RESUMEN
Tanzania's dairy sector is poorly developed, creating reliance on imports for processed, value-added dairy products and threatening food security, particularly when supply chains are disrupted due to market volatility or armed conflicts. The Tanzanian Dairy Development Roadmap is a domestic development initiative that aims to achieve dairy self-sufficiency by 2030. Here, we model different outcomes of the roadmap, finding that adoption of high-yield cattle breeds is essential for reducing dairy import dependency. Avoided land use change resulting from fewer, higher yielding dairy cattle would lead to lower greenhouse gas emissions. Dairy producers' average incomes could increase despite capital expenditure and land allocation required for the adoption of high-yield breeds. Our findings demonstrate the importance of bottom-up development policies for sustainable food system transformations, which also support food sovereignty, increase incomes for smallholder farmers and contribute towards Tanzania's commitments to reduce greenhouse gas emissions.
Asunto(s)
Anticonvulsivantes/efectos adversos , Distonía/inducido químicamente , Ácido Valproico/efectos adversos , Silla de Ruedas , Anciano , Anticonvulsivantes/uso terapéutico , Antipsicóticos/uso terapéutico , Quimioterapia Combinada , Distonía/diagnóstico , Humanos , Masculino , Trastornos Psicóticos/tratamiento farmacológico , Risperidona/uso terapéutico , Ácido Valproico/uso terapéuticoRESUMEN
There is paucity of medical literature on the use of lamotrigine in elderly patients who have behavior problems and diverse psychiatric syndromes. This article is a retrospective case series summarizing the authors' experience with this medication. In a 20-patient case series from an institutional review board-approved retrospective chart review, the tolerability and efficacy of lamotrigine was evaluated for the management of agitated and aggressive behaviors in nursing home patients with a range of psychiatric and medical diagnoses. Nineteen of the elderly nursing home patients tolerated lamotrigine treatment, and 18 showed modest clinical improvement. These results support the authors' belief that controlled clinical investigations of this medication should be performed.