Dental treatment and risk of variant CJD - a case control study

Abstract Objective: Knowledge of risk factors for variant CJD (vCJD) remains limited, but transmission of prion proteins via re-useable medical devices, including dental instruments, or enhanced susceptibility following trauma to the oral cavity is a concern. This study aimed to identify whether previous dental treatment is a risk factor for development of vCJD. Design: Case control study Methods: Risk factor questionnaires completed by interview with relatives of 130 vCJD patients and with relatives of 66 community and 53 hospital controls were examined by a dental surgeon. Responses regarding dental treatments were analysed. Results: We did not find a statistically significant excess of risk of vCJD associated with dental treatments with the exception of extractions in an unmatched analysis of vCJD cases with community controls (p=0.02). However, this result may be explained by multiple testing. Conclusions: This is the first published study to date to examine potential links between vCJD and dental treatment. There was no convincing evidence found of an increased risk of variant CJD associated with reported dental treatment. However, the power of the study is restricted by the number of vCJD cases to date and does not preclude the possibility that some cases have resulted from secondary transmission via dental procedures. Due to the limitations of the data available, more detailed analyses of dental records are required to fully exclude the possibility of transmission via dental treatment

Storytelling as 'unorthodox' agency:negotiating the 2012 family immigration rules (United Kingdom)

This article attends to the lived experience of binational families subject to the 2012 family immigration rules (FIR). It seeks to enrich the pre-existing discussions of family migration within the European Union (EU) and the United Kingdom, focusing on the ‘micro-political’ experiences of those whose lives have been adversely affected by their introduction. It draws on the life writings of binational families, suggesting that a micro-political focus reveals an ongoing neuropolitical experience that traditional accounts of moral agency are ill-equipped to negotiate. The article suggests an unorthodox interpretation of agency premised on storytelling, while probing the tensions that emerge when this lived experience is framed in such a manner. It concludes by positing a series of questions relating to the value of a neuropolitical labelling of the subject and suggests a need to further engage with traumatic interpretations of harm at the intersection of citizenship rights and mobility rights

Vegetation structure and effects of human use of Dambos ecosystem in northern Mozambique

Original research articleThe Niassa National Reserve (NNR) is the most extensive conservation area in Mozambique and the third largest in Africa, encompassing 42,000 km2 of endemic miombo vegetation. Dambos wetlands occur within the wooded grassland and grassland vegetation of NNR and provide a wide range of Ecosystem Services (ES), including life support for animal species, regulation of water flow and prevention of soil erosion. It also generates income for the livelihoods of local communities by providing land for agriculture and harvesting of non-timber products. The dynamics of these ecosystems is poorly understood despite the contribution of the dambos to global biodiversity and ES. This research is the first preliminary assessment of the vegetation structure and composition of six dambos within NNR, selected using Google Earth, MODIS satellite images and an exploratory field visit. Field data collection was performed using a two-stage systematic sampling approach, along transect lines of 100 10m (0.1 ha), perpendicular to the dambos' flow. Square plots of 0.25m2 were established for grass survey within the transects where grass vegetation was measured, counted and identified. Data were analyzed with R software. The sociological position of each species was analyzed with regard to the vertical structure while for horizontal structure, the abundance, dominance, frequency and Importance Value Index (IVI) were determined. In order to understand the differences between dambos, evenness (H) and reciprocal of Simpson's heterogeneity index (Hill's N2) were calculated. Principal Coordinates Analysis (PCoA) and Cluster Analysis were also used to characterize the surveyed species communities. A total of 58 transects (5.8 ha) and 336 subplots were assessed, recording 110 woody and 73 grass species, respectively. The most common tree species were Vitex doniana, Burkea africana, Syzygium cordatum and Annona senegalensis, while for grass vegetation the most abundant species were Andropogon eucomus and Helictotrichon turgidulum. According to the IVI, the most dominant tree and shrub species were V. doniana, Pseudolachnostylis maprouneifolia, A. senegalensis and S. cordatum. Homogeneity (Hill's N2 ¼18.92) and evenness (H¼ 4.27) were, on average, low in all dambos. Dambo 2 was the most heterogeneous (Hill's N2 ¼18.21) while dambo 1 was the least heterogeneous (Hill's N2 ¼ 5.71). Dambo 6 was most equitable (H¼ 1.35) whereas dambo 2 the least equitable (H¼ 3.72). Using species abundance and based on PCoA and cluster analysis, four main groups of dambos were identified based mainly on the water gradient, with data variation captured by the first three axes reaching almost 83%. The p-value (0.42), suggested no significant differences between species communities in the dambos, and thus, human disturbances appear not to be enough to modify dambos microenvironment. Accordingly, the results suggest that human activities, at this level, do not necessarily affect the structure and diversity of dambos in the NNR. The results also suggest that the species A. senegalensis, Combretum psidioides, Crossopteryx febrifuga, Protea nitida, P. maprouneifolia and S. cordatum can be used as indicator dambo species in NNR, with high likelihood of occurrenceinfo:eu-repo/semantics/publishedVersio