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1.
Rev. esp. med. nucl. imagen mol. (Ed. impr.) ; 42(5): 310-317, sept.- oct. 2023. tab, graf
Article in Spanish | IBECS | ID: ibc-225089

ABSTRACT

Objetivos Establecer biomarcadores basales en pacientes con cáncer de próstata metastásico resistente a la castración (CPMRC) tratados con Ra-223 que predigan una mejor supervivencia global (SG), así como valorar la toxicidad hematológica y la respuesta. Materiales y métodos Estudio retrospectivo multicéntrico en 151 pacientes con CPMRC tratados con Ra-223 entre 2013 y 2020. Se valoró la SG de acuerdo a: los niveles basales de hemoglobina (Hb), el antígeno prostático específico (PSA), la fosfatasa alcalina (FA), la escala de dolor de la OMS, el Eastern Cooperative Oncology Group (ECOG), el número de lesiones en gammagrafía ósea (GO), el uso de agentes de protección ósea y las dosis recibidas. Se determinó el grado de toxicidad hematológica y la respuesta basada en los cambios de la FA y el dolor pre y postratamiento. Resultados Mediana de SG de 24meses (IC95%: 16,5-31). En el 70% que recibieron tratamiento completo (5-6dosis) la mediana de SG fue de 34,9meses, versus 5,8 en el tratamiento incompleto (1-4dosis). La SG fue mayor en los pacientes con menor PSA, FA, Hb>13g/dl, menor número de metástasis óseas y ECOG 0-1. 52/151pacientes (34%) fallecieron durante el seguimiento. Cerca del 70% de los pacientes presentaron disminución del dolor, y el 66%, reducción de la FA. La mitad de los pacientes presentaron eventos adversos hematológicos leves, y solo el 5%, severos. Conclusiones Los pacientes con CPMRC tratados con Ra-223 que presentan biomarcadores basales como Hb>13g/ml, ECOG 0-1, PSA<20ng/ml y menor número de lesiones en GO muestran mejor SG, con un adecuado perfil de seguridad (AU)


Objectives Establish basal biomarkers in patients with bone metastatic castration-resistant prostate cancer (mCRPC) treated with Ra-223 that predicted a better overall survival (OS), assess hematology toxicity and treatment response. Materials and methods Retrospective multicenter study in 151 patients with mCRPC between 2013 and 2020. OS was assessed according to basal hemoglobin (Hb), PSA, alkaline phosphatase (AP), WHO pain scale, Eastern Cooperative Oncology Group (ECOG), number of metastatic lesions on bone scan (BS), use of protective bone agents and received. Hematological toxicities were evaluated. Treatment response was based on changes in FA and pain. Results Median OS was 24months (95%CI: 16.5-31). OS in 70% of patients who received complete Ra-223 treatment (5-6 doses) was 34.9m vs. 5.8m in patients with incomplete treatment (1-4 doses). OS was longer in patients with lower PSA and AP, Hb>13g/dL, lesser bone metastasis on GO and ECOG 0-1. 52/151 patients (34%) died during follow-up. Nearly 70% of patients experienced decrease in pain and 66% reduction on AP. Half of patients had mild hematological adverse effects and only 5% had severe. Conclusions mCRPC patients treated with Ra-223 who had Hb>13g/mL, ECOG 0-1, low AP, PSA<20ng/ml and lesser bone metastasis on BS shown a better OS with adequate safety profile (AU)


Subject(s)
Humans , Male , Young Adult , Adult , Middle Aged , Aged , Aged, 80 and over , Prostatic Neoplasms, Castration-Resistant/blood , Prostatic Neoplasms, Castration-Resistant/diagnostic imaging , Biomarkers, Tumor/blood , Radiopharmaceuticals , Survival Analysis , Retrospective Studies , Prognosis
2.
Article in English | MEDLINE | ID: mdl-37419250

ABSTRACT

OBJECTIVES: This study aimed to establish basal biomarkers in patients with bone metastatic castration-resistant prostate cancer (mCRPC) treated with 223Ra to predict better overall survival (OS), and assess hematologic toxicity and treatment response. MATERIALS AND METHODS: This was a retrospective multicenter study including 151 patients with mCRPC between 2013 and 2020. OS was assessed according to basal hemoglobin (Hb), prostate-specific antigen (PSA), and alkaline phosphatase (AP) values, the World Health Organization pain scale, the Eastern Cooperative Oncology Group (ECOG) performance status scale, the number of metastatic lesions on bone scintigraphy (BS), and the use of protective bone agents and the dose received. The grade of hematological toxicities was evaluated as well as treatment response based on changes in AP and pre- and post-treatment pain. RESULTS: The median OS was 24 months (95% confidence interval 16.5-31). The OS in 70% of patients who received complete (5-6 doses) versus incomplete (1-4 doses) 223Ra treatment was 34.9 vs. 5.8 months, respectively, being longer in patients with lower PSA and AP values, Hb >13 g/dl, lesser bone metastasis on bone scan and with an ECOG 0-1. 52/151 patients (34%) died during follow-up. Pain reduced in nearly 70% of patients and 66% presented a reduction in AP values. Half of the patients presented mild and 5 % severe hematological adverse effects. CONCLUSIONS: mCRPC patients treated with 223Ra with Hb values >13 g/mL, an ECOG 0-1, low AP values, PSA < 20 ng/mL and lesser bone metastasis on BS presented a better OS with an adequate safety profile.


Subject(s)
Bone Neoplasms , Prostatic Neoplasms, Castration-Resistant , Male , Humans , Prognosis , Prostatic Neoplasms, Castration-Resistant/diagnostic imaging , Prostatic Neoplasms, Castration-Resistant/radiotherapy , Prostatic Neoplasms, Castration-Resistant/pathology , Prostate-Specific Antigen , Bone Neoplasms/diagnostic imaging , Bone Neoplasms/radiotherapy , Bone Neoplasms/secondary , Pain , Castration
3.
Arq. bras. med. vet. zootec. (Online) ; 71(3): 1067-1075, May-June 2019. tab, ilus
Article in English | VETINDEX, LILACS | ID: biblio-1011308

ABSTRACT

The study evaluated the effect of transportation over long distances on cattle muscle tissue of submitted to emergency slaughter in slaughterhouses in northern Tocantins, Brazil. The evaluations consisted in pH, muscle and liver glycogen, muscle histopathology and creatine kinase (CK), alanine aminotransferase (ALT) and aspartate aminotransferase (AST) activity. Animals were placed into two groups: Experimental Group (EG), consisting of 19 bovines intended for immediate emergency slaughter, and Control Group (CG), composed of 24 bovines slaughtered in accordance with the normal flow. CK and ALT levels were high in EG. AST did not differ between groups. EG showed higher muscle pH and mean of degenerate fibers, mainly on the intercostal. However, muscle and liver glycogen did not differ between groups. In conclusion, cattle transported over long distances and subjected to immediate emergency slaughter showed markedly stress condition, with changes in biochemical parameters in the muscle tissue, determined by cellular degeneration.(AU)


O presente trabalho objetivou avaliar o efeito do transporte em longas distâncias sobre o tecido muscular de bovinos encaminhados ao abate de emergência. Foram avaliados pH, glicogênio muscular e hepático, análise histopatológica muscular, creatina quinase (CK), alanina aminotransferase (ALT) e aspartato aminotransferase (AST). Os animais foram alocados em dois grupos: grupo experimental (GE), constituído por 19 bovinos destinados ao abate de emergência, e grupo controle (GC), composto por 24 bovinos abatidos de acordo com o fluxo normal do frigorífico. A CK e a ALT estavam aumentadas no GE. O AST não diferiu entre os grupos. O GE apresentou maior percentual de fibras degeneradas, e o músculo intercostal teve maior quantidade de degenerações. O pH muscular foi superior no GE. O glicogênio muscular e o hepático não diferiram entre os grupos. Concluiu-se que bovinos encaminhados ao abate de emergência sofrem estresse severo pelo transporte por longas distâncias, com alterações bioquímicas no tecido muscular determinada pela degeneração celular.(AU)


Subject(s)
Animals , Cattle , Animal Welfare/ethics , Animal Culling/ethics , Muscles/pathology , Liver Glycogen
4.
Arq. bras. med. vet. zootec. (Online) ; 70(3): 837-842, maio-jun. 2018. tab, graf, ilus
Article in English | LILACS, VETINDEX | ID: biblio-911544

ABSTRACT

The use of organophosphates has been recommended for fish, especially the trichlorfon to control parasites. Colossoma macropomum were exposed to trichlorfon during 96 hours and of total number of mucous cells decreased in the number of cells when compared to the control group. Glycoproteins acid, acid sulphated and neutral was identified in the gill epithelium. Neutra glycoprotein had a significant decrease between control and the sublethal concentration. Acid glycoprotein didn't have any significant difference between the groups exposed to the trichlorfon, compared to the control group. Sulfated acidic glycoprotein in the group exposed to the trichlorfon was noticed a reduction in number of mucosal cells acidic sulphated. The differences between density cell and production glycoprotein was a response of these cells after exposure to xenobiotic. The reduction of neutral, acid and sulphated acid glycoprotein in the MC of the gill epithelium Colossoma macropomum may affect gills epithelial surface protection by reducing the formation of an unstirred layer and enhance the ion loss.(AU)


A utilização de organofosforados tem sido recomendada em pisciculturas, principalmente o trichlorfon, para o controle de parasitoses. Colossoma macropomum foram expostos ao trichlorfon durante 96 horas, e o número total de células mucosas diminuiu no número de células quando comparado com o grupo controle. Glicoproteínas ácida, ácida sulfatada e neutra foram identificadas no epitélio branquial. Glicoproteína neutra teve uma diminuição significativa entre o controle e a concentração subletal. Glicoproteína ácida não apresentou diferença significativa entre os grupos expostos ao triclorfon, em comparação com o grupo controle. Glicoproteína ácida sulfatada no grupo exposto ao triclorfon teve uma redução no número de células da mucosa ácida sulfatada. As diferenças entre a densidade celular e a produção de glicoproteína foi uma resposta dessas células após exposição aos xenobióticos. A redução das glicoproteínas neutra, ácida e ácida sulfatada no epitélio branquial de Colossoma macropomum pode afetar a proteção da superfície, reduzindo a formação de uma camada de muco, e aumentar a perda de íons.(AU)


Subject(s)
Animals , Fishes/metabolism , Glycoproteins/classification , Organophosphorus Compounds/chemical synthesis , Fisheries
5.
Arq. bras. med. vet. zootec ; 68(6): 1705-1712, nov.-dez. 2016. tab, graf
Article in Portuguese | LILACS, VETINDEX | ID: biblio-827945

ABSTRACT

Este estudo verificou o nível de glicerina bruta em substituição total do óleo de soja e parcial do milho em dietas de juvenis de tambaqui sem que o ingrediente interfira no desempenho zootécnico desses animais. O trabalho foi realizado na Universidade Federal do Tocantins, avaliando cinco níveis de inclusão da glicerina bruta (0%; 7,5%; 10%; 12,5% e 15%) em três repetições com 10 animais cada (n=150 tambaquis). Esses animais foram alimentados com as rações experimentais por um período de 75 dias (15 dias de adaptação e 60 dias experimentais). Ao final desse período, os animais foram contidos para a mensuração dos valores do desempenho zootécnico dos animais (taxa de crescimento específico, conversão alimentar aparente, eficiência alimentar, índice hepatossomático, ganho de peso e fator de condição). Durante o período experimental, não houve mortalidade, e de todos os índices avaliados apenas no fator de condição do animal ocorreu diferença estatística, quando se comparou o período inicial e o final do experimento. A inclusão de até 15% de glicerina bruta em dietas de tambaqui em substituição total do óleo de soja e parcial do milho pode ser realizada sem que prejudique o desempenho zootécnico da espécie estudada.(AU)


This study examined the level of crude glycerin in total replacement of soybean oil and partial replacement of corn in diets for tambaqui without ingredient interfering on the growth performance of these animals. The study was conducted at the Federal University of Tocantins, evaluating five levels of crude glycerin inclusion (0%, 7.5%, 10%, 12.5%, and 15%) in 3 replicates with 10 animals each (n = 150 tambaqui.) These animals were fed the experimental diets for a period of 75 days (15 days of adaptation and 60 days of trial), at the end of this period the animals were restrained to measure the values of the growth performance of animals (Specific growth rate, apparent food conversion, feed efficiency, hepatosomatic index, weight gain, and condition factor). During the study period, there were no deaths and in all indices evaluated, only the animal's condition factor presented statistical difference when comparing the initial and final periods of the experiment. The inclusion of up to 15% crude glycerin in tambaqui diets in total replacement of soybean oil and partial replacement of corn can be used without prejudice to the growth performance of the species studied.(AU)


Subject(s)
Animals , Animal Feed/statistics & numerical data , Characidae , Diet/methods , Glycerol/administration & dosage , Weight Gain , Biofuels/statistics & numerical data
6.
J Virol Methods ; 191(1): 88-94, 2013 Jul.
Article in English | MEDLINE | ID: mdl-23578701

ABSTRACT

Twelve National Reference Laboratories (NRLs) for rabies have undertaken a comparative assay to assess the comparison of fluorescent antibody test (FAT) results using five coded commercial anti-rabies conjugates (Biorad, Bioveta, Fujirebio, Millipore, and SIFIN conjugates). Homogenized positive brain tissues infected with various lyssavirus species as well as negative samples were analyzed blindly using a standardized FAT procedure. Conjugates B, C, D, and E were found to be significantly more effective than conjugate A for GS7 (French RABV) diluted samples (1/8 and 1/100) while the frequency of concordant results of conjugates C and D differ significantly from conjugates A, B and E for CVS 27. For detection of EBLV-1 strains, conjugates C and D also presented a significantly lower frequency of discordant results compared to conjugates A, B and E. Conjugates B, C and D were found to be significantly more effective than conjugates E and A for EBLV-2 and ABLV samples. In view of these results, conjugates C and D set themselves apart from the others and appeared as the most effective of this 5-panel conjugates. This study clearly demonstrates that the variability of conjugates used by National Reference Laboratories can potentially lead to discordant results and influence assay sensitivity. In case of false negative results this could have a dramatic impact if the animal under investigation is responsible for human exposure. To avoid such situations, confirmatory tests should be implemented.


Subject(s)
Antigens, Viral , Fluorescent Antibody Technique/methods , Fluorescent Antibody Technique/standards , Rabies/diagnosis , Animals , Humans , International Cooperation
7.
Zoonoses Public Health ; 60(1): 22-34, 2013 Feb.
Article in English | MEDLINE | ID: mdl-22963584

ABSTRACT

Rabies is the oldest known zoonotic disease and was also the first recognized bat associated infection in humans. To date, four different lyssavirus species are the causative agents of rabies in European bats: the European Bat Lyssaviruses type 1 and 2 (EBLV-1, EBLV-2), the recently discovered putative new lyssavirus species Bokeloh Bat Lyssavirus (BBLV) and the West Caucasian Bat Virus (WCBV). Unlike in the new world, bat rabies cases in Europe are comparatively less frequent, possibly as a result of varying intensity of surveillance. Thus, the objective was to provide an assessment of the bat rabies surveillance data in Europe, taking both reported data to the WHO Rabies Bulletin Europe and published results into account. In Europe, 959 bat rabies cases were reported to the RBE in the time period 1977-2010 with the vast majority characterized as EBLV-1, frequently isolated in the Netherlands, North Germany, Denmark, Poland and also in parts of France and Spain. Most EBLV-2 isolates originated from the United Kingdom (UK) and the Netherlands, and EBLV-2 was also detected in Germany, Finland and Switzerland. Thus far, only one isolate of BBLV was found in Germany. Published passive bat rabies surveillance comprised testing of 28 of the 52 different European bat species for rabies. EBLV-1 was isolated exclusively from Serotine bats (Eptesicus serotinus and Eptesicus isabellinus), while EBLV-2 was detected in 14 Daubenton's bats (Myotis daubentonii) and 5 Pond bats (Myotis dasycneme). A virus from a single Natterer's bat (Myotis nattereri) was characterized as BBLV. During active surveillance, only oral swabs from 2 Daubenton's bats (EBLV-2) and from several Eptesicus bats (EBLV-1) yielded virus positive RNA. Virus neutralizing antibodies against lyssaviruses were detected in various European bat species from different countries, and its value and implications are discussed.


Subject(s)
Antibodies, Viral/blood , Chiroptera/virology , Lyssavirus/isolation & purification , Rabies/veterinary , Animals , Chiroptera/classification , Disease Reservoirs , Epidemiological Monitoring , Europe/epidemiology , Fluorescent Antibody Technique , Humans , Lyssavirus/immunology , Prevalence , RNA, Viral/genetics , Rabies/epidemiology , Rabies/virology , Species Specificity , Surveys and Questionnaires , World Health Organization
8.
Zoonoses Public Health ; 60(1): 35-45, 2013 Feb.
Article in English | MEDLINE | ID: mdl-22937876

ABSTRACT

Bat rabies cases in Europe are principally attributed to two lyssaviruses, namely European bat lyssavirus type 1 (EBLV-1) and European bat lyssavirus type 2 (EBLV-2). Between 1977 and 2011, 961 cases of bat rabies were reported to Rabies Bulletin Europe, with the vast majority (>97%) being attributed to EBLV-1. There have been 25 suspected cases of EBLV-2, of which 22 have been confirmed. In addition, two single isolations of unique lyssaviruses from European insectivorous bats were reported in south-west Russia in 2002 (West Caucasian bat virus) and in Germany in 2010 (Bokeloh bat lyssavirus). In this review, we present phylogenetic analyses of the EBLV-1 and EBLV-2 using partial nucleoprotein (N) gene sequences. In particular, we have analysed all EBLV-2 cases for which viral sequences (N gene, 400 nucleotides) are available (n = 21). Oropharyngeal swabs collected from two healthy Myotis daubentonii during active surveillance programmes in Scotland and Switzerland also yielded viral RNA (EBLV-2). Despite the relatively low number of EBLV-2 cases, a surprisingly large amount of anomalous data has been published in the scientific literature and Genbank, which we have collated and clarified. For both viruses, geographical relationships are clearly defined on the phylogenetic analysis. Whilst there is no clear chronological clustering for either virus, there is some evidence for host specific relationships, particularly for EBLV-1 where more host variation has been observed. Further genomic regions must be studied, in particular for EBLV-1 isolates from Spain and the EBLV-2 isolates to provide support for the existence of sublineages.


Subject(s)
Chiroptera/virology , Lyssavirus/genetics , Nucleoproteins/genetics , Rabies/veterinary , Animals , Europe/epidemiology , Host Specificity , Humans , Lyssavirus/classification , Lyssavirus/isolation & purification , Molecular Epidemiology , Phylogeny , RNA, Viral/genetics , Rabies/epidemiology , Viral Proteins/genetics
9.
J Med Virol ; 85(3): 554-62, 2013 Mar.
Article in English | MEDLINE | ID: mdl-23239485

ABSTRACT

The aim of the study was to determine the incidence of viruses causing aseptic meningitis, meningoencephalitis, and encephalitis in Spain. This was a prospective study, in collaboration with 17 Spanish hospitals, including 581 cases (CSF from all and sera from 280): meningitis (340), meningoencephalitis (91), encephalitis (76), febrile syndrome (7), other neurological disorders (32), and 35 cases without clinical information. CSF were assayed by PCR for enterovirus (EV), herpesvirus (herpes simplex [HSV], varicella-zoster [VZV], cytomegalovirus [CMV], Epstein-Barr [EBV], and human herpes virus-6 [HHV-6]), mumps (MV), Toscana virus (TOSV), adenovirus (HAdV), lymphocytic choriomeningitis virus (LCMV), West Nile virus (WNV), and rabies. Serology was undertaken when methodology was available. Amongst meningitis cases, 57.1% were characterized; EV was the most frequent (76.8%), followed by VZV (10.3%) and HSV (3.1%; HSV-1: 1.6%; HSV-2: 1.0%, HSV non-typed: 0.5%). Cases due to CMV, EBV, HHV-6, MV, TOSV, HAdV, and LCMV were also detected. For meningoencephalitis, 40.7% of cases were diagnosed, HSV-1 (43.2%) and VZV (27.0%) being the most frequent agents, while cases associated with HSV-2, EV, CMV, MV, and LCMV were also detected. For encephalitis, 27.6% of cases were caused by HSV-1 (71.4%), VZV (19.1%), or EV (9.5%). Other positive neurological syndromes included cerebellitis (EV and HAdV), seizures (HSV), demyelinating disease (HSV-1 and HHV-6), myelopathy (VZV), and polyradiculoneuritis (HSV). No rabies or WNV cases were identified. EVs are the most frequent cause of meningitis, as is HSV for meningoencephalitis and encephalitis. A significant number of cases (42.9% meningitis, 59.3% meningoencephalitis, 72.4% encephalitis) still have no etiological diagnosis.


Subject(s)
Central Nervous System Infections/epidemiology , Central Nervous System Infections/virology , Virus Diseases/epidemiology , Virus Diseases/virology , Viruses/isolation & purification , Adolescent , Adult , Aged , Child , Child, Preschool , Female , Humans , Incidence , Infant , Infant, Newborn , Male , Middle Aged , Prospective Studies , Spain/epidemiology , Viruses/classification , Young Adult
10.
Transfus Clin Biol ; 17(5-6): 318-30, 2010 Dec.
Article in French | MEDLINE | ID: mdl-21055992

ABSTRACT

The purpose of this retrospective observational multicenter study was to assess appropriateness of red blood cell (RBC) transfusion, according to the French national guidelines (Agence française de sécurité sanitaire des produits de santé) published in 2002. Six hundred and thirty-nine RBC transfusions from nine institutions have been randomly selected and analysed. The data collected are issued from different specialities. Patients' characteristics, occurrences of transfusion, admission, pre-transfusion, post-transfusion and discharge haemoglobin concentrations have been collected. Two physicians (who are in charge) must evaluate the appropriateness of pre-transfusion, discharged haemoglobin concentrations, quantity and quality of transfused RBC. The mean pre-transfusion haemoglobin concentration was 7.89 ± 1.24, the median number of transfused RBC was two (extremes: 1-16), the mean discharge haemoglobin concentration was 10.14 ± 1.30 (-5 days after the end of transfusion). The pre-transfusion and discharge haemoglobin concentrations were higher if the patient presented a co-morbidity factor. Ninety-three percent of pre-transfusion and 79% of discharge haemoglobin concentrations are in accordance with the guidelines. According to the physicians, the RBC transfusions are too "precocious" when pre-transfusion haemoglobin concentration is above nine and the anaemia is asymptomatic. 50% of RBC transfusion with discharge haemoglobin concentration above 10 is not excessive. In case of acute anaemia, the pre-transfusion and discharge haemoglobin concentrations are higher and RBC transfusion excessive. In this study, the trigger haemoglobin concentration is "restrictive", but the target haemoglobin concentration is "liberal" with a high-discharge haemoglobin concentration. Inappropriate RBC transfusions are mainly due to over-transfusion.


Subject(s)
Erythrocyte Transfusion , Prescriptions/statistics & numerical data , Adult , Aged , Aged, 80 and over , Anemia/therapy , Child , Emergencies , Female , France , Guideline Adherence , Hemoglobins/analysis , Hemorrhage/therapy , Humans , Male , Middle Aged , Postoperative Hemorrhage/therapy , Practice Guidelines as Topic , Prescriptions/standards , Retrospective Studies , Sampling Studies , Treatment Outcome , Unnecessary Procedures
11.
Dev Biol (Basel) ; 131: 311-6, 2008.
Article in English | MEDLINE | ID: mdl-18634493

ABSTRACT

Different rhabdoviruses have been found in healthy bats, suggesting asymptomatic infection. The aim of this study was to focus on the epidemiology and pathogenesis of EBLV1 infection in the meridional serotine bat (Eptesicus isabellinus), as well as to search for other rhabdoviruses in this bat, which is the responsible for more than 95% of cases of human exposure to lyssaviruses in Europe. RT-PCR on oropharyngeal swabs was used together with antibody detection by the Rapid Fluorescent Focus Inhibition Test (RFFIT) to investigate EBLV1 circulation in 19 natural colonies of meridional serotine bats in Andalusia (Spain) from 1998 to 2003. The survey was based on 1,227 different captures of 1,033 individuals that were ring banded, sampled and released. Individuals that were repeatedly captured were always found in the same colony, despite the fact that some colonies were less than five km apart. Viral circulation was detected in ten colonies either by RT-PCR, serology or both. Each colony showed a different temporal pattern of viral circulation suggesting independent endemic circulation. Some positive individuals were captured healthy in following campaigns providing evidence for survival after viral infection. RNA from two apparently new Dimarhabdoviruses was also found in the pharyngeal cavity of two healthy bats.


Subject(s)
Chiroptera/virology , Lyssavirus/isolation & purification , Rhabdoviridae Infections/veterinary , Animals , Animals, Wild , Lyssavirus/classification , Lyssavirus/immunology , Oropharynx/virology , RNA, Viral/chemistry , RNA, Viral/genetics , Reverse Transcriptase Polymerase Chain Reaction/veterinary , Rhabdoviridae Infections/diagnosis , Rhabdoviridae Infections/epidemiology , Rhabdoviridae Infections/virology , Spain/epidemiology
12.
Transfus Clin Biol ; 14(4): 407-15, 2007 Oct.
Article in French | MEDLINE | ID: mdl-17632028

ABSTRACT

UNLABELLED: This multi-centre study aimed to assess the knowledge in blood transfusion of medical staff in 14 state-run hospitals. MATERIALS AND METHODS: A questionnaire was distributed to all potential prescribers of blood products. It contained 35 questions concerning various subjects: blood products, immuno-haematology, prescription of blood products, transfusion practice, interpretation of the final bedside controls. The rate of correct answers (RCA) was obtained for each question, for each subject, and for nine questions defined as essential for patient safety. A weighted score was also calculated by ranking each question between one and six according to its importance. RESULTS: Six hundred and ninety four questionnaires were analysed (rate of return 15%). The RCA ranged from 14 to 89%, according to the questions. The RCA ranged from 47 to 78% for seven of the nine essential safety questions, and 82% and 83% for the two questions concerning the interpretation of incompatible final bedside controls: there were 9% of wrong answers, which validated an incompatible blood transfusion. The mean weighted score was 62%. Both the RCA and the weighted score were higher for those that regularly prescribe blood products than for that only prescribe them occasionally. There were no significant differences between hospitals. CONCLUSION: This study has confirmed that medical staff have deficiencies in their knowledge of blood transfusion, deficiencies which are acknowledged by medical staff. These first results will help the members of the study group to develop and prioritize various actions to improve this state of affairs, and to follow the effects of the training given.


Subject(s)
Blood Transfusion/standards , Health Knowledge, Attitudes, Practice , Medical Staff, Hospital/standards , Blood Group Antigens/analysis , Blood Transfusion/statistics & numerical data , France , Humans , Reproducibility of Results , Surveys and Questionnaires
13.
J Virol Methods ; 135(2): 281-7, 2006 Aug.
Article in English | MEDLINE | ID: mdl-16713633

ABSTRACT

The Lyssavirus genus includes seven species or genotypes named 1-7. Rabies genotypes correlate with geographical distribution and specific hosts. Co-circulation of different lyssaviruses, imported cases, and the presence of unknown viruses, such as Aravan, Khujand, Irkut and West Caucasian Bat Virus, make it necessary to use generic methods able to detect all lyssaviruses. Primer sequences were chosen from conserved regions in all genotypes in order to optimise a generic RT-PCR. Serial dilutions of 12 RNA extracts from all seven Lyssavirus genotypes were examined to compare the sensitivity of the RT-PCR standardised in this study with a published RT-PCR optimised for EBLV1 detection and capable of amplifying RNA from all seven lyssaviruses. All seven genotypes were detected by both RT-PCRs, however, the sensitivity was higher with the new version of the test. Twenty samples submitted for rabies diagnosis were tested by the new RT-PCR. Eight out of 20 samples from six dogs, one horse and one bat were found positive, in agreement with immunofluorescence results. Seven samples from terrestrial mammals were genotype 1 and one from a bat was genotype 5. In conclusion, this method can be used to complement immunofluorescence for the diagnosis of rabies, enabling the detection of unexpected lyssaviruses during rabies surveillance.


Subject(s)
Dogs/virology , Lyssavirus/genetics , Reverse Transcriptase Polymerase Chain Reaction/methods , Animals , Chiroptera/virology , Fluorescent Antibody Technique , Genotype , Horses/virology , Lyssavirus/classification , Lyssavirus/isolation & purification , RNA, Viral/analysis , Rabies/diagnosis
14.
An Med Interna ; 17(4): 199-200, 2000 Apr.
Article in Spanish | MEDLINE | ID: mdl-10893772

ABSTRACT

Clinical and image findings in a 43 year-old smoker man with advanced lung bullous emphysema and von Recklinhausen's neurofibromatosis are presented. Bullous emphysema and subpleural neurofibromas were detected in a chest computed tomographic study. The possible association or independence of these two conditions is discussed.


Subject(s)
Neurofibromatoses/complications , Pulmonary Emphysema/complications , Adult , Humans , Male
15.
An. med. interna (Madr., 1983) ; 17(4): 199-200, abr. 2000.
Article in Es | IBECS | ID: ibc-168

ABSTRACT

Se describen los hallazgos clínicos y de imagen en un varón fumador de 43 años de edad con enfisema bulloso avanzado y neurofibromatosis de von Recklinghausen. El enfisema bulloso y los neurofibromas subpleurales se detectaron en una tomografa computarizada (TC) de tórax. Se discute la posible asociación o independencia de estas dos entidades (AU)


Subject(s)
Adult , Male , Humans , Neurofibromatoses , Pulmonary Emphysema , Neurofibromatoses/complications , Pulmonary Emphysema/complications
16.
Transfus Clin Biol ; 6(5): 275-84, 1999 Sep.
Article in French | MEDLINE | ID: mdl-10528388

ABSTRACT

Risk management in the hospital, which is one of the referentiels of the ANAES accreditation manual, may be considered on two levels. Firstly, risk management may be approached globally, in the same way as it is tackled in the accreditation process. Secondly, risk management may be more definite. A specific risk chosen in accordance with the priorities of a particular plan may be dealt with individually. In this respect, the tranfusion process allows the risk management method to be tested and developed. f1


Subject(s)
Blood Banks/organization & administration , Blood Transfusion , Risk Management/organization & administration , Blood Group Incompatibility/diagnosis , Forms and Records Control/organization & administration , Humans , Program Evaluation , Quality Assurance, Health Care , Risk Assessment , Transfusion Reaction
17.
Sci Total Environ ; 154(2-3): 141-51, 1994 Sep 16.
Article in English | MEDLINE | ID: mdl-7973603

ABSTRACT

Environmental contamination become an increasing global problem. Different scientific strategies have been developed in order to assess the impact of pollutants on marine ecosystems. The distribution of toxic contaminants in tissues of different marine mammal species--both cetaceans and pinnipeds--has been studied in many ecosystems, as well as several related ecological processes, like pollutant accumulation or transfer through the food web. A research program directed towards evaluating the occurrence of pollutants in marine mammals from the coastal waters of Argentina (southwestern Atlantic Ocean) has been developed since 1985, and includes the study of heavy metal contents in stranded or incidentally caught animals. The marine mammal species studied during this period were: the seals Otaria flavescens and Arctocephalus australis, and small cetaceans Tursiops gephyreus, Pontoporia blainvillei, Kogia breviceps and Ziphius cavirostris. In most of the cases, high contents of heavy metals (total mercury, cadmium, zinc, and copper) have been recorded. Moreover, liver showed the maximum capability for accumulation of heavy metals in all studied species. The biological and ecological characteristics of each species of the above-mentioned marine mammals (feeding habits, age, migratory pathways, or sex) contributed to the understanding of the metal sources. Considering the results as obtained during the study period it can be assumed that: (1) The global distribution of toxic contaminants also affects the southwestern Atlantic Ocean ecosystems, and (2) Marine mammals could be appropriate bioindicator species in order to assess this kind of environmental problem.


Subject(s)
Mammals/metabolism , Metals/analysis , Water Pollutants, Chemical/analysis , Animals , Argentina , Ecosystem , Female , Food Contamination/analysis , Male , Marine Biology , Seawater , Tissue Distribution
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