LEPTOSPIROSIS: A NEGLECTED DISEASE FROM NORTH INDIA

Introduction: Leptospirosis is a zoonotic disease caused by Leptospira interrogans and has been reported from various countries worldwide. As very few studies were conducted on leptospirosis from north India, this study was conducted to know the status of this disease in this region. This retrospective hospital Material & Methods: based study was conducted in the Department of Microbiology of a tertiary care super specialty teaching institute from north India for a period of two consecutive years. Blood specimens from acute febrile illness cases were tested for presence of IgM antibodies against Leptospira interrogans by rapid card (Leptocheck from TULIP) testing and ELISA (Leptospira IgM ELISA from PanBio). Out of total 216 samples Results: collected and included in this study, 40 were found to be positive for presence of IgM antibodies against Leptospira interrogans. Seropositivity for leptospirosis was observed to be 19%. Maximum number of patients were from economically productive age groups, 31-40 years of age group followed by 21-30 and 41-50 years of age groups. CONCLUSION: Leptospirosis was found to be a major cause of acute febrile illness from north India. It is neglected and under reported from most of the regions of India due to lack of clinician's suspicion. More studies with more samples are required on leptospirosis from this region to reach on final conclusion.

Improvement of the enrichment used in the EMJH médium (Ellinghausen-McCullough-Johnson-Harris) for the cultivation of Leptospira spp

Abstract Changes were made to the original formulation of the EMJH medium (Ellinghausen-McCullough-Johnson-Harris) enrichment and some aspects such as growth time of Leptospira and utilization in the microscopic agglutination test (MAT) were evaluated and compared to the original enrichment and to a commercially available enrichment (DIFCOÔ). Leptospira samples (24 antigens) that make up our panel of antigens used in MAT were used, among them, reference and autochthonous strains isolated in Brazil. The samples were grown individually in the EMJH medium under the three previously mentioned conditions (adapted enrichment, original enrichment and commercial enrichment). In addition, 89 blood serums from domestic and wild animals were analyzed by MAT using the antigens grown in these media. All samples tested grew efficiently with the adapted enrichment, and the MAT results were satisfactory. Therefore, other laboratories could also benefit from the use of this adapted enrichment when culturing the Leptospira strains applied in their MAT panels.

Resumen Realizamos cambios en la formulación original del enriquecimiento del medio Ellinghausen-McCullough-Johnson-Harris y evaluamos algunos aspectos, como el tiempo de crecimiento de Leptospira y la utilización en la prueba de aglutinación microscópica (MAT), comparándolos con el enriquecimiento original y un medio de enriquecimiento comercialmente disponible (DIFCOÔ). Se usaron muestras de Leptospira (24 antígenos) que componen nuestro panel de antígenos utilizados en la MAT, entre ellos, cepas autóctonas y de referencia aisladas en Brasil. Las muestras se cultivaron individualmente en medio Ellinghausen-McCullough-Johnson-Harris en las tres condiciones mencionadas (enriquecimiento adaptado, enriquecimiento original y enriquecimiento comercial). Adicionalmente, 89 sueros de sangre de animales domésticos y salvajes fueron analizados por MAT usando los antígenos cultivados en estos medios. Todas las muestras analizadas crecieron eficientemente con el enriquecimiento adaptado y los resultados de la MAT fueron satisfactorios. Por lo tanto, otros laboratorios también podrían beneficiarse del uso de este enriquecimiento adaptado al cultivar las cepas de Leptospira aplicadas en sus paneles MAT.

Antibodies against Leptospira spp. in bovine serum samples from several Brazilian states analyzed in the period from 2007 to 2015 / [Anticorpos contra Leptospira spp. em amostra de soro bovino de diversos estados brasileiros analisados no período entre 2007 e 2015]

Bovine leptospirosis assumes great economic importance since it affects several production aspects. Therefore, knowledge about the occurrence and distribution of this disease is fundamental to adopt the correct prevention measures. The present study aimed to evaluate the frequency of anti-Leptospira spp. antibodies in 24,483 bovine serum samples received between 2007 to 2015 from 21 Brazilian states. Of these, 8,643 (35.3%) were reagents in the microscopic agglutination test to one or more serovars of Leptospira spp. The most frequent serovars were Wolffi (61.47%), Tarassovi (9.62%) and Pomona (7.20%). Hardjo serovar presented a prevalence of 6.27%. Among the 21 states analyzed, the State of Pernambuco had the highest frequency with 88.24% and the State of São Paulo was the origin of the largest number of analyzed samples (13,838), with a frequency of 31.54% of reagents. The results demonstrate a high exposure to several serovars of Leptospira spp. in bovine species in Brazilian states, showing the importance of adopting prophylactic measures in order to reduce the risk of infection in this specie.(AU)

Com o objetivo de avaliar a frequência de anticorpos anti-Leptospira spp., foram analisadas 24.483 amostras de soro sanguíneo bovino, provenientes de 21 estados brasileiros, recebidas no período de 2007 a 2015. Destas, 8.643 (35,3%) foram reagentes no teste de soroaglutinação microscópica a uma ou mais sorovariedades de Leptospira spp., e as sorovariedades com maior frequência foram Wolffi (61,47%), Tarassovi (9,62%) e Pomona (7,20%). A sorovariedade Hardjo apresentou prevalência de 6,27%. Entre os 21 estados analisados, o estado de Pernambuco apresentou a maior frequência, com 88,24%, e o estado de São Paulo foi a origem do maior número de amostras para análise, 13.838, com frequência de 31,54% de reagentes.(AU)

Bioefficacy of mosquito mat vaporizers and associated metabolic detoxication mechanisms in Aedes aegypti (Linnaeus) in Selangor, Malaysia: A statewide assessment

@#This study aims to examine the efficacy of mosquito mat vaporizers on Aedes aegypti and their associated metabolic detoxication mechanisms. For this purpose, Aedes aegypti (Linnaeus) was collected from nine districts in Selangor, Malaysia and tested with mosquito vaporizing mat bioassays. The same populations were also subjected to biochemical assays to investigate activities of detoxifying enzymes, namely non-specific esterase (EST), glutathione-S-transferase (GST) and mixed function oxidase (MFO). The efficacy of Ae. aegypti on the active ingredients tested in decreasing order were d- allethrin > dimefluthrin > prallethrin with PBO > prallethrin. The results further indicated significant enhancement mean levels of EST, GST and MFO in pyrethroid-resistant populations. The mortality rate of Ae. aegypti in response to pyrethroid active ingredients was associated with MFO activity, suggesting it is an important detoxification enzyme for the populations tested. In view of the presence of resistance against household insecticide products, pyrethroid efficacy on Ae. aegypti populations needs to be monitored closely to ensure the implementation of an effective vector control program in Malaysia.

Epidemiological characteristics of Leptospira spp. infection in bovine herds in Mato Grosso do Sul, Brazil / Caracterização soroepidemiológica da infecção por Leptospira spp. em rebanhos bovinos de corte do estado de Mato Grosso do Sul, Brasil

The epidemiological characteristics of bovine leptospirosis in animals and herds in Mato Grosso do Sul were investigated to determine parameters such as disease frequency and the serovars reactant in beef cattle herds. A total of 4,629 beef cattle herds were examined against 33 Leptospira spp. serovars. The serum samples were submitted to the microscopic agglutination test (MAT) for the serological diagnosis of leptospirosis. The MAT results showed that 3,814 (82.39%) of the 4,629 animals evaluated were seropositive for the bacterium, with serological reactions mainly to serogroup Sejroe, serovar Wolffi (36.49%). The observed high frequency of reactive animals demonstrates the relevance of the infection. Therefore, general and specific measures should be implemented to contain and/or prevent infection of the animals in the studied region.(AU)

Foi realizado um inquérito epidemiológico da leptospirose em bovinos de rebanhos de corte do estado de Mato Grosso do Sul, de modo a determinar a frequência e as sorovariedades reagentes. Para isso, foram examinados 4.629 bovinos de corte, com uma coleção de 33 sorovariedades de Leptospira, por meio da prova de Soroaglutinação Microscópica (MAT). Dos 4.629 animais examinados, 3.814 (82,39%) foram reagentes com reações predominates para o sorogrupo Sejroe, sorovar Wolffi (36,49%). Assim, a alta frequência de animais reagentes encontrada justifica a implantação de medidas gerais e específicas para conter e/ou prevenir a infecção nos animais dessa região.(AU)

Detection of anti-Toxoplasma gondiiantibodies in wild free-living birds and mammals from the northwest region of São Paulo state, Brazil / Detecção de anticorpos anti-Toxoplasma gondiiem aves e mamíferos silvestres de vida livre da região noroeste do estado de São Paulo, Brasil

Toxoplasmosis is a protozoonosis caused by an obligate intracellular parasite named Toxoplasma gondii, which can infect humans and a large number of homeothermic animal species with worldwide distribution. The present study aimed to detect anti-T. gondii antibodies from serological samples of free-living wild animals from the northwest region of São Paulo state, Brazil. Thirty-two samples (eight from birds and 24 from mammals) were analyzed by the modified agglutination test (MAT) using 5 cut-off points for birds and 25 for mammals. Seropositivity was observed in 25% (2/8) of birds, including the species Rupornis magnirostris (roadside hawk) and Caracara plancus (southern caracara), and 29.2% (7/24) animals were seropositive among mammals, including one hoary fox (Lycalopex vetulus), two maned wolves (Chrysocyon brachyurus), one black howler monkey (Alouatta caraya), two crab-eating foxes (Cerdocyon thous) and one gray brocket deer (Mazama gouazoubira). The results obtained with the present study indicate the exposure to T. gondiiof free-living wild animals from the northwest region of São Paulo state and, therefore, that they probably play a role in the transmission and maintenance of T. gondii in the environment they inhabit. Thus, identification of the infection in several animal species in the region indicates the environmental contamination of the area. Studies of this nature may help to understand the importance of the prevention and control of this disease in Brazil.(AU)

A toxoplasmose é uma protozoonose causada por um parasita intracelular obrigatório denominado Toxoplasma gondii, que pode infectar os humanos e um vasto número de espécies animais homeotérmicas, apresentando distribuição mundial. O presente estudo objetivou a detecção de anticorpos anti-T. gondii a partir de amostras sorológicas de animais silvestres de vida livre da região noroeste do estado de São Paulo. Foram analisadas 32 amostras (oito de aves e 24 de mamíferos) por meio do teste de aglutinação modificado (MAT), utilizando ponto de corte 5 para as aves e 25 para os mamíferos. Soropositividade foi observada em 25% (2/8) das aves, incluindo as espécies Rupornis magnirostris (gavião-carijó) e Caracara plancus (carcará); entre os mamíferos, 29,2% (7/24) foram soropositivos incluindo uma raposa-do-campo (Lycalopex vetulus), dois lobos-guará (Chrysocyon brachyurus), um bugio-preto (Alouatta caraya), dois cachorros-do-mato (Cerdocyon thous) e um veado-catingueiro (Mazama gouazoubira). Os resultados obtidos com o presente estudo indicam a exposição dos animais selvagens de vida livre a T. gondii na região noroeste do estado de São Paulo e, portanto, que provavelmente apresentam papel na transmissão e manutenção de T. gondii no meio ambiente em que vivem. Assim, a identificação da infecção em várias espécies de animais na região indica a contaminação ambiental da área. Estudos dessa natureza podem ajudar no entendimento sobre a prevenção e o controle dessa importante doença no Brasil.(AU)

Microangiopatía trombótica sistémica asociada a mutaciones del complemento en trasplante renal donante vivo. reporte de caso / Systemic thrombotic microangiopathy associated with complement pathway mutations in living donor kidney transplant. case report

RESUMEN El síndrome urémico hemolítico (SUH) se caracteriza por la presencia de anemia hemolítica, plaquetopenia e insuficiencia renal aguda. Si bien se distingue clásicamente en típico o infeccioso y atípico, es menester reconocer situaciones clínicas en las que se pone de manifiesto, como por ejemplo, embarazo, puerperio inmediato, tumores, trasplante, drogas, etc., condiciones clínicas que han sido denominadas amplificadoras del complemento. La recurrencia postrasplante delsíndrome urémico hemolítico atípico (SUHa) ha sido descrita en porcentajes variables en pacientes con mutaciones del factor H, factor B, factor I y C3, y gen de la trombomodulina, en reportes de casos aislados. Se presenta el caso de una paciente con enfermedad renal crónica (ERC) secundaria a agenesia renal, receptora preemptive de un riñón de donante vivo relacionado que presentó disfunción del injerto renal secundaria a microangiopatía trombótica, asociado a complicación neurológica, hemorragias, disfunción orgánica múltiple y óbito. Se describen los hallazgos del estudio genético y anatomopatológico de necropsia.

ABSTRACT Hemolytic uremic syndrome (HUS) is characterized by the presence of hemolytic anemia, thrombocytopenia and acute kidney injury. Although it is usually distinguished as typical or infectious and atypical, it is necessary to recognize clinical situations in which it is revealed, such as pregnancy, immediate postpartum period, tumors, transplantation, drugs, etc., i.e. clinical conditions that have been called complement-amplifying conditions. Post-transplantation recurrence of atypical hemolytic uremic syndrome (aHUS) has been described in variable percentages in patients with mutations of factor H, factor B, factor I and C3, and thrombomodulin gene, in reports of isolated cases. We present the case of a patient with chronic kidney disease (CKD) secondary to renal agenesis, a preemptive recipient of a related living donor kidney, which presented renal graft dysfunction secondary to thrombotic microangiopathy, associated with neurological complications, hemorrhages, multiple organ dysfunction and death. The findings of the genetic and pathological autopsy study are described.

High level of serovar copenhageni detection in dog sera from Patrocínio, MG, Brazil / Alto nível de detecção do sorovar copenhageni em soros de cães de Patrocínio, MG, Brasil

This study aimed to evaluate the occurrence of canine leptospirosis and the possible risk factors associated with the disease in the municipality of Patrocínio, MG, Brazil. A cross-sectional observational study was carried out from July through August 2017. The municipality was divided into four regions (north, south, east and west) and a predefined number of neighborhoods (25) were randomly sampled in each region. Samples of blood serum were collected from 241 domiciled male and female dogs of different breeds and ages. To investigate the risk factors for canine leptospirosis, the owners of the animals were asked to fill out an epidemiological questionnaire. The following factors were evaluated: breed, sex, age, presence of rodents, type of diet, access to the street, vaccination, presence of flooded areas, and educational level of the owners. Blood serum samples were evaluated by the Microscopic Agglutination Test (MAT), using a collection of 24 live antigens. Of the 241 dogs evaluated, 32 (13.2%) were reactive. The most frequent serovars were: Copenhageni (37.5%) and Canicola (21.8%), followed by Icterohaemorrhagiae and Grippotyphosa (12.5%), Pomona, Tarassovi and Butembo (9.3%) and Hardjo (6.2%). The presence of canine leptospirosis was associated with purebred dogs (OR=0.3059 [95% CI: 0.1430 ­ 0.6547]) and vaccination (OR=2.581 [95% CI: 1.198 ­ 5.563]). It was concluded that some dogs in the municipality of Patrocínio, MG have anti-Leptospiraspp. antibodies and that the serovars most frequently identified were Copenhageni (37.5%) and Canicola (21.8%). Pure breeds and vaccination were factors associated with the prevalence of infection.

O objetivo deste estudo foi avaliar a ocorrência da leptospirose canina e os possíveis fatores de riscos associados à doença no município de Patrocínio ­ MG. Foi realizado um estudo observacional transversal, durante os meses de Julho à Agosto de 2017. O município foi divido em quatro regiões (norte, sul, leste e oeste) e um número predefinido de bairros (25) foi amostrado aleatoriamente em cada região. Foram colhidas 241 amostras de soro sanguíneo de cães domiciliados de ambos os sexos e de diferentes raças e idades. Para investigação dos fatores de risco da leptospirose canina foi aplicado um questionário epidemiológico aos tutores dos animais, foram avaliados os fatores: raça, sexo, idade, presença de roedores, tipo de dieta, acesso à rua, vacinação, presença de áreas alagadas, terrenos baldios e grau de escolaridade dos tutores. As amostras de soro sanguíneo foram avaliadas pelo exame de Soroaglutinação Microscópica (SAM), com uma coleção de vinte e quatro antígenos vivos. Dos 241 cães avaliados, 32 (13,2%) apresentaram-se reagentes. Os sorovares de maior frequência foram: Copenhageni (37,5%) e Canicola (21,8%), seguido por Icterohaemorrhagiae e Grippotyphosa (12,5%), Pomona, Tarassovi e Butembo (9,3%) e Hardjo (6,2%). A presença de leptospirose canina foi associada em cães com raça definida (OR = 0,3059 [IC 95%: 0,1430 ­ 0,6547]) e vacinação (OR = 2,581 [IC 95%: 1.198 ­ 5.563]). Concluiu-se que existem cães que apresentam anticorpos anti-Leptospira spp., no município de Patrocínio-MG e que os sorovares Copenhageni (37,5%) e Canicola (21,8%) foram os de maior ocorrência. Apresentar raça definida e a vacinação foram fatores associados à prevalência da infecção.

Survey of anti-Toxoplasma gondii antibodies in wild mammals captured from Atlantic Forest fragments in Bahia, northeastern Brazil / Pesquisa de anticorpos anti-Toxoplasma gondii em mamíferos silvestres em áreas de Mata Atlântica da Bahia, nordeste do Brasil

Abstract The objective of this study was to investigate the frequency of antibodies to Toxoplasma gondii present in wild mammals that were trap captured in forest fragments in the State of Bahia, northeastern Brazil. A total of 368 individuals (246 rodents, 104 marsupials and 18 bats) were captured using live catch traps. Serum samples were tested using the modified agglutination test, with a cut-off point at 1:25 dilution. The total occurrence of antibodies to T. gondii was 10.6% (39/368), being 16.3% (17/104) in marsupials, 8.5% (21/246) in rodents, and 5.5% (1/18) in bats. Antibody titers varied between 25 and 50 for rodents, between 25 and 400 for marsupials, and were 25 for bats. This is the first report on antibodies to T. gondii in certain rodent species (Thaptomys nigrita, Hylaeamys laticeps, and Cerradomys subflavus), marsupial species (Monodelphis americana, Gracilinanus microtarsus, Gracilinanus agilis and Marmosops incanus), and bats of the genus Rhynchonycteris. The presence of antibodies to T. gondii in wild mammals demonstrates the possibility of these animals as sentinels of toxoplasmosis, especially on regions under high anthropogenic effect.

Resumo O objetivo deste trabalho foi investigar a frequência de anticorpos anti-Toxoplasma gondii presentes em mamíferos selvagens, capturados em fragmentos florestais do Estado da Bahia, Nordeste do Brasil. Um total de 368 indivíduos (246 roedores, 104 marsupiais e 18 morcegos) foram capturados, usando-se armadilhas de captura viva. Os soros foram testados pelo teste de aglutinação modificada, com ponto de corte na diluição de 1:25. A ocorrência total de anticorpos anti-T. gondii foi de 10,6% (39/368), sendo 16,3% (17/104) em marsupiais, 8,5% (21/246) em roedores e 5,5% (1/18) em morcegos. Os títulos variaram de 25 a 50 e 25 a 400, respectivamente, para roedores e marsupiais, e o título máximo em morcegos foi de 25. Este é o primeiro relato de anticorpos para T. gondii em algumas espécies de roedores (Thaptomys nigrita, Hylaeamys laticeps e Cerradomys subflavus), em marsupiais (Monodelphis americana, Gracilinanus microtarsus, Gracilinanus agilis e Marmosops incanus) e em quiróptero do gênero Rhynchonycteris. A presença de anticorpos anti-T. gondii em mamíferos selvagens demonstra a possibilidade desses animais como sentinelas da toxoplasmose, principalmente em regiões com alto efeito antropogênico.

Microscopic Agglutination Test (MAT) for Leptospirosis in Association with Acute Renal Failure in Dogs

The present investigation was carried out in the Department of Veterinary Medicine, College of Veterinary and Animal Sciences, GBPUA&T, Pantnagar, Uttarakhand, India. Total of 100 sera samples from azotemic dogs were subjected to Microscopic Agglutination Test (MAT) using Leptospira culture in Leptospira lab, Department of Veterinary Bacteriology and Mycology, IVRI, Izatnagar, Bareilly (U.P.) All the sera samples were tested against L. interrogans: Serovars icterohaemorrhagiae, pomona, canicola, autumnalis, grippotyphosa and javanica. Out of 100 sera samples, 20 (20%) were found positive (+) for different serovars of Leptospira interogans and 3 (3%) were doubtful (±) at an antibody titre ≥1:100. The serovars identified were L. autumnalis (17/100), L. icterohaemorrhagiae (8/100), L. gryppotyphosa (4/100), L. canicola (2/100), L. javanica (2/100) and L. Pomona (1/100). The highest prevalence of Leptospira was observed for serovars L. autumnalis (17%), followed by L. icterohaemorrhagiae (8%) and least for L. Pomona (1%)

Comparative Evaluation of Serological Tests for Diagnosis of Brucellosis in Bovines with History of Abortion in Punjab

Brucellosis is highly infectious zoonotic disease that causes huge economic losses to livestock farmers by affecting the reproductive potential of animals causing last trimester abortions and infertility. In the present study evaluation of different serological tests to diagnose the seroprevalence of brucellosis in bovines with history of abortion using various serological tests [Rose Bengal Plate Test (RBPT), modified rose bengal plate test (mRBPT), microtitre plate agglutination test (MAT) and indirect enzyme linked immunosorbent assay (i-ELISA)] was carried out. A total of 134 blood samples of cattle and buffalo with history of abortion were collected from organized and unorganized farms. Seroprevalence by mRBPT, RBPT, MAT and i-ELISA was 75.37%, 67.91%, 72.38% and 72.38%, respectively. In organized farms, prevalence of 78.12%, 81.25%, 78.12% and 81.25% while in unorganized farms prevalence of 64.70%, 73.52%, 70.58% and 69.60% was reported by RBPT, mRBPT, MAT and i-ELISA, respectively. The sensitivity and specificity of serological tests by keeping i-ELISA as gold standard were also calculated and the results revealed that sensitivities of RBPT, mRBPT and MAT were 91.75%, 97.94% and 96.91%, respectively, whereas specificities were 94.59%, 83.78% and 91.89%, respectively.

Prevalence of Leptospirosis among Rice mill Workers in Tiruchirapalli, South India

Leptospirosis is one of the emerging and re-emerging neglected tropical bacterial infections, greater attention from the public health and medical communities. Due to increase in urbanization and conversion of rural setup to urban, poor sanitation and unawareness of the risk sources, there is an increase in the new cases every year. Methods: The present investigation is aimed to assess the presence of leptospirosis among rice mill workers by socio-demographic data, information related to disease, symptoms, animal contact, cleaning procedures and determine the presence of leptospires seroprints by genus specific enzyme linked immunosorbent assay (ELISA) and serovar specific microscopic agglutination test (MAT). Results & Conclusion: The Genus specific IgG ELISA was performed for all the serum samples (n=107) and the results were compared with serovar specific MAT by using serial doubling dilutions of serum samples. The results of ELISA showed reactive to 44 samples whereas, MAT showed positive to 32. In MAT, the highest titer value was 1:320 for L. australis and L. grippotyphosa followed by 1:160 for L. autumnalis, L. canicola, L. icterohaemorrhagiae, L. javanica, L. pomona and L. patoc. Screening of this occupational risk group was carried out for the presence of leptospiral seroprints in order to provide appropriate medical check-up and early treatment. Significantly higher prevalence rates in rice mill workers compared to control group is identified, indicating that working in the rice mill is a significant risk factor for leptospiral infection.

Detection of Leptospiral DNA in Urine Sample Following Prolonged Hospitalization: A Case Report

@#We described a case of positive molecular detection of leptospirosis in urine sample following prolonged hospitalization. Relevant clinical history had raised suspicion to leptospirosis infection. A significantly high level of creatinine kinase suggested possibility of rhabdomyolysis. Blood and urine samples collected on 4th day of admission were negative for leptospires culture and serological method showed no significant evidences of positive infection. Molecular detection of Leptospira spp. in blood sample was positive but not in urine sample. After seven weeks of infection, leptospiral DNA was detected in urine sample using molecular method

Cross-sectional study of 13 Leptospira serovars in cows in a Colombian dairy region / Estudio transversal de 13 serovares de Leptospira en vacas en una región lechera colombiana / Estudo transversal de 13 sorotipos de Leptospira em vacas em uma região leitera colombiana

Abstract Background: Leptospirosis in cattle is recognized as a major cause of reproductive loses due to abortions, early embryonic death, and infertility. The type of Leptospira serovars that are currently circulating in Colombian herds is largely unknown due to the lack of national reports. Objective: The prevalence of antibodies specific to 13 Leptospira spp serovars was investigated in unvaccinated cows from 26 herds in San Pedro de los Milagros (Province of Antioquia) dairy region. Methods: Microscopic agglutination test was used on serum samples, following WHO recommendations. Results: A total of 112/900 (12.4%) of the animals had antibody titers of 1:100 or greater to at least one Leptospira serovar. Of those positive, 34/900 (3,8%) animals seroconverted to two or more serovars. In order of decreasing prevalence, the serovars detected were: hardjo prajitno, pomona, grippotyphosa, tarassovi, copenhageni, canicola, cellodeni and bratislava. There were 28 animals seropositive to serovar hardjo. Conclusion: Our results indicate that leptospirosis should be included as a differential diagnosis for various reproductive problems in this region.

Resumen Antecedentes: La leptospirosis es la mayor causal de pérdidas reproductivas debidas a abortos, muerte embrionaria temprana e infertilidad. Se desconocen los serovares de Leptospira que actualmente se encuentran circulando en el rebaño colombiano debido a la falta de reportes nacionales. Objetivo: Se investigó la prevalencia de anticuerpos específicos para 13 serovares de Leptospira spp en vacas no vacunadas de 26 rebaños en la región lechera de San Pedro de los Milagros (Provincia de Antioquia). Métodos: La prueba de aglutinación microscópica fue empleada en muestras de suero de acuerdo a las recomendaciones de la OMS. Resultados: Un total de 112/900 (12,4%) de los animales presentaron títulos de anticuerpos de 1:100 o superiores para al menos un serovar de Leptospira. Entre los positivos, el 34/900 (3,8%) de los animales presentaron seroconversión para dos o más serovares. En orden decreciente de prevalencia, los serovares detectados fueron: hardjo prajitno, pomona, grippotyphosa, tarassovi, copenhageni, canicola, cellodeni y Bratislava. En total, 28 animales fueron seropositivos al serovar hardjo. Conclusión: La leptospirosis debería ser incluida como diagnóstico diferencial en problemas reproductivos en esta región.

Resumo Antecedentes: Aleptospirose em bovinos é reconhecida como uma das principais causas de perdas reprodutivas devido a abortos, morte embrionária precoce e infertidade. Os sorotipos de Leptospira que estão atualmente em circulação no rebanho colombiano não se conhecem devido à falta de reportes nacionais. Objetivo: Neste estúdio foi investigada a prevalência de anticorpos específicos para 13 sorovares de Leptospira spp em vacas não vacinadas de 26 rebanhos leiteiros da região de San Pedro, Antioquia. Métodos: Foi empregado o teste de aglutinação microscópica (MAT) em amostras de soro de acordo com as recomendações da OMS. Resultados: Um total de 112/900 (12,4%) animais apresentaram títulos de anticorpos de 1:100 ou superiores para pelo menos um sorotipo de Leptospira. Dos animais positivos, 34/900 (3,8%) soroconverteram para dois ou mais sorotipos. A fim de diminuir a prevalência, foram detectados os sorotipos: hardjo, prajitno, pomona, grippotyphosa, tarassovi, copenhageni, canicola, cellodeni e Bratislava. Um total de28 animais foram soropositivos para o sorotipo hardjo. Conclusão: Os resultados indicam que a leptospirose deveria ser incluída nos diagnósticos diferenciais para o diagnóstico diferencial de problemas em doenças reprodutivas nos bovinos de Antioquia.

The Uneven Distribution of Mating Type Genes in Natural and Cultivated Truffle Orchards Contributes to the Fructification of Tuber indicum

The aim of this study was to investigate the pattern of distribution of mating type (MAT) genes of Tuber indicum in ectomycorhizosphere soils from natural T. indicum-producing areas and cultivated truffle orchards and ascocarp samples from different regions. Quantitative real-time PCR and multiplex PCR were used to weight the copy numbers of MAT1-1-1 and MAT1-2-1 in natural truffle soils and cultivated orchard soils. The effect of limestone on the pattern of truffle MAT genes and the correlation between soil properties and the proportion of MAT genes were also assessed. These results indicated that an uneven and nonrandom distribution of MAT genes was common in truffle-producing areas, cultivated truffle orchards, and ascocarps gleba. The competition between the two mating type genes and the expansion of unbalanced distribution was found to be closely related to truffle fructification. Limestone treatments failed to alter the proportion of the two mating type genes in the soil. The content of available phosphorus in soil was significantly correlated with the value of MAT1-1-1/MAT1-2-1 in cultivated and natural ectomycorhizosphere soils. The application of real-time quantitative PCR can provide reference for monitoring the dynamic changes of mating type genes in soil. This study investigates the distributional pattern of T. indicum MAT genes in the ectomycorhizosphere soil and ascocarp gleba from different regions, which may provide a foundation for the cultivation of T. indicum.

Multiplex polymerase chain reaction as an improved method for screening Histoplasma capsulatum mating types

Histoplasmosis is a systemic mycosis infection caused by Histoplasma capsulatum, a heterothallic ascomycete. The sexual reproduction of this fungus is regulated by the mating type (MAT1) locus that contains MAT1-1 and MAT1-2 idiomorphs, which were identified by uniplex polymerase chain reaction (PCR). This study aimed to optimise single-step multiplex PCR for the accurate detection of the distinct mating types of H. capsulatum. Among the 26 isolates tested, 20 had MAT1-1 genotype, while six showed MAT1-2 genotype, in agreement with the uniplex PCR results. These results suggest that multiplex PCR is a fast and specific tool for screening H. capsulatum mating types.

Research on magnetoacoustic tomography with magnetic induction reconstruction based on improved time inversion algorithm / 医疗卫生装备

Objective To develop a new algorithm to reconstruct the distribution of acoustic sources of magnetoacoustic tomography with magnetic induction(MAT-MI)in the acoustic inhomogeneous media,which is developed on the basis of generalized finite element method (GFEM) and modified time inversion algorithm. Methods The acoustic and acoustic coupling theory and the basic equations of acoustics were used to study the forward and inverse problems of the acoustic inhomogeneous concentric sphere magneticacoustic coupling model. The solution of acoustic non-uniform media wave equation based on GFEM was proposed.The method solved the problem of acoustically inhomogeneous media sound source reconstruction and conductivity reconstruction.At the same time,the distribution of velocity was reconstructed by rotating the pairs of transducers and the time reversal algorithm. Results The proposed algorithm could accurately reconstruct the acoustic source distribution in acoustic inhomogeneous media,and could obtain the distribution of sound velocity during the reconstruction of sound source and recover the image well. Conclusion The proposed algorithm had its feasibility and effectiveness verified,and gains advantages in MAT-MI reconstruction of acoustic inhomogeneous media.

Research status on hypermethioninemia / 国际儿科学杂志

Hypermetioninemia is a group of rare diseases defined by plasma methionine elevation. The causes of hypermethioninemia include genetic and non-genetic factors. Affecting the transmethylation process in the metabolic pathway between methionine and homocysteine is the common inherited methylation disorders. Most patients had completely asymptomatic and only biochemical abnormalities,others with clinical symptoms were also non-specific, such as mental retardation, cognitive impairment, moderate hepatomegaly, dystonia, Marfans syndrome type,osteoporosis,and cardiovascular disease,and etc. A low methionine diet treatment is rec-ommended,the importance of neonatal screening is emphasized and the birth defects can be reduced through pre-natal diagnosis,but the necessity remains controversial. The long-term prognosis of this disorders is unknown,the plasma of methionine should be measured at regular intervals,and the individualized follow-up is very important.

A Case of Pressure Blister after Using Air Mesh Mat / 대한피부과학회지

No abstract available.

Development and Validation of a Practical Instrument for Injury Prevention: The Occupational Safety and Health Monitoring and Assessment Tool (OSH-MAT)

BACKGROUND: The Occupational Safety and Health Monitoring and Assessment Tool (OSH-MAT) is a practical instrument that is currently used in the German woodworking and metalworking industries to monitor safety conditions at workplaces. The 12-item scoring system has three subscales rating technical, organizational, and personnel-related conditions in a company. Each item has a rating value ranging from 1 to 9, with higher values indicating higher standard of safety conditions. METHODS: The reliability of this instrument was evaluated in a cross-sectional survey among 128 companies and its validity among 30,514 companies. The inter-rater reliability of the instrument was examined independently and simultaneously by two well-trained safety engineers. Agreement between the double ratings was quantified by the intraclass correlation coefficient and absolute agreement of the rating values. The content validity of the OSH-MAT was evaluated by quantifying the association between OSH-MAT values and 5-year average injury rates by Poisson regression analysis adjusted for the size of the companies and industrial sectors. The construct validity of OSH-MAT was examined by principle component factor analysis. RESULTS: Our analysis indicated good to very good inter-rater reliability (intraclass correlation coefficient = 0.64–0.74) of OSH-MAT values with an absolute agreement of between 72% and 81%. Factor analysis identified three component subscales that met exactly the structure theory of this instrument. The Poisson regression analysis demonstrated a statistically significant exposure–response relationship between OSH-MAT values and the 5-year average injury rates. CONCLUSION: These analyses indicate that OSH-MAT is a valid and reliable instrument that can be used effectively to monitor safety conditions at workplaces.