Long-term prediction of adherence to continuous positive air pressure therapy for the treatment of moderate/severe obstructive sleep apnea syndrome

BACKGROUND: Continuous positive airway pressure (CPAP) therapy is a highly effective treatment for obstructive sleep apnea syndrome (OSAS). However, poor adherence is a limiting factor, and a significant proportion of patients are unable to tolerate CPAP. The aim of this study was to determine predictors of long-term non-compliance with CPAP. METHODS: CPAP treatment was prescribed to all consecutive patients with moderate or severe OSAS (AHI ≥15 events/h) (n = 295) who underwent a full-night CPAP titration study at home between February 1, 2002 and December 1, 2016. Adherence was defined as CPAP use for at least 4 h per night and five days per week. Subjects had periodical follow-up visits including clinical and biochemical evaluation and assessment of adherence to CPAP. RESULTS: Median follow-up observation was 74.8 (24.2/110.9) months. The percentage of OSAS patients adhering to CPAP was 41.4% (42.3% in males and 37.0% in females), and prevalence was significantly higher in severe OSAS than in moderate (51.8% vs. 22.1%; p < 0.001; respectively). At multivariate analysis, lower severity of OSAS (HR = 0.66; CI 95 0.46-0.94) p < 0.023), cigarette smoking (HR = 1.72; CI 95 1.13-2.61); p = 0.011), and previous cardiovascular events (HR = 1.95; CI 95 1.03-3.70; p = 0.04) were the only independent predictors of long-term non-adherence to CPAP after controlling for age, gender, and metabolic syndrome. CONCLUSIONS: In our cohort of patients with moderate/severe OSAS who were prescribed CPAP therapy, long-term compliance to treatment was present in less than half of the patients. Adherence was positively associated with OSAS severity and negatively associated with cigarette smoking and previous cardiovascular events at baseline

Feromônios sexuais no manejo de insetos-praga na fruticultura de clima temperado.

bitstream/item/95271/1/Feromonios-ULTIMA-VERSAO-08-07-2013.pdf; bitstream/item/95273/1/Capa-Feromonios.pd

Assessment of SPLAT formulations to control Grapholita molesta (Lepidoptera:Tortricidae) in a Brazilian apple orchard.

Mating disruption is a technique that uses synthetic copies of sex pheromones to control insect pests. We aimed to control Oriental fruit moth (OFM) Grapholita molesta (Busck) (Lepidoptera: Tortricidae) with formulations of SPLAT Grafo (SG) and SPLAT Grafo Attract and Kill (SGAK) in small (1 ha) apple (Malus domestica Borkh.) orchards. Our experiment was conducted in a commercial orchard with Gala trees (spacing 1.5 × 4.5 m) in Vacaria, Rio Grande do Sul State, Brazil. We evaluated the effect of four treatments on G. molesta population densities: a) SG at 1 kg ha-1 (300 point sources of 3.3 g each), b) SGAK at 1 kg ha-1 (1000 point sources of 1 g each), c) insecticides as recommended by Integrated Apple Production (IAP), and d) untreated control (no treatment). Specialized Pheromone and Lure Application Technology (SPLAT) treatments were applied on 1 August 2004 and reapplied after 120 d (1 December 2004). The treatment effect was evaluated by weekly counts of males captured in Delta traps baited with commercial synthetic sex pheromone lures (eight traps per treatment). We assessed fruit damage caused by G. molesta in eight replicates of 200 fruits each on 26 October, 30 November 2004, and 5 and 31 January 2005. Applying 1 kg ha-1 of SG and SGAK in August and December 2004 significantly reduced the number of male moths caught in Delta traps. Damage to fruits at harvest, however, did not differ significantly from the control. This indicates a decline in the efficacy of mating disruption when SG and SGAK are used to protect small areas (1 ha) under high Oriental fruit moth pressure

SEISMIC ANISOTROPY AND MICRO-SEISMICITY IN THE UPPER CRUST AT NORTH OF GUBBIO BASIN (CENTRAL ITALY): RELATION WITH THE SUBSURFACE GEOLOGICAL STRUCTURES AND THE ACTIVE STRESS FIELD

During the months of April and May 2010, a seismic sequence (here named “Pietralunga seismic sequence”) took place in the northeastern part of the Gubbio basin (Northern Apennines); this area is well known to be interested by a continuous background micro-seismic activity. The sequence was recorded both by the INGV National Seismic Network, and by the stations installed by the Project “AIRPLANE” (financially supported by MIUR-Italian Ministry of Education and Research) with the aim of investigating the seismogenetic processes in the Alto Tiberina Fault (ATF) system region. In this work we present the anisotropic results at four stations: ATFO, ATPC, ATPI, ATVO located around the northern termination of the Gubbio basin that well delimit both the seismic se- quence and the whole 2010 seismicity (about 2500 events). The study of seismic anisotropy has provided useful information for the interpretation and evaluation of the stress field and active crustal deformation. Seismic anisotropy can yield valuable information on upper crustal structure, fracture field, and presence of fluid-saturated rocks. Moreover, the large number of seismic waveforms recorded especially during the Pietralunga sequence allows us also to study the spatio-temporal changes of anisotropic parameters to better understand its evolution and the possible correlation to the presence and migration of fluids

Parasitismo e desenvolvimento de Trichospilus diatraeae (Hymenoptera: Eulophidae) em pupas de Bombyx mori (Lepidoptera: Bombycidae) em diferentes temperaturas.

SICONBIOL 2011

Biologia reprodutiva de Trichospilus diatraeae e Palmistichus elaeisis (Hymenoptera: Eulophidae) criados em pupas de Diatraea saccharalis (Lepidoptera: Crambidae).

SICONBIOL 2011

Early interventions tackling inequalities experienced by immigrant, low-income, and Roma children in 8 European countries: a critical overview

We analysed effective and promising interventions, within the classroom and school microsystems, aiming to promote equality and belongingness for immigrant, Roma, and low-income children attending early childhood education and care (ECEC) and primary education in eight European countries. Over 500 interventions were identified, and 78 interventions were analysed. We found that while 79% of the interventions provided some type of language support, only 32% considered children’s heritage language. Importantly, around 22% of the interventions targeted ECEC settings specifically, with most ECEC interventions implemented at the national level, taking place in the classroom and implemented by classroom teachers, and involving language support and family involvement activities. Language support seems to be widespread, recognising the foundational nature of language for learning, communication, and belongingness. However, comprehensive intercultural policies that explicitly support culture maintenance, communication, and positive contact may be valuable in guiding future developments.info:eu-repo/semantics/publishedVersio

Association between the Mediterranean diet and metabolic syndrome with serum levels of miRNA in morbid obesity

Background: The Mediterranean diet (MD) could be involved in the regulation of different miRNAs related to metabolic syndrome (MS). Methods: We analyzed the serum level of mir-let7a-5p, mir-21, mir-590, mir-107 and mir-192 in patients with morbid obesity and its association with the MD and MS. Results: There is an association between the adherence to MD and higher serum levels of mir-590. Mir-590 was lower in those patients who consumed >2 commercial pastries/week. Mir-let7a was lower in those who consumed ≥1 sweetened drinks, in those who consumed ≥3 pieces of fruit/day and in those who consumed less red than white meat. A lower mir-590 and mir-let7a, and a higher mir-192 level, were found in patients who met the high-density lipoprotein cholesterol (HDL) criterion of MS. A higher mir-192 was found in those patients who met the triglyceride criterion of MS and in those with type 2 diabetes (T2DM). Conclusions: There is an association between specific serum levels of miRNAs and the amount and kind of food intake related to MD. Mir-590 was positively associated with a healthy metabolic profile and type of diet, while mir-192 was positively associated with a worse metabolic profile. These associations could be suggestive of a possible modulation of these miRNAs by food