Human landing catches provide a useful measure of protective efficacy for the evaluation of volatile pyrethroid spatial repellents

BACKGROUND: The human landing catch (HLC) method, in which human volunteers collect mosquitoes that land on them before they can bite, is used to quantify human exposure to mosquito vectors of disease. Comparing HLCs in the presence and absence of interventions such as repellents is often used to measure protective efficacy (PE). Some repellents have multiple actions, including feeding inhibition, whereby mosquitoes may be unable to bite even if they land on a host. A comparison was made between the PE of the volatile pyrethroid spatial repellent (VPSR) transfluthrin determined using a landing method (HLC) and a biting method (allowing the mosquitoes that landed to blood-feed) to evaluate whether HLC is a suitable method for the estimation of the personal PE of a VPSR. METHODS: A fully balanced, two-arm crossover design study was conducted using a 6 x 6 x 2-m netted cage within a semi-field system. Hessian strips (4 m x 0.1 m) treated with a 5-, 10-, 15-, or 20-g dose of transfluthrin were evaluated against a paired negative control for three strains of laboratory-reared Anopheles and Aedes aegypti mosquitoes. Six replicates were performed per dose using either the landing or the biting method. The number of recaptured mosquitoes was analysed by negative binomial regression, and the PEs calculated using the two methods were compared by Bland-Altman plots. RESULTS: For Anopheles, fewer mosquitoes blood-fed in the biting arm than landed in the landing arm (incidence rate ratio = 0.87, 95% confidence interval 0.81-0.93, P < 0.001). For Ae. aegypti, biting was overestimated by around 37% with the landing method (incidence rate ratio = 0.63, 95% confidence interval 0.57-0.70, P = 0.001). However, the PEs calculated for each method were in close agreement when tested by the Bland Altman plot. CONCLUSIONS: The HLC method led to underestimation of mosquito feeding inhibition as a mode of action of transfluthrin, and there were species- and dose-dependent differences in the relationship between landing and biting. However, the estimated PEs were similar between the two methods. The results of this study indicate that HLC can be used as a proxy for personal PE for the evaluation of a VPSR, especially when the difficulties associated with enumerating blood-fed mosquitoes in a field setting are taken into consideration

Semi-field evaluation of the exposure-free mosquito electrocuting trap and BG-Sentinel trap as an alternative to the human landing catch for measuring the efficacy of transfluthrin emanators against Aedes aegypti

BACKGROUND: The human landing catch (HLC) measures human exposure to mosquito bites and evaluates the efficacy of vector control tools. However, it may expose volunteers to potentially infected mosquitoes. The mosquito electrocuting trap (MET) and BG-Sentinel traps (BGS) represent alternative, exposure-free methods for sampling host-seeking mosquitoes. This study investigates whether these methods can be effectively used as alternatives to HLC for measuring the efficacy of transfluthrin emanator against Aedes aegypti. METHODS: The protective efficacy (PE) of freestanding passive transfluthrin emanators (FTPEs), measured by HLC, MET and BGS, was compared in no-choice and choice tests. The collection methods were conducted 2 m from an experimental hut with FTPEs positioned at 3 m on either side of them. For the choice experiment, a competitor HLC was included 10 m from the first collection point. One hundred laboratory-reared Ae. aegypti mosquitoes were released and collected for 3 consecutive h. RESULTS: In the no-choice test, each method measured similar PE: HLC: 66% (95% confidence interval [CI]: 50-82), MET: 55% (95% CI: 48-63) and BGS: 64% (95% CI: 54-73). The proportion of mosquitoes recaptured was consistent between methods (20-24%) in treatment and varied (47-71%) in the control. However, in choice tests, the PE measured by each method varied: HLC: 37% (95% CI: 25-50%), MET: 76% (95% CI: 61-92) and BGS trap: 0% (95% CI: 0-100). Recaptured mosquitoes were no longer consistent between methods in treatment (2-26%) and remained variable in the control (7-42%). FTPE provided 50% PE to the second HLC 10 m away. In the control, the MET and the BGS were less efficacious in collecting mosquitoes in the presence of a second HLC. CONCLUSIONS: Measuring the PE in isolation was fairly consistent for HLC, MET and BGS. Because HLC is not advisable, it is reasonable to use either MET or BGS as a proxy for HLC for testing volatile pyrethroid (VP) in areas of active arbovirus-endemic areas. The presence of a human host in close proximity invalidated the PE estimates from BGS and METs. Findings also indicated that transfluthrin can protect multiple people in the peridomestic area and that at short range mosquitoes select humans over the BGS

Malaria rapid diagnostic tests reliably detect asymptomatic Plasmodium falciparum infections in school-aged children that are infectious to mosquitoes

BACKGROUND: Asymptomatic malaria infections (Plasmodium falciparum) are common in school-aged children and represent a disease transmission reservoir as they are potentially infectious to mosquitoes. To detect and treat such infections, convenient, rapid and reliable diagnostic tools are needed. In this study, malaria rapid diagnostic tests (mRDT), light microscopy (LM) and quantitative polymerase chain reaction (qPCR) were used to evaluate their performance detecting asymptomatic malaria infections that are infectious to mosquitoes. METHODS: One hundred seventy asymptomatic school-aged children (6-14 years old) from the Bagamoyo district in Tanzania were screened for Plasmodium spp. infections using mRDT (SD BIOLINE), LM and qPCR. In addition, gametocytes were detected using reverse transcription quantitative polymerase chain reaction (RT-qPCR) for all qPCR-positive children. Venous blood from all P. falciparum positive children was fed to female Anopheles gambiae sensu stricto mosquitoes via direct membrane feeding assays (DMFAs) after serum replacement. Mosquitoes were dissected for oocyst infections on day 8 post-infection. RESULTS: The P. falciparum prevalence in study participants was 31.7% by qPCR, 18.2% by mRDT and 9.4% by LM. Approximately one-third (31.2%) of asymptomatic malaria infections were infectious to mosquitoes in DMFAs. In total, 297 infected mosquitoes were recorded after dissections, from which 94.9% (282/297) were derived from infections detected by mRDT and 5.1% (15/297) from subpatent mRDT infections. CONCLUSION: The mRDT can be used reliably to detect children carrying gametocyte densities sufficient to infect high numbers of mosquitoes. Subpatent mRDT infections contributed marginally to the pool of oocyts-infected mosquitoes

Comparison of open and robotic-assisted partial nephrectomy approaches using multicentric data (UroCCR-47 study)

We compared the outcomes of robotic-assisted partial nephrectomy (RPN) and open partial nephrectomy (OPN) using contemporary data to respond to unmet clinical needs. Data from patients included in the registry who underwent partial nephrectomy between January 01, 2014 and June 30, 2017 within 20 centres of the French Network for Research on Kidney Cancer UroCCR were collected (NCT03293563). Statistical methods included adjusted multivariable analyses. Rates of peri- and post-operative transfusion, and of surgical revision, were lower in the RPN (n = 1434) than the OPN (n = 571) group (2.9% vs. 6.0%, p = 0.0012; 3.8% vs. 11.5%, p < 0.0001; 2.4% vs. 6.7%, p < 0.0001, respectively). In multivariable analyses, RPN was independently associated with fewer early post-operative complications than OPN (overall: odds-ratio [95% confidence interval, CI] = 0.48 [0.35–0.66]; severe: 0.29 [0.16–0.54], p < 0.0001 for both) and shorter hospital stays (34% [30%; 37%], p < 0.0001). RPN was also a significantly associated with a decresedrisk of post-operative acute renal failure, and new-onset chronic kidney disease at 3 and 12 months post-surgery. There were no between-group differences in oncological outcomes. In comparison with OPN, RPN was associated with improved peri- and post-operative morbidity, better functional outcomes, and shorter hospital stays. Our results support the use of RPN, even for large and complex tumours

Grain-size-dependent thermal conductivity of nanocrystalline yttria-stabilized zirconia films grown by metal-organic chemical vapor deposition

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Variations in dissolved greenhouse gases (CO2, CH4, N2O) in the Congo River network overwhelmingly driven by fluvial-wetland connectivity

status: publishe

Effects of stocking density on growth, gross composition, and plasma and hepatic metabolite levels in palmetto bass

We carried out 10 field expeditions between 2010 and 2015 in the lowland part of the Congo River network in the eastern part of the basin (Democratic Republic of the Congo), to describe the spatial variations in fluvial dissolved carbon dioxide (CO2), methane (CH4) and nitrous oxide (N2O) concentrations. We investigate the possible drivers of the spatial variations in dissolved CO2, CH4 and N2O concentrations by analyzing covariations with several other biogeochemical variables, aquatic metabolic processes (primary production and respiration), catchment characteristics (land cover) and wetland spatial distributions. We test the hypothesis that spatial patterns of CO2, CH4 and N2O are partly due to the connectivity with wetlands, in particular with a giant wetland of flooded forest in the core of the Congo basin, the “Cuvette Centrale Congolaise” (CCC). Two transects of 1650 km were carried out from the city of Kisangani to the city of Kinshasa, along the longest possible navigable section of the river and corresponding to 41 % of the total length of the main stem. Additionally, three time series of CH4 and N2O were obtained at fixed points in the main stem of the middle Congo (2013–2018, biweekly sampling), in the main stem of the lower Kasaï (2015–2017, monthly sampling) and in the main stem of the middle Oubangui (2010–2012, biweekly sampling). The variations in dissolved N2O concentrations were modest, with values oscillating around the concentration corresponding to saturation with the atmosphere, with N2O saturation level (%N2O, where atmospheric equilibrium corresponds to 100 %) ranging between 0 % and 561 % (average 142 %). The relatively narrow range of %N2O variations was consistent with low NH+4 (2.3±1.3 µmol L−1) and NO−3 (5.6±5.1 µmol L−1) levels in these near pristine rivers and streams, with low agriculture pressure on the catchment (croplands correspond to 0.1 % of catchment land cover of sampled rivers), dominated by forests (∼70 % of land cover). The covariations in %N2O, NH+4, NO−3 and dissolved oxygen saturation level (%O2) indicate N2O removal by soil or sedimentary denitrification in low O2, high NH+4 and low NO−3 environments (typically small and organic matter rich streams) and N2O production by nitrification in high O2, low NH+4 and high NO−3 (typical of larger rivers that are poor in organic matter). Surface waters were very strongly oversaturated in CO2 and CH4 with respect to atmospheric equilibrium, with values of the partial pressure of CO2 (pCO2) ranging between 1087 and 22 899 ppm (equilibrium ∼400 ppm) and dissolved CH4 concentrations ranging between 22 and 71 428 nmol L−1 (equilibrium ∼2 nmol L−1). Spatial variations were overwhelmingly more important than seasonal variations for pCO2, CH4 and %N2O as well as day–night variations for pCO2. The wide range of pCO2 and CH4 variations was consistent with the equally wide range of %O2 (0.3 %–122.8 %) and of dissolved organic carbon (DOC) (1.8–67.8 mg L−1), indicative of generation of these two greenhouse gases from intense processing of organic matter either in “terra firme” soils, wetlands or in-stream. However, the emission rate of CO2 to the atmosphere from riverine surface waters was on average about 10 times higher than the flux of CO2 produced by aquatic net heterotrophy (as evaluated from measurements of pelagic respiration and primary production). This indicates that the CO2 emissions from the river network were sustained by lateral inputs of CO2 (either from terra firme or from wetlands). The pCO2 and CH4 values decreased and %O2 increased with increasing Strahler order, showing that stream size explains part of the spatial variability of these quantities. In addition, several lines of evidence indicate that lateral inputs of carbon from wetlands (flooded forest and aquatic macrophytes) were of paramount importance in sustaining high CO2 and CH4 concentrations in the Congo river network, as well as driving spatial variations: the rivers draining the CCC were characterized by significantly higher pCO2 and CH4 and significantly lower %O2 and %N2O values than those not draining the CCC; pCO2 and %O2 values were correlated to the coverage of flooded forest on the catchment. The flux of greenhouse gases (GHGs) between rivers and the atmosphere averaged 2469 mmol m−2 d−1 for CO2 (range 86 and 7110 mmol m−2 d−1), 12 553 µmol m−2 d−1 for CH4 (range 65 and 597 260 µmol m−2 d−1) and 22 µmol m−2 d−1 for N2O (range −52 and 319 µmol m−2 d−1). The estimate of integrated CO2 emission from the Congo River network (251±46 TgC (1012 gC) yr−1), corresponding to nearly half the CO2 emissions from tropical oceans globally (565 TgC yr−1) and was nearly 2 times the CO2 emissions from the tropical Atlantic Ocean (137 TgC yr−1). Moreover, the integrated CO2 emission from the Congo River network is more than 3 times higher than the estimate of terrestrial net ecosystem exchange (NEE) on the whole catchment (77 TgC yr−1). This shows that it is unlikely that the CO2 emissions from the river network were sustained by the hydrological carbon export from terra firme soils (typically very small compared to terrestrial NEE) but most likely, to a large extent, they were sustained by wetlands (with a much higher hydrological connectivity with rivers and streams).ISSN:1726-4170ISSN:1726-417