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Anxiety,depression,and quality of life in Parkinson's disease:the implications of multidisciplinary treatment

Neural Regeneration Research 2021年第3期16卷 587-590页

作者： Viviana Lo Buono Rosanna Palmeri Simona De Salvo Matteo Berenati Agata Greco Rosella Ciurleo Chiara Sorbera vincenzo cimino Francesco Corallo Placido Bramanti Silvia Marino Giuseppe Di Lorenzo Lilla Bonanno Department of Neurobioimaging Istituto di Ricovero e Cura a Carattere Scientifico IRCCS Centro Neurolesi Bonino-PulejoMessinaItaly

Anxiety and depression in Parkinson's disease(PD)reduce well-being of the *** alterations influence motor skills and cognitive performance;moreover,they contribute significantly and independently to worsen rehabilitative treatment *** investigated anxiety,depression,and quality of life in PD patients subjected to multidisciplinary rehabilitative *** self-controlled study included 100 PD patients(49 males and 51 females with the mean age of 64.66 years)admitted to 60 days hospitalization rehabilitative program,between January 2017 and December ***,cognitive,linguistic abilities,and functional independence were evaluated at admission(T0 baseline visit)and 60 days after(T1)the multidisciplinary rehabilitation including motor exercises,speech therapies,and cognitive *** multidisciplinary rehabilitation improved functional status in PD patients and exerted its positive effects on mood,motor abilities,autonomy in the activities of daily life,perception of quality of life,cognitive performance and speech ***-motor symptoms may worsen severe disability and reduce quality of *** are often poorly recognized and inadequately ***,multidisciplinary rehabilitative training represents an optimal strategy to improve disease *** study was approved by Istituito di Ricovero e Cura a Carattere Scientifico(IRCCS)Centro Neurolesi"Bonino-Pulejo"Ethical Committee(approval No.6/2016)in June 2016.

关键词： anxiety depression multidisciplinary rehabilitation Parkinson's disease

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Current trends in management of hepatitis B virus reactivation in the biologic therapy era

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World Journal of Gastroenterology 2011年第34期17卷 3881-3887页

作者： Claudio M Mastroianni Miriam Lichtner Rita Citton Cosmo Del Borgo Angela Rago Helene Martini Giuseppe cimino vincenzo Vullo Infectious Diseases Unit Fondazione Eleonora Lorillard Spencer Cenci Sapienza University SM Goretti Hospital Hematology Unit Sapienza University SM Goretti Hospital Department of Public Health and Infectious Diseases Sapienza University Policlinico Umberto I

Hepatitis B virus (HBV) reactivation represents an emerging cause of liver disease in patients undergoing treatment with biologic agents. In particular, the risk ofHBV reactivation is heightened by the use monoclonalantibodies, such as rituximab (anti-CD20) and alemtuzumab (anti-CD52) that cause profound and longlasting immunosuppression. Emerging data indicatethat HBV reactivation could also develop following theuse of other biologic agents, such as tumor necrosis factor (TNF)-α inhibitors. When HBV reactivation is di-agnosed, it is mandatory to suspend biologic treatmentand start antiviral agents immediately. However, preemptive antiviral therapy prior to monoclonal antibodyadministration is crucial in preventing HBV reactivationand its clinical consequences. Several lines of evidencehave shown that risk of HBV reactivation is greatlyreduced by the identifi cation of high-risk patients andthe use of prophylactic antiviral therapy. In this article, we discuss current trends in the management of HBV reactivation in immunosuppressed patients receiving biologic therapy, such as rituximab, alemtuzumab and TNF-α antagonists.

关键词： Hepatitis B virus Virus reactivation Rituximab Tumor necrosis factor-α antagonists Biologic agents Antiviral drugs

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Conceptual Hydrogeological Model and Groundwater Resource Estimation in a Complex Hydrothermal Area: The Case of the Viterbo Geothermal Area (Central Italy)

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Journal of Water Resource and Protection 2012年第4期4卷 231-247页

作者： Antonella Baiocchi Francesca Lotti vincenzo Piscopo Dipartimento di Scienze Ecologiche e Biologiche (DEB) Università degli Studi della Tuscia Viterbo Italy

The conceptual hydrogeological model of the Viterbo thermal area in central Italy and the yield of the groundwater sys- tem have been examined. This area is of great geothermal interest. Through new investigations, three overlapping aquifers have been found. This study examines in detail the two shallower aquifers, characterized by different hydraulic and chemical characteristics. The first aquifer is related to the regional groundwater flow of the cimino-Vico volcanic system and is generally characterized by cold, fresh waters used for irrigation and drinking water supply. The second aquifer, i.e. the thermal aquifer, supply thermal spas and public pools;it is present where the local hydrostratigraphic, structural and geothermal conditions permit a relatively active flow of higher salinity thermal waters (40?C - 62?C). These two aquifers interact vertically and laterally, giving rise to mixed waters circulating in the first aquifer. The first aquifer is recharged by direct infiltration and inflow from regional groundwater, as well as inflow from the second aquifer. The yield of the thermal aquifer is at least 170 L/s, discharging into thermal springs and wells, besides feeding the shallow aquifer vertically and laterally. Even if a future development of the second aquifer is potentially achievable on a global scale, the exploitation of the thermal waters is strictly dependent on the specific local hydrogeological equilibrium between the overlapping aquifers, different from place to place. The case study highlights that, in the volcanic hydrogeological environment, one of the most stringent constraints in determining the correct usage of a resource is the variable level of interaction of groundwater with different qualities.

关键词： Volcanic Aquifer Thermal Waters Overlapping Aquifers Interaction Viterbo Italy

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