scholarly journals Veterinary meat inspection of pig carcasses in the Czech Republic during the period of 1995–2002

2012 ◽  
Vol 48 (No. 8) ◽  
pp. 207-214 ◽  
Author(s):  
A. Kozak ◽  
V. Vecerek ◽  
P. Chloupek ◽  
B. Tremlova ◽  
M. Malena
Keyword(s):  
Respiratory Infections ◽  
Meat Inspection ◽  
Boar Taint ◽  
Safety Hazards ◽  
Salmonella Infections ◽  
Food Borne ◽  
Pig Carcasses

The results of meat inspection classification of pig carcasses reflect long-term aspects of health status in pig production farms and the quality of transport and handling of animals at slaughterhouses. Veterinary inspec­tors recorded the data obtained from meat inspection classification of 36 028 821 pig carcasses at slaughterhouses in theCzechRepublicduring the period of 1995–2002 together with the reasons for classification. The trends were evaluated by a comparison of two periods (Period I: 1995–1998; Period II: 1999–2002) by means of calculating the indexes of values from Period II compared to those of Period I. Pig carcasses classified as capable for human con­sumption (edible) were found in 97.28% of cases (97.26% during Period I and 97.31% during Period II, index 1.00), while those classified as capable for processing (conditionally edible) were found in 2.15% of cases (2.28% during Period I and 2.02% during Period II, index 0.89), and those condemned in 0.57% of cases (0.47% during Period I and 0.67% during Period II, index 1.43). The reasons for classifying the carcasses as condemned were as follows: sensorial changes in meat – 0.33% (0.26% during Period I and 0.41% during Period II, index 1.56), lesions due to non-infec­tious diseases – 0.12% (0.12% during Period I and 0.12% during Period II, index 0.97), added deleterious substances – 0.05% (0.03% during Period I and 0.07% during Period II, index 2.50), lesions due to respiratory infections – 0.03% (0.03% during Period I and 0.04% during Period II, index 1.70), boar taint – 0.02% (0.02% during Period I and 0.03% during Period II, index 1.36). Other reasons to condemn the carcasses included tuberculous lesions, lesions due to miscellaneous infections, digestive infections, parasitic diseases, and Salmonella infections. The occurrence of these conditions was on the level of mere hundredths of per cent. No case of Aujeszky’s disease was found. According to the results of meat inspection classification, the risk of food-borne diseases originating from pig carcasses tends to be greater in the lesions due to non-infectious conditions with a long-term increasing trend. A considerable increase in the numbers of pig carcasses condemned due to added deleterious substances (index 2.50) is an alarming finding with regard to potential food safety hazards.

scholarly journals Veterinary meat inspection of bovine carcasses in theCzechRepublic during the period of 1995–2002

2012 ◽  
Vol 48 (No. 7) ◽  
pp. 183-189 ◽  
Author(s):  
V. Vecerek ◽  
A. Kozak ◽  
M. Malena ◽  
B. Tremlova ◽  
P. Chloupek
Keyword(s):  
Infectious Diseases ◽  
Respiratory Infections ◽  
Meat Inspection ◽  
Human Consumption ◽  
Safety Hazards ◽  
Food Borne ◽  
Cattle Herds

The results of veterinary meat inspection classification of 4 000 372 bovine carcasses reflect long-term aspects of health status in cattle herds and the quality of transport and handling of animals at slaughterhouses. Veterinary inspectors recorded the data obtained from meat inspection classification of bovine carcasses at slaughterhouses in the CzechRepublicduring the period of 1995–2002 together with the reasons for classification. The trends were evaluated by a comparison of two periods (Period I, 1995–1998, and Period II, 1999–2002) by means of calculating the indexes of values from Period II compared to those of Period I. Bovine carcasses classified as capable for human consumption (edible) were found in 87.87% of cases (88.83% during Period I and 86.58% during Period II, index 0.97), while those classified as capable for processing (conditionally edible) were found in 7.53% of cases (7.38% during Period I and 7.71% during Period II, index 1.04), and those condemned in 4.60% of cases (3.79% during Period I and 5.71% during Period II, index 1.51). The most important reason for classifying the carcasses as condemned was the finding of sensorial changes in meat, which occurred in 2.56% of cases (2.23% during Period I and 3.00% during Period II, index 1.35), followed by lesions due to non-infectious diseases – 1.00% (0.81% during Period I and 1.25% during Period II, index 1.53), added deleterious substances – 0.88% (0.60% during Period I and 1.27% during Period II, index 2.11), lesions due to respiratory infections – 0.03% (0.02% during Period I and 0.04% during Period II, index 1.74), and lesions due to miscellaneous infectious diseases – 0.10% (0.10% during Period I and 0.10% during Period II, index 1.05). Other reasons to condemn the carcasses included improper identification, lesions due to digestive infections, lesions due to tuberculosis, lesions due to paratuberculosis, lesions due to salmonellosis, leucosis and parasitic diseases. The occurrence of these conditions was on the level of mere hundredths of per cent. According to the results of meat inspection classification, the risk of food-borne diseases originating from bovine carcasses tends to be greater in the lesions due to non-infectious conditions with a long-term increasing trend. A considerable increase in the numbers of bovine carcasses condemned because of lesions due to paratuberculosis (index 4.62) represents an alarming finding with regard to potential food safety hazards.

Fifteen-minute consultation: A structured approach to the management of chronic cough in a child

2017 ◽  
Vol 103 (2) ◽  
pp. 65-70 ◽  
Author(s):  
Cherry Alviani ◽  
Gary Ruiz ◽  
Atul Gupta
Keyword(s):  
Chronic Cough ◽  
Respiratory Infections ◽  
School Attendance ◽  
Underlying Disease ◽  
Acute Respiratory Tract Infection ◽  
Healthy Children ◽  
Foreign Materials ◽  
Structured Approach

Coughing is a primary pulmonary defence mechanism that enhances clearance of secretions and particles from the airways and protects against aspiration of foreign materials. Coughing may affect 30% of children at any given time (1). Many are healthy children but some may have serious underlying disease. Childhood cough accounts for a large number of consultations and 80% of families who are referred to a paediatric respiratory clinic for chronic cough have sought medical advice five times or more (2). The majority of childhood coughs are secondary to an acute respiratory tract infection and will improve once the infection resolves, usually within 1 to 3 weeks. With pre-school children who may experience between 6 and 10 respiratory infections a year differentiating acute recurrent cough from chronic cough is key (Table 1). Chronic cough can significantly impact a family’s quality of life, as it affects the child’s sleep, school attendance and play. Parents experience distress and anxiety, worrying that the cough may lead to long-term chest damage or even death (3). This article aims to guide clinicians through the assessment of the child with a chronic cough. It will discuss identifying causes, use of first line investigations, initiating appropriate management and addressing parental anxiety and exacerbating factors (4,5).

scholarly journals Oncoplastic and reconstructive breast surgery in Canada: breaking new ground in general surgical training

2018 ◽  
pp. 294-299
Author(s):  
Lashan Peiris ◽  
David Olson ◽  
Kelly Dabbs
Keyword(s):  
Breast Cancer ◽  
Surgical Training ◽  
Breast Surgery ◽  
Fellowship Training ◽  
Immediate Breast Reconstruction ◽  
Oncoplastic Breast Surgery ◽  
The Uk

Oncoplastic breast surgery combines certain plastic surgery procedures with a breast cancer resection to minimize the cosmetic penalty. We compared current practices in breast surgery in Canada and the UK, looking at the classification of oncoplastic breast surgery, management of larger tumours that would otherwise mandate a mastectomy, and the breast surgeon’s role in immediate breast reconstruction. Reconstructive breast surgery has always fallen within the domain of the plastic surgeon, but surgical subspecialization and more focused fellowship training have meant that breast surgeons with the appropriate skillset can offer these procedures. This evolution of the breast surgeon has led to the birth of a new field of breast surgery known as oncoplastic and reconstructive breast surgery. Those tasked with developing surgical training programs in Canada must now decide whether to train breast surgeons in these techniques to improve long-term quality of life among Canadian patients with breast cancer.

How Does the Pathophysiology Influence the Treatment of Pelvic Congestion Syndrome and is the Result Long-lasting?

2012 ◽  
Vol 27 (1_suppl) ◽  
pp. 58-64 ◽  
Author(s):  
M Greiner ◽  
M Dadon ◽  
P Lemasle ◽  
P Cluzel
Keyword(s):  
Long Term Results ◽  
Cross Sectional ◽  
Pelvic Congestion Syndrome ◽  
Venous Anomalies ◽  
Embolic Agents ◽  
Cross Sectional Imaging ◽  
Pelvic Congestion

The objectives of this study are to consider the influence of pathophysiology in the treatment of pelvic congestion syndrome (PCS) and to determine the criteria which impact on the long-term results. A classification of venous pathology including three types of pathophysiological conditions, independent of the location of the pelvic venous pathology, is developed and illustrated. These types, diagnosed by cross-sectional imaging and confirmed by phlebography, are associated with a specific therapeutic plan. The long-term results are dependent on the quality of the initial Phlebographic mapping that must be selective and complete, the angiographic findings, in particular the study of collaterals feeding the venous anomalies, the treatment of all venous anomalies, the respect of contraindications, the use of appropriate materials and the occurrence of new pregnancies. In conclusion, the feasibility and satisfactory short-term results of endovascular treatment of PCS are admitted. Questions remain regarding the effectiveness of the different embolic agents and the long-term results of this treatment.

scholarly journals Uncertainties in satellite remote sensing of aerosols and impact on monitoring its long-term trend: a review and perspective

2009 ◽  
Vol 27 (7) ◽  
pp. 2755-2770 ◽  
Author(s):  
Z. Li ◽  
X. Zhao ◽  
R. Kahn ◽  
M. Mishchenko ◽  
L. Remer ◽  
...  
Keyword(s):  
General Circulation ◽  
General Circulation Models ◽  
Noaa Avhrr ◽  
Earth’S Climate ◽  
Aerosol Parameters ◽  
Climate Studies ◽  
Cloud Screening

Abstract. As a result of increasing attention paid to aerosols in climate studies, numerous global satellite aerosol products have been generated. Aerosol parameters and underlining physical processes are now incorporated in many general circulation models (GCMs) in order to account for their direct and indirect effects on the earth's climate, through their interactions with the energy and water cycles. There exists, however, an outstanding problem that these satellite products have substantial discrepancies, that must be lowered substantially for narrowing the range of the estimates of aerosol's climate effects. In this paper, numerous key uncertain factors in the retrieval of aerosol optical depth (AOD) are articulated for some widely used and relatively long satellite aerosol products including the AVHRR, TOMS, MODIS, MISR, and SeaWiFS. We systematically review the algorithms developed for these sensors in terms of four key elements that influence the quality of passive satellite aerosol retrieval: calibration, cloud screening, classification of aerosol types, and surface effects. To gain further insights into these uncertain factors, the NOAA AVHRR data are employed to conduct various tests, which help estimate the ranges of uncertainties incurred by each of the factors. At the end, recommendations are made to cope with these issues and to produce a consistent and unified aerosol database of high quality for both environment monitoring and climate studies.

scholarly journals EVALUATION OF THE QUALITY OF LIFE OF PATIENTS WITH CIR-RHOSIS AFTER SURGICAL PREVENTION OF BLEEDING FROM VARI-COSEVEINS OF THE ESOPHAGUS

2020 ◽  
pp. 185-189
Keyword(s):  
Liver Cirrhosis ◽  
Varicose Veins ◽  
Scientific Work ◽  
Gastric Bleeding ◽  
Class B ◽  
Endoscopic Ligation ◽  
B 31

The scientific work is based on the experience of endoscopic ligation of varicose veins of the esophagus (EVV) in 65 patients with liver cirrhosis with portal hypertension syndrome. The degree of ERVP was established in accordance with the classification of K.J. Paquet (1982). Varicose veins of the esophagus of III and IV degrees were recorded in 58 (89.2%) patients. For a comprehensive assessment of the degree of liver failure, the Child-Pugh scale was used (1973). 11 (16.9%) patients were assigned to class A, 23 (35.4%) to class B, 31 (47.7%) patients to class C. The effectiveness of endoscopic ligation in the prevention of bleeding was 92.2%. Recurrence of esophageal-gastric bleeding in the immediate period occurred in 3 patients. Hospital mortality was 4.6%. In the long-term period after endoscopic eradication, recurrence of esophageal varicose veins was diagnosed in 27.8% of patients. Endoscopic ligation of varicose veins of the esophagus is an effective method for stopping and preventing bleeding in patients with liver cirrhosis.

Patterns of Recovery after Critical Illness

2014 ◽  
Author(s):  
Nishant K Sekaran ◽  
Theodore J Iwashyna
Keyword(s):  
Critical Illness ◽  
World Health ◽  
International Classification Of Functioning ◽  
Participation Restriction ◽  
Adequate Description ◽  
Related Quality ◽  
Health Related

There are at least as many ways to recover from critical illness as there are to become critically ill. This chapter argues that, to understand recovery, we need to understand both its trajectory and the different domains in which recovery occurs. An adequate description of recovery should include pre-illness characteristics, depth of problems during the acute illness, the rate and duration of recovery, the extent of peak recovery, and long-term differences in post-illness trajectory. It should also take seriously the distinct domains mapped out in the World Health Organization’s International Classification of Functioning (ICF): tissue impairment, activity limitations, participation restriction, and health-related quality of life. These domains each represent distinct and important facets, and separately assessing each leads to deeper understanding and opportunities for intervention.

scholarly journals Variation between nursing homes in drug use and in drug-related problems

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Amura Francesca Fog ◽  
Ibrahimu Mdala ◽  
Knut Engedal ◽  
Jørund Straand
Keyword(s):  
Drug Use ◽  
Nursing Homes ◽  
Drug Related Problems ◽  
Cross Sectional ◽  
Term Care ◽  
Analgesic Drugs ◽  
Medication Reviews

Abstract Background Residents at nursing homes (NHs) are at particular risk for drug related harm. Regular medication reviews using explicit criteria for pharmacological inappropriateness and classification of drug related problems (DRPs) have recently been introduced as measures to improve the quality of medication use and for making the treatment more uniform across different institutions. Knowledge about variation in DRPs between NHs is scarce. To explore if increased attention towards more appropriate drug treatment in NHs have led to more uniform treatment, we have analyzed variations between different nursing homes’ drug use and DRPs. Methods Cross-sectional medication review study including 2465 long-term care residents at 41 NHs in Oslo, Norway. Regular drug use was retrieved from the patients’ medical records. DRPs were identified by using STOPP/START and NORGEP criteria and a drug-drug interactions database. NHs were grouped in quartiles based on average levels of drug use. The upper and lower quartiles were compared using independent samples t-test and associations between drug use and DRPs were tested by logistic regression. Results Patients’ mean age was 85.9 years, 74.2% were women. Mean numbers of regular drugs per patient was 6.8 and varied between NHs from 4.8 to 9.3. The proportion of patients within each NH using psychotropic and analgesic drugs varied largely: antipsychotics from three to 50%, benzodiazepines from 24 to 99%, antidepressants from nine to 75%, anti-dementia drugs from no use to 42%, opioids from no use to 65% and paracetamol from 16 to 74%. Mean DRPs per patient was 2.0 and varied between NHs from 0.5 to 3.4. The quartiles of NHs with highest and lowest mean drugs per patient (7.7 vs. 5.7, p < 0.001) had comparable mean number of DRPs per patient (2.2 vs. 1.8, p = 0.2). Using more drugs and the use of opioids, antipsychotics, benzodiazepines and antidepressants were associated with more DRPs. Conclusions The use of psychotropic and analgesic drugs was high and varied substantially between different NHs. Even if the use of more drugs, opioids and psychotropic drugs was associated with DRPs, no difference was found in DRPs between the NHs with highest vs. lowest drug use.

Neighborly assistance: high expectations of multi-generation cohousing projects

2017 ◽  
Vol 21 (3) ◽  
pp. 133-139 ◽  
Author(s):  
Yvonne Wechuli
Keyword(s):  
Legal Status ◽  
International Classification Of Functioning ◽  
Legal Form ◽  
Content Type ◽  
High Expectations ◽  
Care Recipients ◽  
The Individual

Purpose Multi-generation cohousing projects are loaded with the expectations of inhabitants and planners, as well as political representatives. They are expected to foster a form of neighborly assistance, which is supposed to ultimately unburden social security. But evidence is scarce when it comes to central aspects like long-term development, the influence of context factors, the quality of community living, and the neighborly assistance actually provided. The paper aims to discuss these issues. Design/methodology/approach Hence, this explorative study sought to specify the support activities that neighbors in one cohousing project carried out. A survey was conducted in three survey intervals, with questionnaires structured according to the ”Activities” chapter of the International Classification of Functioning, Disability, and Health (WHO 2002). Findings Respondents reported receiving or providing assistance in all suggested areas of life, but some activities were more common than others. Respondents with long-term support requirements were not assisted by neighbors but by other caregivers. The results indicate that neighborliness depends on the individual activity radius since the scope of assistance varied along with socio-demographic characteristics. Respondents deemed reciprocity important to guarantee the voluntary nature of neighborly support and also to allow care recipients to specify how support should be given. Research limitations/implications The author therefore suggests considering multi-generation cohousing projects as a means to foster Quality of Life rather than to cut costs. Originality/value Findings from this study with a focus on multi-generation cohousing with the legal status of cooperatives and implications for spatial planning were previously published in: Kuhnke, Y. (2015), “Nachbarschaftliche Hilfen. Hohe Erwartungen an Mehrgenerationenwohnprojekte in der Rechtsform der Genossenschaften” (Neighborly Assistance. High Expectations of Multi-generation Cohousing Projects under the Legal Form of Registered Cooperatives), RaumPlanung, Vol. 179 No. 3, pp. 20-6.

scholarly journals MODERN VIEW ON THE PROBLEM OF RETINOPATHY OF PRETERM BABIES

2015 ◽  
Vol 69 (3-4) ◽  
pp. 36-42
Author(s):  
A. S. Klimkin ◽  
M. V. Medvedeva
Keyword(s):  
Retinopathy Of Prematurity ◽  
Treatment Strategies ◽  
Clear Correlation ◽  
Modern Approach ◽  
Specialized Care ◽  
Risk Of Disease ◽  
Preterm Babies

The article presents a review of the data, which reflects the relevance and modern views on the problem of retinopathy of prematurity, including statistical and epidemiologic data on nosology. Various pathogenetic theories of onset and progression of this disease are discussed. A clear correlation depending on the degree of prematurity, body weight and physical condition of the newborn and the risk of disease is mentioned. The summation of etiology aspects, as well as pathogenesis, classification of clinical forms and the modern approach to the diagnostics is of a quite interest. The article also describes different treatment strategies which include various methods of conservative therapy and surgery, depending on the course and stage of disease. Rehabilitation activities for children who had come through some stage of retinopathy of prematurity and are at risk for the formation of different ophthalmopathology such as refractive errors and pathology of binocular vision in the future and require a subsequent long-term monitoring in the office catamnesis are itemized. The importance of interaction between ophthalmologists and neonatologists at all stages of neonatal screening for providing timely specialized care in order to minimize the occurrence of retinopathy and prevent progression to disabling stages, as well as to improve the quality of life of these patients is shown.

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