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Abstract
BACKGROUND Allergen immunotherapy (AIM) has been demonstrated to be safe and effective in the treatment of allergic respiratory disease. Although it requires considerable patient commitment, little attention has been paid to the factors that contribute to patient compliance. METHODS Patients in a practice based at an urban university hospital, who discontinued AIM, were contacted to determine their reasons for stopping treatment. Results were correlated with demographic and disease data obtained from the patient charts. RESULTS Review of practice records identified 217 patients on AIM. One hundred forty-eight had allergic rhinitis, (R), 66 had allergic rhinitis and asthma (RA), and 3 had allergic asthma without evidence of rhinitis (A). Seventy-four (50%) of the patients in the R group, 32 (48%) of the patients in the RA group, and three (100%) of those in the A group discontinued treatment. The groups differed in that 55% of the patients in the R group discontinued treatment because of inconvenience, compared with only 22% of the patients in the RA group (p < 0.01). By contrast, 25% of the patients in the RA group stopped because they thought that they were "better" with medication, compared with none of the patients in the R group (p < 0.001). All of the patients in the RA group who stopped because they were better completed at least the first four-vial treatment series. CONCLUSIONS Inconvenience is the major contributing factor in noncompliance with AIM. Regulations designed to protect patients from adverse reactions should balance the potential risk of reactions against the benefits of treatment and the effect of more stringent guidelines on patient compliance.
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202
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Scopelitis E, Pizzi A. The chemistry and development of branched PRF wood adhesives of low resorcinol content. J Appl Polym Sci 1993. [DOI: 10.1002/app.1993.070470215] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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203
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Sottili S, Pizzi A, Locatelli C, Abbondati G. Trichlorethylene is radio-opaque. JOURNAL OF TOXICOLOGY. CLINICAL TOXICOLOGY 1993; 31:657-61. [PMID: 8254707 DOI: 10.3109/15563659309025770] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
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204
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205
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Spinelli A, Marconi G, Gorini M, Pizzi A, Scano G. Control of breathing in patients with myasthenia gravis. THE AMERICAN REVIEW OF RESPIRATORY DISEASE 1992; 145:1359-66. [PMID: 1596004 DOI: 10.1164/ajrccm/145.6.1359] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Control of breathing has seldom been investigated in patients with myasthenia gravis (MG). We evaluated lung volumes and respiratory muscle strength by measuring maximal inspiratory (MIP) and expiratory (MEP) pressures in 12 patients with moderate generalized (IIb) MG before and after an orally administered therapeutic dose (120 mg) of Mestinon, and in 11 age- and sex-matched normal subjects. Breathing pattern, mouth occlusion pressure (P0.1), and surface electromyographic activity of the diaphragm (EMGd) and intercostal (EMGint) muscles were evaluated during both room-air breathing and hypercapnic rebreathing. Before Mestinon, patients exhibited a slight decrease in VC, and normal TLC and FEV1/VC ratio. Compared with the normal control group, patients also exhibited respiratory muscle weakness (marked decrease in MIP and MEP; p less than 0.001 for both), and more rapid and shallower breathing (RSB): lower tidal volume (VT), inspiratory time (TI), expiratory time (TE), and greater respiratory frequency (f); mean inspiratory flow (VT/TI) and P0.1 were slightly supernormal, whereas both EMGd and EMGint were significantly higher in patients. During hypercapnic rebreathing, ventilation (VE) (p less than 0.001), VT (p less than 0.001), VT/TI, (p less than 0.003), P0.1 (p less than 0.003), and EMGd (p less than 0.001) response slopes to increasing PCO2 were found to be lower, whereas EMGint response slope was normal. At 60 mm Hg of PCO2 in the two groups the difference in terms of breathing pattern, P0.1, and EMGd were similar to that observed during room-air breathing. After Mestinon, VC (p less than 0.005), MIP (p less than 0.02), and MEP (p less than 0.01) significantly increased, whereas spontaneous breathing remained unchanged.(ABSTRACT TRUNCATED AT 250 WORDS)
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Zaratin P, Petrone G, Pizzi A, Sbacchi M, Clarke G. The antinociceptive and behavioural properties of BRL 53001A: A new kappa opioid agonist. Pharmacol Res 1992. [DOI: 10.1016/1043-6618(92)90398-u] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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207
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Marconi G, Pizzi A, Arimondi CG, Vannelli B. Limb girdle muscular dystrophy with autosomal dominant inheritance. Acta Neurol Scand 1991; 83:234-8. [PMID: 2048397 DOI: 10.1111/j.1600-0404.1991.tb04688.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
We describe a patient suffering from limb-girdle muscular dystrophy with autosomal dominant inheritance proved by the presence of other similar cases in both sexes scattered over 4 generations of his family tree. In all patients the symptoms appeared in adult age and pelvi-femoral preceded scapulo-humeral involvement. Clinical expressivity has been variable, but rather benign without any reduction in life expectancy. Myopathic changes with vacuoles were present in muscle on light and electron microscopic examination. In the literature we found at least another 5 genealogies with autosomal dominant LGMD which had similar clinical and pathological features to those of our patient.
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Smit R, Pizzi A, Schutte CJH, Paul SO. The Structure of Some Phenol-Formaldehyde Condensates for Wood Adhesives. ACTA ACUST UNITED AC 1989. [DOI: 10.1080/00222338908052014] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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211
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Pizzi A, Bellini F, Marconi G. Epidemiology of muscular dystrophies in northeast Tuscany. ACTA NEUROLOGICA 1988; 10:7-15. [PMID: 3254679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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212
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Pinto F, Amantini A, de Scisciolo G, Scaioli V, Frosini R, Pizzi A, Marconi G. Electrophysiological studies of the visual system in myotonic dystrophy. Acta Neurol Scand 1987; 76:351-8. [PMID: 3425222 DOI: 10.1111/j.1600-0404.1987.tb03593.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Ocular signs and electroretinal alterations frequently occur in Myotonic Dystrophy (MD). Surprisingly few reports describe VEP abnormalities for this syndrome. Since the evaluation of cortical visual responses is linked to an understanding of preceding retinal changes, we conducted a systematic study of the visual system including ophthalmological and electrophysiological (EOG, ERG, PERG, VEP) investigation in 14 confirmed myotonic patients. The various tests revealed consistent abnormalities, the most frequent of these being PERG and VEP changes. These alterations seemed to occur independently of one another, suggesting impaired function at different levels of visual pathway. A generalized defect of cell membrane has recently been proposed as etiopathogenesis of typical EMG and systemic features of the disease. Such membrane dysfunction might account for the early and marked abnormalities in electrophysiological tests, even in the absence of neuro-ophthalmological changes.
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213
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Pizzi A, Eaton NJ. The Structure of Cellulose by Conformational Analysis. Part 5. The Cellulose Ii Water Sorption IsothermXS. ACTA ACUST UNITED AC 1987. [DOI: 10.1080/00222338708078143] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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214
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Marconi G, Taiuti R, Sbrilli C, Pizzi A. Becker and limb-girdle muscular dystrophy associated with pituitary dwarfism. J Neurol 1987; 234:430-2. [PMID: 3655848 DOI: 10.1007/bf00314092] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
In 1981 a report appeared of a patient with Duchenne muscular dystrophy associated with dwarfism caused by growth hormone deficiency, in whom the muscular disease was unusually benign. The authors suggested that the benign course might be related to the growth hormone deficiency and dwarfism. Other authors later supported this idea, having observed that in dystrophic mice and hamsters with congenital and experimentally induced pituitary dwarfism, respectively, pathological expressions of the dystrophy were markedly reduced. In this paper one case of Becker and one of limb-girdle dystrophy, each associated with short stature and growth hormone deficiency are described. In these cases the disease did not have a particularly benign course. It is concluded that caution is necessary, at least in certain cases, before an association between reduced muscular growth and the dystrophic process can be assumed.
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215
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Pizzi A, Eaton NJ. The Structure of Cellulose by Conformational Analysis. Part 4. Crystalline Cellulose II. JOURNAL OF MACROMOLECULAR SCIENCE PART A-PURE AND APPLIED CHEMISTRY 1987. [DOI: 10.1080/00222338708076925] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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216
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Pizzi A, Fusi S, Forti G, Marconi G. Study of endocrine function in myotonic dystrophy. ITALIAN JOURNAL OF NEUROLOGICAL SCIENCES 1985; 6:457-67. [PMID: 4086265 DOI: 10.1007/bf02331039] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Endocrine function was studied in 12 patients, 7 men and 5 women, with myotonic dystrophy (MD). Growth hormone (GH) was within normal limits in all the patients and there was no response to arginine stimulation. Prolactin (PRL) was above normal in only 2 cases (one man and one woman) and the response to TRH was below normal in 2 patients and slightly above in one. The GnRH test yielded a reduced LH response in 4 of the 7 men and none at all in the 4 women in whom it was done. The FSH response was below normal in only one of the 7 men and in 3 out of 4 women. The testosterone assay after HCG stimulation was borderline high in 2 out of 6 men and below normal in one. The level of thyroid hormones (T3, T4, FTI, TSH) was normal in all patients except one, whose FTI and T4 level were below normal. In the TRH test TSH was raised in only one of the 6 patients tested. The circadian rhythm of cortisol was absent in 3 out of 10 patients and 3 out of 8 patients showed no response to ACTH stimulation. The results of the study suggest that endocrine alterations are fairly frequent in MD but that they are neither specific nor correlated with disease severity or duration.
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217
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Marconi G, Bobbi S, Pizzi A, Sbrilli C, Taiuti R, Ronchi O, Avanzi G, Lombardo R, Franco C, Biani D. Plasma exchange in myasthenia gravis. Int J Artif Organs 1984; 7:297-300. [PMID: 6500737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
Results obtained with P.E. therapy on 19 myasthenic patients are reported. 15 of them improved during treatment and 4 remained unchanged. We believe P.E. is an useful therapy in M.G. because it produces a rapid improvement in most patients.
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218
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Marconi G, Bobbi S, Pizzi A, Sbrilli C, Taiuti R, Ronchi O, Avanzi G, Lombardo R, Franco C, Biani D. Plasma exchange in radiculopolyneuropathies. Int J Artif Organs 1984; 7:301-6. [PMID: 6500738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
The AA. report the results obtained with Plasma Exchange (P.E.) therapy on 24 cases of polyradiculoneuritis; eleven patients had typical Guillain-Barré Syndrome (G.B.S.) ten suffered from a chronic progressive form and three were affected by a relapsing form. The acute patients were selected according to criteria established by the NNCDS Committee (1978) while guidelines laid down by Pineas & Load (1978) were followed in choosing chronic cases. Patients with G.B.S. had four sessions of P.E. at intervals of one or two days while those with chronic forms of polyradiculoneuritis had a total of 6 sessions spaced one to three days apart. P.E. produced no apparent change in chronic progressive patients but two out of three cases with the chronic relapsing form showed rapid and steady improvement resulting in complete cure within a few months. Nine of the eleven G.B.S. patients showed after only one or two sessions a clear and rapid improvement which led to a complete cure within a matter of weeks. The remaining 2 cases showed only partial improvement at first and remained stationary thereafter. The findings confirm the usefulness of P.E. in acute and chronic relapsing radiculopolyneuritis. However, potential side effects and the procedure's high cost suggest that its use should be limited to carefully selected cases, and in particular to those involving respiratory disorders.
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219
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Marconi G, Bobbi S, Pizzi A, Sbrilli C, Taiuti R, Ronchi O, Avanzi G, Lombardo R, Franco C, Biani D. Plasma Exchange in Myasthenia Gravis. Int J Artif Organs 1984. [DOI: 10.1177/039139888400700513] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Results obtained with P.E. therapy on 19 myasthenic patients are reported. 15 of them improved during treatment and 4 remained unchanged. We believe P.E. is an useful therapy in M.G. because it produces a rapid improvement in most patients.
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220
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Marconi G, Avanzi G, Lombardo R, Ronchi O, Taiuti R, Pizzi A. Treatment of idiopathic polyradiculoneuropathies by plasma exchange. RIVISTA DI PATOLOGIA NERVOSA E MENTALE 1983; 103:114-32. [PMID: 6622938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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221
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Pizzi A. The chemistry and kinetic behavior of Cu-Cr-As/B wood preservatives. II. Fixation of the Cu/Cr system on wood. ACTA ACUST UNITED AC 1982. [DOI: 10.1002/pol.1982.170200311] [Citation(s) in RCA: 30] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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222
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Pizzi A. The chemistry and kinetic behavior of Cu-Cr-As/B wood preservatives. III. Fixation of a Cr/As system on wood. ACTA ACUST UNITED AC 1982. [DOI: 10.1002/pol.1982.170200312] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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223
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Pizzi A. The chemistry and kinetic behavior of Cu-Cr-As/B wood preservatives. IV. Fixation of CCA to wood. ACTA ACUST UNITED AC 1982. [DOI: 10.1002/pol.1982.170200313] [Citation(s) in RCA: 36] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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224
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Pizzi A. The chemistry and kinetic behavior of Cu-Cr-As/B wood preservatives. I. Fixation of chromium on wood. ACTA ACUST UNITED AC 1981. [DOI: 10.1002/pol.1981.170191206] [Citation(s) in RCA: 31] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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225
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Pizzi A, Taiuti R, Calandi C, Adami-Lami Conti C, Ghezzi M, Fratiglioni L, Marconi G. [The incidence of the X-linked progressive muscular dystrophies in Tuscany from 1966 to 1974 (author's transl)]. RIVISTA DI PATOLOGIA NERVOSA E MENTALE 1981; 102:49-55. [PMID: 7201669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
An investigation was carried out to establish the incidence of X-linked progressive muscular dystrophies in Tuscany from 1966 to 1974. 52 cases were identified, the incidence being 23,95 X 10(-5) with reference to live-born males. The frequency of new mutations calculated according to Haldane's method was 7,97 X 10(-6). These data practically correspond to those reported by other AA. in Italy and abroad. There was also a remarkable variability in the incidence among individual districts with values ranging from 7,60 X 10(-5) to 41,91 X 10(-5). It was noticed that the number of new cases tended to decrease in the last few years.
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226
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Rossouw DDT, Pizzi A, McGillivray G. The kinetics of condensation of phenolic polyflavonoid tannins with aldehydes. ACTA ACUST UNITED AC 1980. [DOI: 10.1002/pol.1980.170181201] [Citation(s) in RCA: 34] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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227
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Pizzi A, Van Der Spuy P. Kinetics of the metal-catalyzed condensations of phenols and polyflavonoid tannins with formaldehyde. ACTA ACUST UNITED AC 1980. [DOI: 10.1002/pol.1980.170181211] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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228
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Pizzi A. Wood waterproofing and lignin crosslinking by means of chromium trioxide/guajacyl units complexes. J Appl Polym Sci 1980. [DOI: 10.1002/app.1980.070251110] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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229
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230
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Pizzi A, Daling GME. Laminating wood adhesives by generation of resorcinol from tannin extracts. J Appl Polym Sci 1980. [DOI: 10.1002/app.1980.070250606] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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231
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232
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Pizzi A, Horak RM, Ferreira D, Roux DG. Condensates of phenol, resorcinol, phloroglucinol, and pyrogallol as model compounds of flavonoid A- and B-rings with formaldehyde. J Appl Polym Sci 1979. [DOI: 10.1002/app.1979.070240618] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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233
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Pizzi A. Phenolic and tannin-based adhesive resins by reactions of coordinated metal ligands. I. Phenolic chelates. J Appl Polym Sci 1979. [DOI: 10.1002/app.1979.070240510] [Citation(s) in RCA: 42] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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234
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Pizzi A. Phenolic and tannin-based adhesive resins by reactions of coordinated metal ligands. II. Tannin adhesive preparation, characteristics, and application. J Appl Polym Sci 1979. [DOI: 10.1002/app.1979.070240511] [Citation(s) in RCA: 38] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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235
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Pizzi A. The chemistry and development of tannin/urea–formaldehyde condensates for exterior wood adhesives. J Appl Polym Sci 1979. [DOI: 10.1002/app.1979.070230922] [Citation(s) in RCA: 33] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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238
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240
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241
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Pizzi A. Tannin-formaldehyde exterior wood adhesives through flavonoid B-ring cross linking. J Appl Polym Sci 1978. [DOI: 10.1002/app.1978.070220831] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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242
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Pizzi A, Roux DG. The chemistry and development of tannin-based weather- and boil-proof cold-setting and fast-setting adhesives for wood. J Appl Polym Sci 1978. [DOI: 10.1002/app.1978.070220715] [Citation(s) in RCA: 42] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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243
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Pizzi A, Scharfetter HO. The chemistry and development of tannin-based adhesives for exterior plywood. J Appl Polym Sci 1978. [DOI: 10.1002/app.1978.070220623] [Citation(s) in RCA: 72] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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244
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Damiani A, De Santis P, Pizzi A. Allowed conformations of alanyl preceding prolyl residues. Nature 1970; 226:542-3. [PMID: 5442348 DOI: 10.1038/226542a0] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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245
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Armijo R, Pizzi A, Lobos H. [Prevalence of typhoid carriers after treatment with chloramphenicol]. BOLETIN DE LA OFICINA SANITARIA PANAMERICANA. PAN AMERICAN SANITARY BUREAU 1967; 62:295-302. [PMID: 4235119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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246
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Pizzi A. Pure Manganese Chloride from Chlorine Residues. Sci Am 1877. [DOI: 10.1038/scientificamerican11171877-1561csupp] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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