837 resultados para Oldest-old


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The Pelagonian Zone and the Vardar Zone in Greece represent the western part of the Hellenide hinterland (Internal Hellenides). While the Pelagonian Zone comprises predominantly crystalline basement and sedimentary cover rocks, the Vardar Zone has long been regarded as an ophiolite-decorated suture zone separating the Pelagonian Zone from the Serbo-Macedonian Massif to the east. Felsic basement rocks from both areas, with the main focus put on the Pelagonian Zone, were dated in order to identify the major crust-forming episodes and to improve the understanding of the evolutionary history of the region. The interpretation of the single-zircon geochronology results was aided by geochemical investigations. The majority of the basement rocks from the Pelagonian Zone yielded Permo-Carboniferous intrusion ages around 300 Ma, underlining the importance of this crust-forming event for the Internal Hellenides of Greece. Geochemically these basement rocks are classified as subduction-related granitoids, which formed in an active continental margin setting. An important result was the identification of a Precambrian crustal unit within the crystalline basement of the Pelagonian Zone. Orthogneisses from the NW Pelagonian Zone yielded Neoproterozoic ages of c. 700 Ma and are so far the oldest known rocks in Greece. These basement rocks, which are also similar to active margin granitoids, were interpreted as remnants of a terrane, the Florina Terrane, which can be correlated to a Pan-African or Cadomian arc. Since the gneisses contain inherited zircons of Middle to Late Proterozoic ages, the original location of the Florina Terrane was probably at the northwestern margin of Gondwana. In the Vardar Zone an important phase of Upper Jurassic felsic magmatism is documented by igneous formation ages ranging from 155 to 164 Ma. The chemical and isotopic composition of these rocks is also in accord with their formation in a volcanic-arc setting at an active continental margin. Older continental material incorporated in the Vardar Zone is documented by 319-Ma-old gneisses and by inherited zircons of mainly Middle Palaeozoic ages. The prevalence of subduction-related igneous rocks indicates that arc formation and accretion orogeny were the most important processes during the evolution of this part of the Internal Hellenides. The geochronological results demonstrate that most of the Pelagonian Zone and the Vardar Zone crystalline basement formed during distinct pre-Alpine episodes at c. 700, 300 and 160 Ma with a predominance of the Permo-Carboniferous magmatic phase.

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In the last decade considerable attention has been devoted to the rewarding use of Green Chemistry in various synthetic processes and applications. Green Chemistry is of special interest in the synthesis of expensive pharmaceutical products, where suitable adoption of “green” reagents and conditions is highly desirable. Our project especially focused in a search for new green radical processes which might also find useful applications in the industry. In particular, we have explored the possible adoption of green solvents in radical Thiol-Ene and Thiol-Yne coupling reactions, which to date have been normally performed in “ordinary” organic solvents such as benzene and toluene, with the primary aim of applying those coupling reactions to the construction of biological substrates. We have additionally tuned adequate reaction conditions which might enable achievement of highly functionalised materials and/or complex bioconjugation via homo/heterosequence. Furthermore, we have performed suitable theoretical studies to gain useful chemical information concerning mechanistic implications of the use of green solvents in the radical Thiol-Yne coupling reactions.

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Lymphogranuloma venereum (LGV) is a sexual transmitted infection due to Clamydia trachomatis biovar L, endemic in part of Africa, Asia, South America and the Caribbean, but rare in industrialized countries up to 10 years ago. In 2003, a cluster of cases of LGV among men who have sex with men (MSM) was reported in Rotterdam. Since then, several reports of LGV have been reported in the largest cities in Europe, the United States and Australia. They have usually occurred with an anorectal syndrome. The purpose of this study is to summarize the expertise provided by the international literature about the new LGV outbreaks and to offer the first data collected on the presence of this disease in the Bologna area. In fact, we examine 5 cases of LGV proctitis diagnosed and treated at the Clinic of Sexually Transmitted Disease (STD) of the Dermatology Section at Sant’Orsola-Malpighi Hospital, Bologna. Particular attention will be paid to the laboratory method that allows identification and typing of the microorganism C. trachomatis serovar L1, L2, L3, leading to an etiologic diagnosis of certainty. The diagnosed cases of LGV will be described and compared with the international literature, trying to assess the risk factors, the most effective diagnostic and therapeutic procedure and the best approach to the patient.

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Die wichtigsten Bestandteile des Cytoskeletts in pflanzlichen Zellen sind die Actinfilamente und die Mikrotubuli. Die Mikrotubuli spielen in der Organisation und der Morphogenese von pflanzlichen Zellen eine wichtige Rolle. Sie sind zusammen mit den Cellulosefibrillen an der Formgebung der Pflanzenzelle beteiligt. Sie bilden das Präprophaseband, das die Zellteilungsebene bestimmt und die Mitosespindel, die für die Trennung der Chromosomen sorgt, sowie den Phragmoplasten, der die Zellwand zwischen den Tochterzellen bildet. Weiterhin geben die Mikrotubuli durch Interaktion mit den Cellulose-Synthase-Komplexen die Richtung der Zellexpansion vor (GRANGER und CYR, 2001; LLOYD und CHAN, 2002; BASKIN, 2002). Die Mikrotubuli sind auch an der Stabilisierung der Zellform und an Transportprozessen beteiligt. Als Bestandteil der Mikrotubuli-organisierenden Zentren (MTOCs) wurde das γ-Tubulin identifiziert, das sehr wahrscheinlich an der Nukleation der Mikrotubuli beteiligt ist, indem es die Assemblierung der αβ-Tubulindimere zu Mikrotubuli einleitet. In tierischen Zellen ist durch intensive Forschung inzwischen relativ viel über die Funktion von γ-Tubulin, vor allem im Verlauf der Zellteilung bekannt, wie z. B. die Lokalisation in Centrosomen mit ihren paarweise angeordneten Centriolen, die die MTOCs darstellen. In pflanzlichen Zellen sind bisher nur wenige Funktionen des Proteins hinreichend geklärt. Die höheren Pflanzen besitzen keine Centriolen und keine Centrosomen. Über die Zellteilung hinaus gibt es kaum Anhaltspunkte über das Vorhandensein oder eventuelle Aufgaben von γ-Tubulin in expandierenden und voll expandierten Zellkulturen und Pflanzengeweben. In dieser Arbeit wurde die Expression über PCR und die Messung des Proteingehalts von cytoskelett-relevanten Proteinen in den Entwicklungsstadien der Zellsuspensionskultur (BY-2) und von Blattstadien der Tabakpflanze (SR1) von Nicotiana tabacum gemessen. Primäres Ziel war es eine Aussage zu erhalten, in welchem Ausmaß γ-Tubulin in expandierenden und voll expandierten Zellen noch exprimiert wird und ob bzw. wie eine Regulation (transkriptionell oder posttranskriptionell) des γ-Tubulins in der Pflanze stattfindet. Für den Nachweis des γ-Tubulins auf der Proteinebene wurde ein pflanzenspezifischer γ-Tubulin Antikörper zu entwickelt. Bei diesem Antikörper handelte es sich um einen polyklonalen Antikörper, der spezifisch gegen eine Sequenz in pflanzlichem γ-Tubulin gerichtet ist. Dabei zeigte der in der Arbeit entwickelte Antikörper gegen die pflanzliche JOSHI-Domäne spezifische Signale. Der erfolgte Nachweis von γ-Tubulin auf der Proteinebene und der Transkripte zeigte bis in die ältesten untersuchten Stadien der Zellsuspensionskultur (BY-2) und in Geweben der Blattstadien der Tabakpflanze (SR1) deutliche Signale für γ-Tubulin. Es war somit nicht nur in meristematisch aktiven Zellen und Geweben von Nicotiana tabacum, sondern auch in nichtmitotischen Zellen und Geweben vorhanden. Hierbei war über die Phasen der Zellteilung und der Zellformgebung hinweg auf beiden Ebenen eine parallele Entwicklung mit relativ konstanten starken Signalen zu beobachten. Nach dem Einstellen der Teilungsaktivität fiel der Gehalt an mRNA deutlich ab. Dabei nahm die Konzentration des Proteins im Vergleich zur mRNA zeitlich verzögert ab. Diese Ergebnisse bei der Zellsuspensionskultur (BY-2) und Tabakpflanze (SR1) gehen mit der möglichen Nukleationstätigkeit des Proteins konform. Es waren geringere aber doch deutlichen Signale bei Absterbenden Zellen der Zellkultur, bzw. bei expandierenden und voll expandierten und seneszenten Blättern der Tabakpflanze (SR1) nachzuweisen. Dies lässt die Folgerung zu, dass die nachgewiesene mRNA von γ-Tubulin nicht posttranskriptionell reguliert wird, sondern dass das γ-Tubulin auch eine wichtige Rolle außerhalb der Zellteilung in den postmitotischen Stadien, z. B. als organisierender Faktor bei der Umgestaltung oder Stabilisierung des Mikrotubuli-Cytoskeletts, spielt. Der γ-Tubulin-Gehalt in den Geweben der SR1-Pflanze zeigte über die Zellkultur hinaus, dass die Expression von α-Tubulin nach Einstellen der Teilungsaktivität kontinuierlich abnimmt. Dieses Ergebnis legt die Vermutung nahe, dass γ-Tubulin in älteren Blattgeweben zusätzliche Aufgaben übernehmen könnte, die nicht auf eine gleichzeitige Expression von α-Tubulin angewiesen sind. So kann beispielsweise eine Beteiligung von γ-Tubulin an der Stabilisierung der Mikrotubuli, und damit einhergehend eine Abnahme der dynamischen Instabilität dieser Filamente, eine denkbare Funktion des Proteins in expandierendem und voll expandiertem Gewebe sein. Die Aufgaben von γ-Tubulin in sehr altem Gewebe mit deutlichen Anzeichen der Seneszenz können allerdings nach dem derzeitigen Stand der Forschung nicht eindeutig beantwortet werden und bedürfen weitergehenden Untersuchungen, da dadurch ein die Komplexität und die Dynamik des pflanzlichen Cytoskeletts geklärt werden kann.

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Atmospheric nitrogen (N) and phosphorus (P) depositions are expected to increase in the tropicsrnas a consequence of increasing human activities in the next decades. Furthermore, a possiblernshortened El Niño Southern Oscillation cycle might come along with more frequent calcium (Ca)rndepositions on the eastern slope of the Ecuadorian Andes originating from Saharan dust. It isrncrucial to understand the response of the old-growth montane forest in Ecuador to increasedrnnutrient deposition to predict the further development of this megadiverse ecosystem.rnI studied experimental additions of N, P, N+P and Ca to the forest and an untreatedrncontrol, all in a fourfold replicated randomized block design. These experiments were conductedrnin the framework of a collaborative research effort, the NUtrient Manipulation EXperimentrn(NUMEX). I collected litter leachate, mineral soil solution (0.15 and 0.30 m depths), throughfallrnand fine litterfall samples and determined N, P and Ca concentrations and fluxes. This approachrnalso allowed me to assess whether N, P and/or Ca are limiting nutrients for forest growth.rnFurthermore, I evaluated the response of fine root biomass, leaf area index, leaf area and specificrnleaf area, tree diameter growth and basal area increment contributed from a cooperating group inrnthe Ca applied and control treatments.rnDuring the observation period of 16 months after the first fertilizer application, less thanrn10, 1 and 5% of the applied N, P and Ca, respectively, leached below the organic layer whichrncontained almost all roots but no significant leaching losses occurred to the deeper mineral soil.rnDeposited N, P and Ca from the atmosphere in dry and wet form were, on balance, retained in therncanopy in the control treatment. Retention of N, P and Ca in the canopy in their respectiverntreatments was reduced resulting in higher concentrations and fluxes of N, P and Ca inrnthroughfall and litterfall. Up to 2.5% of the applied N and 2% of the applied P and Ca werernrecycled to the soil with throughfall. Fluxes of N, P and Ca in throughfall+litterfall were higher inrnthe fertilized treatments than in the control; up to 20, 5 and 25% of the applied N, P and Ca,rnrespectively, were recycled to the soil with throughfall+litterfall.rnIn the Ca-applied plots, fine root biomass decreased significantly. Also the leaf area of thernfour most common tree species tended to decrease and the specific leaf area increasedrnsignificantly in Graffenrieda emarginata Triana, the most common tree species in the study area.rnThese changes are known plant responses to reduced nutrient stress. Reduced aluminium (Al)rntoxicity as an explanation of the Ca effect was unlikely, because of almost complete organocomplexationrnof Al and molar Ca:Al concentration ratios in solution above the toxicity threshold.rnThe results suggest that N, P and Ca co-limit the forest ecosystem functioning in thernnorthern Andean montane forests in line with recent assumptions in which different ecosystemrncompartments and even different phenological stages may show different nutrient limitationsrn(Kaspari et al. 2008). I conclude that (1) the expected elevated N and P deposition will bernretained in the ecosystem, at least in the short term and hence, quality of river water will not bernendangered and (2) increased Ca input will reduce nutrient stress of the forest.

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La VI regio augustea di Roma rappresenta uno dei settori urbani maggiormente investiti dalle modifiche radicali compiute dall’uomo nel processo di urbanizzazione della città che ne hanno modificato profondamente la situazione altimetrica e la conformazione originaria. Questi notevoli cambiamenti ebbero origine sin dall’età antica, ma si intensificarono profondamente soprattutto nel periodo rinascimentale quando a partire da Pio IV e soprattutto con Sisto V, attivo in tante altre zone della città, si svilupparono numerose opere di rinnovamento urbanistico che incisero notevolmente sul volto e sulle caratteristiche della zona in esame. A partire dal Rinascimento fino ad arrivare ai grandi scavi della fine del 1800 tutto il quartiere incominciò a “popolarsi” di numerosi edifici di grande mole che andarono ad intaccare completamente le vestigia del periodo antico: la costruzione del Palazzo del Quirinale e dei vari palazzi nobiliari ma soprattutto la costruzione dei numerosi ministeri e della prima stazione Termini alla fine dell’800 comportarono numerosi sventramenti senza la produzione di una adeguata documentazione delle indagini di scavo. Questa ricerca intende ricostruire, in un’ottica diacronica, la topografia di uno dei quartieri centrali della Roma antica attraverso l’analisi dei principali fenomeni che contraddistinguono l’evoluzione del tessuto urbano sia per quanto riguarda le strutture pubbliche che in particolar modo quelle private. Infatti, il dato principale che emerge da questa ricerca è che questa regio si configura, a partire già dal periodo tardo-repubblicano, come un quartiere a vocazione prevalentemente residenziale, abitato soprattutto dall’alta aristocrazia appartenente alle più alte cariche dello Stato romano; oltre a domus ed insulae, sul Quirinale, vennero costruiti lungo il corso di tutta l’età repubblicana alcuni tra i più antichi templi della città che con la loro mole occuparono parte dello spazio collinare fino all’età tardoantica, rappresentando così una macroscopica e costante presenza nell’ingombro dello spazio edificato.

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Background: Clinical trials have demonstrated that selected secondary prevention medications for patients after acute myocardial infarction (AMI) reduce mortality. Yet, these medications are generally underprescribed in daily practice, and older people are often absent from drug trials. Objectives: To examine the relationship between adherence to evidence-based (EB) drugs and post-AMI mortality, focusing on the effects of single therapy and polytherapy in very old patients (≥80 years) compared with elderly and adults (<80 years). Methods: Patients hospitalised for AMI between 01/01/2008 and 30/06/2011 and resident in the Local Health Authority of Bologna were followed up until 31/12/2011. Medication adherence was calculated as the proportion of days covered for filled prescriptions of angiotensin-converting enzyme inhibitors (ACEIs)/angiotensin receptor blockers (ARBs), β-blockers, antiplatelet drugs, and statins. We adopted a risk set sampling method, and the adjusted relationship between medication adherence (PDC≥75%) and mortality was investigated using conditional multiple logistic regression. Results: The study population comprised 4861 patients. During a median follow-up of 2.8 years, 1116 deaths (23.0%) were observed. Adherence to the 4 EB drugs was 7.1%, while nonadherence to any of the drugs was 19.7%. For both patients aged ≥80 years and those aged <80 years, rate ratios of death linearly decreased as the number of EB drugs taken increased. There was a significant inverse relationship between adherence to each of 4 medications and mortality, although its magnitude was higher for ACEIs/ARBs (adj. rate ratio=0.60, 95%CI=0.52–0.69) and statins (0.60, 0.50–0.72), and lower for β-blockers (0.75, 0.61–0.92) and antiplatelet drugs (0.73, 0.63–0.84). Conclusions: The beneficial effect of EB polytherapy on long-term mortality following AMI is evident also in nontrial older populations. Given that adherence to combination therapies is largely suboptimal, the implementation of strategies and initiatives to increase the use of post-AMI secondary preventive medications in old patients is crucial.

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The latter part of the 20th century was a period characterized by a fundamental demographic transition of western society. This substantial and structural demographic change proposes several challenges to contemporary society and fosters the emergence of new issues and challenges. Among these, none is more crucial than the comprehension of the mechanisms and the processes that lead people to positive aging. Rowe and Kahn’s model of successful aging highlights the interplay between social engagement with life, health, and functioning for a positive aging experience. Other systemic models of successful aging (Kahana et al., 1996; 2003; Stevernik et al., 2006) emphasize the role of internal and external resources for attaining positive aging. Among these, the proactive coping strategies are indicated as important active strategies for avoiding the depletion of resources, counterbalancing the declines and maintaining social and civic involvement. The study has analyzed the role of proactive coping strategies for two facets of positive aging, the experience of a high social well-being and the presence of personal projects in fundamental life domains. As expected, the proactive coping strategies, referred to as the active management of the environment, the accumulation of resources and the actualization of human potentials are confirmed as positive predictors of high level of social well-being and of many personal projects focused on family, culture, leisure time, civic and social participation. Perceived health status give a significant contribution only to the possession of many personal projects. Gender and level of school education give also a significant contribution to these two dimensions of positive aging, highlighting how positive aging is rooted not only in the possession of personal resources, but also in historical models of education and in positive longitudinal chains related to early development.