury and the transits in May and November for Mercury and June and December for Venus.

  19. Ipotesi di variazioni del clima correlate alla precessione dei nodi lunari

    NASA Astrophysics Data System (ADS)

    de Donà, Giuseppe

    2005-04-01

    The paper shows the existence of a striking correlation between seasonal and yearly mean temperatures, recorded from 1925 through 2003 at the Arabba Avalanche Center, and the Moon's latitude over the ecliptic during the same period. Also the mean amount of rain in the same time period may be controlled by the Moon, but this quantity shows an anti-correlation to the lunar latitude instead of the direct correlation displayed by the mean temperatures.

  20. The Hungry Mind: From the Casa dei Bambini to Cosmic Education

    ERIC Educational Resources Information Center

    Grazzini, Baiba Krumins

    2016-01-01

    Baiba Krumins Grazzini has generously transformed her lecture, delivered at the AMI-USA Refresher Course in 2014, into a legacy article. This article establishes the role of storytelling in Cosmic Education while capturing both the whole and the detailed parts of Montessori Cosmic Education. Working from the early childhood transition into the…

  1. Strategie Cognitive nella Acquisizione dei Nomi (Cognitive Strategies in the Acquisition of Nouns)

    ERIC Educational Resources Information Center

    Benelli, Beatrice; And Others

    1977-01-01

    This article discusses an attempt to establish a model of the cognitive strategies used by a child in the acquisition of nouns and the stages in the process of categorizing reality. (Text is in Italian.) (CFM)

  2. Biagio Bartalini's "Catalogo dei corpi marini fossili che se trovano intorno a Siena" (1776).

    PubMed

    Manganelli, Giuseppe; Benocci, Andrea; Spadini, Valeriano

    2011-01-01

    In 1776, the Sienese botanist Biagio Bartalini (1750-1822) published a catalogue of wild plants growing around Siena, adding an appendix on fossils found in the same area, that is the first monograph on Sienese fossils and one of the first works of its kind in Italy. This paper provides tentative identifications of the species and an analysis of the value and meaning of Bartalini's work. The catalogue reports 72 species, each denoted by a list of names applied to analogous living taxa. Identification of single entities is extremely problematical because it can only be attempted through analysis of the literature, since the original material cannot be traced. The most interesting report is the first record of a Euro-Mediterranean Pliocene species of Sthenorytis (Gastropoda, Epitoniidae). Though important, the catalogue is incomplete, with oversights and mistakes, suggesting little familiarity with the subject. Shortcomings include some inconsistencies in the species sequence, the report of giant clams and the absence of molluscs ubiquitous in the Sienese Pliocene and sharks. Nor is it true that it is the first Italian palaeontological work in which binomial nomenclature was used, as sometimes claimed. PMID:21560438

  3. 76 FR 3925 - Notice of Intent To Prepare a Draft Environmental Impact Statement (DEIS) for Housing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-21

    ... Housing Approximately 1,750 Low-Security, Adult Male Inmates, That Are Predominantly Criminal Aliens at a... of inmates under the Criminal Alien Requirement 12 (CAR 12) solicitation, at a facility located in... house approximately 1,750 low- security, adult male inmates, that are predominantly criminal...

  4. Appunti per la biografia linguistica dei miei figli (Notes for a Linguistic Biography of My Children).

    ERIC Educational Resources Information Center

    Francescato, Giuseppe

    1978-01-01

    This article discusses the linguistic background of two Italian children who lived with their parents for an extended period of time in Holland and for a brief time in Puerto Rico and spent vacations in Italy where their relatives spoke the dialects of Veneto and Friuli. (CFM)

  5. Addendum to Effectiveness of Cognitive Tutor Algebra I at Scale. Working Paper WR-1050-DEIES

    ERIC Educational Resources Information Center

    Pane, John F.; Griffin, Beth Ann; McCaffrey, Daniel F.; Karam, Rita

    2014-01-01

    This addendum to previously published results presents alternative analyses of data from large-scale effectiveness studies of Cognitive Tutor Algebra I in middle schools and high schools. These alternative analyses produce results that are substantively the same as previously reported. We find a significant positive effect of 0.21 standard…

  6. La semantica dei colori: Aspetti teorici e analisi dei cromonimi in italiano e neerlandese (Semantics of Colors: Theoretical Aspects and Analysis of Names of Colors in Italian and Dutch).

    ERIC Educational Resources Information Center

    Ross, Delores

    1989-01-01

    Presents a review of the literature dealing with the theory of the naming of colors. A comparison is made between the names of colors in Italian and Dutch, discussing the differences between languages in terms of the influence of the sociocultural context. (61 references) (CFM)

  7. 78 FR 2423 - Draft Environmental Impact Statement (DEIS) for the Proposed Shu'luuk Wind Project on the Campo...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-11

    .... The project would ] be a wind energy project with one alternative that may include some solar energy... Reservation from the project collector substation to a San Diego Gas & Electric (SDG&E) pole located on... 160 MW from wind) in combination with up to 40 1-MW solar photovoltaic (PV) panels (totaling 40...

  8. L'Uso dei Materiali Video nei Test Linguistici (The Use of Video Materials in Language Tests).

    ERIC Educational Resources Information Center

    Diadori, Pierangela

    1995-01-01

    This article argues that a communicative language course must have communicative exams. It explains how to choose and use material to test students' listening comprehension and socio-cultural knowledge. Transcripts of a commercial, a talk show, a film, a TV news show, and a documentary are included accompanied by exercises. (CFM)

  9. 75 FR 68312 - Notice of Availability of a Draft Environmental Impact Statement (DEIS) for New Medium- and Heavy...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-05

    ... (``HD vehicles''), which NHTSA recently proposed pursuant to the Energy Independence and Security Act of... New Jersey Avenue, SE., Washington, DC 20590. E-mail: nhtsa.nepa@dot.gov . Information about the HD... April 11, 2000 (65 FR 19477-78) or you may visit http://www.dot.gov/privacy.html . Confidential...

  10. Lettura, Scrittura e Analisi dei Grafemi in Prima Elementare (Reading, Writing and Grapheme Analysis in First Grade)

    ERIC Educational Resources Information Center

    Deva, Ferruccio

    1977-01-01

    This article discusses an aspect of the process of learning to read and write which has received little attention, that is, the ability of children to recognize and to distinguish clearly the sounds which correspond to the individual letters within each word. (Text is in Italian.) (CFM)

  11. 75 FR 7452 - Intent To Prepare a Draft Environmental Impact Statement (DEIS) for the State of Alaska's...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-19

    ...) for the State of Alaska's Proposed Alaska Stand Alone Pipeline (ASAP) Natural Gas Transportation.... SUMMARY: In December 4, 2009, issue of the Federal Register (74 FR 63736), the Alaska District, U.S. Army... proposed Alaska Stand Alone Pipeline (ASAP) natural gas transportation pipeline. In that notice, the...

  12. 76 FR 60474 - Intent To Prepare a Draft Environmental Impact Statement (DEIS) for the Haile Gold Mine in...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-29

    ...) for the Haile Gold Mine in Lancaster County, SC AGENCY: Department of the Army, U.S. Army Corps of... and environmental effects of the proposed construction and operation of a gold mine in order to extract and process gold from the Haile ore body in wetlands and streams associated with Haile Gold...

  13. 76 FR 28005 - Draft Environmental Impact Statement (DEIS) for Training Land Expansion at Fort Benning, GA and AL

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-13

    ... 3 (acquire land in Stewart County, GA) is the Army's preferred alternative. DATES: The public... lands southeast and south of Fort Benning within Marion, Webster and Stewart counties, GA; (2... (Preferred Alternative)--Acquisition of lands to the south of Fort Benning within Stewart County, GA;...

  14. 76 FR 50187 - Intent To Prepare a Draft Environmental Impact Statement (DEIS) for a Study on the Feasibility of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-12

    ... Panama Canal locks open in 2014. b. Objectives: There is opportunity to deepen the navigation channel at... investigate modification of the existing Charleston Harbor project in the interest of navigation improvements... trade (imports and exports) represented 13 percent of GDP in 1990, rising to nearly 22 percent in...

  15. Culicoides and the Tartar Steppe: Il Deserto dei Tartari Culicoides and the spread of blue tongue virus.

    PubMed

    Houin, R

    2008-12-01

    Culicoides were described for the first time in England in 1713, but named by Latreille in 1809 only. Even so, they were better known as Ceratopogon until Kieffer reintroduced the name Culicoides. The family name became Ceratopogonidae, the description by Meigen (1803) being better adapted to that systematic level. Culicoides were considered simply as biting insects until it was found that they can carry filaria and viruses. In 1944, du Toit in Transvaal described their role in the transmission of blue-tongue virus. Blue-tongue disease has since extended progressively northward from South Africa, disseminated by Culicoides imicola. At the end of the 20th century, it reached the southern shores of the Mediterranean sea, and has since threatened the southern Europe. Surveillance and prevention procedures were put in place, but fortress Europe was taken breached when a different strain of the virus entered through Belgium in 2006. Transmitted by local Culicoides species that were aggressive and abundant, the disease spread quickly, in a disastrous epizootic southward through more than half of France. Westward, infected insects have been carried by wind over the Channel, introducing the disease to England. PMID:20055234

  16. 77 FR 15087 - Intent To Prepare a Draft Environmental Impact Statement (DEIS) for the Installation of a...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-14

    ..., in Close Proximity to the Federal Wilmington Harbor Channel of the Cape Fear River (Brunswick County... navigation channel of the Cape Fear River) at the ``Point'' of Bald Head Island. The structure will...

  17. La neuropsicologia dei processi motorici e sensoriali del linguaggio (The Neuro-psychology of the Motor and Sensory Processes of Language).

    ERIC Educational Resources Information Center

    Keller, Eric; Gopnik, Myrna

    1990-01-01

    Discusses the recent change in direction in neuropsychological and neurolinguistic research from a focus on pathological factors to one that combines pathological and normal factors, the major focus being the motor and sensory processes. An attempt is made to outline the future course of this field. (CFM)

  18. Constraining the Age of the Veritas Asteroid Break-Up Event with Helium-3 from the Tortonian Monte Dei Corvi Section in Italy

    NASA Astrophysics Data System (ADS)

    Meier, M. M. M.; Maden, C.; Busemann, H.

    2016-08-01

    We have measured the He and Ne in the stratigraphic reference section of the Tortonian, encompassing the Veritas break-up event ca. 8 Ma ago. We find a clear extraterrestrial He peak and can thus constrain the age of that event to 8.07-8.25 Ma ago.

  19. 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)

  20. 76 FR 35915 - Proposed Information Collection Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-20

    ... the DEI evaluation is to understand and assess DEI program start-up and implementation, DEI program... development system nationwide. DEI evaluation findings will also be used to improve program activities and..., conducts a pre-clearance consultation program to provide the general public and Federal agencies with...

  1. Modello di Sviluppo dei Fattori Cognitivo-Linguistici della Tautologia, Sinonimia et Antonimia nei Bambini dei 3 a 6 Anni di Eta (Developmental Models of Tautology, Synonymy, and Antonymy as Cognitive-Linguistic Factors in Children from 3 to 6 Years of Age).

    ERIC Educational Resources Information Center

    Aprile, Luigi

    1992-01-01

    Tests and confirms hypothesis that a four-stage process exists in the understanding and use of synonyms, antonyms, and tautologies in children ages three to six. The results of this study challenge widely held theories on cognitive development. (45 references) (LET)

  2. Radiologist Evaluation of an X-ray Tube Based Diffraction Enhanced Imaging Prototype Using Full Thickness Breast Specimens.

    SciTech Connect

    Faulconer, L.; Zhong, Z.; Parham, C.; Connor, D. M.; , Kim, E.; Zeng, D.; Livasy, C.; Cole, E.; Kuzmiak, C.; Koomen, M.; Pavic, D.; Pisano, E.

    2009-05-21

    Conventional mammographic image contrast is derived from x-ray absorption, resulting in breast structure visualization due to density gradients that attenuate radiation without distinction between transmitted, scattered, or refracted x-rays. Diffraction-enhanced imaging (DEI) allows for increased contrast with decreased radiation dose compared to conventional mammographic imaging because of monochromatic x-rays, its unique refraction-based contrast mechanism, and excellent scatter rejection. However, a lingering drawback to the clinical translation of DEI has been the requirement for synchrotron radiation. The authors laboratory developed a DEI prototype (DEI-PR) using a readily available tungsten x-ray tube source and traditional DEI crystal optics, providing soft tissue images at 60 keV. Images of full-thickness human breast tissue specimens were acquired on synchrotron-based DEI (DEI-SR), DEI-PR, and digital mammographic systems. A panel of expert radiologists evaluated lesion feature visibility and correlation with pathology after receiving training on the interpretation of refraction contrast mammographic images. For mammographic features (mass, calcification), no significant differences were detected between the DEI-SR and DEI-PR systems. Benign lesions were perceived as better seen by radiologists using the DEI-SR system than the DEI-PR system at the [111] reflectivity, with generalizations limited by small sample size. No significant differences between DEI-SR and DEI-PR were detected for any other lesion type (atypical, cancer) at either crystal reflectivity. Thus, except for benign lesion characterizations, the DEI-PR system's performance was roughly equivalent to that of the traditional DEI system, demonstrating a significant step toward clinical translation of this modality for breast cancer applications.

  3. 76 FR 62832 - Draft Environmental Impact Statement for General Management Plan, Blue Ridge Parkway, VA and NC

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-11

    ... availability of a Draft Environmental Impact Statement (DEIS) for the General Management Plan (GMP) for Blue... parkway, the DEIS/GMP describes the NPS preferred alternative-- Alternative B--to guide the management of... alternative. DATES: The NPS will accept comments from the public on the DEIS/GMP for at least 60...

  4. Frequency of consumption of selected indicator foods and serum cholesterol. GISSI-EFRIM investigators. Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto--Epidemiologia dei Fattori di Rischio dell'Infarto Miocardico.

    PubMed

    D'Avanzo, B; Negri, E; Nobili, A; La Vecchia, C

    1995-06-01

    The relationship between frequency of consumption of eleven indicator foods (milk, meat, liver, carrots, green vegetables, fruit, eggs, ham, fish, cheese and alcohol) and serum cholesterol was investigated in the comparison group of a case-control study of acute myocardial infarction conducted in Italy. Data were collected on 792 subjects from various Italian regions, admitted to hospital for acute conditions unrelated to any known or potential risk factor for myocardial infarction or to long-term modifications in diet. No statistically or epidemiologically meaningful relationship emerged between serum cholesterol level and frequency of consumption of any of these foods. Cholesterol levels rose according to increasing consumption tertiles for most of the indicator foods considered. Higher values for the higher tertile of consumption were observed for meat, ham and eggs, but also for fruit, carrots and green vegetables. However, correlation coefficients between frequency of consumption of various food items and serum cholesterol level were uniformly low for all food items considered, ranging between -0.09 (for milk) and 0.19 (for ham). Although a more comprehensive diet history may lead to different indications, the present data are not suggestive of any major influence of long-term frequency of consumption of a few selected indicator foods on serum cholesterol levels.

  5. Physical activity and the risk of acute myocardial infarction. GISSI-EFRIM Investigators. Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto-Epidemiologia dei Fattori di Rischio dell'Infarto Miocardico.

    PubMed

    D'Avanzo, B; Santoro, L; La Vecchia, C; Maggioni, A; Nobili, A; Iacuitti, G; Franceschi, S

    1993-11-01

    The relationship between physical activity and acute myocardial infarction (AMI) was examined in a case-control study conducted in Italy in 1988 to 1989 within the framework of the GISSI-2 trial of streptokinase versus alteplase and heparin versus no heparin in the treatment of AMI. A total of 916 case patients admitted to coronary care units from various Italian regions for AMI were interviewed. Control subjects were 1106 patients admitted to the same network of hospitals for a broad spectrum of acute diseases not related to known or potential risk factors for myocardial infarction. Among various types of physical activity (occupational activity, walking, stair climbing, and sport and leisure-time physical activity), occupational physical exercise emerged as the most protective. Multivariate odds ratios (ORs) were 1.4 (95% confidence interval (CI), 1.0 to 2.0) and 1.6 (95% CI, 1.2 to 2.1) for the two lowest levels of occupational physical activity. The trends of increasing risk with decreasing activity were consistent, although less strong, when other types of activity were considered. The protection conveyed by occupational physical activity was similar across various strata of sex, age, education, smoking habits, and diabetes, and was not explained by serum cholesterol, body weight, or hypertension. This study therefore confirms that low physical activity is an indicator of subsequent risk of AMI.

  6. Cigarette smoking and acute myocardial infarction. A case-control study from the GISSI-2 trial. GISSI-EFRIM Investigators. Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto--Epidemiologia dei Fattori di Rischio dell'infarto Miocardioco.

    PubMed

    Negri, E; La Vecchia, C; Nobili, A; D'Avanzo, B; Bechi, S

    1994-08-01

    To make a further quantitative assessment of the relationship between cigarette smoking and the risk of myocardial infarction, a multicentric case-control study was conducted in Italy between September 1988 and June 1989 within the framework of the GISSI-2 trial. Ninety hospitals in various Italian Regions participated. 916 cases of acute myocardial infarction with no history of ischaemic heart disease and 1106 controls admitted to hospital for acute conditions not related to known or suspected risk factors for ischaemic heart disease were studied. Relative risks (RR) and 95% confidence intervals (CI) of myocardial infarction according to various measures of tobacco smoking, were adjusted for identified potential confounding factors using multiple logistic regression. Compared to lifelong non-smokers, the RR was 1.3 (95% CI 1.0 to 1.9) for ex-smokers, 2.0 (95% CI 1.4 to 2.9) for current smokers of less than 15 cigarettes per day, 3.1 (95% CI 2.2 to 4.2) for 15-24 cigarettes per day and 4.9 (95% CI 3.4 to 7.1) for 25 or more cigarettes per day. No trend in risk was evident for the duration, the RR being around 3 for subsequent categories. There was a significant interaction between smoking and age. Below the age 45, smokers of 25 or more cigarettes per day had a 33 times higher risk than non-smokers, compared to 7.5 at in the age group 45-54, 4.4 between the ages 55-64 and 2.5 at the age of 65 or over. The risk estimates were higher in women (RR for > or = 25 cigarettes per day = 10.1), in subjects in the lowest cholesterol tertile (RR = 11.9), with no history of diabetes (RR = 6.8), hypertension (RR = 9.5), no family history ischaemic heart disease (RR = 9.1) and low body mass index (RR = 9.3). The importance of smoking is confirmed as a cause of acute myocardial infarction: about 50% of all nonfatal infarctions in this Italian population could be attributable to cigarette smoking.(ABSTRACT TRUNCATED AT 250 WORDS)

  7. Coffee consumption and risk of acute myocardial infarction in Italian males. GISSI-EFRIM. Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto, Epidemiologia dei Fattori di Rischio del'Infarto Miocardico.

    PubMed

    D'Avanzo, B; La Vecchia, C; Tognoni, G; Franceschi, S; Franzosi, M G; Nobili, A; Santoro, L; Scarsi, G

    1993-11-01

    The relationship between coffee consumption and acute myocardial infarction (AMI) was analyzed using data from a case-control study conducted in 1988 to 1989 within the framework of the GISSI-2 trial on streptokinase versus alteplase and heparin versus no heparin in the treatment of AMI. A total of 801 male patients with AMI and 792 control subjects who were hospitalized in several Italian regions for diseases unrelated to known or potential risk factors for cardiovascular diseases were included. Compared with coffee nondrinkers, the multivariate relative risks (RRs), after allowance for age, education, body mass index, smoking habits, alcohol consumption, family history of AMI, cholesterol level, history of diabetes, and hypertension, were 0.8 (95% confidence interval (CI), 0.5 to 1.2) for consumption of one cup/d, 1.3 (95% CI, 0.9 to 2.0) for two cups/d, 1.8 (95% CI, 1.1 to 2.7) for three cups, 2.5 (95% CI, 1.5 to 4.1) for four cups, and 2.6 (95% CI, 1.6 to 4.2) for five cups or more. The trend in risk with dose was statistically significant (P < 0.001). Duration of coffee consumption was not associated with the risk of AMI. The RRs for daily coffee consumption were elevated across strata of various covariates, including age, smoking habits, cholesterol level, diabetes, and hypertension, with a particularly elevated (although not significantly heterogeneous) estimate in patients younger than 50 years (RR, 5.7; 95% CI, 3.0 to 10.9 for four or more cups/d). The RR in patients who drank four or more cups of coffee per day and were current smokers was 8.1 (95% CI, 5.1 to 13.0), suggesting an unfavorable effect on the combination of cigarette smoking and high coffee intake on the risk of AMI.

  8. 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)

  9. Prediction of difficult tracheal intubation in thyroid surgery.

    PubMed

    Bouaggad, Abderrahmane; Nejmi, Sif Eddine; Bouderka, Moulay Ahmed; Abbassi, Omar

    2004-08-01

    The incidence of difficult endotracheal intubation (DEI) for patients undergoing thyroidectomy has rarely been studied, and evaluation of factors linked to DEI is limited to a few studies. We undertook this prospective study to investigate the incidence of DEI in the presence of goiter (an enlargement of the thyroid gland) and to evaluate factors linked to DEI. We studied 320 consecutive patients scheduled for thyroidectomy. DEI was evaluated by an intubation difficulty scale. The trachea was intubated by an unassisted anesthesiologist, and the intubation difficulty scale was calculated. A univariate analysis was performed to identify potential factors predicting DEI, followed by a multivariate analysis. DEI was reported in 17 patients. The rate of easy tracheal intubation was 36.9%; the rate for patients who had minor difficulty of intubation was 57.8%. Sex (male), body mass index, Mallampati class, thyromental distance, neck mobility, Cormack grade, cancerous goiter, and tracheal deviation or compression were identified in the univariate analysis as potential DEI risk factors. With multivariate analysis, two criteria were recognized as independent for DEI (Cormack Grade III or IV and cancerous goiter). We conclude that the large goiter is not associated with a more frequent DEI. However, the presence of a cancerous goiter is a major factor for predicting DEI.

  10. 1. DELAWARE AVE. (right, looking north) AND WASHINGTON AVE. SHOWING ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    1. DELAWARE AVE. (right, looking north) AND WASHINGTON AVE. SHOWING GLORIA DEI CHURCH (note steeple) - Independence National Historical Park, Walnut, Sixth, Chestnut & Second Streets, Philadelphia, Philadelphia County, PA

  11. SNTP environmental, safety, and health

    NASA Technical Reports Server (NTRS)

    Harmon, Charles D.

    1993-01-01

    Viewgraphs on space nuclear thermal propulsion (SNTP) environmental, safety, and health are presented. Topics covered include: program safety policy; program safety policies; and DEIS public hearing comments.

  12. 78 FR 21347 - Supplemental Draft Environmental Impact Statement for Effects of Oil and Gas Activities in the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-10

    ... content of the Supplemental DEIS can be found in the Notice of Availability (78 FR 19212, March 29, 2013... Statement for Effects of Oil and Gas Activities in the Arctic Ocean AGENCY: National Marine Fisheries... released for public comment the ``Supplemental Draft Environmental Impact Statement (DEIS) for the...

  13. Language Policy and Planning: The Case of Italian Sign Language

    ERIC Educational Resources Information Center

    Geraci, Carlo

    2012-01-01

    Italian Sign Language (LIS) is the name of the language used by the Italian Deaf community. The acronym LIS derives from Lingua italiana dei segni ("Italian language of signs"), although nowadays Italians refers to LIS as Lingua dei segni italiana, reflecting the more appropriate phrasing "Italian sign language." Historically, Italy's linguistic…

  14. 49 CFR 520.25 - External review of draft environmental impact statements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... standards, noise), the DEIS shall be sent to EPA. (iii) For actions which would affect any property that is... changed to a negative declaration as a result of the public review process, all agencies and individuals that received copies and/or commented on the DEIS must be informed that a negative declaration...

  15. 78 FR 5494 - Off-Road Vehicle Management Plan, Draft Environmental Impact Statement, Lake Meredith National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-25

    ... National Park Service Off-Road Vehicle Management Plan, Draft Environmental Impact Statement, Lake Meredith.../DEIS evaluates the impacts of four alternatives that address off-road vehicle (ORV) management in the...), the National Park Service (NPS) is releasing a Draft Environmental Impact Statement (DEIS) for the...

  16. 75 FR 66742 - Availability of a Draft Environmental Impact Statement To Consider Issuance of a Department of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-29

    ... Issuance of a Department of the Army Permit Pursuant to Section 404 of the Clean Water Act for the Sabine... Statement (DEIS). This DEIS evaluates project alternatives and potential impacts to the natural, physical... Rivers and Harbors Act of 1899 and Section 404 of the Clean Water Act. The proposed activity...

  17. 75 FR 4793 - Availability of a Draft Environmental Impact Statement To Consider Issuance of a Department of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-29

    ... Issuance of a Department of the Army Permit Pursuant to Section 404 of the Clean Water Act for the Angelina & Neches River Authority's Proposal to Construct Lake Columbia, a Proposed 10,133- Surface-Acre Water... Draft Environmental Impact Statement (DEIS). This DEIS evaluates potential impacts to the...

  18. 78 FR 40163 - Notice of Availability of the Draft Environmental Impact Statement for the TransWest Express 600...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-03

    ..., Colorado, Utah, and Nevada, and Prospective Draft Land Use Plan Amendments AGENCIES: Bureau of Land... Environmental Impact Statement (DEIS) and draft Land Use Plan Amendments. The DEIS analyzes the consequences of... Land and Resource Management Plans (Forest Plans) and BLM land use plans (Management Framework...

  19. 76 FR 45609 - Notice of Availability of the Draft Environmental Impact Statement for the Gateway West 230/500...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-29

    ... Prospective Draft Land Use Plan Amendments AGENCY: Bureau of Land Management, Interior; and U.S. Forest... DEIS and prospective draft Land Use Plan (LUP) Amendments. The DEIS analyzes the consequences of... amendments of USFS Land and Resource Management Plans (Forest Plans) and BLM land use plans...

  20. Algunos Resumenes

    NASA Astrophysics Data System (ADS)

    1980-12-01

    EI "Palomar Observatory Sky Survey" es un medio auxiliar bien conocido y ütil para los astronomos. Todo el cielo dei hemisferio Norte esta captado en lotografias, cuyas reproducciones se encuentran archivadas en las bibliotecas de casi todos los observatorios importantes dei mundo.

  1. 78 FR 9029 - Nez Perce-Clearwater National Forests; ID; Clear Creek Integrated Restoration Project

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-07

    ... Forest Service Nez Perce-Clearwater National Forests; ID; Clear Creek Integrated Restoration Project... Creek Integrated Restoration Draft Environmental Impact Statement (DEIS). The DEIS will include two site... adopt the Regional soils standard for the Clear Creek Integrated Restoration project area. The...

  2. 49 CFR 520.24 - Internal processing of draft environmental impact statements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...) NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURES FOR CONSIDERING ENVIRONMENTAL IMPACTS Procedures § 520.24 Internal processing of draft environmental impact statements. Before circulating a DEIS for external review, the official responsible for the DEIS shall receive the concurrence...

  3. 75 FR 39969 - National Mall and Memorial Parks, Washington, DC; Final Environmental Impact Statement and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-13

    ... healthy, more sustainable cities. Alternative A--Focus on the Historic Landscape and Education... to this symbolic and historic cultural landscape. During the preparation of the DEIS, the National... copies. The availability of the DEIS was announced on December 18, 2009 (74 FR 67206). Comments...

  4. Dunkerque-Falklands: Due eventi storico-politici attraverso l'analisi linguistica dei discorsi di Winston Churchill e Margaret Thatcher (Dunkirk-Falklands: Two Historical-Political Events through the Linguistic Analysis of the Speeches of Winston Churchill and Margaret Thatcher).

    ERIC Educational Resources Information Center

    Arcaini, Giovanna

    1988-01-01

    The political speech is a unique kind of document that reflects the socio-historic climate of its time. Two historical events (Dunkirk and the Falkland Islands Crisis) and a principal protagonist from each are discussed, and the speeches of these two individuals are analyzed in order to find similarities and differences, and to find their basic…

  5. Effect of Breast Compression on Lesion Characteristic Visibility with Diffraction-Enhanced Imaging

    SciTech Connect

    Faulconer, L.; Parham, C; Connor, D; Kuzmiak, C; Koomen, M; Lee, Y; Cho, K; Rafoth, J; Livasy, C; et al.

    2010-01-01

    Conventional mammography can not distinguish between transmitted, scattered, or refracted x-rays, thus requiring breast compression to decrease tissue depth and separate overlapping structures. Diffraction-enhanced imaging (DEI) uses monochromatic x-rays and perfect crystal diffraction to generate images with contrast based on absorption, refraction, or scatter. Because DEI possesses inherently superior contrast mechanisms, the current study assesses the effect of breast compression on lesion characteristic visibility with DEI imaging of breast specimens. Eleven breast tissue specimens, containing a total of 21 regions of interest, were imaged by DEI uncompressed, half-compressed, or fully compressed. A fully compressed DEI image was displayed on a soft-copy mammography review workstation, next to a DEI image acquired with reduced compression, maintaining all other imaging parameters. Five breast imaging radiologists scored image quality metrics considering known lesion pathology, ranking their findings on a 7-point Likert scale. When fully compressed DEI images were compared to those acquired with approximately a 25% difference in tissue thickness, there was no difference in scoring of lesion feature visibility. For fully compressed DEI images compared to those acquired with approximately a 50% difference in tissue thickness, across the five readers, there was a difference in scoring of lesion feature visibility. The scores for this difference in tissue thickness were significantly different at one rocking curve position and for benign lesion characterizations. These results should be verified in a larger study because when evaluating the radiologist scores overall, we detected a significant difference between the scores reported by the five radiologists. Reducing the need for breast compression might increase patient comfort during mammography. Our results suggest that DEI may allow a reduction in compression without substantially compromising clinical image

  6. Design and Implementation of a Compact Low-Dose Diffraction Enhanced Medical Imaging System

    SciTech Connect

    Parham, C.; Zhong, Z; Connor, D; Chapman, D; Pisano, E

    2009-01-01

    This paper describes the design, construction, and performance of a new DEI system using a commercially available tungsten anode x-ray tube and includes the first high-quality low-dose diffraction-enhanced images of full-thickness human tissue specimens. Diffraction-enhanced imaging (DEI) is a new x-ray imaging modality that differs from conventional radiography in its use of three physical mechanisms to generate contrast. DEI is able to generate contrast from x-ray absorption, refraction, and ultra-small-angle scatter rejection (extinction) to produce high-contrast images with a much lower radiation dose compared to conventional radiography.

  7. Investigation of hepatic fibrosis in rats with x-ray diffraction enhanced imaging

    SciTech Connect

    Li Hui; Zhang Lu; Wang Xueyan; Luo Shuqian; Wang Tailing; Wang Baoen; Zhao Xinyan

    2009-03-23

    X-ray diffraction enhanced imaging (DEI) is a phase contrast technique that generates excellent contrast of biological soft tissues compared to conventional absorption radiography. We explore the application of DEI in the diagnosis of hepatic fibrosis. The produced refraction contrast images of fibrous rat liver samples show clearly abnormal liver architectures. Moreover, by comparing to histological pictures, different stages of fibrosis are discriminated, and the corresponding morphological features are analyzed. Besides, quantitative analyses of texture features are presented. The results reported herein show that DEI can be a potential noninvasive technique to diagnose and stage hepatic fibrosis.

  8. Digitally Enhanced Heterodyne Interferometry

    NASA Technical Reports Server (NTRS)

    Shaddock, Daniel; Ware, Brent; Lay, Oliver; Dubovitsky, Serge

    2010-01-01

    Spurious interference limits the performance of many interferometric measurements. Digitally enhanced interferometry (DEI) improves measurement sensitivity by augmenting conventional heterodyne interferometry with pseudo-random noise (PRN) code phase modulation. DEI effectively changes the measurement problem from one of hardware (optics, electronics), which may deteriorate over time, to one of software (modulation, digital signal processing), which does not. DEI isolates interferometric signals based on their delay. Interferometric signals are effectively time-tagged by phase-modulating the laser source with a PRN code. DEI improves measurement sensitivity by exploiting the autocorrelation properties of the PRN to isolate only the signal of interest and reject spurious interference. The properties of the PRN code determine the degree of isolation.

  9. 78 FR 31974 - Notice of Availability of the Draft Environmental Impact Statement and Notice of Public Meetings...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-28

    ... professional resource management and protection theories, concepts, and practices; and Be consistent with... Public Meetings for the Newlands Project Resource Management Plan AGENCY: Bureau of Reclamation, Interior... Draft Resource Management Plan (RMP)/Draft Environmental Impact Statement (DEIS) for the...

  10. 77 FR 61642 - National Environmental Policy Act; Sounding Rockets Program; Poker Flat Research Range

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-10

    ... SPACE ADMINISTRATION National Environmental Policy Act; Sounding Rockets Program; Poker Flat Research... the Draft Environmental Impact Statement (DEIS) for the NASA Sounding Rockets Program (SRP) at Poker..., and educational institutions have conducted suborbital rocket launches from the PFRR. While the...

  11. [Breve commento sull'importanza spesso sottovalutata degli approcci psicologici e riabilitativi nella gestione del dolore oncologico].

    PubMed

    Cascella, Marco; Simonds Thompson, Nicholas; Muzio, Maria Rosaria; Forte, Cira Antonietta; Cuomo, Arturo

    2016-08-01

    Riassunto. L'approccio farmacologico personalizzato (tailored) rappresenta la terapia standard per i pazienti affetti da dolore oncologico, consentendo il controllo della sintomatologia in circa il 90% dei casi. Qualora tale strategia risulti inefficace è possibile ricorrere a più complesse tecniche, invasive o mini-invasive. Tuttavia, sia da parte dei pazienti sia degli operatori viene sottostimato il disagio psicologico sotteso al dolore oncologico e non si considerano i potenziali benefici dei trattamenti di supporto psicologico e riabilitativi nella gestione del dolore da cancro. Queste strategie non farmacologiche dovrebbero essere parte integrante di un più globale approccio multidisciplinare alla terapia del dolore, affiancando e amplificando gli effetti della terapia farmacologica. Tale breve rassegna narrativa ha la finalità di offrire una panoramica sul ruolo dei possibili interventi psicologici e riabilitativi atti al miglioramento della qualità della vita in pazienti affetti da dolore oncologico.

  12. 49 CFR 520.25 - External review of draft environmental impact statements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... of an environmental statement, comments of the reviewing agencies on the environmental effects of the... media advising where the DEIS is available and how copies may be obtained. The Office of Public...

  13. 77 FR 23669 - Public Hearing and Notice of Availability for the Draft Environmental Impact Statement for the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-20

    ..., Longitude 88.556 West). The Corps prepared a Draft Environmental Impact Statement (DEIS) to assess the..., Pascagoula, Jackson County, Mississippi (Latitude 30.365 North, Longitude 88.556 West). The Corps prepared...

  14. 75 FR 21650 - Coral Reef Restoration Plan, Draft Programmatic Environmental Impact Statement, Biscayne National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-26

    ... National Park Service Coral Reef Restoration Plan, Draft Programmatic Environmental Impact Statement... Availability of the Draft Programmatic Environmental Impact Statement for the Coral Reef Restoration Plan... Environmental Impact Statement (DEIS) for the Coral Reef Restoration Plan for Biscayne National Park,...

  15. 76 FR 57022 - Coastal Zone Management Program: Illinois

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-15

    ... National Oceanic And Atmospheric Administration Coastal Zone Management Program: Illinois AGENCY: Office of Ocean and Coastal Resource Management (OCRM), National Oceanic and Atmospheric Administration (NOAA... Impact Statement (DEIS) prepared by NOAA's Office of Ocean and Coastal Resource Management. The...

  16. Tiempo para un cambio

    NASA Astrophysics Data System (ADS)

    Woltjer, L.

    1987-06-01

    En la reunion celebrada en diciembre dei ano pasado informe al Consejo de mi deseo de terminar mi contrato como Director General de la ESO una vez que fuera aprobado el proyecto dei VLT, que se espera sucedera hacia fines de este aAo. Cuando fue renovada mi designacion hace tres aAos, el Consejo conocia mi intencion de no completar los cinco aAos dei contrato debido a mi deseo de disponer de mas tiempo para otras actividades. Ahora, una vez terminada la fase preparatoria para el VLT, Y habiendose presentado el proyecto formalmente al Consejo el dia 31 de marzo, y esperando su muy probable aprobacion antes dei termino de este ano, me parece que el 10 de enero de 1988 presenta una excelente fecha para que se produzca un cambio en la administracion de la ESO.

  17. 77 FR 17036 - Revised Notice of Intent To Prepare a Draft Environmental Impact Statement for the Bogue Banks...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-23

    ... the Federal Register on February 8, 2002, (67 FR 6015) to prepare a DEIS and is prepared in response... wildlife and their habitats; (5) Essential Fish Habitat (EFH) and Cape Fear Sandy Shoals; (6) Water and...

  18. Introduzione al Laboratorio di Fisica

    NASA Astrophysics Data System (ADS)

    Ciullo, Giuseppe

    La Fisica (dal greco τὰ ϕυσικὰ: le cose naturali) si pone l'obiettivo di descrivere e prevedere il comportamento dei fenomeni naturali, nonché degli apparati e degli strumenti, che hanno reso e rendono la nostra vita più comoda ed efficiente. Tale obiettivo viene perseguito mediante un'attenta osservazione dei fenomeni, con una conseguente schematizzazione dell'osservazione, per fornire una conoscenza della realtà oggettiva, affidabile, verificabile e condivisibile.

  19. [The importance of sleep deprivation as a mechanism for activating interictal epileptiform paroxysms].

    PubMed

    Navas, Patricia; Rodríguez-Santos, Lucía; Bauzano-Poley, Enrique; Lara, José Pablo; Barbancho, Miguel Ángel

    2016-04-01

    Introduccion. Aunque la privacion de sueño se ha utilizado durante años en electroencefalografia (EEG) como metodo de activacion de descargas epileptiformes intercriticas (DEI) en pacientes con alta sospecha de epilepsia, su sensibilidad y especificidad estan aun en discusion. Pacientes y metodos. Estudio descriptivo y retrospectivo de pacientes pediatricos derivados a neurofisiologia clinica para valoracion de epilepsia. Se han comparado los resultados de los EEG de privacion de sueño (EEG-PS) con los EEG de vigilia (EEG-V) en cada paciente para describir su rendimiento como mecanismo activador de DEI. Resultados. Se han analizado 500 pacientes (830 EEG-PS y 1.018 EEG-V). En los EEG-V se detectaron DEI en el 44%. El EEG-PS aumento en un 35% la capacidad del test para detectar las DEI. En los EEG-PS en los que se alcanzo sueño espontaneo se observaron DEI (no detectadas en el EEG-V) en un 25,1%. En el grupo de epilepsias focales se constato que el EEG-V detecto DEI en el 60,1% frente al 79,12% demostradas con el EEG-PS. En las epilepsias generalizadas esta diferencia fue mas marcada (27,2% y 77,2%, respectivamente). En los pacientes en los que tras un EEG-PS no se detectaron DEI (23,7%) y la sospecha clinica de epilepsia seguia siendo alta, se realizo polisomnografia nocturna y se llego a objetivar actividad epileptiforme intercritica en un 13,6%. Conclusiones. El EEG-PS aumenta la posibilidad de recoger DEI en un 35% con respecto al EEG-V. La privacion de sueño es un metodo activador de paroxismos epileptiformes, independientemente de si hay sueño o no durante la realizacion del EEG, aunque este efecto es mas marcado en los pacientes que alcanzan sueño.

  20. BPA/Puget Power Northwest Washington Transmission Project Final Environmental Impact Statement.

    SciTech Connect

    United States. Bonneville Power Administration.

    1995-08-01

    Bonneville Power Administration (BPA) and Puget Sound Power & Light Company (Puget Power) propose to upgrade the existing high-voltage transmission system in the Whatcom and Skagit counties area between the towns of Custer and Sedro Woolley, including some areas within the City of Bellingham, starting in 1995. A Draft Environmental Impact Statement (DEIS) for the project was issued in November 1993, followed by a 45-day public comment period. Public response to the DEIS included the identification of several new transmission route alternatives in the Lake Whatcom area. BPA issued a Supplemental DEIS in April 1995 to provide a second public review-and-comment period. Rebuilding an existing 230-kV line to a double-circuit 230-kV transmission line was identified in the Supplemental DEIS as the Proposed Action. The Supplemental DEIS also examined in detail a North Shore Road alternative which was proposed by some members of the public. Public comments on the EIS were listed and responded to in the Supplemental DEIS. In May 1995, a second set of open houses and public meetings was held to review the Supplemental DEIS. Electromagnetic field (EMF) effects raised as an issue in the DEIS continued to be an issue of public concern in the meetings. The EIS has identified impacts that would generally be classified as low to moderate and localized. Effects on soils and water resources in sensitive areas (e.g., near Lake Whatcom) would be low to moderate; there would be little change in magnetic fields; noise levels would remain at existing levels; and land use and property value impacts would be minimal. Threatened and endangered species would not be adversely affected, and all proposed actions in wetlands would be covered by a Corps of Engineers Nationwide Permit. Visual and socioeconomic would be low to moderate. There would be no effect on cultural resources.

  1. Preliminayr Study on Diffraction Enhanced Radiographic Imaging for a Canine Model of Cartilage Damage

    SciTech Connect

    Muehleman,C.; Li, J.; Zhong, Z.

    2006-01-01

    Objective: To demonstrate the ability of a novel radiographic technique, Diffraction Enhanced Radiographic Imaging (DEI), to render high contrast images of canine knee joints for identification of cartilage lesions in situ. Methods: DEI was carried out at the X-15A beamline at Brookhaven National Laboratory on intact canine knee joints with varying levels of cartilage damage. Two independent observers graded the DE images for lesions and these grades were correlated to the gross morphological grade. Results: The correlation of gross visual grades with DEI grades for the 18 canine knee joints as determined by observer 1 (r2=0.8856, P=0.001) and observer 2 (r2=0.8818, P=0.001) was high. The overall weighted ? value for inter-observer agreement was 0.93, thus considered high agreement. Conclusion: The present study is the first study for the efficacy of DEI for cartilage lesions in an animal joint, from very early signs through erosion down to subchondral bone, representing the spectrum of cartilage changes occurring in human osteoarthritis (OA). Here we show that DEI allows the visualization of cartilage lesions in intact canine knee joints with good accuracy. Hence, DEI may be applicable for following joint degeneration in animal models of OA.

  2. Synchrotron-based phase-contrast images of zebrafish and its anatomical structures

    NASA Astrophysics Data System (ADS)

    Rao Donepudi, Venkateswara; Melumai, Bhaskaraiah; Thallapaka, Balasaidulu; Sandeep, Konam; Cesareo, Roberto; Brunetti, Antonio; Zhong, Zhong; Akatsuka, Takao; Yuasa, Tetsuya; Takeda, Tohoru; Gigante, Giovanni E.

    2014-08-01

    Images of vertebrates (zebrafish and zebrafish eye) have been obtained by using an X-ray phase-contrast imaging technique, namely, synchrotron-based diffraction-enhanced imaging (SY-DEI) (or analyzer based imaging) and synchrotron-based diffraction imaging in tomography mode (SY-DEI-CT). Due to the limitations of the conventional radiographic imaging in visualizing the internal complex feature of the sample, we utilized the upgraded SY-DEI and SY-DEI-CT systems to acquire the images at 20, 30 and 40 keV, to observe the enhanced contrast. SY-DEI and SY-DEI-CT techniques exploits the refraction properties, and have great potential in studies of soft biological tissues, in particular for low (Z) elements, such as, C, H, O and N, which constitutes the soft tissue. Recently, these techniques are characterized by its extraordinary image quality, with improved contrast, by imaging invertebrates. We have chosen the vertebrate sample of zebrafish (Danio rerio), a model organism widely used in developmental biology and oncology. For biological imaging, these techniques are most sensitive to enhance the contrast. For the present study, images of the sample, in planar and tomography modes offer more clarity on the contrast enhancement of anatomical features of the eye, especially the nerve bundle, swim bladder, grills and some internal organs in gut with more visibility.

  3. Update on the surgical management of breast cancer.

    PubMed

    Franceschini, Gianluca; Sanchez, Alejandro Martin; Di Leone, Alba; Magno, Stefano; Moschella, Francesca; Accetta, Cristina; Natale, Maria; Di Giorgio, Danilo; Scaldaferri, Assunta; D'Archi, Sabatino; Scardina, Lorenzo; Masetti, Riccardo

    2015-02-20

    Il trattamento chirurgico dei tumori della mammella ha subito continui e profondi cambiamenti negli ultimi 30 anni. La chirurgia conservativa ha progressivamente e definitivamente sostituito la mastectomia nel trattamento dei tumori in stadio iniziale; associata alla radioterapia, essa è in grado di garantire alle pazienti le stesse percentuali di sopravvivenza globale e migliori risultati estetici con un accettabile rischio di recidiva locale. Grazie alla diffusione dei programmi di screening ed al perfezionamento delle indagini diagnostiche si è assistito ad un progressivo incremento della diagnosi dei tumori infraclinici ed all’elaborazione di sempre più accurate tecniche di localizzazione e trattamento mini-invasivo dei tumori non palpabili. Nell’ambito della chirurgia conservativa, l’introduzione della chirurgia oncoplastica, coniugando tecniche di chirurgia generale con quelle proprie della chirurgia plastica, ha consentito di superare il conflitto tra estensione della resezione chirurgica e risultato estetico finale, contribuendo in maniera importante a migliorare la qualità di vita delle pazienti. La mastectomia resta una valida alternativa chirurgica in casi selezionati ed è associata preferibilmente a procedure ricostruttive immediate che minimizzano l’impatto psicologico negativo dell’atto demolitivo. La tecnica del linfonodo sentinella per i tumori in stadio iniziale ha permesso di evitare in casi selezionati la dissezione ascellare di principio senza rinunciare alle importanti informazioni prognostiche dei linfonodi locoregionali. L’obiettivo di questo lavoro è di riassumere le recenti evoluzioni nella terapia chirurgica dei tumori della mammella e di mettere in evidenza i vantaggi e le questioni irrisolte delle diverse opzioni chirurgiche di trattamento.

  4. Quantification of microarchitectural anisotropy in bone with diffraction enhanced imaging

    NASA Astrophysics Data System (ADS)

    Connor, Dean M.; Mehrotra, Meenal; LaRue, Amanda C.

    2014-03-01

    Purpose: The purpose of this study is to determine if diffraction enhanced imaging (DEI) can quantify anisotropy in bone microarchitecture. Background: Osteoporosis is characterized by low bone mass and microarchitectural deterioration of bone. A noninvasive tool for measuring the degree of anisotropy (DA) in bone microarchitecture will help clinicians better assess fracture risk in osteoporotic patients. DEI detects small angular deflections in an x-ray beam, and is only sensitive to angular changes in one plane. If the beam is refracted by multiple anisotropic microstructures (e.g. osteocyte lacunae and pores) in bone, the angular spreading can be measured with DEI and differences in the amount of spreading for different bone orientations is indicative of the DA in bone microarchitecture. Method: An x-ray-tube based DEI system was used to collect an array of DEI reflectivity profiles measured through bovine cortical bone samples with the bones oriented with the bone axis in the plane perpendicular to the propagation of the x-ray beam. Micro-CT images of the bones were obtained using a Scanco uCT40 ex vivo scanner, and the DA of the pore structure was quantified using BoneJ. Results: The maximum and minimum measured reflectivity profile widths through bone varied by a factor of two; this suggests that the microarchitecture is preferentially aligned with the bone axis in a 2-to-1 ratio. The DA for the cortical pores was 0.6, which agrees with DEI's anisotropy measure. Conclusions: The preliminary findings of this study suggest that DEI is sensitive to anisotropy in bone microarchitecture.

  5. Computed tomography of amyloid plaques in a mouse model of Alzheimers disease using diffraction enhanced imaging

    SciTech Connect

    Connor, D.M.; Miller, L.; Benveniste, H.; Dilmanian, A.; Kritzer, M.; Zhong, Z.

    2009-03-19

    Our understanding of early development in Alzheimer's disease (AD) is clouded by the scale at which the disease progresses; amyloid beta (A{beta}) plaques, a hallmark feature of AD, are small ({approx} 50 {micro}m) and low contrast in diagnostic clinical imaging techniques. Diffraction enhanced imaging (DEI), a phase contrast x-ray imaging technique, has greater soft tissue contrast than conventional radiography and generates higher resolution images than magnetic resonance microimaging. Thus, in this proof of principle study, DEI in micro-CT mode was performed on the brains of AD-model mice to determine if DEI can visualize A{beta} plaques. Results revealed small nodules in the cortex and hippocampus of the brain. Histology confirmed that the features seen in the DEI images of the brain were A{beta} plaques. Several anatomical structures, including hippocampal subregions and white matter tracks, were also observed. Thus, DEI has strong promise in early diagnosis of AD, as well as general studies of the mouse brain.

  6. Energy and dose considerations for diffraction enhanced CT in small animal studies

    NASA Astrophysics Data System (ADS)

    Connor, Dean; Dilmanian, F. Avraham; Parham, Christopher; Kao, Teresa; Zhong, Zhong

    2007-03-01

    Diffraction enhanced imaging (DEI) uses monochromatic x-rays coupled to an analyzer crystal to extract information about the refraction of x-rays within the object. Studies of excised biological tissues show that DEI has significant contrast-to-noise ratio (CNR) advantages for soft tissue when compared to standard radiography. DEI differs from conventional CT in that its refraction contrast depends on x-ray energy as 1/E, thus the energy and dose considerations for conventional CT will be inappropriate. The goal of this study was to assess the optimal energy for in vivo CT imaging of a mouse head to obtain the largest soft tissue refraction CNR. Through a theoretical model, optimum refraction CNR for mouse brain imaging was found to be about 20 keV. The findings were tested experimentally using the DEI system at the X15A beamline of the National Synchrotron Light Source. Using the parameters for optimized refraction CNR (20 keV, silicon [333] reflection), large image artifacts were caused by DEI's scatter-rejection properties. By increasing the x-ray energy and using a lower order diffraction, silicon [111], soft tissue features within the brain, including the hippocampus, could be resolved.

  7. 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.

  8. [Quantitative determination of the depth of edge influence on soil moisture in pepper-forest boundary of Minjiang River upper reaches].

    PubMed

    Li, Liguang; He, Xingyuan; Li, Xiuzhen; Wen, Qingchun

    2006-11-01

    A typical pepper-forest boundary was selected in the arid valley of Minjiang River upper reaches, and the moisture content in 0-15 cm soil layer was determined by time-domain reflectometry (TDR) during drought, after rain, and different seasons. Moving split-window techniques (MSWT) was employed to detect the depth of edge influence (DEI) on soil moisture and its dynamic variation with time. The results showed that the changes of squared Euclidean distance (SED) curve on the graph tended to become stable when the window width reached 8 - 12, and DEI could be detected. The seasonal variation of soil moisture could be divided into three periods, i.e., rising period (January to April), peak period (May to October), and lessen period (November to December). DEI was smaller during drought, and increased after rain. The DEI on soil moisture ranged from 6 m in pepper field to 2 m in forest during drought and from 12 m in pepper field to 2 m in forest after rain, but ranged from 10 m in pepper field to 2 m in forest field within a year. DEI was different in different seasons, and was dynamic. Under such condition of soil moisture, the forest restoration from pepper land and the seedling planting were not ecologically reasonable. Reducing human disturbance and revegetating with natural shrubs and meadows could be more effective for vegetation conservation in the arid valley of Minjiang River upper reaches.

  9. Decommissioning of eight surplus production reactors at the Hanford Site, Richland, Washington. Addendum (Final Environmental Impact Statement)

    SciTech Connect

    Not Available

    1992-12-01

    The first section of this volume summarizes the content of the draft environmental impact statement (DEIS) and this Addendum, which together constitute the final environmental impact statement (FEIS) prepared on the decommissioning of eight surplus plutonium production reactors at Hanford. The FEIS consists of two volumes. The first volume is the DEIS as written. The second volume (this Addendum) consists of a summary; Chapter 9, which contains comments on the DEIS and provides DOE`s responses to the comments; Appendix F, which provides additional health effects information; Appendix K, which contains costs of decommissioning in 1990 dollars; Appendix L, which contains additional graphite leaching data; Appendix M, which contains a discussion of accident scenarios; Appendix N, which contains errata; and Appendix 0, which contains reproductions of the letters, transcripts, and exhibits that constitute the record for the public comment period.

  10. Quantitative probing of surface charges at dielectric-electrolyte interfaces.

    PubMed

    Guan, Weihua; Rajan, Nitin K; Duan, Xuexin; Reed, Mark A

    2013-04-01

    The intrinsic charging status at the dielectric-electrolyte interface (DEI) plays a critical role for electrofluidic gating in microfluidics and nanofluidics, which offers opportunities for integration of wet ionics with dry electronics. A convenient approach to quantitatively probe the surface charges at the DEI for material pre-selection purpose has been lacking so far. We report here a low-cost, off-chip extended gate field effect transistor configuration for direct electrostatic probing the charging status at the DEI. Capacitive coupling between the surface charges and the floating extended gate is utilized for signal transducing. The relationship between the surface charge density and the experimentally accessible quantities is given by device modeling. The multiplexing ability makes measuring a local instead of a globally averaged surface charge possible.

  11. Diffraction-Enhanced Computed Tomographic Imaging of Growing Piglet Joints by Using a Synchrotron Light Source

    PubMed Central

    Rhoades, Glendon W; Belev, George S; Chapman, L Dean; Wiebe, Sheldon P; Cooper, David M; Wong, Adelaine TF; Rosenberg, Alan M

    2015-01-01

    The objective of this project was to develop and test a new technology for imaging growing joints by means of diffraction-enhanced imaging (DEI) combined with CT and using a synchrotron radiation source. DEI–CT images of an explanted 4-wk-old piglet stifle joint were acquired by using a 40-keV beam. The series of scanned slices was later ‘stitched’ together, forming a 3D dataset. High-resolution DEI-CT images demonstrated fine detail within all joint structures and tissues. Striking detail of vasculature traversing between bone and cartilage, a characteristic of growing but not mature joints, was demonstrated. This report documents for the first time that DEI combined with CT and a synchrotron radiation source can generate more detailed images of intact, growing joints than can currently available conventional imaging modalities. PMID:26310464

  12. Tectonic uplift mechanism of the Goodenough and Fergusson Island gneiss domes, eastern Papua New Guinea: Constraints from seismic reflection and well data

    NASA Astrophysics Data System (ADS)

    Fitz, Guy; Mann, Paul

    2013-10-01

    The D'Entrecasteaux Island (DEI) gneiss domes are fault-bounded domes with ˜2.5 km of relief exposing ultrahigh-pressure (UHP) and high-pressure (HP) metamorphic gneisses and migmatites exhumed in an Oligocene-Miocene arc-continent collision and subduction zone subject to Late Miocene to Recent continental extension. To study the style of continental extension accompanying exhumation of the DEI gneiss domes, a grid of 1518 km of 2-D multichannel seismic (MCS) reflection data and well data is interpreted from the offshore areas surrounding the DEI, including the Trobriand basin and the Goodenough basin. The offshore study is combined with onshore geologic information to constrain the Oligocene to Recent tectonic evolution of the basins. MCS and well data are consistent with the Trobriand basin forming as a forearc basin caused by southward Miocene subduction at the Trobriand trench. At ˜8 Ma, the margin transitioned to an extensional tectonic environment. Since then, the Trobriand basin has subsided 1-2.5 km with few normal faults deforming the basin fill. South of the DEI, the Goodenough rift basin developed after extension began (˜8 Ma) with the hanging wall of the north-dipping Owen-Stanley normal fault bounding the southern margin of the basin. The lack of evidence of upper crustal extension accompanying subsidence in the Trobriand and Goodenough basins suggests depth-dependent lithospheric extension from 8 to 0 Ma has accompanied uplift of the DEI gneiss domes and supports schematic model of uplift of the DEI domes involving vertical exhumation of buoyant, postorogenic lower crust, far-field extension from slab rollback, and an inverted two-layer crustal density structure.

  13. Constraints on Energy Intake in Fish: The Link between Diet Composition, Energy Metabolism, and Energy Intake in Rainbow Trout

    PubMed Central

    Saravanan, Subramanian; Schrama, Johan W.; Figueiredo-Silva, A. Claudia; Kaushik, Sadasivam J.; Verreth, Johan A. J.; Geurden, Inge

    2012-01-01

    The hypothesis was tested that fish fed to satiation with iso-energetic diets differing in macronutrient composition will have different digestible energy intakes (DEI) but similar total heat production. Four iso-energetic diets (2×2 factorial design) were formulated having a contrast in i) the ratio of protein to energy (P/E): high (HP/E) vs. low (LP/E) and ii) the type of non-protein energy (NPE) source: fat vs. carbohydrate which were iso-energetically exchanged. Triplicate groups (35 fish/tank) of rainbow trout were hand-fed each diet twice daily to satiation for 6 weeks under non-limiting water oxygen conditions. Feed intake (FI), DEI (kJ kg−0.8 d−1) and growth (g kg−0.8 d−1) of trout were affected by the interaction between P/E ratio and NPE source of the diet (P<0.05). Regardless of dietary P/E ratio, the inclusion of carbohydrate compared to fat as main NPE source reduced DEI and growth of trout by ∼20%. The diet-induced differences in FI and DEI show that trout did not compensate for the dietary differences in digestible energy or digestible protein contents. Further, changes in body fat store and plasma glucose did not seem to exert a homeostatic feedback control on DEI. Independent of the diet composition, heat production of trout did not differ (P>0.05). Our data suggest that the control of DEI in trout might be a function of heat production, which in turn might reflect a physiological limit related with oxidative metabolism. PMID:22496852

  14. Integration of offshore seismic data, exploration wells, and onland outcrops as constraints on the tectonics and uplift age of metamorphic core complexes, eastern Papua New Guinea

    NASA Astrophysics Data System (ADS)

    Fitz, G. G.; Mann, P.; Campos Aguiniga, H.

    2009-12-01

    High-grade metamorphic domes of the D’Entrecasteaux Islands (DEI) of eastern Papua New Guinea are located within continental crust at the tip of the westward propagating Woodlark spreading ridge. Multi-channel seismic data collected by the RV Maurice Ewing in 1992 was integrated with seismic data from 1974 and two wells drilled by the oil industry in 1973 to understand pattern and age of faults and clastic wedges in offshore basins surrounding the 2-2.5-km high DEI. The WNW-trending line of the DEI demarcates two areas of contrasting deformational and depositional histories. In the area of the Kiribisi and Trobriand basins north of the DEI, normal faults occupy a WNW-striking basin that began to rift in the early Miocene and continued to rift sporadically until the early Pliocene when all normal faults were buried by ~650 m of undeformed Plio-Pleistocene sediments. We infer that these basins formed as sub-basins within a larger forearc basin bounded to the north by the forearc high of the Trobriand Islands and to the south by the DEI. Uplift of the forearc high and inversion of normal faults near the high during the Pleistocene and suggests the possibility of present-day, southward subduction along the Trobriand trench. To the south of the DEI in the Goodenough basin, the Pleistocene section is thicker and deformed by active, WNW-striking normal faults with seafloor scarps and high-angle dips. Wedging of the Pleistocene clastic fill in a half-graben geometry along the Owen-Stanley fault in the Southern part of the Goodenough basin along the southern coastline of the bay indicates that most normal motion has now shifted to this fault system. The shift in extension from north of the DEI to the Owen-Stanley fault zone in post-Pliocene time likely signals the arrival of the propagating rift tip of the Woodlark basin. The presence of conglomerate with high-grade metamorphic clasts in the Pliocene section north of the DEI supports the idea that the uplift and erosion

  15. Paraho environmental data. Part I. Process characterization. Par II. Air quality. Part III. Water quality

    SciTech Connect

    Heistand, R.N.; Atwood, R.A.; Richardson, K.L.

    1980-06-01

    From 1973 to 1978, Development Engineering, Inc. (DEI), a subsidiary of Paraho Development Corporation, demostrated the Paraho technology for surface oil shale retorting at Anvil Points, Colorado. A considerable amount of environmentally-related research was also conducted. This body of data represents the most comprehensive environmental data base relating to surface retorting that is currently available. In order to make this information available, the DOE Office of Environment has undertaken to compile, assemble, and publish this environmental data. The compilation has been prepared by DEI. This report includes the process characterization, air quality, and water quality categories.

  16. Diffraction enhanced X-ray imaging of mammals crystalline lens

    NASA Astrophysics Data System (ADS)

    Antunes, A.; Hönnicke, M. G.; Safatle, A. M. V.; Cusatis, C.; Moraes Barros, P. S.; Morelhão, S. L.

    2005-08-01

    Crystalline lenses are transparent biological materials where the organization of the lens fibers can also be affected by changes at molecular level, and therefore the structure and morphology of the tissue can be correlated to the loss of transparency of the lens. In this work, internal structure of mammal lenses regarding the long-range ordering of the fibers are investigated by diffraction enhanced X-ray imaging (DEI) radiography. Moreover, DEI and absorption X-ray synchrotron radiographs for healthy and cataractous crystalline lenses are compared. Significant differences in healthy and cataractous crystalline lenses are observed.

  17. [Phenotypes of bone and adipose tissue metabolism. A systematic review of their relationship].

    PubMed

    Nava-González, Edna J; Gallegos-Cabriales, Esther C; Bastarrachea, Raúl A

    2014-01-01

    INTRODUCCIÓN: existe una regulación central de la remodelación ósea en el hipotálamo, vía que al parecer también regula el metabolismo del tejido adiposo. El objetivo de la revisión que se presenta fue explorar la evidencia bibliográfica sobre las relaciones entre la densidad ósea mineral y los fenotipos de la composición corporal, leptina, tejido adiposo y del eje insulina-glucosa. MÉTODOS: se efectuó una búsqueda sistemática en bases de datos electrónicas, para examinar los documentos que abordan discusiones sobre la vinculación del metabolismo óseo mineral y la biología integrativa del tejido adiposo, publicados entre enero de 2005 y noviembre de 2011.

  18. [Neuronal communication and synaptic metabolism in childhood epilepsy].

    PubMed

    García-Cazorla, Àngels; Cortès-Saladelafont, Elisenda; Duarte, Sofia

    2015-03-01

    Introduccion. Los conocimientos que la neurociencia basica y el neurometabolismo estan aportando en epilepsia pediatrica, y en concreto en mecanismos de comunicacion sinaptica, crecen rapidamente. Existe, no obstante, una desconexion entre estos avances y una vision que los integre de manera global y en la practica clinica y terapeutica. Objetivos. Ofrecer una vision integradora de los diferentes mecanismos moleculares y metabolicos que se conocen y postulan en epilepsia pediatrica, y sugerir conceptos como el de 'metabolismo sinaptico' y 'fenotipos sinapticos' como herramientas utiles para desarrollar este enfoque. Desarrollo. Se revisan los estudios mas destacados que intentan explicar las caracteristicas esenciales de la comunicacion sinaptica en el cerebro en desarrollo, a traves de diferentes moleculas, basicamente proteinas sinapticas, canales ionicos (cotransportadores de cloro, sodio y potasio), la compartimentalizacion pre y postsinaptica, y los principales actores metabolicos (neurotransmisores, metabolismo energetico, factores de crecimiento y lipidos). A partir de esta combinacion de mecanismos biologicos se sugieren ejemplos de 'fenotipos sinapticos' en dos casos concretos de epilepsia genetica (SCN1A) y metabolica (epilepsia con respuesta a la piridoxina). Conclusiones. Una perspectiva holistica, entendiendo la diversidad de elementos relacionados y que suceden en determinados momentos del neurodesarrollo, puede ayudar a delinear fenotipos, vias de metabolismo sinaptico y conectividad cerebral, que faciliten no solo la comprension de la fisiopatologia, sino nuevas aproximaciones terapeuticas en epilepsia pediatrica.

  19. [Pharmacogenetics and antiepileptic drug metabolism: implication of genetic variants in cytochromes P450].

    PubMed

    Saldaña-Cruz, Ana Miriam; Sánchez-Corona, José; Márquez de Santiago, Daniel Alejandro; García-Zapién, Alejandra Guadalupe; Flores-Martínez, Silvia Esperanza

    2013-05-01

    Introduccion. Los farmacos antiepilepticos (FAE) son la base para el control de las crisis en pacientes con epilepsia; sin embargo, se conoce que el 20-30% de los pacientes son farmacorresistentes. Son diversos los factores que contribuyen a la variabilidad de la respuesta a los FAE, y esta variabilidad puede atribuirse, al menos en parte, a la presencia de polimorfismos (variaciones de la secuencia) en genes que codifican para enzimas involucradas en el metabolismo de los FAE. Objetivo. Describir las variaciones de la secuencia en genes que codifican para proteinas implicadas en el metabolismo de algunos de los principales FAE, con enfasis en las enzimas citocromo P450 (CYP450). Desarrollo. Existen algunos polimorfismos en genes que codifican para proteinas involucradas en el metabolismo de farmacos, particularmente enzimas de la superfamilia CYP450, que se consideran ya de utilidad clinica en el manejo terapeutico. La presencia de estas variantes geneticas contribuye a la variabilidad de la actividad de enzimas metabolizadoras, lo que, a su vez, influye en la pobre o inadecuada respuesta terapeutica, e incluso en la aparicion de efectos adversos. Conclusiones. La identificacion de la variabilidad interindividual en la respuesta a los diversos FAE puede permitir la individualizacion del tratamiento con la intencion de maximizar su eficacia y minimizar el riesgo, independientemente de que la variabilidad clinica y los efectos adversos se presenten en una minoria de pacientes.

  20. 77 FR 25781 - Environmental Impact Statement; Washington, DC

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-01

    ... Federal Highway Administration Environmental Impact Statement; Washington, DC AGENCY: U.S. Federal Highway... of Intent to Prepare a Draft Environmental Impact Statement (DEIS). SUMMARY: The U.S. Federal Highway... Washington, DC is issuing this notice to advise agencies and the public that a Draft Environmental...

  1. Generalizing Galileo's passé-dix game

    NASA Astrophysics Data System (ADS)

    Hombas, Vassilios

    2012-07-01

    This article shows a generalization of Galileo's 'passé-dix' game. The game was born following one of Galileo's [G. Galileo, Sopra le Scoperte dei Dadi (Galileo, Opere, Firenze, Barbera, Vol. 8). Translated by E.H. Thorne, 1898, pp. 591-594] explanations on a paradox that occurred in the experiment of tossing three fair 'six-sided' dice.

  2. 75 FR 27286 - McKelvie Geographic Area Range Allotment Management Planning on the Samuel R. McKelvie National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-14

    ..., 2010 (FR Vol. 75, No. 48, p. 11882) concerning the range allotment management planning on the McKelvie... Forest Service McKelvie Geographic Area Range Allotment Management Planning on the Samuel R. McKelvie... line: McKelvie Allotment Management Planning DEIS Comments. The public is not required to...

  3. 75 FR 67389 - Notice of Availability of the Draft Environmental Impact Statement for the Yesler Terrace...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-02

    ... Draft Environmental Impact Statement (DEIS) for the Yesler Terrace Redevelopment Project, located in the... project or elements of a project that shifts environmental review from the time a permit application is... the responsible entity (RE) for this project in accordance with 24 CFR part 58, ``Environmental...

  4. The LIS Corpus Project: A Discussion of Sociolinguistic Variation in the Lexicon

    ERIC Educational Resources Information Center

    Geraci, Carlo; Battaglia, Katia; Cardinaletti, Anna; Cecchetto, Carlo; Donati, Caterina; Giudice, Serena; Mereghetti, Emiliano

    2011-01-01

    Following a well-established tradition going back to the 1980s (cf. Volterra 1987/2004), the authors use the name Lingua dei Segni Italiana (Italian Sign Language [LIS]) for the language used by Italian deaf people (and by Swiss deaf people living in the Ticino canton). LIS is becoming more and more visible, and its status as a minority language…

  5. 49 CFR 520.30 - Availability of final environmental impact statements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... localized, public libraries. (d) The official responsible for the action shall, upon request, make available... final approval and filing with CEQ, a proposed FEIS may be made available to the public and Federal... all Federal, State, and local agencies and members of the public who submitted comments on the DEIS...

  6. 75 FR 29521 - Notice of Public Meetings of the Draft Environmental Impact Statement for Basing the U.S. Marine...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-26

    ... of the DEIS are available for public review at the following libraries in North Carolina: Havelock-Craven County Public Library, 301 Cunningham Boulevard, Havelock; Bogue Banks Public Library, 320 Salter Path Rd., Suite W Pine Knoll Shores; Carteret County Public Library, 1702 Live Oak Street, Suite...

  7. 78 FR 21703 - Extension of Public Review and Comment Period for the Pyramid Way and McCarran Boulevard...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-11

    ... Federal Highway Administration Extension of Public Review and Comment Period for the Pyramid Way and Mc... Department of Transportation (NDOT), is extending the review and comment period of the DEIS for the Pyramid... available for review at the Spanish Springs Library, 7100A Pyramid Lake Highway, Sparks, NV; the...

  8. 78 FR 64002 - South Farallon Islands Invasive House Mouse Eradication Project; Farallon National Wildlife...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-25

    ... house mice from the South Farallon Islands, see our August 16, 2013, notice (78 FR 50082). Public... FR 50082) announcing the availability of the DEIS for a proposed project to eradicate non-native... Fish and Wildlife Service South Farallon Islands Invasive House Mouse Eradication Project;...

  9. 76 FR 48879 - Draft Environmental Impact Statement for Alabama Beach Mouse General Conservation Plan for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-09

    ... Fish and Wildlife Service Draft Environmental Impact Statement for Alabama Beach Mouse General... endangered Alabama beach mouse (Peromyscus polionotus ammobates) in Baldwin County, Alabama. The GCP analyzes... availability of the proposed GCP and the dEIS. These documents analyze the take of the Alabama beach...

  10. 77 FR 38631 - Radio Broadcasting Services; AM or FM Proposals To Change the Community of License

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-28

    ...The following applicants filed AM or FM proposals to change the community of license: AGNUS DEI COMMUNICATIONS, INC., Station NEW, Facility ID 190433, BNPH-20120529AKN, From MISSION, SD, To MURDO, SD; ALEX MEDIA, INC., Station NEW, Facility ID 190402, BNPH-20120515ABA, From FRANKLIN, LA, To BELLE ROSE, LA; CBS RADIO STATIONS INC., Station WMSF, Facility ID 29567, BPH-20120529AKO, From WEST......

  11. 78 FR 54669 - Draft Environmental Impact Statement for the Proposed RES Americas Moapa Solar Energy Center...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-05

    ... Bureau of Indian Affairs Draft Environmental Impact Statement for the Proposed RES Americas Moapa Solar... to file a draft environmental impact statement (DEIS) for the proposed RES Americas Moapa Solar... Vegas Review Journal and the Moapa Valley Progress and on the following Web site:...

  12. 76 FR 72717 - Draft Environmental Impact Statement for the Proposed KRoad Moapa Solar Generation Facility...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-25

    ... Bureau of Indian Affairs Draft Environmental Impact Statement for the Proposed KRoad Moapa Solar... Agencies, intends to file a Draft Environmental Impact Statement (DEIS) for the proposed KRoad Moapa Solar...: The purpose of the Proposed Project is to construct a 350 megawatt (MW) solar generation facility...

  13. 78 FR 73112 - Boundary Expansion of Thunder Bay National Marine Sanctuary

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-05

    ... published June 14, 2013 (78 FR 35776), extended August 15, 2013 (78 FR 49700) and October 28, 2013 (78 FR... (78 FR 35776). An accompanying draft environmental impact statement (DEIS) was also published (78 FR... October 18, 2013 (78 FR 49700) then until November 27, 2013 (78 FR 64186) to gather more information...

  14. Few-Nucleon Systems

    NASA Astrophysics Data System (ADS)

    Kievsky, A.

    2005-04-01

    Recent advances in the theoretical description of few-nucleon systems are reported. This research activity has been performed under the Italian project FISICA TEORICA DEL NUCLEO E DEI SISTEMI A MOLTI CORPI. Bound and scattering states as well as specific reactions are analyzed in connection with the current experimental activity.

  15. 75 FR 47621 - Final Environmental Impact Statement for the North Fork Rancheria's Proposed 305-Acre Trust...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-06

    ... proposed action in the Federal Register on October 27, 2004 (69 FR 62721). The BIA held a public scoping... Availability for the Draft EIS (DEIS) was published in the Federal Register on February 15, 2008 (73 FR 8898... Bureau of Indian Affairs Final Environmental Impact Statement for the North Fork Rancheria's Proposed...

  16. 78 FR 47007 - National Environmental Policy Act; Santa Susana Field Laboratory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-02

    ... SSFL buildings and structures and the proposed technologies for groundwater and soil remediation, as... implemented to achieve the proposed groundwater and soil remediation goals. NASA will use the DEIS analysis to... which remedial technology(ies) would will be applied to meet the soil cleanup and groundwater...

  17. 76 FR 63824 - Research Area Within Gray's Reef National Marine Sanctuary

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-14

    ... of forty-five days of continuous session of Congress beginning on October 14, 2011. Announcement of... availability of a draft environmental impact statement (DEIS) (75 FR 55692). This final rule establishes the... enhancing public awareness and wise use of this significant regional resource. GRNMS is located 17.5...

  18. Ahead of the Curve: State Success in the Developmental Education Initiative

    ERIC Educational Resources Information Center

    Altstadt, David

    2012-01-01

    Building on their work through Achieving the Dream, six states and 15 community colleges joined the Developmental Education Initiative (DEI) in 2009 to take on one of higher education's most daunting challenges: improving the success of students who enter community college academically underprepared. The states and Jobs for the Future, which…

  19. 49 CFR 520.26 - Public hearings.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 6 2010-10-01 2010-10-01 false Public hearings. 520.26 Section 520.26... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURES FOR CONSIDERING ENVIRONMENTAL IMPACTS Procedures § 520.26 Public hearings. (a) A public hearing on a proposed or ongoing action covered by a DEIS shall be...

  20. 75 FR 7361 - Gray's Reef National Marine Sanctuary Regulations on the Use of Spearfishing Gear

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-19

    ... natural systems that depend on the hard bottom and the invertebrates attached and growing (71 FR 60055... Impact Statement/Draft Management Plan (DEIS/DMP) and associated proposed rule (68 FR 62033, October 31... spearfishing for two years. The final rule (71 FR 60055, October 12, 2006) stated that NOAA would...

  1. 78 FR 40196 - National Environmental Policy Act; Sounding Rockets Program; Poker Flat Research Range

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-03

    ..., 2012 (77 FR 59611), NASA published its own NOA of the DEIS on October 10, 2012 (77 FR 61642). In... SPACE ADMINISTRATION National Environmental Policy Act; Sounding Rockets Program; Poker Flat Research... the Final Environmental Impact Statement (FEIS) for the NASA Sounding Rockets Program (SRP) at...

  2. Nuclear Astrophysics

    NASA Astrophysics Data System (ADS)

    Drago, Alessandro

    2005-04-01

    The activity of the Italian nuclear physicists community in the field of Nuclear Astrophysics is reported. The researches here described have been performed within the project "Fisica teorica del nucleo e dei sistemi a multi corpi", supported by the Ministero dell'Istruzione, dell'Università e della Ricerca.

  3. 75 FR 20867 - Notice of Availability of the Draft Environmental Impact Statement for the Combined License for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-21

    ... January 31, 2008 (73 FR 5877). A notice of intent to prepare a draft environmental impact statement (DEIS) and to conduct the scoping process was published in the Federal Register on February 14, 2008 (73 FR... acceptance for docketing for Part 2 was published in the Federal Register on June 9, 2008 (73 FR 32606)....

  4. A novel crystal-analyzer phase retrieval algorithm and its noise property.

    PubMed

    Bao, Yuan; Wang, Yan; Li, Panyun; Wu, Zhao; Shao, Qigang; Gao, Kun; Wang, Zhili; Ju, Zaiqiang; Zhang, Kai; Yuan, Qingxi; Huang, Wanxia; Zhu, Peiping; Wu, Ziyu

    2015-05-01

    A description of the rocking curve in diffraction enhanced imaging (DEI) is presented in terms of the angular signal response function and a simple multi-information retrieval algorithm based on the cosine function fitting. A comprehensive analysis of noise properties of DEI is also given considering the noise transfer characteristic of the X-ray source. The validation has been performed with synchrotron radiation experimental data and Monte Carlo simulations based on the Geant4 toolkit combined with the refractive process of X-rays, which show good agreement with each other. Moreover, results indicate that the signal-to-noise ratios of the refraction and scattering images are about one order of magnitude better than that of the absorption image at the edges of low-Z samples. The noise penalty is drastically reduced with the increasing photon flux and visibility. Finally, this work demonstrates that the analytical method can build an interesting connection between DEI and GDPCI (grating-based differential phase contrast imaging) and is widely suitable for a variety of measurement noise in the angular signal response imaging prototype. The analysis significantly contributes to the understanding of noise characteristics of DEI images and may allow improvements to the signal-to-noise ratio in biomedical and material science imaging.

  5. 47 CFR 1.1305 - Actions which normally will have a significant impact upon the environment, for which...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... impact upon the environment, for which Environmental Impact Statements must be prepared. 1.1305 Section 1... which normally will have a significant impact upon the environment, for which Environmental Impact... the human environment requires the preparation of a Draft Environmental Impact Statement (DEIS)...

  6. 47 CFR 1.1305 - Actions which normally will have a significant impact upon the environment, for which...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... impact upon the environment, for which Environmental Impact Statements must be prepared. 1.1305 Section 1... which normally will have a significant impact upon the environment, for which Environmental Impact... the human environment requires the preparation of a Draft Environmental Impact Statement (DEIS)...

  7. 47 CFR 1.1305 - Actions which normally will have a significant impact upon the environment, for which...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... impact upon the environment, for which Environmental Impact Statements must be prepared. 1.1305 Section 1... which normally will have a significant impact upon the environment, for which Environmental Impact... the human environment requires the preparation of a Draft Environmental Impact Statement (DEIS)...

  8. 77 FR 46427 - Notice of Availability for the Draft Environmental Impact Statement/Environmental Impact Report...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-03

    ... Statement/Environmental Impact Report (DEIS/DEIR) for Proposed Aggregate Terminal Project on Pier D in the... the Eagle Rock Aggregates Terminal Project. The proposed project would include the following in- water... owned by L.G. Everist, Inc. and would be leased to Eagle Rock Aggregate, Inc. for terminal...

  9. 76 FR 63911 - Notice of Intent To Prepare a Draft Environmental Impact Statement/Environmental Impact Report...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-14

    .../Environmental Impact Report (DEIS/DEIR) for a Permit Application for a Proposed Aggregate Terminal Project on..., to develop an aggregate receiving and storage terminal on privately held land within the Port of Long... Rock Aggregates for terminal development and operation. The site, located at 1925 Pier D Street,...

  10. 77 FR 60679 - Takes of Marine Mammals Incidental to Specified Activities; U.S. Navy Training and Testing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-04

    ... or protected information. An electronic copy of the Navy's application may be obtained by writing to... Environmental Impact Statement (DEIS) for AFTT was made available to the public on May 11, 2012 (77 FR 27742... Ranges Complexes); the Naval Undersea Warfare Center Division, Newport Testing Range; the Virginia...

  11. 77 FR 68748 - Intent To Prepare a Draft Environmental Impact Statement and Feasibility Report for the Can

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-16

    ... Feasibility Report (FR) for the ecosystem restoration of the Cano Martin Pena (CMP) within the San Juan Bay... telephone at (904) 232-2050. SUPPLEMENTARY INFORMATION: These DEIS and FR will be prepared under the provisions of the Memorandum for Commander, South Atlantic Division (CESAD-PM) Implementation Guidance...

  12. 76 FR 3655 - Bunker Hill Groundwater Basin, Riverside-Corona Feeder Project, San Bernardino and Riverside...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-20

    ... of Intent (NOI) to prepare an Environmental Impact Statement on February 24, 2010 (75 FR 8395). The... Bureau of Reclamation Bunker Hill Groundwater Basin, Riverside-Corona Feeder Project, San Bernardino and.../DEIS) for the proposed Riverside-Corona Feeder (RCF) Project. Interested parties are invited to...

  13. 76 FR 35408 - Essential Fish Habitat (EFH) Components of Fishery Management Plans (Northeast Multispecies...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-17

    ... need for the Omnibus EFH Amendment can be found in the original NOI dated February 24, 2004, (69 FR... EIS (DEIS) was published on April 6, 2007 (72 FR 17157). Phase 2 will include an evaluation of the..., Atlantic Salmon, and Atlantic Deep-Sea Red Crab) 5- Year Review AGENCY: National Marine Fisheries...

  14. Distributed Educational Influence and Computer-Supported Collaborative Learning

    ERIC Educational Resources Information Center

    Coll, César; Bustos, Alfonso; Engel, Anna; de Gispert, Inés; Rochera, María José

    2013-01-01

    This article introduces a line of research on distributed educational influence (DEI) that has recently been developed by the research group to which the authors belong. The main hypothesis is that in computer-supported collaborative learning contexts, all participants are potential sources of educational influence (EI). According to this…

  15. 77 FR 12323 - Draft Environmental Impact Statement for the General Management Plan, Buck Island Reef National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-29

    ... National Park Service Draft Environmental Impact Statement for the General Management Plan, Buck Island Reef National Monument, Virgin Islands AGENCY: National Park Service, Interior. ACTION: Notice of Availability of a Draft Environmental Impact Statement for the General Management Plan (DEIS/GMP), Buck...

  16. Jose Maria Albareda (1902-1966) and the Formation of the Spanish Consejo Superior de Investigaciones Cientificas

    ERIC Educational Resources Information Center

    Malet, Antoni

    2009-01-01

    Jose Maria Albareda (1902-1966) was an applied chemist and a prominent member of the Roman Catholic organization, Opus Dei, who played a crucial role in organizing the Consejo Superior de Investigaciones Cientficas (CSIC), the new scientific institution created by the Franco regime in 1939. The paper analyses first the formative years in…

  17. Final environmental impact statement, Washington Water Power/B.C. Hydro Transmission Interconnection Project

    SciTech Connect

    Not Available

    1992-10-01

    Washington Water Power (WWP) proposes to construct and operate an electric transmission line that would connect with the electrical system of the British Columbia Hydro and Power Authority (B.C. Hydro). The project would be composed of a double-circuit, 230-kilovolt (kV) transmission line from WWP`s existing Beacon Substation located northeast of Spokane, Washington to the international border located northwest of Metaline Falls, Washington. The original Presidential permit application and associated proposed route presented in the draft environmental impact statement (DEIS) have been modified to terminate at the Beacon Substation, instead of WWP`s initially proposed termination point at the planned Marshall Substation located southwest of Spokane. A supplemental draft EIS was prepared and submitted for review to not only examine the new proposed 5.6 miles of route, but to also compare the new Proposed Route to the other alternatives previously analyzed in the DEIS. This final EIS (FEIS) assesses the environmental effects of the proposed transmission line through construction, operation, maintenance, and abandonment activities and addresses the impacts associated with the Proposed Action, Eastern Alternative, Western Alternative, Northern Crossover Alternative, Southern Crossover Alternative, and No Action Alternative. The FEIS also contains the comments received and the responses to these comments submitted on the DEIS and Supplemental DEIS.

  18. 77 FR 22800 - Wilderness Eligibility Reclassifications, Wrangell-St. Elias National Park and Preserve

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-17

    ... reclassification as part of the Nabesna Off-Road Vehicle Management Plan/Draft Environmental Impact Statement (DEIS... be ineligible. ADDRESSES: Hard copies of the Nabesna Off-Road Vehicle Management Plan/ Final... was described in the Nabesna Off-Road Vehicle Management Plan/Draft Environmental Impact...

  19. 78 FR 66900 - Fisheries of the Caribbean, Gulf of Mexico, and South Atlantic; Amendment 28 to the Fishery...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-07

    ...NMFS, Southeast Region, in collaboration with the Gulf of Mexico Fishery Management Council (Council) intends to prepare a DEIS to describe and analyze management alternatives to be included in Amendment 28 to the Fishery Management Plan (FMP) for the Reef Fish Resources of the Gulf of Mexico (Amendment 28). These alternatives will consider measures to reallocate red snapper resources between......

  20. 77 FR 14355 - Notice of Availability of Final Environmental Impact Statement for a Proposed Highway Between I...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-09

    ... FR 55887), informing the public of the availability of the Draft Environmental Impact Statement (DEIS) that analyzes the potential effects of implementing each of four build and the ``no-build'' alternative... Clean Water Act. The FEIS also provides information for Federal, State and local agencies...

  1. 76 FR 59123 - Notice of Intent To Prepare a Draft Environmental Impact Statement for the Puyallup River General...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-23

    ... study was requested by Pierce County (the local sponsor), Washington, because of the potential for significant flooding within the Puyallup River Basin. A DEIS is being prepared because of the potential for... control, navigation, and other water uses and related land resources. DATES: Persons or...

  2. 76 FR 29218 - Intent To Prepare an Environmental Impact Statement (EIS) for the Alaska Department of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-20

    ... Statement (DEIS) to identify and analyze the potential impacts associated with the proposed Foothills West... Section 10 of the Rivers and Harbors Act of 1899 and Section 404 of the Clean Water Act. The Environmental... potential oil and gas resources for exploration and development along the northwestern foothills of...

  3. 76 FR 45543 - Notice of Intent To Prepare a Draft Environmental Impact Statement for the Skagit River General...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-29

    ... Skagit County, Washington, because of the potential for significant flooding on the Skagit River. A DEIS is being prepared because of the potential for impacts on environmental resources, particularly... tributaries, in the interest of flood control, navigation, and other water uses and related land...

  4. 77 FR 42695 - Suspension of Public Comment Period and Notice of Intent To Prepare Supplemental Draft...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-20

    ... circumstances. The supplemental DEIS will disclose potential impacts of a proposed action to authorize, under a new special use permit, the operation of four municipal supply water wells located on National Forest... both to the purpose and need for action as well as to mitigate potential adverse impacts to...

  5. 77 FR 39208 - Notice of Extension of Public Comment Period for Draft Environmental Impact Statement: North Fork...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-02

    ... potential adverse impacts to surface water and groundwater resources from well operations. The Environmental... public comment period for a draft environmental impact statement (DEIS) that discloses the potential... supply water wells located on National Forest System (NFS) land in the North Fork Eagle Creek...

  6. 78 FR 19212 - Notice of Availability of a Supplemental Draft Environmental Impact Statement for Effects of Oil...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-29

    ... in the U.S. Arctic Ocean under the OCSLA (75 FR 6175). The 60-day public scoping period ended on... Register (76 FR 82275). The 2011 DEIS includes an analysis of the proposed actions identified in the 2010... (78 FR 6303). Additional information about the NOI can be found in that notice. Alternatives...

  7. 76 FR 63950 - Draft Environmental Impact Statement and Multi-Species Habitat Conservation Plan; Receipt of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-14

    ...: In a July 13, 2011, Federal Register notice (76 FR 41288), we provided a list of 10 species for which... action, and other alternatives evaluated in the DEIS are presented in the July 13, 2011 (76 FR 41288... the Regional Director, Midwest Region, Attn: Lisa Mandell, U.S. Fish and Wildlife Service,...

  8. THE DEVELOPMENT OF A QUALITY ASSURANCE PROJECT PLAN FOR THE U.S. EPA DIOXIN EXPOSURE INITIATIVE PROGRAM

    EPA Science Inventory

    All projects planned and implemented under the EPA Dioxin Exposure Initiative (DEI) are required to have completed Quality Assurance Project Plans (QAPPs) EPA Order 5360.1 A2 states, All work funded by the United States Environmental Protection Agency (EPA) that involves the ...

  9. 77 FR 62257 - Draft Environmental Impact Statement for the Herring River Restoration Project, Cape Cod National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-12

    ... National Park Service Draft Environmental Impact Statement for the Herring River Restoration Project, Cape... Impact Statement (DEIS) for the Herring River Restoration Project in Cape Cod National Seashore... Restoration Project will be available for public review online at the NPS's PEPC Web site (...

  10. Seeing the Wood from the Trees: A Critical Policy Analysis of Intersections between Social Class Inequality and Education in Twenty-First Century Ireland

    ERIC Educational Resources Information Center

    Cahill, Kevin

    2015-01-01

    This paper is a critical policy analysis of intersections between social class inequality and education policy in Ireland. The focus is upon contemporary policy and legislation such as The Irish Constitution and equality legislation; social inclusion policies such as the DEIS scheme; literacy and numeracy policy documents; as well as current…

  11. Generalizing Galileo's Passe-Dix Game

    ERIC Educational Resources Information Center

    Hombas, Vassilios

    2012-01-01

    This article shows a generalization of Galileo's "passe-dix" game. The game was born following one of Galileo's [G. Galileo, "Sopra le Scoperte dei Dadi" (Galileo, Opere, Firenze, Barbera, Vol. 8). Translated by E.H. Thorne, 1898, pp. 591-594] explanations on a paradox that occurred in the experiment of tossing three fair "six-sided" dice.…

  12. 76 FR 54740 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-02

    ... Council's (Council) Herring Advisory Panel will hold a meeting to consider actions affecting New England... Environmental Impact Statement (DEIS) for Amendment 5 to the Atlantic Herring FMP and develop comments... herring (54th Stock Assessment Workshop (SAW) scheduled for spring 2012). Although non-emergency...

  13. 76 FR 27087 - Draft Environmental Impact Statement for the Winter Use Plan, Yellowstone National Park

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-10

    ... National Park Service Draft Environmental Impact Statement for the Winter Use Plan, Yellowstone National... Draft Environmental Impact Statement (DEIS) for a Winter Use Plan for Yellowstone National Park, located..., Yellowstone National Park, P.O. Box 168, Yellowstone National Park, Wyoming 82190. If you wish to comment...

  14. 75 FR 47618 - Final Environmental Impact Statement for the Proposed Enterprise Rancheria Gaming Facility and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-06

    ... Register on May 20, 2005 (70 FR 29363). The BIA held a public scoping meeting on June 9, 2005 in Marysville, California. A NOA for the Draft EIS (DEIS) was published in the Federal Register on March 21, 2008 (73 FR... gaming facility would include a casino floor, food and beverage areas (consisting of a buffet,...

  15. Developing Resilient Children: After 100 Years of Montessori Education

    ERIC Educational Resources Information Center

    Drake, Meg

    2008-01-01

    In this millennium, educators are faced with a number of issues that Dr. Maria Montessori could not have predicted. Today, students are different from the children Dr. Montessori observed in her "Casa dei Bambini." They are influenced by technology in all its forms. Some suffer from medical problems such as complex food allergies, which wreak…

  16. Assistive Technology for Every Child

    ERIC Educational Resources Information Center

    Boyd, Barbara Foulks

    2008-01-01

    The Montessori philosophy advocates that the classroom be a reflection of the home, the community, and the world. Now, a century after Maria Montessori founded her Casa dei Bambini, the world is becoming a high-technology society, with computers a part of everyday American lives. Computers are almost a household necessity, and basic…

  17. Montessori Grows in Tanzania

    ERIC Educational Resources Information Center

    Hoke, Betsy

    2014-01-01

    Imagine going back in time and being the guiding spirit in Montessori's first "Casa dei Bambini" but with all the knowledge and skills developed as a Montessori teacher today. That is precisely the privilege this author has had as, over the past 2 years, she has worked to establish an Early Childhood Montessori program in Usa River,…

  18. 75 FR 35770 - Notice of Intent To Prepare a Draft Environmental Impact Statement/Environment Impact Report...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-23

    .../Environment Impact Report (DEIS/DEIR) for a Permit Application for the Proposed Salton Sea Species... on the human environment from such activities. Therefore, in accordance with the National... hyper-saline environments (e.g., brine flies and brine shrimp). The basic purpose of the proposed...

  19. 75 FR 49513 - Final Environmental Impact Statement for the Ione Band of Miwok Indians 228.04-Acre Fee-to-Trust...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-13

    ... the proposed action in the Federal Register on November 7, 2003 (67 FR 63127). The BIA held a public... hearing that was held on February 4, 2004, at the Amador County Fairgrounds in Plymouth (69 FR 2728). A... (73 FR 21150) and in the Amador Ledger Dispatch on April 22, and May 20, 2008. The DEIS was...

  20. 76 FR 64893 - Notice of Availability of Draft Environmental Impact Statement, Rosemont Copper Project on the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-19

    ... Forest Service Notice of Availability of Draft Environmental Impact Statement, Rosemont Copper Project on... concurrent reclamation, and closure of an open-pit copper mine in Pima County, Arizona. DATES: See... Rosemont Copper Project DEIS, which documents and publicly discloses the environmental effects of...

  1. 24 CFR 58.60 - Preparation and filing of environmental impact statements.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... environmental impact statements. 58.60 Section 58.60 Housing and Urban Development Office of the Secretary... Environmental Impact Statements § 58.60 Preparation and filing of environmental impact statements. (a) The responsible entity must prepare the draft environmental impact statement (DEIS) and the final......

  2. 24 CFR 58.60 - Preparation and filing of environmental impact statements.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... environmental impact statements. 58.60 Section 58.60 Housing and Urban Development Office of the Secretary... Environmental Impact Statements § 58.60 Preparation and filing of environmental impact statements. (a) The responsible entity must prepare the draft environmental impact statement (DEIS) and the final......

  3. 75 FR 3434 - Fisheries of the Northeastern United States; Northeast Skate Complex Fishery; Amendment 3

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-21

    ... Notice of Availability (NOA) for the DEIS published in the Federal Register on September 26, 2008 (73 FR... completed in December 2008 by the Northeast Data Poor Stocks Working Group (DPWG). This assessment updated... Skate Plan Development Team (PDT) would convene annually to review skate stock status, fishery...

  4. Foreword to "The Secret of Childhood."

    ERIC Educational Resources Information Center

    Stephenson, Margaret E.

    2000-01-01

    Discusses the basic discoveries of Montessori's Casa dei Bambini. Considers principles of Montessori's organizing theory: the absorbent mind, the unfolding nature of life, the spiritual embryo, self-construction, acquisition of culture, creativity of life, repetition of exercise, freedom within limits, children's discovery of knowledge, the secret…

  5. Conceptualising Diversity in a Rural School

    ERIC Educational Resources Information Center

    Tuters, Stephanie

    2015-01-01

    This article describes a qualitative study which investigated how teachers made meaning of and responded to diversity in their rural school. While there is a large amount of information regarding how diversity plays out in urban settings and how teachers respond to it [e.g. Dei, G. J. S., I. M. James, L. L. Karumanchery, S. James-Wilson, and J.…

  6. 75 FR 74698 - Duke Energy Indiana, Inc.; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-01

    ... Office of Energy Projects granted DEI's March 1, 2010, request to utilize the National Environmental... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Duke Energy Indiana, Inc.; Notice of Application November 24, 2010....

  7. Effects of temperature acclimation on body mass and energy budget in the Chinese bulbul Pycnonotus sinensis

    PubMed Central

    WU, Yu-Nan; Lin, Lin; XIAO, Yu-Chao; Zhou, Li-Meng; WU, Meng-Si; Zhang, Hui-Ying; LIU, Jin-Song

    2014-01-01

    Chinese bulbuls (Pycnonotus sinensis) are small passerine birds that inhabit areas of central, southern and eastern China. Previous observations suggest that free-living individuals of this species may change their food intake in response to seasonal changes in ambient temperature. In the present study, we randomly assigned Chinese bulbuls to either a 30 ℃ or 10 ℃ group, and measured their body mass (BM), body temperature, gross energy intake (GEI), digestible energy intake (DEI), and the length and mass of their digestive tracts over 28 days of acclimation at these temperatures. As predicted, birds in the 30 ℃ group had lower body mass, GEI and DEI relative to those in the 10 ℃ group. The length and mass of the digestive tract was also lower in the 30 ℃ group and trends in these parameters were positively correlated with BM, GEI and DEI. These results suggest that Chinese bulbuls reduced their absolute energy demands at relatively high temperatures by decreasing their body mass, GEI and DEI, and digestive tract size. PMID:24470452

  8. 77 FR 60678 - Takes of Marine Mammals Incidental to Specified Activities; U.S. Navy Training and Testing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-04

    ... Environmental Impact Statement (DEIS) for HSTT was made available to the public on May 11, 2012 (77 FR 27743...) analyzing the effects on the human environment of implementing their preferred alternative (among others... Specified Activities; U.S. Navy Training and Testing Activities in the Hawaii-Southern California...

  9. Tapping the Power of Student Voice through Whole Language Practices

    ERIC Educational Resources Information Center

    Dudley-Marling, Curt; Paugh, Patricia

    2004-01-01

    This paper takes up the issue of student voice as part of a larger political and pedagogical project to create spaces in our schools for students' social, cultural, and individual identities, including their learning identities; that is, that all of the students in our nation's classrooms find that people who "look like them" are welcome (Dei et…

  10. 77 FR 24976 - Draft Environmental Impact Statement for the Proposed Spokane Tribe of Indians West Plains Casino...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-26

    ... Availability for the DEIS in the Federal Register on March 2, 2012 (77 FR 12873) and provided for the comment... refer to the March 2, 2012 Notice of Availability (77 FR 12873) for project details and instructions for... West Plains Casino and Mixed Use Project, City of Airway Heights, Spokane County, WA AGENCY: Bureau...

  11. 76 FR 62440 - Final Environmental Impact Statement for the Manzanita Band of Kumeyaay Indians Fee-to-Trust...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-07

    ... action in the Federal Register on March 6, 2008 (73 FR 12203). The BIA held a public scoping meeting on.... An NOA for the Draft EIS (DEIS) was published in the Federal Register on October 8, 2010 (75 FR 62417... Fee-to-Trust Transfer and Casino Project, Calexico, CA AGENCY: Bureau of Indian Affairs, Department...

  12. 76 FR 49785 - Notice of Intent To Prepare an Environmental Impact Statement for the Proposed Samish Indian...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-11

    ... Samish Indian Nation Fee-to-Trust Acquisition and Casino Project, Skagit County, WA AGENCY: Bureau of... Samish Indian Nation's (Tribe's) application for a proposed 11.41-acre fee-to-trust transfer and casino..., address and ``DEIS Scoping Comments, Samish Indian Nation Casino Project'' on the first page of...

  13. Iconicity and Productivity in Sign Language Discourse: An Analysis of Three LIS Discourse Registers

    ERIC Educational Resources Information Center

    Russo, Tommaso

    2004-01-01

    In this article the linguistic features of three Italian Sign Language (Lingua Italiana dei Segni, or LIS) registers are analyzed focusing on iconic phenomena. Previous treatments of iconicity and motivation in spoken and signed language are discussed. Iconicity is defined as a regular mapping between expressive form and meaning that can be active…

  14. The assassin bug genera Nagustoides and Stenolemus (Hemiptera: Heteroptera: Reduviidae) newly recorded from Japan.

    PubMed

    Ishikawa, Tadashi; Naka, Takeru

    2016-01-01

    Two assassin bug genera, Nagustoides Miller, 1954 of Harpactorinae and Stenolemus Signoret, 1858 of Emesinae (Hemiptera: Heteroptera: Reduviidae), are recorded from Japan for the first time, with the presence of the representative species N. lii Zhao, Cai & Ren, 2006 and S. alikakay Rédei & Tsai, 2010. Distribution ranges of the two species are revised by the present finding. PMID:27615956

  15. The gravitational problem of a single body within invariantive mechanics

    NASA Astrophysics Data System (ADS)

    Ionescu-Pallas, Nicolae I.; Sofonea, Liviu

    The authors discusse problems of main gravitational tests in the framework of the theory of Invariantive mechanics, formulated by Octav Onicescu (Springer Verlag, Berlin, 1978; Rendiconti d. Acad. naz. dei Lincei, vol.XXXYI, fasc. d, Avril 1984 (in coauthorship with Ionel Bucur)).

  16. 77 FR 30319 - Draft Environmental Impact Statement for General Management Plan, Fort Pulaski National Monument, GA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-22

    ... National Monument, GA AGENCY: National Park Service, Interior. ACTION: Notice of Availability of the Draft...) and Wilderness Study for Fort Pulaski National Monument (monument). Consistent with NPS laws, regulations, and policies and the purpose of the monument, the DEIS/GMP/Wilderness Study describes...

  17. 78 FR 39315 - Notice of Availability of the Draft Environmental Impact Statement and Notice of Public Workshops...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-01

    ... improve operational flexibility of the Sacramento-San Joaquin Delta watershed system by modifying the... Joaquin Delta. DATES: Submit written comments on the DEIS on or before September 30, 2013. Three public...-Delta Authorization Act. In addition, enlargement of Shasta Dam was identified in the...

  18. A literature review on self-care of chronic illness: definition, assessment and related outcomes.

    PubMed

    Ausili, Davide; Masotto, Matteo; Dall'Ora, Chiara; Salvini, Lorena; Di Mauro, Stefania

    2014-01-01

    INTRODUZIONE. L’assistenza alle persone con malattie croniche rappresenta una sfida per il benessere della popolazione e per la futura sostenibilità dei sistemi sanitari. La promozione del self-care è considerata un aspetto chiave dell’assistenza ai malati cronici. Lo scopo di questa revisione della letteratura è stato quello di esplorare: come il self-care nelle malattie croniche è stato definito dal punto di vista teorico; come il self-care può essere valutato nella pratica clinica e nella ricerca; quali associazioni esistono tra il livello di self-care e i risultati di salute dei pazienti con malattie croniche. RISULTATI. In letteratura si è riscontrata un’ampia gamma di definizioni e terminologie connesse con il self-care nelle malattie croniche. Sebbene nei diversi approcci siano stati identificati alcuni elementi comuni utili a spiegare il concetto di self-care, le variabili fisiche, cognitive, emotive e socioculturali sottese al self-care nelle malattie croniche risultano controverse e scarsamente definite. Un crescente numero di studi ha sviluppato o impiegato strumenti di valutazione del self-care validi ed affidabili per una specifica malattia cronica; tuttavia molti autori riportano la mancanza di utilizzo di strumenti di valutazione nella pratica clinica standard. Un numero limitato di studi ha mostrato delle correlazioni significative tra il self-care nelle malattie croniche e alcune misure di risultato come lo stato generale di salute, la qualità di vita e i costi dell’assistenza sanitaria. CONCLUSIONI. Favorire lo sviluppo del self-care è riconosciuto come un aspetto cruciale dell’assistenza ai malati cronici. Un’analisi più approfondita delle variabili e dei processi che influenzano il self-care potrebbe contribuire ad una più completa descrizione di questo fenomeno. La valutazione sistematica del self-care nella pratica clinica dei professionisti sanitari è fortemente raccomandata. Lo sviluppo di strumenti generali e non

  19. [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

  20. 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

  1. Surgical treatment of sporadic vestibular schwannoma in a series of 1006 patients.

    PubMed

    Zhang, Z; Nguyen, Y; De Seta, D; Russo, F Y; Rey, A; Kalamarides, M; Sterkers, O; Bernardeschi, D

    2016-09-06

    La gestione dello schwannoma vestibolare (SV) sporadico si è gradualmente evoluta negli ultimi decenni. Lo scopo di questo studio è di analizzare l’evoluzione negli esiti chirurgici dell’exeresi di queste lesioni, realizzata da un team neurotologico tra il 1990 e il 2006, attraverso differenti approcci. È stata eseguita una revisione retrospettica monocentrica dei dati clinici di 1006 pazienti. Al fine di valutare eventuali modifiche e progressi, il periodo di 17 anni è stato diviso in tre periodi, ciascuno comprendente rispettivamente 268 SV (1990- 1996), 299 SV (1997-2001), e 439 SV (2002-2006). Il follow-up medio è stato di 5,9 ± 2,4 anni. Complessivamente l’asportazione totale è stata ottenuta nel 99,4% dei casi. Il tasso di mortalità è stato dello 0,3%, la meningite e la perdita di liquido cefalo rachidiano (LCR) sono stati osservati nel 1,2% e il 9% dei casi, rispettivamente. La frequenza della perdita di LCR è diminuita dal 11,6% al 7,1% tra il primo e dell’ultimo periodo (p < 0,01) e la revisione chirurgica dal 3,4% al 0,9% (p < 0,05). Il nervo facciale è stato anatomicamente conservato nel 97,7% dei casi. Ad un anno, una buona funzione del nervo facciale è stata osservata nel 85,1% dei pazienti (I e II grado House- Brackmann), con una variazione tra il primo e l’ultimo periodo che andava dal 78,4% al 87,6% (p < 0,05). Ad un anno post-operatorio la conservazione dell’udito è stata ottenuta nel 61,6% dei pazienti, passando dal 50,9% del primo periodo, al 69,0% del periodo piú recente (p < 0,05) (classe A + B + C dalla classificazione AAO-HNS). L’udito utile (classe A + B) è stato conservato nel 33,5% dei casi complessivamente, con percentuali comprese tra il 21,8% e 42% nel primo e nell’ultimo periodo rispettivamente (p < 0,01). Gli esiti chirurgici dell’asportazion dello schwannoma vestibolare sporadico sono migliorati negli anni per quanto riguarda i risultati funzionali del nervo facciale, la conservazione dell’udito, le

  2. Evaluating upper versus lower crustal extension through structural reconstructions and subsidence analysis of basins adjacent to the D'Entrecasteaux Islands, eastern Papua New Guinea

    NASA Astrophysics Data System (ADS)

    Fitz, Guy; Mann, Paul

    2013-06-01

    The D'Entrecasteaux Island (DEI) gneiss domes are fault-bounded domes with ~2.5 km of relief exposing ultrahigh-pressure (UHP) and high-pressure (HP) metamorphic gneisses and migmatites exhumed in an Oligocene-Miocene arc-continent collision and subduction zone subject to late Miocene to recent continental extension. Multichannel seismic reflection data and well data show the Trobriand basin formed as a fore-arc basin caused by southward Miocene subduction at the Trobriand trench. Subduction slowed at ~8 Ma as the margin transitioned to an extensional tectonic environment. Since then, the Trobriand basin has subsided 1-2.5 km as a broad sag basin with few normal faults deforming the basin fill. South of the DEI, the Goodenough rift basin developed after extension began (~8 Ma) as the hanging wall of the north-dipping Owen-Stanley normal fault that bounds the basin's southern margin. The lack of upper crustal extension accompanying subsidence in the Trobriand and Goodenough basins suggests depth-dependent lithospheric extension since 8 Ma has accompanied uplift of the DEI gneiss domes. Structural reconstructions of seismic profiles show 2.3-13.4 km of basin extension in the upper crust, while syn-rift basin subsidence values indicate at least 20.7-23.6 km of extension occurred in the entire crust since ~8 Ma. Results indicating thinning is preferentially accommodated in the lower crust surrounding the DEI are used to constrain a schematic model of uplift of the DEI domes involving vertical exhumation of buoyant, postorogenic lower crust, far-field extension from slab rollback, and an inverted two-layer crustal density structure.

  3. Along-strike variations in extension from the Woodlark spreading center to mainland Papua New Guinea: New constraints from offshore seismic reflection and well data

    NASA Astrophysics Data System (ADS)

    Fitz, G. G.; Mann, P.; Horton, B. K.

    2010-12-01

    Guy Fitz, Paul Mann, and Brian Horton, Jackson School of Geosciences, University of Texas at Austin, Austin, TX The D’Entrecasteaux Islands (DEI) of eastern Papua New Guinea are composed of high-grade metamorphic domes located within continental crust at the tip of the westward propagating Woodlark spreading ridge. Estimates from Euler pole rotation calculations require ~220 km of extension over ~6 Ma to uplift the DEI domes, the youngest, most recently uplifted metamorphic core complexes on Earth. However, analysis of multi-channel seismic data collected by the RV Maurice Ewing in 1992 and industry seismic data collected in 1974 from offshore basins flanking the DEI domes provides a much lower estimate of 78 + 12 km of upper crust brittle extension in a north-south transect 120 km west of the Woodlark rift area. The WNW alignment of the DEI demarcates two areas of contrasting deformational and depositional histories. In the area of the Kiribisi and Trobriand basins north of the DEI, normal faults occupy a WNW-striking basin of likely forearc origin that rifted in the early Miocene and continued to rift sporadically until the early Pliocene when all normal faults were buried by ~650 m of undeformed Plio-Pleistocene sediments. In Goodenough Basin to the south, the Pleistocene section is thicker and deformed by more recently active, WNW-striking normal faults with seafloor scarps and high-angle dips. The asymmetry of the Goodenough Pleistocene clastic fill near the Owen-Stanley fault along the southern coastline of the bay indicates that most normal motion has now shifted to this fault forming the southern edge of the Goodenough Bay. These seismic data provide no evidence for the OSFZ to be a low-angle normal fault capable of accommodating additional extension. Measurements of upper crust brittle extension in the area are compared to basin stretching factors determined from subsidence analysis and crustal thinning derived from gravity inversion.

  4. [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.

  5. [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. PMID:27571559

  6. Predictive value of low tube voltage and dual-energy CT for successful shock wave lithotripsy: an in vitro study.

    PubMed

    Largo, Remo; Stolzmann, Paul; Fankhauser, Christian D; Poyet, Cédric; Wolfsgruber, Pirmin; Sulser, Tullio; Alkadhi, Hatem; Winklhofer, Sebastian

    2016-06-01

    This study investigates the capabilities of low tube voltage computed tomography (CT) and dual-energy CT (DECT) for predicting successful shock wave lithotripsy (SWL) of urinary stones in vitro. A total of 33 urinary calculi (six different chemical compositions; mean size 6 ± 3 mm) were scanned using a dual-source CT machine with single- (120 kVp) and dual-energy settings (80/150, 100/150 Sn kVp) resulting in six different datasets. The attenuation (Hounsfield Units) of calculi was measured on single-energy CT images and the dual-energy indices (DEIs) were calculated from DECT acquisitions. Calculi underwent SWL and the number of shock waves for successful disintegration was recorded. The prediction of required shock waves regarding stone attenuation/DEI was calculated using regression analysis (adjusted for stone size and composition) and the correlation between CT attenuation/DEI and the number of shock waves was assessed for all datasets. The median number of shock waves for successful stone disintegration was 72 (interquartile range 30-361). CT attenuation/DEI of stones was a significant, independent predictor (P < 0.01) for the number of required shock waves with the best prediction at 80 kVp (β estimate 0.576) (P < 0.05). Correlation coefficients between attenuation/DEI and the number of required shock waves ranged between ρ = 0.31 and 0.68 showing the best correlation at 80 kVp (P < 0.001). The attenuation of urinary stones at low tube voltage CT is the best predictor for successful stone disintegration, being independent of stone composition and size. DECT shows no added value for predicting the success of SWL.

  7. Oncoplastic breast-conserving surgery in breast cancer treatment Systematic review of the literature.

    PubMed

    Papanikolaou, Joannis G

    2016-01-01

    Il trattamento chirurgico del carcinoma della mammella ha subito profondi cambiamenti negli ultimi anni. Vari studi hanno dimostrato l’equivalenza in termini di risultati oncologici tra mastectomia e chirurgia conservativa della mammella seguita da radioterapia. La chirurgia conservativa della mammella offre nella maggior parte dei casi risultati favorevoli dal un punto di vista estetico. Ciononostante, in un 10-30% dei casi, i risultati estetici sono deludenti. In questi casi, la chirurgia oncoplastica della mammella che coniuga tecniche di chirurgia oncologica con quelle proprie della chirurgia plastica ha permesso di superare il conflitto tra estensione della resezione tumorale e risultato estetico finale. Varie tecniche di chirurgia oncoplastica sono state proposte e sono sempre più adottate per facilitare la conservazione e preservare l’estetica della mammella. Questa revisione sistematica si propone di valutare i risultati oncologici e cosmetici di chirurgia oncoplastica conservativa conservativa della mammella. Questo lavoro è stata condotto usando dei criteri ben definiti di inclusione ed esclusione, per gli articoli pubblicati fino al 31 luglio 2015. Un totale di 106 articoli sono stati identificati per potenziale inclusione ed esaminati in dettaglio. Dopo una selezione adeguata, 11 articoli hanno formato la base di questo lavoro. Questo studio è stato inizialmente progettato per identificare e poi revisionare dopo un processo di selezione rigoroso, gli articoli pubblicati con il più alto livello di evidenza su chirurgia oncoplastica della mammella. Revisioni sistematiche e metanalisi, non sono stati inclusi per ragioni metodologiche. I risultati di questo lavoro dimostrano che le ricadute locali adoperando la chirurgia oncoplastica non superano il 7%. Margini liberi sono stati recuperati nel 86% dei casi. Buoni risultati cosmetici sono stati ottenuti in 86% dei casi. Ciononostante, si deve riferire che la maggior parte degli studi pubblicati hanno

  8. 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.

  9. Influence of the body mass and visceral adiposity on glucose metabolism in obese women with Pro12Pro genotype in PPARgamma2 gene.

    PubMed

    Kaippert, Vanessa Chaia; Uehara, Sofia Kimi; D'Andrea, Carla Lima; Nogueira, Juliana; do Lago, Márcia Fófano; Cunha Oliveira dos Santos Lopes, Marcelly; Oliveira, Edna Maria Morais; Rosado, Eliane Lopes

    2013-01-01

    Introducción: El metabolismo de la glucosa puede estar alterado en la obesidad y el genotipo del gene PPAR 2 puede influir en este variable. Objetivo: Evaluar la influencia de la masa corporal (MC) y de la adiposidad visceral (AV) en el metabolismo de la glucosa en mujeres con obesidad de grado 3 con el genotipo Pro12Pro. Métodos: Se seleccionaron 25 mujeres con obesidad de grado 3. Se formaron grupos de acuerdo con el índice de masa corporal (IMC) [G1: 40-45 kg/m2 (n = 17), G2: > 45 kg/m2 (n = 8)]. Fueron hechas evaluaciones antropométricas, de la glucemia y de la insulinemia (en ayunas, 60 y 120 minutos después de la comida rica en ácidos grasos poliinsaturados). La resistencia a la insulina (RI) y sensibilidad a la insulina (SI) fueron evaluados por el HOMA-IR y QUICKI, respectivamente. Resultados: G2 tuvieron mayor índice de masa corporal y circunferencia de la cintura, en comparación con G1, peor glucemia en ayunas, baja SI y alta RI. La glucosa postprandial fue normal, pero hubo un pico de insulina más alto una hora después de la comida en G2. Conclusión: El aumento de la MC y de la AV se asociaron con peor metabolismo de la glucosa lo que sugiere diferencias metabólicas entre obesos de grado 3 con el genotipo Pro12Pro.

  10. [β-hydroxy-β-methylbutyrate as a dietary supplement (I): metabolism and toxicity].

    PubMed

    Manjarrez-Montes-de-Oca, Rafael; Torres-Vaca, Mateo; González-Gallego, Javier; Alvear-Ordenes, Ildefonso

    2014-11-27

    Introducción: El -hidroxi--metilbutirato (HMB) es un metabolito de la leucina producido a partir del ácido -cetoisocaproico. El HMB se utiliza como suplemento nutricional en el deporte desde 1997, atribuyéndosele una disminución de la proteólisis muscular. En los últimos años, se han descrito efectos positivos del HMB en diversas patologías, lo cual aumenta su probable utilidad para la mejora de la salud. Objetivos: Los objetivos de la presente revisión son: conocer el metabolismo del HMB, así como su absorción y excreción; estudiar la posible toxicidad del HMB; e identificar los mecanismos celulares y moleculares de acción del HMB cuando se utiliza como suplemento nutricional. Métodos: Se utilizaron las bases de datos Web of Science, Pubmed y SportDiscus para realizar la búsqueda de artículos. Los resultados se dividieron en dos partes; en este artículo se abordan el metabolismo y la posible toxicidad del HMB. Resultados: Diversos estudios relacionan al HMB con el metabolismo del colesterol en el músculo esquelético, probablemente reduciendo la proteólisis, a través del 3-hidroxi-3-metilglutaril-coenzima A, que se transforma a mevalonato, actuando como precursor en la síntesis de colesterol. Sin embargo, el HMB podría transformarse en beta-hidroxi-butirato a través del metabolismo del acetoacetato, por medio de la beta-hidroxibutirato dehidrogenasa. Por otra parte, la forma química más habitual en los suplementos nutricionales es la sal de calcio de HMB y la dosis más utilizada, de 3 g de HMB/día. Los estudios realizados en humanos y en animales muestran que no existen efectos adversos por el consumo de HMB. Conclusiones: Los efectos metabólicos y la ausencia de toxicidad del HMB lo hacen adecuado para su uso como suplemento nutricional.

  11. Changes on metabolic parameters induced by acute cannabinoid administration (CBD, THC) in a rat experimental model of nutritional vitamin A deficiency.

    PubMed

    El Amrani, Loubna; Porres, Jesús M; Merzouki, Abderrahmane; Louktibi, Abdelaziz; Aranda, Pilar; López-Jurado, María; Urbano, Gloria

    2013-01-01

    Introducción: La deficiencia en vitamina A está asociada a la malnutrición, malabsorción de este nutriente, metabolismo alterado de vitaminas por enfermedad hepática, o enfermedades crónicas debilitantes como VIH, cáncer o infección. La administración de cannabis ha sido descrita como una terapia eficaz en el tratamiento sintomático de determinadas manifestaciones de la deficiencia nutricional en vitamina A y de diversas enfermedades crónicas debilitantes. Objetivos: El objetivo de este trabajo era estudiar el efecto de la administración de tetrahidrocannabinol (THC) y cannabidiol (CBD) sobre las concentraciones plasmáticas y hepáticas de retinol y sobre parámetros bioquímicos relacionados con el metabolismo glucídico y lipídico (colesterolemia, trigliceridemia, glucemia) en un modelo experimental de rata deficiente en vitamina A. Métodos: El modelo experimental de deficiencia en vitamina A se desarrolló durante un periodo experimental de 50 días en los que las ratas consumieron una dieta libre en vitamina A. La administración de tetrahidrocannabinol (THC) (10 mg/kg peso corporal) y cannabidiol (CBD) (5 mg/kg peso corporal) se llevo a cabo por vía intraperitoneal 2 horas antes del sacrificio de los animales al final del periodo experimental. Resultados: La deficiencia nutricional en vitamina A causó un descenso significativo en el contenido plasmático y hepático de retinol y en parámetros bioquímicos de metabolismo glucídico, lipídico y mineral. La administración intraperitoneal aguda de tetrahidrocannabinol y cannabidiol no mejoró los índices de estado nutricional de vitamina A en ratas deficientes o control. Sin embargo, tuvo un efecto significativo sobre parámetros bioquímicos específicos como la glucemia, colesterolemia y trigliceridemia. Conclusión: Bajo nuestras condiciones experimentales, el efecto de la administración de cannabinoides sobre determinadas manifestaciones de la deficiencia en vitamina A parece estar

  12. Metabolism: The Physiological Power-Generating Process: A History of Methods to Test Human Beings' \\"Vital Capacity\\" [Retrospectroscope].

    PubMed

    Johnston, Richard; Valentinuzzi, Max E

    2016-01-01

    A previous "Retrospectroscope" note, published early in 2014, dealt with spirometry: it described many apparatuses used to measure the volume of inhaled and exhaled air that results from breathing [1]. Such machines, when adequately modified, are also able to measure the rate at which work is produced (specifically by an animal or a human being). Metabolism in that sense is the term used by physiologists and physicians, a word that in Greek, metabolismos, means "change" or "overthrow," in the sense of breaking down material, as in burning some stuff.

  13. Metabolism: The Physiological Power-Generating Process: A History of Methods to Test Human Beings' \\"Vital Capacity\\" [Retrospectroscope].

    PubMed

    Johnston, Richard; Valentinuzzi, Max E

    2016-01-01

    A previous "Retrospectroscope" note, published early in 2014, dealt with spirometry: it described many apparatuses used to measure the volume of inhaled and exhaled air that results from breathing [1]. Such machines, when adequately modified, are also able to measure the rate at which work is produced (specifically by an animal or a human being). Metabolism in that sense is the term used by physiologists and physicians, a word that in Greek, metabolismos, means "change" or "overthrow," in the sense of breaking down material, as in burning some stuff. PMID:27187542

  14. VII Workshop Italiano sulla fisica pp a LHC

    NASA Astrophysics Data System (ADS)

    LHCpp2016 è la settima edizione dell'incontro nazionale sulla fisica p-p a LHC. Questa serie di incontri è nata a Pisa nel 2003 con lo scopo di stimolare lo scambio di idee tra le comunità sperimentali di ATLAS, CMS e LHCB e la comunità teorica. Caratteristica fondamentale di questi incontri è la preparazione di larga parte dei talk in collaborazione tra i vari esperimenti e la comunità teorica. Largo spazio nella preparazione e presentazione dei talk viene dato ai giovani ricercatori. In questa settima edizione, che si tiene di nuovo a Pisa, vogliamo concentrare l'attenzione sulle potenzialità di scoperta offerte dai dati raccolti durante il runII di LHC.

  15. Dynamic electrochemical impedance spectroscopy reconstructed from continuous impedance measurement of single frequency during charging/discharging

    NASA Astrophysics Data System (ADS)

    Huang, Jun; Li, Zhe; Zhang, Jianbo

    2015-01-01

    In this study, a novel implementation of dynamic electrochemical impedance spectroscopy (DEIS) is proposed. The method first measures the impedance continuously at a single frequency during one charging/discharging cycle, then repeats the measurement at a number of other selected frequencies. The impedance spectrum at a specific SOC is obtained by interpolating and collecting the impedance at all of the selected frequencies. The charge transfer resistance, Rct, from the DEIS is smaller than that from the steady EIS in a wide state-of-charge (SOC) range from 0.4 to 1.0, the Rct during charging is generally smaller than that during discharging for the battery chemistry used in this study.

  16. Dynamic electrochemical impedance spectroscopy of Pt/C-based membrane-electrode assemblies subjected to cycling protocols

    NASA Astrophysics Data System (ADS)

    Darab, Mahdi; Dahlstrøm, Per Kristian; Thomassen, Magnus Skinlo; Seland, Frode; Sunde, Svein

    2013-11-01

    A PEM fuel cell membrane-electrode assembly (MEA) was characterized by dynamic electrochemical impedance spectroscopy (dEIS) before and after cycling in a single cell configuration. The cell was subjected to 100 cycles between 0.6 V and 1.5 V vs. RHE in N2/5% H2 and 80 °C and 100% RH. Initially, the impedance-plane plots contained first- and fourth-quadrant behavior, which is resulting from a reaction mechanism at the cathode involving adsorbed intermediates. After the cycling, the impedance spectra changed to display first-quadrant behavior only. This is suggested to be due to particle growth and possibly the formation of edges between agglomerated particles. The results show that dEIS is a sensitive technique to detect even very moderate changes in electrocatalyst structure.

  17. Proposed Tenaska Washington II Generation Project : Final Environmental Impact Statement. Volume 2: Public Involvement.

    SciTech Connect

    United States. Bonneville Power Administration.

    1994-01-01

    In regard to the proposed Tenaska Washington II Generation Project, the goal of the Bonneville Power Administration`s (BPA) Environmental Impact Statement (EIS) public involvement process is to determine the issues to be examined and pertinent analyses to be conducted and to solicit comments on the content and quality of information presented in the Draft Environmental Impact Statement (DEIS). Comments and questions are solicited from the public and government agencies during the scoping process and during the comment period and public hearing on the DEIS, to find out what is of most concern to them. The end product of the public involvement process is the Comment Report which follows in part of this volume on Public Involvement.

  18. DEIReconstructor: a software for diffraction enhanced imaging processing and tomography reconstruction

    NASA Astrophysics Data System (ADS)

    Zhang, Kai; Yuan, Qing-Xi; Huang, Wan-Xia; Zhu, Pei-Ping; Wu, Zi-Yu

    2014-10-01

    Diffraction enhanced imaging (DEI) has been widely applied in many fields, especially when imaging low-Z samples or when the difference in the attenuation coefficient between different regions in the sample is too small to be detected. Recent developments of this technique have presented a need for a new software package for data analysis. Here, the Diffraction Enhanced Image Reconstructor (DEIReconstructor), developed in Matlab, is presented. DEIReconstructor has a user-friendly graphical user interface and runs under any of the 32-bit or 64-bit Microsoft Windows operating systems including XP and Win7. Many of its features are integrated to support imaging preprocessing, extract absorption, refractive and scattering information of diffraction enhanced imaging and allow for parallel-beam tomography reconstruction for DEI-CT. Furthermore, many other useful functions are also implemented in order to simplify the data analysis and the presentation of results. The compiled software package is freely available.

  19. Surface Uplift and Disequilibrium Fluvial Geomorphology of Metamorphic Core Complexes in the D'Entrecasteaux Islands and Dayman-Suckling Massif, Papua New Guinea

    NASA Astrophysics Data System (ADS)

    Miller, S. R.; Baldwin, S. L.; Fitzgerald, P. G.

    2008-12-01

    Structural, thermobarometric, geochronological, and thermochronological evidence suggests that the D'Entrecasteaux Islands (DEI) and the Dayman-Suckling massif (DSM), in southeastern Papua New Guinea, are metamorphic core complexes, which have been exhumed from depths as great as 90 km over the past 2- -8 Ma, possibly because of microplate rotation. The dome-shaped DEI and DSM reach elevations of ~2500 m and ~3500 m, respectively, however little is known about their kinematic histories since their emergence above sea level in the Plio-Pleistocene. Detachment faults are commonly corrugated or dip- slope surfaces occurring in various states of dissection. The question of whether faults bounding the DEI domes are active today remains debated, yet has implications for what mechanisms have exhumed the core complexes as well as where and how active rifting in the Woodlark rift is accommodated. In order to provide a regional overview and direct future tectonic geomorphic studies, we conducted a stream profile analysis of the DEI and DSM using a 3-arc-second Shuttle Radar Topography Mission digital elevation model. Footwall stream profiles in the study area are characterized by large knickpoints across which stream gradients steepen downstream by a factor of 2. These knickpoints are not typically associated with mapped lithologic contacts or faults and occur in all lower plate lithologies. Therefore, we interpret the knickpoints as transients formed as the result of a Quaternary region-wide increase in rock uplift rate or a decrease in stream erodibility. Model profiles extrapolated from relict reaches above knickpoints project to former base levels 40- -1600 m above sea level, indicating similar amounts of incision and rock uplift. Although the timing of knickpoint initiation is not tightly constrained and may vary throughout the region, estimates of profile uplift measured this way correlate linearly with normalized stream steepness index (ksn) below knickpoints

  20. Deep burn of hand and forearm treated by abdominal wall flap. A case report.

    PubMed

    Chiummariello, Stefano; Del Torto, Giuseppe; Maffia, Romano; Pataia, Elisabetta; Alfano, Carmine

    2015-06-24

    Le ustioni della mano sono sempre state uno dei maggiori problemi per i chirurghi ricostruttori a causa della sua particolare anatomia e delle sue complesse funzioni. Una guarigione spontanea di lesioni profonde in queste aree può portare a risultati catastrofici: una copertura cutanea adeguata è fondamentale per tutte le funzioni. La copertura precoce dei tessuti molli residuanti è fondamentale al fine di evitare la formazione di contratture disabilitanti che con il tempo potrebbero determinare anchilosi articolare e retrazione tendinea. Escissione precoce e innesti cutanei rappresentano la terapia standard per le ustioni della mano; in alcuni casi quest’approccio è inapplicabile e, pertanto, il ricorso ai lembi diventa inevitabile. In questo articolo riportiamo un caso di ustione complessa del dorso della mano trattata in prima istanza con innesti cutanei e, quindi, con un lembo addominale, riuscendo ad ottenere un’ottima copertura ed un buon recupero delle funzioni.

  1. Four Arabidopsis AREB/ABF transcription factors function predominantly in gene expression downstream of SnRK2 kinases in abscisic acid signalling in response to osmotic stress

    PubMed Central

    YOSHIDA, TAKUYA; FUJITA, YASUNARI; MARUYAMA, KYONOSHIN; MOGAMI, JUNRO; TODAKA, DAISUKE; SHINOZAKI, KAZUO; YAMAGUCHI-SHINOZAKI, KAZUKO

    2015-01-01

    Under osmotic stress conditions such as drought and high salinity, the plant hormone abscisic acid (ABA) plays important roles in stress-responsive gene expression mainly through three bZIP transcription factors, AREB1/ABF2, AREB2/ABF4 and ABF3, which are activated by SNF1-related kinase 2s (SnRK2s) such as SRK2D/SnRK2.2, SRK2E/SnRK2.6 and SRK2I/SnRK2.3 (SRK2D/E/I). However, since the three AREB/ABFs are crucial, but not exclusive, for the SnRK2-mediated gene expression, transcriptional pathways governed by SRK2D/E/I are not fully understood. Here, we show that a bZIP transcription factor, ABF1, is a functional homolog of AREB1, AREB2 and ABF3 in ABA-dependent gene expression in Arabidopsis. Despite lower expression levels of ABF1 than those of the three AREB/ABFs, the areb1 areb2 abf3 abf1 mutant plants displayed increased sensitivity to drought and decreased sensitivity to ABA in primary root growth compared with the areb1 areb2 abf3 mutant. Genome-wide transcriptome analyses revealed that expression of downstream genes of SRK2D/E/I, which include many genes functioning in osmotic stress responses and tolerance such as transcription factors and LEA proteins, was mostly impaired in the quadruple mutant. Thus, these results indicate that the four AREB/ABFs are the predominant transcription factors downstream of SRK2D/E/I in ABA signalling in response to osmotic stress during vegetative growth. Abscisic acid (ABA) plays important roles in osmotic stress-responsive gene expression mainly through three bZIP transcription factors, AREB1, AREB2, and ABF3, which are activated by SnRK2s such as SRK2D, SRK2E, and SRK2I (SRK2D/E/I). However, transcription factors other than the three AREB/ABFs that function downstream of SRK2D/E/I remain obscure. Here, we report that ABF1 is a functional homolog of AREB1, AREB2, and ABF3 in ABA-dependent gene expression from a comparative analysis between the areb1 areb2 abf3 abf1 and areb1 areb2 abf3 mutants. Moreover, genome

  2. Spanish Summary (Nuevos meteoritos encountrados en lmilac)

    NASA Astrophysics Data System (ADS)

    1987-03-01

    Desde tiempos prehistoricos han sido coleccionadas piedras que caen dei cielo. Hasta hace poco eran la unica fuente para hacer estudios de laboratorio de la materia extragal, ktica, e incluso en nuestra era espacial, siguen siendo una valiosa fuente de investigacion de la temprana historia dei sistema solar. Se estima que como termine medio cada kilometro cuadrado de la superficie terrestre es golpeada cada millon de aiios por un meteorito con un pese superior a 500 gramos. La mayoria se pierden en los oceanos 0 caen en regiones con escasa poblacion. Como resultado, los museos en el munda reciben anualmente tan solo alrededor de 6 meteoritos cuya caida fuera atestiguada. Otros llegan por hallazgos casuales que en la mayoria de los casos son meteoritos que han cardo en tiempos prehistoricos.

  3. Nonoperative management for major blunt hepatic trauma. A case report.

    PubMed

    Mingoli, Andrea; Saracino, Andrea; Brachini, Gioia; Mariotta, Giovanni; Migliori, Emanuele; Silvestri, Vania

    2015-03-16

    Negli ultimi 20 anni il trattamento del trauma epatico chiuso si è modificato radicalmente passando da una gestione quasi costantemente chirurgica ad una non operativa in tutti i casi in cui non vi siano le condizioni di instabilità emodinamica o di variazione nella clinica del paziente traumatizzato. A tutt’oggi però non è raro osservare un approccio a tale condizione clinica seguendo criteri che la Medicina Basata sull’Evidenza dimostra essere superati. Presentiamo in questo lavoro il caso clinico di una donna di 34 anni che subiva un trauma diretto della regione postero-laterale dell’emitorace destro cadendo accidentalmente da una scala. Nonostante la gravità della lesione evidenziata dalla TC (IV grado secondo AAST Liver Injury Scale), si è optato per un trattamento non operativo data la condizione di stabilità emodinamica ottenuta con un primo bolo di cristalloidi. Una complicanza di tipo respiratorio ha complicato il quadro in terza giornata dal trauma richiedendo una toracentesi e dei cicli di ventilazione non invasiva. A 4 anni di distanza dal trauma la paziente sta bene e non lamenta disturbi. La letteratura mostra che il trattamento conservativo viene impiegato oggi in oltre l’85% dei traumi epatici, indipendentemente dall’entità della lesione. Il successo del trattamento conservativo varia nelle diverse casistiche dall’82% al 100% dei casi, e le sue complicanze, quando si verificano (14% dei traumi maggiori) possono spesso essere trattate con procedure di radiologia interventistica, evitando ancora l’intervento chirurgico. Oggi, in assenza di altre lesioni addominali che richiedano l’esplorazione chirurgica, l’indicazione al trattamento operativo è solo l’instabilità emodinamica del paziente che persiste o si ripresenta subito dopo un corretto trattamento rianimatorio iniziale.

  4. Images of the Rat bone, Vertebra and Test phantom Using Diffraction-Enhanced Imaging Technique with 20, 30 and 40 keV Synchrotron X-rays

    NASA Astrophysics Data System (ADS)

    Rao, Donepudi V.; Zhong, Zhong; Yuasa, Tetsuya; Akatsuka, Takao; Takeda, Tohoru; Tromba, Giuliana

    2007-01-01

    Images of rat bone of different age groups (8, 56 and 78 weeks), lumbar vertebra and calcium hydroxyapatite phantom are obtained utilizing the diffraction-enhanced imaging technique. Images obtained with DEI are of superior quality and this novel technique may be an excellent choice for better visualization of the microstructure and the embedded spongiosa. Our motivation is to develop the optimizing tomography with the use of the data obtained at multiple energies.

  5. Supplements to the release scenario analyses for the waste isolation pilot plant (WIPP)

    SciTech Connect

    Bingham, F. W.; Merritt, M. L.; Tierney, M. S.

    1980-01-01

    This paper summarizes three analyses of long-term environmental impacts of the WIPP that were made subsequent to the publication of the DEIS in response to agency and public comments. Three supplemental scenarios are described in which activity is transported to the biosphere by groundwater. The scenarios are entitled: brine pocket rupture scenario, effects of water on domestic wells; and agricultural use of the Pecos River Water.

  6. Nuclear Structure

    NASA Astrophysics Data System (ADS)

    Gargano, Angela

    2003-04-01

    An account of recent studies in the field of theoretical nuclear structure is reported. These studies concern essentially research activities performed under the Italian project "Fisica Teorica del Nucleo e dei Sistemi a Molti Corpi". Special attention is addressed to results obtained during the last two years as regards the development of new many-body techniques as well as the interpretation of new experimental aspects of nuclear structure.

  7. 78 FR 27956 - Fisheries of the Caribbean, Gulf of Mexico, and South Atlantic; Amendment 39 to the Fishery...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-13

    ...NMFS, Southeast Region, in collaboration with the Gulf of Mexico Fishery Management Council (Council) intends to prepare a DEIS to describe and analyze a range of alternatives for management actions to be included in Amendment 39 to the Fishery Management Plan (FMP) for the Reef Fish Resources of the Gulf of Mexico (Amendment 39). The purpose of this NOI is to inform the public of upcoming......

  8. Four Arabidopsis AREB/ABF transcription factors function predominantly in gene expression downstream of SnRK2 kinases in abscisic acid signalling in response to osmotic stress.

    PubMed

    Yoshida, Takuya; Fujita, Yasunari; Maruyama, Kyonoshin; Mogami, Junro; Todaka, Daisuke; Shinozaki, Kazuo; Yamaguchi-Shinozaki, Kazuko

    2015-01-01

    Under osmotic stress conditions such as drought and high salinity, the plant hormone abscisic acid (ABA) plays important roles in stress-responsive gene expression mainly through three bZIP transcription factors, AREB1/ABF2, AREB2/ABF4 and ABF3, which are activated by SNF1-related kinase 2s (SnRK2s) such as SRK2D/SnRK2.2, SRK2E/SnRK2.6 and SRK2I/SnRK2.3 (SRK2D/E/I). However, since the three AREB/ABFs are crucial, but not exclusive, for the SnRK2-mediated gene expression, transcriptional pathways governed by SRK2D/E/I are not fully understood. Here, we show that a bZIP transcription factor, ABF1, is a functional homolog of AREB1, AREB2 and ABF3 in ABA-dependent gene expression in Arabidopsis. Despite lower expression levels of ABF1 than those of the three AREB/ABFs, the areb1 areb2 abf3 abf1 mutant plants displayed increased sensitivity to drought and decreased sensitivity to ABA in primary root growth compared with the areb1 areb2 abf3 mutant. Genome-wide transcriptome analyses revealed that expression of downstream genes of SRK2D/E/I, which include many genes functioning in osmotic stress responses and tolerance such as transcription factors and LEA proteins, was mostly impaired in the quadruple mutant. Thus, these results indicate that the four AREB/ABFs are the predominant transcription factors downstream of SRK2D/E/I in ABA signalling in response to osmotic stress during vegetative growth.

  9. Metastases to oro-maxillo-facial region from distant sites: are they so rare? A single centre 8-years experience.

    PubMed

    Terenzi, Valentina; Cassoni, Andrea; Zadeh, Oriana Rajabtork; Raponi, Ingrid; Della Monaca, Marco; Bartoli, Davina; Battisti, Andrea; Valentini, Valentino

    2015-01-01

    Le metastasi nel distretto maxillo- facciale sono rare e rappresentano circa l’1% di tutte le neoplasie cervicofacciali. Nella maggioranza dei casi il tumore primitivo è già noto e risulta essere localizzato più frequentemente al polmone e alla mammella ma in circa il 30% dei casi le lesioni secondarie vengono individuate prima che sia stato diagnosticato il tumore primitivo. Abbiamo condotto uno studio retrospettivo raccogliendo 15 casi di metastasi a distanza a localizzazione cervico- facciale nel periodo compreso tra il 2004 e il 2012. I nostri risultati dimostrano che la mammella e il rene sono le sedi primarie più frequenti (40% e 20% rispettivamente) , il tipo istologico più rappresentato è l’adenocarcinoma (60%). L’interessamento dei tessuti duri è risultato essere più frequente rispetto ai tessuti molli (53,3%). La mandibola (5/15 casi) è risultato essere il segmento osseo più frequentemente affetto e la regione molare e retromolare mandibolari sono le sottosedi più spesso interessate. Abbiamo identificato un solo caso di metastasi da tumore primitivo occulto: si è trattato di una localizzazione secondaria a carico del mascellare inferiore a partire da un tumore renale a cellule chiare . In conclusione sulla base dei risultati ottenuti e considerando l’aumento dell’aspettativa di vita nei pazienti oncologici, nonostante le metastasi localizzate nel distretto oromaxillo- facciale siano rare, è importante sospettare ,o quantomeno non escludere aprioristicamente, lesioni secondarie sia nei pazienti con anamnesi positiva per patologia neoplastica, sia nei i pazienti che presentano una lesione cervico facciale.

  10. Percutaneous ultrasound-guided treatment of shoulder tendon calcifications: Clinical and radiological follow-up at 6 months().

    PubMed

    De Conti, G; Marchioro, U; Dorigo, A; Boscolo, N; Vio, S; Trevisan, M; Meneghini, A; Baldo, V; Angelini, F

    2010-12-01

    Sommario INTRODUZIONE: La tendinopatia calcifica di spalla è una condizione relativamente frequente caratterizzata, quando sintomatica, da dolore cronico e da fasi di dolore acuto molto intenso. MATERIALI E METODI: Da ottobre 2006 a marzo 2008 abbiamo trattato 126 spalle di 125 pazienti consecutivi. Tutti hanno eseguito Rx ed ecografia prima del trattamento ed il test di Constant prima del trattamento e a 6 mesi di distanza. 55 pazienti su 123 (42%) sono stati trattati due o più volte con infiltrazione intrabursale di corticosteroide. Tre pazienti hanno rifiutato altri trattamenti dopo il primo. Sono stati quindi raccolti i dati complessivamente di 123 spalle. È stata eseguita RM di controllo a sei mesi. RISULTATI: Incremento del Constant Score dopo la procedura in tutti i pazienti trattati una sola volta ed in quasi tutti i pazienti trattati due volte; i pazienti sono stati divisi in due classi, rispettivamente trattati una o due (o più) volte. In ciascuna delle due classi c’è stato un significativo incremento (p < 0,0001)delle medie dei Cs pre e post trattamento; nella classe dei pazienti trattati due volte significatività statistica (p < 0,0001) tra le medie dei Cs rispettivamente prima del trattamento iniziale e dopo il primo trattamento, e tra la media Cs di quest’ultimo e quella dopo 6 mesi dal primo trattamento. Il Cs dopo il trattamento è significativamente diverso nei pazienti con impingement (p < 0,001). CONCLUSION: Incremento del Cs, in più del 95% dei pazienti. Non lesioni tendinee ai controlli ecografici/RM. L’impingement è risultato un fattore di rischio per il risultato finale.

  11. Multiple-Image Radiography for Human Soft Tissue

    SciTech Connect

    Muehleman,C.; Li, J.; Zhong, Z.; Brankov, J.; Wernick, M.

    2006-01-01

    Conventional radiography only provides a measure of the X-ray attenuation caused by an object; thus, it is insensitive to other inherent informative effects, such as refraction. Furthermore, conventional radiographs are degraded by X-ray scatter that can obscure important details of the object being imaged. The novel X-ray technology diffraction-enhanced imaging (DEI) has recently allowed the visualization of nearly scatter-free images displaying both attenuation and refraction properties. A new method termed multiple-image radiography (MIR) is a significant improvement over DEI, corrects errors in DEI, is more robust to noise and produces an additional image that is entirely new to medical imaging. This new image, which portrays ultra-small-angle X-ray scattering (USAXS) conveys the presence of microstructure in the object, thus differentiating homogeneous tissues from tissues that are irregular on a scale of micrometers. The aim of this study was to examine the use of MIR for evaluation of soft tissue, and in particular to conduct a preliminary investigation of the USAXS image, which has not previously been used in tissue imaging.

  12. Cosine fitting radiography and computed tomography

    NASA Astrophysics Data System (ADS)

    Li, Pan-Yun; Zhang, Kai; Huang, Wan-Xia; Yuan, Qing-Xi; Wang, Yan; Ju, Zai-Qiang; Wu, Zi-Yu; Zhu, Pei-Ping

    2015-06-01

    A new method in diffraction-enhanced imaging computed tomography (DEI-CT) that follows the idea developed by Chapman et al. [Chapman D, Thomlinson W, Johnston R E, Washburn D, Pisano E, Gmur N, Zhong Z, Menk R, Arfelli F and Sayers D 1997 Phys. Med. Biol. 42 2015] in 1997 is proposed in this paper. Merged with a “reverse projections” algorithm, only two sets of projection datasets at two defined orientations of the analyzer crystal are needed to reconstruct the linear absorption coefficient, the decrement of the real part of the refractive index and the linear scattering coefficient of the sample. Not only does this method reduce the delivered dose to the sample without degrading the image quality, but, compared with the existing DEI-CT approaches, it simplifies data-acquisition procedures. Experimental results confirm the reliability of this new method for DEI-CT applications. Project supported by the National Basic Research Program of China (Grant No. 2012CB825800), the National Natural Science Foundation of China (Grant Nos. 11205189, 11375225, and U1332109), the Knowledge Innovation Program of the Chinese Academy of Sciences (Grant Nos. KJCX2-YW-N42, Y4545320Y2, and 542014IHEPZZBS50659).

  13. Short photoperiod increases energy intake, metabolic thermogenesis and organ mass in silky starlings Sturnus sericeus

    PubMed Central

    WANG, Jia-Qi; WANG, Jia-Jia; WU, Xu-Jian; ZHENG, Wei-Hong; LIU, Jin-Song

    2016-01-01

    Environmental cues play important roles in the regulation of an animal’s physiology and behavior. One such cue, photoperiod, plays an important role in the seasonal acclimatization of birds. It has been demonstrated that an animal’s body mass, basal metabolic rate (BMR), and energy intake, are all affected by photoperiod. The present study was designed to examine photoperiod induced changes in the body mass, metabolism and metabolic organs of the silky starling, Sturnus sericeus. Captive silky starlings increased their body mass and BMR during four weeks of acclimation to a short photoperiod. Birds acclimated to a short photoperiod also increased the mass of certain organs (liver, gizzard and small intestine), and both gross energy intake (GEI) and digestible energy intake (DEI), relative to those acclimated to a long photoperiod. Furthermore, BMR was positively correlated with body mass, liver mass, GEI and DEI. These results suggest that silky starlings increase metabolic thermogenesis when exposed to a short photoperiod by increasing their body and metabolic organ mass, and their GEI and DEI. These findings support the hypothesis that bird species from temperate climates typically display high phenotypic flexibility in thermogenic capacity. PMID:27029864

  14. Compression and fast retrieval of SNP data

    PubMed Central

    Sambo, Francesco; Di Camillo, Barbara; Toffolo, Gianna; Cobelli, Claudio

    2014-01-01

    Motivation: The increasing interest in rare genetic variants and epistatic genetic effects on complex phenotypic traits is currently pushing genome-wide association study design towards datasets of increasing size, both in the number of studied subjects and in the number of genotyped single nucleotide polymorphisms (SNPs). This, in turn, is leading to a compelling need for new methods for compression and fast retrieval of SNP data. Results: We present a novel algorithm and file format for compressing and retrieving SNP data, specifically designed for large-scale association studies. Our algorithm is based on two main ideas: (i) compress linkage disequilibrium blocks in terms of differences with a reference SNP and (ii) compress reference SNPs exploiting information on their call rate and minor allele frequency. Tested on two SNP datasets and compared with several state-of-the-art software tools, our compression algorithm is shown to be competitive in terms of compression rate and to outperform all tools in terms of time to load compressed data. Availability and implementation: Our compression and decompression algorithms are implemented in a C++ library, are released under the GNU General Public License and are freely downloadable from http://www.dei.unipd.it/~sambofra/snpack.html. Contact: sambofra@dei.unipd.it or cobelli@dei.unipd.it. PMID:25064564

  15. Comparison of analyzer-based imaging computed tomography extraction algorithms and application to bone-cartilage imaging.

    PubMed

    Diemoz, Paul C; Bravin, Alberto; Glaser, Christian; Coan, Paola

    2010-12-21

    In x-ray phase-contrast analyzer-based imaging, the contrast is provided by a combination of absorption, refraction and scattering effects. Several extraction algorithms, which attempt to separate and quantify these different physical contributions, have been proposed and applied. In a previous work, we presented a quantitative comparison of five among the most well-known extraction algorithms based on the geometrical optics approximation applied to planar images: diffraction-enhanced imaging (DEI), extended diffraction-enhanced imaging (E-DEI), generalized diffraction-enhanced imaging (G-DEI), multiple-image radiography (MIR) and Gaussian curve fitting (GCF). In this paper, we compare these algorithms in the case of the computed tomography (CT) modality. The extraction algorithms are applied to analyzer-based CT images of both plastic phantoms and biological samples (cartilage-on-bone cylinders). Absorption, refraction and scattering signals are derived. Results obtained with the different algorithms may vary greatly, especially in the case of large refraction angles. We show that ABI-CT extraction algorithms can provide an excellent tool to enhance the visualization of cartilage internal structures, which may find applications in a clinical context. Besides, by using the refraction images, the refractive index decrements for both the cartilage matrix and the cartilage cells have been estimated. PMID:21113091

  16. Condensed Phase Membrane Introduction Mass Spectrometry with Direct Electron Ionization: On-line Measurement of PAHs in Complex Aqueous Samples

    NASA Astrophysics Data System (ADS)

    Termopoli, Veronica; Famiglini, Giorgio; Palma, Pierangela; Cappiello, Achille; Vandergrift, Gregory W.; Krogh, Erik T.; Gill, Chris G.

    2016-02-01

    Polycyclic aromatic hydrocarbons (PAHs) are USEPA regulated priority pollutants. Their low aqueous solubility requires very sensitive analytical methods for their detection, typically involving preconcentration steps. Presented is the first demonstrated `proof of concept' use of condensed phase membrane introduction mass spectrometry (CP-MIMS) coupled with direct liquid electron ionization (DEI) for the direct, on-line measurement of PAHs in aqueous samples. DEI is very well suited for the ionization of PAHs and other nonpolar compounds, and is not significantly influenced by the co-elution of matrix components. Linear calibration data for low ppb levels of aqueous naphthalene, anthracene, and pyrene is demonstrated, with measured detection limits of 4 ppb. Analytical response times (t10%-90% signal rise) ranged from 2.8 min for naphthalene to 4.7 min for pyrene. Both intra- and interday reproducibility has been assessed (<3% and 5% RSD, respectively). Direct measurements of ppb level PAHs spiked in a variety of real, complex environmental sample matrices is examined, including natural waters, sea waters, and a hydrocarbon extraction production waste water sample. For these spiked, complex samples, direct PAH measurement by CP-MIMS-DEI yielded minimal signal suppression from sample matrix effects (81%-104%). We demonstrate the use of this analytical approach to directly monitor real-time changes in aqueous PAH concentrations with potential applications for continuous on-line monitoring strategies and binding/adsorption studies in heterogeneous samples.

  17. Short photoperiod increases energy intake, metabolic thermogenesis and organ mass in silky starlings Sturnus sericeus.

    PubMed

    Wang, Jia-Qi; Wang, Jia-Jia; Wu, Xu-Jian; Zheng, Wei-Hong; Liu, Jin-Song

    2016-03-18

    Environmental cues play important roles in the regulation of an animal's physiology and behavior. One such cue, photoperiod, plays an important role in the seasonal acclimatization of birds. It has been demonstrated that an animal's body mass, basal metabolic rate (BMR), and energy intake, are all affected by photoperiod. The present study was designed to examine photoperiod induced changes in the body mass, metabolism and metabolic organs of the silky starling, Sturnus sericeus. Captive silky starlings increased their body mass and BMR during four weeks of acclimation to a short photoperiod. Birds acclimated to a short photoperiod also increased the mass of certain organs (liver, gizzard and small intestine), and both gross energy intake (GEI) and digestible energy intake (DEI), relative to those acclimated to a long photoperiod. Furthermore, BMR was positively correlated with body mass, liver mass, GEI and DEI. These results suggest that silky starlings increase metabolic thermogenesis when exposed to a short photoperiod by increasing their body and metabolic organ mass, and their GEI and DEI. These findings support the hypothesis that bird species from temperate climates typically display high phenotypic flexibility in thermogenic capacity. PMID:27029864

  18. Effects of cold therapy in the treatment of mandibular angle fractures: hilotherm system vs ice bag.

    PubMed

    Barca, Ida; Colangeli, Walter; Cristofaro, Maria Giulia; Giudice, Amerigo; Giofrè, Elio; Varano, Anna; Giudice, Mario

    2016-06-18

    La crioterapia dopo interventi di chirurgia maxillo-facciale è una metodica comunemente utilizzata sia a fini analgesici che di riduzione dell’edema e dell’ecchimosi dei tessuti molli. Hilotherapy è costituito da un’unità mobile elettrica refrigerante dotata di un termostato digitale regolabile e da un circuito chiuso di acqua distillata refrigerata che scorre all’interno di collettori e di maschere in gomma specificatamente conformate per i distretti anatomici del massiccio facciale. Abbiamo selezionato 40 pz affetti da frattura unifocale di angolo mandibolare e suddivisi in 2 gruppi, crioterapia con ice-bag (gruppo A) e Hiloterapy System (Gruppo B); entrambi sottoposti a medesimo trattamento farmacologico di base (antibiotico-antiedemigeno-antidolorifico). L’analisi dei dati ha dimostrato come l’utilizzo dell’Hiloterapy System nel post-operatorio per 48 ore a temperatura modulata ha garantito un più rapido decremento dell’edema dei tessuti molli e un miglior controllo del dolore, con conseguente minor richiesta di farmaci anti-infiammatori ed anti-dolorifici, rispetto al gruppo A.

  19. [Metabolism of N-acetyl-L-aspartate: its diagnostic and prognostic value].

    PubMed

    Martinez, Manuel A; Florenzano, Néstor V; Macchia, Esteban A

    2016-04-16

    Objetivos. Analizar la implicacion clinica del aminoacido N-acetil-L-aspartato (NAA) y el peptido N-acetil-aspartil-glutamato (NAAG) en relacion con su valoracion diagnostica y pronostica mediante espectroscopia de resonancia magnetica. Realizar una revision del metabolismo del NAA y del NAAG, considerando su estructura quimica y fisiologia, en relacion con las variaciones de su concentracion y en correlacion con la clinica. Desarrollo. La revision se divide en dos partes: en una se comprobo que el unico sitio de sintesis del NAA es la mitocondria neuronal, y del NAAG, el citoplasma neuronal; la segunda parte aborda las tecnicas de resonancia magnetica y, particularmente, la espectroscopia. Se analizan diversas patologias en busca de criterios que posibiliten obtener pautas diagnosticas y pronosticas. Conclusiones. El estudio del aminoacido mas abundante del sistema nervioso central (NAA) junto con un producto de su metabolismo, el NAAG, permite en patologias de diversos origenes su diagnostico y seguimiento y facilita la obtencion de datos de densidad de la poblacion celular y vitalidad de esta, de manera que se accede, ademas, al estado funcional de las sinapsis.

  20. Tools For Interactive Learning And Self-Management Of Diabetes

    NASA Astrophysics Data System (ADS)

    Capelo, Rita; Baptista, Carla; Figueiredo, Júlia; Carrilho, Francisco; Furtado, Pedro

    2015-05-01

    Diabetes is a widespread disease and its control is dependent upon the patient. Although there is no permanent cure for diabetes, there are several available treatments which, when followed regularly, allow the patient to have a good quality of life. Patient education, especially about eating habits, is key to keep glucose levels stable both in the short and in the long term. This should include nutritional counselling, physical exercise, and the self monitoring of glucose levels. The University of Coimbra and the Serviço de Endocrinologia, Diabetes e Metabolismo of Centro Hospitalar e Universitário de Coimbra started a collaboration to develop interactive tools for the learning and improvement of carbohydrate counting by patients. The approach presented in this paper is an interactive multimedia tool, available to patients through either the web or a smartphone. It helps them to learn how to maintain a healthy diet and how to monitor their insulin levels correctly by measuring the carbo-hidrate “equivalents” in meals. This application will create a more dynamic and interactive way of educating patients, improving solutions currently used in the Serviço de Endocrinologia, Diabetes e Metabolismo of the Centro Hospitalar e Universitário de Coimbra.

  1. 5-Methylchrysene metabolism in mouse epidermis in vivo, diol epoxide--DNA adduct persistence, and diol epoxide reactivity with DNA as potential factors influencing the predominance of 5-methylchrysene-1,2-diol-3,4-epoxide--DNA adducts in mouse epidermis

    SciTech Connect

    Melikian, A.A.; LaVoie, E.J.; Hecht, S.S.; Hoffmann, D.

    1983-01-01

    5-Methylchrysene (5-MeC) can form two bay region dihydrodiol epoxides: 1,2-dihydroxy-3,4-epoxy-1,2,3,4-tetrahydro-5-methylchrysene (DE-I) which has the methyl group and the epoxide ring in the same bay region, and 7,8-dihydroxy-9,10-epoxy-7,8,10-tetrahydro-5-methylchrysene (DE-II). In a previous study, we observed that the ratio of DE-I:DNA adducts to DE-II:DNA adducts in mouse epidermis, 24 h after application of (/sup 3/H)5-MeC metabolites was 2.7 to 1. To investigate the basis for this observation we have now studies: (i) the formation of (/sup 3/H)5-MeC in mouse epidermis in vivo at various time intervals from 0.33 to 24 h; (ii) the persistence of DE-I:DNA adducts and DE-II:DNA adducts in mouse epidermis at 4-48 h after application of (/sup 3/H)5-MeC; and (iii) the reactions of DE-I and DE-II with calf thymus DNA in vitro. In contrast to results obtained with mouse liver 9000 grams supernatant, the dihydrodiol precursors of DE-I and DE-II were present in equivalent quantities in mouse epidermis in vivo at every time point studied. The ratio of DE-I:DNA adducts to DE-II:DNA adducts in mouse epidermis was constant throughout the time period studied. However, the extent of formation of DE-I:DNA adducts was greater than that of DE-II:DNA adducts upon reaction of DE-I or DE-II with calf thymus DNA in vitro. These results suggest that differences in reactivity with DNA of DE-I and DE-II may bw responsible for the higher levels in mouse epidermis of DE-I:DNA adducts compared with DE-II:DNA adducts and provide a possible basis for the observed enhancing effect of a bay region methyl group on the carcinogenicity of polynuclear aromatic hydrocarbons.

  2. Surface wave tomography of D'Entrecasteaux Islands, Papua New Guinea, implication of mantle control on localization of extension and exhumation

    NASA Astrophysics Data System (ADS)

    Jin, G.; Gaherty, J. B.; Abers, G. A.; Kim, Y.; Eilon, Z.; Buck, W. R.; Verave, R.

    2013-12-01

    The Woodlark rift system is propagating westward into the Australian plate near Papua New Guinea. The current tip is located east of the D'Entrecasteaux Islands (DEI), where very young ultra-high pressure rocks found within metamorphic core complexes suggest rapid exhumation from ~100km depth in < 8 Ma, at rates comparable to extension rates. From March 2010 to July 2011, 31 on-shore and 8 off-shore broadband seismic stations were deployed across the D'Entrecasteaux Islands region to explore the dynamic processes driving the extension and exhumation. We retrieved multi-band (10s - 80s) Rayleigh-wave phase velocity information from both ambient noise and earthquake signals, and estimated the crustal thickness variation using receiver functions (Ps conversion) and the virtual deep seismic sounding method (SsPmp multiple). These observations were inverted for 3D models of crust and mantle shear velocity structure and Moho topography. The Moho topography suggests localized crustal thinning beneath the core complexes on the DEI, relative to the Papuan peninsula to the east and south. The accompanying upper-mantle velocity structure exhibits a slow anomaly (>5%) at shallow depth (Moho to 60km) west of the region of recent extension and exhumation (DEI), while underneath the DEI, the slow anomaly appears to be much deeper (>60km). The shallow low-velocity body in the west roughly parallels both the Trobriand Trench and the Mesozoic-era Australia-Pacific collision zone, and also lies between the current rift tip and the dominant Euler pole (6-0.5Ma) of Woodlark-Australia plate rotation. It may reflect relatively high mantle temperatures beneath the modern (<10Ma) volcanic system that includes Mt. Victory and Mt. Lamington, both of which erupted during the last century. This existing volcanic system may produce a weak zone that helps to localize the extension. As a result, the westward propagation of the Woodlark rift follows and tears apart this volcanic system, and the

  3. 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

  4. Management of blunt splenic injuries Retrospective cohort study of early experiences in an Acute Care Surgery Service recently established.

    PubMed

    Occhionorelli, Savino; Morganti, Lucia; Andreotti, Dario; Cappellari, Lorenzo; Stano, Rocco; Portinari, Mattia; Vasquez, Giorgio

    2015-01-01

    Il trattamento conservativo dei trauma splenici è ormai il “gold standard” per i bassi gradi di lesione splenica (III grado), mentre è ancora dibattuta la gestione dei traumi splenici severi (IV-V grado). Controversa rimane la gestione dei traumi splenici di III grado, che potrebbero beneficiare del trattamento conservativo, associato o meno ad angioembolizzazione dell’arteria splenica, in centri specializzati ed idonei alla gestione conservativa dei traumi degli organi parenchimatosi. Le ultime linee guida pubblicate dalla “Eastern Association of Surgery of Trauma” risalgono al 2012 e provvedono a dare solo delle raccomandazioni di livello II-III sulla gestioni dei traumi splenici. Il fattore che maggiormente influenza il successo del trattamento conservativo è la selezione dei pazienti che potrebbero beneficiare di tale gestione. Alla luce di ciò, l’obiettivo primario del nostro studio è di identificare i pazienti con lesioni spleniche post-traumatiche, che dovrebbero essere sottoposti a trattamento conservativo; l’obiettivo secondario è di confrontare il decorso clinico e la durata della degenza nei pazienti trattati conservativamente e in quelli sottoposti a splenectomia. Tutti i pazienti con trauma splenico, ricoverati presso l’U.O. di Chirurgia d’Urgenza dell’Azienda Ospedaliera- Universitaria Sant’Anna, Ferrara (Italia) tra Novembre 2010 (anno in cui è stata istituita l’U.O.) e Dicembre 2014, sono stati inclusi nello studio, per un totale di 54 pazienti. Di questi 54 pazienti, 29 (53.7%) sono stati immediatamente sottoposti ad intervento chirurgico di laparotomia esplorativa e splenectomia, mentre 25 (46.3%) sono stati sottoposti a trattamento conservativo. I pazienti sottoposti ad angioembolizzazione sono stati 9 su 25 (36%). Sono stati raccolti dati epidemiologici, dati riguardanti il decorso clinico e le indagini laboratoristiche e radiologiche a cui i pazienti sono stati sottoposti al momento dell’accesso in Pronto

  5. Metabolic disorders of liver and iron in diabetic and non-diabetic patients BMI < 35 or > 35 before gastric bypass.

    PubMed

    Garcíacaballero, Manuel; Reyes-Ortiz, Alexander; Martínez-Moreno, José Manuel; Toval-Mata, José Antonio

    2014-05-01

    Introducción: La presencia de anormalidades en las vías metabólicas del hierro y el funcionamiento del hígado pueden producir resistencia a la insulina o síndrome metabólico. Por lo tanto, es importante examinar esas alteraciones que pueden conducir al desarrollo de enfermedades. El estado nutricional es otro factor importante que está íntimamente ligada a la diabetes y la obesidad. Pacientes y métodos: Se estudiaron 131 pacientes (78 pacientes no diabéticos y 53 diabéticos), 37 pacientes IMC ≤35 (3 IMC < 25, 18 IMC 25-29,9, 16 IMC 30-34,9) y 94 pacientes IMC ≥35 (81 IMC 35-49,9 y 13 de IMC ≥50). Los sujetos fueron sometidos a estudios de laboratorio relacionadas con el funcionamiento del hígado y el metabolismo del hierro. Se determinó también el estado nutricional en nuestros pacientes. Resultados: El hierro estuvo alterado en 14% de los pacientes IMC >35 y los diabéticos alcanzaron 3% a 25%. La vitamina B12 fue baja en 4% de los no diabéticos IMC > 35, y alta en el 6% de los diabéticos IMC < 35. El 6% de los diabéticos IMC < 35 tenía hiperbilirrubinemia. Las transaminasas estuvieron elevadas en pacientes IMC > 35, pero exacerbados en los diabéticos. GGT se eleva del 41% al 47% en BMI > 35. ALP estuvo elevada en el 25% de los diabéticos. Las proteínas séricas totales y la albúmina estuvieron alterados en los diabéticos causando desnutrición leve. 90% de los pacientes tenían una nutrición normal y 10% desnutrición leve. Conclusiones: El metabolismo hepático y del hierro están estrechamente relacionadas con el inicio de la obesidad y la diabetes. Si hay un aumento de peso, los riesgos metabólicos acumulados se elevan. La presencia de la diabesidad y el aumento de la duración de la diabetes empeoran el metabolismo. El estado nutricional se altera en la obesidad, pero es peor con la adición de la diabetes.

  6. High-oleic peanuts increase diet-induced thermogenesis in overweight and obese men.

    PubMed

    Duarte Moreira Alves, Raquel; Boroni Moreira, Ana Paula; Silva Macedo, Viviane; Brunoro Costa, Neuza Maria; Gonçalves Alfenas, Rita de Cássia; Bressan, Josefina

    2014-05-01

    Antecedentes: Las pruebas sugieren que el consumo de frutos secos puede mejorar el metabolismo energético. Propósito: Este estudio tenía por finalidad comparar los efectos de la ingesta aguda de cacahuetes con alto contenido en oleico y cacahuetes convencionales sobre el apetito, el consumo de alimentos y el metabolismo energético in hombres con sobrepeso y obesos. Métodos: Se distribuyó a 71 individuos (29,8 ± 2,4 kg/m2) a los grupos: control (CT, n = 24); cacahuetes convencionales (CVP, n = 23); cacahuetes con alto contenido en oleico (HOP, n = 24). Los individuos consumieron 56 g de cacahuetes (CVP y HOP) o control (CT) tras un ayuno nocturno. Posteriormente, se evaluó el metabolismo energético a lo largo de 200 minutes, durante los cuales se analizaron la termogénesis inducida por la dieta (TID) y la oxidación de sustratos. La sensación de apetito se registró durante 3 horas. Se realizaron los análisis estadísticos con el programa SAS considerando un nivel de significación del 5%. Resultados: El consumo de energía posprandial y la TID fueron significativamente superiores en el HOP que el CVP. La oxidación de sustratos no difirió entre los grupos. Sólo el HOP presentó una puntuación por debajo de 100, lo que indicaba una compensación incompleta. El CT y el CVP mostraron una compensación calórica completa (puntuaciones > 100). Con respecto a la sensación de apetito, el grupo CVP se mostró menos “lleno” que los grupos HOP y CT. A las 3 horas, la puntuación de saciedad del CVP volvió a la situación basal, mientras que en los grupos HOP y CT permanecía significativamente superior. Las puntuaciones de hambre volvieron a la situación basal in los grupos CVP y CT y se mantuvieron significativamente por debajo a las del grupo HOP. Conclusión: Los cacahuetes con alto contenido en oleico contribuyen a una mayor TID, mayor sensación de plenitud y una compensation incompleta del consumo de energía en comparación con los cacahuetes

  7. NOVEL INSIGHTS ON INTAKE OF MEAT AND PREVENTION OF SARCOPENIA: ALL REASONS FOR AN ADEQUATE CONSUMPTION.

    PubMed

    Rondanelli, Mariangela; Perna, Simone; Faliva, Milena Anna; Peroni, Gabriella; Infantino, Vittoria; Pozzi, Raffaella

    2015-11-01

    Introducción: la sarcopenia se define como un síndrome caracterizado por la pérdida progresiva y generalizada de la masa muscular y de la fuerza. La principal causa de la sarcopenia es la alteración del metabolismo de las proteínas, en la que los procesos proteolíticos no van acompañados de una síntesis de proteínas y células musculares adecuadas, con lo que se pierde progresivamente la sensibilidad al estímulo anabólico. El enfoque más racional para retrasar la progresión de la sarcopenia y contrarrestar la resistencia anabólica es una nutrición adecuada. La carne contiene compuestos biológicamente activos, tales como creatina, carnitina y ácido linoleico conjugado (CLA) que tienen impactos significativos sobre el metabolismo de la proteína humana. Métodos: se realizó una revisión de la literatura narrativa para evaluar la evidencia hasta ahora, en relación con: 1. ingesta adecuada de carne en ancianos como prevención de la sarcopenia; 2. la ingesta correcta de compuestos biológicamente activos que contiene la carne, que tienen impactos significativos sobre el metabolismo de la proteína humana y para así obtener efectos beneficiosos en la prevención de la sarcopenia. Esta revisión incluyó 62 estudios elegibles. Resultados: los resultados demostraron que en personas de edad avanzada la terapia óptima con dieta para la prevención y tratamiento de la sarcopenia, que debe apuntar al logro de los objetivos metabólicos específicos, debe recomendar el consumo de 113 g de carne (220 kcal; 30 g de proteínas) cinco veces a la semana. Conclusión: en una dieta variada y equilibrada, para prevenir la sarcopenia, se recomienda consumir la carne 4-5 veces a la semana (carne blanca 2 veces por semana, carne roja magra menos de 2 veces por semana, carne procesada menos de 1 vez por semana), como se sugiere en la pirámide de la dieta para personas mayores.

  8. Effect of conjugated linoleic acid mixtures and different edible oils in body composition and lipid regulation in mice.

    PubMed

    Scalerandi, María Victoria; Gonzalez, Marcela Aida; Saín, Juliana; Fariña, Ana Clara; Bernal, Claudio Adrián

    2014-03-01

    Introducción: Las evidencias sugieren que las mezclas de Ácido Linoleico Conjugado (ALC) de origen comercial o natural diferencialmente afectan diferencialment al estado nutricional y al metabolismo lipídico. Objetivo: Investigar el efecto de dos preparaciones de ALC como complemento de grasas dietarias con diferentes proporciones de ácidos grasos (AG) n-9, n-6 y n-3 sobre composición corporal, niveles de triacilglicéridos (TG) y metabolismo lipídico en ratones. Métodos: Se alimentó a ratones en crecimiento con dietas con aceite de oliva, maíz y canola, o colza suplementadas con una mezcla equimolecular de ALC (mezcla-ALC) o aceites ricos en ácido ruménico (AR) por 30 días. Se evaluó: ganancia de peso, composición corporal, peso de tejidos, niveles de TG plasmáticos y séricos, y parámetros de regulación lipídica. Resultados: Independientemente de las grasas dietarias, la mezcla-ALC redujo el peso corporal y depósitos grasos relacionados con hepatomegalia, incremento de TG séricos y descenso de TG musculares. El aceite de canola previno la esteatosis hepática producida por la mezcla-ALC a aceites de oliva y maíz por incremento de la secreción de TG. AR decreció los depósitos grasos sin hepatomegalia, esteatosis hepática e hipertrigliceridemia. Aceite de oliva previno el incremento de TG musculares inducidos por suplementación con AR al aceite de maíz y canola. Discusión y conclusión: Las proporciones de AG insaturados dietarios modularon la respuesta de mezcla-ALC y AR al metabolismo lipídico en ratones. Finalmente, aceite de canola previno la esteatosis hepática inducida por mezcla-ALC, y los efectos benéficos más notorios fueron observados cuando aceite de oliva fue suplementado con AR, debido a la reducida acreción de lípidos sin cambios en los niveles de TG.

  9. Assessment of body composition, through anthropometric and non-anthropometric methods, of university students from valencia (Spain).

    PubMed

    Olearo, Beatrice; Soriano Del Castillo, Jose Miguel; Boselli, Pietro Marco; Micó Pascual, Lydia

    2014-10-01

    Introducción y objetivo: La valoración del estado antropométrico y nutricional de la población universitaria es importante para detectar grupos de riesgo y realizar recomendaciones nutricionales. El objetivo fue analizar la composición corporal y el porcentaje de grasa en un grupo de estudiantes universitarios y evaluar su metabolismo basal para ver si había una correlación con la composición corporal. El estudio se llevó a cabo a través de diferentes métodos, para determinar si los resultados obtenidos son comparables. Sujetos y método: La muestra fueron 16 alumnos (4 hombres y 12 mujeres) de la Universidad de Valencia, 20- 33 años de edad. A todos se hizo el estudio de la composición corporal y a 6 de ellos se hizo también un estudio metabólico. Resultados: Se encontró que el 75% de los sujetos estudiados tienen un peso normal, el 12,5% tienen bajo peso y 12,5% tiene sobrepeso. El porcentaje de sujetos con grasa corporal superior a los valores normales son: 68,75% según BFMNU, el 25% a través del método ISAK y 7,69% según BIA. Conclusiones: Nuestro estudio mostró que los datos obtenidos a través de los diferentes métodos no son directamente comparables, ya que se basan en diferentes principios y supuestos. También se ha observado la importancia de considerar no sólo la masa grasa, si no toda la composición corporal para tener una visión completa del sujeto. Además, se ha podido notar que la calorimetría indirecta y las ecuaciones de predicción del metabolismo basal no son capaces de estimarlo correctamente. En cambio el método BFMNU es el que da más información y permite investigar a fondo el metabolismo.

  10. Coyote Springs Cogeneration Project, Morrow County, Oregon: Draft Environmental Impact Statement.

    SciTech Connect

    United States. Bonneville Power Administration.

    1994-01-01

    BPA is considering whether to transfer (wheel) electrical power from a proposed privately-owned, combustion-turbine electrical generation plant in Oregon. The plant would be fired by natural gas and would use combined-cycle technology to generate up to 440 average megawatts (aMW) of energy. The plant would be developed, owned, and operated by Portland General Electric Company (PGE). The project would be built in eastern Oregon, just east of the City of Boardman in Morrow County. The proposed plant would be built on a site within the Port of Morrow Industrial Park. The proposed use for the site is consistent with the County land use plan. Building the transmission line needed to interconnect the power plant to BPA`s transmission system would require a variance from Morrow County. BPA would transfer power from the plant to its McNary-Slatt 500-kV transmission line. PGE would pay BPA for wheeling services. Key environmental concerns identified in the scoping process and evaluated in the draft Environmental Impact Statement (DEIS) include these potential impacts: (1) air quality impacts, such as emissions and their contributions to the {open_quotes}greenhouse{close_quotes} effect; (2) health and safety impacts, such as effects of electric and magnetic fields, (3) noise impacts, (4) farmland impacts, (5) water vapor impacts to transportation, (6) economic development and employment impacts, (7) visual impacts, (8) consistency with local comprehensive plans, and (9) water quality and supply impacts, such as the amount of wastewater discharged, and the source and amount of water required to operate the plant. These and other issues are discussed in the DEIS. The proposed project includes features designed to reduce environmental impacts. Based on studies completed for the DEIS, adverse environmental impacts associated with the proposed project were identified, and no evidence emerged to suggest that the proposed action is controversial.

  11. Diffusion and practice of ultrasound in emergency medicine departments in Italy.

    PubMed

    Sofia, S; Angelini, F; Cianci, V; Copetti, R; Farina, R; Scuderi, M

    2009-09-01

    Sommario INTRODUZIONE: Riportiamo i dati di un'indagine conoscitiva sulla diffusione, pratica e organizzazione dell'ecografia (US) nei dipartimenti di emergenza (EMDs) in Italia. Questo studio è stato condotto dalla Sezione di Ecografia di Urgenza Emergenza della Società Italiana di Ecografia in Medicina e Biologia (SIUMB) in collaborazione con la Società Italiana di Medicina di Emergenza e Urgenza (SIMEU). METODI: Abbiamo creato un questionario con 10 campi, relativi a 4 aree tematiche. I questionari sono stati somministrati nel periodo settembre 2007-febbraio 2008, via e-mail, telefono o posta ordinaria. I dati sono stati analizzati con metodi statistici non parametrici nell'Agosto 2008. RISULTATI: Abbiamo analizzato 170 questionari provenienti dagli EMDs di tutte le regioni italiane. Un ecografo è presente nel 64,7% dei Pronto Soccorso, l'ecografia d'emergenza (E-US) è praticata solo nel 47,6% dei Pronto Soccorso, e solo nel 24% di questi più del 60% dei membri dell'èquipe è formata in ecografia. La diffusione degli US in altre Unità Operative degli EMDs va dall'8,2% al 26,5%. DISCUSSIONE: La presenza di un ecografo in Pronto Soccorso è essenziale per la pratica e la formazione e è correlata al livello del Dipartimento di Emergenza (I o II). L'uso dell'Ecografia sembra essere minore negli ospedali meno attrezzati, indipendentemente dalla grandezza del Pronto Soccorso e dalla disponibilità di Servizi di Radiologia. Si auspica una maggiore diffusione dell'ecografia e una maggiore integrazione con altri servizi quanto all'allocazione delle risorse richieste.

  12. Evaluating Safeguards Benefits of Process Monitoring as compared with Nuclear Material Accountancy

    SciTech Connect

    Humberto Garcia; Wen-Chiao Lin; Reed Carlson

    2014-07-01

    This paper illustrates potential safeguards benefits that process monitoring (PM) may have as a diversion deterrent and as a complementary safeguards measure to nuclear material accountancy (NMA). This benefit is illustrated by quantifying the standard deviation associated with detecting a considered material diversion scenario using either an NMA-based method or a PM-based approach. To illustrate the benefits of PM for effective safeguards, we consider a reprocessing facility. We assume that the diversion of interest for detection manifests itself as a loss of Pu caused by abnormally operating a dissolver for an extended period to accomplish protracted diversion (or misdirection) of Pu to a retained (unconditioned) waste stream. For detecting the occurrence of this diversion (which involves anomalous operation of the dissolver), we consider two different data evaluation and integration (DEI) approaches, one based on NMA and the other based on PM. The approach based on PM does not directly do mass balance calculations, but rather monitors for the possible occurrence of anomaly patterns related to potential loss of nuclear material. It is thus assumed that the loss of a given mass amount of nuclear material can be directly associated with the execution of proliferation-driven activities that trigger the occurrence of an anomaly pattern consisting of series of events or signatures occurring at different unit operations and time instances. By effectively assessing these events over time and space, the PM-based DEI approach tries to infer whether this specific pattern of events has occurred and how many times within a given time period. To evaluate the goodness of PM, the 3 Sigma of the estimated mass loss is computed under both DEI approaches as function of the number of input batches processed. Simulation results are discussed.

  13. 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.

  14. Dust aerosol emission over the Sahara during summertime from Cloud-Aerosol Lidar with Orthogonal Polarization (CALIOP) observations

    NASA Astrophysics Data System (ADS)

    Todd, Martin C.; Cavazos-Guerra, Carolina

    2016-03-01

    Dust aerosols are an important component of the climate system and a challenge to incorporate into weather and climate models. Information on the location and magnitude of dust emission remains a key information gap to inform model development. Inadequate surface observations ensure that satellite data remain the primary source of this information over extensive and remote desert regions. Here, we develop estimates of the relative magnitude of active dust emission over the Sahara desert based on data from the Cloud-Aerosol Lidar with Orthogonal Polarization (CALIOP). Utilising the unique vertical profile of aerosol characteristics provided by CALIOP our algorithm identifies emission from aerosol extinction and lidar backscatter in the near surface layers. From the long-term CALIOP archive of day and night-time orbits over 2006-13 we construct coarse resolution maps of a new dust emission index (DEI) for the Sahara desert during the peak summer dust season (June to September). The spatial structure of DEI indicates highest emission over a broad zone focused on the border regions of Southern Algeria, Northern Mali and northwest Niger, displaced substantially (∼7°) to the east of the mean maximum in satellite-derived aerosol optical depth. In this region night-time emission exceeds that during the day. The DEI maps substantially corroborate recently derived dust source frequency count maps based on back-tracking plumes in high temporal resolution SEVIRI imagery. As such, a convergence of evidence from multiple satellite data sources using independent methods provides an increasingly robust picture of Saharan dust emission sources. Various caveats are considered. As such, quantitative estimates of dust emission may require a synergistic combined multi-sensor analysis.

  15. Environmental review for the conversion of Bellefonte Nuclear Plant to fossil fuel

    SciTech Connect

    Carter, R.; Rucker, H.; Summers, R.

    1998-07-01

    The Tennessee Valley Authority recently issued for public review a Draft Environmental Impact Statement for the conversion of the unfinished Bellefonte Nuclear Plant to fossil fuel. The DEIS was structured to support three tiers of decision making. Tier 1 is to decide between the No-Action Alternative, which is to leave Bellefonte as a partially completed nuclear plant into the indefinite future, and the Proposed Action Alternative, which is to proceed with converting Bellefonte to fossil fuel. Tier 2 is to select one of five conversion options. In the DEIS, TVA indicated no preference among the five competing fossil conversion options. The five conversion pathways would fully repower the plant consistent with fossil fuel availability, would use commercially ready systems and technologies and be designed to fully utilize the capacity of transmission lines serving Bellefonte. Conversion options addressed were pulverized coal (PC), natural gas combined cycle (NGCC), integrated gasification combined cycle (IGCC), IGCC with joint production of electricity and chemicals, and an option, which combines elements of NGCC and IGCC with coproduction. Tier 3 involves decisions about eight sub-option choices, basically types of processes, equipment, and modes of operation, which is part of two or more conversion options. An example of a sub-option choice would be the type of gasifier that would be used in conversion options involving coal or petroleum coke gasification. Other sub-option choices addressed in the DEIS were natural gas pipeline corridors; fuels, feedstocks, and by-products transportation modes; types of combustion turbines; solid fuels; types of boilers for conventional coal-fired options; chemical production mixes; and modes of onsite solid fuel conveyance. The impact of constructing and operating each proposed fossil conversion option at Bellefonte were evaluated for 18 environmental resource and economic categories.

  16. Endoscopic forehead surgery for migraine therapy Personal technique.

    PubMed

    Caruana, Giorgia; Bertozzi, Nicolò; Boschi, Elena; Pio Grieco, Michele; Grignaffini, Eugenio; Raposio, Edoardo

    2014-01-01

    Da recenti studi volti ad investigare la patogenesi dell’emicrania, è emerso come questa possa essere secondaria ad un meccanismo di ipereccitabilità e infiammazione neuronale conseguente alla compressione di alcuni nervi periferici cranio-facciali, i quali, agendo come “trigger point”, possono essere decompressi mediante terapia chirurgica. Scopo di questo studio è stato da un lato quello di valutare i risultati ottenuti, confrontandoli con quelli della letteratura, dall’altro di proporre un approccio personale, endoscopico, mini-invasivo. In base alla localizzazione della cefalea, la tecnica chirurgica è stata differente. In caso di cefalea frontale, la decompressione dei nervi sopraorbitario e sovraclaveare è stata effettuata mediante una personale procedura endoscopica modificata di miotomie selettive frontali del muscolo corrugatore del sopracciglio, depressore del sopracciglio e del muscolo procero. Per quanto riguarda invece l’emicrania occipitale, la decompressione dei nervi piccolo e grande occipitale è ottenuta attraverso miotomie selettive dei muscoli occipitale, trapezio, semispinale della testa e sternocleidomastoideo. Venti pazienti sono stati inclusi nello studio e sottoposti ad almeno una delle precedenti procedure. In seguito al follow-up a 6 mesi si è osservato che: 9 hanno percepito una sensibile riduzione nella frequenza e/o severità degli attacchi (45%), 8 sono guariti completamente (40%) e 3 non hanno tratto alcun beneficio (15%), per un totale di 85% di pazienti che hanno beneficiato dell’intervento. I dati ottenuti evidenziano l’efficacia dell’approccio chirurgico nella terapia dell’emicrania; inoltre si sottolinea come la tecnica endoscopica permetta di acquisire gli stessi risultati, rispetto alle metodiche tradizionali, con una procedura a minor invasività e a minor rischio di effetti collaterali.

  17. Diffraction-Based Techniques For High Contrast X-ray Imaging

    NASA Astrophysics Data System (ADS)

    Peerzada, Lubna Naseem

    Two X-ray diffraction based techniques for high contrast were explored to improve contrast in radiology: diffraction enhanced imaging (DEI) and coherent scatter imaging. DEI produces contrast in images based upon the difference in the X-ray refractive indices of materials or tissues. Two DEI systems were devised. Both were comprised of a conventional polychromatic copper X-ray source, polycapillary collimating optics and two silicon crystals.Lucite step phantoms and nylon tubing were imaged. No fringe effects were observed. The lack of observable edge enhancement may have been due to the optic structure which obscured refraction effects. Better results might have been achieved if a higher resolution detector or phantom of larger step size or larger diameter thin walled tubing had been used. The second technique was coherent scatter X-ray imaging. The purpose of this work was to differentiate between healthy and diseased human breast tissues. For instance, breast carcinoma is known to have a peak coherent scattering angle at 12.2° for Mo Ka radiation at 17.5 keV, whereas fatty tissue peaks around 9°. A system which would be compatible with screening mammography was developed. The system was expanded to include sample scanning to allow for a larger image area. The modulation transfer function was computed for static and scanned images of a resolution phantom. These showed good agreement, indicating that the scanning was properly aligned and timed. Static and scanned images of phantoms were taken and the contrast was calculated for a series of experimental parameters including, grid tilt angle. A complex phantom was also then imaged. It was possible to distinguish tissue-equivalent phantom types. Good contrast resolution scanned images were obtained which is promising for a diagnostic system.

  18. The prognostic value of sentinel lymph node micrometastases in patients with invasive breast carcinoma.

    PubMed

    Cipolla, Calogero; Graceffa, Giuseppa; La Mendola, Roberta; Fricano, Salvatore; Fricano, Martina; Vieni, Salvatore

    2015-01-01

    Il significato prognostico delle micrometastasi nel linfonodo sentinella nelle pazienti affette da carcinoma della mammella è ancora ampiamente dibattuto. Anche se, in assenza di univoche linee guida, nella pratica clinica la linfadenectomia ascellare in queste pazienti non viene più eseguita di routine. Abbiamo condotto uno studio retrospettivo su 746 patienti affette da carcinoma invasivo della mammella con linfonodi ascellari negativi, sottoposte a chirurgia conservativa o a mastectomia totale con biopsia del linfonodo sentinella. Le pazienti in cui è stata diagnostica la presenza di micrometastasi del linfonodo sentinella sono state considerate in due diversi gruppi. In un primo gruppo, trattato con linfadenectomia ascellare totale è stata valutata l’incidenza di metastasi a carico dei rimanenti linfonodi ascellari. Un secondo gruppo non ha ricevuto alcun trattamento aggiuntivo dell’ascella e le pazienti sono state seguite con controlli periodici clinico strumentali. In entrambi i gruppi è stata valutata l’incidenza di eventuali recidive ascellari. All’esame istologico estemporaneo ed al successivo esame istologico definitivo del linfonodo sentinella, in 51 pazienti (6,83%) sono state evidenziate micrometastasi, in 8 pazienti (1,07%) erano presenti cellule tumorali isolate. Quindici di queste pazienti sono state sottoposte a linfadenectomia ascellare totale. Solo in 2 casi (13,33%) sono state ritrovate metastasi a carico dei rimanenti linfonodi ascellari. Quarantaquattro pazienti non hanno ricevuto alcun trattamento aggiuntivo dell’ascella. In queste pazienti nessuna recidiva ascellare è stata registrata durante un follow-up medio di 65,3±9,65 mesi (range 42-78 mesi). Sulla base dei risultati ottenuti in questo studio ed in linea con alcuni recenti trials randomizzati si ci sentiamo di concludere che la linfadenectomia ascellare può essere evitata nei casi con micrometastasi nel linfonodo sentinella. Una sua eventuale indicazione può essere

  19. Two Distinct Families of Protein Kinases Are Required for Plant Growth under High External Mg2+ Concentrations in Arabidopsis1

    PubMed Central

    Mogami, Junro; Fujita, Yasunari; Yoshida, Takuya; Tsukiori, Yoshifumi; Nakagami, Hirofumi; Nomura, Yuko; Fujiwara, Toru; Nishida, Sho; Yanagisawa, Shuichi; Ishida, Tetsuya; Takahashi, Fuminori; Morimoto, Kyoko; Kidokoro, Satoshi; Mizoi, Junya; Shinozaki, Kazuo

    2015-01-01

    Protein phosphorylation events play key roles in maintaining cellular ion homeostasis in higher plants, and the regulatory roles of these events in Na+ and K+ transport have been studied extensively. However, the regulatory mechanisms governing Mg2+ transport and homeostasis in higher plants remain poorly understood, despite the vital roles of Mg2+ in cellular function. A member of subclass III sucrose nonfermenting-1-related protein kinase2 (SnRK2), SRK2D/SnRK2.2, functions as a key positive regulator of abscisic acid (ABA)-mediated signaling in response to water deficit stresses in Arabidopsis (Arabidopsis thaliana). Here, we used immunoprecipitation coupled with liquid chromatography-tandem mass spectrometry analyses to identify Calcineurin B-like-interacting protein kinase26 (CIPK26) as a novel protein that physically interacts with SRK2D. In addition to CIPK26, three additional CIPKs (CIPK3, CIPK9, and CIPK23) can physically interact with SRK2D in planta. The srk2d/e/i triple mutant lacking all three members of subclass III SnRK2 and the cipk26/3/9/23 quadruple mutant lacking CIPK26, CIPK3, CIPK9, and CIPK23 showed reduced shoot growth under high external Mg2+ concentrations. Similarly, several ABA biosynthesis-deficient mutants, including aba2-1, were susceptible to high external Mg2+ concentrations. Taken together, our findings provided genetic evidence that SRK2D/E/I and CIPK26/3/9/23 are required for plant growth under high external Mg2+ concentrations in Arabidopsis. Furthermore, we showed that ABA, a key molecule in water deficit stress signaling, also serves as a signaling molecule in plant growth under high external Mg2+ concentrations. These results suggested that SRK2D/E/I- and CIPK26/3/9/23-mediated phosphorylation signaling pathways maintain cellular Mg2+ homeostasis. PMID:25614064

  20. Aircraft and satellite thermographic systems for wildfire mapping and assessment

    NASA Technical Reports Server (NTRS)

    Brass, J. A.; Arvesen, J. C.; Ambrosia, V. G.; Riggan, P. J.; Myers, J. S.

    1987-01-01

    Two complementary sensors, the DAEDALUS DEI-1260 Multispectral Scanner aboard the NASA U-2 aircraft and the Advanced Very High Resolution Radiometer aboard National Oceanographic and Atmospheric Administration orbiting satellites were tested for their applicability in monitoring and predicting parameters such as fire location, temperature and rate of spread, soil heating and cooling rates, and plume characteristics and dimensions. In addition, the satellite system was tested for its ability to extend the relationships found between fire characteristics and biospheric consequences to regional and global scales. An overall system design is presented, and special requirements are documented for the application of this system for fire research and management.

  1. Explaining Correlations by Partitions

    NASA Astrophysics Data System (ADS)

    Stergiou, Chrysovalantis

    2015-12-01

    In this paper two accounts of Reichenbachian common cause systems are compared. Examples are provided which show that Hofer-Szabó and Rédei (Int J Theor Phys 43:1819-1826, 2004) account and Hofer-Szabó et al. (The principle of the common cause, 2013) account is compatible, with but not equivalent, to Mazzola's (Found Phys 42:512-523, 2012). Moreover, the difference of the two accounts with respect to their explanatory adequacy is discussed, in the light of Salmon's statistical-relevance approach to statistical explanation.

  2. Statistical analysis of Thematic Mapper Simulator data for the geobotanical discrimination of rock types in southwest Oregon

    NASA Technical Reports Server (NTRS)

    Morrissey, L. A.; Weinstock, K. J.; Mouat, D. A.; Card, D. H.

    1984-01-01

    An evaluation of Thematic Mapper Simulator (TMS) data for the geobotanical discrimination of rock types based on vegetative cover characteristics is addressed in this research. A methodology for accomplishing this evaluation utilizing univariate and multivariate techniques is presented. TMS data acquired with a Daedalus DEI-1260 multispectral scanner were integrated with vegetation and geologic information for subsequent statistical analyses, which included a chi-square test, an analysis of variance, stepwise discriminant analysis, and Duncan's multiple range test. Results indicate that ultramafic rock types are spectrally separable from nonultramafics based on vegetative cover through the use of statistical analyses.

  3. Sol-gel microspheres doped with glycerol: a structural insight in light of forthcoming applications in the polyurethane foam industry.

    PubMed

    Ciriminna, Rosaria; Fidalgo, Alexandra; Ilharco, Laura M; Pagliaro, Mario

    2015-04-01

    Invited for this months cover are the groups of Professor Mario Pagliaro at the Istituto per lo Studio dei Materiali Nanostrutturati in Palermo and Professor Laura Ilharco at the Instituto Superior Técnico in Lisboa. The cover picture shows a- GreenCaps- microcapsule breaking and releasing encapsulated glycerol after the organosilica microspheres are sprayed from a pressurized polyurethane foam can. This shows how glycerol acts as a solid curing agent, promoting crosslinking of partially polymerized diphenylmethane diisocyanate. For more details, see the Full Paper on p. 120 ff.

  4. Investigation of biological microstructures by using diffraction-enhanced imaging computed tomography

    NASA Astrophysics Data System (ADS)

    Shu, Hang; Liu, Bo; Zhu, Peiping; Gao, Xin; Yin, Hongxia; Yuan, Qingxi; Wang, Junyue; Huang, Wanxia; Gao, Xiulai; Luo, Shuqian; Wu, Ziyu; Fang, Shouxian

    2006-11-01

    Diffraction-enhanced imaging computer tomography (DEI-CT) is a new method to provide the object's inner information. Previous reports demonstrated its applicability in soft and hard tissue imaging. Here, we provide further evidence for the improved overall image quality and for the option to distinguish the inner microstructures of the guinea pig's cochlea. Data has shown the details of the cochlea's inner microstructure such as vestibular membrane which only have 6 μm. A better knowledge of these microstructures may be relevant to achieve progress in the otology of clinical anatomization.

  5. 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.

  6. Nuclear Astrophysics

    NASA Astrophysics Data System (ADS)

    Bombaci, Ignazio

    2003-04-01

    In this report I will try to illustrate some of the main research themes and "hot topics" in nuclear astrophysics. The particular aim of the present report is to briefly illustrate the research activities, in the field of nuclear astrophysics, performed by the Italian nuclear physicist community within the "Programma di Interesse Nazionale su Fisica Teorica del Nucleo e dei Sistemi a Molti Corpi" (National Research Program on Theoretical Physics of Nuclei and Many Body Systems) supported by the "Ministero dell'Istruzione dell'Università e della Ricerca".

  7. Distribution of Sea Level Muons at Zenith Angles below 10 TeV Energy

    NASA Astrophysics Data System (ADS)

    Mitra, M.

    The moderate energy primary cosmic ray nucleon spectrum has been constructed fro the direct measurements of Webber et al., Seo et al., Menn et al. along with the other results surveyed by Swordy. The sea leve muon energy spectra at different zenith angles have been derived from the decay of non-prompt mesons by adopting standard diffusion equation of hadronic cascades. The contribution of charmed mesons to muon spectrum has also been accounted following standard procedure. Our estimated tota muon energy spectra have been found comparable with the global spectrograph muon flux results of MARS, DEIS, MSU and other groups.

  8. Normative aspects of the human body.

    PubMed

    Siep, Ludwig

    2003-04-01

    In cultural history the human body has been the object of a great variety of opposing valuations, ranging from "imago dei" to "the devil's tool". At present, the body is commonly regarded as a mere means to fulfill the wishes of its "owner". According to these wishes it can be technically improved in an unlimited way. Against this view the text argues for a conception of the human body as a valuable "common heritage". The "normal" human body as the result of natural and cultural history is an essential condition of the modern social and legal order. The consequences of its technical alteration should be the subject of public debates and common decisions.

  9. Obsidians from the Kerkennah Islands (eastern Tunisia) and the PIXE elemental compositions of the Mediterranean peralkaline obsidians

    NASA Astrophysics Data System (ADS)

    Le Bourdonnec, François-Xavier; Poupeau, Gérard; Boussofara, Ridha; Dubernet, Stéphan; Moretto, Philippe; Compin, Matthieu; Mulazzani, Simone

    2015-09-01

    The provenance of 37 obsidians from the Kerkennah Islands (central Mediterranean Sea) was determined by PIXE. It is shown that they came from the two main obsidian sources, Balata dei Turchi and Lago di Venere, of the Pantelleria Island. A comparison of the PIXE elemental composition of geological vs. archaeological obsidians of central and western Mediterranean shows that their sources present elemental compositions homogeneous enough to make possible sourcing studies. However, a comparison between the distributions of geological and archaeological obsidians chemistry shows that the PIXE source qualifications do not cover yet the whole of their internal variations.

  10. Teorie Dinamiche Dell' Ala

    NASA Astrophysics Data System (ADS)

    Finzi, Bruno

    Non è facile rendersi conto del birzarro comportamento dei fluidi poco viscosi, quali l'aria e l'acqua, deducendolo logicamente e matematicamente, come è nello spirito della fisica matematica, da poche proposizioni generali tratte dall'esperienza. Ciò perchè le schematizzazioni più semplici suggerite dal senso comune, in virtù del quale piccole cause non possono produrre che piccoli effetti, e facenti capo a campi cinetici ovunque regolari, portano a risultati paradossali sconcertanti, quali il paradosso di d'Alembert.

  11. [The work of Hernandez and its repercussions in the natural sciences].

    PubMed

    Alvarez Peláez, R

    1995-01-01

    The most important source of knowledge and diffusion of the great American work from Hernández, was carried out starting from the selection and summary produced by the Napolitan physician Nardo Antonio Recchi. Starting from his manuscript they published the Rerum Medicarum Novai Hispaniae Thesaurus (Rome 1651), piece prepared by the Accademia dei Lincei, and the four Books of Nature (Mexico, 1615), carried out by Brother Francisco Ximénez with the intention--intention that also had Recchi--of having a practical handbook of medicine utilizing the American products. This paper treats, essentially, of those works.

  12. Differential PIXE for investigating the layer structure of paintings

    NASA Astrophysics Data System (ADS)

    Mandò, P. A.; Fedi, M. E.; Grassi, N.; Migliori, A.

    2005-09-01

    This paper reports an example of how the differential PIXE technique can be successfully applied to the investigation of wood or canvas paintings. The work analysed is a famous wood painting by Leonardo da Vinci, the "Madonna dei fusi" (ex-Reford version, 1501), chosen for a pilot study in a wide international project aimed at analysing Leonardo's works of art by means of non-destructive techniques. While illustrating the results obtained concerning the identification of pigments and the discrimination of the stratigraphy of layers, the merits and limits of differential PIXE in general are pointed out.

  13. 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

  14. Line x-ray source for diffraction enhanced imaging in clinical and industrial applications

    NASA Astrophysics Data System (ADS)

    Wang, Xiaoqin

    Mammography is one type of imaging modalities that uses a low-dose x-ray or other radiation sources for examination of breasts. It plays a central role in early detection of breast cancers. The material similarity of tumor-cell and health cell, breast implants surgery and other factors, make the breast cancers hard to visualize and detect. Diffraction enhanced imaging (DEI), first proposed and investigated by D. Chapman is a new x-ray radiographic imaging modality using monochromatic x-rays from a synchrotron source, which produced images of thick absorbing objects that are almost completely free of scatter. It shows dramatically improved contrast over standard imaging when applied to the same phantom. The contrast is based not only on attenuation but also on the refraction and diffraction properties of the sample. This imaging method may improve image quality of mammography, other medical applications, industrial radiography for non-destructive testing and x-ray computed tomography. However, the size, and cost, of a synchrotron source limits the application of the new modality to be applicable at clinical levels. This research investigates the feasibility of a designed line x-ray source to produce intensity compatible to synchrotron sources. It is composed of a 2-cm in length tungsten filament, installed on a carbon steel filament cup (backing plate), as the cathode and a stationary oxygen-free copper anode with molybdenum coating on the front surface serves as the target. Characteristic properties of the line x-ray source were computationally studied and the prototype was experimentally investigated. SIMIION code was used to computationally study the electron trajectories emanating from the filament towards the molybdenum target. A Faraday cup on the prototype device, proof-of-principle, was used to measure the distribution of electrons on the target, which compares favorably to computational results. The intensities of characteristic x-ray for molybdenum

  15. A panchromatic view of the evolution of Supermassive Black Holes

    NASA Astrophysics Data System (ADS)

    Lusso, E.; Brusa, M.; Comastri, A.; Vignali, C.; Gilli, R.

    2008-10-01

    Verranno presentati i risultati preliminari di uno studio sistematico delle distribuzioni di energia spettrale (SED) di un campione statisticamente significativo di alcune centinaia di AGN (sia di tipo 1 che di tipo 2) selezionati dalla survey XMM-COSMOS. La vasta mole di dati disponibili sull'intero spettro elettromagnetico permette di calcolare le SED medie per diversi intervalli di redshift e luminosita'. Una stima affidabile della SED e' di fondamentale importanza per il calcolo della luminosita' bolometrica e quindi per lo studio della fisica dei processi di accrescimento su SMBH, per la loro evoluzione con il tempo cosmico.

  16. [Metabolic myopathies].

    PubMed

    Papazian, Óscar; Rivas-Chacón, Rafael

    2013-09-01

    Objetivo. Revisar las miopatias metabolicas manifestadas solamente por crisis de mialgias, calambres y rigidez musculares con dificultad para contraer los musculos afectados y el examen neurologico normal entre las crisis en niños y adolescentes. Desarrollo. Estas miopatias metabolicas se deben a deficits enzimaticos heredados en forma autosomica recesiva del metabolismo de los carbohidratos y lipidos. El resultado final es una reduccion del trifosfato de adenosina principalmente a traves de la fosforilacion oxidativa mitocondrial con disminucion de la energia disponible para la contraccion muscular. Las secundarias a trastornos del metabolismo de los carbohidratos se producen por ejercicios de alta intensidad y breves (< 10 min) y las secundarias a trastornos de los lipidos, por ejercicios de baja intensidad y prolongados (> 10 min). Los deficits enzimaticos en el primer grupo son de miofosforilasa (glucogenosis V), fosfofructocinasa muscular (glucogenosis VII), fosfoglicerato mutasa 1 (glucogenosis X) y beta enolasa (glucogenosis XIII), y en el segundo, de carnitina palmitol transferasa tipo II y de acil-CoA deshidrogenasa de cadena muy larga. Conclusiones. Las caracteristicas diferenciales de los pacientes en cada grupo y dentro de cada grupo permitiran el diagnostico clinico presuntivo inicial en la mayoria y solicitar solamente los examenes necesarios para corroborar el diagnostico. El tratamiento de las crisis consiste en hidratacion, glucosa y alcalinizacion de la orina. Las medidas preventivas son evitar el tipo de ejercicio que induce las crisis y el ayuno. No existe cura o tratamiento especifico. El pronostico es bueno con la excepcion de casos raros de insuficiencia renal aguda debido a la elevacion sanguinea de la mioglobina producto de una rabdomiolisis grave.

  17. State of malnutrition in cuban hospitals; a needed update.

    PubMed

    Santana Porbén, Sergio

    2015-05-01

    Justificación: El Estudio Cubano de Desnutricion Hospitalaria, conducido en el bienio 1999 – 2001 con 1,905 pacientes atendidos en 12 hospitales de 6 provincias del pais, revelo una tasa de desnutricion hospitalaria del 41.2%. Transcurrida una decada de aquella indagacion, se impone la actualizacion de este estimado. Objetivo: Actualizar el estado de la desnutricion hospitalaria en Cuba. Material y método: La presencia de desnutricion en 1,664 pacientes ingresados en 12 hospitales de 8 provincias del pais entre Marzo del 2012 y Marzo del 2014 se documento mediante la Encuesta Subjetiva Global (ESG). El estado de los procesos hospitalarios de cuidados alimentarios y nutricionales se evaluo con la Encuesta de Nutricion Hospitalaria (ENH). Resultados: La tasa corriente de desnutricion hospitalaria fue del 36.9% (Δ = +4.3%; p < 0.05). Las tasas de completamiento de los ejercicios hospitalarios de evaluacion nutricional y de uso de terapias de replecion nutricional fueron superiores. Conclusiones: Transcurridos 10 anos de la primera edicion del Estudio ELAN CUBA, se aprecian modestos avances en la identificacion y el tratamiento de la desnutricion en los hospitales en Cuba. Se percibe que la formacion e insercion de nutricionistas verticalizados en la actuacion hospitalaria haya contribuido al cambio observado. Asimismo, la actividad de la Sociedad Cubana de Nutricion Clinica y Metabolismo en el avance de las disciplinas de la terapia nutricional, la nutricion artificial y el metabolismo puede haber servido para un mejor reconocimiento del problema de salud representado por la desnutricion hospitalaria.

  18. [β-hydroxy-β-methylbutyrate as a dietary supplement (II): cell and molecular mechanism of action].

    PubMed

    Manjarrez-Montes-de-Oca, Rafael; Torres-Vaca, Mateo; González-Gallego, Javier; Alvear-Ordenes, Ildefonso

    2014-11-27

    Introducción: En los últimos años el -hidroxi--metilbutirato (HMB) ha sido foco de diversas investigaciones que le atribuyen un efecto sobre la disminución de la proteólisis muscular y un incremento de la masa muscular. Por tanto, se han realizado estudios centrados en los mecanismos celulares y moleculares responsables de dichos efectos. Objetivos: Los objetivos de la presente revisión son: conocer el metabolismo del HMB, así como su absorción y excreción; estudiar la posible toxicidad del HMB; e identificar los mecanismos celulares y moleculares de acción del HMB cuando se utiliza como suplemento nutricional. Métodos: Se utilizaron las bases de datos Web of Science, Pubmed y SportDiscus para realizar la búsqueda de artículos. Los resultados se dividieron en dos partes; en este artículo se presentan los resultados referentes a los mecanismos de acción del HMB. Resultados: No existen suficientes datos que apoyen que la ingesta de HMB incremente la síntesis de colesterol en el músculo. Es posible que existan efectos positivos en el metabolismo muscular a través de la vía mTOR y del sistema ubiquitin-proteasoma, aunque no se conoce su mecanismo de acción. Probablemente, el HMB eleva los niveles sanguíneos de hidroxibutirato y esto podría explicar sus principales efectos sobre la disminución de la proteólisis muscular. Conclusiones: De acuerdo a nuestros resultados, la posibilidad de justificar la acción del HMB a través de la vía del beta-hidroxibutirato abre una interesante línea de investigación para futuros estudios.

  19. Morpho-colorimetric analysis and seed germination of Brassica insularis Moris (Brassicaceae) populations.

    PubMed

    Santo, A; Mattana, E; Grillo, O; Bacchetta, G

    2015-03-01

    Brassica insularis is a perennial plant growing on both coastal and inland cliffs. Three seed lots from Sardinia were analysed using an image analysis system to detect differences in seed morphology, both within and among populations. Germination requirements at constant (5-25 °C) and alternating temperatures (25/10 °C), both in light and in darkness, were evaluated for all populations. In addition, the effect of a dry after-ripening period (90 days at 25 °C) was also investigated. Morpho-colorimetric analysis clearly identified seeds from different populations and discriminated three chromatic categories for seeds belonging to the Isola dei Cavoli coastal population, but not for the inland Masùa and the coastal Planu Sartu. Inter-population variability was also observed in germination behaviour. B. insularis seeds germinated, with percentages up to 60%, in a wide range of temperatures (5-25 °C), and neither light nor dry after-ripening affected final germination percentages. Moisture content measurements were made for seeds of each colour, but there were no particular differences among colours. Inter-populational variability in germination behaviour may be a survival strategy for species growing under unpredictable environmental conditions, such as under Mediterranean climate, while heteromorphy may be due to independent evolutionary divergence processes of the Isola dei Cavoli population.

  20. High contrast radiography of normal and cataractous canine lenses

    NASA Astrophysics Data System (ADS)

    Antunes, A.; Hönnicke, M. G.; Cusatis, C.; Morelhão, S. L.

    2005-05-01

    Cataract is a disease that degrades the transparency of crystalline lenses. The crystalline lens is a cellular structure that has a unique shape and protein composition. Cataract is associated with changes in the structure and composition of the lenses. Analyser-based x-ray phase contrast imaging (PCI) is a non-destructive technique that presents images with more contrast and details than the images acquired with conventional synchrotron radiography. Here, an analyser-based x-ray PCI set-up was optimized in the XRD2 beamline at Brazilian Synchrotron Light Laboratory for comparative studies on PCI and conventional synchrotron radiography, for non-cataractous (healthy tissue) and cataractous crystalline (diseased tissue) lenses. Refraction angle and apparent absorption contrast images (diffraction enhanced imaging—DEI) were also obtained. The present PCI and DEI images indicate that the healthy tissue shows enhanced shell structures, while in the diseased tissue these are almost absent. This is associated with the clinical case of total opacity of the cataractous crystalline lenses when it is exposed to visible light.

  1. A primary subcutaneous hydatid cyst in the thigh A case report.

    PubMed

    Salamone, Giuseppe; Licari, Leo; Randisi, Brenda; Di Carlo, Paola; Tutino, Roberta; Falco, Nicolò; Augello, Giuseppe; Raspanti, Cristina; Cocorullo, Gianfranco; Gulotta, Gaspare

    2016-04-08

    L’Echinococcus spp. rappresenta il movente eziopatogenetico della malattia idatidea, patologia a carattere endemico in diverse parti del mondo, con tipica localizzazione della cisti da echinococco, prodotto del ciclo vitale del parassita, in sede polmonare od epatica. Ciononostante le localizzazioni atipiche della malattia esistono e rappresentano circa il 1,6% dei casi, la più comune delle quali certamente quella sottocutanea. I dati a disposizione circa la diagnosi ed il trattamento delle rare forme a localizzazione atipica risultano disomogenei e pochi dirimenti circa uno standard diagnostico-terapeutico da adottare. Si è voluto presentare dunque il caso di una donna di 68 anni che lamentava la comparsa di una tumefazione al terzo prossimale della coscia dx che tendeva ad incrementarsi volumetricamente nel tempo. Dopo diverse indagini cliniche, oltre che una accurata anamnesi, il sospetto di cisti idatidea è stato confermato. La patologia è stata trattata secondo uno schema terapeutico chirurgico e farmacologico ben dettagliato. La raccolta di questi dati si prefigge lo scopo di pianificare, in accordo con la letteratura scientifica e la review dei case-report esistenti, linee guida nel percorso assistenziale di questa rara manifestazione di una comune malattia.

  2. 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.

  3. [Valutazione delle guardie di sicurezza privata attraverso la Suicide Probability Scale e la Brief Symptom Inventory].

    PubMed

    Dogan, Bulent; Canturk, Gurol; Canturk, Nergis; Guney, Sevgi; Özcan, Ebru

    2016-01-01

    RIASSUNTO. Scopo. Lo scopo di questo studio è stato quello di investigare l'influenza della probabilità di suicidio, con le sue caratteristiche sociodemografiche, e di procurare i dati per la prevenzione del suicidio tra le guardie di sicurezza privata che lavorano in condizioni di stress, essendo a contatto ininterrottamente con eventi negativi e traumatici di vita durante il loro lavoro. Metodi. Hanno partecipato allo studio 200 guardie di sicurezza privata e 200 persone dell'Università di Ankara. Per raccogliere i dati sono stati utilizzati un questionario riguardante le condizioni sociodemografiche dei partecipanti, la Suicide Probability Scale (SPS) e la Brief Symptom Inventory (BSI). Risultati. Genere, stato civile, stipendio, credenze religiose, vivere una situazione di pericolo di vita, passato di tentativi di suicidio, fumare e non avere una malattia cronica hanno causato statisticamente una differenza significativa sui punteggi di SPS tra il gruppo di guardie di sicurezza privata e quello di controllo. In aggiunta, c'è stata una correlazione positiva statisticamente significativa tra i punteggi totali delle sottoscale di SPS e quelli di BSI. Conclusioni. Allo stesso modo degli agenti di polizia e dei gendarmi, le guardie di sicurezza privata sono ad alto rischio di commettere e tentare il suicidio trovandosi in condizioni stressanti di lavoro e anche soffrendo del trauma secondario. È necessario che essi siano consapevoli della propria tendenza al suicidio e avere controlli psichiatrici regolari.

  4. Dynamic electronic institutions in agent oriented cloud robotic systems.

    PubMed

    Nagrath, Vineet; Morel, Olivier; Malik, Aamir; Saad, Naufal; Meriaudeau, Fabrice

    2015-01-01

    The dot-com bubble bursted in the year 2000 followed by a swift movement towards resource virtualization and cloud computing business model. Cloud computing emerged not as new form of computing or network technology but a mere remoulding of existing technologies to suit a new business model. Cloud robotics is understood as adaptation of cloud computing ideas for robotic applications. Current efforts in cloud robotics stress upon developing robots that utilize computing and service infrastructure of the cloud, without debating on the underlying business model. HTM5 is an OMG's MDA based Meta-model for agent oriented development of cloud robotic systems. The trade-view of HTM5 promotes peer-to-peer trade amongst software agents. HTM5 agents represent various cloud entities and implement their business logic on cloud interactions. Trade in a peer-to-peer cloud robotic system is based on relationships and contracts amongst several agent subsets. Electronic Institutions are associations of heterogeneous intelligent agents which interact with each other following predefined norms. In Dynamic Electronic Institutions, the process of formation, reformation and dissolution of institutions is automated leading to run time adaptations in groups of agents. DEIs in agent oriented cloud robotic ecosystems bring order and group intellect. This article presents DEI implementations through HTM5 methodology. PMID:25763310

  5. Determinants of marital behaviour in five Apennine communities of Central Italy inferred by surname analysis, repeated pairs and kinship estimates.

    PubMed

    Capocasa, M; Taglioli, L; Anagnostou, P; Paoli, G; Danubio, M E

    2014-02-01

    The work makes use of surname analysis, repeated pairs and kinship estimates in 11,009 marriage records celebrated in five communities of the Italian Central Apennine (Celano, Lecce dei Marsi, Ortucchio, Roio, Villavallelonga) from 1802 to 1965 with the objective to deepen knowledge of the relative influence of several determinants on their marital behaviour. These towns are part of the same geographic and economic environment: the slopes of the ancient Fucino Lake. This work further elaborates the results from previous studies on the bio-demographic model of the region. The data were analyzed according to three periods of approximately 50 years. Results show the highest inbreeding coefficients in the pastoral towns of Roio and Villavallelonga. Repeated pair analysis highlights a certain degree of population subdivision which declined in time in Celano, Lecce dei Marsi and Ortucchio. The highest and increasing values of RP-RPr in time in Roio suggest a general reduction in genetic heterogeneity. This is possibly due to the celebration of marriages among families selected on the economic basis of pastoralism, as this town historically has had a leading tradition of sheep-farming. Villavallelonga, excluding isonymous marriages, shows an increase in repeated pair unions in time, thus revealing a substructure with marriages among preferred lineages. This is in line with previous results on consanguineous marriages which indicated the tendency of avoiding unions between close relatives in this small geographic isolate. This study demonstrates the influence of geographical (altitude) and social factors (pastoralism) on the marital structures of the investigated populations.

  6. 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.

  7. Proposed Columbia Wind Farm No. 1 : Draft Environmental Impact Statement, Joint NEPA/SEPA.

    SciTech Connect

    United States. Bonneville Power Administration; Klickitat County

    1995-03-01

    This Draft Environmental Impact Statement (DEIS) addresses the Columbia Wind Farm {number_sign}1 (Project) proposal for construction and operation of a 25 megawatt (MW) wind power project in the Columbia Hills area southeast of Goldendale in Klickitat County, Washington. The Project would be constructed on private land by Conservation and Renewable Energy System (CARES) (the Applicant). An Environmental Impact Statement is required under both NEPA and SEPA guidelines and is issued under Section 102 (2) (C) of the National Environmental Policy Act (NEPA) at 42 U.S.C. 4321 et seq and under the Washington State Environmental Policy Act (SEPA) as provided by RCW 43.21C.030 (2) (c). Bonneville Power Administration is the NEPA lead agency; Klickitat County is the nominal SEPA lead agency and CARES is the SEPA co-lead agency for this DEIS. The Project site is approximately 395 hectares (975 acres) in size. The Proposed Action would include approximately 91 model AWT-26 wind turbines. Under the No Action Alternative, the Project would not be constructed and existing grazing and agricultural activities on the site would continue.

  8. Draft environmental impact statement for construction and operation of the proposed Bangor Hydro-Electric Company`s second 345-kV transmission tie line to New Brunswick

    SciTech Connect

    1993-10-01

    This Draft Environmental Impact Statement (DEIS) was prepared by the US Department of Energy (US DOE). The proposed action is the issuance of Presidential Permit PP-89 by DOE to Bangor Hydro-Electric Company to construct and operate a new international transmission line interconnection to New Brunswick, Canada that would consist of an 83.8 mile (US portion), 345-kilovolt (kV) alternating current transmission line from the US-Canadian border at Baileyville, Maine to an existing substation at Orrington, Maine. The principal environmental impacts of the construction and operation of the transmission line would be incremental in nature and would include the conversion of forested uplands (mostly commercial timberlands) and wetlands to right-of-way (small trees, shrubs, and herbaceous vegetation). The proposed line would also result in localized minor to moderate visual impacts and would contribute a minor incremental increase in the exposure of some individuals to electromagnetic fields. This DEIS documents the purpose and need for the proposed action, describes the proposed action and alternatives considered and provides a comparison of the proposed and alternatives routes, and provides detailed information on analyses of the environmental consequences of the proposed action and alternatives, as well as mitigative measures to minimize impacts.

  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. [Valutazione delle guardie di sicurezza privata attraverso la Suicide Probability Scale e la Brief Symptom Inventory].

    PubMed

    Dogan, Bulent; Canturk, Gurol; Canturk, Nergis; Guney, Sevgi; Özcan, Ebru

    2016-01-01

    RIASSUNTO. Scopo. Lo scopo di questo studio è stato quello di investigare l'influenza della probabilità di suicidio, con le sue caratteristiche sociodemografiche, e di procurare i dati per la prevenzione del suicidio tra le guardie di sicurezza privata che lavorano in condizioni di stress, essendo a contatto ininterrottamente con eventi negativi e traumatici di vita durante il loro lavoro. Metodi. Hanno partecipato allo studio 200 guardie di sicurezza privata e 200 persone dell'Università di Ankara. Per raccogliere i dati sono stati utilizzati un questionario riguardante le condizioni sociodemografiche dei partecipanti, la Suicide Probability Scale (SPS) e la Brief Symptom Inventory (BSI). Risultati. Genere, stato civile, stipendio, credenze religiose, vivere una situazione di pericolo di vita, passato di tentativi di suicidio, fumare e non avere una malattia cronica hanno causato statisticamente una differenza significativa sui punteggi di SPS tra il gruppo di guardie di sicurezza privata e quello di controllo. In aggiunta, c'è stata una correlazione positiva statisticamente significativa tra i punteggi totali delle sottoscale di SPS e quelli di BSI. Conclusioni. Allo stesso modo degli agenti di polizia e dei gendarmi, le guardie di sicurezza privata sono ad alto rischio di commettere e tentare il suicidio trovandosi in condizioni stressanti di lavoro e anche soffrendo del trauma secondario. È necessario che essi siano consapevoli della propria tendenza al suicidio e avere controlli psichiatrici regolari. PMID:27183512

  11. Diffraction enhanced imaging contrast mechanisms and applications to medicine

    NASA Astrophysics Data System (ADS)

    Hasnah, Moumen Omar

    X-rays are one of the most commonly used forms of radiation in medical diagnostic imaging because of their ability to penetrate the body and give morphological information. Although several interactions may occur, as the x-ray photons traverse the object being radiographed, all of the common x-ray imaging techniques are based on absorption contrast. The fact that the density variations of these tissues are small makes soft tissue imaging difficult with x-rays. A number of imaging modalities have been developed to address the problem of soft tissue imaging that are of clinical relevance. These modalities typically use alternate methods of visualization based on sound propagation (ultrasound), proton density (Magnetic Resonance Imaging-MRI), and others. In addition, enhancements to the x-ray technique include computed tomography (Computed Axial Tomography---CAT) that has more sensitivity to tissue density, phase contrast methods relying on the phase of the traversing x-rays, and refraction methods such as Diffraction Enhanced Imaging (DEI). Of these techniques, ultrasound, MRI and CAT scans are presently common clinical techniques that are used to assist in the diagnosis and isolation of lesions in tissue. DEI is experimental technique that may someday be clinical used due to the high soft tissue contrast.

  12. Dynamic electronic institutions in agent oriented cloud robotic systems.

    PubMed

    Nagrath, Vineet; Morel, Olivier; Malik, Aamir; Saad, Naufal; Meriaudeau, Fabrice

    2015-01-01

    The dot-com bubble bursted in the year 2000 followed by a swift movement towards resource virtualization and cloud computing business model. Cloud computing emerged not as new form of computing or network technology but a mere remoulding of existing technologies to suit a new business model. Cloud robotics is understood as adaptation of cloud computing ideas for robotic applications. Current efforts in cloud robotics stress upon developing robots that utilize computing and service infrastructure of the cloud, without debating on the underlying business model. HTM5 is an OMG's MDA based Meta-model for agent oriented development of cloud robotic systems. The trade-view of HTM5 promotes peer-to-peer trade amongst software agents. HTM5 agents represent various cloud entities and implement their business logic on cloud interactions. Trade in a peer-to-peer cloud robotic system is based on relationships and contracts amongst several agent subsets. Electronic Institutions are associations of heterogeneous intelligent agents which interact with each other following predefined norms. In Dynamic Electronic Institutions, the process of formation, reformation and dissolution of institutions is automated leading to run time adaptations in groups of agents. DEIs in agent oriented cloud robotic ecosystems bring order and group intellect. This article presents DEI implementations through HTM5 methodology.

  13. Application of long range transport models to New York State's sulfur dioxide emissions policy

    SciTech Connect

    Galvin, P.; Sistla, G.; Hovey, H.; Rao, S.T.

    1985-01-01

    During 1983 and 1984 the New York State Department of Environmental Conservation (DEC) analyzed various options for a sulfur dioxide emissions policy and prepared a Draft Environmental Impact Statement (DEIS). The environmental impact of sulfur dioxide emissions that was of major interest was the acidification of surface waters by the deposition of sulfur compunds in areas that are sensitive to such acidification because of a lack of natural buffering. A significant portion of the preparation of this DEIS centered around determining the contribution that New York State sources make to the deposition of SO/sub 2/ and sulfate at a number of locations in Northeastern North America. This paper describes the application of two long range transport models to determine the contribution of SO/sub 2/ emission sources within and outside New York State to total sulfur deposition at the locations of interest. Also discussed is the subsequent use of this data in the development of a policy of sulfur dioxide emission reductions for New York State.

  14. PITRE: software for phase-sensitive X-ray image processing and tomography reconstruction.

    PubMed

    Chen, Rong Chang; Dreossi, Diego; Mancini, Lucia; Menk, Ralf; Rigon, Luigi; Xiao, Ti Qiao; Longo, Renata

    2012-09-01

    Synchrotron-radiation computed tomography has been applied in many research fields. Here, PITRE (Phase-sensitive X-ray Image processing and Tomography REconstruction) and PITRE_BM (PITRE Batch Manager) are presented. PITRE supports phase retrieval for propagation-based phase-contrast imaging/tomography (PPCI/PPCT), extracts apparent absorption, refractive and scattering information of diffraction enhanced imaging (DEI), and allows parallel-beam tomography reconstruction for conventional absorption CT data and for PPCT phase retrieved and DEI-CT extracted information. PITRE_BM is a batch processing manager for PITRE: it executes a series of tasks, created via PITRE, without manual intervention. Both PITRE and PITRE_BM are coded in Interactive Data Language (IDL), and have a user-friendly graphical user interface. They are freeware and can run on Microsoft Windows systems via IDL Virtual Machine, which can be downloaded for free and does not require a license. The data-processing principle and some examples of application will be presented.

  15. Legends about Legends: Abraham Eleazar's Adaptation of Nicolas Flamel.

    PubMed

    Priesner, Claus

    2016-02-01

    This paper explores the relationship between three illustrated alchemical treatises, all of which are associated with Jewish adepts: the famous Le Livre des figures hieroglyphiques attributed to Nicolas Flamel, and two treatises published in 1735 in Erfurt-the Uraltes Chymisches Werckh and the Donum Dei. The Werckh is supposedly written by Rabbi Abraham Eleazar, while the Donum Dei is attributed to an ancient alchemist-cabalist, Rabbi Samuel Baruch. I argue that these authors are fictitious, and that both works were in fact written in the early eighteenth century by their supposed editor, the probably pseudonymous Julius Gervasius. Gervasius connects the Werckh with the legend of Nicolas Flamel by suggesting that it is based on the original, Jewish manuscript which helped Flamel to find the Stone of the Sages. Gervasius used various strategies to confer a sense of Jewish "authenticity" on these works, borrowing from contemporary (non-Jewish) perceptions of Jewish ritual, Hebrew language, and Christian Cabala. The Werckh also borrows and adapts a sequence of allegorical illustrations from those in pseudo-Flamel's Livre, and I compare the two sets of figures and, where possible, interpret them. I conclude that the later works in fact teach us far more about the state of alchemy in the seventeenth and eighteenth centuries than they do about either medieval alchemy or Judaism. PMID:27376176

  16. Visualization of microvascular proliferation as a tumor infiltration structure in rat glioma specimens using the diffraction-enhanced imaging in-plane CT technique

    NASA Astrophysics Data System (ADS)

    Seo, Seung-Jun; Sunaguchi, Naoki; Yuasa, Tetsuya; Huo, Qingkai; Ando, Masami; Choi, Gi-Hwan; Kim, Hong-Tae; Kim, Ki-Hong; Jeong, Eun-Ju; Chang, Won-Seok; Kim, Jong-Ki

    2012-03-01

    In order to study potent microenvironments of malignant gliomas with a high- resolution x-ray imaging technique, an injection orthotopic glioma model was made using the Sprague-Dawley rat. Total brain tissue, taken out as an ex vivo model, was examined with diffraction-enhanced imaging (DEI) computed tomography (CT) acquired with a 35 keV monochromatic x-ray. In the convolution-reconstructed 2D/3D images with a spatial resolution of 12.5 × 12.5 × 25 µm, distinction among necrosis, typical ring-shaped viable tumors, edemas and healthy tissues was clearly observed near the frontal lobe in front of the rat's caudate nucleus. Multiple microvascular proliferations (MVPs) were observed surrounding peritumoral edemas as a tumor infiltration structure. Typical dimensions of tubular MVPs were 130 (diameter) ×250 (length) µm with a partial sprout structure revealed in the 3D reconstructed image. Hyperplasia of cells around vessel walls was revealed with tumor cell infiltration along the perivascular space in microscopic observations of mild MVP during histological analysis. In conclusion, DEI-CT is capable of imaging potent tumor-infiltrating MVP structures surrounding high-grade gliomas.

  17. INFEZIONI VIRALI CONGENITE, PERINATALI E NEONATALI VIRAL INFECTIONS OF THE FETUS AND NEWBORN INFANT

    PubMed Central

    Tremolada, Sara; Delbue, Serena; Ferrante, Pasquale

    2009-01-01

    Riassunto Alcuni virus possono essere trasmessi verticalmente da madre a figlio in seguito allo sviluppo, da parte della madre, di un’infezione primaria, ricorrente o cronica. La trasmissione materno-fetale dei virus, che può avvenire in utero (infezione congenita), durante il travaglio del parto (infezione perinatale), oppure attraverso l’allattamento (infezione postnatale), può causare aborto spontaneo, morte fetale, ritardo di crescita intrauterino, anomalie congenite e patologie neonatali o postnatali di diversa entità. Alcuni fattori di rischio sembrano influenzare l’incidenza di trasmissione materno-fetale dei virus, come ad esempio la presenza di altre infezioni virali, la carica virale materna, il tipo di infezione (primaria o ricorrente), la durata della rottura delle membrane, la modalità con cui avviene il parto, le condizioni socio-economiche e l’allattamento. Oggi è possibile prevenire la trasmissione materno-fetale di molti virus grazie all’utilizzo di vaccini, immunizzazione passiva e farmaci antivirali. Il rischio di trasmissione delle infezioni perinatali e postnatali, inoltre, può essere diminuito evitando l’allattamento o ricorrendo ad un parto cesareo. PMID:19216201

  18. 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.

  19. Single port VATS resection of a sessile solitary fibrous tumour of the visceral pleura. A case report.

    PubMed

    Mazzella, Antonio; Izzo, Alessandro; Amore, Dario; Cennamo, Antonio; Cerqua, Francesco Saverio; Perrotta, Fabio

    2015-09-24

    Il tumore fibroso solitario della pleura viscerale è una neoplasia rara che deriva dalle cellule mesenchimali adiacenti al tessuto mesoteliali di pleura. La resezione chirurgica è il trattamento di scelta nelle sia nelle lesione benigne che maligne. La recidiva locale può essere il risultato di una chirurgia incompleta o conservatrice, di una mancanza di identificazione dei lembi del tumore durante l’operazione o di crescita di una neoplasia sincrona indipendente da quello rimossa. La resezione chirurgica è anche gravata da qualche difficoltà come la dimensione del tumore, il rapporto con le strutture anatomiche viciniori e la identificazione del peduncolo vascolare. Riportiamo un caso di un uomo di 72 anni con un tumore fibroso solitario sessile della pleura viscerale. Il paziente è stato trattato mediante videotoracoscopia con approccio uniportale. Questo caso, rappresenta una resezione in VATS uniportale di un SFTP sessile con ampia base di impianto. In letteratura, solo due casi di SFTP sono stati trattati mediante approccio uniportale. In tutti i due casi, il tumore era piccolo (4x3 cm nel primo, nel secondo 33 x 22mm) e peduncolato. Nel nostro caso, si parla di un STFP di dimensioni maggiore, sessile e con larga base di impianto. I vantaggi dell’approccio uniportale rispetto alla tradizionale VATS triportale sono la riduzione del dolore post-operatorio, la minore durata di utilizzo dei tubi di drenaggio, la ridotta degenza ospedaliera ed un miglior risultato estetico.

  20. A new perspective on the treatment of complicated giant emphysematous bulla A case report.

    PubMed

    Mazzella, Antonio; Izzo, Alessandro; Amore, Dario; Cerqua, Francesco Saverio; Perrotta, Fabio

    2016-01-29

    L’enfisema bolloso gigante, altresì detto polmone evanescente, è una sindrome clinica già descritta nel 1937 da Burke1. Si tratta di una patologia idiopatica che colpisce i giovani, spesso fumatori; altri fattori di rischio sono rappresentati dal deficit di α-1 antitripsina e dall’abuso di marijuana2. La severa distorsione dell’architettura del parenchima polmonare determina alterazioni della ventilazione e degli scambi gassosi. Le più frequenti complicanze sono rappresentate dallo pneumotorace spontaneo o provocato dalla ventilazione meccanica, e dalle infezioni. La “lung volume reduction surgery” (LVRS) è il trattamento gold standard in gruppi selezionati di pazienti. Le raccomandazioni alla chirurgia prevedono bolle occupanti > 30% dell’emitorace affetto o bolle complicate (rottura e/o sovrainfezione). Negli ultimi anni, la videotoracoscopia ha dimostrato una maggiore efficacia in termini di ridotte complicanze peri e post-operatorie, riduzione del dolore, riduzione dei tempi di degenza e dei costi in confronto alla chirurgia “open” 3. Riportiamo un caso di una donna di 31 anni affetta da bolla gigante complicata del lobo superiore del polmone destro. La paziente, ricoverata per idro – pneumotorace, a causa di prolungate perdite aeree, nonostante drenaggio toracico veniva indirizzata a LVRS. Mediante VATS uniportale con singola incisione cutanea di 4 cm veniva individuata la rottura di bolla gigante del lobo superiore di destra e si eseguiva pertanto bullectomia e pleurodesi meccanica. Questo caso, nella nostra conoscenza, rappresenta la prima resezione di bolla gigante eseguita in VATS uniportale.

  1. Regional tectonic context, timing, and intrusion mechanism of gneiss domes, eastern Papua New Guinea, from offshore seismic reflection and well data

    NASA Astrophysics Data System (ADS)

    Fitz, G. G.; Mann, P.; Lavier, L. L.

    2011-12-01

    The D'Entrecasteaux Island (DEI) gneiss domes are fault-bounded topographic domes with ~2.5 km of relief exposing ultrahigh-pressure (UHP) and high-pressure (HP) metamorphic gneisses and migmatites that began to exhume ~8 Ma in a zone of continental extension 120 km west of the tip of the westward propagating Woodlark seafloor spreading. Two previous models for the origin and emplacement of the gneiss domes include: 1) the domes are metamorphic core complexes formed as footwall blocks on north-dipping, low-angle (<30 deg.) normal faults of Plio-Pleistocene age; and 2) the domes are diapirs of buoyant lower crustal material extruding vertically through narrow zones of extension (~30 km wide) in an overlying dense layer of ultramafic rock. To study the style of continental extension accompanying exhumation of the DEI gneiss domes, we interpreted a loose grid of 1,518 km of 2-D multi-channel seismic (MCS) reflection data and well data from the offshore areas surrounding the DEI, including the Trobriand basin and the Goodenough basin. MCS and well data show the Trobriand basin initially formed as an asymmetrical Miocene forearc basin overlying the south-dipping Trobriand subduction zone that underwent a late Miocene (~11-9 Ma) inversion event that deformed and uplifted the basin's southern and northern margins. Since extension began 8 Ma, the Trobriand basin has evolved as a symmetrical sag basin with 1-3 km of subsidence and few normal faults deforming the upper crust. The Goodenough basin to the south of the Trobriand basin formed as an asymmetrical and southward-tilted half-graben whose master normal fault is the Owen-Stanley fault zone (OSFZ) along the southern edge of the basin. Reconstruction on this structure based on the geometry of faults in the hanging wall indicates a minimum slip on the order of 10 km along a listric fault plane shallowly dipping to the north. The western extension of the OSFZ dips 18 deg. to 24 deg. north along the northern edge of the

  2. Ethical issues in astrobiology: a Christian perspective (Invited)

    NASA Astrophysics Data System (ADS)

    Randolph, R. O.

    2009-12-01

    With its focus on the origin, extent, and future of life, Astrobiology raises exciting, multidisciplinary questions for science. At the same time, Astrobiology raises important questions for the humanities. For instance, the prospect of discovering extraterrestrial life - either intelligent or unintelligent - raises questions about humans’ place in the universe and our relationship with nature on planet Earth. Fundamentally, such questions are rooted in our understanding of what it means to be human. From a Christian perspective, the foundational claim about human nature is that all persons bear the "imago dei", the image of God. This concept forms the basis for how humans relate to one another (dignity) and how humans relate to nature (stewardship). For many Christians the "imago dei" also suggests that humans are at the center of the universe. The discovery of extraterrestrial life would be another scientific development - similar to evolution - that essentially de-centers humanity. For some Christian perspectives this de-centering may be problematic, but I will argue that the discovery of extraterrestrial life would actually offer a much needed theological corrective for contemporary Christians’ understanding of the "imago dei". I will make this argument by examining two clusters of ethical issues confronting Astrobiology: 1. What ethical obligations would human explorers owe to extraterrestrial life? Are there ethical obligations to protect extraterrestrial ecosystems from harm or exploitation by human explorers? Do our ethical considerations change, if the extraterrestrial life is a “second genesis;” in other words a form of life completely different and independent from the carbon-based life that we know on Earth? 2. Do we have an ethical obligation to promote life as much as we can? If human explorers discover extraterrestrial life and through examination determine that it is struggling to survive, do we have an ethical obligation to assist that

  3. Less is more: "incision and curettage" as an optimal procedure for recurrent pilonidal disease.

    PubMed

    Demir, Uygar; Yazici, Pinar; Bostanci, Ozgur; Kaya, Cemal; Isil, Riza Gurhan; T Mihmanli, Mehme

    2015-01-01

    Sebbene il sinus pilonidalis sia una patologia ben conosciuta da più di un secolo, la recidiva dopo trattamento non è per questo diventata rara, ed è in discussione quale sia il miglior trattamento chirurgico in tali casi. Con il presente studio si è cercato di valutare l’efficacia di un trattamento caratterizzato da incisione e curettage. Tra maggio 2009 e maggio 2013 abbiamo sottoposto a trattamento chirurgico 42 pazienti (37 uomini e 5 donne) ad un trattamento chirurgico per sinus pilonidalis recidivo. In tutti i casi è stata eseguita un’incisione chirurgica ed il curettage del tessuto di granulazione, con asportazione dei peli e dei detriti. La documentazione comprende i dati demografici, il punteggio secondo la scala analogica visiva (VAS), la durata della degenza ospedialiera, il ritorno alle attività quotidiane (decubito e stazione seduta normale), il ritorno al lavoro ed il tempo totale di guarigione della ferita. La durata media dell’intervento è stata di 16.6±4.7 minuti (da 10 a 24). Il punteggio medio del dolore è stato di 1.4±1.1 (compreso tra 0 e 5) calcolato con VAS. Il tempo medio per il ritorno alle attività quotidiane come il decubito normale, la stazione seduta ed il ritorno al lavoro è stato rispettivamente di 1.6±0.8 giorni (tra 1 e 4), di 3.3±2.3 giorni (tra 1 e15) e di 10.2±5.4 giorni (tra 5 e 33). Il tempo medio di guarigione della ferita è stato di 19.9±7.8 giorni (tra 7 e 52). Durante i successivi tre anni di follow-up non è stata osservata alcuna recidiva. L’incisione e il curettage può essere utilizzato come trattamento di prima istanza in caso di sinus pilonidalis ricorrente. Non richiede una particolare abilità chirurgica è può essere realizzato in tempi brevi. Questa semplice opzione chirurgica consente una degenza breve, un rapido ritorno alle attività quotidiane, oltre al gradimento ed alla soddisfazione dei pazienti.

  4. Thyroid nodules in acromegaly: The role of elastography.

    PubMed

    Andrioli, M; Scacchi, M; Carzaniga, C; Vitale, G; Moro, M; Poggi, L; Fatti, L M; Cavagnini, F

    2010-09-01

    Sommario INTRODUZIONE: L’elastosonografia (US-E) è un utile strumento per la diagnosi del carcinoma tiroideo. Se nell’acromegalia lo struma multinodulare ha un’elevata prevalenza, ancora non vi è accordo sulla possibilità di un’aumentata prevalenza delle neoplasie maligne tiroidee. Obiettivi dello studio sono stati: a) valutare i noduli tiroidei nell’acromegalia con l’US-E; b) stabilire l’accuratezza di questa tecnica nel fornire informazioni sulla loro natura, usando l’esame citologico come parametro di riferimento. MATERIALI E METODI: L’US-E è stata eseguita in 25 pazienti acromegalici (7 guariti dalla chirurgia ipofisaria, 8 controllati dalla terapia medica, 10 con patologia attiva) che presentavano almeno un nodulo solido. Un totale di 90 noduli sono stati classificati secondo un punteggio elastosonografico (ES) in quattro classi di durezza: ES1 e ES2 per i noduli più elastici, ES3 e ES4 per quelli più duri. L’agoaspirato (FNAC) è stato effettuato nel 78.6% dei noduli ES 4 e nel 54,1% dei noduli ES 3. RISULTATI: Dei 90 noduli, 14 (15,5%) mostravano un ES 1, 25 (27,7%) un ES 2, 37 (41,3%) un ES 3 e 14 (15,5%) un ES 4. La prevalenza di noduli duri nei pazienti con acromegalia attiva (68,9%) era maggiore di quella osservata nei pazienti guariti (44,4%) e nei pazienti controllati (52,5%). Nell’intera popolazione di acromegalici la prevalenza di noduli duri (56,7%) era maggiore di quella riportata dalla letteratura nei pazienti non acromegalici con struma multinodulare (33,7%). Tutti i noduli sottoposti a FNAC sono risultati negativi per cellule tumorali maligne o per sospetta malignità. DISCUSSIONE: Questo studio ha dimostrato un’elevata prevalenza di noduli duri nell’acromegalia, soprattutto nei pazienti con patologia attiva. Tale prevalenza è maggiore di quella riportata in letteratura nei pazienti non acromegalici con patologia nodulare tiroidea. Questi noduli, tuttavia, non sono risultati maligni all’esame citologico e

  5. Splenic abscess after splenic blunt injury angioembolization.

    PubMed

    Tartaglia, Dario; Galatioto, Christian; Lippolis, Piero Vincenzo; Modesti, Matteo; Gianardi, Desirée; Bertolucci, Andrea; Cucinotta, Monica; Zocco, Giuseppe; Seccia, Massimo

    2014-11-03

    L’angioembolizzazione splenica è una efficace procedura nel corso del trattamento non operativo dei pazienti emodinamicamente stabili con traumi splenici di grado OIS III, IV, V. L’ascesso spenico rappresenta una rara complicanza maggiore di questa procedura. Di seguito riportiamo il caso di un paziente di 38 anni, giunto in Pronto Soccorso dopo una caduta accidentale domestica, con contusione del quadrante superiore sinistro dell’addome. La TC addome documentava una frattura del polo inferiore della milza, con pseudoaneurismi intraparenchimali (grado IV OIS). Vista la stabilità emodinamica, il paziente veniva sottoposto a trattamento non operatvo. Successivamente si eseguiva un’angioembolizzazione della parte distale dell’ arteria splenica con spongostan gel e spirali metalliche. Per la comparsa di febbre e per l’evidenza di sepsi agli esami ematochimici, si effettuava un’ ulteriore TC addome che evidenziava la presenza di una voluminosa raccolta di circa 11 cm all’ interno della milza con multiple bolle aree nel suo contesto, con segni di emoperitoneo diffuso nei recessi addominali. Per tale motivo, ad una settimana dalla procedura, il paziente veniva sottoposto ad intervento chirurgico di splenectomia con evacuazione del versamento ematico. Gli esami colturali eseguiti sull’ematoma perisplenico risultavano negativi, ma l’esame istologico della milza documentava multiple aree ascessualizzate ed emorragiche. Dopo un ciclo di terapia antibiotica a largo spettro con Tigeciclina e Teicoplanina, il paziente veniva dimesso in sedicesima giornata post-operatoria. In letteratura, è stato riportato che gli ascessi splenici dopo la procedura di angioembolizzazione splenica nel corso di un trattamento non operativo dei traumi splenici, si verificano nel range dello 0-1,9%. In circa un terzo dei casi richiedono un trattamento chirurgico. Nel caso riportato l’ascesso splenico si è sviluppato nel giro di una settimana dalla procedura. In conclusione

  6. Low-temperature thermochronologic constraints on cooling and exhumation trends along conjugate margins, within core complexes and eclogite-bearing gneiss domes of the Woodlark rift system of eastern Papua New Guinea

    NASA Astrophysics Data System (ADS)

    Fitzgerald, P. G.; Baldwin, S.; Bermudez, M. A.; Miller, S. R.; Webb, L. E.; Little, T.

    2012-12-01

    In eastern Papua New Guinea, active sea-floor spreading within the Woodlark Basin has been propagating westward since at least 6 Ma into heterogeneous crust of the Woodlark Rift. The seafloor spreading system divides the northern conjugate margin (Woodlark Rise) from the southern margin (Pocklington Rise). West of the seafloor spreading rift-tip are high-standing extensional gneiss domes and core complexes of the D'Entrecasteaux Islands (DEI). Domes comprise amphibolite and eclogite-facies gneisses, and Pleistocene granitoid intrusions. Flanked by mylonitic shear zone carapaces and normal faults, the domes are juxtaposed against an upper plate that includes ultramafic rocks and gabbro, correlated with the Papuan ultramafic belt. Petrologic and structural evidence from the DEI has been interpreted as evidence for diapiric ascent of the largely felsic domes, with thermo-mechanical modeling proposing (U)HP exhumation in terms of diapiric flow aided by propagating extension, with feedback between the two. Core complexes lacking evidence for diapiric-aided exhumation include the Prevost Range (eastern Normanby Island), Dayman Dome (Papuan Peninsula), and Misima Island (southern conjugate margin). Thermochronology is being applied to understand the thermal and exhumation history, and hence help constrain mechanisms of (U)HP exhumation. AFT and AHe ages from samples near sea-level along conjugate margins and DEI range from ca. 12 Ma to <1 Ma, generally decreasing from east to west, although with some localized variation. Confined track length distributions (CTLD), obtained using 252Cf implantation, generally indicate rapid cooling (means ≥~14 μm), except on Goodenough Island, the western-most and highest-standing dome. On Goodenough Island, samples from the core zone have AFT ages from ~3 - <1 Ma with age decreasing with decreasing elevation. Core zone samples have mean track lengths (7-13 μm) and are positively skewed, whereas samples from shear zones are younger (<1

  7. Non-mycotic anastomotic pseudoaneurysm of renal allograft artery. Case Report.

    PubMed

    Ardita, Vincenzo; Veroux, Massimiliano; Zerbo, Domenico; D'Arrigo, Giuseppe; Caglià, Pietro; Veroux, Pierfrancesco

    2016-06-20

    Le complicanze vascolari dopo il trapianto renale non sono comuni, e nella maggior parte dei casi si presentano nel periodo post-trapianto precoce. Gli pseudoaneurismi arteriosi coinvolgono l’anastomosi arteriosa del rene trapiantato e nella maggior parte dei casi riconoscono una eziologia micotica. Una donna di 62 anni, che è stata sottoposta otto mesi prima ad un trapianto renale, presentava un vago dolore in fossa iliaca destra. L’ecografia del rene trapiantato dimostrava la presenza di un’area ipoecogena in corrispondenza dell’ilo renale, che all’ecocolordoppler appariva riccamente vascolarizzata. La tomografia computerizzata confermava la diagnosi di pseudo-aneurisma anastomotico di 33 mm di diametro, coinvolgente l’arteria del rene trapiantato. La paziente è stata dunque sottoposta a intervento chirurgico di aneurismectomia, con successivo bypass fra arteria renale del rene trapiantato e arteria iliaca interna. La continuità arteriosa iliaca è stata dunque ristabilita attraverso un by-pass iliaco-esterno-femorale comune in vena safena invertita. L’ecocolordoppler intraoperatorio dimostrava la corretta perfusione del graft renale e la corretta pervietà del by-pass iliacofemorale. Il decorso post-operatorio è stato privo di complicanze significative, eccettuata una linforrea inguinale risolta spontaneamente in 22a giornata post-operatoria. Sei mesi dopo la procedura, la paziente è in ottime condizioni generali, con una funzionalità renale conservata e una corretta pervietà del by-pass iliacofemorale. Lo pseudo-aneurisma dell’arteria renale rappresenta una rara complicanza del trapianto renale. Nella maggior parte dei casi riconosce una eziologia micotica, spesso a causa di contaminazione diretta del graft durante le procedure di prelievo o conservazione dell’organo. Il trattamento è molto complesso, e in molti casi richiede l’espianto del graft. Tuttavia, in alcuni casi selezionati, è possibile eseguire il trattamento dell

  8. Assessment of photographs from wildlife monitoring cameras in Drakes Estero, Point Reyes National Seashore, California

    USGS Publications Warehouse

    Lellis, William A.; Blakeslee, Carrie J.; Allen, Laurie K.; Molnia, Bruce F.; Price, Susan D.; Bristol, R. Sky; Stewart, Brent

    2012-01-01

    Between 2007 and 2010, National Park Service (NPS) staff at the Point Reyes National Seashore, California, collected over 300,000 photographic images of Drakes Estero from remotely operated wildlife monitoring cameras. The purpose of the systems was to obtain photographic data to help understand possible relationships between anthropogenic activities and Pacific harbor seal (Phoca vitulina richardsi) behavior and distribution. The value of the NPS photographs for use in assessing the frequency and impacts of seal disturbance and displacement in Drakes Estero has been debated. In September 2011, the NPS determined that the photographs did not provide meaningful information for development of a Draft Environmental Impact Statement (DEIS) for the Drakes Bay Oyster Company Special Use Permit. Limitations of the photographs included lack of study design, poor photographic quality, inadequate field of view, incomplete estuary coverage, camera obstructions, and weather limitations. The Marine Mammal Commission (MMC) reviewed the scientific data underpinning the Drakes Bay Oyster Company DEIS in November 2011 and recommended further analysis of the NPS photographs for use in characterizing rates and consequences of seal disturbance (Marine Mammal Commission, 2011). In response to that recommendation, the NPS asked the U.S. Geological Survey (USGS) to conduct an independent review of the photographs and render an opinion on the utility of the remote camera data for informing the environmental impact analyses included in the DEIS. In consultation with the NPS, we selected the 2008 photographic dataset for detailed evaluation because it covers a full harbor seal breeding season (March 1 to June 30), provides two fields of view (two cameras were deployed), and represents a time period when cameras were most consistently deployed and maintained. The NPS requested that the photographs be evaluated in absence of other data or information pertaining to seal and human activity in

  9. 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

  10. Effect of alpha lipoic acid on the blood cell count and iron kinetics in hypertensive patients.

    PubMed

    Mendes, Paula Renata Florêncio; Félix, Danielle dos Santos; Silva, Paulo César Dantas da; Pereira, Guêdijany Henrique; Simões, Mônica Oliveira da Silva

    2014-11-03

    Introducción: El Ácido -Lipóico (ALA) ha sido utilizado como recurso terapéutico para reducir daño oxidativo en la Hipertensión Arterial Sistémica (HAS), pero aún no existen estudios in vivo que reporten sobre su mecanismo de acción en el metabolismo del hierro. Objetivo: Evaluar el efecto antioxidante del ácido Alfa- Lipóico sobre el hemograma y metabolismo del hierro en individuos hipertensos con o sin anemia. Métodos: Estudio clínico doble-ciego, randomizado y controlado con placebo. La muestra fue constituida por 60 individuos hipertensos, distribuidos aleatoriamente en grupo tratamiento (n = 32), que recibió 600 mg/día del ALA por doce semanas y grupo control (n = 28), que recibió el placebo por el mismo período. Fueron analizados antes y después de la intervención, los parámetros del hemograma, Hierro Sérico, Ferritina, Capacidad Latente de Enlace del hierro, Capacidad Total de Enlace del Hierro, Índice de Saturación de la Transferrina (ISI) y Transferrina. Para evaluar las alteraciones entre los grupos, se utilizó el teste t de Student y el análisis de varianza ANOVA, adoptándose el nivel de significación de 5%. Resultados: Después de la intervención, el suplemento con el ALA demostró una asociación estadísticamente significativa (p < 0,05) con la reducción de los leucocitos totales, aumento del número de neutrófilos y reducciones en los niveles de Hierro Sérico e ISI. Conclusión: La administración oral del ALA como un adyuvante terapéutico, altera la respuesta hematológica del leucograma y reduce la absorción del hierro. Cabe senãlar que el mecanismo de quelación de metales por el ácido lipoico puede ser responsable de estos cambios y, en consecuencia, podría desencadenar una condicion de anemia ferropénica en individuos hipertensos.

  11. [Assessment of lipid profiles and bone mineral density in renal transplant patients].

    PubMed

    Fernández Castillo, Rafael; Fernández Gallegos, Ruth; Peña Amaro, María Pilar; Esteban de la Rosa, Rafael José

    2015-06-01

    Introducción: las alteraciones del metabolismo lipídico y del metabolismo mineral óseo son trastornos frecuentes entre los pacientes trasplantados renales, lo que contribuye a la aparación de enfermedades matabólicas y cardiovasculares que ponen en peligro la integridad del injerto. Objetivo: describir y observar la evolución de las alteraciones de la densidad mineral ósea (DMO) y las alteraciones lipídicas en una población de pacientes trasplantados renales. Material y método: en este trabajo se ha seguido a 119 pacientes de ambos sexos trasplantados renales, a los cuales se les realizaron mediciones pretrasplante y postrasplante durante cinco años de parámetros bioquímicos, mediciones antropométricas y de la densidad mineral ósea en columna lumbar, fémur y radio-cubital. Resultados: durante los cinco años tras el trasplante se produce un importante aumento de parámetros bioquímicos, IMC, dislipemia, diabetes e hipertensión arterial. A los seis meses existe un alto porcentaje de pacientes con DMO patológica, aumentando un 4,1% al año del trasplante. Conclusiones: tras el trasplante se produce un gran incremento de la hiperlipidemia que se asocia con un patrón característico de alteración de lípidos con elevación del colesterol total, lipoproteínas de baja densidad, lipoproteínas de alta densidad, así como el consiguiente aumento de los triglicéridos, a pesar del tratamiento con estatinas, lo que conlleva un aumento en los factores de riego de padecer diabetes, hipertension arterial y enfermedades cardiovasculares; además se produce una pérdida de masa ósea, lo que conlleva un alto riesgo de sufrir fracturas graves, poniendo en peligro el injerto renal y la calidad de vida del paciente.

  12. Safety in the hypertriglyceridemia treatment with N-3 polyunsaturated fatty acids on glucose metabolism in subjects with type 2 diabetes mellitus.

    PubMed

    Reis, Caio Eduardo Gonçalves; Landim, Karla Câmara; Nunes, Aline Costa Santos; Dullius, Jane

    2014-10-06

    Introducción: Diabetes mellitus tipo 2 aumenta el riesgo de hipertrigliceridemia y es un factor de riesgo independiente para las enfermedades cardiovasculares. La literatura actual revela efectos beneficiosos de n-3 ácidos grasos poliinsaturados (n-3 AGPI) en el tratamiento de la hipertrigliceridemia, sin embargo, la seguridad de este tratamento en los sujetos diabéticos tipo 2 es discutible. Esta revisión de la literatura discute la seguridad del n-3 PUFA la suplementación sobre el metabolismo de la glucosa en el tratamiento de la hipertrigliceridemia en pacientes con diabetes mellitus tipo 2. Métodos: Se ha realizado una revisión de la literatura en la base de datos MEDLINE y EMBASE del los ensayos clínicos publicados con fecha posterior al 1990 hasta Junio de 2014 sobre los efectos de la ingesta / suplementos del n-3 AGPI en el tratamiento de la hipertrigliceridemia en pacientes con diabetes mellitus tipo 2. Resultados y Discusión: Catorce estudios clínicos (n = 2105) se incluyeron en esta revisión. Del estudios informaron una reducción en los niveles de triglicéridos entre 12 a 34% en interior del grupo comparación y de 15 a 36% en entre grupos análisis. Cuatro estudios mostraron un aumento significativo en el LDL-c (6-18%) y otros cuatro en los niveles de HDL-c (4 - 15%). No se encontraron cambios significativos en el colesterol total, VLDL-c, la glucosa, HbA1c y el índice de sensibilidad a la insulina. Conclusión: El n-3 AGPI suplementación lleva una mejora en los niveles de triglicéridos y no arrojaron deterioro en el metabolismo de la glucosa en pacientes con hipertrigliceridemia con diabetes mellitus tipo 2 siendo una opción segura para el tratamiento de la población diabética.

  13. Glycemic and lipid metabolic disorders in diabetic and non-diabetic patients bmi < 35 or > 35 before gastric bypass.

    PubMed

    Garcia-Caballero, Manuel; Reyes-Ortiz, Alexander; Martínez-Moreno, José Manuel; Toval-Mata, José Antonio

    2014-05-01

    Introducción: La obesidad y la diabetes son enfermedades de alta prevalencia a nivel mundial. Actualmente no existe un tratamiento médico eficaz para combatir el aumento de peso. La obesidad es precursora de enfermedades tales como la diabetes o el síndrome metabólico. Es necesario saber si el aumento de peso tiene efectos acumulativos sobre el metabolismo de la glucemia y los lípidos como precursores de complicaciones o comorbilidades. Pacientes y métodos: Se estudiaron 131 pacientes (78 no diabéticos y 53 diabéticos), 37 IMC ≤35 (3 IMC < 25, 18 IMC 25-29,9, 16 IMC 30-34,9) y 94 IMC ≥35 (81 IMC 35- 49,9 y 13 de IMC ≥50). Se analizó el IMC, el género, la diabetes y su tiempo de evolución. El perfil lipídico, glucosa, HbA1c y el péptido C fueron evaluados después de un ayuno de 12 horas. Resultados: Los pacientes diabéticos y diabesos mostraron niveles altos de triglicéridos. Los pacientes no diabéticos tienen alteración de la glucosa (58% IMC 35). El 20% de los no diabéticos IMC 35 tenían niveles altos. El 5% de los diabéticos IMC < 35 tenía bajos niveles de péptido C y 36% de IMC > 35 tenían niveles altos. HbA1c fue mayor en 40% de pacientes no diabéticos IMC < 35 frente al 13% de IMC > 35. Conclusiones: La glucosa y los triglicéridos aumentan con la edad y los años de evolución de la DMT2. La edad de ≥51 años y los hombres son los más afectados. El aumento de peso tiene efecto acumulativo alterando el metabolismo favoreciendo la aparición de la diabetes y sus comorbilidades. A pesar de tener un tratamiento de control intensivo de la diabetes, esta continúa con sus efectos nocivos sobre los pacientes a través de los años.

  14. EL PROTEOMA DEL TEJIDO ADIPOSO SUBCUTÁNEO MUESTRA HETEROGENEIDAD ANATÓMICA

    PubMed Central

    Martos-Moreno, G.A.; Sackmann-Sala, L.; Berryman, D.E.; Blome, D.W.; Argente, J.; Kopchick, y J.J.

    2015-01-01

    Introducción El tejido adiposo blanco (TAB) subcutáneo (Sc) humano podría variar dependiendo de su localización anatómica, con diferencias en su perfil proteómico. Pacientes y métodos Se obtuvieron aspirados de TAB-Sc de seis mujeres con IMC >25 kg/m2, sometidas a liposucción. Dicho TAB-Sc se obtuvo de seis localizaciones anatómicas: abdominal superior e inferior, muslo, dorsal, flanco y cadera, analizándose su perfil proteómico mediante electroforesis bidimensional. En muslo y abdomen superior se compararon, además, las muestras obtenidas de las dos capas del TAB-Sc (profunda y superficial). Resultados Se detectaron 21 proteínas que mostraban una intensidad de expresión diferente entre las seis localizaciones anatómicas y 14 entre las capas superficial y profunda de una misma región. Entre las proteínas identificadas se incluyen: vimentina (proteína estructural); proteínas “heat-shock” (HSPs), superóxido-dismutasa, (estrés/chaperoninas); proteína fijadora de ácidos grasos 4 (FABP-4) y alfa-enolasa (metabolismo lipídico y de los hidratos de carbono, respectivamente) y ATP-sintetasa (producción de energía). Entre las regiones estudiadas, el TAB-Sc dorsal mostraba un perfil proteómico particular, con menor expresión de proteínas implicadas en la producción de energía y metabolismo (ATP-sintetasa, alfa-enolasa, HSPs y FABP-4) que el resto de regiones. Conclusiones Los niveles de expresión de diversas proteínas en el TAB-Sc humano no son homogéneos, difiriendo entre localizaciones anatómicas. Esto sugiere la existencia de diferencias funcionales en el TAB-Sc de acuerdo con su localización anatómica, lo que debe considerarse antes de asumir la extrapolación de los datos derivados del TAB-Sc de una determinada localización al de otras partes de la anatomía. PMID:23228439

  15. OBESITY PHENOTYPES IN URBAN MIDDLE-CLASS COHORTS; THE PRIT-LINDAVISTA MERGING EVIDENCE IN MEXICO: THE OPUS PRIME STUDY.

    PubMed

    Fanghänel-Salmón, Guillermo; Gutiérrez-Salmeán, Gabriela; Samaniego, Virginia; Meaney, Alejandra; Sánchez-Reyes, Leticia; Navarrete, Ulises; Alcocer, Luis; Olivares-Corichi, Ivonne; Najera, Nayeli; Ceballos, Guillermo; Meaney, Eduardo

    2015-07-01

    Antecedentes y metas: aun cuando el sobrepeso y la obesidad (S/O) son enfermedades reconocidas, hay un reclamo por la existencia de un fenotipo llamado “obeso sano”. Pocos estudios han explorado la presencia de diferentes fenotipos metabólicos en los rangos del índice de masa corporal (IMC) y su asociación con riesgo cardiovascular. Métodos: se determinaron fenotipos de acuerdo al IMC y a la presencia de marcadores del síndrome metabólico (SM) (circunferencia abdominal, presión sanguínea, glucemia en ayunas y perfil de lípidos). El riesgo cardiovascular fue estimado con los índices aterogénicos: colesterol total/HDL-c, LDL-c/HDL-c y triglicéridos(TG)/HDL-c. Resultados: en 8.405 adultos mexicanos, 36% delgados, 43% con sobrepeso y 21% obesos, se identificaron 9 fenotipos. Por cada categoría de peso se encontraron sujetos con metabolismo normal (ningún factor de SM), intermedios (≤ 2) y dismetabólicos (≥ 3). Solo el 10.8% de los sujetos con S/O tuvieron metabolismo normal y el 5.8% de los sujetos delgados fueron dismetabólicos. El riesgo aterogénico fue mayor en los sujetos obesos dismetabólicos. El riesgo fue alto entre todos los sujetos dismetabólicos independientemente del peso. El índice TG/ HDL-c mostró las mismas tendencias. Conclusiones: el riesgo cardiometabólico incrementado deriva de la alta prevalencia de S/O. Una gran proporción de sujetos no obesos tiene dismetabolismo intermedio. Una predisposición genética a la obesidad, la resistencia a la insulina, la diabetes y la dislipidémia en la población mexicana, junto con un estilo de vida no saludable da como consecuencia una epidemia catastrófica de diabetes y enfermedades cardiovasculares.

  16. Western Regional Final Supplemental Environmental Impact Statement: Rulemaking for Small Power Production and Cogeneration Facilities - Exemptions for Geothermal Facilities

    SciTech Connect

    Heinemann, Jack M.; Nalder, Nan; Berger, Glen

    1981-02-01

    Section 643 of the Energy Security Act of 1980 directed the Federal Energy Regulatory Commission to develop rules to further encourage geothermal development by Small Power Production Facilities. This rule amends rules previously established in Dockets No. RM79-54 and 55 under Section 201 and 210 of the Public Utility Regulatory Policies Act of 1978 (PURPA). The analysis shows that the rules are expected to stimulate the development of up to 1,200 MW of capacity for electrical generation from geothermal facilities by 1995--1,110 MW more than predicted in the original PURPA EIS. This Final Supplemental EIS to the DEIS, issued by FERC in June 1980, forecasts likely near term development and analyzes environmental effects anticipated to occur due to development of geothermal resources in the Western United States as a result of this additional rulemaking.

  17. Constituent phases of the passive film formed on 2205 stainless steel by dynamic electrochemical impedance spectroscopy

    NASA Astrophysics Data System (ADS)

    Cheng, Xue-Qun; Li, Cheng-Tao; Dong, Chao-Fang; Li, Xiao-Gang

    2011-02-01

    The passive film formed on 2205 duplex stainless steel (DSS) in 0.5 M NaHCO3+0.5 M NaCl aqueous solution was characterized by electrochemical measurements, including potentiodynamic anodic polarization and dynamic electrochemical impedance spectroscopy (DEIS). The results demonstrate that there is a great difference between the passive film evolutions of ferrite and austenite. The impedance values of ferrite are higher than those of austenite. The impedance peaks of ferritic and austenitic phases correspond to the potential of 0.15 and 0.25 V in the low potential range and correspond to 0.8 and 0.75 V in the high potential range. The evolutions of the capacitance of both phases are reverse compared to the evolutions of impedance. The thickness variations obtained from capacitance agree well with those of impedance analysis. The results can be used to explain why pitting corrosion occurs more easily in austenite phase than in ferrite phase.

  18. Four Classical Methods for Determining Planetary Elliptic Elements: A Comparison

    NASA Astrophysics Data System (ADS)

    Celletti, Alessandra; Pinzari, Gabriella

    2005-09-01

    The discovery of the asteroid Ceres by Piazzi in 1801 motivated the development of a mathematical technique proposed by Gauss, (Theory of the Motion of the Heavenly Bodies Moving about the Sun in Conic Sections, 1963) which allows to recover the orbit of a celestial body starting from a minimum of three observations. Here we compare the method proposed by Gauss (Theory of the Motion of the Heavenly Bodies Moving about the Sun in Conic Sections, New York, 1963) with the techniques (based on three observations) developed by Laplace (Collected Works 10, 93 146, 1780) and by Mossotti (Memoria Postuma, 1866). We also consider another method developed by Mossotti (Nuova analisi del problema di determinare le orbite dei corpi celesti, 1816 1818), based on four observations. We provide a theoretical and numerical comparison among the different procedures. As an application, we consider the computation of the orbit of the asteroid Juno.

  19. Comprehensive Energy Balance Measurements in Mice.

    PubMed

    Moir, Lee; Bentley, Liz; Cox, Roger D

    2016-01-01

    In mice with altered body composition, establishing whether it is food intake or energy expenditure, or both, that is the major determinant resulting in changed energy balance is important. In order to ascertain where the imbalance is, the acquisition of reproducible data is critical. Therefore, here we provide detailed descriptions of how to determine energy balance in mice. This encompasses protocols for establishing energy intake from home cage measurement of food intake, determining energy lost in feces using bomb calorimetry, and using equations to calculate parameters such as energy intake (EI), digested energy intake (DEI), and metabolisable energy intake (MEI) to determine overall energy balance. We also discuss considerations that should be taken into account when planning these experiments, including diet and sample sizes. © 2016 by John Wiley & Sons, Inc. PMID:27584551

  20. IL TRAPIANTO ORTOTOPICO DEL FEGATO

    PubMed Central

    STARZL, THOMAS E.

    2010-01-01

    E’ormai noto che esiste la possibilità rivoluzionaria di utilizzare il fegato per il trattamento della stadio terminale delle epatopatie. Nel gennaio 1980 si celebra il decimo anna di sopravvivenza con fegato trapiantato (la più lunga della letteratura) di un paziente da noi trattato. Si tratta di uno dei 12 malati sottoposti a trapianto e seguiti per più di 5 anni. La nota positiva di questa tipo di trattamento è rappresentata dall’eccellente tenore di vita che i pazienti conducono e dalla riabilitazione sociale e professionale. La nota negativa è data, invece, dal fatto che i buoni risultati non vengono raggiunti con regolarità e non possono essere previsti con esattezza. In questa breve rassegna considereremo la esperienza da noi fatta presso l’Università di Denver nel Colorado, mettendo in risalto le cause dell’elevata mortalità precoce e le prospettive future di questa mezzo terapeutico. PMID:21572898

  1. [Human abnormalities--their importance in the world view during antiquity and the early Middle Ages].

    PubMed

    Neumann, J N

    1992-01-01

    In consideration of the experience that also in our present day society the development of a handicapped baby is understood by some as the visible result of a morally guilty behaviour of the parents, the present study raises the question, whether the identification of physical appearance and moral attitude has been in a certain historical epoch the preferred approach in science for understanding the origin of human malformations. After the treatment of the teratological theories in greek medicine and aristotelian natural philosophy the question of the origin of human malformation is examined in Pliny's "Historia naturalis" and Augustine's "De civitate dei". A comparison between the theories presented shows that the moral interpretation of human malformation is an inevitable consequence of the augustinian theological thinking.

  2. A multiparametric HPGe-NaI acquisition system for low gamma activity measurements of meteorites

    NASA Astrophysics Data System (ADS)

    Taricco, C.; Bhandari, N.; Colombetti, P.; Mariani, I.; Verma, N.; Vivaldo, G.

    The study of long-term solar activity variations in the past requires the use of radioisotopic data planetary reservoirs. At the Laboratory of Monte dei Cappuccini in Torino (IFSI-Torino, INAF) for many years we have been studying radioisotopes in meteorites, because their production, which is related to galactic cosmic ray flux in the heliosphere, is anticorrelated with the heliospheric magnetic field variations. We have developed very sensitive gamma detection techniques, in particular to measure 44Ti activity in meteorites; due to its half-life (t1/2=59.2 years), this radioisotope is an ideal index to reveal the imprint of solar activity variations on the centennial scale. Recently we have improved the spectrometer by a new multiparametric acquisition system, which allows to extract efficiently the 44Ti peak from the natural background.

  3. Maimonides’ Appreciation for Medicine

    PubMed Central

    Gesundheit, Benjamin

    2011-01-01

    Moses Maimonides, the illustrious medieval rabbi and philosopher, dedicated the last decade of his life primarily to medicine. His strong interest in medicine was an integral component of his religious-philosophical teachings and world view. In this paper various sources from his rabbinic writings are presented that explain Maimonides’ motivation regarding and deep appreciation for medicine: (A) The physician fulfills the basic biblical obligation to return lost objects to their owner, for with his knowledge and experience the physician can restore good health to his sick fellow human being; (B) medicine provides a unique opportunity to practice imitatio dei, as it reflects the religious duty to maintain a healthy life-style; (C) as an important natural science, medicine offers tools to recognize, love, and fear God. These three aspects address man’s relationship and obligation towards his fellow-man, himself and God. Biographical insights supported by additional sources from Maimonides’ writings are discussed. PMID:23908790

  4. The Italian registry of soft tissue tumors.

    PubMed

    Clemente, C; Orazi, A; Rilke, F

    1988-01-01

    After a review of the incidence data on malignant soft-tissue tumors in Italy (Registro dei Tumori della Regione Lombardia, provincia di Varese), Europe (nine European Cancer Registries considered representative of various geographical areas) and extra-European countries (data of ten World Cancer Registries), the aim and the organization of the Italian Malignant Soft-Tissue Tumor Registry are described. The collection system is based on dedicated forms prepared for the computerization of all data. From 1.1.1985 to 31.3.1987, 207 cases of malignant and potentially malignant soft-tissue tumors entered the Registry, with exclusion of those sarcomas arising in viscera. The distribution, categorized by histologic type, sex and site, and the preliminary results on relapses and metastases are reported.

  5. Virtual unrolling and deciphering of Herculaneum papyri by X-ray phase-contrast tomography.

    PubMed

    Bukreeva, I; Mittone, A; Bravin, A; Festa, G; Alessandrelli, M; Coan, P; Formoso, V; Agostino, R G; Giocondo, M; Ciuchi, F; Fratini, M; Massimi, L; Lamarra, A; Andreani, C; Bartolino, R; Gigli, G; Ranocchia, G; Cedola, A

    2016-06-06

    A collection of more than 1800 carbonized papyri, discovered in the Roman 'Villa dei Papiri' at Herculaneum is the unique classical library survived from antiquity. These papyri were charred during 79 A.D. Vesuvius eruption, a circumstance which providentially preserved them until now. This magnificent collection contains an impressive amount of treatises by Greek philosophers and, especially, Philodemus of Gadara, an Epicurean thinker of 1st century BC. We read many portions of text hidden inside carbonized Herculaneum papyri using enhanced X-ray phase-contrast tomography non-destructive technique and a new set of numerical algorithms for 'virtual-unrolling'. Our success lies in revealing the largest portion of Greek text ever detected so far inside unopened scrolls, with unprecedented spatial resolution and contrast, all without damaging these precious historical manuscripts. Parts of text have been decoded and the 'voice' of the Epicurean philosopher Philodemus is brought back again after 2000 years from Herculaneum papyri.

  6. Recent developments on techniques for differential phase imaging at the medical beamline of ELETTRA

    NASA Astrophysics Data System (ADS)

    Arfelli, F.; Pelliccia, D.; Cedola, A.; Astolfo, A.; Bukreeva, I.; Cardarelli, P.; Dreossi, D.; Lagomarsino, S.; Longo, R.; Rigon, L.; Sodini, N.; Menk, R. H.

    2013-06-01

    Over the last decade different phase contrast approaches have been exploited at the medical beamline SYRMEP of the synchrotron radiation facility Elettra in Trieste, Italy. In particular special focus has been drawn to analyzer based imaging and the associated imaging theory and processing. Analyzer based Imaging (ABI) and Diffraction Enhanced Imaging (DEI) techniques have been successfully applied in several biomedical applications. Recently it has been suggested to translate the acquired knowledge in this field towards a Thomson Backscattering Source (TBS), which is presently under development at the Frascati National Laboratories of INFN (Istituto Nazionale di Fisica Nucleare) in Rome, Italy. Such source is capable of producing intense and quasi-monochromatic hard X-ray beams. For the technical implementation of biomedical phase imaging at the TBS a grating interferometer for differential phase contrast imaging has been designed and successfully tested at SYRMEP beamline.

  7. Comprehensive Energy Balance Measurements in Mice.

    PubMed

    Moir, Lee; Bentley, Liz; Cox, Roger D

    2016-09-01

    In mice with altered body composition, establishing whether it is food intake or energy expenditure, or both, that is the major determinant resulting in changed energy balance is important. In order to ascertain where the imbalance is, the acquisition of reproducible data is critical. Therefore, here we provide detailed descriptions of how to determine energy balance in mice. This encompasses protocols for establishing energy intake from home cage measurement of food intake, determining energy lost in feces using bomb calorimetry, and using equations to calculate parameters such as energy intake (EI), digested energy intake (DEI), and metabolisable energy intake (MEI) to determine overall energy balance. We also discuss considerations that should be taken into account when planning these experiments, including diet and sample sizes. © 2016 by John Wiley & Sons, Inc.

  8. MolLoc: a web tool for the local structural alignment of molecular surfaces.

    PubMed

    Angaran, Stefano; Bock, Mary Ellen; Garutti, Claudio; Guerra, Concettina

    2009-07-01

    MolLoc stands for Molecular Local surface comparison, and is a web server for the structural comparison of molecular surfaces. Given two structures in PDB format, the user can compare their binding sites, cavities or any arbitrary residue selection. Moreover, the web server allows the comparison of a query structure with a list of structures. Each comparison produces a structural alignment that maximizes the extension of the superimposition of the surfaces, and returns the pairs of atoms with similar physicochemical properties that are close in space after the superimposition. Based on this subset of atoms sharing similar physicochemical properties a new rototranslation is derived that best superimposes them. MolLoc approach is both local and surface-oriented, and therefore it can be particularly useful when testing if molecules with different sequences and folds share any local surface similarity. The MolLoc web server is available at http://bcb.dei.unipd.it/MolLoc.

  9. Applications of the Generalized X-ray Diffraction Enhanced Imaging in the Medical Imaging

    NASA Astrophysics Data System (ADS)

    Maksimenko, Anton; Hashimoto, Eiko; Ando, Masami; Sugiyama, Hiroshi

    2007-01-01

    The X-ray Diffraction Enhanced Imaging (DEI) is the analyzer-based X-ray imaging technique which allows extraction of the "pure refraction" and "apparent absorption" contrasts from two images taken on the opposite sides of the rocking curve of the analyzing crystal. The refraction contrast obtained by this method shows many advantages over conventional absorption contrast. It was successfully applied in medicine, technique and other fields of science. However, information provided by the method is rather qualitative than quantitative. This happens because either side of the rocking curve of the analyzer is approximated as a straight line what limits the ranges of applicability and introduces additional error. One can easily overcome this problem considering the rocking curve as is instead of it's Taylor's expansion. This report is dedicated to the application of this idea in medical imaging and especially computed tomography based on the refraction contrast. The results obtained via both methods are presented and compared.

  10. Electrically-alterable read-only-memory using Si-rich SiO2 injectors and a floating polycrystalline silicon storage layer

    NASA Astrophysics Data System (ADS)

    DiMaria, D. J.; DeMeyer, K. M.; Serrano, C. M.; Dong, D. W.

    1981-07-01

    Currently, electrically-alterable read-only-memory (EAROM) has become increasingly important for memory and logic operations. A novel EAROM device in a field-effect transistor (FET) configuration, which uses a floating polycrystalline silicon (poly-Si) layer on top of thermal SiO2 and a dual electron injector structure (DEIS) between this floating poly-Si and a control gate poly-Si contact, is described. The DEIS stack consists of sequentially chemically vapor deposited (CVD) layers of Si-rich SiO2 (46% atomic Si), SiO2, and Si-rich SiO2 (46% atomic Si) between the poly-Si layers. Electrons from either poly-Si layer can move to the other poly-Si layer biased at the higher voltage with moderate applied voltages. Thus, the floating poly-Si storage layer can be charged with electrons (''write'' operation) or with positive charge (''erase'' operation) in milliseconds with negative and positive control gate voltages, respectively. The average electric fields in the intervening CVD SiO2 layer during writing and erasing are 5-6 MV /cm and 4-5 MV/cm, respectively, and voltages from ±10 V to ±40 V can be used depending on the device configuration. The enhanced electron injection in these devices is believed to be controlled by localized electric field distortion at the Si-rich SiO2-SiO2 interface caused by the two phase (Si and SiO2) nature of the Si-rich SiO2. The electrical asymmetry of the DEIS is believed to be due to differences in the interfaces of the bottom and top Si-rich SiO2 injectors with the intervening SiO2 layer. At the low voltages used for the ''read'' operation in which the charge state of the floating poly-Si layer is sensed by the FET drain current, no read perturb effects are observed. These structures also show excellent charge retention at low voltages, characteristic of a floating poly-Si storage layer surrounded by SiO2. This excellent retention is due to a characteristic of the Si-rich SiO2 in which it builds up a reversible space-charge layer

  11. CORRIGENDUM: Atoms riding Rayleigh waves Atoms riding Rayleigh waves

    NASA Astrophysics Data System (ADS)

    Benedek, G.; Echenique, P. M.; Toennies, J. P.; Traeger, F.

    2010-09-01

    In the original paper the affiliation list is incorrect. The correct address list is as follows: G Benedek1, 5, P M Echenique1, 2, J P Toennies3 and F Traeger4 1 Donostia International Physics Center (DIPC), Paseo Manuel de Lardizábal 4, 20018 Donostia—San Sebastián, Spain 2 Departamento de Física de Materiales and CFM (CSIC-UPV/EHU), Universidad del País Vasco/Euskal Herriko Unibertsitatea, E-20018 San Sebastián/Donostia, Spain 3 Max Planck-Institut für Dynamik und Selbstorganisation, Bunsenstraße 10 D-37073 Göttingen, Germany 4 Fakultät für Chemie und Biochemie, Ruhr-Universität Bochum Universitätsstraße 150, 44801 Bochum, Germany 5 Permanent address: Dipartimento di Scienza dei Materiali, Universitá di Milano-Bicocca, Via Cozzi 53, 20125 Milano, Italy

  12. An integrated approach to safety-driven and ICT-enabled process reengineering: methodological advice and a case study.

    PubMed

    Langer, M; Castellari, R; Locatelli, P; Sini, E; Torresani, M; Facchini, R; Moser, R

    2014-01-01

    Patient safety is a central concern inside any healthcare environment. With the progress of Information and Communication Technologies (ICTs), new solutions have become available to support care and management processes. Analyzing process risks helps identifying areas of improvement and provides ICT-solutions design with indications on what portions of the process need primary interventions. Understanding the link between process reengineering, technology assessment of enabling technologies and risk management allows user acceptance and patient safety improvements. Fondazione IRCCS Istituto Nazionale dei Tumori (INT), offers a good example of process reengineering driven by the purpose of increasing patient safety, enabled by new technologies. A pillar of the evolution of ICT process support at INT is based on Radio Frequency Identification technologies, implemented to identify and trace items and people across processes. This paper will present an integrated approach, based on process reengineering methodologies and risk assessment studies, and methodological advice applied to a case of surgical kits management procedures.

  13. An integrated approach to safety-driven and ICT-enabled process reengineering: methodological advice and a case study.

    PubMed

    Langer, M; Castellari, R; Locatelli, P; Sini, E; Torresani, M; Facchini, R; Moser, R

    2014-01-01

    Patient safety is a central concern inside any healthcare environment. With the progress of Information and Communication Technologies (ICTs), new solutions have become available to support care and management processes. Analyzing process risks helps identifying areas of improvement and provides ICT-solutions design with indications on what portions of the process need primary interventions. Understanding the link between process reengineering, technology assessment of enabling technologies and risk management allows user acceptance and patient safety improvements. Fondazione IRCCS Istituto Nazionale dei Tumori (INT), offers a good example of process reengineering driven by the purpose of increasing patient safety, enabled by new technologies. A pillar of the evolution of ICT process support at INT is based on Radio Frequency Identification technologies, implemented to identify and trace items and people across processes. This paper will present an integrated approach, based on process reengineering methodologies and risk assessment studies, and methodological advice applied to a case of surgical kits management procedures. PMID:24943545

  14. The abolition of capital punishment: contributions from two nineteenth-century Italian psychiatrists.

    PubMed

    Peloso, Paolo Francesco; Dening, Tom

    2009-06-01

    Capital punishment was the source of lively debate in Italy, from unification in 1861 until 1888. The precedent for abolishing the death penalty had been set in Tuscany in 1786. This paper presents the arguments put forward by two eminent psychiatrists who opposed the death penalty, Carlo Livi and Andrea Verga. Livi set out his scientific case for abolition in two addresses given to the Accademia dei Fisiocritici in Siena in 1862. In 1889 Verga wrote a commentary on the Senate sitting and argued in favour of approving the Italian Penal Code. Verga agreed with Livi's arguments and disagreed with the School of Criminal Anthropology, led by Cesare Lombroso and Raffaele Garofalo, who were both in favour of capital punishment.

  15. Instrumentation For Diffraction Enhanced Imaging Experiments At HASYLAB

    NASA Astrophysics Data System (ADS)

    Lohmann, M.; Dix, W.-R.; Metge, J.; Reime, B.

    2004-05-01

    The new X-ray radiography imaging technique, named diffraction enhanced imaging (DEI), enables almost scatter free absorption imaging, the production of the so-called refraction images of a sample. The images show improved contrast compared to standard imaging applications. At the HASYLAB wiggler beamline W2 at the 2nd-generation storage ring DORIS a 5cm wide beam with an adjustable energy between 10 and 70keV is available. A Si [111] pre-monochromator is used followed by the main monochromator using the (111) or the (333)-reflection. Visualization of fossils, detecting internal pearl structures, monitoring of bone and cartilage and documentation of implant healing in bone are application examples at HASYLAB.

  16. 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.

  17. Virtual unrolling and deciphering of Herculaneum papyri by X-ray phase-contrast tomography.

    PubMed

    Bukreeva, I; Mittone, A; Bravin, A; Festa, G; Alessandrelli, M; Coan, P; Formoso, V; Agostino, R G; Giocondo, M; Ciuchi, F; Fratini, M; Massimi, L; Lamarra, A; Andreani, C; Bartolino, R; Gigli, G; Ranocchia, G; Cedola, A

    2016-01-01

    A collection of more than 1800 carbonized papyri, discovered in the Roman 'Villa dei Papiri' at Herculaneum is the unique classical library survived from antiquity. These papyri were charred during 79 A.D. Vesuvius eruption, a circumstance which providentially preserved them until now. This magnificent collection contains an impressive amount of treatises by Greek philosophers and, especially, Philodemus of Gadara, an Epicurean thinker of 1st century BC. We read many portions of text hidden inside carbonized Herculaneum papyri using enhanced X-ray phase-contrast tomography non-destructive technique and a new set of numerical algorithms for 'virtual-unrolling'. Our success lies in revealing the largest portion of Greek text ever detected so far inside unopened scrolls, with unprecedented spatial resolution and contrast, all without damaging these precious historical manuscripts. Parts of text have been decoded and the 'voice' of the Epicurean philosopher Philodemus is brought back again after 2000 years from Herculaneum papyri. PMID:27265417

  18. Should we treat white line hernias by laparoscopy? About a prospective study of 42 cases.

    PubMed

    Guirat, Ahmed; Trigui, Ayman; Rejab, Haitham; Yaich, Khalil; Affes, Najmedine; Jdidi, Issam; Boujelben, Salah; Abid, Bassem; Amar, Mohamed Ben; Mzali, Rafik

    2015-01-01

    Viene riportato uno studio prospettico su 42 casi di ernia ombelicale ed epigastrica primitive e non complicate trattate per via laparoscopica e seguite in media da un follow up di un anno. Lo scopo di questo studio è quello di valutare il contributo della laparoscopia nel trattamento in termini di risultato nel breve e nel medio periodo. La morbilità chirurgica precoce è stata del 14,3%. A sei mesi dall’intervento il 28,5% dei pazienti ha lamentato dolori nell’area ombelicale. Ad un anno dall’intervento 2 pazienti hanno lamentato la cronicizzazione del dolore. Non si è avuto nessun caso di recidiva. In conclusione l’approccio laparoscopico risulta doversi riservare ai casi di ernia di maggiori dimensioni, ed in caso di recidiva o di laparocele.

  19. Weight trajectory of youth with new-onset type 1 diabetes comparing standard and enhanced dietary education.

    PubMed

    Majumdar, Indrajit; Bethin, Kathleen; Quattrin, Teresa

    2015-05-01

    Youth with type 1 diabetes (T1DM) gain weight after insulin therapy initiation. We aimed to study the effects of Enhanced Dietary Counseling (EDC) compared to Standard of Care Dietary Counseling (SDC) on BMI trajectory in youth with new-onset T1DM. Youth with new-onset T1DM (n = 47; 8.9 + 4.2 years) were randomized 6 weeks post-diagnosis to either SDC per American Diabetes Association guidelines (n = 25) or EDC (n = 22: SDC plus monthly nutritional education and 3-day food records (FRs) at 6 and 24 weeks). Weights and heights were measured at diagnosis, 6 weeks, 3, 6, and 12 months post-diagnosis; pre-diagnosis BMI was obtained from pediatricians' records. BMI Z score was used to track BMI change. Knowledge of recommended daily energy intake (DEI) and daily carbohydrate intake was assessed at follow-up visits. Changes in BMI Z scores were similar in SDC versus EDC subjects from pre-diagnosis to 12 months post-diagnosis. BMI Z score at 12 months exceeded pre-diagnosis level in 58.5 % subjects (54.5 % EDC vs. 63.1 % SDC, p = 0.75). From 6 weeks to 6 months, percentage of subjects correctly recalling recommended DEI increased in EDC along with percentage of subjects meeting recommended daily fruit servings intake from 25 % (6 weeks) to 64 % (6 months), p = 0.047). EDC did not prevent BMI Z score increases in youth with new-onset T1DM, and BMI Z score exceeded pre-diagnosis levels in >50 % 12 months post-diagnosis. A family-based approach and/or additional intervention may be needed to prevent excessive weight gain.

  20. 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.

  1. [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.

  2. Pediatric-onset Takayasu's arteritis: clinical features and short-term outcome.

    PubMed

    Misra, Durga Prasanna; Aggarwal, Amita; Lawrence, Able; Agarwal, Vikas; Misra, Ramnath

    2015-10-01

    The aim of this was to assess clinical features and outcome in pediatric-onset Takayasu's arteritis (TA). Retrospective data analysis of patients diagnosed with TA over last 13 years with onset before 18 years of age was done. Their presenting features, activity (by NIH criteria, ITAS2010, ITAS-A), disease extent (by DEI.Tak) and angiographic findings were retrieved from clinic files. Treatment received and follow-up data on disease activity and damage by TA damage score (TADS) were also analyzed. Wherever repeated angiography data were available, the same was analyzed. Values are expressed as median with interquartile range in brackets. There were 29 patients (19 females) with median age at diagnosis of 14 (13-16) years and delay to diagnosis of 1 (0.4-2) year. Common presenting symptoms were pulse loss (23/29) and hypertension (22/29). Patients had extensive disease at presentation with median DEI.Tak of 12 (9.5-15); 23/29 had elevated acute-phase reactants, and 28/29 were active at presentation [median ITAS2010 13 (8-15.5), ITAS-A 14 (10-17)]. Numano's type V was the commonest angiographic type (22/29). At a median follow-up of 2.4 (1.5-5.1) years, 2/20 were active whereas all had sustained damage despite a majority (17/20) being on immunosuppression. The median TADS was 8 (6.3-9.8) with pulse loss, claudication and hypertension being the commonest damage item. Two needed renal artery stenting to control hypertension. Angiographic assessment at least 2 years apart demonstrated disease progression in 5 of 6 patients despite immunosuppression. Significant damage accrued on follow-up despite immunosuppression and control of disease activity. Hypertension remains the major long-term morbidity. PMID:25903354

  3. 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

  4. Modelling digestive constraints in non-ruminant and ruminant foregut-fermenting mammals.

    PubMed

    Munn, Adam J; Streich, W Jürgen; Hummel, Jürgen; Clauss, Marcus

    2008-09-01

    It has been suggested that large foregut-fermenting marsupial herbivores, the kangaroos and their relatives, may be less constrained by food intake limitations as compared with ruminants, due mainly to differences in their digestive morphology and management of ingesta particles through the gut. In particular, as the quality of forage declines with increasing contents of plant fibre (cellulose, hemicelluloses and lignin; measured as neutral-detergent fibre, NDF), the tubiform foregut of kangaroos may allow these animals to maintain food intakes more so than ruminants like sheep, which appear to be limited by fibrous bulk filling the foregut and truncating further ingestion. Using available data on dry matter intake (DMI, g kg(-0.75) d(-1)), ingesta mean retention time (MRT, h), and apparent digestibility, we modelled digestible dry matter intake (DDMI) and digestible energy intake (DEI) by ruminant sheep (Ovis aries) and by the largest marsupial herbivore, the red kangaroo (Macropus rufus). Sheep achieved higher MRTs on similar DMIs, and hence sheep achieved higher DDMIs for any given level of DMI as compared with kangaroos. Interestingly, MRT declined in response to increasing DMI in a similar pattern for both species, and the association between DMI and plant NDF contents did not support the hypothesis that kangaroos are less affected by increasing fibre relative to sheep. However, when DEI was modelled according to DDMIs and dietary energy contents, we show that the kangaroos could meet their daily maintenance energy requirements (MER) at lower levels of DMI and on diets with higher fibre contents compared with sheep, due largely to the kangaroos' lower absolute maintenance and basal energy metabolisms compared with eutherians. These results suggest that differences in the metabolic set-point of different species can have profound effects on their nutritional niche, even when their digestive constraints are similar, as was the case for these ruminant and non

  5. 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.

  6. Modelling digestive constraints in non-ruminant and ruminant foregut-fermenting mammals.

    PubMed

    Munn, Adam J; Streich, W Jürgen; Hummel, Jürgen; Clauss, Marcus

    2008-09-01

    It has been suggested that large foregut-fermenting marsupial herbivores, the kangaroos and their relatives, may be less constrained by food intake limitations as compared with ruminants, due mainly to differences in their digestive morphology and management of ingesta particles through the gut. In particular, as the quality of forage declines with increasing contents of plant fibre (cellulose, hemicelluloses and lignin; measured as neutral-detergent fibre, NDF), the tubiform foregut of kangaroos may allow these animals to maintain food intakes more so than ruminants like sheep, which appear to be limited by fibrous bulk filling the foregut and truncating further ingestion. Using available data on dry matter intake (DMI, g kg(-0.75) d(-1)), ingesta mean retention time (MRT, h), and apparent digestibility, we modelled digestible dry matter intake (DDMI) and digestible energy intake (DEI) by ruminant sheep (Ovis aries) and by the largest marsupial herbivore, the red kangaroo (Macropus rufus). Sheep achieved higher MRTs on similar DMIs, and hence sheep achieved higher DDMIs for any given level of DMI as compared with kangaroos. Interestingly, MRT declined in response to increasing DMI in a similar pattern for both species, and the association between DMI and plant NDF contents did not support the hypothesis that kangaroos are less affected by increasing fibre relative to sheep. However, when DEI was modelled according to DDMIs and dietary energy contents, we show that the kangaroos could meet their daily maintenance energy requirements (MER) at lower levels of DMI and on diets with higher fibre contents compared with sheep, due largely to the kangaroos' lower absolute maintenance and basal energy metabolisms compared with eutherians. These results suggest that differences in the metabolic set-point of different species can have profound effects on their nutritional niche, even when their digestive constraints are similar, as was the case for these ruminant and non

  7. A 3D-elastography-guided system for laparoscopic partial nephrectomies

    NASA Astrophysics Data System (ADS)

    Stolka, Philipp J.; Keil, Matthias; Sakas, Georgios; McVeigh, Elliot; Allaf, Mohamad E.; Taylor, Russell H.; Boctor, Emad M.

    2010-02-01

    We present an image-guided intervention system based on tracked 3D elasticity imaging (EI) to provide a novel interventional modality for registration with pre-operative CT. The system can be integrated in both laparoscopic and robotic partial nephrectomies scenarios, where this new use of EI makes exact intra-operative execution of pre-operative planning possible. Quick acquisition and registration of 3D-B-Mode and 3D-EI volume data allows intra-operative registration with CT and thus with pre-defined target and critical regions (e.g. tumors and vasculature). Their real-time location information is then overlaid onto a tracked endoscopic video stream to help the surgeon avoid vessel damage and still completely resect tumors including safety boundaries. The presented system promises to increase the success rate for partial nephrectomies and potentially for a wide range of other laparoscopic and robotic soft tissue interventions. This is enabled by the three components of robust real-time elastography, fast 3D-EI/CT registration, and intra-operative tracking. With high quality, robust strain imaging (through a combination of parallelized 2D-EI, optimal frame pair selection, and optimized palpation motions), kidney tumors that were previously unregistrable or sometimes even considered isoechoic with conventional B-mode ultrasound can now be imaged reliably in interventional settings. Furthermore, this allows the transformation of planning CT data of kidney ROIs to the intra-operative setting with a markerless mutual-information-based registration, using EM sensors for intraoperative motion tracking. Overall, we present a complete procedure and its development, including new phantom models - both ex vivo and synthetic - to validate image-guided technology and training, tracked elasticity imaging, real-time EI frame selection, registration of CT with EI, and finally a real-time, distributed software architecture. Together, the system allows the surgeon to concentrate

  8. The pedagogic evolution in Surgery: the University at the centre of a training which becomes territorialized The model of the region Marche.

    PubMed

    Patrizi, Andrea; Tranà, Cristian; Baldoni, Andrea; Coletta, Pietro; Marmorale, Cristina

    2014-01-01

    La formazione in Chirurgia è un tema di grande interesse in un’epoca di crisi, ma anche di grandi cambiamenti mossi dalla spinta della Comunità Europea di uniformare i Percorsi Formativi di tutti i suoi Stati Membri. I punti principali delle riforme attuate per uniformarci al contesto Comunitario, vertevano sulla riduzione dei tempi e sulla implementazione della multidisciplinarietà della formazione specialistica, con il rischio di adombrare quelli che sono i punti di forza del nostro Sistema Sanitario, tra cui l’alto livello assistenziale dei nostri ospedali territoriali. La Scuola di Specializzazione di Chirurgia Generale dell’UNIVPM da alcuni anni punta su un progetto che vede la Clinica Universitaria al Centro di una Formazione Specialistica che si sviluppa sempre più sul territorio, avvicinando il mondo Ospedaliero a quello Universitario. Questo nuovo modello organizzativo prevede una prima fase all’interno della Clinica Universitaria ed una seconda nella Rete Formativa, nella quale rientrano Centri a differente impatto specialistico, all’interno di Strutture Ospedaliere Italiane ed Estere, e la possibilità di poter collaborare con l’Organizzazione di Emergency. Per testare questa nuova organizzazione del Corso Specialistico, abbiamo preso in analisi l’attività chirurgica svolta dagli specializzandi del nostro Ateneo, che hanno terminato il loro percorso formativo in Chirurgia Generale a Marzo 2014, essendo loro i primi ad aver beneficiato di questo modello. L’attività operatoria è stata, per ciascuno, mediamente di 400 interventi da primo operatore (237-476) distribuiti in chirurgia maggiore 44 (13-80), media 172 (129-268) e minore 209 (70-378), rapportando i loro risultati con gli standard complessivi di addestramento professionalizzante previsti dallo Statuto Nazionale si osserva il buon rendimento di questo sistema, che vede i suoi punti di forza nell’EQUITA dell’offerta, in quanto standardizzabile; nel concetto di RETE

  9. Duplex Doppler ultrasound study of the temporomandibular joint.

    PubMed

    Stagnitti, A; Marini, A; Impara, L; Drudi, F M; Lo Mele, L; Lillo Odoardi, G

    2012-06-01

    Sommario INTRODUZIONE: La fisiologia articolare dell’articolazione temporo-mandibolare (ATM) può essere esaminata sia dal punto di vista clinico che strumentale. La diagnostica per immagini ha da tempo contribuito con la risonanza magnetica (RM) e anche con la radiografia (Rx) e la tomografia computerizzata (TC) all’analisi della morfologia dei capi articolari e della cinetica condilare. L’esame duplex-ecodoppler è una metodica di largo impiego nello studio delle strutture in movimento in particolar modo a livello delle strutture del sistema vascolare. MATERIALI E METODI: È stata utilizzata un’apparecchiatura Toshiba APLIO SSA-770A, con l’uso di tecnica duplex-ecodoppler multi display, che consente la visualizzazione contemporanea dell’immagine ecografica e dei segnali Doppler utilizzando una sonda lineare del tipo phased array con cristalli trasduttori funzionanti ad una frequenza fondamentale di 6 MHz per gli spettri Doppler pulsati e 7.5 MHz per l’imaging ecografico. Sono stati esaminati nel Dipartimento di Scienze Radiologiche, Oncologiche e Anatomo-patologiche dell’Università “Sapienza” di Roma, 30 pazienti del reparto di Ortognatodonzia dell’Istituto di Odontoiatria della stessa Università. RISULTATI: Nei pazienti normali si è ottenuta un’alternanza regolare degli spettri Doppler, mentre nei soggetti con disfunzioni del complesso condilo-meniscale, si è persa la regolarità della sommatoria degli spettri di Fourier, con altezze incostanti in relazione a spostamenti irregolari del complesso condilo-meniscale. CONCLUSIONI: L’esame ecodoppler si è dimostrato, in tutti i pazienti, capace di discriminare quelli normali dai patologici e tra questi ultimi ha permesso di identificare gli aspetti più significativi delle patologie disfunzionali.

  10. High resolution ultrasound for pre-operative detection of intraperitoneal adhesions: An invaluable diagnostic tool for the general and laparoscopic surgeon.

    PubMed

    Piccolboni, D; Ciccone, F; Settembre, A

    2009-12-01

    Sommario INTRODUZIONE: La possibilità di prevedere la presenza di aderenze intra-addominali, in pazienti già operati, è di grande interesse per il chirurgo. L'eventualità di un'enterotomia accidentale durante il re-intervento o nel posizionamento del primo trocar è una complicanza associata a morbilità e mortalità significative, che si verifica nel 20% dei casi in chirurgia open e tra l'1% e il 100% in laparoscopia. MATERIALI E METODI: Lo studio ecografico del movimento dei visceri (il “va e vieni” del peritoneo con gli atti del respiro, rispetto al piano fasciale immobile) è stato considerato patognomonico per un libero accesso in addome. Abbiamo effettuato l'ecografia con un apparecchio Aloka 5.500 (Aloka; Tokyo, Giappone) con sonde convex e lineari multifrequenza, in 60 pazienti, di età compresa fra 28-77 anni, con pregressa chirurgia addominale. RISULTATI: La possibilità di effettuare un accesso laparoscopico con TUOL (trans-umbilical open laparoscopy) è stata valutata ecograficamente in 35 pazienti (58,3%). La TUOL è stata effettuata con successo in 26 pazienti (74,3%). In 2 (5,7%) è stata tentata senza successo per la presenza di aderenze non evidenziate. In 7 pazienti (20%) lo pneumoperitoneo è stato indotto con ago di Veress posizionato nel quadrante supero-esterno, per la presenza di aderenze in sede mediana, che sono state confermate dopo l'inserzione del trocar. Su 25 pazienti sottoposti a re-laparotomia (41,6%), l'incisione è stata effettuata al di fuori della linea mediana in 8 pazienti (32%), per la presenza di sospette aderenze, confermate in 6 (24%). CONCLUSIONI: Nella nostra esperienza l'ecografia ha avuto un'accuratezza diagnostica del 93,3%.

  11. [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.

  12. Thoracic splenosis. Report of a case and review of the diagnostic workup.

    PubMed

    Bugiantella, Walter; Crusco, Federico; Avenia, Nicola; Fabio, Rondelli

    2016-07-29

    L’impianto di tessuto splenico in siti ectopici dopo un trauma della milza viene definito splenosi. Sebbene si verifichi più comunemente in addome, essa può localizzarsi anche nel torace in caso di rottura del diaframma. La splenosi toracica (TS) è spesso asintomatica ed è diagnosticata nel corso di indagini radiologiche del torace. Descriviamo il caso di un uomo, con storia di pregresso trauma toraco-addominale, che ha eseguito una radiografia del torace per routine con evidenza di immagini radioopache in adiacenza dell’arco inferiore sinistro dell’ombra cardiaca, che sono risultate essere noduli di TS confermate dalla CT con mezzo di contrasto. La CT o la MRI unite ad una anamnesi accurata sono di solito sufficiente per diagnosticare la TS, altrimenti è necessaria la scintigrafia con 99mTc. La biopsia guidata dall’imaging e la toracoscopia dovrebbero essere eseguite solo quando la scintigrafia non è disponibile o i risultati delle altre metodiche non sono risolutivi. Normalmente non è necessario rimuovere la TS perché il tessuto splenico ha una crescita lenta, non invasiva e benigna. Raramente la chirurgia può essere necessaria quando la TS è sintomatica (emottisi, tosse, dolore di tipo pleuritico). La TS può essere difficile da diagnosticare, specialmente se l’aspetto dei noduli non è univoco e l’anamnesi non è nota. Ciò può portare a un iter diagnostico eccessivo e a procedure non necessarie (biopsia, toracoscopia fino alla toracotomia). Nel work-up dei noduli toracici la TS dovrebbe essere considerata nei pazienti con storia di trauma e rottura della milza.

  13. Solid pseudopapillary tumors of the pancreas. Case report and review of the literature.

    PubMed

    Leggio, Samuele; Orofino, Antonio; Anzillotto, Maria Paola L; Zullino, Francesca; Di Napoli, Geremia; Paradies, Guglielmo

    2014-07-21

    I Tumori solidi pseudopapillari del pancreas rappresentano una rara forma di tumori pancreatici: caratterizzati da un basso grado di malignità ed una lenta crescita, essi colpiscono più frequentemente donne giovani adulte ma anche, in circa il 20% dei casi descritti in letteratura, bambini ed adolescenti, epoca in cui viene riferita una minore aggressività biologica rispetto all’adulto. Nella maggior parte dei casi pediatrici la neoplasia è asintomatica e viene scoperta solo occasionalmente; diversamente, in altri casi, si manifesta come una massa addominale palpabile, talora dolente, oppure esordisce con dolore improvviso e con i segni ed i sintomi dovuti alla compressione degli organi vicini. Riportiamo il recente caso di una ragazza di 15 anni, giunta alla nostra osservazione per il riscontro di una massa interessante il corpo e la coda del pancreas, scoperta incidentalmente nel corso di un esame ecografico Published online (EP) 18 July 2014 - Ann. Ital. Chir 5 Solid pseudopapillary tumors of the pancreas. Case report and review of the literature dell’addome eseguito dopo un lieve trauma.Gli ulteriori successivi esami diagnostici cui veniva sottoposta la ragazza, confermavano la presenza della lesione pancreatica che appariva ben delimitata, apparentemente capsulata, a struttura disomogenea ,strettamente aderente alla vena splenica. Posto il sospetto diagnostico di un tumore solido pseudo-papillare del pancreas, si procedeva chirurgicamente alla sua enucleazione. L’esame istolopatologico della massa confermava la diagnosi preoperatoria. Il caso ,che viene presentato nei suoi aspetti clinico-diagnostici e terapeutici, offre l’occasione per ricercare e discutere alcuni interessanti aspetti di questa rara patologia, ancora ampiamente dibattuti in Letteratura.

  14. Low-dose phase-based X-ray imaging techniques for in situ soft tissue engineering assessments.

    PubMed

    Izadifar, Zohreh; Honaramooz, Ali; Wiebe, Sheldon; Belev, George; Chen, Xiongbiao; Chapman, Dean

    2016-03-01

    In tissue engineering, non-invasive imaging of biomaterial scaffolds and tissues in living systems is essential to longitudinal animal studies for assessments without interrupting the repair process. Conventional X-ray imaging is inadequate for use in soft tissue engineering due to the limited absorption difference between the soft tissue and biomaterial scaffolds. X-ray phase-based imaging techniques that derive contrast from refraction or phase effects rather than absorption can provide the necessary contrast to see low-density biomaterial scaffolds and tissues in large living systems. This paper explores and compares three synchrotron phase-based X-ray imaging techniques-computed tomography (CT)-diffraction enhanced imaging (DEI), -analyzer based imaging (ABI), and -phase contrast imaging (PCI)-for visualization and characterization of low-density biomaterial scaffolds and tissues in situ for non-invasive soft tissue engineering assessments. Intact pig joints implanted with polycaprolactone scaffolds were used as the model to assess and compare the imaging techniques in terms of different qualitative and quantitative criteria. For long-term in vivo live animal imaging, different strategies for reducing the imaging radiation dose and scan time-reduced number of CT projections, region of interest, and low resolution imaging-were examined with the presented phase-based imaging techniques. The results demonstrated promising capabilities of the phase-based techniques for visualization of biomaterial scaffolds and soft tissues in situ. The low-dose imaging strategies were illustrated effective for reducing the radiation dose to levels appropriate for live animal imaging. The comparison among the imaging techniques suggested that CT-DEI has the highest efficiency in retaining image contrast at considerably low radiation doses.

  15. Vitamin d deficiency is associated with insulin resistance independent of intracellular calcium, dietary calcium and serum levels of parathormone, calcitriol and calcium in premenopausal women.

    PubMed

    Ferreira, Thaís da Silva; Rocha, Tatiana Martins; Klein, Márcia Regina Simas Torres; Sanjuliani, Antonio Felipe

    2015-04-01

    Introducción: Hay evidencias de que la deficiencia de vitamina D se asocia con mayor riesgo de enfermedad cardiovascular. Sin embargo, no se sabe si esta asociación es independiente de calcio en la dieta, el calcio intracelular y los niveles séricos de hormona paratiroidea, calcitriol y calcio. Objetivos: investigar la relación independiente de la deficiencia de vitamina D con resistencia a la insulina, el perfil lipídico, el estado inflamatorio, la presión arterial y la función endotelial. Métodos: Estudio transversal realizado con 73 mujeres pre menopáusicas sanas brasileñas con edad 18-50 años. Todos los participantes fueron evaluados para: niveles séricos de 25 hidroxivitamina D, parámetros antropométricos, la composición corporal, metabolismo del calcio, resistencia a la insulina, el perfil de lipoproteínas, estado inflamatorio, la presión arterial y la función endotelial. La función endotelial fue evaluada por el índice de hiperemia reactiva mediante el uso de Endo-PAT 2000®. Las mujeres fueron estratificados en dos grupos: con deficiencia de vitamina D (25 hidroxivitamina D.

  16. [Autism spectrum disorder and epilepsy: the role of ketogenic diet].

    PubMed

    Garcia-Penas, J J

    2016-01-01

    Introduccion. Un 5-40% de los pacientes autistas desarrolla epilepsia. Aunque generalmente se controlan bien con medicacion, hasta un 20-30% de estas epilepsias son refractarias al tratamiento farmacologico. En esta poblacion, la dieta cetogenica (DC) puede ser una terapia alternativa altamente eficaz y debe considerarse seriamente. Objetivo. Revisar el papel de la DC en el tratamiento de la epilepsia infantil refractaria y en los pacientes que asocian autismo y epilepsia. Desarrollo. La DC es un tratamiento eficaz y bien tolerado para las epilepsias infantiles refractarias, incluyendo los pacientes que asocian autismo y epilepsia. Es fundamental caracterizar de forma precisa el sindrome epileptico para conocer cuales son los mejores candidatos para tratar con DC. Por otra parte, el efecto positivo de la DC sobre las alteraciones del metabolismo oxidativo mitocondrial y la evidencia experimental obtenida con DC en animales autistas sugieren que pueda ser una alternativa eficaz en los pacientes con autismo. Conclusiones. Basandose en la utilidad demostrada de la DC en el tratamiento de pacientes con epilepsia y autismo, esta terapia se ha usado en los ultimos años como una terapia alternativa para los pacientes autistas, aunque se desconoce cual es su eficacia real. Es necesario realizar un estudio aleatorizado y controlado para definir el perfil de eficacia y seguridad en esta poblacion.

  17. The presence and accuracy of food and nutrition terms in the Spanish and English editions of Wikipedia: in comparison with the Mini Larousse encyclopaedia.

    PubMed

    Cabrera-Hernández, Laura María; Wanden-Berghe, Carmina; Curbelo Castro, Celeste; Sanz-Valero, Javier

    2014-10-02

    Objetivos: Determinar la presencia y adecuación de la terminología sobre las ciencias de la alimentación/nutrición en las ediciones española e inglesa de la Wikipedia, comparándola con una enciclopedia de ámbito general (Mini Larousse). Métodos: Los términos a estudio se obtuvieron del Diccionario LID sobre metabolismo y nutrición. Se comprobó la existencia y adecuación de los términos seleccionados a partir del cálculo muestral aleatorio sin reposición (n = 386), accediendo a las ediciones española e inglesa de la Wikipedia. Resultados: De la muestra a estudio (n=386) se determinó la existencia de 261 términos en la edición española y 306 en la inglesa. Existiendo diferencias entre las dos ediciones (p.

  18. [Phenotypic variations in Aicardi-Goutieres syndrome caused by RNASEH2B gene mutations: report of two new cases].

    PubMed

    Ortiz-Madinaveitia, Saturnino; Conejo-Moreno, David; López-Pisón, Javier; Peña-Segura, José Luis; Serrano-Madrid, M Luisa; Durán-Palacios, Ingrid C; Peláez-Cabo, Pilar

    2016-02-16

    Introduccion. El sindrome de Aicardi-Goutieres es un trastorno inmunitario raro debido a mutaciones en siete genes que codifican proteinas llamadas TREX1, el complejo ribonucleasa H2, SAMHD1, ADAR e IFIH1 (MAD5), las cuales estan implicadas en el metabolismo de los acidos nucleicos. A continuacion se presentan dos nuevos casos por mutacion en el gen RNASEH2B, uno de los cuales presenta una mutacion no descrita hasta la fecha. Casos clinicos. Caso 1: varon que consulto porque desde los 5 meses, coincidiendo con cuadros febriles de repeticion, presentaba perdida de los items madurativos adquiridos hasta la fecha. Caso 2: niño de 4 meses que desde los 2 meses mostraba gran irritabilidad con dificultades en la alimentacion, asociado a un grave retraso psicomotor. En ambos casos se constato un aumento de las pterinas en el liquido cefalorraquideo, principalmente de la neopterina, con calcificaciones en los ganglios basales. El diagnostico se confirmo mediante secuenciacion del gen RNASEH2B; el caso 2 presentaba una mutacion no descrita en la literatura medica. Conclusiones. Los casos corresponden a la descripcion clasica realizada por Aicardi-Goutieres. Debe tenerse en cuenta este sindrome ante un paciente con un cuadro de encefalopatia subaguda de comienzo en el primer año de vida, distonia/espasticidad en grado variable e importante afectacion/regresion del desarrollo psicomotor, especialmente si asocia aumento de las pterinas (neopterina) en el liquido cefalorraquideo y calcificaciones en los ganglios basales.

  19. [Neurological appraisal of children and adolescents with psychotic symptoms].

    PubMed

    Tomás-Vila, Miguel

    2015-05-01

    Introduccion. Las manifestaciones psicoticas en la infancia no son infrecuentes; sin embargo, la bibliografia existente acerca de la valoracion neurologica de niños y adolescentes con cuadros psicoticos es muy escasa. Objetivo. Realizar una revision bibliografica no sistematica que permita responder a estas tres cuestiones: cuando debe llevarse a cabo una valoracion neurologica en un niño con rasgos psicoticos?, cuales son las condiciones medicas que pueden incluir un cuadro psicotico en su evolucion? y cual debe ser el procedimiento diagnostico? Desarrollo. Se revisan las enfermedades que pueden presentar sintomatologia psicotica al inicio o durante la evolucion, y se agrupan por patologias: errores congenitos del metabolismo, enfermedades geneticas, enfermedades autoinmunes e infecciosas, malformaciones del sistema nervioso central, epilepsia, patologia vascular, procesos reumatologicos, tumores cerebrales, y farmacos y sustancias psicoactivas. Se propone una pauta diagnostica en la que se valora la informacion obtenida a partir de la anamnesis y la exploracion y la aportacion de cada prueba diagnostica. Conclusiones. El numero de procesos que pueden manifestar sintomatologia psicotica a lo largo de su evolucion es muy elevado, y hay que considerar las claves que ofrecen la anamnesis y la exploracion. Esta revision puede ayudar a neuropediatras y otros especialistas a realizar una valoracion mas sistematizada de niños y adolescentes con cuadros psicoticos.

  20. Antibiotic treatments in zootechnology and effects induced on the food chain of domestic species and, comparatively, the human specie.

    PubMed

    Palmieri, Beniamino; Di Cerbo, Alessandro; Laurino, Carmen

    2014-06-01

    Introducción: los antibióticos se emplean ampliamente en la alimentación zootécnica para proteger a las especies humana y animal de las zoonosis por agentes infecciosos patogénicos. Objetivo: dado el creciente número de enfermedades relacionadas con la dieta (p. ej., intolerancias alimentarias), investigamos los efectos tóxicos inducidos por los residuos antibióticos, oxitetraciclinas, presentes en los alimentos industriales tanto sobre la salud humana como animal. Se destacan los productos zootécnicos obtenidos de la transformación industrial de los huesos animales y sus efectos tóxicos relacionados. Métodos: análisis comparativo de las publicaciones realizadas desde 1910 hasta 2014. Resultados: el análisis comparativo reveló la presencia de residuos de oxitetraciclina y otros antibióticos en alimentos pensados para el consumo humano y animal, lo que produjo efectos tóxicos multisistémicos. Discusión: el metabolismo y las posibles medidas para evitar la exposición a la oxitetraciclina también se han examinado, sin embargo, se precisa de un conocimiento más detallado de los efectos bioquímicos de tal clase de antibióticos.

  1. [Effect of alcohol on electrical organisation in the brain during a visuospatial working memory task and its relationship with the menstrual cycle].

    PubMed

    Sanz-Martin, Araceli; Hernández-González, Marisela; Guevara, Miguel Ángel; Santana, Gloria; Gumá-Díaz, Emilio

    2014-02-01

    Introduccion. El metabolismo del alcohol y el desempeño de muchas funciones cognitivas pueden variar a lo largo del ciclo menstrual. Tanto la ingestion de alcohol como las variaciones hormonales durante el ciclo menstrual se asocian con cambios caracteristicos en la actividad electroencefalografica. Objetivo. Determinar si la actividad electroencefalografica durante una tarea de memoria de trabajo es afectada por el consumo agudo de alcohol, y si dicha actividad varia en funcion del ciclo menstrual. Sujetos y metodos. Muestra de 24 mujeres que ingirieron alcohol o placebo durante las fases folicular y lutea temprana. Se registro el electroencefalograma durante la ejecucion de una tarea de memoria de trabajo visuoespacial. Resultados. Aunque el alcohol no deterioro el rendimiento de la tarea de memoria de trabajo, si produjo en el electroencefalograma una disminucion de la potencia relativa de theta y una menor correlacion frontoparietal derecha en las bandas theta y alfa2. Unicamente las mujeres alcoholizadas en la fase folicular presentaron una mayor potencia relativa de alfa1, que podria indicar menor nivel de alertamiento y atencion. Conclusiones. Estos resultados contribuyen a una mejor comprension de los mecanismos cerebrales que subyacen a los cambios cognitivos con el alcohol y su relacion con el ciclo menstrual.

  2. The advances and new technologies for the study of mitochondrial diseases.

    PubMed

    Bianco, Bianca; Montagna, Erik

    2016-01-01

    ABSTRACTGenetic mitochondrial disorders are responsible for the most common inborn errors of metabolism, caused by mutations in either nuclear genes or in mitochondrial DNA. This article presents the prokaryotic origin of the organelle and the relation between nuclear and mitochondrial genomes, as well as current evolutionary models for such mechanisms. It also addresses the structure of mitochondrial genes, their expression pattern, clinical features of gene defects, risk of transmission and current techniques to avoid these events in assisted human reproduction. Finally, it discusses the ethical implications of these possibilities.RESUMOAs doenças genéticas mitocondriais são responsáveis pelos erros inatos do metabolismo mais comuns, causados por mutações tanto em genes nucleares como no DNA mitocondrial. Este artigo apresenta a origem procariótica dessa organela, e a relação entre os genomas nuclear e mitocondrial, bem como modelos evolutivos correntes para esses mecanismos. Também trata da estrutura dos genes mitocondriais, seu padrão de expressão, características clínicas de defeitos genéticos, riscos de transmissão e técnicas atualmente utilizadas para evitar esses eventos em reprodução humana assistida. Finalmente, discute as implicações éticas dessas possibilidades. PMID:27462900

  3. 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

  4. Il ruolo svolto dall’attività lavorativa sull’ipertensione arteriosa

    PubMed Central

    Barbini, N.; Gorini, G.; Ferrucci, L.; Biggeri, A.

    2009-01-01

    RIASSUNTO Introduzione I parametri di pressione arteriosa, sistolica (PAS) o diastolica (PAD) hanno costituito I’oggetto di numerosi studi, alcuni dei quali stabiliscono un’associazione tra I’aumnto di tali parametri e la mortalità, in particolare alle età medie. I fattori di rischio di ipertensione più frequentemente studiati sono il consumo di alcol, il fumo e I’origine etnica in riferimento sia alle differenze genetiche che nella condotta alimentare, mentre i fattori di origine professionale sono stati presi in considerazione più raramente e in maniera poco approfondita, inoltre sono state riferite notevoli differenze nelle pressioni arteriose medie di individui che svolgono professioni diverse. Sembra infatti che i “colletti blu” siano più a rischio dei “colletti bianchi”. Obiettivi Il nostro scopo è valutare se determinati rischi o vincoli connessi con l’attività professionale o determinati stili di vita rappresentano un fattore di rischio per l’ipertensione arteriosa in considerazioni dell’aumentare dell’età. Elementi specifici che rendano conto di questa relazione non sono stati ancora completamente chiariti e soprattutto i dati sulla popolazione italiana sono molto limitati. Metodi La metodologia di ricerca utilizzata è stata quella dell’indagine francese ESTEV (Derriennic, Touranchet, Volkoff) - VISAT (Marquie, Janson), studio epidemiologico longitudinale su oltre 23000 lavoratori attivata in Francia nel 1990 al fine di indagare gli effetti a lungo termine delle condizioni di lavoro, riferite all’intera vita professionale, sia sull’invecchiamento sia sulla salute dei lavoratori. Analoga indagine è stata avviata in Italia, nel 2000, in 6 Regioni, prendendo in esame i lavoratori dipendenti di diversi settori produttivi appartenenti a 5 coorti di età: da 32 a 52 anni con intervallo di 5 anni. Le rilevazioni sono state effettuate dai medici del lavoro di azienda attraverso 3 questionari: 1. sulle condizioni

  5. Current Status and Potential Impacts Regarding the Proposed Development of a Rail Line to the Yucca Mountain Nuclear Waste Repository

    SciTech Connect

    Lanthrum, G.; Gunnerson, J.

    2008-07-01

    This paper provides a description of the current status regarding the proposed development of a rail line to the Yucca Mountain Nuclear Waste Repository in Nye County, Southern Nevada, which includes potential impacts analyzed during the National Environmental Policy Act (NEPA) process, and the subsequent creation of an Environmental Impact Statement (EIS) for the rail line. Potential impacts are addressed within the context of impacts to natural and human environmental resources found within the geographic area of the proposed federal project. Potential impacts to these resources have been fully analyzed in the Rail Alignment Draft EIS (DEIS). This paper includes a summary of the potential impacts analyzed in the DEIS. Examples of potential impacts include land use conflicts, air quality, water use, and impacts to biological and cultural resources, among others. In conclusion: Based on its obligations under the NWPA and its decision to select the mostly rail scenario for the transportation of spent nuclear fuel and high-level radioactive waste, DOE needs to ship these materials by rail in Nevada to a repository at Yucca Mountain. DOE prepared the Rail Alignment EIS to provide the background, data, information, and analyses to help decision makers and the public understand the potential environmental impacts that could result from constructing and operating a railroad for shipment of spent nuclear fuel, high-level radioactive waste, and other materials from an existing rail line in Nevada to a repository at Yucca Mountain. This railroad would consist of a rail line, railroad operations support facilities, and other related infrastructure. DOE will use the Rail Alignment EIS to decide whether to construct and operate the proposed railroad, and if so, to: - Select a rail alignment (Caliente rail alignment or Mina rail alignment) in which to construct the railroad; - Select the common segments and alternative segments within either a Caliente rail alignment or a Mina

  6. A Transportation Risk Assessment Tool for Analyzing the Transport of Spent Nuclear Fuel and High-Level Radioactive Waste to the Proposed Yucca Mountain Repository

    SciTech Connect

    Ralph Best; T. Winnard; S. Ross; R. Best

    2001-08-17

    The Yucca Mountain Transportation Database was developed as a data management tool for assembling and integrating data from multiple sources to compile the potential transportation impacts presented in the Draft Environmental Impact Statement for a Geologic Repository for the Disposal of Spent Nuclear Fuel and High-Level Radioactive Waste at Yucca Mountain, Nye County, Nevada (DEIS). The database uses the results from existing models and codes such as RADTRAN, RISKIND, INTERLINE, and HIGHWAY to estimate transportation-related impacts of transporting spent nuclear fuel and high-level radioactive waste from commercial reactors and U. S. Department of Energy (DOE) facilities to Yucca Mountain. The source tables in the database are compendiums of information from many diverse sources including: radionuclide quantities for each waste type; route and route characteristics for rail, legal-weight truck, heavy haul. truck, and barge transport options; state-specific accident and fatality rates for routes selected for analysis; packaging and shipment data by waste type; unit risk factors; the complex behavior of the packaged waste forms in severe transport accidents; and the effects of exposure to radiation or the isotopic specific effects of radionclides should they be released in severe transportation accidents. The database works together with the codes RADTRAN (Neuhauser, et al, 1994) and RISKlND (Yuan, et al, 1995) to calculate incident-free dose and accident risk. For the incident-free transportation scenario, the database uses RADTRAN and RISKIND-generated data to calculate doses to offlink populations, onlink populations, people at stops, crews, inspectors, workers at intermodal transfer stations, guards at overnight stops, and escorts, as well as non-radioactive pollution health effects. For accident scenarios, the database uses RADTRAN-generated data to calculate dose risks based on ingestion, inhalation, resuspension, immersion (cloudshine), and groundshine as

  7. Underwater Explosion (UWE) Analysis of the ROKS Cheonan Incident

    NASA Astrophysics Data System (ADS)

    Kim, So Gu; Gitterman, Yefim

    2013-04-01

    The underwater explosion (UWE) resulting in the sinking of the South Korean warship, ROKS Cheonan occurred on March 26 2010. Raw data was analyzed from several 3-component stations—Baengyeong-do Korea Meteorological Administration (KMA) station (BAR), Ganghwa KMA station (GAHB), Incheon Incorporated Research Institutions for Seismology (IRIS) station (INCN), the short-period station—Deokjeok-do KMA station (DEI), as well as from the seismo-acoustic array Baengyeong-do Korea Institute of Geoscience and Mineral Resources (KIGAM) station (BRDAR). The ROKS Cheonan incident has been investigated by both the Multinational Civilian-Military Joint Investigation Group (Ministry of National Defense, 2010) and Hong (Bull Seism Soc Am 101:1554-1562, 2011). Their respective methods and conclusions are also presented in this study. One of the main differences between their findings and ours is that we deducted that the fundamental bubble frequency was 1.01 Hz with a subsequent oscillation of 1.72 Hz. Also, in contrast to findings by the MCMJIG and Hong, our analysis shows the first reverberation frequency to be 8.5 Hz and the subsequent one to be ≈25 Hz. The TNT-equivalent charge weight (seismic yield) and seismic magnitude were estimated from an observed bubble frequency of 1.01 Hz and the analytical model of a bubble pulse. From the data analyzed, we deducted that the seismic yield would be about 136 kg of TNT, which is equivalent to the individual yield of a large number of land control mines (LCM) which were abandoned in the vicinity of the ROKS Cheonan incident by the Republic of Korea (ROK) Navy in the 1970s (Ministry of National Defense 2010). Also, whereas both the MCMJIG and HONG estimated the local magnitude at 1.5, our findings came to the conclusion of a local magnitude of approximately 2.04 based on the bubble frequency of 1.01 Hz measured on the vertical component of BAR station data considering the empirical relationship between charge weight (TNT yield) and

  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. Environmental analysis of the sediments in the beaches of the Gulf of Palermo (Italy)

    NASA Astrophysics Data System (ADS)

    Liguori, Vincenzo; Manno, Giorgio

    2016-04-01

    The gulf of Palermo is long about 30 km and the coast is closed between two headlands, Monte Gallo Cape (western side) and Zafferano Cape (east side). The continental shelf is linked with the abyssal plan by an high slope and the depth is included between 50 m and 1500 m. The shape of the Palermo gulf is the answer of both the natural forces and human activity. Nevertheless the coastal morphologies reproduce the geological setting of this area. The coast is divided in two morphotypes, low and rocky coast and beaches. Respectively composed by compact limestone and calcareous incoherent sediment with common sandy granulometry. The beaches, compressively long 11,46 km, are different in lengths, amplitude and lithological types (30% sandy and 70 % sandy-pebbly). In order to study the coastal evolution it is important to define all the coastal dynamics. The coastal evolution is actually the result of complex and intertwined action of both natural and/or anthropic processes. Nowday in the gulf of Palermo these processes exist and in some case they already triggered erosive phenomena. The westernmost beaches is the famous Mondello beach, it is made of pale sand and with sloping very low. This section of coast as other similar beaches (Arenella, Romagnolo and Acqua dei Corsari) has gone through remarkable dynamic phenomena. More precisely between 1976 and 1992 the beach (known as Arenella beach), beyond the Palermo harbor, advanced its shoreline position. Going further west along the coast one can find a landfill, partially collapsed and eroded by the impact of sea storms, that contributes to the coastal advancement from West towards East. At Romagnolo coast zone the beach has advanced because of the debris coming from local landfills, instead the Acqua dei Corsari beach (pebbles and sand) has been going through various fluctuations with a general trend towards advancement due to the longitudinal sediment transport. The study analyze the nature of sediments that made the

  10. Hypoparathyroidism after total thyroidectomy: prospective evaluation and relation with early hypocalcemia.

    PubMed

    D'Alessandro, Nicola; Tramutola, Giuseppe; Fasano, Giovanni Michele; Gilio, Francesco; Iside, Giovanni; Izzo, Maria Lucia; Loffredo, Andrea; Pici, Mariano; Pinto, Margherita; Tramontano, Salvatore; Citro, Giuseppe

    2016-01-01

    L’ipoparatiroidismo definitivo (ipo-PTH) rappresenta una delle complicanze più pericoloso dopo tiroidectomia totale. La lsione parziale o totale o l’eliminazione accidentale delle ghiandole paratiroidi è un evento avverso imprevedibile, anche se la sua reale incidenza non è ben definita, come pure il trattamento di questa problematica. Abbiamo dunque programmato una valutazione prospettica dei nostri pazienti trattati con tiroidectomia totale nel nostro centro, per identificare l’incidenza di ipoparatiroidismo, sintomatico o asintomatico, in relazione all’incidenza dell’ipocalcemia postoperatoria precoce nella nostra esperienza. Lo studio è stato di tipo prospettico su 177 pazienti operati alla tiroide per patologia benigna e maligna, dosando il calcio ematico subito prima dell’intervento chirurgico e del calcio e del PTH almeno tre mesi dopo l’intervento. L’ipocalcemia postoperatoria è stata osservata nel 37,3% dei casi. Otto pazienti (4,5% di coorte) hanno presentato bassi livelli di PTH in un follow-up medio di 9,1 mesi. Valore predittivo positivo dell’ipocalcemia postoperatoria è stata del 12,1%, mentre predittivo negativo era del 95,4, confermando alta sensibilità (100%) e bassa specificità (65,4%) per rilevare un ipo-PTH. Tutti i pazienti con ipo-PTH tardivo presentavano ipocalcemia all’analisi precoce, mentre nessun caso con normale calcemia postoperatori ha sviluppato un ipo-PTH: questo dato potrebbe suggerire la calcemia postoperatoria come valido fattore prognostico del funzionamento delle paratiroidi quando si presenta nell’intervallo normale. Peraltro il suo dosaggio isolato è troppo limitato per costituire una reale prevedibilità. In conclusione la standardizzazione della tecnica chirurgica rappresenta il metodo migliore per la prevenzione dell’ipo-PTH. La ipocalcemia precoce postoperatoria rappresenta un fattore prognostico, anche se con bassa specificità, di un deficit di produzione del PTH. Questa osservazione deve

  11. Stimulant Reduction Intervention using Dosed Exercise (STRIDE) - CTN 0037: Study protocol for a randomized controlled trial

    PubMed Central

    2011-01-01

    Background There is a need for novel approaches to the treatment of stimulant abuse and dependence. Clinical data examining the use of exercise as a treatment for the abuse of nicotine, alcohol, and other substances suggest that exercise may be a beneficial treatment for stimulant abuse, with direct effects on decreased use and craving. In addition, exercise has the potential to improve other health domains that may be adversely affected by stimulant use or its treatment, such as sleep disturbance, cognitive function, mood, weight gain, quality of life, and anhedonia, since it has been shown to improve many of these domains in a number of other clinical disorders. Furthermore, neurobiological evidence provides plausible mechanisms by which exercise could positively affect treatment outcomes. The current manuscript presents the rationale, design considerations, and study design of the National Institute on Drug Abuse (NIDA) Clinical Trials Network (CTN) CTN-0037 Stimulant Reduction Intervention using Dosed Exercise (STRIDE) study. Methods/Design STRIDE is a multisite randomized clinical trial that compares exercise to health education as potential treatments for stimulant abuse or dependence. This study will evaluate individuals diagnosed with stimulant abuse or dependence who are receiving treatment in a residential setting. Three hundred and thirty eligible and interested participants who provide informed consent will be randomized to one of two treatment arms: Vigorous Intensity High Dose Exercise Augmentation (DEI) or Health Education Intervention Augmentation (HEI). Both groups will receive TAU (i.e., usual care). The treatment arms are structured such that the quantity of visits is similar to allow for equivalent contact between groups. In both arms, participants will begin with supervised sessions 3 times per week during the 12-week acute phase of the study. Supervised sessions will be conducted as one-on-one (i.e., individual) sessions, although other

  12. [In Process Citation].

    PubMed

    Zhu, Jin-Zhou; Li, Chun-Xiao; Dai, Yi-Ning; Zhao, De-Jian; Fang, Zhi-Yun; Wan, Xing-Yong; Zhu, Hua-Tuo; Wang, Yu-Ming; Yu, Chao-Hui; Li, You-Ming

    2016-03-25

    Introducción: la betatrofina es una novedosa adipoquina que provoca la proliferación de células β pancreáticas e interviene en el metabolismo de los lípidos. Objetivos: el propósito de este estudio es evaluar el papel de la betatrofina en el síndrome metabólico. Método: se llevó a cabo un estudio hospitalario de casos y controles según sexo y edad. El nivel de betatrofina en suero fue evaluado mediante ensayo por inmunoabsorción ligado a enzimas. Se midieron las concentraciones en suero de 12 adipoquinas para evaluar las asociaciones con la betatrofina usando los kits comerciales Adipokine Magnetic Bead Panel. Los análisis estadísticos incluyeron correlación bivariada, análisis de curva ROC y análisis de regresión lineal multivariable. Resultados: el nivel de betatrofina en suero fue más elevado en pacientes con síndrome metabólico (997,36 ± 475,92 pg/ml, p = 0,001) que en los controles (735,35 ± 526,51 pg/ml). Frente al tercil más bajo, el tercil más alto del nivel de betatrofina mostró una asociación con mayor riesgo de síndrome metabólico (odds ratio ajustado = 3,521, intervalo de confianza [IC] 95% [1,191-10,413], p = 0,023). Se desarrolló la curva ROC de betatrofina para pronosticar la presencia de síndrome metabólico (área bajo la curva ROC = 0,682 [95% IC, 0,597-0,767], p < 0,001). Además, la betatrofina mostró correlación con distintos parámetros, como edad (r = 0,286, p < 0,001), índice de masa corporal (r = 0,160, p = 0,046), índice cintura-cadera (r = 0,241, p = 0,002), lipoproteína de alta densidad (r = -0,167, p = 0,037), lipoproteína de baja densidad (r = -0,195, p = 0,015), glucosa plasmática en ayunas (r = 0,266, p = 0,001), hemoglobina A1C (r = 0,314, p < 0,001), índice de resistencia a la insulina mediante HOMA (r = 0,272, p = 0,001) y diversas adipoquinas, entre ellas resistina (r = 0,571, p < 0,001), interleucina-8 (r = 0,435, p < 0,001), factor de necrosis tumoral alfa (r = 0,295, p = 0,011) y

  13. [PRE-OPERATIVE IRON DEFICIENCY IN BARIATRIC SURGERY: DIAGNOSIS AND TREATMENT].

    PubMed

    Magali Sanchez, Angela María; Pampillón, Natalia; Abaurre, Mariela; Omelanczuk, Pablo Esteban

    2015-07-01

    descenso en el post OP (37,5% ± 3,4 y 12,3 g/l p < 0,05). La suplementación con hierro EV en pacientes ferropénicos (n = 9) aumentó la hemoglobina (13,5 g/l ± 0,7) con respecto al pre OP (12,8 g/l ± 1,2; p:0,05), así como la saturación de transferrina y ferritina. Al mes de la cirugía el Hematocrito no tuvo cambios significativos (Hematocrito pre OP: 39%; Hematocrito post OP: 40% p: > 0,05). Discusion:1) Casi el 26% de los pacientes presentan ferropenia en el pre OP. 2) El tratamiento con hierro EV parece ser eficaz para prevenir un descenso de hematocritos y mejorar el metabolismo del hierro en pacientes ferropénicos previos a la cirugía. Los pacientes sin ferropenia al mes de la cirugía mantienen valores normales de hematocritos y metabolismo del hierro sin necesidad de suplementación de hierro.

  14. [In Process Citation].

    PubMed

    Zhu, Jin-Zhou; Li, Chun-Xiao; Dai, Yi-Ning; Zhao, De-Jian; Fang, Zhi-Yun; Wan, Xing-Yong; Zhu, Hua-Tuo; Wang, Yu-Ming; Yu, Chao-Hui; Li, You-Ming

    2016-01-01

    Introducción: la betatrofina es una novedosa adipoquina que provoca la proliferación de células β pancreáticas e interviene en el metabolismo de los lípidos. Objetivos: el propósito de este estudio es evaluar el papel de la betatrofina en el síndrome metabólico. Método: se llevó a cabo un estudio hospitalario de casos y controles según sexo y edad. El nivel de betatrofina en suero fue evaluado mediante ensayo por inmunoabsorción ligado a enzimas. Se midieron las concentraciones en suero de 12 adipoquinas para evaluar las asociaciones con la betatrofina usando los kits comerciales Adipokine Magnetic Bead Panel. Los análisis estadísticos incluyeron correlación bivariada, análisis de curva ROC y análisis de regresión lineal multivariable. Resultados: el nivel de betatrofina en suero fue más elevado en pacientes con síndrome metabólico (997,36 ± 475,92 pg/ml, p = 0,001) que en los controles (735,35 ± 526,51 pg/ml). Frente al tercil más bajo, el tercil más alto del nivel de betatrofina mostró una asociación con mayor riesgo de síndrome metabólico (odds ratio ajustado = 3,521, intervalo de confianza [IC] 95% [1,191-10,413], p = 0,023). Se desarrolló la curva ROC de betatrofina para pronosticar la presencia de síndrome metabólico (área bajo la curva ROC = 0,682 [95% IC, 0,597-0,767], p < 0,001). Además, la betatrofina mostró correlación con distintos parámetros, como edad (r = 0,286, p < 0,001), índice de masa corporal (r = 0,160, p = 0,046), índice cintura-cadera (r = 0,241, p = 0,002), lipoproteína de alta densidad (r = -0,167, p = 0,037), lipoproteína de baja densidad (r = -0,195, p = 0,015), glucosa plasmática en ayunas (r = 0,266, p = 0,001), hemoglobina A1C (r = 0,314, p < 0,001), índice de resistencia a la insulina mediante HOMA (r = 0,272, p = 0,001) y diversas adipoquinas, entre ellas resistina (r = 0,571, p < 0,001), interleucina-8 (r = 0,435, p < 0,001), factor de necrosis tumoral alfa (r = 0,295, p = 0,011) y

  15. [In Process Citation].

    PubMed

    Wang, Bingsong; Li, Yijun; Wu, Xiaolu; Liu, Qingqing; Tang, Xue; Wang, Zuo

    2016-01-01

    Objetivos: oligoelementos como zinc (Zn), hierro (Fe) y cobre (Cu) tienen una influencia significativa en el mantenimiento de la función inmune y del metabolismo normales; modulan la función immune e influyen en la susceptibilidad del organismo ante infecciones. Pero la relación entre trazas de estos elementos y la bronconeumonía resultó incierta. Métodos: en este estudio fueron incluidos 28 niños con bronconeumonía y 46 niños sanos agrupados por edad. Se determinaron los niveles de Zn, Cu, Fe, calcio (Ca) y/o magnesio (Mg) en el suero de los niños con bronconeumonía y sin ella mediante espectrofotometría de absorción atómica. Resultados: los resultados muestran que varios niveles de microelementos como Zn, Ca, Mg y Fe en el grupo con bronconeumonía son menores que en el grupo control. En el grupo de niños con bronconeumonía el nivel de Ca en el suero está asociado positivamente con el zinc (Zn) (p < 0,05) y el hierro (Fe) (p < 0,05), mientras que hay una correlación positiva entre el cobre (Cu) y el calcio (Ca) (p < 0,05), magnesio (mg) (p < 0,05). Conclusión: el nivel de oligoelemento en el suero puede estar asociado con el riesgo de bronconeumonía entre los niños. PMID:27238780

  16. Prevalence of metilentetrahidrofolate reductase C677T polymorphism, consumption of vitamins B6, B9, B12 and determination of lipidic hydroperoxides in obese and normal weight Mexican population.

    PubMed

    Hernández-Guerrero, César; Romo-Palafox, Inés; Díaz-Gutiérrez, Mary Carmen; Iturbe-García, Mariana; Texcahua-Salazar, Alejandra; Pérez-Lizaur, Ana Bertha

    2013-11-01

    Introducción. El estrés oxidativo es un factor clave en el inicio y el desarrollo de las comorbilidades de la obesidad. La enzima metiltetrahidrofolato reductasa (MTHFR) participa en el metabolismo del folato con la acción de las vitaminas B9 y B12. El gen MTHFR puede presentar un polimorfismo de un solo nucleótido (SNP) en la posición 677 (C677T), que puede promover homocisteinemia asociada a la producción de radicales libres. Objetivo. Determinar la frecuencia del SNP C677T de la MTHFR, evaluar el consumo de vitaminas B6, B9, B12 y determinar la concentración de hidroperóxidos lipídicos (LOOH) en plasma en un grupo de obesos y testigo. Métodos. Se clasificaron 128 mexicanos mestizos de acuerdo a su índice de masa corporal en normopeso (Nw; n=75) y obesidad (ObeI-III; n=53). Se identificó el SNP C677T de la MTHFR mediante la técnica de PCR-RFLP. El consumo de vitaminas B6, B9 y B12 se evaluó mediante una encuesta validada. Se determinaron LOOH como un indicador de estrés oxidativo periférico. Resultados. No hubo diferencia estadística significativa en la frecuencia del polimorfismo C677T entre homocigotos TT en Nw (0.19) y ObeI-III (0.25). La frecuencia del alelo T en Nw fue de 0.45, y 0.51 en el grupo ObeI-III. Los LOOH mostraron diferencia estadística significativa (p.

  17. [Variability in the clinical presentation of Pompe disease in infancy: two case reports and response to treatment with human recombinant enzyme].

    PubMed

    Moreno-Medinilla, Esther; Berzosa-López, Raquel; Mora-Ramírez, M Dolores; Blasco-Alonso, Javier; Martínez-Antón, Jacinto

    2014-12-01

    Introduccion. La enfermedad de Pompe o glucogenosis tipo II es un error innato del metabolismo, de herencia autosomica recesiva, causado por un deficit de la enzima lisosomal alfa-glucosidasa acida (GAA), que ocasiona un acumulo multisistemico de glucogeno. Describimos dos casos de inicio temprano (infantil) con diferentes formas de presentacion. Casos clinicos. El primer caso se trata de un neonato que presento una bradicardia mantenida desde el nacimiento, lo que motivo el estudio cardiologico, en el que se evidencio una hipertrofia biventricular grave. El segundo caso se trata de un niño de 14 meses con retraso motor e hipotonia con arreflexia. En la analitica destacaban una creatincinasa, lactato deshidrogenasa, transaminasa glutamico oxalacetica y transaminasa glutamico piruvica elevadas. El electromiograma mostro signos de afectacion miopatica, y la biopsia muscular, una miopatia vacuolar con deposito de glucogeno. En ambos, la actividad de la GAA estaba disminuida y el analisis genetico del gen GAA evidencio que eran portadores heterocigotos de mutaciones descritas en la enfermedad de Pompe. Iniciaron tratamiento con enzima recombinante humana al mes y a los 18 meses de vida, respectivamente, con mejoria evidente de la miocardiopatia hipertrofica, aunque mas limitada a nivel motor. En la actualidad tienen, respectivamente, 9 meses y 5 años, y este ultimo presenta un nivel III de la escala GMFM (Gross Motor Function Measure). Conclusion. La GAA recombinante humana es la unica opcion terapeutica autorizada para estos pacientes. Los efectos que hemos observado son similares a los descritos en otros casos, con una excelente evolucion de la miocardiopatia hipertrofica y un efecto variable sobre la musculatura esqueletica.

  18. [Oral magnesium supplementation: an adjuvant alternative to facing the worldwide challenge of type 2 diabetes?].

    PubMed

    Guerrero-Romero, Fernando; Rodríguez-Morán, Martha

    2014-01-01

    Antecedentes: ante la repercusión de la diabetes tipo 2 en la calidad de vida y los altos costos de su tratamiento, es urgente la búsqueda de alternativas para el control metabólico y la prevención primaria de esta enfermedad. Objetivo: revisar la evidencia derivada de estudios de cohortes acerca de la relación entre las concentraciones séricas y la ingesta de magnesio con el riesgo de diabetes tipo 2, y de ensayos clínicos de la eficacia de las sales orales de magnesio en la reducción de la glucemia. Material y métodos: estudio retrospectivo, efectuado con base en la búsqueda de estudios de cohorte mayores de 10 años en MEDLINE, EMBASE, y Cochrane Controlled Trials Register, actualizada al 30 de septiembre del 2013. Resultados: se encontraron siete estudios de cohorte (24,388 personas/ año) que muestran que la ingesta de magnesio disminuye el riesgo de diabetes tipo 2; dos estudios (13,076 personas/año) indican que la baja ingesta de magnesio en la dieta no parece asociarse con el riesgo de diabetes; 1 estudio (8,735 personas/año) demuestra que la hipomagnesemia se asocia con alteraciones del metabolismo de la glucosa. De 11 ensayos clínicos con asignación al azar, 5 estudios en sujetos de riesgo muestran que las sales orales de magnesio reducen la glucemia, y 6 estudios en pacientes con diabetes tipo 2 muestran resultados inconsistentes. Conclusiones: la ingesta de magnesio en la dieta habitual o de sales orales de magnesio es recomendable en la prevención de diabetes. La eficacia de las sales de magnesio en la reducción de la glucemia de pacientes con diabetes tipo 2, es inconsistente.

  19. MATERNAL AND POST-WEANING EXPOSURE TO A HIGH FAT DIET PROMOTES VISCERAL OBESITY AND HEPATIC STEATOSIS IN ADULT RATS.

    PubMed

    dos Santos Perez, Gabriela; Santana dos Santos, Lucimeire; dos Santos Cordeiro, Gabriele; Matos Paraguassú, Gardênia; Abensur Athanazio, Daniel; Couto, Ricardo David; Bonfim de Jesus Deiró, Tereza Cristina; Manhães de Castro, Raul; Barreto-Medeiros, Jairza Maria

    2015-10-01

    Objetivo: teniendo en cuenta el consumo frecuente de dietas ricas en grasas por las mujeres en edad reproductiva, el objetivo del presente estudio fue investigar los efectos del consumo materno de una dieta alta en grasas durante el periodo perinatal y/o post-destete en el higado y el metabolismo de los lipidos en ratas jovenes. Métodos: ratas hembra Wistar fueron alimentadas durante el embarazo y la lactancia con un alto contenido de grasa (H) o de control (C). La descendencia se asigno a cuatro grupos: Control (CC, n = 11), descendencia alimentada con una dieta de control despues del destete; Control de dieta alta en grasa (CH, n = 10), crias alimentadas con una dieta alta en grasas despues del destete; Alta en grasas de alta en grasa (HH, n = 10), hijos de madres H alimentados con una dieta alta en grasas despues del destete; y Control de alta en grasa (HC, n = 9), hijos de madres H alimentados con dieta de control tras el destete. Resultados y discusión: la ingesta de alimentos no difirio entre los grupos; sin embargo, el peso relativo del tejido adiposo fue mayor en los animales de los grupos HC, HH y CH (p ≤ 0,005). La esteatosis hepatica se encontro en los CH y HH, que tambien presentaban hipercolesterolemia (p ≤ 0,05). Los niveles de las enzimas hepaticas alanina aminotransferasa (ALT) y gamma-glutamil transpeptidasa (GGT) fueron mayores en el grupo de HH, y el nivel de LDL fue mayor en el grupo CH en comparacion con el CC. El consumo de la dieta propicio la obesidad durante los periodos criticos del desarrollo y puede contribuir a la aparicion de obesidad visceral, esteatosis hepatica e hipercolesterolemia en ratas adultas, incluso en ausencia de cambios en la ingesta dietetica.

  20. ENDURANCE TRAINING IN FASTING CONDITIONS: BIOLOGICAL ADAPTATIONS AND BODY WEIGHT MANAGEMENT.

    PubMed

    Vicente-Salar, Néstor; Urdampilleta Otegui, Aritz; Roche Collado, Enrique

    2015-12-01

    Introducción: en la mayoría de las disciplinas deportivas, el deportista debe conseguir unas óptimas condiciones a nivel muscular y metabólico, así como de composición corporal, manteniendo un bajo porcentaje de grasa corporal. En este contexto se han propuesto diferentes protocolos de entrenamiento con el fin de reducir el porcentaje de grasa corporal incidiendo en un aumento de la utilización de las grasas en detrimento del glucógeno. Objetivo: comprobar si el entrenamiento en ayunas favorece el uso de ácidos grasos debido a los bajos niveles de glucógeno, permitiendo mejoras en el rendimiento y en el control del peso a partir de los estudios publicados. Resultados: los protocolos publicados difieren tanto en el periodo de trabajo como en la intensidad del ejercicio, así como respecto al análisis de una gran variedad de marcadores, desde la expresión de genes hasta parámetros circulantes. Discusión: a bajas intensidades de ejercicio aeróbico, los niveles de lipólisis y oxidación de grasas son mayores en el ejercicio en ayunas. Por otro lado, el metabolismo de la glucosa en condiciones de ayuno se adapta en relación al ahorro de las reservas de glucógeno. Finalmente, en condiciones de ayuno, la degradación de proteínas musculares se ve disminuida. Actualmente solo un estudio analiza los cambios en la composición corporal tras un protocolo de larga duración de ejercicio y ayuno, por lo que es necesario realizar más estudios con el fin de demostrar que se trata de una estrategia válida para el control del peso corporal.

  1. [Proposal of new trace elements classification to be used in nutrition, oligotherapy and other therapeutics strategies].

    PubMed

    Ramírez Hernández, Javier; Bonete Pérez, María José; Martínez Espinosa, Rosa María

    2014-12-17

    Objetivos: 1) Proponer una nueva clasificación de los oligoelementos fundamentada en el estudio detallado de las investigaciones más recientes sobre los mismos; 2) ofrecer información detallada y actualizada sobre todos los oligoelementos. Resultados: el análisis de todos los resultados de investigación consultados pone de manifiesto que los avances en las técnicas de análisis molecular permiten dilucidar la importancia que presentan ciertos oligoelementos para la salud humana. Se ofrece un análisis detallado de la función catalítica que podrían tener determinados elementos no considerados hasta ahora como esenciales o posiblemente esenciales, gracias al uso de plataformas informáticas que permiten el análisis integrado de datos sobre enzimas. Asimismo se presenta información integrada y actualizada del papel fisiológico, cinéticas y metabolismo, fuentes dietéticas y factores que propician la carencia o la toxicidad de cada uno de los oligoelementos. Conclusiones: La Oligoterapia plantea el uso de oligoelementos catalíticamente activos con fines terapéuticos. La nueva clasificación de oligoelementos planteada en este trabajo será de interés para diversos sectores profesionales: médicos y demás personal sanitario, nutricionistas, farmacéuticos, etc. Así podrán diseñarse nuevas estrategias terapéuticas que permitan paliar la sintomatología de diversas patologías, en particular las enfermedades carenciales y metabólicas.

  2. [In Process Citation].

    PubMed

    Mauro-Martin, Ismael San; De la Calle-de la Rosa, Licia; Sanz-Rojo, Sara; Garicano-Vilar, Elena; Ciudad-Cabañas, María José; Collado-Yurrita, Luis

    2016-02-16

    Introducción: las enfermedades cardiovasculares (EC) constituyen la principal causa de muerte a nivel mundial. La etiología es multifactorial, pueden influir diversos factores como la dieta, los hábitos de vida, el nivel de ejercicio físico o la carga genética. El gran número de genes implicados, así como sus diversas variantes, pueden influir sobre el riesgo de padecer enfermedades cardiovasculares por medio de distintas vías.Objetivo: determinar la relación existente entre diferentes polimorfismos genéticos y el riesgo individual de EC en población infantil y adulta.Métodos: se llevó a cabo una búsqueda bibliográfica utilizando la base de datos PubMed. La búsqueda se limitó a un periodo de diez años y a metaanálisis realizados en humanos.Resultados: se establece relación entre el riesgo de enfermedad cardiovascular y los siguientes polimorfismos genéticos: cromosoma 9p21, apolipoproteína A5, apolipoproteínas E2, E3 y E4, gen PPARG o PPARϒ, genes implicados en el metabolismo lipídico, gen MTHFR, citocromo P450, factor V de coagulación o factor de Leiden (FVL) y gen VKORC.Conclusiones: Se han identificado un gran número de genes relacionados con la enfermedad cardiovascular. La carga genética puede influir de manera directa o indirecta sobre el riesgo cardiovascular, modificando factores de riesgo para enfermedad cardiovascular o actuando sobre la medicación empleada para tratarla.

  3. Whole-body vibration training as complement to programs aimed at weight loss.

    PubMed

    Cristi-Montero, Carlos; Cuevas, María J; Collado, Pilar S

    2013-01-01

    Introducción: El entrenamiento de vibraciones de cuerpo completo (EVCC) ha demostrado ser de gran utilidad para aumentar la masa muscular, el tejido óseo, la potencia muscular, la flexibilidad, y la fuerza, entre otros. No obstante, hasta la fecha es escasa la literatura respecto a sus efectos sobre el metabolismo energético y si esta herramienta podría ser capaz de potenciar la pérdida de peso como complemento a un programa nutricional y/o de ejercicio físico. Objetivo: El objetivo de la presente revisión es analizar los últimos estudios sobre el EVCC con la finalidad de determinar si puede ser un método fiable para complementar los programas orientados a la reducción del peso corporal. Métodos: Se realizó una búsqueda bibliográfica en Pubmed, Scielo y SPORTDiscus, así como una búsqueda manual entre las referencias de los estudios seleccionados. Resultados: El EVCC parece estar vinculado a tres vías relacionadas con la reducción del peso corporal: inhibición de la adipogénesis y reducción de la masa grasa, aumento del gasto energético y aumento de la masa muscular. Tras analizar la literatura, ninguna de las vías propuestas es consistente, y en muchas ocasiones los resultados son contradictorios. Conclusión: Se concluye que es necesario profundizar sobre esta línea de investigación. No obstante, el EVCC parece ser un método seguro y posiblemente tendría beneficios, principalmente sobre la masa muscular, lo que podría promover la pérdida de peso si se combina con un plan nutricional y un programa de ejercicio tradicional.

  4. [In Process Citation].

    PubMed

    Wang, Bingsong; Li, Yijun; Wu, Xiaolu; Liu, Qingqing; Tang, Xue; Wang, Zuo

    2016-03-25

    Objetivos: oligoelementos como zinc (Zn), hierro (Fe) y cobre (Cu) tienen una influencia significativa en el mantenimiento de la función inmune y del metabolismo normales; modulan la función immune e influyen en la susceptibilidad del organismo ante infecciones. Pero la relación entre trazas de estos elementos y la bronconeumonía resultó incierta. Métodos: en este estudio fueron incluidos 28 niños con bronconeumonía y 46 niños sanos agrupados por edad. Se determinaron los niveles de Zn, Cu, Fe, calcio (Ca) y/o magnesio (Mg) en el suero de los niños con bronconeumonía y sin ella mediante espectrofotometría de absorción atómica. Resultados: los resultados muestran que varios niveles de microelementos como Zn, Ca, Mg y Fe en el grupo con bronconeumonía son menores que en el grupo control. En el grupo de niños con bronconeumonía el nivel de Ca en el suero está asociado positivamente con el zinc (Zn) (p < 0,05) y el hierro (Fe) (p < 0,05), mientras que hay una correlación positiva entre el cobre (Cu) y el calcio (Ca) (p < 0,05), magnesio (mg) (p < 0,05). Conclusión: el nivel de oligoelemento en el suero puede estar asociado con el riesgo de bronconeumonía entre los niños.

  5. [Prevalence of intolerance to salicylates in patients with nasal polyposis].

    PubMed

    Castilla-Rodríguez, Jaisel Luz; Vargas-Camaño, María Eugenia; Rodríguez-Briceño, Rodrigo Alberto; Galicia-Tapia, Jorge; Castrejón-Vázquez, María Isabel

    2015-01-01

    Antecedentes: la intolerancia a salicilatos se relaciona con la alteración en el metabolismo del ácido araquidónico, desencadenando incremento de cisteinil leucotrienos; puede manifestarse con síntomas respiratorios, cutáneos, sistémicos o asociado con poliposis nasosinusal. Los salicilatos están contenidos en antiinflamatorios, productos cosméticos y alimentos. Objetivo: determinar la prevalencia de la intolerancia a salicilatos en pacientes con poliposis nasosinusal que acuden al Servicio de Inmunología Clínica y Alergia y al servicio de Otorrinolaringología del Centro Médico Nacional 20 Noviembre, ISSSTE. Material y método: estudio observacional, descriptivo, transversal, en el que se incluyeron pacientes con poliposis nasosinusal. El tamaño de la muestra fue de 49 pacientes, las variables se compararon utilizando STATISTICA 8.0. Resultados: la prevalencia de poliposis nasosinusal fue de 4%, fue mayor en el género femenino; sólo 24% de la población se encontraba en un peso ideal, la prevalencia de intolerancia a salicilatos fue de 53%, la prevalencia de la tríada de Samter fue de 31%. Conclusiones: la poliposis nasosinusal es una enfermedad con patrón inflamatorio, su fisiopatología aún no se establece totalmente; en este estudio se encontró relacionada con obesidad y con la persistencia de sinusitis. La complicación más temida es la recurrencia, se ha relacionado con intolerancia a salicilatos; en este estudio se encontró leve incremento de la recurrencia en el grupo de intolerancia, sin diferencia estadísticamente significativa, posiblemente relacionado con el tamaño de la población.

  6. [Childhood obesity is associated to the interaction between firmicutes and high energy food consumption].

    PubMed

    Estrada-Velasco, Barbara Ixchel; Cruz, Miguel; Garcia-Mena, Jaime; Valladares Salgado, Adan; Peralta Romero, Jesus; Guna Serrano, Maria de Los Remedios; Madrid-Marina, Vicente; Orbe Orihuela, Citlalli; López Islas, Claudia; Burguete-García, Ana Isabel

    2014-12-16

    Introducción: La obesidad es un grave problema de salud pública en México, la Encuesta Nacional de Salud y Nutrición (ENSANUT 2012) reporta una prevalencia de sobrepeso y obesidad en niños de 5 a 11 años de 34.4%, siendo el país con mayor prevalencia a nivel mundial. Investigaciones recientes han sugerido que la microbiota intestinal puede ser factor de riesgo de la obesidad por su influencia en el metabolismo humano. Objetivo: Evaluar si existe asociación entre el perfil de la microbiota intestinal y la obesidad infantil y si esta asociación se modifica dependiendo del patrón de alimentación de una muestra de niños de edad escolar de la Ciudad de México. Metodología y Resultados: Estudio transversal en 1042 niños de 6 a 14 años, a todos se les aplicó cuestionario de actividad física, antecedentes patológicos personales y heredofamiliares de obesidad y diabetes tipo 2. La definición de los patrones de alimentación se realizó por análisis de componentes principales (ACP). La asociación entre microbiota intestinal y sobrepeso/obesidad dependiendo de la dieta se evaluó con modelos de regresión logística, ajustados por factores de confusión. Encontramos que un perfil de abundancia relativa alta de Firmicutes y una abundancia relativa baja de Bacteroidetes aunado a un consumo elevado de dietas ricas en carbohidratos y grasas saturadas se asocia con un mayor riesgo de obesidad. Conclusión: La interacción entre la microbiota intestinal y la dieta, particularmente con alto contenido de grasas y carbohidratos simples incrementa las posibilidades de presentar obesidad.

  7. ADIPOQUINAS EN EL NIÑO SANO Y AFECTO DE OBESIDAD

    PubMed Central

    Martos-Moreno, G.A.; Kopchick, J.J.; Argente, y J.

    2015-01-01

    El incremento universal de la prevalencia de obesidad en niños y adolescentes durante las últimas décadas, junto con la evidencia creciente de que el establecimiento de obesidad en etapas precoces de la vida está asociado con un incremento de la prevalencia de comorbilidades y del riesgo de muerte prematura, con gran repercusión económica en los sistemas sanitarios de los países occidentales, ha impulsado la investigación en este área. Estos estudios han remarcado la importante actividad endocrina del tejido adiposo, ejercida por medio de la síntesis y secreción de un gran número de péptidos y citoquinas, denominados adipoquinas. En esta revisión se resume el estado actual de los conocimientos, así como los estudios más relevantes, en relación con la dinámica de secreción de las principales adipoquinas en niños, centrándose en el control de la homeostasis energética, regulación metabólica (fundamentalmente, metabolismo de los hidratos de carbono) e inflamación. Asímismo, se analizan las particularidades de la síntesis, secreción y acciones de las adipoquinas desde el nacimiento hasta la adolescencia, reseñando el efecto que, sobre ellas, ejerce la instauración de la obesidad. PMID:23228441

  8. [In Process Citation].

    PubMed

    Mauro-Martin, Ismael San; De la Calle-de la Rosa, Licia; Sanz-Rojo, Sara; Garicano-Vilar, Elena; Ciudad-Cabañas, María José; Collado-Yurrita, Luis

    2016-01-01

    Introducción: las enfermedades cardiovasculares (EC) constituyen la principal causa de muerte a nivel mundial. La etiología es multifactorial, pueden influir diversos factores como la dieta, los hábitos de vida, el nivel de ejercicio físico o la carga genética. El gran número de genes implicados, así como sus diversas variantes, pueden influir sobre el riesgo de padecer enfermedades cardiovasculares por medio de distintas vías.Objetivo: determinar la relación existente entre diferentes polimorfismos genéticos y el riesgo individual de EC en población infantil y adulta.Métodos: se llevó a cabo una búsqueda bibliográfica utilizando la base de datos PubMed. La búsqueda se limitó a un periodo de diez años y a metaanálisis realizados en humanos.Resultados: se establece relación entre el riesgo de enfermedad cardiovascular y los siguientes polimorfismos genéticos: cromosoma 9p21, apolipoproteína A5, apolipoproteínas E2, E3 y E4, gen PPARG o PPARϒ, genes implicados en el metabolismo lipídico, gen MTHFR, citocromo P450, factor V de coagulación o factor de Leiden (FVL) y gen VKORC.Conclusiones: Se han identificado un gran número de genes relacionados con la enfermedad cardiovascular. La carga genética puede influir de manera directa o indirecta sobre el riesgo cardiovascular, modificando factores de riesgo para enfermedad cardiovascular o actuando sobre la medicación empleada para tratarla. PMID:27019250

  9. Winter wheat stand density determination and yield estimates from handheld and airborne scanners. [Montana

    NASA Technical Reports Server (NTRS)

    Aase, J. K.; Millard, J. P.; Siddoway, F. H. (Principal Investigator)

    1982-01-01

    Radiance measurements from handheld (Exotech 100-A) and air-borne (Daedalus DEI 1260) radiometers were related to wheat (Triticum aestivum L.) stand densities (simulated winter wheat winterkill) and to grain yield for a field located 11 km northwest of Sidney, Montana, on a Williams loam soil (fine-loamy, mixed Typic Argiborolls) where a semidwarf hard red spring wheat cultivar was needed to stand. Radiances were measured with the handheld radiometer on clear mornings throughout the growing season. Aircraft overflight measurements were made at the end of tillering and during the early stem extension period, and the mid-heading period. The IR/red ratio and normalized difference vegetation index were used in the analysis. The aircraft measurements corroborated the ground measurements inasmuch as wheat stand densities were detected and could be evaluated at an early enough growth stage to make management decision. The aircraft measurements also corroborated handheld measurements when related to yield prediction. The IR/red ratio, although there was some growth stage dependency, related well to yield when measured from just past tillering until about the watery-ripe stage.

  10. Quadrantectomy with oxidized regenerated cellulose ("QUORC"): an innovative oncoplastic technique in breast conserving surgery.

    PubMed

    Franceschini, Gianluca; Sanchez, Alejandro Martin; Visconti, Giuseppe; Di Leone, Alba; Salgarello, Marzia; Masetti, Riccardo

    2015-01-01

    La chirurgia oncoplastica della mammella ha generato grande entusiasmo negli ultimi anni ed è diventata una componente integrante ed essenziale del trattamento chirurgico dei tumori del seno. Le tecniche oncoplastiche associano i migliori principi della chirurgia oncologica con i migliori principi della chirurgia plastica per ottenere margini indenni da malattia ed al tempo stesso ottimizzare i risultati estetici. Grazie a queste procedure, il trattamento conservativo della mammella è stato esteso ad includere un gruppo di pazienti che altrimenti richiederebbero una mastectomia per ottenere radicalità oncologica. Tuttavia, anche con l’uso delle procedure oncoplastiche, gli esiti cosmetici possono risultare insoddisfacenti nei tumori di voluminose dimensioni in cui è necessario eseguire ampie exeresi parenchimali in particolare in seni di medio-piccole dimensioni. Recentemente, è stato quindi proposto l’uso di Cellulosa Ossidata Rigenerata come biomateriale ricostruttivo per ottimizzare i risultati estetici dopo chirurgia oncoplastica. Lo scopo di questo articolo è quello di descrivere il modello standard di una innovativa tecnica oncoplastica con cellulose ossidata, che abbiamo denominato “QUORC“ (QUadrantectomy with Oxidized Regenerated Cellulose), grazie alla quale sembra possibile migliorare i risultati estetici e ridurre al minimo le possibili complicanze post-operatorie.

  11. Reduction mammoplasty using oxidized regenerated cellulose as a filler in breast conservation surgery.

    PubMed

    Franceschini, Gianluca; Sanchez, Alejandro Martin; Visconti, Giuseppe; Di Leone, Alba; D'Archi, Sabatino; Mulè, Antonino; Santoro, Angela; Salgarello, Marzia; Masetti, Riccardo

    La chirurgia oncoplastica della mammella ha suscitato grande interesse negli ultimi anni ed è progressivamente divenuta una componente integrante ed essenziale del trattamento chirurgico conservativo dei tumori del seno. Le tecniche di chirurgia oncoplastica combinano i migliori principi della chirurgia oncologica con in migliori principi della chirurgia plastica con lo scopo di ottenere margini indenni da malattia ed al tempo stesso ottimizzare i risultati estetici. In particolare le tecniche di mastoplastica riduttiva sono state applicate in pazienti con seni medio-grandi e ptosici per ottimizzare i risultati oncologici ed estetici. Grazie a queste procedure il trattamento conservativo della mammella è stato esteso ad includere un gruppo di pazienti che altrimenti avrebbero richiesto una mastectomia associata a complessi interventi di ricostruzione mammaria. Tuttavia anche con l’applicazione delle tecniche di mastoplastica riduttiva gli esiti cosmetici possono risultare insoddisfacenti, in particolar modo in pazienti con seni medi che richiedono ampie resezioni parenchimali per tumori di voluminose dimensioni, localizzati nei quadranti supero-interni o inferiori. Recentemente è stato quindi proposto l’utilizzo della cellulosa ossidata rigenerata come biomateriale ricostruttivo per ottimizzare i risultati estetici nella chirurgia oncoplastica. Lo scopo di questo articolo è quello di descrivere il modello standard di una innovativa tecnica oncoplastica con cellulosa ossidata rigenerata che abbiamo denominato “QUORC” (QUadrantectomy with Oxidized Regenerated Cellulose) grazie alla quale sembra possibile migliorare i risultati estetici e ridurre al minimo le possibile complicanze post-operatorie, come infezioni ed ematomi, nella chirurgia oncoplastica con tecnica di mastoplastica riduttiva.

  12. Arctic lineage-canine distemper virus as a cause of death in Apennine wolves (Canis lupus) in Italy.

    PubMed

    Di Sabatino, Daria; Lorusso, Alessio; Di Francesco, Cristina E; Gentile, Leonardo; Di Pirro, Vincenza; Bellacicco, Anna Lucia; Giovannini, Armando; Di Francesco, Gabriella; Marruchella, Giuseppe; Marsilio, Fulvio; Savini, Giovanni

    2014-01-01

    Canine distemper virus (CDV) infection is a primary threat affecting a wide number of carnivore species, including wild animals. In January 2013, two carcasses of Apennine wolves (Canis lupus) were collected in Ortona dei Marsi (L'Aquila province, Italy) by the local Veterinary Services. CDV was immediately identified either by RT-PCR or immunohistochemistry in lung and central nervous tissue samples. At the same time, severe clinical signs consistent with CDV infection were identified and taped (Videos S1-S3) from three wolves rescued in the areas surrounding the National Parks of the Abruzzi region by the Veterinary Services. The samples collected from these symptomatic animals also turned out CDV positive by RT-PCR. So far, 30 carcasses of wolves were screened and CDV was detected in 20 of them. The sequencing of the haemagglutinin gene and subsequent phylogenetic analysis demonstrated that the identified virus belonged to the CDV Arctic lineage. Strains belonging to this lineage are known to circulate in Italy and in Eastern Europe amongst domestic dogs. To the best of our knowledge this is the first report of CDV Arctic lineage epidemics in the wild population in Europe.

  13. Computation of Mass Density Images from X-ray Refraction-Angle Images

    SciTech Connect

    Wernick,M.; Yang, Y.; Mondal, I.; Chapman, D.; Hasnah, M.; Parham, C.; Pisano, E.; Zhong, Z.

    2006-01-01

    In this paper, we investigate the possibility of computing quantitatively accurate images of mass density variations in soft tissue. This is a challenging task, because density variations in soft tissue, such as the breast, can be very subtle. Beginning from an image of refraction angle created by either diffraction-enhanced imaging (DEI) or multiple-image radiography (MIR), we estimate the mass-density image using a constrained least squares (CLS) method. The CLS algorithm yields accurate density estimates while effectively suppressing noise. Our method improves on an analytical method proposed by Hasnah et al (2005 Med. Phys. 32 549-52), which can produce significant artifacts when even a modest level of noise is present. We present a quantitative evaluation study to determine the accuracy with which mass density can be determined in the presence of noise. Based on computer simulations, we find that the mass-density estimation error can be as low as a few per cent for typical density variations found in the breast. Example images computed from less-noisy real data are also shown to illustrate the feasibility of the technique. We anticipate that density imaging may have application in assessment of water content of cartilage resulting from osteoarthritis, in evaluation of bone density, and in mammographic interpretation.

  14. High resolution laser remote imaging innovative tools for preservation of painted surfaces: information from reflectance and fluorescence data

    NASA Astrophysics Data System (ADS)

    Fantoni, R.; Ferri de Collibus, M.; Francucci, M.; Fornetti, G.; Guarneri, M.; Caneve, L.; Colao, F.; Fiorani, L.; Palucci, A.; Spizzichino, V.

    2013-11-01

    Two innovative laser scanning prototypes have been developed at ENEA for diagnostics of large surfaces relevant to monumental cultural heritage. The first, based on amplitude modulation technique in the visible, is a trichromatic (Red /Green /Blue) imaging topologic radar (RGB-ITR) specialized to collect high resolution 3D models. After proper color calibration, it allows for hyper-realistic rendering of colored features on painted surfaces and for precise localization of irregularities. The second is a line scanning system, working either in reflectance or laser induced fluorescence mode, capable of fast 2D monochromatic images acquisition on up to 90 different spectral channels in the visible/UV range, which was developed to investigate the presence of different substances onto the painted surface. Data collected during former field campaigns on frescos by means each scanning system will be reported and discussed extracting information of interest to conservators by means of specific data processing methodologies and respective software tools. Recent results relevant to paints of the Assumption on slate and canvas by Scipione Pulzone named "il Gaetano" collected in two churches in Rome (San Silvestro al Quirinale, Bandini chapel; Santa Caterina dei Funari, Solano della Vetera Chapel) from the late XVI century are presented in order to demonstrate the increased diagnostic capabilities coming from data integration. From combination of reflectance data from both instruments, the first true remote differential colorimetry has been implemented, giving a chance to test the color quality in the future from the archived images.

  15. Laser fiber source implemented with a resonator Sagnac for fiber optic acoustic sensor

    NASA Astrophysics Data System (ADS)

    Sandoval-Romero, G. E.; Pinzón-Escobar, E. F.

    2013-11-01

    Two innovative laser scanning prototypes have been developed at ENEA for diagnostics of large surfaces relevant to monumental cultural heritage. The first, based on amplitude modulation technique in the visible, is a trichromatic (Red /Green /Blue) imaging topologic radar (RGB-ITR) specialized to collect high resolution 3D models. After proper color calibration, it allows for hyper-realistic rendering of colored features on painted surfaces and for precise localization of irregularities. The second is a line scanning system, working either in reflectance or laser induced fluorescence mode, capable of fast 2D monochromatic images acquisition on up to 90 different spectral channels in the visible/UV range, which was developed to investigate the presence of different substances onto the painted surface. Data collected during former field campaigns on frescos by means each scanning system will be reported and discussed extracting information of interest to conservators by means of specific data processing methodologies and respective software tools. Recent results relevant to paints of the Assumption on slate and canvas by Scipione Pulzone named "il Gaetano" collected in two churches in Rome (San Silvestro al Quirinale, Bandini chapel; Santa Caterina dei Funari, Solano della Vetera Chapel) from the late XVI century are presented in order to demonstrate the increased diagnostic capabilities coming from data integration. From combination of reflectance data from both instruments, the first true remote differential colorimetry has been implemented, giving a chance to test the color quality in the future from the archived images.

  16. "Hypertractions and hyperstresses convey the same mechanical information Continuum Mech. Thermodyn. (2010) 22:163-176" by Prof. Podio Guidugli and Prof. Vianello and some related papers on higher gradient theories

    NASA Astrophysics Data System (ADS)

    dell'Isola, Francesco; Seppecher, Pierre

    2011-09-01

    In this commentary, we try to make clearer the state of the art concerning the relation between mechanical contact interactions and the different notions of stresses. We emphasize the importance of the concept of virtual displacements. Its role has been recognized in Mechanics and in Continuum Mechanics long ago (see e.g., Vailati in Il principio dei lavori virtuali da Aristotele a Erone d'Alessandria, 113-128, 1987; Russo in The forgotten revolution, Springer, Berlin, 2003, or Cosserat and Cosserat in Sur la Théorie des Corps Déformables, Herman, Paris, 1909; Cosserat and Cosserat in Note sur la théorie de l.action euclidienne, Gauthier-Villars, Paris, 1908), and it is central as well when starting with an expression of the power expended by internal stresses and deducing the form of contact interactions as when starting with some form of the contact interactions and developing a representation theorem for these contact interactions based on the Cauchy tetrahedron construction.

  17. The role of plastic surgeon in complex cephalic malformations. Our experience.

    PubMed

    Chiumariello, Stefano; Del Torto, Giuseppe; Guarro, Giuseppe; Alfano, Carmine

    2014-01-01

    Le malformazioni complesse del distretto cefalico comprendono tutta una serie di anomalie di sviluppo che oltre a presentare una notevole difficoltà classificativa e di inquadramento, comprendono forme che sono talora di stretta pertinenza specialistica. La correzione delle malformazioni craniofacciali fa ricorso ad una disciplina chirurgica particolarmente esigente, che deve associare una formazione chirurgica di base con un apprendimento delle tecniche specifiche per il territorio craniofacciale e una conoscenza della patologia malformativa. L’eziologia malformativa pone il chirurgo davanti a problemi specifici, dominati dallo sviluppo della tecnica chirurgica. Si stabilisce dunque un protocollo terapeutico dopo aver identificato la malformazione, stimato la gravità delle alterazioni tissutali e valutato la capacità di crescita dei territori interessati. E’ fondamentale, oltre che il rimodellamento della morfologia, il recupero delle funzioni ed il trattamento rieducativo. E’ quindi evidente che si tratta di una chirurgia di equipe che può portare risultati positivi solo se realizzata con fiducia reciproca tra i vari operatori.

  18. Hyperthermic intraperitoneal chemotherapy as palliative treatment for malignant ascites A single-center experience and a review of the literature.

    PubMed

    Graziosi, Luigina; Marino, Elisabetta; De Angelis, Verena; Rebonato, Alberto; Donini, Annibale

    L’ascite maligna rappresenta il quadro avanzato di anormale accumulo di liquido intraperitoneale in pazienti con carcinosi peritoneale. Questa condizione clinica può rappresentare la condizione terminale di questa patologia a pessima prognosi inficiando inoltre la qualità di vita dei pazienti. Le opzioni terapeutiche includono differenti procedure che hanno tuttavia una limitata efficacia e alcune criticità; diuretici, paracentesi, shunt veno-peritoneali, inibitori delle metallo proteasi, immunomodulatori e agenti biologici rappresentano alcuni esempi di queste procedure. Nessuno di questi approcci terapeutici rappresenta a oggi lo standard of care per questa patologia data la scarsa efficienza e l’alto grado di effetti collaterali. L’introduzione della chirurgia citoriduttiva e della chemio terapia ipertermica intraperitoneale sembra essere un approccio terapeutico valido nel trattamento dell’ascite maligna refrattaria, introdotto nelle ultime due decadi e che tutt’ora necessita di validazione scientifica. In questo lavoro condividiamo la nostra esperienza di tre casi affetti da ascite maligna refrattaria trattati con HIPEC; facciamo inoltre una revisione della letteratura.

  19. First-time observation of Mastro Giorgio masterpieces by means of non-destructive techniques

    NASA Astrophysics Data System (ADS)

    Padeletti, G.; Ingo, G. M.; Bouquillon, A.; Pages-Camagna, S.; Aucouturier, M.; Roehrs, S.; Fermo, P.

    2006-06-01

    For the first time some excellent pieces belonging to the majolica production of the great master Giorgio Andreoli from Gubbio (Central Italy) have been characterized from a chemical and structural point of view with the aim to identify the composition of both pigments and lustres. A series of particle-induced X-ray emission (PIXE), Rutherford backscattering spectrometry (RBS) and Raman analyses have been performed on some plates coming from Museo del Palazzo dei Consoli (Gubbio) and several French museums (Louvre, Musée National de la Céramique, Musée National de la Renaissance) lustred by Giorgio Andreoli and decorated by famous majolica painters such as Francesco Xanto Avelli. The three techniques are complementary and useful in the investigation of art objects since they are non-destructive. Furthermore, the low detection limits allow the identification of all elements and compounds present, and RBS allows concentration profiling, too. It is worth noticing that the examined objects are characterized by the presence of both gold and ruby-red lustres, a peculiarity of Mastro Giorgio’s technique. The measurements by PIXE and RBS have been carried out on the AGLAE accelerator at C2RMF, Louvre Palace.

  20. Cranial trauma in iron age Samnite agriculturists, Alfedena, Italy: implications for biocultural and economic stress.

    PubMed

    Paine, R R; Mancinelli, D; Ruggieri, M; Coppa, A

    2007-01-01

    The Samnites are an Iron Age protohistoric people from the central region of Italy. The skeletal remains are from the Alfedena necropolis, 6th through 5th centuries B.C. Macchiarelli et al. (Antropologia Contemporanea 4 (1981) 239-243) were the first to report on cranial trauma for this population, presenting four cases with extreme injuries. We re-examined this well documented skeletal population for additional examples of trauma. Previously unexamined remains from Alfedena, excavated at the turn of the 20th century, are also included in our analysis (Mariani. 1901. "Aufidena", ricerche archeologiche e storiche del Sannio settentrionale. Roma: Acc Naz Dei Lincei). Of the 209 adult crania examined, 12.9% of them exhibited trauma. Analysis of location and frequency of cranial trauma revealed that cranial injuries to the head appear to originate from all directions. The high rate of cranial trauma underscores the violent circumstances experienced during the Iron Age protohistoric period of central Italy. Males are much more likely to exhibit cranial injury than females (P = 0.009). We conclude that the injuries received by Samnite male farmer-warriors occurred while defending pastoral-agricultural resources. Trauma rates are similar for some Iron Age populations and not for others. Behavior associated with violence during the Iron Age period can not be generalized for all populations found in Italy.

  1. Mapping the Cosmos on a Ceiling: Reflection Sundials from the Seventeenth Century to the Present

    NASA Astrophysics Data System (ADS)

    Sullivan, Woodruff T., III

    2012-01-01

    Ceiling reflection sundials employ a small horizontal mirror, say on a south-facing window sill, to cast a spot of sunlight to the ceiling and/or walls of a room or gallery. In this way the linear scale of the daily and annual motions of the sun are greatly amplified, allowing a plethora of information to be displayed and read. Besides the time of day and the date, typical quantities included the altitude and azimuth of the sun, the declination of the sun, the number of hours since sunrise, the length of daylight, the sign of the zodiac, the sidereal time, etc. The principles for planning and calculating these sundials were first laid out in detail in 17th century Italy by the Jesuit scholars Athanasius Kircher and Emmanuel Maignan: two reflection dials of the latter still survive today in Rome, at Trinità dei Monti (1637) and Palazzo Spada (1644). A third extant example can be found at the Lycée Stendhal in Grenoble, built by a Jesuit priest named Bonfa in 1673. This talk will describe and illustrate these complex sundials, as well as a recently completed ceiling dial, inspired by their example, in the New World (Seattle).

  2. Chromosomenindividualität or Entmischung? The debate between Paolo Della Valle and Edmund B. Wilson.

    PubMed

    Volpone, Alessandro

    2015-01-01

    At the beginning of the twentieth century, the Italian cytologist Paolo Della Valle developed a theory of instable chromosomes (teoria dei cromosomi labili). He radically criticized the so-called Sutton-Boveri hypothesis (Martins and Martins, Genetics and Molecular Biology, 22:261-271, 1999), focusing on numerical constancy in the species and individuality. On the basis of bibliographical review and personal observations, he maintained that the chromosomes were neither stable bodies, nor permanent structures, but transitory cellular materials, resulting from the periodical rearrangement of the chromatin during the cell division. German and English-speaking biologists reacted. The paper shows some content of the argumentations used by Thomas H. Montgomery and especially Edmund B. Wilson. The discussion was characterized by the same data which is interpretedby different scholars in different ways. And the point is that no one of them had the decisive test to demonstrate his own point of view. Wilson simply invoked on his behalf a certain 'common sense', defending at least a 'high degree of constancy'. The debate waned along with the reception of Morgan's chromosome theory of heredity, but only the advent of molecular biology definitively stated the nature of chromosomes as permanent structures of the cell.

  3. A review of thresholding strategies applied to human chromosome segmentation.

    PubMed

    Poletti, Enea; Zappelli, Francesca; Ruggeri, Alfredo; Grisan, Enrico

    2012-11-01

    Karyotype analysis is a widespread procedure in cytogenetics to assess the presence of genetic defects by the visualization of the structure of chromosomes. The procedure is lengthy and repetitive and an effective automatic analysis would greatly help the cytogeneticist routine work. Still, automatic segmentation and the full disentangling of chromosomes are open issues. The first step in every automatic procedure is the thresholding step, which detect blobs that represent either single chromosomes or clusters of chromosomes. The better the thresholding step, the easier is the subsequent disentanglement of chromosome clusters into single entities. We implemented eleven thresholding methods, i.e. the ones that appear in the literature as the best performers, and compared their performance in segmenting chromosomes and chromosome clusters in cytogenetic Q-band images. The images are affected by the presence of hyper- or hypo-fluorescent regions and by a contrast variability between the stained chromosomes and the background. A thorough analysis of the results highlights that, although every single algorithm shows peculiar strong/weak points, Adaptive Threshold and Region Based Level Set have the overall best performance. In order to provide the scientific community with a public dataset, the data and manual segmentation used in this paper are available for public download at http://bioimlab.dei.unipd.it.

  4. The information content of visible spectra of extra virgin olive oil in the characterization of its origin.

    PubMed

    Forina, Michele; Boggia, Raffaella; Casale, Monica

    2007-08-01

    The information content of visible spectra has been evaluated, by means of some selected chemometrical techniques, for its ability to trace the geographical origin of extra virgin olive oils coming from several Mediterranean regions. Special attention was paid to extra virgin olive oil produced in West Liguria, a North Italy region which leans over the Mediterranean Sea and borders France. The peculiar organoleptic features of this "niche product" deserved the protected designation of origin "Riviera Ligure-Riviera dei fiori". Unfortunately, this expensive oil is often submitted to profitable adulterations, commonly involving addition of other cheaper Mediterranean oils. Using suitable transforms, such as profiles and derivatives, the visible spectra of extra virgin olive oils showed a very important discriminant power in that regards the geographical characterization of the studied samples. In particular, the developed class models for West Liguria oils have 100% sensitivity and specificity. Moreover, even if this paper is focused on West Liguria oil, it is important to emphasize that a similar study, involving a so widespread and timesaving technique, could be analogously developed for all the other Mediterranean regions taken into account and it could be used in other olive oil characterization problems.

  5. Hgis and Archive Researches: a Tool for the Study of the Ancient Mill Channel of Cesena (italy)

    NASA Astrophysics Data System (ADS)

    Bitelli, G.; Bartolini, F.; Gatta, G.

    2016-06-01

    The present study aims to demonstrate the usefulness of GIS to support archive searches and historical studies (e.g. related to industrial archaeology), in the case of an ancient channel for mill powering near Cesena (Emilia-Romagna, Italy), whose history is weaved together with the history of the Compagnia dei Molini di Cesena mill company, the most ancient limited company in Italy. Several historical maps (about 40 sheets in total) inherent the studied area and 80 archive documents (drawings, photos, specifications, administrative acts, newspaper articles), over a period of more than 600 years, were collected. Once digitized, historical maps were analysed, georeferenced and mosaicked where necessary. Subsequently, in all the maps the channel with its four mills and the Savio river were vectorized. All the additional archive documents were digitized, catalogued and stored. Using the QGIS open source platform, a Historical GIS was created, encompassing the current cartographic base and all historical maps, with their vectorized elements; each archive document was linked to the proper historical map, so that the document can be immediately retrieved and visualized. In such a HGIS, the maps form the base for a spatial and temporal navigation, facilitated by a specific interface; the external documents linked to them complete the description of the represented elements. This simple and interactive tool offers a new approach to archive searches, as it allows reconstruction in space and time of the evolution of the ancient channel and the history of this important mill company.

  6. Detailed view into the dynamics of the Late Miocene glaciation episode that accompanied terrestrial evolution

    NASA Astrophysics Data System (ADS)

    Tzanova, A.; Herbert, T.; Lawrence, K. T.; Peterson, L.; Kelly, C. S.

    2015-12-01

    We focus on the period of ~ 9 - 5 Ma when an episode of notably cool temperatures corresponds to evidence of high latitude Northern Hemisphere glaciation and mid-latitude terrestrial evolution. Alkenone-based sea surface temperatures (SST) from six globally distributed sites: ODP Sites 907 and 982 in the North Atlantic, ODP Site 1088 in the South Atlantic and ODP Sites 883, 884 and 887 in the North Pacific, and the Monte dei Corvi marine section in the Mediterranean unequivocally establish a dramatic, Late Miocene cold episode that persisted over approximately 2.5 Myr. In this work we establish the timing and synchronization of temperature decrease as well as rebound at orbital timescales. All sites were notably warmer than their modern annual average at ~9 Ma and exhibit sustained cooling beginning at ~8 Ma. SSTs rebound close to ~5.9 Ma at most locations suggesting that the cooling trend that began in the Late Miocene slowed down or even reversed in some locations in the Pliocene. The newly reconstructed SSTs highlight the role of cooling and an increase in equator to pole temperature gradients in terrestrial evolution at this pivotal time.

  7. Examples of testing global identifiability of biological and biomedical models with the DAISY software.

    PubMed

    Saccomani, Maria Pia; Audoly, Stefania; Bellu, Giuseppina; D'Angiò, Leontina

    2010-04-01

    DAISY (Differential Algebra for Identifiability of SYstems) is a recently developed computer algebra software tool which can be used to automatically check global identifiability of (linear and) nonlinear dynamic models described by differential equations involving polynomial or rational functions. Global identifiability is a fundamental prerequisite for model identification which is important not only for biological or medical systems but also for many physical and engineering systems derived from first principles. Lack of identifiability implies that the parameter estimation techniques may not fail but any obtained numerical estimates will be meaningless. The software does not require understanding of the underlying mathematical principles and can be used by researchers in applied fields with a minimum of mathematical background. We illustrate the DAISY software by checking the a priori global identifiability of two benchmark nonlinear models taken from the literature. The analysis of these two examples includes comparison with other methods and demonstrates how identifiability analysis is simplified by this tool. Thus we illustrate the identifiability analysis of other two examples, by including discussion of some specific aspects related to the role of observability and knowledge of initial conditions in testing identifiability and to the computational complexity of the software. The main focus of this paper is not on the description of the mathematical background of the algorithm, which has been presented elsewhere, but on illustrating its use and on some of its more interesting features. DAISY is available on the web site http://www.dei.unipd.it/ approximately pia/.

  8. Examples of Testing Global Identifiability of Biological and Biomedical Models with the DAISY Software

    PubMed Central

    Saccomani, Maria Pia; Audoly, Stefania; Bellu, Giuseppina; D’Angiò, Leontina

    2010-01-01

    DAISY (Differential Algebra for Identifiability of SYstems) is a recently developed computer algebra software tool which can be used to automatically check global identifiability of (linear and) nonlinear dynamic models described by differential equations involving polynomial or rational functions. Global identifiability is a fundamental prerequisite for model identification which is important not only for biological or medical systems but also for many physical and engineering systems derived from first principles. Lack of identifiability implies that the parameter estimation techniques may not fail but any obtained numerical estimates will be meaningless. The software does not require understanding of the underlying mathematical principles and can be used by researchers in applied fields with a minimum of mathematical background. We illustrate the DAISY software by checking the a priori global identifiability of two benchmark nonlinear models taken from the literature. The analysis of these two examples includes comparison with other methods and demonstrates how identifiability analysis is simplified by this tool. Thus we illustrate the identifiability analysis of other two examples, by including discussion of some specific aspects related to the role of observability and knowledge of initial conditions in testing identifiability and to the computational complexity of the software. The main focus of this paper is not on the description of the mathematical background of the algorithm, which has been presented elsewhere, but on illustrating its use and on some of its more interesting features. DAISY is available on the web site http://www.dei.unipd.it/~pia/. PMID:20185123

  9. Autologous bone grafting with platelet-rich plasma for alveolar cleft repair in patient with cleft and palate.

    PubMed

    Giudice, Giuseppe; Cutrignelli, Daniela Anna; Leuzzi, Sara; Robusto, Fabio; Sportelli, Pasquale; Nacchiero, Eleonora

    2016-01-01

    L’innesto osseo è essenziale nella terapia chirurgica della labiopalatoschisi (LPS), ma i tempi di osteogenesi ed integrazione ossea nella sede ricevente possono procrastinare i successivi interventi di ortodonzia. Nel nostro studio è stata valutata la capacità della PRP (platelet-rich plasma) associata al trapianto osseo nel diminuire il tempo d’attesa e la durata del trattamento ortodontico in una coorte di 8 bambini, confrontandola con 8 controlli sottoposti a semplice innesto osseo. I risultati hanno mostrato come i soggetti sottoposti a trapianto osseo + PRP abbiano avuto la possibilità di essere sottoposti ad un trattamento ortodontico più precoce (155 giorni vs 298) e più breve (295 giorni vs 356) rispetto al gruppo di controllo. Inoltre nel gruppo di controllo si sono verificate con maggiore frequenza complicanze post-chirurgiche (quali fistole oro-nasali, disturbi periodontali, malattie dentali, perdita di spessore, massa o trabecolatura ossea) rispetto al gruppo sottoposto a PRP. Perciò l’associazione della PRP (platelet-rich plasma) al trapianto osseo è una metodica che sembra associarsi ad una diminuzione statisticamente significativa dei tempi di integrazione ossea nei pazienti affetti da LPS, con conseguente anticipazione della ortodonzia e miglioramento degli outcome chirurgici.

  10. A comparison of two questionnaires on Informed Consent for extended criteria liver donors.

    PubMed

    Bruzzone, Paolo; Giannarelli, Diana

    2015-01-01

    Un questionario riguardante il consenso informato del ricevente per i cosiddetti donatori marginali di fegato (“extended criteria donors”-ECD) è stato inviato, previa approvazione del Comitato Etico, via e-mail ai membri di 2 società scientifiche, ELPAT(Ethical,Legal and Psychologic Aspects of Organ Transplantation) ed ELITA (European Liver and Intestine Transplant Association)-ELTR(European Liver Transplant Registry). I risultati sono stati pubblicati in diversi lavori apparsi su Transplantation Proceedings. Analizzando statisticamente le tabelle negli articoli 2011 ELPAT e 2013 ELITA, nel lavoro più recente meno Centri Trapianto di fegato (LTC) hanno considerato l’età fino a 80 anni (p<.002) e SGOT>90 IU (p<.02), o tutti i criteri insieme (p<.0001), come indicatori di donatore marginale. Ciò potrebbe riflettere il fatto che nel tempo i LTC sono divenuti meno selettivi, a causa della crescente mortalità dei pazienti in lista di attesa. Considerando che in tutti i nostri studi abbiamo riscontrato un notevole ricorso agli ECD, è necessario che i pazienti ricevano tutte le informazioni che vogliano richiedere sia al momento dell’iscrizione in lista di attesa, sia quando il fegato di un donatore venga effettivamente loro proposto. E’ anche possibile creare una lista di attesa separata, per pazienti che non accettano ECD: tale scelta però ritarda in modo inevitabile il trapianto e quindi, potenzialmente, aumenta la mortalità in lista di attesa.

  11. Towards an integrated model of nursing competence: an overview of the literature reviews and concept analysis.

    PubMed

    Caruso, Roberto; Fida, Roberta; Sili, Alessandro; Arrigoni, Cristina

    2016-01-01

    Introduzione: La competenza è un elemento fondamentale quando si misura la capacità di infer- mieri o studenti di fornire assistenza infermieristica, ma non vi è consenso su ciò che realmente sia la competenza. Questo studio si propone di indagare i significati e i modelli di competenza infermieristica. Metodo: L’overview delle revisioni della letteratura e delle concept analysis è stata effettuata attraverso una ricerca su Pubmed, Cinahl e PsychINFO dal gennaio 2005 a settembre 2014, che includeva parole chiave come: Modello di competenza; Competenza professionale; Competenza infermieristica; Competenza. Risultati: Sono stati inclusi un totale di 14 articoli, provenienti dalla letteratura infermieristica sia in ambito formativo che clinico. È stato possibile individuare alcuni temi comuni negli arti- coli inclusi: la descrizione dei determinanti di competenza; la confusione intorno al concetto di competenza; la carenza nella valutazione delle competenze; la carenza nell’operazionalizzare il concetto di competenza. Conclusioni: I risultati forniscono una panoramica che, arricchita dalla letteratura proveniente dagli studi organizzativi, costituiscono la base concettuale di un modello integrato di compe- tenza infermieristica. Ulteriore ricerca empirica è necessaria per verificare le assunzioni teoriche.

  12. [Risk of hemolysis in blood sampling from peripheral intravenous catheter: a literature review].

    PubMed

    Danielis, Matteo

    2014-01-01

    SCOPO. L’emolisi è uno dei fattori principali in grado di compromettere un campione di sangue. La disponibilità di un accesso venoso già posizionato spinge molti infermieri ad utilizzare questa via per il prelievo ematico, anche se è noto come questa tecnica sia associata a maggior incidenza di emolisi rispetto al prelievo con ago diretto. L’intento di questo lavoro è individuare gli interventi che prevengono il rischio di emolisi qualora il campione di sangue provenga da un ago cannula periferico. METODO. E’ stata condotta una revisione della letteratura attraverso la consultazione delle banche dati MEDLINE, CINAHL e Cochrane database of Systematic Reviews. RISULTATI. Sono stati selezionati 15 articoli. Fattori quali il materiale e il calibro del catetere venoso periferico (CVP), la presenza di ostruzioni, la sede anatomica, la permanenza del laccio emostatico, la difficoltà di posizionamento dell’ago cannula, il volume della provetta utilizzata e le abilità dell’operatore sono determinanti nel rischio di emolisi del campione di sangue ottenuto dalla cannula periferica. In termine di costi e di preferenze del paziente, la tecnica del prelievo ematico da CVP è da preferirsi. CONCLUSIONI. I prelievi di sangue ottenuti da cannula periferica sono associati a maggiore rischio di emolisi. Tuttavia, prelevare un campione di sangue da CVP per effettuare un’analisi e, nel contempo, ridurre il rischio di emolisi è possibile se vengono seguiti alcuni accorgimenti.

  13. Nurses: advocating, leading, caring!

    PubMed

    Ferguson, Stephanie L

    2013-01-01

    This speech was delivered on 27 October at the 2012 Conference and general meeting of the Italian Nurses Association CNAI (Consociazione nazionale delle Associazioni infermiere/i) held in Rome from 25 to 27 October 2012. The theme of the conference was "No Nurses No Future". The "No Nurses No Future" is a national campaign developed by the nurses of the Italian Nurses Association to fight for the rights of the profession to sustain not only the practice of the nurse, strong nursing education, research and regulation, but more importantly to ensure that in the future there will be enough nurses in the healthcare workforce to advocate, lead and care for the citizens of Italy.Italian nurses took advantage of the presence of prof. Ferguson and, before travelling to Rome, the Region Lombardy IPASVI Colleges (Coordinamento dei Collegi IPASVI della regione Lombardia) invited her to talk on the same topic during a jointed Conference with CNAI at Circolo della Stampa of Milan on 23rd October.

  14. Determination of quality parameters in apple `Smoothee Golden Delicious' using backscattering laser imaging

    NASA Astrophysics Data System (ADS)

    Lafuente, Victoria; Val, Jesús; Urzola, Concha; Negueruela, Ignacio

    2013-11-01

    The objective of this study was to evaluate in `Smoothee Golden Delicious' apples, the use of backscattering images as a non-destructive method to estimate some quality parameters during the ripening process of fruits. In this experiment, 208 apples were collected from an experimental orchard of the Estación Experimental de Aula Dei (CSIC) in Zaragoza (Northeastern, Spain). Backscattering images were kept from samples picked up every 15 days during 7 months until harvest. In the same fruits, soluble solids contents (SSC) and firmness were measured by traditional destructive methods. The light source was a solid state laser diode module emitting at three different spectral bands (670, 785 and 980 nm) PLS calibration methods were used to create the statistical model to predict SSC and firmness. Good results were obtained when PLS calibration was applied to Feret diameter corresponding at different levels of gray. The Rcv2 values were 0.87 for firmness and 0.93 for SSC, which are higher than other reported in the literature for the same commodity.

  15. Relevance of biotic pathways to the long-term regulation of nuclear waste disposal. Phase I. Final report. Vol. 4

    SciTech Connect

    McKenzie, D.H.; Cadwell, L.L.; Eberhardt, L.E.; Kennedy, W.E. Jr.; Peloquin, R.A.; Simmons, M.A.

    1984-05-01

    Licensing and regulation of commercial low-level waste (CLLW) burial facilities require that anticipated risks associated with burial sites be evaluated for the life of the facility. This work reviewed the existing capability to evaluate dose to man resulting from the potential redistribution of buried radionuclides by plants and animals that we have termed biotic transport. Through biotic transport, radionuclides can be moved to locations where they can enter exposure pathways to man. We found that predictive models currently in use did not address the long-term risks resulting from the cumulative transport of radionuclides. Although reports in the literature confirm that biotic transport phenomena are common, assessments routinely ignore the associated risks or dismiss them as insignificant without quantitative evaluation. To determine the potential impacts of biotic transport, we made order-of-magnitude estimates of the dose to man for biotic transport processes at reference arid and humid CLLW disposal sites. Estimated doses to site residents after assumed loss of institutional control were comparable to dose estimates for the intruder-agricultural scenario defined in the DEIS for 10 CFR 61 (NRC). The reported lack of potential importance of biotic transport at low-level waste sites in earlier assessment studies is not confirmed by order of magnitude estimates presented in this study. 17 references, 10 figures, 8 tables.

  16. Identification of lapis-lazuli pigments in paint layers by PIGE measurements

    NASA Astrophysics Data System (ADS)

    Grassi, N.; Migliori, A.; Mandò, P. A.; Calvo del Castillo, H.

    2004-06-01

    Lapis-lazuli is a semi-precious stone used in the past to produce a blue pigment. Its main component is lazurite, 3Na 2O·3Al 2O 3·6SiO 2·2Na 2S. The possibility of using PIXE to identify this pigment in canvas and wood painting is severely limited by the strong absorption of low-energy X-rays in the protective varnish and - when, as typical, the pigment is mixed with lead white - by the overlapping of Pb M lines with S K α. In this work we discuss the possibility of identifying lapis-lazuli by detecting sodium with PIGE. PIXE and PIGE measurements have been performed on samples containing lapis-lazuli mixed to lead white in different percentage, covered with polymeric foils to simulate the presence of varnish. At a percentage of lapis-lazuli below 50%, Na X-rays are hardly detectable even with the thinner foil; on the contrary the characteristic γ-rays are clearly detected down to about 1%. A first application has been successfully performed on the "Madonna dei fusi" by Leonardo da Vinci, in the framework of an extensive scientific investigation on the painting techniques used by the Renaissance genius.

  17. Controversies on Hodgkin's disease and anaplastic large cell lymphoma. Hematopathology Study Group of the Società Italiana di Anatomia Patologica.

    PubMed

    Pileri, S

    1994-01-01

    Just one year ago the Italian Society of Pathology (S.I.A.P.) created a Study Group which included members of the most active Italian hematopathology teams. Prof. Pasquale Calapso was asked to chair the Group and Prof. Stefano Pileri to take care of secretarial duties. The aim of the Group is to spread hematopathologic knowledge among young pathologists and to promote activities that can contribute to updating Italian pathologists on topics of both speculative and diagnostic interest. The first Workshop of the S.I.A.P. Hematopathology Group was held at the Palazzo dei Congressi in Bologna, November 20, 1993. About 150 pathologists from all over Italy took part in the meeting, which consisted of two sections devoted to: a) discussion of the boundaries between Hodgkin's disease and non-Hodgkin's lymphomas, and b) a case seminar illustrating the impact of immunohistochemistry in the diagnosis of bone-marrow biopsy. The first section included 5 presentations and a Round Table chaired by Prof. Luciano Fiore-Donati. Below, the contributors to this section summarize the content of their presentations, which were aimed at answering specific questions the Organizers had put to them.

  18. [On Academics and Academicians. Historical sketch].

    PubMed

    de Micheli-Serra, Alfredo

    2003-01-01

    First Academies originated in Italy at the beginnings of the Renaissance. Their works were of encyclopedic extent. Regarding to scientific academies, the first was the "Accademia dei Lincei" founded in Rome on August 17, 1603, due to the initiative of four young men; three naturalists and a physician. Later, several distiguished scientists were admitted, such as Giambattista della Porta, inventor of the dark chamber (1610) and Galileo Galilei (1611). This Academy sponsored the publication of a compendium of Francisco Hernández manuscripts, prepared by the Italian physician Antonio Nardo Recchi. Many years later, other scientific academies arose, such as the "Accademia del Cimento", established in 1657 in Florence and inspired by Galilean thought. In 1662, the "Royal Society" of London, was formally recognized, following Bacon's empirical line, and in 1666 the "Académie Royale des Sciences" was created in Paris, which followed the mechanicist orientation of Descartes. These scientific societies aspired to become centers of information and exchange ideas. Therefore, the "Philosophical Transactions" in London and the "Journal des Savants" in Paris began to be published in 1665. Both publications often included medical articles and notes. Regarding New Spain, the worthy "Academia médico-quirúrgica" of Puebla, mentioned since 1802, must be considered. In independent Mexico, two successive medical academies were established that paved the way for our National Academy of Medicine (1864). This society, since its birth, has been publishing the "Gaceta Médica de México", dean of the Mexican medical journals. PMID:12872422

  19. The heritage of Dr Dimitrija Demeter in te MaZuranić-Brlić-RuZić memorial library and collection.

    PubMed

    de Canziani Jaksic, Theodor

    2008-01-01

    The collections of the MaZuranić-Brlić-RuZić Memorial Library and Archive in Rijeka contain in addition to the libraries of Ivan, Antun and Matija Mazuranic and of Baron Kuslan, books from the library of Dimitrija Demeter. This Graeco-Croatian man of letters and doctor of medicine was the first modern Croatian playwright. Artefacts, paintings and furniture of the Demeter family are included in the collection, as well as books. Dimitrija Demeter (1811-1872), the son of Afratia and Theodor Demeter, was born into an affluent merchant family in Zagreb in 1811. His two sisters were to marry respected men from Croatian political and cultural life and his brothers became successful business men and founders of Lloyd Triestino. Dimitrija, however, initially devoted himself to science, studying at the medical faculty in Padua, where he graduated in 1834. In 1836 he received his doctorate, on the theme of meningitis. He later became one of the leading figures of the Croatian National Awakening. His main contributions were as an editor and playwright and he is widely regarded as the founder of modern Croatian drama. Not only did he write the plays 'The Field of Grobnik' and 'Teuta', publish articles and edit 'Danica', but he was a driving force behind, and promoter of, the Croatian theatre on St Mark's Square in Zagreb. A portrait of Dimitrija Demeter can still be seen in the Galileo Chamber (dei magnifici quaranta) at the University of Padua, immediately behind the famous Galileo Galilei platform. PMID:20102245

  20. The roots of modern oncology: from discovery of new antitumor anthracyclines to their clinical use.

    PubMed

    Cassinelli, Giuseppe

    2016-06-01

    In May 1960, the Farmitalia CEO Dr. Bertini and the director of the Istituto Nazionale dei Tumori of Milan Prof. Bucalossi (talent scout and city's Mayor) signed a research agreement for the discovery and development up to clinical trials of new natural antitumor agents. This agreement can be considered as a pioneering and fruitful example of a translational discovery program with relevant transatlantic connections. Owing to an eclectic Streptomyces, found near Castel del Monte (Apulia), and to the skilled and motivated participants of both institutions, a new natural antitumor drug, daunomycin, was ready for clinical trials within 3 years. Patent interference by the Farmitalia French partner was overcome by the good quality of the Italian drug and by the cooperation between Prof. Di Marco, director of the Istituto Ricerche Farmitalia Research Laboratories for Microbiology and Chemotherapy, and Prof. Karnofsky, head of the Sloan-Kettering Cancer Institute of New York, leading to the first transatlantic clinical trials. The search for daunomycin's sister anthracyclines led to the discovery and development of adriamycin, one of the best drugs born in Milan. This was the second act prologue of the history of Italian antitumor discovery and clinical oncology, which started in July 1969 when Prof. Di Marco sent Prof. Bonadonna the first vials of adriamycin (doxorubicin) to be tested in clinical trials. This article reviews the Milan scene in the 1960s, a city admired and noted for the outstanding scientific achievements of its private and public institutions in drugs and industrial product discovery.

  1. The roots of modern oncology: from discovery of new antitumor anthracyclines to their clinical use.

    PubMed

    Cassinelli, Giuseppe

    2016-06-01

    In May 1960, the Farmitalia CEO Dr. Bertini and the director of the Istituto Nazionale dei Tumori of Milan Prof. Bucalossi (talent scout and city's Mayor) signed a research agreement for the discovery and development up to clinical trials of new natural antitumor agents. This agreement can be considered as a pioneering and fruitful example of a translational discovery program with relevant transatlantic connections. Owing to an eclectic Streptomyces, found near Castel del Monte (Apulia), and to the skilled and motivated participants of both institutions, a new natural antitumor drug, daunomycin, was ready for clinical trials within 3 years. Patent interference by the Farmitalia French partner was overcome by the good quality of the Italian drug and by the cooperation between Prof. Di Marco, director of the Istituto Ricerche Farmitalia Research Laboratories for Microbiology and Chemotherapy, and Prof. Karnofsky, head of the Sloan-Kettering Cancer Institute of New York, leading to the first transatlantic clinical trials. The search for daunomycin's sister anthracyclines led to the discovery and development of adriamycin, one of the best drugs born in Milan. This was the second act prologue of the history of Italian antitumor discovery and clinical oncology, which started in July 1969 when Prof. Di Marco sent Prof. Bonadonna the first vials of adriamycin (doxorubicin) to be tested in clinical trials. This article reviews the Milan scene in the 1960s, a city admired and noted for the outstanding scientific achievements of its private and public institutions in drugs and industrial product discovery. PMID:27103205

  2. Multilayer descriptors for medical image classification.

    PubMed

    Lumini, Alessandra; Nanni, Loris; Brahnam, Sheryl

    2016-05-01

    In this paper, we propose a new method for improving the performance of 2D descriptors by building an n-layer image using different preprocessing approaches from which multilayer descriptors are extracted and used as feature vectors for training a Support Vector Machine. The different preprocessing approaches are used to build different n-layer images (n=3, n=5, etc.). We test both color and gray-level images, two well-known texture descriptors (Local Phase Quantization and Local Binary Pattern), and three of their variants suited for n-layer images (Volume Local Phase Quantization, Local Phase Quantization Three-Orthogonal-Planes, and Volume Local Binary Patterns). Our results show that multilayers and texture descriptors can be combined to outperform the standard single-layer approaches. Experiments on 10 datasets demonstrate the generalizability of the proposed descriptors. Most of these datasets are medical, but in each case the images are very different. Two datasets are completely unrelated to medicine and are included to demonstrate the discriminative power of the proposed descriptors across very different image recognition tasks. A MATLAB version of the complete system developed in this paper will be made available at https://www.dei.unipd.it/node/2357.

  3. [Uniform and ornaments of hands of Healthcare workers: a point prevalence survey in Ausl of Rimini].

    PubMed

    Santullo, Antonietta; Fabbri, Lorella; Curzi, Giovanni

    2016-01-01

    Introduzione: Il dibattito sulla divisa e gli ornamenti indossati dal personale infermieristico, tecnico e di supporto ruota intorno a due temi chiave: il rischio infettivo e l'impatto sull'immagine percepita dall’utente. Obiettivo: Obiettivo primario: descrivere i comportamenti del personale sanitario non medico sulla tenuta della divisa. Obiettivo secondario: descrivere l’uso di ornamenti delle mani durante il turno di lavoro. Metodo: l'indagine, su campo condotta da 7 rilevatori, si è svolta in 67 contesti lavorativi nell’arco di 14 giornate su un campione di 503 operatori. Lo strumento di rilevazione è composto da 5 item che descrivono i comportamenti sulla tenuta della divisa (item 1-2) e sulla presenza di ornamenti delle mani (item 3-5). Risultati: Il 17.3% degli operatori non indossa la divisa completa o il cartellino identificativo; il 16.1% indossa ornamenti delle mani. Discussione: Nonostante i rappresentanti dei pazienti, attraverso i Comitati Consultivi Misti, segnalino la necessità di individuare gli operatori attraverso la divisa ed il cartellino, il livello di adesione a queste indicazioni non è ritenuto soddisfacente dalla Direzione Aziendale. La presenza di ornamenti che interferiscono con l’igiene delle mani e aumentano il rischio di contamina- zione rappresenta un fattore critico che dovrà essere periodicamente monitorato.

  4. Search for cosmogenic Ar-42 in meteorites

    NASA Astrophysics Data System (ADS)

    Cini Castagnoli, G.; Cane, D.; Taricco, C.; Bhandari, N.

    2003-04-01

    We have evidence for decreasing galactic cosmic ray (GCR) flux in the past 3 centuries by a factor about two [1]. The measurements of the activity of cosmogenic 44Ti (T1/2 = 59.2 y) produced by GCR in stony meteorites that fell during the last two centuries are in good agreement with the calculated values and validate the decreasing trend of GCR flux. The measurements were obtained by an hyperpure (372 cm3) Ge-NaI(Tl) spectrometer operating in the Monte dei Cappuccini laboratory in Torino[2]. To further improve upon statistical precision of 44Ti data and also to be able to measure the 42Ar (T1/2 = 33 y) which is produced in even smaller amounts by GCR in meteorites, we have set up in the same laboratory a larger (581 cm3) hyperpure Ge detector operating in coincidence with a 100 kg NaI(Tl) crystal assembly. This should enable us to confirm the above results about GCR variations. We wish to acknowledge our deep gratitude to professor Bonino, deceased on September 29, 2002, to whom the assemblage of the new equipment is due. [1] G. Bonino, G. Cini Castagnoli, D. Cane, C. Taricco and N. Bhandari,Proc. XXVII Intern. Cosmic Ray Conf. (Hamburg, 2001) 3769-3772. [2] Bonino G., Cini Castagnoli G., Cane D., Taricco C., Bhandari N, textit {34th COSPAR Sci. Ass. Houston 2002 (Adv. Space Res.)}, in press

  5. Analysis of virus textures in transmission electron microscopy images.

    PubMed

    Nanni, Loris; Paci, Michelangelo; Caetano Dos Santos, Florentino Luciano; Brahnam, Sheryl; Hyttinen, Jari

    2014-01-01

    In this paper we propose an ensemble of texture descriptors for analyzing virus textures in transmission electron microscopy images. Specifically, we present several novel multi-quinary (MQ) codings of local binary pattern (LBP) variants: the MQ version of the dense LBP, the MQ version of the rotation invariant co-occurrence among adjacent LBPs, and the MQ version of the LBP histogram Fourier. To reduce computation time as well as to improve performance, a feature selection approach is utilized to select the thresholds used in the MQ approaches. In addition, we propose new variants of descriptors where two histograms, instead of the standard one histogram, are produced for each descriptor. The two histograms (one for edge pixels and the other for non-edge pixels) are calculated for training two different SVMs, whose results are then combined by sum rule. We show that a bag of features approach works well with this problem. Our experiments, using a publicly available dataset of 1500 images with 15 classes and same protocol as in previous works, demonstrate the superiority of our new proposed ensemble of texture descriptors. The MATLAB code of our approach is available at https://www.dei.unipd.it/node/2357. PMID:25488214

  6. Monte Vulture Volcano (Basilicata, Italy): an analysis of morphology and volcaniclastic facies

    NASA Astrophysics Data System (ADS)

    Guest, J. E.; Duncan, A. M.; Chester, D. K.

    1988-07-01

    The earliest activity of Monte Vulture, central Italy, included ignimbrites but the bulk of the volcano was built up by plinian airfall deposits. Contemporaneous remobilisation of these deposits formed an apron of lahars around the base of the main cone. The volcano was constructed on a ridge; the valley to the east and tributaries to the north and south became sediment traps for volcaniclastic materials emplaced by fluvial reworking and directly from volcanic activity. To the west the valley was swept clear by active downcutting. Instability of the west flank as a result of this erosion was probably a contributory cause of major gravitational sector collapse on the volcano's flank, terminating the main cone-building phase. The resultant scar is an amphitheatre-shaped hollow called here the Valle dei Grigi. Previous workers have attributed this feature to coalescing calderas formed by engulfment. The last volcanic phase was the production of the Monticchio calderas and associated phreatomagmatic explosions producing airfall and surge deposits. Because most of the activity at Vulture has been repeated plinian eruptions producing similar assemblages of products, detailed stratigraphy of the volcano is difficult to accomplish. To characterise Vulture in terms of its products, various facies are identified and interpreted in relation to volcanic processes, distance from vent and environmental conditions.

  7. Physical and chemical investigations on natural dyes

    NASA Astrophysics Data System (ADS)

    Acquaviva, S.; D'Anna, E.; de Giorgi, M. L.; Della Patria, A.; Baraldi, P.

    2010-09-01

    Natural dyes have been used extensively in the past for many purposes, such us to colour fibers and to produce inks, watercolours and paints, but their use declined rapidly after the discovery of synthetic colours. Nowadays we witness a renewed interest, as natural dyes are neither toxic nor polluting. In this work, physical and chemical properties of four selected dyes, namely red (Madder), yellow (Weld and Turmeric) and blue (Woad) colours, produced by means of traditional techniques at the Museo dei Colori Naturali (Lamoli, Italy), have been investigated. The chromatic properties have been studied through the reflectance spectroscopy, a non-invasive technique for the characterisation of chromaticity. Reflection spectra both from powders and egg-yolk tempera models have been acquired to provide the typical features of the dyes in the UV-vis spectral range. Moreover, to assess the feasibility of laser cleaning procedures, tempera layers were investigated after irradiation with an excimer laser. Micro Raman spectroscopy, Scanning Electron Microscopy and Energy Dispersive X-Ray analyses have complemented the survey, returning compositional and morphological information as well. Efforts have been made to give scientific feedback to the production processes and to support the research activity in the restoration of the artworks where these dyes were employed.

  8. Geobotanical discrimination of ultramafic parent materials An evaluation of remote sensing techniques

    NASA Technical Reports Server (NTRS)

    Mouat, D. A.; Morrissey, L. A.; Horn, E. M.

    1984-01-01

    Color and color infrared aerial photography and imagery acquired from a Daedalus DEI-1260 multispectral airborne scanner were employed in an investigation to discriminate ultramafic rock types in a test site in southwest Oregon. An analysis of the relationships between vegetation characteristics and parent materials was performed using a vegetation classification and map developed for the project, lithologic information derived from published geologic maps of the region, and terrain information gathered in the field. Several analytical methods, including visual image analysis, band ratioing, principal components analysis, and contrast enhancement and subsequent color composite generation were used in the investigation. There was a close correspondence between vegetation types and major rock types. These were readily discriminated by the remote sensing techniques. It was found that ultramafic rock types were separable from non-ultramafic rock types and serpentine was distinguishable from non-serpentinized peridotite. Further investigations involving spectroradiometric and digital classification techniques are being performed to further identify rock types and to discriminate chromium and nickel-bearing rock types.

  9. Draft environmental impact statement for the Galileo Mission (Tier 2)

    NASA Technical Reports Server (NTRS)

    1988-01-01

    This Draft Environmental Impact Statement (DEIS) addresses the environmental impacts which may be caused by the preparation and operation of the Galileo spacecraft, including its planned launch on the Space Transportation System (STS) Shuttle and the alternative of canceling further work on the mission. The launch configuration will use the STS/Inertial Upper Stage (IUS)/Payload Assist Module-Special (PAM-S) combination. The Tier 1 EIS included a delay alternative which considered the Titan 4 launch vehicle as an alternative booster stage for launch in 1991 or later. However, the U.S. Air Force, which procures the Titan 4 for NASA, could not provide a Titan 4 vehicle for the 1991 launch opportunity because of high priority Department of Defense requirements. The only expected environmental effects of the proposed action are associated with normal Shuttle launch operations. These impacts are limited largely to the near-field at the launch pad, except for temporary stratospheric ozone effects during launch and occasional sonic boom effects near the landing site. These effects have been judged insufficient to preclude Shuttle launches. In the event of: (1) an accident during launch, or (2) reentry of the spacecraft from earth orbit, there are potential adverse health and environmental effects associated with the possible release of plutonium dioxide from the spacecraft's radioisotope thermoelectric generators (RTG).

  10. The heritage of Dr Dimitrija Demeter in te MaZuranić-Brlić-RuZić memorial library and collection.

    PubMed

    de Canziani Jaksic, Theodor

    2008-01-01

    The collections of the MaZuranić-Brlić-RuZić Memorial Library and Archive in Rijeka contain in addition to the libraries of Ivan, Antun and Matija Mazuranic and of Baron Kuslan, books from the library of Dimitrija Demeter. This Graeco-Croatian man of letters and doctor of medicine was the first modern Croatian playwright. Artefacts, paintings and furniture of the Demeter family are included in the collection, as well as books. Dimitrija Demeter (1811-1872), the son of Afratia and Theodor Demeter, was born into an affluent merchant family in Zagreb in 1811. His two sisters were to marry respected men from Croatian political and cultural life and his brothers became successful business men and founders of Lloyd Triestino. Dimitrija, however, initially devoted himself to science, studying at the medical faculty in Padua, where he graduated in 1834. In 1836 he received his doctorate, on the theme of meningitis. He later became one of the leading figures of the Croatian National Awakening. His main contributions were as an editor and playwright and he is widely regarded as the founder of modern Croatian drama. Not only did he write the plays 'The Field of Grobnik' and 'Teuta', publish articles and edit 'Danica', but he was a driving force behind, and promoter of, the Croatian theatre on St Mark's Square in Zagreb. A portrait of Dimitrija Demeter can still be seen in the Galileo Chamber (dei magnifici quaranta) at the University of Padua, immediately behind the famous Galileo Galilei platform.

  11. [On Academics and Academicians. Historical sketch].

    PubMed

    de Micheli-Serra, Alfredo

    2003-01-01

    First Academies originated in Italy at the beginnings of the Renaissance. Their works were of encyclopedic extent. Regarding to scientific academies, the first was the "Accademia dei Lincei" founded in Rome on August 17, 1603, due to the initiative of four young men; three naturalists and a physician. Later, several distiguished scientists were admitted, such as Giambattista della Porta, inventor of the dark chamber (1610) and Galileo Galilei (1611). This Academy sponsored the publication of a compendium of Francisco Hernández manuscripts, prepared by the Italian physician Antonio Nardo Recchi. Many years later, other scientific academies arose, such as the "Accademia del Cimento", established in 1657 in Florence and inspired by Galilean thought. In 1662, the "Royal Society" of London, was formally recognized, following Bacon's empirical line, and in 1666 the "Académie Royale des Sciences" was created in Paris, which followed the mechanicist orientation of Descartes. These scientific societies aspired to become centers of information and exchange ideas. Therefore, the "Philosophical Transactions" in London and the "Journal des Savants" in Paris began to be published in 1665. Both publications often included medical articles and notes. Regarding New Spain, the worthy "Academia médico-quirúrgica" of Puebla, mentioned since 1802, must be considered. In independent Mexico, two successive medical academies were established that paved the way for our National Academy of Medicine (1864). This society, since its birth, has been publishing the "Gaceta Médica de México", dean of the Mexican medical journals.

  12. Large-scale folding in the upper part of the Ivrea-Verbano zone, NW Italy

    NASA Astrophysics Data System (ADS)

    Rutter, Ernest; Brodie, Katharine; James, Tony; Burlini, Luigi

    2007-01-01

    New geological mapping has led to a new interpretation of the large-scale superimposed folding in the upper part of the Ivrea-Verbano zone, Italian Alps. The region is widely held to represent an upended section through lower continental crust of northern Italy. The dominant fold structure, extending some 40 km along strike, is the Massone tight to isoclinal antiform, with a hinge line strongly curved through 115°. This folds pre-existing large-scale folds that formed during regional migmatization, probably during the Hercynian orogeny, to form a type-2 interference geometry. The region then suffered post-orogenic mafic magmatic underplating and other magmatism, accompanied by crustal stretching, with contact metamorphism and migmatization causing the imposition of the final pattern of metamorphic isograds. The Ivrea-Verbano zone was brought into contact with the overlying metamorphic rocks of the Serie dei Laghi on a major shear zone. Sub-solidus stretching continued though displacements on low-angle, high-temperature shear zones. Most of the Ivrea-Verbano zone was finally tilted to the vertical and emplaced into its present position after the Mesozoic era and probably during Alpine orogenesis, forming the vertical limb of a crustal-scale double kink.

  13. Relevance of biotic pathways to the long-term regulation of nuclear-waste disposal. Topical report on reference western arid low-level sites

    SciTech Connect

    McKenzie, D.H.; Cadwell, L.L.; Eberhardt, L.E.; Kennedy, W.E. Jr.; Peloquin, R.A.; Simmons, M.A.

    1982-10-01

    The purpose of the work reported here was to develop an order of magnitude estimate for the potential dose to man resulting from biotic transport mechanisms at a reference western arid low-level waste site. A description of the reference site is presented that includes the waste inventories, site characteristics and biological communities. Parameter values for biotic transport processes are based on data reported in current literature. Transport and exposure scenarios are developed for assessing biotic transport during 100 years following site closure. Calculations of radionuclide decay and waste container decomposition are made to estimate the quantities available for biotic transport. Dose to a man occupying the reference site following the 100 years of biotic transport are calculated. These dose estimates are compared to dose estimates for the intruder-agricultural scenario reported in the DEIS for 10 CFR 61 (NRC). Dose to man estimates as a result of biotic transport are estimated to be of the same order of magnitude as the dose resulting from the more commonly evaluated human intrusion scenario. The reported lack of potential importance of biotic transport at low-level waste sites in earlier assessment studies is not confirmed by the findings presented in this report. These results indicate that biotic transport has the potential to influence low-level waste site performance. Through biotic transport, radionuclides may be moved to locations where they can enter exposure pathways to man.

  14. High-resolution, three-dimensional, and contrast-enhanced ultrasonographic findings in diseases of the eye().

    PubMed

    Sconfienza, L M; Lacelli, F; Ardemagni, A; Perrone, N; Bertolotto, M; Padolecchia, R; Serafini, G

    2010-12-01

    Sommario OBIETTIVI: Illustrare i reperti ecocontrastografici (CEUS) e di ecografia in tre dimensioni (3D) di un ampio spettro di patologie del globo oculare, confrontandole con l’ecografia ad alta risoluzione (HRUS). INTRODUZIONE: La CEUS è un valido strumento nella valutazione di numerosi distretti corporei. Nella patologia del bulbo oculare esistono una serie di situazioni in cui la CEUS può essere dirimente o molto utile. IMAGING: In questo lavoro presentiamo uno spettro di lesioni traumatiche (distacchi di retina e della coroide) e di patologia maligna del bulbo oculare (melanoma della coroide, tumori intra- ed extra conali) valutate con CEUS ed ecografia 3D. I risultati sono stati confrontati con HRUS. L’orbitopatiadistiroidea è stata esclusa dal presente studio. CONCLUSIONE: CEUS gioca un ruolo centrale nella diagnosi differenziale tra distacchi di retina (vascolari) e membrane vitreali (avascolari). Inoltre CEUS è molto utile nella valutazione dei tumori bulbari, nel percorso terapeutico del melanoma della coroide e nella valutazione della neovascolarizzazione delle lesioni orbitarie. HRUS è molto efficace nel riconoscimento di lesioni traumatiche e non traumatiche, ma non è utile nella valutazione delle lesioni della parete dell’orbita. L’utilizzo delle ricostruzioni 3D ha aumentato la confidenza diagnostica della CEUS. Infine, CEUS ha un ottimo rapporto costo-beneficio e può essere utilizzata quando la TC e la RM non possono essere eseguite.

  15. A dynamic architecture of life

    PubMed Central

    Rubin, Beatrix P.; Brockes, Jeremy; Galliot, Brigitte; Grossniklaus, Ueli; Lobo, Daniel; Mainardi, Marco; Mirouze, Marie; Prochiantz, Alain; Steger, Angelika

    2015-01-01

    In recent decades, a profound conceptual transformation has occurred comprising different areas of biological research, leading to a novel understanding of life processes as much more dynamic and changeable. Discoveries in plants and animals, as well as novel experimental approaches, have prompted the research community to reconsider established concepts and paradigms. This development was taken as an incentive to organise a workshop in May 2014 at the Academia Nazionale dei Lincei in Rome. There, experts on epigenetics, regeneration, neuroplasticity, and computational biology, using different animal and plant models, presented their insights on important aspects of a dynamic architecture of life, which comprises all organisational levels of the organism. Their work demonstrates that a dynamic nature of life persists during the entire existence of the organism and permits animals and plants not only to fine-tune their response to particular environmental demands during development, but underlies their continuous capacity to do so. Here, a synthesis of the different findings and their relevance for biological thinking is presented. PMID:26949518

  16. 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.

  17. Central radio galaxies in groups: cavities, bubbles and the history of AGN heating

    NASA Astrophysics Data System (ADS)

    Giacintucci, S.; Venturi, T.; Raychaudhury, S.; Vrtilek, J.

    2008-10-01

    E' noto che le regioni centrali degli ammassi e gruppi di galassie costituiscono un ambiente in cui gas caldo e plasma radioemittente proveniente dalle galassie dominanti interagiscono tra loro. In particolare, si pensa che la radioemissione dell'AGN centrale ed i suoi possibili cicli di attivita', siano strettamente legati alla presenza di cavita' e "bubbles" nel gas intergalattico. Si presentera' lo status di un progetto osservativo effettuato con il Giant Metrewave Radio Telescope (GMRT, India) su di un campione di 18 gruppi di galassie, osservati a tre frequenze radio (235 MHz, 325 MHz e 610 MHz). Lo studio della morfologia radio degli AGN centrali e la relativa analisi spettrale permettono di ottenere stime sull'eta' di questi oggetti, e sulla loro energia totale, che a loro volta sono in relazione con le proprieta' X dei gruppi stessi. Per tutti gli oggetti del campione sono disponibili osservazioni Chandra di proprieta'. Per due oggetti del campione, 4C+24.36 (al centro di AWM04) e NGC741 (al centro di RSOG17) verra' presentato uno studio dettagliato.

  18. Relevance of biotic pathways to the long-term regulation of nuclear waste disposal. Topical report on reference eastern humid low-level sites

    SciTech Connect

    McKenzie, D.H.; Cadwell, L.L.; Eberhardt, L.E.; Kennedy, W.E. Jr.; Peloquin, R.A.; Simmons, M.A.

    1983-01-01

    The purpose of the work reported here was to develop an order-of-magnitude estimate for the potential dose to man resulting from biotic transport mechanisms at a humid reference low-level waste site in the eastern US. A description of the reference site is presented that includes the waste inventories, site characteristics and biological communites. Parameter values for biotic transport processes are based on data reported in current literature. Transport and exposure scenarios are developed for assessing biotic transport during 500 years following site closure. Calculations of radionuclide decay and waste container decomposition are made to estimate the quantities available for biotic transport. Doses to man are calculated for the biological transport of radionucludes at the reference site after loss of institutional control. These dose estimates are compared to dose estimates we calculated for the intruder-agricultural scenarios reported in the DEIS for 10 CFR 61 (NRC). Dose to man estimates as a result of cumulative biotic transport are calculated to be of the same order-of-magnitude as the dose resulting from the more commonly evaluated human intrusion scenario. The reported lack of potential importance of biotic transport at low-level waste sites in earlier assessment studies is not confirmed by findings presented in this report. Through biotic transport, radionuclides can be moved to locations where they can enter exposure pathways to man.

  19. Conservation of Stone Cladding on the FAÇADE of Royal Palace in Caserta

    NASA Astrophysics Data System (ADS)

    Titomanlio, I.

    2013-07-01

    The beauty of cultural heritage and monumental architecture, is often linked to their non-structural elements and decorative stones façades cladding. The collapse of these elements causes significant consequences that interest the social, the economic, the historical and the technical fields. Several regulatory documents and literature studies contain methods to address the question of relief and of the risk analysis and due to the non - structural stones security. Among the references are widespread international regulatory documents prepared by the Federal Emergency Management Agency of the United States by Applied Technology Council and California. In Italy there are some indications contained in the Norme Tecniche per le Costruzioni and the Direttiva del Presidente del Consiglio dei Ministri in 2007, finalize to the reduction of seismic risk assessment of cultural heritage. The paper, using normative references and scientific researches, allows to analyze on Royal Palace of Caserta the safety and the preservation of cultural heritage and the vulnerability of non-structural stones façade cladding. Using sophisticated equipments of Laboratory ARS of the Second University of Naples, it was possible to analyze the collapse of stone elements due to degradation caused by natural phenomena of deterioration (age of the building, type of materials, geometries , mode of fixing of the elements themselves). The paper explains the collapse mechanisms of stones façade cladding of Luigi Vanvitelli Palace.

  20. New results on the hydrodynamic behaviour of fossil Nummulites tests from two nummulite banks from the Bartonian and Priabonian of northern Italy

    PubMed Central

    Seddighi, Mona; Briguglio, Antonino; Hohenegger, Johann; Papazzoni, Cesare Andrea

    2015-01-01

    Settling velocities of 58 well-preserved tests of fossil Nummulites were experimentally determined using a settling tube. The tests were collected from the nummulite banks of Pederiva di Grancona (A forms of N. lyelli and N. striatus, Middle Eocene) and San Germano dei Berici (A and B forms of N. fabianii, Late Eocene), both in the Berici Mts. (Veneto, northern Italy). The data were compared with estimated settling velocities that the same specimens might have had in life conditions. This was done by reconstructing their densities simulating water-filled condition and, to simulate post-diagenetic effects, under calcite-filled condition. These simulations show that A and B forms, even if they greatly diverge in shape, volume and size, still possess comparable settling velocities, and that each nummulite bank is characterized by specific hydrodynamic parameters. The use of settling velocity as a parameter to quantify the hydrodynamic behaviour of particles in seawater enables estimation of palaeoenvironmental conditions such as depth, substrate and the energy scenario. Such information is useful in obtaining further insights into the genesis of nummulite banks, the autochthony or allochthony of which is still being debated. Our results point to an autochthonous interpretation. PMID:26681827

  1. [Evaluation of 178 mediastinoscopies (author's transl)].

    PubMed

    Pizzocaro, G; Vaglini, M; Ravasi, G

    1976-01-01

    Of the 178 consecutive mediastinoscopies performed at the Istituto Nazionale per lo Studio e la Cura dei Tumori of Milan from 1967 to 1974 145 were performed for diagnostic purposes and 33 for the pre-operative evaluation of resectability in cases of proven lung carcinoma. Mediastinoscopy is a very useful procedure for obtaining a definite pathological diagnsis in indeterminate mediastinal and pulmonary lesions. In succases, mediastinoscopy should precede any attempt at therapy, as 1/3 primary mediastinal lymph node lesions are benign and about 30% of suspected mediastinal tumors or lymphomas are actually misdiagnosed lung cancers (mainly oat-cell carcinomas). As to the role of mediastinoscopy in the assessment of lung cancer resectability, the current view is that it plays a part together with tomography and bronchoscopy in the clinical staging of this neoplasm, but it is no longer relied upon alone. It is mandatory in every case of suspected or probable mediastinal invasion and the criteria for inoperability are the following: spread to high paratracheal or contralateral nodes, direct invasion of the mediastinal fat, fixity of the neoplasm to the trachea or vertebral bodies. In such cases mediastinoscopy will prevent a useless exploratory thoracotomy.

  2. A set of descriptors for identifying the protein-drug interaction in cellular networking.

    PubMed

    Nanni, Loris; Lumini, Alessandra; Brahnam, Sheryl

    2014-10-21

    The study of protein-drug interactions is a significant issue for drug development. Unfortunately, it is both expensive and time-consuming to perform physical experiments to determine whether a drug and a protein are interacting with each other. Some previous attempts to design an automated system to perform this task were based on the knowledge of the 3D structure of a protein, which is not always available in practice. With the availability of protein sequences generated in the post-genomic age, however, a sequence-based solution to deal with this problem is necessary. Following other works in this area, we propose a new machine learning system based on several protein descriptors extracted from several protein representations, such as, variants of the position specific scoring matrix (PSSM) of proteins, the amino-acid sequence, and a matrix representation of a protein. The prediction engine is operated by an ensemble of support vector machines (SVMs), with each SVM trained on a specific descriptor and the results of each SVM combined by sum rule. The overall success rate achieved by our final ensemble is notably higher than previous results obtained on the same datasets using the same testing protocols reported in the literature. MATLAB code and the datasets used in our experiments are freely available for future comparison at http://www.dei.unipd.it/node/2357.

  3. 2D and 3D Refraction Based X-ray Imaging Suitable for Clinical and Pathological Diagnosis

    SciTech Connect

    Ando, Masami; Bando, Hiroko; Ueno, Ei

    2007-01-19

    The first observation of micro papillary (MP) breast cancer by x-ray dark-field imaging (XDFI) and the first observation of the 3D x-ray internal structure of another breast cancer, ductal carcinoma in-situ (DCIS), are reported. The specimen size for the sheet-shaped MP was 26 mm x 22 mm x 2.8 mm, and that for the rod-shaped DCIS was 3.6 mm in diameter and 4.7 mm in height. The experiment was performed at the Photon Factory, KEK: High Energy Accelerator Research Organization. We achieved a high-contrast x-ray image by adopting a thickness-controlled transmission-type angular analyzer that allows only refraction components from the object for 2D imaging. This provides a high-contrast image of cancer-cell nests, cancer cells and stroma. For x-ray 3D imaging, a new algorithm due to the refraction for x-ray CT was created. The angular information was acquired by x-ray optics diffraction-enhanced imaging (DEI). The number of data was 900 for each reconstruction. A reconstructed CT image may include ductus lactiferi, micro calcification and the breast gland. This modality has the possibility to open up a new clinical and pathological diagnosis using x-ray, offering more precise inspection and detection of early signs of breast cancer.

  4. Cosmogenic radioisotopes in Gebel Kamil meteorite

    NASA Astrophysics Data System (ADS)

    Taricco, C.; Colombetti, P.; Bhandari, N.; Sinha, N.; Di Martino, M.; Vivaldo, G.

    2012-04-01

    Recently a small (45 m in diameter) and very young (< 5,000 years) impact crater was discovered in Egypt (Folco et al., 2010, 2011); it was generated by an iron meteorite named Gebel Kamil (Meteoritical Bulletin No. 98, Weisberg et al. 2010). During systematic searches, many specimens were found in the area surrounding the crater. We present the gamma-activity measurement of a 672 g fragment using a highly selective Ge-NaI spectrometer operating at Monte dei Cappuccini Laboratory (IFSI, INAF) in Torino, Italy. This apparatus allows to reveal the radioisotope activity generated by cosmic rays in the meteoroids as they travel through the interplanetary space before falling on the Earth. From the 26Al activity measurement and its depth production profiles, we infer (i) that the radius of the meteoroid should be about 1 m, constraining to 30-40 ton the range of pre-atmospheric mass previously proposed and (ii) that the fragment should have been located deeply inside the meteoroid, at a depth > 0.7 m. The 44Ti activity is under the detection threshold of the apparatus; using the depth production profiles of this radioisotope and its half-life T1/2 = 59.2 y, we deduce an upper limit to the date of fall.

  5. POTASSIUM DETECTION AND LITHIUM DEPLETION IN COMETS C/2011 L4 (PANSTARRS) AND C/1965 S1 (IKEYA-SEKI)

    SciTech Connect

    Fulle, M.; Molaro, P.; Buzzi, L.; Valisa, P.

    2013-07-10

    On 2013 March 21, high-resolution slit spectrographs of the comet C/2011 L4 (Panstarrs), at a heliocentric distance r = 0.46 AU, were obtained at the Osservatorio Astronomico Campo dei Fiori, Italy. Emission lines of sodium were the strongest in the spectrum as is common in comets, but potassium lines were also detected. These have rarely been observed in comets since the apparition of the brightest comet C/1965 S1 (Ikeya-Seki). Lithium was not detected and stringent upper limits of its abundance compared to other alkali were derived. We obtain the abundance ratios Na/K = 54 {+-} 14 and Na/Li {>=}810{sup 3}. In addition to Mercury's exosphere (Leblanc and Doressoundiram), we show that photoionization at the beginning of the alkali tails may increase the solar ratio Na/K = 15.5 (Asplund et al.) by a factor three, close to that required to match the observed value. In the same tail position, the Na/Li ratio increases only by a factor two, very far from the factor {>=}8 required to match an original meteoritic ratio. We apply the same model to similar alkali data (Preston) of the comet C/1965 S1 (Ikeya-Seki) and obtain consistent results. An original solar Na/K ratio fits the observed value at the beginning of the alkali tails within the slit size, whereas Li is depleted by a factor {>=}8.

  6. HIV-positive status and preservation of privacy: a recent decision from the Italian Data Protection Authority on the procedure of gathering personal patient data in the dental office.

    PubMed

    Conti, Adelaide; Delbon, Paola; Laffranchi, Laura; Paganelli, Corrado; De Ferrari, Francesco

    2012-06-01

    The processing of sensitive information in the health field is subject to rigorous standards that guarantee the protection of information confidentiality. Recently, the Italian Data Protection Authority (Garante per la Protezione dei Dati Personali) stated their formal opinion on a standard procedure in dental offices involving the submission of a questionnaire that includes the patient's health status. HIV infection status is included on the form. The Authority has stated that all health data collection must be in accordance with the current Italian normative framework for personal data protection and respect the patient's freedom. This freedom allows the patient to decide, in a conscious and responsible way, whether to share health information with health personnel without experiencing any prejudice in the provision of healthcare requested. Moreover, data collection must be relevant and cannot exceed the principles of treatment goals with reference to the specific care of the concerned person. However, the need for recording information regarding HIV infection at the first appointment, regardless of the clinical intervention or therapeutic plan that needs to be conducted, should not alter the standard protection measures of the healthcare staff. In fact, these measures are adopted for every patient.

  7. Pre-educational intervention survey of healthcare practitioners' compliance with infection prevention measures in cardiothoracic surgery: low compliance but internationally comparable surgical site infection rate.

    PubMed

    Tartari, E; Mamo, J

    2011-04-01

    Surgical site infections (SSIs) are challenging problems leading to significant postoperative morbidity and mortality and may reflect the level of adherence to infection control policies. We used a structured observational method to collect data about infection control practices among surgeons, anaesthetists, nurses, cardiopulmonary bypass technicians and orderlies practising in the cardiac operating theatre during open heart surgery at Mater Dei Hospital. To prevent bias, we did not disclose the actual procedures observed to the surgical team members, but participants knew they were being observed for infection control practices. We measured the 30-day SSI rate by post-discharge telephonic surveillance among surviving open heart surgery patients who had consented to the survey. We observed practices during 30 randomly chosen operations and found higher levels of inadequate practices related to environmental disinfection, hand hygiene, operating room traffic and surgical attire of non-scrubbed personnel (anaesthesiologists and cardiopulmonary bypass technicians). In all, 140 of 155 patients who underwent open heart surgery were followed up, achieving a response rate of 91.5%. Superficial and deep SSI rates were 16.4% and 4.3% respectively, including both sternal and harvest site infections. We found poor compliance with infection control practices by non-scrubbed personnel involved in cardiac surgery and observed a high surgical site infection rate, the majority being leg wound infections following saphenous vein harvesting. PMID:21334097

  8. Virtual unrolling and deciphering of Herculaneum papyri by X-ray phase-contrast tomography

    PubMed Central

    Bukreeva, I.; Mittone, A.; Bravin, A.; Festa, G.; Alessandrelli, M.; Coan, P.; Formoso, V.; Agostino, R. G.; Giocondo, M.; Ciuchi, F.; Fratini, M.; Massimi, L.; Lamarra, A.; Andreani, C.; Bartolino, R.; Gigli, G.; Ranocchia, G.; Cedola, A.

    2016-01-01

    A collection of more than 1800 carbonized papyri, discovered in the Roman ‘Villa dei Papiri’ at Herculaneum is the unique classical library survived from antiquity. These papyri were charred during 79 A.D. Vesuvius eruption, a circumstance which providentially preserved them until now. This magnificent collection contains an impressive amount of treatises by Greek philosophers and, especially, Philodemus of Gadara, an Epicurean thinker of 1st century BC. We read many portions of text hidden inside carbonized Herculaneum papyri using enhanced X-ray phase-contrast tomography non-destructive technique and a new set of numerical algorithms for ‘virtual-unrolling’. Our success lies in revealing the largest portion of Greek text ever detected so far inside unopened scrolls, with unprecedented spatial resolution and contrast, all without damaging these precious historical manuscripts. Parts of text have been decoded and the ‘voice’ of the Epicurean philosopher Philodemus is brought back again after 2000 years from Herculaneum papyri. PMID:27265417

  9. [The influence of professional values in the emergence of work stress and burn-out in newly graduated nurses].

    PubMed

    Rebecchi, E; Benassi, M; Bolzani, R; Santullo, A

    2009-01-01

    The aim of this study is to evaluate the work importance values in nurse population in their first years of employment to analyse if they could change and if they could be considered as predictors of job stress and burn-out which developed during this period. A group of nurses has been analysed at the beginning of their employment and during the first three years concerning the work importance values measured with the Scala dei Valori Professionali (SVP), the job stress factors evaluated with the Job Content Questionnaire (JCQ) and the burn-out measured with Maslach Burn-out Inventory MBI. The work importance values has changed during the first three years of employment. Although also the job situation has changed during this period increasing the stress, these changes are not related to a particular configuration of the work importance values. Nevertheless, the work importance scale has found to be related to a specific burn-out scale, that is emotional exhaustion. In details, the importance given to career development is related to an increase of emotional exhaustion while the importance given to social aspects decreases it. These results suggest that the work importance values evaluated at the beginning of the working period could be considered as predictors of specific burn-out aspects such as those related to emotional exhaustion. PMID:19621536

  10. Arctic Lineage-Canine Distemper Virus as a Cause of Death in Apennine Wolves (Canis lupus) in Italy

    PubMed Central

    Di Sabatino, Daria; Lorusso, Alessio; Di Francesco, Cristina E.; Gentile, Leonardo; Di Pirro, Vincenza; Bellacicco, Anna Lucia; Giovannini, Armando; Di Francesco, Gabriella; Marruchella, Giuseppe; Marsilio, Fulvio; Savini, Giovanni

    2014-01-01

    Canine distemper virus (CDV) infection is a primary threat affecting a wide number of carnivore species, including wild animals. In January 2013, two carcasses of Apennine wolves (Canis lupus) were collected in Ortona dei Marsi (L'Aquila province, Italy) by the local Veterinary Services. CDV was immediately identified either by RT-PCR or immunohistochemistry in lung and central nervous tissue samples. At the same time, severe clinical signs consistent with CDV infection were identified and taped (Videos S1–S3) from three wolves rescued in the areas surrounding the National Parks of the Abruzzi region by the Veterinary Services. The samples collected from these symptomatic animals also turned out CDV positive by RT-PCR. So far, 30 carcasses of wolves were screened and CDV was detected in 20 of them. The sequencing of the haemagglutinin gene and subsequent phylogenetic analysis demonstrated that the identified virus belonged to the CDV Arctic lineage. Strains belonging to this lineage are known to circulate in Italy and in Eastern Europe amongst domestic dogs. To the best of our knowledge this is the first report of CDV Arctic lineage epidemics in the wild population in Europe. PMID:24465373

  11. Ulisse Aldrovandi's Color Sensibility: Natural History, Language and the Lay Color Practices of Renaissance Virtuosi.

    PubMed

    Pugliano, Valentina

    2015-01-01

    Famed for his collection of drawings of naturalia and his thoughts on the relationship between painting and natural knowledge, it now appears that the Bolognese naturalist Ulisse Aldrovandi (1522-1605) also pondered specifically color and pigments, compiling not only lists and diagrams of color terms but also a full-length unpublished manuscript entitled De coloribus or Trattato dei colori. Introducing these writings for the first time, this article portrays a scholar not so much interested in the materiality of pigment production, as in the cultural history of hues. It argues that these writings constituted an effort to build a language of color, in the sense both of a standard nomenclature of hues and of a lexicon, a dictionary of their denotations and connotations as documented in the literature of ancients and moderns. This language would serve the naturalist in his artistic patronage and his natural historical studies, where color was considered one of the most reliable signs for the correct identification of specimens, and a guarantee of accuracy in their illustration. Far from being an exception, Aldrovandi's 'color sensibility'spoke of that of his university-educated nature-loving peers.

  12. Clinical and diagnostic problems of desmoid-type fibromatosis of the mesentery: case report and review of the literature.

    PubMed

    La Greca, Gaetano; Santangelo, Antonio; Primo, Stefano; Sofia, Maria; Latteri, Saverio; Russello, Domenico; Magro, Gaetano

    2014-12-12

    In accordo con la “World Health Organization”, il tumore desmoide viene definito come una “proliferazione di tipo clonale dei fibroblasti che origina dai tessuti molli posti più in profondità e che risulta essere caratterizzata da una crescita infiltrante con la tendenza a dare delle recidive locali ma con l’incapacità di metastatizzare”. Noi riportiamo il caso di una giovane donna di 33 anni che presentava una sintomatologia aspecifica, con la presenza di una massa palpabile in sede addominale. La prima diagnosi, eseguita in altra Unità Operativa con US, evidenziava una neoformazione classificata come Leiomioma uterino. Il reperto intraoperatorio durante intervento di isterectomia evidenziava, invece, una neoformazione a partenza dal mesentere. L’esecuzione di due esami bioptici estemporanei non ha portato a nessuna diagnosi di certezza. Veniva quindi eseguita una resezione “en bloc”, allargata con criteri oncologici, della massa, comprendendo digiuno, ileo e colon destro. La diagnosi istologica definitiva è stata poi di Tumore Desmoide. La revisione della letteratura condotta con 25 casi di tumore desmoide del mesentere, ha confermato definitivamente come la diagnosi è molto difficile e quasi mai disponibile prima o durante l’intervento chirurgico. Appare quindi chiaro che la prima scelta di trattamento di questa neoplasia rimane quella chirurgica con margini di resezione R0, pur esistendo la possibilità di un trattamento conservativo farmacologico o radioterapico. Il trattamento del Tumore Desmoide rimane comunque difficile e richiede esperienza ed collaborazione interdisciplinare.

  13. Preliminary studies of enhanced contrast radiography in anatomy and embryology of insects with Elettra synchrotron light

    NASA Astrophysics Data System (ADS)

    Hönnicke, M. G.; Foerster, L. A.; Navarro-Silva, M. A.; Menk, R.-H.; Rigon, L.; Cusatis, C.

    2005-08-01

    Enhanced contrast X-ray imaging is achieved by exploiting the real part of the refraction index, which is responsible for the phase shifts, in addition to the imaginary part, which is responsible for the absorption. Such techniques are called X-ray phase contrast imaging. An analyzer-based X-ray phase contrast imaging set-up with Diffraction Enhanced Imaging processing (DEI) were used for preliminary studies in anatomy and embryology of insects. Parasitized stinkbug and moth eggs used as control agents of pests in vegetables and adult stinkbugs and mosquitoes ( Aedes aegypti) were used as samples. The experimental setup was mounted in the SYRMEP beamline at ELETTRA. Images were obtained using a high spatial resolution CCD detector (pixel size 14×14 μm 2) coupled with magnifying optics. Analyzer-based X-ray phase contrast images (PCI) and edge detection images show contrast and details not observed with conventional synchrotron radiography and open the possibility for future study in the embryonic development of insects.

  14. 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.

  15. The effect of Yttrium on the Ca and Sr planes of Y-doped Bi 2Sr 2Ca 1Cu 2O 8

    NASA Astrophysics Data System (ADS)

    Alméras, P.; Berger, H.; Margaritondo, G.

    1993-08-01

    Photoemission spectromicroscopy experiments on a series of Y-doped Bi 2Sr 2Ca 1Cu 2O 8 single crystals show that the doping changes the valence of copper as required for the observed modification of the critical temperature. The doping, however, affects with substitutional reactions not only the CaO planes, but also the SrO planes. Des expériences de photoémission sur une série de monocristaux de Bi 2Sr 2Ca 1Cu 2O 8 dopés avec de l'yttrium montrent que le dopage change la valence du cuivre, comme on dopage, pourtant, ne modifie pas seulement les plans CaO par des réactions de substitution, mais également les plans SrO. Esperimenti di fotoemissione condotti su una serie di monocristalli di Bi 2Sr 2Ca 2O 8 con impurezze di Y mostrano che tali impurezze modificano la valenza del rame, com'é indipendentemente reso necessario dal fatto che si osservano dei cambiamenti della temperature di transizione. Si nota peraltro che le impurezze non modificano solamente i piani CaO mediante reazioni di sostituzione, ma anche i piani SrO.

  16. Vulvar endometriosis and Nuck canal.

    PubMed

    Mazzeo, Carmelo; Gammeri, Emanuele; Foti, Agata; Rossitto, Maurizio; Cucinotta, Eugenio

    2014-12-29

    L’endometriosi è una patologia non ancora del tutto conosciuta che colpisce il 6-10% della popolazione femminile generare e il 35-50% della popolazione femminile affetta da dolore pelvico e infertilità. La sede più frequente di malattia è rappresentata dall’ovaio e ciò sostiene l’ipotesi patogenetica della mestruazione retrograda. Viene descritto un caso di non comune localizzazione vulvare di endometriosi riscontrata in una paziente precedentemente operata per una cisti di Nuck. La donna aveva notato da qualche mese l’insorgenza di una tumefazione nella regione vulvare che le causava dolore e dispareunia che si accentuavano nel periodo mestruale. Il sospetto clinico di endometriosi non aveva avuto conferma negli esami strumentali preoperatori che non avevano evidenziato alterazioni patognomoniche, nè differenze dei reperti in fase pre mestruale e mestruale. Solo l’esame istologico della neoformazione asportata ha confermato la diagnosi. Inoltre gli Autori con la presente nota desiderano sottolineare come nella patogenesi dell’endometriosi vulvare debba essere tenuta in considerazione la presenza della pervietà del dotto peritoneovaginale o dotto di Nuck. Nel caso clinico descritto, infatti, la paziente era stata sottoposta due anni prima ad asportazione di una cisti di Nuck con obliterazione del dotto peritoneovaginale. Tuttavia già in quella fase clinica poteva essersi determinato un impianto endometriosico, che si era poi evidenziato con la formazione del nodulo in sede vulvare asportato chirurgicamente.

  17. Visceral adiposity influences glucose and glycogen metabolism in control and hyperlipidic-fed animals.

    PubMed

    Kaiser de Souza, Danielle; de Souza, Fabiana A; de Fraga, Luciano Stürmer; Peres Konrad, Signorá; Belló-Klein, Adriane; Martins da Silva, Roselis Silveira; Kucharski, Luiz Carlos R

    2013-01-01

    Introducción: Las evidencias sugieren que la ingesta de grasas, obesidad visceral y lípidos intracelulares están relacionados con resistencia a la acción de la insulina. Objetivo: El objetivo del presente trabajo fue correlacionar la obesidad visceral con alteraciones metabólicas en los animales controles (CTR) y alimentados con la dieta de cafeteria hiperlipidica (CFT). Metodos: Después de 6 meses de tratamiento con dieta, el hígado y lo musculo esqueletico de los ratones se utilizaron para determinar la captación de glucosa y el metabolismo del glucógeno después de la administración de la insulina 0.4 UI/kg in vivo y correlacionar la adiposidad visceral a estos dos parámetros. Resultados: Una amplia gama de respuestas fisiológicas a la composición corporal era encontrado. No se encontraron diferencias en la glucemia y triglicéridos después de la acción de la insulina en ambos grupos, sin embargo CFT grupo acumuló mayor adiposidad, principalmente adiposidad visceral, y mostraron menor contenido de glucógeno en el hígado. También se encontró una correlación inversa entre la adiposidad visceral y la captación de glucosa y una disminución de la forma activa de la enzima glucógeno sintasa en el hígado. Animales CTR demostrado una correlación inversa entre la captación de glucosa y la adiposidad visceral en el músculo. Discusión y conclusiones: Se observó una gran variabilidad de alteraciones metabólicas en los animales que se pueden relacionados con las tasas de acumulación de la adiposidad visceral y la ingestión de grasas dietéticas. Más estudios serán necesarios para aclarar las razones de las alteraciones observadas en el hígado de los animales CFT y las alteraciones musculares en animales CTR.

  18. [Associated metabolic and nutritional side effects to biological cancer therapy].

    PubMed

    Alonso Castellanos, Sara; Soto Célix, María; Alonso Galarreta, Judith; del Riego Valledor, Ana; Miján de la Torre, Alberto

    2014-02-01

    Introducción: Los diferentes tipos de cáncer constituyen una de las principales causas de morbi-mortalidad en el mundo. La terapia clásica antitumoral (cirugía, quimioterapia, radioterapia) ha incrementado notoriamente la supervivencia. Las terapias biológicas, con mecanismos de acción selectivos y frecuentemente específicos, constituyen una incorporación relativamente reciente al tratamiento oncológico; entre las más utilizadas se incluyen: citoquinas, anticuerpos monoclonales e inhibidores de tirosin kinasa y de mTOR. Si bien están adecuadamente documentados los efectos adversos nutricionales y metabólicos asociados a la terapia clásica, tanto en literatura como en guías clínicas, no ocurre igual con la terapia biológica. Objetivo: Revisar la literatura al respecto y detallar de modo organizado los resultados obtenidos. Métodos: Se revisó la literatura indizada así como todas las fichas técnicas de los fármacos incluidos en las distintas familias mediante la Agencia Española del Medicamento y Productos Sanitarios a Julio de 2013. Se registran los síntomas y signos clínicos con teórica acción sobre el estado nutricional o metabólico. Resultados: Se describe la acción específica de cada familia. Se agrupan los posibles efectos adversos de cada una sobre el estado nutricional y metabolismo, detallando y diferenciándolos en tablas para una más fácil y cómoda revisión y consulta. Se observan como posibles efectos secundarios más prevalentes los relacionados con el apetito, aparato digestivo y alteraciones electrolíticas. Conclusiones: Los posibles efectos secundarios asociados a terapias biológicas son múltiples y aparecen con diferente frecuencia y gravedad. Es importante al utilizarlas conocer el impacto nutricional y metabólico que pueden presentar, para su prevención y tratamiento.

  19. [Not Available].

    PubMed

    Peñailillo Escarate, Luis; Mackay Phillips, Karen; Serrano Duarte, Natalia; Canales Espinoza, Pablo; Miranda Herrera, Pamela; Zbinden-Foncea, Hermann

    2016-01-01

    Introducción: el entrenamiento de intervalos de alta intensidad (HIIT) y el consumo de ácidos grasos omega-3 (O3) ha demostrado cada uno por separado aumentar la capacidad aeróbica, metabolismo oxidativo y función cardiovascular.Objetivo: examinar el efecto combinado de HIIT más suplementación de O3 en el rendimiento físico, presión arterial y composición corporal en jóvenes sedentarios.Método: 28 jóvenes sedentarios con sobrepeso (Edad=22 ± 4 años; IMC=25.8 ± 2.4 kg·m-2) fueron distribuidos aleatoriamente en cuatro grupos: grupo O3/HIIT (n=7) realizó un protocolo de HIIT, tres veces por semana durante seis semanas y consumió 2 g·día-1 de O3; grupo HIIT (n=7) realizó solo el HIIT; grupo O3 (n=7) solo consumió O3; y grupo CONTROL (n=7) que no realizó ninguna intervención. Consumo de oxígeno peak (VO2peak), velocidad máxima (Vmax), presión arterial sistólica y diastólica (PAS y PAD), y porcentaje de grasa fueron medidos antes y después de la intervención.Resultados: el consumo de oxígeno peak aumentó más en el grupo O3/HIIT (+10.9%) en comparación con HIIT, O3 y CONTROL. Velocidad máxima aumentó en O3/HIIT (+7.1%) y HIIT (+11.9%). La presión arterial sistólica disminuyó más en O3 (-6.8%) en comparación con O3/HIIT, HIIT y CONTROL. Por último, O3/HIIT (-19.2%), HIIT (-20.2%), y O3 (-15.2%) presentaron mayores disminuciones del porcentaje de masa grasa en relación al CONTROL.Conclusión: nuestros resultados sugieren un efecto potenciador de la capacidad aeróbica máxima producto de la combinación de HIIT y suplementación de O3. Además, se observó una disminución de masa grasa en todos los grupos intervenidos. PMID:27571658

  20. Osteoporosis: from bone biology to individual treatment decision.

    PubMed

    Gonçalves, Maria João; Rodrigues, Ana Maria; Canhão, Helena; Fonseca, João Eurico

    2013-01-01

    Introdução: A Osteoporose é uma doença óssea metabólica sistémica de prevalência crescente. Nesta revisão, abordamos os mais recentes estudos epidemiológicos e o seu impacto no tratamento individual dos doentes, assim como os mecanismos moleculares desta doença que levaram à descoberta de novos alvos terapêuticos.Material e Métodos: Usando os MeSH terms (osteoporose, epidemiologia, Portugal, Europa, patogenia, osteoblastos, osteoclastos, osteócitos, obesidade, sistema imune, terapia, ensaio randomizado e controlado, eficácia e segurança) como palavras-chave. Foram revistos artigos originais, revisões e position papers indexados na PubMed.Resultados: A osteoporose apresenta uma prevalência crescente, mas recentemente foi atingido um plateau na taxa ajustada à idade. Uma nova ferramenta, o FRAX™, foi desenvolvida para a estimativa do risco de fratura, a partir da contribuição de fatores de risco clínicos associados a fraturas de fragilidade. O tratamento da osteoporose é oferecido a uma baixa percentagem de doentes com osteoporose. O tratamento em 40% dos casos inicia-se já em doença estabelecida (na presença de fratura de fragilidade prévia). As questões de segurança associadas a medicamentos para tratamento da Osteoporose, após aprovação para comercialização, têm sidoalvo de debate. Por último, os avanços no entendimento da biologia molecular do metabolismo ósseo levaram ao desenvolvimento de novas drogas.Discussão e Conclusão: Apesar da existência de novas ferramentas diagnósticas e tratamento eficaz, o tratamento para osteoporose é oferecido a uma minoria dos doentes, muitas vezes a indivíduos com doença avançada. A mudança deste cenário poderá ser alcançada com novos e mais eficazes tratamentos.

  1. [Zinc deficiency and associated factors in colombian children; results from the 2010 national nutrition survey; a cross sectional study].

    PubMed

    Martínez-Torres, Javier; Ramírez-Vélez, Robinson

    2014-04-01

    Introducción: El zinc (Zn) es un micronutriente esencial en el crecimiento celular, la síntesis proteica y la diferenciación celular. La deficiencia de Zn afecta el crecimiento y desarrollo del niño, el metabolismo energético y la respuesta inmune. Objetivo: Examinar los factores asociados a la deficiencia de Zn en una muestra representativa de colombianos niños. Pacientes y métodos: Estudio descriptivo transversal, secundario de la información obtenida en la Encuesta Nacional de la Situación Nutricional 2010 (ENSIN 2010), en 4.279 niños entre 12 y 59 meses. Los niveles plasmáticos de Zn se determinaron por espectrofotometría de absorción atómica, y los factores asociados (sexo, edad, etnia, puntaje de SISBEN, región y área geográfica) se recogieron por encuesta estructurada. Se establecieron asociaciones mediante la construcción de modelos de regresión y factores asociados. Resultados: Se encontró un valor promedio de Zinc de 78,5 μg/dl (IC 95% = 76,7-80,4 μg/dl). El 43,3% (IC 95% 42,2-44,3%) de los niños presentaron niveles de Zn menores a 65 μg/dl. Los niños pertenecientes a grupos étnicos (indígena) o que residen en áreas rurales; presentaron mayor déficit de Zn (56,3% y 47,8%) respectivamente. Los modelos de regresión muestran que; ser indígena (OR 1,76 IC 95% 1,29-2,41); y residir en zonas rurales (OR 1,39 IC 95% 1,16-1,67), se asociaron al déficit de Zn. Conclusiones: La población estudiada presenta una alta prevalencia de déficit de Zn, por lo que se recomienda intervenciones integrales donde estén involucrados el componente nutricional y educativo.

  2. Mites and the implications on human health.

    PubMed

    Vogel, Patrícia; Bosco, Simone Morelo Dal; Ferla, Noeli Juarez

    2014-01-01

    Introducción: La infestación por ácaros de productos almacenados es de gran importancia económica y de salud pública, con consecuencias para la salud humana. Objetivos: Describir las especies de ácaros asociados a los productos alimenticios almacenados y que causan consecuencias para la salud humana, así como para analizar la pérdida de la calidad y la composición nutricional de los alimentos infestados. Método: Revisión de la literatura en LILACS-BIREME, SciELO y MEDLINE bases de datos de las publicaciones en Inglés, portugués y español con los descriptores “ácaros”, “alimentos”, “ácaros de almacenamiento”, “los ácaros del producto de su tienda”, “los ácaros del polvo”, “calidad control “,” alimentos de calidad “,” composición química “,” química “,” alérgenos “y” salud “. Se identificaron 80 artículos, pero sólo 55 estaban relacionados con los objetivos del estudio. Dieciséis referencias fueron mencionados en los artículos que se encontraron después de verificado su relevancia. Resultados y discusión: La actividad de los ácaros causan pérdida de calidad sanitaria, el peso y la composición nutricional de los productos infestados, con grandes pérdidas económicas en la industria del grano. La inhalación, ingestión o contacto de los ácaros, subproductos del metabolismo y las heces pueden sensibilizar individuos susceptibles y causar asma, rinitis alérgica, dermatitis de contacto, enteritis y conducir a la anafilaxis. El control de la temperatura y la humedad es esencial para el control de ácaros, así como una mejor conservación y la higiene de las unidades de almacenamiento de grano.

  3. [In Process Citation].

    PubMed

    Fófano do Lago, Márcia; Chaia Kaippert, Vanessa; Lopes Souto, Débora; Lopes Rosado, Eliane

    2016-03-25

    Introducción: el tipo de ácido graso de la dieta presenta diferentes efectos sobre la obesidad y sus complicaciones, pero estos efectos pueden verse influenciados por los genes y sus polimorfismos, tales como los receptores activados por el proliferador de los peroxisomas isoforma γ2 (PPARγ2). Además, no está claro si el grado de insaturación de los lípidos posee diferentes efectos en el metabolismo de los lípidos y de la glucosa y, particularmente, en la pérdida de peso. Objetivos: evaluar la influencia de dietas ricas en ácidos grasos poliinsaturados (AGPI) y monoinsaturados (AGMI) en las variables antropométricas y bioquímicas en el peso corporal y el perfil glucémico y lipémico en mujeres obesas con el genotipo Pro12Pro en el gen PPARγ2. Métodos: dieciocho mujeres obesas con genotipo Pro12Pro fueron distribuidas aleatoriamente para una de las dietas, rica en AGPI (n = 8) o AGMI (n = 10). Las variables antropométricas (índice de masa corporal [IMC] y circunferencia de la cintura) y bioquímicas (glucosa, insulina, HOMA-IR, colesterol total, LDL-colesterol, HDL colesterol y triglicéridos) fueron evaluadas antes y después de un periodo de 45 días. Resultados: las variables antropométricas y bioquímicas fueron similares entre los grupos antes y después de la intervención (p > 0,05). El IMC disminuyó después de la ingesta de AGPI (p = 0,01), probablemente debido al menor contenido de lípidos. El AGMI redujo la glucosa (p = 0,03), insulina (p = 0,03) y HOMA-IR (p = 0,02). Conclusión: los AGMI fueron más eficientes para reducir la resistencia a la insulina en mujeres obesas con el genotipo Pro12Pro en el gen PPARγ2, aunque las mujeres presentaran una elevada ingesta de lípidos totales y ácidos grasos saturados.

  4. [Not Available].

    PubMed

    MIján de la Torre, Alberto

    2016-01-01

    El síndrome de caquexia cancerosa es responsable de la muerte de un número significativo de pacientes con cáncer. Se caracteriza por la presencia de una ingesta reducida, con inflamación sistémica y un metabolismo alterado. Los enfermos presentan característicamente una progresiva pérdida de peso y de masa muscular, junto a deterioro funcional. La pérdida muscular se debe a la combinación de reducción de la síntesis proteica con aumento de su degradación. Ello conduce tanto a un acortamiento como a una reducción en el área de la fibra muscular. Asimismo, existen datos que apoyan que selectivamente algunos de los tipos de fibra muscular se ven más afectados. Es necesario definir bien los valores de corte de sarcopenia para diagnosticar la pérdida muscular y existen diferentes métodos. El sistema de la ubiquitina-proteasoma parece desempeñar un papel predominante en la degradación de la proteína miofibrilar. La tendencia a perder masa muscular en los pacientes con caquexia cancerosa parece estar asociada a la activación de señales catabólicas por citoquinas proinflamatorias, así como por productos tumorales del tipo factor inductor de proteólisis. En referencia a los factores pronósticos, el riesgo de muerte está bien documentado en pacientes con sarcopenia y, especialmente, en aquellos con obesidad asociada a la sarcopenia. Asimismo, se ha establecido una relación directa entre la pérdida intensa de masa muscular y la supervivencia en pacientes con diferentes tipos de tumores del tipo de cáncer de páncreas, pulmón, tracto biliar o cáncer colorrectal. Respecto de la terapia en el síndrome de caquexia cancerosa, es factible que requiera tratamiento con varios grupos combinados que incluyan, junto al soporte nutricional, fármacos orexígenos, con efecto anabólico y antinflamatorio, asociados a intervenciones que estimulen el ejercicio físico. PMID:27269215

  5. RELATIONSHIP BETWEEN ZINCEMIA, SUPEROXIDE DISMUTASE ACTIVITY AND MARKER OF OXIDATIVE STRESS IN WOMEN WITH BREAST CANCER.

    PubMed

    Borges de Araújo, Camila Guedes; Oliveira do Nascimento Holanda, Aldenora; de Souza Rocha, Cinthya Vivianne; Soares do Nascimento, Ayla Patricia; Simplício Revoredo, Camila Maria; Borges da Silva, Benedito; do Nascimento Nogueira, Nadir; do Nascimento Marreiro, Dilina

    2015-08-01

    Introducción: diversos estudios muestran alteraciones en el metabolismo del zinc en mujeres con cáncer de mama. Este mineral posee acción antioxidante, y los disturbios en sus parámetros bioquímicos están relacionados con peor pronóstico de la enfermedad y agravamiento del proceso carcinogénico. Objetivos: este estudio evaluó la actividad de la enzima superóxido dismutasa y los parámetros bioquímicos relativos al zinc e investigó la existencia de correlación entre esas variables y el marcador del estrés oxidativo en estas pacientes. Métodos: este fue un estudio caso-control con 66 mujeres, con edad ente 20 y 50 años, distribuidas en: grupo caso (mujeres con cáncer de mama, n = 34) y grupo control (mujeres saludables, n = 32). La ingestión del zinc fue realizada por medio del registro alimentario de tres días, utilizando el programa Nutwin versión 1.5. Las concentraciones de zinc plasmático y eritrocitario fueron determinadas según el método de espectrofotometría de absorción atómica de llama (λ = 213,9). La actividad de la superóxido dismutasa fue evaluada por el método colorimétrico de Griess y fueron analizadas sustancias reactivas al ácido tiobarbitúrico (TBARS). Resultados y discusión: los valores medios de la ingestión de zinc, superóxido dismutasa y TARBS eran superiores a los recomendados para las participantes del estudio, con una diferencia estadística para la enzima superóxido dismutasa (p > 0,05). La media de las concentraciones plasmática y eritrocitaria de zinc fueron reducidos en ambos grupos (p > 0.05). Conclusiones: por lo tanto, se puede suponer que la ingesta de zinc en mujeres con cáncer de mama no influye en las concentraciones plasmáticas y eritrocitarias de ese mineral. La elevada actividad de la superóxido dismutasa en las mujeres con cáncer de mama puede ser debida a un mecanismo de regulación compensatorio mediante el estrés oxidativo presente en esa enfermedad.

  6. Super obese behave different from simple and morbid obese patients in the changes of body composition after tailored one anastomosis gastric bypass (BAGUA).

    PubMed

    García-Caballero, M; Reyes-Ortiz, A; García, M; Martínez-Moreno, J M; Toval-Mata, J-A-

    2014-05-01

    Introducción: Los pacientes súper obesos se comportan de manera distinta a los pacientes con obesidad simple y obesidad mórbida cuando alcanzan los cambios finales de la composición corporal (CC) tras la cirugía bariátrica. Esto nos condujo a individualizar la anastomosis única de derivación gástrica (BAGUA) para conseguir mejores resultados en estos pacientes. Pacientes y métodos: Estudiamos a 83 pacientes (37 diabéticos y 46 no diabéticos, con IMC ≥30) que completaron todos las visitas de evaluación (preoperatorio, 10 días, 1, 3, 6 y 12 meses) tras la cirugía personalizada BAGUA para la obesidad. Empleamos el analizador de la composición corporal Tanita CC-420 MA mediante el método de impedancia de un única frecuencia para analizar la evolución de la CC en pacientes clasificados por el IMC 30 - 34,9, 35 - 50, y > 50. Resultados: Mientras que el exceso de peso preoperatorio mostró unas reducciones drásticas tras la cirugía BAGUA personalizada en todos los grupos, los súper obesos tuvieron una CC final diferente. Los diabéticos retuvieron más masa grasa y grasa visceral, mientras que los súper obesos mostraban el doble (14 kg) que los pacientes con obesidad simple (6 kg), perdieron más masa muscular y tuvieron un mayor metabolismo basal. La CC final se altera en todos sus parámetros si se añade la diabetes. Conclusiones: La reducción del exceso de peso preoperatorio está motivada en gran medida por el efecto de la cirugía BAGUA personalizada. Los pacientes con un IMC entre 30-50 se comportan de forma homogénea en la CC tras la cirugía mientras que los pacientes con un IMC > 50 se comportan diferentemente. Los súper obsesos pierden menos peso, retienen más masa grasa, grasa visceral, masa ósea y agua total. Este efecto debería tratarse con una cirugía más agresiva midiendo todo el intestino delgado para realizar una exclusión adecuada (personalizada) para conseguir unos efectos homogéneos.

  7. The association of selenium status with thyroid hormones and anthropometric values in dyslipidemic patients.

    PubMed

    Carvalho, Roberta F; Rosa, Glorimar; Huguenin, Grazielle V B; Luiz, Ronir R; Moreira, Annie S B; Oliveira, Glaucia M M

    2015-04-01

    Contexto: El selenio (Se) es un micronutriente esencial que realiza las funciones fisiológicas en el metabolismo de la hormona tiroidea y pueden tener una asociación con las variables antropométricas pertinentes a la enfermedad cardiovascular. Objetivo: Estudiar la asociación entre el estado de Se, hormonas tiroideas y las variables antropométricas en pacientes con dislipidemia. Métodos: Ochenta y tres pacientes fueron evaluados en un estudio transversal. Se analizaron muestras de sangre para Se y hormonas tiroideas. Las medidas antropométricas fueron tomadas, y la ingesta de la dieta Se fue investigado. Resultados: La media de las concentraciones de Se en plasma fueron bajas en los pacientes, a 88,7 ± 16,7 mg / l. Se encontró que los pacientes con niveles plasmáticos de Se ≥ 95 mg / L de tener un índice de masa corporal (IMC) (30.74 ± 4.31 vs 27.68 ± 5.63 kg / m 2, P = 0,02) y la relación cintura-estatura (0,65 ± 0,05 vs 0,59 ± 0,07, P = 0,003) en comparación con aquellos con concentraciones entre 80 y 94 g / l. Ingesta de Se asoció positivamente con relación T3L / T4L (r = 0,273, p = 0,03), índice de masa corporal (r = 0,257, P = 0,04) y WC (r = 0,299, P = 0,02). Conclusión: Se encontró que los pacientes con las más altas concentraciones de Se en plasma normal tener incrementos en las variables antropométricas que investigamos. Hay una necesidad de un mayor estudio para dilucidar estos hallazgos. Además, se encontró una asociación positiva entre el consumo de Se y la forma más metabólicamente activa de las hormonas tiroideas.

  8. [Obesity associated metabolic impairment is evident at early ages: Spanish collaborative study].

    PubMed

    Martos-Moreno, Gabriel Á; Gil-Campos, Mercedes; Bueno, Gloria; Bahillo, Pilar; Bernal, Susana; Feliu, Albert; Lechuga-Sancho, Alfonso M; Palomo, Enrique; Ruiz, Rafael; Vela, Amaia

    2014-10-01

    Los objetivos de este estudio son, realizar una descripción de las características demográficas, antropométricas y de las alteraciones metabólicas de niños atendidos por obesidad resaltando las características aquellos casos de obesidad de inicio temprano (< 10 años) y los de inicio precoz (< 5 años), y evaluar la capacidad diagnóstica de la definición de síndrome metabólico (SM) según diferentes criterios. Métodos: Es un estudio retrospectivo, caso-control, transversal, multicéntrico. Han participado un total de 10 Unidades de Endocrinología Pediátrica de diferentes hospitales españoles con un grupo de 469 niños con obesidad de inicio temprano y otro grupo de 30 niños con obesidad de inicio precoz. El grupo control estuvo constituido por 224 niños sanos menores de 10 años. Se realizó una valoración antropométrica y determinación analítica de parámetros del metabolismo de los hidratos de carbono y lipidograma. Resultados: La presencia de alteraciones metabólicas asociadas a la obesidad en la etapa infanto-juvenil en España es notable, de forma aislada, o englobada bajo la definición de SM. La prevalencia de éste aumenta sustancialmente cuando se considera la resistencia periférica a la acción de la insulina como criterio diagnóstico. Se demuestra cómo en niños menores de 10 años, dichas alteraciones están presentes en un porcentaje reseñable, y se encuentran las primeras alteraciones metabólicas ya en niños obesos < 5 años. Conclusión: En los niños españoles existen alteraciones metabólicas asociadas a la obesidad en la etapa infanto- juvenil de forma aislada o englobada bajo la definición de SM, y ya están presentes a edades precoces.

  9. Association of β1 and β3 adrenergic receptors gene polymorphisms with insulin resistance and high lipid profiles related to type 2 diabetes and metabolic syndrome.

    PubMed

    Burguete-Garcia, Ana I; Martinez-Nava, Gabriela A; Valladares-Salgado, Adan; Bermudez Morales, V H; Estrada-Velasco, Barbara; Wacher, Niels; Peralta-Romero, Jesus; Garcia-Mena, Jaime; Parra, Esteban; Cruz, Miguel

    2014-06-01

    Antecedentes: Entre los diversos genes asociados a la diabetes tipo 2 (DT2), los receptores –adrenérgicos– son excelentes candidatos para estudiar en la población mexicana dada la alta prevalencia de estas patologías. El objetivo de este trabajo fue analizar la asociación de polimorfismos en los genes ADRB1 (rs1801253) (Arg389Gly) y ADRB3 (Trp64Arg) con DT2 y SM. Métodos: Se estudiaron 445 pacientes con Síndrome Metabólico, 502 con diabetes tipo 2 y 552 controles sanos. Se evaluaron las características antropométricas, perfil bioquímico completo y los polimorfismos Arg389Gly y Trp64Arg SNPs se determinaron mediante ensayos TaqMan. El análisis de datos fue ajustado por porcentaje de ancestralidad. Resultados: Para la variante ADRB1 Arg389Gly se observó una asociación estadísticamente significativa con un aumento de los niveles de LDL (P < 0,008 ), y la variante ADRB3 Trp64Arg se asoció a mayor HOMA- IR (p < 0,018) y con un aumento de los niveles de insulina (P < 0,001). Mediante modelos de regresión logística múltiple en los tres modelos de heredabilidad se evaluó la asociación de ambos polimorfismos y DT2 y SM, observando un asociación significativa en los 3 modelos solo con DT2, ADRB3 en el modelo codominante Trp/Arg un OR de 1.53 (1.9 a 2.13 , P < 0.003) que se incrementó hasta OR 2,99 (1,44 a 6,22 , P < 0,003) para el genotipo Arg/Arg . Se encontró bajo el modelo dominante genotipo Trp/Arg- Arg/Arg con OR 1.67 (1.21 a 2.30, p < 0.002). En el modelo recesivo (Arg/Arg), también un OR 2.56 (1.24 a 5.26 , P < 0.01). Conclusiones: La variante ADRB3 Trp64Arg se asoció significativamente con DT2 y ADRB1 Gly389Arg en alteraciones en el metabolismo de lípidos. Nuestros resultados demuestran que estas variantes son posibles biomarcadores para predecir las alteraciones metabólicas y la evolución en pacientes con síndrome Metabólico y diabetes tipo 2.

  10. Development of type 2 diabetes mellitus thirty-one years after Billroth II in a patient asking for diabetes surgery.

    PubMed

    Garciacaballero, M; Reyes-Ortiz, A; Toval, J A; Martínez-Moreno, J M; Miralles, F

    2014-07-01

    INTRODUCCIÓN: La cirugía de la diabetes en pacientes obesos y delgados parece ser una alternativa superior al tratamiento médico actual. El bypass gástrico es un tratamiento alternativo al tratamiento médico actual. Sin embargo, todavía hay dudas sobre si la diabetes puede reaparecer si hay aumento de peso o si se mantienen los efectos en el tiempo. Otras preguntas se refieren al tipo de cirugía para hacer la longitud del remanente gástrico o el tamaño del reservorio para la resolución de la Diabetes Mellitus. Presentación del caso: Paciente masculino de 69 años de edad, vino a nosotros con el fin de realizar el bypass gástrico de una anastomosis a medida (BAGUA) para tratar su diabetes mellitus tipo 2 y el síndrome metabólico. Tiene antecedentes de úlcera péptica tratado con gastrectomía subtotal y reconstrucción tipo Billroth II hace 49 años. Actualmente él no es obeso y desarrolló diabetes 31 años después de la cirugía. DISCUSIÓN: A nivel mundial no hay reportes de pacientes con IMC normal que después de realizar un bypass gástrico desarrollaron diabetes mellitus. Hay casos en que los pacientes diabéticos obesos después del bypass gástrico mejoran o remite la DMT2, pero reaparece debido a la pérdida de peso insuficiente o reganancia de él. El paciente con un bypass gástrico tipo Billroth II, no debió desarrollar diabetes. Él tiene peso normal y no ha aumentado de peso que podría estar relacionado con el desarrollo de diabetes. CONCLUSIÓN: Los resultados generados por la cirugía bariátrica son alentadores, pero aún no aclaran la forma precisa cómo la cirugía produce una rápida mejoría del metabolismo sistémico como la diabetes, pero en nuestro paciente, el efecto fue muy diferente debido a que el bypass gástrico no tuvo un efecto protector contra la diabetes.

  11. [Not Available].

    PubMed

    MIján de la Torre, Alberto

    2016-06-03

    El síndrome de caquexia cancerosa es responsable de la muerte de un número significativo de pacientes con cáncer. Se caracteriza por la presencia de una ingesta reducida, con inflamación sistémica y un metabolismo alterado. Los enfermos presentan característicamente una progresiva pérdida de peso y de masa muscular, junto a deterioro funcional. La pérdida muscular se debe a la combinación de reducción de la síntesis proteica con aumento de su degradación. Ello conduce tanto a un acortamiento como a una reducción en el área de la fibra muscular. Asimismo, existen datos que apoyan que selectivamente algunos de los tipos de fibra muscular se ven más afectados. Es necesario definir bien los valores de corte de sarcopenia para diagnosticar la pérdida muscular y existen diferentes métodos. El sistema de la ubiquitina-proteasoma parece desempeñar un papel predominante en la degradación de la proteína miofibrilar. La tendencia a perder masa muscular en los pacientes con caquexia cancerosa parece estar asociada a la activación de señales catabólicas por citoquinas proinflamatorias, así como por productos tumorales del tipo factor inductor de proteólisis. En referencia a los factores pronósticos, el riesgo de muerte está bien documentado en pacientes con sarcopenia y, especialmente, en aquellos con obesidad asociada a la sarcopenia. Asimismo, se ha establecido una relación directa entre la pérdida intensa de masa muscular y la supervivencia en pacientes con diferentes tipos de tumores del tipo de cáncer de páncreas, pulmón, tracto biliar o cáncer colorrectal. Respecto de la terapia en el síndrome de caquexia cancerosa, es factible que requiera tratamiento con varios grupos combinados que incluyan, junto al soporte nutricional, fármacos orexígenos, con efecto anabólico y antinflamatorio, asociados a intervenciones que estimulen el ejercicio físico.

  12. Effects of a low-fat diet with antioxidant supplementation on biochemical markers of multiple sclerosis long-term care residents.

    PubMed

    Mauriz, Elba; Laliena, A; Vallejo, D; Tuñón, M J; Rodríguez-López, J M; Rodríguez-Pérez, R; García-Fernández, M C

    2013-11-01

    án involucrados en la modulación del metabolismo celular y los procesos de inflamación de la EM. En consecuencia, las dietas bajas en grasas y los suplementos antioxidantes podrían ser utilizados como terapias alternativas en el tratamiento de la EM.

  13. [Importance of nutritional treatment in the inflammatory process of rheumatoid arthritis patients; a review].

    PubMed

    González Cernadas, Leticia; Rodríguez-Romero, Beatriz; Carballo-Costa, Lidia

    2014-02-01

    Introducción: Las características clínicas de la artritis reumatoide (AR) justifican su abordaje multidisciplinar, dentro del cual se incluye la intervención nutricional. Ciertos componentes nutricionales tienen implicaciones en el metabolismo celular e interfieren en el proceso inflamatorio patológico por lo que pueden actuar como coadyuvantes en el tratamiento de numerosas enfermedades inflamatorias, entre las que se incluye la AR. Objetivos: Analizar la evidencia sobre los efectos terapéuticos de los ácidos grasos poliinsaturados, de la dieta mediterránea, del aceite de oliva y de ciertos nutrientes antioxidantes en el estado inflamatorio crónico y en la sintomatología de la AR. Métodos: Revisión no sistemática en Cochrane, Pubmed, Scopus, Sportdiscus y Amed, del 2003 a marzo de 2013, y posterior aplicación de los criterios de inclusión y exclusión. Resultados: La evidencia sobre los ácidos grasos poliinsaturados sugiere que éstos producen mejoría clínica y efectos inhibidores sobre la respuesta inflamatoria en la AR. Sobre la dieta mediterránea, la evidencia apunta a que ésta produce una disminución del dolor y de la actividad de la enfermedad. Para el aceite de oliva, aunque no hay estudios suficientes, se aprecian efectos tales como la reducción de marcadores inflamatorios y la inhibición del estrés oxidativo. Sobre la eficacia de los antioxidantes todavía existe evidencia limitada y contradictoria. Conclusiones: Hay estudios que sugieren que algunos componentes dietéticos (ácidos grasos poliinsaturados, dieta mediterránea y antioxidantes) tienen efectos antiinflamatorios y disminuyen la actividad de la AR. Se requieren más estudios para afianzar los resultados en aquellos aspectos donde la evidencia todavía es inconclusa.

  14. Improved metabolic response after 16 weeks of calorie-restricted low-glycaemic index diet and metformin in impaired glucose tolerance subjects.

    PubMed

    Macedo da Costa, Teresa Helena; Pires da Silva, Fábio Vinícius; Gonçalves Reis, Caio Eduardo; Augusto Casulari, Luiz

    2014-05-01

    Objetivo: Este estudio analizaba los efectos metabólicos del consejo dietético de seguir una dieta con restricción calórica y un índice glucémico bajo junto con Metformina en individuos con sobrepeso / obesidad y tolerancia alterada a la glucosa. Métodos: Se siguió mensualmente durante 16 semanas a 16 individuos con un índice de masa corporal entre 27-38 kg/m² y se les trató con Metformina (1 g/día) y una prescripción dietética con un índice glucémico bajo y una reducción del energía del 25-30 ¡% de su gasto energético total. Se midieron el metabolismo de la glucosa, el perfil lipídico, la composición antropométrica y corporal y los parámetros de consumo de alimentos antes y después del tratamiento. Se emplearon las pruebas t pareadas y de Wilcoxon para comparar las diferencias con respecto al basal, con un criterio de significación estadística de p ≤0,05. Resultados: Hubo reducciones significativas en los parámetros de composición corporal y antropométricos, una disminución en las concentraciones de HOMA2-% y e triglicéridos y un aumento del índice de Cederholm. Estos resultados muestran una mejora de la sensibilidad periférica a la insulina y una conservación de la función de las células beta pancreáticas. Conclusión: la dieta con restricción calórica y un índice glucémico bajo junto con Metformina fueron beneficiosas para los parámetros metabólicos y antropométricos en individuos con sobrepeso/obesidad y una tolerancia a la glucosa alterada.

  15. [GASTROSTOMY POSITIVELY AFFECTS NUTRITIONAL STATUS AND DIMINISHES HOSPITAL DAYS IN PATIENTS WITH INBORN ERRORS OF METABOLISM].

    PubMed

    Guillén-López, Sara; Vela-Amieva, Marcela; Juárez-Cruz, Merit Valeria; González-Zamora, José Francisco; Monroy-Santoyo, Susana; Belmont-Martínez, Leticia

    2015-07-01

    Introducción: el tratamiento nutricional de los pacientes con errores innatos del metabolismo (EIM) implica el uso permanente de fórmulas modificadas en aminoácidos cuyas características organolépticas pueden dificultar su aceptación por vía oral. Estos pacientes pueden tener alteraciones gastrointestinales y requieren el uso constante de medicamentos, lo cual complica la adherencia al tratamiento, comprometiéndose con ello su estado nutricional y el control de la enfermedad. La gastrostomía es una alternativa para facilitar la alimentación y el tratamiento, pero existen controversias sobre su uso. Objetivo: comparar el estado nutricional y la duración de las hospitalizaciones antes y después de la realización de la gastrostomía en un grupo de pacientes con EIM. Métodos: análisis retrospectivo de datos antropométricos, número de internamientos por descompensación metabólica y su duración en pacientes pediátricos con EIM antes y después de la gastrostomía. Resultados: se analizaron 16 niños; 40% con defectos del propionato, 25% con alteraciones del ciclo de la urea y 35% con otros EIM. Después de la gastrostomía, la proporción de pacientes eutróficos aumentó del 6 al 56% y la desnutrición disminuyó del 94 al 44%. Después de la gastrostomía, la duración de los periodos hospitalarios disminuyó significativamente de 425 a 131 días (p = 0.011); el número de internamientos disminuyó de 33 antes de la intervención a 17, sin embargo, esta diferencia no tuvo significación estadística. Conclusión: en esta muestra, la gastrostomía mejoró el estado nutricional en 56% de los pacientes con EIM, y redujo significativamente los días de hospitalización por descompensación metabólica.

  16. [Not Available].

    PubMed

    Peñailillo Escarate, Luis; Mackay Phillips, Karen; Serrano Duarte, Natalia; Canales Espinoza, Pablo; Miranda Herrera, Pamela; Zbinden-Foncea, Hermann

    2016-07-19

    Introducción: el entrenamiento de intervalos de alta intensidad (HIIT) y el consumo de ácidos grasos omega-3 (O3) ha demostrado cada uno por separado aumentar la capacidad aeróbica, metabolismo oxidativo y función cardiovascular.Objetivo: examinar el efecto combinado de HIIT más suplementación de O3 en el rendimiento físico, presión arterial y composición corporal en jóvenes sedentarios.Método: 28 jóvenes sedentarios con sobrepeso (Edad=22 ± 4 años; IMC=25.8 ± 2.4 kg·m-2) fueron distribuidos aleatoriamente en cuatro grupos: grupo O3/HIIT (n=7) realizó un protocolo de HIIT, tres veces por semana durante seis semanas y consumió 2 g·día-1 de O3; grupo HIIT (n=7) realizó solo el HIIT; grupo O3 (n=7) solo consumió O3; y grupo CONTROL (n=7) que no realizó ninguna intervención. Consumo de oxígeno peak (VO2peak), velocidad máxima (Vmax), presión arterial sistólica y diastólica (PAS y PAD), y porcentaje de grasa fueron medidos antes y después de la intervención.Resultados: el consumo de oxígeno peak aumentó más en el grupo O3/HIIT (+10.9%) en comparación con HIIT, O3 y CONTROL. Velocidad máxima aumentó en O3/HIIT (+7.1%) y HIIT (+11.9%). La presión arterial sistólica disminuyó más en O3 (-6.8%) en comparación con O3/HIIT, HIIT y CONTROL. Por último, O3/HIIT (-19.2%), HIIT (-20.2%), y O3 (-15.2%) presentaron mayores disminuciones del porcentaje de masa grasa en relación al CONTROL.Conclusión: nuestros resultados sugieren un efecto potenciador de la capacidad aeróbica máxima producto de la combinación de HIIT y suplementación de O3. Además, se observó una disminución de masa grasa en todos los grupos intervenidos.

  17. Role of ApoA1 on high-density lipoprotein: an intervention with plant sterols in patients with hypercholesterolemia.

    PubMed

    San Mauro Martín, Ismael; Collado Yurrita, Luis; Cuadrado Cenzual, María Ángeles; Ciudad Cabañas, María José; Mendive Dubourdieu, Paula

    2014-10-03

    Antecedentes: Numerosos estudios han demostrado una asociación inversa entre la concentración de colesterol asociado a lipoproteínas de alta densidad de colesterol (HDL-c) y el riesgo cardiovascular. El presente estudio investigo la posible relación entre la apolipoproteína A (ApoA1) y el HDL-C como una nueva estrategia para reducir el riesgo cardiovascular. Objetivo: determinar el efecto de ApoA1 en el metabolismo del colesterol a través de su influencia sobre el HDL-c en la población adulta joven. Métodos: ensayo clínico, controlado, aleatorizado, doble ciego, proporcionando una leche comercial con esteroles, “Naturcol”, durante 3 semanas (n = 19) y placebo (n = 16). Se diseñó un cuestionario Ad Hoc y se realizó un estudio antropométrico completo. Se utilizó el programa SPSS 21.0 para analizar los datos estadísticos. Resultados: Se observaron diferencias significativas entre la leche de esterol y el placebo únicamente en un solo marcador, en las lipoproteínas de baja densidad del colesterol (LDL-c). Se encontró una dispersión lineal de datos entre HDL-C y ApoA1, tanto al principio y al final de la intervención (correlación de Person = 0,846 y 0,903, respectivamente). Se observó alta dependencia en la regresión lineal (R2 = 0,715 y 0,816, respectivamente). Conclusión: Una relación significativa entre el HDL-c y ApoA1 fue comprobada. Teniendo en cuenta la importancia que los niveles de HDL-c parecen tener en la salud cardiovascular, la ApoA1 se presenta como un importante marcador clínico para mejorar la función del corazón, así como para reducir el riesgo cardiovascular.

  18. [In Process Citation].

    PubMed

    Fófano do Lago, Márcia; Chaia Kaippert, Vanessa; Lopes Souto, Débora; Lopes Rosado, Eliane

    2016-01-01

    Introducción: el tipo de ácido graso de la dieta presenta diferentes efectos sobre la obesidad y sus complicaciones, pero estos efectos pueden verse influenciados por los genes y sus polimorfismos, tales como los receptores activados por el proliferador de los peroxisomas isoforma γ2 (PPARγ2). Además, no está claro si el grado de insaturación de los lípidos posee diferentes efectos en el metabolismo de los lípidos y de la glucosa y, particularmente, en la pérdida de peso. Objetivos: evaluar la influencia de dietas ricas en ácidos grasos poliinsaturados (AGPI) y monoinsaturados (AGMI) en las variables antropométricas y bioquímicas en el peso corporal y el perfil glucémico y lipémico en mujeres obesas con el genotipo Pro12Pro en el gen PPARγ2. Métodos: dieciocho mujeres obesas con genotipo Pro12Pro fueron distribuidas aleatoriamente para una de las dietas, rica en AGPI (n = 8) o AGMI (n = 10). Las variables antropométricas (índice de masa corporal [IMC] y circunferencia de la cintura) y bioquímicas (glucosa, insulina, HOMA-IR, colesterol total, LDL-colesterol, HDL colesterol y triglicéridos) fueron evaluadas antes y después de un periodo de 45 días. Resultados: las variables antropométricas y bioquímicas fueron similares entre los grupos antes y después de la intervención (p > 0,05). El IMC disminuyó después de la ingesta de AGPI (p = 0,01), probablemente debido al menor contenido de lípidos. El AGMI redujo la glucosa (p = 0,03), insulina (p = 0,03) y HOMA-IR (p = 0,02). Conclusión: los AGMI fueron más eficientes para reducir la resistencia a la insulina en mujeres obesas con el genotipo Pro12Pro en el gen PPARγ2, aunque las mujeres presentaran una elevada ingesta de lípidos totales y ácidos grasos saturados. PMID:27238785

  19. [Anatomopathological findings during development of diabetic cardiomyopathy in rats].

    PubMed

    Manjarrez-Gutiérrez, Gabriel; Hernández-Chávez, Victor; Neri-Gómez, Teresa; Boyzo-Montes de Oca, Alfonso; Mondragón-Herrera, José Antonio; Hernández-Rodríguez, Jorge

    2014-01-01

    Antecedentes: la miocardiopatía diabética ocurre en ambos tipos de diabetes mellitus y en su patogenia intervienen la hiperglucemia y los cambios metabólicos asociados. Objetivo: caracterizar los diferentes cambios patológicos que aparecen durante la evolución de la miocardiopatía diabética en la rata. Material y métodos: estudio transversal comparativo en dos grupos de ratas diabéticas por la administración de estreptozotocina. A los 14, 21 y 30 días de la administración del tóxico se obtuvieron los corazones, que se colocaron en p-formaldehído al 4%. Se efectuaron cortes de 5 μm y se tiñeron con hematoxilina-eosina, tricrómica de Masson e inmunocitoquímica con anticuerpos anti β-tubulina. Resultados: a los 14 días de la aplicación de la estreptozotocina se observaron en el miocardio sinusoides dilatadas y depósito de colágena entre las fibras de Purkinje e intersticio cardiaco. A los 21 días disminuyó la luz arteriolar por hiperplasia de la capa media. A los 30 días del estudio se hicieron más evidentes los sinusoides cardiacos y los depósitos de colágena y un importante desarreglo del sistema microtubular de los cardiomiocitos. Conclusiones: los sinusoides cardiacos, que representan un patrón vascular fetal y la fibrosis intersticial en el miocardio y el desarreglo microtubular de los cardiomiocitos, apoyan el hecho de que el mecanismo fisiopatológico de la miocardiopatía diabética se inicia en la microcirculación coronaria debido a cambios en el metabolismo cardiaco que contribuyen a la disfunción miocárdica durante el estado diabético.

  20. A protocol for storage and long-distance shipment of Mediterranean fruit fly (Diptera: Tephritidae) eggs. II. Assessment of the optimal temperature and the substrate for male-only production

    SciTech Connect

    Maman, E.; Caceres, C.

    2007-03-15

    satelites de cria masiva para la produccion de machos de la mosca mediterranea de la fruta. Los huevos fueron sumergidos en dos substratos diferentes y almacenados a diferente temperatura a diferentes periodos tiempos. Los resultados de este estudio sugieren que el periodo y hasta cierto punto el substrato de almacenamiento tienen un efecto significativo en la supervivencia de las pupas y los adultos. Para un periodo de almacenamiento de 72-h los huevos almacenados en solucion de agar a 10 deg. C producen un numero mayor de pupas. Hubo una relacion inversa entre la concentracion de oxigeno disuelto en el substrato durante el almacenamiento y la calidad y supervivencia de los huevos almacenados/transportados. Aparentemente los niveles bajos de oxigeno disuelto reducen el metabolismo y permiten que el periodo de almacenamiento pueda ser prolongado. (author)

  1. Portable hyperspectral device as a valuable tool for the detection of protective agents applied on hystorical buildings

    NASA Astrophysics Data System (ADS)

    Vettori, S.; Pecchioni, E.; Camaiti, M.; Garfagnoli, F.; Benvenuti, M.; Costagliola, P.; Moretti, S.

    2012-04-01

    the laboratory experiments indicate that this hyperspectral technique is able to distinguish the different protective agents and, therefore, may be used to monitor the conservation treatments employed for the stone surfaces of historic materials. [1] G.G. Amoroso, M. Camaiti, Scienza dei materiali e restauro - La pietra: dalle mani degli artisti e degli scalpellini a quelle dei chimici macromolecolari, Alinea Ed., Firenze, 1997. [2] S. Vettori, M. Benvenuti, M. Camaiti, L. Chiarantini, P. Costagliola, S. Moretti, E. Pecchioni, 2008, "Assessment of the deterioration status of historical buildings by hyperspectral imaging techniques", in Proceedings of the "In situ Monitoring of Monumental Surfaces -SMS/08" Congress, Edifir-Edizioni Firenze 2008, 55-64. [3] M. Camaiti, S. Vettori, M. Benvenuti, L. Chiarantini, P. Costagliola, F. Di Benedetto, S. Moretti, F. Paba, E. Pecchioni, 2011, "Hyperspectral sensor for gypsum detection on monumental buildings", Journal of Geophysics and Engineering, 8, S126-S131.

  2. Characterization of medium enthalpy geothermal system in the Campania region (southern Italy): from geological data to resource modelling

    NASA Astrophysics Data System (ADS)

    Montegrossi, G.; Inversi, B.; Scrocca, D.; Livani, M.; Petracchini, L.

    2012-04-01

    Within the framework of the VIGOR project, a characterization of medium enthalpy geothermal resources have been carried out in the Campania region (southern Italy), with a focus on the "Guardia dei Lombardi" area (province of Avellino). The VIGOR project began on the basis of an agreement between the Ministry of Economic Development and the Italian National Research Council, and it deal with the exploitation of innovative uses of geothermal energy in the so-called "regions of convergence"(Campania, Calabria, Puglia and Sicilia). Thanks to the intense hydrocarbon exploration, carried out particularly during the 1956-1996 period, an extensive data set made up by deep wells and seismic reflection profiles exist in the study area. The previous exploration demonstrated the presence of a fractured carbonate reservoir, mainly belonging to the Cretaceous section of the Apulian shallow water carbonate platform (e.g. Scrocca 2010 and references therein), which is deformed to shape a buried antiformal stack. The culmination of the uppermost thrust unit reaches a depth of about 200 m SSL (i.e., about 1100 m below the ground level). The reservoir fluids are made up by a CO2 gas cap, which rests above an accumulation of fresh water in the central and upper part of the culmination of the deep carbonatic acquifer (e.g., Monte Forcuso 1 and 2 wells), and a saline water along the flank of the buried anticline (e.g., Bonito 1 Dir, Ciccone 1 wells). Medium enthalpy geothermal resources with a reservoir fluid temperature up to 100°C have been estimated in previous assessments at depth of 2000 m below ground level (ENEL 1987; 1994). However, the presence of thermal springs (e.g. Terme di S. Teodoro) in the area suggests the presence of an active hydraulic circuit and provide further constraints about the geochemical characteristics of the reservoir waters, and the geothermometers investigation (Duchi et al. 1995) give a possible reservoir fluid temperature up to about 124 °C. In this

  3. Near-surface geophysical investigations inside the cloister of an historical palace in Lecce, Italy

    NASA Astrophysics Data System (ADS)

    Nuzzo, L.; Quarta, T.

    2009-04-01

    Near-surface geophysics can play a major role in the framework of the Cultural Heritages diagnostics as the recourse to non-invasive geophysical methods is usually the only way to gain information on subsurface properties that can affect the stability of historical structures and accelerate degradation processes. In most cases the deterioration of ancient buildings is due to various causes: external, such as pollution, biological degradation and adverse climatic or microclimatic conditions; internal, such as a particular geological or hydro-geological setting or a combination of both. Therefore, being able to discriminate between the different sources and to identify the main process of decay becomes essential for the development of effective remediation actions. The present case study shows the main results of an integrated geophysical campaign performed inside the cloister of an important palace in Lecce, Southern Italy, in order to investigate the possible subsurface causes of deterioration affecting its pillars and walls and, more importantly, some altars of the annexed church. The historical building, named Palazzo dei Celestini, was formerly a monastery directly connected to the Basilica of Santa Croce and nowadays is the head office of the Province of Lecce Administration and the Prefecture. With its rich baroque façade, Palazzo dei Celestini and Santa Croce is the most famous architectural complex of the historical centre of Lecce. Its foundations generally rest on a very shallow and sometimes outcropping wet calcarenitic basement, evidenced by previous geophysical surveys performed in the nearby. The high capillarity of the local fine-grained calcarenitic stone used as building and ornamental material for the historical complex was thought to be responsible for the deterioration problems evidenced at some altars of the church and in the lower portion of the walls and pillars of the palace, although a previous microclimatic study inside the Basilica had

  4. Staggering Changes in Mediterranean Sea Surface Temperatures Coincide with Global Climate and Evolution Transitions during the Late Miocene - Pliocene

    NASA Astrophysics Data System (ADS)

    Tzanova, A.; Herbert, T.; Peterson, L.

    2012-12-01

    The Late Miocene warmer-than-modern Earth is a time of important transitions such as the C3/C4 photosynthesis transition, the appearance of the Sahara and the hominin evolution. The interconnections and drivers for climate and evolutionary change during this time, such as pCO2, albedo, vegetation and temperatures, are still speculative. The causal relationships can be better understood via paleoproxy records from sensitive to climate shifts areas such as the Mediterranean Sea. The Mediterranean Sea is a largely enclosed mid-latitude basin on the cusp of the subtropical climate zone formed after the closure of the Tethys. The enclosed nature of the Mediterranean Sea makes it sensitive to continental climate and shifts in climate zones with the advantage of resolution, preservation and detail usually reserved for marine records Here we present a continuous 30 kyr resolution, sea surface temperature (SST) record for the Mediterranean Sea (Late Miocene - Pliocene) from the well-dated, uplifted marine sequences of Monte dei Corvi in Northern Italy and Rosello in Sicily, Italy. The Late Miocene portion of the record is from the pelagic, uplifted Monte dei Corvi land section. The data from two organic paleothermometers UK'37 and TEX86, establish the Mediterranean Sea as notably warmer than present. SSTs were equivalent and even higher than the warmest parts of the modern ocean. For the oldest samples, ~ 12.9 Ma to ~8.1 Ma, UK'37 derived temperatures hovered close to 28oC and possibly even higher. A distinct cooling trend takes over starting at ~8.1 Ma and superimposed upon it are prominent, high variability, cold episodes lasting from ~7 Ma to 6 Ma. During these extreme episodes, reconstructed SSTs reach values comparable the modern eastern Mediterranean annual average SST of 19.5oC. The variability during this colder period is substantial, with temperature swings of as much as ~6-8 oC over 40 kyr. Continuous pelagic sedimentation resumes after the Messinian Salinity

  5. Recent developments in human biomonitoring: non-invasive assessment of target tissue dose and effects of pneumotoxic metals

    PubMed Central

    Mutti, A.; Corradi, M.

    2006-01-01

    di ottenere una migliore comprensione dei meccanismi attraverso i quali i tossici inalati inducono un danno polmonare, la valutazione della dose a livello dell’organo bersaglio, in questo caso il polmone, potrebbe essere molto utile. Il condensato dell’aria espirata (CAE) è un fluido ottenuto raffreddando l’aria esalata durante la respirazione a volume corrente ed è una nuova tecnica che può fornire una valutazione della patobiologia polmonare. Il CAE è formato quasi completamente da acqua, quindi rappresenta una matrice biologica ideale per la determinazione d’elementi metallici. Dati presenti in letteratura dimostrano come nel CAE si possono dosare vari metalli tossici ed elementi di transizione, permettendo quindi di proporre questa matrice per la quantificazione della dose al bersaglio di sostanze pneumotossiche. La quantificazione della dose al bersaglio consente di avere informazioni aggiuntive rispetto a quelle ottenute con i tradizionali metodi di monitoraggio biologico in lavoratori esposti, che generalmente consentono di stimare la dose sistemica, ma non l’esposizione delle vie respiratorie ad inquinanti aerodispersi né la frazione trattenuta nel polmone, verosimilmente implicata nella patologia infiammatoria e degenerativa a livello polmonare. In questa breve rassegna sono discussi i dati ottenuti in lavoratori professionalmente esposti a metalli duri ed in fumatori con o senza bronco-pneumopatica cronica ostruttiva (BPCO), per mostrare come il CAE – oltre agli indicatori di esposizione – consente di valutare indicatori di effetto campionati direttamente dal film che riveste le vie respiratorie, fornendo quindi nuovi spunti per meglio comprendere sia gli aspetti cinetici che quelli dinamici della tossicologia dei metalli. PMID:17017350

  6. 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

  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. Evaluating the effects of dam breach methodologies on Consequence Estimation through Sensitivity Analysis

    NASA Astrophysics Data System (ADS)

    Kalyanapu, A. J.; Thames, B. A.

    2013-12-01

    consequence assessment for the solution to the problem statement. For the four breach methodologies, a sensitivity analysis of four breach parameters, breach side slope (SS), breach width (Wb), breach invert elevation (Elb), and time of failure (tf), is conducted. Up to, 68 simulations are computed to produce breach hydrographs in HEC-RAS for input into Flood2D-GPU. The Flood2D-GPU simulation results were then post-processed in HEC-FIA to evaluate: Total Population at Risk (PAR), 14-yr and Under PAR (PAR14-), 65-yr and Over PAR (PAR65+), Loss of Life (LOL) and Direct Economic Impact (DEI). The MLM approach resulted in wide variability in simulated minimum and maximum values of PAR, PAR 65+ and LOL estimates. For PAR14- and DEI, Froehlich (1995) resulted in lower values while MLM resulted in higher estimates. This preliminary study demonstrated the relative performance of four commonly used dam breach methodologies and their impacts on consequence estimation.

  9. Puget Sound area electric reliability plan. Draft environmental impact statement

    SciTech Connect

    Not Available

    1991-09-01

    The Puget Sound Area Electric Reliability Plan Draft Environmental Impact Statement (DEIS) identifies the alternatives for solving a power system problem in the Puget Sound area. This Plan is undertaken by Bonneville Power Administration (BPA), Puget Sound Power & Light, Seattle City Light, Snohomish Public Utility District No. 1 (PUD), and Tacoma Public Utilities. The Plan consists of potential actions in Puget Sound and other areas in the State of Washington. A specific need exists in the Puget Sound area for balance between east-west transmission capacity and the increasing demand to import power generated east of the Cascades. At certain times of the year, there is more demand for power than the electric system can supply in the Puget Sound area. This high demand, called peak demand, occurs during the winter months when unusually cold weather increases electricity use for heating. The existing power system can supply enough power if no emergencies occur. However, during emergencies, the system will not operate properly. As demand grows, the system becomes more strained. To meet demand, the rate of growth of demand must be reduced or the ability to serve the demand must be increased, or both. The plan to balance Puget Sound`s power demand and supply has these purposes: The plan should define a set of actions that would accommodate ten years of load growth (1994--2003). Federal and State environmental quality requirements should be met. The plan should be consistent with the plans of the Northwest Power Planning Council. The plan should serve as a consensus guideline for coordinated utility action. The plan should be flexible to accommodate uncertainties and differing utility needs. The plan should balance environmental impacts and economic costs. The plan should provide electric system reliability consistent with customer expectations. 29 figs., 24 tabs.

  10. Effects of the association of diabetes and pulmonary emphysema on cardiac structure and function in rats.

    PubMed

    Di Petta, Antonio; Simas, Rafael; Ferreira, Clebson L; Capelozzi, Vera L; Salemi, Vera M C; Moreira, Luiz F P; Sannomiya, Paulina

    2015-10-01

    Chronic obstructive pulmonary disease is often associated with chronic comorbid conditions of cardiovascular disease, diabetes mellitus and hypertension. This study aimed to investigate the effects of the association of diabetes and pulmonary emphysema on cardiac structure and function in rats. Wistar rats were divided into control non-diabetic instilled with saline (CS) or elastase (CE), diabetic instilled with saline (DS) or elastase (DE), DE treated with insulin (DEI) groups and echocardiographic measurements, morphometric analyses of the heart and lungs, and survival analysis conducted 50 days after instillation. Diabetes mellitus was induced [alloxan, 42 mg/kg, intravenously (iv)] 10 days before the induction of emphysema (elastase, 0.25 IU/100 g). Rats were treated with NPH insulin (4 IU before elastase plus 2 IU/day, 50 days). Both CE and DE exhibited similar increases in mean alveolar diameter, which are positively correlated with increases in right ventricular (RV) wall thickness (P = 0.0022), cavity area (P = 0.0001) and cardiomyocyte thickness (P = 0.0001). Diabetic saline group demonstrated a reduction in left ventricular (LV) wall, interventricular (IV) septum, cardiomyocyte thickness and an increase in cavity area, associated with a reduction in LV fractional shortening (P < 0.05), and an increase in LViv relaxation time (P < 0.05). Survival rate decreased from 80% in DS group to 40% in DE group. In conclusion, alloxan diabetes did not affect RV hypertrophy secondary to chronic emphysema, even in the presence of insulin. Diabetes per se induced left ventricular dysfunction, which was less evident in the presence of RV hypertrophy. Survival rate was substantially reduced as a consequence, at least in part, of the coexistence of RV hypertrophy and diabetic cardiomyopathy.

  11. Severe breathing and swallowing difficulties during routine restorative dentistry.

    PubMed

    Lococo, Filippo; Trabucco, Laura; Leuzzi, Giovanni; Salvo, Fulvio; Paci, Massimiliano; Sgarbi, Giorgio; Ferrari, Anna Maria

    2015-04-30

    Una donna di 57 anni si sottoponeva ad trattamento odontoiatrico per una carie del secondo molare superiore di destra. Durante la visita odontoiatrica veniva utilizzato uno strumento ad aria compressa, secondo lo standard di cura. Improvvisamente, la paziente accusava deglutizione e difficoltà respiratorie ed un notevole gonfiore del viso che coinvolgeva il collo e parzialmente il volto. La paziente veniva pertanto trasportata d’urgenza al Pronto Soccorso con il sospetto di reazione allergica. L’esame clinico rivelava un crepitio palpabile a livello dei tessuti sottocutanei del volto, del collo e della regione pre- sternale senza però rilevare nessun segno di infiammazione, trisma o raccolta di liquidi. Una radiografia del torace prima ed una tomografia computerizzata successivamente confermavano la presenza d’aria nei tessuti molli delle regioni profonde dagli spazi peri-mandibolare e retro-mandibolari e nella zona sub-mascellare e latero –cervicale estendendosi lungo il solco vascolare e nello spazio retrofaringeo discendente fino a livello del mediastino. La paziente veniva quindi sottoposta ad osservazione clinica e monitoraggio respiratorio, e si cominciava la somministrazione endovenosa di antibiotici ad ampio spettro ed analgesici. Il successivo decorso ospedaliero risultava regolare e la paziente veniva dimessa in 5° giornata di ricovero dopo miglioramento del quadro clinico e radiologico. Tre mesi dopo la dimissione, la paziente risultava in buone condizioni cliniche in assenza di recidiva. Come risulta nel caso sopra riportato, l’enfisema sottocutaneo e lo pneumomediastino, sebbene raramente possono essere legati ad alcune manovre odontoiatriche che utilizzano sistemi ad immissione di aria ad alta pressione. Nonostante l’esordio acuto ed la sintomatologia spesso allarmante (al punto da poter essere erroneamente scambiata per una reazione allergica), si tratta di una condizione benigna e sostanzialmente ad auto-risoluzione pur necessitando

  12. Puget Sound Area Electric Reliability Plan : Draft Environmental Impact State.

    SciTech Connect

    United States. Bonneville Power Administration.

    1991-09-01

    The Puget Sound Area Electric Reliability Plan Draft Environmental Impact Statement (DEIS) identifies the alternatives for solving a power system problem in the Puget Sound area. This Plan is undertaken by Bonneville Power Administration (BPA), Puget Sound Power Light, Seattle City Light, Snohomish Public Utility District No. 1 (PUD), and Tacoma Public Utilities. The Plan consists of potential actions in Puget Sound and other areas in the State of Washington. A specific need exists in the Puget Sound area for balance between east-west transmission capacity and the increasing demand to import power generated east of the Cascades. At certain times of the year, there is more demand for power than the electric system can supply in the Puget Sound area. This high demand, called peak demand, occurs during the winter months when unusually cold weather increases electricity use for heating. The existing power system can supply enough power if no emergencies occur. However, during emergencies, the system will not operate properly. As demand grows, the system becomes more strained. To meet demand, the rate of growth of demand must be reduced or the ability to serve the demand must be increased, or both. The plan to balance Puget Sound's power demand and supply has these purposes: The plan should define a set of actions that would accommodate ten years of load growth (1994--2003). Federal and State environmental quality requirements should be met. The plan should be consistent with the plans of the Northwest Power Planning Council. The plan should serve as a consensus guideline for coordinated utility action. The plan should be flexible to accommodate uncertainties and differing utility needs. The plan should balance environmental impacts and economic costs. The plan should provide electric system reliability consistent with customer expectations. 29 figs., 24 tabs.

  13. Safeguard of Cultural Heritage: Evaluation of Ground Motion at Palazzo Te (Mantova, Italy)

    NASA Astrophysics Data System (ADS)

    Daminelli, R.; Tento, A.; Benetti, S.; Pisani, C.; Mastromarino, C.; Riva, P.; Marcellini, A.

    2011-12-01

    Built on the first half of the XVI century, under Federico II Gonzaga, Duke of Mantova, Palazzo Te is one of the most relevant Italian monuments and it belongs to the UNESCO World Heritage List; the Camera dei Giganti (Chamber of the Giants) hosts a famous XVI century Giulio Romano fresco. Palazzo Te raises concerns in particular for the statics of the Fruttiere external wall and for some fissures that cross the above mentioned fresco. Therefore a monitoring survey has been undertaken to detect and qualify the vibrations caused by earthquakes and anthropic activity. Palazzo Te is situated in a low seismicity area, nevertheless even weak earthquakes could result in significant damage due to the poor soil conditions. A seismic station deployed inside the Palazzo Te recorded, on July 17, 2011, 2 cm/sec2 PGA for the ML 4.7 earthquake located at approx 51 km distance: some light damage has been observed. As far as vibrations due to anthropic origin, the station has evidenced that the major threat is due to the trains at the nearby railway: inside the Palazzo Te PGA reached 5 cm/sec2. The seismic survey led to the following considerations: 1. even low magnitude earthquakes can be a threat, given the intrinsic vulnerability of some parts of the Palazzo Te; 2. the main and possibly unique significant dangerous vibrations of anthropic origin come from the trains running nearby; 3. the response spectra evidenced that the earthquake had a consistent energy content till T0=2 seconds, while the spectrum of the trains decay abruptly at around 10 Hz. In contrast the train response spectrum is significantly higher in the high frequency range. In conclusion, despite the relatively low hazard, seismic risk is still relevant, because of the poor soil conditions coupled with the high vulnerability. The train vibrations are not a threat for the Palazzo Te structure but can cause some concerns to the frescoes.

  14. Knowledge of the bio-effects of ultrasound among physicians performing clinical ultrasonography: Results of a survey conducted by the Italian Society for Ultrasound in Medicine and Biology (SIUMB).

    PubMed

    Piscaglia, F; Tewelde, A G; Righini, R; Gianstefani, A; Calliada, F; Bolondi, L

    2009-03-01

    Sommario INTRODUZIONE: La sicurezza nell'uso degli ultrasuoni va sempre considerata in campo ecografico, in quanto gli ultrasuoni sono in grado di indurre effetti biologici potenzialmente dannosi, soprattutto con l'introduzione di nuove tecnologie. SCOPO DELLO STUDIO: Valutare il livello di consapevolezza e di conoscenza dei medici italiani soci SIUMB sulla sicurezza nell'uso dell'ecografia nella pratica clinica. MATERIALI E METODI: Un questionario contenente 11 domande a risposta multipla è stato inviato per e-mail a soci SIUMB (Società Italiana di Ultrasonologia in Medicina e Biologia). Le risposte sono state inserite in un database elettronico ed analizzate statisticamente. RISULTATI: Sono tornati questionari da 105 soci, di età media di 44 anni i cui esami ecografici più frequentemente eseguiti, in aggiunta all'ecografia B-mode standard, erano l'ecoDoppler (74%), l'ecografia con mezzo di contrasto (43%) e l'ecografia pediatrica (43%). Solo il 50–60% conosceva la definizione corretta dell'Indice Meccanico e dell'Indice Termico. Quasi tutti i partecipanti comprendevano gli effetti biologici espressi con Indice Termico, nonostante che solo una minoranza sapesse in quale organo gli effetti biologici, in relazione all'Indice Meccanico, potevano, con più probabilità, verificarsi; analogamente solo una minoranza conosceva l'unità di grandezza per l'Indice Termico. La maggioranza era a conoscenza di come i tessuti del feto siano più suscettibili ai potenziali effetti di quelli adulti. Pochi partecipanti conoscevano le raccomandazioni delle Società Internazionali di Ultrasonologia in campo di sicurezza. CONCLUSIONI: Lo studio ha fatto emergere come sia necessaria una maggior diffusione delle conoscenze sugli effetti biologici degli ultrasuoni tra gli ecografisti italiani.

  15. 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.

  16. Demographic characteristics and seasonal variations of acute appendicitis.

    PubMed

    Bal, Ahmet; Ozkececi, Ziya Taner; Turkoglu, Ozgur; Ozsoy, Mustafa; Celep, Ruchan Bahadir; Yilmaz, Sezgin; Arikan, Yüksel

    2015-01-01

    L’appendicite è la patologia che più comunemente richiede un intervento chirurgico in emergenza, e l’appendicectomia è il procedimento chirurgico più commune in tutto il mondo, importante in quanto rappresenta un trattamento efficace. Il nostro scopo è stato quello di determinare le variazioni stagionali dell’appendicite nella nostra regione e di indentificare le differenze demografiche e regionali, e per questo abbiamo analizzato retrospettivamente I dati dei pazienti ricoverati nell’ospedale universitario Afyon Kocatepe e nell’ospedale statale Sivrihisar State tra il 2003 ed il 2012, cioè 839 pazienti. L’età media di tutti i pazienti era di 33 ± 14.7 anni, e la maggior frequenza dell’appendicite acuta è risultata in autunno e nella primavera (P > 0.05). Non si sono osservate differenze sigfnificative stagionali nell’ospedale universitario Afyon Kocatepe, mentre l’appendicite si è manifestata più frequentemente in autunno che non in inverno nell’ospedale statale Sivrihisar (P < 0.05). non c’è stata nessuna relazione con la temperatura media mensile, l’umidità, l’entità delle precipitazioni e la frequenza dell’appendicite (P > 0.05). In conclusion, sebbene l’appendicite presenta una variazione stagionale, altri fattori embientali e l’impatto delle abitudini alimentari non vanno ignorate. L’etiologia dell’appendicite è comunque.multifattoriale, e nei futuri studi multiparametrici nell’intero territorio nazionale potrebbero evidenziarsi delle etiologie territorio-specifiche di questa patologia.

  17. Characterisation of MRSA from Malta and the description of a Maltese epidemic MRSA strain.

    PubMed

    Scicluna, E A; Shore, A C; Thürmer, A; Ehricht, R; Slickers, P; Borg, M A; Coleman, D C; Monecke, S

    2010-02-01

    Malta has one of the highest prevalence rates of methicillin-resistant Staphylococcus aureus (MRSA) in Europe. However, only limited typing data are currently available. In order to address this situation, 45 MRSA isolates from the Mater Dei Hospital in Msida, Malta, were characterised using DNA microarrays. The most common strain was ST22-MRSA-IV (UK-EMRSA-15, 30 isolates). Sporadic strains included ST36-MRSA-II (UK-EMRSA-16, two isolates), PVL-positive ST80-MRSA-IV (European Clone, one isolate), ST228-MRSA-I (Italian Clone/South German Epidemic Strain, one isolate) and ST239-MRSA-III (Vienna/Hungarian/Brazilian Epidemic Strain, one isolate). Ten MRSA isolates belonged to a clonal complex (CC) 5/ST149, spa type t002 strain. This strain harboured an SCCmec IV element (mecA, delta mecR, ugpQ, dcs, ccrA2 and ccrB2), as well as novel alleles of ccrA/B and the fusidic acid resistance element Q6GD50 (previously described in the sequenced strain MSSA476, BX571857.1:SAS0043). It also carried the gene for enterotoxin A (sea) and the egc enterotoxin locus, as well as (in nine out of ten isolates) genes encoding the toxic shock syndrome toxin (tst1) and enterotoxins C and L (sec, sel). While the presence of the other MRSA strains suggests foreign importation due to travel between Malta and other European countries, the CC5/t002 strain appears, so far, to be restricted to Malta.

  18. 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

  19. SALVEREMO, an automatic system for the search and rescue in the wilderness and mountain areas

    NASA Astrophysics Data System (ADS)

    Penna, Roberto; Allasia, Walter; Bianchi, Luca; Licata, Enrico; Duranti, Pierluigi; Molino, Andrea; Bagalini, Enea; Sagliocco, Sergio; Scarafia, Simone; Prinetto, Paolo; Airofarulla, Giuseppe; Carelli, Alberto

    2016-04-01

    SALVEREMO project aims at designing and prototyping an innovative system for searching and rescuing individuals (especially hikers and mountaineers) who got lost or in peril in wilderness or mountain areas. It makes use of Remotely Piloted Aircraft System (RPAS) equipped with a sensor suite specifically selected according to the requirements identified involving alpine rescuers and government officials. The peculiarity of the proposed solution is the exploitation and integration of the special skill and expertise coming from different competence fields. It will dramatically decrease the searching time in the wilderness and remote areas off the beaten tracks, providing rescuers and operators with a decision support system increasing successful results and reducing rescue missions costs. The system benefits from the adoption of a scaled-down Base Transceiver Station (BTS) embarked in the payload sensor suite of a small RPAS that can be carried in a back pack of rescuers. A Software Defined Radio (SDR) board implementing the BTS protocol stack has been integrated in a complex sensor suite made up of open processing boards and camera devices. Moreover computer vision (CV) algorithms for real time pattern detection and image enhancements have been investigated for assisting the rescuers during the searching operations. An easy-to-use ground station application has been developed for speeding up the overall mission accomplishment. Aknowledgement SALVEREMO project is a research project co-funded by Regione Piemonte according to the call for proposal POR F.E.S.R. 2007/2013, "Linea di attività I.1.3-Innovazione e PMI - Polo della Meccatronica e dei Sistemi Avanzati di Produzione". The authors want to thank "Il Soccorso Alpino Italiano" for the invaluable support for establishing operative requirements.

  20. 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.