Fate and effects of micropollutants in the Gironde estuary, France: A multidisciplinary approach

Comparative study of metal handling strategies in bivalves Mytilus edulis and Crassostrea gigas: a multidisciplinary approach

Journal of the Marine Biological Association of the United Kingdom ◽

10.1017/s0025315404009683h ◽

2004 ◽

Vol 84 (3) ◽

pp. 641-650 ◽

Cited By ~ 26

Author(s):

A. Geffard ◽

A.Y. Jeantet ◽

J.C. Amiard ◽

M. Le Pennec ◽

C. Ballan-Dufrançais ◽

...

Keyword(s):

Comparative Study ◽

Mytilus Edulis ◽

Digestive Gland ◽

Crassostrea Gigas ◽

Multidisciplinary Approach ◽

Artificial Substrates ◽

Free Surfaces ◽

Gironde Estuary ◽

Species Recruitment ◽

Cellular Pathology

The comparison of metal handling strategies in mussels Mytilus edulis and oysters Crassostrea gigas was based on the translocation of these bivalves from a relatively clean site (Bay of Bourgneuf, France) to the metal-rich Gironde estuary, France, whereas resident oysters from the Gironde estuary (feral mussels were absent from this site) were cross-translocated to the clean site for seven months (March to October 1997). Higher levels of metal concentrations (Ag, Cd, Cu, Zn) were observed in specimens from both species in the Gironde estuary. However, no cellular pathology was observed, even in translocated mussels which are not normally present in the studied zone of the Gironde estuary. These observations show that both species cope relatively well with the conditions prevailing in the metal-rich estuary, at least partly as a result of the insoluble storage of bioaccumulated metals in well-defined and localized bioaccumulation structures such as mineralized lysosomes in the kidney of mussels and the digestive gland of both species and granules concentrated in extracellular basal lamina. For both species, recruitment of spat was observed on artificial substrates immersed near the site of translocation in the Gironde estuary. The absence of adult mussels in the metal-rich Gironde estuary may be due to competition with oysters for free surfaces of settlement as well as predation by crabs.

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AAC Supports for Individuals With Rett Syndrome Across the Lifespan

Perspectives on Augmentative and Alternative Communication ◽

10.1044/aac24.3.74 ◽

2015 ◽

Vol 24 (3) ◽

pp. 74-85

Author(s):

Sandra M. Grether

Keyword(s):

Rett Syndrome ◽

Communication Skills ◽

Preliminary Analysis ◽

Multidisciplinary Approach ◽

Motor Deficits ◽

Complex Profile ◽

Communication Behaviors ◽

The Individual

Individuals with Rett syndrome (RS) present with a complex profile. They benefit from a multidisciplinary approach for diagnosis, treatment, and follow-up. In our clinic, the Communication Matrix © (Rowland, 1990/1996/2004) is used to collect data about the communication skills and modalities used by those with RS across the lifespan. Preliminary analysis of this data supports the expected changes in communication behaviors as the individual with RS ages and motor deficits have a greater impact.

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Traumatic Brain Injury: A Trauma Surgeon's Perspective

Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders ◽

10.1044/nnsld22.3.82 ◽

2012 ◽

Vol 22 (3) ◽

pp. 82-89

Author(s):

Oscar D. Guillamondegui

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Multidisciplinary Approach ◽

Trauma Team ◽

The United States ◽

Long Term Outcomes ◽

Term Care ◽

Injured Brain ◽

The Moment

Traumatic brain injury (TBI) is a serious epidemic in the United States. It affects patients of all ages, race, and socioeconomic status (SES). The current care of these patients typically manifests after sequelae have been identified after discharge from the hospital, long after the inciting event. The purpose of this article is to introduce the concept of identification and management of the TBI patient from the moment of injury through long-term care as a multidisciplinary approach. By promoting an awareness of the issues that develop around the acutely injured brain and linking them to long-term outcomes, the trauma team can initiate care early to alter the effect on the patient, family, and community. Hopefully, by describing the care afforded at a trauma center and by a multidisciplinary team, we can bring a better understanding to the armamentarium of methods utilized to treat the difficult population of TBI patients.

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Percutaneous Tracheostomy: A Multidisciplinary Approach

Perspectives on Voice and Voice Disorders ◽

10.1044/vvd18.2.87 ◽

2008 ◽

Vol 18 (2) ◽

pp. 87-98 ◽

Cited By ~ 3

Author(s):

Vinciya Pandian ◽

Thai Tran Nguyen ◽

Marek Mirski ◽

Nasir Islam Bhatti

Keyword(s):

Health Care ◽

Quality Assurance ◽

Data Collection ◽

Health Care Professionals ◽

Multidisciplinary Approach ◽

Percutaneous Tracheostomy ◽

Johns Hopkins Hospital ◽

Prospective Data ◽

Comprehensive Service ◽

Over Time

Abstract The techniques of performing a tracheostomy has transformed over time. Percutaneous tracheostomy is gaining popularity over open tracheostomy given its advantages and as a result the number of bedside tracheostomies has increased necessitating the need for a Percutaneous Tracheostomy Program. The Percutaneous Tracheostomy Program at the Johns Hopkins Hospital is a comprehensive service that provides care to patients before, during, and after a tracheostomy with a multidisciplinary approach aimed at decreasing complications. Education is provided to patients, families, and health-care professionals who are involved in the management of a tracheostomy. Ongoing prospective data collection serves as a tool for Quality Assurance.

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