Listeria monocytogenes: Report of a rise in pregnant women and literature review Listeria monocytogenes, rare pathogen in the general population, causes serious infections in patients at the extreme ages of life, pregnant woman, and those with immunosuppression. The clinical manifestations are essential to suspect the disease in patients at risk, allowing an early prescription of antimicrobial therapy, before the results of the cultures are available. Clinical course and prognosis depends on how early treatment is started and, in pregnant women, the gestational age. In Clínica Alemana, at Santiago, we detected a 15 fold rate rise of neonatal listeriosis between year 2007 and 2008. Ten cases were diagnosed between January and July 2008 and the seven cases occurring in pregnant women are reported here. All these patients were in their first pregnancy, which could be associated with similar lifestyle and food habits. Considering this new epidemiological scenario, it is important to educate the population, and to conduct an epidemiological study in order to determine the national situation of Listeria monocytogenes infection.
In 21st century cities, an adequate urban design represents a great opportunity to reduce the number of trips and distances travelled. It is also known that improving city design and transportation networks could reduce carbon emissions more than replacing all fossil fuels with renewable energies. With this background, it seems fundamental to focus on the systemic relationship between urban forms and travel choices behaviours. In the case of the city of Cuenca (Ecuador,) in the last 5 years, more than 70 mono-functional urbanization and condos, many of them being gated-communities, have been built outside the urban limits. These form of urbanization is supported both by public and private promoters. Due to this situation, this research project seeks to determine the relationship between the location of these urbanizations and condos, with the travel choice behaviour of users. Geographic information systems, Q methodology, travel diaries and qualitative methods where used for data collection and spatial representation. Three discourses were found, people who preferred the proximity to nature and open spaces, other who gave more importance to efficient mobility and the last ones for whom security was the most important aspect. This work opens possibilities for further research on the importance of urban form for sustainable planning and mobility.
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