20 Years Of Progress In Dengue Hemorrhagic Fever And Other Arboviral Diseases Research

Throughout the 20 year history of U.S. Naval Medical Research Unit No. 2 Detachment (NAMRU), many viruses and viral diseases have been studied. The greatest emphasis has been in the field of arboviruses, specifically dengue virus, chikungunya virus, and Japanese B encephalitis virus. The initial focus of the work was to define the extent of the threat posed by these viruses. Studies were conducted to determine antibody prevalence, and to determine the etiologies of infectious febrile disease in hospitalized patients. Later the work advanced into more specific areas, especially the entomologic and clinical components of these viruses. Little was known of the incidence or kind of arbovirus infections in Indonesia when NAMRU was established. Previous serological studies had used the cross reactive haemagglutination assay. Green et al. in 1973 provided convincing serological evidence of infections with chikungunya virus and group B arboviruses by using the specific virus neutralization assay. These results demonstrated the need for further studies to isolate the causative agent, to describe the epidemiology, and to investigate the clinical features of the associated disease

Sulphadoxine-pyrimethamine plus azithromycin may improve birth outcomes through impacts on inflammation and placental angiogenesis independent of malarial infection

Abstract Intermittent preventive treatment with sulphadoxine-pyrimethamine (SP) and SP plus azithromycin (SPAZ) reduces low birthweight (<2,500 g) in women without malarial and reproductive tract infections. This study investigates the impact of SPAZ on associations between plasma biomarkers of inflammation and angiogenesis and adverse pregnancy outcomes in 2,012 Papua New Guinean women. Concentrations of C-reactive protein (CRP), α-1-acid glycoprotein (AGP), soluble endoglin (sEng), soluble fms-like tyrosine kinase-1 (sFlt-1) and placental growth factor (PlGF) were measured at enrolment and delivery in a trial comparing SPAZ to SP plus chloroquine (SPCQ). At antenatal enrolment higher CRP (adjusted odds ratio 1.52; 95% confidence interval [CI] 1.03–2.25), sEng (4.35; 1.77, 10.7) and sFlt1 (2.21; 1.09, 4.48) were associated with preterm birth, and higher sEng with low birthweight (1.39; 1.11,3.37), in SPCQ recipients only. Increased enrolment sFlt1:PlGF ratios associated with LBW in all women (1.46; 1.11, 1.90). At delivery, higher AGP levels were strongly associated with low birthweight, preterm birth and small-for-gestational age babies in the SPCQ arm only. Restricting analyses to women without malaria infection did not materially alter these relationships. Women receiving SPAZ had lower delivery AGP and CRP levels (p < 0.001). SPAZ may protect against adverse pregnancy outcomes by reducing inflammation and preventing its deleterious consequences, including dysregulation of placental angiogenesis, in women with and without malarial infection

Assessment of pattern and treatment outcome of patients admitted to pediatric intensive care unit, Ayder Referral Hospital, Tigray, Ethiopia, 2015

Abstract Objective To describe admission pattern and outcome with its predictor variable on the mortality of children admitted to pediatric intensive care unit (PICU), Ayder Referral Hospital, Northern Ethiopia, from September 2012 to August 2014. Result From 680 admitted patients, 400 patients were analyzed. Average age at admission was 62.99 ± 60.94 months, with F:M ratio of 1:1.2. Overall (from infectious and non-infectious) the most commonly affected systems were respiratory (90/400 pts., 22.5%) and central nervous system (83/400 pts., 20.75%). Most were admitted due to meningitis (44/400 pts., 11%), post-operative (43/400 pts., 10.8%) and acute glomerulonephritis (41/400 pts., 10.3%). The overall mortality rate was 8.5%. Multivariable logistic regression shows, use of inotropes (p = 0.000), need for mechanical ventilator (p = 0.007) and presence of comorbid illness (p = 0.002), infectious cause (p = 0.015) and low level of Glasgow coma scale less than eight (p = 0.04) were independent predictors of mortality. From this study, common cause of PICU admission and death was meningitis. This highlights the importance of focusing on the preventable methods in the public such as vaccine, creating awareness about hygiene, and expanding ICU for early detection and for treatment acutely ill children

MOESM2 of Assessment of pattern and treatment outcome of patients admitted to pediatric intensive care unit, Ayder Referral Hospital, Tigray, Ethiopia, 2015

Additional file 2: Annex 1. Data collection format (questioner)

MOESM1 of Assessment of pattern and treatment outcome of patients admitted to pediatric intensive care unit, Ayder Referral Hospital, Tigray, Ethiopia, 2015

Additional file 1: Table S1. Patients’ outcome at the end of ICU stay. Table S2. Mortality across diagnostic categories (N = 34). Table S3. Admission diagnosis versus age. Table S4. Socio demographic and clinical profile versus outcome of children admitted to PICU in Mekelle, North Ethiopia

Structure–activity analysis of cyclic multicomponent lipopeptide self-adjuvanting vaccine candidates presenting Group A Streptococcus antigens

Group A Streptococcus (GAS) infection causes a range of life-threatening diseases, including rheumatic heart disease. Cyclic peptides offer an attractive solution for presentation of short peptide antigens due to their stability and structurally constrained conformation. We investigated a cyclic carrier decapeptide incorporating a B cell GAS peptide epitope, a universal T helper epitope and a synthetic toll-like receptor 2 targeting moiety as a possible self-adjuvanting GAS vaccine. A structure-activity relationship of the cyclic lipopetide vaccine showed successful induction of J8-specific systemic IgG antibodies when administered subcutaneously without additional adjuvant. Interestingly, the physical mixture control induced the highest titers of all vaccine compounds with antibodies from mice immunized with this physical mixture control shown to effectively opsonize multiple strains of clinically isolated GAS bacteria. This study showed the capability for a self-adjuvanting cyclic delivery system to act as a vehicle for the delivery of GAS peptide antigens to treat GAS infection

Biostimulation of chlorinated ethene-respiring communities containing <i>Dehalococcoides</i>.

<p>Dechlorination of TCE in microcosms (left panels), first transfers from microcosms (middle panels), and enriched soil/sediment-free cultures (right panels). The microcosms (left panels) were setup with (A) uncontaminated garden soil, (B) uncontaminated mangrove sediment, and (C) PCE-contaminated groundwater sediment. A total of 26 microcosms were established. (A)–(B) (left panels) Cuzdrioara and Carolina microcosm replicates exhibited the same pattern for reductive dechlorination product formation and one replicate is shown. Eight Parris Island replicate microcosms from different core depths formed VC and ethene within 30 days after microcosms were established. (C) (left panel) One representative VC and ethene-producing microcosm is presented. The dashed arrows represent an additional transfer not shown. The time-course experiments from the right panels (A–C) are from the third consecutive addition of 0.5 mmol L⁻¹ TCE. The error bars in the right panels show standard deviation of triplicate cultures. Note the time scale differences between left, middle, and right panels.</p

Characterization of <i>Dehalococcoides mccartyi</i>-containing cultures enriched in this study.

a<p>Rates calculated between two consecutive sampling points. The transient rates were highest for all cultures on the third addition of 1 mmol L⁻¹ TCE.</p>b<p>Conversion times reported from independent experiments for the third consecutive addition of TCE.</p>c<p>Final densities after three consecutive additions of TCE.</p>d<p>Yields were calculated from the change in the 16S rRNA gene copies measured by qPCR divided by the change in concentration of TCE reduced to ethene.</p