46 research outputs found

    The 8 July 2002 storm over Athens: analysis of the Kifissos River/Canal overflows

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    We analyse the flood event of 8 July 2002 that caused overflows over portions of the lower reach of the Kifissos River/Canal. The storm covered only the lower basin area and was concentrated on the centre and the southwest side of Greater Athens. The issue that stirred the public opinion was whether the hydraulic works underway in lower Kifissos at that time were responsible for the overflows. We explore this issue with the hydrologic-hydraulic model of the Kifissos basin TELESIM. To shed light on the probable cause of the observed flooding, we ran TELESIM for two rain-field scenarios derived from the recorded point-rainfalls, computing flows for each scenario. Depth profiles for channel conditions without obstructions do not explain the observed flooding. With the channel taken as locally obstructed by flow-area reducing ramps plus bed-debris, estimated nominal overflows (bank-full level is threshold, but the water stays inside the channel) compare well with actual ones for the milder rainfall scenario. Hence, the simulations support as plausible the hypothesis that flow obstructions due to the construction caused the overflows

    DRESS with delayed onset acute interstitial nephritis and profound refractory eosinophilia secondary to Vancomycin

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    <p>Abstract</p> <p>Background</p> <p>Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) is a relatively rare clinical entity; even more so in response to vancomycin.</p> <p>Methods</p> <p>Case report.</p> <p>Results</p> <p>We present a severe case of vancomycin-induced DRESS syndrome, which on presentation included only skin, hematological and mild liver involvement. The patient further developed severe acute interstitial nephritis, eosinophilic pneumonitis, central nervous system (CNS) involvement and worsening hematological abnormalities despite immediate discontinuation of vancomycin and parenteral corticosteroids. High-dose corticosteroids for a prolonged period were necessary and tapering of steroids a challenge due to rebound-eosinophilia and skin involvement.</p> <p>Conclusion</p> <p>Patients with DRESS who are relatively resistant to corticosteroids with delayed onset of certain organ involvement should be treated with a more prolonged corticosteroid tapering schedule. Vancomycin is increasingly being recognized as a culprit agent in this syndrome.</p

    Genotyping and antibiotic resistance of thermophilic Campylobacter isolated from chicken and pig meat in Vietnam

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    Background Campylobacter species are recognized as the most common cause of foodborne bacterial gastroenteritis in humans. In this study nine Campylobacter strains isolated from chicken meat and pork in Hanoi, Vietnam, were characterized using molecular methods and tested for antibiotic resistance. Results The nine isolates (eight C. jejuni and one C. coli) were identified by multiplex PCR, and tested for the presence or absence of 29 gene loci associated with virulence, lipooligosaccharide (LOS) biosynthesis and further functions. flaA typing, multilocus sequence typing and microarray assay investigation showed a high degree of genetic diversity among these isolates. In all isolates motility genes (flaA, flaB, flhA, fliM), colonization associated genes (cadF, docB), toxin production genes (cdtA, cdtB, secD, secF), and the LOS biosynthesis gene pglB were detected. Eight gene loci (fliY, virB11, Cje1278, Cj1434c, Cj1138, Cj1438c, Cj1440c, Cj1136) could not be detected by PCR. A differing presence of the gene loci ciaB (22.2 %), Cje1280 (77.8 %), docC (66.7 %), and cgtB (55.6 %) was found. iamA, cdtC, and the type 6 secretion system were present in all C. jejuni isolates but not in C. coli. flaA typing resulted in five different genotypes within C. jejuni, MLST classified the isolates into seven sequence types (ST-5155, ST-6736, ST-2837, ST-4395, ST-5799, ST-4099 and ST-860). The microarray assay analysis showed a high genetic diversity within Vietnamese Campylobacter isolates which resulted in eight different types for C. jejuni. Antibiotic susceptibility profiles showed that all isolates were sensitive to gentamicin and most isolates (88.8 %) were sensitive to chloramphenicol, erythromycin and streptomycin. Resistance rates to nalidixic acid, tetracycline and ciprofloxacin were 88.9, 77.8 and 66.7 %, respectively. Conclusions To the best of our knowledge, this study is the first report that shows high genetic diversity and remarkable antibiotic resistance of Campylobacter strains isolated from meat in Vietnam which can be considered of high public health significance. These preliminary data show that large scale screenings are justified to assess the relevance of Campylobacter infections on human health in Vietnam

    Do honey badgers and greater honeyguide birds cooperate to access bees' nests? Ecological evidence and honey-hunter accounts

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    In parts of Africa, greater honeyguides (Indicator indicator) lead people to bees' nests, after which people harvest the honey, and make beeswax and larvae accessible to the honeyguide. In scientific and popular literature, a similar cooperative relationship is frequently described between honeyguides and honey badgers (Mellivora capensis), yet the evidence that this occurs is unclear. Such a partnership may have implications for the origins of our own species' cooperation with honeyguides and for the ecology and conservation of both honey badgers and honeyguides. Here, we review the evidence that honey badgers and honeyguides cooperate to access bees' nests, drawing from the published literature, from our own observations whilst studying both species, and by conducting 394 interviews with honey-hunters in 11 communities across nine African countries. We find that the scientific evidence relies on incomplete and second-hand accounts and does not convincingly indicate that the two species cooperate. The majority of honey-hunters we interviewed were similarly doubtful about the interaction, but many interviewees in the Hadzabe, Maasai, and mixed culture communities in Tanzania reported having seen honey badgers and honeyguides interact, and think that they do cooperate. This complementary approach suggests that the most likely scenario is that the interaction does occur but is highly localized or extremely difficult to observe, or both. With substantial uncertainty remaining, we outline empirical studies that would clarify whether and where honeyguides and honey badgers cooperate, and emphasize the value of integrating scientific and cultural knowledge in ecology

    Health and well-being of the elderly during the Corona pandemic: challenges for nursing in community-based care settings

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