Medical Termination Of Pregnancy For Psychosocial Reasons.

The requesting of medical termination of pregnancy (MTP) for psychosocial reasons invites several questions concerning progress in medicine as well raising necessary and legitimate ethical questions. The law currently permits MTP for maternal reasons at any stage of pregnancy if the woman's health is at a significant risk. However, conceptions of mental health risks remain a grey area and present difficulties in terms of psychiatric assessment. When dealing with a patient suffering from a psychiatric disorder, questions must be asked on the reasons behind the request as well as questions concerning free and clear consent. It must also be taken into account that the progressive nature of pregnancy means patient care must be provided relatively quickly. These cases invite discussion on medical decisions, on both a moral and rational level, and the legitimacy of the basis on which the medical decision is taken in the context of MTP for psychosocial reasons.

Cytomegalovirus Infection With Retinitis After Brentuximab Vedotin Treatment for CD30+ Lymphoma.

Brentuximab vedotin is an antibody-conjugated chemotherapy targeting CD30 indicated in treatment of several lymphomas. We report the first 3 cases of cytomegalovirus severe infections with retinitis following this treatment. Evolution was favorable, but relapse occurred after treatment rechallenge. We suggest vigilance about cytomegalovirus in patients treated with brentuximab vedotin.

Comparison of translocation methods to conserve metallophyte communities in the Southeastern D.R. Congo.

In southeastern Democratic Republic of Congo, unique metallophyte communities supporting numerous endemic species occurred on the highly mineralized copper cobalt (Cu-Co) hills throughout the province. These hills are economically valuable mineral reserves; mining activities represent therefore a threat to the long-term persistence of these communities. Ex situ conservation program was set up by a mining company to rescue and conserve the diversity of Cu-Co communities until restoration activities are initiated. Two kinds of Cu-Co communities: the steppe and the steppic savanna, were translocated using topsoil spreading and whole-turf translocation. In this study, we assessed the effectiveness of these two techniques in conserving Cu-Co communities and their potential use in future restoration programs. More than 2 years after the translocation, whole-turf translocation appeared to be the better technique for ex situ conservation of endemic Cu-Co species. Not only did whole-turf successfully translocate numerous target species that were not present in the topsoil areas, but it also resulted in fewer ruderal and non-target species compared to topsoil spreading. Topsoil spreading recorded low seedling emergence from seed bank due to large proportions of dormant seeds or the absence of a seed bank, especially for the steppic savanna. Restoration of the steppe is currently more successful than for steppic savanna where the lack of dominant and structuring species likely contributed to divergence in species composition compared to reference ecosystem. Our study stresses the fact that tropical old-growth grasslands, which require probably several centuries to assemble, are difficult to restore or translocate.