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1

Zhou, Weinan, Kunihiko Matsumoto und Masanori Sawaki. „Long-Term Sustainability of Water Cellars in Traditional Chinese Villages: Factors Influencing Continuous Use and Effective Water Management Initiatives“. International Journal of Environmental Research and Public Health 18, Nr. 9 (21.04.2021): 4394. http://dx.doi.org/10.3390/ijerph18094394.

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Traditional rainwater harvesting systems have seen a shift of emphasis in recent years. While recognizing its social, economic and environmental contributions, sustainable use in a modern context can be vulnerable. Through a case study, this study focuses on the long-term sustainability of water cellars in traditional villages if reliable piped water is introduced. The aim is to discern the factors and renovation methods that influence residents’ willingness to continue using these water cellars. The results show that the overall willingness to use them is very low. However, regardless of their continued use or non-use, only a few residents would landfill them. Most residents were interested in their renovation, especially regarding simplifying rainwater harvesting methods. In addition, the management time for rainwater harvesting and heritage identity is positively correlated with the willingness for sustainable use; conversely, the identification of the environmental contribution has no positive correlation. Given these findings, we propose carrying out effective renovation that changes the rainwater catchment surface to roofs and increases residents’ awareness that water cellars can only be heritage if they are in use. By defining the long-term sustainability of a water cellar, this study shows how a quantitative approach focusing on heritage users can offer important insights into a constructive evolution rather than a destructive reconstruction under the influence of modernization. Finally, this study provides planners and water resource managers with effective, sustainable management practices for water cellars as well as similar systems in a historical context.
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2

Williams, Kim M. „Wine Tourism: From Winescape to Cellardoorscape“. Tourism Analysis 26, Nr. 2 (14.04.2021): 245–48. http://dx.doi.org/10.3727/108354221x16079839951529.

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The intention of this research note is to explore two essential elements of a winery's cellar door tasting room environment: first, the skills, knowledge, and personal attributes required by tasting room representatives, and second, how to develop meaningful social experiences for the wine tourist within the service environment of the cellar door tasting room. This note offers a discourse concerning the blend of these two elements, which proposes a new "-scape," the cellardoorscape, a microfocus on a particular service environment within a specific winery's winescape. To acknowledge an additional distinguishable "-scape" within the winescape provides some advantages. An analysis of what composes a beneficial and operational cellardoorscape could assist in developing a framework to provide management direction to winery owners and companies on the vital infrastructure and human resource practices to improve circumstances for success.
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Chen, Xiaoyu, Johan Bruwer, Justin Cohen und Steve Goodman. „A Wine Tourist Behavior Model for Australian Winery Cellar Doors“. Tourism Analysis 21, Nr. 1 (04.04.2016): 77–91. http://dx.doi.org/10.3727/108354216x14537459508937.

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4

Nella, Athina, und Evangelos Christou. „Linking Service Quality at the Cellar Door with Brand Equity Building“. Journal of Hospitality Marketing & Management 23, Nr. 7 (02.06.2014): 699–721. http://dx.doi.org/10.1080/19368623.2014.891959.

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5

Vaccaro, Joseph, und Scott Spencer. „Three criteria that separate the top sellers from the cellar dwellers“. Services Marketing Quarterly 10, Nr. 1 (1993): 55–63. http://dx.doi.org/10.1080/15332969.1993.9985108.

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6

Jasaitis, Dainius, und Aloyzas Girgždys. „HOURLY MEASUREMENT METHOD FOR RADON PROGENY VOLUMETRIC ACTIVITY IN AIR“. JOURNAL OF ENVIRONMENTAL ENGINEERING AND LANDSCAPE MANAGEMENT 15, Nr. 3 (30.09.2007): 158–65. http://dx.doi.org/10.3846/16486897.2007.9636924.

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A method of radon progeny volumetric activity hourly measurement in air was created. A radiometer, which measures the activity of a filter band through which air is sucked, was installed in a hermetic metal frame. Radiometer data was recorded and sent to the computer. The time of suction and the time for the filter band to turn were programmed by electronic stopwatches. This created an opportunity to estimate the hours for self‐contained measurement and to leave the device in a room for any time. This hourly measurement method measured radon and radon progeny volumetric activity and evaluated its change and dependency on meteorological parameters. The radon progeny volumetric activity value varies from 62 Bq/m3 (in the cellar) to 27 Bq/m3 (on the second floor) in the ventilated air, and from 273 Bq/m3 (in the cellar) to 149 Bq/m3 (on the second floor) in the unaired room. The values in the ventilated air and in the unaired rooms differ approximately 4–5 times. It is also determined that volumetric activity depends on wind intensity, temperature and humidity.
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7

Frost, Warwick, Jennifer Frost, Paul Strickland und Jennifer Smith Maguire. „Seeking a competitive advantage in wine tourism: Heritage and storytelling at the cellar-door“. International Journal of Hospitality Management 87 (Mai 2020): 102460. http://dx.doi.org/10.1016/j.ijhm.2020.102460.

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8

Bruwer, Johan, Girish Prayag und Marta Disegna. „Why wine tourists visit cellar doors: Segmenting motivation and destination image“. International Journal of Tourism Research 20, Nr. 3 (19.01.2018): 355–66. http://dx.doi.org/10.1002/jtr.2187.

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9

Sun, Ya-Yen, und Donald Drakeman. „Measuring the carbon footprint of wine tourism and cellar door sales“. Journal of Cleaner Production 266 (September 2020): 121937. http://dx.doi.org/10.1016/j.jclepro.2020.121937.

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10

Nardi, Tiziana. „Microbial Resources as a Tool for Enhancing Sustainability in Winemaking“. Microorganisms 8, Nr. 4 (02.04.2020): 507. http://dx.doi.org/10.3390/microorganisms8040507.

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In agriculture, the wine sector is one of the industries most affected by the sustainability issue. It is responsible for about 0.3% of annual global greenhouse gas emissions from anthropogenic activities. Sustainability in vitiviniculture was firstly linked to vineyard management, where the use of fertilizers, pesticides and heavy metals is a major concern. More recently, the contribution of winemaking, from grape harvest to bottling, has also been considered. Several cellar processes could be improved for reducing the environmental impact of the whole chain, including microbe-driven transformations. This paper reviews the potential of microorganisms and interactions thereof as a natural, environmentally friendly tool to improve the sustainability aspects of winemaking, all along the production chain. The main phases identified as potentially interesting for exploiting microbial activities to lower inputs are: (i) pre-fermentative stages, (ii) alcoholic fermentation, (iii) stage between alcoholic and malolactic fermentation, (iv) malolactic fermentation, (v) stabilization and spoilage risk management, and (vi) by-products and wastewater treatment. The presence of proper yeast or bacterial strains, the management and timing of inoculation of starter cultures, and some appropriate technological modifications that favor selected microbial activities can lead to several positive effects, including (among other) energy savings, reduction of chemical additives such as sulfites, and reuse of certain residues.
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11

Kreibich, H., S. Christenberger und R. Schwarze. „Economic motivation of households to undertake private precautionary measures against floods“. Natural Hazards and Earth System Sciences 11, Nr. 2 (03.02.2011): 309–21. http://dx.doi.org/10.5194/nhess-11-309-2011.

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Abstract. Flood damage is on the increase due to a combination of growing vulnerability and a changing climate. This trend can be mitigated only through significantly improved flood risk management which, alongside the efforts of public authorities, will include improvements in the mitigation measures adopted by private households. Economically "reasonable" efforts to self-insure and self-protect should be expected from households before the government steps in with publicly-funded relief programmes. To gain a deeper understanding of the benefits of households' precautionary measures, telephone interviews with private home owners were conducted in the Elbe and Danube catchments in Germany after the floods of 2002 and again after the floods in 2005 and 2006. Only detached, solid single-family houses were included in this study, which is based on 759 interviews. In addition, market-based cost assessments were solicited based on a "model building". Expert interviews and a literature review – including catalogues and price lists for building materials and household appliances – were used as back-up information for the cost assessments. The comparison of costs and benefits shows that large investments, such as building a sealed cellar, are only economically efficient if the building is flooded very frequently, that is, if it is located in a high flood risk area. In such areas it would be preferable in economic terms not to build a new house at all – or else to build a house without a cellar. Small investments, however, such as oil tank protection, can prevent serious damage at low cost. Such investments are still profitable even if the building is flooded every 50 years or less on average. It could be argued that these low-cost measures should be made mandatory through the enforcement of building codes. Financial incentives built into insurance contracts coupled with limits set on governmental relief programmes would provide an economic motivation for people to invest in precautionary measures.
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Paschen, Jeannette, Ulrich Paschen und Jan Henrik Kietzmann. „À votre santé – conceptualizing the AO typology for luxury wine and spirits“. International Journal of Wine Business Research 28, Nr. 2 (20.06.2016): 170–86. http://dx.doi.org/10.1108/ijwbr-09-2015-0041.

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Purpose The status of icewine as a luxury item is largely undisputed in popular perception. Despite this, icewine has received very little attention in the management literature. This paper aims to close this gap by developing a theoretical framework to segment the luxury wine and spirits market with a focus on icewine. Design/methodology/approach This paper is conceptual in nature. The authors adapt Berthon et al.’s (2009) aesthetics and ontology (AO) framework for luxury brands to provide a theoretical lens for segmenting the luxury wine and spirits market into four distinct segments. Findings The main contribution of this paper is a theoretical framework for segmenting the market for luxury wines and spirits into four distinct segments: cabinet collectors, cellar collectors, connoisseurs and carousers. The authors then apply their framework to the icewine category and outline considerations for the marketing mix of icewine producers. Practical implications The AO framework for luxury wines and spirits is beneficial for icewine producers to help differentiate their current and future market segments. In addition, this paper outlines practical implications for icewine maker’s marketing mix that could enhance their competitive position today and in the future. Originality/value This is the first paper examining icewine in the context of luxury marketing.
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13

Zhao, Yuewen, Xiuyan Wang, Juan Yang, Changli Liu und Shuaiwei Wang. „A modified slow sand filtration system of epikarst spring water in karst mountainous areas, China“. Journal of Water and Health 19, Nr. 2 (11.02.2021): 229–41. http://dx.doi.org/10.2166/wh.2021.242.

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Abstract Epikarst springs are commonly used for drinking water in karst mountainous areas, but they tend to bring health risks to residents because of their vulnerability. In this work, a modified slow sand filtration system (M-SSF) was established as a case study to purify and conserve the epikarst spring water. The outcomes indicate that the purification of M-SSF relies mainly on the adsorption and ion exchange of the filter medium (mixtures of heat-treated red clay and crushed limestone, MHRCCL) during the schmutzdecke juvenility, and on the schmutzdecke-formed food chain of pollutants → bacteria → protozoa after the schmutzdecke maturity. The closed water cellar lined with ceramic tiles could reduce the deterioration of epikarst spring water during storage. Via 16S rRNA sequencing, it was found that the high abundance of TM6_Dependentiae in purified epikarst spring water (PESW) suggested that the M-SSF system relies on the formation of a closed food chain to achieve effective water purification. The decrease of Pseudarcicella abundance in PESW indicated that M-SSF could effectively prevent the water quality from external influences represented by leeches. Besides, the 16S function prediction was used to qualitatively characterize microbial nitrogen metabolism, as well as organic matter degradation in water purification.
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14

Nasr, Ikram, Daniel A. Leffler und Paul J. Ciclitira. „Management of Celiac Disease“. Gastrointestinal Endoscopy Clinics of North America 22, Nr. 4 (Oktober 2012): 695–704. http://dx.doi.org/10.1016/j.giec.2012.07.012.

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15

Leffler, Daniel. „Celiac Disease Diagnosis and Management“. JAMA 306, Nr. 14 (12.10.2011): 1582. http://dx.doi.org/10.1001/jama.2011.1312.

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16

Otsuka, Hiroyuki, Toshiki Sato, Hiromichi Aoki, Yoshihide Nakagawa und Sadaki Inokuchi. „Optimal Treatment for Ruptured Pancreaticoduodenal Artery Aneurysm Caused by Celiac Artery Obstruction Due to Celiac Artery Dissection“. Vascular and Endovascular Surgery 52, Nr. 8 (25.06.2018): 648–52. http://dx.doi.org/10.1177/1538574418784691.

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A pancreaticoduodenal artery (PDA) aneurysm develops due to increased flow through the pancreaticoduodenal arcade in the setting of celiac or superior mesenteric artery occlusion. Additionally, there is no evidence on the computed tomography scan or angiography images that the dissection process extends to the PDA arcade. Moreover, the optimal treatment protocols for PDA aneurysms with celiac artery obstruction and for celiac artery dissection are controversial. We report 2 cases of ruptured PDA aneurysms caused by celiac artery obstruction due to celiac artery dissection in which the aneurysm was excluded, but celiac artery revascularization was not performed successfully. Our cases indicate that endovascular management for ruptured PDA aneurysms and conservative management for celiac artery obstruction due to celiac artery dissection are feasible as first-line treatment in such cases.
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BOUASLA, Abdallah, und Sara AOUR. „Adherence to gluten-free diet and celiac disease management in patients of Batna city“. Nutrition & Santé 10, Nr. 01 (30.06.2021): 41–48. http://dx.doi.org/10.30952/ns.10.1.5.

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Celiac disease is treated by following a lifelong strict gluten-free diet. It is practically difficult to follow this diet and patient requires appropriate management. Objective. The aim of the study was to assess adherence to the gluten-free diet and the management of celiac disease in patients of Batna city. Population and methods. A descriptive cross-sectional survey was carried out with 110 patients from Batna city. A questionnaire was established to collect socio-demographic and clinical data, and information on gluten-free diet adherence, and on celiac disease management. Results. Good adherence to gluten-free diet was found in most patients (78%). Patients age, socio-professional level, as well as disease duration had a significant positive effect on gluten-free diet adherence. More than half of patients carried out dietetic and medical consultations. All patients inquired about the disease and its diet, even though they were not members of a celiac association. Education about the disease and treatment of complications were the main components of celiac disease management. Conclusion. Despite the good adherence to the gluten-free diet, noted in most patients, awareness and education of patients and their families about the celiac disease and its management is very important.
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18

Adriaanse, Marlou, und Daniel A. Leffler. „Serum Markers in the Clinical Management of Celiac Disease“. Digestive Diseases 33, Nr. 2 (2015): 236–43. http://dx.doi.org/10.1159/000371405.

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The advent of highly reliable noninvasive celiac diagnostic tests has transformed the field of celiac disease, from diagnosis, to evaluation of epidemiology, to clinical and translational research. Serologic tests in their modern forms are highly sensitive and specific for diagnosis, allowing for consideration of avoidance of diagnostic intestinal biopsy in some settings. On the other hand, as predictors of intestinal damage and for use in monitoring disease activity, currently available noninvasive tests have been disappointing. Serologic tests, while a measure of disease activity, do not correlate well with histology or symptomatology, and it is unclear if they predict long-term risk. Additionally, while the many clinically available tests have improved accessibility, they can have widely different cutoff levels and overall performance, making the comparison of levels in individual patients over time and across populations quite difficult. In the future, we can expect to see improvement in the currently available serologic tests including tissue transglutaminase and deamidated gliadin peptide with expansion of the dynamic range of the tests, and the celiac care community should push for a standardization of assays that would simplify research and patient care. Additionally, current serologic tests are measures of the adaptive immune response in celiac disease but do not directly measure intestinal inflammation. Promising work on intestinal fatty acid-binding protein and other assays which directly measure intestinal damage may complement traditional serologic tests and further improve our ability to noninvasively diagnose and monitor celiac disease. The coming years hold promise for the continuing evolution of serum-based tests in celiac disease with the possibility of substantial improvement of patient care and clinical research.
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Attardo, Tiziana M., Elena Magnani, Carlotta Casati, Danilo Cavalieri, Pietro Crispino, Federica Fascì Spurio, Stefano De Carli, Daniela Tirotta und Paola Gnerre. „Management of celiac disease: from evidence to clinical practice“. Italian Journal of Medicine 11, Nr. 4 (28.11.2017): 345. http://dx.doi.org/10.4081/itjm.2017.821.

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Celiac disease (CD) is a complex polygenic disorder, which involves genetic factors human leukocyte complex (HLA) and non-HLA genes, environmental factors, innate and adoptive immunity, and a robust chronic T-mediated autoimmune component. The main goal of the present monograph is to define a methodological approach for the disease, characterized by frequent late diagnosis, in order for the physician to become aware of the disease management, the diversity of the clinical presentation itself and in different patients. A unique attention is payed to the specific diagnostic tests to define a correct and accurate application of them, and in addition, to disease follow-up and possible complications. Moreover, a dedicated space is assigned to refractory CD, to potential CD and non-celiac gluten sensitivity. Legislative aspects of the celiac disease in Italy are addressed, too. The celiac disease guidelines and their evaluation by means of Appraisal of Guidelines, Research and Evaluation II instrument allow us to classify the different recommendations and to apply them according to the stakeholders’ involvement, pertinence, methodological accuracy, clarity and publishing independence. Finally, the most current scientific evidence is taken into account to create a complete updated monograph.
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Chawla, Anupama. „Diagnosis and Management of Celiac Disease“. Clinical Nutrition INSIGHT 36, Nr. 1 (Januar 2010): 1–4. http://dx.doi.org/10.1097/01.nmd.0000366939.14172.47.

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&NA;. „Diagnosis and Management of Celiac Disease“. Clinical Nutrition INSIGHT 36, Nr. 1 (Januar 2010): 10–11. http://dx.doi.org/10.1097/01.nmd.0000366944.44666.04.

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22

Robinson, Brittani Ledford, Stephanie C. Davis, Joy Vess und Joseph Lebel. „Primary care management of celiac disease“. Nurse Practitioner 40, Nr. 2 (Februar 2015): 28–34. http://dx.doi.org/10.1097/01.npr.0000459728.54533.ac.

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&NA;. „Primary care management of celiac disease“. Nurse Practitioner 40, Nr. 2 (Februar 2015): 34–35. http://dx.doi.org/10.1097/01.npr.0000460828.86940.1a.

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24

Al-toma, A., W. H. M. Verbeek und C. J. J. Mulder. „The Management of Complicated Celiac Disease“. Digestive Diseases 25, Nr. 3 (2007): 230–36. http://dx.doi.org/10.1159/000103891.

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Greenberg, Liza. „Case Management Implications of Celiac Disease“. Professional Case Management 13, Nr. 4 (Juli 2008): 211–17. http://dx.doi.org/10.1097/01.pcama.0000327410.17097.4c.

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&NA;. „Case Management Implications of Celiac Disease“. Professional Case Management 13, Nr. 4 (Juli 2008): 218–19. http://dx.doi.org/10.1097/01.pcama.0000327411.17097.05.

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27

Bayati, Ihsan Al, Mahesh Gajendran, Brian R. Davis, Jesus R. Diaz und Richard W. McCallum. „Median Arcuate Ligament Syndrome Clinical Presentation, Pathophysiology, and Management: Description of Four Cases“. Gastrointestinal Disorders 3, Nr. 1 (26.02.2021): 44–50. http://dx.doi.org/10.3390/gidisord3010005.

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Median arcuate ligament syndrome (MALS), otherwise called celiac artery compression syndrome (CACS), is an uncommon disorder that results from an anatomical compression of the celiac axis and/or celiac ganglion by the MAL. Patients typically present with abdominal pain of unknown etiology exacerbated by eating along with nausea, vomiting, and weight loss. MALS is a diagnosis of exclusion that should be considered in patients with severe upper abdominal pain, which does not correlate with the objective findings. The cardinal feature which is elicited in the diagnosis of MALS relies on imaging studies of the celiac artery, demonstrating narrowing during expiration. The definitive treatment is the median arcuate ligament’s surgical release to achieve surgical decompression of the celiac plexus by division of the MAL. This article describes our experience with this entity, focusing on symptom presentation, diagnostic challenges, and management, including long-term follow-up in four cases.
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McGowan, Kelly E., Martha E. Lyon und J. Decker Butzner. „Celiac Disease and IgA Deficiency: Complications of Serological Testing Approaches Encountered in the Clinic“. Clinical Chemistry 54, Nr. 7 (01.07.2008): 1203–9. http://dx.doi.org/10.1373/clinchem.2008.103606.

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AbstractBackground: IgA deficiency causes false-negative IgA-based celiac serology results in patients with celiac disease. Using a case-finding strategy, we examined the prevalence of IgA deficiency, physician evaluation, and management of IgA deficiency during serological testing for celiac disease.Methods: We reviewed consecutive IgA-endomysial antibody (EMA) and serum IgA results from the laboratory database over 17 months. We cross-referenced seronegative patients with IgA deficiency (IgA <0.06 g/L) to the pathology database to evaluate intestinal biopsy results. Ordering physicians received a questionnaire regarding the management of seronegative patients with IgA deficiency who had no biopsy record.Results: Among the 9533 patients tested for IgA-EMA, 4698 (49%) were tested for IgA deficiency. IgA deficiency occurred in 35 of 4698 (0.75%) patients screened for IgA deficiency. Only 19 of 35 (54%) IgA-deficient patients were diagnosed appropriately with either intestinal biopsy (17 patients) or measurement of IgG-tissue transglutaminase (2 patients). Thirteen (76%) of the 17 IgA-deficient patients who underwent upper endoscopy with or without colonoscopy displayed gastrointestinal pathology on biopsies, including 3 (18%) with celiac disease. No further evaluation to exclude celiac disease was performed for the remaining 16 of 35 (46%) IgA-deficient, EMA-negative patients because of inappropriate management (6 patients), administrative error (7 patients), or patient/physician refusal (3 patients).Conclusions: IgA deficiency occurred in 1:131 patients tested for celiac disease, and celiac disease occurred in 1:6 of those properly evaluated. Inadequate evaluation of IgA deficiency while testing for celiac disease occurred frequently and resulted in the underdiagnosis of both. Changes in testing algorithms and reporting of results were made to improve testing for celiac disease and IgA deficiency.
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Benetti, Antonio Domingues. „A influência do tempo de detenção celular e decaimento endógeno na estequiometria de reações em processos biológicos de tratamento de águas residuárias: I - Crescimento quimioheterotrófico“. Engenharia Sanitaria e Ambiental 18, Nr. 1 (März 2013): 47–54. http://dx.doi.org/10.1590/s1413-41522013000100006.

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No metabolismo quimioheterotrófico, um mesmo substrato orgânico é utilizado como fonte de energia e síntese celular. Este artigo apresenta uma metodologia que pode ser usada para calcular a estequiometria do metabolismo quimioheterotrófico considerando o tempo de detenção celular e o decaimento endógeno. O método se baseia em princípios da bioenergética e é útil para o desenvolvimento de balanços de massa em processos biológicos de tratamento de águas residuárias. Também serve para se estimar as necessidades de nutrientes, alcalinidade e aceptores de elétrons para as reações desejadas, assim como a biomassa formada e gases produzidos.
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Fernandes, Flávio César F., und Creusa Sayuri Tahara. „Um sistema de controle da produção para a manufatura celular parte I: sistema de apoio à decisão para a elaboração do programa mestre de produção“. Gestão & Produção 3, Nr. 2 (August 1996): 135–55. http://dx.doi.org/10.1590/s0104-530x1996000200002.

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Este artigo e mais o artigo Parte II (Emissão de Ordens e Programação de Operações) fazem parte de um trabalho que visa integrar todas as atividades de programação da produção dentro do contexto de um Sistema de Controle da Produção, concebido para operar na manufatura celular semi-repetitiva. Para deixarmos claro o que entendemos por manufatura celular semi-repetitiva fazemos uma classificação dos sistemas de produção e uma taxonomia da manufatura celular. O sistema proposto foi concebido e implementado computacionalmente em 3 módulos (nível de produto final, de componentes e de operações). O primeiro é tratado neste artigo (Parte I), enquanto que outros dois módulos são tratados no outro artigo (Parte II).
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Dolapoglu, Ahmet, Kim I. de la Cruz und Joseph S. Coselli. „Management of a Mycotic Thoracoabdominal Aortic Aneurysm Involving the Celiac Artery“. Texas Heart Institute Journal 43, Nr. 6 (01.12.2016): 528–30. http://dx.doi.org/10.14503/thij-15-5505.

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A mycotic aneurysm that also involves the visceral arteries is a life-threatening condition. Surgical management typically consists of débridement and in situ repair with a Dacron graft and reimplantation of the involved visceral branches. We report a rare case of a mycotic saccular thoracoabdominal aortic aneurysm involving the celiac artery, with Streptococcus pneumoniae as the responsible organism. Successful repair of the aneurysm and concomitant revascularization of the celiac artery were achieved.
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Martineau, D. Brigitte, Jan H. Vranken und Salahadin Abdi. „Celiac Plexus Block for Cancer Pain Management“. Journal of Cancer Pain & Symptom Palliation 1, Nr. 1 (Januar 2005): 85–93. http://dx.doi.org/10.3109/j427v01n01_12.

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Yamamuro, Makoto, Kiyoshi Kusaka, Masato Kato und Masahiko Takahashi. „Celiac Plexus Block in Cancer Pain Management“. Tohoku Journal of Experimental Medicine 192, Nr. 1 (2000): 1–18. http://dx.doi.org/10.1620/tjem.192.1.

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Roseborough, Glen S. „Laparoscopic management of celiac artery compression syndrome“. Journal of Vascular Surgery 50, Nr. 1 (Juli 2009): 124–33. http://dx.doi.org/10.1016/j.jvs.2008.12.078.

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35

DiMusto, Paul D., Molly M. Oberdoerster und Enrique Criado. „Management of Spontaneous Isolated Celiac Artery Dissections“. Journal of Vascular Surgery 60, Nr. 4 (Oktober 2014): 1118. http://dx.doi.org/10.1016/j.jvs.2014.07.083.

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36

Choung, Rok Seon, Jeffrey A. Alexander, David A. Katzka und Joseph A. Murray. „Management of eosinophilic esophagitis and celiac disease“. Current Opinion in Pharmacology 37 (Dezember 2017): 118–25. http://dx.doi.org/10.1016/j.coph.2017.10.007.

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37

Sharma, Zubin Dev, Rinkesh Kumar Bansal und Rajesh Puri. „EUS-Guided Celiac Plexus Interventions“. Journal of Digestive Endoscopy 11, Nr. 03 (September 2020): 177–81. http://dx.doi.org/10.1055/s-0040-1716585.

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AbstractEndoscopic ultrasound (EUS)-guided celiac plexus intervention comprises EUS-guided celiac plexus block (EUS-CPB) and EUS-guided celiac plexus neurolysis (EUS-CPN). EUS-CPB and EUS-CPN are one of the used methods of pain management in patients of pancreatic cancer and chronic pancreatitis, respectively, along with medical therapy. Both the procedures are associated with minimal complications and improves quality of life. The role of EUS-guided celiac plexus intervention is increasing in gall bladder carcinoma for pain control.
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Silvester, Jocelyn Anne, und Mohsin Rashid. „Long-Term Management of Patients with Celiac Disease: Current Practices of Gastroenterologists in Canada“. Canadian Journal of Gastroenterology 24, Nr. 8 (2010): 499–509. http://dx.doi.org/10.1155/2010/140289.

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BACKGROUND: Long-term follow-up of patients with celiac disease is important for monitoring their clinical status, dietary compliance and complications.AIM: To examine the current practices of Canadian gastroenterologists providing long-term care to patients with celiac disease.METHODS: All gastroenterologists in Canada (n=585) were surveyed regarding their practice demographics, familiarity with celiac disease practice guidelines, and follow-up clinical examination and investigations.RESULTS: Of the 585 surveys mailed to gastroenterologists, 567 were expected to be returned. A total of 242 completed surveys (43%) were received. Of these, 237 (184 adult, 51 pediatric and two mixed) had an active practice that included patients with celiac disease. Long-term follow-up care was provided routinely by 76% of respondents. Follow-up consisted of annual clinic visits (67%), dietary review (77%), reinforcement of the need for adherence to a gluten-free diet (90%) and recommending membership in an advocacy group (65%). Physical examination was performed by 78%; most ordered laboratory tests including serology (65%).Adult gastroenterologists performed routine follow-up intestinal biopsy more often than their pediatric counterparts (46% versus 10%), but performed serology less frequently (48% versus 86%). Pediatric patients were more likely to be followed by a multidisciplinary team. All pediatric gastroenterologists were familiar with at least one celiac disease practice guideline, whereas 15% of adult gastroenterologists were not familiar with any practice guideline. The majority of gastroenterologists who did not routinely provide follow-up expected care to be provided by the patient’s primary physician (86%).CONCLUSIONS: Most gastroenterologists in Canada who responded to the survey provided long-term follow-up care to patients with celiac disease. The diverse practices reported underscore the need to develop consensus-based guidelines for long-term care of these patients.
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Dr. Shool Rohit S, Dr Shool Rohit S., Dr Anand P. Zingade und Dr Manish Kumar. „Management of Neck in Oral Squamous Cell Carcinoma“. Indian Journal of Applied Research 3, Nr. 6 (01.10.2011): 419–22. http://dx.doi.org/10.15373/2249555x/june2013/140.

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Benetti, Antônio D., und Sérgio F. Aquino. „Aplicação de princípios de bioenergética no cálculo da estequiometria de reações biológicas em processos de tratamento de águas residuárias“. Engenharia Sanitaria e Ambiental 15, Nr. 3 (September 2010): 245–50. http://dx.doi.org/10.1590/s1413-41522010000300007.

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O tratamento biológico de águas residuárias é realizado por microrganismos que utilizam determinado substrato para obtenção de energia e crescimento celular através de reações de oxidação-redução e fermentação. Esses mecanismos podem ser expressos por meio de reações estequiométricas desenvolvidas a partir de princípios da termodinâmica. As reações são dependentes dos compostos doadores e aceptores de elétrons. As equações balanceadas resultantes permitem estimar as necessidades de nutrientes, a variação de pH/alcalinidade, a produção de biomassa e gases e o coeficiente de produção celular associados aos sistemas biológicos de tratamento. Esta nota técnica descreveu a metodologia para cálculo estequiométrico de reações bioquímicas usando princípios de bioenergética, apresentando exemplos para diferentes substratos e aceptores de elétrons.
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Cornman-Homonoff, Joshua, Daniel Holzwanger, Kyungmouk Lee, David Madoff und David Li. „Celiac Plexus Block and Neurolysis in the Management of Chronic Upper Abdominal Pain“. Seminars in Interventional Radiology 34, Nr. 04 (Dezember 2017): 376–86. http://dx.doi.org/10.1055/s-0037-1608861.

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AbstractChronic upper abdominal pain occurs as a complication of various malignant and benign diseases including pancreatic cancer and chronic pancreatitis, and when present may contribute to lower quality of life and higher mortality. Though various pain management strategies are available as part of a multimodal approach, they are often incompletely effective and accompanied by side effects. Pain originating in upper abdominal viscera is transmitted through the celiac plexus, which is an autonomic plexus located in the retroperitoneum at the root of the celiac trunk. Direct intervention at the level of the plexus, referred to as celiac plexus block or neurolysis depending on the injectate, is a minimally invasive therapeutic strategy which has been demonstrated to decrease pain, improve function, and reduce opiate dependence. Various percutaneous techniques have been reported, but, with appropriate preprocedural planning, use of image guidance (usually computed tomography), and postprocedural care, the frequency and severity of complications is low and the success rate high regardless of approach. The main benefit of the intervention may be in reduced opiate dependence and opiate-associated side effects, which in turn improves quality of life. Celiac plexus block and neurolysis are safe and effective treatments for chronic upper abdominal pain and should be considered early in patients experiencing such symptoms.
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Freeman, Hugh J. „Survey of Gastroenterologists on the Diagnosis and Treatment of Adult Patients with Celiac Disease in British Columbia“. Canadian Journal of Gastroenterology 12, Nr. 2 (1998): 149–52. http://dx.doi.org/10.1155/1998/534216.

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A recent survey of physician specialists from New York City suggested that few patients with celiac disease are seen and that management experience is limited. The present study, using a survey similar to that of the New York City investigation, evaluated the diagnostic and management experience of specialists for adult celiac disease patients in British Columbia. Four hundred and four patients were reported in the combined clinical practice experience of the responding physicians. Of these, 59, or 15%, were diagnosed in the prior year. Although each physician diagnosed an average of 2.4 new celiac disease patients per year in their entire practice experience, an average of over 4.0 new celiac disease patients were detected in the past year. Most patients presented with diarrhea, weight loss, anemia or nutrient deficiency, but about 14% were asymptomatic or diagnosed by an incidental small intestinal biopsy done at upper gastrointestinal endoscopy. Specialist physicians in British Columbia usually refer patients to their family physicians, dietitians and patient support groups for continued care and appear to rarely rely on serological assays, including antibody tests, for detection of celiac disease in adults. An associated or complicating lymphoma was detected in 16 of 404 patients (4%). Recognition of biopsy-defined celiac disease appears to be increasing in British Columbia.
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Elias, E., J. Silvester, L. A. Graff, C. N. Bernstein, L. Rigaux und D. Duerksen. „A107 PATIENT PERSPECTIVES ON THE LONG-TERM MANAGEMENT OF CELIAC DISEASE“. Journal of the Canadian Association of Gastroenterology 3, Supplement_1 (Februar 2020): 124–25. http://dx.doi.org/10.1093/jcag/gwz047.106.

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Abstract Background Celiac disease (CD) is a common chronic gastrointestinal illness with a range of manifestations. The only available treatment is strict gluten avoidance, therefore patients are effectively self-managed. Despite the critical role patients play in their treatment, patient perspectives on long-term CD care have not been formally assessed and are therefore not represented in current clinical guidelines. Aims To determine the opinions of CD patients on the need for long-term CD follow-up, the utility of various aspects of CD follow-up, and the areas in which further information is desired. Methods The Manitoba Celiac Disease Cohort includes newly diagnosed adults with elevated TTG and/or EMA antibodies and Marsh III histology. At the 24-month follow-up visit, participants were asked to rate the utility of various aspects of CD care from 1–5 (low-high) and their desire for further information on CD-related issues from 1–6 (low-high). Results A total of 213 patients were recruited and 137 participants completed the online survey (median age 41 [interquartile range 29–57] years; 68% female). Adherence to a gluten free diet was variable, with 29% of patients having TTG antibodies above the upper limit of normal. Two-thirds of participants felt they should be seen regularly for their celiac disease, while 79.8% of those who wished to be followed felt they should be seen every 6–12 months. Blood tests were the most highly rated component of CD care (scored ≥4 by 78% of respondents). Celiac symptom review, information on research in celiac disease, and the opportunity to ask questions about vitamins and supplements were also positively regarded. Diet review was not generally considered helpful. 79% of patients desired further information on research in CD, while approximately 60% desired information on the long-term complications of CD and the risk of nutritional deficiencies. Conclusions The majority of CD patients find regular specialist follow-up helpful, particularly for biochemical assessment of disease activity and its complications. Further information on CD research and the long-term complications of CD should be addressed in follow-up visits. These aspects of follow-up care should be reflected in future guidelines. Funding Agencies None
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Gillett, Helen Rachel, und Hugh James Freeman. „Serological Testing in Screening for Adult Celiac Disease“. Canadian Journal of Gastroenterology 13, Nr. 3 (1999): 265–69. http://dx.doi.org/10.1155/1999/194367.

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Assays for celiac-related antibodies are becoming widely available, and the present review aims to clarify the use of these investigations in the diagnosis of, management of and screening for adult celiac disease. The sensitivities and specificities of various antibody tests are discussed, along with their clinical use as an adjunct to small bowel biopsy, and as a first-line investigation for patients with atypical symptoms of celiac disease or patients at high risk of developing sprue.
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Moussa, Tania, Georges Nawfal, Tarek Assi, Elie El Rassy, Elie Massoud und Iskandar Daou. „Isolated Celiac and Splenic Artery Dissection: A Case Report and Review of the Literature“. Case Reports in Vascular Medicine 2015 (2015): 1–3. http://dx.doi.org/10.1155/2015/194079.

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An isolated dissection of the celiac artery is an extremely rare condition that requires a high level of suspicion to evoke the diagnosis. Once established, the natural course is unpredictable in view of the discrepancies in its management requiring a case-by-case analysis. In this paper, we report an unusual case of spontaneous abdominal pain that was diagnosed with celiac and splenic artery rupture secondary to physical stress. This paper underlines the necessity to maintain a high level of suspicion for arterial dissections and we also review the management plan in such cases.
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Jelsness-Jørgensen, Lars-Petter, Tomm Bernklev und Knut Lundin. „Fatigue as an Extra-Intestinal Manifestation of Celiac Disease: A Systematic Review“. Nutrients 10, Nr. 11 (03.11.2018): 1652. http://dx.doi.org/10.3390/nu10111652.

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Celiac disease may present with a range of different symptoms, including abdominal problems in a broader sense, iron deficiency and “constant tiredness”. All of these symptoms should consequently lead the clinicians to consider celiac disease as a potential etiopathogenetic cause. Although the pathophysiology of celiac disease is well documented, the actual mechanisms for disease presentation(s) are less well understood. We here address the topic of fatigue in celiac disease. A systematic literature search identified 298 papers of which five met the criteria for full evaluation. None of the reviewed papers were of high quality and had several methodological weaknesses. We conclude that there is an unmet need to study the contributing factors and management of fatigue in celiac disease.
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Karyakina, L. A., K. S. Kukushkina und A. S. Karyakin. „Comorbidity of alopecia areata and celiac disease“. Experimental and Clinical Gastroenterology, Nr. 4 (21.07.2021): 194–98. http://dx.doi.org/10.31146/1682-8658-ecg-188-4-194-198.

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The presented article is devoted to the association of celiac disease and alopecia areata. The authors report the clinical significance of specific cutaneous manifestations as diagnostic markers of celiac disease. The article highlights the role of a gluten-free diet in the treatment of alopecia areata and a multidisciplinary approach to patient management.
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Boynes, Sean G., Paul A. Moore, Craig J. Shepherd und C. Richard Bennett. „Anesthetic management of a patient with celiac disease“. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 99, Nr. 2 (Februar 2005): E8—E10. http://dx.doi.org/10.1016/j.tripleo.2004.10.019.

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Theodoridis, Xenophon, Maria G. Grammatikopoulou, Arianna Petalidou, Maria Patelida, Konstantinos Gkiouras, Markos Klonizakis, Stefanos Pittas und Dimitrios P. Bogdanos. „Dietary management of celiac disease: Revisiting the guidelines“. Nutrition 66 (Oktober 2019): 70–77. http://dx.doi.org/10.1016/j.nut.2019.04.008.

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Safaya, Aditya, Sateesh Babu, Francis Carroll und Igor Laskowski. „PC210. Endovascular Management of Traumatic Celiac Artery Occlusion“. Journal of Vascular Surgery 69, Nr. 6 (Juni 2019): e262-e263. http://dx.doi.org/10.1016/j.jvs.2019.04.398.

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