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  • 1
    ISSN: 1398-9995
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Introduction: To date we have available specific instruments assessing health-related quality of life (HRQL) in rhinoconjunctivitis or in asthma, but not instruments evaluating rhinitis and asthma together, although they often coexist. The aim of our study was to develop and validate a specific quality of life (QoL) questionnaire for adult patients with rhinoconjunctivitis, asthma or both.Materials and methods: A pool of 42 items covering the main symptoms and problems related to respiratory allergy, was generated based on literature review and clinical experience. The items were randomly listed and presented to 148 consecutive outpatients 46 suffering from asthma (age 32.9 ± 14.3 years), 53 suffering from rhinoconjunctivitis (age 32.6 ± 11.5 years) and 49 from asthma and rhinoconjunctivitis (age 35.6 ± 12.2 years). The patients were asked to indicate which item they had directly experienced and for each of them, its importance on a four-point scale (1 = not important; 4 = very important). Twelve items were cancelled from the list, because of low importance or redundance. In the instrument validation phase, 104 patients (42 with rhinoconjunctivitis alone and 62 with asthma and rhinoconjunctivitis) were evaluated with the generic instrument SF-36 and the new questionnaire (RHINASTHMA).Results: RHINASTHMA was able to differentiate patients with rhinitis from those with both rhinitis and asthma. In stable condition, RHINASTHMA showed good reliability. The factor analysis extracted three factors with a good reliability (0.93, 0.87, 0.76).Discussion: RHINASTHMA is the first tool aimed at evaluating HRQL impairment in patients with rhinitis and/or asthma. It provides a short and simple assessment, and has overall psychometric properties. This is of relevance because of the frequent asthma–rhinitis comorbidity.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Amsterdam : Elsevier
    Regulatory Peptides 1 (1980), S. S97 
    ISSN: 0167-0115
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-2277
    Keywords: Key words Organ procurement ; Organ transplantation ; Procurement programme efficiency ; Transplant Programe efficiency ; Evaluation indexes
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The number of donations per million population (pmp) per year and the number of transplants pmp/year enables one to compare donation or transplant programs made in different years in the same area or made the same year in different areas. These pmp indexes may be integrated with an evaluation system by which each organ is evaluated separately in terms of the efficiency of its procurement and transplant systems using the procurement index (percentage in terms of number of organs utilized/number of organs procurable from donors utilized in a single area during 1 year) and the transplant index (percentage in terms of number of transplants performed/number of organs harvested in a single area during 1 year). We have called them Caldes I (procurement) and Caldes II (transplant) indexes. The harvest index evaluates the efficiency of utilization of organs retrieved from suitable donors. It usually ranges between 80–90 % for the kidney, 70–95 % for the liver, 40–50 % for the heart, and 5–15 % for the lungs. The transplant index evaluates for each organ the transplant team capacity to use available organs which can be harvested locally or in different areas. It usually ranges between 60–120 %. Index determination did not require information different from the standard data available. Both the harvest and transplant indexes could be used to compare the efficiency of donation and transplant programs and policies in the same area during different years or at the same time in different areas. They can be critical in evaluating: (a) marginal donor utilization, (b) marginal organ utilization, and (c) dishomogeneity of organ retrieval and organ transplantation in different regions belonging to the same area. They also enable to evaluate if organs considered not available in a single area are offered to other areas or are not retrieved at all from available donors.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1573-2568
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In order to examine the effect of adrenergic influences on gastric inhibitory polypeptide (GIP) secretion, a series of glucose tolerance tests was carried out in seven healthy volunteers during intravenous infusion of epinephrine (6 μg/min), epinephrine plus phentolamine (5 mg stat+0.5 mg/min), epinephrine plus propranolol (5 mg stat+0.08 mg/min), and saline. No drug infusion modified fasting GIP levels. Alpha-adrenergic stimulation (epinephrine+propranolol) significantly reduced the GIP response (P〈0.02) and completely inhibited the insulin response (P〈0.005) to oral glucose, compared with control experiments. Epinephrine alone and epinephrine+phentolamine did not influence glucose-stimulated GIP. These results suggest the possibility that the adrenergic nervous system may have a role in the regulation of GIP secretion in man.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1590-3478
    Keywords: Ischemic stroke ; atrial fibrillation ; risk factors
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Sommario Sono stati esaminati retrospettivamente 516 pazienti consecutivi affetti da ictus ischemico, di cui 93 con fibrillazione atriale (AF), al fine di valutare la maggiore incidenza di ictus ischemico grave nei pazienti con fibrillazione atriale (AF), così come la maggiore frequenza di ictus associati a AF nel sesso femminile. Sono stati confrontati statisticamente i principali dati anamnestici, clinici e laboratoristici dei due gruppi di pazienti, AF e non-AF. Inoltre, sono state valutate statisticamente le caratteristiche del gruppo AF, secondo il sesso e l'età. I nostri risultati confermano l'esistenza di una maggiore gravità dell'ictus nei pazienti con AF rispetto a quelli non-AF, così come una maggiore incidenza di ictus associati a AF nel sesso femminile. Inoltre, è stata riscontrata una frequenza significativamente maggiore di ictus associati a AF nei soggetti maschi di età compresa fra 80–89 anni. Fattori di rischio rilevanti nelle femmine di età 80–89 anni erano costituiti dall'ipertensione e dall'ipertrofia ventricolare sinistra (LVH), mentre il diabete, l'alcool, il fumo e l'LVH erano presenti nei maschi di età 60–90 anni.
    Notes: Abstract In view of the higher prevalence of severe ischemic stroke among patients with atrial fibrillation (AF) and of the recently reported higher frequency of stroke with AF in females, 516 consecutive patients with ischemic stroke, of whom 93 had AF, were retrospectively evaluated. The main anamnestic, clinical and laboratory features of the AF and non-AF groups were statistically compared and the features of the AF group were statistically evaluated according to gender and age. Our results confirm the greater severity of stroke in AF patients than in non-AF patients and the higher frequency of stroke with AF in female patients. Moreover, a significantly higher frequency of stroke with AF was found in the male 60–69 and the female 80–89 age groups than in the other age groups. Relevant risk factors in females aged 80–89 were hypertension and left ventricular hypertrophy (LVH), while diabetes, alcohol, smoking and LVH prevailed among 60–69 year old males.
    Type of Medium: Electronic Resource
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  • 6
    Publication Date: 2015-09-03
    Description: Long-term outcome of chronic myeloid leukemia patients treated frontline with imatinib Leukemia 29, 1823 (September 2015). doi:10.1038/leu.2015.152 Authors: F Castagnetti, G Gugliotta, M Breccia, F Stagno, A Iurlo, F Albano, E Abruzzese, B Martino, L Levato, T Intermesoli, P Pregno, G Rossi, F Gherlinzoni, P Leoni, F Cavazzini, C Venturi, S Soverini, N Testoni, G Alimena, M Cavo, G Martinelli, F Pane, G Saglio, G Rosti & M Baccarani
    Print ISSN: 0887-6924
    Electronic ISSN: 1476-5551
    Topics: Medicine
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  • 7
    Publication Date: 2015-10-02
    Description: TM9SF4 is a novel V-ATPase-interacting protein that modulates tumor pH alterations associated with drug resistance and invasiveness of colon cancer cells Oncogene 34, 5163 (01 October 2015). doi:10.1038/onc.2014.437 Authors: F Lozupone, M Borghi, F Marzoli, T Azzarito, P Matarrese, E Iessi, G Venturi, S Meschini, A Canitano, R Bona, A Cara & S Fais
    Print ISSN: 0950-9232
    Topics: Medicine
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  • 8
    Publication Date: 2023-03-15
    Description: Volcanoes are currently to be regarded as natural sources of air pollutants. Climatic and environmental forcing of large volcanic eruptions are well known, although gases emitted through passive degassing during periods of quiescence or hydrothermal activity can also be highly dangerous for the environment and public health. Based on compositional and isotopic data, a survey on the spatial distribution in air of the main volatile compounds of carbon (CO2 and CH4) and sulfur (H2S and SO2) emitted from the fumarolic field of Pisciarelli (Campi Flegrei, Pozzuoli, Naples), a hydrothermal area where degassing activity has visibly increased since 2009, was carried out. The main goals of this study were (i) to evaluate the impact on air quality of these natural manifestations and (ii) inquire into the behavior of the selected chemical species once released in air, and their possible use as tracers to distinguish natural and anthropogenic sources. Keeling plot analysis of CO2 and CH4 isotopes revealed that the hydrothermal area acts as a net source of CO2 in air, whilst CH4 originated mainly from anthropogenic sources. Approaching the urban area, anthropogenic sources of CO2 increased and, at distances greater than 800 m from the Pisciarelli field, they prevailed over the hydrothermal signal. While hydrothermal CO2 simply mixed with that in the atmospheric background, H2S was possibly affected by oxidation processes. Therefore, SO2 measured in the air near the hydrothermal emissions had a secondary origin, i.e. generated by oxidation of hydrothermal H2S. Anthropogenic SO2 was recognized only in the furthest measurement site from Pisciarelli. Finally, in the proximity of a geothermal well, whose drilling was in progress during our field campaign, the H2S concentrations have reached values up to 3 orders of magnitude higher than the urban background, claiming the attention of the local authorities.
    Description: Published
    Description: 4V. Processi pre-eruttivi
    Description: JCR Journal
    Keywords: Air quality; Carbon and sulfur volatile compounds; Carbon isotopes; Hydrothermal systems; Natural sources of pollutants. ; 04.08. Volcanology ; 01.01. Atmosphere
    Repository Name: Istituto Nazionale di Geofisica e Vulcanologia (INGV)
    Type: article
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  • 9
    Publication Date: 2024-05-09
    Description: We investigated the effect of microbial activity on the chemistry of hydrothermal fluids related to the Vicano–Cimino system, central Italy. The database included the composition and d13C CO2 and d13C CH4 values for soil gas from an area characterized by intense degassing of fluids having a deep origin. The d13C CH4 values along vertical profiles in the soil indicated that CH4 was controlled by microbial oxidation occurring at shallow (〈50 cm) depth, where free O2 was available. This was consistent with the vertical gradients of CH4, H2S and O2 concentrations. The d13C CO2 values in soil gas, characterized by a composition similar to that of the hydrothermal fluids, were not significantly influenced by biodegradation. On the contrary, gas strongly affected by air contamination showed a significant d13C CO2 fractionation. Microbial activity caused strong consumption of hydrothermal alkanes, alkenes, cyclics and hydrogenated halocarbons, whereas benzene was recalcitrant. Oxygenated compounds from hydrocarbon degradation consisted of alcohols, with minor aldehydes, ketones and carboxylic acids. A predominance of alcohols at a high rate of degassing flux, corresponding to a short residence time of hydrothermal gas within the soil, indicated incomplete oxidation. N-bearing compounds were likely produced by humic substances in the soil and/or related to contamination by pesticides, whereas a-pinene traced air entering the soil. The study demonstrates that microbial communities in the soil play an important role for mitigating the release to the atmosphere of C-bearing gases, especially CH4, through diffuse soil degassing, a mechanism that in central Italy significantly contributes to the discharge of CO2-rich gas from deep sources
    Description: Published
    Description: 81-93
    Description: 6A. Geochimica per l'ambiente
    Description: JCR Journal
    Repository Name: Istituto Nazionale di Geofisica e Vulcanologia (INGV)
    Type: article
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  • 10
    Publication Date: 2024-05-09
    Description: Real-time measurements of GEM and H2S discharged fromnatural and anthropogenic sources are a valuable tool to investigate the dispersion dynamics of these contaminants in air. In this study, a new approach to measure GEM and H2S concentrations in air, carried out by coupling a portable Zeeman atomic absorption spectrometer with high frequency modulation of light polarization (Lumex RA-915M) and a pulsed fluorescence gas analyzer (Thermo Scientific Model 450i), was applied to two distinct areas: (i) in the surroundings of Piancastagnaio (Siena, Central Italy), located in the eastern flanks ofMt. Amiata (a 200,000 years old volcano), where three geothermal plants are operating and whose exhaust gases are dispersed in the atmosphere after passing through the turbines and an abatement system to mitigate the environmental impact on air, and (ii) at Solfatara Crater (Campi Flegrei, Southern Italy), a volcanic apparatus characterized by intense hydrothermal activity. In 2014, seven GEMand H2S surveys were carried out in the two areas along pre-defined pathways performed by car at both the study sites. The lowest and highest recorded GEM and H2S concentrations at Piancastagnaio were up to 194 and 77 ng/m3, respectively, whilst at Solfatara Crater were up to 690 and 3392 μg/m3, respectively. Although the GEM concentrations at Piancastagnaio were lower than the limit value recommended by local regulations for outdoor environment (300 ng/m3), they were almost one order of magnitude higher than the GEM background both in Tuscany (~3.5 ng/m3) and Mt. Amiata (3–5 ng/m3), suggesting that the main source of GEM was likely related to the geothermal plants. At Solfatara Crater, the highest GEM values were recognized in proximity of the main fumarolic gas discharges. As far as the H2S concentrations are concerned, the guideline value of 150 μg/m3, recommended by WHO (2000), was frequently overcome in the study areas. Dot (in the surroundings of Piancastagnaio) and contour (at Solfatara Crater) maps for GEM and H2S concentrations built for each survey highlighted the important effects played by the meteorological parameters, the latter being measured by a Davis® Vantage Vue weather station. In particular, the GEM and H2S plumes were strongly affected by the wind speed and direction thatwere able to modify the dispersion of the two parameters in air in a matter of hours, indicating that the proposed analytical approach is able to produce a more realistic picture of the distribution of these air pollutants than that provided by using passive traps. Finally, the H2S/GEMratio, calculated by normalizing the measured GEM and H2S concentrations to their highest values (nH2S/GEM),was used as a good proxy for the chemical-physical processes that these two gas species can suffer once emitted in the air. In particular, H2S resulted to be more affected by secondary processes than GEM, possibly related to photochemical oxidation reactions.
    Description: Published
    Description: 48-58
    Description: 4V. Vulcani e ambiente
    Description: JCR Journal
    Description: restricted
    Keywords: Real-time measurements ; gaseous elemental mercury ; Hydrogen sulphide ; Gaseous contaminants ; Solfatara crater ; Mt. Amiata ; 01. Atmosphere::01.01. Atmosphere::01.01.03. Pollution ; 01. Atmosphere::01.01. Atmosphere::01.01.07. Volcanic effects
    Repository Name: Istituto Nazionale di Geofisica e Vulcanologia (INGV)
    Type: article
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