154 research outputs found
Low-cost liquid medium for in vitro cultivation of Leishmania parasites in low-income countries
Background: Cutaneous Leishmaniasis (CL) induced by Leishmania aethiopica
has two clinical manifestations: ulcerating, self-healing CL and
non-ulcerating, non-healing CL. The grossly disfiguring multiple nodules
on the face and exterior surface of limbs during non-ulcerative CL are
sometimes misdiagnosed as other skin infections. Thus the need for
definitive and prompt laboratory diagnosis will be required. Identifying
Leishmania parasite by culture method is considered as a definitive
method for initiation of treatment and as an effective component of
leishmaniasis control methods. Recently the involvement of Fas (CD95)
and Tumor Necrosis Factor (TNF) Related Apoptosis Inducing Ligand (TRAIL)
induced apoptotic pathways were proposed to be involved in tissue
destruction and ulceration during L. major induced CL.
Aims: 1) to develop an alternative culture media that could minimize the
cost for culturing Leishmania from patient lesions.
2) to investigate if the expression of FasL and TRAIL differs in
ulcerating and non- ulcerative CL.
Methods: GALF-1 media was formulated in our lab and compared to RPMI 1640
medium and conventional Locke s semi solid media (LSSM) which is one of
the modifications of Novy-MacNeal-Nicolle (NNN) culture media.
Amastigotes transformation, cryopreservation, recovery of parasites, cost
and mass cultivation were analysed. Expression of Fas ligand (FasL),
TRAIL and apoptosis were assessed by immunohistology in human skin
biopsies from L. aethiopica induced ulcerative or non-ulcerative CL. FasL
and TRAIL blocking experiments were performed in a murine model of CL.
Results and discussion: GALF-1 is cheap and its ingredients available in
a low income country such as Ethiopia. GALF-1 was able to transform
amastigotes from Ethiopian patients samples and could be used to
cultivate promastigotes in large quantities. Cost analysis showed 80% to
95 % decreased costs as compared to conventional media. Promastigotes
cultured with GALF-1 could be cryopreserved in liquid nitrogen with
comparable re-culture potential to conventional media. Affordability of
diagnostic assays is a key issue for resource poor countries and the
possibility to cut the cost of the efficient culture method for diagnosis
through the use of inexpensive local formulated reagents could improve
the diagnosis of leishmaniasis in low income endemic countries.
More FasL expressing cells were detected in dermis of ulcerative CL as
compared to non-ulcerative CL and controls. TRAIL expression was higher
in ulcerative CL as compared to non-ulcerative CL and controls in both
epidermis and dermis. Increased dermal expression of FasL and TRAIL was
associated with ulcer formation during CL. This correlated with an
inhibition of the ulcerative process in a murine CL model during FasL and
TRAIL neutralisation.The mechanisms of the involvement of FasL and TRAIL
in ulceration was not elucidated and putative reason(s) for the
difference in dysregulation of apoptosis are discussed
Triplet Exciton Generation in Bulk-Heterojunction Solar Cells based on Endohedral Fullerenes
Organic bulk-heterojunctions (BHJ) and solar cells containing the trimetallic
nitride endohedral fullerene 1-[3-(2-ethyl)hexoxy
carbonyl]propyl-1-phenyl-Lu3N@C80 (Lu3N@C80-PCBEH) show an open circuit voltage
(VOC) 0.3 V higher than similar devices with [6,6]-phenyl-C[61]-butyric acid
methyl ester (PC61BM). To fully exploit the potential of this acceptor molecule
with respect to the power conversion efficiency (PCE) of solar cells, the short
circuit current (JSC) should be improved to become competitive with the state
of the art solar cells. Here, we address factors influencing the JSC in blends
containing the high voltage absorber Lu3N@C80-PCBEH in view of both
photogeneration but also transport and extraction of charge carriers. We apply
optical, charge carrier extraction, morphology, and spin-sensitive techniques.
In blends containing Lu3N@C80-PCBEH, we found 2 times weaker photoluminescence
quenching, remainders of interchain excitons, and, most remarkably, triplet
excitons formed on the polymer chain, which were absent in the reference
P3HT:PC61BM blends. We show that electron back transfer to the triplet state
along with the lower exciton dissociation yield due to intramolecular charge
transfer in Lu3N@C80-PCBEH are responsible for the reduced photocurrent
High seroprevalence of anti-SARS-CoV-2 antibodies among Ethiopian healthcare workers
BACKGROUND: COVID-19 pandemic has a devastating impact on the economies and health care system of sub-Saharan Africa. Healthcare workers (HWs), the main actors of the health system, are at higher risk because of their occupation. Serology-based estimates of SARS-CoV-2 infection among HWs represent a measure of HWs' exposure to the virus and could be used as a guide to the prevalence of SARS-CoV-2 in the community and valuable in combating COVID-19. This information is currently lacking in Ethiopia and other African countries. This study aimed to develop an in-house antibody testing assay, assess the prevalence of SARS-CoV-2 antibodies among Ethiopian high-risk frontline HWs. METHODS: We developed and validated an in-house Enzyme-Linked Immunosorbent Assay (ELISA) for specific detection of anti-SARS-CoV-2 receptor binding domain immunoglobin G (IgG) antibodies. We then used this assay to assess the seroprevalence among HWs in five public hospitals located in different geographic regions of Ethiopia. From consenting HWs, blood samples were collected between December 2020 and February 2021, the period between the two peaks of COVID-19 in Ethiopia. Socio-demographic and clinical data were collected using questionnaire-based interviews. Descriptive statistics and bivariate and multivariate logistic regression were used to determine the overall and post-stratified seroprevalence and the association between seropositivity and potential risk factors. RESULTS: Our successfully developed in-house assay sensitivity was 100% in serum samples collected 2- weeks after the first onset of symptoms whereas its specificity in pre-COVID-19 pandemic sera was 97.7%. Using this assay, we analyzed a total of 1997 sera collected from HWs. Of 1997 HWs who provided a blood sample, and demographic and clinical data, 51.7% were females, 74.0% had no symptoms compatible with COVID-19, and 29.0% had a history of contact with suspected or confirmed patients with SARS-CoV-2 infection. The overall seroprevalence was 39.6%. The lowest (24.5%) and the highest (48.0%) seroprevalence rates were found in Hiwot Fana Specialized Hospital in Harar and ALERT Hospital in Addis Ababa, respectively. Of the 821 seropositive HWs, 224(27.3%) of them had a history of symptoms consistent with COVID-19 while 436 (> 53%) of them had no contact with COVID-19 cases as well as no history of COVID-19 like symptoms. A history of close contact with suspected/confirmed COVID-19 cases is associated with seropositivity (Adjusted Odds Ratio (AOR) = 1.4, 95% CI 1.1-1.8; p = 0.015). CONCLUSION: High SARS-CoV-2 seroprevalence levels were observed in the five Ethiopian hospitals. These findings highlight the significant burden of asymptomatic infection in Ethiopia and may reflect the scale of transmission in the general population
Bovine Tuberculosis at the Wildlife-Livestock-Human Interface in Hamer Woreda, South Omo, Southern Ethiopia
Bovine tuberculosis (BTB) is endemic in cattle in the Ethiopian Highlands but no studies have been done so far in pastoralists in South Omo. This study assessed the prevalence of bovine tuberculosis (BTB) at an intensive interface of livestock, wildlife and pastoralists in Hamer Woreda (South Omo), Ethiopia. A cross-sectional survey including a comparative intradermal skin testing (CIDT) was conducted in 499 zebu cattle and 186 goats in 12 settlements. Sputum samples from 26 symptomatic livestock owners were cultured for TB. Fifty-one wildlife samples from 13 different species were also collected in the same area and tested with serological (lateral flow assay) and bacteriological (culture of lymph nodes) techniques. Individual BTB prevalence in cattle was 0.8% (CI: 0.3%â2%) with the >4 mm cut-off and 3.4% (CI: 2.1%â5.4%) with the >2 mm cut-off. Herd prevalence was 33.3% and 83% when using the >4 and the >2 mm cut-off respectively. There was no correlation between age, sex, body condition and positive reactors upon univariate analysis. None of the goats were reactors for BTB. Acid fast bacilli (AFB) were detected in 50% of the wildlife cultures, 79.2% of which were identified as Mycobacterium terrae complex. No M. bovis was detected. Twenty-seven percent of tested wildlife were sero-positive. Four sputum cultures (15.4%) yielded AFB positive colonies among which one was M. tuberculosis and 3 non-tuberculous mycobacteria (NTM). The prevalence of M. avium-complex (MAC) was 4.2% in wildlife, 2.5% in cattle and 0.5% in goats. In conclusion, individual BTB prevalence was low, but herd prevalence high in cattle and BTB was not detected in goats, wildlife and humans despite an intensive contact interface. On the contrary, NTMs were highly prevalent and some Mycobacterium spp were more prevalent in specific species. The role of NTMs in livestock and co-infection with BTB need further research
The Global Trachoma Mapping Project: Methodology of a 34-Country Population-Based Study.
PURPOSE: To complete the baseline trachoma map worldwide by conducting population-based surveys in an estimated 1238 suspected endemic districts of 34 countries. METHODS: A series of national and sub-national projects owned, managed and staffed by ministries of health, conduct house-to-house cluster random sample surveys in evaluation units, which generally correspond to "health district" size: populations of 100,000-250,000 people. In each evaluation unit, we invite all residents aged 1 year and older from h households in each of c clusters to be examined for clinical signs of trachoma, where h is the number of households that can be seen by 1 team in 1 day, and the product hâĂâc is calculated to facilitate recruitment of 1019 children aged 1-9 years. In addition to individual-level demographic and clinical data, household-level water, sanitation and hygiene data are entered into the purpose-built LINKS application on Android smartphones, transmitted to the Cloud, and cleaned, analyzed and ministry-of-health-approved via a secure web-based portal. The main outcome measures are the evaluation unit-level prevalence of follicular trachoma in children aged 1-9 years, prevalence of trachomatous trichiasis in adults aged 15â+âyears, percentage of households using safe methods for disposal of human feces, and percentage of households with proximate access to water for personal hygiene purposes. RESULTS: In the first year of fieldwork, 347 field teams commenced work in 21 projects in 7 countries. CONCLUSION: With an approach that is innovative in design and scale, we aim to complete baseline mapping of trachoma throughout the world in 2015
Anopheles stephensi mosquitoes as vectors of Plasmodium vivax and P. falciparum, Horn of Africa, 2019
Anopheles stephensi mosquitoes, efficient vectors in parts of Asia and Africa, were found in 75.3% of water sources surveyed and contributed to 80.9% of wild-caught Anopheles mosquitoes in Awash Sebat Kilo, Ethiopia. High susceptibility of these mosquitoes to Plasmodium falciparum and vivax infection presents a challenge for malaria control in the Horn of Africa
Track E Implementation Science, Health Systems and Economics
Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/138412/1/jia218443.pd
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