dhfr and dhps genotype and sulfadoxine-pyrimethamine treatment failure in children with falciparum malaria in the Democratic Republic of Congo

To determine the relationship between mutations in dhfr and dhps and SP treatment failure in Plasmodium falciparum malaria in the Democratic Republic of the Congo (DRC

Endogenous ouabain and intracellular calcium regulation in vascular smooth muscle

BACKGROUND Lymphatic filariasis (LF) caused by Wuchereria bancrofti is present at high prevalence in some parts of Papua New Guinea. However, there has been no rigorous data-based representative assessment of nationwide prevalence of LF. The LF programme has been daunted by the scope of the problem, and progress on mass drug administration (MDA) has been slow and lacking in resources. METHODS A systematic literature review identified LF surveys in Papua New Guinea between 1980 and 2011. Results were extracted by location, time period and test used (blood slide, immunochromatographic test (ICT) or Og4C3 ELISA) and combined by district. Three criteria schemes based on the Global Programme to Eliminate Lymphatic Filariasis guidelines, with modifications, were developed to classify and prioritize districts by prevalence level. Results of repeated surveys in the same sites were used to investigate the impact of MDA on LF prevalence over the time period. RESULTS There were 312 distinct survey sites identified in 80 of the 89 districts over the 31-year period. The overall LF prevalence in the sites tested was estimated at 18.5 to 27.5% by blood slide for microfilariae (Mf), 10.1% to 12.9% by ICT and 45.4% to 48.8% by Og4C3. Biases in site selection towards areas with LF, and change in type of assay used, affected the prevalence estimates, but overall decline in prevalence over the time period was observed. Depending on the criteria used, 34 to 36 districts (population 2.7 to 2.9 million) were classed as high endemic (>=5% prevalence), 15 to 25 districts (1.7 to 1.9 million) as low endemic (<5%) and 20 to 31 (1.3 to 2.2 million) as non-endemic. Nine districts (0.7 million) had no information. The strong impact of MDA, especially on microfilaria (Mf) prevalence, was noted in sites with repeat surveys. CONCLUSIONS This analytical review of past surveys of LF in Papua New Guinea enables better estimation of the national burden, identifies gaps in knowledge, quantifies and locates the population at risk, and can be used to predict the likely impact of MDA and/or vector control. Better targeting of districts by level of prevalence will strengthen the control programme, facilitate monitoring of the disease trend and increase the likelihood of reaching the target of LF elimination by 2020

Evolutionary Specialization of the Tongue in Vertebrates: Structure and Function

A conspicuous feature of extant tetrapods is a movable tongue that plays a role in food uptake, mastication, and swallowing. The tongue is a muscle mass covered by a mucosal sheath, but the tongues of amphibians, reptiles, birds, and mammals are diverse in general morphology and function. For example, in frogs and toads, a component of the musculus genioglossus serves as an intrinsic tongue muscle, with the anterior part of the tongue attached to the floor of the oral cavity. Nevertheless, these features of the tongue have allowed Anurans to diversify and disperse worldwide. On the other hand, the salamander tongue is connected to the oral cavity by a root with a cartilage or a bony skeleton, and it is mainly comprised of projection and retractor muscles. In this respect, the salamander tongue seems more similar to that of reptiles and mammals than to those of frogs and toads. The morphology and function of the tongues of some reptiles, such as chameleons, and some mammals, such as nectar-feeding bats, are examples of extreme specialization. Finally, the tongue has become almost vestigial in a few species of anurans, turtles, and birds. This review summarizes and discusses many specializations of tongue form and function among tetrapods