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News and Notes 97
96 Injury Prevention 1998;4:96–97 ... while in Canada, helmet laws nated eVorts. It sets targets for the reduction Inj Prev: first published as 10.1136/ip.4.2.96 on 1 June 1998. Downloaded from knocked of deaths and injuries requiring hospitalisa- NEWS AND tion for traYc collisions, fires, drownings, and As summer approached, the debate over those in the workplace and home. Recognis- NOTES bicycle helmets in Canada was heating up. ing the lack of information on sport and rec- Countering a growing movement to get reational injuries the report notes that this helmet laws passed in every province is an area requires further attention. Further details: organization called the Ontario Coalition for Minister’s Injury Prevention Committee, c/o Better Cycling whose web site applauds the OYce for Injury Prevention, Environmental Revised injury control manual from failures of helmet law lobbyists and the Health Assessment and Safety Branch, BC Ministry of Health, 7-1 1515 Blanshard AAP watering down of Ontario’s law (only cyclists younger than 18 must wear helmets or face a Street, Victoria BC V8V 3C8, Canada (fax: The new injury control manual from the fine in that province). The group argues that +1 250 952 1342). American Academy of Pediatrics (AAP) is the government should instead mandate now available and by all accounts is well cycling education in schools, on the grounds Our Healthier Nation worth looking at. It contains new chapters on that more crashes and injuries can be violence, sports injuries, agricultural injuries, prevented “by getting children to appreciate A Contract for Health is how the UK govern- the need to cycle responsibly”. -
Management of Poisoning
MOH CLINICAL PRACTICE GUIDELINES December/2011 Management of Poisoning Health Ministry of Sciences Chapter of Emergency College of College of Family Manpower Authority Physicians Physicians, Physicians Academy of Medicine, Singapore Singapore Singapore Singapore Medical Pharmaceutical Society Society for Emergency Toxicology Singapore Paediatric Association of Singapore Medicine in Singapore Society (Singapore) Society Executive summary of recommendations Details of recommendations can be found in the main text at the pages indicated. Principles of management of acute poisoning – resuscitating the poisoned patient GPP In a critically poisoned patient, measures beyond standard resuscitative protocol like those listed above need to be implemented and a specialist experienced in poisoning management should be consulted (pg 55). GPP D Prolonged resuscitation should be attempted in drug-induced cardiac arrest (pg 55). Grade D, Level 3 1 C Titrated doses of naloxone, together with bag-valve-mask ventilation, should be administered for suspected opioid-induced coma, prior to intubation for respiratory insuffi ciency (pg 56). Grade C, Level 2+ D In bradycardia due to calcium channel or beta-blocker toxicity that is refractory to conventional vasopressor therapy, intravenous calcium, glucagon or insulin should be used (pg 57). Grade D, Level 3 B Patients with actual or potential life threatening cardiac arrhythmia, hyperkalaemia or rapidly progressive toxicity from digoxin poisoning should be treated with digoxin-specifi c antibodies (pg 57). Grade B, Level 2++ B Titrated doses of benzodiazepine should be given in hyperadrenergic- induced tachycardia states resulting from poisoning (pg 57). Grade B, Level 1+ D Non-selective beta-blockers, like propranolol, should be avoided in stimulant toxicity as unopposed alpha agonism may worsen accompanying hypertension (pg 57). -
Development of a Quantitative PCR Assay for the Detection And
bioRxiv preprint doi: https://doi.org/10.1101/544247; this version posted February 8, 2019. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY-NC-ND 4.0 International license. Development of a quantitative PCR assay for the detection and enumeration of a potentially ciguatoxin-producing dinoflagellate, Gambierdiscus lapillus (Gonyaulacales, Dinophyceae). Key words:Ciguatera fish poisoning, Gambierdiscus lapillus, Quantitative PCR assay, Great Barrier Reef Kretzschmar, A.L.1,2, Verma, A.1, Kohli, G.S.1,3, Murray, S.A.1 1Climate Change Cluster (C3), University of Technology Sydney, Ultimo, 2007 NSW, Australia 2ithree institute (i3), University of Technology Sydney, Ultimo, 2007 NSW, Australia, [email protected] 3Alfred Wegener-Institut Helmholtz-Zentrum fr Polar- und Meeresforschung, Am Handelshafen 12, 27570, Bremerhaven, Germany Abstract Ciguatera fish poisoning is an illness contracted through the ingestion of seafood containing ciguatoxins. It is prevalent in tropical regions worldwide, including in Australia. Ciguatoxins are produced by some species of Gambierdiscus. Therefore, screening of Gambierdiscus species identification through quantitative PCR (qPCR), along with the determination of species toxicity, can be useful in monitoring potential ciguatera risk in these regions. In Australia, the identity, distribution and abundance of ciguatoxin producing Gambierdiscus spp. is largely unknown. In this study we developed a rapid qPCR assay to quantify the presence and abundance of Gambierdiscus lapillus, a likely ciguatoxic species. We assessed the specificity and efficiency of the qPCR assay. The assay was tested on 25 environmental samples from the Heron Island reef in the southern Great Barrier Reef, a ciguatera endemic region, in triplicate to determine the presence and patchiness of these species across samples from Chnoospora sp., Padina sp. -
Approach to the Poisoned Patient
PED-1407 Chocolate to Crystal Methamphetamine to the Cinnamon Challenge - Emergency Approach to the Intoxicated Child BLS 08 / ALS 75 / 1.5 CEU Target Audience: All Pediatric and adolescent ingestions are common reasons for 911 dispatches and emergency department visits. With greater availability of medications and drugs, healthcare professionals need to stay sharp on current trends in medical toxicology. This lecture examines mind altering substances, initial prehospital approach to toxicology and stabilization for transport, poison control center resources, and ultimate emergency department and intensive care management. Pediatric Toxicology Dr. James Burhop Pediatric Emergency Medicine Children’s Hospital of the Kings Daughters Objectives • Epidemiology • History of Poisoning • Review initial assessment of the child with a possible ingestion • General management principles for toxic exposures • Case Based (12 common pediatric cases) • Emerging drugs of abuse • Cathinones, Synthetics, Salvia, Maxy/MCAT, 25I, Kratom Epidemiology • 55 Poison Centers serving 295 million people • 2.3 million exposures in 2011 – 39% are children younger than 3 years – 52% in children younger than 6 years • 1-800-222-1222 2011 Annual report of the American Association of Poison Control Centers Toxic Exposure Surveillance System Introduction • 95% decline in the number of pediatric poisoning deaths since 1960 – child resistant packaging – heightened parental awareness – more sophisticated interventions – poison control centers Epidemiology • Unintentional (1-2 -
Methadone Poisonings in France
2019 Extended Abstract Clinical Pharmacology & Toxicology Journal Vol. 3 No.2 Methadone Poisonings in France: A Seven-Year Experience of the French Poison Control Center Network Katharina von Fabeck1, Romain Torrents1, 2, Mathieu Glaizal1, Luc de Haro1, Nicolas Simon 1 Centre Antipoison et de Toxicovigilance, Service de Pharmacologie Clinique, Hôpital Sainte Marguerite, APHM, Marseille, France 2 Aix-Marseille University, Marseille, France Methadone is an opioid agonist prescribed in France for the methadone must be considered as a highly toxic medicine. treatment of opioid dependency. In order to evaluate the This investigation is a review examination of methadone exposures clinical toxicity of methadone, the authors present a seven- answered to the nine FPCC between October 15, 2010 and October year experience of the French Poison Control Center (FPCC) 15, 2017. The two pharmaceutical structures (case and syrup) Network at the national level. This study is a retrospective were thought of. Youth inadvertent poisonings were prohibited analysis of methadone exposures reported to the nine FPCC (diverse examination). 1415 instances of methadone harming between October 15th 2010 and October 15th 2017. The two were incorporated (29% female, 71% male, normal age 34 +/ - pharmaceutical forms (capsule and syrup) were considered. 10). 90% of the patients had history of compulsion and 69% were Childhood accidental poisonings were excluded (different treated with methadone (31% were gullible patients). The two study). 1415 cases of methadone poisoning were included (29% primary conditions were addictions (47% of the cases) and self- female, 71% male, average age 34 +/-10). 90% of the patients destruction endeavors (41%). In 45% of the cases it was containers, had history of addiction and 69% were treated with methadone in 35% syrup, obscure for 20%. -
Ciguatera: Current Concepts
Ciguatera: Current concepts DAVID Z. LEVINE, DO Ciguatera poisoning develops unraveling the diagnosis may prove difficult. after ingestion of certain coral reef-asso Although the syndrome has been known for at ciated fish. With travel to and from the least hundreds of years, its mechanisms are tropics and importation of tropical food only beginning to be elucidated. Effective treat fish increasing, ciguatera has begun to ments have just begun to emerge. appear in temperate countries with more Ciguatera is a major public health prob frequency. The causative agents are cer lem in the tropics, with probably more than tain varieties of the protozoan dinofla 30,000 poisonings yearly in Puerto Rico and gellate Gambierdiscus toxicus, but bacte the US Virgin Islands alone. The endemic area ria associated with these protozoa may is bounded by latitudes 37° north and south. have a role in toxin elaboration. A specif Ciguatera in temperate countries is a concern ic "ciguatoxin" seems to cause the symptoms, because people returning from business trips, but toxicosis may also be a result of a fam vacations, or living in the tropics may have ily of toxins. Toxicosis develops from 10 been poisoned through food they had eaten. minutes to 30 hours after ingestion of poi The development of worldwide marketing of soned fish, and the syndrome can include fish from a variety of ecosystems creates a dan gastrointestinal and neurologic symptoms, ger of ciguatera intoxication in climates far as well as chills, sweating, pruritus, brady removed from sandy beaches and waving·palms. cardia, tachycardia, and long-lasting weak Outbreaks have been reported in Vermont, ness and fatigue. -
Poisoning in Children
ARTICLE IN PRESS Current Paediatrics (2005) 15, 563–568 www.elsevier.com/locate/cupe Poisoning in children Fiona JepsenÃ, Mary Ryan Emergency Medicine, Royal Liverpool Children’s NHS Trust, Alder Hey, Liverpool L12 2AP, UK KEYWORDS Summary Poisoning accounts for about 7% of all accidents in children under 5 Poisoning; years and is implicated in about 2% of all childhood deaths in the developed world, Child; and over 5% in the developing world (National Poisons Information Service). In Accidents; considering this topic, however, it is important to differentiate accidental overdose Home (common in the younger age groups) and deliberate overdose (more common in young adults). Although initial assessment and treatment of these groups may not differ significantly, the social issues and ongoing follow-up of these children will be totally different and the treating physician must remain aware of this difference. The initial identification and treatment of these children remains the mainstay of management, and many ingested substances do not have a specific antidote. Supportive treatment must be planned and the potential for delayed or long-term effects noted. The specific presentation and treatment of some of the commonly ingested substances will be addressed in this article, and guidance given on when to contact expert help. & 2005 Elsevier Ltd. All rights reserved. Introduction such as bleaches, detergents and turpentine sub- stitutes. More than 100 000 individuals are admitted to Toxic compounds may be ingested or inhaled hospital in England and Wales annually due to either accidentally or deliberately. Accidental poisoning, accounting for 10% of all acute admis- poisoning can occur at any age, but is much more 1 sions.1 However, the true incidence of acute common in children. -
Acute Poisoning: Understanding 90% of Cases in a Nutshell S L Greene, P I Dargan, a L Jones
204 REVIEW Postgrad Med J: first published as 10.1136/pgmj.2004.027813 on 5 April 2005. Downloaded from Acute poisoning: understanding 90% of cases in a nutshell S L Greene, P I Dargan, A L Jones ............................................................................................................................... Postgrad Med J 2005;81:204–216. doi: 10.1136/pgmj.2004.024794 The acutely poisoned patient remains a common problem Paracetamol remains the most common drug taken in overdose in the UK (50% of intentional facing doctors working in acute medicine in the United self poisoning presentations).19 Non-steroidal Kingdom and worldwide. This review examines the initial anti-inflammatory drugs (NSAIDs), benzodiaze- management of the acutely poisoned patient. Aspects of pines/zopiclone, aspirin, compound analgesics, drugs of misuse including opioids, tricyclic general management are reviewed including immediate antidepressants (TCAs), and selective serotonin interventions, investigations, gastrointestinal reuptake inhibitors (SSRIs) comprise most of the decontamination techniques, use of antidotes, methods to remaining 50% (box 1). Reductions in the price of drugs of misuse have led to increased cocaine, increase poison elimination, and psychological MDMA (ecstasy), and c-hydroxybutyrate (GHB) assessment. More common and serious poisonings caused toxicity related ED attendances.10 Clinicians by paracetamol, salicylates, opioids, tricyclic should also be aware that severe toxicity can result from exposure to non-licensed pharmaco- -
Veterinary Toxicology
GINTARAS DAUNORAS VETERINARY TOXICOLOGY Lecture notes and classes works Study kit for LUHS Veterinary Faculty Foreign Students LSMU LEIDYBOS NAMAI, KAUNAS 2012 Lietuvos sveikatos moksl ų universitetas Veterinarijos akademija Neužkre čiam ųjų lig ų katedra Gintaras Daunoras VETERINARIN Ė TOKSIKOLOGIJA Paskait ų konspektai ir praktikos darb ų aprašai Mokomoji knyga LSMU Veterinarijos fakulteto užsienio studentams LSMU LEIDYBOS NAMAI, KAUNAS 2012 UDK Dau Apsvarstyta: LSMU VA Veterinarijos fakulteto Neužkre čiam ųjų lig ų katedros pos ėdyje, 2012 m. rugs ėjo 20 d., protokolo Nr. 01 LSMU VA Veterinarijos fakulteto tarybos pos ėdyje, 2012 m. rugs ėjo 28 d., protokolo Nr. 08 Recenzavo: doc. dr. Alius Pockevi čius LSMU VA Užkre čiam ųjų lig ų katedra dr. Aidas Grigonis LSMU VA Neužkre čiam ųjų lig ų katedra CONTENTS Introduction ……………………………………………………………………………………… 7 SECTION I. Lecture notes ………………………………………………………………………. 8 1. GENERAL VETERINARY TOXICOLOGY ……….……………………………………….. 8 1.1. Veterinary toxicology aims and tasks ……………………………………………………... 8 1.2. EC and Lithuanian legal documents for hazardous substances and pollution ……………. 11 1.3. Classification of poisons ……………………………………………………………………. 12 1.4. Chemicals classification and labelling ……………………………………………………… 14 2. Toxicokinetics ………………………………………………………………………...………. 15 2.2. Migration of substances through biological membranes …………………………………… 15 2.3. ADME notion ………………………………………………………………………………. 15 2.4. Possibilities of poisons entering into an animal body and methods of absorption ……… 16 2.5. Poison distribution -
International Student Guide Welcome !
International Student guide www.univ-paris-diderot.fr Welcome ! Dear students from around the world, You have decided to come and study at Université Paris Diderot, the only multi-disciplinary university in Paris. Each year, around 6,000 foreign students register with Université Paris Diderot either individually or in the context of a mobility programme. To make your arrival and integration within the university easier, we suggest that you start by preparing for the various administrative and educational formalities awaiting you before and after your arrival, not to mention the many services available on the university campus, now. This guide is at your disposal to assist you in passing your courses at Université Paris Diderot. The International relations office Welcome to Université Paris Diderot pg. 5 Living in Paris pg. 31 Presentation of Université Paris Diderot Administrative formalities • A bit of background pg. 6 • Visas and residence permits pg. 32 • Courses pg. 8 • Social and medical cover pg. 35 • Foreign students pg. 9 • International relations office (BRI) pg. 9 Financing your programme • Grants from the French government pg. 38 Study organisation • Specific programmes pg. 39 • The LMD reform pg.10 • CROUS (Student services) grants from pg. 40 the Ministry of National Education (MEN) • The European Credit Transfer pg. 11 System (ECTS) Contents • The university calendar pg. 12 Working in France • Legislation pg. 41 How to register • Job vacancies pg. 43 • Registration at the university pg. 13 • Students registering individually pg. 14 Accommodation • Students on mobility programmes p. 24 • Types of accommodation pg. 44 • Financial assistance for housing pg. 51 Learning French • Intensive course in French language pg. -
615.9Barref.Pdf
INDEX Abortifacient, abortifacients bees, wasps, and ants ginkgo, 492 aconite, 737 epinephrine, 963 ginseng, 500 barbados nut, 829 blister beetles goldenseal blister beetles, 972 cantharidin, 974 berberine, 506 blue cohosh, 395 buckeye hawthorn, 512 camphor, 407, 408 ~-escin, 884 hypericum extract, 602-603 cantharides, 974 calamus inky cap and coprine toxicity cantharidin, 974 ~-asarone, 405 coprine, 295 colocynth, 443 camphor, 409-411 ethanol, 296 common oleander, 847, 850 cascara, 416-417 isoxazole-containing mushrooms dogbane, 849-850 catechols, 682 and pantherina syndrome, mistletoe, 794 castor bean 298-302 nutmeg, 67 ricin, 719, 721 jequirity bean and abrin, oduvan, 755 colchicine, 694-896, 698 730-731 pennyroyal, 563-565 clostridium perfringens, 115 jellyfish, 1088 pine thistle, 515 comfrey and other pyrrolizidine Jimsonweed and other belladonna rue, 579 containing plants alkaloids, 779, 781 slangkop, Burke's, red, Transvaal, pyrrolizidine alkaloids, 453 jin bu huan and 857 cyanogenic foods tetrahydropalmatine, 519 tansy, 614 amygdalin, 48 kaffir lily turpentine, 667 cyanogenic glycosides, 45 lycorine,711 yarrow, 624-625 prunasin, 48 kava, 528 yellow bird-of-paradise, 749 daffodils and other emetic bulbs Laetrile", 763 yellow oleander, 854 galanthamine, 704 lavender, 534 yew, 899 dogbane family and cardenolides licorice Abrin,729-731 common oleander, 849 glycyrrhetinic acid, 540 camphor yellow oleander, 855-856 limonene, 639 cinnamomin, 409 domoic acid, 214 rna huang ricin, 409, 723, 730 ephedra alkaloids, 547 ephedra alkaloids, 548 Absorption, xvii erythrosine, 29 ephedrine, 547, 549 aloe vera, 380 garlic mayapple amatoxin-containing mushrooms S-allyl cysteine, 473 podophyllotoxin, 789 amatoxin poisoning, 273-275, gastrointestinal viruses milk thistle 279 viral gastroenteritis, 205 silibinin, 555 aspartame, 24 ginger, 485 mistletoe, 793 Medical Toxicology ofNatural Substances, by Donald G. -
CURRICULUM VITAE Nicolas Chevalier, Born 26Th of January 1983, French
CURRICULUM VITAE Nicolas Chevalier, born 26th of January 1983, French EDUCATION 2007 – 2010 PhD in Physics, Pierre & Marie Curie University, Saclay, France, top honors Thesis in experimental biophysics: « The influence of organic surfaces on the heterogeneous nucleation of calcium carbonate », under the supervision of Dr. P. Guenoun, LIONS laboratory, CEA Saclay. 2001 – 2006 M.S. in Physics, Swiss Federal Institute of Technology, EPFL, Lausanne, Switzerland Thesis work: modeling of crystal growth in gels, Prof. M. Droz, University of Geneva. 2003 – 2004 Lomonossov State University (MSU), Physics Faculty, Russia. 3rd Year abroad 2000 Scientific Baccalaureate, Lycée Français de Vienne, Austria, with top honors WORK EXPERIENCE 2016 – CNRS CR2 Researcher, Biophysics & Physical Embryology Laboratoire Matière Systèmes Complexes (MSC), Paris Diderot University, France Together with my collaborators, I Demonstrated that the first digestive movements in the embryo are due to mechanosensitive smooth muscle calcium waves and that they drive the anisotropic morphogenesis of the intestine. I developed the first robust protocol to grow embryonic intestinal explants in culture. Demonstrated key roles of the enteric nervous system in coordinating contractions of longitudinal and circular smooth muscle layers, giving rise to peristaltic transport. I demonstrated how the pressure-sensitive reflex of the intestine arises during embryonic development by asymmetric mechanosensitive neural inhibition of the smooth muscle layer. Revealed a nematic orientation phase transition of neurons in the developing mouse gut, driven by extracellular matrix (second harmonic generation microscopy). Developed novel methods to quantify the biophysical frictional properties of hair fibers, and elaborated a method to produce hydrophobic powders with important industrial applications. Collaborated with biologists to quantify intestinal motility in a desmin KO mouse model (A.