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1.
Chemosphere ; 337: 139374, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37394190

RESUMO

The present study aimed to evaluate the effectiveness of seagrass recolonization as a nature-based solution for the recovery of a coastal area historically contaminated by mercury (Laranjo Bay, Ria de Aveiro, Portugal). A mesocosm approach was employed to assess the resistance of Zostera noltei to transplantation into contaminated sediments collected in-situ (0.5-20 mg kg-1 Hg). At each sampling time (15, 30, 60, 120 and 210 days), the resistance of transplanted Z. noltei was evaluated through growth parameters (biomass and coverage area), photosynthetic performance and elemental composition. Although some significant differences (p ≤ 0.05) were observed between treatments, essentially associated with the elemental composition of plant tissues, the most relevant variations were associated with seasonality. Overall, plants were found to not be affected by sediment contamination, under the tested concentrations, suggesting that recolonization with Z. noltei can be an effective restoration strategy for historically contaminated coastal areas.


Assuntos
Mercúrio , Poluentes Químicos da Água , Zosteraceae , Bioacumulação , Mercúrio/análise , Biomassa , Plantas , Sedimentos Geológicos , Poluentes Químicos da Água/análise
2.
Sci Total Environ ; 652: 320-329, 2019 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-30366333

RESUMO

The AQUACROSS project was an unprecedented effort to unify policy concepts, knowledge, and management of freshwater, coastal, and marine ecosystems to support the cost-effective achievement of the targets set by the EU Biodiversity Strategy to 2020. AQUACROSS aimed to support EU efforts to enhance the resilience and stop the loss of biodiversity of aquatic ecosystems as well as to ensure the ongoing and future provision of aquatic ecosystem services. The project focused on advancing the knowledge base and application of Ecosystem-Based Management. Through elaboration of eight diverse case studies in freshwater and marine and estuarine aquatic ecosystem across Europe covering a range of environmental management problems including, eutrophication, sustainable fisheries as well as invasive alien species AQUACROSS demonstrated the application of a common framework to establish cost-effective measures and integrated Ecosystem-Based Management practices. AQUACROSS analysed the EU policy framework (i.e. goals, concepts, time frames) for aquatic ecosystems and built on knowledge stemming from different sources (i.e. WISE, BISE, Member State reporting within different policy processes, modelling) to develop innovative management tools, concepts, and business models (i.e. indicators, maps, ecosystem assessments, participatory approaches, mechanisms for promoting the delivery of ecosystem services) for aquatic ecosystems at various scales of space and time and relevant to different ecosystem types.


Assuntos
Biodiversidade , Conservação dos Recursos Naturais/métodos , Ecossistema , Monitoramento Ambiental , Política Ambiental , Europa (Continente) , Eutrofização , Pesqueiros , Água Doce
3.
Sci Total Environ ; 586: 215-225, 2017 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-28179076

RESUMO

In the scope of the first WDF management cycle, a multi-municipality sanitation system with secondary treatment was implemented in 2005 in Ria de Aveiro coastal lagoon, with the treated effluent discharging into the Atlantic Ocean through a submarine outfall. The lagoon water chemical status was evaluated regarding dissolved inorganic nutrients and chlorophyll a before and after 2005. The S. Jacinto outfall has effectively reduced the point source nutrient loads (ammonium and phosphate) into Ria de Aveiro, representing a step forward for the implementation of the WFD, through eutrophication abatement. However, the lagoon remains exposed to non-point nitrogen sources, as a consequence of the current land use and water management, which in a scenario of winter extreme precipitation events, nutrients increase through surface run-off. Besides, in a combined scenario of low freshwater input into the lagoon and favourable oceanic condition, nutrients enter through Ria outer boundary coming from the S. Jacinto outfall. Thus, changes in the system hydrodynamics in the context of global change might pose new challenges regarding the WFD second management cycle involving the second river basin management plan and the first flood risk management plan, foreseeing the 'Good' ecological status in all Ria's Water Bodies.

4.
Plant Biol (Stuttg) ; 18(5): 824-34, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-27061465

RESUMO

In the present study, we used 16S rRNA barcoded pyrosequencing to investigate to what extent monospecific stands of different salt marsh plant species (Juncus maritimus and Spartina maritima), sampling site and temporal variation affect sediment bacterial communities. We also used a bioinformatics tool, PICRUSt, to predict metagenome gene functional content. Our results showed that bacterial community composition from monospecific stands of both plant species varied temporally, but both host plant species maintained compositionally distinct communities of bacteria. Juncus sediment was characterised by higher abundances of Alphaproteobacteria, Myxococcales, Rhodospirillales, NB1-j and Ignavibacteriales, while Spartina sediment was characterised by higher abundances of Anaerolineae, Synechococcophycidae, Desulfobacterales, SHA-20 and Rhodobacterales. The differences in composition and higher taxon abundance between the sediment bacterial communities of stands of both plant species may be expected to affect overall metabolic diversity. In line with this expectation, there were also differences in the predicted enrichment of selected metabolic pathways. In particular, bacterial communities of Juncus sediment were predicted to be enriched for pathways related to the degradation of various (xenobiotic) compounds. Bacterial communities of Spartina sediment in turn were predicted to be enriched for pathways related to the biosynthesis of various bioactive compounds. Our study highlights the differences in composition and predicted functions of sediment-associated bacterial communities from two different salt marsh plant species. Loss of salt marsh habitat may thus be expected to both adversely affect microbial diversity and ecosystem functioning and have consequences for environmental processes such as nutrient cycling and pollutant remediation.


Assuntos
Bactérias/classificação , Sedimentos Geológicos/microbiologia , Magnoliopsida/microbiologia , Metagenômica , Consórcios Microbianos , Poaceae/microbiologia , Bactérias/genética , Bactérias/isolamento & purificação , Bactérias/metabolismo , Biodiversidade , Código de Barras de DNA Taxonômico , DNA Bacteriano/química , DNA Bacteriano/genética , DNA Ribossômico/química , DNA Ribossômico/genética , Ecossistema , Geografia , RNA Ribossômico 16S/genética , Análise de Sequência de DNA , Áreas Alagadas
5.
Mar Pollut Bull ; 77(1-2): 361-6, 2013 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-24139645

RESUMO

In order to assess the status of a North Atlantic Ocean Ecoregion (Mondego system, Portugal) after the implementation of a management programme, a study on PO4-P sorption was carried out. Considering that sorption velocity markedly determines the systems promptness to phosphorus external loading, the kinetics of the sorption of PO4-P onto estuarine sediments and the upstream agricultural soils was studied. The pseudo-second order kinetic equation gave an appropriate description of PO4-P sorption onto these soils and sediments, allowing for a quantitative comparison. For soils, the kinetic constants (k2*, µg(-1) g h(-1)) ranged between 0.007 and 0.017 µg(-1) g h(-1) while, in the case of sediments these ranged between 0.008 and 0.012 µg(-1) g h(-1). Results showed that the reduction of water residence time after the management action was relevant for the system status, affecting its reaction capacity to phosphorus loading.


Assuntos
Sedimentos Geológicos/química , Fosfatos/análise , Solo/química , Poluentes Químicos da Água/análise , Adsorção , Monitoramento Ambiental , Eutrofização , Cinética , Modelos Químicos , Fosfatos/química , Portugal , Poluentes Químicos da Água/química
7.
Mar Pollut Bull ; 64(2): 263-71, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22177286

RESUMO

We compare the environmental characteristics and bacterial communities associated with two rushes, Juncus maritimus and Bolboschoenus maritimus, and adjacent unvegetated habitat in a salt marsh subjected to historical mercury pollution. Mercury content was higher in vegetated than unvegetated habitat and increased with sampling depth. There was also a significant relationship between mercury concentration and bacterial composition. Habitat (Juncus, Bolboschoenus or unvegetated), sample depth, and the interaction between both, however, explained most of the variation in composition (~70%). Variation in composition with depth was most prominent for the unvegetated habitat, followed by Juncus, but more constrained for Bolboschoenus habitat. This constraint may be indicative of a strong plant-microbe ecophysiological adaptation. Vegetated habitat contained distinct bacterial communities associated with higher potential activity of aminopeptidase, ß-glucosidase and arylsulphatase and incorporation rates of (14)C-glucose and (14)C-acetate. Communities in unvegetated habitat were, in contrast, associated with both higher pH and proportion of sulphate reducing bacteria.


Assuntos
Fenômenos Fisiológicos Bacterianos/efeitos dos fármacos , Cyperaceae/fisiologia , Magnoliopsida/fisiologia , Mercúrio/toxicidade , Fenômenos Fisiológicos Vegetais , Poluentes Químicos da Água/toxicidade , Áreas Alagadas , Bactérias/classificação , Bactérias/genética , Ecossistema , Sedimentos Geológicos/química , Sedimentos Geológicos/microbiologia , Concentração de Íons de Hidrogênio , Mercúrio/análise , RNA Ribossômico 16S , Fatores de Tempo , Poluentes Químicos da Água/análise
8.
Environ Pollut ; 159(7): 1869-76, 2011 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-21514707

RESUMO

In this study two time scales were looked at: a yearlong study was completed, and a 180-day decay experiment was done. Juncus maritimus and Scirpus maritimus have different life cycles, and this seems to have implications in the Hg-contaminated salt marsh sediment chemical environment, namely Eh and pH. In addition, the belowground biomass decomposition rates were faster for J. maritimus, as well as the biomass turnover rates. Results show that all these species-specific factors have implications in the mercury dynamics and sequestration. Meaning that J. maritimus belowground biomass has a sequestration capacity for mercury per square metre approximately 4-5 times higher than S. maritimus, i.e., in S. maritimus colonized areas Hg is more extensively exchange between belowground biomass and the rhizosediment. In conclusion, J. maritimus seems to provide a comparatively higher ecosystem service through phytostabilization (Hg complexation in the rhizosediment) and through phytoaccumulation (Hg sequestration in the belowground biomass).


Assuntos
Recuperação e Remediação Ambiental/métodos , Sedimentos Geológicos/análise , Magnoliopsida/metabolismo , Mercúrio/metabolismo , Biodegradação Ambiental , Magnoliopsida/química , Mercúrio/análise , Áreas Alagadas
10.
Mar Environ Res ; 68(1): 12-8, 2009 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-19395081

RESUMO

Mercury is a global priority pollutant and given its huge relevance in terms of environmental damage and a threat to human health, it is important to study the bioaccumulation processes at the level of macrobenthic organisms and evaluate possible consequences for the trophic chain. In this work we evaluate the mercury accumulation rates of two distinct and economically important macrobenthic species, the polychaete Hediste diversicolor and the bivalve Scrobicularia plana, through a mesocosms laboratory experiment. The present experiment demonstrated different bioaccumulation kinetics for each species: while S. plana has a rapid accumulation after 48 h of exposure to contaminated sediments and then reaches a steady state, H. diversicolor has a linear mercury accumulation throughout the experiment time (31 days). The different patterns observed can be related to different feeding strategies and assimilation efficiencies. In addition, we can conclude that independently of the mercury concentration in the sediments, the two studied species in both contaminated sediments reached the same percentage (25%) of mercury accumulated at the end of the experiment when compared to the maximum concentrations recorded in the field. This experiment highlights that the mercury bioaccumulation rate by these two economically and ecologically important macrobenthic species is a reasonably rapid process which can promote serious consequences for the higher trophic levels, constituting a severe risk to the natural environment and ultimately to human health.


Assuntos
Bivalves/metabolismo , Mercúrio/análise , Poliquetos/metabolismo , Poluentes Químicos da Água/análise , Animais , Bivalves/química , Exposição Ambiental , Monitoramento Ambiental , Cadeia Alimentar , Sedimentos Geológicos/química , Cinética , Mercúrio/metabolismo , Poliquetos/química , Poluentes Químicos da Água/metabolismo
11.
Environ Monit Assess ; 155(1-4): 39-49, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-18592386

RESUMO

The Ria de Aveiro (Portugal) is a coast al lagoon adjacent to the Atlantic Ocean and it has an inner bay (Laranjo bay) that received a highly contaminated effluent discharged by a mercury cell chlor-alkali plant from the 1950s until 1994. The aim of this study is to review in a holistic way several research studies that have been carried out in the Ria de Aveiro, in order to evaluate the remobilization of the mercury accumulated within the system and the recovery of the lagoon. The spatial distribution of the total mercury in the surrounding terrestrial environment has also been considered. Results indicate that the main mercury contamination problems in the Ria de Aveiro are confined to the Laranjo bay. Mercury export to the coastal waters and its impact on the nearshore compartments (water column, sediment and biota) are low. No direct effects of the mercury from nearby industrial activities were detected in Aveiro's urban soils, although historical mercury contamination is still affecting soil quality in the immediate vicinity of the chlor-alkali plant, located in Estarreja. Moreover, macrophyte harvesting for human direct or indirect use and the consumption of mussels, crabs and the sea bass from the Laranjo bay may constitute a health risk. Further studies focusing on developing skills for the restoration of the ecosystem are presently underway.


Assuntos
Monitoramento Ambiental , Mercúrio/análise , Água do Mar/análise , Poluentes Químicos da Água/análise , Sedimentos Geológicos/análise , Portugal , Poluentes do Solo/análise
12.
Chemosphere ; 73(8): 1224-9, 2008 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-18799184

RESUMO

Mercury concentrations were quantified in Halimione portulacoides (roots, stems and leaves) as well as in sediments from eight Portuguese estuarine systems, covering seventeen salt marshes with distinct degrees of mercury contamination. The concentration of mercury in the sediments ranged from 0.03 to 17.0 microg g(-1). The results show that the accumulation of mercury differed according to the organ of the plant examined and the concentration of mercury in the sediments. Higher mercury concentrations were found in the roots (up to 12.9 microg g(-1)) followed by the leaves (up to 0.12 microg g(-1)), while the stems had the lowest concentrations (up to 0.056 microg g(-1)). A linear model explained the relation between the concentrations of mercury in the different plant organs: roots and stems (R(adj)(2)=0.75), stems and leaves (R(adj)(2)=0.85) and roots and leaves (R(adj)(2)=0.78). However, the results show that the variation of mercury concentration in the roots versus mercury concentration in the sediments was best fitted by a sigmoidal model (R(adj)(2)=0.89). Mercury accumulation in the roots can be described in three steps: at a low range of mercury concentrations in the sediments (from 0.03 up to 2 microg g(-1)), the accumulation of mercury in roots is also low reaching a maximum concentration of 1.3 microg g(-1); the highest rates of mercury accumulation in the roots occur in a second step, until the concentrations of mercury in the sediments reach approximately 4.5 microg g(-1); after reaching this maximum value, the rate of mercury accumulation in the roots slows down leading to a plateau in the concentration of mercury in the roots of about 9.4 microg g(-1), which corresponds to a mercury concentration in the sediments of about 11 microg g(-1). A linear model explained also the accumulation of mercury in leaves versus the mercury concentration in the sediments (R(adj)(2)=0.88). Differences in responses of roots and leaves are explained by the dynamics of the plant organs: old roots are mineralised in situ close to new roots, while leaves are renewed. Previous studies have already shown that H. portulacoides is a bioindicator for mercury and the results from this work sustain that H. portulacoides may also be used as a biomonitor for mercury contamination in salt marshes. Nevertheless, caution should be taken in the application of the models, concerning the life cycle of the species and the spatial variability of the systems.


Assuntos
Amaranthaceae/química , Monitoramento Ambiental/métodos , Mercúrio/análise , Áreas Alagadas , Água/química
13.
Chemosphere ; 72(10): 1607-1613, 2008 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-18555514

RESUMO

The present study intends to increase the knowledge on the mobility of mercury in a salt marsh colonised by Halimione portulacoides. Mercury distribution in the sediment layers and its incorporation into the plant biomass were assessed, as well as the potential export of mercury from the contaminated area to the adjacent environment. Mercury pools in the sediments ranged from 560 to 943 mg m(-2) and are largely associated with the solid fraction, with just a small amount being associated with the pore waters. Estimated diffusive fluxes of reactive mercury ranged from 1.3 to 103 ng m(-2) d(-1). Despite the above ground biomass values being comparatively higher than below ground biomass values, the mercury pools were much higher in the root system (0.06-0.16 mg m(-2) and 29-102 mg m(-2), respectively). The annual bioaccumulation of mercury in above ground tissues was estimated in 0.11 mg m(-2) y(-1), while in below ground biomass the values were higher (7 2mg m(-2) y(-1)). The turnover rates of H. portulacoides biomass suggest higher mercury mobility within the plant rhizosphere. Taking into account the pools of mercury in above ground biomass, the export of mercury by macro-detritus following the "outwelling hypothesis" is not significant for the mercury balance in the studied ecosystem. The mercury accumulated in the below ground part of the plant is quite mobile, being able to return to the sediment pool throughout the mineralisation process.


Assuntos
Amaranthaceae/metabolismo , Sedimentos Geológicos/análise , Mercúrio/análise , Áreas Alagadas , Amaranthaceae/crescimento & desenvolvimento , Biodegradação Ambiental , Biomassa , Monitoramento Ambiental , Geografia , Mercúrio/metabolismo , Portugal
14.
Mar Pollut Bull ; 56(2): 325-34, 2008 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-18054965

RESUMO

Mercury, with its reactive forms being the most deleterious for the trophic chains, has been identified as a major pollutant in a few confined bodies of the coastal zone. Due to feeding, burrowing, and bioirrigation activities, infauna are known to play a crucial role in the biogeochemical processes of contaminants. The main goal of the present study is to evaluate the effects of Hediste diversicolor bioturbation on mercury fluxes from estuarine sediments in a mesocosms laboratory experiment. Additionally, an attempt was made to establish a relationship between the amount of remobilised mercury to the water column and the degree of contamination of the sediments using a mercury contamination gradient. The present experiment demonstrated that the bioturbation activity caused by the gallery-diffuser H. diversicolor did not influence the remobilisation of mercury (in dissolved reactive forms) from the sediment to the water column. The concentration of dissolved reactive mercury in the water column also did not reflect the degree of contamination in the sediments. The results obtained were in accordance with the sediment characteristics of the Mondego Estuary and Ria de Aveiro (Portugal), since they are very rich in organic matter content, iron/manganese total and hydrous oxides. These physicochemical characteristics of the sediments may partially justify the retention of mercury by these systems, even when they are subjected to bioturbation. In conclusion, sediments with high organic matter content and a high concentration of iron/manganese hydrous oxides allowed for efficient retention of mercury, and the bioturbation process did not seem to affect the system. Another conclusion from this study is that the remobilisation of mercury by bioturbation to the water column is not a fast process, requiring more than 24h. This study constitutes an important work in the area of the effects of bioturbation on mercury remobilisation. Considering the toxicity of mercury for the biota, it is essential to evaluate the real magnitude of mercury processes occurring in estuarine systems in order to obtain essential information on metal behaviour.


Assuntos
Monitoramento Ambiental , Sedimentos Geológicos/análise , Mercúrio/análise , Poliquetos/fisiologia , Poluentes Químicos da Água/análise , Análise de Variância , Animais , Ferro/análise , Manganês/análise , Portugal , Água do Mar/análise
15.
Chemosphere ; 71(4): 765-72, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18061237

RESUMO

During four decades, the Ria de Aveiro was subjected to the loading of mercury from a chlor-alkali industry, resulting in the deposition of several tons of mercury in the sediments. The present study evaluates the impact of this disturbance and the recovery processes, temporally and spatially, by means of examining the richness of the species of salt marsh plants and mercury concentrations in sediments over the last fifty years. The temporal assessment showed that the mercury loading induced a shift in the species composition of the salt marsh from a non-disturbed salt marsh with higher species richness to an alternative state dominated by Phragmites australis. The horizontal assessment, through a mercury gradient, presents the same trend, indicating that P. australis is the species most tolerant to higher mercury concentrations, comparative to Halimione portulacoides, Arthrocnemum fruticosum, Triglochin maritima, Juncus maritimus and Scirpus maritimus. After the reduction of mercury discharges in 1994, the salt marsh shows a slowly return path recovery response. The hysteresis in the response results in the temporal gap between the reduction in mercury concentrations in the sediment and the salt marsh species richness response, comparatively to the existing diversity in the local reference marsh.


Assuntos
Poluição Ambiental/efeitos adversos , Poluição Ambiental/análise , Mercúrio/farmacologia , Plantas/efeitos dos fármacos , Sais , Áreas Alagadas , Biodiversidade , Fatores de Tempo
17.
Mar Pollut Bull ; 54(6): 678-90, 2007 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-17395214

RESUMO

A spatially dynamic model for the productivity of spores and adults of green macroalgae (Enteromorpha sp.) was developed for a mesotidal estuary (Mondego estuary, Portugal). Many of the algal processes and parameters included in the model were experimentally obtained. Model predictions were compared to a real time series (1993-1997) of macroalgal biomass variation and the two sets show a good agreement (ANOVA, P<0.001). Results suggest that algal growth is highly sensitive to small changes in depth and exhibits different patterns of variation in different seasons. On a yearly basis, global calculations for the south channel of the estuary (137 ha) suggest that during bloom years, macroalgal biomass may reach about 21,205 ton DW compared to 240 ton DW in regular years. On a seasonal basis, the difference may be even more significant. The consequences of such variations on the nitrogen and phosphorus loading of the system and the adjacent coastal area are discussed.


Assuntos
Rios/química , Ulva/crescimento & desenvolvimento , Biomassa , Sistemas de Informação Geográfica , Modelos Biológicos , Nitrogênio/análise , Fósforo/análise , Portugal , Estações do Ano , Ulva/metabolismo , Ulva/fisiologia , Movimentos da Água
18.
Tidsskr Nor Laegeforen ; 120(29): 3526-9, 2000 Nov 30.
Artigo em Norueguês | MEDLINE | ID: mdl-11188378

RESUMO

BACKGROUND: Non-convulsive status epilepticus is characterized by confusion and impaired consciousness, lasting at least half an hour. Seizure activity in the EEG confirms the diagnosis, but ictal discharges can be heterogeneous and difficult to classify. There is controversy regarding evidence of morbidity in humans. MATERIAL AND METHODS: We report three patients with non-convulsive status epilepticus. RESULTS: In two patients, the clinical findings during seizures were subtle cognitive impairment. One patient was confused during seizures. Localisation of seizure activity in the EEG was mainly frontal in two patients, and generalised with focal predominance in one. There were no sign of neurologic sequelae after the seizures were terminated. INTERPRETATION: Complex partial status epilepticus of frontal origin is common, but differentiation between complex partial and generalised non-convulsive status can be difficult. The clinical symptoms may overlap, and generalised EEG seizure activity does not exclude initial focal ictal discharges. Presumably the reported sequelae after this condition are in most cases a consequence of underlying cerebral illness. Treatment response to diazepam can be variable, with high recurrence risk. Effective prophylactic treatment is most important.


Assuntos
Transtornos Cognitivos/diagnóstico , Confusão , Estado Epiléptico/diagnóstico , Adulto , Idoso , Anticonvulsivantes/administração & dosagem , Diazepam/administração & dosagem , Eletroencefalografia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estado Epiléptico/tratamento farmacológico , Estado Epiléptico/fisiopatologia , Estado Epiléptico/psicologia
19.
Tidsskr Nor Laegeforen ; 110(21): 2778-80, 1990 Sep 10.
Artigo em Norueguês | MEDLINE | ID: mdl-2219052

RESUMO

A scoring system for neuropathic symptoms (neuropathic symptom score) and signs (neurologic disability score) has been applied on 30 patients with polyneuropathy. Vibration sense thresholds were also measured by vibrametry. A statistically significant association between the neuropathic symptom score and the neurologic disability score was demonstrated. Disability scores expressing sensory items were significantly associated with vibration threshold on the index finger and even stronger with that on the big toe, which also correlated well with the sum of the patients' neuropathy deficits (total neurologic disability score). We recommend that registration of neurologic disability score in particular and if possible also vibrametry (and other quantitative sensory tests) are performed in the primary evaluation of patients with polyneuropathy, and especially in subsequent examinations to clinically monitor the patients.


Assuntos
Doenças do Sistema Nervoso/diagnóstico , Limiar Sensorial/fisiologia , Adulto , Idoso , Avaliação da Deficiência , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças do Sistema Nervoso/etiologia , Exame Neurológico/métodos , Vibração
20.
Tidsskr Nor Laegeforen ; 110(20): 2667-8, 1990 Aug 30.
Artigo em Norueguês | MEDLINE | ID: mdl-2219039

RESUMO

Most of the patients remitted to this service are former inpatients who need more comprehensive examinations than usually performed in an ordinary outpatient setting. They attend for one or more days during office hours, spending the night at home or in a hotel. Investigative procedures are ordered in advance, and the patients receive written information about the various tests beforehand. Of the first 271 patients, 206 attended for one day, 63 for two days and two for three days. The examinations comprised 81 by lumbar myeloradiculography, 59 EMG, 56 EEG, 46 cerebral CT scan, 33 SER (somatosensory evoked response), 32 BAER (brainstem auditory evoked response), and 16 VER (visual evoked response). A spinal fluid tap was performed in 49 patients, muscle biopsy in five patients, and 51 were examined by doppler of the precerebral arteries. The fact that the patients attend for one or more days instead of one hour is also of great benefit for teaching and research purposes.


Assuntos
Neurologia/organização & administração , Ambulatório Hospitalar/organização & administração , Humanos , Exame Neurológico/métodos , Noruega
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