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Author(s):  
Larissa Henze ◽  
Christoph Buhl ◽  
Michael Sandherr ◽  
Oliver A. Cornely ◽  
Werner J. Heinz ◽  
...  

Abstract Clinical reactivations of herpes simplex virus or varicella zoster virus occur frequently among patients with malignancies and manifest particularly as herpes simplex stomatitis in patients with acute leukaemia treated with intensive chemotherapy and as herpes zoster in patients with lymphoma or multiple myeloma. In recent years, knowledge on reactivation rates and clinical manifestations has increased for conventional chemotherapeutics as well as for many new antineoplastic agents. This guideline summarizes current evidence on herpesvirus reactivation in patients with solid tumours and hematological malignancies not undergoing allogeneic or autologous hematopoietic stem cell transplantation or other cellular therapy including diagnostic, prophylactic, and therapeutic aspects. Particularly, strategies of risk adapted pharmacological prophylaxis and vaccination are outlined for different patient groups. This guideline updates the guidelines of the Infectious Diseases Working Party (AGIHO) of the German Society for Hematology and Medical Oncology (DGHO) from 2015 “Antiviral prophylaxis in patients with solid tumours and haematological malignancies” focusing on herpes simplex virus and varicella zoster virus.


2021 ◽  
Vol 38 (4) ◽  
pp. 399-409
Author(s):  
Hazel Baytaşoğlu ◽  
Ahmet Mutlu Gözler

In this study, it was aimed to evaluate the water quality of the Çoruh Basin using BMWP (Biological Monitoring Working Party) index, ASPT (Average Score Per Taxon) index, Shannon-Wiener Diversity Index, EPT (Ephemeroptera Plecoptera Trichoptera taxa), EP (Ephemeroptera Plecoptera taxa) index scores and benthic macroinvertebrates. The benthic macroinvertebrates were collected from 54 stations at the Çoruh basin between 2014-2016 years. Standard hand net (D-frame net) and Ekman-Birge grab were used as sampling tools. As a result of the diagnoses, a total of 7246 individuals belonging to Insecta, Crustacea, Mollusca, Oligochaeta and Plathyhelminthes were obtained. It was determined that the most dominant group was Insecta and the rarest group was Plathyhelminthes. It was observed that the BMWP score ranged between 5 and 94, and the lowest and highest number of families detected in the stations were 1 and 18, respectively. It was determined that the Shannon Wiener diversity index value was between 0.54-2.20, therefore the basin streams generally showed moderate pollution. The results of BMWP index show that the basin streams had mostly show 3rd and 4th class water quality and also biodiversity decreases with the deterioration of the riverbed or exposure to pollution.


Processes ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 2216
Author(s):  
Barouch Giechaskiel ◽  
Anastasios Melas ◽  
Giorgio Martini ◽  
Panagiota Dilara

Vehicle emissions are a significant source of air pollution in cities. Particulate matter (PM) is a pollutant with adverse health effects. Regulations worldwide determine the PM exhaust emissions of vehicles by gravimetric quantification of the mass deposited on a filter over a test cycle. The introduction of particulate filters as vehicle exhaust gas aftertreatment devices led to low PM emissions. A particle number methodology (counting solid particles >23 nm), complementary to the PM mass measurement, was developed by the PMP (Particle Measurement Programme) group of the GRPE (Working Party on Pollution and Energy) of the UNECE (United Nations Economic Commission for Europe) during the first decade of the 21st century. The methodology was then introduced in the EU (European Union) regulations for light-duty (2011), heavy-duty (2013), and non-road mobile machinery (2019). In parallel, during the last 15 years, UN (United Nations) regulations and GTRs (Global Technical Regulations) including this methodology were also developed. To address the on-road emissions, the EU introduced RDE (real-driving emissions) testing with PEMS (portable emissions measurement systems) in 2017. Other countries (e.g., China, India) have also started adopting the number methodology. The PMP group recently improved the current laboratory and on-board methodologies and also extended them to a lower particle size (counting solid particles >10 nm). Due to the rapid evolution of the vehicle exhaust particle number regulations and the lack of a summary in the literature, this paper gives an overview of current and near future regulations. Emphasis is given on the technical specifications and the changes that have taken place over the years.


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