Littérature scientifique sur le sujet « Abruzzo sec »

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Articles de revues sur le sujet "Abruzzo sec"

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Iannaccone, G., et A. Deschamps. « Evidence of shear-wave anisotropy in the upper crust of central Italy ». Bulletin of the Seismological Society of America 79, no 6 (1 décembre 1989) : 1905–12. http://dx.doi.org/10.1785/bssa0790061905.

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Abstract Shear-wave polarization analysis has been performed on data from twelve earthquakes recorded in central Italy. These data are part of a set of high quality seismograms recorded by a three-component digital network installed in Abruzzo region after a Ms = 5.8 earthquake on 7 May 1984. Analysis performed on 2 to 6 Hz bandpass-filtered seismograms reveals shear-wave splitting. In order to determine the direction for which the time separation between the two split S waves is maximum, the horizontal traces are rotated in the range 10 to 90° with steps of 10°. At each step the cross-correlation between the two shear waves and the time separation is estimated. The azimuth of 50°N yields the highest correlation coefficient and the maximum time separation of about 0.09 sec. This direction and the orthogonal to it represent axes of minimum and maximum shear-wave velocity respectively. If the time delay is distributed over the whole hypocenter-seismic station path, the maximum variation in velocity is at least 1.4 per cent. The theoretical linear polarization of particle motion at the source is verified after correcting the seismograms for the anisotropic propagation effect. A distribution of vertical cracks aligned in the direction 140°N may explain the observed anisotropy. The stress field deduced from the focal mechanism of the Abruzzo earthquake is compatible with this hypothetical crack distribution.
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De Montis, Andrea, Simone Caschili, Amedeo Ganciu, Antonio Ledda, Filippo Paoli, Federico Puddu et Mario Barra. « Strategic environmental assessment implementation of transport and mobility plans. The case of Italian regions and provinces ». Journal of Agricultural Engineering 47, no 2 (10 juin 2016) : 100. http://dx.doi.org/10.4081/jae.2016.513.

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Transport and mobility plans imply strategies and actions that affect the environment. The European Union has introduced in 2001 the strategic environmental assessment (SEA) to take into account and mitigate adverse environmental effects in planning and decision-making. SEA limited implementation has attracted the interest of many scholars that have sought methods able to assess the quality of SEA processes by identifying vices and virtues in practice. In this paper, we measure the quality of eight SEAs for transport and mobility plans of regional and provincial administrations of Italy. Results show that the overall quality level of SEA reports is only barely sufficient, Abruzzo is among the virtuous and Piedmont among the critical administrations. We also stress that the determination of impact significance has received the worse quality score. We finally compare our results to other Italian and British homologous cases finding interesting and generally confirmative evidences.
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Parlagreco, L., F. Mascioli, E. Miccadei, F. Antonioli, D. Gianolla, S. Devoti, G. Leoni et S. Silenzi. « New data on Holocene relative sea level along the Abruzzo coast (central Adriatic, Italy) ». Quaternary International 232, no 1-2 (février 2011) : 179–86. http://dx.doi.org/10.1016/j.quaint.2010.07.021.

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Surricchio, Giulio, Loredana Pompilio, Alessandra Arizzi Novelli, Emanuela Scamosci, Lucia Marinangeli, Lucia Tonucci, Nicola d'Alessandro et Anna Chiara Tangari. « Evaluation of heavy metals background in the Adriatic Sea sediments of Abruzzo region, Italy ». Science of The Total Environment 684 (septembre 2019) : 445–57. http://dx.doi.org/10.1016/j.scitotenv.2019.05.350.

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Miccadei, E., F. Mascioli, F. Ricci et T. Piacentini. « Geomorphology of soft clastic rock coasts in the mid-western Adriatic Sea (Abruzzo, Italy) ». Geomorphology 324 (janvier 2019) : 72–94. http://dx.doi.org/10.1016/j.geomorph.2018.09.023.

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Bellissimo, Giancarlo, Francesca Galfo, Andrea Nicastro, Roberto Costantini et Luca Castriota. « First record of the invasive green alga Codium fragile ssp. fragile (Chlorophyta, Bryopsidales) in Abruzzi waters, central Adriatic Sea ». Acta Adriatica 59, no 2 (20 décembre 2018) : 207–12. http://dx.doi.org/10.32582/aa.59.2.5.

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The authors report for the first time on the invasive green alga Codium fragile ssp. fragile (Suringar) Hariot from the Adriatic coast of the Abruzzi Region of Italy (central Adriatic Sea). Several thalli have been found stranded on the beach of Silvi Marina since November 2015. This species, native to East Asia, has widely invaded several locations of the Mediterranean where it has been probably introduced through boating or shellfish aquaculture.
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Danovaro, R., M. Fabiano et M. Vincx. « Meiofauna response to the Agip Abruzzo oil spill in subtidal sediments of the Ligurian Sea ». Marine Pollution Bulletin 30, no 2 (février 1995) : 133–45. http://dx.doi.org/10.1016/0025-326x(94)00114-o.

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Di Renzo, Ludovica, Maria Elisabetta De Angelis, Marina Torresi, Valeria Di Lollo, Giovanni Di Teodoro, Daniela Averaimo, Sabrina Vanessa Patrizia Defourny et al. « First Report of Septicaemic Listeriosis in a Loggerhead Sea Turtle (Caretta caretta) Stranded along the Adriatic Coast : Strain Detection and Sequencing ». Animals 12, no 18 (10 septembre 2022) : 2364. http://dx.doi.org/10.3390/ani12182364.

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Although there are increasing reports on the prevalence of Listeria monocytogenes in wild species, this is the first case of listeriosis in sea turtle. An adult female Caretta caretta was rescued after being stranded alive along the coast of the Abruzzo region (Italy) in summer 2021. The turtle died in 6 days due to respiratory failure. The necropsy showed widespread organ lesions, such as yellow foci of necrosis in many organs, gastrointestinal erosions, pericarditis, and granulomatous pneumonia. Microbiological and histological analyses were performed on several organs. Listeria monocytogenes was isolated from multiple organs, indicating a case of septicaemic listeriosis, and the genome was sequenced and characterized. All the colonies analysed belonged to the same strain serogroup IVb, ST388, and CC388.
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Brandano, Marco, Irene Cornacchia et Rita Catanzariti. « Fault-Block Platform Evolution between Late Cretaceous and Early Miocene along the Margin of the Latium-Abruzzi Carbonate Platform (Southern Prenestini Mountains, Central Apennines, Italy) ». Geosciences 12, no 9 (19 septembre 2022) : 348. http://dx.doi.org/10.3390/geosciences12090348.

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Since the origin of the carbonate platform concept, the reconstruction of the geometry and the evolution of the margin has been an intriguing topic. The Latium-Abruzzi platform is one of the largest shallow water domains of the Central Apennines, however, the reconstruction of the geometry and evolution of its margin has been classically problematic because the latter has been erased by the out-of-sequence Olevano-Antrodoco thrust system. The investigated area is placed in the Prenestini Mountains, the southernmost portion of the Sabina Domain, where a Cretaceous to Neogene carbonate succession, ascribed the Latium-Abruzzi platform margin, crops out. Stratigraphic and facies analyses showed a Late Cretaceous extensional stage that produced two main fault-block platforms, respectively, South Eastern Prenestini and South Western Prenestini platforms, developed westward of the large Latium-Abruzzi Platform domain. In these platforms, during the Paleocene–Eocene interval, pelagite deposition coincides with the main relative sea-level rise. Instead, during the following falling stage, the seafloor, consisting of the Cretaceous carbonate, was in the wave abrasion zone and the pelagic carbonate mud was swept away or trapped in local depressions or fractures (neptunian dykes), whereas the coarse sediment produced by the erosion of indented and fractured substrate formed polygenic conglomerate accumulation on the Cretaceuos carbonate platform substrate. Successively, an isolated homoclinal ramp, the Guadagnolo Fm, Aquitanian to Serravallian in age, developed on the drowned fault-block platforms, suggesting that during Neogene the articulation of the substrate of the two fault-block platforms had to be limited to host the bioclastic sedimentation of the Guadagnolo Fm and to allow the development of a carbonate ramp depositional profile.
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Miccadei, Enrico, Tommaso Piacentini et Marcello Buccolini. « Long-term geomorphological evolution in the Abruzzo area, Central Italy : twenty years of research ». Geologica Carpathica 68, no 1 (1 février 2017) : 19–28. http://dx.doi.org/10.1515/geoca-2017-0002.

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AbstractThe most recent research studies into the long-term landscape evolution of the Abruzzo area, carried out over the last twenty years at the “G. d’Annunzio” University of Chieti-Pescara, are based on an integrated approach incorporating structural geology and geomorphology and, in particular, the geomorphometry of topographic and hydrographic aspects, geological and structural-geomorphological surveys and mapping supported by morpho-stratigraphic and chronological constraints. The geomorphological analyses have allowed us to outline the main stages of geomorphological evolution and to identify the factors that have contributed to the landscape shaping of the Apennine Chain, the Adriatic Piedmont and the fluvial plains and coastal sectors, up to the Tremiti islands. In the Apennine Chain, landscape evolution — in a ridge, valley and basin system — is connected to the regional uplift, local tectonic subsidence and local base level variations, which have led to changes in the drainage systems, from exoreic to endorheic (in the intermontane basins) and then to exoreic again. In the Adriatic Piedmont, landscape shaping is connected to uplifting and eustatic sea-level fluctuations, which have induced the formation of a structure-controlled drainage system and the shaping of systems of entrenched alluvial fans and large consequent river valleys, with flights of river terraces. In the coastal Adriatic area — composed of a coastal plain-coastal slope system (northern and southern coast) and of a cliffed rocky coast (central coast, Tremiti) interrupted by river valleys — landscape shaping is the result of selective erosion due to the interaction between marine geomorphic processes and slope processes connected to Late Quaternary eustatic fluctuations.
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Thèses sur le sujet "Abruzzo sec"

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Nigro, Paola. « Giuseppe Maria Galanti e gli inediti sull’Abruzzo. Lettere, catechismi e relazioni tra progetti di riforma e Illuminismo ». Doctoral thesis, Universita degli studi di Salerno, 2017. http://hdl.handle.net/10556/2405.

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2012 - 2013
The object of the doctoral thesis, archival and philological topic, conduces to a double level of exegesis, treating on transcription and analysis of handwritten papers Corpus on Abruzzo of Giuseppe Maria Galanti’s, one of the greatest exponents of the Neapolitan Enlightenment, lived between 1743 and 1806, in an historical period of great political changes. Galanti is also known to have been a student of the economist Antonio Genovesi which continued and innovated the reform program, holding important positions within the administrative structure of the Naples Kingdom, which enabled him to analyze the conditions and the role of the provinces, engaging his life with great uprightness in a route of deep knowledge of reality and the design of reforms that led the South moving away from the state of backwardness and heading towards modernization. The work is centered on the documents of Faldone or Cartella Abruzzo, organized in 15 dossiers, moving from private Archive of the Author's home in Santa Croce del Sannio (today Benevento, before Molise) and actually in the Fondo Galanti of Historical Archive of Campobasso with provisional numbering 13. It’s a patchwork of heterogeneous documents consisting mainly of: autograph and anonymous letters, memories, notes, news, travel journals, selve, catechismi and relations that contribute to the historical-philological reconstruction of a segment of the work of Galanti, who was an economist, historian, philosopher, memoirist, politician, writer, traveler, as well as cultural operator, publisher and founder of the Società Letteraria and Tipografica, attentive to the cultural developments not only Italian, but also European, so as to promote circulation in the Kingdom of the Enlightenment’s ideas and principles through translations and editions. The time span of the research is to revolve primarily around the 90s of the eighteenth century, ranging within a dense network of various papers, conveying handwritings and different content and sometimes titles, dating and doubtful assignments, which have been reconstructed thanks to close connection between the sources and autograph and not autograph documents and among the works published ante and post mortem of the Author. The Fondo Galanti consists of 21 folders for a total of 8000 papers regarding the time span of 40 years of the Author's life, starting from the famous Lettera filosofica of 1761 up to the Ultime memorie of 1799-1806. Specifically the documents of Cartella Abruzzo, whose contents belong on the natural state, political, social, economic, fiscal, demographic and lifestyle of the three provinces of Abruzzo: Teramo, Chieti and L'Aquila, in addition to containing Bozza di una relazione per la Marca di Ancona, were appropriately microfilmed under a previous editorial project of critical edition of the while Corpus of Galanti’s works, supported in the first phase from professors Gabriele De Rosa and Augusto Placanica, and then from professors Pasquale Alberto De Lisio, Sebastiano Martelli and Francesco Barra. It was later made an analytical register of the papers by explanatory summaries of the main content, feature naming and numbering indication of the manuscripts; the selection of materials to be transcribed and analyzed was then evaluated as a result of a “collation” between published and unpublished documents. It was decided as well to transcribe unknowns manuscripts by the scholars and displaying them in a rich Appendix accompanied by a Note to the text in which the conservative and linguistic choices were indicated. After a detailed study of primary and secondary literature sources, it’s preferred not to focus the work on the documents relating to Teramo, already abundantly treated in the works of the historian Vincenzo Clemente, but rather on those that describe the natural, economic and social state of Chieti and L'Aquila, through letters, "catechismi” and relations, with the aim of integrating the critical work already done by other scholars of the Abruzzo region and providing new insights and critical historiographical survey of the South. The documents also analyzed for thematic and chronological units, turn out also of particular interest to understand the way in which, in the late eighteenth century, the reformism of Genovesi had penetrated the provinces of Naples, enabling them, thanks to the work of a group of great reformers, to keep alive a heated dialectic between peripherals reality and the central government, concerning public economics topics, through the activities of the Società Patriottiche established in Teramo in 1789. Sources have also revealed important to witness the systematic rewriting of the Author, the rearrangement in which his works were continually subjected and the intense activity of its correspondents: inspectors of the Department, administrators, citizens elected, tax lawyers, judges of Hearing, medium and large owners exponents of the radical progressive bourgeoisie and reforming how Delphic brothers, but also as Giacinto Dragonetti, Antonio Nolli, Vincenzo Minicucci, Giacinto Cipriani, etc. This suggests an analytical framework of extreme historical and economic interest, very useful for the purposes of historical debate and rather enlightening to enrich the already dense workshop historical studies on Galanti, known as the father of statistics, thanks to the variety of topics ranging from the quantitative data for statistical surveys (list of the number of marriages, murders, prisons), demographic trends and the state of tax collection in the provinces. It was also detected the element of "normalization" of eighteenth-century language and the process of "risemantizzazione" operated by economists on the Italian language it is to receive loanwords from foreign languages, latinisms, as well as typical entries of the bureaucratic language. It’s very interesting the specific writing forms of Galanti ranging from the use of selve, interpolations and notes to the manuscripts, of travel reports, objective and structured in a nominal and paratactic style and use of catechismi, questionnaires and forms sent to the local authorities, senior officials and priests of the territories visited. What we wanted to show in the thesis is how relevant was the work of Galanti, who in a time of strong political and social contrasts, where the provinces of Naples Kingdom, oppressed by feudal privileges, had rejected the rigid patterns of the tradition in the name of freedom of thought, of progress and "civilization", not hesitating to show a total membership to the calls of modern European culture and enlightenment, as well as the agronomic model of Marca anconetana face to conquer a new horizon of economic development, thanks to the rotation of crops, livestock and permanent upgrading of road infrastructure. The intellectual from Molise survey assumes an even more value by using an empirical and interdisciplinary approach in which come together: physical geography, historical and economic geography, demography, sociology, allowing it to mend the most significant part of an history of the South really oriented on the "interests of men." [edited by author]
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Morizio, Adolfo. « Eremitismo e monachesimo in Italia tra XIII e XIV secolo : i "Celestini" di fra Pietro del Morrone. Storia e documenti (metà sec. XIII-1320) ». Doctoral thesis, Università degli studi di Padova, 2008. http://hdl.handle.net/11577/3425067.

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The thesis is divided into two parts. In the first part is analyzed the history of Celestini from its origins to 1320. In the second part lists the churches and monasteries, with bibliography and sources, and all documents of the period 1249-1320
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Castellucci, Edoardo <1995&gt. « "L’associazionismo museale a scala territoriale : presentazione del fenomeno gestionale e riflessioni sull’esperienza della Regione Abruzzo tra processi in atto e sviluppi futuri" ». Master's Degree Thesis, Università Ca' Foscari Venezia, 2021. http://hdl.handle.net/10579/18687.

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Punto di partenza di questo lavoro di tesi è la presentazione del fenomeno dell’“associazionismo museale a scala territoriale” come soluzione gestionale in grado di fornire ai musei italiani, in particolare a quelli insistenti nella dimensione “locale”, uno strumento valido per provare ad uscire dalla tipica condizione di difficoltà amministrative, finanziarie ed operative in cui buona parte di essi versa attualmente. Il primo obiettivo è quello di fornire una panoramica sulle caratteristiche salienti dei modelli di gestione museale integrata che sono stati studiati e utilizzati nella prassi, analizzandone le modalità di nascita e sviluppo, le condizioni di esistenza, i meccanismi di funzionamento e i vantaggi conseguibili per i soggetti coinvolti. La seconda parte della tesi si concentra sull’esperienza della Regione Abruzzo, andando a rilevarne l’evoluzione normativa, progettuale e implementativa per quanto riguarda dinamiche di gestione integrata del proprio Patrimonio Culturale (con particolare focus sul “dossier” della Regione pervenuto alla Commissione ministeriale Reti e Sistemi Territoriali durante le audizioni del 2019). Si tenta poi di fornire un profilo della Regione stessa attraverso un’analisi critica di limiti e potenzialità, cercando infine di delineare un “pattern” strategico in supporto a future progettazioni regionali in quest’ambito.
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PIVA, VALENTINO. « La Frentania. Profilo storico, archeologico e topografico (VI-I sec. a.C.) ». Doctoral thesis, 2022. https://hdl.handle.net/11573/1663170.

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Questa tesi nasce dal desiderio di tracciare un profilo diacronico dell’occupazione della regione frentana, nella zona compresa tra il corso del fiume Foro e il fiume Biferno, nella fascia costiera dell’Abruzzo meridionale e del Molise. Se ne traccia un profilo storico, archeologico e topografico.
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Livres sur le sujet "Abruzzo sec"

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editor, Pasqualetti Cristiana, dir. La via degli Abruzzi e le arti nel Medioevo (secc. XIII-XV). L'Aquila : One Group edizioni, 2014.

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Michele Greco, da Valona, active 1505, artist, dir. Il Rinascimento danzante : Michele Greco da Valona e gli artisti dell'Adriatico tra Abruzzo e Molise. Torino : Umberto Allemandi & C., 2011.

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Università "G. D'Annunzio." Dipartimento di studi medievali e moderni, dir. Episcopati e monasteri a Penne e in Abruzzo, secc. XII-XIV : Esperienze storiografiche e storiche a confronto. Napoli : Loffredo, 2007.

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Chapitres de livres sur le sujet "Abruzzo sec"

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de Francesco, Maria Carla, Igino Chiuchiarelli, Ludovico Frate, Maria Laura Carranza, Tommaso Pagliani et Angela Stanisci. « Towards new marine-coastal Natura 2000 sites in the central Adriatic Sea. » Dans Proceedings e report, 529–39. Florence : Firenze University Press, 2020. http://dx.doi.org/10.36253/978-88-5518-147-1.53.

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LIFE17 NAT/IT/000565 CALLIOPE aims to improve the coast-sea regional natural connectivity by improving the Natura 2000 Network. The main objectives are: improving the biodiversity knowledge of marine environments, testing integrated management strategies to increase the conservation of coastal-marine biodiversity and supporting the preparation of a Coastal Action Plan for the Abruzzo Region. We identified and mapped the HD-1110 here dominated by Cymodocea nodosa, the HD-1160 with the presence Zostera noltii and in correspondence of rocky environments the HD-1170.
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Ippoliti, Carla, Susanna Tora, Carla Giansante, Romolo Salini, Federico Filipponi, Emanuela Scamosci, Massimo Petrini, Nicola Di Deo et Annamaria Conte. « Sentinel-2 e campionamenti in situ per il monitoraggio delle acque marine dell’Abruzzo : primi risultati ». Dans Proceedings e report, 557–68. Florence : Firenze University Press, 2020. http://dx.doi.org/10.36253/978-88-5518-147-1.56.

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In this study, the estimate of chlorophyll "a" and the dispersion of sediment in the sea, calculated from Sentinel-2, was compared with real data acquired in situ by a multiparametric probe, along the Abruzzo coast. The ultimate goal is to optimize parameters and algorithms to be able to derive concentration maps of chlorophyll and suspended solids from satellite, taking advantage of the high time frequency and high spatial resolution of the detections. This information is of particular relevance for aquaculture activities, for monitoring water quality and for analyzing sedimentary processes.
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de Francesco, Maria Carla, Mauro Zappalorto, Diana de Francesco, Massimo Mangifesta, Angela Faraone, Maurizio Paluzzi, Claudia Minciarelli, Giulio Tatasciore et Andrea R. Natale. « Archeological findings of ancient harbor in the pilot site of Interreg Adrion APPRODI project in Ortona (Ch, Abruzzo), central Adriatic Sea ». Dans Proceedings e report, 38–46. Florence : Firenze University Press, 2020. http://dx.doi.org/10.36253/978-88-5518-147-1.05.

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The Interreg Adrion ‘APPRODI’ project aims at a qualitative change in the nature of tourism demand with a transnational approach and at increasing visibility of destinations. the project will allow to create the conditions for development of cultural tourism, even underwater, increasing and enhancing the historical and archaeological resources. The dive samplings allowed to find an important archaeological heritage in the seabeds in front of Ortona coast, testifying to the presence of an ancient port and maritime traffic.
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« Abruzzo ». Dans The Adriatic Sea Encyclopedia, 1–2. Cham : Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-50032-0_1.

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Lombardi, Annalina, Maria Paola Manzi, Federica Di Giacinto, Valentina Colaiuda, Barbara Tomassetti, Mario Papa, Carla Ippoliti, Carla Giansante, Nicola Ferri et Frank Silvio Marzano. « Coastal Water Quality : Hydrometeorological Impact of River Overflow and High-resolution Mapping from Sentinel-2 Satellite ». Dans Engineering Problems - Uncertainties, Constraints and Optimization Techniques [Working Title]. IntechOpen, 2022. http://dx.doi.org/10.5772/intechopen.104524.

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The increase of human settlements and activities in coastal areas is causing a significant impact on coastal water quality. Predicting and monitoring the latter is of fundamental importance for assessing sustainable coastal engineering and ecosystem health. This trend is strongly influenced by the presence of rivers’ mouths, acting as critical links between inland and sea. Forecasting river discharges and overflows, using hydrometeorological modelling, can provide a quantitative estimate of the excessive supply of sea nutrients, favouring algal proliferation and eutrophication phenomena. The river overflow contributes to the increase of the coastal bacterial concentration, contaminating marine bioindicators, such as bivalve molluscs. Coastal water status can be monitored by satellite high-resolution optical spectroradiometers, such as Sentinel-2 constellation, capable to retrieve Chlorophyll-a concentration as well as total suspended sediments, at the resolution of about 10 meters. This remote mapping is complementary to in situ samplings, both essential for supporting decisions on the management of coastal mollusc farming and fishing. In this work, we report the recent advancements in hydrological model-based prediction of river surges and remote sensing techniques exploiting Sentinel-2 imagery as well as their implications on coastal water quality management. As a pilot area, we select the central Adriatic Sea in the Mediterranean basin and the Abruzzo region coastline in Italy.
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Actes de conférences sur le sujet "Abruzzo sec"

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Fernandes, Priscilla Neves, JORGE ANTONIO FILHO, ALINE DE AMORIM DA SILVA, FERNANDA WERNECK DE MATTOS MOURA et RUBIA CANTARIN DE SOUZA. « RELATO DE CASO : LEPTOSPIROSE GRAVE SEM ICTERÍCIA ». Dans II Congresso Nacional de Microbiologia Clínica On-line. Revista Multidisciplinar em Saúde, 2022. http://dx.doi.org/10.51161/ii-conamic/02.

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Introdução: A leptospirose é uma doença infecciosa febril de início abrupto, cujo espectro clínico pode variar desde um processo inaparente, até as formas graves. Objetivo: Enfatizar sobre importância do médico em suspeitar de leptospirose, mesmo sem a presença de icterícia. Material e métodos: Foi realizado a coleta de dados de um paciente atendido na Unidade de Pronto Atendimento de Sepetiba, em maio de 2017. Resultados: Paciente, J.S.S, masculino, 38 anos, trabalha como gari há 13 anos, dá entrada relatando que há 03 dias iniciou quadro de febre aferida (38,5 oC), mialgia, lombalgia e cefaleia de início súbito, há 1 dia vem apresentando tosse seca e dispneia aos médios esforços, evoluindo com um quadro de tosse com expectoração hemoptoicas e piora progressiva da dispneia. Ao exame: acordado, confuso, obedecendo aos comandos, taquidispneico com cianose de extremidades (FR 40 irpm e SatO2 85%), taquicárdico (FC 130 bpm), hipotenso (PA 80 x 50 mmhg), desidratado +/+4, hipocorado (++/4+), anictérico, febril (39 oC). Apresenta murmúrio vesicular universalmente audível com presença de crepitação na base esquerda. Impressões diagnósticas: IRA / H1N1, Dengue hemorrágica e Leptospirose. Foi encaminhado imediatamente para sala vermelha, para cuidados intensivos. Exame laboratorial demostrou hematócrito: 28% com hemoglobina de 10 g/l, leucocitose com neutrofilia e desvio à esquerda, plaquetas 80.000. Bilirrubina total: 2,1 mg/dL; bilirrubina direta: 0,4 mg/dL; Gasometria arterial: alcalose respiratória; Radiografia de tórax apresenta condensação à esquerda. Após 3 horas de internação o paciente apresentou piora do quadro respiratório, evoluindo com síndrome da angústia respiratória aguda, sendo realizado intubação orotraqueal com presença de hemorragia pulmonar maciça, logo em seguida evolui para parada cardiorrespiratória sem reversão e óbito. Após 48 horas foi confirmado sorologia para leptospirose. Conclusão: É importante observar que manifestações graves da leptospirose, como hemorragia pulmonar, podem ocorrer em pacientes anictéricos, portanto, não se deve basear apenas na presença de icterícia para identificar pacientes com leptospirose ou com risco de complicações graves da doença, aumentando as chances de letalidade, pois os casos com comprometimento pulmonar podem evoluir para insuficiência respiratória aguda, hemorragia maciça ou síndrome de angústia respiratória e muitas vezes, esse quadro precede o quadro de icterícia.
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« PV-117 - CASO CLÍNICO DE UN SÍNDROME DE ABSTINENCIA AL GHB EN CONTEXTO DE CHEMSEX ». Dans 24 CONGRESO DE LA SOCIEDAD ESPAÑOLA DE PATOLOGÍA DUAL. SEPD, 2022. http://dx.doi.org/10.17579/abstractbooksepd2022.pv117.

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Objetivos: Mediante la exposición de un caso clínico se pretende revisar la sintomatología poco conocida de un cuadro de abstinencia al GHB, un psicofármaco cuyo consumo en la práctica de chemsex está aumentando. Material y métodos: Un paciente de 34 años VIH, VHC positivo con antecedentes de trastorno de consumo de sustancias y psicosis inducidas por mefedrona, acude al servicio de urgencias con gran inquietud psicomotriz, así como autoreferncialidad e ideación de perjuicio, posteriormente al consumo de mefedrona y GHB en una sesión de chemsex. Durante el periodo de observación en la urgencia, el paciente comienza con bajo nivel de conciencia, movimientos coreiformes generalizados, así como emitiendo un discurso incoherente sin alteración de las constantes vitales. No se encontraron hallazgos reseñables en las pruebas de imagen, impresionando de un síndrome de abstinencia al consumo de GHB, que remite tras la administración de benzodiacepinas. Resultado y conclusiones: El ácido gamma-hidroxibutírico es una droga psicoactiva empleada en contexto de chemsex por sus propiedades euforizantes y desinhibidoras. Es un depresor del sistema nervioso central y el síndrome de abstinencia es fácilmente confundible al de otras sustancias como al alcohol o benzodiacepinas, aunque el inicio suele ser más abrupto y rápido. También se presenta delirium y psicosis con mayor frecuencia en comparación con otras sustancias. Las manifestaciones habituales incluyen ansiedad, déficits cognitivos, insomnio persistente, pérdida de control motor (con dosis acumulativas) así como alteraciones neuropsiquiátricas como confusión, la desorientación y la paranoia. Las alteraciones autonómicas pueden producirse, aunque suelen ser leves o ausentes, pese a haber un cuadro confusional grave. Los síntomas de abstinencia pueden durar entre 3 y 21 días. El delirio suele ser más frecuente en consumidores de GHB en mayores frecuencias diarias. El síndrome de abstinencia se trata con benzodiacepinas, añadiendo barbitúicos o antipiscóticos si estos son insuficientes.
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Henrique Silveira de Sousa, Pedro, Adson Kevin Cunha Negidio, Ester Almeida Carneiro Rodrigues da Silva, Myrela Polyanna Bastos Silva Campos et Valentina Silva Rodrigues. « Hipertensão arterial sistêmica como importante fator de risco de acidente vascular encefálico (AVE) - Revisão de literatura. » Dans II Congresso Online Brasileiro de Medicina. Congresse.me, 2022. http://dx.doi.org/10.54265/depi4611.

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Introdução: A hipertensão arterial sistêmica (HAS) é uma doença do tipo crônica, por vezes assintomática, caracterizada pelo aumento sustentado dos níveis pressóricos e com potenciais implicações para diversos órgãos e sistemas, quando não tratada adequadamente. Fatores de risco modificáveis (estresse, sedentarismo, obesidade, tabagismo e etilismo) e não modificáveis (história familiar, idade, sexo e étnia) contribuem para seu surgimento. Classifica-se a HAS como pressão arterial sistólica (PAS) ≥ 140 mmHg e diastólica (PAD) ≥ 90 mmHg em pelo menos duas tomadas distintas. No caso de HAS descompensada e sem acompanhamento médico, há elevado risco de injúria cerebral, sendo importante fator de risco a ocorrência de acidente vascular encefálico (AVE), que compreende o comprometimento abrupto da perfusão de determinada região encefálica, ocasionando isquemia desta região e levando ao comprometimento progressivo de sua função, podendo, inclusive, levar a óbito, caso ausente uma intervenção oportuna. Embora se tenha avanços em relação à terapêutica para o tratamento da HAS, isso não é sinônimo de controle, pois a falta de adesão ao tratamento e resistência na mudança dos hábitos de vida ainda são barreiras no controle da HAS. Objetivos: Analisar a correlação entre acidente cerebrovascular e hipertensão arterial sistêmica. Métodos: Foi feita uma busca qualitativa nas plataformas Scientific Electronic Library Online (SCIELO) e na Biblioteca Virtual em Saúde (BVS), no intuito de buscar artigos no idioma portugues e inglês, bem avaliados, com os descritores acidente cerebrovascular, fator de risco e hipertensão arterial sistêmica para realizar a revisão de literatura. O eixo temático é a clínica médica. Resultados: Foram selecionados 4 artigos para realização do trabalho e, a partir destes, percebeu-se que a HAS quando controlada reduz muito as taxas de incidência de AVE. Estudos mostraram uma prevalência de cerca de 97% de HAS em casos de AVE, evidenciando a HAS como principal fator de risco modificável para doenças cerebrovasculares (DCV), sendo fatores como idade (>65 anos), sedentarismo, tabagismo, comorbidades e doenças associadas (diabetes mellitus) importantes na associação entre HAS e EVE. Apesar dos avanços referentes ao tratamento mais atual de AVE, a sua prevenção é prioritária, tornando o controle da pressão arterial (PA) fundamental, pois o comprometimento é precoce e progressivo e, quanto maior o tempo de exposição à hipertensão arterial (HA), maiores os riscos, pois há evidências que sugerem a associação de declínio cognitivo em pacientes hipertensos com doença cardiovascular em comparação a indivíduos saudáveis. O cérebro é, em geral, o órgão que sofre mais precocemente e mais intensamente as consequências da HA e esta é, normalmente, mais lesiva ao cérebro do que a outros órgãos. Conclusão: A partir disso, podese perceber que o controle da pressão arterial é um item fundamental e prioritário na prevenção primária ou secundária dos AVEs e deve ser feito de modo exaustivo e contínuo, pois é uma das principais causas de óbito no Brasil e no mundo, atualmente. Além disso, percebe-se elevada incidência deste fator associado a outros fatores de risco e comorbidades que corroboram na prevalência de doenças cerebrovasculares na população. Resumo - sem apresentação. PALAVRAS-CHAVE: acidente Cerebrovascular, fator de risco, hipertensão arterial sistêmica
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