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Garcia-Sanchez P, Romero-Trancón D, Sainz T, Calvo C, Iglesias I, Perez-Hernando B, Hurtado-Gallego J, Sánchez R, Alcolea S, Moya L, Mendez-Echevarria A. The role of veterinarians in zoonosis prevention: Advising families of immunocompromised children with pets. One Health 2024; 18:100662. [PMID: 38204817 PMCID: PMC10776649 DOI: 10.1016/j.onehlt.2023.100662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Accepted: 12/07/2023] [Indexed: 01/12/2024] Open
Abstract
Background Pet ownership is widespread, offering numerous benefits to individuals and families. However, the risk of zoonotic diseases must be carefully considered, especially for immunosuppressed patients. Knowledge gaps in preventive measures for zoonoses have been identified, underscoring the vital role of veterinarians in addressing this issue. Objectives This study aimed to assess the knowledge and recommendations of veterinarians regarding pet ownership by immunocompromised individuals. Additionally, we compared these insights with responses from European healthcare professionals specializing in pediatric transplant recipients. Methods We conducted an observational, cross-sectional study involving small animal veterinarians in Spain. An online survey was administered to gather information on veterinarians' knowledge of zoonoses and their recommendations for immunocompromised pet owners. Results A survey of 514 individuals was collected from experienced veterinarians mainly working in primary care clinics. Surprisingly, 63% of respondents did not routinely inquire about the presence of immunocompromised individuals among pet owners, although 54% offered specific recommendations for this group. Most respondents adhered to deworming guidelines for pets owned by immunocompromised individuals and demonstrated sound practices in Leishmania and Leptospira prevention, as well as the avoidance of raw food. However, gaps were noted concerning Bordetella bronchiseptica vaccination. Notably, veterinarians outperformed medical professionals in their knowledge of zoonotic cases and identification of zoonotic microorganisms. The presence of specific recommendations in veterinary clinics was viewed positively by nearly all respondents. Conclusions Our findings indicate that veterinarians possess a superior understanding of zoonotic pathogens and exhibit greater proficiency in diagnosing zoonoses compared with physicians. They stay well-informed about recommendations outlined in established guidelines and are more likely to provide written recommendations in their clinics than physicians. Nevertheless, knowledge gaps among veterinarians emphasize the need for enhanced communication between medical and veterinary professionals. Reinforcing the "One Health" concept is imperative, with veterinarians playing a pivotal role in this collaborative effort.
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Affiliation(s)
- Paula Garcia-Sanchez
- Pediatric Emergency Department, La Paz University Hospital, Madrid, Spain
- La Paz Institute for Health Research (IdiPAZ), Madrid, Spain
- Doctoral Program in Medicine and Surgery, Autonomous University of Madrid (UAM), Madrid, Spain
| | | | - Talía Sainz
- Pediatric Infectious and Tropical Diseases Department, La Paz University Hospital and La Paz Institute for Health Research (IdiPAZ), Madrid, Spain
- Center for Biomedical Research in the Infectious Diseases Network (CIBERINFEC), Madrid, Spain
- Pediatric Department, Autonomous University of Madrid (UAM), Madrid, Spain
- Translational Research Network in Pediatric Infectious Diseases (RITIP), Madrid, Spain
| | - Cristina Calvo
- Pediatric Infectious and Tropical Diseases Department, La Paz University Hospital and La Paz Institute for Health Research (IdiPAZ), Madrid, Spain
- Center for Biomedical Research in the Infectious Diseases Network (CIBERINFEC), Madrid, Spain
- Pediatric Department, Autonomous University of Madrid (UAM), Madrid, Spain
- Translational Research Network in Pediatric Infectious Diseases (RITIP), Madrid, Spain
| | - Irene Iglesias
- Center for Animal Health Research (CISA), INIA-CSIC, Madrid, Spain
| | - Belén Perez-Hernando
- Center for Biomedical Research in the Infectious Diseases Network (CIBERINFEC), Madrid, Spain
- Carlos III Health Institute, Spain
| | - Jara Hurtado-Gallego
- La Paz Institute for Health Research (IdiPAZ), Madrid, Spain
- Center for Biomedical Research in the Infectious Diseases Network (CIBERINFEC), Madrid, Spain
| | - Rocío Sánchez
- La Paz Institute for Health Research (IdiPAZ), Madrid, Spain
- Doctoral Program in Microbiology, Autonomous University of Madrid (UAM), Madrid, Spain
| | - Sonia Alcolea
- Pediatric Infectious and Tropical Diseases Department, La Paz University Hospital and La Paz Institute for Health Research (IdiPAZ), Madrid, Spain
- Center for Biomedical Research in the Infectious Diseases Network (CIBERINFEC), Madrid, Spain
- Doctoral Program in Medicine and Surgery, Autonomous University of Madrid (UAM), Madrid, Spain
| | - Laura Moya
- IDEXX Laboratorios, S.L. Laboratory Key Account Manager, Spain
| | - Ana Mendez-Echevarria
- Pediatric Infectious and Tropical Diseases Department, La Paz University Hospital and La Paz Institute for Health Research (IdiPAZ), Madrid, Spain
- Center for Biomedical Research in the Infectious Diseases Network (CIBERINFEC), Madrid, Spain
- Pediatric Department, Autonomous University of Madrid (UAM), Madrid, Spain
- Translational Research Network in Pediatric Infectious Diseases (RITIP), Madrid, Spain
- ERN TransplantChild, Spain
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Platero L, Garcia-Sanchez P, Sainz T, Calvo C, Iglesias I, Esperon F, de la Fuente R, Frauca E, Perez-Martinez A, Mendez-Echevarria A. Pets for pediatric transplant recipients: To have or not to have. Front Vet Sci 2022; 9:974665. [PMID: 36157192 PMCID: PMC9493113 DOI: 10.3389/fvets.2022.974665] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Accepted: 08/16/2022] [Indexed: 11/13/2022] Open
Abstract
Pets have many health, emotional and social benefits for children, but the risk of zoonotic infections cannot be underestimated, especially for immunosuppressed patients. We report the recommendations given by health professionals working with pediatric transplant recipients to their families regarding pet ownership. An online survey addressing zoonosis knowledge and recommendations provided by health care practitioners regarding pets was distributed to clinicians treating pediatric transplant recipients. The European Society of Pediatric Infectious Disease (ESPID) and the European Reference Network ERN-TransplantChild, which works to improve the quality of life of transplanted children, allowed the online distribution of the survey. A total of 151 practitioners from 28 countries participated in the survey. Up to 29% of the respondents had treated at least one case of zoonosis. Overall, 58% of the respondents considered that the current available evidence regarding zoonotic risk for transplanted children of having a pet is too scarce. In addition, up to 23% of the surveyed professionals recognized to be unaware or outdated. Still, 27% of the respondents would advise against buying a pet. Practitioners already owning a pet less frequently advised patients against pet ownership, whereas non-pet-owners were more keen to advise against pet ownership (p = 0.058). 61% of the participants stated that there were no institutional recommendations regarding pets in their centers/units. However, 43% of them reported therapeutic initiatives that involved animals in their centers. Infectious disease specialists were more likely to identify zoonotic agents among a list of pathogens compared to other specialists (p < 0.05). We have observed a huge heterogeneity among the recommendations that health care providers offer to families in terms of risk related to pet ownership for transplant recipients. The lack of evidence regarding these recommendations results in practitioners' recommendations based on personal experience.
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Affiliation(s)
- Lucía Platero
- Faculty of Medicine, Autonomous University of Madrid, Madrid, Spain
| | - Paula Garcia-Sanchez
- Pediatric Emergency Department, La Paz University Hospital, Madrid, Spain
- University Hospital La Paz Research Institute (IdiPAZ), Madrid, Spain
| | - Talía Sainz
- Faculty of Medicine, Autonomous University of Madrid, Madrid, Spain
- University Hospital La Paz Research Institute (IdiPAZ), Madrid, Spain
- Centro de Investigación en Red en Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain
- Pediatric Infectious Disease Department, La Paz University Hospital, Madrid, Spain
- ERN Transplant Child, Madrid, Spain
| | - Cristina Calvo
- Faculty of Medicine, Autonomous University of Madrid, Madrid, Spain
- University Hospital La Paz Research Institute (IdiPAZ), Madrid, Spain
- Centro de Investigación en Red en Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain
- Pediatric Infectious Disease Department, La Paz University Hospital, Madrid, Spain
- ERN Transplant Child, Madrid, Spain
| | | | - Fernando Esperon
- Veterinary Faculty, European University of Madrid, Madrid, Spain
| | - Ricardo de la Fuente
- Department of Animal Health, Veterinary Faculty, Complutense University, Madrid, Spain
| | - Esteban Frauca
- ERN Transplant Child, Madrid, Spain
- Pediatric Hepatology Department, La Paz University Hospital, Madrid, Spain
| | - Antonio Perez-Martinez
- Faculty of Medicine, Autonomous University of Madrid, Madrid, Spain
- University Hospital La Paz Research Institute (IdiPAZ), Madrid, Spain
- ERN Transplant Child, Madrid, Spain
- Pediatric Hemato-Oncology Department, La Paz University Hospital, Madrid, Spain
| | - Ana Mendez-Echevarria
- Faculty of Medicine, Autonomous University of Madrid, Madrid, Spain
- University Hospital La Paz Research Institute (IdiPAZ), Madrid, Spain
- Centro de Investigación en Red en Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain
- Pediatric Infectious Disease Department, La Paz University Hospital, Madrid, Spain
- ERN Transplant Child, Madrid, Spain
- *Correspondence: Ana Mendez-Echevarria
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M Boymelgreen A, Kunti G, Garcia-Sanchez P, Ramos A, Yossifon G, Miloh T. The role of particle-electrode wall interactions in mobility of active Janus particles driven by electric fields. J Colloid Interface Sci 2022; 616:465-475. [PMID: 35421638 DOI: 10.1016/j.jcis.2022.02.017] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Revised: 01/19/2022] [Accepted: 02/04/2022] [Indexed: 11/29/2022]
Abstract
HYPOTHESIS The interaction of active particles with walls can explain discrepancies between experiments and theory derived for particles in the bulk. For an electric field driven metallodielectric Janus particle (JP) adjacent to an electrode, interaction between the asymmetric particle and the partially screened electrode yields a net electrostatic force - termed self-dielectrophoresis (sDEP) - that competes with induced-charge electrophoresis (ICEP) to reverse particle direction. EXPERIMENTS The potential contribution of hydrodynamic flow to the reversal is evaluated by visualizing flow around a translating particle via micro-particle image velocimetry and chemically suppressing ICEP with poly(l-lysine)-g-poly(ethylene glycol) (PLL-PEG). Mobility of Polystyrene-Gold JPs is measured in KCl electrolytes of varying concentration and with a capacitive SiO2 coating at the metallic JP surface or electrode. Results are compared with theory and numerical simulations accounting for electrode screening. FINDINGS PLL-PEG predominantly suppresses low-frequency mobility where propulsive electro-hydrodynamic jetting is observed; supporting the hypothesis of an electrostatic driving force at high frequencies. Simulations and theory show the magnitude, direction and frequency dispersion of JP mobility are obtained by superposition of ICEP and sDEP using the JP height and capacitance as fitting parameters. Wall proximity enhances ICEP and sDEP and manifests a secondary ICEP charge relaxation time dominating in the contact limit.
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Affiliation(s)
- A M Boymelgreen
- Department of Mechanical and Materials Engineering, Florida International University, Miami, FL, 33174, USA.
| | - G Kunti
- Department of Mechanical Engineering, Technion - Israel Institute of Technology, Technion City, Haifa, 3200003, Israel
| | - P Garcia-Sanchez
- Departamento de Electrónica y Electromagnetismo, Facultad de Física, Universidad de Sevilla, Avenida Reina Mercedes s/n, Sevilla 41012, Spain
| | - A Ramos
- Departamento de Electrónica y Electromagnetismo, Facultad de Física, Universidad de Sevilla, Avenida Reina Mercedes s/n, Sevilla 41012, Spain
| | - G Yossifon
- Department of Mechanical Engineering, Technion - Israel Institute of Technology, Technion City, Haifa, 3200003, Israel
| | - T Miloh
- Department of Mechanical Engineering, Tel Aviv University, Ramat Aviv 6997801, Israel
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Garcia-Sanchez P, Lopez-Lopez R, Rubio-Gordon L, Rosich-Del Cacho B, Tesouro-Rodriguez L, Rivas-Paterna MA, Perez-Moneo Agapito MA, Garcia-Garcia S. [Childhood ischemic cerebrovascular disease in a paediatric emergency service: a descriptive study]. Rev Neurol 2018; 66:261-267. [PMID: 29645069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
AIM To describe the clinical presentation, risk factors and complementary tests in patients of our paediatric emergency service with a final diagnosis of ischemic stroke. PATIENTS AND METHODS Retrospective, analytical and observational study, performed in a Paediatric Emergency Service of a tertiary-level hospital. We included patients aged 1 month to 14 years during a 12-years period with a final diagnosis of ischemic cerebrovascular disease (CVD). We analyzed personal history, symptomatology and initial complementary tests. RESULTS Twelve patients were included, 66% males, with a median age of 77 months. 42% had remarkable history. The most frequent clinical manifestation was motor disorder (75%). 42% were diagnosed in the first 24 hours, noticing an earlier diagnosis after the introduction of a multidisciplinary protocol about CVD. CT was performed in all patients, except in two cases in whom MRI was performed. 50% of the CTs were initially normal. In the etiological study developed lately, only 42% of the patients had risk factors. 91% had some kind of sequel. CONCLUSIONS CVD is uncommon in pediatrics, but with a high morbimortality, so it is important to make an early diagnosis. Clinical and personal history are fundamental, nevertheless, we mainly deal with a previously healthy child without known risk factors at the time of the first evaluation. In case of clinical suspicion of stroke, a normal initial CT does not rule out a CVD, so other additional tests, such as MRI, are necessary.
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Clever M, Arnoux G, Balshaw N, Garcia-Sanchez P, Patel K, Sergienko G, Soler D, Stamp M, Williams J, Zastrow KD. A wide angle view imaging diagnostic with all reflective, in-vessel optics at JET. Fusion Engineering and Design 2013. [DOI: 10.1016/j.fusengdes.2013.01.038] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Arnoux G, Devaux S, Alves D, Balboa I, Balorin C, Balshaw N, Beldishevski M, Carvalho P, Clever M, Cramp S, de Pablos JL, de la Cal E, Falie D, Garcia-Sanchez P, Felton R, Gervaise V, Goodyear A, Horton A, Jachmich S, Huber A, Jouve M, Kinna D, Kruezi U, Manzanares A, Martin V, McCullen P, Moncada V, Obrejan K, Patel K, Lomas PJ, Neto A, Rimini F, Ruset C, Schweer B, Sergienko G, Sieglin B, Soleto A, Stamp M, Stephen A, Thomas PD, Valcárcel DF, Williams J, Wilson J, Zastrow KD. A protection system for the JET ITER-like wall based on imaging diagnostics. Rev Sci Instrum 2012; 83:10D727. [PMID: 23130796 DOI: 10.1063/1.4738742] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
The new JET ITER-like wall (made of beryllium and tungsten) is more fragile than the former carbon fiber composite wall and requires active protection to prevent excessive heat loads on the plasma facing components (PFC). Analog CCD cameras operating in the near infrared wavelength are used to measure surface temperature of the PFCs. Region of interest (ROI) analysis is performed in real time and the maximum temperature measured in each ROI is sent to the vessel thermal map. The protection of the ITER-like wall system started in October 2011 and has already successfully led to a safe landing of the plasma when hot spots were observed on the Be main chamber PFCs. Divertor protection is more of a challenge due to dust deposits that often generate false hot spots. In this contribution we describe the camera, data capture and real time processing systems. We discuss the calibration strategy for the temperature measurements with cross validation with thermal IR cameras and bi-color pyrometers. Most importantly, we demonstrate that a protection system based on CCD cameras can work and show examples of hot spot detections that stop the plasma pulse. The limits of such a design and the associated constraints on the operations are also presented.
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Affiliation(s)
- G Arnoux
- Euratom/CCFE Fusion Association, Culham Science Centre, Abingdon, Oxon, United Kingdom
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Martin A, Conde E, Arnan M, Canales MA, Deben G, Sancho JM, Andreu R, Salar A, Garcia-Sanchez P, Vazquez L, Nistal S, Requena MJ, Donato EM, Gonzalez JA, Leon A, Ruiz C, Grande C, Gonzalez-Barca E, Caballero MD. R-ESHAP as salvage therapy for patients with relapsed or refractory diffuse large B-cell lymphoma: the influence of prior exposure to rituximab on outcome. A GEL/TAMO study. Haematologica 2008; 93:1829-36. [DOI: 10.3324/haematol.13440] [Citation(s) in RCA: 136] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
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Mateos MV, Hernandez JM, Hernandez MT, Gutierrez NC, Palomera L, Fuertes M, Garcia-Sanchez P, Lahuerta JJ, de la Rubia J, Terol MJ, Sureda A, Bargay J, Ribas P, Alegre A, de Arriba F, Oriol A, Carrera D, Garcia-Larana J, Garcia-Sanz R, Blade J, Prosper F, Mateo G, Esseltine DL, van de Velde H, San Miguel JF. Bortezomib plus melphalan and prednisone in elderly untreated patients with multiple myeloma: updated time-to-events results and prognostic factors for time to progression. Haematologica 2008; 93:560-5. [DOI: 10.3324/haematol.12106] [Citation(s) in RCA: 70] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
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