Repeated mild injury causes cumulative damage to hippocampal cells

An interesting hypothesis in the study of neurotrauma is that repeated traumatic brain injury may result in cumulative damage to cells of the brain. However, post-injury sequelae are difficult to address at the cellular level in vivo. Therefore, it is necessary to complement these studies with experiments conducted in vitro. In this report, the effects of single and repeated traumatic injury in vitro were investigated in cultured mouse hippocampal cells using a well characterized model of stretch-induced injury. Cell damage was assessed by the level of propidium iodide (PrI) uptake and retention of fluorescein diacetate (FDA). Uninjured control wells displayed minimal PrI uptake and high levels of FDA retention. Mild, moderate and severe levels of stretch caused increasing amounts of PrI uptake, respectively, when measured at 15 min and 24 h post-injury, indicating increased cellular damage with increasing amounts of stretch. For repeated injury studies, cultures received a second injury 1 h after the initial insult. Repeated mild injury caused a slight increase in PrI uptake compared with single injury at 15 min and 24 h post-injury, which was evident primarily in glial cells. However, the neurites of neurones in cultures that received repeated insults showed signs of damage that were not evident after a single mild injury. The release of neurone-specific enolase (NSE) and S-100beta protein, two common clinical markers of CNS damage, was also measured following the repeated injuries paradigm. When measured at 6 h post-injury, both NSE and S-100beta were found to be elevated after repeated mild injuries when compared with the single injury group. These results suggest that cells of the hippocampus may be susceptible to cumulative damage following repeated mild traumatic insults. Both glial cells and neurones appear to exhibit increased signs of damage after repetitive injury. To our knowledge, this study represents the first report on the effects of repeated mechanical insults on specific cells of the brain using an in vitro model system. The biochemical pathways of cellular degradation following repeated mild injuries may differ considerably from those that are activated by a single mild insult. Therefore, we hope to use this model in order to investigate secondary pathways of cellular damage after repeated mild traumatic injury, and as a rapid and economical means of screening possibilities for treatment strategies, including pharmaceutical intervention

Impact of sexual trajectories of men who have sex with men on the reduction in HIV transmission by pre-exposure prophylaxis

Acknowledgments This project was funded by the Netherlands Organisation for Health Research and Development ZonMw grant 522002004.Peer reviewedPublisher PD

The impact of the COVID-19 pandemic on hepatitis B virus vaccination and transmission among men who have sex with men: a mathematical modelling study

Background: During the COVID-19 pandemic, the number of hepatitis B virus (HBV) vaccinations among men who have sex with men (MSM) has been considerably lower than before the pandemic. Moreover, a reduction in numbers of sex partners and less frequent HBV testing have been reported. We assessed the impact of these COVID-19-related changes on HBV transmission among MSM in the Netherlands. Methods: We estimated the changes in sexual activity, HBV testing, and HBV vaccination among MSM during the pandemic from Dutch data. We used a deterministic compartmental model and investigated scenarios with small or large decline in sexual activity, testing, and vaccination in periods when no data were available. Also, we examined the increase in HBV vaccinations needed to prevent further increase in HBV incidence. Results: With a decrease in numbers of sex partners of 15-25% during the first lockdown and 5% in the second lockdown, we found a decline of 6.6% in HBV incidence in 2020, despite a >70% reduction in HBV vaccination and testing during the first lockdown. With numbers of sex partners rebounding close to pre-pandemic level in 2021 and a reduction of 15% in testing and 30% in vaccination in 2021, we found an increase of 1.4% in incidence in 2021 and 3.1% in 2026. With these changes, an increase of at least 60% in HBV vaccinations in 2022 would be needed to bring the HBV incidence in 2023 back to the level that it would have had if the pandemic had not occurred. Conclusions: Despite phases of reduction in sexual activity during the COVID-19 pandemic, the decrease in HBV vaccinations can result in a small increase in HBV incidence after 2021, that may persist for years. Considerable efforts are needed to restore the vaccination level and prevent further increase in HBV transmission among MSM

The Rhythm of Risk : Sexual Behaviour, PrEP Use and HIV Risk Perception Between 1999 and 2018 Among Men Who Have Sex with Men in Amsterdam, The Netherlands

Funding Information: This project was funded by the Netherlands Organisation for Health Research and Development ZonMw Grant 522004009. The Amsterdam Cohort Studies on HIV infection, a collaboration between the Public Health Service of Amsterdam, the Amsterdam University Medical Centers location AMC, Sanquin Blood Supply Foundation, MC Jan van Goyen and DC Clinics Lairesse, are part of the Netherlands HIV Monitoring Foundation and financially supported by the Netherlands National Institute for Public Health and the Environment. The ACS gratefully acknowledge all the study participants for their co-operation and participation and research nurses for collecting the data (Samantha de Graaf and Leeann Storey). The authors also thank Dominique Loomans, Ertan Ersan, Maartje Dijkstra, Liza Coyer, and Ward van Bilsen for data management.Peer reviewedPublisher PD

Time for change : Transitions between HIV risk levels and determinants of behavior change in men who have sex with men

Funding Information: This project was funded by the Netherlands Organisation for Health Research and Development ZonMw grant 522004009. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.Peer reviewedPublisher PD

Generación automática de reglas de categorización de texto en un método híbrido basado en aprendizaje

En este artículo se evalúan diferentes técnicas para la generación automática de reglas que se emplean en un método híbrido de categorización automática de texto. Este método combina un algoritmo de aprendizaje computacional con diferentes sistemas basados en reglas en cascada empleados para el filtrado y reordenación de los resultados proporcionados por dicho modelo base. Aquí se describe una implementación realizada mediante el algoritmo kNN y un lenguaje básico de reglas basado en listas de términos que aparecen en el texto a clasificar. Para la evaluación se utiliza el corpus de noticias Reuters-21578. Los resultados demuestran que los métodos de generación de reglas propuestos producen resultados muy próximos a los obtenidos con la aplicación de reglas generadas manualmente y que el sistema híbrido propuesto obtiene una precisión y cobertura comparables a la de los mejores métodos del estado del arte

Screening for Hepatitis C Virus Reinfection Using a Behaviour-Based Risk Score among Men Who Have Sex with Men with HIV:Results from a Case–Control Diagnostic Validation Study

We assessed the predictive capacity of the HCV-MOSAIC risk score, originally developed for primary early HCV infection, as a screening tool for HCV reinfection in 103 men who have sex with men (MSM) with HIV using data from the MOSAIC cohort, including MSM with HIV/HCV-coinfection who became reinfected (cases, n = 27) or not (controls, n = 76) during follow-up. The overall predictive capacity of the score was assessed using the area under the receiver operating characteristic (AUROC) curve. The effects of covariates on the receiver operating characteristic (ROC) curve were assessed using parametric ROC regression. The score cut-off validated for primary early infection (≥2.0) was used, from which the sensitivity and specificity were calculated. The AUROC was 0.74 (95% confidence interval (CI) = 0.63–0.84). Group sex significantly increased the predictive capacity. Using the validated cut-off, sensitivity was 70.4% (95%CI = 49.8–86.2%) and specificity was 59.2% (95%CI: 47.3–70.4%). External validation from a cohort of 25 cases and 111 controls, all MSM with HIV, resulted in a sensitivity of 44.0% (95%CI = 24.4–65.1) and specificity of 71.2% (95%CI = 61.8–79.4). The HCV-MOSAIC risk score may be useful for identifying individuals at risk of HCV reinfection. In sexual health or HIV-care settings, this score could help guide HCV-RNA testing in MSM with a prior HCV infection.</p

Growth of transcendental entire solution of some q-difference equation

Technical Reports of Mathematical Sciences, Chiba University, Vol.18(2002