Epidemiological Assessment of Risk Factors Associated with Bovine Ephemeral Fever Virus Exposure among Sheep and Goats in South Korea

Background: Bovine ephemeral fever virus (BEFV) is an arthropod-borne virus classified as a type species of the genus Ephemerovirus, family Rhabdoviridae. BEFV is the causative agent of bovine ephemeral fever (BEF), a non-contagious disease of acute febrile clinical signs in cattle and water buffalo. Some species might act as reservoir hosts, and antibodies to BEFV have also been found in asymptomatic sheep, goats, pigs, and many wild animals. This study aimed to conduct a retrospective cross-sectional serological screening in South Korea to address BEFV seroprevalence and identify risk factors for becoming seropositive for the virus in sheep and goats. Materials, Methods & Results: The apparent prevalence rates were considered to be the animal-level prevalence, defined as the proportion of serum neutralization test (SNT)-positive animals out of the total number of animals tested in the study area, and flock prevalence was defined as the proportion of SNT-positive flocks out of the total number of tested flocks in the area. A flock was classified as positive if at least one animal was SNT-positive. At the national level in 2011, 28 of 177 flocks (15.8%; 95% CI, 11.2−21.9%) and 71 of 498 heads (14.3%, 95% CI: 11.5-17.6%) that were analyzed showed serum neutralizing antibodies against BEFV. Our results revealed that age class, vector control, and geographic location affected seroprevalence to differing extents. In the univariate analysis, older age was a significant risk factor (OR, 2.327; 95% CI, 1.147-4.721; P = 0.017 in adults). The management risk factor attributes showed that preventive measures, such as routine application of insecticides in farms, decreased the odds of seropositivity for BEFV (OR, 0.514; 95% CI, 0.267-0.991; P = 0.044). Vector control was a significant protective factor, while animal species, flock size, and flock structure were not significantly associated. Differences in seroprevalence between variations in the presence of ruminant farms, lakes, or rice paddies within a 1-km radius or type of land use were not statistically significant (P > 0.05). We observed a significant difference in the individual likelihood of being positive in the southern provinces with respect to that in the northern provinces (OR, 2.166; 95% CI, 1.228-3.824; P = 0.007). Differences in seroprevalence between variations in the eastern and western regions were not statistically significant (P > 0.05). The retrospective study results showed that the virus was widely distributed in sheep and goats in South Korea, with seropositive rates ranging from 7.8% to 19.7% between 2003 and 2008.Discussion: This is the first report of circulating antibodies against BEFV in sheep and goats in South Korea. The serological prevalence of BEFV infection in sheep and goats was significantly different between different age cohorts, vector control, and geographical locations: it was higher in the older group and the southern and western regions of South Korea. Determination of seropositivity rates often leads to an understanding of virus circulation dynamics and is useful in the formulation of disease control measures. Our results demonstrated that vector control was a significant protective factor; therefore, the summer control of vectors could be better implemented in provinces with elevated seropositivity rates. The results of this seroprevalence study may serve as a basis for future epidemiological studies on BEFV infection in South Korea

Implications of MicroRNAs in the Vascular Homeostasis and Remodeling

Vascular remodeling or arterial remodeling is a process of adaptive alteration of vascular wall architecture and leads to the endothelial cell (EC) dysfunction and synthetic or contractile phenotypic change of VSMCs, and the infiltration of monocytes and Macrophages that promotes vascular diseases including atherosclerosis. Recent findings have demonstrated that microRNAs (miRNAs) are involved in regulating gene expression at posttranscriptional level and disease pathogenesis. A change of miRNA expression profiles plays key roles in the gene expressions and the regulation of cellular functions. In this chapter, we summarize the vascular remodeling-related miRNAs and their functions in vascular biology

A Novel Magnetic Resonance Quality Assurance Phantom (KMRP-4): Multi-Site Comparison With the American College of Radiology Phantom

Purpose: To propose a novel standard magnetic resonance imaging (MRI) phantom, hereafter called the Korea Magnetic Resonance Phantom-4th edition (KMRP-4). Its related quality control (QC) assessment protocols and its comparison with the American College of Radiology (ACR) phantom and its QC assessment protocols. / Materials and Methods: Internally, the KMRP-4 phantom is composed of cubic and triangular vessels, brain tissue structures, and a uniform region designed to facilitate a variety of QC protocols. Using magnetic resonance (MR) images of these structures, we quantitatively evaluated a total of 10 parameters, seven from those of existing ACR protocols (i.e., geometric accuracy, high-contrast spatial resolution, slice thickness accuracy, slice position accuracy, image intensity uniformity, percent signal ghosting, and low-contrast object detectability) and three additional parameters for evaluating vessel conspicuity, brain tissue contrast, and signal-to-noise ratio (SNR) introduced in the KMRP-4 protocols. Twentyt-wo MRI systems of 0.32–3.0 T static magnetic field strength were tested using both ACR and KMRP-4 phantoms. Mann–Whitney U-tests were performed on the seven evaluation items of the ACR method to compare KMRP-4 and ACR methods. / Results: The results of Mann–Whitney U-test demonstrated that p-values were more than 0.05 for all seven items that could be assessed with both ACR and KMRP-4, indicating similar results between the two methods. Additionally, assessments of vessel conspicuity, brain tissue contrast, and SNR using the KMRP-4 method demonstrated utility of the KMRP-4 phantom. / Conclusion: A novel standard phantom and related QC methods were developed to perform objective, observer-independent, and semi-automatic QC tests. Quantitative comparisons of MR images with KMPR-4 and ACR phantoms were performed. Results demonstrated the utility of the newly proposed KMRP-4 phantom and its related QC methods

A Case of Myotonic Dystrophy With Pigmentary Retinal Changes

A 46-year-old man presented with visual disturbances in both eyes. His best corrected visual acuity was 0.7 (both eyes). Ptosis and limitation of ocular movement in every direction were observed. Slit lamp examination showed a bilateral iridescent cataract. Fundus examination showed peripheral depigmentation of the retinal pigment epithelium and pigmentary clumping in both eyes that agreed with blocked fluorescence and widow defects on fluorescein angiography. The amplitude of b-wave was decreased on electroretinography. Fourteen months later, the patient's best corrected visual acuity decreased to 0.3 due to increased lens opacity. Phacoemulsification and intraocular lens implantation were performed on both eyes. At the patient's final visit, retinal findings were stable with a best corrected visual acuity of 0.7 in both eyes. In conclusion, the visual disturbance could have been caused by both cataracts and retinal degeneration, meaning the fundus should be examined carefully in patients with myotonic dystrophy

Combined Brown syndrome and superior oblique palsy without a trochlear nerve: case report

CCDD: congenital cranial dysinnervation disorder; MRI: magnetic resonance imaging; RHT: right hypertropia; SO: superior obliqueAbstract Background Congenital Brown syndrome is characterized by limited elevation particularly during adduction. The pathogenesis of congenital Brown syndrome is still controversial. Case presentation A 6-year-old boy had been tilting his head to the left since infancy. He showed right hypertropia (RHT) of 2 prism diopters (Δ) in the primary position. He showed RHT 6Δ in right gaze, RHT 2Δ in left gaze, RHT 12Δ in right head tilt, and orthotropia in left head tilt. The right eye showed limitation of elevation and depression on adduction, and the left eye showed overdepression on adduction. MR images showed an absent right trochlear nerve with a hypoplastic ipsilateral superior oblique muscle. Conclusions Congenital Brown syndrome may be associated with an absent trochlear nerve and hypoplastic superior oblique muscle suggesting an etiologic mechanism of congenital cranial dysinnervation disorder