SEROEPIDEMIOLOGICAL SCREENING OF LEISHMANIA INFECTION IN DOGS AND CATS: THE ROLE OF THE VETERINARIAN IN A HIGHLY ENDEMIC AREA IN SICILY

Western Sicily is an active focus for canine and feline leishmaniosis in the Mediterranean area. The results of the present study indicate a high exposure rate to Leishmania (about 33% dogs and 44% cats result positive or suspected) in a random population, suggesting that they are infected with L. infantum. Moreover, 5 dogs and 1 cat previously classified as apparently healthy were seropositive with a titer ≥1:160. In conclusion, veterinary surveillance of dogs/cats could help to control the increase of L. infantum infections, especially in areas of high endemicity

SEROEPIDEMIOLOGICAL SCREENING OF LEISHMANIA INFECTION IN DOGS AND CATS: THE ROLE OF THE VETERINARIAN IN A HIGHLY ENDEMIC AREA IN SICILY

BACKGROUND Leishmaniosis is a zoonotic disease caused by Leishmania spp. with a wide spectrum of clinical signs, lymphadenomegaly, skinocular lesions, weight loss, signs of renal failure [1,2]. Many subclinical cases of leishmaniasis without illness could play an important role in the maintenance of Leishmania infection in endemic areas. Veterinary surveillance of dogs/cats owners could help to update the seroprevalence status of Leishmania infantum infection in a random court of sick and apparently healthy dogs and cats from western Sicily (Bagheria and neighboring areas) using indirect fluorescent antibody test (IFAT). MATERIAL AND METHODS A total of 268 dogs and 9 cats living in western Sicily were randomly sampled during the 2020 year. Specific antibodies to L. infantum were detected using the IFAT against in-house cultured promastigotes. Leishmania strain was used as an antigen fixed on multispot microscope slides. The feline and canine sera were both prepared by serial 2-fold dilutions (1:40 to 1:5120) in phosphate buffered saline and added to the antigen-coated wells. Fluorescent anti-cat/anti-dog immunoglobulin G antibody was used for detection. CONCLUSION Western Sicily is an active focus for canine and feline leishmaniosis in the Mediterranean area. The results of the present study indicate a high exposure rate to Leishmania (about 33% dogs and 44% cats result positive or suspected) in a random population, suggesting that they are infected with L. infantum. Moreover, 5 dogs and 1 cat previously classified as apparently healthy were seropositive with a titer ≥1:160. In conclusion, veterinary surveillance of dogs/cats could help to control the increase of L. infantum infections, especially in areas of high endemicity. RESULTS 49/268 (18.3%) sampled dogs tested positive to IFAT with a titer ≥1:160 and 40/268 (15%) tested suspected (titers 1:40-1:80), for L.infantum infection (Table 1). An additional 2/9 (22.2%) cats were seropositive with a titer of 1:160 and 2/9 (22.2%) cats were seropositive with a titer of 1:80 (Table 1). Figure 1 shows geographical distribution of L. infantum seroprevalenc in dogs/cats sampled from western Sicily. CONCLUSION Western Sicily is an active focus for canine and feline leishmaniosis in the Mediterranean area. The results of the present study indicate a high exposure rate to Leishmania (about 33% dogs and 44% cats result positive or suspected) in a random population, suggesting that they are infected with L. infantum. Moreover, 5 dogs and 1 cat previously classified as apparently healthy were seropositive with a titer ≥1:160. In conclusion, veterinary surveillance of dogs/cats could help to control the increase of L. infantum infections, especially in areas of high endemicity

FELINE LEISHMANIASIS: SEROLOGICAL AND MOLECULAR DETECTION OF AN EMERGENT DISEASE IN A NON-ENDEMIC AREA OF NORTHERN ITALY

In recent decades feline leishmaniosis (FeL) has become an emerging disease, also in non-endemic areas for the canine infection. This study updates the epidemiological status for FeL in cats in northern Italy and compares results with previous studies of the same feline population. Co-infections with feline retroviruses FIV and Field were also investigated. Stray, shelter and owned cats from different cities in the Lombardy region of northern Italy, were prospectively randomly sampled between January 2020 and May 2021. A total of 255 cats were tested for L. infantum: 240/255 for antibodies by IFAT and 234/255 and 198/255 for Leishmania DNA by PCR on whole blood and lymph nodes, respectively. Rapid ELISA test was used to detect FIV or FeLV infection. Overall, 26/255 (10.2%) cats tested positive for L. infantum: in 8/26 cats Leishmania DNA was found in popliteal lymph nodes (Leishmania/ml range from 15 to 60), 6/26 were PCR positive on whole blood (Leishmania/ml range from 5 to 80) and 15/26 IFAT seropositive at titers ranging from 1:80 to 1:320. Two Leishmania infected cats were also FIV+FeLV coinfected, another was FIV positive and one was FeLV positive. A high prevalence of FeL was found in a non-endemic area of northern Italy, with an increasing trend in infection rates

On the Functional Significance of the P1 and N1 Effects to Illusory Figures in the Notch Mode of Presentation

The processing of Kanizsa figures have classically been studied by flashing the full “pacmen” inducers at stimulus onset. A recent study, however, has shown that it is advantageous to present illusory figures in the “notch” mode of presentation, that is by leaving the round inducers on screen at all times and by removing the inward-oriented notches delineating the illusory figure at stimulus onset. Indeed, using the notch mode of presentation, novel P1and N1 effects have been found when comparing visual potentials (VEPs) evoked by an illusory figure and the VEPs to a control figure whose onset corresponds to the removal of outward-oriented notches, which prevents their integration into one delineated form. In Experiment 1, we replicated these findings, the illusory figure was found to evoke a larger P1 and a smaller N1 than its control. In Experiment 2, real grey squares were placed over the notches so that one condition, that with inward-oriented notches, shows a large central grey square and the other condition, that with outward-oriented notches, shows four unconnected smaller grey squares. In response to these “real” figures, no P1 effect was found but a N1 effect comparable to the one obtained with illusory figures was observed. Taken together, these results suggest that the P1 effect observed with illusory figures is likely specific to the processing of the illusory features of the figures. Conversely, the fact that the N1 effect was also obtained with real figures indicates that this effect may be due to more global processes related to depth segmentation or surface/object perception

Breast cancer "tailored follow-up" in Italian oncology units: a web-based survey

urpose: Breast cancer follow-up procedures after primary treatment are still a controversial issue. Aim of this study was to investigate, through a web-based survey, surveillance methodologies selected by Italian oncologists in everyday clinical practice. Methods: Referents of Italian medical oncology units were invited to participate to the study via e-mail through the SurveyMonkey website. Participants were asked how, in their institution, exams of disease staging and follow-up are planned in asymptomatic women and if surveillance continues beyond the 5th year. Results: Between February and May 2013, 125 out of 233 (53.6%) invited referents of Italian medical oncology units agreed to participate in the survey. Ninety-seven (77.6%) referents state that modalities of breast cancer follow-up are planned according to the risk of disease progression at diagnosis and only 12 (9.6%) oncology units apply the minimal follow-up procedures according to international guidelines. Minimal follow-up is never applied in high risk asymptomatic women. Ninety-eight (78.4%) oncology units continue follow-up in all patients beyond 5 years. Conclusions: Our survey shows that 90.4% of participating Italian oncology units declare they do not apply the minimal breast cancer follow-up procedures after primary treatment in asymptomatic women, as suggested by national and international guidelines. Interestingly, about 80.0% of interviewed referents performs the so called "tailored follow-up", high intensity for high risk, low intensity for low risk patients. There is an urgent need of randomized clinical trials able to determine the effectiveness of risk-based follow-up modalities, their ideal frequency and persistence in time

Measures of CNS-Autonomic Interaction and Responsiveness in Disorder of Consciousness

Neuroimaging studies have demonstrated functional interactions between autonomic (ANS) and brain (CNS) structures involved in higher brain functions, including attention and conscious processes. These interactions have been described by the Central Autonomic Network (CAN), a concept model based on the brain-heart two-way integrated interaction. Heart rate variability (HRV) measures proved reliable as non-invasive descriptors of the ANS-CNS function setup and are thought to reflect higher brain functions. Autonomic function, ANS-mediated responsiveness and the ANS-CNS interaction qualify as possible independent indicators for clinical functional assessment and prognosis in Disorders of Consciousness (DoC). HRV has proved helpful to investigate residual responsiveness in DoC and predict clinical recovery. Variability due to internal (e.g. homeostatic and circadian processes) and environmental factors remains a key independent variable and systematic research with this regard is warranted. The interest in bidirectional ANS-CNS interactions in a variety of physiopathological conditions is growing, however these interactions have not been extensively investigated in DoC. In this brief review we illustrate the potentiality of brain-heart investigation by means of HRV analysis in assessing patients with DoC. The authors’ opinion is that this easy, inexpensive and non-invasive approach may provide useful information in the clinical assessment of this challenging patient population

Abilità prosodiche e competenze sociopragmatiche nel Disturbo dello Spettro Autistico. Una rassegna sul ruolo delle atipicità attentive

La presente rassegna ha un duplice obiettivo: da un lato, mettere in evidenza l’importanza delle abilità prosodiche per lo sviluppo linguistico e socio-pragmatico; dall’altro, comprendere l’impatto di disfunzionalità attentive su tali processi. A tal fine, sono innanzitutto riportati gli studi, presenti in letteratura, che documentano la presenza di atipie nelle abilità prosodiche in bambini con Disturbo dello Spettro Autistico (Autism Spectrum Disorder, ASD). La mancanza di omogeneità dei dati relativi in particolare alla presenza di una percezione prosodica disfunzionale è poi discussa attraverso una Review sistematica condotta per identificare la possibile relazione tra attenzione e percezione prosodica nei bambini con ASD, in contesti linguistici complessi

Caractérisation de contacts et de matériaux par la mesure du bruit Basse Fréquence

International audienc

Molecular Diagnosis of Leishmaniasis: Quantification of Parasite Load by a Real-Time PCR Assay with High Sensitivity

Real-time PCR was developed to quantify Leishmania infantum kinetoplast DNA and optimized to achieve a sensitivity of 1 parasite/mL. For this purpose, we cloned the conserved kDNA fragment of 120 bp into competent cells and correlated them with serial dilutions of DNA extracted from reference parasite cultures calculating that a parasite cell contains approximately 36 molecules of kDNA. This assay was applied to estimate parasite load in clinical samples from visceral, cutaneous leishmaniasis patients and infected dogs and cats comparing with conventional diagnosis. The study aimed to propose a real-time PCR for the detection of Leishmania DNA from clinical samples trying to solve the diagnostic problems due to the low sensitivity of microscopic examination or the low predictive values of serology and resolve problems related to in vitro culture. The quantitative PCR assay in this study allowed detection of Leishmania DNA and quantification of considerably low parasite loads in samples that had been diagnosed negative by conventional techniques. In conclusion, this quantitative PCR can be used for the diagnosis of both human, canine and feline Leishmaniasis with high sensitivity and specificity, but also for evaluating treatment and the endpoint determination of leishmaniasis