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1.
Vet J ; 293: 105955, 2023 Mar.
Article in English | MEDLINE | ID: mdl-36781018

ABSTRACT

Mechanical properties of arena surfaces are extrinsic factors for musculoskeletal injury. Vertical impact forces of harrowed and compacted cushion were measured at five locations on 12 arena surfaces (five dirt, seven synthetic [dirt and fiber]). Eight variables related to impact force, displacement, and acceleration were calculated. Surface temperature, cushion depth and moisture content were also measured. The effects of surface material type (dirt/synthetic) and cushion compaction (harrowed/compacted) on vertical impact properties were assessed using an analysis of variance. Relationships of manageable surface properties with vertical impact forces were examined through correlations. Compacted cushion exhibited markedly higher vertical impact force and deceleration with lower vertical displacement than harrowed cushion (P < 0.001), and the effect was greater on dirt than synthetic surfaces (P = 0.039). Vertical displacement (P = 0.021) and soil rebound (P = 0.005) were the only variables affected by surface type. Surface compaction (harrowed, compacted) had a significantly greater effect on vertical impact forces than surface type (dirt, synthetic). By reducing surface compaction through harrowing, extrinsic factors related to musculoskeletal injury risk are reduced. These benefits were more pronounced on dirt than synthetic surfaces. These results indicate that arena owners should regularly harrow surfaces, particularly dirt surfaces.


Subject(s)
Running , Animals , Surface Properties
2.
Vet J ; 291: 105930, 2023 Jan.
Article in English | MEDLINE | ID: mdl-36427603

ABSTRACT

Shear forces at the surface-hoof interface affect hoof slide, surface grip, forces transferred to the limb, and injury risk. However, the variation in shear forces among surfaces with different compositions have not been quantified. Shear ground reaction forces were measured on five dirt and seven synthetic arena surfaces. Cohesion/adhesion and angle of internal friction/coefficient of friction were calculated. Surface composition, surface temperature, cushion depth, and moisture content were also measured. The effects of surface material (dirt/synthetic) on shear properties were assessed using analysis of variance (ANOVA; P < 0.05). The relationships between surface composition or management properties and shear properties were analyzed using linear correlation. Shear properties were not different between dirt and synthetic surface categories; however, surface fiber content was correlated with adhesion and coefficient of friction. These correlations predict that more fiber will decrease soil adhesion (r = -0.75; P < 0.01) and increase the coefficient of friction (r = 0.81; P < 0.01). Furthermore, maximum shear force was significantly correlated with cushion depth (r = 0.61; P < 0.01) and moisture content (r = 0.57; P < 0.01), where shear force was greater on surfaces with thicker cushion layers or higher moisture content. The findings suggest that shear mechanical behavior is more dependent on surface composition than surface material categories (dirt/synthetic) and also indicate that arena owners can influence shear forces by adjusting either surface composition or management.


Subject(s)
Hoof and Claw , Horses , Animals , Surface Properties , Shear Strength
3.
Ann Biomed Eng ; 49(1): 299-309, 2021 Jan.
Article in English | MEDLINE | ID: mdl-32514933

ABSTRACT

It is well known that transport of nutrients and wastes as solute in bone fluid plays an important role in bone remodeling and damage healing. This work presents a chemo-poroelastic model for fluid and solute transport in the lacunar-canalicular network of an osteonal cortical bone under cyclic axial mechanical loading or vascular pressure. Analytical solutions are obtained for the pore fluid pressure, and fluid and solute velocities. Numerical results for fluid and calcium transport indicate that under a cyclic stress of 20 MPa, the magnitudes of the fluid and calcium velocities increase with an increase in the loading frequency for the frequency range considered (≤ 3 Hz) and peak at the inner boundary. The peak magnitude of calcium velocity reaches 18.9 µm/s for an osteon with a permeability of 1.5 × 10-19 m2 under a 3 Hz loading frequency. The magnitude of calcium velocity under a vascular pressure of 50 mmHg is found to be two orders of magnitude smaller than that under the mechanical load. These results have the potential to be important in understanding fundamental aspects of cortical bone remodeling as transport characteristics of calcium and other nutrients at the osteon scale influence bone metabolism.


Subject(s)
Haversian System/physiology , Models, Biological , Calcium , Elasticity , Extracellular Fluid , Porosity , Solvents , Stress, Mechanical
4.
Int J Tuberc Lung Dis ; 23(6): 720-727, 2019 06 01.
Article in English | MEDLINE | ID: mdl-31315705

ABSTRACT

BACKGROUND In KwaZulu-Natal, South Africa, the incidence of extensively drug-resistant tuberculosis (XDR-TB) is driven by the transmission of resistant strains. As data suggest that cases may be spatially clustered, we sought to identify 'hotspots' and describe these communities. METHODS We enrolled XDR-TB patients diagnosed from 2011 to 2014 in eThekwini. Global positioning system (GPS) coordinates for participant homes were collected and hotspots were identified based on population-adjusted XDR-TB incidence. The sociodemographic features of hotspots were characterised using census data. For a subset of participants, we mapped non-home XDR-TB congregate locations and compared these with results including only homes. RESULTS Among 132 participants, 75 (57%) were female and 87 (66%) lived in urban or suburban locations. Fifteen of 197 census tracts were identified as XDR-TB hotspots with ≥95% confidence. Four spatial mapping methods identified one large hotspot in northeastern eThekwini. Hotspot communities had higher proportions of low educational attainment (12% vs. 9%) and unemployment (29.3% vs. 20.4%), and lower proportion of homes with flush toilets (36.4% vs. 68.9%). The case density shifted towards downtown Durban when congregate locations (e.g., workplaces) for 43 (33%) participants were mapped. CONCLUSIONS In eThekwini, XDR-TB case homes were clustered into hotspots with more poverty indicators than non-hotspots. Prevention efforts targeting hotspot communities and congregate settings may be effective in reducing community transmission. .


Subject(s)
Extensively Drug-Resistant Tuberculosis/epidemiology , Tuberculosis, Pulmonary/epidemiology , Adult , Cities , Cross-Sectional Studies , Demography , Extensively Drug-Resistant Tuberculosis/etiology , Female , Geographic Information Systems , Humans , Incidence , Male , Socioeconomic Factors , South Africa/epidemiology , Tuberculosis, Pulmonary/etiology
5.
Vet J ; 227: 49-57, 2017 Sep.
Article in English | MEDLINE | ID: mdl-29031331

ABSTRACT

The development of safety and quality standards for equestrian surfaces needs to be based on objective, repeatable measurements which allow comparisons between surfaces. These measurements should incorporate the assessment of surface performance by riders. This study provides data from objective and subjective assessment of functional properties of high-level show jumping competition and warm-up arenas. Twenty-five arenas in nine international show jumping events were evaluated by mechanical in-situ testing with a surface tester, rider assessments using visual analogue scales (198 riders provided 749 arena evaluations), descriptions of arena constructions and by laboratory tests of surface material. Mixed models were used to present subjective evaluation of rider perception of the functional properties for each arena while controlling for rider and event. The association between objective and subjective assessments were also explored creating mixed models, controlling for rider and event. Mechanical measurements of impact firmness, and to a lesser extent cushioning and grip, had a significant positive association with the riders' perception. Responsiveness as assessed by the Orono biomechanical surface tester (OBST) was negatively associated with the riders' perceptions, which suggests riders and the OBST had different concepts of this functional property and that further developments of the OBST might be necessary. Objectively measured uniformity showed no useful association with riders' perception. Even though arena assessments were made by top level riders, a substantial inter-rider variation was demonstrated.


Subject(s)
Animal Welfare , Horses , Sports , Animal Welfare/standards , Animals , Biomechanical Phenomena , Humans , Surveys and Questionnaires
6.
Equine Vet J ; 48(1): 97-102, 2016 Jan.
Article in English | MEDLINE | ID: mdl-25251227

ABSTRACT

REASONS FOR PERFORMING STUDY: Different horseshoe designs have been developed in an attempt to optimise footing for equine athletes. Horseshoe performance is assumed to be dependent on the surface and gait, but there are limited data on horseshoe performance on different surfaces, independent of gait variation. OBJECTIVES: To quantify the dynamic loading for 3 aluminium racing shoe designs on Thoroughbred racetrack surface materials, using a biomechanical surface tester. STUDY DESIGN: A flat racing plate, a serrated V-Grip and a shoe with a 6 mm toe grab and 10 mm heel calks were tested on synthetic and dirt surfaces under typical operating conditions of temperature and moisture content for the respective material samples. METHODS: Samples were tested under laboratory conditions, replicating a track surface by compacting material into a latex-lined mould surrounded by silica sand for representative boundary conditions. Peak loading and loading rates were measured vertically and horizontally (craniocaudal), simulating aspects of primary and secondary impacts of the hoof in a galloping horse. RESULTS: Maximum vertical and shear loads and loading rates were not significantly different between shoe types, with the exception of a reduced craniocaudal loading rate for the V-Grip shoe on the synthetic surface. All other statistical significance was related to the surface material. CONCLUSIONS: These 3 different Thoroughbred racing shoes do not have a significant impact on loading and loading rate, with the exception of the V-Grip shoe on a synthetic surface. Although the V-Grip may reduce craniocaudal peak load rates in a synthetic material with relatively high wax and/or low oil content, the reduction in load rate is less than the difference found between materials. This study indicates that shoeing has little effect, and that a track's surface material and its preparation have a significant effect on the dynamic loading during the impact phase of the stance.


Subject(s)
Construction Materials , Horses , Shoes , Surface Properties , Animals , Sports , Stress, Mechanical
7.
Vet J ; 203(1): 59-64, 2015 Jan.
Article in English | MEDLINE | ID: mdl-25510315

ABSTRACT

A recent epidemiological study identified various aspects of arena surfaces and arena surface maintenance that were related to risk of injury in horses and that arena maintenance is important in reducing injury risk. However, there has been little research into how properties of arena surfaces change with harrowing. This study aimed to compare the properties of different arena surface types pre- and post-harrowing. The Orono Biomechanical Surface Tester fitted with accelerometers and a single- and a three-axis load cell was used to test 11 arenas with two different surfaces types, sand with rubber (SR) and waxed-sand with fibre (WSF). Three drop tests were carried out at 10 standardised locations on each arena. Mixed models were created to assess the effect of surface type, pre- or post-harrowing, and drop number on the properties of the surface, including maximum horizontal deceleration, maximum vertical deceleration, maximum vertical load and maximum horizontal load. Post-harrowing, none of the parameters were altered significantly on SR. On WSF, maximum vertical deceleration and maximum vertical load significantly decreased post-harrowing. The differences in the effects of superficial harrowing on SR and WSF could be attributed to the different compositions and sizes of the surface material. The results suggest that different maintenance techniques may be more suitable for different surface types and that the effects of superficial harrowing are short-lived due to the rapid re-compaction of the surface with repeated drops on WSF. Further work is required to determine the effects of other maintenance techniques, and on other surface types.


Subject(s)
Floors and Floorcoverings , Horse Diseases/etiology , Horses/injuries , Physical Conditioning, Animal , Rubber , Silicon Dioxide , Animals , Biomechanical Phenomena
8.
J Appl Microbiol ; 115(3): 679-88, 2013 Sep.
Article in English | MEDLINE | ID: mdl-23773892

ABSTRACT

AIMS: To develop a semi-high-throughput ex vivo mucosal model for determining efficacy and toxicity of antiseptics. METHODS AND RESULTS: Explants (5 mm) from freshly excised, porcine vaginal mucosa were infected with methicillin-sensitive Staphylococcus aureus (1 × 10(6)  CFU) at the epithelial surface for 2 h. Haematoxylin and eosin staining revealed healthy uninfected tissue and only minor disruptions in tissue infected with methicillin susceptible Staph. aureus (MSSA), which remained in outer epithelial cell layers. After 2 h infection, 10 µl of chlorhexidine digluconate (CHG, 3%), povidone-iodine (PI, 7·5%), octenidine dihydrochloride (OCT, 0·1%) or polyhexamethylene biguanide (PHMB, 0·1%) was applied. Antiseptics significantly reduced MSSA (1-4 log10  CFU/explants) after 0·25 h to 4 h. CHG, PHMB and OCT exhibited persistence at 24 h. In broth culture, CHG 0·012% and PI 0·625% achieved >6 log10 reductions at 2 h. PI-based formulations were more efficacious than unformulated PI. PI-based formulations exhibited no significant cytotoxicity on explants using an MTT assay. CONCLUSIONS: All antiseptics tested in the mucosal MSSA infection model reduced MSSA. CHG and PI were more potent in broth culture. SIGNIFICANCE AND IMPACT OF THE STUDY: We developed a semi-high-throughput mucosal model that can identify compounds or formulations with promising antimicrobial and limited cytotoxic properties.


Subject(s)
Anti-Infective Agents, Local/pharmacology , Microbial Sensitivity Tests , Models, Biological , Mucous Membrane/microbiology , Animals , Anti-Infective Agents, Local/toxicity , Biguanides/pharmacology , Biguanides/toxicity , Chlorhexidine/analogs & derivatives , Chlorhexidine/pharmacology , Chlorhexidine/toxicity , Female , Mucous Membrane/anatomy & histology , Povidone-Iodine/pharmacology , Staphylococcus aureus/drug effects , Staphylococcus aureus/isolation & purification , Swine , Tissue Culture Techniques , Vagina/anatomy & histology , Vagina/microbiology
9.
IEEE Trans Neural Syst Rehabil Eng ; 21(3): 500-7, 2013 May.
Article in English | MEDLINE | ID: mdl-23475375

ABSTRACT

Tactile sensation is critical for effective object manipulation, but current prosthetic upper limbs make no provision for delivering somesthetic feedback to the user. For individuals who require use of prosthetic limbs, this lack of feedback transforms a mundane task into one that requires extreme concentration and effort. Although vibrotactile motors and sensory substitution devices can be used to convey gross sensations, a direct neural interface is required to provide detailed and intuitive sensory feedback. In light of this, we describe the implementation of a somatosensory prosthesis with which we elicit, through intracortical microstimulation (ICMS), percepts whose magnitude is graded according to the force exerted on the prosthetic finger. Specifically, the prosthesis consists of a sensorized finger, the force output of which is converted into a regime of ICMS delivered to primary somatosensory cortex through chronically implanted multi-electrode arrays. We show that the performance of animals (Rhesus macaques) on a tactile task is equivalent whether stimuli are delivered to the native finger or to the prosthetic finger.


Subject(s)
Artificial Limbs , Deep Brain Stimulation/instrumentation , Evoked Potentials, Somatosensory , Fingers , Robotics/instrumentation , Touch , Transducers , Animals , Behavior, Animal , Biofeedback, Psychology/instrumentation , Biofeedback, Psychology/methods , Equipment Design , Equipment Failure Analysis , Humans , Macaca mulatta , Male , Movement
10.
Equine Vet J ; 42(4): 351-7, 2010 May.
Article in English | MEDLINE | ID: mdl-20525055

ABSTRACT

REASONS FOR PERFORMING STUDY: Differences in racing times have been noted on synthetic track surfaces that appear to depend on the temperature of the track. No published study to date has considered this effect in a systematic manner. OBJECTIVES: To investigate the relationship between temperature of track and speed of horses racing on a synthetic surface. Potential changes in the wax component of the synthetic track were investigated as one possible cause of changes in the track speed at the temperatures observed. METHODS: At Del Mar racetrack (California, USA), the air, surface and subsurface temperatures at 4 depths in the synthetic race surface were measured periodically throughout the day over a 42 day period. The 6 furlong (1.2 km) race (afternoon) and fast training 'work' (morning) times were also compiled. Samples of the track were obtained and the wax separated using a solvent separation technique. Differential scanning calorimetry was used to determine the range of temperatures at which the wax from the track underwent softening and other material changes. Transformation temperatures were compared to temperatures acquired from the track to evaluate the likelihood of changes in the wax properties during racing. RESULTS: Average air, surface and subsurface temperatures changed significantly throughout the day. Temperatures were higher during the afternoon race sessions and race times were significantly slower compared to morning work times. Temperatures at which some of the components of the wax began to soften were found to be within the range of temperature measured during track operation. CONCLUSIONS: A correlation was found between temperature of the synthetic track and speed of horse. Wax separated from the track showed that the temperatures experienced in the surface during normal operation exceed the temperatures at which the wax begins to experience thermal transformation. It is therefore hypothesised that the wax may be a cause of the observed changes in the track performance. POTENTIAL RELEVANCE: Future work should include a study of components of the synthetic track responsible for the change and epidemiological association of risk of injury.


Subject(s)
Horses/physiology , Running/physiology , Sports , Temperature , Animals
12.
J Acoust Soc Am ; 125(4): EL123-8, 2009 Apr.
Article in English | MEDLINE | ID: mdl-19354349

ABSTRACT

Permeability of a porous material with a fluid interface is shown to be related to the propagation of the slow longitudinal wave. The propagation threshold of the slow longitudinal wave occurs when the wave number is higher than the critical wave number, k(cr). Measuring k(cr) can provide the intrinsic permeability of a porous interface. The ability to detect a change in k(cr) due to differences in pore size and fluid viscosity is demonstrated. This measurement is demonstrated in a model material with two pore sizes and two fluid viscosities. The results suggest opportunities to extend the method to a range of materials of scientific and technical importance.

13.
Equine Vet J ; 40(6): 602-5, 2008 Sep.
Article in English | MEDLINE | ID: mdl-19031517

ABSTRACT

When Thoroughbred racehorses experience catastrophic injuries, the track surface is often discussed as a factor. The present study investigated the mechanical properties of the surface and found that significant changes in a track occur during routine maintenance. Questions regarding the relative importance of track variability and hardness require further investigation.


Subject(s)
Horse Diseases/prevention & control , Horses/injuries , Lameness, Animal/prevention & control , Physical Conditioning, Animal/physiology , Soil , Wounds and Injuries/veterinary , Animals , Biomechanical Phenomena/physiology , Sports/standards , Wounds and Injuries/prevention & control
14.
Ultrasonics ; 43(3): 197-207, 2005 Jan.
Article in English | MEDLINE | ID: mdl-15556654

ABSTRACT

A semi-analytical model for multiple mode axially symmetric wave propagation in finite solid cylindrical waveguides is presented. The model is designed as a tool for predicting and interpreting experimental signals. The model is based on a common experimental configuration and considers the excitation, propagation and reception of the ultrasonic signal in the waveguide. The Pochhammer-Chree solution for an infinite cylinder is the basis for the model. Extensions are made to enable comparison to experimental results. Comparisons with experiment are performed in the time, frequency and joint-time frequency domain for both narrow band and broad band excitation of the piezo-electric transducer.

15.
J Antimicrob Chemother ; 52(3): 481-4, 2003 Sep.
Article in English | MEDLINE | ID: mdl-12917248

ABSTRACT

OBJECTIVES: To identify whether mutations in gyrA and gyrB confer fluoroquinolone resistance in Bacteroides fragilis. METHODS: Eight fluoroquinolone-resistant (FQR) strains were complemented with plasmid-mediated B. fragilis wild-type gyrA (pMP1) and gyrB (pMP2), and MICs determined. Sequence analysis of the gyrA and gyrB quinolone resistance determining region (QRDR) was performed for all strains. RESULTS: MICs of fluoroquinolones were two- to 32-fold higher than wild-type for all mutants. Five mutants had a substitution in GyrA (Ser-82-->Phe), one mutant had a substitution in GyrA (Asp-81-->Gly), one mutant had a substitution in GyrB (Glu-478-->Lys), and one resistant strain did not contain mutations in the QRDR of gyrA or gyrB. Following complementation with pMP1 or pMP2, the MICs of fluoroquinolones were reduced two- to 32-fold for the mutants. CONCLUSION: These studies verify that substitutions in GyrA and GyrB confer resistance in B. fragilis. Other mechanisms are also responsible for resistance since not all resistant strains fully complemented to the wild-type phenotype.


Subject(s)
Anti-Bacterial Agents/pharmacology , Bacteroides fragilis/drug effects , Bacteroides fragilis/genetics , DNA Gyrase/genetics , Fluoroquinolones/pharmacology , Plasmids/genetics , Drug Resistance, Bacterial , Genetic Complementation Test , Microbial Sensitivity Tests , Mutation/genetics , Phenotype , Reverse Transcriptase Polymerase Chain Reaction
16.
J Strength Cond Res ; 16(4): 556-60, 2002 Nov.
Article in English | MEDLINE | ID: mdl-12423185

ABSTRACT

The effect of altered hip orientation angle ([HOA] angle of hip joint center to bottom bracket relative to horizontal) on Wingate anaerobic test results and cycling technique while maintaining a constant body configuration angle (included angle between torso, hip, and bottom bracket) and maximum hip-to-pedal distance was examined. Nineteen recreational cyclists, all men, with no recent recumbent cycling experience completed 30-second Wingate tests in 3 recumbent positions (HOA = -20 degrees, -10 degrees, and 0 degrees ) and the standard cycling position (SCP) (HOA = 75 degrees ). Peak, average, and minimum power output, as well as fatigue index, were not significantly different across all positions (p < 0.01). Average hip and knee extension angles increased slightly, and ankle angle did not change as HOA increased. These findings indicate that although HOA does have a small effect on cycling kinematics, these effects are not large enough to alter short-term power output. Therefore, anaerobic power output may be evaluated and compared in the recumbent positions and the SCP.


Subject(s)
Bicycling/physiology , Exercise Test/methods , Hip Joint/physiology , Range of Motion, Articular/physiology , Adult , Anaerobic Threshold , Biomechanical Phenomena , Humans , Male , Physical Endurance/physiology , Probability , Sensitivity and Specificity
17.
Biomed Sci Instrum ; 38: 209-14, 2002.
Article in English | MEDLINE | ID: mdl-12085603

ABSTRACT

The recumbent cycling position (RCP) is gaining popularity, with both recumbent ergometers and bicycles available as an alternative to the standard, upright cycling position (SCP). However, very little is known about the RCP, creating a situation where uniformed choices are being made. A system was developed for measuring and analyzing the forces placed on a bicycle pedal during operation of a stationary ergometer in either the RCP or SCP. Clipless pedals were modified so that forces normal and tangential to the surface of the pedal could be measured in the plane of the bicyclist. Additionally, the angle of the pedal was measured relative to the crank arm, as well as crank arm angle, so that pedal force orientations in a global reference were known. The pedals were modified in such a way that they were structurally and functionally similar to their original design. After obtaining university-approved informed consent, a single RCP with similar included angle between torso and lower extremities to the SCP was compared by having 19 recreational cyclists pedal in both positions (60 rpm, 250 W). Both pedal forces and lower-extremity kinematics were measured and an inverse-dynamics analysis was performed. The energy transferred from the upper body to the lower extremities was significantly reduced in the RCP. Additionally, the amount of work done by knee flexion was significantly increased in the RCP while total work at the knee was not different. Due to these differences, depending on the situation, it may be more advantageous to select one cycling position over the other.


Subject(s)
Bicycling/physiology , Posture/physiology , Adult , Ankle Joint/physiology , Biomechanical Phenomena , Equipment Design , Female , Gravitation , Hip Joint/physiology , Humans , Knee Joint/physiology , Male , Weight-Bearing/physiology , Work
18.
Biomed Sci Instrum ; 38: 417-21, 2002.
Article in English | MEDLINE | ID: mdl-12085643

ABSTRACT

Quantifying power output is becoming more popular in training and competition for cycling. This popularity comes from the fact that power is a direct means of measuring intensity, which is considered by many to be the most important variable in a successful training program. Although other methods are available for measuring power output, there is no frame that is available that uses strain to quantify power output. Using a frame may prove superior to currently available products. Additionally, strain may prove useful for cycling technique analysis, another critical factor for success. In this study, a cyclocross bicycle frame was instrumented with six strain gages to determine if strain energy in the frame correlates with power output. For pilot data, an 85 kg subject rode the bike on rollers with a fork stand at 250 watts and a cadence of 90 rpm. Although more data needs to be collected and analyzed to find a correlation with power output, initial pilot data shows that the strain in the frame is cyclic in nature when pedaling and has a corresponding frequency with the pedaling cadence. It is hypothesized that the strain in the frame will have a high correlation with power output. While this application is specific to cycling, correlating strain to power output may prove useful in other applications.


Subject(s)
Bicycling , Data Collection/methods , Sports Equipment , Bicycling/physiology , Equipment Design , Physical Education and Training , Pilot Projects , Stress, Mechanical
19.
Antimicrob Agents Chemother ; 46(1): 203-10, 2002 Jan.
Article in English | MEDLINE | ID: mdl-11751135

ABSTRACT

An in vitro pharmacodynamic investigation was conducted to explore whether the area under the concentration time curve from 0 to 24 h (AUC(0-24))/MIC ratio could predict fluoroquinolone performance against Bacteroides fragilis. An in vitro model was used to generate kill curves for trovafloxacin (TVA) and levofloxacin (LVX) at AUC(0-24)/MIC ratios of 1 to 406 against three strains of B. fragilis (ATCC 25285, ATCC 23745, and clinical isolate M97-117). TVA and LVX were bolused prior to the start of experiments to achieve the corresponding AUC(0-24)/MIC ratio. Experiments were performed in duplicate over 24 h and in an anaerobic environment. Analyses of antimicrobial performance were conducted by comparing the rates of bacterial kill (K) using nonlinear regression analysis with 95% confidence intervals. Statistical significance was defined as a lack of overlap in the 95% confidence limits generated from the slope of each kill curve. For both TVA and LVX, K was maximized once an AUC(0-24)/MIC ratio of > or =40 was achieved and was not further increased despite a 10-fold increase in AUC(0-24)/MIC from approximately 40 to 400 against all three strains of B. fragilis. No significant differences were found in K between AUC(0-24)/MIC ratios of approximately 40 to 200. In experiments where AUC(0-24)/MIC ratios that were > or = 5 and < or = 44 were conducted, 64% demonstrated regrowth at 24 h. Resistant strains were selected in 50% of those experiments, demonstrating regrowth, which resulted in increased MICs of two- to 16-fold for both TVA and LVX. Regrowth did not occur, nor were resistant strains selected in any studies with an AUC/MIC that was > 44. Our findings suggest that fluoroquinolones provide antibacterial effects against B. fragilis in a concentration-independent manner associated with an AUC(0-24)/MIC ratio of > or =40. Also, the potential for the selection of resistant strains of B. fragilis may increase with an AUC(0-24)/MIC ratio of < or =44.


Subject(s)
Anti-Infective Agents/pharmacology , Bacteroides fragilis/drug effects , Fluoroquinolones , Levofloxacin , Naphthyridines/pharmacology , Ofloxacin/pharmacology , Area Under Curve , Humans , Microbial Sensitivity Tests , Time Factors
20.
Vaccine ; 20(3-4): 563-76, 2001 Nov 12.
Article in English | MEDLINE | ID: mdl-11672923

ABSTRACT

A simple and sensitive method for measuring antibodies to primary human immunodeficiency virus type 1 (HIV-1) isolates has been developed. The flow cytometric immuno-fluorescence assay detects antibodies that bind to the native, oligomeric form of the envelope glycoprotein (gp120) expressed on the surface of PM-1 cells infected with primary isolates of HIV-1. Sera from people infected with HIV-1 or those immunized with recombinant gp120 vaccines were tested. Significant correlation was observed between neutralizing activity and oligomeric gp120 binding activity. Thirteen to 100% of individuals immunized with the subtype B bivalent vaccine AIDSVAX B/B developed oligomeric gp120 binding antibodies against a variety of subtype B primary isolates. For several isolates, AIDSVAX B/B sera reacted better than monovalent AIDSVAX B sera, suggesting that addition of the second immunogen improved the breadth of the antibody response. Cross-subtype binding activities, induced by AIDSVAX B/B, were lower than activities to subtype B isolates, suggesting that additional immunogen(s) may be desirable in vaccine(s) formulated for geographic regions where non-B subtypes are dominant.


Subject(s)
AIDS Vaccines/immunology , HIV Antibodies/blood , HIV Envelope Protein gp120/immunology , HIV-1/immunology , Vaccines, Synthetic/immunology , Cell Line , Humans , Sensitivity and Specificity
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