Studio mineralogico e chimico della serie della "Vena del Gesso" della cava di Monte Tondo (Borgo Rivola, Riolo Terme - RA)

Questo elaborato consiste nello studio mineralogico e chimico di una parte della successione della Vena del Gesso, coincidente con il sito estrattivo di Monte Tondo. Oltre all'inquadramento geologico della zona oggetto di studio e alcuni accenni sulle attività della cava, il presente elaborato contiene tabelle con le analisi di fluorescenza XRF per tutti i campioni prelevati, grafici dello spettro XRD per due campioni, completi di tabelle con i valori in allegato, diagrammi di correlazione per alcuni elementi, una analisi termogravimetrica ed una termodifferenziale, e i grafici con le rette di regressione per gli elementi maggiori e in tracce, con l'esclusione di certi elementi che hanno dato concentrazioni sotto il limite di rilevabilità.

Management of RA medications in pregnant patients

A desire for children or the presence of pregnancy limits the drug therapy options for a woman with rheumatoid arthritis. Combination therapies that include methotrexate or new drugs that have not been studied or used in pregnant patients must be excluded, even though they might be highly efficacious. With few exceptions, the reason for this exclusion is not the proven teratogenicity of the drugs, but the absence of proven safety for the fetus. Whereas methotrexate, leflunomide, abatacept and rituximab must be withdrawn before a planned pregnancy, tumor necrosis factor inhibitors and bisphosphonates can be continued until conception. Antimalarial agents, sulfasalazine, azathioprine and ciclosporin are compatible with pregnancy, and so can be administered until birth. Corticosteroids and analgesics such as paracetamol (acetaminophen) can also be used throughout pregnancy. NSAIDs can be safely administered until gestational week 32. The most important consideration when managing rheumatoid arthritis medications during pregnancy is that therapy must be tailored for the individual patient according to disease activity.

The last centuries of the 3rd millennium in the Syrian Ǧezīra

Overview on the settlement history of the Syrian Jezirah and the Middle Euphrates Valley in the period ca. 2300-1900 BC.

Sefer ha-ḥinukh le-yalde bene Yiśraʾel

by H. A. Henry

A Talmud és a középkori rabbinusi tekintélyeknek a "Goj"-ra vonatkozó egynehány állitásáról : istóczy ur figyelmébe ajánjy

Kohut Sándor

Persistence of ultrasound synovitis in patients with rheumatoid arthritis fulfilling the DAS28 and/or the new ACR/EULAR RA remission definitions: results of an observational cohort study.

OBJECTIVE The primary aim of the study was to evaluate whether rheumatoid arthritis (RA) patients considered to be in remission according to clinical criteria sets still had persisting ultrasound (US) synovitis. We further intended to evaluate the capacity of our US score to discriminate between the patients with a clinically active disease versus those in remission. METHODS This is an observational study nested within the Swiss Clinical Quality Management in Rheumatic Diseases (SCQM) rheumatoid arthritis cohort. A validated US score (SONAR score) based on a semi-quantitative B-mode and Doppler (PwD) score as part of the regular clinical workup by rheumatologists in different clinical settings was used. To define clinically relevant synovitis, the same score was applied to 38 healthy controls and the 90st percentile was used as cut-off for 'relevant' synovitis. RESULTS Three hundred and seven patients had at least one US examination and concomitant clinical information on disease activity. More than a third of patients in both DAS28 and ACR/EULAR remission showed significant gray scale synovitis (P=0.01 and 0.0002, respectively) and PwD activity (P=0.005 and 0.0005, respectively) when compared to controls. The capacity of US to discriminate between the two clinical remission groups and patients with active disease was only moderate. CONCLUSION This observational study confirms that many patients considered to be in clinical remission according the DAS and the ACR/EULAR definitions still have residual synovitis on US. The prognostic significance of US synovitis and the exact place of US in patients reaching clinical remission need to be further evaluated.

Ultrasound evaluation of synovitis in RA: correlation with clinical disease activity and sensitivity to change in an observational cohort study.

OBJECTIVE To evaluate the correlation between clinical measures of disease activity and a ultrasound (US) scoring system for synovitis applied by many different ultrasonographers in a daily routine care setting within the Swiss registry for RA (SCQM) and further to determine the sensitivity to change of this US Score. METHODS One hundred and eight Swiss rheumatologists were trained in performing the Swiss Sonography in Arthritis and Rheumatism (SONAR) score. US B-mode and Power Doppler (PwD) scores were correlated with DAS28 and compared between the clinical categories in a cross-sectional cohort of patients. In patients with a second US (longitudinal cohort), we investigated if change in US score correlated with change in DAS and evaluated the responsiveness of both methods. RESULTS In the cross-sectional cohort with 536 patients, correlation between the B-mode score and DAS28 was significant but modest (Pearson coefficient r = 0.41, P < 0.0001). The same was true for the PwD score (r = 0.41, P < 0.0001). In the longitudinal cohort with 183 patients we also found a significant correlation between change in B-mode and in PwD score with change in DAS28 (r = 0.54, P < 0.0001 and r = 0.46, P < 0.0001, respectively). Both methods of evaluation (DAS and US) showed similar responsiveness according to standardized response mean (SRM). CONCLUSIONS The SONAR Score is practicable and was applied by many rheumatologists in daily routine care after initial training. It demonstrates significant correlations with the degree of as well as change in disease activity as measured by DAS. On the level of the individual, the US score shows many discrepancies and overlapping results exist.

Der erste Lese- und Sprachunterricht im Hebräischen und Deutschen : nebst einigen sprachlichen Vorbereitungsübungen zum leichtern Uebersetzen der Miḳra ḳodesh

von Michael Wolf

Ner le-Yiśraʾel

von J. B. Levy. Mit [eingedr.] Zeichnungen von Erna Pinner

Neginot Yiśraẻl (Neginot Israel) : Synagogen-Gesänge für Solo, Soli und Chor ; mit und ohne Orgelbegleitung

componirt von Max Goldstein