Evaluation of risk factor management of patients treated on an internal nephrology ward: a pilot study

Background  

The objectives of this pilot study were to evaluate treatment quality for the risk factors of hypertension, diabetes and hyperlipidemia as well as the overall treatment quality for patients on an internal nephrology ward. This evaluation included the collection of data concerning the quality of therapeutic drug monitoring, drug use and potential drug-drug interactions. Establishing such baseline information highlights areas that have a need for further therapeutic intervention and creates a foundation for improving patient care, a subject that could be addressed in future clinical pharmacy research projects.     

Comparing an IPM pilot program to a traditional cover spray program in commercial landscapes

An integrated pest management (IPM) pilot program for landscape plants was implemented during 1997 and 1998 on two commercial, two residential, and one institutional property managed by landscape professionals. When compared with preprogram, calendar-based cover spray program costs at these sites in 1996, the IPM program was cost-effective at one of the five sites in both 1997 and 1998, and cost effective at a second additional site in 1998 when the cooperator, initially skeptical of IPM, discontinued calendar-based cover sprays performed in 1996 and 1997. The mean cost per site was $703.40 (preprogram), $788.26, and $582.22 in 1996, 1997, and 1998, respectively. Volume of pesticide applied decreased a mean of 86.3% on the four sites not receiving cover sprays and increased 2.3% at site 2 (still using cover sprays) in 1997. In 1998, pesticide volume was reduced an average of 85.3% at all five sites compared with preprogram levels. The majority of insect pest problems were corrected using spot sprays of insecticidal soap or horticultural oil or by physical means such as pruning. One-third of the woody plant material on the commercial and institutional sites consisted of holly, juniper, and azalea. The most prevalent pests encountered were mites (Tetranychidae), aphids, lace bugs, scales, whiteflies, and Japanese beetle. Spiders were the most abundant group of predatory arthropod and ants, green lacewings, and lady beetles were also well represented in the managed landscapes.     

Course of acute hepatitis B in alcoholism

Clinical course of the acute hepatitis B has been analysed in 29 men chronically abusing alcohol. The most frequent source of the infection was surgery and hospitalizations. Clinical course and biochemical findings were similar in this group and in 30 men not drinking alcohol. A sole difference concerned higher GGTP activity in alcoholics. The persistence of HBs antigen was similar in both groups. Chronic alcohol abuse does not seem to have a significant effect on the course and convalescent phase of the acute hepatitis B.     

神经内科与神经外科抗菌药物使用与细菌耐药的比较

目的 比较神经内科与神经外科抗菌药物使用与细菌耐药情况.方法 计算各类抗菌药物的累积每日约定剂量（defined daily doses,DDD）,以及院内感染主要病原菌的耐药率.结果神经内科的抗菌药物总用量为47.83 DDD/100床日,神经外科为78.91 DDD/100床日.神经外科院内感染的凝固酶阴性葡萄球菌、肠球菌和大肠埃希菌对抗菌药物的耐药率普遍较神经内科为高.结论 在抗菌药物使用与细菌耐药水平之间存在着一种联系.     

The <Emphasis Type="Italic">Retrovirology</Emphasis> Open Access experience

The Retrovirology Open Access experience after publishing more than 500 articles is discussed.     

A rehabilitation ward in a district general hospital: first three years' experience.

The experience of the first three years'' work on a ward for the rehabilitation of patients was reviewed. Adults with physical disabilities or mixed physical and psychological disabilities, including unstable or deteriorating conditions, were accepted for intensive rehabilitation. Most patients had neurological disorders. The ward policy was that each patient had considerable time with the therapist, maximum personal independence was encouraged, and multidisciplinary staff meetings were held to agree the goals of treatment. Much effort was spent helping patients and relatives to adapt to conditions of progressive disability, but the response to questionnaires suggested that these patients as well as those who did improve received some benefit from being on the ward. Overall the benefits of the intensive rehabilitation that was offered on this ward outweighed those from short stays on medical wards.     

A user's experience with a standard non-linear regression program (BMDP3R).

A study was made to test and compare the behavior of a standard non-linear regression program (BMDP3R) in fitting data from six classical least-squares problems. The use of three program control parameters is discussed and four measures of regression failure are utilized to give a quantitative reference of success. Recommendations are given to aid the user of packaged programs in the parameter estimation of non-linear regression models.     

Implementation of a feral cat management program on a university campus

In August 1998, Texas A&M University implemented on campus a trap-test-vaccinate-alter-return-monitor (TTVARM) program to manage the feral cat population. TTVARM is an internationally recognized term for trapping and neutering programs aimed at management of feral cat populations. In this article we summarize results of the program for the period August 1998 to July 2000. In surgery laboratories, senior veterinary students examined cats that were humanely trapped once a month and tested them for feline leukemia and feline immunodeficiency virus infections, vaccinated, and surgically neutered them. They euthanized cats testing positive for either infectious disease. Volunteers provided food and observed the cats that were returned to their capture sites on campus and maintained in managed colonies. The program placed kittens and tame cats for adoption; cats totaled 158. Of the majority of 158 captured cats, there were less kittens caught in Year 2 than in Year 1. The proportion of tame cats trapped was significantly greater in Year 2 than in Year 1. The prevalence found for feline leukemia and feline immunodeficiency virus ELISA test positives was 5.8% and 6.5%, respectively. Following surgery, 101 cats returned to campus. The project recaptured, retested, and revaccinated more than one-fourth of the cats due for their annual vaccinations. The program placed 32 kittens, juveniles, and tame adults for adoption. The number of cat complaints received by the university's pest control service decreased from Year 1 to Year 2.     

Coypu (<Emphasis Type="Italic">Myocastor coypus</Emphasis>) in a Mediterranean remnant wetland: a pilot study of a yearly cycle with management implications

Following an apparent increase of local population density of coypu (Myocastor coypus) in a Mediterranean remnant wetland, we developed a pilot study aimed to evaluate a specific control program. Inside the study area, we performed three transects per month from August 2008 to July 2009, grouping data in bimonthly periods. The water level in the study area showed a maximum in December–January, significantly decreasing from late spring to summer and significantly increasing from late summer to winter. Sampled individuals mainly occurred in Phragmites reed beds and in rush beds (dominance of Carex sp., Juncus sp. Bolboschoenus sp.). The index of mean relative density of coypu individuals ranged between 1.40 (February–March) and 5.72 (October–November) with an evident increase in late summer–autumn. During this period, mean density of runways was higher in reed beds than in rush beds, with differences tending to significance. In summer, the network of channels in reed beds, locally used for fishery farm, may maintain a water level suitable for the coypu. These results (preference for reed beds and increase of coypu density in late summer–autumn) should be considered when coypu populations are under control program, at least in the Mediterranean region where there is a scarcity of available data.     

Mosquito-only flaviviruses,isolated from <Emphasis Type="Italic">Aedes albopictus</Emphasis> in Slovenia: results of a pilot mosquito monitoring program

Autochthonous transmissions of mosquito-borne diseases were described in close proximity to Slovenia where the knowledge of mosquito species and the viruses they transmit remains very scarce. Therefore we aimed to assess the burden mosquitoes bring to the local community and to test mosquitoes for the presence of the selected zoonotic arboviruses, i. e. Dengue (DENV), West Nile (WNV) and Chikungunya (CHIKV). A pilot mosquito monitoring was conducted in 2012 within two municipalities based on adult mosquito trapping. Altogether 2007 adult mosquitoes were caught. Females of Aedes albopictus and Culex pipiens represented the majority of the total mosquito catch. In sites with more households and nearby greenery, catches of Ae. albopictus were more abundant. Highest numbers of Cx. pipiens females were caught close to a nature reserve, where many bird species stop during their migrations. Trapping results are consistent with both species’ feeding behaviour. Female mosquitoes were grouped into 58 pools according to species, location and date of catch. Real time RT-PCRs for WNV, DENV and CHIKV were performed, but no arboviral genomes were detected in any of the tested mosquito pools. However, amplicons were obtained in three pools when using generic RT-PCR markers for flaviviruses. The viruses detected were propagated and isolated in mosquito cell line C3/36 and identified with sequencing as mosquito-only flaviviruses (MOFs). The important contributions of this study are a successful first isolation of MOFs and confirmation of the presence of the invasive mosquito Ae. albopictus in Slovenia.     

Administrative issues in the management of a sports medicine program.

Sports medicine is a subspecialty of medicine which has recently gained prominence in this country. It is usually practiced in conjunction with a specific program of sports medicine in an institutional setting, such as a university. This article describes the integration of sports medicine and the department of athletics at Yale University. The athletic medicine department, as it is called, treats both the injuries and other medical problems of students participating in the organized athletic programs, be they intercollegiate or intramural, which are organized by the University. Problems that arise both medically, such as when to play an injured player, and administratively, such as who should supervise trainers, are discussed. Guidelines are given for choosing the director of this program, as are examples of how to deal with problems between the physicians and the coaches.