COMPARISON OF ENZYME-LINKED IMMUNOSORBENT ASSAY WITH ACID-FAST STAINING TO DETECT CRYPTOSPORIDIUM OF CATTLE FAECES

Cryptosporidiosis is a major cause of diarrhoea, weight loss and low productivity in various domestic animals. The acid-fast staining method used to detect the parasite in cattle may be responsible for the low prevalence rates recorded in previous studies in Nigeria. A comparison of the efficacy of an enzyme-linked immunosorbent assay (ELISA) and acid-fast staining techniques in detecting Cryptosporidium spp. in bovine faeces was carried out in this work. A total of 200 faecal samples were collected from cattle of different age groups by the use of a simple random sampling technique. The samples were analyzed microscopically using formalin-ethylacetate sedimentation method followed by modified Kinyoun’s acid-fast staining technique. All the samples were later tested for Cryptosporidium coproantigens by the use of a commercially available ELISA test kit. Microscopy detected Cryptosporidium oocysts in 24.0% while ELISA detected the antigens in 37.5% of the samples. The ELISA, with a sensitivity and specificity of 72.9% and 73.7% respectively, had a significantly higher (p<0.05) rate of detection of Cryptosporidium spp. than microscopy with a sensitivity and specificity of 46.7% and 89.6% respectively. The ELISA is therefore a preferable method than microscopy for detection of Cryptosporidium in faecal specimens and will be useful in routine diagnosis and screening of large number of samples in epidemiological survey

CLINICAL MANIFESTATIONS IN RABBITS EXPERIMENTALLY INFECTED WITH ESCHERICHIA COLI O157:H7 ISOLATES OF DIFFERENT VIRULENCE GENE PROFILES

Escherichia coli O157:H7 is a major cause of zoonotic food-borne infections transmissible from asymptomatic animals to humans following consumption of contaminated foods. Pathogenicity of E. coli O157:H7 is attributed to possession of virulence genes such as eaeA and stx responsible for intimate adhesion to enterocytes and production of cytolethal shiga toxins. The pathogenic potentials of five E. coli O157:H7 isolates of different virulence gene profiles recovered from the faeces of slaughter cattle was compared in rabbit model. Five groups (A-E) of five rabbits were each inoculated orally with 5 x 109 colony forming units of an E. coli O157:H7 isolate possessing one of the virulence gene profiles: stx1 / stx2 / eaeA / hlyA (group A), stx1 /stx2 (B), stx1 (C), stx2 (D), and eaeA / hlyA (E). Group F (control) received sterile broth. The mean onset and duration of clinical manifestations varied significantly among the experimental groups being earliest and shortest in group infected with E. coli O157:H7 possessing stx1 / stx2 /eaeA / hlyA. Infected rabbits showed clinical signs including dullness, profuse non-bloody diarrhoea, weakness, anorexia and epistaxis starting from two days post infection (p.i.). Epistaxis was observed only in rabbits inoculated with isolates that possessed stx2 either alone or in combination with other virulence genes. Mortality of 100% was recorded in isolates with stx1 /stx2 /eaeA / hlyA, stx1 / stx2 and stx2­ and 60% with stx1 and eaeA / hlyA.  Test organisms were detected in the faeces of inoculated animals as from two days p.i. and persisted in survivors for 19 to 30 days p.i. This study showed that E. coli O157:H7 isolates from cattle produced fatal illness in experimental rabbits and that virulence gene profile significantly influenced the onset, duration and severity of clinical manifestation of infection in the experimental animals.     &nbsp

COMPARISON OF ENZYME-LINKED IMMUNOSOR- BENT ASSAY WITH ACID-FAST STAINING TO DETECT CRYPTOSPORIDIUM OF CATTLE FAECES

Cryptosporidiosis is a major cause of diarrhoea, weight loss and low productivity in various domestic animals. The acid-fast staining method used to detect the parasite in cattle may be responsible for the low prevalence rates recorded in previous studies in Nigeria. A comparison of the efficacy of an en-zyme-linked immunosorbent assay (ELISA) and acid-fast staining techniques in detecting Crypto-sporidium spp. in bovine faeces was carried out in this work. A total of 200 faecal samples were col-lected from cattle of different age groups by the use of a simple random sampling technique. The sam-ples were analyzed microscopically using formalin-ethylacetate sedimentation method followed by modified Kinyoun«¤??s acid-fast staining technique. All the samples were later tested for Cryptosporidium coproantigens by the use of a commercially available ELISA test kit. Microscopy detected Crypto-sporidium oocysts in 24.0% while ELISA detected the antigens in 37.5% of the samples. The ELISA, with a sensitivity and specificity of 72.9% and 73.7% respectively, had a significantly higher (p<0.05) rate of detection of Cryptosporidium spp. than microscopy with a sensitivity and specificity of 46.7% and 89.6% respectively. The ELISA is therefore a preferable method than microscopy for detection of Cryptosporidium in faecal specimens and will be useful in routine diagnosis and screening of large number of samples in epidemiological surveys

EFFECTS OF STRONGYLOSIS ON SOME BLOOD PARAMETERS IN GOATS

This study was designed to find any possible relationship between strongylosis and some blood parameters. Blood and faecal samples were collected from 44 West African Dwarf (WAD) goats and 53 Red Sokoto (RS) goats of different ages and sexes. The blood parameters studied were packed cell volume (PCV), total serum protein (TSP) and serum immunoglobulin (Ig) concentrations in West African Dwarf (WAD) and Red Sokoto (RS) goats. The mean PCV of WAD and RS goats with strongylosis were significantly (p<0.01and p< 0.05, respectively) lower than that in goats without strongylosis. The mean TSP level for WAD and RS goats were not significantly (p>0.05) different between goats with strongylosis and those without strongyle eggs. The serum Ig concentration for WAD goats with strongylosis was significantly lower than that in goats without strongylosis. This was, however, not so for RS goats with and without strongylosis. Generally, the mean Ig levels for WAD goats were significantly higher than that for RS goats. The results indicated that PCV and serum Ig concentrations may be used as potential indicators of resistance to gastro-intestinal strongylosis. &nbsp

Reliability of Some Clinical Parameters for Field Diagnosis of African Animal Trypanosomosis in Cattle

Presumptive and inaccurate diagnosis of cattle trypanosomosis among field veterinarians has led to misuse of trypanocides, development of drug resistance, toxicities and huge economic losses. This study assessed the reliability, specificity and sensitivity of some identified trypanosomosis associated signalments (anaemia using FAMACHA® guide, body condition score (BCS), superficial lymph nodes enlargement and jugular pulsation) as field diagnostic parameters. Blood and faecal samples were collected from 273 subjectively selected cattle for the determination of packed cell volume (PCV) and screening for trypanosome, and for helminth egg using McMaster technique, respectively. Data obtained from assessment of packed cell volume based on BCS, FAMANCHA score, superficial lymph nodes enlargement and jugular pulsation were analyzed using descriptive statistics and Chi square, while comparison of data using independent student ttest and one-way ANOVA was similarly conducted. Of the screened cattle, 16.5% (45/273) were positive for trypanosome. Single infection due to Trypanosoma spp. was found in 13.5% (37/273) cattle, while 2.9% (8/273) had trypanosome concurrently with Babesia spp. or helminth infections. The prevalence of Trypanosoma infection was higher in animals with mild or moderately pale mucous membrane, slight emaciation, palpable superficial lymph nodes and pulsating jugular vein. The mean PCV of Trypanosoma infected cattle (27.65±0.056) was lower than in non-infected cattle (31.30±0.36) (p<0.05). Based on the jugular pulsation status, enlargement of the superficial lymph nodes, trypanosomosis state and Famancha category, there was no significant (p<0.05) variation in the PCV of the examined cattle. A negative and low correlation (r = -0.054) existed between BCS and FAMACHA® anaemia score. Each of the clinical diagnostic parameters showed poor sensitivity when employed separately, but the sensitivity improved when applied together and showed 80% specificity to Trypanosoma infection. The results of the present study showed that Trypanosoma infected cattle were associated with anaemia, emaciation, weight loss, jugular pulsation and lymphadenophathy. Key Words: Trypanosomosis, Diagnosis, Cattle, Anaemia, Treatmen

Changes in nutritional, texture, rancidity and microbiological properties of composite biscuits produced from breadfruit and wheat flours enriched with edible fish meal

Open Access Article; Published online: 30 Apr 2021The use of indigenous crops in the preparation of nutritious snacks such as biscuits has been reported as a means of alleviating the perennial problem of malnutrition among Nigerians, especially children. However, storage has been recognised as a factor affecting the attributes of these biscuits. This study investigated the quality changes of biscuit produced from fish meal enriched-composite flour of breadfruit and wheat. Freshly harvested seedless variety of breadfruit, matured catfish, wheat flour and other ingredients were procured from local outlets in Ogun State, Nigeria. Breadfruit flour (BF) was produced by washing, manual peeling, washing, grating, bagging, dewatering, pulverizing and drying. Edible fish meal (EFM) was produced by washing, eviscerating, steaming and drying Catfish. Five blends of BF, WF and EFM were obtained from the optimised solutions of the D-optimal mixture design. Samples were stored (HDPE; 28 ± 2 °C) for 12 weeks. The proximate and mineral compositions, rancidity, texture profile and microbial counts of the biscuits were determined. Data were subjected to Analysis of Variance (ANOVA) and independent sample t-test. The means from ANOVA were separated using Duncan’s Multiple Range Test at p ≤ 0.05. At the end of the storage period, the biscuit blends were significantly (p ≤ 0.05) different in moisture, protein, fat, fibre, ash, carbohydrate, calcium, iron and zinc. Increased levels of EFM in the blends led to increase in protein, fat, calcium, peroxide value (PV) and free fatty acid (FFA) value of the biscuits. At the end of the storage period, moisture increased, while fat decreased. The PV and FFA of most samples increased significantly (p ≤ 0.05) with storage, and were within the maximum permissible level. Total bacterial and mould counts also increased significantly (p ≤ 0.05) and exceeded the permissible level after 4 weeks of storage. Hence, the biscuits are suitable for consumption within 4 weeks under the investigated storage conditions

Harnessing inter-disciplinary collaboration to improve emergency care in low- and middle-income countries (LMICs): results of research prioritisation setting exercise

Background More than half of deaths in low- and middle-income countries (LMICs) result from conditions that could be treated with emergency care - an integral component of universal health coverage (UHC) - through timely access to lifesaving interventions. Methods The World Health Organization (WHO) aims to extend UHC to a further 1 billion people by 2023, yet evidence supporting improved emergency care coverage is lacking. In this article, we explore four phases of a research prioritisation setting (RPS) exercise conducted by researchers and stakeholders from South Africa, Egypt, Nepal, Jamaica, Tanzania, Trinidad and Tobago, Tunisia, Colombia, Ethiopia, Iran, Jordan, Malaysia, South Korea and Phillipines, USA and UK as a key step in gathering evidence required by policy makers and practitioners for the strengthening of emergency care systems in limited-resource settings. Results The RPS proposed seven priority research questions addressing: identification of context-relevant emergency care indicators, barriers to effective emergency care; accuracy and impact of triage tools; potential quality improvement via registries; characteristics of people seeking emergency care; best practices for staff training and retention; and cost effectiveness of critical care – all within LMICs. Conclusions Convened by WHO and facilitated by the University of Sheffield, the Global Emergency Care Research Network project (GEM-CARN) brought together a coalition of 16 countries to identify research priorities for strengthening emergency care in LMICs. Our article further assesses the quality of the RPS exercise and reviews the current evidence supporting the identified priorities

Machine learning algorithms performed no better than regression models for prognostication in traumatic brain injury

Objective: We aimed to explore the added value of common machine learning (ML) algorithms for prediction of outcome for moderate and severe traumatic brain injury. Study Design and Setting: We performed logistic regression (LR), lasso regression, and ridge regression with key baseline predictors in the IMPACT-II database (15 studies, n = 11,022). ML algorithms included support vector machines, random forests, gradient boosting machines, and artificial neural networks and were trained using the same predictors. To assess generalizability of predictions, we performed internal, internal-external, and external validation on the recent CENTER-TBI study (patients with Glasgow Coma Scale <13, n = 1,554). Both calibration (calibration slope/intercept) and discrimination (area under the curve) was quantified. Results: In the IMPACT-II database, 3,332/11,022 (30%) died and 5,233(48%) had unfavorable outcome (Glasgow Outcome Scale less than 4). In the CENTER-TBI study, 348/1,554(29%) died and 651(54%) had unfavorable outcome. Discrimination and calibration varied widely between the studies and less so between the studied algorithms. The mean area under the curve was 0.82 for mortality and 0.77 for unfavorable outcomes in the CENTER-TBI study. Conclusion: ML algorithms may not outperform traditional regression approaches in a low-dimensional setting for outcome prediction after moderate or severe traumatic brain injury. Similar to regression-based prediction models, ML algorithms should be rigorously validated to ensure applicability to new populations

Frequency of fatigue and its changes in the first 6 months after traumatic brain injury: results from the CENTER-TBI study

Background: Fatigue is one of the most commonly reported subjective symptoms following traumatic brain injury (TBI). The aims were to assess frequency of fatigue over the first 6 months after TBI, and examine whether fatigue changes could be predicted by demographic characteristics, injury severity and comorbidities. Methods: Patients with acute TBI admitted to 65 trauma centers were enrolled in the study Collaborative European NeuroTrauma Effectiveness Research in TBI (CENTER-TBI). Subj

Tracheal intubation in traumatic brain injury

Background: We aimed to study the associations between pre- and in-hospital tracheal intubation and outcomes in traumatic brain injury (TBI), and whether the association varied according to injury severity. Methods: Data from the international prospective pan-European cohort study, Collaborative European NeuroTrauma Effectiveness Research for TBI (CENTER-TBI), were used (n=4509). For prehospital intubation, we excluded self-presenters. For in-hospital intubation, patients whose tracheas were intubated on-scene were excluded. The association between intubation and outcome was analysed with ordinal regression with adjustment for the International Mission for Prognosis and Analysis of Clinical Trials in TBI variables and extracranial injury. We assessed whether the effect of intubation varied by injury severity by testing the added value of an interaction term with likelihood ratio tests. Results: In the prehospital analysis, 890/3736 (24%) patients had their tracheas intubated at scene. In the in-hospital analysis, 460/2930 (16%) patients had their tracheas intubated in the emergency department. There was no adjusted overall effect on functional outcome of prehospital intubation (odds ratio=1.01; 95% confidence interval, 0.79–1.28; P=0.96), and the adjusted overall effect of in-hospital intubation was not significant (odds ratio=0.86; 95% confidence interval, 0.65–1.13; P=0.28). However, prehospital intubation was associated with better functional outcome in patients with higher thorax and abdominal Abbreviated Injury Scale scores (P=0.009 and P=0.02, respectively), whereas in-hospital intubation was associated with better outcome in patients with lower Glasgow Coma Scale scores (P=0.01): in-hospital intubation was associated with better functional outcome in patients with Glasgow Coma Scale scores of 10 or lower. Conclusion: The benefits and harms of tracheal intubation should be carefully evaluated in patients with TBI to optimise benefit. This study suggests that extracranial injury should influence the decision in the prehospital setting, and level of consciousness in the in-hospital setting. Clinical trial registration: NCT02210221