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1.
J Endocrinol Invest ; 47(4): 857-864, 2024 Apr.
Article in English | MEDLINE | ID: mdl-37752372

ABSTRACT

PURPOSE: To characterize patients with APS and to propose a new approach for their follow-up. Query ID="Q1" Text="Please check the given names and familynames." METHODS: Monocentric observational retrospective study enrolling patients referred to the Outpatients clinic of the Units of Endocrinology, Diabetology, Gastroenterology, Rheumatology and Clinical Immunology of our Hospital for Autoimmune diseases. RESULTS: Among 9852 patients, 1174 (11.9%) [869 (73.9%) female] were diagnosed with APS. In 254 subjects, the diagnosis was made at first clinical evaluation (Group 1), all the other patients were diagnosed with a mean latency of 11.3 ± 10.6 years (Group 2). Group 1 and 2 were comparable for age at diagnosis (35.7 ± 16.3 vs. 40.4 ± 16.6 yrs, p = .698), but different in male/female ratio (81/173 vs 226/696, p = .019). In Group 2, 50% of patients developed the syndrome within 8 years of follow-up. A significant difference was found after subdividing the first clinical manifestation into the different outpatient clinic to which they referred (8.7 ± 8.0 vs. 13.4 ± 11.6 vs. 19.8 ± 8.7 vs. 7.4 ± 8.1 for endocrine, diabetic, rheumatologic, and gastroenterological diseases, respectively, p < .001). CONCLUSIONS: We described a large series of patients affected by APS according to splitters and lumpers. We propose a flowchart tailored for each specialist outpatient clinic taking care of the patients. Finally, we recommend regular reproductive system assessment due to the non-negligible risk of developing premature ovarian failure.


Subject(s)
Autoimmune Diseases , Endocrinology , Polyendocrinopathies, Autoimmune , Primary Ovarian Insufficiency , Humans , Female , Male , Retrospective Studies , Polyendocrinopathies, Autoimmune/diagnosis
2.
Dis Esophagus ; 36(10)2023 Sep 30.
Article in English | MEDLINE | ID: mdl-37158189

ABSTRACT

Achalasia is a rare disease with significant diagnostic delay and association with false diagnoses and unnecessary interventions. It remains unclear, whether atypical presentations, misinterpreted symptoms or inconclusive diagnostics are the cause. The aim of this study was the characterization of typical and atypical features of achalasia and their impact on delays, misinterpretations or false diagnoses. A retrospective analysis of prospective database over a period of 30 years was performed. Data about symptoms, delays and false diagnoses were obtained and correlated with manometric, endoscopic and radiologic findings. Totally, 300 patients with achalasia were included. Typical symptoms (dysphagia, regurgitation, weight loss and retrosternal pain) were present in 98.7%, 88%, 58.4% and 52.4%. The mean diagnostic delay was 4.7 years. Atypical symptoms were found in 61.7% and led to a delay of 6 months. Atypical gastrointestinal symptoms were common (43%), mostly 'heartburn' (16.3%), 'vomiting' (15.3%) or belching (7.7%). A single false diagnosis occurred in 26%, multiple in 16%. Major gastrointestinal misdiagnoses were GERD in 16.7% and eosinophilic esophagitis in 4%. Other false diagnosis affected ENT-, psychiatric, neurologic, cardiologic or thyroid diseases. Pitfalls were the description of 'heartburn' or 'nausea'. Tertiary contractions at barium swallows, hiatal hernias and 'reflux-like' changes at endoscopy or eosinophils in the biopsies were misleading. Atypical symptoms are common in achalasia, but they are not the sole source for diagnostic delays. Misleading descriptions of typical symptoms or misinterpretation of diagnostic studies contribute to false diagnoses and delays.


Subject(s)
Esophageal Achalasia , Gastroesophageal Reflux , Humans , Esophageal Achalasia/diagnosis , Delayed Diagnosis , Retrospective Studies , Gastroesophageal Reflux/diagnosis , Gastroesophageal Reflux/complications , Heartburn/etiology
3.
Osteoporos Int ; 32(12): 2461-2472, 2021 Dec.
Article in English | MEDLINE | ID: mdl-34097127

ABSTRACT

We analyzed polymorphism of the ALPL gene in patients with low serum levels of tissue-nonspecific alkaline phosphatase (TNAP). The presence of three or more of the less frequent alleles of ALPL polymorphisms was associated with significantly lower TNAP serum level and higher frequencies of metatarsal fractures, which may help confirm a clinical suspicion of adult hypophosphatasia. INTRODUCTION: Alkaline phosphatases (ALPs) are membrane-bound enzymes that hydrolyze monophosphate esters at a high pH (pH 8-10). Inorganic pyrophosphate, pyridoxal 5-phosphate, the activated form of vitamin B6 (PLP), and phosphoethanolamine (PEA), are natural substrates of ALPs. Hypophosphatasia (HPP, OMIM 146300, 241500, 241510) is a heterogeneous rare metabolic bone disease caused by loss-of-function mutations in the tissue-nonspecific alkaline phosphatase gene (ALPL; MIM 171760) with a deficiency of TNAP. Clinical presentation of HPP in adults demonstrated a wide range of manifestations, many of which are nonspecific. In the present study, we screened the polymorphic genetic variants of ALPL in 56 subjects presenting low serum levels of TNAP and/or other clinical signs of adult HPP in order to evaluate a possible role of polymorphic variants in the diagnosis and management of HPP in adults. METHODS: Genomic DNA was extracted from peripheral blood and ALPL gene was sequenced by PCR-based Sanger technique. RESULTS: Fourteen different polymorphic variants were found in the study population. A lower serum level of TNAP and higher frequencies of metatarsal fractures were observed in patients bearing three or more of the minor frequency alleles (MFAs) of the ALPL polymorphic variants. The presence of some MFAs, mostly as a contemporary presence of three or more of them, was found to be mainly represented in patients having both a significantly lower level of TNAP and a higher level of vitamin B6. CONCLUSION: The genetic analysis and presence of some polymorphic variants may be an instrument to confirm clinical and biochemical data, consider adult HPP, and help clinicians be cautious in the administration of anti-reabsorption drugs.


Subject(s)
Hypophosphatasia , Adult , Alkaline Phosphatase/genetics , Alleles , Humans , Hypophosphatasia/genetics , Mutation , Pyridoxal Phosphate
4.
Anal Chim Acta ; 1125: 308-314, 2020 Aug 15.
Article in English | MEDLINE | ID: mdl-32674778

ABSTRACT

Ripening is a crucial step to guarantee the high commercial value of cheddar cheese, one of the dairy products the European Union exports the most. Although several methods have lately been proposed to assess its ageing process from a chemical point of view, the majority of them is not particularly time-efficient and implies destructive analytical tests, thus, exhibiting limitations for, e.g., industrial applications. Here, a fast approach based on combining Raman and Mid-InfraRed (MIR) spectroscopy with ANOVA-Simultaneous Component Analysis (ASCA) is proposed in a low-level data fusion framework. This approach allowed to evaluate how storage temperature and time (as well as their interaction) influence cheddar ripening in a relatively cheap, rapid and green fashion.


Subject(s)
Cheese/analysis , Analysis of Variance , Spectrophotometry, Infrared/statistics & numerical data , Spectrum Analysis, Raman , Temperature , Time Factors
5.
J Endocrinol Invest ; 43(4): 477-482, 2020 Apr.
Article in English | MEDLINE | ID: mdl-31654311

ABSTRACT

PURPOSE: Radiofrequency (RF) treatment has played an increasing role in the management of benign thyroid nodules in recent years. The aim of this retrospective study was to evaluate the efficacy of RF treatment on volume reduction in functioning and non-functioning thyroid nodules. PATIENTS AND METHODS: We reviewed the medical records of patients who had thyroid nodule RF ablation at our department between August 2017 and May 2018. Patients underwent a periodical follow-up with ultrasound examinations and thyroid function tests at 1, 3, 6 and 12 months from RF. Complications were assessed using the reporting standards of Interventional societies. RESULTS: 43 patients were submitted to thyroid nodule RF ablation treatment. Patients were subdivided into two groups, those with functioning (17 patients) or non-functioning nodules. At baseline (i.e. pre-RF treatment), the two groups of patients were superimposable for gender, age, BMI, nodule volume and maximum nodule diameter. The volume reduction of all 43 nodules was 69.1 ± 17.3% (range 26.0-94.5%) with no difference between functioning and non-functioning lesions (72.9 ± 18.1% vs 66.7 ± 16.7%, p = 0.254). A total energy delivered per nodule was 16.5 ± 6.8 kJ, with no difference between functioning and non-functioning lesions (14.5 ± 7.2 kJ vs. 18.2 ± 6.3 kJ, p = 0.083, respectively). No major complications were observed. CONCLUSIONS: Radiofrequency ablation is a clinically effective and safe outpatient treatment in patients with benign nodules. In particular, we showed that a single treatment is effective in restoring euthyroidism in patients with autonomously functioning thyroid nodules.


Subject(s)
Radiofrequency Ablation , Thyroid Gland/surgery , Thyroid Nodule/surgery , Adult , Aged , Female , Humans , Male , Middle Aged , Retrospective Studies , Thyroid Gland/diagnostic imaging , Thyroid Nodule/diagnostic imaging , Treatment Outcome , Ultrasonography
6.
Acta Endocrinol (Buchar) ; 15(3): 398-403, 2019.
Article in English | MEDLINE | ID: mdl-32010362

ABSTRACT

CONTEXT: Hyperparathyroidism-jaw tumour (HPT-JT) syndrome is a rare autosomal dominant cause of familial hyperparathyroidism associated with ossifying fibromas (OF) of the maxillofacial bones and increased risk of parathyroid carcinoma, caused by inactivating germline mutation of the cell division cycle 73 (CDC73) gene. OBJECTIVE: To report the first Romanian family with HPT-JT and genetic screening of CDC73 gene. SUBJECTS AND METHODS: Mutational analysis of the CDC73 gene and genetic screening of the family of a proband with HPT-JT. Histological diagnosis of parathyroid tumors (WHO criteria) and immunohistochemistry (parafibromin) were performed. RESULTS: Three of the six screened family members had evidence of PHPT and surgically proven parathyroid tumours. Two of the three affected members had parathyroid carcinomas and one had two parathyroid adenomas. Genetic screening of CDC73 gene revealed that 4 of 6 patients showed a heterozygous germline deletion of one nucleotide: c.128-IVS1+1 delG. All the three affected patients, resulted to be carriers of the CDC73 mutation, but each one bearing a different CDC73 polymorphism. CONCLUSIONS: We identified a new CDC73 germline mutation in a Romanian family of HPT-JT. Analysis of clinical phenotypes in the four mutated individuals confirmed the incomplete penetrance and the variable clinical expression of the disease.

7.
J Endocrinol Invest ; 41(11): 1301-1306, 2018 Nov.
Article in English | MEDLINE | ID: mdl-29582344

ABSTRACT

PURPOSE: To compare TSH levels of hypothyroid patients treated with liquid LT4 at breakfast or 30 min before breakfast. PATIENTS AND METHODS: Subjects, aged 18-75 years old, were eligible if they presented hypothyroidism, due to Hashimoto's thyroiditis or after thyroidectomy for proven benign goiter. Seven hundred ninety-eight patients were recruited and enrolled in the study. Thirty-seven subjects withdrew from the trial. A total of 761 patients (mean age 46.2 ± 10.8 years) completed the study. The starting dose of LT4 was determined through clinical judgment, taking into account TSH levels, estimated residual thyroid function, age, body weight and comorbidities. All patients underwent TSH, fT4, and fT3 evaluation to verify achievement of euthyroidism with their initial fasting state assumption of LT4 after 8 weeks of therapy. If euthyroidism was not achieved, an appropriately adjusted LT4 dose was administered for 8 weeks, after which thyroid function parameters were checked again. If euthyroidism was achieved, the patients were asked to take LT4 at breakfast and hormone levels were checked again after 6 months. RESULTS: At the end of the study period, no significant differences in serum TSH level were observed whether LT4 was ingested at breakfast or 30 min prior in a fasting state: 2.61 ± 1.79 vs. 2.54 ± 1.86 mIU/L, respectively (p = 0.455). CONCLUSIONS: This study confirms in a large set of patients that a liquid LT4 formulation can be taken directly at breakfast and potentially improve therapeutic compliance.


Subject(s)
Hormone Replacement Therapy , Hypothyroidism/blood , Thyrotropin/blood , Thyroxine/therapeutic use , Adult , Breakfast , Drug Administration Schedule , Fasting , Female , Humans , Hypothyroidism/drug therapy , Male , Middle Aged , Thyroxine/administration & dosage , Treatment Outcome
8.
Oncogene ; 36(42): 5914, 2017 10 19.
Article in English | MEDLINE | ID: mdl-28846116

ABSTRACT

This corrects the article DOI: 10.1038/onc.2017.93.

9.
Oncogene ; 36(33): 4778-4789, 2017 08 17.
Article in English | MEDLINE | ID: mdl-28414306

ABSTRACT

KRAS is one of the most frequently mutated oncogenes in human non-small cell lung cancers (NSCLCs). RAS proteins trigger multiple effector signalling pathways including the highly conserved RAF-MAPK pathway. CRAF, a direct RAS effector protein, is required for KRAS-mediated tumourigenesis. Thus, the molecular mechanisms driving the activation of CRAF are intensively studied. Prohibitin 1 (PHB1) is an evolutionarily conserved adaptor protein and interaction of CRAF with PHB1 at the plasma membrane is essential for CRAF activation. Here, we demonstrate that PHB1 is highly expressed in NSCLC patients and correlates with poor survival. Targeting of PHB1 with two chemical ligands (rocaglamide and fluorizoline) inhibits epidermal growth factor (EGF)/RAS-induced CRAF activation. Consistently, treatment with rocaglamide inhibited proliferation, migration and anchorage-independent growth of KRAS-mutated lung carcinoma cell lines. Surprisingly, rocaglamide treatment inhibited Ras-GTP loading in KRAS-mutated cells as well as in EGF-stimulated cells. Rocaglamide treatment further prevented the oncogenic growth of KRAS-driven lung cancer allografts and xenografts in mouse models. Our results suggest rocaglamide as a RAS inhibitor and that targeting plasma membrane-associated PHB1 with chemical ligands would be a viable therapeutic strategy to combat KRAS-mediated NSCLCs.


Subject(s)
Benzofurans/therapeutic use , Carcinoma, Non-Small-Cell Lung/drug therapy , Lung Neoplasms/drug therapy , Molecular Targeted Therapy , Proto-Oncogene Proteins p21(ras)/metabolism , Repressor Proteins/antagonists & inhibitors , Animals , Benzofurans/administration & dosage , Benzofurans/pharmacology , Cell Line, Tumor , Cell Proliferation , EGF Family of Proteins/metabolism , Gene Expression Regulation, Neoplastic , Humans , Ligands , Mice , Mice, Knockout , Prohibitins , Proto-Oncogene Proteins p21(ras)/genetics , Signal Transduction , TNF Receptor-Associated Factor 3/metabolism , Xenograft Model Antitumor Assays , raf Kinases/metabolism , ras Proteins/antagonists & inhibitors , ras Proteins/metabolism
10.
Talanta ; 167: 367-378, 2017 May 15.
Article in English | MEDLINE | ID: mdl-28340733

ABSTRACT

Bisphenol A (BPA) is one of the most largely produced chemical in the world; it is used to make plastics and epoxy resins. The endocrine disruptor potential of BPA is well known, but recent researches suggest a relationship between chronic exposure to BPA, genotoxic activity and epigenetic modifications. The main source of exposure to BPA includes food contact materials (FCM). Thus simple and robust test methods are needed to improve the migration test of BPA. In this work, a non-separative, easy, fast and inexpensive spectrofluorimetric method based on the second order calibration of excitation-emission fluorescence matrices (EEMs) was proposed for the determination of BPA. For the first time, molecular fluorescence was used to identify unequivocally and quantify BPA. Trilinearity of the data tensor guarantees the uniqueness of the solution obtained through parallel factor analysis (PARAFAC), so one factor of the decomposition matches up with BPA even if other fluorophores are in the test sample. The effect of four experimental factors of the procedure on the figures of merit and the unequivocally identification was investigated by means of a D-optimal design and PARAFAC calibration. The method is linear and accurate in the range 0-720µgL-1. The decision limit CCα and detection capability CCß are 6.63µgL-1 and 18.85µgL-1 respectively (with probabilities of false positive and false negative fixed at 0.05). Finally the proposed method was applied to carry out a migration test from two polycarbonate cups, using 3% (w/v) acetic acid in aqueous solution as food simulant. The migrated amount of BPA was found to be 688.7µgL-1 (n=5) for the first cup and 710.5µgL-1 (n=4) for the second one, above the specific migration limit set by EFSA (European Food Safety Authority).


Subject(s)
Benzhydryl Compounds/analysis , Benzhydryl Compounds/chemistry , Phenols/analysis , Phenols/chemistry , Polycarboxylate Cement/chemistry , Spectrometry, Fluorescence/methods , Software
11.
Environ Sci Pollut Res Int ; 24(16): 13885-13894, 2017 Jun.
Article in English | MEDLINE | ID: mdl-26971514

ABSTRACT

In this study, the validation of liquid chromatography-tandem mass spectrometry (HPLC-MS/MS) isotopic dilution method for the determination of benzene and nicotine metabolites in urine was carried out. Limit of detection are 0.026 µg/L for S-phenylmercapturic acid (SPMA), 0.55 µg/L for t,t-muconic acid (t,t-MA), and 12.41 µg/L for the cotinine, and the relative combined uncertainty was also calculated. The study involves 446 healthy volunteer residents since at least 10 years in an area of central Italy. SPMA resulted to be strongly correlated with cotinine (p = 0.75), its concentration in smokers (93) being about ten times than in non/ex-smokers (197/156), while the t,t-MA of smokers is about twice the non/ex-smokers value. A cutoff value for the definition of smoker is set at 100 µg/g creat. Oxidative stress was studied in smokers and non- and ex-smokers by means of the determination of the biomarkers 8-Oxo-7,8-dihydro-2'-deoxyguanosine (8-oxodGuo), 8-Oxo-7,8-dihydroguanosine (8-oxoGuo), and 8-Oxo-7,8-dihydroguanine (8-oxoGua): no significant differences were found between smokers and non/ex-smokers, but when subjects are classified according to the cotinine cutoff value, a correlation in smokers' urinary 8-oxodGuo is found with SPMA and cotinine (p = 0.60 and p = 0.57). Results were confirmed by chemometric analysis that also identified the experimental variables most contributing the discrimination as cotinine and t,t-MA.


Subject(s)
Benzene/toxicity , Biomarkers , Environmental Pollutants/toxicity , Oxidative Stress , Smoking , Acetylcysteine , Adult , Environmental Exposure , Environmental Monitoring , Female , Humans , Italy , Male , Middle Aged , Nucleic Acids , Sorbic Acid , Tandem Mass Spectrometry , Volunteers
12.
Br J Oral Maxillofac Surg ; 55(3): 266-269, 2017 Apr.
Article in English | MEDLINE | ID: mdl-27938945

ABSTRACT

Although fine-needle aspiration (FNA) cytology of thyroid nodules is invasive, it is simple, reliable, safe, and well-accepted by patients. Local pain and minor haematomas are the most common complications, and serious ones are rare. We report the complications associated with ultrasound-guided FNA of 7449 thyroid nodules in a series of 6323 patients (5121 women and 1202 men) treated between January 2007 and March 2016 at our institution. We reviewed their medical and imaging records, and recorded the number and type of complications, time of detection, time to recovery, management, and permanent consequences. Ten patients (0.15%) had complications, which included a focal carotid intramural haematoma that spread along the carotid wall for 7cm in a young patient, and one case of tumour seeding. No complications caused permanent problems. This series shows that ultrasound-guided FNA of thyroid lesions is safe and has few complications. However, physicians should always consider the risks and benefits for each patient before the procedure.


Subject(s)
Postoperative Complications/etiology , Thyroid Nodule/pathology , Adolescent , Adult , Aged , Aged, 80 and over , Biopsy, Fine-Needle/adverse effects , Female , Humans , Image-Guided Biopsy , Male , Middle Aged , Postoperative Complications/epidemiology , Retrospective Studies , Ultrasonography, Interventional , Young Adult
14.
Org Biomol Chem ; 14(6): 2015-24, 2016 Feb 14.
Article in English | MEDLINE | ID: mdl-26754878

ABSTRACT

Herein, we disclose a general and flexible access to spirocyclopropyl oxindoles by a domino Michael/intramolecular nucleophilic substitution pathway with variously substituted vinyl selenones and enolizable oxindoles in aqueous sodium hydroxide solution. The spirocyclopropyl oxindole being a privileged scaffold, some of the synthesized compounds were selected for biological evaluation. Compound showed selective anti-HIV-1 activity thanks to its ability to inhibit the reverse transcriptase.


Subject(s)
Anti-HIV Agents/pharmacology , HIV Reverse Transcriptase/antagonists & inhibitors , HIV/drug effects , HIV/enzymology , Reverse Transcriptase Inhibitors/pharmacology , Anti-HIV Agents/chemical synthesis , Anti-HIV Agents/chemistry , Cell Line, Tumor , Cell Survival/drug effects , Cyclopropanes/chemical synthesis , Cyclopropanes/chemistry , Cyclopropanes/pharmacology , HIV Reverse Transcriptase/metabolism , Humans , Indoles/chemical synthesis , Indoles/chemistry , Indoles/pharmacology , Microbial Sensitivity Tests , Molecular Conformation , Organoselenium Compounds/chemistry , Organoselenium Compounds/pharmacology , Reverse Transcriptase Inhibitors/chemical synthesis , Reverse Transcriptase Inhibitors/chemistry , Spiro Compounds/chemical synthesis , Spiro Compounds/chemistry , Spiro Compounds/pharmacology , Vinyl Compounds/chemistry , Vinyl Compounds/pharmacology , Virus Replication/drug effects
15.
Int J Obes (Lond) ; 39(7): 1118-25, 2015 Jul.
Article in English | MEDLINE | ID: mdl-25809828

ABSTRACT

BACKGROUND: Nowadays, non-alcoholic fatty liver disease (NAFLD) is one of the most common chronic liver diseases in children. Our recent clinical trial demonstrated that dietary and VSL#3-based interventions may improve fatty liver by ultrasound and body mass index (BMI) after 4 months. OBJECTIVES: As in this short-term trial, as in others, it is impracticable to monitor response to therapy or treatment by liver biopsy, we aimed to identify a panel of potential non-invasive metabolic biomarkers by a urinary metabolic profiling. METHODS: Urine samples from a group of 31 pediatric NAFLD patients, enrolled in a VSL#3 clinical trial, were analyzed by high-resolution proton nuclear magnetic resonance spectroscopy in combination with analysis of variance-Simultaneous Component Analysis model and multivariate data analyses. Urinary metabolic profiles were interpreted in terms of clinical patient feature, treatment and chronology pattern correlations. RESULTS: VSL#3 treatment induced changes in NAFLD urinary metabolic phenotype mainly at level of host amino-acid metabolism (that is, valine, tyrosine, 3-amino-isobutyrate or ß-aminoisobutyric acid (BAIBA)), nucleic acid degradation (pseudouridine), creatinine metabolism (methylguanidine) and secondarily at the level of gut microbial amino-acid metabolism (that is, 2-hydroxyisobutyrate from valine degradation). Furthermore, some of these metabolites correlated with clinical primary and secondary trial end points after VSL#3 treatment: tyrosine and the organic acid U4 positively with alanine aminotransferase (R=0.399, P=0.026) and BMI (R=0.36, P=0.045); BAIBA and tyrosine negatively with active glucagon-like-peptide 1 (R=-0.51, P=0.003; R=-0.41, P=0.021, respectively). CONCLUSIONS: VSL#3 treatment-dependent urinary metabotypes of NAFLD children may be considered as non-invasive effective biomarkers to evaluate the response to treatment.


Subject(s)
Liver/metabolism , Magnetic Resonance Spectroscopy/methods , Non-alcoholic Fatty Liver Disease/diet therapy , Pediatric Obesity/diet therapy , Probiotics/therapeutic use , Alanine Transaminase/urine , Aminoisobutyric Acids/urine , Biomarkers/urine , Body Mass Index , Child , Dietary Supplements , Double-Blind Method , Female , Humans , Hydroxybutyrates/urine , Male , Metabolomics , Non-alcoholic Fatty Liver Disease/urine , Pediatric Obesity/complications , Pediatric Obesity/urine , Risk Reduction Behavior , Treatment Outcome
16.
Talanta ; 131: 609-18, 2015 Jan.
Article in English | MEDLINE | ID: mdl-25281148

ABSTRACT

This research work evaluates the feasibility of NIRS to detect contaminants in water using single salt solutions as model systems. Previous research has indicated the potential of near infrared spectroscopy (NIRS) for detecting solutes in water; however, a comprehensive investigation of the limit of detection of this technique has not been carried out. Near infrared transmittance spectra of aqueous salt solutions in the concentration range 0.002-0.1 mol L(-1) (equivalent to 117-13,334 ppm or 0.0001-0.01% mass/mass) were investigated. The first overtone region of the near infrared spectrum (1300-1600 nm) was found to be the most effective wavelength range for prediction of salt concentration in aqueous solutions. Calibration models built using this wavelength range and employing the extended multiplicative scatter spectral pre-treatment resulted in root mean squared error of prediction values ranging from 0.004 to 0.01 mol L(-1). The limit of detection (LOD) was estimated to be of the order of 0.1% (mass/mass) or 1000 ppm. Within the framework of Aquaphotomics, it was possible to examine the effect of different salts on the NIR spectra of water in the first overtone range. Our results were confirmed through test experiments at various geographical locations employing dispersive and Fourier transform type NIRS instruments.


Subject(s)
Models, Molecular , Sodium Chloride/pharmacology , Spectroscopy, Near-Infrared/methods , Water Pollutants, Chemical/analysis , Calibration , Feasibility Studies , Humans , Hydrogen Bonding/drug effects , Spectroscopy, Near-Infrared/instrumentation
17.
Rev. bras. plantas med ; 17(4,supl.2): 881-890, 2015. tab, graf
Article in Portuguese | LILACS | ID: lil-771161

ABSTRACT

RESUMO Objetivou-se neste trabalho reconhecer e sistematizar o conhecimento tradicional sobre as espécies medicinais, as indicações terapêuticas, as formas de uso e as técnicas de produção e comercialização de plantas medicinais no agreste nordestino, no município de Solânea, Paraíba. Visitas, entrevistas e amostragem foram realizadas a agricultores familiares da região por meio de entrevistas semiestruturadas utilizando a técnica de turnê guiada. Após as visitas foi identificada uma atriz - informante. Foi feito um herbário com as plantas medicinais encontradas, nas quais foram identificadas e categorizadas quanto às indicações terapêuticas de acordo com a Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde. Foram verificadas 59 espécies com propriedades medicinais distribuídas em 36 famílias botânicas, com o predomínio da família Lamiaceae. Enfermidades de afecções digestivas foram as mais indicadas. O chá foi o preparado de maior frequência.


ABSTRACT The aim of this work was to recognize and to order the traditional knowledge about the medicinal species, the therapeutic indications, the application forms, and the productions and marketing techniques of medicinal plants in the dry area of the northeast, in the city of Solanea, Paraíba. Visits, interviews and sampling were conducted to family farmers in the region through semi-structured interviews using the guided tour technique. A herbarium was built with the medicinal plants found and they were identified and classified regarding their therapeutic indications according to the Diseases International Statistical Classification and the Health Related Problems. 59 species with medicinal properties were identified and distributed in 36 different botanical families, with the Lamiaceae family predominance. The tea preparation was the more frequent one.


Subject(s)
Humans , Plants, Medicinal/classification , Data Collection/methods , Ethnobotany/instrumentation , Lamiaceae/classification , Therapeutic Uses
18.
J Chromatogr A ; 1336: 1-9, 2014 Apr 04.
Article in English | MEDLINE | ID: mdl-24582394

ABSTRACT

Concurrent acetylation-dispersive liquid-liquid microextraction (DLLME) combined with gas chromatography-mass spectrometry (GC-MS) has been proposed for the sensitive determination of five polar benzotriazolic compounds (1H-benzotriazole, BTri; 4 and 5-methyl-1H-benzotriazole, 4-TTri and 5-TTri; 5,6-dimethyl-1H-benzotriazole, XTri; and 5-chloro-1H-benzotriazole, 5-ClBTri) in water samples. Under optimized conditions, samples (10 mL volume) were combined with 1 mL of Na2HPO4 (8%, w/v) and mixed with the ternary acetylation-microextraction mixture, consisting of 100 µL of acetic anhydride, 1.5 mL of acetonitrile and 60 µL of toluene. Thus, analytes were simultaneously acetylated and transferred to the dispersed droplets of toluene. The proposed methodology achieved limits of quantification (LOQs) between 0.007 ng mL(-1) and 0.080 ng mL(-1), enrichment factors between 93 and 172 times, good reproducibility, with relative standard deviations lower than 10%, and linearity with determination coefficients above 0.9991 for all compounds in the range between LOQs and 20 ng mL(-1). Pseudo-external calibration, with fortified ultrapure water samples submitted to the acetylation-DLLME procedure, proved to be adequate for the accurate quantification of complex aqueous matrices such as surface or wastewater, providing recoveries comprised between 86% and 112%. BTri, 4-TTri and 5-TTri were measured in environmental samples up to a concentration of 1.9 ng mL(-1) for BTri in raw wastewater.


Subject(s)
Gas Chromatography-Mass Spectrometry/methods , Liquid Phase Microextraction/methods , Triazoles/analysis , Water Pollutants, Chemical/analysis , Reproducibility of Results , Triazoles/chemistry , Triazoles/isolation & purification , Wastewater/chemistry , Water Pollutants, Chemical/chemistry , Water Pollutants, Chemical/isolation & purification
19.
Article in English | MEDLINE | ID: mdl-24110799

ABSTRACT

The aim of this work is to study the impact of an Information Technology (IT) tool on clinical risk management and Adverse Drug Events prevention in patient care. In this study we propose the workflow analysis and the application of Failure Modes Effects and Criticality Analysis (FMECA) as potential tools to assess the effectiveness of a specific IT tool in mitigating clinical risk. The study is made up of two different parts: the first one shows the decomposition and representation of the workflow of hospital departments using standardized tools from Project Management. The next phase shows the application of FMECA to the workflow, in order to identify critical issues and evaluate the risk reduction obtained using a specific IT tool, compared to the use of current resources.


Subject(s)
Risk Management/methods , Safety Management/methods , Workflow , Drug-Related Side Effects and Adverse Reactions/prevention & control , Humans , Information Science , Risk Assessment
20.
J Med Entomol ; 50(3): 533-42, 2013 May.
Article in English | MEDLINE | ID: mdl-23802447

ABSTRACT

Accurate estimation of population size is key to understanding the ecology of disease vectors, as well as the epidemiology of the pathogens they carry and to plan effective control activities. Population size can be estimated through mark-release-recapture (MRR) experiments that are based on the assumption that the ratio of recaptured individuals to the total captures approximates the ratio of marked individuals released to the total population. However, methods to obtain population size estimates usually consider pooled data and are often based on the total number of marked and unmarked captures. We here present a logistic regression model, based on the principle of the well-known Fisher-Ford method, specific for MRR experiments where the information available is the number of marked mosquitoes released, the number of marked and unmarked mosquitoes caught in each trap and on each day, and the geographic coordinates of the traps. The model estimates population size, taking into consideration the distance between release points and traps, the time between release and recapture, and the loss of marked mosquitoes to death or dispersal. The performance and accuracy of the logistic regression model has been assessed using simulated data from known population sizes. We then applied the model to data from MRR experiments with Aedes albopictus Skuse performed on the campus of "Sapienza" University in Rome (Italy).


Subject(s)
Aedes/physiology , Ecology/methods , Entomology/methods , Animals , Disease Vectors , Female , Logistic Models , Population Density , Rome
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