121 research outputs found

    Hospitalised patients with suspected 2009 H1N1 Influenza A in a hospital in Norway, July - December 2009

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    <p>Abstract</p> <p>Background</p> <p>The main objective of this study was to describe the patients who were hospitalised at Oslo University Hospital Aker during the first wave of pandemic Influenza A (H1N1) in Norway.</p> <p>Methods</p> <p>Clinical data on all patients hospitalised with influenza-like illness from July to the end of November 2009 were collected prospectively. Patients with confirmed H1N1 Influenza A were compared to patients with negative H1N1 tests.</p> <p>Results</p> <p>182 patients were hospitalised with suspected H1N1 Influenza A and 64 (35%) tested positive. Seventeen patients with positive tests (27%) were admitted to an intensive care unit and four patients died (6%). The H1N1 positive patients were younger, consisted of a higher proportion of non-ethnic Norwegians, had a higher heart rate on admission, and fewer had pre-existing hypertension, compared to the H1N1 negative patients. However, hypertension was the only medical condition that was significantly associated with a more serious outcome defined as ICU admission or death, with a univariate odds ratio of the composite endpoint in H1N1 positive and negative patients of 6.1 (95% CI 1.3-29.3) and 3.2 (95% CI 1.2-8.7), respectively. Chest radiography revealed pneumonia in 24/59 H1N1 positive patients. 63 of 64 H1N1 positive patients received oseltamivir.</p> <p>Conclusions</p> <p>The extra burden of hospitalisations was relatively small and we managed to admit all the patients with suspected H1N1 influenza without opening new pandemic isolation wards. The morbidity and mortality were similar to reports from comparable countries. Established hypertension was associated with more severe morbidity and patients with hypertension should be considered candidates for vaccination programs in future pandemics.</p

    The genome of a tortoise herpesvirus (testudinid herpesvirus 3) has a novel structure and contains a large region that is not required for replication in vitro or virulence in vivo

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    Testudinid herpesvirus 3 (TeHV-3) is the causative agent of a lethal disease affecting several tortoise species. The threat that this virus poses to endangered animals is focusing efforts on characterizing its properties, in order to enable the development of prophylactic methods. We have sequenced the genomes of the two most studied TeHV-3 strains (1976 and 4295). TeHV-3 strain 1976 has a novel genome structure and is most closely related to a turtle herpesvirus, thus supporting its classification into genus Scutavirus, subfamily Alphaherpesvirinae, family Herpesviridae. The sequence of strain 1976 also revealed viral counterparts of cellular interleukin-10 and semaphorin, which have not been described previously in members of subfamily Alphaherpesvirinae. TeHV-3 strain 4295 is a mixture of three forms (m1, m2, and M), in which, in comparison to strain 1976, the genomes exhibit large, partially overlapping deletions of 12.5 to 22.4 kb. Viral subclones representing these forms were isolated by limiting dilution, and each replicated in cell culture comparably to strain 1976. With the goal of testing the potential of the three forms as attenuated vaccine candidates, strain 4295 was inoculated intranasally into Hermann's tortoises (Testudo hermanni). All inoculated subjects died, and PCR analyses demonstrated the ability of the m2 and M forms to spread and invade the brain. In contrast, the m1 form was detected in none of the organs tested, suggesting its potential as the basis of an attenuated vaccine candidate. Our findings represent a major step towards characterizing TeHV-3 and developing prophylactic methods against it. IMPORTANCE: Testudinid herpesvirus 3 (TeHV-3) causes a lethal disease in tortoises, several species of which are endangered. We have characterized the viral genome, and used this information to take steps towards developing an attenuated vaccine. We have sequenced the genomes of two strains (1976 and 4295), compared their growth in vitro, and investigated the pathogenesis of strain 4295, which consists of three deletion mutants. The major findings are: (i) TeHV-3 has a novel genome structure; (ii) its closest relative is a turtle herpesvirus; (iii) it contains interleukin-10 and semaphorin genes, the first time these have been reported in an alphaherpesvirus; (iv) a sizeable region of the genome is not required for viral replication in vitro or virulence in vivo; and (v) one of the components of strain 4295, which has a deletion of 22.4 kb, exhibits properties indicating that it may serve as the starting point for an attenuated vaccine

    Leaf response to water deficits in soybeans

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    Soybeans [Glycine max (L.) Merrill cv. Wayne] plants were subjected to an extended drying cycle in the field to investigate the leaf sensitivity to water deficits. Soybeans in irrigated plots were superior to those in non-irrigated plots in the average size and number of leaflets per plant. Apparent differences in the leaf area distributions in the canopy seemed to be mediated by moisture stress effects associated with leaf senescence and light penetration in the lower depths of the canopy. A major decrease in leaf enlargement occurred near a leaf-water potential of -8 bars, and at - 12 bars, the growth was completely halted. Similar decreases were observed at a stomatal conductance of 0.4 cm/s and at 0.2 cm/s no enlargement was observe

    Economic Causation and British Emigration in the Late Nineteenth Century

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    Fuelwood Deficits in Sub-Saharan Africa.

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    Most people in South Africa rely on a diminishing source of fuelwood for meeting domestic energy needs. A fuelwood demand and supply model is presented which projects likely fuelwood supply deficits to the year 2000 AD. Fuelwood demand in underdeveloped rural areas is calculated from fuelwood consumption measurements combined with demographic data for 1980 and projections for 2000 AD. Fuelwood is obtained primarily from natural woodland and shrubland. Detailed analyses are made of above ground woody biomass production for the different areas. A fuelwood supply model is constructed based on these data and taking into account current consumption patterns. Fuelwood deficits are calculated as well as the plantation areas required to ensure a sustainable fuelwood supply. The limitations of this approach are noted and the urgency of developing an integrated energy supply policy for a “new South Africa” is argued
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