362 research outputs found
Rapid In-Vitro Inactivation of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Using Povidone-Iodine Oral Antiseptic Rinse
Purpose
To investigate the optimal contact time and concentration for viricidal activity of oral preparation of povidoneāiodine (PVPāI) against SARSāCoVā2 (ācorona virusā) to mitigate the risk and transmission of the virus in the dental practice. Materials and Methods
The severe acute respiratory syndrome coronavirus 2 (SARSāCoVā2) USAāWA1/2020 strain, virus stock was tested against oral antiseptic solutions consisting of aqueous povidoneāiodine (PVPāI) as the sole active ingredient. The PVPāI was tested at diluted concentrations of 0.5%, 1%, and 1.5%. Test media without any virus was added to 2 tubes of the compounds to serve as toxicity and neutralization controls. Ethanol (70%) was tested in parallel as a positive control, and water only as a negative control. The test solutions and virus were incubated at room temperature (22 Ā± 2 Ā°C) for time periods of 15 and 30 seconds. The solution was then neutralized by a 1/10 dilution in minimum essential medium (MEM) 2% fetal bovine serum (FBS), 50 Āµg/mL gentamicin. Surviving virus from each sample was quantified by standard endāpoint dilution assay and the log reduction value (LRV) of each compound compared to the negative (water) control was calculated. Results
PVPāI oral antiseptics at all tested concentrations of 0.5%, 1%, and 1.5%, completely inactivated SARSāCoVā2 within 15 seconds of contact. The 70% ethanol control group was unable to completely inactivate SARSāCoVā2 after 15 seconds of contact, but was able to inactivate the virus at 30 seconds of contact. Conclusions
PVPāI oral antiseptic preparations rapidly inactivated SARSāCoVā2 virus in vitro. The viricidal activity was present at the lowest concentration of 0.5 % PVPāI and at the lowest contact time of 15 seconds. This important finding can justify the use of preprocedural oral rinsing with PVPāI (for patients and health care providers) may be useful as an adjunct to personal protective equipment, for dental and surgical specialties during the COVIDā19 pandemic
Comparison of In Vitro Inactivation of SARS CoV-2 with Hydrogen Peroxide and Povidone-Iodine Oral Antiseptic Rinses
Purpose
To evaluate the in vitro inactivation of severe acute respiratory syndrome coronavirus 2 (SARSāCoVā2) with hydrogen peroxide (H2O2) and povidoneāiodine (PVPāI) oral antiseptic rinses at clinically recommended concentrations and contact times. Materials and Methods
SARSāCoVā2, USAāWA1/2020 strain virus stock was prepared prior to testing by growing in Vero 76 cells. The culture media for prepared virus stock was minimum essential medium (MEM) with 2% fetal bovine serum (FBS) and 50 Āµg/mL gentamicin. Test compounds consisting of PVPāI oral rinse solutions and H2O2 aqueous solutions were mixed directly with the virus solution so that the final concentration was 50% of the test compound and 50% of the virus solution. Thus PVPāI was tested at concentrations of 0.5%, 1.25%, and 1.5%, and H2O2 was tested at 3% and 1.5% concentrations to represent clinically recommended concentrations. Ethanol and water were evaluated in parallel as standard positive and negative controls. All samples were tested at contact periods of 15 seconds and 30 seconds. Surviving virus from each sample was then quantified by standard endāpoint dilution assay and the log reduction value of each compound compared to the negative control was calculated. Results
After the 15āsecond and 30āsecond contact times, PVPāI oral antiseptic rinse at all 3 concentrations of 0.5%, 1.25%, and 1.5% completely inactivated SARSāCoVā2. The H2O2 solutions at concentrations of 1.5% and 3.0% showed minimal viricidal activity after 15 seconds and 30 seconds of contact time. Conclusions
SARSāCoVā2 virus was completely inactivated by PVPāI oral antiseptic rinse in vitro, at the lowest concentration of 0.5 % and at the lowest contact time of 15 seconds. Hydrogen peroxide at the recommended oral rinse concentrations of 1.5% and 3.0% was minimally effective as a viricidal agent after contact times as long as 30 seconds. Therefore, preprocedural rinsing with diluted PVPāI in the range of 0.5% to 1.5% may be preferred over hydrogen peroxide during the COVIDā19 pandemic
A multidisciplinary study of the final episode of the Manda Hararo dyke sequence, Ethiopia, and implications for trends in volcanism during the rifting cycle
The sequence of dyke intrusions between 2005 and 2010 in the Manda Hararo rift segment, Ethiopia, provided an opportunity to test conceptual models of continental rifting. Based on trends up to dyke 13 in the sequence, it was anticipated that, should magma supply continue, dykes would shorten in length and eruptions would increase in size and decrease in distance from the segment centre as extensional stress was progressively released. In this paper we revisit these predictions by presenting a comprehensive overview of the May 2010 dyke and fissure eruption, the 14th and last in the sequence, from InSAR, seismicity, satellite thermal data, ultra violet SO2 retrievals, and multiple LiDAR surveys. We find the dyke is longer than other eruptive dykes in the sequence, propagating in two directions from the segment centre, but otherwise fairly typical in terms of opening, propagation speed and geodetic and seismic moment. However, though the eruption is located closer to the segment centre, it is much smaller than previous events. We interpret this as indicating that either the Manda Hararo rifting event was magma limited, or that extensional stress varies north and south of the segment centre
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Oat-field pea intercropping for sustainable oat production: effect on yield, nutritive value and environmental impact
The aim of the study is to evaluate the effect of Oatāfield pea intercropping on the yield, nutritive value, and environmental impact of oat grown under a reduced level of nitrogen fertilisation. The trial was laid out in a randomized complete block design with the following treatments: oat-0 (oat (Avena sativa L., SRCP X 80 Ab 2291 variety) without N fertilization (urea)), oat-23 (oat fertilised with 23 kg N/ha), oat-46 (oat fertilised with 46 kg N/ha), O1P1 (oat intercropped with field pea (Pisum sativum L., local variety) a ratio of 1:1), O1P2 (oat intercropped with field pea a ratio of 1:2), and O2P1 (oat intercropped with field pea at a ratio of 2:1). All of the experimental plots received standard husbandry practices except for nitrogen fertilisation. Soil pH, organic matter, total nitrogen, available phosphorus, and organic carbon were determined before and after planting. The effect of nitrogen fertilization and intercropping of oat with field pea on carbon footprint, acidification footprint, eutrophication footprint, and human toxicity footprint was calculated for each plot. Oat-0 significantly reduced the total nitrogen content of the soil, while there was no significant effect of the other treatments. O2P1 significantly out-yielded all control groups; however, it was not significantly different from fertilisation treatments. Intercropping with field pea did not significantly increase the cost of production of dry matter, crude protein, or dry matter digestibility compared to control groups. Intercropping with field pea significantly reduced the carbon footprint, acidification, eutrophication, and human toxicity footprint compared to the control groups. Therefore, oatāfield pea intercrops are recommended for the production of high-quality forage at low N input with reduced environmental impact
Absence of Susceptibility Vessel Sign in Patients With Malignancy-Related Acute Ischemic Stroke Treated With Mechanical Thrombectomy.
Background and Purpose
Clots rich in platelets and fibrin retrieved from patients with acute ischemic stroke (AIS) have been shown to be independently associated with the absence of the susceptibility vessel sign (SVS) on MRI and active malignancy. This study analyzed the association of SVS and the presence of active malignancy in patients with AIS who underwent mechanical thrombectomy (MT).
Methods
This single-center, retrospective, and cross-sectional study included consecutive patients with AIS with admission MRI treated with MT between January 2010 and December 2018. SVS status was evaluated on susceptibility-weighted imaging. Adjusted odds ratios (aORs) were calculated to determine the association between absent SVS and the presence of active or occult malignancy. The performance of predictive models incorporating and excluding SVS status was compared using areas under the receiver operating characteristics curve (auROC).
Results
Of 577 patients with AIS with assessable SVS status, 40 (6.9%) had a documented active malignancy and 72 (12.5%) showed no SVS. The absence of SVS was associated with active malignancy (aOR 4.85, 95% CI 1.94-12.11) or occult malignancy (aOR 11.42, 95% CI 2.36-55.20). The auROC of predictive models, including demographics and common malignancy biomarkers, was higher but not significant (0.85 vs. 0.81, p = 0.07) when SVS status was included.
Conclusion
Absence of SVS on admission MRI of patients with AIS undergoing MT is associated with malignancy, regardless of whether known or occult. Therefore, the SVS might be helpful in detecting paraneoplastic coagulation disorders and occult malignancy in patients with AIS
Position Statement on Atopic Dermatitis in Sub-Saharan Africa:current status and roadmap
The first International Society of Atopic Dermatitis (ISAD) global meeting dedicated to atopic dermatitis (AD) in Sub-Saharan Africa (SSA) was held in Geneva, Switzerland in April 2019. A total of 30 participants were present at the meeting, including those from 17 SSA countries, representatives of the World Health Organization (WHO), the International Foundation for Dermatology (IFD) (a committee of the International League of Dermatological Societies, ILDS www.ilds.org), the Fondation pour la Dermatite Atopique, as well as specialists in telemedicine, artificial intelligence and therapeutic patient education (TPE)
Epidemiology of Mycobacterium tuberculosis lineages and strain clustering within urban and peri-urban settings in Ethiopia
Background Previous work has shown differential predominance of certain Mycobacterium tuberculosis (M. tb) lineages and sub-lineages among different human populations in diverse geographic regions of Ethiopia. Nevertheless, how strain diversity is evolving under the ongoing rapid socio-economic and environmental changes is poorly understood. The present study investigated factors associated with M. tb lineage predominance and rate of strain clustering within urban and peri-urban settings in Ethiopia. Methods Pulmonary Tuberculosis (PTB) and Cervical tuberculous lymphadenitis (TBLN) patients who visited selected health facilities were recruited in the years of 2016 and 2017. A total of 258 M. tb isolates identified from 163 sputa and 95 fine-needle aspirates (FNA) were characterized by spoligotyping and compared with international M.tb spoligotyping patterns registered at the SITVIT2 databases. The molecular data were linked with clinical and demographic data of the patients for further statistical analysis. Results From a total of 258 M. tb isolates, 84 distinct spoligotype patterns that included 58 known Shared International Type (SIT) patterns and 26 new or orphan patterns were identified. The majority of strains belonged to two major M. tb lineages, L3 (35.7%) and L4 (61.6%). The observed high percentage of isolates with shared patterns (n = 200/258) suggested a substantial rate of overall clustering (77.5%). After adjusting for the effect of geographical variations, clustering rate was significantly lower among individuals co-infected with HIV and other concomitant chronic disease. Compared to L4, the adjusted odds ratio and 95% confidence interval (AOR; 95% CI) indicated that infections with L3 M. tb strains were more likely to be associated with TBLN [3.47 (1.45, 8.29)] and TB-HIV co-infection [2.84 (1.61, 5.55)]. Conclusion Despite the observed difference in strain diversity and geographical distribution of M. tb lineages, compared to earlier studies in Ethiopia, the overall rate of strain clustering suggests higher transmission and warrant more detailed investigations into the molecular epidemiology of TB and related factors
Six Months of Balloon Treatment does Not Predict the Success of Gastric Banding
BACKGROUND: We studied whether weight loss by intragastric balloon would predict the outcome of subsequent gastric banding with regard to weight loss and BMI reduction. METHODS: A prospective cohort of patients with a body mass index (BMI)>40 kg/m(2) received an intragastric balloon for 6 months followed by laparoscopic adjustable gastric banding (LAGB). Successful balloon-induced weight loss was defined as > or =10% weight loss after 6 months. Successful surgical weight loss was defined as an additional 15% weight loss in the following 12 months. Patients were divided in group A, losing > or =10% of their initial weight with 6 months' balloon treatment, and group B, losing <10% of their initial weight. RESULTS: In 40 patients (32 female, 8 male; age 36.6 yr, range 26-54), the mean BMI decreased from 46.5 to 40.5 kg/m(2) (P <0.001) after 6 months of balloon treatment and to 35.2 kg/m(2) (P <0.001) 12 months after LAGB. Group A (25 patients) and group B (15 patients) had a significant difference in BMI decrease, 12.4 vs 9.0 kg/m(2) (P <0.05), after the total study duration of 18 months. However, there was no difference in BMI reduction (4.7 kg/m(2) vs 5.8 kg/m(2)) in the 12 months after LAGB. 6 patients in group A lost > or =10% of their starting weight during 6 months balloon treatment as well as > or =15% 12 months following LAGB. 6 patients in group B lost <10% of their starting weight after 6 months of BIB, but also lost > or =15% 12 months following LAGB. CONCLUSION: Intragastric balloon did not predict the success of subsequent LAG
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