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1.
Arch Razi Inst ; 78(2): 659-666, 2023 04.
Article in English | MEDLINE | ID: mdl-37396748

ABSTRACT

Following a substantial increase in poultry breeding, the demand for their meat has risen. Poultry meat is one of the primary sources of protein in human nutrition, which contributes to food security. However, implementing intensive breeding programs and exposing birds to multiple stressors have led to the overuse of antibiotics and worse poultry health. This study was carried out at the poultry farm of the Animal Production Department, College of Agriculture, University of Anbar, Ramadi, Iraq from 28/10/2021 to 8/12/2021 (42 days), to show the effect of the addition of Cordyceps sinensis extract and a probiotic to the diet of broilers on their productive performance. For this purpose, 210 one-day-old unsexed chicks of strain (Ross 308) were used with an average weight of 40 g. They were randomly divided into seven groups of treatments, and each treatment had three replicates (10 chicks per replicate). The treatments included T1, which was the control group without any addition to the diet, T2 and T3 with the addition of C. sinensis extract at a level of 300 and 600 mg/kg feed, respectively, T4 and T5 with the addition of a probiotic at the level of 3 and 6 g/kg feed, respectively, T6 with the addition of C. sinensis extract at a level of 300 mg/kg feed + the probiotic at a level of 3 g/kg feed, T7 with the addition of C. sinensis extract at a level of 600 mg/kg feed + the probiotic at a level of 3 g/kg fodder and 6 g/kg feed. The results showed a significant superiority (P≤0.05) in favor of the T6 and T7 treatments, which included the mixture of C. sinensis extract and the probiotic, in terms of the average body weight at the sixth week, over the rest of the treatments except for the T3 treatment which included the addition of C. sinensis extract at a level of 600 mg/kg feed. Regarding weight increase, the T3 treatment, which included the addition of . sinensis extract at a level of 600 mg/kg feed, was significantly superior (P≤0.05) to the T4 treatment, which included the addition of the booster at a level of 3 g/kg feed. Regarding the feed consumption rate, it was observed that all the added treatments significantly decreased it (P≤0.05), compared to the control T1 and the cumulative feed conversion factor (0-6 weeks). It was noticed that the treatments of the mixture T6 and T7 led to a significant (P≤0.05) improvement, compared to the other experimental treatments. It is concluded from this that the addition that C. sinensis extract and the probiotic improved the productive performance of broilers without any adverse effects.


Subject(s)
Cordyceps , Probiotics , Animals , Chickens , Diet/veterinary , Plant Breeding , Probiotics/pharmacology
2.
Cells ; 13(1)2023 12 23.
Article in English | MEDLINE | ID: mdl-38201242

ABSTRACT

Coordinated events of calcium (Ca2+) released from the endoplasmic reticulum (ER) are key second messengers in excitable cells. In pain-sensing dorsal root ganglion (DRG) neurons, these events can be observed as Ca2+ sparks, produced by a combination of ryanodine receptors (RyR) and inositol 1,4,5-triphosphate receptors (IP3R1). These microscopic signals offer the neuronal cells with a possible means of modulating the subplasmalemmal Ca2+ handling, initiating vesicular exocytosis. With super-resolution dSTORM and expansion microscopies, we visualised the nanoscale distributions of both RyR and IP3R1 that featured loosely organised clusters in the subplasmalemmal regions of cultured rat DRG somata. We adapted a novel correlative microscopy protocol to examine the nanoscale patterns of RyR and IP3R1 in the locality of each Ca2+ spark. We found that most subplasmalemmal sparks correlated with relatively small groups of RyR whilst larger sparks were often associated with larger groups of IP3R1. These data also showed spontaneous Ca2+ sparks in <30% of the subplasmalemmal cell area but consisted of both these channel species at a 3.8-5 times higher density than in nonactive regions of the cell. Taken together, these observations reveal distinct patterns and length scales of RyR and IP3R1 co-clustering at contact sites between the ER and the surface plasmalemma that encode the positions and the quantity of Ca2+ released at each Ca2+ spark.


Subject(s)
Calcium , Ganglia, Spinal , Animals , Rats , Second Messenger Systems , Endoplasmic Reticulum , Neurons , Ryanodine Receptor Calcium Release Channel
3.
Methods ; 193: 27-37, 2021 09.
Article in English | MEDLINE | ID: mdl-33059034

ABSTRACT

Nanometre-scale cellular information obtained through super-resolution microscopies are often unaccompanied by functional information, particularly transient and diffusible signals through which life is orchestrated in the nano-micrometre spatial scale. We describe a correlative imaging protocol which allows the ubiquitous intracellular second messenger, calcium (Ca2+), to be directly visualised against nanoscale patterns of the ryanodine receptor (RyR) Ca2+ channels which give rise to these Ca2+ signals in wildtype primary cells. This was achieved by combining total internal reflection fluorescence (TIRF) imaging of the elementary Ca2+ signals, with the subsequent DNA-PAINT imaging of the RyRs. We report a straightforward image analysis protocol of feature extraction and image alignment between correlative datasets and demonstrate how such data can be used to visually identify the ensembles of Ca2+ channels that are locally activated during the genesis of cytoplasmic Ca2+ signals.


Subject(s)
Calcium Signaling , Calcium/metabolism , Cytosol/metabolism , Myocytes, Cardiac/metabolism , Ryanodine Receptor Calcium Release Channel/genetics , Ryanodine Receptor Calcium Release Channel/metabolism , Time Factors
4.
Biomed Opt Express ; 9(11): 5583-5596, 2018 Nov 01.
Article in English | MEDLINE | ID: mdl-30460148

ABSTRACT

The Ocular Photosensitivity Analyzer (OPA), a new automated instrument to quantify the visual photosensitivity thresholds (VPT) in healthy and light sensitive subjects, is described. The OPA generates light stimuli of varying intensities utilizing unequal ascending and descending steps to yield the VPT. The performance of the OPA was evaluated in healthy subjects, as well as light sensitive subjects with achromatopsia or traumatic brain injury (TBI). VPT in healthy, achromatopsia, and TBI subjects were 3.2 ± 0.6 log lux, 0.5 ± 0.5 log lux, and 0.4 ± 0.6 log lux, respectively. Light sensitive subjects manifested significantly lower VPT compared to healthy subjects. Longitudinal analysis revealed that the OPA reliably measured VPT in healthy subjects.

5.
R Soc Open Sci ; 5(8): 172214, 2018 Aug.
Article in English | MEDLINE | ID: mdl-30224991

ABSTRACT

A solid-state reaction technique was used to synthesize polycrystalline Na2WO4. Preliminary X-ray studies revealed that the compound has a cubic structure at room temperature. The formation of the compound has been confirmed by X-ray powder diffraction studies and Raman spectroscopy. Electrical and dielectric properties of the compound have been studied using complex impedance spectroscopy in the frequency range 209 Hz-1 MHz and temperature range 586-679 K. The impedance data were modellized by an equivalent circuit consisting of series of a combination of grains and grains boundary. We use complex electrical modulus M* at various temperatures to analyse dielectric data. The modulus plots are characterized by the presence of two relaxation peaks thermally activated. The morphologies and the average particle size of the resultant sodium tungstate sample were demonstrated by atomic force microscopy, scanning electron microscopy and transmission electron microscopy. The thicknesses and optical constants of the sample have been calculated using ellipsometric measurements in the range of 200-22 000 nm by means of new amorphous dispersion formula which is the objective of the present work. The results were obtained for Na2WO4 particles from experimental (EXP) and measured (FIT) data showed an excellent agreement. In addition, the energy gap of the Na2WO4 sample has been determined using ellipsometry and confirmed by spectrophotometry measurements.

6.
J Biomech Eng ; 140(6)2018 06 01.
Article in English | MEDLINE | ID: mdl-29392289

ABSTRACT

Percutaneous pedicle screw fixation (PPSF) is a well-known minimally invasive surgery (MIS) employed in the treatment of thoracolumbar burst fractures (TBF). However, hardware failure and loss of angular correction are common limitations caused by the poor support of the anterior column of the spine. Balloon kyphoplasty (KP) is another MIS that was successfully used in the treatment of compression fractures by augmenting the injured vertebral body with cement. To overcome the limitations of stand-alone PPSF, it was suggested to augment PPSF with KP as a surgical treatment of TBF. Yet, little is known about the biomechanical alteration occurred to the spine after performing such procedure. The objective of this study was to evaluate and compare the immediate post-operative biomechanical performance of stand-alone PPSF, stand-alone-KP, and KP-augmented PPSF procedures. Novel three-dimensional (3D) finite element (FE) models of the thoracolumbar junction that describes the fractured spine and the three investigated procedures were developed and tested under mechanical loading conditions. The spinal stiffness, stresses at the implanted hardware, and the intradiscal pressure at the upper and lower segments were measured and compared. The results showed no major differences in the measured parameters between stand-alone PPSF and KP-augmented PPSF procedures, and demonstrated that the stand-alone KP may restore the stiffness of the intact spine. Accordingly, there was no immediate post-operative biomechanical advantage in augmenting PPSF with KP when compared to stand-alone PPSF, and fatigue testing may be required to evaluate the long-term biomechanical performance of such procedures.


Subject(s)
Finite Element Analysis , Fractures, Compression/surgery , Kyphoplasty , Lumbar Vertebrae/surgery , Mechanical Phenomena , Pedicle Screws , Thoracic Vertebrae/surgery , Biomechanical Phenomena , Fracture Fixation, Internal , Lumbar Vertebrae/injuries , Stress, Mechanical , Thoracic Vertebrae/injuries , Treatment Outcome
7.
Accid Anal Prev ; 106: 315-326, 2017 Sep.
Article in English | MEDLINE | ID: mdl-28692920

ABSTRACT

Proper helmet fit is important for optimizing head protection during an impact, yet many motorcyclists wear helmets that do not properly fit their heads. The goals of this study are i) to quantify how a mismatch in headform size and motorcycle helmet size affects headform peak acceleration and head injury criteria (HIC), and ii) to determine if peak acceleration, HIC, and impact speed can be estimated from the foam liner's maximum residual crush depth or residual crush volume. Shorty-style helmets (4 sizes of a single model) were tested on instrumented headforms (4 sizes) during linear impacts between 2.0 and 10.5m/s to the forehead region. Helmets were CT scanned to quantify residual crush depth and volume. Separate linear regression models were used to quantify how the response variables (peak acceleration (g), HIC, and impact speed (m/s)) were related to the predictor variables (maximum crush depth (mm), crush volume (cm3), and the difference in circumference between the helmet and headform (cm)). Overall, we found that increasingly oversized helmets reduced peak headform acceleration and HIC for a given impact speed for maximum residual crush depths less than 7.9mm and residual crush volume less than 40cm3. Below these levels of residual crush, we found that peak headform acceleration, HIC, and impact speed can be estimated from a helmet's residual crush. Above these crush thresholds, large variations in headform kinematics are present, possibly related to densification of the foam liner during the impact.


Subject(s)
Craniocerebral Trauma/prevention & control , Head Protective Devices/standards , Motorcycles , Acceleration/adverse effects , Biomechanical Phenomena , Head/physiology , Head Protective Devices/statistics & numerical data , Humans
8.
Clin Transl Sci ; 8(4): 290-7, 2015 Aug.
Article in English | MEDLINE | ID: mdl-25996255

ABSTRACT

HIV-positive patients have lower colon cancer screening rates and are at increased risk for colon adenocarcinoma. We tested a transdisciplinary prevention model to increase provider and patient adherence to screening colonoscopy. Of 1,339 HIV-positive patients with scheduled clinic appointments during the period September to November 2009, we identified 400 records of eligible patients ≥50 years and retrospectively reviewed for screening colonoscopy referral; if never referred, flagged for referral at next visit. Providers referred 43.5% (174/400) patients and 36.2% (63/174) kept appointment. Within 6 months before the study, 337 patients attended clinic and providers referred 18%. Note that 211/226 patients with flagged records attended clinic at least once during the study 6-month period and providers referred (43.6%). The referral rate for flagged records was significantly different from that for the prior 6 months (p < 0.0001). A randomized trial compared the efficacy of patient decision support versus usual care on screening adherence. Among patients randomized to intervention 17 (51.5%) compared to usual care only 16 (48.5%), intervention group showed significant adherence of 70.6% (12/17) versus 29.4% (5/16), (p = 0.024). In addition, intervention patients had good bowel preparation of 76.9% (10/13) versus usual care 23.1% (3/13), (p = 0.05). This transdisciplinary intervention model significantly increased provider and patient screening colonoscopy behavior.


Subject(s)
Colonoscopy/statistics & numerical data , HIV Infections/complications , Patient Compliance , Primary Health Care , Aged , Colorectal Neoplasms/diagnosis , Female , Humans , Male , Middle Aged , Pilot Projects , Referral and Consultation
9.
J Arthroplasty ; 27(3): 493.e9-493.e12, 2012 Mar.
Article in English | MEDLINE | ID: mdl-21944370

ABSTRACT

This case study presents a subject with a fused hip converted to total hip arthroplasty. Kinematic gait analysis was conducted on 3 occasions, presurgery, 4 months postsurgery, and 2.5 years postsurgery. Presurgery data showed decreased cadence and shorter step length; sound limb possessed increased hip, knee range of motion (ROM), and increased knee flexion during stance; the affected limb had minimal hip motion and normal knee ROM with abnormal pattern. At 4 months postsurgery, the sound limb showed decreased step length, whereas the affected limb showed increased knee extension during stance and increased hip ROM. Data obtained at 2.5 years postsurgery indicated decreased cadence and speed and increased ROM in both limbs. The total hip arthroplasty had provided relief of chronic back and affected hip pain and improved mobility. Gait-specific training is recommended.


Subject(s)
Arthroplasty, Replacement, Hip/methods , Gait , Adult , Female , Humans , Postoperative Care , Preoperative Care
10.
IEEE Trans Inf Technol Biomed ; 13(4): 494-500, 2009 Jul.
Article in English | MEDLINE | ID: mdl-19273015

ABSTRACT

The technology exists for the migration of healthcare data from its archaic paper-based system to an electronic one, and, once in digital form, to be transported anywhere in the world in a matter of seconds. The advent of universally accessible healthcare data has benefited all participants, but one of the outstanding problems that must be addressed is how the creation of a standardized nationwide electronic healthcare record system in the United States would uniquely identify and match a composite of an individual's recorded healthcare information to an identified individual patients out of approximately 300 million people to a 1:1 match. To date, a few solutions to this problem have been proposed that are limited in their effectiveness. We propose the use of biometric technology within our fingerprint, iris, retina scan, and DNA (FIRD) framework, which is a multiphase system whose primary phase is a multilayer consisting of these four types of biometric identifiers: 1) fingerprint; 2) iris; 3) retina scan; and 4) DNA. In addition, it also consists of additional phases of integration, consolidation, and data discrepancy functions to solve the unique association of a patient to their medical data distinctively. This would allow a patient to have real-time access to all of their recorded healthcare information electronically whenever it is necessary, securely with minimal effort, greater effectiveness, and ease.


Subject(s)
Biometry/methods , Computer Security , Medical Records Systems, Computerized , Patient Identification Systems/methods , DNA , Dermatoglyphics , Humans , Iris , Retina
11.
East Mediterr Health J ; 11(5-6): 1003-8, 2005.
Article in English | MEDLINE | ID: mdl-16761671

ABSTRACT

The study was designed to determine the acetylator status in patients with systemic lupus erythematosus (SLE) and compare it to a matched group of healthy volunteers. Disease severity was determined using the revised American College of Rheumatology criteria for classification and the SLE disease activity index. After an overnight fast, each participant received a single oral dose of 100 mg dapsone. After 3 hours, plasma dapsone/monoacetyldapsone ratio was determined. In the control group, frequency of slow acetylators was 73.3%; frequency of rapid acetylators was 26.7%. In SLE patients, frequency of slow acetylators was 78.0%; frequency of rapid acetylators was 12.0%. However, 8.0% were non-acetylators (monoacetyldapsone not detected in plasma). There was no association between acetylator status and severity of SLE.


Subject(s)
Dapsone/analogs & derivatives , Lupus Erythematosus, Systemic/genetics , Lupus Erythematosus, Systemic/metabolism , Acetylation , Administration, Oral , Adolescent , Adult , Biotransformation/genetics , Case-Control Studies , Dapsone/blood , Fasting , Female , Genes, Recessive/genetics , Genetic Predisposition to Disease/genetics , Hospitals, Teaching , Hospitals, Urban , Humans , Iraq/epidemiology , Linear Models , Lupus Erythematosus, Systemic/classification , Lupus Erythematosus, Systemic/epidemiology , Male , Middle Aged , Phenotype , Polymorphism, Genetic/genetics , Severity of Illness Index , Time Factors
12.
(East. Mediterr. health j).
in English | WHO IRIS | ID: who-117032

ABSTRACT

The study was designed to determine the acetylator status in patients with systemic lupus erythematosus [SLE] and compare it to a matched group of healthy volunteers. Disease severity was determined using the revised American College of Rheumatology criteria for classification and the SLE disease activity index. After an overnight fast, each participant received a single oral dose of 100 mg dapsone. After 3 hours, plasma dapsone/monoacetyldapsone ratio was determined. In the control group, frequency of slow acetylators was 73.3%; frequency of rapid acetylators was 26.7%. In SLE patients, frequency of slow acetylators was 78.0%; frequency of rapid acetylators was 12.0%. However, 8.0% were non-acetylators [monoacetyldapsone not detected in plasma]. There was no association between acetylator status and severity of SLE


Subject(s)
Acetylation , Administration, Oral , Adolescent , Adult , Biotransformation , Case-Control Studies , Dapsone
13.
J Gerontol A Biol Sci Med Sci ; 57(10): M683-90, 2002 Oct.
Article in English | MEDLINE | ID: mdl-12242325

ABSTRACT

BACKGROUND: As a person ages, leg speed and power decrease. These changes are associated with increased falls and reduced gait speed. It has been shown that upper leg training in younger persons results in increased strength and power at the specific speed at which resistance training is applied, although there are only limited data concerning speed-specific training effects on lower leg activity. However, because both upper and lower leg speed and power influence gait and balance, it is important to determine the training speeds that selectively improve these variables in older persons. METHODS: No studies have examined selective speed-specific changes in performance for the upper and lower leg muscles in older individuals. Therefore, we compared shifts in the power-velocity relationship after high-speed (HS) and low-speed (LS) isokinetic training of knee extensors (KE) and flexors (KF), dorsiflexors (DF), and plantar flexors (PF) in community-dwelling women (ages 61 to 75). Subjects were randomly assigned to a HS training, LS training, or control (C) group. Training occurred three times a week for 12 weeks. HS training occurred at 4.73 rad.s(-1) (knee) and 3.14 rad.s(-1) (ankle); LS training for both joint actions was at 1.05 rad.s(-1). RESULTS: HS training improved KE power at intermediate (3.14 rad.s(-1); p =.0007) and high (5.24 rad.s(-1); p =.0004) testing speeds. Neither the HS nor LS group showed any change in KF as a result of the training. Both LS and HS training improved DF power at all testing speeds; however, PF power improved only with LS training and only at 1.05 rad.s(-1) (p =.0132) and 3.14 rad.s(-1) (p =.0310). CONCLUSIONS: Our results suggest that, in older women, lower leg training should occur at lower training speeds than upper leg training. Additionally, attention to differential speed-specific training of knee and ankle actions could improve power production, mobility, balance, and other functional measures in older persons.


Subject(s)
Muscle, Skeletal/physiology , Physical Education and Training , Research Design , Age Factors , Aged , Ankle/blood supply , Ankle/physiology , Female , Florida , Humans , Knee/blood supply , Knee/physiology , Middle Aged , Pliability , Reference Values , Women's Health
14.
Am J Ind Med ; 35(1): 1-8, 1999 Jan.
Article in English | MEDLINE | ID: mdl-9884739

ABSTRACT

A cohort of 3,057 male workers employed in an asbestos-cement plant using 90% chrysotile-10% crocidolite, located in Northern Israel, was followed from 1953-1992 for incidence and mortality from cancer. In the years 1978-1992, the cohort had an elevated risk for all malignant neoplasms combined (n = 153, SIR = 117, ns), lung cancer (n = 28, SIR = 135, ns), mesothelioma (n = 21; SIR > 5000, p < .0001), unspecified pleural cancer (n = 5; SIR = 278, P < .0001), and liver cancer (n = 7, SIR 290, ns). Risks for colo-rectal (n = 19; SIR = 79, ns), bladder (n = 12, SIR 69) and renal cancers (n = 5, SIR 104) were less than expected. Risk for mesothelioma showed a sharp risk gradient with duration of exposure, increasing from 1 per 625 for those employed less than 2 years to 1 per 4.5 workers employed over 30 years. The ratio of mesothelioma to excess lung cancer cases was 2.9 to 1, or 3.6 to 1, if pleural cases of unspecified origin were included; the pleura to peritoneum ratio of verified mesothelioma cases was 20 to 1. This atypically high ratio of mesothelioma to excess lung cancer cases is suggested to be the combined result of high past asbestos exposures in the workers and their low prior risk for lung cancer, and possibly, relatively early smoking cessation in relation to asbestos exposure.


Subject(s)
Asbestos , Lung Neoplasms/epidemiology , Mesothelioma/epidemiology , Occupational Diseases/epidemiology , Aged , Aged, 80 and over , Cohort Studies , Humans , Incidence , Israel/epidemiology , Lung Neoplasms/mortality , Male , Mesothelioma/mortality , Middle Aged , Occupational Diseases/mortality
15.
Isr J Med Sci ; 29(10): 623-8, 1993 Oct.
Article in English | MEDLINE | ID: mdl-8244659

ABSTRACT

We describe late infantile Tay-Sachs disease with high residual hexosaminidase A activity in two siblings of a Syrian Druze family. The patients' leukocytes had 26% of normal hexosaminidase A activity when tested with the conventional fluorogenic substrate 4-methyl-umbelliferyl-2-acetamido-2-deoxy-beta-D-glucopyranoside (4-MUG) and only about 10% when assayed with the sulfated substrate, 4-methyl-umbelliferal- beta-N-acetyl-glucosamine-6-sulfate (4-MUGS). According to the standard procedure of the heterozygote screening program (employing 4-MUG and heat inactivation), the parents were not diagnosed as an at-risk couple since the father was classified as a noncarrier. However, both parents' levels were clearly within the carrier range on the basis of 4-MUGS. The unique catalytic characteristics of the patients' enzyme forward the assumption that the affected sibs are B1 variants. The parents' enzymatic levels, together with their known consanguinity, might indicate that these patients are homozygotes for the rare mutation and not genetic compounds as has been documented for most of the infantile B1 variants. To the best of our knowledge this is the first reported case of B1 variant in a child of that extraction.


Subject(s)
Tay-Sachs Disease/physiopathology , Female , Genetic Carrier Screening , Hexosaminidase A , Humans , Hymecromone/analogs & derivatives , Infant, Newborn , Male , Syria , Tay-Sachs Disease/ethnology , beta-N-Acetylhexosaminidases/genetics , beta-N-Acetylhexosaminidases/metabolism
16.
Isr J Med Sci ; 28(8-9): 543-7, 1992.
Article in English | MEDLINE | ID: mdl-1428808

ABSTRACT

Asbestos workers have long been recognized as a high risk group for the development of mesothelioma and other cancers. In this study we collated from a variety of sources 26 mesothelioma deaths that occurred between 1978 and 1990 among a cohort of some 4,441 former workers from an asbestos-cement plant in northern Israel. Since the expected number of deaths for this number of Israeli males in this age-group over this period is 0.12 cases, the risk of this disease was more than 223 times the national rate, age and sex adjusted [standardized mortality ratio (SMR) = 22,351, P < 0.001]. The mean years of exposure of persons who died from mesothelioma was 16.2 (SE 2.5). The mean latency period for mesothelioma cases from onset of exposure to death was 25.6 years (SE 1.3). Additional follow-up systems are needed to ensure complete reporting of asbestos-related diseases, including epidemiologic follow-up of asbestos-exposed workers after cessation of their work, with regular analysis of death and cancer registry data for high risk groups. Asbestos-related cancer is an important element in cancer epidemiology that requires further development in Israel. Studies of former workers, their families and of persons who worked or attended school adjacent to the asbestos-cement factory, as well as follow-up of other former worker groups exposed to asbestos are recommended.


Subject(s)
Asbestos/adverse effects , Mesothelioma/mortality , Occupational Diseases/mortality , Adolescent , Adult , Cohort Studies , Humans , Israel/epidemiology , Male , Mesothelioma/etiology , Middle Aged , Occupational Diseases/etiology
17.
Int J Epidemiol ; 20(4): 1081-7, 1991 Dec.
Article in English | MEDLINE | ID: mdl-1800407

ABSTRACT

In an epidemic of Shigella sonnei gastroenteritis, probably waterborne, 1216 people were affected within three weeks, 302 of them members of communal settlements, the kibbutzim. A descriptive study of the epidemic in six affected kibbutzim in the area showed that the highest rates of diarrhoea occurred in a kibbutz that received its drinking water solely from the allegedly contaminated well. People at high risk within the kibbutzim were temporary visitors from Europe and the US (the volunteers), children aged 1 to 5 years, adult women, and children and their mothers in kibbutzim where the sleeping arrangements for the children was in 'children's houses'.


Subject(s)
Disease Outbreaks , Dysentery, Bacillary/epidemiology , Gastroenteritis/epidemiology , Shigella sonnei , Water Microbiology , Adolescent , Adult , Case-Control Studies , Child , Child, Preschool , Female , Gastroenteritis/microbiology , Humans , Infant , Israel/epidemiology , Male , Risk Factors , Rural Health
18.
Isr J Med Sci ; 24(11): 640-3, 1988 Nov.
Article in English | MEDLINE | ID: mdl-3215755

ABSTRACT

An outbreak of typhoid fever followed a large outbreak of dysentery in northern Israel. Both outbreaks resulted from contamination of a drilled well that supplied water to the municipal water system. The well was contaminated with sewage from a broken main-pipe coming from Shefaram (an Arab town). The outbreak of typhoid involved 77 persons, of whom 75 were hospitalized. In 67, phage-type C1 (the phage type dominant in Shefaram since the 1950s) was isolated. The incubation period was relatively long, between 12 and 40 days (median 22) following exposure. Over 50% of the cases were children aged 0 to 14, and only two patients were older than 35 years; the sex ratio among the patients was 1:1. The incidence rate in Shefaram was 2.3 times higher than in the Krayot (outlying suburbs of Haifa). This difference was due mainly to the high incidence in young females in Shefaram. The opposite was observed during the outbreak of dysentery, when the attack rates of the disease were higher in the Krayot. Relapses occurred in 12% (9 cases). This outbreak demonstrates the potential that still exists for serious outbreaks due to contamination of the municipal water supply.


Subject(s)
Disease Outbreaks , Salmonella typhi , Typhoid Fever/epidemiology , Water Microbiology , Water Supply , Adolescent , Adult , Child , Child, Preschool , Female , Humans , Infant , Israel , Male , Salmonella typhi/isolation & purification , Sewage , Typhoid Fever/transmission
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