30 research outputs found
Isolated pathetick nerve paresis by compression from a dolichoectatic basilar artery: case report
Pesticides and health: A review of evidence on health effects, valuation of risks, and benefitâcost analysis
In this paper, we provide reviews of recent scientific findings on health effects and preference valuation of health risks related to pesticides, and the role of benefitâcost analysis in policies related to pesticides. Our reviews reveal that whereas the focus of the health literature has been on individuals with direct exposure to pesticides, e.g. farmers, the literature on preference elicitation has focused on those with indirect exposure, e.g. consumers. Our discussion of pesticides policies emphasizes the need to clarify the rationale for regulation and the role of risk perceptions in benefitâcost analysis, and stress the importance of interâdisciplinary research in this area
HTLV-1 infection in solid organ transplant donors and recipients in Spain
Background: HTLV-1 infection is a neglected disease, despite infecting 10â15 million people worldwide and
severe illnesses develop in 10% of carriers lifelong. Acknowledging a greater risk for developing HTLV-1
associated illnesses due to immunosuppression, screening is being widely considered in the transplantation
setting. Herein, we report the experience with universal HTLV testing of donors and recipients of solid organ
transplants in a survey conducted in Spain.
Methods: All hospitals belonging to the Spanish HTLV network were invited to participate in the study. Briefly, HTLV
antibody screening was performed retrospectively in all specimens collected from solid organ donors and recipients
attended since the year 2008.
Results: A total of 5751 individuals were tested for HTLV antibodies at 8 sites. Donors represented 2312
(42.2%), of whom 17 (0.3%) were living kidney donors. The remaining 3439 (59.8%) were recipients. Spaniards
represented nearly 80%.
Overall, 9 individuals (0.16%) were initially reactive for HTLV antibodies. Six were donors and 3 were recipients.
Using confirmatory tests, HTLV-1 could be confirmed in only two donors, one Spaniard and another from
Colombia. Both kidneys of the Spaniard were inadvertently transplanted. Subacute myelopathy developed
within 1 year in one recipient. The second recipient seroconverted for HTLV-1 but the kidney had to be
removed soon due to rejection. Immunosuppression was stopped and 3 years later the patient remains in
dialysis but otherwise asymptomatic.
Conclusion: The rate of HTLV-1 is low but not negligible in donors/recipients of solid organ transplants in
Spain. Universal HTLV screening should be recommended in all donor and recipients of solid organ
transplantation in Spain. Evidence is overwhelming for very high virus transmission and increased risk along
with the rapid development of subacute myelopath
Rapid subacute myelopathy following kidney transplantation from HTLV-1 donors: role of immunosuppresors and failure of antiretrovirals
Two kidney transplant recipients from a single donor became infected with HTLV-1 (human T-lymphotropic virus type 1) in Spain. One developed myelopathy 8 months following surgery despite early prescription of antiretroviral therapy. The allograft was removed from the second recipient at month 8 due to rejection and immunosuppressors discontinued. To date, 3 years later, this patient remains infected but asymptomatic. HTLV-1 infection was recognized retrospectively in the donor, a native Spaniard who had sex partners from endemic regions. Our findings call for a reappraisal of screening policies on donor-recipient organ transplantation. Based on the high risk of disease development and the large flux of persons from HTLV-1 endemic regions, pre-transplant HTLV-1 testing should be mandatory in Spain
Pollen morphology of the genera Irlbachia, Tachia, Voyria and Voyriella (Gentianaceae Juss.) found in the Reserva Florestal Adolpho Ducke (Amazonas, Brazil)
Agroforesterie et services écosystémiques en zone tropicale
Respectueux de lâenvironnement et garantissant une sĂ©curitĂ© alimentaire soutenue par la diversification des productions et des revenus quâils procurent, les systĂšmes agroforestiers apparaissent comme un modĂšle prometteur dâagriculture durable dans les pays du Sud les plus vulnĂ©rables aux changements globaux. Cependant, ces systĂšmes agroforestiers ne peuvent ĂȘtre optimisĂ©s quâĂ condition de mieux comprendre et de mieux maĂźtriser les facteurs de leurs productions. Lâouvrage prĂ©sente un ensemble de connaissances rĂ©centes sur les mĂ©canismes biophysiques et socio-Ă©conomiques qui sous-tendent le fonctionnement et la dynamique des systĂšmes agroforestiers. Il concerne, dâune part les systĂšmes agroforestiers Ă base de cultures pĂ©rennes, telles que cacaoyers et cafĂ©iers, de rĂ©gions tropicales humides en AmĂ©rique du Sud, en Afrique de lâEst et du Centre, dâautre part les parcs arborĂ©s et arbustifs Ă base de cultures vivriĂšres, principalement de cĂ©rĂ©ales, de la rĂ©gion semi-aride subsaharienne dâAfrique de lâOuest. Il synthĂ©tise les derniĂšres avancĂ©es acquises grĂące Ă plusieurs projets associant le Cirad, lâIRD et leurs partenaires du Sud qui ont Ă©tĂ© conduits entre 2012 et 2016 dans ces rĂ©gions. Lâensemble de ces projets sâarticulent autour des dynamiques des systĂšmes agroforestiers et des compromis entre les services de production et les autres services socio-Ă©cosystĂ©miques que ces systĂšmes fournissent
Ultrasound-guided percutaneous cholecystostomy in acute cholecystitis: case vignette and review of the technique
Adult experience of mental health outcomes as a result of intimate partner violence victimisation: a systematic review
Background: Intimate partner violence (IPV) has been known to adversely affect the mental health of victims. Research has tended to focus on the mental health impact of physical violence rather than considering other forms of violence. Objective: To systematically review the literature in order to identify the impact of all types of IPV victimisation on various mental health outcomes. Method: A systematic review of 11 electronic databases (2004â2014) was conducted. Fifty eight papers were identified and later described and reviewed in relation to the main objective. Results: Main findings suggest that IPV can have increasing adverse effects on the mental health of victims in comparison with those who have never experienced IPV or those experiencing other traumatic events. The most significant outcomes were associations between IPV experiences with depression, posttraumatic stress disorder, and anxiety. Findings confirm previous observations that the severity and extent of IPV exposure can increase mental health symptoms. The effect of psychological violence on mental health is more prominent than originally thought. Individual differences such as gender and childhood experience of violence also increase IPV risk and affect mental health outcomes in diverse ways. Conclusions: Psychological violence should be considered as a more serious form of IPV which can affect the mental health of victims. Experiencing more than one form of IPV can increase severity of outcomes. Researchers should look at IPV as a multi-dimensional experience. A uniformed definition and measure of IPV could help advance knowledge and understanding of this disparaging global issue