Well being of obstetric patients on minimal blood transfusions (WOMB trial)

Background: Primary postpartum haemorrhage is an obstetrical emergency often causing acute anaemia that may require immediate red blood cell (RBC) transfusion. This anaemia results in symptoms such as fatigue, whic

Elevated risk of infection with SARS-CoV-2 Beta, Gamma, and Delta variants compared with Alpha variant in vaccinated individuals

The extent to which severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants of concern (VOCs) break through infection- or vaccine-induced immunity is not well understood. We analyzed 28,578 sequenced SARS-CoV-2 samples from individuals with known immune status obtained through national community testing in the Netherlands from March to August 2021. We found evidence of an increased risk of infection by the Beta (B.1.351), Gamma (P.1), or Delta (B.1.617.2) variants compared with the Alpha (B.1.1.7) variant after vaccination. No clear differences were found between vaccines. However, the effect was larger in the first 14 to 59 days after complete vaccination compared with ≥60 days. In contrast to vaccine-induced immunity, there was no increased risk for reinfection with Beta, Gamma, or Delta variants relative to the Alpha variant in individuals with infection-induced immunity.</p

Heritability and heterochrony of polychromatism in a Lake Victoria cichlid fish: stepping stones for speciation?

In many haplochromine cichlid fish, male nuptial coloration is subject to female mate choice and plays a central role in the evolution of reproductive isolation between incipient species. Intraspecific variation in male coloration may serve as a target for diversifying sexual selection and provide a starting point for species divergence. Here, we investigated a polychromatism in Neochromis omnicaeruleus, a haplochromine from Lake Victoria, East-Africa. In this species, male coloration ranges from skyblue to yellow-red and females are grey-blue to yellow. We found that both genetic and environmental factors influence the expression of these colours during individual development. In a natural population, we found that male colour was associated with size and sexual maturity: yellow males were smaller than blue males and tended to be sexually immature. In females, size and maturity did not differ between colour types. Laboratory crosses revealed that there is a heritable component to the observed colour variation: yellow parents produced more yellow offspring than blue parents. Together with repeated aquarium observations of yellow individuals that gradually become blue, these data suggest that yellow males change to blue as they approach sexual maturity, and that the occurrence and timing of this transition is influenced by both environmental and genetic effects. The significance of this mechanism of colour expression as a possible target for divergent selection remains to be evaluated

Color Polymorphism and Predation in a Lake Victoria Cichlid Fish

International audienceHaplochromine cichlid fish have radiated into hundreds of species in East-African lakes, possibly driven by divergent sexual selection on body coloration. We studied the color polymorphic Lake Victoria cichlid Neochromis omnicaeruleus, in which a presumably ancestral phenotype with blue males and brown females co-occurs with two distinct classes of blotched phenotypes in both sexes. Similar blotch polymorphisms occur in other haplochromine species, and in all studied cases blotched females are much more common than blotched males. In N. omnicaeruleus, the near absence of blotched males seems to be partly due to genetic linkage to a dominant female determiner that turns blotched males into females. However, laboratory breeding suggests that blotched males should be much more common than observed. Here we studied whether differential predation on blotched males contributes to their scarcity. First, in a predation experiment with wild birds, blotched fish indeed incurred more predator attacks. Second, underwater observations revealed behavioral differences between the sexes, consistent with an additional predation risk for males. These data suggest that differential predation with regard to color pattern and sex may be an important selective force in the evolution and maintenance of this color polymorphism. However, we also carried out a population census which revealed that blotched males were rare already as juveniles. To explain the scarcity of blotched males in nature, we therefore have to invoke either selection against blotched males early in life, or a more complex genetic model. These results emphasize the need for further research on the ecology and genetics of this widespread color polymorphism in cichlid fish

Controlling a human parainfluenza virus-3 outbreak in a haematology ward in a tertiary hospital:the importance of screening strategy and molecular diagnostics in relation to clinical symptoms

BACKGROUND: Human parainfluenza 3 (HPIV-3) outbreak at the haemato-oncology ward of the Maastricht University Medical Center in the summer of 2016. AIM: To describe an effective strategy to control the largest reported HPIV-3 outbreak at an adult haematology-oncology ward in the Netherlands by implementing infection control measures and molecular epidemiology investigation. METHODS: Clinical, patient and diagnostic data were both pro- and retrospectively collected. HPIV-3 real-time-PCR (HPIV-3 RT-PCR) was validated using oropharyngeal rinse samples. Screening of all new and admitted patients was implemented to identify asymptomatic infection or prolonged shedding of HPIV-3 allowing cohort isolation. FINDINGS: The HPIV-3 outbreak occurred between 9 July and 28 September 2016 and affected 53 patients. HPIV-3 RT-PCR on oropharyngeal rinse samples demonstrated an up to tenfold higher sensitivity compared to pharyngeal swabs. Monitoring showed that at first positive PCR, 20 patients (38%) were asymptomatic (of which 11 remained asymptomatic) and the average duration of shedding was 14 days (range 1-58). Asymptomatic patients had lower viral load, shorter period of viral shedding (≤14 days) and were mostly immune competent oncology patients. The outbreak was under control 5 weeks after implementation of screening of asymptomatic patients. CONCLUSION: Implementation of a sensitive screening method identified both symptomatic and asymptomatic patients which had lower viral load and allowed early cohort isolation. This is especially important in a ward that combines patients with varying immune status, since both immunocompromised and immune competent patients are likely to spread the HPIV-3 virus, either through prolonged shedding or through asymptomatic course of disease

Increased risk of parasitism as ecological costs of using aggression pheromones: laboratory and field study of Drosophila-Leptopilina interaction

Information conveyance plays an important role in parasitoid-host interactions. Several sources of information are available for searching parasitoids and exploitation of that information during the different phases of host location depends on its reliability, detectability and accuracy. One source of information especially suitable for exploitation by parasitoids is a host aggregation pheromone, because this often combines all three aspects. In laboratory and field experiments we studied the behavioural responses of the parasitoid Leptopilina heterotoma to the aggregation pheromone of the fruit fly Drosophila melanogaster, both for substrate selection and the behaviour on host substrates. Our results show that substrates with increasing dose of the host's aggregation pheromone attract increasingly more parasitoids, whereas we found no significant effects of pheromone on parasitoid searching behaviour on the substrates. Parasitoid searching behaviour on substrates was influenced by other host cues (e.g. larval excrements, traces of adults other than aggregation pheromone), which is discussed in relation to the expectations from reliability-detectability theory. The responses of the parasitoids were further influenced by substrate quality (i.e. yeast concentration) and the microscale distribution of pheromone. In several field experiments, the fraction of fruit fly larvae that was parasitised was significantly higher in substrates with aggregation pheromone than in control substrates, indicating an ecological cost to the use of aggregation pheromones in adult D. melanogaster