Accidental ingestion of water hemlock. Report of two patients with acute and chronic effects.
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Refractory ascites worsens the end-stage course of decompensated cirrhosis. Transjugular intrahepatic portasystemic shunt (TIPS) has been proposed to treat this condition with erratic success, inducing controversial reports on the risk-benefit ratio associated to this technique. In order to assess the usefulness of TIPS for this indication, this paper updates some definitions concerning the refractory ascites. We also analyze the main complications of TIPS and review some physiopathological pathways, taking peculiar interest in the Montreal experience.
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The ability of trees dependent on arbuscular mycorrhizal (AM) fungi to establish in ectomycorrhizal forests is unknown. On northern Vancouver Island, Canada, there are sharp boundaries between mixed red cedar (Thuja plicata)-hemlock (Tsuga heterophylla) (CH) stands, and stands of hemlock and amabilis fir (Abies amabilis) (HA). We tested differences in AM colonization of red cedar between ectomycorrhiza-dominated (HA) stands and stands containing red cedar (CH), across a range of light levels. We used a soil bioassay approach to determine whether there was sufficient AM fungal inoculum in the HA tree stands to colonize red cedar seedlings. Seeds of hemlock and red cedar were sown in forest floor samples collected from the two types of forests, and shade treatments ranging from < 1 to 53% of full sunlight were imposed. After 6 months, seedling survival and root and shoot biomass were quantified, and red cedar seedlings were sampled for AM fungal colonization. Hemlock survival and growth did not differ between soil types, suggesting there was no substrate-associated limitation to its establishment in either forest type. Red cedar colonization by AM fungi was significantly correlated with light levels in CH soils but arbuscular mycorrhizas were absent in roots of red cedar seedlings grown in HA soil. Red cedar survival and relative growth rate were significantly greater in the CH than in HA soil; higher growth was due primarily to greater shoot growth in CH soils at high light levels. The low soil inoculum potential for red cedar in ectomycorrhiza-dominated stands may account for the virtual exclusion of red cedar seedlings from these forests.
Outbreaks of the hemlock looper, Lambdina fiscellaria (Gueneé), are characterized by rapid increase and patchy distribution over widespread areas, which make it difficult to detect impending outbreaks. This is a major problem with this insect. Population forecasting is based on tedious and expensive egg surveys in which eggs are extracted from 1-m branches; careful observation is needed to avoid counting old unhatched eggs of previous year populations. The efficacy of artificial substrates as oviposition traps to sample hemlock looper eggs was tested as a means of improving outbreak detection and population forecasting. A white polyurethane foam substrate (1,095 lb/ft3) used with the Luminoc insect trap, a portable light trap, was highly efficient in sampling eggs of the hemlock looper. Foam strips placed on tree trunks at breast height were less efficient but easier and less expensive to use for the establishment of extensive survey networks. Estimates based on oviposition traps were highly correlated with those obtained from the 1-m branch extraction method. The oviposition trap is a standard, inexpensive, easy, and robust method that can be used by nonspecialists. This technique makes it possible to sample higher numbers of plots in widespread monitoring networks, which is crucial for improving the management of hemlock looper populations.