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Sample records for digitalis

  1. Digitalis en atriumfibrilleren anno 1985

    NARCIS (Netherlands)

    Meijler, F.L.; Tweel, I. van der

    1985-01-01

    In dit artikel worden enkele fundamentele aspecten van atriumfibrilleren en de rol van het atrioventriculaire geleidingssysteem daarbij besproken die ook van belang kunnen zijn voor de eerstelijnsgezondheidszorg, waarbij tevens aandacht wordt besteed aan de werking van digitalis.

  2. An "account" of digitalis and atrial fibrillation

    NARCIS (Netherlands)

    Meijler, F.L.

    This review deals with the mechanisms by which digitalis exerts its "opium-Iike" action on the ventricular rate in patients with atrial fibrillation. To understand the effect of digitalis on ventricular rate and rhythm, it is essential to learn more about the basic electrophysiologic

  3. Di peptides of the Zeyhera digitalis roots; Dipeptideo das raizes de Zeyhera digitalis

    Energy Technology Data Exchange (ETDEWEB)

    Ferreira, Dalva Trevisan; Silva, Rosely Barbosa da [Universidade Estadual de Londrina, PR (Brazil). Dept. de Quimica; Oliveira, Alaide Braga de [Minas Gerais Univ., Belo Horizonte, MG (Brazil). Dept. de Quimica; Isobe, Minoru [Nagoya Univ. (Japan)

    1991-12-31

    Systematic investigation using {sup 1} H NMR have been done on the Zeyhera digitalis roots for isolation, purification, and identification of substances with biological or medical potential activities , such as di peptides compounds 5 figs.

  4. Di peptides of the Zeyhera digitalis roots; Dipeptideo das raizes de Zeyhera digitalis

    Energy Technology Data Exchange (ETDEWEB)

    Ferreira, Dalva Trevisan; Silva, Rosely Barbosa da [Universidade Estadual de Londrina, PR (Brazil). Dept. de Quimica; Oliveira, Alaide Braga de [Minas Gerais Univ., Belo Horizonte, MG (Brazil). Dept. de Quimica; Isobe, Minoru [Nagoya Univ. (Japan)

    1992-12-31

    Systematic investigation using {sup 1} H NMR have been done on the Zeyhera digitalis roots for isolation, purification, and identification of substances with biological or medical potential activities , such as di peptides compounds 5 figs.

  5. Grand Tour: immaginario, territorio e culture digitali

    Directory of Open Access Journals (Sweden)

    Emiliano Ilardi

    2016-12-01

    Full Text Available Il Grand Tour può essere recuperato come asset narrativo utile per un intervento strategico di re-branding del viaggio in Italia? Il contributo analizza il contesto e le condizioni per una progettazione di questo livello nell’ambiente culturale dell’epoca digitale. Considerando gli archetipi moderni della mediazione dei luoghi come una grande riserva di senso, da riattivare sia nelle pratiche basate sui format seriali e transmediali che valorizzano i territori nella produzione creativa, sia nella costruzione di infrastrutture digitali e  transluoghi per la valorizzazione degli attrattori culturali.

  6. Digitalisation and digitalis detoxication in the elderly.

    Science.gov (United States)

    Caird, F I; Kennedy, R D

    1977-02-01

    Twenty-three elderly patients with normal renal function were studied during digitalisation for cardiac failure or atrial fibrillation. Mean serum digoxin concentrations were in the therapeutic range from the fourth day in seven patients given digoxin 0.25 mg daily, from the second day in seven patients given 0.5 mg followed by 0.25 mg daily, and from the first day in nine patients given 0.75 mg followed by 0.25 mg daily. Toxic effects were not encountered in any patient. Serial measurement of serum digoxin concentrations in six patients recovering from digitalis intoxication, all of whom had severe renal impairment, allowed calculation of serum half-times (62 to 189 hours), and elimination constants (9 to 27% per day). The apparent volumes of distribution of digoxin were around 300 litres, and the apparent body contents of the drugs around 20-25 mug/kg body weight. Differences between these figures and those determined by others for younger patients seem mainly to reflect the consequences of renal impairment. If reasonable assumptions are made for fractional absorption, volume of distribution, and elimination constant, serum digoxin levels during digitalisation can be predicted, and are found to agree well with those observed.

  7. Endogenous Digitalis-like Factors: An Overview of the History

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    Vardaman eBuckalew

    2015-04-01

    Full Text Available The sodium pump is a ubiquitous cell surface enzyme, a Na, K ATPase, which maintains ion gradients between cells and the extracellular fluid (ECF. The extracellular domain of this enzyme contains a highly conserved binding site, a receptor for a plant derived family of compounds, the digitalis glycosides. These compounds inhibit the enzyme and are used in the treatment of congestive heart failure, and certain cardiac arrhythmias. The highly conserved nature of this enzyme and its digitalis receptor led to early suggestions that endogenous regulators might exist. Recent examination of this hypothesis emerged from research in two separate areas: the regulation of ECF volume by a natriuretic hormone (NH, and the regulation of peripheral vascular resistance by a circulating inhibitor of vascular Na, K ATPase. These two areas merged with the hypothesis that NH and the vascular Na, K ATPase inhibitor were in fact the same entity, and that it played a causative role in the pathophysiology of certain types of hypertension. The possibility that multiple endogenous digitalis-like factors (EDLFs exist emerged from efforts to characterize the circulating enzyme inhibitory activity. In this review, the development of this field from its beginnings is traced, the current status of the structure of EDLFs is briefly discussed, and areas for future development are suggested. Key Words: natriuretic hormone, digitalis-like factor, hypertension, Na, K ATPase, ouabain, marinobufagenin, bufodienolides, cardenolides

  8. Quinidine-induced ventricular flutter and fibrillation without digitalis therapy

    NARCIS (Netherlands)

    Koster, R. W.; Wellens, H. J.

    1976-01-01

    Three cases are described with documented ventricular flutter and fibrillation during quinidine medication without concomitant digitalis therapy. In all three patients the arrhythmia developed while they were receiving moderate doses of quinidine. Although no changes in QRS width were observed after

  9. Digitali purpureae-Epilobietum in the Czech Republic

    Czech Academy of Sciences Publication Activity Database

    Neuhäuslová, Zdenka; Härtel, Handrij

    2001-01-01

    Roč. 46, č. 2 (2001), s. 211-218 ISSN 1641-8190 R&D Projects: GA ČR GA206/96/0592 Institutional research plan: CEZ:AV0Z6005908 Keywords : Digitali purpureae-Epilobietum * phytocenology * ecology Subject RIV: EF - Botanics

  10. Optimizing Growth Conditions for Digoxin Production in Digitalis lanata Ehrh

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    Herman A. van Wietmarschen

    2016-08-01

    Full Text Available Objective: Digoxin is a therapeutic cardenolide widely used to treat various heart conditions such as atrial flutter, atrial fibrillation and heart failure in both Western as well as Chinese medicine. Digoxin is extracted from cultivated Digitalis lanata Ehrh. plants, known as Mao Hua Yang Di Huang in Chinese medicine. This manuscript presents two studies that were conducted to optimize the cultivation conditions for digoxin production in the TCM Mao Hua Yan Di Huang in a greenhouse under GAP conditions.

  11. Direct shoot organogenesis of Digitalis trojana Ivan., an endemic ...

    African Journals Online (AJOL)

    STORAGESEVER

    2010-03-15

    Mar 15, 2010 ... An efficient protocol for in vitro propagation of Digitalis trojana Ivan. was developed via adventitious shoot regeneration. Leaf explants were cultured on MS which were supplemented with different concentrations of NAA (0.1, 0.5, 1.0 mg/ml) and BAP (0.1, 0.5, 1.0, 3.0, 5.0 mg/ml) for shoot formation.

  12. Circuiti ad impulsi e digitali volume di aggiornamento

    CERN Document Server

    Millman, Jacob

    1967-01-01

    Questo terzo volume "Circuiti ad impulsi e digitali" contiene la traduzione di parte degli argomenti trattati nel volume "Pulse, digital and switching waveforms" degli autori J. Millman e H. Taub edito dalla Mc Graw-Hill Book Company nel 1965. Gli autori nella presentazione del volume inglese dichiarano di averlo originariamente previsto come una seconda edizione di "Pulse and digital circuits" di cui i primi due volumi delle Edizioni Bizzarri sono la traduzione.

  13. Cultivation and breeding of Digitalis lanata in the Netherlands

    Energy Technology Data Exchange (ETDEWEB)

    Mastenbroek, C.

    1985-09-01

    After the second world war Marshall Aid funds were used to establish a cooperative organization for growing, drying, and selling Digitalis lanata (and other medicinal, aromatic, and culinary herbs) in the Netherlands. The crop is sown in mid April and the fully mechanised harvest of the leaves takes place from September to late November. The leaves are dried for 10-12 hours at 50 degrees C maximum. The aim of breeding trials is to improve leaf production, erect leaf attitude, resistance to Septoria leaf spot and to bolting, and a higher dry matter and digoxin content.

  14. Digitalis use and lung cancer risk by histological type in men.

    Science.gov (United States)

    Li, Wentao; Xie, Shao-Hua; Tse, Lap-Ah; Lagergren, Jesper

    2017-11-15

    Lung cancer risk and tumor characteristics differ between sexes. Estrogen has been suggested to counteract lung cancer development. We aimed to test the hypothesis that digitalis use decreases lung cancer risk due to its estrogenic and other anticancer properties in men. This was a nationwide Swedish population-based cohort study between July 1, 2005 and December 31, 2013. Data on the use of digitalis and organic nitrates in all male individuals were derived from the Swedish Prescribed Drug Registry. New lung cancer diagnoses among cohort participants were identified from the Swedish Cancer Registry. Cox proportional hazards regression was employed to estimate hazard ratios (HRs) with 95% confidence intervals (CIs) of lung cancer in digitalis users (exposed participants) compared to users of organic nitrates without digitalis medication (unexposed participants). The study cohort contained 74,437 digitalis users and 297,301 organic nitrates users. Long-term use (≥2 years) of digitalis was associated with decreased HRs of total lung cancer (HR 0.55, 95% CI 0.39-0.79) and squamous cell carcinoma (HR 0.40, 95% CI 0.19-0.87). This large and population-based study suggests decreased risks of lung cancer overall and squamous cell carcinoma associated with long-term use of digitalis in men. © 2017 UICC.

  15. DERMATITIS DIGITALIS GREAT PROBLEM OF MODERN CATTLE PRODUCTION

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    Ivanka Hadzic

    2016-05-01

    Full Text Available Dermatitis digitalis is an extremely contagious disease of cattle hooves multicausal etiology, which soon turns into a problem of the whole herd. It significantly decreases the milk, which may be in the global market economy can seriously undermine the competitiveness of producers who do not suppressed adequately. Analysis of data collected in 2013. and 2014th year coincides with the findings from the literature that bacterial causes of dermatitis digitalis in conditions of high temperature and humidity raised the number of infected animals in the warm period of the year. The most economical way to control this disease is constant zoohygienic implementation of measures and procedures: Hygiene herd at the prescribed level, proper design and construction of the reservoir, the proper design of the ventilation facility and strict implementation measures of disinfection and hoof bearing animals. The most effective way suppression diseases and hoof it to reduce the losses caused by the conditions of intensive livestock production that preventive measures and procedures as well as raising the level of biotechnology thinking of all employees in cattle production, while curative repair problems in patients with animals but does not eliminate losses manufacturer.

  16. Does digitalis work in chronic heart failure? The end of a 200-year-old controversy.

    Science.gov (United States)

    Packer, M

    1989-01-01

    Controlled trials using modern methods of assessment in well-defined groups of patients have now convincingly demonstrated that digitalis is an effective and well-tolerated drug in patients with chronic heart failure who have left ventricular systolic dysfunction. These encouraging findings concerning digitalis, however, should not be construed to suggest that the drug should be used alone in the treatment of heart failure. Digitalis cannot adequately control the fluid retention seen in most patients with chronic heart failure; diuretics should be added to maintain sodium balance. Digitalis has not been shown to prolong life in chronic heart failure; converting-enzyme inhibitors should be added to reduce morbidity and mortality. All three drugs should be used together in the management of patients with this disorder.

  17. EXERCISE-INDUCED VENTRICULAR-TACHYCARDIA - A RARE MANIFESTATION OF DIGITALIS TOXICITY

    NARCIS (Netherlands)

    GOSSELINK, ATM; CRIJNS, HJGM; WIESFELD, ACP; LIE, KI

    Digitalis intoxication is one of the most common adverse drug reactions. Although some arrhythmias are seen more frequently than others, virtually any rhythm disturbance, including ventricular tachycardia, may occur. However, to our knowledge, exercise-induced ventricular tachycardia as a

  18. Erythrocyte 3H-ouabain binding and digitalis treatment in ethanol addicted patients

    International Nuclear Information System (INIS)

    Battaini, F.; Govoni, S.; Mauri, A.; Civelli, L.; Trabucchi, M.

    1987-01-01

    The binding of 3 H-ouabain to human erythrocytes was analyzed in a population of hospitalized male ethanol addicted patients under long term digitalis treatment. In the non-alcoholic patient group the long term digitalis treatment induced an increase in Bmax and Kd values; such modification was not observed in the alcoholic patients. Chronic alcohol intake itself induced an increase in 3 H-ouabain kinetic parameters. These observations confirm that ouabain binding to human erythrocytes is subject to pharmacological and toxicological regulation and that adaptive changes in peripheral tissues can be useful in predicting possible parallel modifications in other less accessible tissues. 22 references, 1 table

  19. Radioimmunoassay of serum digoxin levels in digitalis intoxication

    International Nuclear Information System (INIS)

    Arendt, G.

    1981-01-01

    For 101 hospitalized patients where clinical symptoms of a glucosidine intoxication as a consequence of oral digoxin treatment were noted, serum digoxin levels were determined using a RIA kit of the Boehringer company (I-125 tracer, solid phase tube separation technique) on a fasted stomach prior to oral drug administration. An ECG was performed simultaneously and in addition kidney function parameters and electrolyte levels were determined. An anamnesis and clinical examination of the patients were also conducted. Interferences in the RIA method and gastro-intestinal illness resulting in changes in resorption behaviour were excluded. The group of patients showed collectively an average serum digoxin level of 2.9 +- 0.9 ng/ml with a range from 1.8 to 6.8 ng/ml, which was statistically significantly higher than the average value for 101 patients receiving long-term oral medication but without symptoms of glycosidine intoxication. According to the manufacture's specifications for the RIA kit, values > 2.0 ng/ml are considered as toxic, with values between 1.6 and 2.0 ng/mg falling into a ''grey zone''. A correlation was found between toxic serum values with changes in ECG pattern and subjective clinical symptoms of intoxication. A limitation of kidney function was responsible for the high serum glycoside levels in 62% of the patients. It was shown that the differing response of patients towards digitalis medication, above all in the case of long-term therapy, warrants an RIA determination of serum glycoside values in order to adjust the digoxin dose to individual requirements. (orig./MG) [de

  20. [Long-term digitalis therapy of elderly patients. Is digitalization unnecessary in the majority of cases?].

    Science.gov (United States)

    Häcki, M A; Angehrn, W; Cavegn, H R; Brändli, O

    1982-12-18

    More than 40% of patients hospitalized in the Wald Altitude Clinic of Zürich are already on long-term digitalis therapy upon admission. During a 6 month period long-term digoxin therapy was discontinued in 97 patients (age 74 +/- 9 years) with stable cardiac insufficiency (NYHA class I-III) and sinus rhythm. During the hospitalization (37 +/- 20 days), clinical signs and symptoms, body weight, radiological heart size, and systolic time intervals were monitored. After an observation period of one week, digoxin was discontinued in all patients. Body weight, cardio-thoracic ratio and left ventricular ejection time remained unchanged after cessation of digoxin therapy during hospitalization. The pre-ejection period showed a significant increase from 89 +/- 17 to 95 +/- 19 msec. Six patients were re-instituted on digoxin therapy, 3 due to progressive cardiac insufficiency, 2 due to atrial fibrillation, and 1 at his own request. After telephone follow-up six months later with the family physician an additional 20 patients were put back on digitalis. Among the total of 26 patients requiring further digitalization an absolute indication was found only in 12 (14%), 8 due to progressive cardiac insufficiency and 4 due to atrial fibrillation. In this study digitalis therapy could be discontinued without ill effects in 86% of elderly clinically stable patients in sinus rhythm. The authors therefore recommend a more cautious use of long-term digitalis therapy and, in already digitalized patients in sinus rhythm, a controlled trial period of discontinuation.

  1. Human skeletal muscle digitalis glycoside receptors (Na,K-ATPase)--importance during digitalization.

    Science.gov (United States)

    Schmidt, T A; Holm-Nielsen, P; Kjeldsen, K

    1993-02-01

    The aims of the present study were to evaluate in humans the putative importance of skeletal muscle digitalis glycoside receptors (Na,K-ATPase) in the volume of distribution of digoxin and to assess whether therapeutic digoxin exposure might cause digitalis receptor upregulation in skeletal muscle. Samples of the vastus lateralis were obtained postmortem from 11 long-term (9 months to 9 years) digitalized (125-187.5 micrograms daily) and eight undigitalized subjects. In intact samples from digitalized patients, vanadate-facilitated 3H-ouabain binding increased 15% (p 0.30) before and after washing in specific digoxin antibody fragments, respectively. Thus, the present study indicates a approximately 13% occupancy of skeletal muscle digitalis glycoside receptors with digoxin during digitalization. In light of the large skeletal muscle contribution to body mass, this indicates that the skeletal muscle Na,K-ATPase pool constitutes a major volume of distribution for digoxin during digitalization. The results gave no indication of skeletal muscle digitalis glycoside receptor upregulation in response to digoxin treatment. On the contrary, there was evidence of significantly lower (37%, p digitalized patients, which may be of importance for skeletal muscle incapacity in heart failure.

  2. Vloeistof-vloeistof verdeling als onderzoekmethode bij de vergelijking van enige rassen van digitalis purpurea L.

    NARCIS (Netherlands)

    Henning, Gerardus Johannes

    1962-01-01

    De samenstelling van het glycosidenmengsel van drie rassen van Digitalis purpura L. werd in verschillende groeistadia onderzocht. Door extractie met chloroform van een waterige oplossing der in het gefermenteerde blad voorkomende glycosiden werden deze in twee groepen verdeeld, een in chloroform

  3. Variability in the occurence of formylated diditalose glycosides in Digitalis purpurea L.

    NARCIS (Netherlands)

    Lugt, Charles Bruno

    1975-01-01

    The mutual synergistic activity of digitoxin and verdoxin has in recent years led to an interest in Digitalis pururea L. races with a high content of the verdoxin complex. In order to select such races, answers were required to the following quistions: Is the total verdoxin complex (glucoverodoxin +

  4. Specklinia lugduno-batavae (Pleurothallidinae: Orchidaceae), a new species in the S. digitalis group

    NARCIS (Netherlands)

    Karremans, A.P.; Bogarín, D.; Gravendeel, B.

    2015-01-01

    Specklinia lugduno-batavae from the Caribbean lowlands of Nicaragua and Costa Rica is formally described and illustrated. The new species belongs to the Specklinia digitalis group and can be recognised by the creeping habit, purple spotted abaxial surface of the leaf and the almost immaculate

  5. Chronic digitalis therapy in patients before heart transplantation is an independent risk factor for increased posttransplant mortality

    Directory of Open Access Journals (Sweden)

    Rivinius R

    2017-10-01

    Full Text Available Rasmus Rivinius,1 Matthias Helmschrott,1 Arjang Ruhparwar,2 Ann-Kathrin Rahm,1,3 Fabrice F Darche,1 Dierk Thomas,1 Tom Bruckner,4 Philipp Ehlermann,1 Hugo A Katus,1 Andreas O Doesch1,5 1Department of Cardiology, Angiology and Pneumology, Heidelberg University Hospital, Heidelberg, 2Department of Cardiac Surgery, Heidelberg University Hospital, Heidelberg, 3Faculty of Medicine, University of Heidelberg, Heidelberg, 4Institute for Medical Biometry and Informatics, University of Heidelberg, Heidelberg, 5Asklepios Klinik Bad Salzungen GmbH, Department of Pneumology and Oncology, Bad Salzungen, Germany Objectives: Digitalis therapy (digoxin or digitoxin in patients with heart failure is subject to an ongoing debate. Recent data suggest an increased mortality in patients receiving digitalis. This study investigated the effects of chronic digitalis therapy prior to heart transplantation (HTX on posttransplant outcomes.Patients and methods: This was a retrospective, observational, single-center study. It comprised 530 adult patients who were heart-transplanted at Heidelberg University Hospital between 1989 and 2012. Patients with digitalis prior to HTX (≥3 months were compared to those without (no or <3 months of digitalis. Patients with digitalis were further subdivided into patients receiving digoxin or digitoxin. Primary outcomes were early posttransplant atrial fibrillation and mortality.Results: A total of 347 patients (65.5% had digitalis before HTX. Of these, 180 received digoxin (51.9% and 167 received digitoxin (48.1%. Patients with digitalis before HTX had a significantly lower 30-day (P=0.0148 and 2-year (P=0.0473 survival. There was no significant difference between digoxin and digitoxin in 30-day (P=0.9466 or 2-year (P=0.0723 survival. Multivariate analysis for posttransplant 30-day mortality showed pretransplant digitalis therapy as an independent risk factor (hazard ratio =2.097, CI: 1.036–4.248, P=0.0397. Regarding atrial

  6. Significance of skeletal muscle digitalis receptors for [3H]ouabain distribution in the guinea pig

    International Nuclear Information System (INIS)

    Kjeldsen, K.; Norgaard, A.; Hansen, O.; Clausen, T.

    1985-01-01

    The importance of specific digitalis glycoside binding sites in skeletal muscle for the digitalis glycoside distribution in the guinea pig was evaluated using [ 3 H]ouabain and [ 3 H]digoxin binding assays. Measurements of [ 3 H]ouabain binding capacity (EOmax) in gastrocnemius and heart muscles in vitro gave values of 474 +/- 15 and 1,092 +/- 39 pmol/g wet wt., respectively, in 4-week-old guinea pigs. Hence the total amount of [ 3 H]ouabain binding sites in skeletal muscle and the heart was around 42,700 and 1,200 pmol, respectively. The apparent dissociation constants (Kd) for ouabain receptor interaction was 0.7 X 10(-7) and 1.5 X 10(-7) M for skeletal muscle and heart, respectively. Comparison of [ 3 H]ouabain and [ 3 H]digoxin binding revealed that these drugs are competitive. From birth to maturity the concentration of [ 3 H]ouabain binding sites in guinea pigs decreased from 803 +/- 58 to 304 +/- 28 pmol/g wet wt. in gastrocnemius muscle and from 1,458 +/- 31 to 1,079 +/- 19 pmol/g wet wt. in the heart. After i.p. injection, measurements of the distribution of [ 3 H]ouabain in plasma, skeletal muscle and the heart showed an almost equal relative specific occupancy of digitalis glycoside receptors in skeletal muscle and the heart: When 10% of the digitalis receptors in the heart were occupied by [ 3 H]ouabain, 13% of those in the skeletal muscles were occupied. It was calculated that 1 hr after the i.p. administration of [ 3 H]ouabain the amount of [ 3 H]ouabain specifically bound to the skeletal muscles and the heart corresponded to 5 times and 1/10 the amount available in the extracellular pool, respectively

  7. Identification of the segment of the catalytic subunit of (Na+,K+)ATPase containing the digitalis binding site.

    Science.gov (United States)

    Rossi, B; Ponzio, G; Lazdunski, M

    1982-01-01

    Digitalis compounds that are extensively used in the treatment of cardiovascular disorders are known to bind specifically at the extracellular side of (Na+,K+)ATPase. We have recently reported the synthesis of [3H]p- nitrophenyltriazene -ouabain, a derivative of ouabain, which specifically alkylates the catalytic chain of the (Na+,K+)ATPase at a defined region of the sequence. The peptidic segment involved in the binding of digitalis to (Na+,K+)ATPase has been located after mild trypsin treatment of the labeled enzyme. In the presence of 100 mM KCl, tryptic fragmentation results in two peptide fragments of mol. wt. 58 000 and 41 000, respectively. The radioactive probe labeled only the 41 000 fragment indicating that the digitalis binding site is located on the 41 000 domain situated at the N-terminal part of the sequence of the alpha-subunit. Images Fig. 1. Fig. 3. PMID:6329711

  8. Isolation of a urinary digitalis-like factor indistinguishable from digoxin

    Energy Technology Data Exchange (ETDEWEB)

    Goto, A.; Ishiguro, T.; Yamada, K.; Ishii, M.; Yoshioka, M.; Eguchi, C.; Shimora, M.; Sugimoto, T. (Univ. of Tokyo (Japan))

    1990-12-31

    A digitalis-like factor has been purified to apparent homogeneity from human urine based on the inhibitory effect on ({sup 3}H) ouabain binding to intact human erythrocytes. The purification scheme involved large scale adsorption followed by preparative, semipreparative and analytical high-performance liquid chromatography. The purified material showed a prominent digoxin-like immunoreactivity. The behaviour of the isolated substance was identical to that of authentic digoxin in three high-performance liquid chromatography and three thin-layer chromatography systems. Moreover, fast atom bombardment mass spectrum and proton nuclear magnetic resonance spectrum suggested that the purified material may be indistinguishable from digoxin.

  9. Bidirectional Tachycardia after an Acute Intravenous Administration of Digitalis for a Suicidal Gesture

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    Diletta Sabatini

    2014-01-01

    Full Text Available Acute digoxin intoxication is a life-threating condition associated with severe cardiotoxicity. Female gender, age, low lean body mass, hypertension, and renal insufficiency may worsen the prognosis. Arrhythmias caused by digitalis glycosides are characterized by an increased automaticity coupled with concomitant conduction delay. Bidirectional tachycardia is pathognomonic of digoxin intoxication, but it is rarely observed. An 83-year-old woman was admitted to the Emergency Department after self-administration of 5 mg of digoxin i.v. for suicidal purpose. Her digoxin serum concentration was 17.4 ng/mL. The patient developed a bidirectional tachycardia and the Poison Control Center of the hospital provided digoxin immune fab. Bidirectional tachycardia quickly reversed and the patient remained stable throughout the hospital stay. This case shows that a multiple disciplinary approach, involving cardiologists and toxicologists, is essential for the management of digoxin intoxication. The optimal treatment of this rare event depends on the clinical conditions and on the serum drug concentration of the patient. Digoxin immune fab represents a safe, effective, and specific method for rapidly reversing digitalis cardiotoxicity and should be started as soon as the diagnosis is defined.

  10. Analysis of digitalis genin receptor site in Na,K-ATPase

    International Nuclear Information System (INIS)

    Ahmed, K.; McParland, R.; Becker, R.; From, A.; Fullerton, D.S.

    1987-01-01

    Na,K-ATPase is believed to be the receptor for digitalis glycosides, with binding site located in the α-subunit. To identify this binding site, the enzyme was covalently labeled with a photoactive probe localized in C17 side group of the cardenolide ([ 3 H]24-azidodigitoxoside). 3 H-labeled α-subunit was purified, and subjected to trypsin digestion. Fractions containing 3 H-labeled material were pooled. Amino acid sequence analysis of this material suggested the presence of two peptides (residues 68-146; residues 263-342). Additional studies have employed purification of the 3 H-labeled material by chromatography on Sepharose-6B, and CNBr cleavage followed by chromatography on hydroxylapatite. Amino acid sequence analysis of the purified 3 H-labeled peptide thus isolated indicated sequence containing amino acid residues 263-342. These data suggest that this is the peptide containing the digitalis genin binding site, and rule out such a role for the other peptide (amino acids 68 - 146). Preliminary data also hint that binding of the 3 H-probe occurs at the leu residue in the sequence glu tyr thr try leu glu .. present in the peptide containing residues 263 - 342

  11. Endogenous inotropic substance from heart tissue has digitalis-like properties

    Energy Technology Data Exchange (ETDEWEB)

    Khatter, J.C.; Agbanyo, M.; Navaratnam, S. (Univ. of Manitoba, Winnipeg (Canada))

    1991-01-01

    In the past few years, we developed an extraction procedure which we successfully used to isolate a crude fraction containing digitalis-like substance (DLS) from porcine left ventricular tissue. In this study, the crude fraction was found to cross-react with digoxin antibodies and showed immunoreactivity of 4.25 {plus minus} 0.6 ng digoxin equivalent/ml. On further purification of the crude fraction using silica gel G column chromatography, a fraction C was obtained, which was highly positive inotropic on canine trabeculae and it dose-dependently inhibited ouabain sensitive {sup 86}Rb{sup +} uptake in rate heart slices. A 50% inhibition of uptake was obtained by 25 ul of fraction C. Fraction C also inhibited canine kidney Na{sup +}, K{sup +}-ATPase dose-dependently and a 50% inhibition of this enzyme required 17 ul of fraction C. Ashing of the fraction C at 500{degree}C resulted in loss of inotropic and enzyme inhibitory activities, indicating an organic nature of the unknown digitalis-like substance.

  12. Analysis of digitalis genin receptor site in Na,K-ATPase

    Energy Technology Data Exchange (ETDEWEB)

    Ahmed, K.; McParland, R.; Becker, R.; From, A.; Fullerton, D.S.

    1987-05-01

    Na,K-ATPase is believed to be the receptor for digitalis glycosides, with binding site located in the ..cap alpha..-subunit. To identify this binding site, the enzyme was covalently labeled with a photoactive probe localized in C17 side group of the cardenolide ((/sup 3/H)24-azidodigitoxoside). /sup 3/H-labeled ..cap alpha..-subunit was purified, and subjected to trypsin digestion. Fractions containing /sup 3/H-labeled material were pooled. Amino acid sequence analysis of this material suggested the presence of two peptides (residues 68-146; residues 263-342). Additional studies have employed purification of the /sup 3/H-labeled material by chromatography on Sepharose-6B, and CNBr cleavage followed by chromatography on hydroxylapatite. Amino acid sequence analysis of the purified /sup 3/H-labeled peptide thus isolated indicated sequence containing amino acid residues 263-342. These data suggest that this is the peptide containing the digitalis genin binding site, and rule out such a role for the other peptide (amino acids 68 - 146). Preliminary data also hint that binding of the /sup 3/H-probe occurs at the leu residue in the sequence glu tyr thr try leu glu .. present in the peptide containing residues 263 - 342.

  13. Comfrey herbal remedy causing second-degree heart block: do not be outfoxed by digitalis.

    Science.gov (United States)

    Vithayathil, Mathew Kurian; Edwards, Matthew

    2016-12-01

    A previously well woman aged 63 years presents to the emergency department with vomiting, palpitations and 3 presyncopal episodes. She had no previous medical or cardiac history, with the patient stating that she tried a herbal remedy of boiled comfrey leaves for insomnia 18 hours before arrival to the department. Her ECG showed multiple abnormalities, including bradycardia, second-degree atrioventricular node block, Mobitz Type 2, a shortened QT interval, downsloping ST depression and presence of U waves. After viewing the images of comfrey and foxglove, it highlighted the possibility of mistaken ingestion of Digitalis, containing the organic forms of cardiac glycosides, such as digoxin and digitoxin. Raised serum digoxin levels confirmed this. The patient was haemodynamically stable, and given digoxin-binding antibodies. After 5 days of cardiac monitoring, her ECG returned to normal rhythm, and she was discharged home. 2016 BMJ Publishing Group Ltd.

  14. Spherical oligo-silicic acid SOSA disclosed as possible endogenous digitalis-like factor

    Directory of Open Access Journals (Sweden)

    Franz eKerek

    2015-01-01

    Full Text Available Na+/K+-ATPase is a membrane ion-transporter protein, specifically inhibited by digitalis glycosides used in cardiac-therapy. The existence in mammals of some endogenous digitalis-like factors (EDLF as presumed ATPase ligands is generally accepted. But the chemical structure of these factors remained elusive because no weighable amounts of pure EDLF have been isolated. Recent high resolution crystal structure data of Na+/K+-ATPase have located the hydrophobic binding pocket of the steroid glycoside ouabain. Our recently disclosed spherical oligo-silicic acids (SOSA fulfill the main criteria to be identified with the presumed EDL factor. SOSA was found as a very potent inhibitor of the Na+/K+-ATPase, Ca2+-ATPase, H+/K+-ATPase and of K-dp-ATPase, with IC50 values between 0.2-0.5µg/ml. These findings are even more astonishing while so far, neither mono silicic acid nor its poly-condensed derivatives have been remarked biologically active. With the diameter ϕ between 1 - 3nm, SOSA still belong to molecular species definitely smaller than silica nano-particles with ϕ >5nm. In SOSA molecules almost all Si-OH bonds are displayed on the external shell which facilitates the binding to hydrophilic ATPase domains. SOSA is stable for long-term in solution but is sensitive to freeze-drying which could explain the failure of countless attempts to isolate pure EDLF. There is a strong resemblance between SOSA and vanadates, the previously known general inhibitors of P-type ATPases. SOSA may be generated endogenously by spherical oligomerization of the mono-silicic acid ubiquitously present in animal cells and fluids. Based on the finding that the SOSA structure is sensitive to the concentration and nature of the cationic species a presumably archaic mechanism to regulate the activity of the ATPase pumps is proposed.

  15. Digitalis-like activity in human plasma: Relation to blood pressure and sodium balance

    Energy Technology Data Exchange (ETDEWEB)

    Goto, A.; Yamada, K.; Ishii, M.; Sugimoto, T. (Univ. of Tokyo (Japan))

    1990-10-01

    PURPOSE: On the assumption that renal tubular cells are more important as the target cells for a natriuretic factor than blood cells, we used a well-characterized cultured renal tubular cell line, Madin-Darby canine kidney (MDCK), cells to monitor the circulating digitalis-like factor in human plasma and examine its role in the regulation of blood pressure and sodium balance. SUBJECTS AND METHODS: We investigated the effects of plasma on binding of radioactive ouabain to monolayered MDCK cells in order to determine the level of a circulating digitalis-like factor. First, we measured specific 3H-ouabain binding to MDCK cells in the presence of plasma from 71 outpatients (34 normotensive subjects and 37 hypertensive patients) after incubation for 4 hours. Second, we measured specific 3H-ouabain binding after incubation of cells with plasma from 16 hospitalized subjects (eight normotensive subjects and eight hypertensive patients) receiving low and high sodium diets. RESULTS: In Study 1, ouabain binding was lower by 30% with plasma from hypertensive patients than with plasma from normotensive subjects (p less than 0.01). There was a significant negative correlation between individual subject's systolic or mean blood pressure and ouabain binding (r = -0.34, p less than 0.01 or r = -0.29, p less than 0.01). In Study 2, ouabain binding was also significantly reduced by 25% in the presence of plasma from hypertensive subjects as compared with plasma from normotensive subjects irrespective of sodium intake (p less than 0.01). A significant negative correlation was also found for all subjects between either systolic, diastolic, or mean blood pressure and ouabain binding (r = -0.58, p less than 0.01, r = -0.51, p less than 0.01, or r = -0.55, p less than 0.01, respectively).

  16. Digitalis toxicity

    Science.gov (United States)

    ... Concepts and Clinical Practice . 8th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 152. Goldberger AL, Goldberger ZD, ... Electrocardiography: A Simplified Approach . 8th ed. Philadelphia, PA: Elsevier Saunders; 2013:chap 18. Nelson LS, Ford MD. ...

  17. La lingua2 nel Web. Prospettive digitali per la didattica dell’italiano a stranieri

    Directory of Open Access Journals (Sweden)

    Roberto Quaggia

    2013-07-01

    Full Text Available L'articolo si compone di due parti. Nella prima si espongono alcuni punti focali del dibattito sul rapporto tra glottodidattica e tecnologie digitali (dai dispositivi mobili ai software per la comunicazione, fino agli attuali socialnetwork. In particolare l’attenzione è rivolta sul fatto che la lingua della comunicazione digitale costituisce una varietà linguistica dal confronto con la quale l’insegnamento di una L2 non può ormai prescindere, e che le tecnologie digitali della comunicazione, se correttamente adottate fuori e dentro la classe, consentono di ridurre il confine tra apprendimento guidato e acquisizione spontanea di una lingua seconda. Filo conduttore della riflessione è il concetto di “competenza comunicativa digitale”, che si aggiunge alle componenti della competenza linguistico-comunicativa indicate dal Quadro Comune Europeo di Riferimento per le Lingue. Nella seconda parte del lavoro, dal taglio più didattico, si presenta una serie di strumenti e di esperienze di insegnamento/apprendimento della L2 con l’uso delle tecnologie digitali. In particolare ci si sofferma sulle opportunità offerte dal Web 2.0, simulando la creazione di una piattaforma per l’insegnamento/apprendimento dell’italiano L2 completamente online. Non si tratta di una semplice piattaforma per l’e-learning (o d-learning, ma di una vera e propria rete per l’insegnamento, l’apprendimento, la comunicazione e la formazione che trasforma il modo in cui si usa, si apprende e si insegna una L2. L2 on the Web. Digital perspectives for teaching italian to foreignersThe article consists of two parts. In the first we illustrate some focal points in the debate on the relationship between language teaching and digital technologies (from mobile devices to communication software and current social networks. In particular, we focus on the fact that the language of digital communication is a linguistic variety which L2 teaching can no longer ignore, and

  18. No upregulation of digitalis glycoside receptor (Na,K-ATPase) concentration in human heart left ventricle samples obtained at necropsy after long term digitalisation.

    Science.gov (United States)

    Schmidt, T A; Holm-Nielsen, P; Kjeldsen, K

    1991-08-01

    The aim was to evaluate the hypothesis that digitalis glycosides increase the concentration of their specific receptor (Na,K-ATPase) in human myocardial tissue, thereby possibly reducing the inotropic effect of long term digitalis treatment. Intact samples of left ventricle were obtained at necropsy from patients who had been on long term treatment with digoxin and from patients not previously given digoxin. Digitalis glycoside receptors were quantified using vanadate facilitated 3H-ouabain binding before and after washing samples in buffer containing excess digoxin antibody fragments for 16 h at 30 degrees C. This washing procedure has previously been shown to reduce prior specific digoxin binding in human left ventricle by 95% and to allow subsequent vanadate facilitated complete quantification of 3H-ouabain binding sites. In this context it was performed to reduce occupancy of digitalis glycoside receptors by digoxin, caused by digitalisation before 3H-ouabain binding. 11 patients who had been on long term treatment with digoxin and eight who had not previously been given digoxin were studied. Left ventricle samples were obtained at necropsy at around 15 h after death. Standard 3H-ouabain binding was 39% less in samples from digitalised than from undigitalised subjects (p less than 0.001). Washing samples in buffer containing excess digoxin antibody fragments induced an increase in 3H-ouabain binding from 174(SEM 10) to 265(20) pmol.g-1 wet weight (n = 11, p less than 0.001) in samples from digitalised patients. After washing, the digitalis glycoside receptor concentration in left ventricle samples showed a tendency to a lower value (14%, p greater than 0.10) in patients exposed to digoxin compared to left ventricle samples from individuals unexposed to digitalis glycoside treatment. Calculating 3H-ouabain binding relative to dry ventricular muscle weight confirmed the results obtained using wet weight as reference. The results suggest that digoxin treatment in

  19. Quality Assessment of Serially Ultradiluted and Agitated Drug Digitalis purpurea by Emission Spectroscopy and Clinical Analysis of Its Effect on the Heart Rate of Indian Bufo melanostictus

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    Anup Sharma

    2013-01-01

    Full Text Available The investigation of ultradiluted (homeopathic drugs is extremely interesting and challenging, and from that point of view this study shows novelty. A study of in vivo changes in heart rate of the Indian Bufo melanostictus caused by commercially available serially ultra-diluted and agitated extract of Digitalis purpurea has been tried in order to understand their pharmacological role. RR interval (of ECG was compared after intraperitoneal administration of serially diluted and agitated Digitalis purpurea extract, diluent rectified spirit, and Digoxin in anesthetized animals. The study revealed statistically significant changes in the heart rate after application of these drugs except in case of Digoxin and the 200th serial dilution of Digitalis purpurea. The duration of RR intervals after application of the drugs was corroborative of the effect of Digoxin and Digitalis purpurea extract up to 30th dilution. Emission spectra were obtained for the experimental ultra-diluted Digitalis purpurea extract and Digoxin to identify and characterize them. The observed RR pattern and emission spectra show an association. The quality assessment of the commercial ultra-diluted organic drugs obtained from natural products may be initiated by monitoring in vivo studies on animal models.

  20. Studies on the digitalis binding site in Na, K-ATPase

    International Nuclear Information System (INIS)

    Ahmed, K.; McParland, R.; Becker, R.; From, A.; Schimerlik, M.; Fullerton, D.S.

    1986-01-01

    Na, K-ATPase is believed to be the receptor for digitalis glycosides. The authors have previously documented that C17 side group of the cardenolide molecule is crucial to α subunit receptor binding. They have attempted to identify the structure of this binding site by labelling the enzyme with a 3 H-labelled photoactive probe localized in the C17 side group of the genin molecule. 3 H-α-subunit was purified and subjected to tryptic digestion. The digest was fractionated by gel filtration on Sephadex G-100. Fractions containing 3 H-labelled peptide were pooled and rechromatographed. The central peak fractions of 3 H-peptide were pooled, analyzed by SDS-PAGE, and subjected to amino acid sequence analysis. The tryptic peptide containing the 3 H-probe showed considerable sequence heterogeneity. Comparison of the sequence data with the published cDNA-based α-subunit sequence revealed that this peptide material was indeed a mixture of two tryptic peptides of nearly identical size containing the sequences from residue 68 through residue 146, and residues 263 through 342. The latter peptide contains the sequence ... glu tyr thr try leu glu ... speculated by Shull et al. as a possible ouabain binding site

  1. Partial purification of endogenous digitalis-like compound(s) in cord blood

    Energy Technology Data Exchange (ETDEWEB)

    Balzan, S.; Ghione, S.; Biver, P.; Gazzetti, P.; Montali, U. (C.N.R. Institute of Clinical Physiology, Pisa (Italy))

    1991-02-01

    Increasing evidence indicates the presence of endogenous digitalis-like compound(s) in human body fluids. In this preliminary report, we describe a study of the partial purification by HPLC of these compounds in the plasma of neonates (who have particularly high concentrations of this substance) and adults. Plasma samples from neonates (cord blood) and adults, lyophilized and extracted with methanol, were applied on a 300 x 3.9 mm C18 Nova Pak column and eluted with a mobile phase of acetonitrile/methanol/water (17/17/66 or 14/14/72 by vol) and, after 30 min, with 100% methanol. We assayed eluted fractions for inhibitory activity of 86Rb uptake and for digoxin-like immunoreactivity. The elution profile revealed a first peak of inhibitory activity of 86Rb uptake at the beginning of the chromatography; another peak was eluted with the 100% methanol. The two peaks also cross-reacted with antidigoxin antibodies. Because the second peak could possibly reflect the nonspecific interference of various lipophilic compounds, we focused our attention on the first peak. For these fractions dose-response curves for 86Rb uptake and for displacement of digoxin were parallel, respectively, to those of ouabain and digoxin, suggesting similarities of digoxin-like immunoreactive substance to cardiac glycosides. Similar chromatographic profiles were also obtained for plasma from adults, suggesting that the endogenous glycoside-like compound(s) in the neonate may be the same as those in the adult.

  2. "The Lower Threshold" phenomenon in tumor cells toward endogenous digitalis-like compounds: Responsible for tumorigenesis?

    Directory of Open Access Journals (Sweden)

    Heidrun Weidemann

    2012-01-01

    Full Text Available Since their first discovery as potential anti-cancer drugs decades ago, there is increasing evidence that digitalis-like compounds (DLC have anti-tumor effects. Less is known about endogenous DLC (EDLC metabolism and regulation. As stress hormones synthesized in and secreted from the adrenal gland, they likely take part in the hypothalamo-pituitary-adrenal (HPA axis. In a previous study, we revealed reduced EDLC concentrations in plasma and organs from immune-compromised animals and proposed that a similar situation of a deregulated HPA axis with "adrenal EDLF exhaustion" may contribute to tumorigenesis in chronic stress situations. Here, we put forward the hypothesis that a lowered EDLC response threshold of tumor cells as compared with normal cells increases the risk of tumorigenesis, especially in those individuals with reduced EDLC plasma concentrations after chronic stress exposure. We will evaluate this hypothesis by (a summarizing the effects of different DLC concentrations on tumor as compared with normal cells and (b reviewing some essential differences in the Na/K-ATPase of tumor as compared with normal cells (isoform pattern, pump activity, mutations of other signalosome receptors. We will conclude that (1 tumor cells, indeed, seem to have their individual "physiologic" EDLC response range that already starts at pmolar levels and (2 that individuals with markedly reduced (pmolar EDLC plasma levels are predisposed to cancer because these EDLC concentrations will predominantly stimulate the proliferation of tumor cells. Finally, we will summarize preliminary results from our department supporting this hypothesis.

  3. Endogenous immunoreactive digitalis-like substance in neonatal serum and placental extracts

    International Nuclear Information System (INIS)

    Beyers, A.D.; Spruyt, L.L.; Seifart, H.I.; Kriegler, A.; Parkin, D.P.; Van Jaarsveld, P.P.

    1984-01-01

    Therapeutic levels of digoxin in the serum of untreated neonates delivered to mothers who had not received the drug prenatally were detected by radio-immunoassay. Digoxin levels in neonates should be interpreted with care because of the unknown contribution by the endogenous digitalis-like substance (DLS) to the level of the drug. Three commercially available radio-immunoassay kits were compared with regard to their sensitivity and reproducibility in detecting the endogenous DLS. The kit from Clinical Assays (Cambridge, Mass. USA) was selected for further investigations. In a series of 35 paired samples of maternal and cord blood the average DLS values in terms of digoxin were 0,52 plus minus 0,07 and 0,81 plus minus 0,27 ng/ml respectively. The difference is statistically highly significant. In the case of infants with DLS values of 1 - 1,5 ng/ml in terms of digoxin, approximately 1 week was required to reach non-therapeutic digoxin levels, i.e. below 0,5 ng/ml. Gel chromatography showed that the DLS in neonatal serum was more closely associated with protein than is authentic digoxin. In placental extracts it followed the elution profile of the protein completely, but it shifted to fractions with a lower molecular weight than haemoglobin after trypsinization. The level of DLS in neonatal serum was also increased by more than half its original value by trypsinization. Proteolysis therefore seems to have a releasing effect on DLS. The molecular size of this substance is probably in the same range as that of polypeptides, since it was not dialysable from trypsinized and untreated samples through a membrane with a 22 000 dalton molecular weight cut-off point

  4. Minimal lethal concentration of hyrgromycin B in calli induction and shoot multiplication process of Digitalis purpurea L.

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    Elizabeth Kairúz Hernández-Díaz

    2013-01-01

    Full Text Available The plants of the genus Digitalis are characterized by the production of cardenolides, drugs widely used worldwide in the treatment of heart failure. In previous research a transformation protocol was developed from leaf disc of Digitalis purpurea L., using geneticin as selection marker. However some escapes in the selection process were obtained. So it is necessary to develop a more efficient selection scheme using another selective agent. Therefore, the aim of the present research was to select the minimum lethal concentration of hygromycin B during callus induction and shoots multiplication of D. purpurea. For callus induction we studied five concentrations of hygromycine B (3, 6, 9, 12, 15 mg l-1 during 28 days. Besides, the effect in shoot multiplication of four concentrations of hygromycine B (25, 50, 75, 100 mg l-1 was studied during 30 days. The minimal lethal concentration for callus formation was 12 mg l-1. In the case of shoot multiplication, 100% mortality was showed at 75 mg l-1 strictly after 30 days. The proposed selection scheme is recommended for future work at genetic transformation in this species. Keywords: cardenolides, genetic transformation, hpt, selection

  5. Somatic embryogenesis, pigment accumulation, and synthetic seed production in Digitalis davisiana Heywood.

    Science.gov (United States)

    Verma, Sandeep Kumar; Sahin, Gunce; Gurel, Ekrem

    2016-04-01

    Digitalis davisiana, commonly called Alanya foxglove, from Turkey, is an important medicinal herb as the main source of cardiac glycosides, cardenolides, anthraquinones, etc. It is also known in the Indian Medicine for treatment of wounds and burns. It has ornamental value as well. Overexploitation of D. davisiana has led this species to be declared protected, and thereby encouraged various methods for its propagation. In this study, an optimized and efficient plant tissue culture protocol was established using cotyledonary leaf, hypocotyl and root explants of D. davisiana. Callus tissues were obtained from the cotyledonary leaf, hypocotyl and root segments cultured on Murashige and Skoog's (MS) medium containing different plant growth regulators. The maximum number of somatic embryos were achieved by the MS medium containing 6-benzyladenine (1.0 mg/L BAP) or 2,4-dichlorophenoxy acetic acids (0.1 mg/L 2,4-D), which produced an average of 8.3 ± 1.5 or 5.3 ± 1.5 embryos per cotyledonary leaf, respectively. After 3 wk of culture in MS medium supplemented with 1.0 mg/L 2,4-D, callus showed a clear accumulation of orange pigmentation. Shoot regeneration was remarkably higher (14.3 indirect shoots) in a combination of α-naphthalene acetic acid (0.25 mg/L NAA) plus 3.0 mg/L BAP than 2.0 mg/L zeatin (10.3 ± 0.5 direct shoots) alone. The shoots were successfully rooted on MS medium supplemented with NAA (0.1-1.0 mg/L). In addition, synthetic seeds were produced by encapsulating shoot tips in 4% sodium alginate solution. Maximum conversion frequency of 76.6% was noted from encapsulated shoot tips cultured on 0.25 mg/L NAA with 1.0 mg/L BAP. The encapsulated shoot tips could be stored up to 60 days at 4 °C. Regenerated plantlets of D. davisiana were successfully acclimatized and transferred to soil. This study has demonstrated successful preservation of elite genotypes of D. davisiana.

  6. No adaptation to digitalization as evaluated by digitalis receptor (Na,K-ATPase) quantification in explanted hearts from donors without heart disease and from digitalized recipients with end-stage heart failure.

    Science.gov (United States)

    Schmidt, T A; Allen, P D; Colucci, W S; Marsh, J D; Kjeldsen, K

    1993-01-01

    Speculations about development of tolerance to the inotropic effect of digitalis have been engendered since studies in various in vitro systems and tissues not representative of the heart have shown up-regulation of sodium potassium adenosine triphosphatase (Na,K-ATPase) when exposed to digitalis. Moreover the digitalis receptor (i.e., Na,K-ATPase) concentration in the normal, vital human left ventricle has not been previously determined. On this basis, digitalis receptor concentration was quantified in the left ventricle of explanted hearts from subjects without heart disease and from patients with end-stage heart failure who had received digitalis therapy. This was performed using vanadate-facilitated 3H-ouabain binding to intact tissue samples giving values of 728 +/- 58 (n = 5) and 467 +/- 55 pmol/g wet weight (n = 6) (mean +/- SEM) (p digitalization was associated with occupancy of digitalis receptors in the failing human heart of 24% (p < 0.02).(ABSTRACT TRUNCATED AT 250 WORDS)

  7. Digitalis-induced cell signaling by the sodium pump: on the relation of Src to Na(+)/K(+)-ATPase.

    Science.gov (United States)

    Gable, Marjorie E; Abdallah, Simon L; Najjar, Sonia M; Liu, Lijun; Askari, Amir

    2014-04-18

    In addition to performing its essential transport function, the sodium pump also activates multiple cell signaling pathways in response to digitalis drugs such as ouabain. Based mainly on cell-free studies with mixtures of purified Src kinase and Na(+)/K(+)-ATPase, a well-advocated hypothesis on how ouabain initiates the activation of signaling pathways is that there is a preexisting physiological complex of inactive Src bound to the α-subunit of Na(+)/K(+)-ATPase, and that ouabain binding to this subunit disrupts the bound Src and activates it. Because of the published disagreements of the results of such cell-free experiments of two other laboratories, our aim was to attempt the resolution of these discrepancies. We reexamined the effects of ouabain, vanadate, and oligomycin on mixtures of Src, Na(+)/K(+)-ATPase, Mg(2+), and ATP as specified in prior studies; and assayed for Src-418 autophosphorylation as the measure of Src activation. In contrast to the findings of the proponents of the above hypothesis, our results showed similar effects of the three inhibitors of Na(+)/K(+)-ATPase; indicating that Src activation in such experiments is primarily due to the ATP-sparing effect of the ATPase inhibitor on the mixture of two enzymes competing for ATP. We conclude that there is no solid evidence for direct molecular interaction of Src with Na(+)/K(+)-ATPase under physiological conditions. Copyright © 2014 The Authors. Published by Elsevier Inc. All rights reserved.

  8. Crystallization and preliminary crystallographic analysis of selenomethionine-labelled progesterone 5β-reductase from Digitalis lanata Ehrh

    Energy Technology Data Exchange (ETDEWEB)

    Egerer-Sieber, Claudia [Lehrstuhl für Biotechnik, Institut für Biologie, Friedrich-Alexander-Universität Erlangen-Nürnberg, Henkestrasse 91, D-91052 Erlangen (Germany); Herl, Vanessa; Müller-Uri, Frieder; Kreis, Wolfgang [Lehrstuhl für Pharmazeutische Biologie, Institut für Biologie, Friedrich-Alexander-Universität Erlangen-Nürnberg, Staudtstrasse 5, D-91058 Erlangen (Germany); Muller, Yves A., E-mail: ymuller@biologie.uni-erlangen.de [Lehrstuhl für Biotechnik, Institut für Biologie, Friedrich-Alexander-Universität Erlangen-Nürnberg, Henkestrasse 91, D-91052 Erlangen (Germany)

    2006-03-01

    Progesterone 5β-reductase is the first stereospecific enzyme in the pathway for the synthesis of cardenolides. To elucidate the structural mechanism of this reaction, we crystallized the selenomethionine-labelled enzyme from D. lanata and report the preliminary analysis of a MAD data set collected from these crystals. Progesterone 5β-reductase (5β-POR) catalyzes the reduction of progesterone to 5β-pregnane-3,20-dione and is the first stereospecific enzyme in the putative biosynthetic pathway of Digitalis cardenolides. Selenomethionine-derivatized 5β-POR from D. lanata was successfully overproduced and crystallized. The crystals belong to space group P4{sub 3}2{sub 1}2, with unit-cell parameters a = 71.73, c = 186.64 Å. A MAD data set collected at 2.7 Å resolution allowed the identification of six out of eight possible Se-atom positions. A first inspection of the MAD-phased electron-density map shows that 5β-POR is a Rossmann-type reductase and the quality of the map is such that it is anticipated that a complete atomic model of 5β-POR will readily be built.

  9. The bumblebee Bombus hortorum is the main pollinating visitor to Digitalis purpurea (Common Foxglove in a U.K. population

    Directory of Open Access Journals (Sweden)

    Arthur Broadbent

    2012-06-01

    Full Text Available Specialization in plant-pollinator systems represents an important issue for both the ecological understanding and conservation of these systems. We investigated the extent to which the bumblebee Bombus hortorum (Linnaeus is the main potential pollinator of Common Foxglove, Digitalis purpurea L. Twenty D. purpurea patches were selected in North Yorkshire, U.K., ten each in woodland and garden or park habitat. All insects visiting D. purpurea within the patches were recorded over seventy 30-min bouts. The relative frequency of insect visitors to other flowering plant species within 15 m of each patch was also determined. B. hortorum and B. pascuorum were the two most frequent visitors to D. purpurea, accounting for 82 - 92% and 3 -17%, respectively, of all insect visits (n = 1682, depending on habitat. B. hortorum showed a significant preference for visiting D. purpurea relative to its frequency of visits to other available plant species. The relationship of D. purpurea with B. hortorum, which pollinates several plant species with long corollas, therefore represents a potential case of asymmetric specialization, albeit one that may vary spatially. Because D. purpurea reproduction appears dependent on insect pollination, B. hortorum and B. pascuorum may help underpin the viability of D. purpurea populations.

  10. Per una retorica intermediale: corpo femminile, pubblicità e ideologia nelle opere digitali di Young-Hae Chang Heavy Industries

    Directory of Open Access Journals (Sweden)

    Beatrice Seligardi

    2014-06-01

    Full Text Available L'articolo si propone di analizzare, in prospettiva intermediale, due opere digitali di Young-Hae Chang Heavy Industries: "Cunnilingus in North Korea" e "Samsung Means To Come". Si tratta di animazioni in Adobe Flash che combinano testi e musica jazz, e sono visibili da parte di qualunque utente sul sito web del gruppo http://www.yhchang.com/. L’attenzione si concentrerà sulle scelte retoriche e stilistiche degli artisti attraverso cui viene problematizzato in maniera controversa il rapporto fra corpo femminile, tecnologia e poteri dominanti.

  11. [No effect of digitalis on sex and adrenal hormones in healthy subjects and in patients with congestive heart failure].

    Science.gov (United States)

    Kley, H K; Abendroth, H; Hehrmann, R; Müller, A; Keck, E; Schneitler, H; Elsässer, H; Krüskemper, H L

    1984-01-16

    Digoxin was studied to see whether it impairs adrenal function and feminizes male subjects by changing plasma sexual hormones; both have been reported on previously. In eight healthy male subjects neither estrone (38.7 +/- 7.7 vs 35.4 +/- 3.2 pg/ml) nor estradiol (35.8 +/- 6.4 vs 32.2 +/- 3.9 pg/ml) nor testosterone (6.32 +/- 0.74 vs 6.45 +/- 0.73 ng/ml) were found to be altered by digoxin administration (plasma levels 1.55 +/0- 0.27 ng/ml) lasting 35 days. The same was true of free testosterone (147 +/- 24 vs 142 +/- 19 pg/ml) and free estradiol (657 +/- 77 vs 615 +/- 78 fg/ml). Even maximal stimulation of the adrenal and gonadal glands by adrenocorticotropic hormone (ACTH) and human chorionic gonadotropin (hCG) did not exhibit any digoxin-induced alterations in the synthesizing capacity of steroid hormones, as shown by plasma cortisol (increase from 128 +/- 18 to 389 +/- 18 ng/ml) and testosterone (from 5.96 +/- 0.90 to 10.33 +/- 1.19 ng/ml). Furthermore, seven subjects on digoxin were observed over a period of 150-210 days; they did not show any increase of estrogens. This was also found in three subjects when estrogen levels were elevated initially due to extreme obesity. Also, 35 patients who took beta-methyldigoxin (n = 8), beta-acetyldigoxin (n = 20) and digitoxin (n = 7) from 1 to 9 (mean: 1.9) years demonstrated normal plasma concentrations of gonadal and adrenal steroids, irrespective of duration of application or the digitalis compound.(ABSTRACT TRUNCATED AT 250 WORDS)

  12. In vitro propagation and production of cardiotonic glycosides in shoot cultures of Digitalis purpurea L. by elicitation and precursor feeding.

    Science.gov (United States)

    Patil, Jitendra Gopichand; Ahire, Mahendra Laxman; Nitnaware, Kirti Manik; Panda, Sayantan; Bhatt, Vijay P; Kishor, Polavarapu B Kavi; Nikam, Tukaram Dayaram

    2013-03-01

    Digitalis purpurea L. (Scrophulariaceae; Foxglove) is a source of cardiotonic glycosides such as digitoxin and digoxin which are commercially applied in the treatment to strengthen cardiac diffusion and to regulate heart rhythm. This investigation deals with in vitro propagation and elicited production of cardiotonic glycosides digitoxin and digoxin in shoot cultures of D. purpurea L. In vitro germinated seedlings were used as a primary source of explants. Multiple shoot formation was achieved for three explant types (nodal, internodal, and leaf) cultured on Murashige and Skoog (MS) medium with several treatments of cytokinins (6-benzyladenine-BA; kinetin-Kin; and thidiazuron-TDZ) and auxins (indole-3-acetic acid-IAA; α-naphthaleneacetic acid-NAA; and 2,4-dichlorophenoxy acetic acid-2,4-D). Maximum multiple shoots (12.7 ± 0.6) were produced from nodal explants on MS + 7.5 μM BA. Shoots were rooted in vitro on MS containing 15 μM IAA. Rooted plantlets were successfully acclimatized. To further maintain the multiple shoot induction, mother tissue was cut into four equal parts and repeatedly sub-cultured on fresh shoot induction liquid medium after each harvest. On adaptation of this strategy, an average of 18 shoots per explant could be produced. This strategy was applied for the production of biomass and glycosides digitoxin and digoxin in shoot cultures on MS medium supplemented with 7.5 μM BA and several treatments with plant growth regulators, incubation period, abiotic (salicylic acid, mannitol, sorbitol, PEG-6000, NaCl, and KCl), biotic (Aspergillus niger, Helminthosporium sp., Alternaria sp., chitin, and yeast extract) elicitors, and precursors (progesterone, cholesterol, and squalene). The treatment of KCl, mycelial mass of Helminthosporium sp., and progesterone were highly effective for the production of cardenolides. In the presence of progesterone (200 to 300 mg/l), digitoxin and digoxin accumulation was enhanced by 9.1- and 11.9-folds

  13. Effects of microhabitat on leaf traits in Digitalis grandiflora L. (Veronicaceae growing at forest edge and interior

    Directory of Open Access Journals (Sweden)

    Kołodziejek J.

    2014-01-01

    Full Text Available The morphological, anatomical and biochemical traits of the leaves of yellow foxglove (Digitalis grandiflora Mill. from two microhabitats, forest interior (full shade under oak canopy and forest edge (half shade near shrubs, were studied. The microhabitats differed in the mean levels of available light, but did not differ in soil moisture. The mean level of light in the forest edge microhabitat was significantly higher than in the forest interior. Multivariate ANOVA was used to test the effects of microhabitat. Comparison of the available light with soil moisture revealed that both factors significantly influenced the morphological and anatomical variables of D. grandiflora. Leaf area, mass, leaf mass per area (LMA, surface area per unit dry mass (SLA, density and thickness varied greatly between leaves exposed to different light regimes. Leaves that developed in the shade were larger and thinner and had a greater SLA than those that developed in the half shade. In contrast, at higher light irradiances, at the forest edge, leaves tended to be thicker, with higher LMA and density. Stomatal density was higher in the half-shade leaves than in the full-shade ones. LMA was correlated with leaf area and mass and to a lesser extent with thickness and density in the forest edge microsite. The considerable variations in leaf density and thickness recorded here confirm the very high variation in cell size and amounts of structural tissue within species. The leaf plasticity index (PI was the highest for the morphological leaf traits as compared to the anatomical and biochemical ones. The nitrogen content was higher in the “half-shade leaves” than in the “shade leaves”. Denser leaves corresponded to lower nitrogen (N contents. The leaves of plants from the forest edge had more potassium (K than leaves of plants from the forest interior on an area basis but not on a dry mass basis; the reverse was true for phosphorus.

  14. L’uso di piattaforme digitali collaborative nella prospettiva di un’amministrazione condivisa. Il progetto Miramap a Torino

    Directory of Open Access Journals (Sweden)

    Cristina Coscia

    2016-06-01

    Full Text Available Lo scritto intende illustrare un approccio innovativo alla pianificazione urbana e all’Amministrazione condivisa basato sull’uso di piattaforme digitali collaborative PA/cittadino. Tale prospettiva è declinata nel progetto pilota MiraMap, a Torino, nella Circoscrizione Mirafiori Sud, di cui è responsabile un gruppo di ricerca del Politecnico di Torino. Il progetto implementa e sviluppa una precedente esperienza effettuata nel 2013 (Crowdmapping MirafioriSud, il cui scopo principale era quello di verificare se l'uso delle ICT potesse generare e supportare processi di inclusione sociale. Attraverso la lettura del processo MiraMap, degli obiettivi, della metodologia adottata, delle fasi e delle linee di azione vengono evidenziati ragionamenti di natura interdisciplinare e tecnica relativi a: la strutturazione dei rapporti con le Istituzioni, in particolare la Pubblica Amministrazione, nei processi di pianificazione e gestione dello spazio pubblico; l’innesco di processi di inclusione, partecipazione e di civic engagement; l’identificazione degli apporti che tali sperimentazioni possono generare nella costruzione di una rinnovata governance urbana. Il presente contributo delinea infine una possibile metodologia per il monitoraggio e la valutazione di impatto ex post, basata sulla Community Impact Analysis/Evaluation (CIA/CIE, che valuta in modo descrittivo gli impatti – pecuniari e non – originati dal progetto, in rapporto ai diversi soggetti coinvolti. L’impiego delle ICT può favorire processi di trasparenza e rafforzare l’accountability della PA, a condizione che la tecnologia sia fattore abilitante e non di esclusione. L’analisi puntuale del caso fornisce spunti di riflessione in merito a tale approccio innovativo: la relazione cittadino/PA può contribuire nel medio-lungo termine a veicolare impatti socio-economici positivi sul territorio, rendere il cittadino più informato e coinvolto e l’Amministrazione pi

  15. “Sensing” il “city model” per incrementare l’efficacia e l’usabilità delle risorse digitali

    Directory of Open Access Journals (Sweden)

    Massimiliano Condotta

    2012-12-01

    Full Text Available L’attuale modo di gestire la conoscenza, basato su sistemi ICT, ha raggiunto un elevato livello prestazionale nel modo di utilizzare e gestire le informazioni degli archivi digitali. Tuttavia, ci sono ancora notevoli potenzialità inespresse nel modo di accedere e di usufruire la conoscenza, soprattutto in ragione delle possibili correlazioni con le informazioni non-digitali. Queste potenzialità sono ancora più rilevanti nel settore dei dati urbani e territoriali per i quali sono a disposizione numerose tecnologie di carattere innovativo che possono essere utilizzate nella gestione delle informazioni relative alla città, soprattutto se orientate alla grande sfida rappresentata dall’implementazione del modello smart cities. Il presente articolo illustra una di queste potenzialità: l’uso dei concetti della tassonomia semiotica per aumentare l’efficacia delle informazioni legate a una rappresentazione digitale della città. L’ambizione di quest’articolo è di stimolare una possibile attività congiunta tra istituzioni e utenti di Internet verso la creazione di una nuova risorsa di conoscenza condivisa, strutturata, semanticamente correlata e basata su un substrato di informazioni che rappresenta, in modo virtuale, l’ambiente fisico reale.

  16. Phytoalexin Elicitation- Potency As A Novel Technology for Biological Control and Protection Digitalis purpurea L. plants from Pre-Sowing Seed Treatment with Gamma Ray and Electric Current

    International Nuclear Information System (INIS)

    Bosila, H.A.; Lila, M.; Ahmed, T.E.S.

    2012-01-01

    Digitalis purpurea L seeds treated with gamma ray, (G) 0, 2.5, 5, 7.5 KR, and electric current (E), 0, 100, 150, 200 mA, then planted in splite-splite plot design for 3 replicates (R) and 2 successive seasons, in sandy soil irrigated with brackish water (900ppm) through surface drip irrigation system (SDI).The formed plants were foliar sprayed with manganese (M),0,3ppm-The formed Phytoalexin (PA) was bioassayed and chemically quantified.M3ppm could induce sistemic resistance (ISR) which initiate to farm 0.064, 0.070 mg PA 100mg fresh leaves. The formed PA exhibited PA-glycosidal structure wherefore, achieve therapeutic potency. (G) depress significantlly PA 73-91% of control while (E) activated (PA) significantly 134-154% of control. At (GE) interaction, such (G) dose PA increased significantlly by increasing (E) dose up to E200mA. Hence (E) efface a serious depression of (G). At (GEM) interaction, (G) 2.5, 5, 7.5 KR EO mA, M3ppm the formed. (PA) were; 91, 75, 63 were increased significantlly by increasing (E) dose up to E200mA M3ppm 128, 119, 109 – 129, 117, 107% of control for first and second season, respectively. Therefore, M elicitor application, in GEM combination, could be considered as a novel strategy for biological control and plant protection, from economic and environmental benefit point of view. It would occur by decreasing the cost of fungicides, bactericides and pesticides in Digitalis purpurea L biomass production, grown in extended agriculture area.

  17. Insegnanti e nativi digitali

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    Guglielmo Trentin

    2009-01-01

    Full Text Available Il level of change in their communication habits and 'almost always related to age' registry and varies in a range that goes from the "shocking" for adults and little by technology, the absolute normality 'for so-called digital natives, that is, those Chesio born in an already 'heavily steeped in technology, especially mobile communications.

  18. Avaliação quantitativa de cardenolídeos no cultivar experimental de Digitalis lanata do maciço do itatiaia e perspectivas de seu emprego industrial Quantitative evaluation of cardenolides in a brazilian digitalis lanata cultivar and perspectives of its industrial use

    Directory of Open Access Journals (Sweden)

    Fernão Castro Braga

    1997-10-01

    Full Text Available The content of digoxin and lanatoside C (jointly quantified, lanatoside A, lanatoside B, glucoevatromonoside, odorobioside G, glucogitoroside, glucoverodoxine, glucodigifucoside and digitalinum verum was determined by HPLC in Digitalis lanata harvested in Brazil, as well as in clones industrially employed for the production of cardenolides. The Brazilian plants presented greater variation in the contents of cardenolides than the analyzed clones. Lanatoside C and digoxin concentrations were higher in the clones (6120±640 nmol/g dry leaf than in the Brazilian plants (1820±900 nmol/g dry leaf. The concentrations of these glycosides were found to be within the range described for native species and also were similar to an European cultivar, what makes possible its industrial use for the cardenolides production.

  19. Sexting e nativi digitali. Alcuni insegnamenti da una ricerca con studenti francesi / Sexting and digital natives. Some lessons from a study with French students

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    Giorgia Macilotti

    2018-03-01

    Full Text Available The aim of this article is to analyse the practices of sexting, a term that defines the use of digital devices to exchange messages and materials of a sexual nature. This practice continues to increase rapidly among “digital natives” and raises many questions regarding its potential risks. These aspects will be analysed through the results of a study surveying 733 students (11-17 years from a department in the south-west of France. We will examine the characteristics, the contents and the perceptions of sexting, with particular attention to young people’s opinions and experiences. Beyond the digital uses, this article underlines the importance of subjective trajectories and representations of digital practices in order to understand this reality. Questo articolo si propone di analizzare le pratiche di sexting, termine che designa l’utilizzo delle tecnologie dell’informazione per scambiare messaggi e contenuti di natura sessuale. Si tratta di un fenomeno sempre più diffuso tra i “nativi digitali” e che solleva non pochi interrogativi riguardo ai potenziali rischi ad esso associati. Questi aspetti saranno affrontati a partire dai risultati di una ricerca svolta con 733 studenti (11-17 anni di un dipartimento del sud-ovest della Francia. Si analizzeranno le caratteristiche, i contenuti e le percezioni del sexting, focalizzandosi in particolare sulle opinioni e i vissuti dei minori. Al di là della “esposizione mediale”, il presente articolo sottolinea l’importanza delle traiettorie soggettive e delle rappresentazioni delle pratiche digitali per la comprensione del fenomeno in esame.

  20. Comprehensive transcriptome analysis reveals novel genes involved in cardiac glycoside biosynthesis and mlncRNAs associated with secondary metabolism and stress response in Digitalis purpurea

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    Wu Bin

    2012-01-01

    Full Text Available Abstract Background Digitalis purpurea is an important ornamental and medicinal plant. There is considerable interest in exploring its transcriptome. Results Through high-throughput 454 sequencing and subsequent assembly, we obtained 23532 genes, of which 15626 encode conserved proteins. We determined 140 unigenes to be candidates involved in cardiac glycoside biosynthesis. It could be grouped into 30 families, of which 29 were identified for the first time in D. purpurea. We identified 2660 mRNA-like npcRNA (mlncRNA candidates, an emerging class of regulators, using a computational mlncRNA identification pipeline and 13 microRNA-producing unigenes based on sequence conservation and hairpin structure-forming capability. Twenty five protein-coding unigenes were predicted to be targets of these microRNAs. Among the mlncRNA candidates, only 320 could be grouped into 140 families with at least two members in a family. The majority of D. purpurea mlncRNAs were species-specific and many of them showed tissue-specific expression and responded to cold and dehydration stresses. We identified 417 protein-coding genes with regions significantly homologous or complementary to 375 mlncRNAs. It includes five genes involved in secondary metabolism. A positive correlation was found in gene expression between protein-coding genes and the homologous mlncRNAs in response to cold and dehydration stresses, while the correlation was negative when protein-coding genes and mlncRNAs were complementary to each other. Conclusions Through comprehensive transcriptome analysis, we not only identified 29 novel gene families potentially involved in the biosynthesis of cardiac glycosides but also characterized a large number of mlncRNAs. Our results suggest the importance of mlncRNAs in secondary metabolism and stress response in D. purpurea.

  1. PP087. Deep trial secondary analysis: Digoxin immune fab fragment treatment has additional benefits in endogenous digitalis-like factor positive preeclamptic women.

    Science.gov (United States)

    Graves, S W; Hopoate-Sitake, M; Johnston, A; Buckalew, V; Lam, G; Mason, L; Adair, D

    2012-07-01

    A double blinded placebo controlled clinical trial of a commercial digoxin immune Fab fragment (DIF) in preeclamptic (PE) women provided some benefit to treated subjects (1). In that study DIF, relative to placebo, prevented a decline in CrCl and lowered levels of endogenous digitalis-like factor (EDLF) activity as measured by sodium pump inhibition (SPI). However, some PE subjects had undetectable EDLF. The hypothesis tested was that only PE women with measureable EDLF would respond to DIF treatment and analysis of EDLF positive women might reveal treatment effects masked by inclusion of EDLF negative, and hence non-responding, PE women. Accordingly, analyses of DIF effects in EDLF positive PE women were conducted. Patient characteristics and study design have been published (1). In these subanalyses, subjects were considered to be EDLF positive if their plasma inhibited red cell sodium pump mediated Rb uptake. All analyses were redone for the EDLF positive subgroup by Covance Inc as in the original trial. Continuous data were analyzed by ANCOVA. Categorical data were analyzed by Barnard Exact Test. 45 subjects (23 DIF, 22 placebo) had baseline SPI evaluated. Of these 22% had undetectable SPI. EDLF positive PE women showed greater and more significant reductions of SPI in response to DIF at each time point (12, 24, 48 hr treatment) than in the original analysis. Subjects with undetectable EDLF showed no significant change in response to DIF or placebo. For CrCl, EDLF positive PE women showed greater and more significant preservation of CrCl compared with original analyses. Subjects absent EDLF showed deterioration of CrCl with or without DIF. Among EDLF positive PE women DIF treated women had significantly less maternal pulmonary edema (p=0.035) and significantly less intraventricular hemorrhage in their infants (p=0.015). There was the suggestion of reductions in the incidence of other maternal and neonatal abnormalities. These data indicate that EDLF positive PE

  2. Amo 1618 effects on incorporation of 14C-MVA and 14C-acetate into sterols in Nicotiana and Digitalis seedlings and cell-free preparations from Nicotiana

    International Nuclear Information System (INIS)

    Douglas, T.J.; Paleg, L.G.

    1978-01-01

    Incorporation of radioactivity from acetate-[ 14 C] and MVA-[ 14 C] into sterols and sterol precursors in tobacco was inhibited by Amo 1618; differing patterns of accumulation were obtained with the two precursors, suggesting more than one point of inhibition. This was borne out with cell-free preparations with which it was demonstrated that both HMG-CoA reductase and squalene-2,3-epoxide cyclase were inhibited, the latter more strongly than the former. GLC analysis of gross sterol and hydrocarbon fractions confirmed previous indications that incorporation of radioactivity into individual sterols was inhibited by Amo 1618. Finally, incorporation of MVA-[ 14 C] into sterols and sterol precursors of Digitalis was significantly altered by the retardant, thus expanding the generality of the relationship between sterol (particularly 4-desmethylsterol) biosynthesis inhibition and retardant effect. (author)

  3. Potency of Gamma ray, Electric Current and Elicitor Application, as a Novel Practical Technique, to Improve Biomass Production and Glycoside Quality for Digitalis purpurea L. Grown in Sandy Soil Irrigated with Brackish Water

    International Nuclear Information System (INIS)

    Bosila, H.A.; Afifi, L.M.A.; Ahmed, T.E.S.

    2012-01-01

    Digitalis purpurea L seeds were treated before sowing with gamma ray (G:0, 2.5, 5, 7.5 KR, and electric current (E:O, 100, 150, 200 mA) then grown in sandy soil irrigated with brackish water (900 ppm) , in splite-splite plot design for 3 replicat (R) at two subsequent seasons , through surface drip irrigation system. Plants at 4- month old and monthly until before flowering were foliar sprayed with MnSO 4 as abiotic elicitor (M :O, 3 ppm). Biomass/ Feddan, percentage of total glycosides and percentage of bioactive glycosides, digitoxin and gitoxin were quantitated. Statistical analysis for the obtained data revealed that G, E and M achieved significant in biomass yield and its quality traits. Moreover, interactions ; GE, GM, EM and GEM achieved synergistic and significant increment for this traits. At such G dose the trait was increased by increasing E dose and M concentration. Hence, G 2.5, 5,7.5 KR E200 mA M3 ppm achieved significant increment, as percent over that of control, in biomass production / Feddan by 22, 29, 32%, total glycoside by 27, 40, 30%, digitoxin 27, 40, 30% for both first and second seasons, respectively. Whereas, increment for gitoxin were 27, 41, 30% at first season and 26, 38, 30% at second season, respectively. Overall, these finding strongly confirm the reliability of GEM as a novel practical technique for overproduction biomass/Fed. and quality improvement bioactive cardiac glycosides, digitoxin and gitoxin in Digitalis purpurea L.

  4. Metabolism of the herbicide glufosinate-ammonium in plant cell cultures of transgenic (rhizomania-resistant) and non-transgenic sugarbeet (Beta vulgaris), carrot (Daucus carota), purple foxglove (Digitalis purpurea) and thorn apple (Datura stramonium).

    Science.gov (United States)

    Müller, B P; Zumdick, A; Schuphan, I; Schmidt, B

    2001-01-01

    The metabolism of the herbicide glufosinate-ammonium was investigated in heterotrophic cell suspension and callus cultures of transgenic (bar-gene) and non-transgenic sugarbeet (Beta vulgaris). Similar studies were performed with suspensions of carrot (Daucus carota), purple foxglove (Digitalis purpurea) and thorn apple (Datura stramonium). 14C-labelled chemicals were the (racemic) glufosinate, L-glufosinate, and D-glufosinate, as well as the metabolites N-acetyl L-glufosinate and 3-(hydroxymethylphosphinyl)propionic acid (MPP). Cellular absorption was generally low, but depended noticeably on plant species, substance and enantiomer. Portions of non-extractable residues ranged from 0.1% to 1.2% of applied 14C. Amounts of soluble metabolites resulting from glufosinate or L-glufosinate were between 0.0% and 26.7% of absorbed 14C in non-transgenic cultures and 28.2% and 59.9% in transgenic sugarbeet. D-Glufosinate, MPP and N-acetyl L-glufosinate proved to be stable. The main metabolite in transgenic sugarbeet was N-acetyl L-glufosinate, besides traces of MPP and 4-(hydroxymethylphosphinyl)butanoic acid (MPB). In non-transgenic sugarbeet, glufosinate was transformed to a limited extent to MPP and trace amounts of MPB. In carrot, D stramonium and D purpurea, MPP was also the main product; MPB was identified as a further trace metabolite in D stramonium and D purpurea.

  5. H. Sapiens digitale: dagli immigrati digitali e nativi digitali alla saggezza digitale

    Directory of Open Access Journals (Sweden)

    Marc Prensky

    2010-01-01

    Full Text Available This is the translation of a paper by Marc Prensky, the originator of the famous metaphor digital natives - digital immigrants. Here, ten years after the birth of that successful metaphor, Prensky outlines that, while the distinction between digital natives and immigrants will progressively become less important, new concepts will be needed to represent the continuous evolution of the relationship between man and digital technologies. In this paper Prensky introduces the concept of digital wisdom, a human quality which develops as a result of the empowerment that the natural human skills can receive through a creative and clever use of digital technologies.

  6. Melka Kunture: tecniche digitali per l’archeologia preistorica

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    Leonardo Carmigiani

    2007-04-01

    Full Text Available La musealizzazione del sito di Melka Kunture rappresenta la conclusione di 40 anni di ricerche e scavi compiuti dalla Missione Archeologica Francese diretta da Jean Chavaillon tra il 1965 e il 1995 e dalla Missione Archeologica Italiana dell’Università di Roma “La Sapienza” e del Ministero degli Affari Esteri, diretta da Marcello Piperno a partire dal 1999 e tuttora in corso. L’estensione del sito, la sua lunga sequenza culturale (1.7-0.2 milioni di anni insieme alla molteplicità e varietà delle situazioni archeologiche presenti nelle sue diverse fasi fanno di Melka Kunture un complesso straordinario e unico, paragonabile soltanto alla Gola di Olduvai in Tanzania.

  7. Stabilisatie en samenstelling van het glycosidenmengsel van Folia digitalis

    NARCIS (Netherlands)

    Tattje, Derk Hendrik Evert

    1952-01-01

    Na een korte inleiding wordt een omschrijving van het begrip stabilisatie gegeven en besproken hoe deze stabilisatie, dit is het irreversibel inactiveren van de enzymen, in het algemeen tot stand kan worden gebracht. Tevens wordt nagegaan of ook door verschillende oplosmiddelen reeds bij gewone

  8. Is there a role for digitalis in chronic heart failure?

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    Carmen Rain

    2015-04-01

    Full Text Available Resumen El uso de digitálicos, en pacientes con insuficiencia cardiaca crónica que persisten con síntomas moderados a graves pese al uso de terapia estándar, ha sido recomendado en las principales guías clínicas, a pesar de que existe controversia sobre su eficacia y seguridad. Utilizando la base de datos Epistemonikos, la cual es mantenida mediante búsquedas en 30 bases de datos, identificamos tres revisiones sistemáticas que en conjunto incluyen 13 estudios aleatorizados. Realizamos un metanálisis y tablas de resumen de los resultados utilizando el método GRADE. Se concluye que los digitálicos podrían no disminuir la mortalidad, pero sí el riesgo de hospitalizaciones por cualquier causa y deterioro clínico en este grupo de pacientes. Sin embargo, la certeza de la evidencia es baja.

  9. Privaatrecht voor de homo digitalis: eigendom, gebruik en handhaving

    NARCIS (Netherlands)

    Tjong Tjin Tai, Eric

    2016-01-01

    Treatise on the changes required or desirable to cope with the 'digitalisation' of society. The focus is on treating data similar to property, regulating use of data, and institutional changes to aid enforcement.

  10. Flipped classroom: innovare la scuola con le tecnologie digitali

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    Graziano Cecchinato

    2014-04-01

    Full Text Available New media are pervading the everyday lives of young people, leading to emergent cultural scenarios that call for a rethink of educational strategies in school. Increased production and sharing of open content is steadily opening up access to digital resources and facilitating their reuse in school contexts. A practice that is gaining popularity in the teaching community is “flipping the classroom”, i.e. inverting the classic sequence of classroom lecture and individual study. The widespread availability of video lessons, multimedia products and tools for online interaction means that content can now be accessed outside the school walls, while the phases of exercise, application and processing can take place at school in a collaborative environment designed and managed by the teacher. The pedagogical implications of this double inversion are twofold: personalition of learning in the first inversion, and active and peer learning in the second. This lays the foundations for the transformation of instructionist teaching into more constructivist and social practices. This contribution analyses the psycho-pedagogical assumptions, key issues, educational practices and operational tools involved in this strategy.

  11. Documenti e archivi digitali in ambito scolastico pubblico

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    Francesco Del Castillo

    2018-05-01

    Questo articolo mira a fornire una panoramica della gestione documentale nelle scuole pubbliche italiane e ad analizzare le decisive problematiche e le prospettive, con specifico riguardo ad alcuni casi concreti.

  12. Verso una pedagogia innovativa della lettura: codici testuali e codici digitali

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    Stefania Carioli

    2015-05-01

    Full Text Available This paper presents a reflection on the subject of traditional reading and digital reading, and focuses on the pedagogical implications when moving from print to a digital reading environment. It stresses out the differences between the digital reading of the texts, such as the e-books, and the digital reading on the Internet. Based on the acquisitions coming mainly from the neuroscientific scope, it suggests the complexity of online reading is not favorable to the readers who are at the beginning of their path of literacy. The paper notes that for the novice read- ers is more appropriate to read both on printed page and on digital content that maintain largely the printing features - such as stability, linearity, the fulfillment of the content. These features attract the full attention of the reader and encour-age the development of cognitive processes at the base of a deep reading. These processes must be strengthened expecially at the beginning of the reading learning process. The online reading can be addressed later, using metacognitive techniques and self-regulated strategies that accustom the reader to stop on a text and to monitor his/her comprehension, to resist a superficial reading, and to engage the research for a deeper meaning. The article emphasizes the importance of integrating the two forms of reading and to promote the best of both literacies.

  13. Informazione Geografica e PA: tra web 2.0 e mondi digitali

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    Luigi Di Prinzio

    2009-03-01

    10 years much progress has been made. This article aims at shaping the current and future role of Government as a coordinator, controller and natural facilitator for the cooperative use of standards, databases, and tools among Geomatics stakeholders.

  14. Informazione Geografica e PA: tra web 2.0 e mondi digitali

    Directory of Open Access Journals (Sweden)

    Luigi Di Prinzio

    2009-03-01

    Full Text Available Geographic Information and Governments: from web 2.0 to digital worldsIn 1998 a visionary concept, coined "Digital Earth", was made popular by former US vice president Al Gore. This idea is that any citizen of the planet, linked through the Internet,should be able to access vast amounts of free information in this virtual world, however, a vast commercial marketplaceof products and services was envisioned to co-exist. After10 years much progress has been made. This article aims at shaping the current and future role of Government as a coordinator, controller and natural facilitator for the cooperative use of standards, databases, and tools among Geomatics stakeholders.

  15. Percorsi digitali per le immagini del fondo Supino: tra tutela, didattica e critica d’arte

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    Irene Di Pietro

    2014-12-01

    Full Text Available Supino’s extraordinary legacy, presented as a collection of documents in 1952 by the Critic’s heirs to the Istituto di Storia dell’Arte of Bologna University, contains his photographic collection composed of approximately 8.200 images: those photos were necessary tools which Supino chose during the whole of his life according to his personal studies.Thus, in the Critic’s education, photography is a subject matter and becomes an important source of increasing knowledge, developing different ways of art criticism and preserving artistic heritage.The strategic importance of creating a photographic collection, in the heart of what is called today Department of Arts, has allowed the transmission of the abovementioned characteristics of Supino’s experience: art criticism, preservation of artistic heritage, and education. Thanks to the generosity of his heirs, new generations of scholars can follow Supino’s methodology. The collection has regularly been organized to allow consultation: in 2005, within the project for the evaluation of the Department photographic asset, a campaign aiming at the digital filing of images was started according to the standard criteria of ICCD but never came to an end due to the lack of funds. However, this project must necessarily be accomplished, both by completing the filing and by identifying present objectives, that is the creation of digital paths for our research which must be accessible to all users, so that, Supino’s experience of knowledge can be celebrated through the new methodology of digital fruition. The contextualizing aspect in the study of artworks within a vast heritage has, however, revealed to be a distinctive feature of Supino’s methodology. We need to proceed in the same direction and, through the contextualization of his study images, offer cross-paths to interdisciplinary dialogue suitable to provide an effective answer to the educational vocation of Supino’s photos with the aid of the numerous possibilities offered by new technology.

  16. Association of cord blood digitalis-like factor and necrotizing enterocolitis.

    LENUS (Irish Health Repository)

    Graves, Steven W

    2014-04-01

    Endogenous digoxin-like factor (EDLF) has been linked to vasoconstriction, altered membrane transport, and apoptosis. Our objective was to determine whether increased EDLF in the cord sera of preterm infants was associated with an increased incidence of necrotizing enterocolitis (NEC).

  17. Experimental and clinical study on the digitalis in renal function disturbance

    International Nuclear Information System (INIS)

    Okubo, Mitsuru

    1977-01-01

    By using radioimmunoassay, movement of digoxin in the bodies of normal rabbits and dogs was discussed experimentally, and pathophysiology digoxin excretion in renal function disturbance was also discussed experimentally and clinically. The concentration of digoxin in each organ 30 minutes after intravenous administration of digoxin of 0.5 mg/kg to normal rabbits was the highest in the kidney, and it was high in order of skeletal muscles, ventricular muscles, and auricular muscles. A significant positive correlation was recognized between concentration of digoxin in blood and that in ventricular muscles. Digoxin clearance showed high values in normal dogs and dogs whose single kidney were extracted, when the concentration of digoxin in blood was low. A significant correlation between the concentration of digoxin in blood and BUN or creatinine was not recognized in patients with renal diseases, but a significant negative correlation between the concentration of digoxin in blood and creatinine clearance and between urinary excretion of digoxin and creatinine clearance was recognized. Therefore, creatinine clearance was thought to be useful for index to determine the administration dose of digoxin in renal dysfunction. In the patients who received external dialysis, decrease of the concentration of digoxin in blood after intravenous administration of digoxin delayed significantly in contrast to that of normal control group. (Tsunoda, M.)

  18. Is there a role for digitalis in chronic heart failure? - First update

    Directory of Open Access Journals (Sweden)

    Carmen Rain

    2015-06-01

    Full Text Available Este resumen Epistemonikos (Living FRISBEE: Living FRIendly Summary of the Body of Evidence using Epistemonikos es una actualización del resumen publicado en Abril de 2015, basado en una nueva revisión sistemática aparecida en mayo de 2015. El uso de digitálicos en pacientes con insuficiencia cardiaca crónica que persisten con síntomas moderados a severos pese al uso de terapia estándar ha sido recomendado por las principales guías clínicas, sin embargo existe controversia sobre su eficacia y seguridad. Utilizando la base de datos Epistemonikos, la cual es mantenida mediante búsquedas en 30 bases de datos, identificamos cuatro revisiones sistemáticas que en conjunto incluyen 13 estudios aleatorizados. Realizamos un metanálisis y tablas de resumen de los resultados utilizando el método GRADE. Se concluye que existe incertidumbre sobre si los digitálicos disminuyen o aumentan la mortalidad. Podrían disminuir el riesgo de hospitalizaciones por cualquier causa y el deterioro clínico en este grupo de pacientes, sin embargo, la certeza de la evidencia es baja.

  19. Measurement facilities and accuracy limits of sampling digital interferometers. Meresi lehetoesegek es hibaanalizis digitalis mintavetelezoe interferometeren

    Energy Technology Data Exchange (ETDEWEB)

    Czitrovszky, A.; Jani, P.; Szoter, L.

    1990-12-15

    We discuss the measurement facilities of a recently development sampling digital interferometer for machine tool testing. As opposed to conventional interferometers the present device provides possibilities for the digital storage up to 4 kHz of the complete information of the motion so that displacement, velocity, acceleration and power density spectrum measurement can be performed. An estimation is given for the truncation, round-off, jitter and frequency-aliasing sources of error of the reconstructed motion parameters. On the basis of the Shannon sampling theory optimal conditions of measurement parameters are defined for the case when the accuracy of the reconstructed part of motion and vibration is equal to the resolution of the conventional interferometer. 7 refs., 3 figs., 1 tab.

  20. Rappresentazioni digitali al tratto: tecniche visuali per un utilizzo avanzato del CAD

    Directory of Open Access Journals (Sweden)

    Simone Garagnani

    2006-12-01

    Full Text Available Il vasto panorama esistente di prodotti software destinati al mondo del disegno architettonico, rischia di compromettere quell'individualità che distingue lo stile di rappresentazione del progettista puro. La consuetudine moderna alla rappresentazione tridimensionale fotorealistica a tutti i costi, dove tessiture di materiali e contrasti di luci ed ombre sono a volte talmente esasperati da avere ben poco del fotografico, ha condotto a trascurare le più tradizionali visualizzazioni al tratto, ancora importanti per la loro intrinseca chiarezza esplicativa e visuale delle forme. Non sono pochi infatti i software di nuova produzione che implementano con discutibile disinvoltura motori di rendering più o meno realistici, ma che non sono in grado di presentare disegni prospettici od assonometrici formalmente corretti e gradevoli. Il tracciamento assistito tuttavia può essere un valido strumento di sviluppo anche per tecniche visuali più classiche; in questo breve scritto verranno analizzati due metodi per ottenere questo tipo di elaborati con un pacchetto di disegno digitale standard come AutoCAD.

  1. Promuovere, formare e certificare le competenze digitali di insegnanti e educatori

    Directory of Open Access Journals (Sweden)

    Stefania Lovece

    2013-06-01

    Full Text Available The discovery of the importance and the role that today digital skills take in every aspect of individual and social life of the citizens of the knowledge society has initiated an important process that should lead to diffusion of the critical and conscious use of ICT in every context. Many are, in fact, the actions related to the current regulatory landscape and scenarios that are pushing in that direction. In this complex process is proposed as a more urgent attention on the training of digital skills of teachers and educators because ICT be included by design in didactic and training of innovative nature. Starting from the consideration of long-established university teaching experience and more recent studies and research projects are here advanced work hypothesis to offer educational courses specifically aimed at the training of digital skills in education and teaching.

  2. Radioiodine labelling of tyramin derivatives of some digitalis glycosides and their aglyka for the scintiscanning of the adrenal glands

    International Nuclear Information System (INIS)

    Focken, P.H.

    1978-01-01

    The first part of the present work deals with the synthesis and radio-iodination of tyramine derivatives of digitoxigenin, digoxigenin, gitoxigenin and their glycosides. In the second part, animal experiments on rats and dogs for organ-specific enrichment of the synthesized compounds are described. The regioselective reductive amination of cardenolide ketones and glycoside dialdehydes with tyramin is successful with sodium cyano-boron hydride as reducing agent. Monotyraminyl genins are produced from the aglyka whilst glycosides convert to mono- and dityraminyl glycosides. A known radio-iodination method is modified to meet the requirements of the present problem. The radio-iodination is carried out with the nuclides 123 I, 125 I and 131 I. Scintiscanning of the adrenal glands of rats and dogs is possible within a few hours with 131 I-3-tyraminyl-3-desoxi-digitoxigenin. (orig./AJ) [de

  3. Le edizioni digitali di Vico curate dall’ISPF e il “Portale Vico”. Una presentazione

    Directory of Open Access Journals (Sweden)

    Pica Ciamarra, Leonardo

    2009-12-01

    Full Text Available A presentation illustrating the state of the digitalization of Vico’s critical and facsimile editions between 2004 and 2009 and introducing to the new ISPF web portal devoted to Vico’s works and resources online www.giambattistavico.it.

  4. Un rilievo sotto sopra Modelli digitali 3D ad alta definizione sia dei fondali che delle coste

    Directory of Open Access Journals (Sweden)

    Codevintec Italiana Srl Codevintec Italiana Srl

    2009-03-01

    Full Text Available An upside down survey: shores and sea bed hi-res 3D digital models Laser scanning and interferometric bathymetry represent the cutting edge of coastal survey technology and can be very beneficial for mapping complicated waterside areas. The similarity of the data provided by the two systems (point cloud and intensity value make it easy to integrate the two surveys using PolyWorks commercial software. The final product is a single 3D model made up of bathymetry and topography. Since 2004 Codevintec tested the integration of these two methodologies, carrying out a number of high resolution surveys, generating a complete and accurate digital model of areas both above and below water level, a result inimitable by any other topographical survey method. The 3D-laser scanner was an Optech ILRIS-ER that allows scanning in dynamic from the boat while a SEA SWATHplus-H wide swathsonar system was used to collect underwater topography. A combined GPS and inertial platform (Applanix POS/MV 320 is used to measure position and 3D attitude of the two sensors during the survey.

  5. Tutela del diritto di proprieta' delle immagini digitali: Implementazione di un algoritmo di watermark mediante funzioni wavelet

    Directory of Open Access Journals (Sweden)

    Prestipino, D

    2004-01-01

    Full Text Available Protection of copyright of the digital images is a critical element for the multimedia Web applications, e-books, virtual picture gallery. This problem is today receiving growing attention due to the pervasive diffusion of Internet technology. This work shows the watermark as solution to this problem and describes a new wavelet-based algorithm, called WM1.0, which is invisible, private, strong. WM1.0 watermaks a subset of digital images building the ecclesiastic on-line art collection. The Owner of the images and related information is the Italian Episcopal Conference, whereas the Publisher is I.D.S., an ICT company located in Messina.

  6. I metadati nelle biblioteche digitali: concetti chiave e prospettive Metadata issues in Digital Libraries: key concepts and perspectives

    Directory of Open Access Journals (Sweden)

    Iryna Solodovnik

    2011-12-01

    Full Text Available

    L'articolo si propone di esaminare il significato, il ruolo e le implicazioni di alcuni approcci utilizzati nella gestione della biblioteca digitale.

    L'innovazione nella gestione delle risorse online e il miglioramento della loro interoperabilità si può ottenere con una normalizzazione degli schemi di metadati attraverso l'uso di standard interoperabili e vocabolari internazionali e condivisi, e con l'arricchimento dato da ontologie e linked data, che sono alla base delle riflessioni sul web semantico e sulla costruzione di livelli semantici sulle descrizioni dei metadati.

    Attraverso l'esame di alcune metodologie innovative di rappresentazione dell'informazione (LODe-BD, SWAP, l'articolo mostra alcune modalità di creazione della conoscenza in ambiente digitale, con particolare riferimento ai dati bibliografici.

    The article sets out to investigate the meaning, role and implications of some information management approaches used in Digital Library practice. A greater focus on innovation in managing online resources and on improving their interoperability can be achieved by normalizing metadata schemas through interoperable standards, world-wide accepted controlled vocabularies as well as by their enrichment through qualitatively constructed ontologies and linked data, which are key to the expansion of the semantic reasoning on the web through building and connection of additional semantic layers on top of metadata descriptions. Reviewing some innovative methods of information representation (LODe-BD, SWAP, the paper tries to lead the reader to discover some new ways of knowledge creation in digital information environment, in particular what concerns digital bibliographic records.

  7. Role of digitalis-like substance in the hypertension of streptozotocin-induced diabetes and simulated weightlessness in rats

    Science.gov (United States)

    Pamnani, M. B.; Chen, S.; Haddy, F. J.; Yuan, C.; Mo, Z.

    1998-01-01

    We have examined the role of plasma Na+-K+ pump inhibitor (SPI) in the hypertension of streptozotocin induced insulin dependent diabetes (IDDM) in reduced renal mass rats. The increase in blood pressure (BP) was associated with an increase in extracellular fluid volume (ECFV), and SPI and a decrease in myocardial Na+,K+ATPase (NKA) activity, suggesting that increased SPI, which inhibits cardiovascular muscle (CVM) cell NKA activity, may be involved in the mechanism of IDDM-hypertension. In a second study, using prolonged suspension resulted in a decrease in cardiac NKA activity, suggesting that cardiovascular deconditioning following space flight might in part result from insufficient SPI.

  8. Dose response characterization of the association of serum digoxin concentration with mortality outcomes in the Digitalis Investigation Group trial

    NARCIS (Netherlands)

    Adams, Kirkwood F.; Butler, Javed; Patterson, J. Herbert; Stough, Wendy Gattis; Bauman, Jerry L.; van Veldhuisen, Dirk J.; Schwartz, Todd A.; Sabbah, Hani; Mackowiak, John I.; Ventura, Hector O.; Ghali, Jalal K.

    AimsMany patients with heart failure and reduced EF remain at high risk for hospitalization despite evidence-based therapy. Digoxin may decrease hospitalization; however, uncertainty persists concerning its proper administration and effect on mortality. This study investigated whether using dose

  9. Active site-directed alkylation of Na+-K+-ATPase by digitalis sulphonate derivatives of different lipophilicity.

    Science.gov (United States)

    Fricke, U.; Klaus, W.; Rogatti, M.

    1981-01-01

    1 Sulphonate derivatives of k-strophanthidin and digitoxigenin were tested as active site-directed labels of Na+-K+-adenosine triphosphatase (Na+-ATPase) from guinea-pig heart. 2 Lipophilicity ranged between P = 93 for strophanthidin-3-tosyloxy-acetate (STA) and P = 3028 for digitoxigenin-3-tosyloxy-acetate (DTA). 3 Although the alkylating moiety of STA and DTA was identical, the reversibility of Na+-K+-ATPase inhibition varied appreciably (82% and 35% respectively). 4 It is concluded that lipophilicity contributes considerably to the irreversible binding of alkylating cardiotonic steroids to myocardial Na+-K+-ATPase. PMID:6261865

  10. Light-enhanced inhibition of ouabain binding to digitalis receptor in rat brain and guinea pig heart by the food dye erythrosine

    International Nuclear Information System (INIS)

    Hnatowich, M.; LaBella, F.S.

    1982-01-01

    Erythrosine (ERY) (FD and C red no. 3) inhibited specific binding of [ 3 H]ouabain to rat brain homogenates with an IC50 of 23 mM in the dark and 1 mM in ordinary fluorescent light. Competition studies demonstrated the presence of two components, only one of which was affected by light. Lineweaver-Burk analysis indicated that ERY preferentially antagonizes [ 3 H]ouabain binding at a high-affinity site in the light, whereas in the dark the dye inhibits binding in a manner qualitatively similar to inhibition by ouabain. Light enhancement of ERY potency occurred only when dye and tissue were present together in the incubation medium, pointing to participation of transient molecular species. However, neither superoxide dismutase nor catalase altered the effects of ERY in the light or dark, suggesting the absence of oxygen free radicals. In contrast to brain, membranes from guinea pig heart showed only one binding site for [ 3 H]ouabain, and antagonism by ERY at this site was markedly enhanced by light. Structural differences between classes of ouabain binding regions probably accounts for the discrimination exhibited by ERY in the presence of light and oxygen. Our findings also caution that metabolic transformation of this common food dye, light decomposition, or photoreaction with foodstuff may yield more toxic derivatives

  11. Light-enhanced inhibition of ouabain binding to digitalis receptor in rat brain and guinea pig heart by the food dye erythrosine

    International Nuclear Information System (INIS)

    Hnatowich, M.; LaBella, F.S.

    1982-01-01

    Erythrosine (ERY) (FD and C red no. 3) inhibited specific binding of [ 3 H]ouabain to rat brain homogenates with an IC50 of 23 microM in the dark and 1 microM in ordinary fluorescent light. Competition studies demonstrated the presence of two components, only one of which was affected by light. Lineweaver-Burk analysis indicated that ERY preferentially antagonizes [ 3 H]ouabain binding at a high-affinity site in the light, whereas in the dark the dye inhibits binding in a manner qualitatively similar to inhibition by ouabain. Light enhancement of ERY potency occurred only when dye and tissue were present together in the incubation medium, pointing to participation of transient molecular species. However, neither superoxide dismutase nor catalase altered the effects of ERY in the light or dark, suggesting the absence of oxygen free radicals. When oxygen levels were raised, there was enhancement of inhibition by ERY at a high-affinity receptor accompanied by disappearance of [ 3 H]ouabain binding at one of lower affinity. In contrast to brain, membranes from guinea pig heart showed only one binding site for [ 3 H]ouabain, and antagonism by ERY at this site was markedly enhanced by light. Structural differences between classes of ouabain binding regions probably accounts for the discrimination exhibited by ERY in the presence of light and oxygen. Our findings also caution that metabolic transformation of this common food dye, light decomposition, or photoreaction with foodstuff may yield more toxic derivatives

  12. Privacy for the Homo digitalis : Proposal for a new regulatory framework for data protection in the light of big data and the internet of things

    NARCIS (Netherlands)

    Prins, Corien; Moerel, Lokke

    The authors analyze innovations in data processing as a result of developments such as 'big data' and the 'Internet of Things' and discuss why these developments undermine the effectiveness and legitimacy of the current as well as upcoming EU data protection regime, thereby focusing on the private

  13. Cartografie digitali, Web-GIS e modelli interattivi: verso un sistema “globale” di referenziamento dei dati di rilievo architettonico

    Directory of Open Access Journals (Sweden)

    Simone Garagnani

    2008-12-01

    Full Text Available Geomatic grants today a critical approach to the digital representation of territory. In this paper, the potential of this informative representation through Multimedia Informative Archives’ (A.I.M. in Italian language definition has been introduced, proving their versatility collecting, managing and visualizing knowledge architectural element at the different scale of building and town. Structure and formalisation of A.I.M.s allows use of hyperlinks to cartography up to georeference analysis and survey information. Leaving aside commercial web-oriented S.I.T. systems, free software packages available on web have been inquired in order to carry out database hosting thematic maps as provided in A.I.M. framework. The pipeline developed allows territorial and architectural survey’s results management and georeferencing, even if they were carryed out in different times, in order to create an updated database.

  14. Towards Homo Digitalis: Important Research Issues for Psychology and the Neurosciences at the Dawn of the Internet of Things and the Digital Society

    Directory of Open Access Journals (Sweden)

    Christian Montag

    2018-02-01

    Full Text Available The present article gives an overview on central challenges humans face at the dawn of complex digital societies and the Internet of Things (IoT, i.e., a world completely connected to the Internet. Among the many challenges to be handled in digital societies is a growing fragmented life style leading to loss of productivity as well as moments for self-reflection. In all this, it is of tremendous importance to understand the impact of digital worlds on our brains and psyches and to reveal possible unintended side-effects of technology use. Does human nature change due to constant interactions with virtual realities? In this context, we also face the challenge to design digital worlds according to our mammalian-emotional heritage deeply anchored in subcortical areas of the human brain. Here, we refer to emotional needs as carved out by Panksepp’s Affective Neuroscience Theory and how they can or cannot be fulfilled in digital worlds. Aside from a review of several key studies dealing with the raised challenges, some first solutions to successfully meet the mentioned problems are provided to achieve sustainable and healthy digital worlds, with whom humans can interact carefree on a daily basis.

  15. Reflexiones sobre inclusión digital> como modalidad de inclusión social

    OpenAIRE

    Cabello, Roxana

    2014-01-01

    Este trabajo explicita algunas decisiones tomadas en el marco de la investigación Sentidos y contrasentidos de la inclusión digital como inclusión social. El caso de la provincia de Buenos Aires. Se trata de un estudio cuali-cuantitativo que desarrollamos en el Observatorio de Usos de Medios Interactivos de la UNGS. La idea de inclusión digital se ha extendido rápidamente en los últimos años como meta y justificación de importantes inversiones en políticas públicas en América Latina. En mucho...

  16. Digilanid C by die behandeling van hartlyers

    NARCIS (Netherlands)

    Snyman, Hendrik Willem

    1942-01-01

    In die voorafgaande word 'n literatuur studie oor die ontwikkeling en huidige stand van die chemie en farmakologie van die Digitalis purpurea en Digitalis lanata gegee, waarin spesiaal gelet word op die chemiese samestelling en farmakologiese aktiwiteit van die Digitalis lanata glikoside. Daarna

  17. Analysis of R-R intervals in patients with atrial fibrillation at rest and during exercise

    NARCIS (Netherlands)

    Bootsma, B.K.; Hoelen, A.J.; Strackee, J.; Meijler, F.L.

    Serial autocorrelation functions and histograms of R-R intervals in patients with atrial fibrillation, with and without digitalis, at rest and during exercise, were produced by a computer. At rest with and without digitalis the first and higher order coefficients did not differ from zero. During

  18. Importance of Pharmacokinetics and Dosage in digoxin ...

    African Journals Online (AJOL)

    Patients diagnosed as being digitalis-toxic or as exhibiting refractory cardiac failure on clinical grounds, had digoxin serum levels significantly higher than those found in patients with satisfactorily controlled cardiac failure but without signs of digitalis toxicity. Serum digoxin levels were significantly raised in patients with ...

  19. ~~v~:r~r:~

    African Journals Online (AJOL)

    1974-09-07

    Sep 7, 1974 ... On physical examination the patient was not distressed, the pulse was 88/min and ... ponade, showing recent diaphragmatic infarction with anterolateral ... therapy with digitalis, diuretics and bedrest. Right heart pressures ...

  20. Stofmonografie digoxine en digitoxine

    NARCIS (Netherlands)

    Cremers PMA; Sangster B

    1987-01-01

    Deze monografie besteedt ruim aandacht aan de kinetiek en effecten van digitalispreparaten en waarnemingen gedaan bij mensen en dieren na gebruik van deze preparaten. Verder worden de klinische symptomatologie en de therapeutische mogelijkheden beschreven van een digitalis-intoxicatie.

  1. Dobowe wahania deficytu wodnego i ich zależność od czynników klimatycznych [Diurnal changes of water saturation deficit in leaves and their dependence on the climatic factors

    Directory of Open Access Journals (Sweden)

    J. Czerski

    2015-01-01

    Full Text Available Daily changes in water suction deficit (WSD in different species of Nicotiana, Digitalis, Calendula, Beta and Brassica were studied. Significant water deficit in the middle of the day was demonstrated for all plants studied.

  2. Chemical Agents

    Science.gov (United States)

    ... CR) see Riot Control Agents Digitalis Distilled mustard (HD) see Sulfur mustard E Ethylene glycol F Fentanyls and other opioids H Hydrazine Hydrofluoric acid (hydrogen fluoride) Hydrogen chloride Hydrogen cyanide (AC) Hydrogen ...

  3. Patient's Guide to Living with Atrial Fibrillation

    Science.gov (United States)

    ... Rate control is very important. Medications such as beta-blockers, calcium channel blockers, and digitalis can be used ... Plan Some Relaxation Feelings of depressed mood or anxiety can lead to feelings of lack of control ...

  4. A New Perspective for Identifying Potential Cardiac Sensitizers

    National Research Council Canada - National Science Library

    Smith, E

    1999-01-01

    .... The dog and the swine were used as surrogates for the human. Physiologic and electrocardiographic measurements were taken during the control period and after each dose of ouabain, a digitalis glycoside known to provoke ventricular arrhythmia...

  5. Digital Marketing

    OpenAIRE

    Stefano Pace; Margherita Pagani; Silvia Vianello

    2011-01-01

    Lo sviluppo di nuove modalità di commercio elettronico via web, le nuove piattaforme di Tv digitale interattiva (t-commerce) e le applicazioni mobili (m-commerce) hanno suscitato rilevante attenzione allo studio del comportamento del consumatore nei nuovi contesti digitali. Per le aziende è rilevante comprendere i fattori che influenzano l’intenzione di acquisto e adozione dei beni e servizi online da parte dei consumatori e il comportamento di fruizione delle singole piattaforme digitali...

  6. Effect of ouabain, digoxin and digitoxigenin on potassium uptake and histamine release from rat peritoneal mast cells

    DEFF Research Database (Denmark)

    Knudsen, T; Ferjan, I; Johansen, Torben

    1993-01-01

    Rat peritoneal mast cells were used to study the effects of digitalis glycosides on potassium uptake and histamine release induced by compound 48/80, substance P and egg-albumin (immunological release). In the absence of calcium all glycosides inhibited potassium uptake. Ouabain and digoxin....... Hydrophilic digitalis glycosides seem to enhance histamine release secondary to an increase in intracellular sodium. Lipophilic glycosides have no effect on the release....

  7. RIA in cardiovascular disease

    International Nuclear Information System (INIS)

    Hourani, M.H.

    1983-01-01

    When one discusses the management of chronic cardiac diseases, and in particular congestive heart failure (CHF), one cannot but think of digitalis and the important role it plays in the management of CHF. One also has to think about digitalis toxicity and the narrow margin between the therapeutic and toxic doses of digitalis and the important role that monitoring the serum level of the drug play in preventing and/or recognizing its toxic effects. Again, RIA has something to offer the clinician in this area. The purpose of this chapter is to discuss the radioassays for CPK-MB and digoxin mainly, as well as touch upon other assays of use in evaluating patients with cardiovascular disease

  8. (Multiletramento(s digital(is e teoria do posicionamento: análise das práticas discursivas de professoras que se relacionaram com as tecnologias da informação e comunicação no ensino público Digital (multiliteracy(ies and positioning theory: analysis of discursive practices of teachers involved with information and communication technologies in the public education

    Directory of Open Access Journals (Sweden)

    Fabiano Santos Saito

    2012-01-01

    Full Text Available O objetivo deste trabalho é analisar as práticas discursivas de três professoras que se relacionaram direta e indiretamente com as Tecnologias da Informação e Comunicação (TICs no processo de ensino-aprendizagem de uma escola pública na cidade de Juiz de Fora - MG. Para cumprir com esse objetivo, utilizamos o modelo de Multiletramentos Digitais (SELBER, 2004 no que se refere aos usos e práticas sociais da Era Digital. Para enriquecer a análise deste estudo, trouxemos também as contribuições da Teoria do Posicionamento (HARRÉ; VAN LANGENHOVE, 1999, para podermos compreender como as professoras assumiam posições em um contexto de ensino que faz uso das tecnologias digitais. Esta pesquisa de abordagem qualitativo-interpretativista configurou-se metodologicamente como um estudo de caso etnográfico aliado a uma análise do discurso. Os resultados apontam que, embora as professoras assumam em um primeiro momento uma posição tecnófila (ou seja, uma posição favorável ao uso das TICs em ambiente educacional, essa posição é rejeitada pelas professoras indiretamente relacionadas à sala de informática em posicionamentos (tomadas de posição discursiva posteriores, em que é possível identificar posições tecnofóbicas (de medo ou resistência às tecnologias, que são indícios de falta de formação docente que tornem o uso das TICs mais eficiente e situado. Além disso, as posições e posicionamentos assumidos pelas professoras indicam um modelo de Letramento Digital Funcional na escola investigada, que é motivado por problemas de infraestrutura informacional e forças institucionais de instâncias sociais superiores à escola. Assim, uma das contribuições teórico-metodológicas deste estudo é relacionar a Teoria do Posicionamento com o Modelo de Multiletramentos Digitais para explicar os discursos que atravessam o contexto em que as TICs são usadas. Além do mais, esperamos contribuir para uma abordagem mais crítica e questionadora desses contextos educacionais, considerando a formação docente como essencial para a apropriação e o uso situado das TICs. Também é nosso intento levantar discussões transdisciplinares nas áreas de Linguística, Ensino e Tecnologia.The aim of this work is to analyze the discursive practices of three teachers involved both direct and indirectly with Information and Communication Technologies (ICTs in the teaching-learning process of a public school situated in the city of Juiz de Fora - State of Minas Gerais in Brazil. To accomplish our goal, we used the theoretical model of Digital Multiliteracies (SELBER, 2004, regarding the uses and social practices of Digital Era. To enrich the analyses of this study, we also brought the theoretical contributions of Positioning Theory (HARRÉ; VAN LANGENHOVE, 1999, in order to understand how teachers take positions within a teaching context that uses digital technologies. This is a qualitative-interpretivist research methodologically set as ethnographic case study allied to a discourse analysis. The results points that, although in a first moment all the teachers take a technophile position (i.e., a position in favor of use of ICTs in educational environment, this position is rejected by some teachers indirectly involved with Computer Lab in later positionings (discursive positions takings, in which it is possible to identify technophobic positions (fear or resistance to digital technologies, that are indices of lack of teacher training oriented for more effective and situated use of ICTs in classrooms. Furthermore, the positions and positionings taken by teachers indicate a Functional Digital Literacy model in the school investigated, which is motivated by informational infrastructure troubles and institutional forces from social instances above the school. One of theoretic-methodological contributions of this study is to relate the Position Theory to the model of Digital Multiliteracies to explain the traversing discourses in the context where ICTs are used. In addition, we hope to contribute focusing on a more critical and questioning approach to these educational settings, highlighting that teacher training is essential for a right appropriation of ICTs and their situated uses. It is also our intent to raise transdisciplinary discussions on Technology, Teaching and Linguistic fields.

  9. (Multiletramento(s digital(is e teoria do posicionamento: análise das práticas discursivas de professoras que se relacionaram com as tecnologias da informação e comunicação no ensino público Digital (multiliteracy(ies and positioning theory: analysis of discursive practices of teachers involved with information and communication technologies in the public education

    Directory of Open Access Journals (Sweden)

    Fabiano Santos Saito

    2013-03-01

    Full Text Available O objetivo deste trabalho é analisar as práticas discursivas de três professoras que se relacionaram direta e indiretamente com as Tecnologias da Informação e Comunicação (TICs no processo de ensino-aprendizagem de uma escola pública na cidade de Juiz de Fora - MG. Para cumprir com esse objetivo, utilizamos o modelo de Multiletramentos Digitais (SELBER, 2004 no que se refere aos usos e práticas sociais da Era Digital. Para enriquecer a análise deste estudo, trouxemos também as contribuições da Teoria do Posicionamento (HARRÉ; VAN LANGENHOVE, 1999, para podermos compreender como as professoras assumiam posições em um contexto de ensino que faz uso das tecnologias digitais. Esta pesquisa de abordagem qualitativo-interpretativista configurou-se metodologicamente como um estudo de caso etnográfico aliado a uma análise do discurso. Os resultados apontam que, embora as professoras assumam em um primeiro momento uma posição tecnófila (ou seja, uma posição favorável ao uso das TICs em ambiente educacional, essa posição é rejeitada pelas professoras indiretamente relacionadas à sala de informática em posicionamentos (tomadas de posição discursiva posteriores, em que é possível identificar posições tecnofóbicas (de medo ou resistência às tecnologias, que são indícios de falta de formação docente que tornem o uso das TICs mais eficiente e situado. Além disso, as posições e posicionamentos assumidos pelas professoras indicam um modelo de Letramento Digital Funcional na escola investigada, que é motivado por problemas de infraestrutura informacional e forças institucionais de instâncias sociais superiores à escola. Assim, uma das contribuições teórico-metodológicas deste estudo é relacionar a Teoria do Posicionamento com o Modelo de Multiletramentos Digitais para explicar os discursos que atravessam o contexto em que as TICs são usadas. Além do mais, esperamos contribuir para uma abordagem mais crítica e questionadora desses contextos educacionais, considerando a formação docente como essencial para a apropriação e o uso situado das TICs. Também é nosso intento levantar discussões transdisciplinares nas áreas de Linguística, Ensino e Tecnologia.The aim of this work is to analyze the discursive practices of three teachers involved both direct and indirectly with Information and Communication Technologies (ICTs in the teaching-learning process of a public school situated in the city of Juiz de Fora - State of Minas Gerais in Brazil. To accomplish our goal, we used the theoretical model of Digital Multiliteracies (SELBER, 2004, regarding the uses and social practices of Digital Era. To enrich the analyses of this study, we also brought the theoretical contributions of Positioning Theory (HARRÉ; VAN LANGENHOVE, 1999, in order to understand how teachers take positions within a teaching context that uses digital technologies. This is a qualitative-interpretivist research methodologically set as ethnographic case study allied to a discourse analysis. The results points that, although in a first moment all the teachers take a technophile position (i.e., a position in favor of use of ICTs in educational environment, this position is rejected by some teachers indirectly involved with Computer Lab in later positionings (discursive positions takings, in which it is possible to identify technophobic positions (fear or resistance to digital technologies, that are indices of lack of teacher training oriented for more effective and situated use of ICTs in classrooms. Furthermore, the positions and positionings taken by teachers indicate a Functional Digital Literacy model in the school investigated, which is motivated by informational infrastructure troubles and institutional forces from social instances above the school. One of theoretic-methodological contributions of this study is to relate the Position Theory to the model of Digital Multiliteracies to explain the traversing discourses in the context where ICTs are used. In addition, we hope to contribute focusing on a more critical and questioning approach to these educational settings, highlighting that teacher training is essential for a right appropriation of ICTs and their situated uses. It is also our intent to raise transdisciplinary discussions on Technology, Teaching and Linguistic fields.

  10. Digoxin serum levels with respect to some biochemical and clinical indicators

    International Nuclear Information System (INIS)

    Sedlak, J.; Curilla, E.

    1984-01-01

    Digoxin serum levels were examined in 40 patients using enzyme-linked immunosorbent assay (ELISA) and radioimmunoassay (RIA) and correlated with levels of potassium, magnesium, creatinine, urea, glomerular filtration (GF) and with clinical signs of different degrees of digitalis serum concentration. The digoxin level assessed by ELISA and RIA methods correlated fairly closely. An average dependence was found between digoxin levels and levels of creatinine, urea and GF. A correlation was observed between a high level of digoxin and clinical signs of digitalis intoxication

  11. Chemotaxonomic Markers in Digitalideae (Plantaginaceae)

    DEFF Research Database (Denmark)

    Taskova, Rilka Mladenova; Gotfredsen, Charlotte Held; Jensen, Søren Rosendal

    2005-01-01

    In a chemosystematic investigation of Digitalideae (Plantaginaceae), the water-soluble part of extracts of two species of Digitalis, two species of Isoplexis, as well as Erinus alpinus and Lafuentea rotundifolia were studied with regard to their content of iridoids, caffeoyl phenylethanoid...... glycosides (CPGs) and main sugars. Digitalis and Isoplexis were found to lack iridoid glucosides but contained sorbitol, cornoside and a number of other phenylethanoid glycosides including the new tyrosol b-D-mannopyranoside, sceptroside. Erinus contained mainly glucose, the new 8,9-double bond iridoid...

  12. Bidirectional ventricular tachycardia of unknown etiology

    International Nuclear Information System (INIS)

    Ali, M.; Khan, J.A.; Masood, T.; Shamsi, F.; Dero, M.H.; Khan, S.

    2013-01-01

    A 45 years old male presented to the emergency department with palpitations, headache and apprehension. His electrocardiogram revealed bidirectional ventricular tachycardia. He remained vitally stable and responded to intravenous beta-blocker. Initially digitalis toxicity was suspected but history was negative for digitalis intake. The cause remained unidentified in patient despite detailed investigations. During a short follow-up (of 6 months) he remained asymptomatic and no cause was further identified during this period. Some other unseen causes of bidirectional ventricular tachycardia need to be explored. (author)

  13. Digoxin serum levels with respect to some biochemical and clinical indicators

    Energy Technology Data Exchange (ETDEWEB)

    Sedlak, J; Curilla, E [Univerzita P.J. Safarika, Kosice (Czechoslovakia). Lekarska Fakulta

    1984-10-01

    Digoxin serum levels were examined in 40 patients using enzyme-linked immunosorbent assay (ELISA) and radioimmunoassay (RIA) and correlated with levels of potassium, magnesium, creatinine, urea, glomerular filtration (GF) and with clinical signs of different degrees of digitalis serum concentration. The digoxin level assessed by ELISA and RIA methods correlated fairly closely. An average dependence was found between digoxin levels and levels of creatinine, urea and GF. A correlation was observed between a high level of digoxin and clinical signs of digitalis intoxication.

  14. Electrolyte profiles in Nigerian patients with essential hypertension

    African Journals Online (AJOL)

    STORAGESEVER

    2008-05-16

    May 16, 2008 ... renal defects, whether primary or secondary, may adversely affect ... digitalis, sedative-hypnotics, minor tranquilizers, psychotropic drugs or non-steroidal ... protocol approved by the Medical Ethics Committee of Ambrose Alli. University .... effect of potassium supplementation on BP excluding one trial in an ...

  15. Reconstruction of the complete ouabain-binding pocket of Na,K-ATPase in gastric H,K-ATPase by substitution of only seven amino acids

    NARCIS (Netherlands)

    Qiu, L.Y.; Krieger, E.; Schaftenaar, G.; Swarts, H.G.P.; Willems, P.H.G.M.; Pont, J.J.H.H.M. de; Koenderink, J.B.

    2005-01-01

    Although cardiac glycosides have been used as drugs for more than 2 centuries and their primary target, the sodium pump (Na, K-ATPase), has already been known for 4 decades, their exact binding site is still elusive. In our efforts to define the molecular basis of digitalis glycosides binding we

  16. Reconstruction of the complete ouabain-binding pocket of Na,K-ATPase in gastric H,K-ATPase by substitution of only seven amino acids.

    NARCIS (Netherlands)

    Qiu, L.; Krieger, E.; Schaftenaar, G.; Swarts, H.G.P.; Willems, P.H.G.M.; Pont, J.J.H.H.M. de; Koenderink, J.B.

    2005-01-01

    Although cardiac glycosides have been used as drugs for more than 2 centuries and their primary target, the sodium pump (Na,K-ATPase), has already been known for 4 decades, their exact binding site is still elusive. In our efforts to define the molecular basis of digitalis glycosides binding we

  17. [s.t.

    OpenAIRE

    Hirsch, Debora

    2012-01-01

    Seconda di quattro immagini digitali che mostrano, da diverse prospettive urbane, il risultato visuale della installazione proposta e la sua interazione rispetto all’architettura urbana della piazza Caio Mario a Torino. Le immagini sono numerate progressivamente da 1 a 4 secondo l’ordine suggerito dall’artista.

  18. The relation of thrombomodulin G33A and C1418T gene ...

    African Journals Online (AJOL)

    Wael Alkhiary

    2017-08-31

    Aug 31, 2017 ... Patients who had old myocardial infarction, left ventricular hypertrophy (LVH), severe aortic stenosis, and patients with heart failure on digitalis. The study was approved by the local ethical committee and consents from all patients and controls were taken to approve sharing in the study after full description ...

  19. Acebutolol in Cardiac Arrhythmias

    African Journals Online (AJOL)

    1974-04-20

    Apr 20, 1974 ... of VPSs in 1 patient with digitalis excess, and was. -ineffective in the other 2. It was given orally in another. 3 patients; it reduced the number of VPSs per minute in one, was effective for a short period in another, and was ineffective in the third. Ventricular tachycardia (VT). Acebutolol was given intravenously ...

  20. Diastolic Pressure in Congestive Cardiomyopathy and Constrictive ...

    African Journals Online (AJOL)

    1974-03-16

    Mar 16, 1974 ... tive pericarditis was studied before pericardiectomy. The constriction was of tuberculous origin in 27 patients, amoebic in one and post-traumatic in two. All patients had rested in bed for 2-3 weeks before the study and were receiving digitalis and diuretics at the time of cardiac catheterisation. Their disability ...

  1. Bidirectional ventricular tachycardia of unusual etiology

    Directory of Open Access Journals (Sweden)

    Praloy Chakraborty

    2015-11-01

    Full Text Available Bidirectional ventricular tachycardia (BDVT is a rare form of ventricular arrhythmia, characterized by changing QRS axis of 180 degrees. Digitalis toxicity is considered as commonest cause of BDVT; other causes include aconite toxicity, myocarditis, myocardial infarction, metastatic cardiac tumour and cardiac channelopathies. We describe a case of BDVT in a patient with Anderson-Tawil syndrome.

  2. Effects of calcium antagonists on hypertension and diastolic function

    African Journals Online (AJOL)

    1989-08-05

    Aug 5, 1989 ... and improve myocardial function. Digitalis compounds such as digoxin are not appropriate therapy for diastolic dysfunction and should be avoided. REFERENCES. I. Fouad FM, Slominski JM, Tarazi RC. Left ventricular diastolic function in hypertension: relation to left ventricular mass and systolic function.

  3. The Management of Intractable Angina Pectoris Using Saphenous ...

    African Journals Online (AJOL)

    1974-01-05

    blockers was increased until the resting pulse rate was reduced to 60 beats/min or less. If there were symptoms of left ventricular failure before or during the use of beta-blockers, digitalis and diuretic therapy were used as well.

  4. Ameliorative effect of Draba nemorosa extract on chronic heart ...

    African Journals Online (AJOL)

    β-adrenoceptor blockers, and digitalis [5-7]. Although the guidelines on CHF therapy have been updated by American Heart Association. (AHA) and European Society of Cardiology. (ESC) [2], HF remains a major cause death [8]. Thus there is need to explore new therapeutic regimens for HF. The use of Traditional Chinese ...

  5. Storm in a Teacup?

    African Journals Online (AJOL)

    1971-07-31

    Jul 31, 1971 ... group as follows: ECG abnormality 4% against. 3% (astonishingly low), use of digitalis 7-6% against. 4-5%, arterial calcification 19'7% against 14-3%, angina pectoris 7'0% against 5-0%, serum choles- terol > 300 mg/ 100 ml 15'1% against 8'6%. There was, however, less hypertension in the tolbuta-.

  6. Practolol in Hyperthyroid Cardiac Failure | Epstein | South African ...

    African Journals Online (AJOL)

    Practolol (Eraldint), a recently developed beta-adrenergic blocking agent, has been found useful in conjunction with digitalis and diuretics in 6 patients with thyrocardiac disease who had been refractory to therapy. In all cases cardiac failure improved dramatically, suggesting better myocardial efficiency and a return of ...

  7. CASE REPORT

    African Journals Online (AJOL)

    NJSR

    cardiac failure, as in our patient, digitalis and radiography are considered before surgical excision. Occasional cases have involuted spontaneously, though a few have metastasized. 5 Other forms of treatment include corticosteroids, and hepatic artery ligation. 7 Malignant transformation has been reported after successful ...

  8. African Journal of Biotechnology - Vol 9, No 11 (2010)

    African Journals Online (AJOL)

    Direct shoot organogenesis of Digitalis trojana Ivan., an endemic medicinal herb of Turkey · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. N Çördük, C Akı, 1587-1591 ...

  9. Benthic faunal distribution and abundance in the Mfolozi–Msunduzi ...

    African Journals Online (AJOL)

    Results indicated that the system was dominated by the polychaetes Ceratonereis sp., Dendronereis arborifera and Capitella capitata, the crab Paratylodiplax blephariskios and the tanaid Apseudes digitalis. The main factors influencing the distribution of the benthos were oxygen concentration, temperature, the open or ...

  10. Adaptive changes in the acute haemodynamic effects of cilazapril during chronic treatment. Comparison with long-term clinical effect

    DEFF Research Database (Denmark)

    Larsen, J; Sykulski, R; Jensen, G

    1996-01-01

    ) and clinical parameters (Quality-of-Life and NYHA class) were investigated in a double-blind, randomised, placebo-controlled trial in CHF. One hundred and thirty five patients (112 completing) in NYHA Classes II-III, on digitalis and diuretic treatment, were randomised after 2 weeks of placebo run...

  11. Organisms associated with the sandy-beach bivalve Donax serra ...

    African Journals Online (AJOL)

    57: 134-136. BROWN, AC. & WEBB, S.c. 1994. Organisms associated \\.,.,ith burrowing whelks of the genus Bullia. S Afr. 1. Zool. 29: 144-151. BROWN, A.C., STENTON-DOZEY, J.~.E. & TRUEMAN, E.R.. 1989. Sandy-beach bivalves and gastropods; a comparison between Donax serra and Ruilia digitalis. Adv. mar. Bioi. 25:.

  12. The benthos of South Lake, St Lucia following a period of stable ...

    African Journals Online (AJOL)

    Haminea petersi; the gastropod Assiminea sp.; the polychaetes. Marphysa macintoshi, Glycera tridactyla and Dendronereis ar-. boriJera; oligochaetes; nemerteans; the crab Hymenosoma or- bicu/are; the tanaid Apseudes digitalis-, the amphipod Grandi- dierella lignorum; cumaceans and the mysid Mesopodopsis africana.

  13. Digoxin therapy in the modern management of cardiovascular disease

    African Journals Online (AJOL)

    β-blockers for the treatment of heart failure, supports the use of digoxin in patients with left ventricular systolic dysfunction, particularly in those with advanced symptoms.[6] There is, however, no evidence that digoxin improves survival – it may even worsen outcomes. The Digitalis Investigation Group (DIG). Trial, a study of ...

  14. Effect of Zhen-wu decoction on chronic heart failure in rats

    African Journals Online (AJOL)

    ... has been an increased hospitalization burden, and makes HF a global public health problem. The most effective and commonly used drugs for treatment of HF are angiotensin-converting enzyme (ACE) inhibitors, β-adrenoceptor blockers, and digitalis [5-7]. The American Heart. Association (AHA) and European Society of ...

  15. Evaluation of Chest Pain in Ambulatory Patients in Lagos, Using the ...

    African Journals Online (AJOL)

    Exclusion criteria consisted of the presence of congestive heart failure, or recent use of digitalis or beta blockers. The questionnaire for this study was that of the World Health Organisation Cardiovascular Survey/ Rose Questionnaire (RQ) with an additional section designed to obtain data on demography, and descriptive ...

  16. effects of the ethanolic stem bark extract of pterocarpus erinaceus poir

    African Journals Online (AJOL)

    DR. AMINU

    Department of Pharmacology, Faculty of Medicine, Bayero University, Kano, Nigeria. ... medicine (CAM). Many of the pharmaceuticals currently available to physicians have a long history of use as herbal remedies, including opium, aspirin, digitalis, and quinine. ... forest popularly known as, African rosewood, African kino, or ...

  17. A Propensity-Matched Study of Hypertension and Increased Stroke-Related Hospitalization in Chronic Heart Failure

    NARCIS (Netherlands)

    G.S. Filippatos (Gerasimos); C. Adamopoulos (Chris); X. Sui (Xuemei); T.E. Love (Thomas); P.M. Pullicino (Patrick); J. Lubsen (Jacob); G. Bakris (George); S.D. Anker (Stefan); G. Howard (George); D.T. Kremastinos (Dimitrios); A. Ahmed (Ali)

    2008-01-01

    textabstractHypertension is a risk factor for heart failure and stroke. However, the effect of hypertension on stroke in patients with heart failure has not been well studied. In the Digitalis Investigation Group trial, 3,674 (47%) of the 7,788 patients had a history of hypertension. Probability or

  18. Na,K-ATPase activity modulates Src activation: A role for ATP/ADP ratio.

    NARCIS (Netherlands)

    Weigand, K.M.; Swarts, H.G.P.; Fedosova, N.U.; Russel, F.G.M.; Koenderink, J.B.

    2012-01-01

    Digitalis-like compounds (DLCs), specific inhibitors of Na,K-ATPase, are implicated in cellular signaling. Exposure of cell cultures to ouabain, a well-known DLC, leads to up- or down regulation of various processes and involves activation of Src kinase. Since Na,K-ATPase is the only known target

  19. Digital literacies at school. Students' digital profiles

    Directory of Open Access Journals (Sweden)

    Valentina Pennazio

    2013-04-01

    Full Text Available L’articolo presenta una ricerca volta a focalizzare le modalità in cui la Digital Literacy si traduce a scuola. Lo studio ha inteso sottolineare le molteplici dimensioni della Digital Literacy: Information Technology Literacy; Information Literacy; Visual Literacy e Media Literacy ed è stato effettuato nelle scuole primarie e secondarie di primo grado in Liguria. Sono state organizzate settimane di attività di ricerca, analisi e rielaborazione di informazioni, in classe e in rete, individualmente e in gruppo. Dalle autovalutazione degli studenti, svolte al termine di ogni attività, sono emersi i profili digitali che gli studenti tendono ad assumere quando utilizzano le tecnologie digitali. Tali profili possono essere utilizzati dagli insegnanti per progettare in maniera più mirata e significativa le attività con le tecnologie a scuola.

  20. Travelling Cultures. Literature, Media and Digital Technologies

    Directory of Open Access Journals (Sweden)

    Lucia Esposito

    2014-11-01

    Full Text Available Nell’introdurre il numero monografico Tecnologia, immaginazione, forme del narrare (4.8, 2014 ci si propone di fornire una panoramica teorica, metodologica e testuale per inquadrare soprattutto gli sviluppi più recenti della pratica della narrazione e le sue interferenze con le culture digitali. Le diverse interconnessioni tra tecnologia e forme del narrare sono state esplorate tenendo conto dei modi in cui, nelle diverse sezioni in cui è suddiviso il numero, i vari contributi hanno risposto agli interrogativi sollevati sulle seguenti principali tematiche: la rappresentazione della tecnologia nella letteratura; l’interazione tra la cultura digitale e le forme letterarie più tradizionali, dalle versioni digitali dei classici all’uso delle tecnologie dell’informazione per facilitare tecniche narrative sperimentali; la trasformazione della narrazione sotto l’influenza dei nuovi ambienti mediali; la crescita del ‘transmedia storytelling’ e della ‘fanfiction’ come espressioni tipiche della nuova cultura convergente e partecipativa.

  1. In situ genomic DNA extraction for PCR analysis of regions of interest in four plant species and one filamentous fungi

    Directory of Open Access Journals (Sweden)

    Luis E. Rojas

    2014-07-01

    Full Text Available The extraction methods of genomic DNA are usually laborious and hazardous to human health and the environment by the use of organic solvents (chloroform and phenol. In this work a protocol for in situ extraction of genomic DNA by alkaline lysis is validated. It was used in order to amplify regions of DNA in four species of plants and fungi by polymerase chain reaction (PCR. From plant material of Saccharum officinarum L., Carica papaya L. and Digitalis purpurea L. it was possible to extend different regions of the genome through PCR. Furthermore, it was possible to amplify a fragment of avr-4 gene DNA purified from lyophilized mycelium of Mycosphaerella fijiensis. Additionally, it was possible to amplify the region ap24 transgene inserted into the genome of banana cv. `Grande naine' (Musa AAA. Key words: alkaline lysis, Carica papaya L., Digitalis purpurea L., Musa, Saccharum officinarum L.

  2. The effect of chronic digitalization on pump function in systolic heart failure.

    Science.gov (United States)

    Hassapoyannes, C A; Easterling, B M; Chavda, K; Chavda, K K; Movahed, M R; Welch, G W

    2001-10-01

    Short- and intermediate-term use of cardiac glycosides promotes inotropy and improves the ejection fraction in systolic heart failure. To determine whether chronic digitalization alters left ventricular function and performance. Eighty patients with mild-to-moderate systolic heart failure (baseline ejection fraction < or =45%) participated from our institution in a multi-center, chronic, randomized, double-blind study of digitalis vs. placebo. Of the 40 survivors, 38 (20 allocated to the digitalis arm and 18 to the placebo arm) were evaluated at the end of follow-up (mean, 48.4 months). Left ventricular systolic function was assessed by both nuclear ventriculography and echocardiography. The ejection fraction was measured scintigraphically, while the ventricular volumes were computed echocardiographically. The groups did not differ, at baseline or end-of-study, with respect to the ejection fraction and the loading conditions (arterial pressure, ventricular volumes and heart rate) by either intention-to-treat or actual-treatment-received analysis. Over the course of the trial, the digitalis arm exhibited no significant increase in the use of diuretics (18%, P=0.33), in distinction from the placebo group (78%, P=0.004), and a longer stay on study drug among those patients who withdrew from double-blind treatment (28.6 vs. 11.4 months, P=0.01). Following chronic use of digitalis for mild-to-moderate heart failure, cross-sectional comparison with a control group from the same inception cohort showed no appreciable difference in systolic function or performance. Thus, the suggested clinical benefit cannot be explained by an inotropic effect.

  3. Radiocardiography of minimal transit times: a useful diagnostic procedure

    International Nuclear Information System (INIS)

    Schicha, H.; Vyska, K.; Becker, V.; Feinendegen, L.E.; Duesseldorf Univ., F.R. Germany)

    1975-01-01

    Contrary to mean transit times, minimal transit times are the differences between arrival times of an indicator. Arrival times in various cardiac compartments can be easily measured with radioisotopes and fast gamma cameras permitting data processing. This paper summarizes data selected from more than 1500 measurements made so far on normal individuals and patients with valvular heart disease, myocardial insufficiency, digitalis effect, atrial fibrillation, hypothyroidism, hyperthyroidism, effort-syndrome and coronary artery disease. (author)

  4. MORPHOLOGICAL CONSTRAINTS AND NECTAR ROBBING IN THREE ANDEAN BUMBLE BEE SPECIES (HYMENOPTERA, APIDAE, BOMBINI

    Directory of Open Access Journals (Sweden)

    RIVEROS ANDRE J.

    2006-06-01

    Full Text Available We report differences in foraging behavior of three Andean bumblebee species onflowers of Digitalis purpurea (Scrophulariaceae. Bombus atratus was a potentialpollinator while B. hortulanus and B. rubicundus collected nectar by robbing throughholes. We attribute behavioral differences to physical constraints. B. atratus has alonger glossa and a larger body size and is able to reach the nectaries, whereas B.hortulanus and B. rubicundus have shorter glossae and smaller bodies and probablymust rob nectar through holes at the base of flowers.

  5. Comparison of coronary-angiography and thallium-201-studies in patients with coronary heart disease

    International Nuclear Information System (INIS)

    Blumchen, G.; Menning, E.; Barthel, W.; Scharf-Bornhofen, E.; Chen, T.

    1979-01-01

    We at present suggest that the exercise-thallium-test is of value: in patients with angina pectoris and a negative exercise-ECG; in patients with uninterpretable exercise-ECG, for instance caused by signs of myocardial-infarction in the ECG at rest, or caused by digitalis, or by a LBBB at rest or during exercise or caused by surgery; in patients performing an inadequate exercise-ECG-test due to fatigue, breathlessness or peripheral vascular disease of the limbs

  6. [s.t.

    OpenAIRE

    Hirsch, Debora

    2012-01-01

    Terza di quattro immagini digitali che mostrano, da diverse prospettive urbane, il risultato visuale della installazione proposta e la sua interazione rispetto all’architettura urbana della piazza Caio Mario a Torino. Le immagini sono numerate progressivamente da 1 a 4 secondo l’ordine suggerito dall’artista. Third file in a series of four digital images that show, from different urban perspectives, the visual result of the suggested installation and its interaction with the urban architec...

  7. [s.t.

    OpenAIRE

    Hirsch, Debora

    2012-01-01

    Primo file in una serie di quattro immagini digitali che mostrano, da diverse prospettive urbane, il risultato visuale della installazione proposta e la sua interazione rispetto all’architettura urbana della piazza Caio Mario a Torino. Le immagini sono numerate progressivamente da 1 a 4 secondo l’ordine suggerito dall’artista. Four digital images that show, from different urban perspectives, the visual result of the suggested installation and its interaction with the urban architecture of ...

  8. Identification and Quantification of Several Mammalian Steroid Hormones in Plants by UPLC-MS/MS

    Czech Academy of Sciences Publication Activity Database

    Simerský, Radim; Novák, Ondřej; Morris, David; Pouzar, Vladimír; Strnad, Miroslav

    2009-01-01

    Roč. 28, č. 2 (2009), s. 125-136 ISSN 0721-7595 R&D Projects: GA AV ČR KAN200380801 Institutional research plan: CEZ:AV0Z50380511; CEZ:AV0Z40550506 Keywords : Ultra-performance liquid chromatography (UPLC) * Tandem mass spectrometry (MS/MS) * Immunoaffinity purification * Steroids * Plant extracts * Digitalis purpurea * Nicotiana tabacum * Inula helenium Subject RIV: EC - Immunology Impact factor: 2.438, year: 2009

  9. In vitro placental self and cross pollination in some species

    Directory of Open Access Journals (Sweden)

    Azza Shehata

    2014-01-01

    Full Text Available Excised placentae with ovules of Primula pubescens, P. auricula, Scopolia carniolica, Digitalis purpurea, Torenia fournieri and Chionodoxa luciliae were self pollinated in vitro and the development of seeds was observed. The same method was used for obtaining hybrid globular embryos from crosses between: P. pubescens x P. auricula, Scopolia carniolica x Physochlaina praealta, Melandrium album x Silene saxifraga and M. album x Arenaria pungens.

  10. Cardiac Arrythmias in Acute and Chronic Renal Failure

    Directory of Open Access Journals (Sweden)

    Ali A. Handjani

    1966-01-01

    Full Text Available Cardiac arrythmias are frequent complications in acute and chronic renal failure and they may well account for sudden unexplained death in these patients. Based upon our recent study, we strongly believe that among other causative factors, focal degeneration of myocardium is the commonest and the most potentially dangerous cause of cardiac arrythmias. We suggest in emergency instances, ouabain to be used instead of digitalis which appears to be quite safe with dramatic results in cardiac arrythmias of these group.

  11. Stonlach content analyses of Gilchristella aestuarius and Hepsetia ...

    African Journals Online (AJOL)

    Apseudes digitalis. 80 2,2. 6. 5. Decapoda. Zoea larvae. 6 1,0. 3. 2. Unidentified larvae. 0,3. 2. 0. Insecta. Chironomidae larvae. 810 8,1. 67. 0. 13,5. 65. 13. Terrestrial insects. 2 0,4. 4. 0. Pupae. 22 1,1. 4. 2. Arachnida. Araneida. <0,05. 2. 0. Mollusca. Lamellibranch veligers. 9 <0,05. 8. 0 2240 7,5. 69. 6. Gastropod veligers.

  12. Digital Games as Tools for Stimulating and Assessing Reasoning Skills

    Directory of Open Access Journals (Sweden)

    Rosa Maria Bottino

    2016-04-01

    Full Text Available This paper offers some thoughts on the use of educational digital logic games. Specifically refers to a number of research experiments conducted by ITD-CNR, which have highlighted the significant potential of digital games to help develop and/or consolidation of logical thinking and reasoning skills in students of primary and secondary school level. It offers a brief overview of four research experiences carried out by multidisciplinary teams coordinated by ITD-CNR since the early 2000s These experiences have highlighted the high potential of digital games to develop and strengthen logical thinking skills and have shown the positive impact of their use even on school performance. Verificare e stimolare le abilità di ragionamento con i giochi digitaliQuesto contributo propone alcune riflessioni sull’uso educativo dei giochi logici digitali. In particolare fa riferimento ad alcune esperienze di ricerca condotte dall’Istituto di Tecnologie Didattiche - Consiglio Nazionale delle Ricerche (ITD-CNR che hanno evidenziato le interessanti potenzialità dei giochi digitali per contribuire allo sviluppo e/o al consolidamento del pensiero logico e delle abilità di ragionamento in studenti di scuola primaria e secondaria di primo grado. Si propone un breve excursus su quattro esperienze di ricerca svolte da equipe multidisciplinari coordinate da ITD-CNR a partire dai primi anni Duemila. Tali esperienze hanno messo in luce l’alto potenziale dei giochi digitali per sviluppare e potenziare abilità di pensiero logico ed hanno evidenziato il positivo impatto del loro uso anche sul rendimento scolastico.

  13. [Digitalization without saturation dose using methyldigoxin. Experiences with 29 patients].

    Science.gov (United States)

    Salvadè, G; Tartini, R; Moccetti, T

    1982-12-11

    The indications and performance of oral digitalization without saturation dose are evaluated on the basis of clinical parameters and plasma digitalis levels. A group of patients with evident cardiac insufficiency received a daily maintenance dosage of digitalis (2 tablets of 0.1 mg methyldigoxin) from the outset. After 7, 15 and 30 days the plasma concentration of methyldigoxin was measured. Objective and subjective signs of cardiac insufficiency were noted. In 28 of 29 patients the therapeutic plasma level (0.8-2.0 ng/ml) was achieved with a mean plasma digitalis concentration of 1.47 +/- 0.4 ng/ml. A clinical improvement was observed in 18 patients. On the 15th and 30th day of treatment the mean plasma level of methyldigoxin showed no significant difference: X15 = 1.51 +/- 0.57 ng/ml and X30 = 1.40 +/- 0.46 ng/ml. The measured plasma values were not influenced by the patient's weight or age. In 6 patients with renal insufficiency a clear correlation between the plasma level of methyldigoxin and the creatinine level was observed. The evaluation of ECG signs showed only minimal alterations of conduction and repolarisation. On the basis of these results conclusions are drawn with regard to the clinical value and use of this therapy.

  14. Use of an indicator to evaluate physician adherence to prescription guidelines for the treatment of heart failure

    Directory of Open Access Journals (Sweden)

    Márcio Galvão Oliveira

    2013-12-01

    Full Text Available The aim of this study was to use indicators to evaluate physician adherence to prescription guidelines for heart failure treatment in a university hospital. This was a prospective cohort study conducted in a university hospital. The information collected at the time of patient admission, including therapeutic indication, absolute contra indications and intolerance, was utilised for the formulation of a guideline adherence indicator (GAI. This indicator was calculated as follows: (the number of patients who used the medication/the number of eligible patients x 100. The percentage of eligible patients was calculated using the following formula: (the number of eligible patients/the total number patients x 100. The GAI was applied to a population of 53 patients. Inhibitors of angiotensin-converting enzyme/angiotensin receptor blocker (ACE-I/ARB combination therapy were used in the greatest percentage of eligible patients (92.4% and demonstrated the largest GAI value (73.5%. The percentages of patients who were eligible for beta-blockers, spironolactone and digitalis treatments were 81.1%, 52.8% and 60.4%, respectively. The GAI values for the use of beta-blockers, spironolactone and digitalis were 60.4%, 57.1% and 56.2%, respectively. For the studied patient population, the GAI was consistent with the proportion of patients who were eligible to receive digitalis and spironolactone.

  15. Digoxin Toxicity in a 14 Days Old Newborn: A Case Report

    Directory of Open Access Journals (Sweden)

    İclal Sucaklı

    2006-01-01

    Full Text Available Digoxin is one of the most commonly used positive inotropic agent. Digitalis toxicity may occur easily because of digoxin has a narrow therapeutic window. Digitalis toxicity may result during treatment with digoxin or from accidental overdose of digoxin. An elevated serum level of digoxin (>2ng/ml is likely to be associated with toxicity, overdose of digoxin (>5ng/ml may lead to life-threatening arrhythmias. A 14-days old newborn with VSD, which had been prescribed the droplet form of digoxin but given the tablet form by the drugstore, was diagnosed as digitalis toxicity and hospitalized to our clinic. His mother expressed that she had given two tablets mashed with spoon and diluted. Bradycardia and grade 3/6 pansystolic murmur was determined in physical examination. Digoxin level in serum was >5 ng/ml and there was third degree atrioventricular block in ECG findings. The case has been presented to emphasize the importance of better evaluation of digoxin indications and making families of the patients conscious of the usage of digoxin.

  16. Alteration of cardiac glycoside positive inotropic action by modulators of protein synthesis and degradation

    International Nuclear Information System (INIS)

    Nosek, T.M.; Adams, R.J.

    1986-01-01

    Numerous membrane bound and cytoplasmic proteins participate in the cardiac expression of the positive inotropic action (PIA) of digitalis glycosides including the Na,K-ATPase (NKA). Exposure of the myocardium to an inhibitor of protein synthesis (cycloheximide, CYC) or of protein degradation (leupeptin, LEU) alters the PIA of ouabain in isolated, paced guinea pig papillary muscles (PM) in opposite ways. In vivo exposure to CYC for 3 hr resulted in a 30% depression of the in vitro PIA of ouabain at 1.7μM compared to control. In vivo exposure to LEU for 1 hr resulted in a 47% enhancement of the in vitro PIA of 1.7μM ouabain. Neither drug had an apparent effect on the ouabain PIA ED50. Neither CYC nor LEU exposure to PM in vitro affect resting or developed tension or the response of skinned PM to calcium. The mechanisms of the PIA alterations by CYC or LEU do not involve a direct effect on the digitalis receptor. Exposure of isolated cardiac sarcolemma enriched in NKA to 10-100μM CYC or LEU did not affect NKA activity or 3 H-ouabain binding. Although direct physicochemical effects of CYC or LEU may be involved in the alterations of the ouabain PIA, it is possible that modulation of the cellular levels or turnover rate of short-lived proteins may affect cardiac regulation of the digitalis PIA

  17. I big data e gli strumenti di visualizzazione analitica: interazioni e studi induttivi per le P.A.

    Directory of Open Access Journals (Sweden)

    Giuseppe Roccasalva

    2012-12-01

    Full Text Available Il saggio presenta alcuni risultati di una collaborazione tra Politecnico di Torino e il CSI Piemonte (Società di servizi Informatizzati partecipata dalla Regione Piemonte. Sono stati selezionati e studiati diversi strumenti di visualizzazione dei dati scientifici (Gapminder, ManyEyes, Open eXplorer e Fineo al fine di individuare quello più utile per una lettura induttiva di grandi quantità di dati informativi (big data. Lo sfruttamento intelligente dei dati digitali può portare a uno sviluppo conoscitivo ma anche a un profitto, le cui soglie di sfruttamento possono essere misurate in un sistema economico. Nell’irreversibile fenomeno di crescita dei dati digitali, la disciplina del “Data Visualization” diventa cruciale per accedere e comprendere informazioni complesse. Few, guru della comunicazione visiva, scrive che “scopriamo il mondo attraverso gli occhi”; le forme di comunicazione e interpretazione tradizionali dei dati hanno puntato sulla dimensione visuale per migliorare la comprensione e hanno permesso sia agli analisti sia agli utenti la sperimentazione di nuove interazioni (“story-telling”. Come urbanisti e cittadini, ci affidiamo alla vista che gestisce molti dei sensori (70% legati alla percezione, alle mappe cognitive, agli errori e ai nuovi pensieri. L’ipotesi di fondo di questo articolo vuole generare delle riflessioni sui Big Data come strategia importante per le imprese pubbliche e private che intendono imparare a cambiare dalle informazioni digitali di cui oggi disponiamo. Attraverso l’uso di uno strumento analitico di visualizzazione dei dati informativi, si descrive un recente caso di studio in un contesto territoriale come quello dei nuovi consorzi amministrativi (Unione dei Comuni NordEst Torino. In questo esperimento torna a essere attuale la necessità di pianificare le scelte in modo sistematico anche cercando di utilizzare in modo nuovo e semplice i sistemi informativi territoriali già disponibili.

  18. Epizoic zoanthids reduce pumping in two Caribbean vase sponges

    Science.gov (United States)

    Lewis, T. B.; Finelli, C. M.

    2015-03-01

    Sponges are common sessile benthic suspension feeders that play a critical role in carbon and nitrogen cycling within reef ecosystems via their filtration capabilities. Due to the contribution of sponges in benthic-pelagic coupling, it is critical to assess factors that may affect their role in the healthy function of coral reefs. Several factors can influence the rate at which an individual sponge pumps water, including body size, environmental conditions, mechanical blockage, and reduction of inhalant pores (ostia). Symbiotic zoanthid colonization is a common occurrence on Caribbean sponges, and the presence of zoanthids on the surface of a sponge may occlude or displace the inhalant ostia. We quantified pumping rates of the giant barrel sponge, Xestospongia muta ( N = 22 uncolonized, 37 colonized) and the common vase sponge, Niphates digitalis ( N = 21 uncolonized, 17 colonized), with and without zoanthid symbionts, Parazoanthus catenularis and Parazoanthus parasiticus, respectively. For X. muta, biovolume-normalized pumping rates of individuals colonized by zoanthids were approximately 75 % lower than those of uncolonized sponges. Moreover, colonization with zoanthids was related to a difference in morphology relative to uncolonized individuals: Colonized sponges exhibited an osculum area to biovolume ratio that was nearly 65 % less than uncolonized sponges. In contrast, the presence of zoanthids on N. digitalis resulted in only a marginal decrease in pumping rates and no detectable difference in morphology. The difference in zoanthid effects between X. muta and N. digitalis is likely due to the differences in wall thickness and architecture between the two species. The probable cause of reduced pumping in affected sponges is occupation of the sponge surface that leads to blockage or displacement of inhalant ostia. To partially test this hypothesis, zoanthid colonization on specimens of X. muta was simulated by wrapping sponges with plastic mesh of varying

  19. Atrial and ventricular septal defect with pulmonary and tricuspid valvular anomalies in a dog

    Energy Technology Data Exchange (ETDEWEB)

    Ishikawa, Y. [Azabu Univ., Sagamihara, Kanagawa (Japan); Wakao, Y.; Watanabe, T.; Minami, T.; Muto, M.; Suzuki, T.; Takahashi, M.; Une, Y.; Nomura, Y.; Ichioka, N.

    1989-12-15

    A 15-month-old male boxer dog weighing 22 kg was referred to Azabu University Animal Hospital for evaluation of the syncopal attack. There was no cardiac murmur, but electrocardiograms revealed an atrial fibrillation. Thoracic radiograph revealed enlargement of the right and left atrial regions. The medical treatment with digitalis and captopril was made for conversion from the atrial fibrillation to the sinus rhythm. By cardiac catheterization, atrial and ventricular septal defect with pulmonary stenosis was demonstrated. The patient died at 20 months from the first medical examination. At autopsy, there were severe enlargement of both atria, atrial defect, and pulmonary and tricuspid valvular anomalies. (author)

  20. In Carthage ruins: the illness of Sir Winston Churchill at Carthage, December 1943.

    Science.gov (United States)

    Vale, J A; Scadding, J W

    2017-09-01

    This paper reviews Churchill's illness in Carthage in December 1943. It was characterised by fever that lasted 6 days, left lower lobe pneumonia and two episodes of atrial fibrillation. He was managed in a private villa by Lord Moran, his personal physician, with the assistance of two nurses and the expert advice of colleagues. Sulphadiazine and digitalis leaf were prescribed and Churchill recovered. It is remarkable that, despite the severity of his illness, he continued to direct the affairs of State from his bed.

  1. Intrauterine supraventricular tachyarrhythmias and transplacental digitalisation.

    Science.gov (United States)

    Nagashima, M; Asai, T; Suzuki, C; Matsushima, M; Ogawa, A

    1986-10-01

    Six newborn infants with intrauterine supraventricular tachyarrhythmias (five cases of atrial flutter and one of supraventricular tachycardia) are described. Transplacental digitalisation was attempted in three cases. Supraventricular tachycardia associated with hydrops fetalis, detected in a fetus at a gestation of 31 weeks, was successfully converted to normal sinus rhythm eight days after the mother began treatment with digoxin. The serum concentration of digoxin in cord blood almost equalled the maternal concentration in three cases. In the remaining three cases treatment with digitalis was effective in converting tachyarrhythmias to sinus rhythm after delivery. With maintenance digoxin therapy, the prognosis of fetal tachyarrhythmias seems to be good, once conversion to sinus rhythm has been accomplished.

  2. Digitalization of the mother in treating hydrops fetalis in monochorionic twin with Ebstein's anomaly. Case report.

    Science.gov (United States)

    Koike, T; Minakami, H; Shiraishi, H; Ogawa, S; Matsubara, S; Honma, Y; Sato, I

    1997-01-01

    Hydrops fetalis thought to be due to Ebstein's anomaly was seen at 22 weeks' gestation in one of two fetuses with a monochorionic placenta. Hydrops was treated with maternal digitalization and resolved by the 28th week of gestation. Hydrops did not recur while maternal digitalization continued. A clinical diagnosis of twin-to-twin transfusion syndrome required termination of the pregnancy at 33 weeks of gestation. The twin with Ebstein's anomaly died 22 hours after birth. The other twin survived and was normal at 19 months of age. Thus, administration of digitalis to the mother controlled hydrops fetalis in one fetus, and ultimately led to the survival of the healthy infant.

  3. Mjesto digitalisa danas

    OpenAIRE

    Francetić, Igor

    2010-01-01

    Digitalis je u kliničkoj primjeni više od 200 godina,stoga je razumljivo da se indikacijsko područje s vremenom značajno suzilo. Današnje indikacije za primjenu digoksina, koji je jedini pripravak digitalisa koji se danas rabi, definirane su temeljem rezultata postmarketinških studija od kojih je najvažnija studija DIG. Danas je dakle opravdano digoksin rabiti u bolesnika sa zatajenjem srca koji su u sinusnom ritmu, a u kojih nije postignut zadovoljavajući učinak primjenom ACE-inhibitora, blo...

  4. Atrial and ventricular septal defect with pulmonary and tricuspid valvular anomalies in a dog

    International Nuclear Information System (INIS)

    Ishikawa, Y.; Wakao, Y.; Watanabe, T.; Minami, T.; Muto, M.; Suzuki, T.; Takahashi, M.; Une, Y.; Nomura, Y.; Ichioka, N.

    1989-01-01

    A 15-month-old male boxer dog weighing 22 kg was referred to Azabu University Animal Hospital for evaluation of the syncopal attack. There was no cardiac murmur, but electrocardiograms revealed an atrial fibrillation. Thoracic radiograph revealed enlargement of the right and left atrial regions. The medical treatment with digitalis and captopril was made for conversion from the atrial fibrillation to the sinus rhythm. By cardiac catheterization, atrial and ventricular septal defect with pulmonary stenosis was demonstrated. The patient died at 20 months from the first medical examination. At autopsy, there were severe enlargement of both atria, atrial defect, and pulmonary and tricuspid valvular anomalies. (author)

  5. [Congestive cardiomyopathy in addiction to clobenzorex, an anorexigenic drug].

    Science.gov (United States)

    Cornaert, P; Camblin, J; Graux, P; Anaye, B; Dutoit, A; Croccel, L

    1986-04-01

    Cardiac failure caused by high doses of amphetamine-like drugs is rare. We report a case of decompensated congestive cardiomyopathy occurring in a 29 year old woman addicted to clobenzorex (Dinintel). This patient had been taking 5 to 7 capsules per day for 5 years. No other cause of cardiac failure was detected. A rapid improvement was obtained by digitalis and diuretic therapy; no further episodes of cardiac failure were observed after one year. However, the drug could not be completely withdrawn and echocardiography has shown increasing left ventricular dilatation. The possible mechanisms of amphetamine induced myocardial toxicity are discussed and the analogy with the group of adrenergic cardiomyopathies is underlined.

  6. L’immaginario collettivo nell’era biomediatica

    Directory of Open Access Journals (Sweden)

    Massimiliano Valerii

    2017-12-01

    Full Text Available Grazie alla diffusione delle tecnologie digitali, nel giro di un decennio la grande trasformazione dei media ha determinato una rivoluzione copernicana, che ha posto l’io-utente al centro del sistema. Questo lavoro prende spunto dal 14° Rapporto sulla comunicazione del Censis per analizzare i processi in corso. In particolare, ci si focalizza sull’ingresso nella cosiddetta era biomediatica, caratterizzata dalla trascrizione virtuale e dalla condivisione telematica in tempo reale delle biografie personali attraverso i social network, che sanciscono il primato dell’io-utente, produttore esso stesso – oltre che fruitore – di contenuti.

  7. In situ genomic DNA extraction for PCR analysis of regions of interest in four plant species and one filamentous fungi

    OpenAIRE

    Luis E. Rojas; Maritza Reyes; Naivy Pérez-Alonso; María I. Olóriz; Laisyn Posada-Pérez; Bárbara Ocaña; Orelvis Portal; Borys Chong-Pérez; Jorge L. Pérez Pérez

    2014-01-01

    The extraction methods of genomic DNA are usually laborious and hazardous to human health and the environment by the use of organic solvents (chloroform and phenol). In this work a protocol for in situ extraction of genomic DNA by alkaline lysis is validated. It was used in order to amplify regions of DNA in four species of plants and fungi by polymerase chain reaction (PCR). From plant material of Saccharum officinarum L., Carica papaya L. and Digitalis purpurea L. it was possible to extend ...

  8. L'invasione del virtuale

    Directory of Open Access Journals (Sweden)

    Renzo Carlucci

    2005-07-01

    Full Text Available L'ormai indiscutibile il fatto di essere talmente circondati dal virtuale sintetico che quasi si fa fatica a riconoscere la realtà, col suo corollario di fatti “veri” legati alla nostra vita, dalle ricostruzioni digitali che permeano la nostra quotidianità (ogni riferimento al mondo di “Matrix” è puramente casuale; con l’avvento dei moderni sensori è poi veramente impressionante vedere quanto ormai il nostro ambiente sia “contaminato” dal virtuale.

  9. The diagnosis and treatment of non-occlusive gut ischaemia. Aktueller Stand der Diagnostik und Therapie der nicht-okklusiven Darmischaemie (NOD)

    Energy Technology Data Exchange (ETDEWEB)

    Schindler, G.; Bruch, H.P. (Wuerzburg Univ. (Germany). Abt. fuer Roentgendiagnostik Wuerzburg Univ. (Germany). Chirurgische Universitaetsklinik)

    1991-08-01

    Non-occlusive gut ischaemia is a disease of advanced age. Its causes are reduced cardiac output or shock, facilitated by digitalis, adrenaline, ergotamine and diuretics. The persisting microcirculation and development of gut necrois leads to an increase in certain serum enzymes, such as lactate, LDH and CK-NB. The early application of mesenteric angiography using a DSA technique reveals four grades of under-perfusion. Early and correct diagnosis of the disease should lead to intra-arterial treatment with prostaglandin. In 10 out of 42 cases, conservative therapy led to re-perfusion of the gut. (orig.).

  10. Europeana communication bug: which intervention strategy for a better cooperation with Creative Industry?

    Directory of Open Access Journals (Sweden)

    Giovanni Ragone

    2016-09-01

    Full Text Available In aggiunta all'obiettivo principale di diffondere la conoscenza sui beni culturali, Europeana e diversi MAB (Musei, Archivi e Biblioteche sono impegnati nello sviluppo di nuove strategie volte a rendere i contenuti digitali riusabili dalle imprese creative. Ciò nonostante, tali iniziative hanno successo solo in casi sporadici, dal momento che un approccio comunicativo scorretto può minare gli sforzi fatti in questo senso. L'articolo descrive un caso di studio che propone interconnessioni efficaci tra Europeana, MAB e imprese creative nel contesto della promozione e del miglioramento del patrimonio digitale sul cibo e le bevande.

  11. Myocardial Na,K-ATPase: Clinical aspects

    OpenAIRE

    Kjeldsen, Keld

    2003-01-01

    The specific binding of digitalis glycosides to Na,K-ATPase is used as a tool for Na,K-ATPase quantification with high accuracy and precision. In myocardial biopsies from patients with heart failure, total Na,K-ATPase concentration is decreased by around 40%; a correlation exists between a decrease in heart function and a decrease in Na,K-ATPase concentration. During digitalization, around 30% of remaining pumps are occupied by digoxin. Myocardial Na,K-ATPase is also influenced by other drugs...

  12. [Legal aspects of the use of footbaths for cattle and sheep].

    Science.gov (United States)

    Kleiminger, E

    2012-04-24

    Claw diseases pose a major problem for dairy and sheep farms. As well as systemic treatments of these illnesses by means of drug injection, veterinarians discuss the application of footbaths for the local treatment of dermatitis digitalis or foot rot. On farms footbaths are used with different substances and for various purposes. The author presents the requirements for veterinary medicinal products (marketing authorization and manufacturing authorization) and demonstrates the operation of the "cascade in case of a treatment crisis". In addition, the distinction between veterinary hygiene biocidal products and veterinary medicinal products and substances to care for claws is explained.

  13. eLeadership: il digitale sfida i manager

    Directory of Open Access Journals (Sweden)

    Andrea Granelli

    2017-06-01

    Per questo motivo bisogna reintrodurre il pensiero critico soprattutto nei confronti del digitale e sfatare i suoi luoghi comuni, sempre più diffusi e consolidati tra i non esperti, grazie anche allo zampino interessato dei fornitori di soluzioni digitali e del mondo dei giornalisti, divulgatori, champion, che gli ruota attorno.  Pertanto anche la conoscenza dei lati oscuri gioca un ruolo educativo fondamentale. Anzi, volendo parafrasare il celebre incipit di Anna Karenina: tutte le applicazioni utili del digitale sono simili fra loro; ogni lato oscuro del digitale, invece, è problematico a modo suo.

  14. The diagnosis and treatment of non-occlusive gut ischaemia

    International Nuclear Information System (INIS)

    Schindler, G.; Bruch, H.P.; Wuerzburg Univ.

    1991-01-01

    Non-occlusive gut ischaemia is a disease of advanced age. Its causes are reduced cardiac output or shock, facilitated by digitalis, adrenaline, ergotamine and diuretics. The persisting microcirculation and development of gut necrois leads to an increase in certain serum enzymes, such as lactate, LDH and CK-NB. The early application of mesenteric angiography using a DSA technique reveals four grades of under-perfusion. Early and correct diagnosis of the disease should lead to intra-arterial treatment with prostaglandin. In 10 out of 42 cases, conservative therapy led to re-perfusion of the gut. (orig.) [de

  15. Academic publishing in Portugal: threats and major opportunities

    Directory of Open Access Journals (Sweden)

    Delfim Leão

    2015-03-01

    Full Text Available This article begins with an analysis of the current state of scientific publication in Portugal, with reference to the impact of the open access (OA policies of commercial and academic publishers. It then explores the relationship between academic publishing and institutional repositories, discussing the way they should complement one another, taking as reference the activities of the Portuguese Association of Higher Education Publishers (APEES. Final remarks deal more specifically with the UC Digitalis project from Coimbra University Press (CUP, and the way it is committed to the goal of fostering science produced in Portuguese-speaking countries.

  16. Minimal cardiac transit-times in the diagnosis of heart disease. Measurements with the gamma-retina V and sup(113m)-In. The influence of long-term digitalization on central volume relations in patients with latent and manifest cardiac insufficiency

    Energy Technology Data Exchange (ETDEWEB)

    Freundlieb, C; Vyska, K; Hoeck, A; Schicha, H; Becker, V; Feinendegen, L E [Kernforschungsanlage Juelich G.m.b.H. (F.R. Germany). Inst. fuer Medizin

    1976-02-01

    Using Indium-113m and the Gamma Retina V (Fucks-Knipping Camera), the minimal cardiac transit times (MTTs) were measured radiocardiographically from the right auricle to the aortic root. This analysis served to determine the relation between stroke volume and the segment volume of the part of circulation between the right auricle and the aortic root. In 39 patients with myocardial insufficiency of different clinical degree the effectiveness of digitalization was, up to a period of 5 years, measured by means of the volume relation mentioned above. The following conclusions can be drawn from the results: digitalization of patients with myocardial insufficiency leads to an improvement of the impaired relation of central volumes. In patients with diminished cardiac reserve the improvement is drastic and often results in a nearly complete normalization. The data remain constant during therapy even for an observation period of 5 years. Digitalization of patients with congestive heart failure only leads to a partial improvement. In contrast to patients with diminished cardiac reserve this effect is temporary. The different behaviour of the relation between stroke volume and segment volume in patients with diminished cardiac reserve and congestive heart failure under prolonged administration of digitalis points to the necessity of treatment with digitalis in the early stage of myocardial disease.

  17. Prophylactic digitalization preoperatively of patients with arteriosclerotic heart disease.

    Science.gov (United States)

    Bille-Brahe, N E; Engell, H C; Sørensen, M B

    1981-02-01

    This study was undertaken to investigate the hemodynamic effect of prophylactic digitalization before major surgical procedures. Sixteen patients, all admitted for an elective vascular operation for arteriosclerotic disease and all with impaired left ventricular function, were investigated. In half of the patients, digitalis was given before the operation, the other half of the patients served as the control study. The measured parameters were pulmonary artery mean pressure, pulmonary capillary wedge pressure, central venous pressure, mean arterial blood pressure, heart rate, cardiac output, blood volume and arterial, as well as venous, oxygen content. Preoperatively, before digitalization, no significant differences were noted between the two groups at rest and during exercise. Before anesthesia and postoperatively, those given digitalis had improved cardiac function. Those in both groups, however, had a normal hemodynamic response to the surgical trauma. In this study, a definite answer is not provided concerning the usefulness of prophylactic digitalization but an increase in the ability of the digitalized heart to withstand the imposition of a pressure load postoperatively is suggested.

  18. Studiare la cybercriminalità: alcune riflessioni metodologiche/Studying cybercrime: some methodological reflections

    Directory of Open Access Journals (Sweden)

    Giorgia Macilotti

    2018-03-01

    Full Text Available L’articolo propone alcune riflessioni metodologiche in merito all’analisi delle forme di criminalità associate all’utilizzo di Internet e delle tecnologie digitali. Queste realtà devianti rappresentano infatti un fecondo terreno di ricerca, grazie in particolare alla relativa tracciabilità delle pratiche degli utenti e alla quantità di dati disponibili online. Si presenteranno i principali approcci, metodi e problematiche riguardanti lo studio della cybercriminalità, focalizzandosi in particolare su alcuni esempi tratti da ricerche sulle unità di polizia specializzate nel contrasto al fenomeno in esame. Oltre agli apporti degli strumenti “tradizionali” dell’indagine sociologica, si esploreranno le interazioni con le nuove opportunità offerte dalle tecnologie digitali, così come gli effetti della relazione tra il ricercatore e l’oggetto della sua ricerca sulla costruzione e l’interpretazione dei dati. The article intends to provide an overview of research methods on studying digital crimes. Indeed, these deviant realities provide a rich ground for social research, especially thanks to the traceability of digital activities and the availability of online data. We will discuss the main approaches, methods and issues related to the study of cybercrime, focusing particularly on some examples drew from researching cybercrime law enforcement agencies. In addition to the opportunities offered by “traditional” sociological methods, the article explores their interplays with digital approaches, as well as the impacts of the researcher/researched relationship on data construction and analysis.

  19. Safely Using TCM Herbs:Adverse Reaction and Precautions (Continued)

    Institute of Scientific and Technical Information of China (English)

    CHEN Kai(陈楷); Angela Berscheid

    2004-01-01

    @@ Chan su (Venenum Bufonis,蟾酥) Its main active and toxic constituent is bufotoxin, which has a function similar to digitalis glycosides. Adverse reactions and toxicity: Chan su, although it is used in patentpreparations, is traditionally known for its toxicity and is seldom used in decoctions. Toxicity is often due to over dosage of the patents, such as Liushenwan (六神丸) and Houzhengwan (喉症丸,). After administration one and a half to two hours, symptoms similar to digitalis toxicity appear, such as nausea, which is often the first indicator of toxicity, anorexia, vomiting, visual disturbances relating to colour vision, headache, weakness, psychosis, arrythmias, slowing of heart rate, AV block, and asystole.Severe cardiac damage is the major cause of death. It has al so been known to promote contraction of the uterus; therefore it should not be used in pregnant women(40,41). One paper has reported 27 cases intoxicated by Liushenwan, inclu ding one fatal(13).

  20. THE GENERIC NAMES PROPOSED FOR HYMENOMYCETES—I "Cyphellaceae"

    Directory of Open Access Journals (Sweden)

    M. A. DONK

    2015-11-01

    Full Text Available 1. The present paper is the first of a series intended to deal from a nomenclatural point of view with all the generic names proposed for Hymenomycetes. For each name the following items are considered: (i its etymology and gender, (ii the original scope of the corresponding genus, and, in case of the name being- an isonym,also of the group covered by its basinym; (iii the type species, which when not originally designated, is selected; (iv its basinym, synisonyms, homonyms, typonyms,and variant spellings, if any, are indicated; (v its status under the Rules is determined;and (vi supplementary remarks are given when these are deemed useful.2. This first instalment deals with "Cyphellaceae," a group defined in a con-ventional, rather descriptive, manner, not as a taxonomic unit.3. A new generic name, Stromatoscypha Donk, is introduced for Porothelium(Pr. ex Fr. Fr.4. The following new combinations are made: Aleurodiscus digitalis (A. & S.ex Fr. Donk [basinym: Cyphella digitalis (A. & S. ex Fr.], and Stromatoscyphafimbriata (Pers. ex Fr. Donk [basinym: Polyporus fimbriatus (Pers. ex Fr.].

  1. Cardiac Glycoside Plants Self-Poisoning

    Directory of Open Access Journals (Sweden)

    Radenkova-Saeva J.

    2014-06-01

    Full Text Available Cardiac glycosides are found in a diverse group of plants including Digitalis purpurea and Digitalis lanata (foxgloves, Nerium oleander, Convallaria majalis (lily of the valley, Strophanthus gratus, etc. Nerium Oleander is an indoor and ornamental plant of an evergreen shrub. It’s widespread in countries with a Mediterranean climate. Oleander is one of the most poisonous plants known to humans. All parts of the nerium oleander are poisonous, primarily due to the contained cardiac glycosides - oleandrin, nerin, digitoxigenin, and olinerin of which oleandrin is the principal toxin. The bark contains the toxic substances of rosagenin which causes strychnine-like effects. Signs of poisoning appear a few hours after the adoption of the parts of the plant. Two cases of Nerium Oleander poisoning were presented. Clinical picture included gastrointestinal, cardiovascular and central nervous system effects. The clinical symptoms were characterized by nausea, vomiting, salivation, colic, diarrhoea, ventricular tachycardia, dysrhythmia, heart block, ataxia, drowsiness, muscular tremor. Treatment included administration of activated charcoal, symptomatic and supportive care.

  2. Action of ouabain and an amino-cardenolide on Na+-pump function and contractility of isolated canine heart cells

    International Nuclear Information System (INIS)

    Porterfield, L.M.; Songu-Mize, E.; Chryssanthis, T.; Caldwell, R.W.

    1986-01-01

    Viable, rod-shaped, Ca ++ -tolerant cells were isolated from the cardiac ventricle of adult mongrel dogs, a digitalis-sensitive species. These cells do not contract spontaneously but contractions were driven by electrical field stimulation. Changes in contractile amplitude were assessed by computer-assisted analysis of recorded phase contrast images. Addition of a polar aminocardenolide (AC), ASI-222, produced a dose-related increase in contractility with a concentration producing a 50% maximal response (RC 50 ) of 4 x 10 -8 M. For ouabain (OB) the RC 50 was 7 x 10 -7 M. Cellular Na + -pump (NaP) function was determined as digitalis-sensitive 86 Rb + -uptake. Addition of AC and OB to these cells produced a dose-related decrease in 86 Rb + -uptake; concentrations which produced a 50% inhibition (IC 50 ) of NaP function were of 6 x 10 -8 M and 1.2 x 10 -6 M for AC and OB, respectively. Their data indicates that in isolated dog heart cells AC is both a more potent inotropic agent and an inhibitor of NaP function by 15-20 fold than OB. The RC 50 and IC 50 for these processes correlate for each glycoside

  3. Radioimmunoassay of serum digoxin levels. Clinical exploration

    International Nuclear Information System (INIS)

    Galland, F.; Geslin, P.; Kerjean, J.; Six, P.; Tadei, A.; Jallet, P.

    1982-01-01

    This work undertakes, in a second part, the clinical exploration of 947 serum digoxin levels of 281 hospitalized patients on a cardiology ward. Our results, which coincide with those of other researchers, have led us to draw certain practical conclusions: the posology is determined first of all according to kidney function, weight and age of the patient. When the treatment is insufficient or, on the other hand, poorly tolerated, a serum digoxin level is performed permitting thus: in the case of ineffective treatment: to be sure of the patient's cooperation, to increase the posology if the serum digoxin level is not in the toxic zone, to discover an eventual pharmacokinetic problem; to establish the responsability of digitalis (when there are signs of intolerance or of intoxication), in case of arrhythmia, in patients with pacemakers, when associated drugs are capable of causing similar adverse effects; to better manage a digitalis treatment in a high risk patient (unstable renal function, advanced myocardial disease, chronic obstructive disease) [fr

  4. In-Hospital and Long-Term Prognosis after Myocardial Infarction in Patients with Prior Coronary Artery Bypass Surgery; 19-Year Experience

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    Predrag M. Mitrovic

    2009-01-01

    Full Text Available To present a 19-year experience of the prognosis of patients with acute myocardial infarction (AMI and prior coronary artery bypass surgery (CABS, 748 patients with AMI after prior CABS (postbypass group and a control group of 1080 patients with AMI, but without prior CABS, were analyzed. All indexes of infarct size were lower in the postbypass group. There was more ventricular fibrillation in the postbypass group. In-hospital mortality was similar (p = 0.3675. In the follow-up period, postbypass patients had more heart failure, recurrent CABS, reinfarction, and unstable angina than did control patients. Cumulative survival was better in the control group than in the postbypass group (p = 0.0403. Multiple logistic regression model showed that previous angina (p = 0.0005, diabetes (p = 0.0058, and age (p = 0.0102 were independent predictor factors for survival. Use of digitalis and diuretics, together with previous angina, also influenced survival (p = 0.0092, as well as male gender, older patients, and diabetes together (p = 0.0420. Patients with AMI after prior CABS had smaller infarct, but more reinfarction, reoperation, heart failure, and angina. Previous angina, diabetes, and age, independently, as well as use of digitalis and diuretics together with angina, and male gender, older patients, and diabetes together, influenced a worse survival rate in these patients.

  5. Minimal cardiac transit-times in the diagnosis of heart disease

    International Nuclear Information System (INIS)

    Freundlieb, C.; Vyska, K.; Hoeck, A.; Schicha, H.; Becker, V.; Feinendegen, L.E.

    1976-01-01

    Using Indium-113m and the Gamma Retina V (Fucks-Knipping Camera), the minimal cardiac transit times (MTTs) were measured radiocardiographically from the right auricle to the aortic root. This analysis served to determine the relation between stroke volume and the segment volume of the part of circulation between the right auricle and the aortic root. In 39 patients with myocardial insufficiency of different clinical degree the effectiveness of digitalization was, up to a period of 5 years, measured by means of the volume relation mentioned above. The following conclusions can be drawn from the results: digitalization of patients with myocardial insufficiency leads to an improvement of the impaired relation of central volumes. In patients with diminished cardiac reserve the improvement is drastic and often results in a nearly complete normalization. The data remain constant during therapy even for an observation period of 5 years. Digitalization of patients with congestive heart failure only leads to a partial improvement. In contrast to patients with diminished cardiac reserve this effect is temporary. The different behaviour of the relation between stroke volume and segment volume in patients with diminished cardiac reserve and congestive heart failure under prolonged administration of digitalis points to the necessity of treatment with digitalis in the early stage of myocardial disease. (orig.) [de

  6. Tangible Earth: Information design and “natural” disasters

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    Mara Benadusi

    2017-01-01

    Full Text Available L’articolo analizza i processi di visualizzazione dei rischi che contraddistinguono le politiche globali di riduzione dei disastri, in particolare i manufatti digitali attraverso cui il mondo internazionale coinvolto nella gestione delle catastrofi cerca di visualizzare e rendere esperibile le minacce che incombono sul pianeta. Tali manufatti sono costruiti per facilitare esperienze capaci di offrire al tempo stesso evidenza quantitativa e corpo sociale alla natura dei rischi globali. Tangible Earth, il primo globo digitale interattivo, è il più sofisticato di simili artefatti perché ha l’ambizione di catturare un vasto ed eterogeneo pubblico di umani, chiamati a ricoprire il ruolo di coproduttori dei rischi che investono la Terra. Varie ontologie sono messe a confronto per sondare l’esperienza del globo terrestre mediata dalle apparecchiature digitali: da un lato, un’ontologia naturalista, che rappresenta la natura nella sua discontinuità rispetto al sociale, come forza sempre insorgente e imprevedibile nonostante gli sforzi di catturarla quantitativamente con la strumentazione di monitoraggio terrestre e il calcolo probabilistico; dall’altro, un’ontologia analogista in cui la natura diventa invece indistinguibile dal sociale in nome di una comune propensione alla resilienza tanto dei collettivi umani che dei non umani.

  7. Diastolic effects of chronic digitalization in systolic heart failure.

    Science.gov (United States)

    Hassapoyannes, C A; Bergh, M E; Movahed, M R; Easterling, B M; Omoigui, N A

    1998-10-01

    The efficacy of short-term digitalization on exercise tolerance may, in part, reflect enhanced diastolic performance. However, cardiac glycosides can impair ventricular relaxation from cytosolic Ca++ overload. To detect any time-dependent adverse effect, we assessed the diastolic function after long-term use of digitalis in patients with mild to moderate systolic left ventricular failure. From a cohort of 80 patients who received long-term, randomized, double-blind treatment with digitalis versus placebo at the WJB Dorn Veterans Affairs Medical Center, 38 survivors were evaluated at the end of follow-up (mean 48.4 months) with evaluators blinded to treatment used. Each survivor underwent equilibrium scintigraphic and echocardiographic assessment of diastolic function. Peak and mean filling rates normalized with filling volume (FV), diastolic phase durations normalized with duration of diastole, and filling fractions were measured from the time-activity curve. The isovolumic relaxation period and ventricular dimensions were computed echocardiographically. By actual-treatment-received analysis, treated versus untreated patients manifested a trend toward longer isovolumic relaxation (80.76 ms vs 61.54 ms, P = .06) but a markedly lower peak rapid filling rate (6.39 FV/sec vs 10.56 FV/sec, P = .02) despite comparable loading conditions. In addition, treated patients exhibited a lower mean rate of rapid filling (2.75 FV/sec vs 3.78 FV/sec, P = .05) in the absence of a longer rapid filling duration. However, the end-diastolic ventricular dimension did not differ between the 2 groups. Similar results were obtained by intention-to-treat analysis. Importantly, the mortality rate from worsening heart failure in the inception cohort was lower in the digitalis group versus the placebo group (P = .05) with no difference in total cardiac or all-cause mortality. After long-term digitalization for systolic left ventricular failure, cross-sectional comparison with a control group

  8. The pathogenesis of hypertension: black-white differences.

    Science.gov (United States)

    Blaustein, M P; Grim, C E

    1991-01-01

    In summary, for reasons that are not clear, some persons seem to be extremely good at retaining sodium on a high-sodium diet or poor at excreting sodium on a high-sodium intake. This is more frequent in Western hemisphere blacks than in whites in the West or in blacks in Africa. These geographic/ethnic differences in sodium handling ability may be related to environmental factors or, more likely, to inherited differences in the ability to conserve sodium based on the evolutionary principle of survival fo the fittest for the ability to conserve sodium. The frequency of this salt-conserving (thrifty) genotype in Western hemisphere blacks may have been further increased as a consequence of severe selection pressures for survival based on the ability to conserve sodium during the slavery period of history in the West. One characteristic of the blood pressure control systems of Western hemisphere blacks is suppression of plasma renin activity without suppression of aldosterone production. In addition there is greater nephrosclerosis in blacks than whites and a more rapid decline in creatinine clearance with age. When more sodium is ingested than the kidneys are able to handle (excrete), there is a (transient) slight positive sodium balance; as a result sodium, chloride, and water are retained, resulting in an expansion of plasma volume (Fig. 7-3). The initial physiologic responses include (increased) secretion of atrial natriuretic peptides and the digitalis-like substance (natriuretic hormone), and inhibition of vasopressin and aldosterone secretion. The net effect is directly enhanced natriuresis and diuresis, and a reduction in plasma volume, with no significant effect on blood pressure. However, if there is a continuing tendency to sodium retention and volume expansion, the capacity of the aforementioned mechanisms to control plasma volume will be exceeded; then, the chronically elevated level of the digitalis-like substance will inhibit the sodium pumps in the

  9. Tecniche integrate di rilievo per la comprensione di contesti archeologici e paesaggistici: note metodologiche per un approccio multi-scalare.

    Directory of Open Access Journals (Sweden)

    Giorgio Verdiani

    2017-12-01

    Full Text Available   Il patrimonio archeologico dell’area mediterranea è una delle manifestazioni più intense della volontà delle molte società che popolano questa zona fin dall’antichità. È un patrimonio culturale complesso e articolato che presenta enigmi difficili e possibilità impressionanti. Ciò crea la necessità di una comprensione accurata del soggetto della ricostruzione, delle sue connessioni e del suo contesto. In questo viaggio alla conoscenza, il “disegno” è il principale strumento di guida e operazione, dai primi schizzi al modello virtuale finale è il modo per scoprire le tracce della trama originale, la cosa per suggerire possibili soluzioni. Basando le sue considerazioni su dodici anni di indagini digitali e vari tentativi di ricostruzione digitale, questo contributo proporrà una discussione e definirà un percorso per questo tipo di procedure architettoniche specifiche nell’era digitale.

  10. Cardiac disturbances after pneumonectomy--the value of prophylactic digitalization.

    Science.gov (United States)

    Järvinen, A; Mattila, T; Appelqvist, P; Meurala, H; Mattila, S

    1978-01-01

    The incidence of postoperative cardiac disturbances and the value of prophylactic digitalization were studied retrospectively in 143 patients undergoing pneumonectomy for carcinoma of the lung. Cardiac arrhythmias occurred in 29% and tachycardia episodes in 30% of the patients. The incidence of myocardial infarction was 2%. Operative mortality was 4%. The cardiac disturbances developed more often after left than after right pneumonectomy. The age of the patients, a history of angina pectoris or hypertension did not markedly increase the incidence of cardiac disturbances, neither did operative factors, such as pericardiotomy, left atrial resection, major bleeding nor postoperative empyema. Prophylactic digitalization significantly reduced postoperative cardiac disorders, their frequency being 33% in the group of patients who received prophylactic digitalis compared with 65% in the group that did not.

  11. Acute postoperative digitalization of patients with arteriosclerotic heart disease after major surgery. A randomized haemodynamic study and proposal for therapy.

    Science.gov (United States)

    Bille-Brahe, N E; Engell, H C; Sørensen, M B

    1980-12-01

    Twenty patients with impaired left ventricular function during exercise, who underwent major vascular surgery for arteriosclerotic disease, were randomly digitalized in the immediate postoperative period. All patients had a smooth postoperative course. Haemodynamic measurements showed improved left ventricular function in those who received digitalis, since 60 min after full digitalization the digitalized patients had a highly significant decrease in pulmonary capillary wedge pressure (PCWP) with unchanged stroke volume index (SVI) and left ventricular stroke work index (LVSWI). The same improvement in cardiac function was present the next morning. The present study provides haemodynamic data in support of clinical studies showing a beneficial effect of prophylactic digitalization in surgical patients with clinical signs of arteriosclerotic heart disease, though not in overt failure.

  12. [Cardiovascular effects produced by prophylactic digitalization during introduction of anaesthesia (author's transl)].

    Science.gov (United States)

    Köppen, R; Köhne, K; Busse, J; Hosselmann, I; Klaschik, E; Simons, F

    1978-10-01

    The narrow field of non-controversial indications concerning the application of digitalis glycosides is pointed out. Problems of routine digitalization of older patients not suffering from cardiac insuffiency are discussed with special regard to preparing them for operations. Up to now, from the viewpoint of anaesthesiologists no benefits of prophylactic digitalization have been found. In a retrospective computerized study, clinical hemodynamic parameters during introduction of anaesthesia have been investigated by means of anaesthetic data recorded during three years. Nondigitalized patients older than fifty years showed satisfactory cardiac functions, whereas prophylactically digitalized patients--compared with the control group--have been treated with plasma expanders earlier and at a double rate. Furthermore, higher heart frequencies and greater tendency to arrythmias were observed. Consequently, prophylactic digitalization cannot be recommended in general.

  13. The HF epidemic: the need for new treatment strategies

    Directory of Open Access Journals (Sweden)

    Peter E Carson

    2000-06-01

    Full Text Available The incidence of heart failure is increasing, particularly in older patients. Clinical trials often do not reflect community practice where patients are older and have more co-morbid conditions. Therapeutic agents need to be at least neutral in their effects on these other conditions. Current therapy in heart failure includes angiotensin-converting enzyme (ACE inhibitors, beta-blockers and diuretics, with advanced heart failure patients receiving spironolactone and possibly digitalis. Ongoing clinical trials are testing more effective inhibition of the renin-angiotensin-aldosterone system (RAAS with highly selective angiotensin II (Ang II receptor blockers (ARBs such as valsartan. Future trials should study diverse racial groups and the elderly, particularly those with preserved systolic function. These should ideally be large multicentre studies with internal substudies to examine mechanisms of heart failure.

  14. Morphological, biochemical and genetic influence of mutagen treatments on medicinal plant tissue cultures

    International Nuclear Information System (INIS)

    Onisei, T.; Toth, E.; Tesio, B.; Floria, F.

    1994-01-01

    Gamma rays and/or alkylant agents have been applied on callus tissue, young regenerants and cell suspension in order to establish their effect on morphogenesis, regeneration ability and biosynthetic potential. Growth dynamics, morpho-anatomic variables, secondary metabolite production, cell cytogenetics, enzyme specific activities, isoperoxidase and isoesterase patterns were analyzed in relation to the morphogenetic response of Atropa belladonna, Datura innoxia, Lavandula angustifolia, Chamomilla recutita, Digitalis lanata and Vinca minor tissue cultures. The effects of gamma-ray doses varied from one species to another; 10 to 20 Gy were generally able to stimulate growth and plant regeneration (via organogenesis and somatic embryogenesis), while 10 to 50 Gy enhanced secondary metabolite biosynthesis both in callus and cell suspension culture. Semnificative increase of secondary metabolite production was obtained when treatments with EMS (0.1-0.2%) have been applied to young regenerants. Many differences in biological features and biochemical behaviour were registered 20 days and one year, respectively, after treatment. (author)

  15. Architettura e/è Geometria: dalla forma architettonica alla costruzione geometrica

    Directory of Open Access Journals (Sweden)

    Mariateresa Galizia

    2012-06-01

    Full Text Available L’avvento delle tecnologie digitali di acquisizione dati 3D ha proiettato gli studiosi dell’architettura in una dimensione del tutto inaspettata. Milioni di punti hanno travolto ricercatori e professionisti ancora culturalmente impreparati ad affrontare la rivoluzione digitale nel campo del Rilievo. Le nuvole di punti acquisite documentano e allo stesso tempo rappresentano la spazialità degli oggetti reali, tuttavia, nulla rivelano su forma e geometria, architettura e materia se non attraverso una successiva interpretazione. Il contributo vuole soffermarsi sulle implicazioni teoriche e applicative del processo di interpretazione dei dati acquisiti per la comprensione della geometria e sulla funzione euristica della modellazione digitale, nel passaggio dal “noto all’ignoto”, nella “ri-scoperta” della forma e quindi dell’idea progettuale.

  16. Assessment of Seed Germination and Dormancy of Thirty Seeds Lots of

    Directory of Open Access Journals (Sweden)

    H.R Ehyaee

    2012-06-01

    Full Text Available Most seeds of medicinal plants due to ecological adaptation to environmental conditions have several types of dormancy. Hence, it's necessary to recognize ecological factors that affect dormancy and provide optimum conditions for germination in medicinal plant species. Thirty seed lots were used to estimate germination and dormancy of medicinal plants. Treatments were KNO3, (2% and scarification of seeds by sand paper, hypochlorite sodium and removing the seed coat with four replicates of 25 seeds. Maximum and minimum germination observed in H2O for Digitalis purpure 100% and Saponaria officinalis 0%. In KNO3 treatment, Portulaca oleracea had the highest germination of 91% and Hyocyamus niger had no any germinated seeds. In sand paper treatment, the Saponaria officinalis and Datura stramonium had maximum, 33% and minimum 0% germination respectively.

  17. Libraries and Wikimedia: common strategies for open access to knowledge and collaborative construction of free knowledge

    Directory of Open Access Journals (Sweden)

    Luigi Catalani

    2017-09-01

    Full Text Available Il contributo presenta un quadro aggiornato delle diverse forme di collaborazione tra le biblioteche e il mondo targato Wikimedia. L'articolo indica i numerosi punti di convergenza tra l'attività dei bibliotecari e quella dei wikimediani. Descrive poi il movimento The Wikipedia Library, la campagna #1Lib1Ref, il progetto Biblioteche di Wikimedia Italia, le attività svolte in questo ambito da BNCF e da altre biblioteche italiane. Relativamente alla questione del riuso dei dati bibliografici, il contributo si concentra su Wikidata e sui progetti WikiBib e Wikicite. L'articolo spiega infine la funzione dei wikipediani in residenza nelle operazioni di caricamento delle collezioni digitali su Wikimedia Commons.

  18. The integration of physical and digital urban infrastructures: the role of “Big data”

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    Cinzia Talamo

    2016-06-01

    Full Text Available Le molte evoluzioni nell’ambito della gestione delle informazioni, l’affermarsi dei concetti di Big Data e IoT (internet of things, lo sviluppo e la diffusione della sensoristica stanno aprendo a innovativi scenari e delineando nuove questioni rispetto alle attività conoscitive e decisionali, con declinazioni specifiche se considerate in relazione all’ambito applicativo delle infrastrutture e dei beni edilizi e urbani. A partire da queste premesse, obiettivo del paper è delineare l’attuale quadro dei fattori tecnologici di innovazione e proporre alcune ipotesi circa i potenziali scenari futuri dei servizi di supporto alla gestione e allo sviluppo del territorio e dei manufatti edilizi a partire da diverse possibili forme di integrazione tra infrastrutture urbane fisiche e digitali. Nell’ambito delle infrastrutture, l’analisi del ruolo dell’informazione rispetto all’interazione tra materiale e immateriale pone una serie di questioni interpretative che il paper tratteggia. 

  19. The long-term preservation of the digital heritage: the case of universities institutional repositories

    Directory of Open Access Journals (Sweden)

    Luciana Duranti

    2010-03-01

    Full Text Available L'articolo affronta le tematiche legate ai problemi della conservazione a lungo termine del contenuto degli archivi digitali. Il materiale d'archivio richiede un'attenzione speciale ad aspetti quali la credibilità, il valore giuridico, i diritti morali e legali e la privacy. La necessità di assicurare accessibilità e integrità ai dati informatici è tuttavia una problematica che attraversa tutti i campi dell'informatizzazione ed è strettamente legata a fattori come la frequente duplicazione e la corretta scelta dei metadadi. Attraverso l'analisi del caso di studio rappresentato da cIRcle, l'istitutional digital repository della University of British Columbia (UBC, il contributo mostra problemi, rischi e soluzioni utili nella gestione di un archivio digitale, mostrando che l'esperienza degli archivisti può essere utile per sviluppare sistemi legati a depositi di informazione non prettamente archivistici.

  20. Pharmacological Treatment for Atrial Fibrillation

    Directory of Open Access Journals (Sweden)

    Kaoru Sugi, MD PhD

    2005-01-01

    Full Text Available Pharmacological treatment for atrial fibrillation has a variety of purposes, such as pharmacological defibrillation, maintenance of sinus rhythm, heart rate control to prevent congestive heart failure and prevention of both cerebral infarction and atrial remodeling. Sodium channel blockers are superior to potassium channel blockers for atrial defibrillation, while both sodium and potassium channel blockers are effective in the maintenance of sinus rhythm. In general, digitalis or Ca antagonists are used to control heart rate during atrial fibrillation to prevent congestive heart failure, while amiodarone or bepridil also reduce heart rates during atrial fibrillation. Anticoagulant therapy with warfarin is recommended to prevent cerebral infarction and angiotensin converting enzyme antagonists or angiotensin II receptor blockers are also used to prevent atrial remodeling. One should select appropriate drugs for treatment of atrial fibrillation according to the patient's condition.

  1. Some new species of Caryospora (Apicomplexa: Eimeriidae from brazilian snakes, and a re-description of C. jararacae Carini, 1939

    Directory of Open Access Journals (Sweden)

    Ralph Lainson

    1991-09-01

    Full Text Available The mature ooxysts of six new species of Caryospora are described from the faeces of Brazilian snakes. They are differentiated from other species previously recorded from reptiles, largely on the size and shape of the oocyst and sporocyst, structure of the oocyst wall, and presence or absence of a polar body. C. paraensis n. sp., and C. carajasensis n. sp., are from the "false coral", Oxyrhopus petola digitalis; C. pseustesi n. sp., from the "egg-eater", Pseustes sulphureus sulphureus; C. epicratesi n. sp., from the "red boa", Epicrates cenchria cenchria; and C. micruri n. sp., and C. constancieae n. sp., from the "coral snake", Micrurus spixii spixii. A re-description is given of C. jararacae Carini, 1939, from the "jararaca" Bothrops atrox, embodying some additional morphological features.

  2. Atrial infarction is a unique and often unrecognized clinical entity

    Directory of Open Access Journals (Sweden)

    Rosana G. G. Mendes

    1999-03-01

    Full Text Available A patient with heart failure and acute atrial fibrillation received the final diagnosis of atrial infarction associated with ventricular infarction based on clinical findings of ischemia in association with atrial fibrillation and heart failure (mechanisms probably involved: contractile dysfunction and loss of atrial contribution. Although a transesophageal echocardiography, which could refine the diagnosis of anatomic abnormalities, was not performed, all evidence led to the diagnosis of atrial involvement. Electrocardiographic findings were consistent with Liu's major criterion 3. Therapy with digitalis, quinidine and angiotensin-converting enzyme inhibitors was chosen, as the patient had acute pulmonary edema. The use of beta-blockers and verapamil was restricted. No other complications, such as thrombo-embolism or atrial rupture, were noted.

  3. The HF epidemic: The need for new treatment strategies

    Directory of Open Access Journals (Sweden)

    Peter E Carson

    2000-06-01

    Full Text Available Summary The incidence of heart failure is increasing, particularly in older patients. Clinical trials often do not reflect community practice where patients are older and have more co-morbid conditions. Therapeutic agents need to be at least neutral in their effects on these other conditions. Current therapy in heart failure includes angiotensin-converting enzyme (ACE inhibitors, beta-blockers and diuretics, with advanced heart failure patients receiving spironolactone and possibly digitalis. Ongoing clinical trials are testing more effective inhibition of the renin-angiotensin-aldosterone system (RAAS with highly selective angiotensin II (Ang II receptor blockers (ARBs such as valsartan. Future trials should study diverse racial groups and the elderly, particularly those with preserved systolic function. These should ideally be large multicentre studies with internal substudies to examine mechanisms of heart failure.

  4. INVASIVE ALIEN PLANTS ON DECAYING WOOD AND ON TREE-FALL DISTURBANCES IN FORESTS IN THE KARKONOSZE MTS (SUDETEN, SW POLAND

    Directory of Open Access Journals (Sweden)

    Monika Staniaszek-Kik

    2014-10-01

    Full Text Available Three invasive anthropophytes, i.e. two vascular plants Digitalis purpurea L. and Impatiens parviflora DC. as well as one moss Orthodontium lineare Schwägr, were recorded on decaying wood and tree-fall disturbances (pit-mound-root plate complex. It contributes only 1.9% to the flora of analyzed habitats (1.1% of moss flora, 2.9% of vascular plant flora and 3.5% of neophytes known in Sudeten Mts. They grew, sporadically and with a low frequency, on 3.5% of studied objects (on 3.1% of decaying logs and stumps and 5.6% of tree-fall disturbances in all types of forest communities in the area of Karkonosze National Park and in the vicinity. Nowadays, invasive neophytes do not pose a threat to diversity of endangered epixylic flora. Described habitats seem to be resistant to penetration by anthropophytes.

  5. Bigeminy: A result of digoxin and St John’s wort interaction

    Directory of Open Access Journals (Sweden)

    Anđelić Slađana

    2003-01-01

    Full Text Available A case of an by digoxin under unusual circumstances is reported. An 80-year-old man, previously on long-term digoxin treatment, started consuming St John’s wort herbal tea (2 000 ml/daily because of frequent episodes of depression. After the cessation of consuming herbal tea containing Hypericum perforatum, digoxin poisoning developed in our patient. Electrocardiography revealed nodal bradicardia 36/min and bigeminy. Manifested symptoms were the consequence of interaction between digoxin and Hypericum perforatum which were consumed simultaneously, and the cessation of consuming St John’s wort herbal tea afterwards. Therapy was the same as in the standard digitalis poisoning. Consumers of St John’s wort combined with medical products are advised not to discontinue tea consumption on their own, without consulting their physician.

  6. Metodologie di rilievo tra ricerca e innovazione tecnologica per un caso di archeologia medievale: Torre Melissa in provincia di Crotone

    Directory of Open Access Journals (Sweden)

    Francesca Fatta

    2017-12-01

    Full Text Available   Il complesso di Torre Melissa è uno dei manufatti storici di pregio che si affacciano sulle coste calabresi del mare Jonio. Una torre-castello d’epoca aragonese sottoposta ad un restauro conservativo agli inizi degli anni duemila. In quella occasione, la torre fu rilevata con procedure manuali e l’ausilio di una stazione totale. Nel 2014 si è proceduto con un rilievo eseguito con strumenti digitali d’alta definizione (laser scanner, fotografia digitale e telecamera applicata a drone. La comparazione tra i due rilievi, effettuati con metodologie differenti, mostrano delle disuguaglianze semantiche evidenti che mettono in risalto i progressi delle odierne strumentazioni per la definizione di modelli 3D d’altissima precisione, fondamentali per le pratiche di tutela e valorizzazione di un patrimonio architettonico complesso e stratificato

  7. A case of reversible dilated cardiomyopathy after alpha-interferon therapy in a patient with renal cell carcinoma.

    Science.gov (United States)

    Kuwata, Akiko; Ohashi, Masuo; Sugiyama, Masaya; Ueda, Ryuzo; Dohi, Yasuaki

    2002-12-01

    A 47-year-old man with renal cell carcinoma underwent nephrectomy, and postoperative chemotherapy was performed with recombinant alpha-interferon. Five years later, he experienced dyspnea during physical exertion. An echocardiogram revealed dilatation and systolic dysfunction of the left ventricle, and thallium-201 myocardial scintigraphy showed diffuse heterogeneous perfusion. We diagnosed congestive heart failure because of cardiomyopathy induced by alpha-interferon therapy. Withdrawal of interferon therapy and the combination of an angiotensin-converting enzyme inhibitor, diuretics, and digitalis improved left ventricular systolic function. Furthermore, myocardial scintigraphy using [123I] beta-methyl-p-iodophenylpentadecanoic acid (123I-BMIPP) or [123 I]metaiodobenzylguanidine (123I-MIBG) revealed normal perfusion after the improvement of congestive heart failure. This is a rare case of interferon-induced cardiomyopathy that resulted in normal myocardial images in 123I-BMIPP and 123I-MIBG scintigrams after withdrawal of interferon therapy.

  8. Molecular pharmacology of cell receptors for cardiac glycosides, opiates, ACTH and ion channel modulators

    Energy Technology Data Exchange (ETDEWEB)

    Hnatowich, M R

    1986-01-01

    The influence of light and oxygen on molecular interactions between the artificial food dye, erythrosine (ERY), and (/sup 3/H)ouabain ((/sup 3/H)OUA) binding sites on (Na/sup +/ + K/sup +/)-ATPase in rat brain and guinea pig heart was investigated. Putative endogenous digitalis-like factors (DLF's) were studied in four in vitro assays for cardiac glycosides. (/sup 3/H)Etorphine binding was characterized in rat brain homogenates, depleted of opioids, from animals acutely and chronically treated with morphine and naloxone, and either unstressed or cold-restraint-stressed. Binding sites for the ion channel modulators (/sup 3/H)verapamil ((/sup 3/H)VER) and (/sup 3/H) phencyclidine ((/sup 3/H)PCP) were characterized in rat brain.

  9. La democracia del futuro

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    Rodrigo Borja

    2015-01-01

    Full Text Available El desarrollo logrado por la informática, la microelectrónica y en general las nuevas tecnologías de la información, hace que del zoon politikon aristotélico se pase al homo digitalis posmoderno, de una "democracia restringida" a una telecracia: en el siglo XXI. El autor vaticina que el voto se hará vía computadores desde casa a través de éstos, los gobernantes podrán tener una relación directa con los gobernados, las consultas populares serán más frecuentes, las implicaciones para los regímenes democráticos serán enormes y es en torno a ellas que reflexiona el autor

  10. Effects of chronic digitalization on cardiac and renal Na+ + K+-dependent adenosine triphosphate activity and circulating catecholamines in the dog.

    Science.gov (United States)

    Nechay, B R; Jackson, R E; Ziegler, M G; Neldon, S L; Thompson, J D

    1981-09-01

    To extend our understanding of the mechanism of action of digitalis drugs, we studied electrocardiograms (ECGs), renal function, plasma concentrations of catecholamines, and myocardial and renal Na+ + K+-dependent adenosine triphosphate (Na+ + K+ ATPase) activity in chronically digitalized dogs. Five healthy, male, mongrel dogs received a therapeutic regimen of digoxin (0.1 mg/kg on day 1 in three divided doses followed by 0.025 mg/kg per day) orally for 2-4 months. This resulted in plasma digoxin concentrations of 1.1 to 4.7 ng/ml as determined by radioimmunoassay. Six control dogs received daily gelatin capsules by mouth. ECGs monitored throughout the study showed no changes. Digitalized dogs had elevated plasma norepinephrine concentrations (347 vs. 137 pg/ml in controls) and no change in plasma epinephrine concentrations. Digitalized dogs had elevated glomerular filtration rates (0.74 vs. 0.94 ml/min per g of kidney) without significant changes in renal handling of electrolytes and water. All of the above studies were done without the aid of restraining drugs or infusions. The animals were killed with an overdose of pentobarbital for in vitro studies. In digitalized dogs, microsomal Na+ + K+ ATPase-specific activity was 26 to 33% lower in the renal cortex, medulla, and papilla, and 46% lower in the cardiac left ventricle than in control dogs. Digitalization did not alter the osmolalities of renal tissues. We conclude that chronic reduction Na+ + K+ ATPase activity by one-third dose does not cause abnormalities in renal handling of electrolytes and water, and inhibition of Na+ + K+ ATPase in the left ventricular muscle by one-half is associated with no obvious ECG changes in the dog. Further, elevated plasma norepinephrine concentrations may contribute to both the therapeutic and the toxic effects of digitalis.

  11. Clinical presentation at first heart failure hospitalization does not predict recurrent heart failure admission.

    Science.gov (United States)

    Kosztin, Annamaria; Costa, Jason; Moss, Arthur J; Biton, Yitschak; Nagy, Vivien Klaudia; Solomon, Scott D; Geller, Laszlo; McNitt, Scott; Polonsky, Bronislava; Merkely, Bela; Kutyifa, Valentina

    2017-11-01

    There are limited data on whether clinical presentation at first heart failure (HF) hospitalization predicts recurrent HF events. We aimed to assess predictors of recurrent HF hospitalizations in mild HF patients with an implantable cardioverter defibrillator or cardiac resynchronization therapy with defibrillator. Data on HF hospitalizations were prospectively collected for patients enrolled in MADIT-CRT. Predictors of recurrent HF hospitalization (HF2) after the first HF hospitalization were assessed using Cox proportional hazards regression models including baseline covariates and clinical presentation or management at first HF hospitalization. There were 193 patients with first HF hospitalization, and 156 patients with recurrent HF events. Recurrent HF rate after the first HF hospitalization was 43% at 1 year, 52% at 2 years, and 55% at 2.5 years. Clinical signs and symptoms, medical treatment, or clinical management of HF at first HF admission was not predictive for HF2. Baseline covariates predicting recurrent HF hospitalization included prior HF hospitalization (HR = 1.59, 95% CI: 1.15-2.20, P = 0.005), digitalis therapy (HR = 1.58, 95% CI: 1.13-2.20, P = 0.008), and left ventricular end-diastolic volume >240 mL (HR = 1.62, 95% CI: 1.17-2.25, P = 0.004). Recurrent HF events are frequent following the first HF hospitalization in patients with implanted implantable cardioverter defibrillator or cardiac resynchronization therapy with defibrillator. Neither clinical presentation nor clinical management during first HF admission was predictive of recurrent HF. Prior HF hospitalization, digitalis therapy, and left ventricular end-diastolic volume at enrolment predicted recurrent HF hospitalization, and these covariates could be used as surrogate markers for identifying a high-risk cohort. © 2017 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology.

  12. [Intoxications with plants].

    Science.gov (United States)

    Kupper, Jacqueline; Reichert, Cornelia

    2009-05-01

    Ingestions of plants rarely lead to life-threatening intoxications. Highly toxic plants, which can cause death, are monkshood (Aconitum sp.), yew (Taxus sp.) and autumn crocus (Colchicum autumnale). Lethal ingestions of monkshood and yew are usually suicides, intoxications with autumn crocus are mostly accidental ingestions of the leaves mistaken for wild garlic (Allium ursinum). Severe intoxications can occur with plants of the nightshade family like deadly nightshade (Atropa belladonna), angel's trumpet (Datura suaveolens) or jimsonweed (Datura stramonium). These plants are ingested for their psychoactive effects. Ingestion of plant material by children most often only causes minor symptoms or no symptoms at all, as children usually do not eat great quantities of the plants. They are especially attracted by the colorful berries. There are plants with mostly cardiovascular effects like monkshood, yew and Digitalis sp. Some of the most dangerous plants belong to this group. Plants of the nightshade family cause an anticholinergic syndrome. With golden chain (Laburnum anagyroides), castor bean (Ricinus communis) and raw beans (Phaseolus vulgaris) we see severe gastrointestinal effects. Autumn crocus contains a cell toxin, colchicine, which leads to multiorgan failure. Different plants are irritative or even caustic to the skin. Treatment is usually symptomatic. Activated charcoal is administered within one hour after ingestion (1 g/kg). Endoscopic removal of plant material can be considered with ingestions of great quantities of highly toxic plants. Administration of repeated doses of charcoal (1-2 g/h every 2-4 hours) may be effective in case of oleander poisoning. There exist only two antidotes: Anti-digoxin Fab fragments can be used with cardenolide glycoside-containing plants (Digitalis sp., Oleander). Physostigmine is the antidote for severe anticholinergic symptoms of the CNS. Antibodies against colchicine, having been developed in France, are not available at

  13. Do cardiologists at a university hospital adopt the guidelines for the treatment of heart failure?

    Directory of Open Access Journals (Sweden)

    Barretto Antonio Carlos Pereira

    2001-01-01

    Full Text Available OBJECTIVE: To verify whether the guidelines for the treatment of heart failure have been adopted at a university hospital. The guidelines recommend the following: use of angiotensin-converting enzyme inhibitors for all patients with systolic ventricular dysfunction, use of digitalis and diuretics for symptomatic patients, use of beta-blockers for patients in functional classes II or III, use of spironolactone for patients in functional classes III or IV. METHODS: We analyzed the prescriptions of 199 patients. All these patients had ejection fraction (EF <=0.50, their ages ranged from 25 to 86 years, and 142 were males. Cardiomyopathy was the most frequent diagnosis: 67 (33.6% patients had dilated cardiomyopathy, 65 (32.6% had ischemic cardiomyopathy. RESULTS: Angiotensin-converting enzyme inhibitors were prescribed for 93% of the patients. 71.8% also had a prescription for digitalis, 86.9% for diuretics, 27.6% for spironolactone, 12% for beta-blockers, 37.2% for acetylsalicylic acid, 6.5% for calcium channel antagonists, and 12.5% for anticoagulants. In regard to vasodilators, 71% of the patients were using captopril (85.2mg/day, 20% enalapril (21.4mg/day, 3% hydralazine and nitrates. In 71.8% of the cases, the dosages prescribed were in accordance with those recommended in the large studies. CONCLUSION: Most patients were prescribed the same doses as those recommended in the large studies. Brazilian patients tolerate well the doses recommended in the studies, and that not using these doses may be a consequence of the physician's fear of prescribing them and not of the patient's intolerance.

  14. Personalized Medicine Digoxin Theraphy in Individuals with MDR Gene Polymorphism

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    Em Sutrisna

    2015-06-01

    Full Text Available Digoxin is one of digitalis drugs. Wider applicability to heart failure and arrhythmias (supraventricular requires fairly strict scrutiny because of its narrow therapeutic index. Digoxin is a substrate of P-glycoprotein (P-gp encoded by multi drugs resistance-1 (MDR1. MDR-1 gen located on chromosome 7q21.1. This gene contains 28 exons that encoded a protein of 1280 amino acids. This gene plays an important role in the absorption, distribution and elimination of many drugs. MDR1C3435T polymorphism occurs in exon 26. There are three types of MDR1C3435T gene namely MDR1C3435T CC, MDR1C3435T CT and MDR1C3435T TT. These polymorphisms will affect to the formation of P-gp and consequently to change the kinetic profile of digoxin. The change of kinetic profile causes changes in the digoxin blood levels. The method used in this review is data search based on pubmed, medline, and embase with keywords MDR and digoxin. There are several different studies of the influence of polymorphisms MDR1C3435T on blood digoxin levels. Increased levels of digoxin in the blood due to polymorphism of MDR1C3435T will be at risk of digitalis intoxication. Long-term digoxin treatment or large dose should consider the patient’s genetic profile. Distribution of polymorphism of MDR1C3435T in Javanese population is approximately TT (0,10, CT (0,52, and CC(0, 38.

  15. BODILOPSIS OGLOBLINI (SEMENOV ET SI MEDVEDEV, 1928 (COLEOPTERA, SCARABAEIDAE, APHODIINAE – A CIRCUMCASPIAN SPECIES

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    G. M. Abdurakhmanov

    2015-01-01

    Full Text Available Bodilopsis ogloblini (Semenov et Medvedev, 1928 comb.n. (previously included in the subgenera Mendidius and Bodilus of the genus Aphodius are recorded as new for the fauna of Dagestan, Azerbaijan, the Caucasus and Russia. This species belongs to a subgenus Bodilopsis and is close to widely distributed species: B. sordidus (Fabricius, 1775 and B. rufus (Moll, 1782. B. ogloblini differs from all close species first of all by color of certain parts: dark (from dark-brown to black antennal club, black head (sometimes clypeal margins a little lighter, darkbrown and dark-brown abdomen. All species mentioned above have light antennal club (often yellow, sometimes brownish, head light (from yellow to red-brown or light with dark-brown maculae, abdomen also light (from yellow to reddish, sometimes brownish. Coarse, rugose clypeal sculpture (without distinct punctation is typical for B. ogloblini. Other species have more or less densely roughly punctured clypeus, never rugose. Besides new species differs from species of the Alocoderus by not framed anterior pronotal margin and by mostly black (sometimes dark-brown pronotum (in A. hydrochaeris and A. digitalis anterior pronotal margin distinctly framed; pronotum in A. digitalis yellow, in A. hydrochaeris – yellow with brown spot in the middle. B. ogloblini also differs from A. sordidus by shining punctured elytral apices (in B. sordidus elytral apices distinctly shagreened, mat, without punctation. It differs from B. rufus by normal sharp lower spur of middle male tibia (male of A. rufus with modified lower spur of middle tibia, truncated at apex.

  16. Representation of architectural artifacts: definition of an approach combining the complexity of the 3d digital instance with the intelligibility of the theoretical model.

    Directory of Open Access Journals (Sweden)

    David Lo Buglio

    2012-12-01

    Full Text Available EnWith the arrival of digital technologies in the field of architectural documentation, many tools and methods for data acquisition have been considerably developed. However, these developments are primarily used for recording colorimetric and dimensional properties of the objects processed. The actors, of the disciplines concerned by 3D digitization of architectural heritage, are facing with a large number of data, leaving the survey far from its cognitive dimension. In this context, it seems necessary to provide innovative solutions in order to increase the informational value of the representations produced by strengthen relations between "multiplicity" of data and "intelligibility" of the theoretical model. With the purpose of answering to the lack of methodology we perceived, this article therefore offers an approach to the creation of representation systems that articulate the digital instance with the geometric/semantic model.ItGrazie all’introduzione delle tecnologie digitali nel campo della documentazione architettonica, molti strumenti e metodi di acquisizione hanno avuto un notevole sviluppo. Tuttavia, questi sviluppi si sono principalmente concentrati sulla registrazione e sulla restituzione delle proprietà geometriche e colorimetriche degli oggetti di studio. Le discipline interessate alla digitalizzazione 3D del patrimonio architettonico hanno pertanto la possibilità di produrre delle grandi quantità di dati attraverso un’evoluzione delle pratiche di documentazione che potrebbero progressivamente far scomparire la dimensione cognitiva del rilievo. In questo contesto, appare necessario fornire soluzioni innovative per aumentare il valore informativo delle rappresentazioni digitali tramite l’identificazione delle relazioni potenziali che è possibile costruire fra le nozioni di "molteplicità" ed "intelligibilità". Per rispondere a questo deficit metodologico, questo articolo presenta le basi di un approccio per la

  17. Fall-Risk-Increasing Drugs: A Systematic Review and Meta-Analysis: I. Cardiovascular Drugs.

    Science.gov (United States)

    de Vries, Max; Seppala, Lotta J; Daams, Joost G; van de Glind, Esther M M; Masud, Tahir; van der Velde, Nathalie

    2018-04-01

    Use of certain medications is recognized as a major and modifiable risk factor for falls. Although the literature on psychotropic drugs is compelling, the literature on cardiovascular drugs as potential fall-risk-increasing drugs is conflicting. The aim of this systematic review and meta-analysis is to provide a comprehensive overview of the associations between cardiovascular medications and fall risk in older adults. Design: A systematic review and meta-analysis. Medline, Embase, and PsycINFO. Key search concepts were "fall," "aged," "causality," and "medication." Studies that investigated cardiovascular medications as risk factors for falls in participants ≥60 years old or participants with a mean age of 70 or older were included. A meta-analysis was performed using the generic inverse variance method, pooling unadjusted and adjusted odds ratios (ORs) separately. In total, 131 studies were included in the qualitative synthesis. Meta-analysis using adjusted ORs showed significant results (pooled OR [95% confidence interval]) for loop diuretics, OR 1.36 (1.17, 1.57), and beta-blocking agents, OR 0.88 (0.80, 0.97). Meta-analysis using unadjusted ORs showed significant results for digitalis, OR 1.60 (1.08, 2.36); digoxin, OR 2.06 (1.56, 2.74); and statins, OR 0.80 (0.65, 0.98). Most of the meta-analyses resulted in substantial heterogeneity that mostly did not disappear after stratification for population and setting. In a descriptive synthesis, consistent associations were not observed. Loop diuretics were significantly associated with increased fall risk, whereas beta-blockers were significantly associated with decreased fall risk. Digitalis and digoxin may increase the risk of falling, and statins may reduce it. For the majority of cardiovascular medication groups, outcomes were inconsistent. Furthermore, recent studies indicate that specific drug properties, such as selectivity of beta-blockers, may affect fall risk, and drug-disease interaction also may play

  18. Von den Dispositiven der Macht und ihrer sozialen Morphologie - Zur Aktualität der Machtanalysen Michel Foucaults

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    Wolfgang Neurath

    2016-12-01

    Full Text Available Dieser Beitrag rekapituliert im Blick auf die Überlappungen von Macht, Souveränität und Herrschaft die soziale Morphologie der Foucaultschen Gesellschaftstheorie und betont dabei die Aktualität von Forschungen, die sich machtkritisch an den Dispositivbegriff anlehnen. Was ein Dispositiv ist, wird im Rekurs auf Deleuze und Agamben vor Augen geführt, um in der Figur der "schizophrenen Flucht" ein entscheidendes Moment der französischen Debatten auszumachen. Dabei ist der Panoptismus nach wie vor ein bemerkenswertes Modell, um historisch die innere Funktionsweise von Disziplinargesellschaften zu begreifen, die sich zu Kontrollgesellschaften gewandelt haben. Dem Homo digitalis steht angesichts von Big Data im Semiokapitalismus des 21. Jahrhunderts ein System wechselseitiger Kontrolle vor Augen, dem er sich lückenlos unterwerfen soll. Dem setzt sich nach wie vor die Figur der widerständigen Subjektivierung entgegen, wie sie Foucault in seinem Spätwerk entworfen hat. Auf allgemeinster Ebene hebt dieser Artikel hervor, dass wir auch heute noch ein politisches Modell vor Augen haben, dass der antiken Arena im Sinne einer politischen Heterotopie entspricht, in der es im Krieg um das nackte Überleben geht. Zusammenfassend wird Foucaults Kriegsparadigma über Michel de Certeaus Modellierung von Strategie und Taktik auf die Figur des Bürgerkriegs bezogen, um insgesamt zu betonen, dass dort wo Macht ist, immer auch Widerstand möglich ist. This article recaps the social morphology of Foucault’s theory of society in the light of power, sovereignty, and domination, emphasizing the actuality of research that is referring to the concept of apparatus. This concept is pointed out in the recourse to Deleuze and Agamben, to identify – in the figure of "schizophrenic escape" – a decisive moment in the French debates. Panoptism is still a remarkable model for historical understanding of the internal functioning of disciplinary societies that have

  19. Phase II trial of second-line erlotinib and digoxin for nonsmall cell lung cancer (NSCLC

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    Fadi Kayali

    2011-02-01

    Full Text Available Fadi Kayali, Muhamad A Janjua, Damian A Laber, Donald Miller, Goetz H KloeckerUniversity of Louisville, James Graham Brown Cancer Center, Louisville, KY, USABackground: In vitro digoxin sensitizes cancer cells to the induction of apoptosis by chemotherapy. Inhibition of the Na/K-ATPase enzyme by ouabain disturbs the intracellular ion composition of cancer cells, altering cellular homeostasis. This suggests that inhibition of the Na/K pump results in cellular sensitization of malignant but not benign cells to the induction of apoptosis. Epidemiologic studies have also shown beneficial effects of digitalis in breast cancer incidence. At ASCO (American Society of Clinical Oncology 2007 our group presented a Phase II study showing encouraging results by adding digoxin to biochemotherapy for melanoma. Erlotinib is one of the standard second-line treatments for nonsmall cell lung cancer (NSCLC, with a response rate (RR of 10%. This study's hypothesis was that adding digoxin to erlotinib will improve the RR and time to progression (TTP in NSCLC.Methods: Patients with progressive disease (PD after chemotherapy were enrolled if they had an ECOG (Eastern Cooperative Oncology Group score from 0 to 2 and good organ function. Daily erlotinib 150 mg and digoxin 0.25 mg were taken by mouth. The digoxin dose was adjusted to keep levels between 1 and 2 ng/mL. Computed tomography scans were done every 6 weeks. Treatment continued until PD or significant toxicity occurred.Results: Patient accrual lasted from March 2006 until August 2008 and was stopped early at the time of interim analysis. Twenty-eight patients were enrolled, and 24 who completed at least 6 weeks of therapy are presented here. All patients had unresectable NSCLC stage III/IV at diagnosis. Median age was 61 (34–78, 14 were female, 17 had prior radiation (not involving the target lesions, 23 had one prior chemotherapy, and one subject had two. Only one patient was a never-smoker. Histologies were

  20. Comparative study on the ACE inhibitors Quinapril and Captopril for the (Angiotensin converting enzyme) treatment of the decompensated cardiac insufficiency in dog

    International Nuclear Information System (INIS)

    Morisse, B.; Kersten, U.

    1994-01-01

    In a randomized study of 52 dogs the efficacy and safety of captopril and quinapril in the treatment of canine heart failure is studied. The drugs were found to be comparably effective. The recommended dosage schedule for the short acting captopril is three times daily 0.5 mg/kg body weight. Quinapril belongs to a newer generation of ACE inhibitors with a longer half life than captopril and the treatment was started with a single dose of 0.5 mg/kg body weight. This dosage schedule was sufficient for the successful therapy of most of the dogs with heart failure phase II (12 of 13), but in 4 of 7 dogs with heart failure phase III and in all of the patients with phase IV the single dose had to be increased and/or the dosing interval of quinapril had to be shortened, because they still showed complaints due to heart failure. We recommend to adjust the dosage schedule of quinapril individually to the severity of heart failure. Therapy should be started once daily with an application of 0,5 mg/kg body weight and the dog should be controlled about one week later. If there are still symptoms of decompensated heart failure, the dosage may be increased gradually until a maximum dosage of 0.5 mg/kg three times daily. Especially for patients with severe heart failure we recommend at least when treatment is started a concomitant diuretic therapy. Echocardiographic evaluation of cardiac function shows if there is an indication for positive inotropic support witha digitalis glycoside. Quinapril, a novel inhibitor of the angiotensin-converting enzyme can ease the management of canine heart failure, because at least in dogs with mild to moderate heart failure dosing interval is longer compared with captopril. Moreover, quinapril is available as 5 mg tablets whereas the smallest captopril tablets contain 12.5 mg agent. It has to be mentioned that expenses for a treatment with ACE inhibitors are significantly higher than for a therapy with digitalis, so frequently above all the

  1. Myocardial Na,K-ATPase: Clinical aspects

    Science.gov (United States)

    Kjeldsen, Keld

    2003-01-01

    The specific binding of digitalis glycosides to Na,K-ATPase is used as a tool for Na,K-ATPase quantification with high accuracy and precision. In myocardial biopsies from patients with heart failure, total Na,K-ATPase concentration is decreased by around 40%; a correlation exists between a decrease in heart function and a decrease in Na,K-ATPase concentration. During digitalization, around 30% of remaining pumps are occupied by digoxin. Myocardial Na,K-ATPase is also influenced by other drugs used for the treatment of heart failure. Thus, potassium loss during diuretic therapy has been found to reduce myocardial Na,K-ATPase, whereas angiotensin-converting enzyme inhibitors may stimulate Na,K pump activity. Furthermore, hyperaldosteronism induced by heart failure has been found to decrease Na,K-ATPase activity. Accordingly, treatment with the aldosterone antagonist, spironolactone, may also influence Na,K-ATPase activity. The importance of Na,K pump modulation with heart disease, inhibition in digitalization and other effects of medication should be considered in the context of sodium, potassium and calcium regulation. It is recommended that digoxin be administered to heart failure patients who, after institution of mortality-reducing therapy, still have heart failure symptoms, and that the therapy be continued if symptoms are revealed or reduced. Digitalis glycosides are the only safe inotropic drugs for oral use that improve hemodynamics in heart failure. An important aspect of myocardial Na,K pump affection in heart disease is its influence on extracellular potassium (Ke) homeostasis. Two important aspects should be considered: potassium handling among myocytes, and effects of potassium entering the extracellular space of the heart via the bloodstream. It should be noted that both of these aspects of Ke homeostasis are affected by regulatory aspects, eg, regulation of the Na,K pump by physiological and pathophysiological conditions, as well as by medical

  2. Interference factors in digoxin analysis, especially in the serum of pregnant women, by RIA

    International Nuclear Information System (INIS)

    Tratz, A.

    1981-01-01

    The causes of false digoxin concentrations measured in pregnant women by RIA were gone into; 103 sera of healthy women in their last trimester of pregnancy were analyzed by 4 different RIA methods. In 6 cases, falsepositive digoxin levels above 1.0 ng/ml were found; 4 of the measured digoxin levels were above 2.0 ng/ml, i.e. a clinically toxic concentration. No pseudodigoxin was detected post partum; however, the author was only able to make control measurements of 2 of the 3 positive sera between the 6th and 12th week post partum. The causes of this phenomenon remain unclear. It cannot be excluded that these pregnant women may have a still unknown hormone metabolite, resulting from a possible enzymatic defect, which cross-reacts with the digoxin antiserum and thus causes false-positive results. In those rare cases where pregnant women receive digitalis treatment, digoxin serum measurements by RIA must be analyzed very critically due to the possibility of false-positive results. (orig.) [de

  3. E-books for Italian school, between Law Requirements and Publishers' Choices

    Directory of Open Access Journals (Sweden)

    Maria Vincelli

    2011-11-01

    Full Text Available Il saggio presenta un'analisi del quadro legislativo italiano sulla transizione dei libri di testo dal formato cartaceo a quello digitale, oltre a una panoramica sull'offerta dei maggiori editori a riguardo, prendendo come esempio i libri di testo di Latino per le scuole superiori. Il concetto di libro digitale viene declinato oggi principalmente in due forme: il libro "on-line", digitale (generalmente in PDF o Epub, equivalente ai testi tradizionali a stampa per struttura e tipo di utilizzo; il libro che integra le caratteristiche del libro sia digitale che a stampa con una serie di materiali digitali supplementari. L'opinione dell'autrice è che l'offerta di pubblicazioni scolastiche in formato digitale si attiene a un'interpretazione limitata della legge italiana, e che dunque si prospettano nuove ipotesi che possano unire in modo efficace l'autorevolezza e il valore culturale dei libri di testo con le soluzioni più avanzate del digitale.

  4. Subcutaneous injection of thallium-201 chloride and gallium-67 citrate at acupuncture point K-3; An animal experiment and human-being study

    Energy Technology Data Exchange (ETDEWEB)

    Johg, Shiang-Bin; Wu, Chung-Chieng; Chen, Ming-Feng; Wu, Sheng-Nan (Kaohsiung Medical Coll., Taiwan (China))

    1992-09-01

    Subcutaneous (SC) injection of [sup 99m]Tc pertechnetate ([sup 99m]Tc) at acupuncture points K-3 is a new method of lower-limb radionuclide venography. To investigate the mechanism of absorption of [sup 99m]Tc from SC injected sites into vascular system, various radioisotopes such as [sup 201]Tl chloride ([sup 201]Tl) and [sup 67]Ga citrate ([sup 67]Ga) were SC injected at K-3 points in animal and human-beings experiments. It was found that [sup 99m]Tc and [sup 201]Tl were absorbed rapidly from K-3 points through venous system and into whole body soft tissue. However, [sup 67]Ga with a larger effective ionic radius than [sup 201]Tl was not absorbed throughout the observation of 5 minutes. Furthermore, intravenous administration of digitalis, a Na[sup +]-K[sup +] pump blocker, did not inhibit the absorption of [sup 99m]Tc and [sup 201]Tl after SC injection at K-3 points. These results suggest that absorption of radionuclides on SC injection at K-3 points is mainly through the passive pathway of diffusion rather than the active transport, and the effective ionic radius may be a major factor influencing the absorption rate of the radionuclides. (author).

  5. Subcutaneous injection of thallium-201 chloride and gallium-67 citrate at acupuncture point K-3

    International Nuclear Information System (INIS)

    Johg, Shiang-Bin; Wu, Chung-Chieng; Chen, Ming-Feng; Wu, Sheng-Nan

    1992-01-01

    Subcutaneous (SC) injection of 99m Tc pertechnetate ( 99m Tc) at acupuncture points K-3 is a new method of lower-limb radionuclide venography. To investigate the mechanism of absorption of 99m Tc from SC injected sites into vascular system, various radioisotopes such as 201 Tl chloride ( 201 Tl) and 67 Ga citrate ( 67 Ga) were SC injected at K-3 points in animal and human-beings experiments. It was found that 99m Tc and 201 Tl were absorbed rapidly from K-3 points through venous system and into whole body soft tissue. However, 67 Ga with a larger effective ionic radius than 201 Tl was not absorbed throughout the observation of 5 minutes. Furthermore, intravenous administration of digitalis, a Na + -K + pump blocker, did not inhibit the absorption of 99m Tc and 201 Tl after SC injection at K-3 points. These results suggest that absorption of radionuclides on SC injection at K-3 points is mainly through the passive pathway of diffusion rather than the active transport, and the effective ionic radius may be a major factor influencing the absorption rate of the radionuclides. (author)

  6. Dal “modello 3D” alla “scena 3D”. Prospettive e opportunità per la valorizzazione del patrimonio culturale architettonico e urbano.

    Directory of Open Access Journals (Sweden)

    Elena Ippoliti

    2010-12-01

    Full Text Available La multimedialità è fatta di “ricchezza audiovisiva, profondità conoscitiva e informativa, interattività”[i] e, ancora, un prodotto multimediale dovrebbe essere “ricco, profondo e mobile, avvincente come un film, sistematico come un libro e interattivo come un videogioco”[ii]. A partire da tali definizioni, il contributo proposto intende indagare su alcune delle opportunità che le più recenti innovazioni tecnologiche offrono per l’ampliamento e la diffusione delle conoscenze sul patrimonio culturale, in particolare soffermandosi sulle applicazioni che privilegiano la “scena digitale 3D” del bene culturale, architettonico e urbano, sia in quanto interfaccia di accesso ai contenuti culturali e sia in quanto luogo in cui si costruiscono informazioni. Tale modalità di approccio, analoga e interattiva, incardinata sul coinvolgimento sensoriale ed emozionale, si costituisce di fatto come un valore aggiunto per la comunicazione, la fruizione e l’elaborazione di informazioni e contenuti, qualificandosi utilmente per la valorizzazione del patrimonio culturale. [i] Negroponte N., Essere digitali, Sperling & Kupfer, Milano, 2004. [ii] Maragliano R., Manuale di didattica multimediale, Laterza, Roma-Bari, 1994. p.43.

  7. Clinical predictors of outcome in patients with inflammatory dilated cardiomyopathy.

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    Konstantinos Karatolios

    Full Text Available The study objectives were to identify predictors of outcome in patients with inflammatory dilated cardiomyopathy (DCMi.From 2004 to 2008, 55 patients with biopsy-proven DCMi were identified and followed up for 58.2±19.8 months. Predictors of outcome were identified in a multivariable analysis with a Cox proportional hazards analysis. The primary endpoint was a composite of death, heart transplantation and hospitalization for heart failure or ventricular arrhythmias.For the primary endpoint, a QTc interval >440msec (HR 2.84; 95% CI 1.03-7.87; p = 0.044, a glomerular filtration rate (GFR 440msec, a GFR<60ml/min/1.73m2 and worsening of NYHA classification during follow-up were univariate predictors of adverse prognosis. In contrast, NYHA classification at baseline, left ventricular ejection fraction, atrial fibrillation, treatment with digitalis or viral genome detection were not related to outcome. After multivariable analysis, a GFR <60ml/min/1.73m2 remained independently associated with adverse outcome.

  8. Optimization measurement of muscle oxygen saturation under isometric studies using FNIRS

    Science.gov (United States)

    Halim, A. A. A.; Laili, M. H.; Salikin, M. S.; Rusop, M.

    2018-05-01

    Development of functional near infrared spectroscopy (fNIRS) technologies has advanced quantification signal using multiple wavelength and detector to investigate hemodynamic response in human muscle. These non-invasive technologies have been widely used to solve the propagation of light inside the tissues including the absorption, scattering coefficient and to quantify the oxygenation level of haemoglobin and myoglobin in human muscle. The goal of this paper is to optimize the measurement of muscle oxygen saturation during isometric exercise using functional near infrared spectroscopy (fNIRS). The experiment was carried out on 15 sedentary healthy male volunteers. All volunteers are required to perform an isometric exercise at three assessment of muscular fatigue's level on flexor digitalis (FDS) muscle in the human forearm using fNIRS. The slopes of the signals have been highlighted to evaluate the muscle oxygen saturation of regional muscle fatigue. As a result, oxygen saturation slope from 10% exercise showed steeper than the first assessment at 30%-50% of fatigues level. The hemodynamic signal response showed significant value (p=0.04) at all three assessment of muscular fatigue's level which produce a p-value (p<0.05) measured by fNIRS. Thus, this highlighted parameter could be used to estimate fatigue's level of human and could open other possibilities to study muscle performance diagnosis.

  9. Comparative analysis of three drug-drug interaction screening systems against probable clinically relevant drug-drug interactions: a prospective cohort study.

    Science.gov (United States)

    Muhič, Neža; Mrhar, Ales; Brvar, Miran

    2017-07-01

    Drug-drug interaction (DDI) screening systems report potential DDIs. This study aimed to find the prevalence of probable DDI-related adverse drug reactions (ADRs) and compare the clinical usefulness of different DDI screening systems to prevent or warn against these ADRs. A prospective cohort study was conducted in patients urgently admitted to medical departments. Potential DDIs were checked using Complete Drug Interaction®, Lexicomp® Online™, and Drug Interaction Checker®. The study team identified the patients with probable clinically relevant DDI-related ADRs on admission, the causality of which was assessed using the Drug Interaction Probability Scale (DIPS). Sensitivity, specificity, and positive and negative predictive values of screening systems to prevent or warn against probable DDI-related ADRs were evaluated. Overall, 50 probable clinically relevant DDI-related ADRs were found in 37 out of 795 included patients taking at least two drugs, most common of them were bleeding, hyperkalemia, digitalis toxicity, and hypotension. Complete Drug Interaction showed the best sensitivity (0.76) for actual DDI-related ADRs, followed by Lexicomp Online (0.50), and Drug Interaction Checker (0.40). Complete Drug Interaction and Drug Interaction Checker had positive predictive values of 0.07; Lexicomp Online had 0.04. We found no difference in specificity and negative predictive values among these systems. DDI screening systems differ significantly in their ability to detect probable clinically relevant DDI-related ADRs in terms of sensitivity and positive predictive value.

  10. Flowers of Çoruh Valley

    Directory of Open Access Journals (Sweden)

    Ramazan Çakmakçı

    2018-01-01

    Full Text Available Coruh valley has an important biological diversity in term of plants, flora-fauna, wildlife and ecosystems. These regions contain the landraces, wild and weedy relatives, other wild, herbaceous and flowering trees, herbaceous flowering plants, medicinal and aromatic and flowering and ornamental shrubs plants species which are especially economically important plant for floriculture, eco-tourism, botanical tourism and nature tourism. Many important medicinal and aromatic and ornamental plants species are found in this region and naturally grow. It is considered that Acantholimon, Achillea, Alkanna, Allium, Amygdalus, Angelica, Anemone, Anthemis, Arabis, Arctium, Artemisia, Asparagus, Asperula, Astragalus, Calamintha, Calendula, Calutea, Campanula, Capparis, Cardamine, Centaurea, Cephalanthera, Cephalaria, Chelidonium, Chenopodium, Chysanthemum, Colchicum, Consolida, Coriandrum, Cornus, Coronilla, Cerasus, Cotoneaster, Crataegus, Crocus, Cyclamen, Dactylorhiza, Digitalis, Dianthus, Draba, Echinops, Equisetum, Ferula, Filipendula, Fritillaria, Fumaria, Gagea, Galanthus, Galium, Genista, Gentiana, Geranium, Geum, Gladiolus, Glychirrza, Helichrysum, Hesperis, Hypericum, İnula, İris, Isatis, Juniperus, Lilium, Linaria, Linum, lysimachia, Malus, Malva, Marrubium, Melissa, Mentha, Micromeria, Morina, Muscari, Mysotis, Narcissus, Neotchichatchewia, Nepeta, Onobrychis, Orchis, Ornithogalum, Origanum, Paeonia, Papaver, Pedicularis, Peganum, Phelypaea, Platanthera, Plantago, Pilosella, Pelargonium, Potentilla, Polygonum, Polygala, Primula, Punica, Prunus, Pyrus, Ranunculus, Rhamnus, Rhododendron, Rhus, Rosa, Rubia, Rubus, Rumex, Salvia, Sambucus, Satureja, Scilla, Scorzonera, Scutellaria, Sedum, Sempervivum, Sideritis, Sophora, Sorbus, Stachys, Tanecetum, Teucrium, Thymus, Trigonella, Tulipa, Tussilago, Uechtriitzia, Vaccinium, Verbascum, Verbena, Veronica, Viburnum and Ziziphora species commonly found in the region may be may be evaluated economically.

  11. Studies on cerebral protection of digoxin against ischemia/reperfusion injury in mice.

    Science.gov (United States)

    Kaur, Shaminder; Rehni, Ashish K; Singh, Nirmal; Jaggi, Amteshwar S

    2009-04-01

    The present study was designed to investigate the possible neuroprotective effect of digoxin induced pharmacological preconditioning (PP) and its probable mechanism. Bilateral carotid artery occlusion (BCAO) of 17 min followed by reperfusion for 24 h was employed to produce ischemia and reperfusion (I/R) induced cerebral injury in male swiss albino mice. Cerebral infarct size was measured using triphenyltetrazolium chloride staining. Memory was assessed using elevated plus maze test. Degree of motor incoordination was evaluated using inclined beam walking test, rota rod test and lateral push test. Digoxin (0.08 mg/kg, i.p.) was administered 24 h before surgery in a separate group of animals to induce PP. BCAO followed by reperfusion, produced significant rise in cerebral infarct size along with impairment of memory and motor coordination. Digoxin treatment produced a significant decrease in cerebral infarct size and reversal of I/R induced impairment of memory and motor incoordination. Digoxin induced neuroprotective effect was abolished significantly by verapamil (15 mg/kg, i.p.), a L-type calcium channel blocker, ruthenium red (3 mg/kg, s.c.), an intracellular ryanodine receptor blocker and 3,4-dichlorobenzamil (Na(+)/Ca(2+) exchanger inhibitor). These findings indicate that digoxin preconditioning exerts a marked neuroprotective effect on the ischemic brain, which is possibly linked to digitalis induced increase in intracellular calcium levels eventually leading to the activation of calcium sensitive signal transduction cascades.

  12. [Early digitalisation of patients with arterial hypertension (author's transl)].

    Science.gov (United States)

    Nechwatal, W; König, E; Eversmann, A; Lehnert, J

    1977-07-08

    Haemodynamic tests were performed at rest and during exercise in 41 patients with arterial hypertension and early impairment of left-ventricular function, before and after administration of a single dose of 0.6 mg beta-methyl-digoxin. After clinical, ECG and coronary-angiographic studies, the patients were assigned to two groups. Group I: 17 patients with transmural infarcts in the chronic stage or with angina. Cardiac output was within normal limits at rest and on exercise and was not significantly altered by administration of beta-methyl-digoxin. There was no significant fall during exercise of the abnormally elevated pulmonary "wedge" pressure or of other pressures in the lesser circulation after digitalis. Group II: 24 patients without signs of coronary heart disease. They, too, had a normal cardiac output at rest and on exercise, not significantly changed by digitalisation with beta-methyl-digoxin. But pulmonary "wedge" pressure and right-atrial mean pressure were significantly reduced during exercise. Before beta-methyl-digoxin the mean "wedge" pressure rose on exercise to an average of 27.3 +/- 5.4 mm Hg, but after beta-methyl-digoxin to only 21.7 +/- 5.1 mm Hg (P less than 0.001). The mean right atrial pressure changed similar. These results indicate that acute digitalisation at the stated dosage in general has an effect on abnormal myocardial function only if there is no additional coronary heart disease.

  13. [I direttori delle riviste vanno avanti: attenersi ai principi accademici, adottare trasparenza e rispetto e applicare le regole.

    Science.gov (United States)

    Teixeira da Silva, Jaime A; Dobránszki, Judit

    2018-05-01

    Nonostante i cambiamenti in corso nell'ambito delle pubblicazioni scientifiche (STEM - scienza, tecnologia, ingegneria e medicina), è indubbio che i direttori delle riviste restano i più importanti custodi del processo editoriale. In questo articolo vengono analizzati i motivi per cui i direttori delle riviste devono continuare ad attenersi ai principi editoriali fondamentali e a utilizzare le nuove tecnologie digitali solo per dare forza al contenuto, ma non per sostituirlo nella sua qualità. Per raggiungere questo obiettivo, in un'epoca caratterizzata da controlli ed equilibri, i direttori delle riviste devono essere attentamente sorvegliati e ritenuti responsabili tanto quanto gli autori che essi stessi valutano. Qualunque scorciatoia potrebbe avere conseguenze negative e inaspettate per quella rivista che non si attenesse a tali regole, che vedrebbe intaccata la propria reputazione e che dovrebbe faticare per recuperare la fiducia dei propri lettori. Quindi, a rischio di sembrare scontati, è meglio prevenire il danno alla reputazione piuttosto che curarlo. L'unico modo per evitarlo è che i direttori delle riviste si adattino a un crescente movimento sempre più critico, che richiede maggiore trasparenza e responsabilità da parte di chi contribuisce a costruire la base delle conoscenze scientifiche e dalla società, specialmente laddove la ricerca è finanziata pubblicamente.

  14. Modulation of the transducer function of Na+,K+-ATPase: new mechanism of heart remodeling.

    Science.gov (United States)

    Lopatina, Ekaterina V; Kipenko, Anna V; Pasatetskaya, Natalia A; Penniyaynen, Valentina A; Krylov, Boris V

    2016-10-01

    Endogenous digitalis-like factors were found in the mammalian and human blood. It was the starting point for the elucidation of the new non-pumping function of the Na + ,K + -ATPase. It was previously well known that Na + ,K + -ATPase is a pharmacological target receptor for cardiac glycosides (J.C. Skou. 1957. Biochim. Biophys. Acta, 23: 394-401). We have investigated the trophotropic effects of such agents as ouabain, epinephrine, norepinephrine, atenolol, and comenic acid using the organotypic tissue culture combined with the reconstruction of optical cross sections and confocal microscopy. It was shown that the growth zone of organotypic culture forms a multidimensional structure. Our results indicate that the cardiac glycoside ouabain applied in endogenous concentrations (10 -8 , 10 -10 mol/L) can modulate transducer function of Na + ,K + -ATPase and control the cell growth and proliferation. It was also shown that Src-kinase is involved in "endogenous" ouabain activated intracellular pathways as a series unit. Epinephrine (10 -9 -10 -14 mol/L) and comenic acid (10 -6 -10 -10 mol/L) were demonstrated to modulate the growth of 10- to 12-day-old chicken embryo cardiac tissue explants in a dose-dependent manner. Epinephrine and comenic acid regulate growth and proliferation of the cardiac tissue via receptor-mediated modulation Na + ,K + -ATPase as a signal transducer. The trophotropic effects of the investigated agents specifically control the heart remodeling phenomenon.

  15. Regulation of the concentration of 3H-ouabain binding sites in mammalian skeletal muscle

    International Nuclear Information System (INIS)

    Kjeldsen, K.

    1986-01-01

    The major purpose of the present study was the identification and quantification of changes in Na,K-pumps in skeletal muscles with age, K-depletion and thyroid status. Furthermore, the putative difference in skeletal muscle Na,K-pump concentration between spontaneously hypertensive rats and normotensive controls was investigated. On the basis of the observation of major changes in 3 H-ouabain binding site concentration in skeletal muscle with age, K-depletion and thyroid status and the large increase in skeletal muscle Na/K-ratio with K-depletion, the consequences of these variations for cell properties, K-homeostasis and digitalis distribution was evaluated. The present investigation was carried out mainly by measurements of Na,K-pump concentrations, Na,K-contents and K-uptake in skeletal muscles. Hitherto, the Na,K-pump concentration in muscle has mainly been quantified by measurements of the Na,K-ATPase activity in purified membrane fractions. The use of such preparations are, however, complicated by a recovery of plasma membranes of often less than 5% of that in intact tissue. Although this low yield may not affect the interpretation of qualitative studies, it represents a potentially large source of error in quantitative determinations of the Na,K-pumps. Thus, in the present study the Na,K-pumps were quantified by measurements of 3 -ouabain binding, as this method allows the determination of the total Na,K-pump concentration after identification and correction for methodological problems. (author)

  16. Heart Failure in Patients with Chronic Kidney Disease: A Systematic Integrative Review

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    Liviu Segall

    2014-01-01

    Full Text Available Introduction. Heart failure (HF is highly prevalent in patients with chronic kidney disease (CKD and end-stage renal disease (ESRD and is strongly associated with mortality in these patients. However, the treatment of HF in this population is largely unclear. Study Design. We conducted a systematic integrative review of the literature to assess the current evidence of HF treatment in CKD patients, searching electronic databases in April 2014. Synthesis used narrative methods. Setting and Population. We focused on adults with a primary diagnosis of CKD and HF. Selection Criteria for Studies. We included studies of any design, quantitative or qualitative. Interventions. HF treatment was defined as any formal means taken to improve the symptoms of HF and/or the heart structure and function abnormalities. Outcomes. Measures of all kinds were considered of interest. Results. Of 1,439 results returned by database searches, 79 articles met inclusion criteria. A further 23 relevant articles were identified by hand searching. Conclusions. Control of fluid overload, the use of beta-blockers and angiotensin-converting enzyme inhibitors or angiotensin receptor blockers, and optimization of dialysis appear to be the most important methods to treat HF in CKD and ESRD patients. Aldosterone antagonists and digitalis glycosides may additionally be considered; however, their use is associated with significant risks. The role of anemia correction, control of CKD-mineral and bone disorder, and cardiac resynchronization therapy are also discussed.

  17. [Atrial fibrillation].

    Science.gov (United States)

    Spinar, J; Vítovec, J

    2003-09-01

    Atrial fibrilation is the most frequent arrhythmia, the occurrence increasing with age and associated diseases. The incidence at the age below 60 years is markedly lower than one per cent, whereas in persons above 80 years of age it exceeds six per cent. The occurrence in patients with heart failure is from 10% (NYHA II) up to 50% (NYHA IV). Atrial fibrillation is classified into that observed for the first time and permanent, respectively, while transient forms include paroxyzmal and persistent atrial fibrillation. The diagnosis is based on ECG recording, while echocardiography is most significant. The therapy includes two basic questions--anticoagulant or anti-aggregation treatment and the control of rhythm or frequency. The anticoagulant therapy should be introduced in all patients, where contraindications are not present, being necessary before every cardioversion, provided atrial fibrillation lasts more than two days. In patients without any heart disease and with a physiological echocardiogram it is possible to administer only anti-aggregation treatment. Cardioversion (the control of rhythm) is recommended to all symptomatic patients, in other cases and especially in older persons the control of frequency is safer and of more advantage. Electrical cardioversion is more effective that a pharmacological treatment, the sinus rhythm is preferably controlled by dofetilid, ibutilid, propafenon and amiodaron. For the control of heart rate beta-blockers, diltiazem, verapamil and digitalis are recommended.

  18. Drawing melodies: evaluation of chironomic singing synthesis.

    Science.gov (United States)

    d'Alessandro, Christophe; Feugère, Lionel; Le Beux, Sylvain; Perrotin, Olivier; Rilliard, Albert

    2014-06-01

    Cantor Digitalis, a real-time formant synthesizer controlled by a graphic tablet and a stylus, is used for assessment of melodic precision and accuracy in singing synthesis. Melodic accuracy and precision are measured in three experiments for groups of 20 and 28 subjects. The task of the subjects is to sing musical intervals and short melodies, at various tempi, using chironomy (hand-controlled singing), mute chironomy (without audio feedback), and their own voices. The results show the high accuracy and precision obtained by all the subjects for chironomic control of singing synthesis. Some subjects performed significantly better in chironomic singing compared to natural singing, although other subjects showed comparable proficiency. For the chironomic condition, mean note accuracy is less than 12 cents and mean interval accuracy is less than 25 cents for all the subjects. Comparing chironomy and mute chironomy shows that the skills used for writing and drawing are used for chironomic singing, but that the audio feedback helps in interval accuracy. Analysis of blind chironomy (without visual reference) indicates that a visual feedback helps greatly in both note and interval accuracy and precision. This study demonstrates the capabilities of chironomy as a precise and accurate mean for controlling singing synthesis.

  19. Light energy dissipation under water stress conditions

    International Nuclear Information System (INIS)

    Stuhlfauth, T.; Scheuermann, R.; Fock, H.P.

    1990-01-01

    Using 14 CO 2 gas exchange and metabolite analyses, stomatal as well as total internal CO 2 uptake and evolution were estimated. Pulse modulated fluorescence was measured during induction and steady state of photosynthesis. Leaf water potential of Digitalis lanata EHRH. plants decreased to -2.5 megapascals after withholding irrigation. By osmotic adjustment, leaves remained turgid and fully exposed to irradiance even at severe water stress. Due to the stress-induced reduction of stomatal conductance, the stomatal CO 2 exchange was drastically reduced, whereas the total CO 2 uptake and evolution were less affected. Stomatal closure induced an increase in the reassimilation of internally evolved CO 2 . This CO 2 -recycling consumes a significant amount of light energy in the form of ATP and reducing equivalents. As a consequence, the metabolic demand for light energy is only reduced by about 40%, whereas net photosynthesis is diminished by about 70% under severe stress conditions. By CO 2 recycling, carbon flux, enzymatic substrate turnover and consumption of light energy were maintained at high levels, which enabled the plant to recover rapidly after rewatering. In stressed D. lanata plants a variable fluorescence quenching mechanism, termed coefficient of actinic light quenching, was observed. Besides water conservation, light energy dissipation is essential and involves regulated metabolic variations

  20. Effects of Sacubitril/Valsartan in the PARADIGM-HF Trial (Prospective Comparison of ARNI with ACEI to Determine Impact on Global Mortality and Morbidity in Heart Failure) According to Background Therapy.

    Science.gov (United States)

    Okumura, Naoki; Jhund, Pardeep S; Gong, Jianjian; Lefkowitz, Martin P; Rizkala, Adel R; Rouleau, Jean L; Shi, Victor C; Swedberg, Karl; Zile, Michael R; Solomon, Scott D; Packer, Milton; McMurray, John J V

    2016-09-01

    In the PARADIGM-HF trial (Prospective Comparison of ARNI with ACEI to Determine Impact on Global Mortality and Morbidity in Heart Failure), the angiotensin receptor neprilysin inhibitor sacubitril/valsartan was more effective than the angiotensin-converting enzyme inhibitorenalapril in patients with heart failure and reduced ejection fraction. We examined whether this benefit was consistent irrespective of background therapy. We examined the effect of study treatment in the following subgroups: diuretics (yes/no), digitalis glycoside (yes/no), mineralocorticoid receptor antagonist (yes/no),and defibrillating device (implanted defibrillating device, yes/no). We also examined the effect of study drug according to β-blocker dose (≥50% and sacubitril/valsartan versus enalapril hazard ratio for the primary composite end point was 0.80 (95% confidence interval,0.73-0.87;Psacubitril/valsartan was consistent across all subgroups examined. The hazard ratio for primary end point ranged from 0.74 to 0.85 and for cardiovascular death rangedfrom 0.75 to 0.89, with no treatment-by-subgroup interaction. The benefit of sacubitril/valsartan, over an angiotensin-converting enzyme inhibitor, was consistent regardless of background therapy and irrespective of previouscoronary revascularization or β-blocker dose. URL: http://www.clinicaltrials.gov. Unique identifier: NCT01035255. © 2016 American Heart Association, Inc.

  1. Role of cardiac biomarkers (troponin I and CK-MB as predictors of quality of life and long-term outcome after cardiac surgery

    Directory of Open Access Journals (Sweden)

    Bignami Elena

    2009-01-01

    Full Text Available Perioperative and postoperative morbidity and mortality associated with cardiac surgery affect both the outcome and quality of life. Markers such as troponin effectively predict short-term outcome. In a prospective cohort study in a University Hospital we assessed the role of cardiac biomarkers, also as predictors of long-term outcome and life quality after cardiac surgery with a three-year follow-up after conventional heart surgery. Patients were interviewed via phone calls with a structured questionnaire examining general health, functional status, activities of daily living, perception of life quality and need for hospital readmission. Descriptive statistics and multivariate analysis were performed. Out of 252 consecutive patients, 8 (3.2% died at the three years follow up: 7 for cardiac complications and 1 for cancer. Thirty-six patients (13.5% had hospital readmission for cardiac causes (mostly for atrial fibrillation or other arrhythmias (9.3%, but none needed cardiac surgical reintervention; 21 patients (7.9% were hospitalised for non-cardiac causes. No limitation in function activities of daily living was reported by most patients (94%, 92% perceived their general health as excellent, very good or good and none considered it insufficient; 80% were NYHA I, 17% NYHA II, 3% NYHA III and none NYHA IV. Multivariate analysis indicated preoperative treatment with digitalis or nitrates, and postoperative cardiac biomarkers release was independently associated to death. Elevated cardiac biomarker release and length of hospital stay were the only postoperative independent predictors of death in this study.

  2. Arm exercise-thallium imaging testing for the detection of coronary artery disease

    International Nuclear Information System (INIS)

    Balady, G.J.; Weiner, D.A.; Rothendler, J.A.; Ryan, T.J.

    1987-01-01

    Patients with lower limb impairment are often unable to undergo a standard bicycle or treadmill test for the evaluation of coronary artery disease. To establish an alternative method of testing, 50 subjects (aged 56 +/- 10 years) performed arm ergometry testing in conjunction with myocardial thallium scintigraphy. All underwent coronary angiography; significant coronary artery disease (greater than or equal to 70% stenosis) in at least one vessel was present in 41 (82%) of the 50 patients. Thallium scintigraphy was found to have an 83% sensitivity and 78% specificity for detecting coronary disease, compared with a sensitivity and specificity of 54% (p less than 0.01) and 67% (p = NS), respectively, for exercise electrocardiography. In the subgroup of 23 patients who had no prior myocardial infarction or left bundle branch block and were not taking digitalis, thallium scintigraphy had a sensitivity of 80% versus 50% for exercise electrocardiography. Scintigraphy yielded a sensitivity of 84, 74 and 90% for one, two and three vessel disease, respectively. Noninvasive arm ergometry exercise-thallium imaging testing appears to be reliable and useful and should be considered in the evaluation of coronary artery disease in patients with lower limb impairment

  3. Pre-excitation pattern associated with accessory pathway related tachycardia: Case report

    Directory of Open Access Journals (Sweden)

    Burazor Mirko

    2010-01-01

    Full Text Available Introduction. Pre-excitation is based on an accessory conduction pathway between the atrium and ventricle. The term Wolff- Parkinson-White (WPW syndrome is used for patients with the pre-excitation/WPW pattern associated with AP-related tachycardia. Case Outline. We present a 52-year-old man with severe palpitation, fatigue, lightheadedness and difficulty breathing. The initial ECG showed tachyarrhythmia with heart rate between 240 and 300/min. He was treated with antiarrhythmics (Digitalis, Verapamil, Lidocaine with no response. Then, the patient was treated with electrical cardioversion and was referred to our Clinic for further evaluation with the diagnosis: “Ventricular tachycardia”. During in-hospital stay, the previously undiagnosed WPW pattern had been seen. Additional diagnostic tests confirmed permanent pre-excitacion pattern (ECG Holter recording, exercises test. The patient was referred to an electrophysiologist for further evaluation. Mapping techniques provided an accurate assessment of the position of the accessory pathway which was left lateral. The elimination of the accessory pathway by radiofrequent catheter ablation is highly effective in termination and elimination of tacchyarrhythmias. Conclusion. Symptomatic, life-threatening arrhythmia, first considered as ventricular tachycardia, reflected atrial fibrillation with ventricular pre-excitation over an accessory pathway in a patient with previously undiagnosed WPW syndrome.

  4. Traditional production, consumption and storage of Kunu--a non alcoholic cereal beverage.

    Science.gov (United States)

    Gaffa, T; Jideani, I A; Nkama, I

    2002-01-01

    A survey of the production, consumption and storage of Kunu was carried out. Some of the information included consumption rate, processing techniques and equipment, producer's status and grains used. About 73% consume Kunu daily, 26% occasionally; 1% know it is produced but may or may not be consuming it. Millet (Pennisetum typhoideum), sorghum (Sorghum vulgare), maize (Zea mays), rice (Oryza sativa) and acha (Digitalis exilis) were used in its production in decreasing order of preference. The grains were used singly or combined; sorghum/millet was the most common combination in a ratio of 1:2 (w/w). Steeping was done in ordinary water for 12-72 h, depending on the grain type, in local clay pots, plastic buckets, calabashes or basins or 5-7 h in warm water (60-70 degrees C). The grains were dry or wet milled with or without spices such as ginger, red pepper, black pepper, clove and garlic. Other ingredients introduced included: sweet potatoes, malted rice, malted sorghum and Cadaba farinosa crude extract. Both dry and wet milling was done with grinding mills, mill stones or mortar and pestle, depending on locality. The product was then cooked into a thin free flowing gruel. The various types of kunu were: Kunun zaki, Kunun gyada, Kunun akamu, Kunun tsamiya, Kunun baule, Kunun jiko, Amshau and Kunun gayamba. Kunun zaki was the most commonly consumed. Production and consumption cut across all social classes of the society.

  5. Frequency of orthopedic diseases in horses: A retrospective study

    Directory of Open Access Journals (Sweden)

    Kovač Milomir

    2002-01-01

    Full Text Available This retrospective study determined the frequency of orthopedic diseases in horses. It was possible to establish 141 specific orthopedic diagnoses in 1955 horses with lameness. In 14.58 % horses, multiple pathologic orthopedic changes were determined. In 61.84 % cases, the pathologic changes were present on the thoracic limb, 28,86 % on the pelvic limb and other parts of the oganism (neck, spine, muscles in 9.29 % cases. Pathologic changes on the tendons, ligaments, tendon sheats, bursae and muscles were determined in 31.51 % cases. Diseases of the hoof were present in 25.82 % cases. According to our investigation the most frequent orthopedic diseases are: podarthritis (acute, chronic, septic (5.04 %, navicular disease (4.69 %, tendinitis m. flexor digitalis superfacialis (4.51 %, kissing spine syndrom (4.30 % periarthritis et osteoarthrosis tarsi (3.30 %, distal metacarpal/metatarzophalengeal tendovaginitis (3.30 % and high suspensory ligament desmitis (3.12 %. Most frequent fractures were diagnosed on the metacarpal/metatarsal bone II and IV (2.56 %. Osteochondrossis dissecans was most frequently determined in the tarsocrural (1.26 % and the metacarpophalengeal joint (1.56 %.

  6. WiFiabe: un’esperienza di storytelling dal territorio al web 2.0

    Directory of Open Access Journals (Sweden)

    Marco Carnesecchi

    2013-03-01

    Full Text Available L’impatto iniziale di WiRoni sulla popolazione di Monteroni d’Arbia (Siena è stato limitato alla fruizione dei contenuti caricati dal team di design, in particolare le storie per i bambini. Mancavano infatti brani audio prodotti dalla comunità locale. In realtà, però, la competenza tecnica necessaria a trasmettere i contenuti nel parco e in rete è minima (upload da CMS wordpress e anche le tecnologie per registrare e arricchire l’audio con effetti sonori sono alla portata di tutti, se opportunamente guidati da esperti. Da queste osservazioni è nato il progetto WiFiabe. Nel corso dell’anno scolastico 2010/2011 20 bambini tra 6 e 13 anni, coordinati da un’educatrice durante l’attività di doposcuola del Comune, hanno lavorato in gruppi e creato storie di fantasia. In seguito, alcuni studenti dell’Università di Siena, con l’aiuto di un musicista per la parte degli effetti sonori, hanno assistito i ragazzi nel diventare autori digitali e apprendere in prima persona come trasformare le loro storie in contenuti audio. In questo modo i partecipanti hanno interagito con il web non in quanto fruitori ma come autori, e messo in moto un processo per rendere WiRoni uno strumento per dare voce alle varie anime della comunità.

  7. Separation of digoxin by luiquid-luiquid extraction from extracts of foxglove secondary glycosides

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    Novković Vesna V.

    2014-01-01

    Full Text Available The present study deals with the extraction of digoxin (Dgx from chloroform and trichloroethylene extracts of the secondary glycosides of fermented foxglove (Digitalis lanata Ehrh. foliage by liquid-liquid extraction. The extraction degree (ED of Dgx achieved by maceration and percolation using 10% vol. aqueous ethanol solutions were higher than 95%. Using trichlorethylene and chloroform, the ED of Dgx of about 100% and 96%, respectively from the liquid ethanolic extracts (macerate or percolate were achieved by the four-cycle extraction. Fifteen separating funnels were employed for the liquid-liquid extraction. Three different four-component two-phase systems (ethanol:water - chloroform:ethyl acetate, ethanol:water - chloroform:trichloroethylene and ethanol:water - trichloroethylene:ethyl acetate were tested as an extracting solvent to get the final product having more than 98% of Dgx. The initial amount of the chloroform or trichloroethylene extract in the light phase was varied between 5 and 25 g/L, while the volume ratio of light and heavy phases was in the range of 1:1 to 1:2. The best Dgx yield of 98% was achieved with the system ethanol:water - chloroform:trichloroethylene 35:15:20:30 at the volume ratio of the phases of 1:1.1 and at the initial amount of the extract of 15 g/L. Purity of the separated digoxin was 99.8 %. [Projekat Ministarstva nauke Republike Srbije, br. TR-34012

  8. Breaking Bad: Intertextuality, Intermediality and Crossmediality, and the Taste of Unpredictability

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    Nicola M. Dusi

    2016-07-01

    Full Text Available Breaking Bad è una serie per molti aspetti indecidibile nel genere, che presenta un’intertestualità aperta e cangiante, tra serialità televisiva e cinema d’autore (ad esempio tra western e poliziesco, e si apre all’innovazione intermediale, data non solo dall’ibridazione dei generi e della fiction seriale con il cinema, ma dai modi metadiscorsivi (o 'metacinematografici' e da soluzioni che lavorano sui bordi dei media e sulla loro porosità grazie alle nuove tecnologie digitali. Passando attraverso esempi di modi traduttivi e reinterpretativi, intertestuali e intermediali, transmediali e crossmediali, cercherò di analizzare alcuni meccanismi di funzionamento degli attuali ecosistemi mediali seriali in Breaking Bad. Ad esempio nelle citazioni dirette e indirette, nelle aperture intertestuali e intermediali, ma anche nei teaser e nei recaps, nei webisode e nelle proliferazioni crossmediali delle pratiche dei remixer, distinguendo tra ripetizione e innovazione, tra modi centripeti e centrifughi dello storytelling e, per i remix, tra modi della selezione e modi della collezione.

  9. The role of endogenous cardiotonic steroids in pathogenesis of cardiovascular and renal complications of arterial hypertension

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    Aneta Paczula

    2016-03-01

    Full Text Available Endogenous cardiotonic steroids (CTS, also called digitalis-like factors, are a group of steroid hormones linking high salt intake and elevated blood pressure and in part responsible for target organ damage in arterial hypertension. CTS act primarily through their ability to inhibit the ubiquitous transport enzyme sodium-potassium adenosine triphosphatase (Na+/K+-ATPase. A portion of Na+/K+-ATPase does not seem to actively “pump” sodium and potassium but is closely associated with other key signaling proteins. Plasma concentration and urine excretion of CTS are increased in experimental models with volume expansion and on a high salt diet. Elevated plasma concentration of marinobufagenin has been shown in volume-expanded states such as essential hypertension, primary aldosteronism, chronic renal failure, congestive heart failure and pregnancy. In experimental models marinobufagenin induces heart and kidney fibrosis to the same extent as observed in uremia. Neutralization of marinobufagenin with antibodies prevents such heart remodeling. Expanding our understanding of this new class of hormones may lead to development of novel and effective therapeutic strategies in hypertensive patients with renal and cardiovascular complications.

  10. Medicinal importance, pharmacological activities, and analytical aspects of aloin: A concise report

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    Kanika Patel

    2013-01-01

    Full Text Available Natural products such as pure phytoconstituents and plant extracts offer limitless opportunities for the new drug development due to its unmatched chemical diversity. Plants play an important role in the medicinal preparations for both preventive and curative purpose. Some of the currently available drugs i.e. aspirin, digitalis, anti-malarial (quinine and anti-cancer (vincristine, vinblastine were derived from the plant sources. Aloin (C21H22O9, a yellow colour compound is a mixture of two diastereoisomers, aloin A and aloin B. Aloin is an anthrone C-glucoside having molecular weight 418, and it is the main phytoconstituents of aloes. Aloin is used for various pharmacological purposes such as laxative agent. It is also used as ingredients of various laxative pharmaceutical preparations. So far, varieties of analytical methods have been developed for the estimation of aloin in aloes product, which are mainly based on HPLC and TLC techniques. In the present review, pharmacological activities and analytical aspects of aloin were highlighted along with some useful tissue culture techniques. This review could be helpful to the researcher for the investigation of new molecule from aloin in the future.

  11. The Toxiscape Hunt: An Escape Room-Scavenger Hunt for Toxicology Education

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    Megan Boysen-Osborn

    2018-01-01

    Full Text Available Audience: This scavenger hunt/escape room is a didactic activity for emergency medicine residents or fourth-year medical students rotating in emergency medicine. Introduction: Between 2008-2011, 1.1 million patients presented to U.S. emergency departments each year for poisonings,1 including acute ingestions, envenomations, occupational exposures, and overdoses. Toxicologic exposures are considered part of the core curriculum for emergency medicine (EM residents, who must understand the presentation and treatment of such patients.2 Educating residents in a unique, engaging format such as an “escape room” activity provides an alternative to the didactic format of teaching this material, which may build medical knowledge and team rapport amongst residents.3 Objectives: By the end of the activity, learners should be able to: Calculate an anion and osmolal gap. Recognize poisonings amenable to hemodialysis. Interpret EKG changes related to a variety of ingestions, including beta-blockers and calcium channel blockers, digitalis, and tricyclic antidepressants. Recognize poisonous plants and their clinical toxidromes. Calculate loading dose of N-acetylcysteine as antidote for acute acetaminophen ingestion. Collaborate as a team to arrive at solutions of problems. Recognize poisons that have available antidotes Know the clinical effect of various types of snake envenomations. Recognize the toxicity associated with at least four household chemicals. Know the antidotes for six common poisonings. Methods: This didactic exercise is a small group activity, utilizing puzzles to apply toxicology knowledge.

  12. Comparative Statistical Mechanics of Muscle and Non-Muscle Contractile Systems: Stationary States of Near-Equilibrium Systems in A Linear Regime

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    Yves Lecarpentier

    2017-10-01

    Full Text Available A. Huxley’s equations were used to determine the mechanical properties of muscle myosin II (MII at the molecular level, as well as the probability of the occurrence of the different stages in the actin–myosin cycle. It was then possible to use the formalism of statistical mechanics with the grand canonical ensemble to calculate numerous thermodynamic parameters such as entropy, internal energy, affinity, thermodynamic flow, thermodynamic force, and entropy production rate. This allows us to compare the thermodynamic parameters of a non-muscle contractile system, such as the normal human placenta, with those of different striated skeletal muscles (soleus and extensor digitalis longus as well as the heart muscle and smooth muscles (trachea and uterus in the rat. In the human placental tissues, it was observed that the kinetics of the actin–myosin crossbridges were considerably slow compared with those of smooth and striated muscular systems. The entropy production rate was also particularly low in the human placental tissues, as compared with that observed in smooth and striated muscular systems. This is partly due to the low thermodynamic flow found in the human placental tissues. However, the unitary force of non-muscle myosin (NMII generated by each crossbridge cycle in the myofibroblasts of the human placental tissues was similar in magnitude to that of MII in the myocytes of both smooth and striated muscle cells. Statistical mechanics represents a powerful tool for studying the thermodynamics of all contractile muscle and non-muscle systems.

  13. The neuropsychiatric ailment of Vincent Van Gogh

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    Kalyan B Bhattacharyya

    2015-01-01

    Full Text Available Vincent Van Gogh is one of the most celebrated creative artists of all time. All his life, he was afflicted by some kind of neurological or psychiatric disorder, which remains a mystery even today. Many historians and his personal physicians believe that he suffered from epilepsy while others felt that he was affected by Ménière′s disease. Features such as hypergraphia, atypical sexuality, and viscosity of thinking suggest the possibility of Gastaut-Geschwind phenomenon, a known complication of complex partial seizure. On the contrary, some historians feel that he was forced to sever his right ear in order to get relief from troublesome tinnitus, a complication of Ménière′s disease. He was addicted to the liquor absinthe, which is known to lead to xanthopsia, and many authorities argue that this was the reason for his penchant for the deep and bright yellow color in many of his paintings. Others have suggested the possibility of bipolar disorder, sunstroke, acute intermittent porphyria, and digitalis toxicity as well.

  14. PREVALENCE OF CHRONIC DISEASES IN INDIVIDUALS ASSISTED BY THE FAMILY HEALTH PROGRAM IN NITEROI, BRAZIL: EVALUATION OF SELECTION BIAS AND PROTOCOL

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    Rosa Maria Luiza G, Mesquita Evandro T, Jorge Antonio José L, Correia Dayse MS, Lugon Josemir R, Kang HC, Yokoo EM, Wahrlich V

    2015-07-01

    Full Text Available Background: The strategy of the Family Health Program has been used as an alternative scenario for prevalence studies. This study intended to present the protocol of the Digitalis Study (DS, prevalence study of chronic diseases, to assess sources of possible selection bias and estimate their impact on the prevalence of self-reported hypertension, diabetes, and myocardial infarction. Methods: Randomization was performed between 38 160 registered individuals with 45 to 99 years by the Family Health Program .Differences between the sources of selection bias (non-acceptance, non-attendance, substitutions were observed for gender and age. Results: Of the 1,190 residents contacted, 67.1% agreed to participate. There were 144 residents who were not randomly selected but whose participation was confirmed (substitutes. Women and individuals in the intermediate age groups and the prevalence of hypertension were higher among substitutes compared with the randomly selected individuals. Conclusion: The approach of the DS was adequate for the purposes of estimating prevalences, but there was a significant percentage of non-participation. The randomization strategy did not assume outdated records; alternative schedules for visits were not provided for; follow-up at the invitation stage was not sufficient to prevent substitutions and the inclusion of substitutes with a higher prevalence of hypertension.

  15. Medicinal importance, pharmacological activities, and analytical aspects of hispidulin: A concise report

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    Kanika Patel

    2017-07-01

    Full Text Available Herbal medicines have been played an important role in the human civilization since very ancient time as a food, cloth, medicine and other aspects. Some of the important drugs in the modern medicine were derived from the natural sources such as aspirin, digitalis, quinine, vincristine, vinblastine etc. Hispidulin (4′, 5, 7-trihydroxy-6-methoxyflavone is a flavones derivative found in plant such as Grindelia argentina, Arrabidaea chica, Saussurea involucrate, Crossostephium chinense, Artemisia and Salvia species. Hispidulin have antioxidant, antifungal, anti-inflammatory, antimutagenic, and antineoplastic properties. So far, various analytical methods have been investigated and developed for detection of hispidulin in the plant materials. Productions of hispidulin through different tissue culture techniques have been also investigated. Present review summarized medicinal uses, pharmacological activities and analytical aspects of hispidulin. From the above mentioned aspects, we can conclude that, this review will be helpful to the researcher in the field of natural product for the development of novel molecule for the treatment of different disorders.

  16. Light energy dissipation under water stress conditions

    Energy Technology Data Exchange (ETDEWEB)

    Stuhlfauth, T.; Scheuermann, R.; Fock, H.P. (Universitaet Kaiserslautern (West Germany))

    1990-04-01

    Using {sup 14}CO{sub 2} gas exchange and metabolite analyses, stomatal as well as total internal CO{sub 2} uptake and evolution were estimated. Pulse modulated fluorescence was measured during induction and steady state of photosynthesis. Leaf water potential of Digitalis lanata EHRH. plants decreased to {minus}2.5 megapascals after withholding irrigation. By osmotic adjustment, leaves remained turgid and fully exposed to irradiance even at severe water stress. Due to the stress-induced reduction of stomatal conductance, the stomatal CO{sub 2} exchange was drastically reduced, whereas the total CO{sub 2} uptake and evolution were less affected. Stomatal closure induced an increase in the reassimilation of internally evolved CO{sub 2}. This CO{sub 2}-recycling consumes a significant amount of light energy in the form of ATP and reducing equivalents. As a consequence, the metabolic demand for light energy is only reduced by about 40%, whereas net photosynthesis is diminished by about 70% under severe stress conditions. By CO{sub 2} recycling, carbon flux, enzymatic substrate turnover and consumption of light energy were maintained at high levels, which enabled the plant to recover rapidly after rewatering. In stressed D. lanata plants a variable fluorescence quenching mechanism, termed coefficient of actinic light quenching, was observed. Besides water conservation, light energy dissipation is essential and involves regulated metabolic variations.

  17. Therapeutic drug monitoring of digoxin in cardiac heart failure outpatients: comparisons of two analytical methods

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    Isabel Cristina Medeiros Barros

    2014-01-01

    Full Text Available Objective: To compare two analytical techniques used in the determination of plasma digoxin (LC-MS/MS and immunoassay and to verify which one better answer the need of the clinical monitoring routine of patients with cardiac heart failure. Method: The clinical findings in 15 cardiac heart failure (CHF outpatients of the Cardiac Heart Service of the Goias Federal University Clinical Hospital were investigated. Blood samples of the patients were collected and analysed by Immunoassay and by Liquid Chromatography coupled to Mass Spectrometry (LC-MS/MS. Results: The results of the statistic test (Student p = 0,05 showed a significant difference between the analytical methods: immunoassay concentrations were higher than the concentrations determined by LCMS/ MS. The explanation may be because immunoassay method measures digoxin plus other metabolites and endogenous substances, while the LC-MS/MS method measures only the digoxin molecule. None of the patients, showed relevant clinical data suggestive of digitalis intoxication, even several drugs with potential interaction were associated with treatment. Conclusion: It was concluded, therefore, that LC-MS/MS me thod is safer, more selective and specific than immunoassay, being an option for therapeutic drug monitoring of digoxin, since the reference values would be obtain for digoxinemia by LC-MS/MS.

  18. ICT integration in bilingual education: perspectives of teacher education

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    Jesús GARCÍA LABORDA

    2011-12-01

    Full Text Available Normal 0 21 false false false ES X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Calibri","sans-serif"; mso-bidi-font-family:"Times New Roman";} There are numerous studies that show that the experiences as students or even personal experiences are, somehow, the main factor that bias the teacher’s performance in the classroom. That's why, the value of the attitudes of the teachers in training determines their own teaching career in the first years. In a time in which the term “ native digitalis ” is being replaced by“ digital user ” we can wonder what is the presence is of the technology in the bilingual classroom. This paper shows a study done in the university of Alcala through a questionnaire on the attitudes on the use of digital technology of future teachers for bilingual schools.

  19. Quantification of caffeic acid content in 4 species of mullein (Verbascum sp. ecotypes from southwest Iran

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    F. Jamshidi kia

    2017-11-01

    Full Text Available Background and objectives: The Verbascum genus is the largest genus of Scrophulariaceae family which has extensive natural habitat in southwest of Iran. Phenolic acids are one of the most important chemical compounds that have different biological activities including anti-inflammatory, antibacterial, antiviral, anti-tumor and antioxidant. Therefore, this study was conducted with the aim of caffeic acid quantification of 4 species of Verbascum sp. ecotypes from southwest Iran. Methods: Nine ecotypes of the 4 species (V. macrophyllus, V. pseudo- digitalis, V. sinatum, V. songaricum were collected from the southwest of Iran. Quantification of caffeic acid contentusing reversed-phase high-performance liquid chromatography (RP-HPLC with UV PDA 2800 detector, a C18 column with dimensions of 250×4.6 mm was performed. Results: The results showed that Verbascum sp. contained caffeic acid compound and there was a difference among species and ecotypes. The results showed the highest and lowest content of caffeic acid obtained from the V. sinatum species and ecotype Sepidan (7.76 μg/mg extract and V. songaricum species and ecotype Farokhshahr (0.54 μg/mg extract, respectively. Conclusion: The results revealed a high level of variation in caffeic acid among Verbascum sp. which was affected by habitat and climatic. The pattern of habitats of suitable ecotypes superior in terms of composition to should be selected and used for breeding and cropping mullein.

  20. Efficacy of trimetazidine combining with metoprolol on plasma BNP in coronary heart disease patients with heart failure

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    Ping Li

    2016-01-01

    Full Text Available Objective: To explore the effect of combined application of trimetazidine and metoprolol on plasma BNP in coronary heart disease patients with heart failure and the clinical efficacy. Methods: A total of 140 cases of coronary heart disease patients with heart failure treated in Cardiology Department of our hospital from May 2012 to January 2015 were selected and divided into study group and control group by random number table method. The control group received digitalis, diuretics, ACEI (angiotensin-converting enzyme inhibitor and other conventional drugs for treatment, the study group received combined use of trimetazidine and metoprolol on the basis of routine treatment of the control group, and treatment duration was 12 weeks. Then plasma BNP, systolic blood pressure, heart rate, left ventricular end diastolic diameter (LVEDD, left ventricular end systolic end (LVESD and left ventricular ejection fraction (LVEF of two groups before and after treatment were statistically analyzed, and the overall effect was evaluated. Results: Before treatment, there were no significant differences in plasma BNP, blood pressure, heart rate, LVEDD, LVESD and LVEF between the two groups; after treatment, plasma BNP, blood pressure, heart rate, LVEDD and LVESD of both groups decreased and LVEF increased, but the changes in study group were better than those in control group. Conclusion: Trimetazidine combined with metoprolol has better application effect in plasma BNP decrease and heart function improvement in coronary heart disease patients with heart failure.

  1. Hypertensive effects of the iv administration of picomoles of ouabain

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    A.S. Padilha

    2011-09-01

    Full Text Available Ouabain, an endogenous digitalis compound, has been detected in nanomolar concentrations in the plasma of several mammals and is associated with the development of hypertension. In addition, plasma ouabain is increased in several hypertension models, and the acute or chronic administration of ouabain increases blood pressure in rodents. These results suggest a possible association between ouabain and the genesis or development and maintenance of arterial hypertension. One explanation for this association is that ouabain binds to the α-subunit of the Na+ pump, inhibiting its activity. Inhibition of this pump increases intracellular Na+, which reduces the activity of the sarcolemmal Na+/Ca2+ exchanger and thereby reduces Ca2+ extrusion. Consequently, intracellular Ca2+ increases and is taken up by the sarcoplasmic reticulum, which, upon activation, releases more calcium and increases the vascular smooth muscle tone. In fact, acute treatment with ouabain enhances the vascular reactivity to vasopressor agents, increases the release of norepinephrine from the perivascular adrenergic nerve endings and promotes increases in the activity of endothelial angiotensin-converting enzyme and the local synthesis of angiotensin II in the tail vascular bed. Additionally, the hypertension induced by ouabain has been associated with central mechanisms that increase sympathetic tone, subsequent to the activation of the cerebral renin-angiotensin system. Thus, the association with peripheral mechanisms and central mechanisms, mainly involving the renin-angiotensin system, may contribute to the acute effects of ouabain-induced elevation of arterial blood pressure.

  2. Drug interactions in hospitalized elderly patients

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    Juliana Locatelli

    2007-12-01

    Full Text Available Objective: To assess the prevalence of drug interactions in elderlyinpatients and to describe the most prevalent interactions. Methods:A retrospective study was conducted in 155 elderly inpatients enrolledin the Clinical Pharmacy program at the elderly-care unit of theHospital Israelita Albert Einstein from January 2006 to January 2007.Interactions were classified according to severity using Micromedex®.Results: A total of 705 potential drug interactions were found, withapproximately 4 interactions per patient. According to severity, 201(28% were major severities and 504 (72% were of moderate severity.Among these 705 interactions, 444 were selected according to theirresulting effect including 161 (36% had increased risk of bleeding, 78(18% hypoglycemia or hyperglycemia, 50 (11% cardiotoxicity, 46(10% digitalis toxicity, 40 (9% phenytoin toxicity, 31 (7% additiverespiratory depression, 20 (5% hyperkalemia, 18 (4% decreasedlevothyroxine absorption. Conclusion: The high drug interactionrate found in this study shows the relevance of this issue amongelderly inpatients and the need to assess and monitor drug therapyin the elderly to prevent and reduce consequences of potential druginteraction effects.

  3. PREDICTIVE FACTORS FOR THE PROGRESSION OF CHRONIC CHAGAS CARDIOMYOPATHY IN PATIENTS WITHOUT LEFT VENTRICULAR DYSFUNCTION

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    Silvana de Araújo SILVA

    2015-04-01

    Full Text Available The identification of predictors for the progression of chronic Chagas cardiomyopathy (CCC is essential to ensure adequate patient management. This study looked into a non-concurrent cohort of 165 CCC patients between 1985 and 2010 for independent predictors for CCC progression. The outcomes were worsening of the CCC scores and the onset of left ventricular dysfunction assessed by means of echo-Doppler cardiography. Patients were analyzed for social, demographic, epidemiologic, clinical and workup-related variables. A descriptive analysis was conducted, followed by survival curves based on univariate (Kaplan-Meier and Cox’s univariate model and multivariate (Cox regression model analysis. Patients were followed from two to 20 years (mean: 8.2. Their mean age was 44.8 years (20-77. Comparing both iterations of the study, in the second there was a statistically significant increase in the PR interval and in the QRS duration, despite a reduction in heart rates (Wilcoxon < 0.01. The predictors for CCC progression in the final regression model were male gender (HR = 2.81, Holter monitoring showing pauses equal to or greater than two seconds (HR = 3.02 increased cardiothoracic ratio (HR = 7.87 and time of use of digitalis (HR = 1.41. Patients with multiple predictive factors require stricter follow-up and treatment.

  4. Current concepts on ventricular fibrillation: A Vicious Circle of Cardiomyocyte Calcium Overload in the Initiation, Maintenance, and Termination of Ventricular Fibrillation

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    Christian E. Zaugg

    2004-04-01

    Full Text Available Based on recent experimental studies, this review article introduces the novel concept that cardiomyocyte Ca2+ and ventricular fibrillation (VF are mutually related, forming a self-maintaining vicious circle in the initiation, maintenance, and termination of VF. On the one hand, elevated myocyte Ca2+ can cause delayed afterdepolarizations, triggered activity, and consequently life-threatening ventricular tachyarrhythmias in various pathological conditions such as digitalis toxicity, myocardial ischemia, or heart failure. On the other hand, VF itself directly and rapidly causes progressive myocyte Ca2+ overload that maintains VF and renders termination of VF increasingly difficult. Accordingly, energy levels for successful electrical defibrillation (defibrillation thresholds increase as both VF and Ca2+ overload progress. Furthermore, VF-induced myocyte Ca2+ overload can promote re-induction of VF after defibrillation and/or postfibrillatory myocardial dysfunction (postresuscitation stunning due to reduced myofilament Ca2+ responsiveness. The probability of these adverse events is best reduced by early detection and rapid termination of VF to prevent or limit Ca2+ overload. Early additional therapy targeting transsarcolemmal Ca2+ entry, particularly during the first 2 min of VF, may partially prevent myocyte Ca2+ overload and thus, increase the likelihood of successful defibrillation as well as prevent postfibrillatory myocardial dysfunction.

  5. Study of digoxin use in a public health unit

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    Felipe C. Souza

    2015-06-01

    Full Text Available Digoxin is used for heart failure associated to systolic dysfunction and high ventricular rate. It has a narrow therapeutic range and intoxication may occur due to drug interactions or comorbidities. The aim of this work was to study digoxin use in a public health unit delineating the profile of patients susceptible to digitalis intoxication. Medical records belonging to patients admitted to the cardiomyopathy ward of the health unit (2009-2010 and in use of digoxin were analyzed. Among 647 patients admitted, 185 individuals using digoxin and possessed records available. The registration of plasma digoxin concentration was found in 80 records and it was out of the therapeutic range in 42 patients (52.5%. This group of individuals was constituted mainly by males patients (79%, functional class III of heart failure (65%, exhibiting renal failure (33%. The evaluated sample reflects the epidemiology of heart failure in Brazil and, although pharmacotherapy had been according to Brazilian Guidelines, apparently the monitoring was not performed as recommended. This work highlighs the necessity of plasma digoxin constant monitoring during pharmacotherapy and the development of protocols that enable a safer use, especially in male patients, functional class III and with renal dysfunction.

  6. An Outbreak of Foxglove Leaf Poisoning

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    Chun-Chi Lin

    2010-02-01

    Full Text Available Comfrey (Symphytum officinale leaves resemble those of foxglove (Digitalis purpurea when the plant is not in bloom and, therefore, cardiac glycoside poisoning may occur when people confuse foxglove with comfrey. We report an outbreak of foxglove leaf poisoning following the use of alleged “comfrey” herbal tea. Nine patients were involved and initially presented with nausea, vomiting, diarrhea and dizziness. Significant cardiotoxicity developed later among the 3 patients who also had mild hyperkalemia. Peak serum digoxin concentration measured by immunoassay was elevated in all patients and ranged from 4.4 ng/mL to 139.5 ng/mL. Patients with severe cardiotoxicity were treated with temporary cardiac pacing. Moreover, 40–80 mg of digoxin-specific antibody therapy was given without any effect. All patients recovered uneventfully. Our report highlights the potential risk of misidentification of herbs; in this case, D. purpurea was mistaken for S. officinale. Physicians should be aware that cardiac glycoside poisoning could arise from such misidentification. Public education about the toxicity of D. purpurea poisoning may reduce the risk of misidentification and subsequent poisoning.

  7. Plant-derived cardiac glycosides: Role in heart ailments and cancer management.

    Science.gov (United States)

    Patel, Seema

    2016-12-01

    Cardiac glycosides, the cardiotonic steroids such as digitalis have been in use as heart ailment remedy since ages. They manipulate the renin-angiotensin axis to improve cardiac output. However; their safety and efficacy have come under scrutiny in recent times, as poisoning and accidental mortalities have been observed. In order to better understand and exploit them as cardiac ionotropes, studies are being pursued using different cardiac glycosides such as digitoxin, digoxin, ouabain, oleandrin etc. Several cardiac glycosides as peruvoside have shown promise in cancer control, especially ovary cancer and leukemia. Functional variability of these glycosides has revealed that not all cardiac glycosides are alike. Apart from their specific affinity to sodium-potassium ATPase, their therapeutic dosage and behavior in poly-morbidity conditions needs to be considered. This review presents a concise account of the key findings in recent years with adequate elaboration of the mechanisms. This compilation is expected to contribute towards management of cardiac, cancer, even viral ailments. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  8. Pharmacokinetic/pharmacodynamic modeling of cardiac toxicity in human acute overdoses: utility and limitations.

    Science.gov (United States)

    Mégarbane, Bruno; Aslani, Arsia Amir; Deye, Nicolas; Baud, Frédéric J

    2008-05-01

    Hypotension, cardiac failure, QT interval prolongation, dysrhythmias, and conduction disturbances are common complications of overdoses with cardiotoxicants. Pharmacokinetic/pharmacodynamic (PK/PD) relationships are useful to assess diagnosis, prognosis, and treatment efficacy in acute poisonings. To review the utility and limits of PK/PD studies of cardiac toxicity. Discussion of various models, mainly those obtained in digitalis, cyanide, venlafaxine and citalopram poisonings. A sigmoidal E(max) model appears adequate to represent the PK/PD relationships in cardiotoxic poisonings. PK/PD correlations investigate the discrepancies between the time course of the effect magnitude and its evolving concentrations. They may help in understanding the mechanisms of occurrence as well as disappearance of a cardiotoxic effect. When data are sparse, population-based PK/PD modeling using computer-intensive algorithms is helpful to estimate population mean values of PK parameters as well as their individual variability. Further PK/PD studies are needed in medical toxicology to allow understanding of the meaning of blood toxicant concentration in acute poisonings and thus improve management.

  9. [Cases of acute poisoning admitted to a medical intensive care unit].

    Science.gov (United States)

    Viertel, A; Weidmann, E; Brodt, H R

    2001-10-19

    Because of the paucity of information on the epidemiology of acute poisoning requiring intensive medical care, all such patients treated on the medical intensive care unit of the university hospital in Frankfurt am Main, Germany, between January 1993 and December 1999, were retrospectively evaluated. Of the total of 6211 patients, 147 (80 women, 67 men, mean age 41 years, 2,3 %) were treated for acute intoxication in the intensive care unit. Reasons for admission to the intensive care unit were the need for ventilator treatment or intensive monitoring of vital functions. 52 % of the patients (n = 76) had attempted suicide, most of them using anti-depressive drugs (n = 19), paracetamol (n = 16), or benzodiazepines (n = 9). Two patients (2,6 %) died. 48 % of the patients (n = 71) were admitted because of accidental poisoning. Leading toxic agents in this group were heroin (n = 19), alcohol (n = 18) and digitalis (n = 12). 11 patients had taken herbicides, animal poisons or chemicals used at work or for house cleaning. In this cohort, three i. v. drug abusers (4,2 %) had died. Depending on the agents used, a variety of treatments (charcoal, antidots, extracorporal therapy) were undertaken. Due to excellent care in the prehospital phase and in the emergency room the number of patients requiring treatment on the intensive care unit was rather low. The mortality was in the range of other reports.

  10. Complete atrioventricular canal.

    Science.gov (United States)

    Calabrò, Raffaele; Limongelli, Giuseppe

    2006-04-05

    Complete atrioventricular canal (CAVC), also referred to as complete atrioventricular septal defect, is characterised by an ostium primum atrial septal defect, a common atrioventricular valve and a variable deficiency of the ventricular septum inflow. CAVC is an uncommon congenital heart disease, accounting for about 3% of cardiac malformations. Atrioventricular canal occurs in two out of every 10,000 live births. Both sexes are equally affected and a striking association with Down syndrome was found. Depending on the morphology of the superior leaflet of the common atrioventricular valve, 3 types of CAVC have been delineated (type A, B and C, according to Rastelli's classification). CAVC results in a significant interatrial and interventricular systemic-to-pulmonary shunt, thus inducing right ventricular pressure and volume overload and pulmonary hypertension. It becomes symptomatic in infancy due to congestive heart failure and failure to thrive. Diagnosis of CAVC might be suspected from electrocardiographic and chest X-ray findings. Echocardiography confirms it and gives anatomical details. Over time, pulmonary hypertension becomes irreversible, thus precluding the surgical therapy. This is the reason why cardiac catheterisation is not mandatory in infants (less than 6 months) but is indicated in older patients if irreversible pulmonary hypertension is suspected. Medical treatment (digitalis, diuretics, vasodilators) plays a role only as a bridge toward surgery, usually performed between the 3rd and 6th month of life.

  11. Complete atrioventricular canal

    Directory of Open Access Journals (Sweden)

    Limongelli Giuseppe

    2006-04-01

    Full Text Available Abstract Complete atrioventricular canal (CAVC, also referred to as complete atrioventricular septal defect, is characterised by an ostium primum atrial septal defect, a common atrioventricular valve and a variable deficiency of the ventricular septum inflow. CAVC is an uncommon congenital heart disease, accounting for about 3% of cardiac malformations. Atrioventricular canal occurs in two out of every 10,000 live births. Both sexes are equally affected and a striking association with Down syndrome was found. Depending on the morphology of the superior leaflet of the common atrioventricular valve, 3 types of CAVC have been delineated (type A, B and C, according to Rastelli's classification. CAVC results in a significant interatrial and interventricular systemic-to-pulmonary shunt, thus inducing right ventricular pressure and volume overload and pulmonary hypertension. It becomes symptomatic in infancy due to congestive heart failure and failure to thrive. Diagnosis of CAVC might be suspected from electrocardiographic and chest X-ray findings. Echocardiography confirms it and gives anatomical details. Over time, pulmonary hypertension becomes irreversible, thus precluding the surgical therapy. This is the reason why cardiac catheterisation is not mandatory in infants (less than 6 months but is indicated in older patients if irreversible pulmonary hypertension is suspected. Medical treatment (digitalis, diuretics, vasodilators plays a role only as a bridge toward surgery, usually performed between the 3rd and 6th month of life.

  12. La media literacy in Spagna

    Directory of Open Access Journals (Sweden)

    Josè Manuel Pérez Tornero

    2013-03-01

    Full Text Available In questo contributo si ripercorre la storia della media literacy in Spagna e si descrivono i molti cambiamenti avvenuti sinora: tutti i soggetti coinvolti (educatori, autorità regolatrici, industria, società civile sono ben consapevoli dell’importanza della media literacy e della media education, e le azioni intraprese mirano a un ulteriore potenziamento di questa importanza. Tuttavia, malgrado gli sforzi compiuti, occorre un maggiore coordinamento e una più accurata programmazione. Lo sviluppo della media literacy viene qui descritto a partire dagli anni Sessanta, quando alcune scuole cominciano a usare i media come strumenti didattici in classe, sino ai Novanta con il boom delle nuove tecnologie digitali e della convergenza mediale e con l’affermarsi dei concetti di digital literacy e, più tardi, di media literacy. Per quanto riguarda l’educazione permanente, in questo contributo si solleva la questione della formazione degli insegnanti e delle specializzazioni postlaurea. Si accenna anche al processo di introduzione della materia nel curricolo. Rispetto alla ricerca e a progetti particolari, si citano alcune esperienze realizzate sia da istituzioni nazionali che da associazioni della società civile. Infine, si auspicano sviluppi futuri per la media literacy in Spagna grazie alla promulgazione della Ley General de la Comunicación Audiovisual (LGCA 2010 e all’istituzione del Consejo Estatal de Medios Audiovisuales (CEMA.

  13. Adherence to the European Society of Cardiology guidelines for the treatment of chronic heart failure

    Science.gov (United States)

    Sitepu, A.; Hamdani, K.

    2018-03-01

    Heart failure is a tremendous health problem with significant morbidity and mortality. The treatment of heart failure should be applied appropriately to improve the successful management of patients. This study aims to evaluate the adherence to European Society of Cardiology (ESC) guidelines for the treatment of chronic heart failure and to determine factors associated with guideline adherence. This study is an observational study comprising 97 patients with chronic heart failure with reduced ejection fraction. The guideline adherence was assessed the by the use of guideline adherence indicator (GAI), which consider GAI-3 or GAI-5, by calculating the proportion of recommended drugs was prescribed divided by a number of drugs indicated according to the ESC guidelines, in the absence of contraindications. The results showed the use of each indicated drugs were angiotensin- converting enzyme inhibitors or angiotensin receptor blockers (78.4%), beta-blockers (61.9%), mineralocorticoid receptor antagonists (61.9%), diuretics (89.7%), and digitalis (26.8%). Furthermore, the predominant categories of GAI-3 and GAI-5 were moderate. This study demonstrates that the adherence to ESC guidelines for the treatment of chronic heart failure still needs to be improved compared to recent studies. Also, age, etiology of heart failure and comorbidity were associated factors that influence the implementation of ESC guidelines.

  14. Determination of a new promising natural antifungal product against Penicillium digitatum

    International Nuclear Information System (INIS)

    Balkan, S.

    2018-01-01

    The present study deals with the fungal infections, a great amount of food losses occur worldwide. The infections caused by Penicillium digitatum, green mold agent in Citrus fruits, are just one of those losses. In this study, determining a novel environmentally-friendly antifungal product against green mold agent is aimed. Total 39 plant species, naturally growing in Kirklareli (Turkey) were scanned in terms of antifungal activity against P. digitatum. Digitalis viridiflora, Medicago lupulina and Sambucus ebulus, inhibited the micelle development of P. digitatum completely (100%), while Lythrum salicaria, Epilobium roseum and Prunella vulgaris inhibited the micelle development over 75%. D. viridiflora has showed the least MIC value (250 mu g/ml) against P. digitatum. In SEM analysis, flattening, collapse and wrinkling effects of D. viridiflora on hyphae structure of P. digitatum were also observed during the present investigation. In the lemons treated with 8 mg/ml D. viridiflora aqueous extract, 73.99% regression in the lesion diameters has also been observed. As a result, in order to avoid green mold infection caused by P. digitatum occurring in lemon fruits, D. viridiflora can be used as a natural antifungal agent. (author)

  15. Bone and muscular anatomy of the forearm and hand in Tapirus terrestris (Perissodactyla, Tapiridae

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    Saulo Gonçalves Pereira

    2017-05-01

    Full Text Available In Brazil, there are two species of tapirs, the largest land mammals in Brazil, which belong to the order Perissodactyla, as do horses. Our aim was to describe the bone and muscular anatomy of the forearm and hand in T. terrestris and to propose adaptive functions. We used five anatomical specimens donated from a breeder to the Laboratory for Teaching and Research on Wild Animals of the Federal University of Uberlandia after death with no trauma. The bones were analyzed, the muscles dissected, and both described. The bones of the forearm and hand of the tapir are the ulna, radius, Os. metacarpalia, Os. carpi, phalanx and Os. sesamoideum. The muscles are M. extensor carpi radialis, M. ulnaris lateralis; M. flexor carpi radialis; M. extensor radialis communis; M. extensor digitorum longus II, III, IV and V, M. extensor digitorum lateralis; M. extensor digitorum; M. abductor longus; M. flexor digiti superficialis; M. flexor digitalis; M. flexor carpi ulnaris; M. flexor carpi obliquus; and M. interossei and M. lumbricales. Characteristics of bone and muscle structure are adapted to the development of the animal’s niche.

  16. Bone and muscular anatomy of the forearm and hand in Tapirus terrestris (Perissodactyla, Tapiridae

    Directory of Open Access Journals (Sweden)

    Saulo Gonçalves Pereira

    2017-05-01

    Full Text Available http://dx.doi.org/10.5007/2175-7925.2017v30n2p35 In Brazil, there are two species of tapirs, the largest land mammals in Brazil, which belong to the order Perissodactyla, as do horses. Our aim was to describe the bone and muscular anatomy of the forearm and hand in T. terrestris and to propose adaptive functions. We used five anatomical specimens donated from a breeder to the Laboratory for Teaching and Research on Wild Animals of the Federal University of Uberlandia after death with no trauma. The bones were analyzed, the muscles dissected, and both described. The bones of the forearm and hand of the tapir are the ulna, radius, Os. metacarpalia, Os. carpi, phalanx and Os. sesamoideum. The muscles are M. extensor carpi radialis, M. ulnaris lateralis; M. flexor carpi radialis; M. extensor radialis communis; M. extensor digitorum longus II, III, IV and V, M. extensor digitorum lateralis; M. extensor digitorum; M. abductor longus; M. flexor digiti superficialis; M. flexor digitalis; M. flexor carpi ulnaris; M. flexor carpi obliquus; and M. interossei and M. lumbricales. Characteristics of bone and muscle structure are adapted to the development of the animal’s niche.

  17. CvADH1, a member of short-chain alcohol dehydrogenase family, is inducible by gibberellin and sucrose in developing watermelon seeds.

    Science.gov (United States)

    Kim, Joonyul; Kang, Hong-Gyu; Jun, Sung-Hoon; Lee, Jinwon; Yim, Jieun; An, Gynheung

    2003-01-01

    To understand the molecular mechanisms that control seed formation, we selected a seed-preferential gene (CvADH1) from the ESTs of developing watermelon seeds. RNA blot analysis and in situ localization showed that CvADH1 was preferentially expressed in the nucellar tissue. The CvADH1 protein shared about 50% homology with short-chain alcohol dehydrogenase including ABA2 in Arabidopsis thaliana, stem secoisolariciresinol dehydrogenase in Forsythia intermedia, and 3beta-hydroxysterol dehydrogenase in Digitalis lanata. We investigated gene-expression levels in seeds from both normally pollinated fruits and those made parthenocarpic via N-(2-chloro-4-pyridyl)-N'-phenylurea treatment, the latter of which lack zygotic tissues. Whereas the transcripts of CvADH1 rapidly started to accumulate from about the pre-heart stage in normal seeds, they were not detectable in the parthenocarpic seeds. Treating the parthenogenic fruit with GA(3) strongly induced gene expression, up to the level accumulated in pollinated seeds. These results suggest that the CvADH1 gene is induced in maternal tissues by signals made in the zygotic tissues, and that gibberellin might be one of those signals. We also observed that CvADH1 expression was induced by sucrose in the parthenocarpic seeds. Therefore, we propose that the CvADH1 gene is inducible by gibberellin, and that sucrose plays an important role in the maternal tissues of watermelon during early seed development.

  18. Characterizing and valuing of regeneration potential of the seed germination bank at the Carpatos forest reserve (Guasca, Cundinamarca)

    International Nuclear Information System (INIS)

    Cantillo Higuera Edgard Ernesto; Castiblanco Gutierrez Viviana; Pinilla Mondragon David Fernando; Alvarado Claudia Liliana

    2008-01-01

    In the Carpatos Forest Reserve the bank seed germinate (BSG) was marked and valued and the dispersion mechanisms and strategies of there serve defined. They subsequently determined the spatial, dinamogenetic and temporary structures of the seral states and their populations. For the vegetation on foot 61 species were recorded, represented by 53 genera and 36 families, alongside the BSG were 55 species, represented by 50 genera and 27 families. The minimum volume was 1.500 cm 3, for a total of 13.150 germinating seeds; the total density for BSG was 1.553 seeds per m2. The species emerged in the BSG were mostly herbaceous and flush - approximately 70% of all individuals and species -; Phytolacca bogotensis, Digitalis purpurea and Ageratina sp. were the dominant species in the three trials Bank, other important species were Carex sp., Poa annua, Rubus floribundum, Bulbostylis sp.and Borreria sp. The species of woody habit usually varied in each trial according to the phenophase of each species, the most representative species were Cestrum Mutisia, Clusia ducu, Myrsine coriacea, Axinaea macrophylla and Miconia denticulata. As for phenology and dispersal, it was found that vegetation stands submitted to the zoocoria as the dominant scattering strategy in all fields; the maximum flowering occurred during the dry season, from December to March, though the greatest fruiting records correspond to the longest rainy season, from June to August.

  19. Neonatal hyperthyroidism: neonatal clinical course of two brothers born to a mother with Graves-Basedow disease, before and after total thyroidectomy.

    Science.gov (United States)

    Zuppa, A A; Sindico, P; Savarese, I; D'Andrea, V; Fracchiolla, A; Cota, F; Romagnoli, C

    2007-04-01

    About 1-2% of infants born to mothers with Graves' disease or Hashimoto's thyroiditis develop neonatal hyperthyroidism because of transplacental passage of IgG stimulating TSH receptors (TRAb). To evaluate the effect of maternal total thyroidectomy on neonatal clinical course. We describe two brothers born to a mother with Graves' disease, before and after total thyroidectomy. The first child showed persistent tachycardia, the presence of TRAb and a laboratory pattern of hyperthyroidism. Lugol's solution was started and then propylthiouracil was added. Digitalis, furosemide and diazepam were necessary for treatment of heart failure, hypertension and irritability. On the 70th day of life, hormone serum levels normalized and treatment was interrupted. TRAb normalized by the third month of life. The second infant was born 2 years after the mother underwent total thyroidectomy. In spite of a laboratory pattern of hyperthyroidism and positivity to TRAb, he showed only considerable weight loss, and no therapy was required. TRAb may persist after total thyroidectomy: clinical and instrumental follow-up of the newborn is recommended.

  20. La riscoperta della stereoscopia per la rappresentazione dello spazio architettonico

    Directory of Open Access Journals (Sweden)

    Simone Garagnani

    2011-06-01

    Full Text Available Il progressivo sviluppo dei metodi della rappresentazione grafica nel corso della storia è stato possibile in virtù della scoperta di strumenti e tecniche appartenenti al loro tempo: questo continuo progresso delle modalità di “raccontare” l’architettura è tuttora in corso di evoluzione, costituendo il fondamento di ogni strategia informativa e di comunicazione del progetto. Il sempre più pervasivo trattamento digitale dell’informazione, sia essa grafica che testuale, ha condotto ad una progressiva riscoperta di approcci tradizionali nella descrizione dello spazio costruito, declinandoli alle nuove tecnologie informatiche per amplificarne possibilità e valenze. È il caso della stereoscopia, diffuso metodo ottocentesco adottato in fotografia per rendere spaziale la percezione dell’immagine sfruttando la visione binoculare; oggi i modelli tridimensionali e le immagini digitali catturate da apposite fotocamere rendono l’approccio stereoscopico di immediato utilizzo anche per i profani della rappresentazione, semplificando e rendendo trasparenti i concetti di geometria proiettiva alla base del metodo. Questo contributo intende indagare le funzionalità, i vantaggi e le criticità della tecnologia stereoscopica immersiva nella moderna comunicazione del progetto d’architettura.

  1. Characteristics of a (Na+K+)-ATPase inhibitor in extracts of tea

    International Nuclear Information System (INIS)

    Sagnella, G.A.; MacGregor, G.A.

    1984-01-01

    Extracts of tea were examined for inhibitors of the sodium-potassium pump by investigating the effect of the extracts on 1) isolated preparations of (Na + -K + )-ATPase from hog brain and human blood cells; 2) the displacement of radioactive ouabain from its specific receptor on red blood cells, and 3) the uptake of radioactive rubidium in intact red blood cells. It has been found that extracts of tea were potent inhibitors of the purified hog brain (Na + -K + )-ATPase. However, the inhibition was not specific for the (Na + -K + )-ATPase and the extract of tea did not displace 3 H-ouabain in a specific ouabain-receptor assay. Additionally, the tea extracts displayed only a small inhibitory effect on the uptake of 86 Rb in intact red blood cells. These observations suggest that the material is not like digitalis and that, unlike cardiac glycosides, it may inhibit the activity of the (Na + -K + )-ATPase by interacting with the enzyme at intracellular sites

  2. Hydrocarbon footprints as a record of bumblebee flower visitation.

    Science.gov (United States)

    Witjes, Sebastian; Eltz, Thomas

    2009-11-01

    Bumblebees leave traces of cuticular hydrocarbons on flowers they visit, with the amount deposited being positively related to the number of visits. We asked whether such footprint hydrocarbons are retained on flowers for sufficiently long periods of time so as to reflect bee visitation in pollination studies. In laboratory experiments, flower corollae (Primula veris, Digitalis grandiflora) visited by Bombus terrestris workers retained bee-derived nonacosenes (C(29)H(58)) in near-unchanged quantities for 24 hours, both at 15 and 25 degrees C. Additionally, synthetic (Z)-9-tricosene applied to flower corollae of the deadnettle Lamium maculatum was retained for 48 hours in an unchanged quantity. In a field survey, the amount of footprint alkenes on flowers of comfrey (Symphytum officinale) plants was positively correlated with the number of bumblebee visits that those plants had received during the day. Together, these data suggest that flowers retain a long-term quantitative record of bumblebee visitation. The analysis of petal extracts by gas chromatography could provide a cheap and reliable way of quantifying bumblebee visits in landscape scale studies of pollination.

  3. An outbreak of foxglove leaf poisoning.

    Science.gov (United States)

    Lin, Chun-Chi; Yang, Chen-Chang; Phua, Dong-Haur; Deng, Jou-Fang; Lu, Li-Hua

    2010-02-01

    Comfrey (Symphytum officinale) leaves resemble those of foxglove (Digitalis purpurea) when the plant is not in bloom and, therefore, cardiac glycoside poisoning may occur when people confuse foxglove with comfrey. We report an outbreak of foxglove leaf poisoning following the use of alleged "comfrey" herbal tea. Nine patients were involved and initially presented with nausea, vomiting, diarrhea and dizziness. Significant cardiotoxicity developed later among the 3 patients who also had mild hyperkalemia. Peak serum digoxin concentration measured by immunoassay was elevated in all patients and ranged from 4.4 ng/mL to 139.5 ng/mL. Patients with severe cardiotoxicity were treated with temporary cardiac pacing. Moreover, 40-80 mg of digoxin-specific antibody therapy was given without any effect. All patients recovered uneventfully. Our report highlights the potential risk of misidentification of herbs; in this case, D. purpurea was mistaken for S. officinale. Physicians should be aware that cardiac glycoside poisoning could arise from such misidentification. Public education about the toxicity of D. purpurea poisoning may reduce the risk of misidentification and subsequent poisoning. Copyright 2010 Elsevier. Published by Elsevier B.V. All rights reserved.

  4. Fatal cardiac glycoside poisoning due to mistaking foxglove for comfrey.

    Science.gov (United States)

    Wu, I-Lin; Yu, Jiun-Hao; Lin, Chih-Chuan; Seak, Chen-June; Olson, Kent R; Chen, Hsien-Yi

    2017-08-01

    Accidental ingestion of foxglove (Digitalis purpurea) can cause significant cardiac toxicity. We report a patient who ingested foxglove mistaking it for comfrey and developed refractory ventricular arrhythmias. The patient died despite treatment with digoxin-specific antibody fragments (DSFab) and veno-arterial extracorporeal membrane oxygenation (VA-ECMO). A 55-year-old woman presented to the emergency department with nausea, vomiting and generalized weakness eight hours after drinking "comfrey" tea. She had bradycardia (54 beats/min) and hyperkalemia (7.6 mEq/L). Electrocardiogram revealed a first-degree atrioventricular conduction block with premature atrial contractions, followed by polymorphic ventricular tachycardia three hours after arrival. A serum digoxin level was 151.2 ng/mL. The patient developed ventricular fibrillation while waiting for Digibind infusion. Resuscitation was performed and an emergent VA-ECMO was set up. A total of eight vials of Digibind were given over the next 16 hours. She temporarily regained consciousness, but remained hemodynamically unstable and subsequently developed lower limb ischemia and multiple organ failure, and she expired on hospital day seven. A botanist confirmed that the plant was foxglove. The diagnosis of cardiac glycoside plant poisoning can be difficult in the absence of an accurate exposure history. In facilities where DSFab is unavailable or insufficient, early VA-ECMO might be considered in severely cardiotoxic patients unresponsive to conventional therapy.

  5. Evaluation of the antifungal activity by plant extracts against Colletotrichum gloeosporioides Penz Avaliação da atividade anti-fúngica de extratos vegetais contra Colletotrichum gloeosporioides Penz

    Directory of Open Access Journals (Sweden)

    Polyanna Alves Silva

    2008-04-01

    Full Text Available Aiming to develop more efficient and environmental friendly methods than those available to control Colletotrichum gloeosporioides Penz, which causes blister spot in coffee trees, a search for plants able to produce substances active against such pathogen was carried out. Thus, extracts of 48 plant species, collected at Alto Rio Grande region, in Minas Gerais, were prepared and submitted to in vitro assays with that fungus. The best results were obtained with the extracts prepared from Digitalis lanata Ehrh, Origanum manjorona L., Plantago lanceolata Hook. and Stevia rebaudiana (Bertoni Bertoni, which inhibited C. gloeosporioides spores germination. After dilution of some active extracts with aqueous 1 % Tween 80 solution in a 1:2 or 1:3 ratio (extract:aqueous solution, their antifungal activity vanished. Some of the active extracts were also submitted to freeze drying and none of them presented any alteration in their antifungal activity. Concluding, several plants presented potential to be used in the search for new bioactive substances to control C. gloeosporioides, especially O. manjorona L., which inhibited 96 % of the fungus spores germination.Com vistas a contribuir para o desenvolvimento de métodos mais eficientes e menos agressivos ao ambiente que aqueles disponíveis para o controle de Colletotrichum gloeosporioides Penz, causador da mancha manteigosa em cafeeiros, buscou-se identificar espécies vegetais produtoras de substâncias ativas contra o referido patógeno. Para tanto, prepararam-se extratos de 48 espécies vegetais, coletadas na região do Alto Rio Grande, em Minas Gerais, para serem submetidos a testes in vitro com o mencionado fungo. Constatou-se que os melhores resultados foram obtidos com os extratos oriundos de Digitalis lanata Ehrh, Origanum manjorona L., Plantago lanceolata Hook. e Stevia rebaudiana (Bertoni Bertoni que inibiram a germinação dos esporos de C. gloeosporioides. Alguns dos extratos ativos tamb

  6. Assessment of left ventricular function in patients with atrial fibrillation by left ventricular filling and function curves determined by ECG gated blood pool scintigraphy

    Energy Technology Data Exchange (ETDEWEB)

    Inagaki, Suetsugu

    1986-06-01

    Accurate cardiac function in patients with atrial fibrillation (Af) is difficult to assess, since a wide fluctuation of cardiac cycle makes the ventricular hemodynamics variable. Although ECG gated blood pool scintigraphy (EGBPS) is useful to evaluate left ventricular (LV) function, a conventional EGBPS might have a problem in applying to Af. Therefore, a new processing algorithm was devised to make multiple gated images discriminated by preceding R-R intervals (PRR), and LV filling and function curves were obtained in 62 patients with Af to evaluate LV function. LV filling curve, obtained by plotting end-diastolic volume (EDV) againt PRR, demonstrated that the blood filling was impaired in mitral stenosis and constrictive pericarditis, but recovered after mitral commissurotomy. LV function curve, by plotting stroke volume (SV) againt EDV, was quantitatively analysed by the indices such as Slope and Position. Both indices reduced significantly in heart failure. When compared among underlying diseases individually, the indices decreased in the following order; lone Af, hyperthyroidism, senile Af, hypertension, mitral valve disease, ischemic heart disease, dilated cardiomyopathy and aortic regurgitation. After the treatment with digitalis and/or diuretics, left and upward shift of function curve was observed. The rise in heart rate by atropine infusion made Slope and Position unchanged, and which implied that function curve was little influenced by heart rate per se. The rise in systolic blood pressure by angiotensin-II infusion caused shifts in function curve to rightward and downward. Downward shift, mostly seen in patients with gentler slope in control state, may imply afterload mismatch due to a decrease in preload reserve. (J.P.N.).

  7. Period Drama Men e altri oggetti del desiderio. Fanvidding 2.0

    Directory of Open Access Journals (Sweden)

    Donata Meneghelli

    2016-10-01

    Full Text Available Il saggio analizza una delle manifestazioni più diffuse e interessanti del media fandom, il remix audiovisivo, e i suoi rapporti con la serialità. Si tratta di una forma di appropriazione da parte dei fan che consiste – nella maggioranza dei casi – nel prelevare e (rimontare brevi sequenze tratte da fonti audiovisive mainstream (film, serie televisive, spesso accompagnandole con uno o più brani musicali. I video che scaturiscono da questa pratica, e che vengono condivisi su piattaforme di videosharing come YouTube o Vimeo, esplorano la fonte o le fonti in modi inediti.  Dopo una ricognizione che mette in luce il carattere strutturalmente seriale della pratica del fanvidding, ricostruendone la genesi e mostrandone gli sviluppi più recenti, in parallelo alle trasformazioni che negli ultimi anni hanno investito tanto la fisionomia del fandom quanto le tecnologie digitali, il saggio prende come corpus di riferimento i video prodotti nell’ambito delle comunità o da utenti/produttori che gravitano intorno al period drama. A partire da una discussione di alcune delle classificazioni e tipologie correnti (fake/fan trailer, redub, supercut…, e basandosi in parte sulle categorie proposte da Gérard Genette in Palimpsestes, vengono proposti tre criteri – relazione con la fonte, regime, logica – attraverso i quali analizzare i video prodotti dai fan. Tali criteri consentono di mettere a fuoco alcune questioni cruciali come l’atteggiamento degli utenti/produttori nei confronti della fonte, del materiale ri-assemblato, i potenziali effetti di ricezione, la funzione del commento musicale nell’ibridazione di generi e forme, la ripetizione come modalità fondamentale di espressione del desiderio ma anche come strumento di lettura critica, le implicazioni (e le contraddizioni di quella che è stata definita da Kristina Busse «estetica [meta] affettiva».

  8. Efficacy, safety, quality control, marketing and regulatory guidelines for herbal medicines (phytotherapeutic agents

    Directory of Open Access Journals (Sweden)

    J.B. Calixto

    2000-02-01

    Full Text Available This review highlights the current advances in knowledge about the safety, efficacy, quality control, marketing and regulatory aspects of botanical medicines. Phytotherapeutic agents are standardized herbal preparations consisting of complex mixtures of one or more plants which contain as active ingredients plant parts or plant material in the crude or processed state. A marked growth in the worldwide phytotherapeutic market has occurred over the last 15 years. For the European and USA markets alone, this will reach about $7 billion and $5 billion per annum, respectively, in 1999, and has thus attracted the interest of most large pharmaceutical companies. Insufficient data exist for most plants to guarantee their quality, efficacy and safety. The idea that herbal drugs are safe and free from side effects is false. Plants contain hundreds of constituents and some of them are very toxic, such as the most cytotoxic anti-cancer plant-derived drugs, digitalis and the pyrrolizidine alkaloids, etc. However, the adverse effects of phytotherapeutic agents are less frequent compared with synthetic drugs, but well-controlled clinical trials have now confirmed that such effects really exist. Several regulatory models for herbal medicines are currently available including prescription drugs, over-the-counter substances, traditional medicines and dietary supplements. Harmonization and improvement in the processes of regulation is needed, and the general tendency is to perpetuate the German Commission E experience, which combines scientific studies and traditional knowledge (monographs. Finally, the trend in the domestication, production and biotechnological studies and genetic improvement of medicinal plants, instead of the use of plants harvested in the wild, will offer great advantages, since it will be possible to obtain uniform and high quality raw materials which are fundamental to the efficacy and safety of herbal drugs.

  9. Efficacy and safety of oral amiodarone in controlling heart rate in patients with persistent atrial fibrillation who have undergone digitalisation.

    Science.gov (United States)

    Kochiadakis, George E; Kanoupakis, Emmanuel M; Igoumenidis, Nikolaos E; Mavrakis, Hercules E; Kafarakis, Panagiotis K; Vardas, Panos E

    2005-01-01

    Oral amiodarone has been suggested by some authors for rate control in patients with persistent atrial fibrillation. In this study we evaluated the efficacy and safety of oral amiodarone versus placebo for rate control during exercise and daily activities in patients with chronic atrial fibrillation who had undergone digitalisation. The study group consisted of 53 patients (35 men, mean age 65 +/- 9 years) with persistent atrial fibrillation (mean duration 17 +/- 7 months). All patients had therapeutic levels of digitalis and were under anticoagulation treatment with acenocoumarol. Twenty-eight of them were treated with amiodarone (200 mg per day orally) and 25 received placebo. All patients were assessed with 24-hour ECG monitoring, a maximal symptom-limited cardiopulmonary exercise test and evaluation of adverse events. The mean exercise duration was similar in both groups. Amiodarone produced a lower heart rate than placebo at all exercise levels (p<0.0001 for all). VO2 was similar in both groups whereas O2 pulse was higher in the amiodarone group at all exercise levels. During daily life, heart rate showed a significant circadian pattern in both groups, with higher values during the day than at night (time effect for both p<0.001). The mean value of heart rate under amiodarone was lower than for placebo (75 +/- 10 vs. 86 +/- 12/min, p<0.001) but this difference was due to a significant difference during the day (p<0.001) that was not present during the night (p =0.48). Oral amiodarone is very effective when combined with digoxin for control of heart rate in patients with chronic atrial fibrillation and it should be considered as an alternative treatment when more traditional drugs, such as Ca(+2) inhibitors or b-blockers have proven ineffective or are contraindicated.

  10. Quantification of the Na,K-pumps in mammalian skeletal muscle

    International Nuclear Information System (INIS)

    Noergaard, A.

    1986-01-01

    The Na,K-ATPase or Na,K-pump in skeletal muscle is essential for the specific properties of this tissue. Furthermore, it is of importance for Na-K-homeostasis and digitalis tolerance of the organism. Thus, a number of different procedures have been developed for the determination of the concentration of Na,K-pumps in skeletal muscle. The purpose of the present review is to describe and evaluate the methods and results available in the literature as well as in our own studies. Due to the high concentration of unspecific ATP-ases present in crude homogenates purification is usually performed, in general by differential centrifugation. However, as the recovery of the Na,K-ATPase in microsomal fractions is subject to variation and is typically less than a few per cent such preparations are not suitable for quantification of the Na,K-pump. Thus a number of variable or even contradictory results have been obtained. Likewise, the quantification of the Na,K-pump by measurement of 3 H-ouabain binding to purified enzyme preparations has been unreliable. Comparative determinations using our different methods showed close agreement under a variety of conditions such as differentiation, K-depletion and hypo- and hyperthyroidism. These conditions were all associated with wide variations in the concentration of Na,K-pumps in skeletal muscles of both laboratory animals and patients. It is concluded that our methods, whether based upon intact muscle cells in vitro or in vivo, muscle biopsies or crude muscle homogenates, offer adequate recovery and reproducibility for the quantitative analysis of the concentration of Na,K-pumps and changes herof in skeletal muscle. (eg)

  11. Jane Austen: tra brand e desiderio

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    Donata Meneghelli

    2014-12-01

    Full Text Available Che Jane Austen, dopo essere giunta a una incontrastata canonizzazione nel pantheon della letteratura occidentale, abbia recentemente intrapreso una   trionfante ascesa nell’ambito della cultura popolare è ormai “una verità universalmente riconosciuta”.   Il saggio analizza i modi, le forme, i supporti e i canali attraverso cui Jane Austen e i suoi testi narrativi (con particolare riferimento a Pride and Prejudice sono usciti dal cerchio tutto sommato ristretto dell’accademia, dei curricola universitari e dei lettori di professione, per entrare in uno spazio che è quello di YouTube, delle fan communities, della musica pop, dei blog, del romanzo rosa o dell’horror; i percorsi grazie ai quali sono diventati parte delle mitologie popolari del XXI secolo e al tempo stesso un brand di successo intorno al quale ruota una fitta rete di interessi economici (industria cinematografica e televisiva, turismo, editoria…, capace di catalizzare (e sfruttare desideri, proiezioni, aspettative di nuove tipologie di lettori; le inedite modalità di ricezione che caratterizzano questo fenomeno, e soprattutto la fan fiction, situata al punto di convergenza o di frizione tra diversi media (letteratura, cinema, televisione, web e media digitali in genere, tra produttori e consumatori, tra lettura e scrittura, tra strategie commerciali delle corporation e autarchia dei fan, tra “alto” e “basso”. Si tratta di un insieme di trasformazioni che scuote alle fondamenta le nostre consuetudini e le nostre credenze in quanto studiosi di letteratura: da una parte, emerge una nuova configurazione della testualità, euforica, rizomatica, molteplice, che si fa beffe di qualunque metafisica dell’originale e realizza in modo perverso alcune celebri utopie critiche; dall’altra, il caso Austen porta alla luce in maniera emblematica le contraddizioni latenti in qualunque processo di democratizzazione della cultura.

  12. Survival and echocardiographic evaluation of dogs with idiopathic dilated cardiomyopathy treated with carvedilol Avaliação ecocardiográfica e de sobrevida de cães com cardiomiopatia dilatada idiopática tratados com carvedilol

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    E.C. Soares

    2010-06-01

    Full Text Available Sixty dogs with idiopathic dilated cardiomyopathy were randomly treated with traditional therapy - digitalis, diuretics, angiotensin-converting inhibitors - (group A or treated with these drugs plus carvedilol (group B. Echocardiographic variables were measured before and after 3, 13, 26, and 52 weeks of treatment or until death. Comparisons between groups and time were performed. No significant differences between groups were found in the most of the echocardiographic variables. The left ventricular end-systolic diameter indexed to body surface area (LVESDi increased significantly in the group A dogs compared to the group B animals. The survival of groups A and B dogs were not different (P-value=0.1137. In conclusion, the stability of the LVESDi observed in the group treated with carvedilol may represent the beneficial effect over the ventricular remodeling.Sessenta cães com cardiomiopatia dilatada idiopática receberam, aleatoriamente, tratamento convencional - digitálicos, diuréticos, inibidores da enzima conversora de angiotensina - (grupo A ou esses fármacos mais carvedilol (grupo B. As variáveis ecocardiográficas foram avaliadas antes e depois de três, 13, 26 e 52 semanas de tratamento ou até o óbito. Não foram encontradas diferenças significativas entre os grupos de animais quanto à maioria das variáveis ecocardiográficas. O diâmetro sistólico final do ventrículo esquerdo indexado à superfície corpórea (DSVEi aumentou de forma significativa no grupo A quando comparado ao grupo B. Não se observou diferença na sobrevida dos grupos A e B (P=0,1137. Concluiu-se que a estabilização do DSVEi no grupo tratado com carvedilol pode representar o efeito benéfico deste fármaco sobre o remodelamento ventricular.

  13. Look what I found! Poison hunting on eBay.

    Science.gov (United States)

    Cantrell, F Lee

    2005-01-01

    Many substances deemed too dangerous for commercial use are still available to the general public. The purchase of these substances may potentially place members of the general public at risk for serious poisonings. This study was designed to document the large variety of dangerous poisons readily available on a popular online auction Web site. Methods. Over a 10-month period, the online auction Web site eBays was searched daily using the terms "poison" and "contents." Product name, active ingredients, what form the product is in, amount in container, and relative toxicity rating (Clinical Toxicology of Commercial Products, Gosselin, et al.) were recorded. If available, pictures of the products were saved. One hundred twenty-one individual products were identified. Fifty-five were in solid/tablet form, 37 were powders, and 29 were liquids. Product containers were full for 56 items and partially full for 65. Twenty-four products contained ingredients rated as "supertoxic" and included strychnine (10), arsenic trioxide (8), cyanide (2) and nicotine, pilocarpine, phosphorus, powdered conium maculatum (1 each). Sixty-three products contained "extremely toxic" ingredients including thallium, picrotoxin, soluble barium, antimony, mercury, arsenates, podophyllin, fluoride, zinc phosphide, atropine, scopolamine, and plant extracts of gelsemium, aconite, larkspur, and croton. Twenty-one products contained "very toxic" ingredients including lead, copper, camphor, caffeine, theobromine, creosote, pyrogallic acid, sparteine, quinine, lindane, warfarin, phenol, and digitalis. The remaining 13 were "moderately-slightly toxic." While the viability of the labeled ingredients could not be verified, the transportation, handling, and potential utilization of these dangerous poisons by the general public could result in serious poisonings.

  14. Pharmacologically active plant metabolites as survival strategy products.

    Science.gov (United States)

    Attardo, C; Sartori, F

    2003-01-01

    The fact that plant organisms produce chemical substances that are able to positively or negatively interfere with the processes which regulate human life has been common knowledge since ancient times. One of the numerous possible examples in the infusion of Conium maculatum, better known as Hemlock, a plant belonging to the family umbelliferae, used by the ancient Egyptians to cure skin diseases. The current official pharmacopoeia includes various chemical substances produced by secondary plant metabolisms. For example, the immunosuppressive drugs used to prevent organ transplant rejection and the majority of antibiotics are metabolites produced by fungal organisms, pilocarpin, digitalis, strophantus, salicylic acid and curare are examples of plant organism metabolites. For this reason, there has been an increase in research into plants, based on information on their medicinal use in the areas where they grow. The study of plants in relation to local culture and traditions is known as "ethnobotany". Careful study of the behaviour of sick animals has also led to the discovery of medicinal plants. The study of this subject is known as "zoopharmacognosy". The aim of this article is to discuss the fact that "ad hoc" production of such chemical substances, defined as "secondary metabolites", is one of the modes in which plant organisms respond to unfavourable environmental stimuli, such as an attack by predatory phytophagous animals or an excessive number of plant individuals, even of the same species, in a terrain. In the latter case, the plant organisms produce toxic substances, called "allelopathic" which limit the growth of other individuals. "Secondary metabolites" are produced by metabolic systems that are shunts of the primary systems which, when required, may be activated from the beginning, or increased to the detriment of others. The study of the manner in which such substances are produced is the subject of a new branch of learning called "ecological

  15. Stable gastric pentadecapeptide BPC 157 and bupivacaine.

    Science.gov (United States)

    Zivanovic-Posilovic, Gordana; Balenovic, Diana; Barisic, Ivan; Strinic, Dean; Stambolija, Vasilije; Udovicic, Mario; Uzun, Sandra; Drmic, Domagoj; Vlainic, Josipa; Bencic, Martina Lovric; Sindic, Aleksandra; Seiwerth, Sven; Sikiric, Predrag

    2016-12-15

    Bupivacaine toxicity following accidental overdose still lacks therapeutic solution. However, there are major arguments for testing BPC 157 against bupivacaine toxicity in vivo in rats, in particular, and then finally, in vitro. These are: the lack of any known BPC 157 toxicity, a lifesaving effect via the mitigation of arrhythmias in rats underwent hyperkalemia or digitalis toxicity, the elimination of hyperkalemia and arrhythmias in rats underwent succinylcholine toxicity and finally, the reduction of potassium-induced depolarization in vitro (in HEK293 cells) in severe hyperkalemia. Most importantly, BPC 157 successfully prevents and counteracts bupivacaine cardiotoxicity; BPC 157 is effective even against the worst outcomes such as a severely prolonged QRS complex. Here, rats injected with bupivacaine (100mg/kg IP) exhibited bradycardia, AV-block, ventricular ectopies, ventricular tachycardia, T-wave elevation and asystole. All of the fatalities had developed T-wave elevation, high-degree AV-block, respiratory arrest and asystole. These were largely counteracted by BPC 157 administration (50µg/kg, 10µg/kg, 10ng/kg, or 10pg/kg IP) given 30min before or 1min after the bupivacaine injection. When BPC 157 was given 6min after bupivacaine administration, and after the development of prolonged QRS intervals (20ms), the fatal outcome was markedly postponed. Additionally, the effect of bupivacaine on cell membrane depolarization was explored by measuring membrane voltages (Vm) in HEK293 cells. Bupivacaine (1mM) alone caused depolarization of the cells, while in combination with BPC 157 (1µm), the bupivacaine-induced depolarization was inhibited. Together, these findings suggest that the stable gastric pentadecapeptide BPC 157 should be a potential antidote for bupivacaine cardiotoxicity. Copyright © 2016 Elsevier B.V. All rights reserved.

  16. Prediction of cardiac sympathetic nerve activity and cardiac functional outcome after treatment in patients with dilated cardiomyopathy. Examination using dobutamine gated blood pool scintigraphy

    Energy Technology Data Exchange (ETDEWEB)

    Kasama, Shu; Toyama, Takuji; Iwasaki, Tsutomu; Suzuki, Tadashi [Gunma Univ., Maebashi (Japan). School of Medicine; Hoshizaki, Hiroshi; Oshima, Shigeru; Taniguchi, Koichi; Nagai, Ryozo

    2000-07-01

    This study evaluated whether dobutamine gated blood pool scintigraphy can predict improvement of cardiac sympathetic nerve activity and cardiac function. Sixteen patients (10 men and 6 women, mean age 59{+-}13 years) with dilated cardiomyopathy underwent dobutamine gated blood pool scintigraphy to measure left ventricular ejection fraction (LVEF) using tracer at 0, 5, 10 and 15 {mu}g/kg/min before treatment. Patients were divided into good responders (LVEF increase {>=}15%) 8 patients (GR Group) and poor responders (LVEF increase <15%) 8 patients (PR Group) after treatment with {beta}-blocker or amiodarone with a background treatment of digitalis, diuretics and angiotensin converting enzyme inhibitor. I-123 metaiodobenzylguanidine (MIBG) imaging to evaluate cardiac sympathetic nerve activity and echocardiography were performed before and at one year after treatment. MIBG imaging was obtained 4 hours after tracer injection, and the heart/mediastinum count ratio (H/M ratio) calculated from the anterior planar image and the total defect score (TDS) from the single photon emission computed tomography image. LVEF and left ventricular endo-diastolic dimension (LVDd) were measured by echocardiography and New York Heart Association (NYHA) functional class was evaluated. The GR Group showed TDS decreased from 28{+-}6 to 17{+-}12 (p<0.05), H/M ratio increased from 1.79{+-}0.26 to 2.07{+-}0.32 (p<0.05), LVEF increased from 29{+-}8% to 48{+-}10% (p<0.01), and LVDd decreased from 65{+-}4 mm to 58{+-}5 mm (p<0.05). In contrast, the PR group showed no significant changes in TDS. H/M ratio, LVEF and LVDd. NYHA functional class improved in both groups. The improvement was better in the GR Group than in the PR group. Dobutamine gated blood pool scintigraphy is useful to predict the improvement of the cardiac sympathetic nerve activity and cardiac function, and symptoms after treatment in patients with dilated cardiomyopathy. (author)

  17. Characterization of niphatenones that inhibit androgen receptor N-terminal domain.

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    Carmen A Banuelos

    Full Text Available Androgen ablation therapy causes a temporary reduction in tumor burden in patients with advanced prostate cancer. Unfortunately the malignancy will return to form lethal castration-recurrent prostate cancer (CRPC. The androgen receptor (AR remains transcriptionally active in CRPC in spite of castrate levels of androgens in the blood. AR transcriptional activity resides in its N-terminal domain (NTD. Possible mechanisms of continued AR transcriptional activity may include, at least in part, expression of constitutively active splice variants of AR that lack the C-terminal ligand-binding domain (LBD. Current therapies that target the AR LBD, would not be effective against these AR variants. Currently no drugs are clinically available that target the AR NTD which should be effective against these AR variants as well as full-length AR. Niphatenones were originally isolated and identified in active extracts from Niphates digitalis marine sponge. Here we begin to characterize the mechanism of niphatenones in blocking AR transcriptional activity. Both enantiomers had similar IC50 values of 6 µM for inhibiting the full-length AR in a functional transcriptional assay. However, (S-niphatenone had significantly better activity against the AR NTD compared to (R-niphatenone. Consistent with niphatenones binding to and inhibiting transactivation of AR NTD, niphatenones inhibited AR splice variant. Niphatenone did not affect the transcriptional activity of the related progesterone receptor, but slightly decreased glucocorticoid receptor (GR activity and covalently bound to GR activation function-1 (AF-1 region. Niphatenone blocked N/C interactions of AR without altering either AR protein levels or its intracellular localization in response to androgen. Alkylation with glutathione suggests that niphatenones are not a feasible scaffold for further drug development.

  18. MANAGEMENT OF DIABETES IN ACUTE MYOCARDIAL INFARCTION IN CELJE GENERAL HOSPITAL IN 1999

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    Gregor Veninšek

    2001-12-01

    Full Text Available Background. DIGAMI study showed that intrahospital mortality and mortality at one year after myocardial infarction can be significantly reduced in diabetics treated in acute phase of myocardial infarction by GI infusion and afterwards for at least three months with intensive insulin treatment. Mortality can be reduced for more than 50% in a subgroup of patients younger than 70 years, without congestive heart failure, with first myocardial infarction, not treated with insulin or digitalis. In this perspective we reviewed treatment of diabetics with acute myocardial infarction in 1999 in Celje General Hospital.Methods. We reviewed documentation of treatment of all diabetics with acute myocardial infarction treated in Celje General Hospital in 1999. We collected data on number of newly discovered diabetes, on previous treatment of diabetes, on treatment of diabetes during hospitalization and at discharge, on drugs used for treatment of diabetes and on mortality during hospitalization.Results. Diabetics presented 20% of all patients with acute myocardial infarction treated in Celje General Hospital in 1999. None of patients received GI infusion, none had intensively managed blood sugar. 24% of patients were treated with sulfonylureas in acute phase of myocardial infarction. 33% of patients were discharged from hospital with insulin therapy. Intrahospital mortality was 9%, comparable with patients without diabetes.Conclusions. In 1999 was intrahospital treatment of diabetics with acute myocardial infarction in Celje General Hospital successful as their intrahospital mortality equaled non-diabetics. Treatment of diabetes itself, during hospitalization and after discharge, on the other hand, in 1999 had not been up to date according to results of recent studies. In our opinion, it is mandatory for diabetologist to make part of the team that treats diabetic with acute myocardial infarction

  19. Medicinal Plants: A Public Resource for Metabolomics and Hypothesis Development

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    Eve Syrkin Wurtele

    2012-11-01

    Full Text Available Specialized compounds from photosynthetic organisms serve as rich resources for drug development. From aspirin to atropine, plant-derived natural products have had a profound impact on human health. Technological advances provide new opportunities to access these natural products in a metabolic context. Here, we describe a database and platform for storing, visualizing and statistically analyzing metabolomics data from fourteen medicinal plant species. The metabolomes and associated transcriptomes (RNAseq for each plant species, gathered from up to twenty tissue/organ samples that have experienced varied growth conditions and developmental histories, were analyzed in parallel. Three case studies illustrate different ways that the data can be integrally used to generate testable hypotheses concerning the biochemistry, phylogeny and natural product diversity of medicinal plants. Deep metabolomics analysis of Camptotheca acuminata exemplifies how such data can be used to inform metabolic understanding of natural product chemical diversity and begin to formulate hypotheses about their biogenesis. Metabolomics data from Prunella vulgaris, a species that contains a wide range of antioxidant, antiviral, tumoricidal and anti-inflammatory constituents, provide a case study of obtaining biosystematic and developmental fingerprint information from metabolite accumulation data in a little studied species. Digitalis purpurea, well known as a source of cardiac glycosides, is used to illustrate how integrating metabolomics and transcriptomics data can lead to identification of candidate genes encoding biosynthetic enzymes in the cardiac glycoside pathway. Medicinal Plant Metabolomics Resource (MPM [1] provides a framework for generating experimentally testable hypotheses about the metabolic networks that lead to the generation of specialized compounds, identifying genes that control their biosynthesis and establishing a basis for modeling metabolism in less

  20. Pharmacological Therapy for Myocardial Infarction in the Elderly: An 8-year Analysis

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    Márcia Regina Pinho Makdisse

    2002-04-01

    Full Text Available OBJECTIVE:To assess the changes in the medicamentous treatment of elderly patients hospitalized with acute myocardial infarction occurring over an 8-year period. METHODS:We retrospectively analyzed 379 patients above the age of 65 years with acute myocardial infarction who were admitted to the coronary unit of a university-affiliated hospital from 1990 to 1997. The patients were divided into 2 groups, according to the period of time of hospital admission as follows: group 1 - from 1990 to 1993; and group 2 - from 1994 to 1997. RESULTS:The use of beta-blockers (40.8%chi 75.2%, p<0.0001 and angiotensin-converting enzyme inhibitors (42% chi59.5%, p=0.001 was significantly greater in group 2, while the use of calcium antagonists (42% chi 18.5%, p<0.0001 and general antiarrhythmic drugs (19.1% chi 10.8%, p=0.03 was significantly lower. No significant difference was observed in regard to the use of acetylsalicylic acid, thrombolytic agents, nitrate, and digitalis in the period studied. The length of hospitalization was shorter in group 2 (13.4±8.9 days chi 10.5±7.5 days, p<0.001. The in-hospital mortality was 35.7% in group 1 and 26.6% in group 2 (p=0.07. CONCLUSION: Significant changes were observed in the treatment of elderly patients with acute myocardial infarction, with a greater use of beta-blockers and angiotensin-converting enzyme inhibitors and a lower use of calcium antagonists and antiarrhythmic drugs in group 2. The length of hospitalization and the mortality rate were also lower in group 2, even though the reduction in mortality was not statistically significant.

  1. Reversibility of ventricular dysfunction: clinical experience in a medical office

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    Antonio Carlos Pereira Barretto

    2001-12-01

    Full Text Available OBJECTIVE - To describe clinical observations of marked improvement in ventricular dysfunction in a medical office environment under circumstances differing from those in study protocols and multicenter studies performed in hospital or with outpatient cohorts. METHODS - Eleven cardiac failure patients with marked ventricular dysfunction receiving treatment at a doctors office between 1994 and 1999 were studied. Their ages ranged from 20 and 66 years (mean 39.42±14.05 years; 7 patients were men, 4 were women. Cardiopathic etiologies were arterial hypertension in 5 patients, peripartum cardiomyopathy in 2, nondefined myocarditis in 2, and alcoholic cardiomyopathy in 4. Initial echocardiograms revealed left ventricular dilatation (average diastolic diameter, 69.45±8.15mm, reduced left ventricular ejection fraction (0.38±0.08 and left atrial dilatation (43.36±5.16mm. The therapeutic approach followed consisted of patient orientation, elimination of etiological or causal factors of cardiac failure, and prescription of digitalis, diuretics, and angiotensinconverting enzyme inhibitors. RESULTS - Following treatment, left ventricular ejection fraction changed to 0.63±0.09; left ventricular diameters changed to 57.18±8.13mm, and left atrium diameters changed to 37.27±8.05mm. Maximum improvement was noted after 16.9±8.63 (6 to 36 months. CONCLUSION - Patients with serious cardiac failure and ventricular dysfunction caused by hypertension, alcoholism, or myocarditis can experience marked improvement in ventricular dysfunction after undergoing appropriate therapy within the venue of the doctor's office.

  2. Dronedarone: current evidence for its safety and efficacy in the management of atrial fibrillation

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    Patrick A Schweizer

    2011-01-01

    Full Text Available Patrick A Schweizer, Rüdiger Becker, Hugo A Katus, Dierk ThomasDepartment of Cardiology, Medical University Hospital, Heidelberg, GermanyAbstract: Atrial fibrillation (AF is the most common sustained arrhythmia. Management of AF includes rate control, rhythm control if necessary, prevention of thromboembolic events, and treatment of the underlying disease. Rate control is usually achieved by pharmacological suppression of calcium currents or by applying β-blockers or digitalis compounds. In contrast, the number of compounds available for rhythm control is still limited. Class Ic agents increase mortality in patients with structural heart disease, and amiodarone harbors an extensive side effect profile despite its efficacy in maintaining sinus rhythm. Furthermore, rhythm control by these compounds has not been shown to reduce patient mortality. Dronedarone is a new antiarrhythmic drug that has been developed to provide rhythm and rate control in AF patients with fewer side effects compared with amiodarone. This review primarily focuses on clinical trials evaluating efficacy and safety of the novel drug. Conclusions from these studies are critically reviewed, and recommendations for clinical practice are discussed. Dronedarone significantly reduced the incidence of hospitalization due to cardiovascular events or death in high-risk patients with atrial fibrillation (ATHENA trial. However, dronedarone was less efficient than amiodarone in maintaining normal sinus rhythm (DIONYSOS trial and is contraindicated in severe or deteriorating heart failure (ANDROMEDA trial. In summary, dronedarone represents a valuable addition to the limited spectrum of antiarrhythmic drugs and is currently recommended in patients with paroxysmal and persistent AF to achieve rate and rhythm control, excluding cases of severe or unstable congestive heart failure.Keywords: dronedarone, atrial fibrillation, antiarrhythmic therapy

  3. Influencia del sexo femenino y la actividad física en la intoxicación digitálica

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    Marcia Almuiña Güemes

    2001-04-01

    Full Text Available Se realizó un estudio prospectivo de tipo descriptivo analítico de una muestra aleatoria de 617 pacientes tratados con digoxina en 4 policlínicos del municipio Arroyo Naranjo en el año 1999. Se aplicó una encuesta a cada paciente, se revisaron las historias clínicas y se confeccionó el índice pronóstico de intoxicación digitálica (ID. Se observó un predominio del sexo femenino en la muestra estudiada (54,4 %. El 5,3 % de las mujeres presentó ID, mientras que en los hombres correspondientes a 45,6 % de la muestra solamente presentaron ID, el 1,8 %. El 68,5 % de la muestra eran sedentarios y de ellos presentaron ID el 4,7 %. El 1,5 % de los no sedentarios tuvieron ID, diferencia estadísticamente significativa cuando se comparó con el grupo sedentario (p A prospective and descriptive analytic study of a randomized sample of 617 patients treated with digoxin in 4 polyclinics of the municipality of Arroyo Naranjo was conducted in 1999. Every patient was surveyed, the medical histories were reviewed and an index of prognosis of digitalis poisoing (DI was made. A predominace of females (54,4 % was observed in the studied sample. 5,3 % of the women had DI, whereas only 1,8 % of the 45,6 % of males included in the sample had DI. 68,5 % of the sample were sedentary and of them 4,7 % had DI. 1,5 % of the nonsedentary had DI, a statistically significant difference when it was compared with the sedentary group (p < 0.05. The incidence of DI was 3,2 %. It was concluded that the variables female sex and physical activity are related with this phenomenon.

  4. Epidemiology of overdose episodes from the period prior to hospitalization for drug poisoning until discharge in Japan: An exploratory descriptive study using a nationwide claims database.

    Science.gov (United States)

    Okumura, Yasuyuki; Sakata, Nobuo; Takahashi, Kunihiko; Nishi, Daisuke; Tachimori, Hisateru

    2017-08-01

    Little is known about the nationwide epidemiology of the annual rate, causative substance, and clinical course of overdose-related admission. We aimed to describe the epidemiology of overdose episodes from the period prior to hospitalization for drug poisoning until discharge to home. We assessed all cases of admission due to overdose (21,663 episodes) in Japan from October 2012 through September 2013 using the National Database of Health Insurance Claims and Specific Health Checkups of Japan. The annual rate of overdose admission was 17.0 per 100,000 population. Women exhibited two peaks in admission rates at 19-34 years (40.9 per 100,000) and ≥75 years (27.8 per 100,000). Men exhibited one peak in the admission rate at ≥75 years (23.7 per 100,000). Within 90 days prior to overdose, ≥60% and ≥9% of patients aged 19-49 years received a prescription for benzodiazepines and barbiturates, respectively. In addition, 59% of patients aged ≥75 years received a prescription for benzodiazepines prior to overdose, 47% had a history of congestive heart failure, and 24% had a diagnosis of poisoning by cardiovascular drugs. The proportion of patients with recent psychiatric treatments decreased with age (65.1% in those aged 35-49 years and 13.9% in those aged ≥75 years). The findings emphasize the need for overdose prevention programs that focus on psychiatric patients aged 19-49 years who are prescribed benzodiazepines or barbiturates and on non-psychiatric patients aged ≥75 years who are prescribed benzodiazepines or digitalis. Copyright © 2017 The Authors. Production and hosting by Elsevier B.V. All rights reserved.

  5. COMPETENZA DIGITALE E GLOTTOTECNOLOGIE PER L’INSEGNANTE DI ITALIANO L2/LS

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    Diego Santalucia

    2015-07-01

    Full Text Available L’articolo, prendendo spunto da recenti progetti che spingono per un utilizzo sempre più esteso di tablet e strumenti digitali in classe, fa riferimento alla Raccomandazione del Parlamento Europeo e del Consiglio dell’Unione Europea (2006 per discutere alcuni degli elementi rappresentativi della “competenza digitale” che la Raccomandazione delinea. Alla luce di questi elementi si sviluppano alcune indicazioni sull’uso ragionato dei motori di ricerca e di alcune risorse offerte dalla rete, come Google Docs e Google Drive.Seguono una breve illustrazione di Edmodo, una piattaforma didattica social, e alcune indicazioni sull’utilizzo degli smartphone per l’accesso a risorse utili e semplici da condividere in classe. Sono tracciate alcune linee guida sulla gestione di risorse già accessibili in rete e che sono, quindi, a disposizione di quegli insegnanti di Italiano L2/LS che vogliano utilizzare sistemi di condivisione online a sostegno della didattica in presenza.Digital competence and digital language teaching for Italian L2/FL teachersThe article, inspired by recent projects that push for an ever-wider use of tablets and digital tools in the classroom, refers to the Recommendation of the European Parliament and of the Council of the European Union (2006 discusses some of the representative elements of “digital competence” that the Recommendation outlines. In light of these elements, some guidelines on the use of search engines and some resources offered by the network, such as Google Docs and Google Drive, are offered.This is followed by a brief description of Edmodo, a social learning platform, and information on the use of smartphones to access helpful resources that are easy to share in class. Finally, some guidelines on the management of resources already available on the Internet for Italian L2/FL teachers who want to use online sharing systems to support of frontal lessons are given.

  6. Sustained volume expansion and [Na,K]ATPase inhibition in chronic renal failure.

    Science.gov (United States)

    Glatter, K A; Graves, S W; Hollenberg, N K; Soszynski, P A; Tao, Q F; Frem, G J; Williams, G H; Lazarus, J M

    1994-11-01

    Hypotheses regarding the pathogenesis of volume-dependent hypertension have invoked an endogenous sodium pump inhibitor or digitalis-like factor (DLF) to link altered sodium homeostasis to the rise in blood pressure. Our goal was to develop a clinical protocol that achieved predictable, sustained volume expansion, with the premise that renal failure patients on peritoneal dialysis would increase intravascular volume, gain weight, and raise blood pressure (BP) in relation to measured increases in DLF. In a 5-day protocol, dialysis was kept constant but dietary NaCl and fluids were modified in 7 patients. DLF was measured as inhibition of [Na,K]ATPase. Likewise, the first 2 L of daily peritoneal dialysate (PD) was processed on HPLC and the eluate analyzed for DLF. The group achieved significant weight gain (WT) by day 3 (delta WT = 4.1 +/- 1.2 kg, P < .05). Likewise, mean arterial pressure (MAP) and plasma DLF activity increased significantly. All variables were highly correlated (DLF v WT: R = 0.88, P = .004; MAP v DLF: R = 0.82, P = .01; MAP v WT: R = 0.90, P = .003). Although a number of HPLC fractions contained agents that interacted with the assay, only one PD HPLC fraction (at 19.5 min) contained DLF activity that correlated with changes in MAP (R = 0.60, P = .002), and body weight (R = 0.67, P = .0003). We conclude that candidate DLF responds to sustained volume expansion and the relationship suggests that it could influence blood pressure. Moreover, the application of stringent criteria to the confusing array of factors in plasma that may affect assays for DLF appears to reduce the field dramatically, to a single candidate in this setting.

  7. Digital Education Research (DER as a theoretical/empirical bridge between research and training

    Directory of Open Access Journals (Sweden)

    Alberto Parola

    2016-07-01

    Full Text Available The article intends to propose an epistemological and methodological approach, called Digital Education Research (DER, which considers the “digital world” as the complexification of reality, suggesting inedited observation and assessment modality as part of educational research and teaching. This approach inevitably borrows issues, paradigms and methods of different disciplines (especially the intersubjectivity concept filtered from the psychological, anthropology and neuroscience theories lenses applying them to learning situations, which require the use of digital media. In this sense, teacher education needs a restructuration that guides design practices towards teaching to enable them to strengthen their capacity to formulate hypotheses and bring out evidences, in activities related to action research strategies that can accommodate mixed methods research, confirming scientific dignity to the various nature and origin data, unstructured, textual and audiovisual.La Digital Education Research (DER come ponte teorico/empirico tra ricerca e formazione L’articolo intende proporre un approccio epistemologico e metodologico, denominato digital education research, che considera il “mondo digitale” come una dimensione di complessificazione del reale, suggerendo modalità di osservazione e valutazione inedite nell’ambito della ricerca educativa e nell’insegnamento. Tale approccio inevitabilmente mutua temi, paradigmi e metodi di differenti discipline (in special modo il concetto di “intersoggettività” filtrata dalle lenti di teorie psicologiche, antropologiche e neuroscientifiche applicandoli ai contesti apprenditivi, che richiedono l’uso dei media digitali. In tal senso, la formazione degli insegnanti necessita di una ristrutturazione che orienta le pratiche progettuali verso una didattica che consenta loro di potenziare le capacità di formulare ipotesi e far emergere evidenze, in attività riferibili a strategie di ricerca

  8. Hipertiroidismo neonatal: presentación de 2 pacientes Neonatal hyperthyroidism: Report of 2 cases

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    Pedro González Fernández

    2002-08-01

    Full Text Available Se presentaron 2 pacientes con diagnóstico de hipertiroidismo neonatal: uno del sexo masculino y otro del femenino; con antecedentes de ser hijos de madres con enfermedad de Graves; una de ellas se encontraba sin tratamiento, y con síntomas de hipertiroidismo y la otra con tratamiento y tenía controlada esa afección. Se realizó el diagnóstico por los antecedentes de ser hijos de madres con enfermedad de Graves Basedow; así como por las manifestaciones clínicas: bocio, exoftalmos, pérdida de peso, irritabilidad, taquicardia e insuficiencia cardíaca en uno de los pacientes. Según los exámenes de laboratorio realizados, se obtuvieron los resultados siguientes: T4 ³ 180 nmol/L y TSH 2 patients with diagnosis of neonatal hyperthyroidism, a male and a female, are presented. Their mothers suffer from Graves’ disease, one of them has no treatment and presents symptoms of hyperthyroidism, and the other is under treatment and her disease is under control. The diagnosis was made taking into account that they are children from mothers with Graves Basedow’ disease and the following clinical manifestations: goiter, exophthalmos, weight loss, irritability, tachycardia and cardiac insufficiency in one of the patients. The results of the laboratory tests for both patients were: T4 ³ l80 nmol/L and TSH < 1 U/L. Treatment with propylthiouracilo, propanolol and phenobarbital as well as general measures and digitalis therapy in the patient requiring it were indicated. A favorable evolution was observed in these 2 patients.

  9. Heavy metals distribution in soils surrounding an abandoned mine in NW Madrid (Spain) and their transference to wild flora.

    Science.gov (United States)

    Moreno-Jiménez, Eduardo; Peñalosa, Jesús M; Manzano, Rebeca; Carpena-Ruiz, Ramón O; Gamarra, Roberto; Esteban, Elvira

    2009-03-15

    The present work concerns the distribution and mobility of heavy metals (Fe, Mn, Cu, Zn and Cd) in the surrounding soils of a mine site and their transfer to wild flora. Thus, soils and plants were sampled from a mining valley in NW Madrid (Spain), and total and extractable heavy metals were analysed. Soils affected by mining activities presented total Cd, Cu and Zn concentrations above toxic thresholds. The percentage of extractable element was highest for Cd and lowest for Cu. A highly significant correlation was observed between the total and extractable concentrations of metals in soils, indicating that, among the factors studied, total metals concentration is the most relevant for heavy metals extractability in these soils. (NH(4))(2)SO(4)-extractable metal concentrations in soils are correlated better with metal concentrations in several plant species than total metals in soils, and thus can be used as a suitable and robust method for the estimation of the phytoavailable fraction present in soils. Twenty-five vascular plant species (3 ferns and 22 flowering plants) were analysed, in order to identify exceptional characteristics that would be interesting for soil phytoremediation and/or reclamation. High Cd and Zn concentrations have been found in the aerial parts of Hypericum perforatum (Cd), Salix atrocinerea (Cd, Zn) and Digitalis thapsi (Cd, Zn). The present paper is, to the best of our knowledge, the first report of the metal accumulation ability of the two latter plant species. The phytoremediation ability of S. atrocinerea for Cd and Zn was estimated, obtaining intervals of time that could be considered suitable for the phytoextraction of polluted soils.

  10. E-books for Italian school, between Law Requirements and Publishers' Choices L'ebook per le scuole italiane fra requisiti normativi e scelte editoriali

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    Maria Vincelli

    2011-12-01

    Full Text Available

    Il saggio presenta un'analisi del quadro legislativo italiano sulla transizione dei libri di testo dal formato cartaceo a quello digitale, oltre a una panoramica sull'offerta dei maggiori editori a riguardo, prendendo come esempio i libri di testo di Latino per le scuole superiori. Il concetto di libro digitale viene declinato oggi principalmente in due forme: il libro "on-line", digitale (generalmente in PDF o Epub, equivalente ai testi tradizionali a stampa per struttura e tipo di utilizzo; il libro che integra le caratteristiche del libro sia digitale che a stampa con una serie di materiali digitali supplementari. L'opinione dell'autrice è che l'offerta di pubblicazioni scolastiche in formato digitale si attiene a un'interpretazione limitata della legge italiana, e che dunque si prospettano nuove ipotesi che possano unire in modo efficace l'autorevolezza e il valore culturale dei libri di testo con le soluzioni più avanzate del digitale.

    This paper offers an analysis of the Italian legislation about the transition from printed school-books to digital ones and, in turn, it presents an overview of the digital publishing offer of major media groups, by taking as case study the Latin textbooks for high-schools. The concept of digital book has been declined nowadays in two main forms: the first one is the so-called "on-line book", which are digital books (typically in PDF or ePub format equivalent in structure and in the mode of use to classical printed books; the latter form integrates printed or digital books with a set of varied, and often incoherent, supplementary digital materials. The conclusion is that the current offer of digital publishing about school-books is a narrow interpretation of the Italian legislation, and thus it foresees the design of new paradigms that efficaciously merge the authoritativeness and cultural value of school-books with the advanced features and the new way of uses of digital media.

  11. Nutrient Dynamics of Estuarine Invertebrates Are Shaped by Feeding Guild Rather than Seasonal River Flow.

    Directory of Open Access Journals (Sweden)

    Kelly Ortega-Cisneros

    Full Text Available This study aimed to determine the variability of carbon and nitrogen elemental content, stoichiometry and diet proportions of invertebrates in two sub-tropical estuaries in South Africa experiencing seasonal changes in rainfall and river inflow. The elemental ratios and stable isotopes of abiotic sources, zooplankton and macrozoobenthos taxa were analyzed over a dry/wet seasonal cycle. Nutrient content (C, N and stoichiometry of suspended particulate matter exhibited significant spatio-temporal variations in both estuaries, which were explained by the variability in river inflow. Sediment particulate matter (%C, %N and C:N was also influenced by the variability in river flow but to a lesser extent. The nutrient content and ratios of the analyzed invertebrates did not significantly vary among seasons with the exception of the copepod Pseudodiaptomus spp. (C:N and the tanaid Apseudes digitalis (%N, C:N. These changes did not track the seasonal variations of the suspended or sediment particulate matter. Our results suggest that invertebrates managed to maintain their stoichiometry independent of the seasonality in river flow. A significant variability in nitrogen content among estuarine invertebrates was recorded, with highest % N recorded from predators and lowest %N from detritivores. Due to the otherwise general lack of seasonal differences in elemental content and stoichiometry, feeding guild was a major factor shaping the nutrient dynamics of the estuarine invertebrates. The nutrient richer suspended particulate matter was the preferred food source over sediment particulate matter for most invertebrate consumers in many, but not all seasons. The most distinct preference for suspended POM as a food source was apparent from the temporarily open/closed system after the estuary had breached, highlighting the importance of river flow as a driver of invertebrate nutrient dynamics under extreme events conditions. Moreover, our data showed that

  12. Risorse trofiche o disturbo antropico? Elaborazione preliminare e validazione di un indice di idoneità ambientale per l'orso bruno nell'Appennino

    Directory of Open Access Journals (Sweden)

    M. Bello

    2003-10-01

    Full Text Available In un'area di studio nell'Appennino abruzzese (ampia circa 250 km² sono state campionate variabili ambientali relative alla vegetazione, topografia, e presenza antropica in 2110 plot distribuiti lungo transetti da 1 km in 72 celle (1 km² selezionate casualmente dal reticolato geografico UTM. Utilizzando tematismi digitali sono state calcolate, tramite GIS, altre variabili ambientali relative alle stesse categorie. Le variabili sono state combinate in 14 indici (V1-14 utilizzati per calcolare un indice di idoneità ambientale relativo ai plot e alle celle campionate. Sono stati elaborati: A- un indice complessivo di idoneità (HSItotale e, B- 2 indici di idoneità relativi alla disponibilità di risorse trofiche e alla presenza umana (HSIcibo e HSIuomo, rispettivamente. Il valore medio di HSIcibo è stato pari a 0,23, in relazione ai valori medi degli indici di idoneità per la disponibilità di invertebrati (0,01, ghiande (0,004 e alla copertura percentuale di arbusti (0,06. Il valore medio di HSIuomo è risultato maggiore (0,32, soprattutto in relazione all'indice relativo alle variabili pendenza (0,69 e distanza dagli insediamenti umani (0,60. L'indice complessivo medio HSItotale è stato pari a 0,27. Il modello è stato validato comparando, per ogni cella, il valore dei tre indici con l'abbondanza relativa dell'orso bruno stimata lungo percorsi campione dal 1993 al 1998. Gli indici HSItotale e HSIuomo sono risultati significativamente e direttamente correlati con l'abbondanza relativa dell'orso (0,40 >rs< 0,44; p< 0,001; n= 72, mentre la frequentazione dell'orso non è risultata correlata significativamente all'indice HSIcibo (rs= 0,06; p> 0,5; n= 72. Questi dati preliminari, che saranno integrati dai risultati di ulteriori campionamenti in corso, indicano chiaramente che l

  13. CYBERBULLYING – VIOLENŢA ÎN ERA DIGITALĂ

    Directory of Open Access Journals (Sweden)

    Loredana-Raluca UNGUREANU

    2017-03-01

    Full Text Available Lucrarea de faţă reprezintă un prim demers de conştientizare cu privire la o dimensiune a violenţei manifestate în special în rândul copiilor şi tinerilor – cyberbullying, violenţa în spaţiul virtual. În contextul erei digitale, al societăţii contemporane care se defineşte şi redefineşte continuu în acord cu evoluţia tehnologiei, într-o lume care se construieşte, se destramă şi se reconstruieşte permanent din spatele monitoarelor, în şcoala nativilor digitali care se formează cu pre­dilecţie prin apel la oceanul de informaţii oferite prin acces la Internet, agresivitatea capătă proporţii nebănuite cu efecte devastatoare. Primul pas în soluţionarea problemei constă în recunoaşterea sa, în definirea corectă a tuturor faţetelor sale, în identificarea factorilor declanşatori.CYBERBULLYING – VIOLENCE IN THE DIGITAL ERAThis paper represents a first approach for raising the awareness regarding a dimension of violence manifested especially among children and youngsters – cyberbullying, violence in virtual environment. In the context of the digital era, of the contemporary society that defines and redefines itself constantly according to the technological evolution, in a world that builds itself, crumbles and rebuilds itself from behind the monitors, in a school of the digital natives that develop themselves especially by using the ocean of information offered through the Internet, the aggressiveness gets enormous proportions with devastating effects. The first step in solving the problem is to admit its existence, to define correctly all its aspects, to identify the triggers.

  14. L’apertura della ricerca scientifica: il caso LUISS

    Directory of Open Access Journals (Sweden)

    Maria Teresa Nisticò

    2014-04-01

    Full Text Available IT Il Movimento OA, nato all’interno del mondo accademico, facilita la condivisione e la crescita della conoscenza scientifica mediante il libero accesso ai risultati della ricerca. Tra le due strategie principali volte a garantire pubblicazioni ad accesso aperto, la Green road è pienamente rappresentata dagli Institutional Repositories. In Italia la storia degli archivi istituzionali è fortemente caratterizzata e guidata dall’attività dalla CRUI, in particolare dal Gruppo di lavoro per l’OA nato con lo scopo di dare attuazione ai principi della Dichiarazione di Berlino, punto cardine del movimento Open Access. In questo contesto, la LUISS partecipa al progetto di sperimentazione di harvesting automatico delle tesi di dottorato da parte delle Biblioteche Nazionali Centrali di Firenze e di Roma – Magazzini Digitali - ed attua una precisa politica di archiviazione per garantire il rispetto della normativa vigente in tema di Deposito legale. I suoi archivi istituzionali, LUISSearch e LUISSThesis, riguardano la descrizione e la documentazione rispettivamente della ricerca scientifica d’ateneo ad accesso aperto - con particolare riguardo per la collezione delle tesi di dottorato - e degli elaborati discussi nelle sedute di laurea dell’Università, offrendo l’accesso al testo integrale qualora consentito dai candidati.EN The purpose of OA movement, born within the academic world, is to facilitate the sharing and the growth of scientific knowledge through open access to research results. Between the two main strategies meant to ensure open access publishing, the Green road is fully represented by the Institutional Repositories. In Italy the history of institutional repositories is strongly characterized and driven by the activity of CRUI, in particular by the Working Group for OA formed with the purpose of giving effect to the principles of the Declaration of Berlin, cornerstone of the Open Access movement. In this context, LUISS

  15. Tecnología y educación: el resurgir del cuarto mundo

    Directory of Open Access Journals (Sweden)

    Víctor Amar Rodríguez

    2009-11-01

    Full Text Available El autor de este artículo parte de la presencia e importancia de las tecnologías de la información y de la comunicación para analizar la ideología e intenciones que estas nuevas herramientas tecnológicas traen consigo. Aquí se analiza, igualmente, las implicaciones educativas del discurso tecnológico en la sociedad actual. Aquí se aborda la importancia de los cambios culturales y tecnológicos en la comunicación y en la educación actual. En este sentido, Internet es una importante herramienta y presenta un nuevo paradigma en la actual educación del siglo XXI. La nueva cultura en el ciberespacio y el proletariado digital son algunas reflexiones en tiempo presente que se aglutinan en torno a la información, la comunicación y el conocimiento. Una vez más los cambios sociales han permeado la educación en el amplio sentido del concepto. En este sentido, la emergente sociedad digital y tecnológica ha instrumentalizado el paso del homo sapiens al homo digitalis. El acceso o no a la red y la capacidad de interactuar con ella serán claves a la hora de crear una cibercultura de clases basada en la brecha digital._________________ABSTRACT:In this article the author, basing on the presence and importance of information and communication technologies, analyses the ideology and intentions that those new technological tools bring with them. At the same time, it examines the educational implications of technology in nowadays society. It also tackles the importance of cultural and technological changes in the current communication and education trends. From this point of view, Internet is a very useful tool, and can be considered as a new paradigm in XXI century’s education. The new cyberspace culture and the digital proletariat are some current issues that link around information, communication and knowledge.

  16. Management of depression in the elderly.

    Science.gov (United States)

    Williams, G O

    1989-06-01

    Primary care physicians have a vital role to play in identifying depression in their elderly patients. Diagnosis may be difficult, because symptoms are atypical and frequently include psychomotor agitation, somatic symptoms, and complaints of memory loss. Patients with medical illnesses, such as cancer, postmyocardial infarction, stroke, Parkinson's disease, and early Alzheimer's disease are particularly vulnerable to depression. Drugs that may cause depressive symptoms are digitalis at toxic levels, beta-blockers, centrally acting antihypertensives, immunosuppressants, and nonsteroidal anti-inflammatory agents. Cyclic antidepressants are the drugs of first choice. Selection depends on the patient's physical health and current medications and the side effect profile of the drug. Side effects are more pronounced in old age because of drug accumulation owing to slowed clearance. Troublesome side effects are anticholinergic effects, orthostatic hypotension, sedation, cardiotoxicity, and weight gain. The most useful antidepressants for geriatric patients are the secondary amines, desipramine and nortriptyline. The second-generation drug trazodone has the advantage of causing the least anticholinergic effects, but it is very sedating. Before treatment, the patient should have an electrocardiogram, liver function tests, tonometry, sitting and standing blood pressures, evaluation of urinary symptoms for outflow obstruction, review of current medications, and estimation of suicide risk. Cyclic antidepressants are contraindicated during recovery from myocardial infarction, in heart disease when there is severe impairment of myocardial performance, in seizure disorders, and in the presence of glaucoma or a large prostate. Drug interactions that may cause trouble can occur with epinephrine, MAO inhibitors, thyroid hormone, cimetidine, and centrally acting antihypertensives. Dosage should start low, increasing usually by 25 mg every 4 to 5 days until a therapeutic level is

  17. Reconstruction of the complete ouabain-binding pocket of Na,K-ATPase in gastric H,K-ATPase by substitution of only seven amino acids.

    Science.gov (United States)

    Qiu, Li Yan; Krieger, Elmar; Schaftenaar, Gijs; Swarts, Herman G P; Willems, Peter H G M; De Pont, Jan Joep H H M; Koenderink, Jan B

    2005-09-16

    Although cardiac glycosides have been used as drugs for more than 2 centuries and their primary target, the sodium pump (Na,K-ATPase), has already been known for 4 decades, their exact binding site is still elusive. In our efforts to define the molecular basis of digitalis glycosides binding we started from the fact that a closely related enzyme, the gastric H,K-ATPase, does not bind glycosides like ouabain. Previously, we showed that a chimera of these two enzymes, in which only the M3-M4 and M5-M6 hairpins were of Na,K-ATPase, bound ouabain with high affinity (Koenderink, J. B., Hermsen, H. P. H., Swarts, H. G. P., Willems, P. H. G. M., and De Pont, J. J. H. H. M. (2000) Proc. Natl. Acad. Sci. U. S. A. 97, 11209-11214). We also demonstrated that only three amino acids (Phe(783), Thr(797), and Asp(804)) present in the M5-M6 hairpin of Na,K-ATPase were sufficient to confer high affinity ouabain binding to a chimera which contained in addition the M3-M4 hairpin of Na,K-ATPase (Qiu, L. Y., Koenderink, J. B., Swarts, H. G., Willems, P. H., and De Pont, J. J. H. H. M. (2003) J. Biol. Chem. 278, 47240-47244). To further pinpoint the ouabain-binding site here we used a chimera-based loss-of-function strategy and identified four amino acids (Glu(312), Val(314), Ile(315), Gly(319)), all present in M4, as being important for ouabain binding. In a final gain-of-function study we showed that a gastric H,K-ATPase that contained Glu(312), Val(314), Ile(315), Gly(319), Phe(783), Thr(797), and Asp(804) of Na,K-ATPase bound ouabain with the same affinity as the native enzyme. Based on the E(2)P crystal structure of Ca(2+)-ATPase we constructed a homology model for the ouabain-binding site of Na,K-ATPase involving all seven amino acids as well as several earlier postulated amino acids.

  18. Nutrient Dynamics of Estuarine Invertebrates Are Shaped by Feeding Guild Rather than Seasonal River Flow.

    Science.gov (United States)

    Ortega-Cisneros, Kelly; Scharler, Ursula M

    2015-01-01

    This study aimed to determine the variability of carbon and nitrogen elemental content, stoichiometry and diet proportions of invertebrates in two sub-tropical estuaries in South Africa experiencing seasonal changes in rainfall and river inflow. The elemental ratios and stable isotopes of abiotic sources, zooplankton and macrozoobenthos taxa were analyzed over a dry/wet seasonal cycle. Nutrient content (C, N) and stoichiometry of suspended particulate matter exhibited significant spatio-temporal variations in both estuaries, which were explained by the variability in river inflow. Sediment particulate matter (%C, %N and C:N) was also influenced by the variability in river flow but to a lesser extent. The nutrient content and ratios of the analyzed invertebrates did not significantly vary among seasons with the exception of the copepod Pseudodiaptomus spp. (C:N) and the tanaid Apseudes digitalis (%N, C:N). These changes did not track the seasonal variations of the suspended or sediment particulate matter. Our results suggest that invertebrates managed to maintain their stoichiometry independent of the seasonality in river flow. A significant variability in nitrogen content among estuarine invertebrates was recorded, with highest % N recorded from predators and lowest %N from detritivores. Due to the otherwise general lack of seasonal differences in elemental content and stoichiometry, feeding guild was a major factor shaping the nutrient dynamics of the estuarine invertebrates. The nutrient richer suspended particulate matter was the preferred food source over sediment particulate matter for most invertebrate consumers in many, but not all seasons. The most distinct preference for suspended POM as a food source was apparent from the temporarily open/closed system after the estuary had breached, highlighting the importance of river flow as a driver of invertebrate nutrient dynamics under extreme events conditions. Moreover, our data showed that estuarine

  19. Strengthening your ties to referring physicians through RIS/PACS integration.

    Science.gov (United States)

    Worthy, Susan; Rounds, Karla C; Soloway, Connie B

    2003-01-01

    Many imaging centers are turning to technology solutions to increase refering physician satisfaction, implementing such enhancements as automated report distribution, picture archiving and communications system (PACS), radiology information systems (RIS), and web-based results access. However, without seamless integration, these technology investments don't address the challenge at its core: convenient and reliable, two-way communication and interaction with referring physicians. In an integrated RIS/PACS solution, patient tracking in the RIS and PACS study status are logged and available to users. The time of the patient's registration at the imaging center, the exam start and completion time, the patient's departure time from the imaging center, and results status are all tracked and logged. An integrated RIS/PACS solution provides additional support to the radiologist, a critical factor that can improve the turnaround time of results to referring physicians. The RIS/PACS enhances the interpretation by providing the patient's history, which gives the radiologist additional insight and decreases the likelihood of missing a diagnostic element. In a tightly integrated RIS/PACS solution, results information is more complete. Physicians can view reports with associated images selected by the radiologist. They will also have full order information and complete imaging history including prior reports and images. Referring physicians can access and view images and exam notes at the same time that the radiologist is interpreting the exam. Without the benefit of an integrated RIS/PACS system, the referring physician would have to wait for the signed transcription to be released. In a seamlessly integrated solution, film-tracking modules within the RIS are fused with digital imaging workflow in the PACS. Users can see at a glance if a historical exam is available on film and benefit when a complete study history--both film-based and digital--is presented with the current

  20. Predictors and Frequency of Conduction Disturbances After Open-Heart Surgery

    Directory of Open Access Journals (Sweden)

    Zahra Emkanjoo

    2008-02-01

    was compared with patient age, sex, occurrence of perioperative MI, ejection fraction (EF, postoperative use of ß-adernergic receptor blocking agents and digitalis and type of cardiac surgery. By regression analysis there was a correlation between type of surgery and new conduction defects, being significant for CABG and TOF repair. Only the occurrence of perioperative MI was related to PPM implantation.Conclusion Irreversible AVB requiring a PPM is an uncommon complication after open-heart surgery. Peri-operative MI is a risk factor.

  1. Impacto del riesgo cardíaco sobre la Aneurismectomía

    Directory of Open Access Journals (Sweden)

    Orestes Díaz Hernández

    2000-04-01

    Full Text Available Se realiza un análisis cardiológico a 100 pacientes a los cuales se les efectuó cirugía electiva por aneurisma de la aorta abdominal infrarrenal; para esto se emplearon 5 métodos: el índice de riesgo cardíaco de Goldman original y modificado, los marcadores coronarios de Eagle, las indicaciones por niveles recomendadas por Hollier y la ecuación de Cooperman. La cardiopatía isquémica se detectó en el 59 % del total de los pacientes. De ellos, el 43 % tenía antecedentes de infarto del miocardio, el 33 % angina estable bajo tratamiento medicamentoso, el 6 % insuficiencia cardíaca congestiva con tratamiento digitálico y el 11 % un ritmo no sinusal detectado en el electrocardiograma. La supervivencia a largo plazo en la cardiopatía isquémica se comportó al año y 2 años en el 80 %, a los 5 años en el 72 % y a los 10 y 13 años en el 35 %. Se propone un algoritmo simple y modificado de valoración cardiológica en los pacientes que muestran aneurisma de la aorta abdominalA cardiological analysis of 100 patients whe underwent elective surgery due to infrarenal abdominal aortic aneurysm was made. 5 methods were used to this end: the original and modified Goldman´s cardiac resk index, Eagle´s coronary markers, the indications by levels recommended by Hollier and Cooperman´s equation. Ischaemic heart disease was detected in 59 % of the patients. 43 % of them had history of myocardial infarction, 33 % of stable angina under drug treatment, 6 % of congestive heart failure with digitalis treatment and 11 % had a nonsinusal rate detected in the EKG. Among those suffering from schemic heart disease there was a long term survival of 80 % at the lst and 2nd year, 72 % at the 5 th year, and 35 % at the 10th and 13th year. A simple and modified algorithm of cardiological assessment was proposed for patients with abdominal aortic aneurysm

  2. Museo reale e museo digitale: il caso del Museo Archeologico Regionale “A. Salinas” un anno dopo la riapertura / Real and digital museum: the case of the Museo Archeologico Regionale “A. Salinas” one year after its reopening

    Directory of Open Access Journals (Sweden)

    Serena D'Orazio

    2017-12-01

    Full Text Available La riapertura del Museo Salinas, rimasto per anni inaccessibile a causa di un lungo restauro architettonico, ha rappresentato per la comunità e per l'istituzione stessa un momento di importante condivisione sociale. Accanto ai risultati raggiunti a museo "chiuso" in seguito all'adozione di una strategia di comunicazione capace di integrare l'attività sui canali social, l'adesione a campagne bottom-up per la valorizzazione digitale del patrimonio e la promozione di un ricco calendario di mostre ed eventi all’interno ed all’esterno dalla sede museale si affiancano ora grandi aspettative nei confronti di questa nuova realtà in cui i due sistemi - museo reale e museo digitale - hanno l'opportunità di interagire e comunicare. Questo contributo intende quindi analizzare, nell'ottica del miglioramento continuo, i risultati raggiunti dal museo a distanza di un anno dalla propria riapertura indagando sulle strategie adottate, sulla qualità dei servizi offerti e sulle opportunità ancora da sfruttare, dedicando particolare attenzione al tema dell'uso delle tecnologie digitali per la fruizione e la valorizzazione del patrimonio conservato. The reopening of the Museo Salinas, closed off for years due to a long architectural restoration, has represented a crucial moment of social sharing for both the community and the institution. Together with the results achieved as "closed" museum, thanks to the planning of a communication strategy aimed at introducing social channel activities, the adoption of a bottom-up campaign for cultural heritage digital evaluation and the promotion of a rich schedule of exhibitions and meetings outside of the museum, high expectations are present now for this new reality: two systems - the real museum and the digital museum - have the opportunity to interact and to communicate. The purpose of this paperwork is to analyze, for a continuous improvement, the achievements of the museum one year later the reopening by

  3. Poisonous plants in New Zealand: a review of those that are most commonly enquired about to the National Poisons Centre.

    Science.gov (United States)

    Slaughter, Robin J; Beasley, D Michael G; Lambie, Bruce S; Wilkins, Gerard T; Schep, Leo J

    2012-12-14

    New Zealand has a number of plants, both native and introduced, contact with which can lead to poisoning. The New Zealand National Poisons Centre (NZNPC) frequently receives enquiries regarding exposures to poisonous plants. Poisonous plants can cause harm following inadvertent ingestion, via skin contact, eye exposures or inhalation of sawdust or smoked plant matter. The purpose of this article is to determine the 15 most common poisonous plant enquiries to the NZNPC and provide a review of current literature, discussing the symptoms that might arise upon exposure to these poisonous plants and the recommended medical management of such poisonings. Call data from the NZNPC telephone collection databases regarding human plant exposures between 2003 and 2010 were analysed retrospectively. The most common plants causing human poisoning were selected as the basis for this review. An extensive literature review was also performed by systematically searching OVID MEDLINE, ISI Web of Science, Scopus and Google Scholar. Further information was obtained from book chapters, relevant news reports and web material. For the years 2003-2010 inclusive, a total of 256,969 enquiries were received by the NZNPC. Of these enquiries, 11,049 involved exposures to plants and fungi. The most common poisonous plant enquiries, in decreasing order of frequency, were: black nightshade (Solanum nigrum), arum lily (Zantedeschia aethiopica), kowhai (Sophora spp.), euphorbia (Euphorbia spp.), peace lily (Spathiphyllum spp.), agapanthus (Agapanthus spp.), stinking iris (Iris foetidissima), rhubarb (Rheum rhabarbarum), taro (Colocasia esculentum), oleander (Nerium oleander), daffodil (Narcissus spp.), hemlock (Conium maculatum), karaka (Corynocarpus laevigatus), foxglove (Digitalis purpurea) and ongaonga/New Zealand tree nettle (Urtica ferox). The combined total of enquiries for these 15 species was 2754 calls (representing approximately 25% of all enquiries regarding plant exposures). The signs

  4. La trasparenza scientifica in archeologia virtuale: una lettura critica al principio N.7 della Carta di Siviglia

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    Francesco Gabellone

    2012-12-01

    Full Text Available ItAnalogamente per quanto avvenne nell’ambito del restauro, i Principi di Siviglia sull'Archeologia Virtuale hanno il valore di una carta, che non definisce un sistema di norme, di leggi, ma gli orientamenti di una vasta comunità scientifica che si propone di dare impulso all’archeologia virtuale come disciplina matura, la quale viva nel rispetto di queste regole e si fondi su metodi scientificamente validi ed ampiamente condivisi. Una piena trasparenza dei metodi, delle tecniche e della documentazione a corredo di un progetto di archeologia virtuale, è necessaria al fine di definire standard di qualità che innalzino il valore scientifico di una disciplina che promette di informare, stupire e affascinare con sempre maggiore efficacia e rigore. Il principio N. 7 della Carta di Siviglia, ribadisce la necessità di predisporre una base documentaria esauriente, che riguardi tutto il processo di ricerca legato alla creazione di contenuti digitali in progetti di archeologia virtuale. In Archeologia Virtuale i metodi di analisi, le tecniche di rilevamento e le interpretazioni devono essere tutti dichiarati, comprensibili e riutilizzabili. Solo l’analisi dei dati preliminari potrà validare gli esiti di uno studio ricostruttivo e garantire alle nuove generazioni una revisione dei risultati senza necessariamente ricominciare il lavoro dall’inizio.EnAnalogous to what has happened in the field of restoration, the Seville Principles of Virtual Archaeology have the value of a charter. They do not define a system of norms or laws, but rather the orientation of a broad scientific community that seeks to promote virtual archaeology as a mature discipline, one guided by respect for these rules and founded on scientifically valid and widely shared methods. The full transparency of the methods, techniques and accompanying documentation of a virtual archaeology project, is necessary in order to define standards of quality that raise the scientific value

  5. Intravenous application of an anticalin dramatically lowers plasma digoxin levels and reduces its toxic effects in rats

    Energy Technology Data Exchange (ETDEWEB)

    Eyer, Florian, E-mail: Florian.Eyer@mac.com [Department of Toxicology, Klinikum rechts der Isar, Munich (Germany); Steimer, Werner [Institute of Clinical Chemistry and Pathobiochemistry, Klinikum rechts der Isar, Munich (Germany); Nitzsche, Thomas [Munich Center for Integrated Protein Science (CIPS-M), Freising-Weihenstephan (Germany); Lehrstuhl für Biologische Chemie, Technische Universität München, Freising-Weihenstephan (Germany); Jung, Nicole; Neuberger, Heidi [Department of Toxicology, Klinikum rechts der Isar, Munich (Germany); Müller, Christine [Institute of Clinical Chemistry and Pathobiochemistry, Klinikum rechts der Isar, Munich (Germany); Schlapschy, Martin [Munich Center for Integrated Protein Science (CIPS-M), Freising-Weihenstephan (Germany); Lehrstuhl für Biologische Chemie, Technische Universität München, Freising-Weihenstephan (Germany); Zilker, Thomas [Department of Toxicology, Klinikum rechts der Isar, Munich (Germany); Skerra, Arne [Munich Center for Integrated Protein Science (CIPS-M), Freising-Weihenstephan (Germany); Lehrstuhl für Biologische Chemie, Technische Universität München, Freising-Weihenstephan (Germany)

    2012-09-15

    Lipocalins tailored with high affinity for prescribed ligands, so-called anticalins, constitute promising candidates as antidotes. Here, we present an animal study to investigate both pharmacokinetic and clinical effects of an anticalin specific for the digitalis compound digoxin. Intravenous digoxin (2.5–50 μg/kg/min) was administered to rats until first changes in the ECG occurred (dose finding study) or a priori for 30 min (kinetic study). The anticalin DigA16(H86N), dubbed DigiCal, was administered intravenously at absolute doses of 1, 5, 10 and 20 mg, while the control group received isotonic saline. Hemodynamic changes, several ECG parameters and digoxin concentration in plasma were monitored at given time intervals. After DigiCal administration free digoxin concentration in plasma ultrafiltrate declined dramatically within 1 min to the presumably non-toxic range. There was also a significant and DigiCal dose-dependent effect on longer survival, less ECG alterations, arrhythmia, and improved hemodynamics. Infusion of a lower digoxin dose (2.5 μg/kg/min) resulted in a more sustained reduction of free digoxin in plasma after DigiCal administration compared to a higher digoxin dose (25 μg/kg/min), whereas ECG and hemodynamic parameters did not markedly differ, reflecting the known relative insensitivity of rats towards digoxin toxicity. Notably, we observed a re-increase of free digoxin in plasma some time after bolus administration of DigiCal, which was presumably due to toxin redistribution from tissue in combination with the relatively fast renal clearance of the rather small protein antidote. We conclude that anticalins with appropriately engineered drug-binding activities and, possibly, prolonged plasma half-life offer prospects for next-generation antidotal therapy. -- Highlights: ► We provide an advanced model of digoxin toxicity in rats. ► We report on binding of digoxin to a novel designed anticalin. ► We report on pharmacokinetics of digoxin

  6. Uso de medicamentos como fator de risco para fratura grave decorrente de queda em idosos Medication as a risk factor for falls resulting in severe fractures in the elderly

    Directory of Open Access Journals (Sweden)

    Evandro da Silva Freire Coutinho

    2002-10-01

    Full Text Available Quedas seguidas de fraturas entre idosos constituem um importante problema de saúde pública. Um estudo caso-controle foi conduzido para avaliar o papel do uso de um conjunto de medicamentos, como fator de risco para esses acidentes entre pessoas com 60 anos ou mais, na cidade do Rio de Janeiro, Brasil. Cento e sessenta e nove casos de internação por fratura conseqüente a queda, e 315 controles hospitalares foram pareados por idade, sexo e hospital. Odds ratios (OR, ajustados por fatores potenciais de confusão, foram obtidos utilizando-se regressão logística condicional. Observou-se um aumento no risco desses acidentes para o uso de drogas bloqueadoras dos canais de cálcio (OR = 1,96, 1,16-3,30 e benzodiazepínicos (OR = 2,09, 1,08-4,05, e uma redução para o uso de diuréticos (OR = 0,40, 0,20-0,80. Antiácidos, digitálicos e laxantes mostraram-se associados a uma redução do risco de fraturas por quedas, cuja significância estatística atingiu níveis limítrofes (0,05 Falls leading to fractures among the elderly are a major public problem. A case-control study was conducted on the use of certain drugs as a risk factor for hospitalization due to fractures after falls among individuals aged 60 years or over in the city of Rio de Janeiro, Brazil. One hundred sixty-nine cases and 315 in-patient controls were matched by age, sex, and hospital. Odds ratios (OR adjusted for potential confounders were calculated using conditional logistic regression. Increased risk of such accidents was found for calcium channel antagonists (OR = 1.96, 1.16-3.30 and benzodiazepines (OR = 2.09, 1.08-4.05, and decreased risk was associated with diuretics (OR = 0.40, 0.20-0.80. Antacids, digitalis, and laxatives were associated with reduced risk of fractures after falls that reached borderline statistical significance (0.05 < p < 0.10. The findings highlight the need to weigh risks and benefits of medication in the elderly. It is also important to advise

  7. Searching Sinks and Sources: CO2 Fluxes Before and After Partial Deforestation of a Spruce Forest

    Science.gov (United States)

    Ney, P.; Graf, A.; Druee, C.; Esser, O.; Klosterhalfen, A.; Valler, V.; Pick, K.; Vereecken, H.

    2017-12-01

    Forest ecosystems in the northern mid-latitudes act as a sink for atmospheric carbon dioxide (CO2) and hence play an important role in the terrestrial carbon cycle. Disturbances of these landscapes may have a significant impact on their ecosystem carbon budget. We present seven years of eddy covariance (EC) measurements (September 2013 to September 2017) over a 70 year old spruce stock, including three years prior to and four years after partial deforestation. We analyzed the seasonal and inter-annual changes of carbon fluxes as affected mainly by the forest transition. The measurements were carried out in a small headwater catchment (38.5 ha) within the TERENO (TERrestrial Environmental Observatories) network in the Eifel National Park Germany (50°30'N, 06°19'E, 595-629 m a.s.l.). An EC system, mounted on the top of a 38 m high tower, continuously samples fluxes of momentum, sensible heat, latent heat and CO2. In August and September 2013, more than 20% of the catchment was deforested and planned for regeneration towards natural deciduous vegetation, and a second EC station (2.5 m height) was installed in the middle of this clearcut. Flux partitioning and gap filling methods were used to calculate full time series and annual carbon budgets of the measured net ecosystem exchange (NEE) and its components gross primary production (GPP) and total ecosystem respiration (Reco). Additionally, soil respiration was measured with manual chambers on a monthly to bi-monthly basis at 25 transect points in the forest and deforested area. Annual sums of NEE represent the forest as a carbon sink with small inter-annual variability. In contrast, the deforested area showed a clear trend. In the first year after partial deforestation, regrowth on the deforested area consisted mainly of grasses and red foxglove (Digitalis purpurea L.), while since the second year also growth of mountain ash (Sorbus aucuparia L.) and broom (Cytisus scoparius L.) increased. The regrowth of biomass is

  8. Anestesia no cardiovascular en el paciente con cardiopatía congénita y flujo pulmonar aumentado

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    Lincoln de la Parte Pérez

    2003-12-01

    Full Text Available Los lactantes y dentro de éstos los de menor edad y peso corporal, que padecen de cardiopatías congénitas con flujo pulmonar aumentado y son sometidos a anestesia para procedimientos quirúrgicos no cardiovasculares, tienen un gran riesgo anestésico, por lo que es necesario enfatizar que estos pacientes presentan habitualmente múltiples alteraciones anatómicas y de la fisiología cardiovascular con repercusión en diferentes órganos y sistemas, diversas enfermedades asociadas que empeoran el pronóstico y necesitan frecuentemente tratamiento médico con digitálicos, diuréticos y fármacos vasoactivos desde muy temprano, de modo que la evaluación preoperatoria, incluidas las investigaciones no invasivas, deben ser realizadas por cardiólogos experimentados y cuando se programan para procedimientos quirúrgicos, deben ser remitidos para un centro con recursos y la experiencia necesaria en el manejo de los pacientes con cardiopatías congénitas. Se presenta una revisión bibliográfica actualizada sobre el manejo anestésico de estos pacientes.Infants and among them the youngest and with the least body weight suffering from congenital heart diseases with increased pulmonary flow and who receive anesthesia to undergo noncardiovascular surgical procedures, are at a great anesthetic risk . That's why, it is necessary to make emphasis on the fact that these patients usually present multiple anatomical alterations and cardiovascular physiology disorders with repercussion on different organs and systems, diverse associated diseases that worsen the prognosis, and that they frequently need medical treatment with digitalis, diuretics and vasoactive drugs very early. Taking this into account, the preoperative evaluation, including non-invasive research should be carried out by experienced cardiologists and when they are scheduled for surgical procedures, they should be referred to a center with resources and the necessary experience in the

  9. A multi-sensory methodological approach for science learning

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    Eugenia Lucia Bossio

    2016-04-01

    Full Text Available This paper presents both a learning environment aimed at science education and the results obtained at the end of its experimentation carried out in a secondary school. The edutainment environment has been designed to explain the physical theory of superstrings, and it was mainly based on the construction of artifacts and on the manipulation of digital media. In order to both intrigue students and make interesting and appealing this complex subject of physics we have tried to stimulate and engage students in a multi-sensory way through different approaches. It was outlined a path made by different steps to deal with the scientific issues addressed that would actively encourage a real translation of knowledge into skills and both different styles and ways of learning. Superstring theory was first presented through traditional approaches and, later, through the construction of metaphoric representations made by artifacts created by the students. The experimentation, conducted on a group of 20 students, allowed to evaluate the effectiveness of the environment. Un approccio multisensoriale per l’apprendimento delle scienzeQuesto articolo presenta un ambiente di apprendimento rivolto alla didattica delle scienze e i risultati ottenuti al termine della sua sperimentazione compiuta presso un istituto scolastico d’istruzione secondaria di primo grado. L’ambiente di edutainment è stato progettato per realizzare la divulgazione della teoria fisica delle superstringhe, ed è stato prevalentemente basato sulla costruzione di manufatti e sulla manipolazione di media digitali. Si è cercato di stimolare e coinvolgere gli alunni mediante approcci diversi e in maniera multisensoriale con l’obiettivo di incuriosirli rendendo interessante e accattivante questo complesso argomento della fisica. È stato delineato un percorso per gradi alle problematiche scientifiche affrontate che potesse attivamente stimolare sia i vari stili e modi di apprendimento

  10. Prevalencia de insuficiencia renal en pacientes que asisten a la clínica de falla cardiaca Prevalence of heart failure in patients attending to a heart failure clinic

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    Diego Rodríguez

    2011-06-01

    . Conclusiones: la prevalencia de insuficiencia renal determinada por la depuración de creatinina, es alta tanto en hombres como en mujeres evaluados en la clínica de falla cardiaca, lo cual conduce a replantear los esquemas de manejo dependiendo de la función renal ya que algunos de los medicamentos utilizados son nefrotóxicos o incrementan los niveles de potasio. Por lo tanto, la valoración de la función renal mediante la utilización de la depuración de creatinina por medio de la fórmula de Cockcroft, puede ser más conveniente que sólo basarse en la creatinina, por lo cual se recomienda realizarla en todos los pacientes que se estén siguiendo en las clínicas de falla cardiaca al igual que al considerar cambios en el esquema de manejo médico.Background: patients with heart failure have an increased morbidity to the extend that they present impaired renal function, taking as a predictor of adverse events the elevation of creatinine clearance. Methods: a descriptive analysis of patients attending the heart failure clinic of the Shaio Clinic from January 1997 until October 2009 was realized, in order to know their renal function through creatinine clearance using the Cockcroft formula. Risk factors taken into account were the presence of hypertension, diabetes mellitus, smoking and dyslipidemia, and some drugs that can affect renal function, such as spironolactone, digitalis, angiotensin-converting enzyme and antagonists of angiotensin II receptors were also assessed, as well as the etiology correlated with creatinine clearance. Results: 1,123 patients were registered in the data base, of whom 557 (49.6% meet the inclusion criteria, and of these 461 (82.8% present impaired renal function. 301 (65% are males and 160 (35% female. Based on the creatinine clearance, the finding were: between 60-89 mL/min 172 patients (37.6%; between 30-59 mL/min 240 patients(51.8%; between 15-29 mL/min 42 patients (9.1%; less than 15 mL/min 7 patients(1.5%. Among the risk factors we

  11. Determining concentration fields of tracer plumes for layered porous media in flow-tank experiments

    Science.gov (United States)

    Yu, Zhongbo; Schwartz, Franklin W.

    In the laboratory, computer-assisted image analysis provides an accurate and efficient way to monitor tracer experiments. This paper describes the determination of detailed temporal concentration distributions of tracers in a flow-tank experiment by analyzing photographs of plumes of Rhodamine dye through the glass wall of the tank. The methodology developed for this purpose consists of four steps: (1) digitally scanning black and white negatives obtained from photographs of the flow-tank experiment; (2) calibrating and normalizing each digitized image to a standard optical-density scale by determining the relation between the optical density and pixel value for each image; (3) constructing standard curves relating the concentration in an optical density from five experimental runs with predetermined concentrations (2-97mg/L) and (4) converting the optical density to concentration. The spatial distribution of concentration for two photographs was determined by applying these calibration and conversion procedures to all pixels of the digitized images. This approach provides an efficient way to study patterns of plume evolution and transport mechanisms. Résumé Au laboratoire, l'analyse d'images assistée par ordinateur est un moyen précis et efficace pour suivre certaines expériences de traçage. Ce papier présente comment sont déterminées dans le détail les distributions temporelles de la concentration en traceur au cours d'une expérience d'écoulement en réservoir au moyen de l'analyse de photographies de panaches de rhodamine à travers la paroi de verre du réservoir. La méthodologie développée dans cette expérience suit quatre étapes: (1) digitalisation par balayage des négatifs noir et blanc des prises de vue de l'expérience d'écoulement en réservoir (2) calibration et normalisation de chaque image digitalisée par rapport à une échelle étalon de densité optique en déterminant la relation entre la densité optique et la valeur des pixels

  12. "I really have no idea what non-fandom people do with their lives." A multimodal and corpus-based analysis of fanfiction

    Directory of Open Access Journals (Sweden)

    Maria Grazia Sindoni

    2015-07-01

    digitali. Nella narrazione transmediale, gli elementi integrali di una storia sono sistematicamente dispersi tramite vari canali di distribuzione per creare un’esperienza interconnessa e ramificata di intrattenimento (Jenkins 2006, 2007. Le storie cessano di essere delle esperienze di narrazione lineare, e i diversi punti di accesso alla storia incoraggiano una pratica di lettura, visione o scrittura personalizzata: l’esperienza globale della fanfiction. Questo studio si concentra sul fenomeno della fanfiction da due prospettive teoriche e metodologiche distinte, ma complementari. Partendo da studi precedenti (Thomas 2010; Sindoni 2013 e basandosi sui dati forniti da un corpus monogenerico, LJFic, le domande a cui questo studio tenta di rispondere riguardano la variazione diatipica (Halliday 1991 nella fanfiction da un punto di vista sia linguistico che multimodale. Si discuteranno gli esiti di un’analisi di  keyness svolta con due corpora di riferimento (FLOB e COCA, ipotizzando che questa possa gettare luce su una serie di questioni linguistiche, per esempio riguardanti la variazione diamesica (approssimando i risultati che si sarebbero potuti ottenere tramite l’analisi multidimensionale di Biber 1988 e con un’attenzione specifica verso i lemmi più frequenti per comprendere l’aboutness dei testi (Scott, Tribble 2006; Bondi, Scotti 2010. Tuttavia, un’analisi puramente quantitativa non può rendere conto della natura eminentemente multimodale della fanfiction. Per colmare tale lacuna, un campione di post sarà analizzato qualitativamente tramite lo scavo e la dissezione delle risorse multimodali.

  13. Il valore dell'eBook

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    Nicola Cavalli

    2013-03-01

    Full Text Available ItQuanto vale un e-book? Quale valore percepisce chi compra e usa gli e-book? Comprare un libro o un e-book è una scelta che i lettori oggi si trovano a fare quotidianamente: la diffusione degli e-book reader a prezzi accessibili e la proposta sempre più varia dei piccoli e grandi editori sta cambiando la percezione del valore commerciale dell'oggetto libro e del valore attribuito dal consumatore finale al lavoro di intermediazione delle case editrici e della distribuzione. Sorgono sistemi "alternativi" di condivisione dei testi digitali, che sfruttano la rete Internet, celebrati come democratici o demonizzati come pirateria illegale, ma sicuramente rispondenti a quello che è il cambio di prospettiva, di percezione, di abitudini di consumo del lettore. Quanto si può parlare, dunque, di pirateria nel mercato degli e-book? E quanto, invece, è importante che l'industria editoriale tenga in considerazione la risposta del consumatore? La presente ricerca si è posta l’obiettivo di svolgere una indagine esplorativa su questi temi, che stanno assumendo un rilievo sempre maggiore all’interno dell’opinione pubblica, e che sono destinati in futuro ad incidere in modo sempre più diretto sull’evoluzione economica e professionale dell’intero settore editoriale. L’indagine ha visto, in questa prima fase, l’utilizzo di un questionario diffuso online sui social network, in siti e forum dedicati alla lettura, attraverso mailing list di gruppi di interesse, con il primo obiettivo di precisare il profilo di quell’avanguardia di lettori forti e che si muovono agilmente tra il cartaceo e il digitale, raccogliere informazioni rispetto alle loro abitudini di ricerca di nuove letture e descriverne le dinamiche di matchmaking preliminari all’acquisto. In aggiunta, si è indagata la consistenza di pratiche di prestito e condivisione dei libri, l’appoggio a sistemi tradizionali, come quello bibliotecario, o la decisa svolta verso sistemi di

  14. La apropiación asistemática de las nuevas tecnologías. Informalización y contextualización entre los jóvenes alemanes

    Directory of Open Access Journals (Sweden)

    Tully, Claus J.

    2008-04-01

    intencional, ya que depende en gran medida del interés individual que precede al uso del mundo multimedia. Los jóvenes alemanes se apropian de la oferta de navegación en las autopistas de datos de una manera lúdica. La formación social que acompaña a este tipo de apropiación de la tecnología ha sido investigada sólo en escasa medida, aun cuando encierra nuevos riesgos. Se intenta aquí reflexionar sobre este proceso y sus posibles efectos, tales como la desigualdad social y la exclusión (la llamada brecha digital>.

  15. Disturbances of sensation occasioned by experimental arrest of blood flow

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    Alfred Auersperg

    1949-12-01

    muscles during ischaemia, as observed by Matthews, weight discrimination and the capability of hitting targets with objects of different weights were not significantly altered, even during the painful phase of fatigue. V - A nervus digitalis volaris proprius was stimulated with A.C. current of 60 cycles at a just tolerable intensity. After three minutes of stimulation the initial paresthesias and pain had almost disappeared, and were followed by numbness and increased sensory thresholds in the field of distribution of that nerve. A few seconds after stimulation was interrupted, sensation was again normal in that field. Comparable phenomena were observed under normal conditions, in the absence of ischaemia. VI - Novocaine block of a finger in the ischaemic side did not influence "pins and needles", which appear after arrest of circulation is released. Therefore, the field of origin of the "pins and needles" does not seem to be the receptor field (Weddell and Sinclair but more probably the nerve fibers themselves (Lewis, Kugelberg. VII - As is well known, "pins and needles" are accentuated by tapping the fingers and, much less, by pressing them. Thermic and painful stimulation have no effect on these paresthesias. Tapping would probably stimulate muscle and touch receptors. On the basis of our observations and Kugelberg's physiological analysis, we are inclined to consider the nerve fibers of these receptors as the field of origin of these paresthesias. VIII - No accentuation of "pins and needles" was found by (a tapping an anesthetized finger, nor (b pressing the muscles; but (c tapping the fingers does reinforce these paresthesias, also during the phase when simple pressure has the opposite effect of extinguishing them. So, it seems that accentuation is related to specific nerve fibers, but it is only brought about when a special function is at play. Therefore, enhancement of those paresthesias is limited to the correlated function of proprioceptors and touch receptors

  16. Editor's welcome, PORTAL, Vol. 4, No. 2, July 2007

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    Paul Allatson

    2007-10-01

    about the submission process Portal’s homepage, http://epress.lib.uts.edu.au/ojs/index.php/portal. Deadline: 1 March 2008. For further information, please contact Dr Ilaria Vanni: Ilaria.Vanni@uts.edu.au Portal, Journal of Multidisciplinary International Studies, numero speciale: ‘Italian cultures: writing Italian cultural studies in the world’. Portal, Journal of Multidisciplinary International Studies sta raccogliendo articoli per un numero speciale sugli studi culturali che trattino tematiche legate all’Italia con lo scopo di aggiornare la ricerca esistente e produrre una mappatura della proliferazione di interesse in quest’area in espansione. Portal riconosce che una molteplicità di Italie viene generata dai ricercatori che lavorano nell’ambito di cultural studies all’incontro di prospettive globali e saperi locali, sia come panorama interno all’Italia sia come provincializzazioni dell’Italia. In particolare questo numero è interessato (ma non limitato a testi sulle seguenti tematiche: •Cibo •Cinema •Consumi •Corpi •Culture visive •Design •Culture digitali •Lingua •Luoghi •Media (vecchi e nuovi •Moda •Processi di appartenenza •Quotidianità •Scrittura creativa •Sport Portal include nei suoi protocolli editoriali l’impegno a facilitare il dialogo tra studiosi e studiose di studi internazionali che lavorano in qualsiasi parte del mondo, e non solo nel ‘nord’, nell’ ‘ovest’ o nel ‘primo mondo’. L’impegno della rivista a creare un clima genuinamente ‘internazionale’ si ritrova anche nella decisione di pubblicare testi critici e creativi non solo in inglese ma anche in bahasa Indonesia, cinese, croato, francese, giapponese, italiano, serbo, spagnolo e tedesco. Portal garantisce libero accesso a tutti i testi pubblicati sostenendo così la libera circolazione, creazione e lo scambio di saperi. Le avvertenze per gli autori sono pubblicate nel sito della

  17. Perfil epidemiológico, clínico e terapêutico da insuficiência cardíaca em hospital terciário Perfil epidemiológico, clínico y terapéutico de la insuficiencia cardíaca en hospital terciario Epidemiological, clinical e therapeutic profile of heart failure in a tertiary hospital

    Directory of Open Access Journals (Sweden)

    Patrícia Resende Nogueira

    2010-09-01

    (22.9%, coronary disease (19.4%, dyslipidemia (17.3% and diabetes (16.6% were the main risk factors. There was a higher prevalence of female individuals among the hypertensive patients (p=0.044 as well as a higher frequency of pulmonary rales (p < 0.01. Heart rate was lower among chagasic patients (p < 0.001. The most often prescribed medications were diuretics (81.2%, angiotensin-converting enzyme inhibitors or angiotensin-receptor blockers (77.7%, beta-blockers (45.8%, spironolactone (35.4%, digitalis (30.5% and vasodilators (8.3%. CONCLUSION: Chagasic cardiomyopathy was the main cause of heart failure. No significant clinical differences were observed among patients from the four etiologic groups.

  18. Pachacamac y el proyecto Ychsma (1999-2003

    Directory of Open Access Journals (Sweden)

    2004-01-01

    Full Text Available PACHACAMAC ET LE PROJET YCHSMA (1999-2003. Le Projet Ychsma (Université Libre de Bruxelles, Belgique - Instituto Nacional de Cultura del Perú a débuté en 1999 afin d’éclairer le fonctionnement, le développement et l’influence du site de Pachacamac durant les périodes Intermédiaire récent et Horizon récent. L’architecture monumentale constitue le thème principal des recherches de terrain. Une synthèse des résultats obtenus jusqu’à présent est présentée ici, avec un accent particulier mis sur l’étude des pyramides à rampe, leur fonctionnement, leur chronologie et leur rôle dans l’expansion du site. Les fouilles étendues et intensives de la pyramide n˚ 3 de Pachacamac ainsi que les explorations ponctuelles des autres pyramides de la zone archéologique et ses environs suggèrent de nouveaux modèles d’interprétation du site, fort différents de ce qui a été proposé jusqu’à présent sur la base de sources ethnohistoriques, ou de données archéologiques interprétées en fonction de celles-ci. Les avancées dans le domaine de la cartographie digitalisée, de la nomenclature des édifices et de la reconstitution en images de synthèse de l’ensemble du site de Pachacamac sont également évoquées. Il s’agit d’une entreprise à long terme destinée à servir de référence aux futures recherches et débats à propos d’un établissement qui compte parmi les plus importants des Andes centrales. El Proyecto Ychsma (Universidad Libre de Bruselas, Bélgica - Instituto Nacional de Cultura del Perú empezó en 1999 con el fin de esclarecer el funcionamiento, desarrollo e influencia del sitio de Pachacamac durante los periodos Intermedio Tardío y Horizonte Tardío, siendo la arquitectura monumental el enfoque principal de las investigaciones en el campo. Se presenta aquí una síntesis de los avances logrados hasta el presente, específicamente en el estudio de las pirámides con rampa, su funcionamiento, cronolog

  19. Adaptações fisiológicas precoces e tardias após valvotomia mitral por cateter balão Early and late physiological effects of balloon mitral valvuloplasty

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    Japy Angelini Oliveira Fº

    1998-02-01

    Full Text Available OBJETIVO: Avaliação não invasiva das respostas cardiopulmonares ao exercício a curto e longo prazo após valvotomia mitral por cateter balão. MÉTODOS: Estudaram-se 9 pacientes do sexo feminino, 35±9 anos, com estenose mitral, tipo funcional II ou III, em uso de digitálicos e diuréticos, através de teste ergoespirométrico, eletrocardiograma e ecocardiograma, antes e após valvotomia em fase precoce (3 a 5 dias e tardia (8 a 12 meses. RESULTADOS: Os pacientes evoluíram para tipo funcional II (44% ou I (56%, na fase tardia. Houve redução da freqüência cardíaca de repouso (87±11bpm vs 85±7bpm vs 75±9bpm e elevação do número de estágios (4±1 estágios vs 5±2 estágios vs 6±1 estágios; a capacidade aeróbia máxima aumentou apenas na fase tardia (16±3mL/kg/min vs 18±4mL/kg/min vs 22±7mL/kg/min. O limiar anaeróbio, a ventilação pulmonar e o equivalente ventilatório do O2 permaneceram inalterados. Nas cargas submáximas de exercício ocorreu redução da freqüência cardíaca (estágio I: 124±18bpm vs 112±13bpm vs 87±15bpm, consumo de O2 (estágio I: 10±2mL/kg/min vs 8±2mL/kg/min vs 8±mL/kg/min e ventilação pulmonar, nas fases precoce e tardia. A área valvar mitral mostrou reduções na fase tardia (0,94cm² vs 1,66cm² vs 1,20cm² . CONCLUSÃO: Apesar da tendência à reestenose parcial, houve melhora no tipo funcional e no desempenho cardiopulmonar com diminuição da sobrecarga circulatória no exercício submáximo.PURPOSE: To evaluate the early and late cardiorespiratory responses after balloon mitral valvuloplasty. METHODS: Nine female patients aged 35±9 years, with mitral stenosis, in class II or III (NYHA underwent upright ergoespirometric test, resting electrocardiogram and echocardiogram before, 3 to 5 days (early evaluation and 8 to 12 months (late evaluation after mitral valvuloplasty. All patients were treated with digitalis and diuretics. RESULTS: During late evaluation, 44% patients were in

  20. Agranulocytosis and acute coronary syndrom in apathetic hyperthyreoidism

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    Ivović Miomira

    2003-01-01

    disorder in hyperthyroidism but paroxysmal tachycardia and atrial fibrillation are not rare. This can be explained by increased heart rate, cardiac output, blood volume, coronary artery flow and peripheral oxygen consumption in thyreotoxicosis [9]. Patients with coronary arteriosclerosis can develop angina pectoris during thyreotoxic stage, which can be explained by imbalance between cardiac demand and supply. Myocardial damage is often in thyrotoxic patients with chronic hart failure, together with myocardial infarction in patients without coronary disease [2,6]. Congestive heart failure and atrial fibrillation are relatively resistant to digitalis treatment because of high metabolic turn over of medication and excessive myocardial irritability in hyperthyro-idism [6]. Cardiovascular and myopathic manifestations predominate in older hyperthyroid patients (over 60 years and some of them can have only few symptoms of hyperthyroidism [1-3]. Thyrotoxic state characterized by fatigue, apathy, extreme weakness, low-grade fever and sometimes congestive heart failure are designated as apathetic hyperthyroidism. Such patients have small goiters, mild tachycardia and often cool and dry skin with few eye signs [6]. Patients with subclinical hyperthyroidism are at increased risk for atrial fibrillation [9]. Unstable angina and non-Q myocardial infarction (non ST elevation are acute manifestation of coronary artery disease. The acute coronary syndrome of unstable angina, non-Q myocardial infarction and Q-wave myocardial infarction have atherosclerotic lesions of the coronary arteries as a common pathogenic substrate. Errosions or ruptures of unstable atherosclerotic plaque triggered pathophysiologic processes, resulted in thrombus formation at the site of arterial injury. This leads to abrupt reduction or cessation through the affected vessel. Clinical manifestations of unstable angina and non-Q myocardial infarction are similar and diagnosis of non-Q myocardial infarction is made on

  1. Image quality of a Konica Regius 336 digital system in chest radiography; Qualita' dell'immagine di un sistema digitale Konica Regius 336 per radiologia toracica

    Energy Technology Data Exchange (ETDEWEB)

    Ostinelli, A.; Frigerio, M.; Monti, A.F.; Gelosa, S.; Tognoli, P.; Perniola, N. [Azienda Ospedaliera S. Anna, Como (Italy). Servizio di Fisica Sanitaria; Gozzi, G. [Azienda Ospedaliera S. Anna, Como (Italy). Servizio di Radiologia

    2000-06-01

    Digital radiographic systems permit to optimize execution, depiction and storage of radiological images. Since a Regius 336 digital system (Konica Corp. Tokyo, Japan) devoted to chest radiography Department of S. Anna Hospital in Como, Italy, it was investigated its performance relative to image quality. Konica Regius 336 is a computed radiography system made of a phosphorescence detector plate which is scanned with an infrared semiconductor laser beam. The radiographic image obtained from the detector is subjected to image processing, which allows a stable output and the nonlinear curve typical of conventional radiographic systems. Image quality was assessed based on the following parameters: dose, contrast, noise and spatial resolution. As reference, it was assessed the same parameters on a Cronex 88 analogic chest-changer (DuPont Pharma, North Billerica, Mass, USA). The Regius 336 air kerma values were always higher than the analogic ones (about 10%), both with and without a chest phantom; noise was also greater than in analogic images, sometimes even doubled. The optical densities of a step wedge and the spatial resolution of the digital chest-changer are independent of the X-ray tube voltage consequent to broader optical latitude. Inversely, the analogic images of the wedges show great optical density variability as a function of the X-ray tube voltage (in a range of 2). The modulation transfer functions of the two systems have the same trend. The performance of the Konica Regius 336 is nearly equivalent to that of an analogic system. The main advantages of the digital system are a standard output, lower consumption of radiographic films, higher productiveness and better image quality standard level. [Italian] I sistemi radiografici digitali offrono la possibilita' di ottimizzare l'esecuzione, la visualizzazione e l'archiviazione dell'immagine radiologica. Poiche' presso il Servizio di Radiologia dell'Azienda Ospedaliera S. Anna

  2. [Early achievements of the Danish pharmaceutical industry-6 Pharmacia].

    Science.gov (United States)

    Grevsen, Jørgen V; Kruse, Edith; Kruse, Poul R

    2014-01-01

    Upjohn Company under the name of Pharmacia & Upjohn. In 2000 this company was merged with the chemical group Monsanto under a new name, Pharmacia Corporation. Pharmacia Corporation was taken over by Pfizer in 2003. The early activities of A/S Pharmacia included not only the import of raw materials and ready-made articles, such as medicinal products, but also the manufacture of own medicinal products. This is not surprising considering the founder Edward Jacobsen's pharmaceutical career. Pharmacia's early manufacture of own medicinal products consisted mainly of generics, however, not only the expensive foreign medicinal products, but also any available Danish generics such as easily manufactured pharmacopeia products. It is thus worth mentioning that Pharmacia's own technological production capacity at that time was limited and required a cooperation with other (Danish) pharmaceutical companies. Pharmacia was able to produce tablet cores, but the sugarcoating had to be made by external business partners. Pharmacia was able to produce digitalis preparations, but the standardization of these had to be effected elsewhere. The total production of one of Pharmacia's products took place at an external business partner. Pharmacia was established at a time where the increasing use of industrially manufactured medicinal products, both Danish and foreign ones, had resulted in a considerable decrease in sales of pharmacy produced medicinal products. This had for a long time worried The Danish Association of Pharmacies, and this resulted in a reaction from the association, namely the DAK-products which by nature were produced in Denmark and thus became the most essential element in the fight against the industrially manufactured products--a fight which according to the association had to be fought with all legal means. Therefore The Danish Association of Pharmacies obviously reacted precipitated when in 1926 the association in writing stated that Pharmacia's products were not

  3. [Agranulocytosis and acute coronary syndrome in apathetic hyperthyroidism].

    Science.gov (United States)

    Ivović, Miomira; Radiojković, Biljena; Penezić, Zorana; Stojković, Mirjana; Tancić, Milina; Vujović, Svetlana; Bogdanović, Andrija; Drezgić, Milka

    2003-01-01

    and atrial fibrillation are not rare. This can be explained by increased heart rate, cardiac output, blood volume, coronary artery flow and peripheral oxygen consumption in thyrotoxicosis [9]. Patients with coronary arteriosclerosis can develop angina pectoris during thyrotoxic stage, which can be explained by imbalance between cardiac demand and supply. Myocardial damage is often in thyrotoxic patients with chronic hart failure, together with myocardial infarction in patients without coronary disease [2,6]. Congestive heart failure and atrial fibrillation are relatively resistant to digitalis treatment because of high metabolic turn over of medication and excessive myocardial irritability in hyperthyroidism [6]. Cardiovascular and myopathic manifestations predominate in older hyperthyroid patients (over 60 years) and some of them can have only few symptoms of hyperthyroidism [1-3]. Thyrotoxic state characterized by fatigue, apathy, extreme weakness, low-grade fever and sometimes congestive heart failure are designated as apathetic hyperthyroidism. Such patients have small goiters, mild tachycardia and often cool and dry skin with few eye signs [6]. Patients with subclinical hyperthyroidism are at increased risk for atrial fibrillation [9]. Unstable angina and non-Q myocardial infarction (non ST elevation) are acute manifestation of coronary artery disease. The acute coronary syndrome of unstable angina, non-Q myocardial infarction and Q-wave myocardial infarction have atherosclerotic lesions of the coronary arteries as a common pathogenic substrate. Erosions or ruptures of unstable atherosclerotic plaque triggered pathophysiologic processes, resulted in thrombus formation at the site of arterial injury. This leads to abrupt reduction or cessation through the affected vessel. Clinical manifestations of unstable angina and non-Q myocardial infarction are similar and diagnosis of non-Q myocardial infarction is made on the basis of elevated serum markers indicative of

  4. Clínica e terapêutica da doença de Chagas

    Directory of Open Access Journals (Sweden)

    Francisco S. Laranja

    1948-06-01

    the evolutivity of the infection. Sudden death takes place quite commonly in this type of heart disease but most of the fatal cases die in heart failure. No effective drug is so far available for the etiological treatment of Chagas' disease. Better results are frequently obtained by use of strophantin than with digitalis in the treatment of heart failure of chronic Chagas' heart disease.