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1.
Environ Sci Technol ; 54(21): 13429-13438, 2020 11 03.
Artículo en Inglés | MEDLINE | ID: mdl-33086012

RESUMEN

The demand for charcoal in Africa is growing rapidly, driven by urbanization and lack of access to electricity. Charcoal production and use, including plastic burning to initiate combustion, release large quantities of trace gases and particles that impact air quality and climate. Here, we develop an inventory of current (2014) and future (2030) emissions from the charcoal supply chain in Africa that we implement in the GEOS-Chem model to quantify the contribution of charcoal to surface concentrations of PM2.5 and ozone and direct radiative forcing due to aerosols and ozone. We estimate that the charcoal industry in 2014 required 140-460 Tg of biomass and 260 tonnes of plastic and that industry emissions could double by 2030, so that methane emissions from the charcoal industry could outcompete those from open fires by 2025. In 2014, the largest enhancements in PM2.5 (0.5-1.4 µg m-3) and ozone (0.4-0.7 ppbv) occur around the densely populated cities in East and West Africa. Cooling due to aerosols (-100 to -300 mW m-2) is concentrated over dense cities, whereas warming due to ozone is widespread, peaking at 4.2 mW m-2 over the Atlantic Ocean. These effects will worsen with ongoing dependence on this energy source, spurred by rapid urbanization and absence of viable cleaner alternatives.


Asunto(s)
Contaminantes Atmosféricos , Contaminación del Aire , África , África Occidental , Contaminantes Atmosféricos/análisis , Contaminación del Aire/análisis , Océano Atlántico , Carbón Orgánico , Ciudades , Monitoreo del Ambiente , Material Particulado/análisis
2.
Proc Natl Acad Sci U S A ; 106(44): 18447-51, 2009 Nov 03.
Artículo en Inglés | MEDLINE | ID: mdl-19841269

RESUMEN

More than half the world's rainforest has been lost to agriculture since the Industrial Revolution. Among the most widespread tropical crops is oil palm (Elaeis guineensis): global production now exceeds 35 million tonnes per year. In Malaysia, for example, 13% of land area is now oil palm plantation, compared with 1% in 1974. There are enormous pressures to increase palm oil production for food, domestic products, and, especially, biofuels. Greater use of palm oil for biofuel production is predicated on the assumption that palm oil is an "environmentally friendly" fuel feedstock. Here we show, using measurements and models, that oil palm plantations in Malaysia directly emit more oxides of nitrogen and volatile organic compounds than rainforest. These compounds lead to the production of ground-level ozone (O(3)), an air pollutant that damages human health, plants, and materials, reduces crop productivity, and has effects on the Earth's climate. Our measurements show that, at present, O(3) concentrations do not differ significantly over rainforest and adjacent oil palm plantation landscapes. However, our model calculations predict that if concentrations of oxides of nitrogen in Borneo are allowed to reach those currently seen over rural North America and Europe, ground-level O(3) concentrations will reach 100 parts per billion (10(9)) volume (ppbv) and exceed levels known to be harmful to human health. Our study provides an early warning of the urgent need to develop policies that manage nitrogen emissions if the detrimental effects of palm oil production on air quality and climate are to be avoided.


Asunto(s)
Agricultura , Contaminación del Aire/análisis , Arecaceae/fisiología , Nitrógeno/análisis , Ozono/análisis , Aceites de Plantas/análisis , Clima Tropical , Aeronaves , Butadienos/análisis , Geografía , Hemiterpenos/análisis , Monoterpenos/análisis , Óxido Nítrico/análisis , Dióxido de Nitrógeno/análisis , Aceite de Palma , Pentanos/análisis , Ácido Peracético/análogos & derivados , Ácido Peracético/análisis , Factores de Tiempo
3.
Tree Physiol ; 42(1): 130-144, 2022 01 05.
Artículo en Inglés | MEDLINE | ID: mdl-34302175

RESUMEN

Current carbon cycle models attribute rising atmospheric CO2 as the major driver of the increased terrestrial carbon sink, but with substantial uncertainties. The photosynthetic response of trees to elevated atmospheric CO2 is a necessary step, but not the only one, for sustaining the terrestrial carbon uptake, but can vary diurnally, seasonally and with duration of CO2 exposure. Hence, we sought to quantify the photosynthetic response of the canopy-dominant species, Quercus robur, in a mature deciduous forest to elevated CO2 (eCO2) (+150 µmol mol-1 CO2) over the first 3 years of a long-term free air CO2 enrichment facility at the Birmingham Institute of Forest Research in central England (BIFoR FACE). Over 3000 measurements of leaf gas exchange and related biochemical parameters were conducted in the upper canopy to assess the diurnal and seasonal responses of photosynthesis during the 2nd and 3rd year of eCO2 exposure. Measurements of photosynthetic capacity via biochemical parameters, derived from CO2 response curves, (Vcmax and Jmax) together with leaf nitrogen concentrations from the pre-treatment year to the 3rd year of eCO2 exposure, were examined. We hypothesized an initial enhancement in light-saturated net photosynthetic rates (Asat) with CO2 enrichment of ≈37% based on theory but also expected photosynthetic capacity would fall over the duration of the study. Over the 3-year period, Asat of upper-canopy leaves was 33 ± 8% higher (mean and standard error) in trees grown in eCO2 compared with ambient CO2 (aCO2), and photosynthetic enhancement decreased with decreasing light. There were no significant effects of CO2 treatment on Vcmax or Jmax, nor leaf nitrogen. Our results suggest that mature Q. robur may exhibit a sustained, positive response to eCO2 without photosynthetic downregulation, suggesting that, with adequate nutrients, there will be sustained enhancement in C assimilated by these mature trees. Further research will be required to understand the location and role of the additionally assimilated carbon.


Asunto(s)
Dióxido de Carbono , Quercus , Dióxido de Carbono/fisiología , Bosques , Fotosíntesis/fisiología , Hojas de la Planta , Árboles/fisiología
4.
Environ Pollut ; 246: 284-293, 2019 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-30557802

RESUMEN

An understanding of the dispersion and level of emissions source of atmospheric pollutants; whether point, area or volume sources, is required to inform policies on air pollution and day-to-day predictions of pollution level. Very few studies have carried out simulations of the dispersion pattern and ground-level concentration of pollutants emitted from real-world gas flares. The limited availability of official data on gas flares from the oil and gas industries makes accurate dispersion calculations difficult. Using ADMS 5 and AERMOD, this study assessed the sensitivity of dispersion and ground-level concentration of pollutants from gas flares in the Niger Delta to prevailing meteorological condition; fuel composition; and flare size. Although, during the non-WAM (West African Monsoon) months (November and March), the simulated ground-level concentrations of pollutants from a single flare are lower, the dispersion of pollutants is towards both the inland and coastal communities. In the WAM months, the ground-level concentrations are higher and are dispersed predominantly over the inland communities. Less buoyant plumes from smaller flares (lower volume flow rates) and/or flaring of fuel with lower heat content results in higher ground-level concentrations in areas closer to the flare. Considering the huge number of flares scattered around the region, a mitigation of the acute local pollution level would be to combine short stacks flaring at lower volume flow rates to enhance the volume flow rate of a single exhaust, and hence, the buoyancy of the plume exiting the stack.


Asunto(s)
Contaminantes Atmosféricos/análisis , Contaminación del Aire/análisis , Monitoreo del Ambiente , Meteorología , Emisiones de Vehículos/análisis , Niger
5.
Int J Antimicrob Agents ; 29(6): 693-9, 2007 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-17400430

RESUMEN

A point prevalence survey of antimicrobial prescribing was performed in 10 Scottish hospitals using the Glasgow Antimicrobial Audit Tool (GAAT). Appropriateness of the intravenous (IV) route was determined by an infectious diseases physician (IDP) and by a computerised algorithm. The IDP also estimated IV agent appropriateness. Each hospital was surveyed on a single day. Of 3826 patients surveyed, 1079 (28.3%) received an antibiotic, 381 (35.3%) intravenously; 197 (28.2%) orally treated had prior IV therapy. Median duration of IV was 4 days (IQR 2-7 days) and oral switch was 3.5 days (2-6). IV route was appropriate in 84% (IDP) and 84.8% (algorithm). Choice of agent was appropriate in 80% (IDP). Third-generation cephalosporins (3GC) (28.3%) were most frequent, followed by co-amoxiclav (20.2%), metronidazole (19.2%) and glycopeptides (18.6%). Regional differences were seen. The study shows it is possible to coordinate, collect and compare data from UK hospitals using the GAAT. Data may usefully inform local and national audit and support prescribing initiatives.


Asunto(s)
Antibacterianos/uso terapéutico , Recolección de Datos/normas , Utilización de Medicamentos/estadística & datos numéricos , Hospitales/estadística & datos numéricos , Prevalencia , Administración Oral , Algoritmos , Combinación Amoxicilina-Clavulanato de Potasio/administración & dosificación , Combinación Amoxicilina-Clavulanato de Potasio/uso terapéutico , Antibacterianos/administración & dosificación , Cefalosporinas/administración & dosificación , Cefalosporinas/uso terapéutico , Quimioterapia Combinada , Glicopéptidos/administración & dosificación , Glicopéptidos/uso terapéutico , Humanos , Inyecciones Intravenosas , Metronidazol/administración & dosificación , Metronidazol/uso terapéutico , Escocia/epidemiología
6.
Scott Med J ; 52(4): 20-4, 2007 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-18092632

RESUMEN

BACKGROUND AND AIMS: Our group previously published retrospective analyses of 12 months of admissions to the Grampian Regional Infectious Diseases Unit from 1980-81 and from 1991. This study aimed to collect data in 2001 and to compare annual admission numbers, diagnoses, duration of stay and outcome in 1980-81, 1991 and 2001. METHODS: Data on all admissions was collected prospectively throughout 2001. This was compared with the previously published data. RESULTS: Total admissions rose from 605 in 1980-81 to 900 in 1991 and to 1152 in 2001. Sixty one percent of admissions in 1980-81 were confirmed as having infection compared to 72% in 1991 and to 83% in 2001. The most common reason for admission in 2001 was skin and soft tissue infection, but this was only the ninth commonest reason in 1981. Mean length of stay fell from 9.6 days in 1980-81 to 7.4 days in 1991 and to 5.5 days in 2001. The mortality rate fell from 3.1% in 1981 and 1991 to 1.0% in 2001. CONCLUSIONS: This study demonstrates significant changes in type, number and outcome of admissions to a regional infection unit. We discuss possible reasons for these changes.


Asunto(s)
Enfermedades Transmisibles/epidemiología , Mortalidad Hospitalaria/tendencias , Hospitalización/estadística & datos numéricos , Adolescente , Adulto , Distribución por Edad , Anciano , Anciano de 80 o más Años , Femenino , Infecciones por VIH/epidemiología , Infecciones por VIH/mortalidad , Hospitalización/tendencias , Humanos , Tiempo de Internación/tendencias , Masculino , Persona de Mediana Edad , Escocia/epidemiología
7.
Aust Vet J ; 84(5): 163-8, 2006 May.
Artículo en Inglés | MEDLINE | ID: mdl-16739525

RESUMEN

OBJECTIVE: To describe the distribution and prevalence of cattle herds with detectable antibody to bovine pestivirus in Queensland in 1994/95. MATERIALS AND METHODS: The study used 7,838 serum samples collected from 250 herds in Queensland, as part of a structured animal health surveillance program conducted in 1994 and 1995. Samples were collected from female cattle bred on the property. In each herd, 10 to 20 heifers less than two years of age and 10 to 15 older cows were sampled giving a 95% probability of detecting one or more seropositive animals if the seroprevalence was approximately 10% or greater. Sera were analysed for antibodies to bovine pestivirus using a virus neutralisation test. RESULTS: Total cattle numbers in sampled herds varied from 62 to 24,600 head, while total area of properties sampled varied from 50 to 395,400 hectares. Eleven percent of herds contained no seropositive animals among those sampled, and in 38% of herds, all sampled cattle aged one to two years of age were seronegative. There was a trend for larger herds to have one or more animals seropositive for bovine pestivirus (chi-squared for Linear trend = 3.656, p = 0.056). Herds with more than 500 head of cattle were significantly more likely than herds with less than 500 head to contain one or more seropositive animals in any age group (prevalence ratio = 1.12; 95% confidence interval 1.01 - 1.23; p = 0.026). Age specific seroprevalence increased from around 10% in heifers, to between 75% and 85% in cows aged 10 years. The average annual incidence risk for bovine pestivirus infection varied from 0.12 to 0.24 seroconversions per cattle year at risk, and did not vary with age. The overall crude seroprevalence adjusted for herd size was 45%. There was a wide range of seroprevalence recorded for each level of stocking intensity. CONCLUSIONS: This survey provides valuable baseline data on bovine pestivirus infection in Queensland cattle herds.


Asunto(s)
Anticuerpos Antivirales/sangre , Diarrea Mucosa Bovina Viral/epidemiología , Virus de la Diarrea Viral Bovina/inmunología , Animales , Bovinos , Femenino , Queensland/epidemiología , Estudios Seroepidemiológicos
8.
Environ Pollut ; 216: 182-197, 2016 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-27262132

RESUMEN

Gas flaring is a prominent source of VOCs, CO, CO2, SO2, PAH, NOX and soot (black carbon), all of which are important pollutants which interact, directly and indirectly, in the Earth's climatic processes. Globally, over 130 billion cubic metres of gas are flared annually. We review the contribution of gas flaring to air pollution on local, regional and global scales, with special emphasis on black carbon (BC, "soot"). The temporal and spatial characteristics of gas flaring distinguishes it from mobile combustion sources (transport), while the open-flame nature of gas flaring distinguishes it from industrial point-sources; the high temperature, flame control, and spatial compactness distinguishes gas flaring from both biomass burning and domestic fuel-use. All of these distinguishing factors influence the quantity and characteristics of BC production from gas flaring, so that it is important to consider this source separately in emissions inventories and environmental field studies. Estimate of the yield of pollutants from gas flaring have, to date, paid little or no attention to the emission of BC with the assumption often being made that flaring produces a smokeless flame. In gas flares, soot yield is known to depend on a number of factors, and there is a need to develop emission estimates and modelling frameworks that take these factors into consideration. Hence, emission inventories, especially of the soot yield from gas flaring should give adequate consideration to the variation of fuel gas composition, and to combustion characteristics, which are strong determinants of the nature and quantity of pollutants emitted. The buoyant nature of gas flaring plume, often at temperatures in the range of 2000 K, coupled with the height of the stack enables some of the pollutants to escape further into the free troposphere aiding their long-range transport, which is often not well-captured by model studies.


Asunto(s)
Contaminantes Atmosféricos/análisis , Contaminación del Aire/análisis , Gases/química , Yacimiento de Petróleo y Gas , Hollín/análisis , Biomasa , Monitoreo del Ambiente , Geografía , Termodinámica
9.
Br J Pharmacol ; 115(4): 601-6, 1995 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-7582478

RESUMEN

1. The aim of this study was to determine whether a synthetic inhibitor of the interleukin-1 beta converting enzyme (ICE) displays oral activity in models of inflammation. 2. To this end, the ICE inhibitor, SDZ 224-015, was examined in rat paw oedema, pyrexia and nociception tests. 3. SDZ 224-015 (0.3-300 micrograms kg-1) potently reduced carrageenin-induced paw oedema, with an oral ED50 of approximately 25 micrograms kg-1. This effect was independent of endogenous glucocorticoid, as shown by retention of activity upon adrenalectomy. 4. Pyrexia induced by lipopolysaccharide (0.1 mg kg-1 s.c.) or by interleukin-1 beta (100 ng i.v.) was also reduced, over a similar dose-range to oedema (oral ED50s 11 micrograms kg-1 and 4 micrograms kg-1 respectively). 5. SDZ 224-015 (0.2-5 mg kg-1, p.o.) displayed analgesic activity in the Randall-Selitto yeast-inflamed paw pressure test, significant at a dose of 1 mg kg-1, p.o. 6. Thus, SDZ 224-015 has potent oral activity in several acute models for inflammation, suggesting that ICE inhibitors may constitute a novel type of anti-inflammatory agent.


Asunto(s)
Antiinflamatorios no Esteroideos/uso terapéutico , Cisteína Endopeptidasas/efectos de los fármacos , Inhibidores de Cisteína Proteinasa/uso terapéutico , Edema/tratamiento farmacológico , Fiebre/tratamiento farmacológico , Oligopéptidos/uso terapéutico , Administración Oral , Adrenalectomía , Analgesia , Animales , Antiinflamatorios no Esteroideos/administración & dosificación , Antiinflamatorios no Esteroideos/farmacología , Caspasa 1 , Células Cultivadas , Cisteína Endopeptidasas/metabolismo , Inhibidores de Cisteína Proteinasa/administración & dosificación , Inhibidores de Cisteína Proteinasa/farmacología , Modelos Animales de Enfermedad , Relación Dosis-Respuesta a Droga , Edema/inducido químicamente , Ensayo de Inmunoadsorción Enzimática , Inyecciones Intravenosas , Inyecciones Subcutáneas , Interleucina-1/administración & dosificación , Interleucina-1/toxicidad , Lipopolisacáridos/administración & dosificación , Lipopolisacáridos/toxicidad , Masculino , Oligopéptidos/administración & dosificación , Oligopéptidos/farmacología , Ratas , Ratas Sprague-Dawley , Relación Estructura-Actividad
10.
Semin Arthritis Rheum ; 21(6 Suppl 3): 23-9, 1992 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-1502564

RESUMEN

The effect of cyclosporine A during the development phase of adjuvant arthritis was studied in 40 female rats. Five groups of eight animals each received oral cyclosporine, 2.5, 5, 10, 20, or 30 mg/kg daily for 30 days. Also, eight normal and eight diseased rats served as placebo controls. At the time of inoculation of the adjuvant suspension on day 0, measurement of disease parameters (paw swelling and vertebral density) was started concomitantly with beginning of therapy. On completion of the study, the animals were killed, and after measurement of total skeletal and segmental (hind legs and caudal spine plus two caudal vertebrae) calcium, the two assessed vertebrae and both femoral condyles were removed for histomorphometric evaluation (vertebrae) and for estimation of glycosaminoglycan (GAG) content of cartilage. Blood for osteocalcin determinations also was taken at term from control and untreated arthritic rats and from animals that had received 10 mg/kg cyclosporine. Treatment with 2.5 mg/kg was ineffective, but doses between 5 and 20 mg/kg prevented the development of articular and osseous lesions. The 20 mg/kg dose showed no better effect than 10 mg/kg. This was shown by the absence of inflammation and the presence of normal condylar GAG and total mineral content in the areas screened. Untreated animals showed marked reductions in all of these parameters. The 30 mg/kg dose was effective in blocking the GAG loss, but significant reductions in bone density and trabecular volume were seen. There was a close correlation between GAG and bone density values, suggesting a common causal relationship. Circulating osteocalcin was significantly elevated in the untreated animals with adjuvant arthritis.(ABSTRACT TRUNCATED AT 250 WORDS)


Asunto(s)
Artritis Experimental/prevención & control , Ciclosporina/farmacología , Animales , Densidad Ósea , Huesos/metabolismo , Calcio/metabolismo , Cartílago/química , Edema/prevención & control , Femenino , Pie , Osteocalcina/sangre , Ratas , Columna Vertebral/metabolismo , Columna Vertebral/patología
11.
Int J Antimicrob Agents ; 13(1): 53-6, 1999 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-10563405

RESUMEN

A review of patients admitted to medical wards with respiratory infection was undertaken to look for differences in duration of intravenous (IV) therapy and length of patient stay based on the class of IV antimicrobial used in treatment. Data was analysed from 231 patients with community-acquired respiratory infection who were treated empirically for at least 24 h with either an IV cephalosporin (146 patients) or an IV penicillin or macrolide (85 patients). The severity of illness and indication for IV treatment was similar in each group. Those treated with a cephalosporin received IV therapy for a significantly longer period (mean = 4.44 days, SD = 2.6) than those given a penicillin or macrolide (mean = 3.3 days, SD = 1.8): P < 0.001. Patient stay was significantly longer in the cephalosporin group (mean = 11.6 days, SD = 10.4) than the penicillin/macrolide group (mean = 9.4 days, SD = 6.3): P = 0.04. These differences are most readily accounted for by the absence from the hospital formulary of a third generation oral cephalosporin, a drug that might be regarded as an obvious form of follow-on therapy in patients treated empirically with an injectable cephalosporin.


Asunto(s)
Antiinfecciosos/uso terapéutico , Tiempo de Internación , Infecciones del Sistema Respiratorio/tratamiento farmacológico , Antibacterianos/uso terapéutico , Antiinfecciosos/administración & dosificación , Cefalosporinas/uso terapéutico , Humanos , Macrólidos , Penicilinas/uso terapéutico
12.
Int J Antimicrob Agents ; 22(6): 618-21, 2003 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-14659661

RESUMEN

An audit of different approaches to guide empirical therapy in 78 cases of bacteraemia revealed poor utilisation of the antibiotic policy with resulting inadequate (P=0.005) or excessive (P<0.00001) antibiotic treatment and a trend to increased mortality. Eighty-seven percent of blood cultures were positive on Gram-stain within 24 h but streamlined therapy was still judged excessive in 27%. The results show poor utilisation of an up-to-date antibiotic policy but confirm its potential benefits and the ability of traditional culture methods to guide antibiotic therapy in a useful time-scale.


Asunto(s)
Antibacterianos/uso terapéutico , Bacteriemia/tratamiento farmacológico , Bacteriemia/microbiología , Auditoría Médica , Hospitales de Enseñanza , Humanos , Política Organizacional , Escocia
13.
J Infect ; 41(2): 159-61, 2000 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-11023761

RESUMEN

OBJECTIVES: To devise a scoring system by which clinical features and C-reactive protein (CRP) can be used to predict a positive stool culture in patients admitted with acute diarrhoea. METHODS: One hundred and thirty-two patients admitted to the Regional Infection Unit with diarrhoea thought to be due to bacterial gastroenteritis were included. Clinical features, CRP and outcome of stool culture were recorded, together with the final diagnosis. RESULTS: Forty-one patients had bacterial gastroenteritis characterized by the isolation of a bacterial enteropath (BGE). Sixty-three patients had non-specific gastroenteritis, defined as more than three loose stools per day with no bacterial enteropath isolated (NSGE). In 28 patients another diagnosis was made (Others). More of the patients with BGE (91%) had abdominal pain as compared with those with NSGE (67%) and Others (61%) (P=0.01). The mean duration of symptoms was longer in the Others group (6.14 days) as compared with patients with BGE (3.29) and NSGE (3.25) (P=0.01). The mean CRP was significantly higher in those with BGE (113.9mg/l) and Others (116.9mg/l) as compared to the NSGE patients (38.9mg/l) (P=0.001). A scoring system was devised which incorporated the presence or absence of abdominal pain (+10 or 0), the duration of symptoms (-10, for 5 or more days, 0 for less than 5 days of symptoms) and the CRP (CRP<50=0, CRP>50=5). A score of 15 or more predicted 79% of patients with BGE, while a score of <15 predicted 87% of those with NSGE and 86% of those with another diagnosis. CONCLUSIONS: This simple scoring system may be useful in predicting the positivity of stool culture, and therefore may be helpful in targeting those small number of patients who require antimicrobial therapy after hospital admission. We would not, however, favour reliance on this scoring system alone to choose whom to treat with antimicrobials.


Asunto(s)
Proteína C-Reactiva/análisis , Diarrea/microbiología , Heces/microbiología , Gastroenteritis/diagnóstico , Antibacterianos/uso terapéutico , Diarrea/sangre , Diarrea/complicaciones , Diarrea/tratamiento farmacológico , Gastroenteritis/complicaciones , Gastroenteritis/microbiología , Humanos , Valor Predictivo de las Pruebas
14.
J Infect ; 38(2): 107-10, 1999 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-10342650

RESUMEN

OBJECTIVE: to assess the epidemiology of HIV infection in North-East Scotland. METHODS: retrospective casenote review of all HIV-infected patients who have had contact with the Infection Unit in Aberdeen. RESULTS: one hundred and forty-two HIV-infected patients were treated between April 1985 and December 1997. The risk behaviour related to the acquisition of the HIV infection was: 56 (39%) homosexually infected, 45 (32%) heterosexually-infected, 34 (24%) injecting drug users (IDUs), and seven (5%) blood products or not known. Sixteen of the 45 (36%) heterosexually-infected patients were native to Africa and 16 of the 34 (31%) IDUs were prisoners in Peterhead prison at the time of referral. Fifty-two (37%) of the cohort continue to attend the Infection Unit, 41 (29%) have relocated, 40 (28%) have died and nine (6%) have been lost to follow-up. The ratio of heterosexual:homosexual men:IDUs changed significantly between the first 7 years (12:21:25) and the second 6 years (33:35:9) of the review, with significantly more patients being infected through heterosexual contact and fewer infected by IDU in the second period-P<0.001. The median AIDS survival was 17 months. Survival was significantly longer in those patients who took anti-retroviral therapy (median = 20 months) than in the patients who opted not to take anti-retroviral therapy (median = 11 months)-P<0.01. CONCLUSIONS: Although homosexual contact represents the commonest risk group for HIV infection in this region, the number of heterosexually-infected patients has increased significantly in the last 5 years. Temporary residents account for one-third of the HIV-infected population cared for in NE Scotland. Almost half of those lost to follow-up have returned to Africa or been released from prison. The introduction of anti-retroviral therapy has resulted in a dramatic improvement in AIDS survival in our cohort as it has done elsewhere.


Asunto(s)
Infecciones por VIH/epidemiología , África , Fármacos Anti-VIH/uso terapéutico , Estudios de Cohortes , Femenino , Infecciones por VIH/tratamiento farmacológico , Infecciones por VIH/etiología , Hemofilia A/complicaciones , Heterosexualidad , Homosexualidad , Humanos , Masculino , Prisioneros , Estudios Retrospectivos , Factores de Riesgo , Escocia/epidemiología , Abuso de Sustancias por Vía Intravenosa/complicaciones , Tasa de Supervivencia , Resultado del Tratamiento
15.
Mt Sinai J Med ; 62(4): 305-7, 1995 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-7565855

RESUMEN

BACKGROUND: Translumbar amputation, known also as hemicorporectomy, was first described by Kredel but was not performed until 10 years later in 1960. It appears that 44 such operations have been reported but probably several others remain unpublished. METHODS: The operation has been performed in 44 reported patients over the past 30 years in more or less the same fashion. Most have been done as a one-stage procedure, but the author favors laparotomy and maturation of urinary and fecal diversions before doing the amputation about two weeks later. RESULTS: Overhydration caused the death of the first three patients. This problem was avoided in the Memorial Sloan-Kettering patients by careful monitoring of central venous pressure. There were no operative deaths, but 8 of the 44 patients died within a month. Survival of cancer patients has not been good, but those with benign lesions have survived fairly well. CONCLUSION: This case is remarkable in that, despite a rapidly advancing cancer of the bladder, the patient lived for over 28 years. It is gratifying to see that other surgeons and patients have not abandoned this most radical of all operations when no other therapy can preserve life.


Asunto(s)
Amputación Quirúrgica/métodos , Exenteración Pélvica , Neoplasias de la Vejiga Urinaria/cirugía , Amputación Quirúrgica/rehabilitación , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Recurrencia , Factores de Tiempo , Neoplasias de la Vejiga Urinaria/mortalidad , Neoplasias de la Vejiga Urinaria/rehabilitación
16.
Sci Total Environ ; 93: 245-54, 1990 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-1694302

RESUMEN

The results of modelling studies are reported together with a further analysis of an existing field measurement dataset. Emphasis is on the maximum ozone concentrations occurring in the urban plume from London, UK, on days of photochemical activity. Nitrogen oxide and volatile organic compound emissions from automotive exhausts are expected to be a large proportion of the total emission of these species, and the effect of their distinct diurnal variation is apparent in the field data. Factorial sensitivity studies on an expanding box model of the urban plume also show the dominance of urban emissions in the determination of plume maxima 100km downwind of the upwind urban boundary. These effects are not additive and depend strongly on the level of other variables.


Asunto(s)
Contaminación del Aire , Contaminación del Aire/análisis , Humanos , Londres , Matemática , Modelos Teóricos , Óxidos de Nitrógeno/análisis , Población Urbana , Emisiones de Vehículos
17.
J Comp Pathol ; 97(6): 687-94, 1987 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-3443691

RESUMEN

A morphological and bacteriological study on a Campylobacter hyointestinalis-associated enteritis in adult Moluccan rusa deer is described. Necropsied deer were 2 to 2.5 years of age and had been scouring for 1 to 2 months. There was distension of the ileum and excessive corrugation of the mucosa. Microscopic lesions in the small intestine were confined to the ileum. Stunting and fusion of villi, patchy erosion of epithelium and a predominantly neutrophilic infiltrate were features. The inflammatory reaction in caecum and colon was much less severe. Light and scanning electron-microscopical examination of small and large intestine showed large numbers of Gram-negative curved rods colonizing surface mucus and moderate numbers in close association with gland epithelium. No salmonellae or other enteropathogenic bacteria were isolated on aerobically-incubated media. C. hyointestinalis was isolated from the faeces, ileum, caecum, colon and mesenteric lymph nodes from 2 cases and one farm-collected faecal sample.


Asunto(s)
Infecciones por Campylobacter/veterinaria , Ciervos/microbiología , Enteritis/veterinaria , Animales , Infecciones por Campylobacter/patología , Diarrea/microbiología , Diarrea/veterinaria , Enteritis/microbiología , Enteritis/patología , Heces/microbiología , Femenino , Embarazo
18.
Aust Vet J ; 68(7): 230-3, 1991 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-1656925

RESUMEN

Natural transmission of bovine leukaemia virus (BLV) infection in south-eastern Queensland dairy herds was slow in 2 herds with a low to moderate (13 to 22%) prevalence of infection. Infection spread much more rapidly in a herd that had a higher prevalence (42%) when first tested. In a 13 month study of this herd, the cumulative incidence of infection was 24%. In one herd new infections were confined almost entirely to calves of uninfected dams. Following the end of feeding bulk milk to calves, a common practice in dairy herds, no more calves in this herd became infected. In laboratory experiments, neither prolonged housing of susceptible calves with infected cattle, consumption of drinking water contaminated with infected blood, nor inoculation of sheep with saliva from infected cattle resulted in transmission of BLV infection. Sheep were infected by subcutaneous inoculation of a suspension of purified lymphocytes from an infected heifer. The minimum infective dose was 10(3) lymphocytes, equivalent to the number of lymphocytes in approximately 0.1 microliter blood. Thus, procedures involving the transfer of a very small volume of blood from animal-to-animal have the potential to transmit infection.


Asunto(s)
Leucosis Bovina Enzoótica/transmisión , Virus de la Leucemia Bovina/fisiología , Linfocitos/microbiología , Viremia/veterinaria , Factores de Edad , Animales , Anticuerpos Antivirales/sangre , Bovinos , Leucosis Bovina Enzoótica/epidemiología , Femenino , Inmunodifusión , Incidencia , Virus de la Leucemia Bovina/inmunología , Recuento de Leucocitos/veterinaria , Masculino , Prevalencia , Queensland/epidemiología , Saliva/microbiología , Ovinos , Viremia/transmisión
19.
Aust Vet J ; 74(5): 367-9, 1996 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-8941417

RESUMEN

OBJECTIVE: To investigate the presence of Salmonella Dublin in Queensland cattle. DESIGN: An epidemiological study using diagnostic laboratory information and farm records. PROCEDURE: Outbreaks of gastroenteritis or pneumonia in calves, and abortions and enteritis in cows were routinely investigated for the presence of salmonellae. Where S Dublin was isolated, attempts were made to gather further epidemiological information. RESULTS: Prior to 1983 only two outbreaks of S Dublin have been recorded in Queensland dairy cattle. In 1983 S Dublin abortions were diagnosed in dairy heifers introduced from southern Australia to south-east Queensland. Sampling indicated that at least 10% of the 500 introduced heifers were faecal excretors of S Dublin. On 3 of the 7 farms from which S Dublin was recorded, infection spread to other cattle that were in contact. From February 1985 to February 1996, 29 outbreaks of S Dublin in cattle occurred on 29 farms (28 in south east Queensland and 1 in north Queensland). Calves were primarily affected. Continuing outbreaks were confirmed on only 4 of these 29 farms. On 15 farms S Dublin infections were associated with the purchase of infected calves or cows, while another farm adjoined 2 previously infected farms. No source of S Dublin was evident for the other 13 farms, where histories were often inadequate. CONCLUSION: There has been a marked increase in S Dublin outbreaks in Queensland dairy cattle since 1983. Introduction of S Dublin carrier and aborting dairy heifers from southern Australia, where S Dublin is not uncommon, was associated with the initial outbreaks.


Asunto(s)
Enfermedades de los Bovinos/diagnóstico , Enfermedades de los Bovinos/epidemiología , Salmonelosis Animal/diagnóstico , Salmonelosis Animal/epidemiología , Animales , Bovinos , Enfermedades de los Bovinos/etiología , Brotes de Enfermedades , Femenino , Incidencia , Queensland/epidemiología , Salmonelosis Animal/etiología
20.
Aust Vet J ; 67(12): 446-8, 1990 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-1963773

RESUMEN

A goose flock farmed outdoors in south-eastern Queensland suffered an outbreak of peracute disease with high death rate (97%). Small button ulcers and large plaques overlying lymphocyte aggregates were present on the mucosa of the small intestine of affected birds. Small white foci of necrosis and focal haemorrhages were seen in the livers. Numerous intranuclear inclusion bodies were observed microscopically in hepatocytes and a herpesvirus which grew rapidly in chicken kidney cells was isolated from tissues. Duck virus enteritis (DVE) was suspected but DVE antiserums failed to neutralise the virus. Further serological studies with a limited range of known avian herpesviruses have failed to identify the virus. Experimental transmission resulted in high mortality in geese (100%), lower mortality in ducklings and nil mortality in chickens. Surveillance studies showed no evidence of infection in domestic and wild birds beyond the original farm and the infection appears not to have been established in the area. Wild ducks, which were frequent visitors to the farm dam, were considered the most likely source of the infection.


Asunto(s)
Brotes de Enfermedades/veterinaria , Gansos , Infecciones por Herpesviridae/veterinaria , Enfermedades de las Aves de Corral/microbiología , Animales , Células Cultivadas , Embrión de Pollo , Pollos , Efecto Citopatogénico Viral , Patos , Infecciones por Herpesviridae/epidemiología , Infecciones por Herpesviridae/microbiología , Intestino Delgado/patología , Hígado/microbiología , Hígado/patología , Enfermedades de las Aves de Corral/epidemiología , Queensland/epidemiología
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