Outbreak of West Nile virus causing severe neurological involvement in children, Nuba Mountains, Sudan, 2002.

An atypical outbreak of West Nile virus (WNV) occurred in Ngorban County, South Kordophan, Sudan, from May to August 2002. We investigated the epidemic and conducted a case-control study in the village of Limon. Blood samples were obtained for cases and controls. Patients with obvious sequelae underwent cerebrospinal fluid (CSF) sampling as well. We used enzyme-linked immunosorbent assay (ELISA) and neutralization tests for laboratory diagnosis and identified 31 cases with encephalitis, four of whom died. Median age was 36 months. Bivariate analysis did not reveal any significant association with the risk factors investigated. Laboratory analysis confirmed presence of IgM antibodies caused by WNV in eight of 13 cases, indicative of recent viral infection. The unique aspects of the WNW outbreak in Sudan, i.e. disease occurrence solely among children and the clinical domination of encephalitis, involving severe neurological sequelae, demonstrate the continuing evolution of WNV virulence. The spread of such a virus to other countries or continents cannot be excluded

EuroSpine Task Force on Research: support for spine researchers

In recognition of the value of research to the practice of spine care, Federico Balagué and Ferran Pellisé, at the time President and Secretary for EuroSpine, asked Margareta Nordin to set up a Task Force on Research (TFR) for EuroSpine during summer 2011. The concept was to stimulate and facilitate a research community within the society, through two main functions: (1) distribution of EuroSpine funds to researchers; (2) develop and deliver research training/education courses. What has the EuroSpine TFR accomplished since its inception

On the isomorphism problem of concept algebras

Weakly dicomplemented lattices are bounded lattices equipped with two unary operations to encode a negation on {\it concepts}. They have been introduced to capture the equational theory of concept algebras \cite{Wi00}. They generalize Boolean algebras. Concept algebras are concept lattices, thus complete lattices, with a weak negation and a weak opposition. A special case of the representation problem for weakly dicomplemented lattices, posed in \cite{Kw04}, is whether complete {\wdl}s are isomorphic to concept algebras. In this contribution we give a negative answer to this question (Theorem \ref{T:main}). We also provide a new proof of a well known result due to M.H. Stone \cite{St36}, saying that {\em each Boolean algebra is a field of sets} (Corollary \ref{C:Stone}). Before these, we prove that the boundedness condition on the initial definition of {\wdl}s (Definition \ref{D:wdl}) is superfluous (Theorem \ref{T:wcl}, see also \cite{Kw09}).Comment: 15 page

Multiple QTL-effects of wheat Gpc-B1 locus on grain protein and micronutrient concentrations

Micronutrient malnutrition afflicts over three billion peopleworldwide and the numbers are continuously increasing. Developing genetically micronutrientenriched cereals, which are the predominant source of human dietary, is essential to alleviate malnutrition worldwide. Wheat chromosome 6B derived from wild emmerwheat [Triticum turgidum ssp. dicoccoides (Körn.) Thell] was previously reported to be a source for high Zn concentration in the grain. In the present study, recombinant chromosome substitution lines (RSLs), previously constructed for genetic and physical maps of Gpc-B1 (a 250-kb locus affecting grain protein concentration), were used to identify the effects of the Gpc-B1 locus on grain micronutrient concentrations. RSLs carrying the Gpc-B1 allele of T. dicoccoides accumulated on average 12% higher concentration of Zn, 18% higher concentration of Fe, 29% higher concentration of Mn and 38% higher concentration of protein in the grain as compared with RSLs carrying the allele from cultivated wheat (Triticum durum). Furthermore, the high grain Zn, Fe and Mn concentrations were consistently expressed in five different environments with an absence of genotype by environment interaction. The results obtained in the present study also confirmed the previously reported effect of the wild-type allele of Gpc-B1 on earlier senescence of flag leaves. We suggest that the Gpc-B1 locus is involved in more efficient remobilization of protein, zinc, iron and manganese from leaves to the grains, in addition to its effect on earlier senescence of the green tissues

Intestinal growth and function of broiler chicks fed sorghum based diets differing in condensed tannin levels

The effect of feeding sorghum condensed tannins on intestinal growth, function and histology was investigated in an 8-week broiler growth trial. Four sorghum varieties of different proanthocyanidins (PA) content; DC75 (DC - 2.48 A550nm/g DM) Chirimaugute (CH - 1.68 A550nm/g DM), Brown Tsweta (BT - 0.2 A550nm/g DM), SV2 (SV - 0.07 A550nm/g DM) and maize (MA) were used to formulate four diets each with one sorghum variety (CH, BT and SV) and maize included as the principal energy source. DC75 was used to replace 50 (DC50) and 100% (DC100) w/w maize to form the other two treatment diets. Relative weights of the small intestine differed significantly at 21 days of age. However, the decrease in weight did not correspond to the increase in PA level in a linear manner. Villus height and crypt depth were reduced at seven (7%) and 14 days (15%) in broilers fed DC and CH diets and thereafter was similar to MA and SV fed birds. The liver total and esterified cholesterol was reduced in DC100, DC50 and CH fed birds. Grain sorghum contains other phytochemicals such as policosanols and sterols besides PA which compound the observations in the liver. The effect of age on the severity of local liver lesions was not significant. The DC100 fed chicks showed mild crypt necrosis and/or sub-acute crypt distortion. There was a significant increase in the goblet cell number/mm2 measured in the jejunum of chicks fed CH, DC50 and DC100 diets. Sucrase but not maltase activity was significantly reduced with increased PA content in the 7-, 14- and 21-days age groups. From the results it appears that the dietary PA levels are not limiting factors in the development of the gastrointestinal tract of broiler chicks. Keywords: Sorghum; condensed tannins; intestinal adaptation; villus height; goblet cell density South African Journal of Animal Science Vol. 37 (3) 2007: pp.202-21

The Plasmodium berghei Ca(2+)/H(+) exchanger, PbCAX, is essential for tolerance to environmental Ca(2+) during sexual development.

Ca(2+) contributes to a myriad of important cellular processes in all organisms, including the apicomplexans, Plasmodium and Toxoplasma. Due to its varied and essential roles, free Ca(2+) is tightly regulated by complex mechanisms. These mechanisms are therefore of interest as putative drug targets. One pathway in Ca(2+) homeostatic control in apicomplexans uses a Ca(2+)/H(+) exchanger (a member of the cation exchanger family, CAX). The P. falciparum CAX (PfCAX) has recently been characterised in asexual blood stage parasites. To determine the physiological importance of apicomplexan CAXs, tagging and knock-out strategies were undertaken in the genetically tractable T. gondii and P. berghei parasites. In addition, a yeast heterologous expression system was used to study the function of apicomplexan CAXs. Tagging of T. gondii and P. berghei CAXs (TgCAX and PbCAX) under control of their endogenous promoters could not demonstrate measureable expression of either CAX in tachyzoites and asexual blood stages, respectively. These results were consistent with the ability of parasites to tolerate knock-outs of the genes for TgCAX and PbCAX at these developmental stages. In contrast, PbCAX expression was detectable during sexual stages of development in female gametocytes/gametes, zygotes and ookinetes, where it was dispersed in membranous networks within the cytosol (with minimal mitochondrial localisation). Furthermore, genetically disrupted parasites failed to develop further from "round" form zygotes, suggesting that PbCAX is essential for ookinete development and differentiation. This impeded phenotype could be rescued by removal of extracellular Ca(2+). Therefore, PbCAX provides a mechanism for free living parasites to multiply within the ionic microenvironment of the mosquito midgut. Ca(2+) homeostasis mediated by PbCAX is critical and suggests plasmodial CAXs may be targeted in approaches designed to block parasite transmission

Combined ACL reconstruction and Segond fracture fixation fails to abolish anterolateral rotatory instability

The Segond Fracture (SF) is considered pathognomonic of an anterior cruciate ligament (ACL) tear. However, the precise anatomy of the soft tissue attachments responsible for avulsion of SF’s have been a cause of controversy in the literature with some authors suggesting that they occur due to avulsion of the iliotibial band (ITB) and others reporting that it is the anterolateral ligament (ALL). A thirty-one-year-old male patient presented with a work-related injury to his right knee that resulted in ACL tear and a SF. Open SF fixation and arthroscopic ACL reconstruction were performed. The anatomical dissection performed in order to fix the SF demonstrated that the avulsion had occurred as a result of the tibial attachment of the ALL with a completely intact ITB. At one-year postoperative follow-up, the ACL graft had restored anterior tibial translation to within normal limits. However, residual rotational knee laxity was observed in the absence of any other secondary restraint lesions. This is an important finding because it highlights that patients with SF may be at increased risk of persistent instability after ACL reconstruction even in the presence of an anatomically correctly positioned and well-functioning ACL graft. It also demonstrates that anatomical reduction and fixation of SF at the time of ACLR does not necessarily restore normal knee kinematics and consideration should be given to recession of the fixation or augmentation of the ALL when dealing with this injury pattern. A thirty-one-year-old male patient presented with a work-related injury to his right knee that occurred when he was struck by a truck at low speed. The mechanism of injury involved anterior tibial translation, varus stress and internal rotation. Physical examination revealed the following findings: large joint effusion, range of motion 0-100º, no neurological or vascular deficit, positive Lachman’s test with a soft end-point, a side-to-side anteroposterior laxity difference of 7mm measured by the Rolimeter device (Aircast, Europe), and a grade II pivot-shift (clunk). Plain radiographs demonstrated a fracture of the anterolateral border of the tibial plateau (figure 1A) and MRI showed a complete anterior cruciate ligament (ACL) rupture with a concomitant 3x16x18mm fracture of the anterolateral tibial border (figure 1B). MRI did not demonstrate any other intra- or extra-articular injuries. Specifically, there was no evidence of injury to any other ligamentous structure, chondral injury, lateral condyle notch sign, or any type of meniscal tear

Fossil gaps inferred from phylogenies alter the apparent nature of diversification in dragonflies and their relatives

<p>Abstract</p> <p>Background</p> <p>The fossil record has suggested that clade growth may differ in marine and terrestrial taxa, supporting equilibrial models in the former and expansionist models in the latter. However, incomplete sampling may bias findings based on fossil data alone. To attempt to correct for such bias, we assemble phylogenetic supertrees on one of the oldest clades of insects, the Odonatoidea (dragonflies, damselflies and their extinct relatives), using MRP and MRC. We use the trees to determine when, and in what clades, changes in taxonomic richness have occurred. We then test whether equilibrial or expansionist models are supported by fossil data alone, and whether findings differ when phylogenetic information is used to infer gaps in the fossil record.</p> <p>Results</p> <p>There is broad agreement in family-level relationships between both supertrees, though with some uncertainty along the backbone of the tree regarding dragonflies (Anisoptera). "Anisozygoptera" are shown to be paraphyletic when fossil information is taken into account. In both trees, decreases in net diversification are associated with species-poor extant families (Neopetaliidae, Hemiphlebiidae), and an upshift is associated with Calopterygidae + Polythoridae. When ghost ranges are inferred from the fossil record, many families are shown to have much earlier origination dates. In a phylogenetic context, the number of family-level lineages is shown to be up to twice as high as the fossil record alone suggests through the Cretaceous and Cenozoic, and a logistic increase in richness is detected in contrast to an exponential increase indicated by fossils alone.</p> <p>Conclusions</p> <p>Our analysis supports the notion that taxa, which appear to have diversified exponentially using fossil data, may in fact have diversified more logistically. This in turn suggests that one of the major apparent differences between the marine and terrestrial fossil record may simply be an artifact of incomplete sampling. Our results also support previous notions that adult colouration plays an important role in odonate radiation, and that Anisozygoptera should be grouped in a single inclusive taxon with Anisoptera, separate from Zygoptera.</p

Glucocorticoid with cyclophosphamide for paraquat-induced lung fibrosis.

Paraquat is an effective and widely used herbicide but is also a lethal poison. In many developing countries paraquat is widely available and inexpensive, making poisoning prevention difficult. However most of the people who become poisoned from paraquat have taken it as a means of suicide.Standard treatment for paraquat poisoning both prevents further absorption and reduces the load of paraquat in the blood through haemoperfusion or haemodialysis. The effectiveness of standard treatments is extremely limited.The immune system plays an important role in exacerbating paraquat-induced lung fibrosis. Immunosuppressive treatment using glucocorticoid and cyclophosphamide in combination is being developed and studied. To assess the effects of glucocorticoid with cyclophosphamide on mortality in patients with paraquat-induced lung fibrosis. The most recent search was run on the 15th April 2014. We searched the Cochrane Injuries Group's Specialised Register, The Cochrane Library, Ovid MEDLINE(R), Ovid MEDLINE(R) In-Process &amp; Other Non-Indexed Citations, Ovid MEDLINE(R) Daily and Ovid OLDMEDLINE(R), Embase Classic+Embase (Ovid), ISI WOS (SCI-EXPANDED, SSCI, CPCI-S &amp; CPSI-SSH), trials registries, Chinese databases (, , ) and reference lists. RCTs were included in this review. All patients were to receive standard care, plus the intervention or control. The intervention was glucocorticoid with cyclophosphamide in combination versus a control of a placebo, standard care alone or any other therapy in addition to standard care. The mortality risk ratio (RR) and 95% confidence interval (CI) was calculated for each study on an intention-to-treat basis. Data for all-cause mortality at final follow-up were summarised in a meta-analysis using a fixed-effect model. This systematic review includes three trials with a combined total of 164 participants who had moderate to severe paraquat poisoning. Patients who received glucocorticoid with cyclophosphamide in addition to standard care had a lower risk of death at final follow-up than those receiving standard care only (RR 0.72; 95% CI 0.59 to 0.89). Based on the findings of three small RCTs of moderate to severely poisoned patients, glucocorticoid with cyclophosphamide in addition to standard care may be a beneficial treatment for patients with paraquat-induced lung fibrosis. To enable further study of the effects of glucocorticoid with cyclophosphamide for patients with moderate to severe paraquat poisoning, hospitals may provide this treatment as part of an RCT with allocation concealment