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1.
Sci Rep ; 12(1): 5600, 2022 04 04.
Artigo em Inglês | MEDLINE | ID: mdl-35379879

RESUMO

Small pelagic fishes in the Mediterranean Sea constitute about half of the total landings, of which almost one-third is European anchovy. Anchovy abundance mainly depends on early life stage and juvenile survival and growth, which are susceptible to shifts in environmental processes. Due to the commercial importance of this species, it is necessary to elucidate the processes affecting recruitment strength for effective fishery management, using environmental indices to set more appropriate harvesting limits. Here, we constructed a simple index to capture synchronicity between enrichment and retention/concentration processes, which are known to affect anchovy abundance, during the first year of life. Three ecosystems in the Mediterranean were examined: Gulf of Lions, Adriatic Sea, and Strait of Sicily. The synchronicity index (SI) represented the synergic evolution over time of the chlorophyll-a concentration (CHL, enrichment process) and mixed layer depth (MLD, concentration/retention processes), and was related with the abundance of anchovy recruits obtained from published survey reports. Considering different ecosystems, when the SI was significantly higher, anchovy recruitment was promoted. This result indicated SI is consistent across ecosystems in explaining anchovy abundance fluctuations and thus could be used to enhance fisheries management and extended to assess the impact of projected environmental changes.


Assuntos
Ecossistema , Peixes , Animais , Pesqueiros , Mar Mediterrâneo , Alimentos Marinhos
2.
Environ Pollut ; 266(Pt 1): 115213, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32688110

RESUMO

Abundance, composition, and distribution of macro-litter found on the seafloor of the Strait of Sicily between 10 and 800 m depth has been studied using data collected by bottom trawl surveys MEDITS from 2015 to 2019. Three waste categories based on the items use were considered: single-use, fishing-related and generic-use. Over 600 sampling sites, just 14% of these were litter-free. The five-years average density of seafloor litter was 79.6 items/km2 and ranged between 46.8 in 2019 and 118.1 items/km2 in 2015. The predominant waste type was plastic (58% of all items). Regardless of material type, single-use items were a dominant (60% of items) and widespread (79% of hauls) fraction of litter with a mean density of 48.4 items/km2. Fishing-related items accounted for 12% of total litter items. Percentage of dirty hauls and litter density increased with depth. Analysis of the relation density-depth indicates a progressive increase of litter density beyond depth values situated within the interval 234-477 m depending on the litter category. A significant decrease in litter density by categories was observed over the period. Patterns of spatial distribution at the higher depths (200-80 0m) resulted stable over the years. Density hotspots of fishing-related items were found where the fishing activity that uses fish aggregating devices (FADs) is practised and in the proximity of rocky banks. Single-use and generic-use objects densities were greater on the seafloor along main maritime routes than other areas. Comparisons between the percentage of hauls littered with anthropic waste from the mid-1990s against those in 2018-19 highlighted an increase of about 10.8% and 15.3% for single-use items and fishing-related items respectively, and a decrease of 18.6% for generic-use items. This study provides a snapshot of the current situation of littering in the central Mediterranean Sea and represents a solid baseline against which the effectiveness of current and future mitigation strategies of the litter impact on marine environment can be measured.


Assuntos
Monitoramento Ambiental , Resíduos/análise , Animais , Mar Mediterrâneo , Plásticos , Sicília
3.
Mar Pollut Bull ; 149: 110580, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31546112

RESUMO

Marine litter has significant ecological, social and economic impacts, ultimately raising welfare and conservation concerns. Assessing marine litter hotspots or inferring potential areas of accumulation are challenging topics of marine research. Nevertheless, models able to predict the distribution of marine litter on the seabed are still limited. In this work, a set of Artificial Neural Networks were trained to both model the effect of environmental descriptors on litter distribution and estimate the amount of marine litter in the Central Mediterranean Sea. The first goal involved the use of self-organizing maps in order to highlight the importance of environmental descriptors in affecting marine litter density. The second goal was achieved by developing a multilayer perceptron model, which proved to be an efficient method to estimate the regional quantity of seabed marine litter. Results demonstrated that machine learning could be a suitable approach in the assessment of the marine litter issues.


Assuntos
Monitoramento Ambiental/métodos , Redes Neurais de Computação , Resíduos/análise , Algoritmos , Aprendizado de Máquina , Mar Mediterrâneo , Sicília
4.
Acta Psychol (Amst) ; 188: 122-130, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29913314

RESUMO

Perception is relational: object properties are perceived in comparison to the spatiotemporal context rather than absolutely. This principle predicts well known contrast effects: For instance, the same sphere will feel smaller after feeling a larger sphere and larger after feeling a smaller sphere (the Uznadze effect). In a series of experiments, we used a visual version of the Uznadze effect to test whether such contrast effects can be modulated by organizational factors, such as the similarity between the contrasting inducer stimulus and the contrasted induced stimulus. We report that this is indeed the case: size contrast is attenuated for inducer-inducing pairs having different 3D shapes, orientations, and even - surprisingly - color and lightness, in comparison to equivalent conditions where these features are the same. These findings complement related work in revealing basic mechanisms for fine-tuning local interactions in space-time in accord to the global stimulus context.


Assuntos
Teoria Psicológica , Percepção de Tamanho/fisiologia , Percepção Visual/fisiologia , Feminino , Humanos , Masculino , Orientação , Adulto Jovem
5.
Sci Rep ; 7(1): 8049, 2017 08 14.
Artigo em Inglês | MEDLINE | ID: mdl-28808253

RESUMO

Deep-sea coral assemblages are key components of marine ecosystems that generate habitats for fish and invertebrate communities and act as marine biodiversity hot spots. Because of their life history traits, deep-sea corals are highly vulnerable to human impacts such as fishing. They are an indicator of vulnerable marine ecosystems (VMEs), therefore their conservation is essential to preserve marine biodiversity. In the Mediterranean Sea deep-sea coral habitats are associated with commercially important crustaceans, consequently their abundance has dramatically declined due to the effects of trawling. Marine spatial planning is required to ensure that the conservation of these habitats is achieved. Species distribution models were used to investigate the distribution of two critically endangered octocorals (Funiculina quadrangularis and Isidella elongata) in the central Mediterranean as a function of environmental and fisheries variables. Results show that both species exhibit species-specific habitat preferences and spatial patterns in response to environmental variables, but the impact of trawling on their distribution differed. In particular F. quadrangularis can overlap with fishing activities, whereas I. elongata occurs exclusively where fishing is low or absent. This study represents the first attempt to identify key areas for the protection of soft and compact mud VMEs in the central Mediterranean Sea.


Assuntos
Antozoários/crescimento & desenvolvimento , Peixes/crescimento & desenvolvimento , Animais , Biodiversidade , Conservação dos Recursos Naturais/métodos , Ecossistema , Pesqueiros , Humanos , Invertebrados/crescimento & desenvolvimento , Mar Mediterrâneo
6.
Mar Environ Res ; 119: 252-66, 2016 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-27371813

RESUMO

Conservation of fish habitat requires a deeper knowledge of how species distribution patterns are related to environmental factors. Habitat suitability modelling is an essential tool to quantify species' realised niches and understand species-environment relationships. Cephalopods are important players in the marine food web and a significant resource for fisheries; they are also very sensitive to environmental changes. Here a time series of fishery-independent data (1998-2011) was used to construct habitat suitability models and investigate the influence of environmental variables on four commercial cephalopods: Todaropsis eblanae, Illex coindetii, Eledone moschata and Eledone cirrhosa, in the central Mediterranean Sea. The main environmental predictors of cephalopod habitat suitability were depth, seafloor morphology, chlorophyll-a concentration, sea surface temperature and surface salinity. Predictive maps highlighted contrasting habitat selection amongst species. This study identifies areas where the important commercial species of cephalopods are concentrated and provides significant information for a future spatial based approach to fisheries management in the Mediterranean Sea.


Assuntos
Cefalópodes/fisiologia , Ecossistema , Pesqueiros/estatística & dados numéricos , Animais , Conservação dos Recursos Naturais , Mar Mediterrâneo
7.
Sci Rep ; 5: 13245, 2015 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-26272502

RESUMO

Commercial fisheries have dramatically impacted elasmobranch populations worldwide. With high capture and bycatch rates, the abundance of many species is rapidly declining and around a quarter of the world's sharks and rays are threatened with extinction. At a regional scale this negative trend has also been evidenced in the central Mediterranean Sea, where bottom-trawl fisheries have affected the biomass of certain rays (e.g. Raja clavata) and sharks (e.g. Mustelus spp.). Detailed knowledge of elasmobranch habitat requirements is essential for biodiversity conservation and fisheries management, but this is often hampered by a poor understanding of their spatial ecology. Habitat suitability models were used to investigate the habitat preference of nine elasmobranch species and their overall diversity (number of species) in relation to five environmental predictors (i.e. depth, sea surface temperature, surface salinity, slope and rugosity) in the central Mediterranean Sea. Results showed that depth, seafloor morphology and sea surface temperature were the main drivers for elasmobranch habitat suitability. Predictive distribution maps revealed different species-specific patterns of suitable habitat while high assemblage diversity was predicted in deeper offshore waters (400-800 m depth). This study helps to identify priority conservation areas and diversity hot-spots for rare and endangered elasmobranchs in the Mediterranean Sea.


Assuntos
Biodiversidade , Conservação dos Recursos Naturais/métodos , Ecossistema , Elasmobrânquios/crescimento & desenvolvimento , Monitoramento Ambiental/estatística & dados numéricos , Modelos Estatísticos , Animais , Simulação por Computador , Conservação dos Recursos Naturais/estatística & dados numéricos , Monitoramento Ambiental/métodos , Mar Mediterrâneo
8.
Ann Ig ; 26(6): 499-506, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25524074

RESUMO

METHODS: Safety belt and helmet use was estimated from PASSI data and measured through Ulisse observations. Between 2008 and 2012 a total of 2,081 cars and motorcycle users were interviewed in the LHU of Florence and a total of 59,787 drivers (11,870 front passengers, 1,129 rear passengers and 16,816 motorcyclists) were observed. The comparison between self-reported and observed prevalences was performed by calculating the over-reporting factor (ORF), defined as the ratio of the self-reported to the observed prevalence of seat belt or helmet use. The time trend of the prevalence (both from self-reported and observed data) and of the ORF was assessed by using linear regression and Poisson's regression, respectively. RESULTS: The correlation between self-reported and observed prevalence is high, with a Pearson's correlation coefficient of 0.95 (p <0.05). Regarding front seat belt use rates, the difference between self-reported and observed data increases over time and the ORF range varies from 1.12 to 1.32. Rear seat belt data show a great variability, and the ORF varies from 0.67 to 1.37. In 2011 and 2012, the observed prevalence was higher than the self-reported one (ORF <1). Helmet use rates are very high, close to 100% with both methods; ORF has very small oscillations and ranges from 0.98 to 1, showing a good correlation between self-reported and observational data. There are no significant temporal variations both for the prevalences of use and for the ORF. CONCLUSIONS: The reasonable accuracy of self-reported data makes this method fit in the routinary assessment of safety belts and helmet usage, in order to limit the observations of the Ulisse system at predetermined time intervals. However, self-reported estimates need to be adjusted using an appropriate over-reporting factor.


Assuntos
Condução de Veículo/estatística & dados numéricos , Dispositivos de Proteção da Cabeça/estatística & dados numéricos , Motocicletas/estatística & dados numéricos , Cintos de Segurança/estatística & dados numéricos , Adolescente , Adulto , Idoso , Humanos , Itália , Pessoa de Meia-Idade , Prevalência , Autorrelato , Adulto Jovem
9.
Water Sci Technol ; 70(11): 1873-9, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25500476

RESUMO

The study analyzed the particle size distribution of particulate matter (PM) retained in two catch basins located, respectively, near a parking lot and a traffic intersection with common high levels of traffic activity. Also, the treatment performance of a filter medium was evaluated by laboratory testing. The experimental treatment results and the field data were then used as inputs to a numerical model which described on a qualitative basis the hydrological response of the two catchments draining into each catch basin, respectively, and the quality of treatment provided by the filter during the measured rainfall. The results show that PM concentrations were on average around 300 mg/L (parking lot site) and 400 mg/L (road site) for the 10 rainfall-runoff events observed. PM with a particle diameter of <45 µm represented 40-50% of the total PM mass. The numerical model showed that a catch basin with a filter unit can remove 30 to 40% of the PM load depending on the storm characteristics.


Assuntos
Modelos Teóricos , Movimentos da Água , Água/química , Monitoramento Ambiental/métodos , Tamanho da Partícula , Material Particulado/análise
10.
Transplant Proc ; 46(7): 2238-40, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25242760

RESUMO

BACKGROUND: Persistent or "de novo" anemia (plasma hemoglobin<11 g/dL) may complicate the graft outcome in a significant number of renal transplant recipients. We describe a single-center experience with epoetin-zeta (EPO-Z), the biosimilar form for epoetin-alfa. METHODS: Twenty patients were included in the study, 10 in treatment with different erythropoiesis-stimulating agents (ESA) and shifted to EPO-Z (shift group) and 10 who started EPO-Z treatment for anemia (naive group). All the patients had stable renal function and normal values of main inflammation markers and were prospectively followed up for 12 months. Iron supplements were administered during the study, as needed. RESULTS: In the shift group, mean plasma hemoglobin levels>11 g/dL were maintained for the entire 1-year follow-up period, with average EPO-Z doses 3.4% higher than the corresponding doses of previous ESA; in the naive group, the target value was reached between the first and third months and remained stable throughout the study. Mean corpuscular volume did not vary in either group. No change was observed in glomerular filtration rate, nor in proteinuria or in main laboratory data. No drug-related side effect was reported. CONCLUSIONS: EPO-Z may be considered a valid alternative to different ESAs in renal transplant recipients, with an interesting pharmaco-economic profile, considering its lower cost.


Assuntos
Anemia/tratamento farmacológico , Eritropoetina/uso terapêutico , Hematínicos/uso terapêutico , Transplante de Rim , Transplantados , Epoetina alfa , Eritropoetina/economia , Feminino , Seguimentos , Hematínicos/economia , Hemoglobinas/análise , Humanos , Injeções Subcutâneas , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Proteínas Recombinantes/economia , Proteínas Recombinantes/uso terapêutico
11.
Eur J Paediatr Dent ; 15(2): 143-6, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25102464

RESUMO

AIM: Among the many biological effects which occur during orthodontic movement, we decided to investigate gingival microcirculation. The aim of the study was to evaluate the biological microvascular response to the application of orthodontic force in vivo. MATERIALS AND METHODS: Forty patients (case group) between 9-22 years of age (average± DS 12±3.01) were selected for the study (M/F ratio: 20/20). They needed fixed orthodontic treatment due to several types of malocclusion. Forty healthy subjects (control group) were also recruited (M/F ratio 20/20; average age 12 years ± 4.01; Mean±SD =10.04±1.7). A videocapillaroscopic examination was performed on each patient on the buccal alveolar mucosa at the pre- treatment time (t0), 1 month after the beginning of the treatment (t1), after 2 months (t2), after 6 months (t3), and after 12 months (t4). RESULTS: Capillary density increases significantly from t0 to t1. Between t1 to t2, t2 to t3 the density underwent another increase. Between t3 and t4 (69.22 ± 3.63) the density showed no increase. In the control group no statistical differences were observed. CONCLUSION: Videocapillaroscopy allows the in vivo evaluation and quantification of the microcirculatory changes consequent to the application of orthodontic force, managing to detect subclinical changes in angiogenesis. In fact, the study revealed an increase in the density of the capillaries which is directly proportionate to the application time of the orthodontic device, i.e. the exogenous mechanical force. This research offers new perspectives for the future of monitoring fixed orthodontic therapy.


Assuntos
Gengiva/irrigação sanguínea , Microcirculação , Aparelhos Ortodônticos , Ortodontia Corretiva , Adolescente , Criança , Feminino , Humanos , Masculino
12.
Rev. chil. pediatr ; 84(5): 499-504, oct. 2013. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-698670

RESUMO

Introducción: La atrofia muscular espinal de la infancia (AMEi) es una enfermedad neurodegenerativa, causada principalmente por deleciones del gen SMN 1 en su locus 5q11.1-13.3. La severidad va desde el tipo I, que compromete la vida en edades tempranas, hasta el tipo IV. Objetivos: Se describen hallazgos moleculares en pacientes con AME, nacionalmente remitidos al Instituto de Neurología y Neurocirugía así como se reporta la frecuencia por 100.000 habitantes en cada una de las provincias de la isla. Pacientes y Métodos: 105 pacientes fueron estudiados, remitidos entre 1997 y 2011. Para la detección de las deleciones se utilizó la técnica de reacción en cadena de la polimerasa (PCR) con cebadores correspondientes a los exones 7 y 8 del gen SMN 1, y digestión con enzimas DraI y DdeI respectivamente y analizados en gel de agarosa al 2 por ciento. Resultados y Discusión: Se encontró un 59 por ciento diagnosticados como AME I, 28,6 por ciento AME II, 12,4 por ciento AME III. Del total de casos 36,2 por ciento resultaron tener deleción de los exones 7 y 8, 35,2 por ciento deleción del exón 7 solamente y 28,2 por ciento no presentaron deleción de los exones correspondientes. Se discuten dichos resultados de acuerdo a la literatura internacional. Se presentan los resultados de frecuencias por 100.000 habitantes en cada provincia del país y discuten dichas frecuencias de acuerdo a la diversidad ancestral de la población cubana. Se concluye lo novedoso del estudio que constituye el primer reporte en una población caribeña.


Introduction: Infantile Spinal Muscular Atrophy (infantile SMA) is a neurodegenerative disease caused primarily by the deletion of the SMN1 gene at 5q11.1 - 13.3. Its severity ranges from type I, in early childhood, to type IV. Objectives: To describe molecular findings in patients with SMA, who were nationally referred to the Institute of Neurology and Neurosurgery and to describe the frequency per 100,000 people in each province of the island. Patients and Methods: 105 patients, referred between 1997 and 2011, were studied. The polymerase chain reaction (PCR) technique was used to detect the deletions of exons 7 and 8 of the SMN1 gene, and DraI and DdeI enzymes, in 2 percent agarose gel, were used for digestion. Results: 59 percent of the patients were diagnosed with SMA I, 28.6 percent with SMA II and 12.4 percent with SMA III. 36.2 percent of total patients presented deletions of exons 7, 8, 35.2 percent only deletion of exon 7 and 28.2 percentdid not present deletion of exons. Conclusion: These results are discussed according to the international literature. The frequency per 100,000 inhabitants in each province is presented and discussed according to ancestral diversity of the Cuban population. Also, the originality of the study is mentioned as it is the first report of this type in a Caribbean population.


Assuntos
Humanos , Atrofia Muscular Espinal/genética , Biologia Molecular , Proteínas do Complexo SMN/genética , Atrofia Muscular Espinal/classificação , Atrofia Muscular Espinal/epidemiologia , Cuba/epidemiologia , Deleção de Genes , Doenças Neurodegenerativas/genética , Reação em Cadeia da Polimerase
13.
Ann Ig ; 25(5): 367-76, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24048175

RESUMO

BACKGROUND: Listening to music through portable MP3 players has become a very popular mode among young people and adolescents. The aim of this study is to investigate the behaviors of adolescents engaged in listening to music with MP3 player and the attendance at clubs (pubs, discotheques) where music is played at high volume. METHODS: Among the 1470 students attending a secondary school in Scandicci (FI) during the school year 2009/2010, 1278 (86.9%) were at school the day of the examination and 1276 completely filled in the questionnaire. Descriptive analysis and univariate and multivariate logistic regression were performed to calculate the degree of association (OR) among the sociodemographic characteristics, listening habits and some factors identified as risky or protective as regards the possibility of developing health disorders. RESULTS: MP3 player users are 88.2% of the sample. Among these, a high proportion engaged behaviours that increase the risk of presenting disorders, including the exposure to high-volume (27.4%). Furthermore, 44.6% use the MP3 while driving. From the regression analysis it emerges that MP3 users showed a sort of addiction: by increasing the time and the occasions of exposure to music, they increased the volume, used maximum or medium-high volume, did not take breaks and did not decrease the volume. CONCLUSIONS: The study points out the spread of risky behavior in music listening, so it is necessary to better inform especially the youngsters and achieve specific preventive interventions.


Assuntos
Comportamento do Adolescente , Hábitos , MP3-Player/estatística & dados numéricos , Música , Assunção de Riscos , Adolescente , Comportamento do Adolescente/psicologia , Condução de Veículo , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Perda Auditiva Provocada por Ruído/diagnóstico , Perda Auditiva Provocada por Ruído/epidemiologia , Perda Auditiva Provocada por Ruído/etiologia , Perda Auditiva Provocada por Ruído/prevenção & controle , Humanos , Itália , Percepção Sonora , Masculino , Ruído , Risco , Autorrelato , Inquéritos e Questionários , Zumbido/etiologia
14.
Opt Express ; 21(15): 17800-5, 2013 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-23938652

RESUMO

In this paper we use a Terahertz (THz) time-domain system to image and analyze the structure of an artwork attributed to the Spanish artist Goya painted in 1771. The THz images show features that cannot be seen with optical inspection and complement data obtained with X-ray imaging that provide evidence of its authenticity, which is validated by other independent studies. For instance, a feature with a strong resemblance with one of Goya's known signatures is seen in the THz images. In particular, this paper demonstrates the potential of THz imaging as a complementary technique along with X-ray for the verification and authentication of artwork pieces through the detection of features that remain hidden to optical inspection.


Assuntos
Teste de Materiais/métodos , Pintura/análise , Pintura/classificação , Pinturas/classificação , Imagem Terahertz/métodos
15.
Euro Surveill ; 16(24)2011 Jun 16.
Artigo em Inglês | MEDLINE | ID: mdl-21699768

RESUMO

In April 2011, an outbreak of Serratia marcescens infection/ colonisations occurred in the neonatal intensive care unit of Pescara General Hospital. Rapid microbiological investigations lead to identification of five cases of likely cross-transmission from a neonate hospitalised for S. marcescens sepsis: four infections and one neonate colonised post-mortem. Two low birth weight neonates died. The environmental investigation detected S. marcescens from two soap dispensers. Strict hygiene measures lead to early interruption of the outbreak, without recurrences to date.


Assuntos
Infecção Hospitalar/epidemiologia , Surtos de Doenças , Hospitais Gerais/métodos , Unidades de Terapia Intensiva Neonatal , Infecções por Serratia/epidemiologia , Serratia marcescens/isolamento & purificação , Antibacterianos/uso terapêutico , Infecção Hospitalar/diagnóstico , Infecção Hospitalar/prevenção & controle , Surtos de Doenças/prevenção & controle , Humanos , Recém-Nascido , Controle de Infecções/métodos , Itália/epidemiologia , Infecções por Serratia/diagnóstico , Infecções por Serratia/prevenção & controle , Fatores de Tempo
16.
Transplant Proc ; 42(4): 1162-5, 2010 May.
Artigo em Inglês | MEDLINE | ID: mdl-20534250

RESUMO

INTRODUCTION: Vaginal administration seems to be the best route to achieve steady and precise doses of contraceptive hormones, resulting in stable serum concentrations and low exposure. The aim of this study was to evaluate the contraceptive efficacy, cycle control, tolerability and acceptability of a contraceptive vaginal ring (NuvaRing) in renal and liver transplant recipients. MATERIAL AND METHODS: Renal or liver transplant recipients, asking for contraception, were enrolled into the study. The duration of treatment was 12 cycles, with each vaginal ring releasing an average of 120 mg etonogestrel and 15 mg ethinylestradiol daily. Study visits were scheduled at screening, in the first week following cycles 3, 6, and 12 (172 cycles). RESULTS: Among 17 females included into the study: were 9 renal (mean age, 30 +/- 7.2 years) and 8 liver transplant recipients (mean age, 32.6 +/- 6.6 years). At the onset of therapy all patients showed at least 6 months of stable graft function with no signs of allograft rejection. The mean posttransplant follow-up was 4 +/- 3.6 and 5.3 +/- 2.1 years for women with renal and hepatic transplantations respectively (P = NS). The immunosuppressive therapy was not changed for any patient. We demonstrated good cycle control: 162 cycles did not exhibit any bleeding; 7 cycles, only spotting episodes, whereas 2 cycles had 1 bleeding episode during the ring period. The estrogen-related adverse events (nausea and breast tenderness) were reported in 2 patients. One patient experienced significant bleeding related to thrombocytopenia. DISCUSSION: Nuvaring, in our preliminary findings, may be considered to be an highly effective contraceptive method for female transplant recipients that additionally regulate menstrual bleeding and seems to positively influence well-being. Vaginal administration may diminish the chance of drug interactions and therefore be safer for patients.


Assuntos
Dispositivos Anticoncepcionais Femininos/estatística & dados numéricos , Transplante de Rim/fisiologia , Transplante de Fígado/fisiologia , Adulto , Alanina Transaminase/sangue , Aspartato Aminotransferases/sangue , Pressão Sanguínea , Anticoncepcionais Femininos/análise , Dispositivos Anticoncepcionais Femininos/efeitos adversos , Desogestrel/análise , Feminino , Seguimentos , Frequência Cardíaca , Humanos , Ciclo Menstrual , Gravidez , Resultado da Gravidez , Segurança
17.
Water Sci Technol ; 61(1): 135-43, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20057099

RESUMO

This paper examines an urbanized catchment in Cosenza, Italy where an off-line basin intercepting CSOs was studied to illustrate reduction in CSO discharges to the Crati River. While the hydrologic transport of pollutant mass is never known a-priori and can be flow-limited, the volumetric requirements of the basin were modeled based on the classic assumption that wet weather flows transport urban and sewer loads in a mass-limited (first-flush) delivery. The volumetric capacity of the basin was varied from 10 to 50 m(3)/ha. Operational basin control was simulated with historical datasets from the Liguori catchment, event-based loading data, and continuous simulation modelling with SWMM. Utilizing data from the catchment, the SWMM simulations were conducted considering the storage basin with or without sedimentation treatment. Results illustrate the potential benefits of the off-line operation for the system with respect to the volume and mass reduction of CSOs into the Crati River. Results demonstrate the importance of particle size distribution (PSD) as an index of basin efficiency, coupled with analysis of the hydrodynamic response of the basin. The basin model attenuated influent PSDs, separating the coarser fraction of the PSD, and reduced the load of influent particulate matter (PM).


Assuntos
Esgotos/análise , Eliminação de Resíduos Líquidos/normas , Monitoramento Ambiental/métodos , Poluição Ambiental/prevenção & controle , Sedimentos Geológicos , Humanos , Itália , Fatores de Tempo , População Urbana , Eliminação de Resíduos Líquidos/métodos , Purificação da Água/métodos , Purificação da Água/normas
18.
Radiol Med ; 114(7): 1053-64, 2009 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19697100

RESUMO

This review discusses the usefulness of bedside lung ultrasound in the diagnostic distinction between the various causes of acute dyspnoea in the emergency department, with special attention to the differential diagnosis of pulmonary oedema and exacerbation of chronic obstructive pulmonary disease (COPD). This is made possible by using mid- to low-end scanners and simple acquisition techniques accessible to both radiologists and clinicians. Major advantages include ready availability at the bedside, the absence of ionising radiation, high reproducibility and cost efficiency. The technique is based on the recognition and analysis of sonographic artefacts rather than direct visualisation of the pulmonary structures. These artefacts are caused by the interaction of water-rich structures and air, called comet tails or B-lines. When such artefacts are widely detected on anterolateral transthoracic lung scans, diffuse alveolar-interstitial syndrome can be diagnosed, which is often a sign of acute pulmonary oedema. This condition rules out exacerbation of COPD as the main cause of acute dyspnoea.


Assuntos
Artefatos , Dispneia/etiologia , Insuficiência Cardíaca/diagnóstico por imagem , Sistemas Automatizados de Assistência Junto ao Leito , Doença Pulmonar Obstrutiva Crônica/diagnóstico por imagem , Edema Pulmonar/diagnóstico por imagem , Doença Aguda , Diagnóstico Diferencial , Dispneia/diagnóstico por imagem , Serviço Hospitalar de Emergência , Insuficiência Cardíaca/complicações , Humanos , Doença Pulmonar Obstrutiva Crônica/complicações , Edema Pulmonar/complicações , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Síndrome , Ultrassonografia
20.
Clin Ter ; 159(2): 97-104, 2008.
Artigo em Italiano | MEDLINE | ID: mdl-18463768

RESUMO

Diabetes mellitus is a disorder of the endocrine system. An important pathology of dental interest to which the diabetic patient can go encounter, especially if not controlled from the metabolic point of view, is the periodontal disease. The aim of this review is to illustrate the relation between diabetes mellitus and periodontal disease estimating the several therapeutic options on hand in the clinical daily practice. Many studies show an important association between diabetes and the pathogenesis of periodontal disease. Vascular changes caused by hyper-glycemia are associated to the development of periodontal pathogens species. Moreover, diabetics show an exacerbate host response with hyperproduction of inflammatory mediators and polymorphonuclear dysfunction. Diabetics with good metabolic control and patients with good oral hygiene show a reduced risk of periodontitis. In conclusion, diabetes mellitus (of type 1 and type 2) is an important risk factor for periodontitis. Diabetes mellitus determines changes in bacterial population and production of inflammatory mediators, and reduces the efficacy of the host response. Good controlled diabetes do not cause a major risk of periodontitis and improve the results of the periodontal initial therapy and of the eventual surgical therapy. Moreover, periodontal therapy may reduce the request of insulin in diabetics. It is reasonable a reciprocal relation between diabetes and periodontal disease.


Assuntos
Complicações do Diabetes/microbiologia , Bactérias Anaeróbias Gram-Negativas/fisiologia , Periodontite/etiologia , Glicemia/análise , Placa Dentária/microbiologia , Complicações do Diabetes/imunologia , Produtos Finais de Glicação Avançada/metabolismo , Bactérias Anaeróbias Gram-Negativas/isolamento & purificação , Bactérias Anaeróbias Gram-Negativas/patogenicidade , Interações Hospedeiro-Patógeno , Humanos , Mediadores da Inflamação/metabolismo , Neutrófilos/patologia , Higiene Bucal , Periodontite/microbiologia , Periodontite/prevenção & controle , Receptor para Produtos Finais de Glicação Avançada , Receptores Imunológicos/metabolismo , Fatores de Risco , Especificidade da Espécie , Desmineralização do Dente/etiologia
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