ABSTRACT
Can a young doctor without training in communication skills use empathy as a compass for making ethical decisions? This narrative reflects on a young boy left alone with a paralyzed dying father after six months of ‘free’ but futile treatment. Protocols should be weighed against prognosis and priorities when the disease is incurable.
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Background & objectives: Studies have shown that certain flaviviruses influence susceptibility of mosquitoes by inhibiting/enhancing replication of important flaviviruses. Hence, a study was designed to determine whether Bagaza virus (BAGV), a flavivirus isolated from Culex tritaeniorhynchus mosquitoes in India, alters susceptibility of Cx. tritaeniorhynchus and Cx. quinquefasciatus mosquitoes to Japanese encephalitis (JEV) and West Nile viruses (WNV). Methods: JEV and WNV infection in Cx. tritaeniorhynchus and Cx. quinquefasciatus mosquitoes in the presence of BAGV was carried out by intrathoracic (IT) inoculation and oral feeding methods. Mosquitoes were infected with BAGV and WNV/JEV either simultaneously or in a phased manner, in which mosquitoes were infected with BAGV by IT inoculation followed by super-infection with JEV/WNV after eight days post-infection (PI). JEV and WNV yield on 7th and 14th day PI after super-infection was determined by 50 per cent tissue culture infective dose (TCID50) method. Results: In Cx. tritaeniorhynchus mosquitoes, prior infection with BAGV significantly reduced JEV and WNV replication while in Cx. quinquefasciatus, BAGV influence was only seen with WNV. Reduction in virus titre was observed in IT inoculated and oral fed mosquitoes irrespective of the infection mode. JEV replication was also found reduced in Cx. tritaeniorhynchus mosquitoes persistently infected with BAGV at passage four. Interpretation & conclusions: BAGV infection in Cx. tritaeniorhynchus and Cx. quinquefasciatus mosquitoes altered their susceptibility to JEV and WNV producing low virus yield. However, the role of BAGV in inhibiting JEV/WNV replication in field mosquitoes needs further investigations
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Background & objectives: An outbreak of acute encephalitis syndrome was reported from Vidarbha region of Maharashtra state, India, during July 2012. Anti-IgM antibodies against Chandipura virus (CHPV) were detected in clinical samples. Sandfly collections were done to determine their role in CHPV transmission. Methods: Twenty nine pools of Sergentomyia spp. comprising 625 specimens were processed for virus isolation in Vero E6 cell line. Diagnostic RT-PCR targeting N-gene was carried out with the sample that showed cytopathic effects (CPE). The PCR product was sequenced, analysed and the sequences were deposited in Genbank database. Results: CPE in Vero E6 cell line infected with three pools was detected at 48 h post infection. However, virus could be isolated only from one pool. RT-PCR studies demonstrated 527 nucleotide product that confirmed the agent as CHPV. Sequence analysis of the new isolate showed difference in 10-12 nucleotides in comparison to earlier isolates. Interpretation & conclusions: This is perhaps the first isolation of CHPV from Sergentomyia spp. in India and virus isolation during transmission season suggests their probable role in CHPV transmission. Further studies need to be done to confirm the precise role of Sargentomyia spp. in CHPV transmission.
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Background & objectives: Bagaza virus (BAGV), a flavivirus synonymous with Israel turkey meningoencephalitis virus, has been found to circulate in India. BAGV has recently been held responsible for inducing febrile illness in humans and causing unusually high mortality to wild birds in Spain. A study was therefore, undertaken to determine its replication kinetics in certain mosquitoes and to determine vector competence and potential of the mosquitoes to transmit BAGV experimentally. Methods: Aedes aegypti, Culex tritaeniorhynchus and Cx quinquefasciatus mosquitoes were inoculated with BAGV; samples were harvested every day and titrated in BHK-21 cell line. Vector competence and experimental transmission were determined by examining the saliva of infected mosquitoes for virus and induction of sickness in suckling mice, respectively. Results: Cx. tritaeniorhynchus and Ae. aegypti mosquitoes yielded 5 log10 and 4.67 log10 TCID50/ml of virus on day 3 post-infection (PI), respectively while Cx. quinquefasciatus yielded a titre of 4 log10TCID50/ml on day 4 PI. BAGV was detected in saliva of all the infected mosquitoes demonstrating their vector competence. Experimental transmission of BAGV to infant mice as well as transovarial transmission was demonstrated by Cx. tritaeniorhynchus but not by Ae. aegypti and Cx. quinquefasciatus mosquitoes. Interpretation & conclusions: Replication of BAGV to high titres and dissemination to saliva in three most prevalent mosquitoes in India is of immense public health importance. Though no major outbreak involving man has been reported yet, BAGV has a potential to cause outbreaks in future.
ABSTRACT
The advent of dendritic chemistry has facilitated materials research by allowing precise control of functional component placement in macromolecular architecture. The iterative synthetic protocols used for dendrimer construction were developed based on the desire to craft highly branched, high molecular weight, molecules with exact mass and tailored functionality. Arborols, inspired by trees and precursors of the utilitarian macromolecules known as dendrimers today, were the first examples to employ predesigned, 1 → 3 C-branched, building blocks; physical characteristics of the arborols, including their globular shapes, excellent solubilities, and demonstrated aggregation, combined to reveal the inherent supramolecular potential (e.g., the unimolecular micelle) of these unique species. The architecture that is a characteristic of dendritic materials also exhibits fractal qualities based on self-similar, repetitive, branched frameworks. Thus, the fractal design and supramolecular aspects of these constructs are suggestive of a larger field of fractal materials that incorporates repeating geometries and are derived by complementary building block recognition and assembly. Use of terpyridine-M2+-terpyridine (where, M = Ru, Zn, Fe, etc) connectivity in concert with mathematical algorithms, such as forms the basis for the Seirpinski gasket, has allowed the beginning exploration of fractal materials construction. The propensity of the fractal molecules to self-assemble into higher order architectures adds another dimension to this new arena of materials and composite construction.
O advento da química dendrítica tem facilitado a pesquisa de materiais por permitir o controle preciso do posicionamento do componente funcional na arquitetura macromolecular. Os protocolos sintéticos iterativos usados para construção dos dendrímeros foram desenvolvidos baseados no desejo de elaborar moléculas extremamente ramificadas, com alta massa molecular, massa exata e funcionalidade planejada. Arborols, inspirados em árvores e precursores de macromoléculas utilitárias, conhecidas hoje como dendrímeros, foram os primeiros exemplos a empregar blocos de construção de ramificação-C 1→3; Características físicas dos Arborols, incluindo a sua forma globular, excelente solubilidade, e agregação, combinam-se para revelar o potencial supramolecular inerente (isto é, a micela unimolecular) destas espécies únicas. A arquitetura que é característica dos materiais dendríticos também exibe qualidades fractais com base em estruturas repetitivas, ramificadas e auto-similares. Assim, o design fractal e os aspectos supramoleculares destas construções são sugestivas de um campo maior de materiais fractais que incorporam geometrias repetidas. O uso de terpiridina-M2+-terpiridina (onde, M = Ru, Zn, Fe, etc) em conjunto com algoritmos matemáticos tais como as formas da base do Triângulo de Seirpinski, tem permitido o início da exploração da construção de materiais fractais. A propensão da auto-criação de moléculas fractais para arquiteturas de ordem superior adiciona outra dimensão para essa nova arena de materiais e construção de compostos.
Subject(s)
Polymers/analysis , Fractals , Dendrimers/analysis , Dendrimers/classificationABSTRACT
Introdução: O Doppler tecidual (DT) evoluiu para a determinação da deformação miocárdica regional pela medida do strain rate (SR) e strain (ε) longitudinal (L) e radial (R) unidimensionais. Objetivos: Determinar padrões de normalidade em neonatos nas primeiras 24 horas de vida e estabelecer valores de referência. Casuística e Método: Foram selecionados 55 neonatos, com idade média de 20,14 ± 14,0 horas. Por meio dos cortes apical e paraesternal, em três ciclos cardíacos consecutivos, digitalmente obtidos com taxas de 300 ± 50 ciclos/s, foram realizadas medidas dos componentes sistólico, diastólico inicial e final das curvas de SR/ε, utilizando programa específico. Comparações múltiplas entre paredes e segmentos foram feitas. Resultados: Verificou-se diferença significativa na deformação longitudinal entre as medidas do SR/ε sistólicos do segmento basal da parede septal, em relação à apical (-1,89 ± 0,60, -25,86 ± 4,83 versus -1,66 ± 0,22, -24,23 ± 3,48), P= 0,04 e P= 0,02. A deformação longitudinal regional do VD também não foi homogênea, com diferenças significantes entre os segmentos basal e apical. Os valores absolutos de SR/ε e todos os seus componentes foram maiores na direção R, quando comparados com a L (SR sistólico 2,98 ± 0,78 s-1 versus (-)1,89 ± 0,60 s-1ε sistólico 53,8% ± 19% versus (-) 24,8% ± 3% P< 0,01). A variabilidade interobservador da medida do SR/ε foi de 0,7% e 1,2%, respectivamente. Conclusão: Os índices regionais de deformação miocárdica baseados no Doppler (SR/ε) constituem técnica clínica reproduzível em neonatos, permitindo a análise da função regional em diferentes segmentos do VE e VD. Representam parâmetros novos, não invasivos e independentes da interpretação visual, podendo ser utilizados no diagnóstico de acometimento cardíaco do neonato.
Subject(s)
Humans , Infant, Newborn , Heart Defects, Congenital/complications , Echocardiography, Doppler/methods , Echocardiography, Doppler , Infant, Newborn , Foramen Ovale/abnormalitiesABSTRACT
The study evaluates the clinical and pathological findings of 16 patients with locally advanced penile carcinoma (PC) submitted to emasculation, and discusses questions related to the usefulness of bilateral orchiectomy. Between 1999 and 2010, 172 patients with PC were treated. Sixteen (9%) underwent emasculation. Data were retrieved from the institution's database including age, ethnicity, date of surgery, residential setting, level of schooling, time to diagnosis, type of reconstruction, complications, tumor stage and grade, vascular and perineural invasion along with invasion of corpus cavernosum, corpus spongiosum, testicles, scrotum and urethra. A total of 16 patients (average: 63.1 years) with locally advanced PC were included. All were illiterate or semiliterate rural dwellers and 87% were white. The time to diagnosis was 8-12 months. The mean follow-up time was 31.9 months (1-119). By the time of the last follow-up, only seven patients (43.75%) were alive. Tumors were pT4 (n = 6), pT3 (n = 8), pT2 (n = 2), Grade I (n = 5) and Grade II (n = 11). The histopathological examination revealed invasion of the urethra (n = 13), scrotum (n = 5) and testicles (n = 1). The surgical margin was positive in one patient. Six patients (37.5%) had vascular invasion and 11 (68.7%) had perineural invasion. Currently, only one of the former is alive. The finding of focal microscopic testicular infiltration in only one of 32 testicles, even in the presence of clinically apparent scrotal invasion, suggests that emasculation without bilateral orchiectomy is a safe treatment option for patients with locally advanced PC.
Subject(s)
Adult , Aged , Humans , Male , Middle Aged , Carcinoma, Squamous Cell/surgery , Orchiectomy/methods , Penile Neoplasms/surgery , Testis/surgery , Carcinoma, Squamous Cell/pathology , Follow-Up Studies , Kaplan-Meier Estimate , Organ Sparing Treatments/methods , Prognosis , Penile Neoplasms/pathology , Time Factors , Treatment OutcomeABSTRACT
Objetivou-se verificar a ocorrência de anticorpos anti-Toxoplasma gondii em suínos criados e abatidos no Estado da Bahia. Foram coletadas e examinadas 465 amostras de sangue de suínos provenientes de criações de diferentes locais desse estado. Para a pesquisa de anticorpos anti-T. gondii, foi utilizada a técnica de Imunoadsorção Enzimática (ELISA) e considerados positivos todos os animais com títulos iguais ou maiores que 1:16. Desses, 18,27 por cento (85/465) foram positivos para anticorpos anti-T. gondii, sendo 30,76 por cento (24/78) em Ilhéus, 18,10 por cento (21/116) em Itabuna e 14,76 por cento (40/271) em Simões Filho. Foram observadas diferenças significativas quanto ao sexo dos animais (p = 0,0171), ao sistema de criação (p = 0,0002) e à procedência dos animais (p = 0,0278) no município de Itabuna. Anticorpos anti-T. gondii foram encontrados nos animais estudados, podendo ser estes animais fonte de infecção para a população humana local.
This study was performed to verify the occurrence of anti-Toxoplasma gondii antibodies in swine raised and slaughtered in the state of Bahia, Brazil. Four hundred sixty five swine blood samples from farms of different cities had been collected and examined. Anti-T. gondii antibodies was detected by the enzyme-linked immunosorbent assay (ELISA) and considered positive all the animals with equal or bigger headings than 1:16. From these, 18.27 percent (85/465) of total sample were positive for T. gondii, 30.76 percent (24) in Ilhéus, 18.10 percent (21/116) in Itabuna and 14.76 percent (40/271) in Simões Filho. Significant differences were observed regarding animal sex (p = 0.0171), raising system (p = 0.0002) and origin of the animals (p = 0.0278) in the city of Itabuna. The occurrence of anti-T. gondii antibodies shows that swine can be a source of infection for the local human population.
Subject(s)
Animals , Antibodies, Protozoan/blood , Swine/blood , Toxoplasma/immunology , Abattoirs , BrazilABSTRACT
Foram analisados 600 soros de bovinos abatidos nos matadouros sob Inspeção Municipal de Ilhéus e Itabuna, e no matadouro frigorífico sob Inspeção Federal em Jequié, BA, para anticorpos anti-Toxoplasma gondii por imunofluorescência indireta. A prevalência total foi de 11,83 por cento (71), sendo os animais positivos 19,3 por cento (37) no matadouro de Ilhéus, 9,8 por cento em Itabuna (21) e 6,8 por cento (13) em Jequié. Dos animais positivos, 65 (91,5 por cento) tiveram título de 1:64, e 6 (8,5 por cento) de 1:256. A maioria dos soros positivos para T. gondii foram oriundos de animais provenientes de granjas leiteiras e foram abatidos nos matadouros sob inspeção municipal em comparação com aqueles animais que procederam de fazendas com criação extensiva, e abatidos em matadouros sob inspeção federal.
Serum samples of 600 slaughtered cattle from Ilhéus and Itabuna Municipal slaughterhouse and Jequié Federal slaughterhouse, all of them located in the State of Bahia were screened using an indirect immunofluorescent antibody test against Toxoplasma gondii. Prevalence was 11.83 percent (71), and positive samples were distributed as 19.3 percent (37) from Ilhéus, 9.8 percent (21) from Itabuna and 6.8 percent (13) from Jequié slaughterhouses respectively. From positive cattle, 91.5 percent (65) had titles 1:64, and 8.5 percent (6) had title 1:256. The majority of serum positive samples against T. gondii were related to animals from dairy farms which were slaughtered at municipality stockyards under municipal inspection in comparison with those slaughtered at Federal inspection which were related to beef cattle that were raised in farms extensively.
Subject(s)
Animals , Antibodies, Protozoan/blood , Cattle/blood , Toxoplasma , Abattoirs , BrazilABSTRACT
The contamination of public squares by zoonotic potential parasites was evaluated at the urban areas in the municipality of Itabuna Brasil. For such, 119 fecal samples of dogs were collected at 10 public squares. After that, these feces samples were transported to the Parasitology Laboratory in the UESC and they were analyzed by Mariano and Carvalho's method. Of the total analized samples, 56.3 percent show some parasitic evolutive form. Ancylostoma sp. was the most frequently (47.9 percent), followed by Strongyloides stercortalis (6.7 percent), Toxocara canis and Trichuris vulpis eggs (4.2 percent) each, Endolimax nana cysts (2.5 percent), and Giardia intestinalis and Entamoeba coli cysts (0.8 percent) each.
Avaliou-se a contaminação de praças públicas da área urbana do município de Itabuna, BA, Brasil, por parasitos zoonóticos presentes em fezes de cães. Foram coletadas 119 amostras fecais de cães em 10 praças. Logo após, estas fezes foram encaminhadas ao Laboratório de Parasitologia da UESC e analisadas pelo método de Mariano e Carvalho. Do total das amostras analisadas, 56,3 por cento continham alguma forma evolutiva parasitária, sendo o parasita mais freqüente Ancylostoma sp. com 47,9 por cento, seguido por 6,7 por cento de Strongyloides stercortalis, 4,2 por cento tanto para ovos de Toxocara canis quanto de Trichuris vulpis, 2,5 por cento para cistos de Endolimax nana, e 0,8 por cento tanto para cistos de Giardia intestinalis quanto para os de Entamoeba coli.
Subject(s)
Animals , Dogs , Feces/parasitology , Brazil , Public Facilities , Urban Health , Zoonoses/parasitologyABSTRACT
This paper reports the occurrence of eggs of Platynosomum illiciens, found in the feces of three species of wild cats Herpailurus yagouaroundi, Puma concolor and Leopardus tigrinus from material collected at the enclosures of the Park Zoobotânico Getúlio Vargas in Salvador, Bahia, Brazil. It is the first record of this parasite in P. onca and L. tigrinus.
O presente trabalho relata a ocorrência de ovos de Platynosomum illiciens nas fezes de três espécies de felídeos silvestres Herpailurus yagouaroundi, Panthera onca e Leopardus tigrinus coletados nos recintos do Parque Zoobotânico Getúlio Vargas em Salvador, Bahia, Brasil. Sendo o primeiro registro deste parasito em P. onca e F. tigrinus.
Subject(s)
Animals , Animals, Zoo/parasitology , Dicrocoeliidae/isolation & purification , Felidae/parasitology , Brazil , Feces/parasitologyABSTRACT
Two eimerid coccidia are reported in a capybara (Hydrochoerus hydrochaeris) population kept in captivity in the south of Bahia, northeastern Brazil (14º 47' 57.89"S and 39º 10' 10.58" W). Oocysts of Eimeria ichiloensis are subspheroidal to ellipsoidal, 26.2 x 21.7mm with bi-layered wall, the outer yellow and sculptured and the inner, dark and smooth. Residuum is absent, but usually 2-3 polar granules are present. Sporocysts are ovoid, 12.0 x 7.6mm. Stieda body and sporocyst residuum are present. Oocysts of Eimeria trinidadensis are subspheroidal to ellipsoidal, 22.2 x 19.6mm with bi-layered wall, the outer yellow and smooth, and the inner dark and smooth. Residuum is absent, but one polar granule is present. Sporocysts are ovoid, 11.0 x 6.9mm. Stieda body and sporocyst residuum are present. Based on these descriptions and previous ones it can be concluded that these coccidea species are widely dispersed in capybaras in South America.
Duas espécies de Eimeria foram relatadas em capivaras Hydrochaeris hydrochaeris cativas no sul da Bahia, nordeste do Brasil (14º 47' 57.89"S and 39º 10' 10.58" W). Os oocistos de Eimeria ichiloensis são sub-esferoidais a elipsoidais, 26,2 x 21,7mm. Apresentam parede dupla, sendo a externa amarela e esculpida e a interna, escura e lisa. Resíduo está ausente, mas usualmente 2-3 grânulos polares estão presentes. Os esporocistos são ovóides, 12,0 x 7,6mm. Corpo de Stieda e resíduo do esporocisto estão presentes. Oocistos de Eimeria trinidadensis são sub-esferoidais a elipsoidais, 22,2 x 19,6mm. Apresentam parede dupla, sendo a externa amarela e lisa e a interna, escura e lisa. Resíduo está ausente, mas um grânulo polar está presente. Os esporocistos são ovóides, 11,0 x 6,9mm. Corpo de Stieda e resíduo do esporocisto estão presentes. Baseado nestas descrições e em descrições prévias foi possível concluir que estas espécies estão amplamente dispersas em capivaras na América do Sul.
Subject(s)
Animals , Coccidia/isolation & purification , Eimeria/isolation & purification , RodentiaABSTRACT
Para avaliação de positividade para antígenos de Dirofilaria immitis, anticorpos anti-Borrelia burgdorferi e anti-Ehrlichia canis foram coletadas 200 amostras de sangue de cães, 100 no município de Ilhéus e 100 no de Itabuna. Foi utilizado o "kit" Snap 3DX (IDEXX Laboratories) para realização das sorologias. Não se observou nenhum animal positivo para antígenos de D. immitis. Apenas dois dos cães estavam positivos para anticorpos anti-B. burgdorferi. Do total de amostras analisadas, 72 (36 por cento) estavam positivas para anticorpos anti-E. canis, sendo 43 em Ilhéus e 29 em Itabuna (p=0,027).
In order to detect the positivity to antigens of Dirofilaria immitis, antibodies anti-Borrelia burgdorferi and anti-Ehrlichia canis, 200 canine blood samples were collected as followed: 100 from the municipality of Ilhéus and 100 from Itabuna, State of Bahia. The kit Snap 3DX (IDEXX Laboratories) was used to performe serology. None of the tested animals were positive for antigens of D. immitis. Only two dogs of them were positive for antibodies anti-B. burgdorferi. From all the samples analyzed, 72 (36 percent) were positive for antibodies anti-E. canis, 43 from Ilhéus and 29 from Itabuna (p=0,027).
Subject(s)
Animals , Antibodies, Bacterial/blood , Antigens, Helminth/blood , Borrelia burgdorferi/immunology , Dirofilaria immitis/immunology , Dogs/blood , Ehrlichia canis/immunology , Brazil , Cross-Sectional StudiesABSTRACT
Resistance to aciclovir (ACV) among Herpes simplex virus (HSV) isolates is increasingly being reported in the literature particularly in immunocompromised patients. However, there is only limited data available from India despite widespread use of ACV in our hospital. A cross-sectional study was hence conducted to determine the aciclovir (ACV) susceptibility of HSV 1 and 2 isolates using a dye uptake (DU) assay. This study showed a 3.0% prevalence of ACV resistance among HSV-1 strains (2/66, median IC 50 0.098 microg/mL) while in HSV-2 strains, it was 7.8% (5/64, median IC 50 0.195 microg/mL). The IC 50 for the HSV-1 and HSV-2 strains resistant to ACV was greater than or equal to 6.25 microg/mL.