59 research outputs found

    Nuove specie minerali al Somma-Vesuvio: wulfenite

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    To the 247 species, of which 20 are doubtful, occurring at the Somma-Vesuvius volcanic complex, after the recent updating of the fluoro-edenite (despite the collecting ban) it has to be added the identification of a new common species, never occurred before. A sample belonging to Luigi Chiappino, found in 1989 at San Vito quarry, Ercolano, Napoli, was analyzed through SEM-EDX and the analysis identified the wulfenite on massive galena, as millimetrical, bipyramidal crystals, resinous, of yellow-orange colour, associated with calcite, cerussite and sphalerite

    Current therapeutic strategies for advanced pancreatic cancer: A review for clinicians

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    Pancreatic cancer (PC) would become the second leading cause of cancer death in the near future, despite representing only 3% of new cancer diagnosis. Survival improvement will come from a better knowledge of risk factors, earlier diagnosis, better integration of locoregional and systemic therapies, as well as the development of more efficacious drugs rising from a deeper understanding of disease biology. For patients with unresectable, non-metastatic disease, combined strategies encompassing primary chemotherapy and radiation seems to be promising. In fit patients, new polychemotherapy regimens can lead to better outcomes in terms of slight but significant survival improvement associated with a positive impact on quality of life. The upfront use of these regimes can also increase the rate of radical resections in borderline resectable and locally advanced PC. Second line treatments showed to positively affect both overall survival and quality of life in fit patients affected by metastatic disease. At present, oxaliplatin-based regimens are the most extensively studied. Nonetheless, other promising drugs are currently under evaluation. Presently, in addition to surgery and conventional radiation therapy, new locoregional treatment techniques are emerging as alternative options in the multimodal approach to patients or diseases not suitable for radical surgery. As of today, in contrast with other types of cancer, targeted therapies failed to show relevant activity either alone or in combination with chemotherapy and, thus, current clinical practice does not include them. Up to now, despite the fact of extremely promising results in different tumors, also immunotherapy is not in the actual therapeutic armamentarium for PC. In the present paper, we provide a comprehensive review of the current state of the art of clinical practice and research in PC aiming to offer a guide for clinicians on the most relevant topics in the management of this disease

    The calculation of the cardiac troponin T 99th percentile of the reference population is affected by age, gender, and population selection: A multicenter study in Italy.

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    Background: The aim of this study is to determine the 99th upper-reference limit (URL) for cardiac troponin T (cTnT) in Italian apparently healthy subjects. Methods: The reference population was selected from 5 cities: Bolzano (n = 290), Milano (CAMELIA-Study, n = 287), Montignoso (MEHLP-Study, n = 306), Pisa (n = 182), and Reggio Calabria (MAREA-Study, n = 535). Subjects having cardiac/systemic acute/chronic diseases were excluded. Participants to MEHLP project underwent cardiac imaging investigation. High-sensitive cTnT was measured with Cobas-e411 (Roche Diagnostics). Results: We enrolled 1600 healthy subjects [54.6%males; age range 10–90 years; mean (SD): 36.4 (21.2) years], including 34.6% aged b20 years, 54.5% between 20 and 64 years, and 10.9% over 65 years. In the youngest the 99th URL was 10.9 ng/L in males and 6.8 ng/L in females; in adults 23.2 ng/L and 10.2 ng/L; and in elderly 36.8 ng/L and 28.6 ng/L. After the exclusion of outliers the 99th URL values were significantly decreased (P b 0.05) in particular those of the oldest (13.8 ng/L and 14 ng/L). MEHLP participants were divided in healthy and asymptomatic, according to known cardiovascular risk factors (HDL, LDL, glucose, C-reactive protein): the 99th URL of cTnT values of these subgroups was significantly different (19.5 vs. 22.7, P b 0.05). Conclusions: 99th URL of cTnT valueswas strongly affected by age, gender, selection of subjects and the statistical evaluation of outliers

    Nuove specie minerali al Somma-Vesuvio: wulfenite

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    To the 247 species, of which 20 are doubtful, occurring at the Somma-Vesuvius volcanic complex, after the recent updating of the fluoro-edenite (despite the collecting ban) it has to be added the identification of a new common species, never occurred before. A sample belonging to Luigi Chiappino, found in 1989 at San Vito quarry, Ercolano, Napoli, was analyzed through SEM-EDX and the analysis identified the wulfenite on massive galena, as millimetrical, bipyramidal crystals, resinous, of yellow-orange colour, associated with calcite, cerussite and sphalerite.Published175-1763.5. Geologia e storia dei vulcani ed evoluzione dei magmiN/A or not JCRope
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