The estimated burden of fungal disease in South Africa

Background. With a population of 56.5 million, over 7 million persons living with HIV, one of the world's highest rates of tuberculosis (TB) and a large proportion of the population living in poverty, South Africa (SA)'s fungal disease burden is probably substantial and broad in scope.Objectives. To estimate the burden of fungal disease in SA.Methods. Using total and at-risk populations and national, regional and occasionally global data, we estimated the incidence and prevalence of the majority of fungal diseases in SA.Results. Estimates for the annual incidence of HIV-related life-threatening fungal disease include cryptococcal meningitis (8 357 cases), Pneumocystis pneumonia (4 452 cases) and endemic mycoses (emergomycosis, histoplasmosis and blastomycosis, with 100, 60 and 10 cases per year, respectively). We estimate 3 885 cases of invasive aspergillosis annually. The annual burden of candidaemia and Candida peritonitis is estimated at 5 421 and 1 901 cases, respectively. The epidemic of pulmonary TB has probably driven up the prevalence of chronic pulmonary aspergillosis to 99 351 (175.8/100 000), perhaps the highest in the world. Fungal asthma probably affects >100 000 adults. Mucosal candidiasis is common, with an annual prevalence estimated at 828 666 and 135 289 oral and oesophageal cases, respectively, complicating HIV infection alone (estimates in other conditions not made), and over a million women are estimated to be affected by recurrent vulvovaginal candidiasis each year. Tinea capitis in children is common and conservatively estimated at >1 000 000 cases. The inoculation mycoses sporotrichosis, chromoblastomycosis and eumycetoma occur occasionally (with 40, 40 and 10 cases estimated, respectively). Overall, we estimate that over 3.2 million South Africans are afflicted by a fungal disease each year (7.1% of the population).Conclusions. Significant numbers of South Africans are estimated to be affected each year by fungal infections, driven primarily by the syndemics of HIV, TB and poverty. These estimates emphasise the need for better epidemiological data, and for improving the diagnosis and management of these diseases

Enchytraeid abundance in Araucaria Mixed Forest determined by cold and hot wet extraction

Abstract Enchytraeids are small oligochaetes found worldwide in soils with sufficient moisture and organic matter, but scarcely studied in the Southern hemisphere. This is the third study on enchytraeid abundance in Brazil using wet extraction and the first carried out in Araucaria Mixed Forest (subtropical region). The sampling and extraction were based on the standard method ISO 23611-3/2007 using an adapted split soil corer and wet extraction with and without heat to assess the abundance of enchytraeids in a forest fragment at Embrapa Forestry in Colombo, Paraná State. The samplings were performed in 3 occasions between September 2011 and April 2012. The average numbers estimated by each method varied from appr. 2.000-12.000 (cold) and 5.000-12.000 ind./ m2 (hot), respectively, with a maximum of 44.000 ind./ m2 in one of the samples, the highest value reported so far in Brazil. The hot extraction was more advantageous, given the speed and preservation of the specimens in vivo, allowing taxonomic identification. Advantages and disadvantages of wet extractions compared to handsorting and formol methods are also discussed. Guaranidrilus, Hemienchytraeus, Enchytraeus, Fridericia and Achaeta were the genera identified in the samples.

Resumo Os enquitreídeos são pequenos oligoquetas encontrados no mundo todo em solos com suficiente umidade e matéria orgânica, porém muito pouco estudados no hemisfério Sul. Este é o terceiro estudo sobre a abundância de enquitreídeos no Brasil utilizando o método de extração úmida e o primeiro realizado em Floresta Ombrófila Mista (região subtropical). A amostragem e extração foram baseadas no método padrão ISO 23611-3/2007, utilizando-se um trado desmontável adaptado e extração úmida com e sem aquecimento para acessar a abundância de enquitreídeo em um fragmento de floresta na Embrapa Florestas em Colombo, Paraná. As amostragens foram realizadas em três ocasiões entre setembro, 2011 e abril 2012. Os números médios estimados através de cada método variaram de 2.000-12.000 (frio) e 5.000-12.000 ind./ m2 (quente), respectivamente, e o máximo de 44.000 ind./ m2 em uma das amostras, o mais alto já relatado no Brasil. A extração quente foi a mais vantajosa, considerando a rapidez e preservação dos exemplares in vivo. As vantagens e desvantagens das extrações úmidas comparadas aos métodos de triagem manual e extração com formol foram discutidas. Os gêneros Guaranidrilus, Hemienchytraeus, Enchytraeus, Fridericia e Achaeta foram identificados nas amostras.

Enchytraeid abundance in Araucaria Mixed Forest determined by cold and hot wet extraction / Abundância de enquitreídeos na Floresta Ombrófila Mista determinada por extração úmida quente e fria

Abstract Enchytraeids are small oligochaetes found worldwide in soils with sufficient moisture and organic matter, but scarcely studied in the Southern hemisphere. This is the third study on enchytraeid abundance in Brazil using wet extraction and the first carried out in Araucaria Mixed Forest (subtropical region). The sampling and extraction were based on the standard method ISO 23611-3/2007 using an adapted split soil corer and wet extraction with and without heat to assess the abundance of enchytraeids in a forest fragment at Embrapa Forestry in Colombo, Paraná State. The samplings were performed in 3 occasions between September 2011 and April 2012. The average numbers estimated by each method varied from appr. 2.000-12.000 (cold) and 5.000-12.000 ind./ m2 (hot), respectively, with a maximum of 44.000 ind./ m2 in one of the samples, the highest value reported so far in Brazil. The hot extraction was more advantageous, given the speed and preservation of the specimens in vivo, allowing taxonomic identification. Advantages and disadvantages of wet extractions compared to handsorting and formol methods are also discussed. Guaranidrilus, Hemienchytraeus, Enchytraeus, Fridericia and Achaeta were the genera identified in the samples.

Resumo Os enquitreídeos são pequenos oligoquetas encontrados no mundo todo em solos com suficiente umidade e matéria orgânica, porém muito pouco estudados no hemisfério Sul. Este é o terceiro estudo sobre a abundância de enquitreídeos no Brasil utilizando o método de extração úmida e o primeiro realizado em Floresta Ombrófila Mista (região subtropical). A amostragem e extração foram baseadas no método padrão ISO 23611-3/2007, utilizando-se um trado desmontável adaptado e extração úmida com e sem aquecimento para acessar a abundância de enquitreídeo em um fragmento de floresta na Embrapa Florestas em Colombo, Paraná. As amostragens foram realizadas em três ocasiões entre setembro, 2011 e abril 2012. Os números médios estimados através de cada método variaram de 2.000-12.000 (frio) e 5.000-12.000 ind./ m2 (quente), respectivamente, e o máximo de 44.000 ind./ m2 em uma das amostras, o mais alto já relatado no Brasil. A extração quente foi a mais vantajosa, considerando a rapidez e preservação dos exemplares in vivo. As vantagens e desvantagens das extrações úmidas comparadas aos métodos de triagem manual e extração com formol foram discutidas. Os gêneros Guaranidrilus, Hemienchytraeus, Enchytraeus, Fridericia e Achaeta foram identificados nas amostras.

A chromosome 9 deletion in Plasmodium falciparum results in loss of cytoadherence

Many lines of Plasmodium falciparum undrgo a deletion of the right end of chromosome 9 during in vitro culture accompanied by loss of cytoadherence and gametocytogenesis. Selection of cytoadherent cells from a mixed population co-selects for those with an undeleted chromosome 9 and selected cells produce gametocytes. The deletion also results in loss of expression of PfEMP1, the putative cytoadherence ligand, suggesting PfEMP1 or a regulatory gene controlling PfEMP1 expression and gametocytogenesis may be encoded in this region. We have isolated several markers for the deleted region and are currently using a YAC-P. falciparum library to investigate this region of the genome in detail

Hydrogen bonding patterns and dynamics in the hydration of biological macromolecules.

In crystalline cyclodextrin hydrates O–H . . . Ο hydrogen bonds occur in homodromic chainlike and cyclic motifs. In β-cyclodextrin· 11 H2O, where OH-groups are disordered, flip-flop hydrogen bonds O–(1/2H) . . . (1/2H)–O are found which represent a dynamical equilibrium O–H . . . . . . H–O. Detailed insight into otherwise hidden structural aspects of hydration and water structure (clusters) become available.

Encuesta de las necesidades de los ancianos en Mexico. / A survey on the demands of the elderly in Mexico

RESUMEN México ha tenido un rápido incremento en el crecimiento de su población desde 1950, teniendo planeada una disminución del mismo para el año 2000. Lo anterior repercutirá significativamente sobre la población de mayores de 65 años, la cual tendrá un aumento de 412% de 1950 al año 2000, en parte debido a mayor esperanza de vida y a mortalidad infantil más baja. Dado que en un país en desarrollo con marcados contrastes entre las diferentes capas sociales, la implementación de programas para mejorar el bienestar social, económico y cultural de sus habitantes debe incluir a todas las personas, desde los niños hasta los ancianos. En un estudio preliminar nacional sobre los ancianos se encontró que no existían estadísticas confiables ni programas de salud específicos para este grupo de edad. Por tanto. se decidió llevar al cabo una amplia investigación sobre las necesidades de los ancianos, para obtener información que pudiera ser utilizada para planear programas apropiados para este grupo utilizando los recursos humanos. físicos y económicos ya existentes. Este estudio, desde la selección de los estados. el tamaño de la muestra y el diseño para procesar los resultados, fue hecho cuidadosamente para satisfacer los requerimientos de la validez estadística. La metodología aplicada se explica en el artículo, así como los criterios de selección de los cuatro estados de la República (México. Jalisco, Guanajuato y Nuevo León) en los que se entrevistaron 2,025 personas. La rnuestra fue dividida en ocho partes con diseño muestral para las áreas urbanas y suburbanas de cada uno de estos estados. Los resultados se presentan en forma descriptiva y son un estímulo para investigaciones futuras dentro de las áreas específicas estudiadas por la encuesta •.Las Necesidades de los Ancianos en la Comunidad" (ENAC). El estudio intuyó datos subjetivos y objetivos relacionados con la salud. la vivienda, el medio ambiente, el bienestar, los ingresos, el empleo, la educación, la familia y la participación en actividades comunitarias. Como resultado de la encuesta se vio que las necesidades objetivas y subjetivas de los ancianos son coincidentes. Las necesidades prioritarias resultaron ser en orden de importancia: atención primaria de la salud, educación comunitaria y programas voluntarios. La principal necesidad implica incrementar simultáneamente la accesibilidad a los servicios de salud y el entrenamiento de personal médico y para médico para que atienda las necesidades específicas de los ancianos

Plasmodium falciparum strains from Papua New Guinea: culture characteristics and drug sensitivity.

Seven strains of Plasmodium falciparum from Papua New Guinea have been established in continuous in vitro culture. Samples with a high initial parasitaemia were more likely to form continuous lines, possibly due to the time required for transport of infected blood samples from Papua New Guinea to laboratories in Australia. Most but not all established lines were resistant to chloroquine and all were resistant to pyrimethamine, possibly reflecting the parasite strain characteristics in that region.

Murine typhus in a Malaysian village.

A high prevalence of murine typhus was found in the human and rodent populations of Senaling, West Malaysia. In addition to 2 index cases which prompted the investigation, 45% of the humans and 35% of the rodents had IFA titers of 1/50 or greater. Serological studies provided evidence of recent infections in 3 human subjects. In a control group of Malaysian soldiers IFA titers of 1/50 or greater were found in only 13 (5%) of 265 sera tested.

Leptospirosis in Malaysia: a common cause of short-term fever.

A study of 1,437 unselected febrile patients in rural Malaysia yielded a diagnosis of leptospirosis in 86 (6.0%). The clinical syndrome was mild to moderate in all cases, jaundice was observed in only 2 (2.3%) and no deaths were documented. The diagnosis was not clinically obvious in most cases, and it is apparent that many infections must be going unnoticed at present.