Spatial and temporal trends of bat-borne rabies in Chile

Escobar, Luis E.; Restif, Olivier; Yung, Verónica; Favi, Myriam; Pons, Daniel J.; Medina-Vogel, Gonzalo

doi:10.1017/s095026881400226x

Cited by 28 publications

(54 citation statements)

References 23 publications

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“…The authors of that study found that increased BT was independently associated with longer hospital stay (RR 3.2 in patients undergoing > 4 BT) and increased mortality (RR 4.1 if > 4 BT) [20]. Roubinian et al found that after implementation of blood conservation strategies in critical care patients, the incidence of BT decreased significantly but mortality did not change [21].…”

Section: Discussionmentioning

confidence: 99%

Robotic Partial Nephrectomy in a Jehovah’s Witness Population

Eun¹

2015

JURNOA

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Research ArticleAnother group in which BT utilization is limited is the Jehovah's Witness (JW) population. The JW religion is a Christianbased faith founded in the United States characterized by the avoidance of BT, even if it may lead to morbidity or mortality [10]. Because of this belief, many JW patients may experience difficulty in finding surgeons willing to perform elective major operations.Partial Nephrectomy (PN) has been recognized as the standard of care operation for the small renal mass (< 4cm) [11]. While PN has been heralded as a nephron-sparing surgical approach, the incidence of post-operative complications -including hemorrhage and pseudoaneurysm -may prevent widespread adoption [12]. One potential advantage of Robotic Partial Nephrectomy (RPN) is that it may mitigate the hemorrhagic complications and thus make this operation more accessible [13]. This could have particular applications in the JW population.We present the first published series of RPN in a group of JW patients. MethodsAfter proper internal review board approval, we prospectively maintained a database of JW patients undergoing RPN between 2010-2014. The procedures were performed by a single surgeon at two institutions. Preoperative optimization with a hematologist was sought on every procedure, as a part of the Bloodless Medicine program at our institution.All procedures were performed in a transperitoneal fashion. Intraoperative ultrasound was used to localize the tumor, and artery-only clamping was performed unless venous backbleeding was encountered. Tumor excision was performed using a standard technique, with cold scissors and gentle retraction.Renorrhaphy was performed using our innovation of the sliding-clip technique [14], which is unique to our institution. The suture consists of two V-LOC (Medtronic, Minneapolis, MN) sutures attached at the tails Figure 1. The first layer of closure is performed using the 3-0 V-LOC with a CV-23 needle, which is similar to a RV-1. Critical to this step is the approximation of the corticomedullary junction, as this tends to be the stronger layer. Also important in this step is the closure of any collecting Abstract Background: Recent interest in "bloodless" surgery places the urologic surgeon in a difficult position, especially as surgeries such as partial nephrectomy with an increased risk of bleeding, grow in popularity and the availability of blood for transfusion decreases. Jehovah's Witnesses are a religious group that refuses blood transfusion on religious grounds, which necessitates surgery in a setting where blood transfusion is not an option.

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Section: Discussionmentioning

confidence: 99%

Robotic Partial Nephrectomy in a Jehovah’s Witness Population

Eun¹

2015

JURNOA

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“…The 50-km spatial resolution of Ecoclimate variables mitigate the high spatial lag of finer-resolution climatic layers [52,53], which can produce flawed estimates due to high spatial autocorrelation from statistical downscaling [32,53]. We argue that during exploratory analyses, coarse-scale variables are useful for identifying plausible constraints for species establishment.…”

Section: Discussionmentioning

confidence: 99%

Forecasting distributions of an aquatic invasive species (Nitellopsis obtusa) under future climate scenarios

et al. 2017

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Starry stonewort (Nitellopsis obtusa) is an alga that has emerged as an aquatic invasive species of concern in the United States. Where established, starry stonewort can interfere with recreational uses of water bodies and potentially have ecological impacts. Incipient invasion of starry stonewort in Minnesota provides an opportunity to predict future expansion in order to target early detection and strategic management. We used ecological niche models to identify suitable areas for starry stonewort in Minnesota based on global occurrence records and present-day and future climate conditions. We assessed sensitivity of forecasts to different parameters, using four emission scenarios (i.e., RCP 2.6, RCP 4.5, RCP 6, and RCP 8.5) from five future climate models (i.e., CCSM, GISS, IPSL, MIROC, and MRI). From our niche model analyses, we found that (i) occurrences from the entire range, instead of occurrences restricted to the invaded range, provide more informed models; (ii) default settings in Maxent did not provide the best model; (iii) the model calibration area and its background samples impact model performance; (iv) model projections to future climate conditions should be restricted to analogous environments; and (v) forecasts in future climate conditions should include different future climate models and model calibration areas to better capture uncertainty in forecasts. Under present climate, the most suitable areas for starry stonewort are predicted to be found in central and southeastern Minnesota. In the future, suitable areas for starry stonewort are predicted to shift in geographic range under some future climate models and to shrink under others, with most permutations indicating a net decrease of the species’ suitable range. Our suitability maps can serve to design short-term plans for surveillance and education, while future climate models suggest a plausible reduction of starry stonewort spread in the long-term if the trends in climate warming remain.

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“…To prevent human rabies and to monitor rabies exposure, Colombian government uses a complexity of the Colombian territory [12]. On the other hand, studies of distribution and spatial analysis of human rabies or rabies exposure in humans in Colombia are few but frequently found about livestock rabies [13,14].…”

Section: Author Summarymentioning

confidence: 99%

Spatiotemporal analysis of human rabies exposure in Colombia during ten years: A challenge for implementing social inclusion in its surveillance and prevention

Caicedo

Rocío

Xavier

et al. 2019

Preprint

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Based on reported cases of human rabies exposure to Colombia public health surveillance system between 2007 and 2016 we conducted a spatiotemporal analysis to identify epidemiological scenarios of human rabies exposure by dog, cat, bat or farm animal (n= 666,411 cases).Spatiotemporal analysis, incidence rate, cluster and outlier analysis were conducted for all Colombian cities (n= 1122). The incidence rate of human rabies exposure by dogs and cats showed an increasing trend while aggression by bats and farm animals fluctuated throughout the analyzed period. Human rabies transmitted by cat and bat occurred in Andean and Orinoquia region, where the larger scenario was observed. There, urban scenario showed high risk to human rabies exposure by cat and dog in cities characterized for having the highest human population density and greater economic development. In contrary, rural area where was observed high risk of human rabies exposure by farm animals in workers from agroforestry area (42.7%). exposed to rabies by contact of mucosa or injured skin with saliva infected with rabies virus (74.5%) composed rural scenario. In Inequality scenario, exposure by farm animals showed some outlier cities with high risk principally in Pacific region, where was observed the lowest incidence rates to human rabies exposure in all years studied and the highest poverty rates in Colombia. There, afro-descendant (55%) and indigenous (8.2%) people were mostly affected. High risk of exposure by bat bite was observed in indigenous (98.5%) located in cities of Amazon region with dispersed population (Amazonian scenario). Analysis presented here can encourage surveillance, care and prevention programs to focus both on ethnic, dispersed populations and areas with rabies viral circulation, since each scenario requires different approach strategies.

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Spatial and temporal trends of bat-borne rabies in Chile

Cited by 28 publications

References 23 publications

Robotic Partial Nephrectomy in a Jehovah’s Witness Population

Robotic Partial Nephrectomy in a Jehovah’s Witness Population

Forecasting distributions of an aquatic invasive species (Nitellopsis obtusa) under future climate scenarios

Spatiotemporal analysis of human rabies exposure in Colombia during ten years: A challenge for implementing social inclusion in its surveillance and prevention

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