Ad hoc influenza vaccination during years of significant antigenic drift in a tropical city with 2 seasonal peaks

We evaluated the acceptability of an additional ad hoc influenza vaccination among the health care professionals following seasons with significant antigenic drift. Self-administered, anonymous surveys were performed by hard copy questionnaires in public hospitals, and by an on-line platform available to all healthcare professionals, from April 1st to May 31st, 2015. A total of 1290 healthcare professionals completed the questionnaires, including doctors, nurses, and allied health professionals working in both the public and private systems. Only 31.8% of participating respondents expressed an intention to receive the additional vaccine, despite that the majority of them agreed or strongly agreed that it would bring benefit to the community (88.9%), save lives (86.7%), reduce medical expenses (76.3%), satisfy public expectation (82.8%), and increase awareness of vaccination (86.1%). However, a significant proportion expressed concern that the vaccine could disturb the normal immunization schedule (45.5%); felt uncertain what to do in the next vaccination round (66.0%); perceived that the summer peak might not occur (48.2%); and believed that the summer peak might not be of the same virus (83.5%). Furthermore, 27.8% of all respondents expected that the additional vaccination could weaken the efficacy of previous vaccinations; 51.3% was concerned about side effects; and 61.3% estimated that there would be a low uptake rate. If the supply of vaccine was limited, higher priority groups were considered to include the elderly aged ≥65 years with chronic medical conditions (89.2%), the elderly living in residential care homes (87.4%), and long-stay residents of institutions for the disabled (80.7%). The strongest factors associated with accepting the additional vaccine included immunization with influenza vaccines in the past 3 years, higher perceived risk of contracting influenza, and higher perceived severity of the disease impact. The acceptability to an additional ad hoc influenza vaccination was low among healthcare professionals. This could have a negative impact on such additional vaccination campaigns since healthcare professionals are a key driver for vaccine acceptance. The discordance in perceived risk and acceptance of vaccination regarding self versus public deserves further evaluation

Life and Liesegang: Outcrop-Scale Microbially Induced Diagenetic Structures and Geochemical Self-Organization Phenomena Produced by Oxidation of Reduced Iron

The Kanab Wonderstone is sandstone (Shinarump Member, Chinle Formation) that is cemented and stained with iron oxide. The iron-oxide cementation and staining in these rocks have been considered examples of the Liesegang phenomenon, but we will show that they comprise a microbially induced structure. The spacing of bands of iron-oxide stain follow the Jablczynski spacing law (wherein the spacing between bands of iron-oxide stain increases as one traverses a series of bands) characteristic of Liesegang. Bands of iron-oxide cement exhibit more variable spacing and exhibit a weak but significant correlation between band thickness and distance between bands of cement. The pore-filling cement contains morphotypes that are similar in size and habit to those exhibited by microaerophilic iron-oxidizing bacteria. Other disseminated iron-oxide mineralization occurs as rhombohedra interpreted to be pseudomorphs after siderite. We interpret the cement to be produced by microbially mediated oxidation of siderite (a typical early diagenetic mineral in fluvial sandstones). Iron-oxidizing bacteria colonized the redox interface between siderite-cemented sand and porous sandstone. Microbes oxidized aqueous Fe(II), generating acid that caused siderite dissolution. The iron-oxide cement is the microbial product of a geochemical drive for organization; whereas the iron-oxide stain is true Liesegang. Together, they comprise a distinctive microbially induced structure with high preservation potential. Key Words: Biosignatures—Iron oxides—Diagenesis—Iron-oxidizing bacteria—Shinarump

Human Metapneumovirus Detection in Patients with Severe Acute Respiratory Syndrome

We used a combination approach of conventional virus isolation and molecular techniques to detect human metapneumovirus (HMPV) in patients with severe acute respiratory syndrome (SARS). Of the 48 study patients, 25 (52.1%) were infected with HMPV; 6 of these 25 patients were also infected with coronavirus, and another 5 patients (10.4%) were infected with coronavirus alone. Using this combination approach, we found that human laryngeal carcinoma (HEp-2) cells were superior to rhesus monkey kidney (LLC-MK2) cells commonly used in previous studies for isolation of HMPV. These widely available HEp-2 cells should be included in conjunction with a molecular method for cell culture followup to detect HMPV, particularly in patients with SARS

Overall survival after concurrent cisplatin-radiotherapy compared with radiotherapy alone in locoregionally advanced nasopharyngeal carcinoma

This phase III randomized study compared concurrent cisplatin-radiotherapy (CRT) versus radiotherapy (RT) alone in patients with locoregionally advanced nasopharyngeal carcinoma. A total of 350 patients were randomly assigned to receive external RT alone or concurrently with cisplatin at a dosage of 40 mg/m 2 weekly. The primary endpoint was overall survival, and the median follow-up was 5.5 years. The 5-year overall survival was 58.6% (95% confidence interval [CI] = 50.9% to 66.2%) for the RT arm and 70.3% (95% CI = 63.4% to 77.3%) for the CRT arm. In Cox regression analysis adjusted for T stage, age, and overall stage, the difference in overall survival was statistically significantly in favor of concurrent CRT (P = .049, hazard ratio [HR] = 0.71 [95% CI = 0.5 to 1.0]). Subgroup analysis demonstrated that there was no difference between overall survival in the arms for T1 /T2 stage (P = .74, HR = 0.93 [95% CI = 0.59 to 1.4] ), whereas there was a difference between the arms for T3/T4 stage (P = .013, HR = 0.51 [95% CI = 0.3 to 0.88]), favoring the CRT arm. The regimen of weekly concurrent CRT is a promising standard treatment strategy for locoregionally advanced nasopharyngeal carcinoma patients. © Oxford University Press 2005, all rights reserved.Link_to_subscribed_fulltex

Biologia floral e polinização de Arrabidaea conjugata (Vell.) Mart. (Bignoniaceae) Floral and pollination biology of Arrabidaea conjugata (Vell.) Mart. (Bignoniaceae)

O trabalho aborda a biologia floral, a atividade forrageira dos visitantes florais (polinizadores e pilhadores), os eventos fenológicos e o sistema de reprodução de Arrabidaea conjugata (Vell.) Mart. (Bignoniaceae), em área de vegetação de restinga, município de Maricá, Rio de Janeiro, no período 1997 a 2000. A espécie estudada tem flores com antese diurna, lilases, tubulosas, hermafroditas, odoríferas e oferecem néctar como recurso floral. O néctar é secretado por um disco localizado na base do gineceu e é acumulado em câmara nectarífera. Os grãos de pólen são liberados gradativamente, prolongando-se a fase de doação de pólen. As abelhas Euglossa cordata Linnaeus, Centris analis Fabricius e C. tarsata Smith são os polinizadores da espécie. Destaca-se pilhagem primária de néctar, por abelhas, e secundária, por borboletas e beija-flor. A espécie é auto-incompatível, apresentando baixos índices de formação de frutos em condições naturais (Frutos/Flores = 12,2%). Foi registrado padrão de floração "cornucópia", entre os meses de dezembro a março (estação quente/chuvosa), com pico em janeiro. As sementes são anemocóricas e liberadas gradativamente na estação fria e seca.<br>This work deals with the floral biology, the foraging activities of floral visitors (pollinators and robbers), phenology and reproductive system of Arrabidaea conjugata (Vell.) Mart. (Bignoniaceae) in the "restinga" of Maricá, Rio de Janeiro, Brazil, from 1997 to 2000. The flowers display daytime anthesis and last only one day. These attractive pink flowers are tubular, hermaphroditic, odoriferous and produce nectar as the floral reward. The nectar is secreted by a nectariferous disk concealed within a chamber. The pollen grains are gradually released throughout anthesis, extending the pollen presentation phase. The bees Euglossa cordata Linnaeus, Centris analis Fabricius and C. tarsata Smith are the pollinator species. Primary and secondary nectar pilferage by several bees, butterflies and a hummingbird is found in A. conjugata. The species is self-incompatible and has low fruit set (Fruit/Flower = 12.2%). Flowering of A. conjugata lasts from December to March (hot, rainy season) with a peak in January. The seeds are anemocoric and dispersal peaks in the cold, dry season