Gièvres – 8 route de Romorantin

Date de l'opération : 1990 (SD) Inventeur(s) : Toye G Après la découverte de moellons, un sondage a été réalisé sur la de M. Toyer. Un mur (4 m x 0,32 m) a pu être dégagé et le mobilier (tessons de céramique avec quelques débris de sigillée) recueilli dans ses différentes couches permet de proposer une datation du Ier s

Smallholder dairy farming in Tanzania: Farming practices, animal health and public health challenges and opportunities

Smallholder dairy farming is seen as a viable and promising activity to support the livelihoods of cattle keepers in low-income countries. This farming system, characterized by small herds of improved cattle raised under zero-grazing, is proven to lead to better milk yields, but also to require more constant and demanding inputs and resources to sustain production. Moreover, endemic diseases and the poor knowledge on disease control by farmers, along with the limited availability of veterinary services, presents challenges for effective farming. We conducted a cross-sectional survey among smallholder dairy farmers in Tanzania to understand the farm management practices, animal health, access to veterinary services and knowledge and attitudes towards public health of farmers. We aimed to understand the challenges being faced by farmers and the opportunities to overcome these. In addition, we collected blood samples from sick animals for screening for a range of cattle diseases. Milk production was found to be suboptimal, with only few lactating animals in each herd and average milk yields of 9 litres per day. Cattle diseases were an important threat to farmers, but they lacked knowledge and capacity on disease prevention and control. Farming and milk harvesting practices were in general acceptable, but farmers had very poor knowledge on zoonoses and on practices that can mitigate milk contamination. Improvements on farming practices could be made to limit public risk of direct and milk-borne disease transmission to farmers and consumers

A 10-year literature review of family caregiving for motor neurone disease: Moving from caregiver burden studies to palliative care interventions

Background: There is growing awareness that different terminal diseases translate into different family caregiver experiences, and the palliative and supportive care needs of these families are both similar and unique. Family members caring for people with motor neurone disease may experience exceptional strain due to the usually rapid and progressive nature of this terminal illness. Aim: The purpose of this review is to synthesize contemporary research and provide a comprehensive summary of findings relevant to motor neurone disease family caregivers, as well as highlight some of the suggested interventions to alleviate burden and improve quality of life for this group. Design: We conducted a comprehensive review of empirical research on family caregiving for people with motor neurone disease in peer-reviewed journals published in English, January 2000–April 2011. Fifty-nine studies met the inclusion criteria. Results: This comprehensive literature review was consistent with previous research documenting the substantial burden and distress experienced by motor neurone disease family caregivers and revealed important points in the trajectory of care that have the potential for negative effects. The diagnosis experience, assisted ventilation, cognitive changes and end-of-life decision making create challenges within a short time. This review has also implicated the need for improvements in access to palliative care services and highlighted the absence of interventions to improve care. Conclusions: Caregiver burden and quality-of-life studies on motor neurone disease family caregivers have so far dominated the research landscape .The focus needs to be on developing interventions that provide direct practical and psychosocial supports for motor neurone disease family caregivers

Upheaval in cancer care during the COVID-19 outbreak

On Monday, 23 March 2020, Nigeria recorded its first mortality from the novel global COVID-19 outbreak. Before this, the country reported 36 confirmed cases (at the time of writing) and has discharged home two cases after weeks of care at a government-approved isolation center in Lagos State. This first mortality was that of a 67-year-old man with a history of multiple myeloma, a type of blood cancer. He was undergoing chemotherapy and had just returned to Nigeria following medical treatment in the United Kingdom. The novel COVID-19 pandemic has grounded several global activities including the provision of health care serves to people with chronic conditions such as cancer. Evidence from China suggests that cancer patients with COVID-19 infection are a vulnerable group, with a higher risk of severe illness resulting in intensive care unit admissions or death particularly if they received chemotherapy or surgery. This letter is an attempt to suggests practicable interventions such as the use of existing digital health platforms to limit patients' and oncology professionals’ physical interaction as a way of reducing the risk of COVID-19 infection transmission amongst cancer patients and oncologists, as well as outlining effective strategies to ensure that cancer care is not completely disrupted during the outbreak