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Patient of case 2 used humidifier disinfectant from 2001 to 2008 for about 3 months each winter. The patient's cough and sputum production symptoms began in December of 2007. The patient was admitted to the respiratory medicine department due to worsening dyspnea. Pathology following a lung biopsy revealed typical HDLI finding. This was determined to have been caused by humidifier disinfectant exposure. Conclusions Because the typical radiologic findings associated with HDLI can improve over time, it is necessary to consider the revision of current diagnostic criteria that the presence of radiologic findings is important. Copyright © 2020 Korean Society of Occupational & Environmental Medicine.Background Disseminated intravascular coagulation (DIC) is a common complication in sepsis because of crosstalk between the immune system and the coagulation system. Several anticoagulant agents have been tested in an attempt to improve the survival of patients with sepsis and sepsis-induced DIC. Here, we discuss the rationale against using anticoagulation therapy in septic DIC. Main body of the abstract Coagulopathy and DIC are associated with increased mortality in sepsis. Several anticoagulant agents have been tested in an attempt to improve the survival of patients with sepsis and sepsis-induced DIC, but have proven largely ineffective. This is because of two major factors. First, the coagulation system is complex and closely related to the immune system. When we manipulate one of the factors involved in these systems, we may disturb the delicate homeostasis between them. A second factor may be failure to identify patients who will benefit from anticoagulation therapy. This may be attributed partly to the fact that there is no gold standard for the diagnosis of DIC, and there are consequently several diagnostic criteria, none of which are specifically designed for sepsis-induced DIC. Application of precision medicine, of the kind currently being applied in other intensive care fields, may be the key to overcoming these challenges. Until we know the precise target population, we should not use anticoagulation therapy in sepsis-induced DIC outside a research setting. Short conclusion There is no strong evidence to support the effectiveness of routine anticoagulation therapy in sepsis-induced DIC, and it should not be used clinically until more is known regarding the population of patients who may benefit from it. © The Author(s). 2020.A high mortality rate is found among septic patients with disseminated intravascular coagulation (DIC). Selleckchem Cp2-SO4 Anticoagulants have been used for treating septic DIC especially in Japanese clinical settings; however, their effectiveness is quite controversial across studies. According to several randomized controlled trials and meta-analyses, antithrombin and recombinant thrombomodulin had no therapeutic benefit in the treatment of sepsis. However, the majority of the previous research did not discuss "septic DIC" but simply "sepsis", and some reviews showed that anticoagulants were benefit only in septic DIC. Although immunothrombosis plays an important role in early host defense, it can lead to DIC and organ failure if dysregulated. Therefore, we advocate anticoagulant therapies might have beneficial effects, but research on optimal patient selection is currently lacking. Selleckchem Cp2-SO4 © The Author(s). 2020.[This corrects the article DOI 10.1186/s12610-018-0076-0.]. © The Author(s) 2020.in English, French Malgré plusieurs décennies de recherche, il manque toujours pour les hommes des méthodes de contraception fiables et réversibles qui soient comparables aux méthodes de contraception féminine. Les méthodes de contraception masculine traditionnelles ont un taux d’échec élevé ; elles sont aussi à risque lors d’utilisations à la fois comme contraceptif et comme protection contre les infections sexuellement transmissibles. Au cours des 40 dernières années, le monde scientifique a évalué différentes méthodes de contraception masculine basées sur des approches chimiques, hormonales, immunologiques, déférentielles ou à base de plante.Parmi les pistes possibles d’approche, la contraception par apport d’hormone exogène, soit seule soit associée à un progestatif ou à un anti androgène, est actuellement perçue comme ayant un faible profil en raison de son incapacité à induire une suppression uniforme de la spermatogenèse et des complications à long termes des stéroïdes.Parmi les alternatives à la vasece et efficace, en discutant les différents jalons et obstacles rencontrés au cours de cette expédition dans l’attente de l’autorisation réglementaire obligatoire du Gouvernement Indien. Le succès des essais de Phase-III en cours par la preuve d’une réversibilité chez des hommes volontaires apportera au Monde une méthode de contraception développée localement.Background The distribution of prey in the ocean is spatially and temporally patchy. How predators respond to this prey patchiness may have consequences on their foraging success, and thus physical condition. The recent ability to record fine-scale movements of marine animals combined with novel home-range analyses that incorporate the dimension of time should permit a better understanding of how individuals utilise different regions of space and the consequences on their foraging success. Methods Over a six-year study, we used T-LoCoH (Time-Local Convex Hull) home-range software to model archival GPS (Global Positioning System) data from 81 grey seals to investigate the fine-scale spatio-temporal use of space and the distribution of apparent foraging effort. Regions of home-ranges were classified according to the frequency of return visits (site fidelity) and duration of visits (intensity of use). Generalized linear mixed -effects models were used to test hypotheses on seasonal changes in foraging distributiprovides opportunities to explore the consequences of variation in foraging tactics and their success on fitness. Having knowledge of the drivers that shape this intraspecific variation can contribute toward predicting how these predators may respond to both natural and man-made environmental forcing. © The Author(s). 2020.
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