Epidemiology and cost of herpes zoster and postherpetic neuralgia among patients treated in primary care centres in the valencian community of Spain

<p>Abstract</p> <p>Background</p> <p>Data on the epidemiology and costs related to herpes zoster (HZ) and postherpetic neuralgia (PHN) in Spain are scarce; therefore, studies are needed to evaluate the epidemiological and economic impact of HZ and its most common complication, PHN. The present study aimed to estimate the clinical and economic burden of HZ and PHN in Valencia (Spain).</p> <p>Methods</p> <p>We prospectively analyzed the burden of HZ and PHN and their attributable costs in patients from 25 general practices in the Autonomous Community of Valencia serving 36,030 persons aged > 14 years. All patients with a clinical diagnosis of HZ who attended these centers between December 1^st2006 and November 30^th2007 were asked to participate. Patients included were followed for 1 year.</p> <p>Results</p> <p>Of the 130 cases of HZ followed up, continued pain was experienced by 47.6% (95% confidence interval (CI) = 35.6-56.7%) at 1 month after rash onset, by 14.5% (95% CI = 7.8-1.2%) at 3 months, by 9.0% (95% CI = 3.7-14.3%) at 6 months, and by 5.9% (95% CI = 1.5-10.3%) at 12 months. The percentage of patients with PHN increased with age, from 21.4% (95% CI = 8.3-40) in patients < 50 years to 59.2% (95% CI = 44.4-74) in patients ≥ 70 years. The estimated total cost for the 130 HZ cases during the follow-up period was €49,160 ($67,349). Mean cost per patient was €378 (range 53-2,830) ($517, range 73-3,877).</p> <p>Conclusions</p> <p>This study shows that PHN is a relatively common complication of HZ and that both conditions combined give rise to a significant clinical and economic burden for patients and providers.</p

Recent trends in management strategies for two major maize borers: Ostrinia nubilalis and Sesamia nonagrioides

23 p.-2 tab.Stem borers (Lepidoptera) are common cereal pests. In many parts of the world, the species Ostrinia nubilalis and Sesamia nonagrioides stand out as important insect pests of economically important crops such as maize. Their management relied mainly on transgenic host plant resistance over the last 25 years. Technologies based on the insecticidal properties of Bacillus thuringiensis-derived proteins allowed widespread pest population suppression, especially for O. nubilalis. However, the recent discovery of Bt resistance, which has revitalized interest in both pests’ biology and management, may jeopardize the effectiveness of such transgenic technologies. Historical information on O. nubilalis bionomy may need to be reassessed in light of changing climate conditions and changing agricultural practices, as well as increased production of alternate host crops across its distribution range. The current paper examines the bioecology and historical research that has been conducted to manage these two important maize-boring pests.N

ESPON Italian evidence in changing Europe

Il volume, che rientra nelle attività dell’ESPON Contact Point Italia, accoglie i risultati del contributo dei Partner Italiani allo sviluppo dei progetti del Programma ESPON 2013, acronimo di European Observation Network for Territorial Development and Cohesion. I testi sintetizzano ed evidenziano, tra l’altro, le relazioni con le politiche di sviluppo regionale dell’Italia, inserendole in un quadro di cooperazione transnazionale che coinvolge 28 + 4 paesi dell’Unione europea. Affrontando aspetti della politica territoriale europea che spaziano dall’innovazione e conoscenza all’accessibilità, dal policentrismo alle aree metropolitane, dalla migrazione alla globalizzazione, gli Autori mettono in luce la posizione dell’Italia e delle regioni anche rispetto agli obiettivi fissati da Europe 2020. Uno spazio è dedicato alle esperienze regionali che hanno trovato in ESPON uno stimolo e un’occasione di confronto; come pure ai concetti che sottendono il lessico, i principi di orientamento e i nuovi modelli della pianificazione in Europa; e alle esperienze formative rivolte alle giovani generazioni e ai decision maker Il libro si inquadra nelle iniziative del Semestre di Presidenza Italiana dell’Unione europea ed è cofinanziato dal Ministero delle Infrastrutture e dei Trasporti (MIT) responsabile nazionale del Programma ESPON. E’ rivolto ai ricercatori, agli utilizzatori istituzionali, ai policy maker, ai “practioner” e ai “non specialisti”, tra cui gli studenti, affinché possano fare propri i risultati dell’impegno costante, rigoroso e rispettoso delle diversità territoriali che hanno contraddistinto, dal 2007 ad oggi, il contributo della ricerca, anche sperimentale e applicata, alla crescita della società italiana come parte integrante del sistema europeo. L’Osservatorio ESPON, per chi ancora non lo conosce, può rappresentare un viaggio nel territorio europeo, nelle sue diversità territoriali, economiche, sociali, culturali da integrare e rendere coese, sostenibili, mantenendo e sviluppando potenziali di competitività crescenti e, nel contempo, innovando e diffondendo nuovi modi, metodologie, strumenti e prassi per fare del territorio un bene comune e condiviso. Dati, riferimenti e raccomandazioni politiche utili alla crescita del Paese completano il quadro. Presentazione del Ministro delle Infrastrutture, On. Maurizio Lupi Postfazione del Direttore della Coordination Unit del Programma ESPON, Peter MehlbyeThe book is part of the activities of ESPON Contact Point Italy. It includes the results of the contribution of the Italian partners in the development of projects under the ESPON 2013 Programme, which stands for European Observation Network for Territorial Development and Cohesion. The texts summarise and highlight, among other things, the relations with the regional development policies of Italy, placing them in a framework of transnational cooperation involving the 28 + 4 EU Countries. Addressing aspects of European territorial policy, ranging from innovation and knowledge accessibility, from the polycentrism to metropolitan areas, from migration to globalization, the authors highlight the position of Italy and of regions also in relation to the objectives set by Europe 2020. A place is devoted to the regional experiences that in the ESPON found a stimulus and an opportunity for discussion, as well as to the concepts behind the vocabulary, to the principles of guidance, and new planning models in Europe, and to the training experiences aimed at the younger generations and the decision makers The book forms part of the initiatives of the Italian Presidency of the European Union and is co-financed by the Ministry of Infrastructure and Transportation (MIT) in charge of the national ESPON Programme. It is aimed at researchers, institutional users, policy makers, at "practitioners" and "non-specialists" including students, so that they can make use of the results of the constant and rigorous work also respectful of the territorial diversities that have characterized the experimental and applied research since 2007, so contributing to the growth of Italian society as an integral part of the European system. The ESPON Monitoring Centre, for those who still do not know, can be a journey into the European territory, its territorial, economic, social, cultural diversities to integrate and make cohesive and sustainable, by maintaining and developing the increasing potentials of competitiveness and, at the same time, by innovating and disseminating new ways, methodologies, tools and practices to make the territory a common and shared good. Data, references and useful policy recommendations to the growth of the country are also included in the book. Presentation by the Minister of Infrastructure, Mr. Maurizio Lupi Afterword by the Director of the Coordination Unit ESPON Programme , Peter Mehlby

The Present and Future Role of Insect-Resistant Genetically Modified Maize in IPM

Commercial, genetically-modified (GM) maize was first planted in the United States (USA, 1996) and Canada (1997) but now is grown in 13 countries on a total of over 35 million hectares (\u3e24% of area worldwide). The first GM maize plants produced a Cry protein derived from the soil bacteriumBacillus thuringiensis (Bt), which made them resistant to European corn borer and other lepidopteran maize pests. New GM maize hybrids not only have resistance to lepidopteran pests but some have resistance to coleopteran pests and tolerance to specific herbicides. Growers are attracted to the Btmaize hybrids for their convenience and because of yield protection, reduced need for chemical insecticides, and improved grain quality. Yet, most growers worldwide still rely on traditional integrated pest management (IPM) methods to control maize pests. They must weigh the appeal of buying insect protection “in the bag” against questions regarding economics, environmental safety, and insect resistance management (IRM). Traditional management of maize insects and the opportunities and challenges presented by GM maize are considered as they relate to current and future insect-resistant products. Four countries, two that currently have commercialize Bt maize (USA and Spain) and two that do not (China and Kenya), are highlighted. As with other insect management tactics (e.g., insecticide use or tillage), GM maize should not be considered inherently compatible or incompatible with IPM. Rather, the effect of GM insect-resistance on maize IPM likely depends on how the technology is developed and used

Mar Menor: una laguna singular y sensible. Evaluación científica de su estado.

Este libro recopila las aportaciones que equipos de investigación de la Universidad de Murcia, Universidad Politécnica de Cartagena, Instituto Geológico-Minero de España, Universidad de Alicante, el Instituto Español de Oceanografía y otros organismos hicieron en las Jornadas Científicas del Mar Menor, celebradas en diciembre de 2014.La información recogida en este libro se estructura en dos grandes bloques, uno de Biología y Ecología del Mar Menor (capítulos 1 al 8) y otro de Condiciones fisicoquímicas e impacto de actividades humanas en la laguna (capítulos 9 al 14). El primer bloque resume buena parte de los estudios ecológicos realizados en el Mar Menor, que han servido para mejorar su conocimiento y también para cambiar antiguas asunciones sobre la naturaleza y el funcionamiento de estos ecosistemas lagunares (Capítulo 1). El segundo capítulo muestra que esta laguna alberga en zonas someras de su perímetro hábitats fundamentales para mantener y conservar tanto especies migratorias como residentes, que es necesario conocer para paliar el impacto de las actividades humanas que les afectan. En este sentido la reducción de la carga de nutrientes y contaminantes orgánicos e inorgánicos que fluyen hacia el Mar Menor puede ayudar a preservar la laguna en mejores condiciones, bien sea tratando las escorrentías (plantas de tratamiento, humedales artificiales u otras técnicas) y recuperar este agua para uso agrícola o evitar su descarga en la laguna (Capítulo 3). Estas actuaciones serán clave para la conservación de especies emblemáticas como el caballito de mar (Capítulo 4) y reducir el impacto de las proliferaciones masivas de medusas que se producen en la laguna desde 1993 (Capítulo 5). En este mismo sentido los cambios acaecidos en la laguna han favorecido la incursión de invertebrados marinos alóctonos (Capítulo 6) y han afectado a la respuesta de la dinámica poblacional de las aves acuáticas a distintas escalas (Capítulo 7). Para completar este bloque se ofrece una perspectiva histórica de la importancia que ha tenido la investigación sobre acuicultura realizada en esta laguna, que ha servido de base para su gran desarrollo actual (Capítulo 8). El segundo bloque se inicia con una evaluación del origen y evolución del Mar Menor desde el punto de vista geológico, y evidencia su vulnerabilidad ante el deterioro que puede sufrir la desaparición de la barrera de cierre y/o su colmatación (Capítulo 9). En el Capítulo 10 se describe la relevancia que tiene la interacción de los acuíferos del Campo de Cartagena con la laguna, que se produce no sólo a nivel superficial sino también subterráneo. Esta interacción permite el acceso de nutrientes a la laguna, a pesar de la cierta capacidad de depuración de los humedales que le circundan, y también de metales traza por los aportes de residuos mineros (Capítulo 11). De hecho los metales traza están presentes en los sedimentos de la laguna, y su distribución se ha caracterizado en la columna sedimentaria relacionándola con la granulometría y el contenido de materia orgánica del sedimento (Capítulo 12). Posteriormente se describe la entrada de diversos contaminantes orgánicos, incluyendo pesticidas y fármacos a través de la rambla del Albujón, y su distribución estacional en agua y sedimento de la laguna (Capítulo 13). Este segundo bloque finaliza con el Capítulo 14 en el que se describe la bioacumulación de hidrocarburos aromáticos policíclicos, pesticidas y fármacos en moluscos y peces del Mar Menor, así como los efectos biológicos que la carga contaminante que accede a través de la rambla del Albujón produce en los organismos que allí habitan. El libro concluye con un breve epílogo redactado por los editores de este libro.Versión del edito

Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight NCD Risk Factor Collaboration (NCD-RisC)

From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory restrictions

Ten years of MON 810 resistance monitoring of field populations of Ostrinia nubilalis in Europe

9 p.-2 fig.-1 tab.From 2005 to 2015, Ostrinia nubilalis were collected in the most important maize-growing areas in Europe where MON 810 was cultivated. The susceptibility of these O. nubilalis collections to the Cry1Ab protein was determined using overlay bioassays and compared to that of reference (control) strains. Larvae that died or did not moult after 7 days were used to calculate a moulting inhibition concentration (MIC). Two different batches of Cry1Ab protein were used over the course of this study. Between 2005 and 2015, 145 collections of O. nubilalis from 14 areas were analysed. The Cry1Ab susceptibility of populations from different geographic regions differed only slightly across years. The greatest variability in the MIC50 for field samples collected from 2005 to 2011 and tested with batch 1 was 6.6-fold in 2006. For field-collected O. nubilalis, the difference between MIC50 values of the most susceptible and most tolerant samples was 13.1-fold for this period. For samples collected in 2012–2015 and tested with batch 2, the greatest variability was 4.1-fold in 2014. A diagnostic concentration (MIC99) was calculated for batch 1 (48 ng/cm2) using the results from all the collections in 2005–2012. Bridging experiments indicated that the diagnostic concentration for batch 2 was 28 ng/cm2. From 2006 onwards, no O. nubilalis reached the 2nd larval stage when the diagnostic concentration of either batch of Cry1Ab was used. Only one insect collected from Romania in 2012 and two insects collected as reference strain from Spain in 2015 survived exposure to a dosage of 20 ng/cm2, and none of these larvae survived on MON 810 maize. Our results indicate that there has been no significant change in susceptibility to Cry1Ab in European populations of O. nubilalis over the period 2005–2015.This report presents the results of laboratory-based research and would not have been possible without the kind help of all those who supplied insects: M. Hoenig (Herbolzheim, G), U. Hoffmann(BTL, Keindorf, G), Dr. G. Langenbruch (Darmstadt, G), K.Lindner (Müncheberg, G), A. Schier (Nürtingen, G), D. Proff (Ansbach, G), A.Weissenberger (Wiwersheim, F), A. Mesas and N. Eychenne (Castanet Tolosan, F), I. Rami and N. Daste (Fredon Aquitaine, Villenave d’Ornon,F), K. Koubaïti (Biard, F), Prof. F. Kocourek and V. Falta (Prague, CZ),P. Beres and A. Maslanka (Rzeszow and Warsaw, PL), M. Czepo(Budapest, HU) and Prof. L. Cagan (Nitra, SK), Prof. I. Rosca, I. Sabau(Bucharest, RO), M. Gatti (Repros, Alonte, I) and the laboratory and field technicians of the Spanish group of Plant-Insect Interactions(CIB, CSIC, Madrid, ES). Thanks are also extended to field technicians of Monsanto and Pioneer in Spain and Portugal. Thanks to Monsanto Europe SA for commissioning this study and for providing the Cry1Ab protein.We wish to thank Prof AFG Dixon (UEA Norwich, UK) and Graham Head (Monsanto Company, St Louis, MO, USA) for language correction.Peer reviewe

Evaluación de la exposición a elementos inorgánicos (Cr, Mn, Ni, Cu, Zn, As, Se, Cd y Pb) en cormoranes grandes (Phalacrocorax carbo sinensis) de la laguna costera del Mar Menor de Murcia

For this study, the levels of nine inorganic elements such as chromium, manganese, nickel, copper, zinc, arsenic, selenium, cadmium and lead, have been measured in different tissues coming from liver, kidney, muscle, bone and feather in great cormorant (Phalacrocorax carbo sinensis), which are installed in the Mar Menor coastal lagoon during the winter. We have had juvenile birds found dead on La Manga del Mar Menor coast. The analyses were made by inductive coupled plasma mass spectrometry (ICP-MS). Waterbirds are useful for biomonitoring contaminant exposure in aquatic ecosystems as they are on the top of food webs. The Mar Menor coastal lagoon (Murcia, Spain) has high ecological value which integrity is threatened due to impacts of mining and agricultural activities, and urban growing and touristic development that contributes with considerable quantities of contaminants, which can get into the food web joining different strata leading to biomagnification, endangering not only wildlife but also humans. Feathers are presented as an excellent sample for monitoring lead and chromium pollution. Kidney and liver are presented as the most appropriate sample for monitoring cadmium and selenium pollution. Lead and chromium levels are higher than those obtained by other authors from other geographic locations, while other element levels are lower. We have confirmed the utility in the biomonitoring of inorganic elements in great cormorant (Phalacrocorax carbo sinensis) from the Mar Menor coastal lagoon.En el presente estudio, se han analizado las concentraciones de nueve elementos inorgánicos (cromo, manganeso, níquel, cobre, zinc, arsénico, selenio, cadmio y plomo) en distintos tejidos (hígado, riñón, músculo, hueso y pluma) de individuos jóvenes de cormorán grande (Phalacrocorax carbo sinensis), hallados en estado cadáver en los alrededores de la laguna costera del Mar Menor durante su invernada. Los análisis se realizaron mediante espectrometría de masas con fuente de plasma acoplado inductivamente (ICP-MS). El Mar Menor posee un elevado valor ecológico cuya integridad puede verse amenazada por la presión urbanística, los efluentes de la agricultura intensiva y los residuos de la actividad minera que aportan cantidades considerables de elementos contaminantes. Estos pueden incorporarse a la cadena trófica y ocasionar una biomagnificación, que puede poner en peligro tanto a la fauna como a los seres humanos. Las aves marinas son de gran utilidad en la biomonitorización de contaminantes presentes en el entorno y permiten la evaluación de su exposición y mostrar el estado ecotoxicológico de la zona estudiada. La pluma se presenta como una muestra excelente para la monitorización de la contaminación por plomo y cromo, mientras que el riñón y el hígado son las muestras más adecuadas para la monitorización de la contaminación por cadmio y el estudio de los niveles de selenio. Los niveles de plomo y cromo hallados en los principales órganos de acumulación son elevados, mientras que los niveles del resto de elementos estudiados son reducidos en comparación con la bibliografía consultada. Los resultados obtenidos permiten confirmar la utilidad en la biomonitorización de elementos inorgánicos del cormorán grande (Phalacrocorax carbo sinensis) en la laguna costera del Mar Menor