Perinatal Tuberculosis: Is it a Forgotten Disease?

Perinatal tuberculosis is an uncommon condition but with a high mortality and a challenging diagnosis. We present four cases of perinatal tuberculosis managed between 1991-2014 in a Spanish Tertiary Hospital. The infection should be considered in patients with progressive respiratory symptoms and with a poor response to conventional antibiotic therapy, especially in those with positive epidemiologic risk. Bronchoscopy can be a useful tool for diagnosis

Emergence of log-normal type distributions in avalanche processes in living systems : a network model

Funding We acknowledge financial support from the Agence Nationale de la Recherche (ANR grant number ANR-18-CE45-0012-01) and from the French Research Minister (MESRI) for SP. PhD funding. Acknowledgments We are very grateful for the participants of the second ISINP meeting at Lake Como for stimulating exchanges about our talk. We are thanful to P. Argoul, A. Guillet, E. Hartè, L. Delmarre for fruitful discussions. SP wishes to thank T. Matteuzzi for his inspiring considerations. We are indebted to Erika Polizzi for her graphical help.Peer reviewedPublisher PD

The role of burden of disease assessment in tracking progress towards achieving WHO global air quality guidelines

OBJECTIVES: More than 90% of the global population live in areas exceeding the PM2.5 air quality guidelines (AQGs). We provide an overview of the ambient PM2.5-related burden of disease (BoD) studies along with scenario analysis in the framework of the WHO AQG update on the estimated reduction in the BoD if AQGs were achieved globally. METHODS: We reviewed the literature for large-scale studies for the BoD attributed to ambient PM2.5. Moreover, we used the latest WHO statistics to calculate the BoD at current levels and the scenarios of aligning with interim targets and AQG levels. RESULTS: The most recent BoD studies (2010 onwards) share a similar methodology, but there are differences in the input data which affect the estimates for attributable deaths (2.9-8.9 million deaths annually). Moreover, we found that if AQGs were achieved, the estimated BoD would be reduced by up to 50% in total deaths worldwide. CONCLUSIONS: Understanding the BoD across countries, especially in those that do not align with the AQGs, is essential in order to inform actions to reduce air pollution globally

Assessment of the toll-like receptor 4 Asp299Gly, Thr399Ile and interleukin-8 -251 polymorphisms in the risk for the development of distal gastric cancer

<p>Abstract</p> <p>Background</p> <p>The intensity of the inflammation induced by <it>Helicobacter pylori </it>colonization is associated with the development of distal gastric cancer (GC). The host response to <it>H</it>. <it>pylori </it>has been related to genetic polymorphisms that influence both innate and adaptive immune responses.</p> <p>Our aim was to investigate whether the presence of the <it>TLR4 Asp299Gly</it>, <it>TLR4 Thr399Ile </it>and <it>IL-8-251 </it>A/T polymorphisms had any influence in the development of distal GC in a Mexican population.</p> <p>Methods</p> <p>We studied 337 patients that were divided in two groups: 78 patients with histologically confirmed distal GC and 259 non-cancer controls. The presence of <it>H. pylori </it>in the control population was defined by positive results of at least two of four diagnostic tests: serology, histology, rapid urease test and culture. Human DNA was purified and genotyped for <it>TLR4 Asp299Gly </it>polymorphism by pyrosequencing, for <it>TLR4 Thr399Ile </it>by PCR-RFLP and for <it>IL8-251 </it>by the amplification refractory mutation system (ARMS)-PCR.</p> <p>Results</p> <p>The non-cancer control group was found to be in Hardy-Weinberg equilibrium at the polymorphic loci studied (chi-square _H-W= 0.58 for <it>IL8-251</it>, 0.42 for <it>TLR4 Asp299Gly </it>and 0.17 for <it>TLR4 Thr399Ile</it>). The frequencies of mutated alleles (homozygous plus heterozygous) were compared between cases and controls. We found no significant difference for <it>TLR4- Asp299Gly </it>[the 7.7% of distal GC patients and 7.7 % non-cancer controls (p = 0.82)] and for <it>TLR4 Thr399Ile </it>[the 1.3% of GC patients and the 5% of the control population (p = 0.2)]. In contrast, for <it>IL-8-251 </it>A/T, 80.77% of the GC patients and 66.4% in the control group age and gender matched had at least one copy of mutated allele (OR = 2.12, 95% CI = 1.1–4.2) (p = 0.023).</p> <p>Conclusion</p> <p>This study showed that the <it>IL8-251*A </it>allele could be related to the development of distal gastric cancer in this Mexican population.</p

Leprosy Associated with Atypical Cutaneous Leishmaniasis in Nicaragua and Honduras

In Central America, few cases of leprosy have been reported, but the disease may be unrecognized. Diagnosis is based on clinical criteria and histology. Preliminary field work in Nicaragua and Honduras found patients, including many children, with skin lesions clinically suggestive of atypical cutaneous leishmaniasis or indeterminate leprosy. Histology could not distinguish these diseases although acid-fast organisms were visible in a few biopsies. Lesions healed after standard antimicrobial therapy for leprosy. In the present study, patients, family members, and other community members were skin-tested and provided nasal swabs and blood samples. Biopsies were taken from a subgroup of patients with clinical signs of infection. Two laboratories analyzed samples, using local in-house techniques. Mycobacterium leprae, Leishmania spp. and Leishmania infantum were detected using polymerase chain reactions. Mycobacterium leprae DNA was detected in blood samples and nasal swabs, including some cases where leprosy was not clinically suspected. Leishmania spp. were also detected in blood and nasal swabs. Most biopsies contained Leishmania DNA and coinfection of Leishmania spp. with M. leprae occurred in 33% of cases. Mycobacterium leprae DNA was also detected and sequenced from Nicaraguan and Honduran environmental samples. In conclusion, leprosy and leishmaniasis are present in both regions, and leprosy appears to be widespread. The nature of any relationship between these two pathogens and the epidemiology of these infections need to be elucidated

The double-edged sword of CRISPR-Cas systems

A recent paper gives the details on how specific small RNAs can program a protein to cleave an undesired piece of DNA and to provide immunity to a microbial cell

Validation of a method to estimate direct normal irradiance of UVA and PAR bands from global horizontal measurements for cloudless sky conditions in Valencia, Spain, by a measurement campaign

A method is proposed to provide measurement of direct normal solar irradiance of bands with wavelength ranges (315-400 nm, 400-700 nm) from measurements of global horizontal band irradiance for cloudless sky conditions in Valencia. Global and normal direct irradiance data for every air mass were obtained by applying the SMART2 model to the atmosphere of Valencia. The direct normal to global irradiance ratio was parameterized versus the relative optical air mass. A measurement campaign of global horizontal and diffuse irradiance of UVA and PAR bands was carried out in Valencia, after which, the inferred direct normal irradiance was compared with those provided by the method. The result of the comparison shows that the method is acceptably accurate. The proposed model tends to underestimate the direct normal irradiance of the UVA band by 6%, although for values below 25 W/m2 the model overestimates the direct irradiance by 6%, while for values above 25 W/m2 the model underestimates it by 10%. The other two error estimators used ranging from 11% to 15% are similar in the defined interval measurements in relation to the whole UVA band. Regarding the PAR band, the model overestimates the direct normal irradiance of the PAR band by only 2.2%. With this, the results of the PAR band are more conclusive, as it has been found that for direct normal irradiance values higher than 280 W/m2 the MBE error is almost zero and the other two estimator errors are small, about 5%. © 2010 Springer-Verlag.This work was supported by the Spanish Government through MEC grant MAT2009-14625-C03-03, and is a part of the activities of the Grup d'Optoelectronica i Semiconductors of the Polytechnic University of Valencia. The translation of this paper was funded by the Universidad Politecnica de Valencia, Spain.Serrano Jareño, MA.; Boscá Berga, JV. (2011). Validation of a method to estimate direct normal irradiance of UVA and PAR bands from global horizontal measurements for cloudless sky conditions in Valencia, Spain, by a measurement campaign. Theoretical and Applied Climatology. 103(1):95-101. https://doi.org/10.1007/s00704-010-0284-9S951011031Barth J, Cadet J, Césarini JP, Fitzpatrick TB, McKinlay A, Mutzhas M, Pathak M, Peak M, Sliney D, Urbach F (1999) TC 6-26 report: Standardization of the terms UV-A1, UV-A2 and UV-B, CIE 134-1999 ISBN 3-900-734-94-1Batlles FJ, Olmo FJ, Alados-Arboledas L (1995) On shadowband correction methods for diffuse irradiance measurements. Solar Energy 54(5):105–114Drummond AJ (1956) On the measurement of sky radiation. Arch 602 Meteor Geophys Bioklim B 7:413–436Gueymard C (1995) SMARTS2: a simple model of the atmospheric radiative transfer of sunshine: algorithms and performance assessment. FSEC-PF-270-95, Florida Solar Energy CenterGueymard C (2003) SMARTS2 code, versión 2.9.2. User’s Manual, Solar Consulting Services Bailey CO. Available from http://rredc.nrel.gov/solar/models/SMARTS/smarts_index.htmlGueymard C (2004) The sun’s total and spectral irradiance for solar energy applications and solar radiation models. Solar Energy 76:423–453Häder DP, Lebert M, Marangoni R, Colombetti G (1999) ELDONET-European light dosimeter network hardware and software. J Photochem Photobiol B: Biol 52:51–58Häder DP, Lebert M, Colombetti G, Figueroa F (2001) European light dosimeter network (ELDONET). Helgol Mar Res 55:35–44Iqbal M (1983) An introduction to solar radiation. Academic, TorontoKudish AI, Evseev EG (2008) The assessment of four different correction models applied to the diffuse radiation measured with a shadow ring using global and normal beam radiation measurements for Beer Sheva, Israel. Solar Energy 82(2):144–156LeBaron BA, Michalsky JJ, Perez R (1990) A simple procedure for correcting shadowband data for all sky conditions. Solar Energy 44:249–256Marín Fernández MJ (2007) Estudio de la irradiancia solar ultravioleta y eritemática en la Comunidad Valenciana. Doctoral Thesis University of Valencia (Spain)Perez R, Ineichen P, Seals R, Michalsky JJ, Stewart R (1990) Modelling daylight availability and irradiance components from direct and global irradiance. Sol Energy 44:271–289Pinazo JM, Cañada J, Bosca JV (1995) A new method to determine Ångström's turbidity coefficient: its application for Valencia. Solar Energy 54:219–226Serrano MA, Boscá JV, Cañada J (2008) The determination of a band factor to express irradiance of UV and PAR wavelength ranges in a clean and dry atmosphere at Valencia (Spain). Int J Ambient Energy 29(4):171–180Utrillas MP, Boscà JV, Martinez-Lozano JA, Cañada J, Tena F, Pinazo JM (1998) A comparative study of Spectral2, and Smarts2 parameterised models based on spectral irradiance measurements at Valencia, Spain. Solar Energy 63:161–171Utrillas MP, Marín MJ, Esteve AR, Tena F, Cañada J, Estellés V, Martínez Lozano JA (2007) Diffuse UV erythemal radiation experimental values. J Geophy Res 112:387–39

Antimonial Resistance in Leishmania donovani Is Associated with Increased In Vivo Parasite Burden

Leishmania donovani is an intracellular protozoan parasite that causes visceral leishmaniasis (VL). Antimonials (SSG) have long been the first-line treatment against VL, but have now been replaced by miltefosine (MIL) in the Indian subcontinent due to the emergence of SSG-resistance. Our previous study hypothesised that SSG-resistant L. donovani might have increased in vivo survival skills which could affect the efficacy of other treatments such as MIL. The present study attempts to validate these hypotheses. Fourteen strains derived from Nepalese clinical isolates with documented SSG-susceptibility were infected in BALB/c mice to study their survival capacity in drug free conditions (non-treated mice) and in MIL-treated mice. SSG-resistant parasites caused a significant higher in vivo parasite load compared to SSG-sensitive parasites. However, this did not seem to affect the strains' response to MIL-treatment since parasites from both phenotypes responded equally well to in vivo MIL exposure. We conclude that there is a positive association between SSG-resistance and in vivo survival skills in our sample of L. donovani strains which could suggest a higher virulence of SSG-R strains compared to SSG-S strains. These greater in vivo survival skills of SSG-R parasites do not seem to directly affect their susceptibility to MIL. However, it cannot be excluded that repeated MIL exposure will elicit different adaptations in these SSG-R parasites with superior survival skills compared to the SSG-S parasites. Our results therefore highlight the need to closely monitor drug efficacy in the field, especially in the context of the Kala-azar elimination programme ongoing in the Indian subcontinent