5 results on '"Fermo P. (d)"'
Search Results
2. Air pollution impact on stones in urban environment: a multidisciplinary approach
- Author
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Vidorni G. (a, Sardella A. (a), De Nuntiis P. (a), Volpi F. (a), Dinoi A. (c), Contini D. (c), Comite V. (d), Vaccaro C. (a, Fermo P. (d), and Bonazza A. (a)
- Subjects
STONE DAMAGE ,AIR POLLUTION ,FIELD EXPOSURE TEST - Abstract
Air pollution is the major responsible for the formation of damage layers on stone monuments and historic buildings in urban areas (Bonazza and Sabbioni, 2016). Among widely used building materials, marble and limestone were selected in previous studies on pollution impact, thanks to their chemical homogeneity (mainly composed by calcium carbonate) and low porosity. The effects of pollution have been heretofore assessed by analyzing samples collected from historic buildings or performing tests in simulation chamber and/or in field but gaps still remain in measuring deposition fluxes on materials and developing proper tools for long-term management of cultural heritage. Moreover, the possible effects on built heritage of the current atmosphere poorer than in the past of SO2 but richer of NOx and organic compounds (mainly released by vehicular traffic) should be considered. Field exposure tests with model samples are currently under execution in Italian cities characterized by different environmental conditions as a non invasive methodological approach for studying the impact of urban pollution on carbonate stones. The methodological approach selected for this investigation as well as first available results are here discussed. Marble (Carrara Marble) and limestone (Red Verona Marble) were selected as model samples as they were widely used as construction and ornamental elements in historic Italian architecture. They will be exposed at least for 2 years in Bologna, Ferrara, and Florence. Preference for samples exposure were given to sites located outdoor, partially sheltered from the rain wash-out, in areas strongly affected by pollution due to vehicular traffic. Galvanized metallic racks was prepared to host samples with different exposure orientations: horizontal, oblique (tilted with 45° slope) and vertical, in order to identify how positioning may reflect on deposition and removal of pollutants. The exposed samples will undergo mineralogical, petrographic and geochemical analyses (Optical Microscopy, Scanning Electron Microscopy coupled with Energy Dispersive X-ray Analysis, Inductively Coupled Plasma Mass Spectrometry, Ion Chromatography analysis and Thermal-chemical methodology using a CHNSO combustion analyzer (Ghedini et al., 2006)) at predefined time intervals to characterise the products derived from pollutants-stone interaction in terms of typology, origin and impact on stone. Moreover, the integration with colorimetric analysis will allow to identify a connection between the deposited soluble and carbon fractions and changes of colorimetric parameters, for setting up damage functions. Simultaneously passive sampling of aerosol has been designed by the exposure of filters while seasonal environmental monitoring campaigns of particulate matter will allow to compare the quantity of soluble ions and carbon fractions present into atmosphere with that actually accumulated on samples surface. Additionally, monitoring campaigns of bioaerosol has been planned in Bologna in order to quantify the microbial load (fungi and bacteria) in air. Data of environmental monitoring campaigns as well as results of analyses carried out after the first year of exposure will be also reported. References Bonazza A. and Sabbioni C., 2016. Composition and Chemistry of Crusts on Stone, in Brimblecombe P. (Ed.), Urban Pollution and Changes to Materials and Building Surfaces, Imperial College Press, Singapore, 103-126. Ghedini N., Sabbioni C., Bonazza A. and Gobbi G., Chemical-Thermal quantitative methodology for carbon speciation in damage layers on building surfaces, Environmental Science and Technology, 40 (2006), 939-944.
- Published
- 2018
3. Successful Anticoagulation With Warfarin After Switching From Rifampin to Rifabutin
- Author
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Alnewais, Marwah E., Landolfa, Samantha L., Bean, Madelyne, and Fermo, Joli D.
- Abstract
Purpose: A case of a patient receiving warfarin for pulmonary embolism (PE) concomitantly with rifampin for treatment of active pulmonary tuberculosis (PTB) is presented. A successful clinical intervention whereby the patient achieved therapeutic anticoagulation after switching to an alternative rifamycin antibacterial, rifabutin, is described.Summary: The drug-drug interaction between warfarin and rifampin is well known and documented. However, to our knowledge, no case reports of the interaction between warfarin and rifabutin have been published, and literature describing this interaction is lacking. We describe the case of a 27-year-old African American female referred to a pharmacist-managed anticoagulation clinic for treatment of PE with warfarin. The patient was also being treated for active tuberculosis with rifampin, isoniazid, pyrazinamide, and ethambutol. Warfarin was initiated and over the course of 1 month was continuously increased to a total weekly dose (TWD) of 140 mg without ever achieving the target international normalized ratio (INR) of 2 to 3. In an attempt to reach the target INR, rifampin was switched to rifabutin to minimize the drug-drug interaction with warfarin. Six days after this switch, the target INR was achieved with a lower warfarin TWD of 115 mg. Rifabutin interacts with warfarin to a lesser degree than rifampin and may be considered as an alternative in patients taking warfarin who require treatment with a rifamycin.Conclusion: For patients in whom therapeutic anticoagulation with warfarin has been difficult, the use of rifabutin may be considered in place of rifampin when the concomitant use of a rifamycin is required.
- Published
- 2023
- Full Text
- View/download PDF
4. Evaluation of patient perceptions and outcomes related to anticoagulation point-of-care testing in ambulatory care clinics.
- Author
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THOMPSON, Amy N., RAGUCCI, Kelly R., FERMO, Joli D., and WHITLEY, Heather P.
- Subjects
POINT-of-care testing ,PATIENT satisfaction ,PHARMACEUTICAL services ,EMERGENCY medical services ,DATABASES - Abstract
Copyright of Pharmacy Practice (1886-3655) is the property of Centro de Investigaciones y Publicaciones Farmaceuticas S.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2009
- Full Text
- View/download PDF
5. National Survey of Pharmacist Certified Diabetes Educators
- Author
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Shane‐McWhorter, Laura, Fermo, Joli D., Bultemeier, Nanette C., and Oderda, Gary M.
- Abstract
We sought to determine the demographics of pharmacists who were certified diabetes educators (CDEs) and information about their training, professional affiliations, and types of diabetes education services that they provide. We also queried these pharmacists about clinical activities, reimbursement, impact of certification, and intent to pursue CDE recertification. A list of pharmacists who were CDEs as of August 31, 2000, was obtained from the National Certification Board for Diabetes Educators. We then sent a six‐page anonymous survey to 415 pharmacist CDEs; 233 surveys (56.1%) were returned. Of these respondents, 140 are women and 93 are men, with a mean age of 41.5 years. Most reside in Southern or Western states. Average time since pharmacist licensure was 17 years, and average time as a CDE was 5 years. Most had completed postgraduate training, including residencies and/or fellowships; 52.8% had faculty appointments; 46.7% stated they were billing for their services; and 45.9% were obtaining reimbursement. Most pharmacists (84.4%) stated that they intended to pursue CDE recertification. Providing details about pharmacist CDEs and their clinical activities may motivate other pharmacists to pursue this credential. Pharmacists are often the most accessible of all health care providers, and earning the CDE credential may be an important contribution to diabetes care and education.
- Published
- 2002
- Full Text
- View/download PDF
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