196,096 research outputs found

    Drug-resistant cluster headache responding to gabapentin: A pilot study

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    Prompted by the results of gabaergic drugs, such as valproate and topiramate, we performed this pilot study to assess the effect of gabapentin in cluster headache. Eight patients suffering from episodic cluster headache and four suffering from chronic cluster headache were studied. All of them had failed to respond to traditional prophylactic drugs. The design of the study was an open trial. The main parameter for effectiveness was the number of daily attacks. Gabapentin was given at the daily dosage of 900 mg. All patients were pain free after a maximum of 8 days after starting therapy, with a bout duration thus reduced to 16-40% of the average previous bouts (only applies to episodic cluster patients). We hypothesize that the gabaergic action of gabapentin, perhaps combined with other mechanisms, such as calcium channel blockade, may be responsible for its remarkable effects on cluster headache

    Diels-Alder reactions of methyl N-p-methoxybenzensulfonylindole-2-(2-propenoate), a convenient dienophile towards the synthesis of andranginine

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    Methyl N-p-methoxybenzensulfonylindole-2-(2-propenoate) (2) undergoes Diels-Alder reactions with silyloxybutadienes and 5-ethenylpyridinones to afford advanced intermediates for the total synthesis of (+/-)-andranginine (1). Copyright (C) 1996 Published by Elsevier Science Lt

    Assessment of diet-related GHG emissions using the environmental hourglass approach for the Mediterranean and new Nordic diets

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    Food production and preparation affect the environment in many ways, with effects on greenhouse gases, use of land, biodiversity, etc. The impact is influenced by consumer demand and eating habits. Two different recommended dietary models were considered, the Mediterranean Diet and the New Nordic Diet, with quantitative analysis of GHG emissions through LCA. An environmental hourglass (EH) approach based on LCA was introduced to help translate health-promoting dietary recommendations that consider regional circumstances and cultural diversity into practical eating habits, to promote sustainable and environmentally friendly consumption. Using the environmental hourglass approach, we examined whether dietary choices based on nutritional recommendations can minimise certain negative effects on the food production environment. Using two examples of health-enhancing, regionally-oriented and culturally appropriate dietary patterns - the Mediterranean Diet and the New Nordic Diet - we showed that consumption of high protein foods has a similar and comparable environmental impact to fruit and vegetable consumption. The results of this work may provide a starting point for integrated policy addressing issues related to the healthy diet of the population, aware food choices and sustainable agricultur

    Please keep ordering! A natural field experiment assessing a carbon label introduction

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    We conduct a natural field experiment investigating the efficacy of environmental information provision while considering its relationships with individual consumers’ habitual behaviour. A carbon label was introduced to the lowest-emission dish for each food category on the menu of a full-service restaurant; its efficacy was assessed by distinguishing its immediate impact on orders placed by the restaurant's occasional and regular customers as well as the impact over time for repeated orders. We collected 1,737 customer orders – of which 1,200 were placed by 99 regular customers – taking advantage of an electronic ordering system that identified customers through a unique number. Independently of customer type, we find no immediate effect of the carbon label after its introduction. However, the probability of ordering an environmentally friendly dish increases significantly with repeated exposure and additional orders, albeit with a progressively diminishing effect. We discuss the importance of the repetition effect when assessing a new label, including implications for research and policy

    Contribution of different life cycle stages to the greenhouse gas emissions associated with three balanced dietary patterns

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    n light of the considerable pressure exerted by food production on the environment, the assessment of the environmental burdens of dietary choices has recently gained interest among the scientific community. Several studies based on life cycle thinking approach agreed that a transition from an omnivorous to either a vegan or vegetarian diets would reduce the environmental impact associated with food consumption. The majority of the studies set the system boundaries up to the retail, excluding the consumption phase and generally do not account for uncertainties. The aim of the present study was to assess how personal consumption choices and behaviour can affect the greenhouse gas emissions generated by three balanced dietary patterns (omnivorous, vegetarian and vegan), defined on the basis of nutritional recommendations for an average Italian man. It took into consideration the uncertainties associated with three elements, namely the greenhouse gas emissions due to the production of the food items, the emissions associated with cooking and the food wasted by consumers. The results of the study highlighted that, despite the higher share of greenhouse gas emissions of the supply chain stages prior to consumption (66%–74% of the total emissions), domestic behaviours have an important influence of the total greenhouse gas emissions of the diet, which can offset the lower GHG emissions due to the choice of vegetable-origin foods. In fact, 15%–21% of the total emissions are associated to the cooking phase and 11%–13% to the food waste generation. Therefore, this study remarks the importance of adopting a cradle to grave perspective when assessing the environmental burden of dietary patterns and emphasises the central role of consumers in the definition of low GHG-emitting dietary patterns
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