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1.
Sci Rep ; 9(1): 7100, 2019 05 08.
Article in English | MEDLINE | ID: mdl-31068625

ABSTRACT

The assessment of the mechanisms and patterns of larval connectivity between geographically separated populations leads to a better understanding of benthic marine population dynamics, especially in commercially valuable species. This study investigated for the first time the fine-scale temporal genetic variability of new settlers and their origins in a benthic marine organism with one of the longest pelagic larval phases, the Caribbean spiny lobster (Panulirus argus). We genotyped newly settled postlarvae in the Florida Keys and adults of spiny lobster from the Florida Keys and throughout the Caribbean Sea. We identified strong larval connectivity between Dominican Republic, Belize, Nicaragua, the Florida Keys, and West-Florida. The larval dispersal modeling suggests that Florida's lobster population could receive recruits from within and from other areas outside its state and national maritime boundaries. The genetic analyses refine the oceanographic model indicating that the connectivity patterns described could also result from unknown parental populations sourcing adults and postlarvae in different spawning seasons to the Florida Keys. We discuss the importance of small temporal scales to identify patterns in larval export. Our findings are significant on two levels. From the larval dispersal perspective, genetic results and biophysical modeling identify patterns of gene flow enhancing persistence of local populations. From an economic and fishery perspective, P. argus is the most important commercial species in the Caribbean and our results inform how considering larval source and sink dynamics across international boundaries could improve management plans at local, national, and regional levels.


Subject(s)
Gene Flow , Larva/genetics , Marine Biology/methods , Palinuridae/genetics , Animals , Caribbean Region , Fisheries/economics , Florida , Genetic Loci , Genetic Variation , Genotype , Genotyping Techniques , Models, Biological , Population Dynamics
2.
J Fish Biol ; 76(8): 1972-83, 2010 May.
Article in English | MEDLINE | ID: mdl-20557650

ABSTRACT

A novel Caribbean species Albula sp. cf. vulpes in the family Albulidae (bonefishes) was diagnosed through genetic and morphometric study. Phylogenies derived from 16S rRNA sequences revealed deeply separated lineages among Caribbean bonefishes. Mitochondrial DNA sequence divergences indicated a separation between 3.0 and 5.2 million years before present (b.p.). Cytochrome b phylogenies further supported the classification of A. sp. cf. vulpes as a novel albulid. Morphological variability revealed several differences between A. sp. cf. vulpes and other Caribbean species. A microsatellite library was developed to discern hybridization rates among the species. Microsatellite analyses revealed low levels of hybridization between some members in the complex. One instance of backcrossing was found between A. vulpesxA. sp. B and a pure A. sp. B, indicating that hybrids may have reduced fitness or may be reproductively isolated due to temporal-spatial spawning habitat differences.


Subject(s)
Fishes/classification , Phylogeny , Animals , Caribbean Region , DNA, Mitochondrial/genetics , Fishes/anatomy & histology , Fishes/genetics , Gene Library , Hybridization, Genetic , Microsatellite Repeats , RNA, Ribosomal, 16S/genetics , Sequence Analysis, DNA
3.
G Ital Med Lav Ergon ; 29(3 Suppl): 688-90, 2007.
Article in Italian | MEDLINE | ID: mdl-18409905

ABSTRACT

The aim of our study is to evaluate Burnout syndrome in workers of a city in Southern Italy. The study was conducted on a sample of 1779 subjects including (562 teachers, 476 care worker, 549 employees) operating from birth and residents in the province of Messina. The data and clinic information were taken during the health surveillance. All subjects were administered during the health surveillance testing Maslach Burnout Inventory (M.B.I.). The category of Teachers presents 114 (20%) subjects with the syndrome. The category of care worker 74 cases (15.5%), the category of employees presents 83 cases (15.1%). It can be said that today the class teacher is more affected than the others as witnessed by the scientific literature.


Subject(s)
Burnout, Professional/epidemiology , Occupational Diseases/epidemiology , Adult , Female , Humans , Italy , Male , Middle Aged , Public Sector
4.
G Ital Med Lav Ergon ; 29(3 Suppl): 585-6, 2007.
Article in Italian | MEDLINE | ID: mdl-18411446

ABSTRACT

The past two decades have witnessed a sharp rise in the incidence of work-related musculoskeletal disorders (WMSD) off the upper extremities and low back pain. The high frequency of these Pathologies and the estimated costs induced a large number of searcher to indentify causes etiological and preventive measure. Epidemiological surveys have inquired people mainly devoted to health clinic, where nurses and health assistants partner; are few data on the rescuers drivers and operators of emergencies. In the sample considered the 3.9% presented abnormalities in at least one section of the column, the 3.8% presented borne disorders of the cervical spine and backbone for the past 12 months. No major disturbances emerged dependents of the upper limbs, pain in the wrist, paraesthesia day and night; No subject also reported disturbances hands as evidenced from examination goal. The 2.3% reported having had an accident at work with prognosis of less than 30 days and 06% over 30 days. The results showed that, through prevention program it is possible to reduce musculoskeletal disorders in specific occupations such as drivers and operators of emergencies.


Subject(s)
Ambulances , Arm , Musculoskeletal Diseases/epidemiology , Occupational Diseases/epidemiology , Spinal Diseases/epidemiology , Adult , Female , Humans , Male
5.
Am J Ind Med ; 44(4): 400-4, 2003 Oct.
Article in English | MEDLINE | ID: mdl-14502768

ABSTRACT

BACKGROUND: Exposure to aluminum (Al) causes the onset of respiratory disorders. This study is aimed at providing further information on how occupational exposure to Al affects the respiratory apparatus in healthy non-smokers, with particular attention to respiratory function. METHODS: A group of 50 male shipyard workers who were exposed to Al underwent medical examination, standard chest X-rays and spirometry in accordance with the C.E.C.A. protocol. The data were compared with those of a homogeneous group of controls, all with blood aluminum (AlB) levels below 7.5 ng/ml. Statistical analysis was performed on the following spirometric parameters: vital capacity (VC), forced vital capacity (FVC), maximum forced expiratory volume in 1 s (FEV1), and mean forced expiratory flow during mid-half of FVC (FEF(25-75%)). Environmental Al levels were also measured at the various workstations. RESULTS: Fifty male workers with an average age 31.82 +/- 5.05 years, occupational exposure of 11.81 +/- 3.71 years, presented with average AlB levels of 32.64 +/- 8.69 ng/ml. Environmental monitoring displayed Al levels higher than TLV TWA for all the workstations studied. None of the sample displayed significant pathological conditions. Statistical comparison of the spirometric parameters showed a decrease in the examined values in exposed workers. This decrease was found to be directly proportional to the AlB level. CONCLUSION: The authors conclude that Al affects respiratory function and that limit values should be reassessed.


Subject(s)
Air Pollutants, Occupational/analysis , Aluminum/blood , Environmental Monitoring/statistics & numerical data , Occupational Exposure/analysis , Occupational Exposure/statistics & numerical data , Occupational Health , Spirometry/statistics & numerical data , Adult , Forced Expiratory Volume , Humans , Italy , Male , Ships , Vital Capacity
6.
Braz. j. biol ; 62(3)Aug. 2002.
Article in English | LILACS-Express | LILACS, VETINDEX | ID: biblio-1467627

ABSTRACT

International organizations and biodiversity scientists recognize three levels of biodiversity: genetic, species, and ecosystem. However, most studies with the goal of assessing biodiversity collect data at only a single level -- that of the species. Even when multiple levels of biodiversity are considered, usually only ecosystem diversity is also evaluated. Genetic diversity is virtually never considered. Yet, genetic diversity is essential for the maintenance of populations and species over ecological and evolutionary time periods. Moreover, because components of genetic diversity are independent of either species or ecosystem diversity, genetic diversity can provide a unique measure by which to assess the value of regions for conservation. Regions can be valuable for conservation of their genetic resources regardless of their levels of species or ecosystem uniqueness or diversity. In general, the same methods and statistical programs that are used to answer questions about population genetics and phylogenetics are applicable to conservation genetics. Thus, numerous genetic techniques, laboratory methods, and statistical programs are available for assessing regional levels of genetic diversity for conservation considerations. Here, we provide the rationale, techniques available, field and laboratory protocols, and statistical programs that can be used to estimate the magnitude and type of genetic diversity in regions. We also provide information on how to obtain commonly utilized statistical programs and the type of analyses that they include. The guide that we present here can be used to conduct investigations of the genetic diversity of regions under consideration for conservation of their natural resources.


Organizações internacionais e pesquisadores da biodiversidade reconhecem três níveis de biodiversidade: da genética, de espécies e de ecossistemas. Entretanto, muitos estudos desenvolvidos com o objetivo de estimar a biodiversidade coletam dados somente em um único nível -- o de espécies -- e, mesmo quando diferentes níveis da biodiversidade são considerados, usualmente apenas a diversidade de ecossistema é avaliada, sendo que a diversidade genética raramente é avaliada. No entanto, o conhecimento da diversidade genética é essencial para a manutenção das populações e das espécies em períodos ecológicos e evolutivos. Além disso, como seus componentes são independentes de outras espécies ou da diversidade de ecossistemas, a diversidade genética pode fornecer uma medida pela qual pode-se estimar o valor das regiões para conservação. As regiões podem ser valiosas para a conservação de seus recursos genéticos independente de seus níveis de espécies, ecossistema ou diversidade. Em geral, o método e o programa estatístico utilizados para responder questões sobre genética de populações e sobre filogenética são aplicáveis para conservação genética. Assim, numerosas técnicas genéticas, métodos laboratoriais e programas estatísticos estão disponíveis para estimar os níveis regionais da diversidade genética para conservação. Neste trabalho são apresentadas as razões, as técnicas disponíveis, os protocolos de campo e laboratório e os programas estatísticos que podem ser empregados para estimar a magnitude e o tipo de diversidade genética nas regiões. Também são dadas informações sobre como obter os programas estatísticos comumente utilizados e as formas de análises que eles incluem. O roteiro apresentado pode ser utilizado para conduzir investigações da diversidade genética de regiões em estudo visando à conservação de seus recursos naturais.

7.
Braz. j. biol ; 62(3): 387-408, Aug. 2002. tab
Article in English | LILACS | ID: lil-326210

ABSTRACT

International organizations and biodiversity scientists recognize three levels of biodiversity: genetic, species, and ecosystem. However, most studies with the goal of assessing biodiversity collect data at only a single level -- that of the species. Even when multiple levels of biodiversity are considered, usually only ecosystem diversity is also evaluated. Genetic diversity is virtually never considered. Yet, genetic diversity is essential for the maintenance of populations and species over ecological and evolutionary time periods. Moreover, because components of genetic diversity are independent of either species or ecosystem diversity, genetic diversity can provide a unique measure by which to assess the value of regions for conservation. Regions can be valuable for conservation of their genetic resources regardless of their levels of species or ecosystem uniqueness or diversity. In general, the same methods and statistical programs that are used to answer questions about population genetics and phylogenetics are applicable to conservation genetics. Thus, numerous genetic techniques, laboratory methods, and statistical programs are available for assessing regional levels of genetic diversity for conservation considerations. Here, we provide the rationale, techniques available, field and laboratory protocols, and statistical programs that can be used to estimate the magnitude and type of genetic diversity in regions. We also provide information on how to obtain commonly utilized statistical programs and the type of analyses that they include. The guide that we present here can be used to conduct investigations of the genetic diversity of regions under consideration for conservation of their natural resources


Subject(s)
Animals , Conservation of Natural Resources , Ecosystem , Genetic Variation , Insecta , Statistics , Phylogeny
8.
Braz J Biol ; 62(3): 387-408, 2002 Aug.
Article in English | MEDLINE | ID: mdl-12530175

ABSTRACT

International organizations and biodiversity scientists recognize three levels of biodiversity: genetic, species, and ecosystem. However, most studies with the goal of assessing biodiversity collect data at only a single level--that of the species. Even when multiple levels of biodiversity are considered, usually only ecosystem diversity is also evaluated. Genetic diversity is virtually never considered. Yet, genetic diversity is essential for the maintenance of populations and species over ecological and evolutionary time periods. Moreover, because components of genetic diversity are independent of either species or ecosystem diversity, genetic diversity can provide a unique measure by which to assess the value of regions for conservation. Regions can be valuable for conservation of their genetic resources regardless of their levels of species or ecosystem uniqueness or diversity. In general, the same methods and statistical programs that are used to answer questions about population genetics and phylogenetics are applicable to conservation genetics. Thus, numerous genetic techniques, laboratory methods, and statistical programs are available for assessing regional levels of genetic diversity for conservation considerations. Here, we provide the rationale, techniques available, field and laboratory protocols, and statistical programs that can be used to estimate the magnitude and type of genetic diversity in regions. We also provide information on how to obtain commonly utilized statistical programs and the type of analyses that they include. The guide that we present here can be used to conduct investigations of the genetic diversity of regions under consideration for conservation of their natural resources.


Subject(s)
Conservation of Natural Resources/methods , Ecosystem , Fishes/genetics , Genetic Variation , Invertebrates/genetics , Animals , Genetics, Population , Phylogeny
9.
Life Sci ; 67(21): 2615-29, 2000 Oct 13.
Article in English | MEDLINE | ID: mdl-11104363

ABSTRACT

We investigated the effects of tyrophostin AG 556, a tyrosine kinase inhibitor, on the phenomenon of leukocyte accumulation during ischaemia and reperfusion of the myocardium. Male anaesthetized rats were subjected to total occlusion (45 min) of the left main coronary artery followed by 5 h reperfusion (MI/R). Sham myocardial ischaemia-reperfusion rats (Sham MI/R) were used as controls. Myocardial necrosis, myocardial myeloperoxidase activity (MPO), serum creatinine phosphokinase activity (CPK) serum Tumor Necrosis Factor (TNF-alpha) and Interleukin 6 (IL-6), cardiac intercellular adhesion molecule-1 (ICAM-1) and TNF-alpha expression and myocardial contractility (left ventricle dP/dt(max)) were evaluated. Myocardial ischaemia plus reperfusion in untreated rats produced marked myocardial necrosis, increased serum CPK activity (196.5 +/- 19 U/100 ml, at the end of reperfusion) and myeloperoxidase activity (MPO, a marker of leukocyte accumulation) both in the area-at-risk (4.5 +/- 0.5 U/g/tissue) and in necrotic area (8.2 +/- 1.2 U/g/tissue), reduced myocardial contractility (1,706 +/- 52 mmHg/s, at the end of reperfusion) and induced a marked increase in the serum levels of TNF-alpha (1,950 +/- 97 pg/ml, at 1 h of reperfusion) and IL-6 (998 +/- 16 U/ml, at the end of reperfusion). Finally, myocardial ischaemia-reperfusion injury also increased cardiac mRNA for TNF-alpha and ICAM-1 in the myocardium-at risk. Tyrphostin AG 556 (0.5, 1 and 2 mg/kg subcutaneously 5 min after the onset of reperfusion) lowered myocardial necrosis and myeloperoxidase activity in the area-at-risk (1.5 +/- 0.2 U/g/tissue, following the highest dose) and in necrotic area (2.9 +/- 0.3 U/g/tissue following the highest dose), decreased serum CPK activity (96 +/- 9 U/100 ml, at the end of reperfusion), lowered serum TNF-alpha and IL-6, increased myocardial contractility (2,096 +/- 88 mmHg s, at the end of reperfusion) and reduced cardiac mRNA levels for TNF-alpha and ICAM-1. The present data suggest that tyrosine kinase inhibitors protect against myocardial ischaemia-reperfusion injury by reducing leukocyte accumulation to the ischaemic myocardium.


Subject(s)
Coronary Disease/complications , Enzyme Inhibitors/therapeutic use , Myocardial Reperfusion Injury/prevention & control , Neutrophils/metabolism , Protein-Tyrosine Kinases/antagonists & inhibitors , Tyrphostins/therapeutic use , Animals , Coronary Disease/metabolism , Coronary Vessels/drug effects , Creatine Kinase/blood , Disease Models, Animal , Glyceraldehyde-3-Phosphate Dehydrogenases/blood , Glyceraldehyde-3-Phosphate Dehydrogenases/genetics , Intercellular Adhesion Molecule-1/blood , Intercellular Adhesion Molecule-1/genetics , Interleukin-6/blood , Male , Myocardial Reperfusion Injury/etiology , Myocardial Reperfusion Injury/metabolism , Necrosis , Peroxidase/metabolism , RNA, Messenger/metabolism , Rats , Rats, Sprague-Dawley , Tumor Necrosis Factor-alpha/analysis , Tumor Necrosis Factor-alpha/genetics , Ventricular Function, Left/drug effects , Ventricular Function, Left/physiology
10.
Cardiovasc Res ; 47(3): 515-28, 2000 Aug 18.
Article in English | MEDLINE | ID: mdl-10963724

ABSTRACT

BACKGROUND: Nuclear factor-kappaB (NF-kappaB) is a ubiquitous rapid response transcription factor involved in inflammatory reactions which exerts its effect by expressing cytokines, chemokines, and cell adhesion molecules. Oxidative stress causes NF-kappaB activation. IRFI 042 is a novel dual vitamin E-like antioxidant and we, therefore, investigated its ability to protect the heart from oxidative stress and to halt the inflammatory response in a model of myocardial ischaemia-reperfusion injury. METHODS: Anaesthetized rats were subjected to total occlusion (45 min) of the left main coronary artery followed by 5-h reperfusion (MI/R). Sham myocardial ischaemia rats (sham-operated rats) were used as controls. Myocardial necrosis, cardiac output, cardiac and plasma vitamin E levels, myocardial malondialdehyde (MAL), cardiac SOD activity and elastase content (an index of leukocyte infiltration), hydroxyl radical (OH&z.ccirf;) formation, cardiac amount of mRNA codifying for ICAM-1 (evaluated by the means of reverse transcriptase polymerase chain reaction) and ICAM-1 immunostaining in the at-risk myocardium were investigated. NF-kappaB activation and the inhibitory protein of NF-kappaB, I-kappaBalpha, were also studied in at-risk myocardium by using electrophoretic mobility shift assay (EMSA) and Western blot analysis, respectively. RESULTS: The ischaemia-reperfusion model produced wide heart necrosis (area at risk-necrotic area=52+/-5%; necrotic area-left ventricle=28+/-3%), increased cardiac MAL, an index of lipid peroxidation (area at risk=62.5+/-3.9 nmol/g tissue; necrotic area=80.3+/-5.1 nmol/g tissue), induced tissue neutrophil infiltration, and caused a marked decrease in endogenous antioxidants. Furthermore, myocardial ischaemia plus reperfusion caused in the area at risk peak message for ICAM-1 at 3 h of reperfusion and increased cardiac ICAM-1 immunostaining at 5 h of reperfusion. NF-kappaB activation was also evident at 0.5 h of reperfusion and reached its maximum at 2 h of reperfusion. I-kappaBalpha was markedly decreased at 45 min of occlusion; peak reduction was observed at 1 h of reperfusion and thereafter it was gradually restored. Intraperitoneal administration of IRFI 042 (5, 10, 20 mg/kg, 5 min after reperfusion) reduced myocardial necrosis expressed as a percentage either of the area at risk (18+/-4%) or the total left ventricle (11+/-2%), and improved cardiac output. This treatment also limited membrane lipid peroxidation in the area at risk (MAL=14.3+/-2.5 nmol/g tissue) and in the necrotic area (MAL=26.5+/-3.7 nmol/g tissue), restored the endogenous antioxidants vitamin E and superoxide dismutase, and inhibited detrimental hydroxyl radical formation. Finally, IRFI 042 blocked the activation of NF-kappaB, reduced cardiac ICAM-1 expression, and blunted tissue elastase content, an index of leukocytes accumulation at the site of injury. CONCLUSIONS: Our data suggest that IRFI 042 is cardioprotective during myocardial infarction by limiting reperfusion-induced oxidative stress and by halting the inflammatory response.


Subject(s)
Antioxidants/therapeutic use , Benzofurans/chemistry , Myocardial Reperfusion Injury/drug therapy , Myocardium/metabolism , NF-kappa B/metabolism , Analysis of Variance , Animals , Benzofurans/pharmacology , Cytoplasm/metabolism , Hydroxyl Radical/analysis , I-kappa B Proteins/metabolism , Immunohistochemistry , Inflammation , Intercellular Adhesion Molecule-1/analysis , Intercellular Adhesion Molecule-1/genetics , Lipid Peroxidation/drug effects , Male , Myocardial Reperfusion Injury/immunology , Myocardial Reperfusion Injury/metabolism , Myocardium/chemistry , Oxidative Stress/drug effects , Pancreatic Elastase/analysis , RNA/analysis , Rats , Rats, Sprague-Dawley , Reverse Transcriptase Polymerase Chain Reaction , Superoxide Dismutase/analysis , Vitamin E/analysis , Vitamin E/blood
11.
Mol Phylogenet Evol ; 13(1): 193-207, 1999 Oct.
Article in English | MEDLINE | ID: mdl-10508552

ABSTRACT

Phylogenetic relationships among the 12 recognized fish species in the New World genus Centropomus (Pisces, Centropomidae) were analyzed using allozyme electrophoresis and 618 bp of the mitochondrial DNA 16S ribosomal RNA (rRNA) gene. Molecular phylogenetic trees were generally consistent with previously published partial hypotheses based on morphological evidence. However, previously undefined sister group relationships between major species groups were resolved using molecular data, and phylogenetic hypotheses for Centropomus based on 16S rRNA sequences were better supported than were allozyme-based hypotheses. The high level of congruence among the trees inferred from the nuclear and mitochondrial characters provided a firm phylogenetic basis for analysis of ecological diversification and molecular evolution in the genus. Compared to basal Centropomus species, members of the most nested species group were significantly larger in body size and occupied a marine niche only peripherally utilized by their congeners. We also observed substitution rate heterogeneity among 16S rRNA lineages; in contrast to expectations based on "metabolic rate" and "generation interval" models, relative substitution rates were faster than expected for the group of large-bodied snooks. Using the Pliocene rise of the Central American isthmian marine barrier to calibrate rates of 16S ribosomal gene evolution in Centropomus, we found that the rates for the genus were similar to those reported for higher vertebrates. Analysis of the three sets of transisthmian geminate taxa in Centropomus indicated that two of the pairs were probably formed during the Pliocene rise of the isthmus while the third pair diverged several million years earlier.


Subject(s)
Perciformes/genetics , Phylogeny , Animals , DNA, Mitochondrial/genetics , Ecosystem , Enzymes/genetics , Evolution, Molecular , Perciformes/classification , RNA, Ribosomal, 16S/genetics , Species Specificity , Time Factors
12.
Recenti Prog Med ; 89(9): 425-8, 1998 Sep.
Article in Italian | MEDLINE | ID: mdl-9796370

ABSTRACT

The Medline database is now available into a wide number of biomedical websites. Clinicians and scientists can now access the most important bibliographic file in medicine directly from their desktop. Medline availability on the Internet can enhance effectiveness and efficiency of medical activities. Real usefulness of Medline and other databases stands on the relevance and validity of the information content that can be obtained at the least work (and cost) for the user. In order to retrieve really useful information, knowledge of some methodological issues related to bibliographic searching is mandatory to the final user. The rising number of Medline providers on Internet occurring during 1996 and 1997 is a proof that the "ideal" world-wide-Medline has not arrived yet.


Subject(s)
Information Storage and Retrieval , Internet , MEDLINE
13.
Clin Ter ; 148(12): 577-92, 1997 Dec.
Article in Italian | MEDLINE | ID: mdl-9528193

ABSTRACT

The good results of a therapy with small doses of sodium aurothiomalate (20 mg/month) in 17 patients suffering from rheumatoid arthritis are reported. The mean age +/- ESM at the beginning of treatment was 59.9 +/- 3.2 years, the mean duration of disease was 1.3 +/- 0.5 years. The lowest grade of disease activity (1) according to Mallya and Mace's (1981) criteria was observed in 12 patients (70%) after a period of 1.7 +/- 0.6 years (mean +/- ESM). This grade of activity persisted in 11 patients and remained for 3 years in 1 patient. In the other 5 patients a low or middle activity of disease persisted. The relationship between therapeutic results and HLA DRB1 prevalence was investigated. The LLEQRRAA and LLEQKRAA sequences are present in 3 patients, i.e. 17.9%. This frequency is not significantly different from the frequency (28.6%) observed in a control group of healthy subjects. Therefore these sequences, at least in Italian people, cannot be considered a factor of susceptibility to RA. They may be a factor of evolution to a more severe disease. Dermatological side effects were evident only in 2 patients; one of these patients was HLA DR5 positive. The results observed in DR7 positive patients were not different from the results observed in the other patients; therefore, DR7 positive patients could responders to gold treatment, even with low doses.


Subject(s)
Antirheumatic Agents/administration & dosage , Arthritis, Rheumatoid/drug therapy , Arthritis, Rheumatoid/genetics , Gold Sodium Thiomalate/administration & dosage , HLA-DR Antigens/genetics , Adult , Age Factors , Aged , Alleles , Amino Acid Sequence , Data Interpretation, Statistical , Evaluation Studies as Topic , Female , HLA-DRB1 Chains , Humans , Male , Middle Aged , Molecular Sequence Data , Time Factors
14.
Recenti Prog Med ; 87(12): 576-81, 1996 Dec.
Article in Italian | MEDLINE | ID: mdl-9102695

ABSTRACT

AIM: Measure of usefulness of Medline searches requested for clinical problems. METHODS: open prospective uncontrolled study lasted for 3 months. Collection of online or CD-ROM Medline searches operated by clinicians or librarians at 5 biomedical libraries. User interviews about use and usefulness of Medline, recorded with a closed-answer self-administered questionnaire, adapted from a U.S. National Library of Medicine product. RESULTS: Of the 6 participating libraries, one was excluded from analysis from data collection inadequacies. Among 668 searches, 55 (8.2%) were produced for real patients. Physicians judgement about clinical usefulness of their searches (available for 46 cases) indicate a significant importance for diagnostic evaluation (23%) and therapy administration (46%). After applying search results into clinical practice, clinicians think that positive outcomes are achieved in the doctor-patient-family relationship area (19%), a better use of health care system facilities is obtained (26%) and, less consistently, positive effects are perceived on longevity (5%), abnormality correction (10%), symptomatic relief (7%) and functional recovery (6%). CONCLUSION: Physicians judge that Medline searches actually can contribute to diagnosis and treatment of real patients, with significant benefits on the process of care, on doctor-patient relationship and on patient's health.


Subject(s)
MEDLINE/statistics & numerical data , CD-ROM/statistics & numerical data , Evaluation Studies as Topic , Humans , Italy , Libraries, Medical/statistics & numerical data , National Health Programs , Prospective Studies , Surveys and Questionnaires
15.
Recenti Prog Med ; 87(5): 237-49, 1996 May.
Article in Italian | MEDLINE | ID: mdl-8767762

ABSTRACT

Clinical users expectations from medical informatics are evolving due to the wide availability of biomedical information services on the Internet. Thanks to hypertexts and advanced browsing tools users with no informatical expertise can travel on the Internet and easily gain access to textual databases. With a multimedia computer other kinds of information can be grabbed: images, sounds and audiovisual documents. Basic Internet services (electronic mail, discussion lists, file transfer protocol, terminal emulation) can be accessed from a wide range of hardware equipment. However, the real power of a world-scale computer network like the Internet will be unleashed only when its global connectivity will be linked to the powerful retrieval ability of existing clinical and related databases. While biomedical journals editors and other medical information providers are in the way to offer electronic versions of their paper-based products, at the leading edge of this world-scale process is the USA National Library of Medicine, with the Internet-compatible version of its Grateful Med software which is expected to be launched during 1996.


Subject(s)
Computer Communication Networks , Information Services , Research , User-Computer Interface
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