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1.
Helicobacter pylori treatment results in Slovenia in the period 2013-2015 as a part of European Registry on Helicobacter pylori management
Bojan Tepeš, Marko Kastelic, Miroslav Vujasinović, Polona Lampic, Maja Šeruga, Nataša Brglez Jurecic, Olga Perez Nyssen, Maria G. Donday, Colm O'Morain, Francis Megraud, Adrian G. Mcnicholl, Javier P. Gisbert, 2018, original scientific article

Abstract: Background. Helicobacter pylori (H. pylori) is the most common chronic bacterial infection in the world affecting over 50% of the world%s population. H. pylori is a grade I carcinogen, responsible for the development of 89 % of noncardia gastric cancers. In the present study we analyzed the data for H. pylori eradication treatments in Slovenia. Patients and methods. Slovenia is a part of the European Registry on Helicobacter pylori Management from the beginning. In seven medical institutions data for H. pylori eradication treatments was collected for 1774 patients from April 16th 2013 to May 15th 2016. For further modified intention to treat (mITT) analysis 1519 patients were eligible and for per protocol (PP) analysis 1346 patients. Results. Patients% dropout was 11.4%. Eradication rate for 7 day triple therapy with proton pump inhibitor (PPI) + Clarithromycin (C) + Amoxicillin (A) was 88.7% PP and 72.0% mITT; for PPI + C + Metronidazole (M) 85.2% PP and 84.4% mITT. Second line 14 day therapy PPI + A + Levofloxacin had 92.3% eradication rate PP and 87.1% mITT. Ten to fourteen day Bismuth quadruple therapy was the therapy in difficult to treat patients. At the end all patients that adhered to prescribed regimens were cured of their H. pylori infection. Conclusions. High dropout rate deserves further analysis. Slovenia is still a country with < 15% H. pylori resistance to clarithromycin, triple therapy with PPI plus two antibiotics reaches PP eradication rate > 85%, but mITT eradication rates are suboptimal.
Keywords: Helicobacter pylori, eradication treatment, European Registry on Helicobacter pylori management, Slovenian results
Published in DiRROS: 02.07.2024; Views: 105; Downloads: 44
.pdf Full text (302,56 KB)

2.
Ethical dilemmas when using citizen science for early detection of invasive tree pests and diseases
Michael J.O. Pocock, Mariella Marzano, Erin Bullas-Appleton, Alison Dyke, Maarten De Groot, Craig Shuttleworth, Rehema White, 2020, original scientific article

Abstract: The early detection of tree health pests and disease is an important component of biosecurity to protect the aesthetic, recreational and economic importance of trees, woodlands and forestry. Citizen science is valuable in supporting the early detection of tree pests and diseases. Different stakeholders (government, business, society and individual) will vary in their opinion of the balance between costs and benefits of early detection and consequent management, partly because many costs are local whereas benefits are felt at larger scales. This can create clashes in motivations of those involved in citizen science, thus leading to ethical dilemmas about what is good and responsible conduct for the use of citizen science. We draw on our experience of tree health citizen science to exemplify five dilemmas. These dilemmas arise because: the consequences of detection may locally be severe (e.g. the destruction of trees); knowledge of these impacts could lead to refusal to make citizen science reports; citizen science reports can be made freely, but can be costly to respond to; participants may expect solutions even if these are not possible; and early detection is (by definition) a rare event. Effective engagement and dialogue across stakeholders, including public stakeholders, is important to properly address these issues. This is vital to ensure the public%s long-term support for and trust in the use of citizen science for the early detection of tree pests and diseases.
Keywords: alien species, volunteer, eradication, participatory research
Published in DiRROS: 14.12.2020; Views: 1305; Downloads: 595
.pdf Full text (432,70 KB)
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