Tropical Splenomegaly Syndrome in a pregnant woman: A good response and prognosis to splenectomy

The tropical splenomegaly syndrome (TSS) is characterized by massive splenomegaly with hypersplenism, moderate hepatomegaly, and lymphocytic infiltration of the hepatic sinusoids. TSS is restricted to native residents of and visitors to the “malaria belt,” which roughly encompasses equatorial regions of South America, Africa, the Middle East, South Asia, and Southeast Asia. A 24 years old female patient gravida II and para I with gestational age 24 weeks from south west of Eritrea (Shelallo) Gash Barka presented with dizziness, general body weakness, and abdominal discomfort for 3 weeks and left upper quadrant swelling of three years duration. Other associate symptoms were palpitation and dyspnea. She had history of repeated malaria attack. Physical examination revealed massive hepatosplenomegaly and pallor. Hematological studies revealed that severe anemia Hgb 3.8 g/dL, WBC 2.2× 103/mm3, MCV 97.6fl. Platelet 30×103/mm3, and reticulocyte count was 7%. Peripheral smear examination revealed normocytic normochromic red blood cells. Bone marrow examination revealed marked erythroid hyperplasia without sign of malignancy and left shift. The patient received 11 units of blood preoperative but, no improvement Hb remaining 3.7g/dl. Elective splenectomy was done. Intra-operatively and postoperatively she received an additional 5 units of blood. There was no postoperative complication. The patient was discharged with Hb of 6.0g/dl with slight improvement. The response to splenectomy was good. Four months postoperative and 40 days post delivery Hbg 16.3g/dl and platelet 254,000/mm and WBC 5000/ mm3. The outcome and prognosis of splenectomy in this patient was satisfactory

Emerging Roles for Ciz1 in Cell Cycle Regulation and as a Driver of Tumorigenesis

Precise duplication of the genome is a prerequisite for the health and longevity of multicellular organisms. The temporal regulation of origin specification, replication licensing, and firing at replication origins is mediated by the cyclin-dependent kinases. Here the role of Cip1 interacting Zinc finger protein 1 (Ciz1) in regulation of cell cycle progression is discussed. Ciz1 contributes to regulation of the G1/S transition in mammalian cells. Ciz1 contacts the pre-replication complex (pre-RC) through cell division cycle 6 (Cdc6) interactions and aids localization of cyclin A- cyclin-dependent kinase 2 (CDK2) activity to chromatin and the nuclear matrix during initiation of DNA replication. We discuss evidence that Ciz1 serves as a kinase sensor that regulates both initiation of DNA replication and prevention of re-replication. Finally, the emerging role for Ciz1 in cancer biology is discussed. Ciz1 is overexpressed in common tumors and tumor growth is dependent on Ciz1 expression, suggesting that Ciz1 is a driver of tumor growth. We present evidence that Ciz1 may contribute to deregulation of the cell cycle due to its ability to alter the CDK activity thresholds that are permissive for initiation of DNA replication. We propose that Ciz1 may contribute to oncogenesis by induction of DNA replication stress and that Ciz1 may be a multifaceted target in cancer therapy

Molecular Data are Transforming Hypotheses on the Origin and Diversification of Eukaryotes

The explosion of molecular data has transformed hypotheses on both the origin of eukaryotes and the structure of the eukaryotic tree of life. Early ideas about the evolution of eukaryotes arose through analyses of morphology by light microscopy and, later, electron microscopy. Though such studies have proven powerful at resolving more recent events, theories on origins and diversification of eukaryotic life have been substantially revised in light of analyses of molecular data including gene and, increasingly, whole-genome sequences. By combining these approaches, progress has been made in elucidating the origin and diversification of eukaryotes. Yet many aspects of the evolution of eukaryotic life remain to be illuminated

Seroprevalence of Salmonella Gallinarum Infection in Chicken Population of parts of Tigray and Addis Ababa by Plate Agglutination and Micro-agglutination Tests

Ethiopia owns a large poultry population whose growth is highly constrained by diseases. Fowl typhoid is a serious concern in growing and adult poultry and results from infection by Salmonella Gallinarum (Salmonella enterica subsp. enterica serovar Gallinarum biovar Gallinarum). Knowledge of the prevalence of the disease with confirmatory diagnosis is of paramount importance to embark on a control or prevention program. Seroprevalence of this infection in chicken population of Ethiopia has been reported from some parts of this country but in most of the reports it is based exclusively on a rapid slide agglutination test without further confirmation by another specific test. This study screened 279 sera samples of poultry for S. Gallinarum infection by employing plate agglutination test using colored antigen of S. Gallinarum that revealed 125(44.80%) of 279 sera samples positive. However, when plate positive samples were further tested for confirmation by microagglutination test by employing plain antigen of S. Gallinarum, only 55 (19.71%) were serologically positive lowering the prevalence rate from 44.8% to 19, 71%. The study reveals the serological prevalence of Salmonella gallinarum infection in poultry population of the study areas and recommends that the initial screening of this infection by a test like plate agglutination must always be followed by another specific test to get an accurate estimate of this infection.Keywords: Micro-agglutination test, Plate agglutination test, Poultry population, Salmonella gallinarum, Seroprevalence, Addis Ababa, Tigray, Ethiopia

Shock and patient preimplantation type D personality are associated with poor health status in patients with implantable cardioverter-defibrillator

Background: Implantable cardioverter-defibrillator (ICD) shock is a critical event to patients associated with well-being after implantation, although other factors may play an equally important role. We compared the association of shock and the patient's preimplantation personality with health status, using a prospective study design. Methods and Results: Consecutively implanted ICD patients (n=383; 79% men) completed the Type D Scale at baseline and the Short-Form Health Survey 36 (SF-36) at baseline and 3, 6, and 12 months. Of all patients, 23.5% had a Type D personality and 13.8% received a shock during follow-up. Shocked patients reported significantly poorer health status, as did Type D patients. Health status patterns were poorest in patients with combined Type D personality and shock during follow-up. Shock during follow-up was a significant independent associate of poorer health status for 4 of 8 subscales of the SF-36 and the Mental Component Summary (all P<.05), with shocked patients scoring between 2.60 to 13.30 points lower than nonshocked patients. Type D personality was an independent associate of poor postimplantation health status for 6 of 8 of the SF-36 subscales and the Mental Component Summary, with Type D patients scoring between 2.12 to 8.02 points lower, adjusting for demographic and clinical characteristics. Conclusions: ICD shock and the patient's preimplantation personality disposition were equally important associates of health status 12 months after implantation. Identification of the patient's personality profile before ICD implantation may help identify subsets of patients who may need additional care, for example, with a psychosocial component

Pastoralists do plan! Community-led land use planning in the pastoral areas of Ethiopia

This paper consolidates a set of case studies which document how pastoralists plan land and resource use in pastoral and agro-pastoral areas of Ethiopia. These case studies are drawn from the regional states of Afar, Somali, Southern Nations, Nationalities, and Peoples (SNNP), Oromia, and Gambella. They describe not only why, how, and when pastoralists plan, but also the management and governance structures that control planning processes and the later implementation of the plans. By doing this, the paper provides guidance on how best such planning processes can be supported, and how they can be integrated with and/or built on by other planning processes such as those led by government

Genetic variation and associations involving Fusarium head blight and deoxynivalenol accumulation in cultivated oat (Avena sativa L.)

acceptedVersio

How can onchocerciasis elimination in Africa be accelerated? Modelling the impact of increased ivermectin treatment frequency and complementary vector control

Background: Great strides have been made toward onchocerciasis elimination by mass drug administration (MDA) of ivermectin. Focusing on MDA-eligible areas, we investigated where the elimination goal can be achieved by 2025 by continuation of current practice (annual MDA with ivermectin) and where intensification or additional vector control is required. We did not consider areas hypoendemic for onchocerciasis with loiasis coendemicity where MDA is contraindicated. Methods: We used 2 previously published mathematical models, ONCHOSIM and EPIONCHO, to simulate future trends in microfilarial prevalence for 80 different settings (defined by precontrol endemicity and past MDA frequency and coverage) under different future treatment scenarios (annual, biannual, or quarterly MDA with different treatment coverage through 2025, with or without vector control strategies), assessing for each strategy whether it eventually leads to elimination. Results: Areas with 40%–50% precontrol microfilarial prevalence and ≥10 years of annual MDA may achieve elimination with a further 7 years of annual MDA, if not achieved already, according to both models. For most areas with 70%–80% precontrol prevalence, ONCHOSIM predicts that either annual or biannual MDA is sufficient to achieve elimination by 2025, whereas EPIONCHO predicts that elimination will not be achieved even with complementary vector control. Conclusions: Whether elimination will be reached by 2025 depends on precontrol endemicity, control history, and strategies chosen from now until 2025. Biannual or quarterly MDA will accelerate progress toward elimination but cannot guarantee it by 2025 in high-endemicity areas. Long-term concomitant MDA and vector control for high-endemicity areas might be useful

CAD Model and Visual Assisted Control System for NIF Target Area Positioners

The National Ignition Facility (NIF) target chamber contains precision motion control systems that reach up to 6 meters into the target chamber for handling targets and diagnostics. Systems include the target positioner, an alignment sensor, and diagnostic manipulators (collectively called positioners). Target chamber shot experiments require a variety of positioner arrangements near the chamber center to be aligned to an accuracy of 10 micrometers. Positioners are some of the largest devices in NIF, and they require careful monitoring and control in 3 dimensions to prevent interferences. The Integrated Computer Control System provides efficient and flexible multi-positioner controls. This is accomplished through advanced video-control integration incorporating remote position sensing and realtime analysis of a CAD model of target chamber devices. The control system design, the method used to integrate existing mechanical CAD models, and the offline test laboratory used to verify proper operation of the control system are described