5 results
How to improve clinical practice on involuntary hospital admissions of psychiatric patients: Suggestions from the EUNOMIA study
- A. Fiorillo, C. De Rosa, V. Del Vecchio, L. Jurjanz, K. Schnall, G. Onchev, S. Alexiev, J. Raboch, L. Kalisova, A. Mastrogianni, E. Georgiadou, Z. Solomon, A. Dembinskas, V. Raskauskas, P. Nawka, A. Nawka, A. Kiejna, T. Hadrys, F. Torres-Gonzales, F. Mayoral, A. Björkdahl, L. Kjellin, S. Priebe, M. Maj, T. Kallert
-
- Journal:
- European Psychiatry / Volume 26 / Issue 4 / May 2011
- Published online by Cambridge University Press:
- 16 April 2020, pp. 201-207
-
- Article
- Export citation
-
Number and procedures of involuntary hospital admissions vary in Europe according to the different socio-cultural contexts. The European Commission has funded the EUNOMIA study in 12 European countries in order to develop European recommendations for good clinical practice in involuntary hospital admissions. The recommendations have been developed with the direct and active involvement of national leaders and key professionals, who worked out national recommendations, subsequently summarized into a European document, through the use of specific categories. The need for standardizing the involuntary hospital admission has been highlighted by all centers. In the final recommendations, it has been stressed the need to: providing information to patients about the reasons for hospitalization and its presumable duration; protecting patients’ rights during hospitalization; encouraging the involvement of family members; improving the communication between community and hospital teams; organizing meetings, seminars and focus-groups with users; developing training courses for involved professionals on the management of aggressive behaviors, clinical aspects of major mental disorders, the legal and administrative aspects of involuntary hospital admissions, on communication skills. The results showed the huge variation of involuntary hospital admissions in Europe and the importance of developing guidelines on this procedure.
Evaluation of soil intake by growing Creole young bulls in common grazing systems in humid tropical conditions
- S. Jurjanz, C. Collas, M. L. Lastel, X. Godard, H. Archimède, G. Rychen, M. Mahieu, C. Feidt
-
- Article
- Export citation
-
Soil is the main matrix which contributes to the transfer of environmental pollutants to animals and consequently into the food chain. In the French West Indies, chlordecone, a very persistent organochlorine pesticide, has been widely used on banana growing areas and this process has resulted in a long-term pollution of the corresponding soils. Domestic outside-reared herbivores are exposed to involuntary soil intake, and tethered grazing commonly used in West Indian systems can potentially favour their exposure to chlordecone. Thus, it appears necessary to quantify to what extent grazing conditions will influence soil intake. This experiment consisted of a cross-over design with two daily herbage allowance (DHA) grazed alternatively. Six young Creole bulls were distributed into two groups (G1 and G2) according to their BW. The animals were individually tethered and grazed on a restrictive (RES) or non-restrictive (NRES) levels of DHA during two successive 10-days periods. Each bull progressed on a new circular area every day. The two contrasting levels of DHA (P<0.001) were obtained via a different daily grazing surface area (RES: 20 m2/animal, NRES: 31 m2/animal; P<0.01) offered to the animals by the modulation of the length of the tethering chain (RES: 1.9 m, NRES: 2.6 m). These differences in offered grazing areas resulted in DHA of 71 and 128 g DM/kg BW0.75, respectively for RES and NRES treatments. As expected, the animals grazing on the reduced area realized a lower daily dry matter intake (DMI) (RES: 1.12 kg/100 kg BW, NRES: 1.83 kg/100 kg BW; P<0.05) and present a lower organic matter digestibility (RES: 0.67, NRES: 0.73; P<0.01) than NRES ones, due in part to the shorter post-grazing sward surface height (RES: 3.3 cm, NRES: 5.2 cm; P<0.01) of their grazing circles. Soil intake was estimated on an individual level based on the ratio of the marker titanium in soil, herbage and faeces. Grazing closer to the ground, animals on RES treatment ingested a significantly higher proportion of soil in their total DMI (RES: 9.3%, NRES: 4.4%; P<0.01). The amount of ingested soil in the diet was not significantly different between the two treatments (RES: 98 g/100 kg BW, NRES: 78 g/100 kg BW; P>0.05) due to the lower DMI of RES compared with NRES treatment.
Plant and soil intake by organic broilers reared in tree- or grass-covered plots as determined by means of n-alkanes and of acid-insoluble ash
- S. Jurjanz, K. Germain, H. Juin, C. Jondreville
-
- Article
- Export citation
-
Free-range birds such as organic broilers may ingest soil and plants during exploration. The estimation of such intakes is of great interest to quantify possible nutritional supplies and also to evaluate the risk of exposure to parasites or to environmental contaminants. Marker-based techniques are now available and would allow to quantify plant and, especially, soil intake in free-range birds, and this quantification was the aim of this study. Methodologically, the proportion of plants in diet intake was determined first using a method based on n-alkanes. Subsequently, the fraction of soil in the total intake was estimated with a second marker, acid-insoluble ash. This approach was carried out to estimate ingested amounts of plants and soil for five successive flocks of organic broilers, exploring grass-covered yards or those under trees, at two time points for each yard: 51 and 64 days of age. Each factor combination (yard type×period=flock number×age) was repeated on two different yards of 750 broilers each.
The birds’ plant intake varied widely, especially on grass-covered yards. The proportion of plant intake was significantly higher on grass-covered plots than under trees and was also affected, but to a lesser extent, by age or flock number. The ingestion of plants would generally not exceed 11 g of DM daily, except two extreme outliers of nearly 30 g. The daily plant intake under trees tended to be lower and never exceeded 7 g of DM. The amount of ingested plants increased significantly for spring flocks. It increased slightly but significantly with age. The proportion of ingested soil was significantly higher under trees than on grass-covered yards. Dry soil intake was generally low with not more than 3 g per day. Only in adverse conditions – that is, older birds exploring yards under trees in winter – soil intake reached the extreme value of nearly 5 g. Broilers on yards under trees ingested significantly more soil than on grass-covered yards with least square means of, respectively, 2.1 and 1.1 g dry soil per day. These quantifications would allow us to evaluate the impact of plant and soil intake in the management of free-range broilers, especially for the management in organic farming systems. Nevertheless, under the two rearing conditions tested in the current study, the quite low proportions of soil intakes would represent a low risk for the safety of the produced food, unless the birds explore yards on heavily contaminated soil.
Soil intake of lactating dairy cows in intensive strip grazing systems
- S. Jurjanz, C. Feidt, L. A. Pérez-Prieto, H. M. N. Ribeiro Filho, G. Rychen, R. Delagarde
-
- Article
- Export citation
-
Involuntary soil intake by cows on pasture can be a potential route of entry for pollutants into the food chain. Therefore, it appears necessary to know and quantify factors affecting soil intake in order to ensure the food safety in outside rearing systems. Thus, soil intake was determined in two Latin square trials with 24 and 12 lactating dairy cows. In Trial 1, the effect of pasture allowance (20 v. 35 kg dry matter (DM) above ground level/cow daily) was studied for two sward types (pure perennial ryegrass v. mixed perennial ryegrass–white clover) in spring. In Trial 2, the effect of pasture allowance (40 v. 65 kg DM above ground level/cow daily) was studied at two supplementation levels (0 or 8 kg DM of a maize silage-based supplement) in autumn. Soil intake was determined by the method based on acid-insoluble ash used as an internal marker. The daily dry soil intake ranged, between treatments, from 0.17 to 0.83 kg per cow in Trial 1 and from 0.15 to 0.85 kg per cow in Trial 2, reaching up to 1.3 kg during some periods. In both trials, soil intake increased with decreasing pasture allowance, by 0.46 and 0.15 kg in Trials 1 and 2, respectively. In Trial 1, this pasture allowance effect was greater on mixed swards than on pure ryegrass swards (0.66 v. 0.26 kg reduction of daily soil intake between medium and low pasture allowance, respectively). In Trial 2, the pasture allowance effect was similar at both supplementation levels. In Trial 2, supplemented cows ate much less soil than unsupplemented cows (0.20 v. 0.75 kg/day, respectively). Differences in soil intake between trials and treatments can be related to grazing conditions, particularly pre-grazing and post-grazing sward height, determining at least in part the time spent grazing close to the ground. A post-grazing sward height lower than 50 mm can be considered as a critical threshold. Finally, a dietary supplement and a low grazing pressure, that is, high pasture allowance increasing post-grazing sward height, would efficiently limit the risk for high level of soil intake, especially when grazing conditions are difficult. Pre-grazing and post-grazing sward heights, as well as faecal crude ash concentration appear to be simple and practical tools for evaluating the risk for critical soil intake in grazing dairy cows.
Dairy ruminant exposure to persistent organic pollutants and excretion to milk
- G. Rychen, S. Jurjanz, H. Toussaint, C. Feidt
-
- Article
- Export citation
-
Human activities produce polluting compounds such as persistent organic pollutants (POPs), which may interact with agriculture. These molecules have raised concern about the risk of transfer through the food chain via the animal product. POPs are characterised by a strong persistence in the environment, a high volatility and a lipophilicity, which lead to their accumulation in fat tissues. These compounds are listed in international conventions to organise the information about their potential toxicity for humans and the environment. The aim of this paper is to synthesise current information on dairy ruminant exposure to POPs and the risk of their transfer to milk. Three major groups of POPs have been considered: the polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs), the polychlorobiphenyls (PCBs) and the polycyclic aromatic hydrocarbons (PAHs). The results show that contamination of fodder and soil by these compounds is observed when they are exposed to emission sources (steelworks, cementworks, waste incinerators or motorways) compared with remote areas. In general, soil contamination is considered higher than plant contamination. Highest concentrations of POPs in soil may be close to 1000 ng/kg dry matter (DM) for PCDD/Fs, to 10 000 mg/kg DM for PAHs and 100 μg/kg DM for PCBs. The contamination of milk by POPs depends on environmental factors, factors related to the rearing system (fodder and potentially contaminated soil, stage of lactation, medical state of the herd) and of the characteristics of the contaminants. Transfer rates to milk have been established: for PCBs the rate of transfer varies from 5% to 90%, for PCDD/Fs from 1% to 40% and for PAHs from 0.5% to 8%. The differential transfer of the compounds towards milk is related to the hydrophobicity of the pollutants as well as to the metabolic susceptibility of the compounds.