Search results for "Grave"
showing 10 items of 236 documents
Gravelle, Zisly et les anarchistes naturiens contre la civilisation industrielle
2016
International audience
UN CASO DI ASMA DIFFICILE: RUOLO DELL’EDUCAZIONE TERAPEUTICA NELLA STRATEGIA DI TRATTAMENTO
2013
L’asma difficile da trattare è una categoria dell’asma grave caratterizzata da uno scarso controllo, nonostante la prescrizione di un trattamento di elevata intensità; richiede un approccio multidisciplinare in cui l’educazione del paziente e della famiglia alla terapia ed al controllo ambientale assume un ruolo fondamentale. L’approccio clinico diagnostico nei casi di asma difficile deve comprendere la valutazione del ruolo dei differenti fattori di rischio, ambientali e personali e la presenza di co-morbidità. Riportiamo il caso di Giulia, affetta da asma allergica grave persistente, scarsamente controllata. Nonostante la prescrizione di un’adeguata terapia inalatoria ai controlli program…
Chlorophyll content in senescent Pelargonium graveolens leaves
2019
Pelargonium graveolens należy do rodziny Geraniaceae. Roślina ta jest aromatycznym, owłosionym krzewem, sięgającym 1,2 metra wysokości i osiągającym 1 m szerokości. Jej liście są mocno powcinane, miękkie w dotyku i wydzielają intensywny zapach, natomiast kwiaty są małe, zwykle różowe, zebrane w baldachy. Ojczyzną P. graveolens jest Afryka Południowa, ale uprawia się ją obecnie w wielu krajach świata, np. wyspie Reunion, Egipcie, Rosji, Chinach czy Maroko, głównie z przeznaczeniem na produkcję olejku eterycznego. Wykorzystywany jest on w wielu gałęziach przemysłu, m.in. perfumiarstwie, kosmetyce, przemyśle spożywczym czy medycynie. Dane literaturowe pokazują, że o kondycji całej rośliny świa…
L'ESTENSIONE DEI PERMESSI RETRIBUITI PER L'ASSISTENZA AI DISABILI NEL DECRETO “CURA ITALIA”
2020
Il contributo esamina le principali questioni interpretative e applicative scaturenti dalla disciplina di cui all'art. 24 d.l. n. 18 del 2020, in tema di permessi aggiuntivi per l'assistenza ai disabili in condizione di handicap grave. Particolare attenzione è dedicata ai limiti che consentono la fruizione dei benefici straordinari al personale sanitario, per il quale sono previste limitazioni che richiedono un complesso e assai incerto bilanciamento fra diritti fondamentali della persona.
La dirigenza pubblica: criteri di identificazione e specialità della disciplina.
Nel tentativo di far luce sui maggiori coni d’ombra che emergono dalla relativa disciplina speciale del rapporto di lavoro, la tesi riflette l’esigenza di un ripensamento sistematico della figura del dirigente pubblico, nell’ottica di prospettare de iure condendo possibili correttivi. A tal fine, sono analizzate le peculiarità ed attribuzioni della dirigenza pubblica, in chiave storico-evolutiva, alla luce dei principi costituzionali e del processo riformatore che ha contrassegnato la magmatica materia, a tutt’oggi in atto. E’, altresì, rivolto uno sguardo comparativistico alla disciplina del personal directivo español, rivelandosi la stessa, speculare a quella del dirigente italiano quanto…
Autoimmune thyroid disease: new models of cell death in autoimmunity
2002
Autoimmunity to thyroid antigens leads to two distinct pathogenic processes with opposing clinical outcomes: hypothyroidism in Hashimoto's thyroiditis and hyperthyroidism in Graves' disease. The high frequency of these diseases and easy accessibility of the thyroid gland has allowed the identification of key pathogenic mechanisms in organ-specific autoimmune diseases. In early investigations, antibody- and T-cell-mediated death mechanisms were proposed as being responsible for autoimmune thyrocyte depletion. Later, studies on apoptosis have provided new insights into autoimmune target destruction, indicating the involvement of death receptors and cytokine-regulated apoptotic pathways in the…
Response to methimazole in Graves' disease
1995
Summary OBJECTIVE A variety of regimens continue to be used In the treatment of Graves' disease with antithyrold drugs. We have lnvestigated the factors which determine the initial response to methimazole (time until euthyroidism Is achieved) In Graves' disease. PATIENTS Five hundred and nine patients with Graves' disease in different European countries with normal and subnormal iodine supply. Patients were randomized to treatment with either 10 or 40mg of methimazole per day for one year, with levothyroxine supplementation as required to maintain euthyroidism. Investigations were carried out before treatment and at 3 and 6 weeks and 3, 6, 9 and 12 months. MEASUREMENTS Response was assessed…
Thyroid Stimulating Hormone Receptor Antibodies in Thyroid Eye Disease-Methodology and Clinical Applications.
2018
Background Thyroid stimulating hormone receptor antibodies (TSHR-Ab) cause autoimmune hyperthyroidism and are prevalent in patients with related thyroid eye disease (TED). Purpose To provide a historical perspective on TSHR-Ab and to present evidence-based recommendations for clinical contemporary use. Methods The authors review the recent literature pertaining to TSHR-Ab in patients with TED and describe the various immunoassays currently used for detecting TSHR-Ab and their clinical applications. Results We provide a historical summary and description of the various methods used to detect TSHR-Ab, foremost, the functional TSHR-Ab. Increasing experimental and clinical data demonstrate the …
Standardization of a bioassay for thyrotropin receptor stimulating autoantibodies.
2015
Cell-based bioassays for functional thyroid stimulating autoantibodies (TSAb) are sensitive diagnostic tools. However, there is no bioassay available that is standardized with international reference material. We aimed to promote the standardization of the test results among laboratories that perform TSAb bioassays and calibrate TSAb levels against the second international standard (IS) 08/204 from the National Institute for Biological Standards and Control (NIBSC).Serum TSAb activity was measured with a FDA-cleared bioassay that utilizes CHO cells expressing a chimeric thyrotropin receptor (TSHR) and a c-AMP response-element-dependent luciferase. The IS was applied for calibration. TSAb re…
Inhibition of TSH/IGF-1 Receptor Crosstalk by Teprotumumab as a Treatment Modality of Thyroid Eye Disease
2021
Abstract Context We previously presented evidence that TSH receptor (TSHR)-stimulating autoantibodies (TSAbs) bind to and activate TSHRs but do not bind to IGF1 receptors (IGF1Rs). Nevertheless, we showed that IGF1Rs were involved in thyroid eye disease (TED) pathogenesis because TSAbs activated crosstalk between TSHR and IGF1R. Teprotumumab, originally generated to inhibit IGF1 binding to IGF1R, was recently approved for the treatment of TED (Tepezza). Objective To investigate the role of TSHR/IGF1R crosstalk in teprotumumab treatment of TED. Design We used orbital fibroblasts from patients with TED (TEDOFs) and measured stimulated hyaluronan (HA) secretion as a measure of orbital fibrobla…