Studies on Pathogenicity Effect of Aeromonas hydrophila Infection in Juvenile Red Hybrid Tilapia Oreochromis sp.

This study was conducted to evaluate the ability of motile Aeromonas species (MAS) to induce clinical symptoms and some pathological changes in juvenile red hybrid tilapia. A standard dose of infection was selected based on predetermined LD50. Infected fish were observed for any clinical sign and symptom for 96 hours. Samples of liver, spleen and kidney were collected for histopatological changes due to Aeromonas hydrophila infection. Clinical signs of fish included abnormal swimming behaviour and loss of balance. Most of infected fish suffered from haemorrhagic eyes and lesions on the body surface. Some of the them also developed bilateral exophthalmia. Histopathological changes were observed in kidney, liver and spleen. The infected liver showed severe congestion of hepatic veins and vacuoles formation while anterior kidney manifested degeneration of excretory tubules and glomeruli followed by severe haemorrhages and hyaline droplets degeneration. Spleen on the other hand showed tissues degeneration and vacuoles formation. All targated tissues also showed deposition of haemosiderin pigments followed by proliferation of melanomacrphage centres. Development of such symptoms was associated with the infection with Aeromonas hydrophila. The current study has shown that MAS could serve as the primary cause of severe infection not only in red hybrid tilapia but may also infected other freshwater fish species.The results of histological analysis of various tissues indicates a direct correlation between disease infection and histopathological disorders observed in the tissues

Predicting survival of de novo metastatic breast cancer in Asian women: Systematic review and validation study

10.1371/journal.pone.0093755PLoS ONE94-POLN

Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone

Clustering student Instagram accounts using author-topic model

This study proposes topic model to cluster a group of high school teenager's Instagram account in Surabaya, Indonesia by using the author-topic models method. We collect valid 235 Instagram accounts (133 female, 102 male students). We gather a total of 3,346 captions of Instagram posts from 18 senior high schools. We find topics that define their Instagram's post or caption; these seven topics are namely: feeling, Surabaya events, photography, artists, vacation, religion and music. Through the process, the lowest perplexity come from 90 iterations, which suggests six groups of topics. The six topics are concluded based on the lowest perplexity value and labelled according to the words included in the topic. The topic of photography discussed by six schools. Photography, artists and vacation are discussed by three schools, while feeling and religion and music are being discussed by two and one school respectively

Efficacy of a spatial repellent for control of malaria in Indonesia: a cluster-randomized controlled trial

A cluster-randomized, double-blinded, placebo-controlled trial was conducted to estimate the protective efficacy (PE) of a spatial repellent (SR) against malaria infection in Sumba, Indonesia. Following radical cure in 1,341 children aged ≥ 6 months to ≤ 5 years in 24 clusters, households were given transfluthrin or placebo passive emanators (devices designed to release vaporized chemical). Monthly blood screening and biweekly human-landing mosquito catches were performed during a 10-month baseline (June 2015–March 2016) and a 24-month intervention period (April 2016–April 2018). Screening detected 164 first-time infections and an accumulative total of 459 infections in 667 subjects in placebo-control households, and 134 first-time and 253 accumulative total infections among 665 subjects in active intervention households. The 24-cluster protective effect of 27.7% and 31.3%, for time to first-event and overall (total new) infections, respectively, was not statistically significant. Purportedly, this was due in part to zero to low incidence in some clusters, undermining the ability to detect a protective effect. Subgroup analysis of 19 clusters where at least one infection occurred during baseline showed 33.3% (P-value = 0.083) and 40.9% (P-value = 0.0236, statistically significant at the one-sided 5% significance level) protective effect to first infection and overall infections, respectively. Among 12 moderate- to high-risk clusters, a statistically significant decrease in infection by intervention was detected (60% PE). Primary entomological analysis of impact was inconclusive. Although this study suggests SRs prevent malaria, additional evidence is required to demonstrate the product class provides an operationally feasible and effective means of reducing malaria transmission