Paragonimus worm from a New Guinea native in 1926

OBJECTIVE@#To reobserve and research the specimen of Paragonimus worm found in the left lung of a New Guinea native in 1926, which was previously identified as Paragonimus westermani Kerbert or Paragonimus ringeri Cobbold.@*METHODS@#Using reconstructive software and microscopy to observe some organs of the worm, and compared with other species of paragonimus.@*RESULTS@#The three dimensional (3D) views of ovary and two testes of New Guinea specimen showed that the ovary was clearly divided into six lobes. These two testes were situated oppositely in the body. One teste was divided into four branches, while another was divided into five. The cuticular spines were arranged in groups over the entire skin covered in a slide, each group was consisted of two to four single spine.@*CONCLUSIONS@#Based on 3D views and measurements, we reclassified it as Paragonimus siamensis. This was also the first report of human case infected by Paragonimus siamensis.

A Case of Chloroquine-resistant Plasmodium vivax Malaria Imported from Indonesia / 감염과화학요법

Resistance of falciparum malaria to antimalarial agents is prevalent in many areas, whereas chloroquine-resistant vivax malaria has been reported mainly around New Guinea since 1989. Concomitant with the spread of chloroquine-resistant P. vivax and increase in number of international travelers, imported cases of chloroquine-resistant vivax malaria in travelers returning from these areas has been reported. We experienced a case of chloroquine resistance P. vivax infection imported from Mangole Island, Indonesia. Its origin is confirmed not to be indigenous by the gene encoding analysis for the polymorphic region of apical membrane antigen-1 in P. vivax. Gene sequencing of the P. vivax mdr1 gene revealed only one substitution located at the codon 1076 (F1076L). The case was managed with oral quinidine with successful outcomes.

A Case of Chloroquine-resistant Plasmodium vivax Malaria Imported from Indonesia / 감염과화학요법

Resistance of falciparum malaria to antimalarial agents is prevalent in many areas, whereas chloroquine-resistant vivax malaria has been reported mainly around New Guinea since 1989. Concomitant with the spread of chloroquine-resistant P. vivax and increase in number of international travelers, imported cases of chloroquine-resistant vivax malaria in travelers returning from these areas has been reported. We experienced a case of chloroquine resistance P. vivax infection imported from Mangole Island, Indonesia. Its origin is confirmed not to be indigenous by the gene encoding analysis for the polymorphic region of apical membrane antigen-1 in P. vivax. Gene sequencing of the P. vivax mdr1 gene revealed only one substitution located at the codon 1076 (F1076L). The case was managed with oral quinidine with successful outcomes.

Border testimonials: patterns of AIDS awareness across the island of New Guinea

This paper compares and contrasts two similar sets of data about AIDS (acquired immune deficiency syndrome) and AIDS awareness from the island of New Guinea. The goal of this comparison is to show that state policies and values can dramatically affect personal knowledge about safer sexual practices. One set was collected in 2001 in the Indonesian province of Papua, which is home to indigenous Papuans and many inmigrating Indonesians. The second set was collected in 1991-1992 in the independent state of Papua New Guinea (PNG). Papuans and Papua New Guineans share many sexual beliefs and cultural practices and have experienced similar effects of modernization, but we show that there are marked differences in public knowledge about AIDS and condoms. In general, Papuan respondents know less about condoms and use them less frequently than their PNG counterparts. We argue that a colonial form of government in Papua makes it more difficult to design culturally appropriate and effective programs.

Comparative immunological recognition of proteins from New Guinea "C" dengue virus type 2 prototype and from a dengue virus type 2 strain isolated in the State of Rio de Janeiro, Brazil

The protein profiles of the New Guinea "C" dengue virus type 2 (DENV-2)prototype and those of a Brazilian DENV-2 isolated in the State of Rio de Janeiro in 1995 were compared. SDS-PAGE analysis showed that the virus from Rio de Janeiro expresses NS5 (93.0 kDa), NS3 (66.8 kDa) E (62.4 kDa) and NS1 (41.2 kDa) proteins differently from the New Guinea "C" virus. The immunoblot revealed specificity and antigenicity for the NS3 protein from DENV-2 Rio de Janeiro mainly in primary infections, convalescent cases, and in secondary infections in both cases and only antigenicity for E and NS1 proteins for both viruses in primary and secondary infections

Molecular evolution, distribution and genetic relationship among the dengue 2 viruses isolated from different clinical severity.

Twenty-two strains of dengue 2 virus, isolated in China, Latin America, New Guinea and Thailand were subjected to phylogenetic analysis. The UPGMA analysis was carried out on each gene region of dengue virus and demonstrated that outcome from most of the gene regions showed similar results except those from NS4B and YUTR with very short nucleotide length. Among ten regions examined, the results from E gene documented the geographical differences of the virus strains most clearly and all the American strains (Mara 4, IQT1797 and S1) were distantly related to the Asian isolates. As for the 16 Thai strains isolated in 1993, they were clustered into three groups and a strain from a DSS patient formed a distinct branch compared to the other two groups. This finding from phylogenetic analysis is consistent with earlier conclusion and support the severity related subtyping of dengue 2 virus based on amino acid changes.

A familial cluster of Parkinson's disease identified in Milne Bay Province, Papua New Guinea

@#Parkinson's disease is a chronic debilitating condition, the prevalence of which has not been fully established in Papua New Guinea. We describe a cluster of 9 cases of the disease, restricted to two generations of one family, and the key ideas and beliefs held within the family regarding disease aetiology. Many of the concerns and feelings of guilt expressed by family members were alleviated following supportive listening and culturally appropriate counselling, explanation and advice from trained health professionals assisted by bilingual family facilitators. This is the first time that such a family has been reported in Papua New Guinea and may warrant more detailed assessment. Addressing patient and community perceptions of disease aetiology should be at the heart of health promotion initiatives and counselling.

Superior orbital fissure syndrome in a latent type 2 diabetic patient

@#Although isolated cranial nerve palsies are common in diabetic patients, multiple, simultaneous cranial neuropathies are rare. We describe the second case of a complete superior orbital fissure syndrome including the optic nerve in a middle-aged Papuan man with newly diagnosed diabetes mellitus. The differential diagnosis included septic cavernous sinus thrombosis and Tolosa Hunt syndrome, and management was initially directed at excluding these serious, treatable conditions.

Basis of molecular biology and its applications: II. An outline of common laboratory techniques used in molecular biology

@#No abstract available

Management of vascular trauma in a provincial hospital

@#Three cases of major vessel injuries referred to Mendi Hospital during 1993-1994 are reported. All three vessels were repaired successfully. The surgical management of these cases is described.

Estudos de intervençäo sobre vacinaçäo BCG em hanseníase: uma análise comparativa / Trial studies about BCG vaccination against leprosy: a comparative analysis

De um total de 468 trabalhos publicados sobre BCG e Hanseníase, os autores selecionaram três trabalhos realizados em Uganda, Nova Guiné e Birmânia, para análise comaprativa. Foram estudados segundo populaçäo de referência; de estudo; critérios de participaçäo e locaçäo; programas oferecidos aos participantes e avaliaçäo. Encontrou-se uma eficácia que variou de 20 a 80 por cento. Diferenças metodológicas na escolha de populaçöes (referência/estudo) e/ou critérios (participaçäo/locaçäo/avaliaçäo) poderiam, entre outras causas, contribuir para explicar as diferentes eficácias encontradas

Multiple colonization of the upper respiratory tract of Papua New Guinea children with Haemophilus influenzae and Streptococcus pneumoniae.

Nasal secretions from Papua New Guinea children were cultured using selective agents, to determine the prevalence of multiple colonization for both S. pneumoniae and H. influenzae. 29.5% of 156 and 53% of 93 carriage positive subjects harbored more than one type of S. pneumoniae and H. influenzae respectively. Of 95 strains of pneumococci isolated from multiply colonized children, 40% were relatively resistant to benzylpenicillin. In more than one half of the children in this group both penicillin sensitive and resistant serotypes coexisted. Significantly more penicillin resistant pneumococci were isolated from children with ready access to primary and regional health care services. Among H. influenzae the prevalence of multiple isolations due to nonencapsulated variants only, and encapsulated plus nonencapsulated organisms was similar. The commonest biotypes were types I, II, III and V, and each was similarly associated with multiple carriage.

ELISA antibodies to cysticerci of Taenia solium in human populations in New Guinea, Oceania, and Southeast Asia.

The presence of ELISA antibodies to cysticerci of Taenia solium was surveyed in populations of New Guinea, Micronesia, and several areas of Southeast Asia. It is confirmed that cysticercosis in New Guinea remains limited to the primary Wissel Lakes focus in Irian Jaya, where the disease was introduced by the importation of infected pigs, and that it has not spread to populations east or south of the Wissel Lakes, or to Papua New Guinea. On the island of Bali, Indonesia, 21% of sera were positive from one village where pigs are especially numerous, whereas in Sumatra, Indonesia, only 3%-4% of sera were positive. In Singapore, there was a higher proportion of positive sera among the Chinese (13%) than among the Indian (5%) or Malay (3%) Moslems. From 3 to 13% of sera from populations in Micronesia, Burma, Vietnam, and the Philippines were also found to react with cysticercus antigen. However, the problem of incomplete ELISA specificity raises the possibility that in areas not known to be endemic for T. solium, seropositive results could represent either subclinical infection with cysticerci or crossreactivity to other parasitic infections.

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.

Scrub typhus survey of Biak and Owi islands: ectoparasites of small mammals and rickettsial isolations.

A survey of smnall mammals and their ectoparasites was conducted on the islands of Biak and Owi, Indonesia, in August 1976. Two species of chiggers known to serve as vectors of scrub typhus were found: Leptotrombidium (Leptotrombidium) deliense from Rattus exulans, R. ruber, and R. r. septicus; L. (L.) flectcheri from R. exulans, R. leucopus and R. r. septicus. Rickettsia tsutsugamushi was isolated from the spleens of R. exulans and R. r. septicus. The favored ecotype of the chigger and rat hosts of R. tsutsugamushi appeared to be coarse, low-lying native vegetation on a porous coralline soil. These and similar nearby coral islands should be considered high risk areas for scrub typhus.