7,141 research outputs found
Presence of Salmonella and Campylobacter spp. in Wild Small Mammals on Organic Farms
The presence of Salmonella and Campylobacter spp. in rodents and insectivores (n 282) was investigated
on organic farms. Infections were encountered in house mice (8 of 83 Campylobacter positive and 1 of 83
Salmonella sp. strain Livingstone positive) and brown rats (1 of 8 Campylobacter positive) but not in other
species. No shared Campylobacter genotypes were found between rodent and pig manure isolates. Effective
on-farm rodent management is recommended
Darkling beetles (Alphitobius diaperinus) and their larvae as potential vectors for the transfer of Campylobacter jejuni and Salmonella enterica serovar paratyphi B variant Java between successive broiler flocks
Broiler flocks often become infected with Campylobacter and Salmonella, and the exact contamination routes are still not fully understood. Insects like darkling beetles and their larvae may play a role in transfer of the pathogens between consecutive cycles. In this study, several groups of beetles and their larvae were artificially contaminated with a mixture of Salmonella enterica serovar Paratyphi B Variant Java and three C. jejuni strains and kept for different time intervals before they were fed to individually housed chicks. Most inoculated insects were positive for Salmonella and Campylobacter just before they were fed to the chicks. However, Campylobacter could not be isolated from insects that were kept for 1 week before they were used to mimic an empty week between rearing cycles. All broilers fed insects that were inoculated with pathogens on the day of feeding showed colonization with Campylobacter and Salmonella at levels of 50 to 100%. Transfer of both pathogens by groups of insects that were kept for 1 week before feeding to the chicks was also observed, but at lower levels. Naturally contaminated insects that were collected at a commercial broiler farm colonized broilers at low levels as well. In conclusion, the fact that Salmonella and Campylobacter can be transmitted via beetles and their larvae to flocks in successive rearing cycles indicates that there should be intensive control programs for exclusion of these insects from broiler houses
De kerk in de context van de islam: macht of minderheid? Over de betekenis van Joh. 18:36 voor de houding van de kerk ten opzichte van de islam
NUOVE PROSPETTIVE NELLO STUDIO DEI FARMACI ANTITUMORALI
NUOVE PROSPETTIVE NELLO STUDIO DEI FARMACI ANTITUMORALI. INIBITORI DELLE CHINASI SRC COME AGENTI ANTITUMORALI. DERIVATI ED ANALOGHI DEL 5-FLUOROURACILE. REGOLATORI DEL PROTEASOMA, INIBITORI ED ATTIVATORI. INIBITORI DELLE CHINASI PI3K COME AGENTI ANTITUMORALI.
NEW PROSPECTS IN THE STUDY OF ANTICANCER DRUGS. SRC KINASIS INHIBITORS. DERIVATES AND SIMILAR OR 5-FU. PROTEASOME REGULATORS, INHIBITORS AND ACTIVATORS. PI3 KINASIS INHIBITORS AS NEW ANTICANCER AGENTS
The impact of linguistically biased messages of involved receivers
Semin, G.R. [Promotor]Leeuwen, E.A.C. van [Copromotor
Innovating mass-customized service
Abstract
Mass customization is a business approach aimed at the low-cost production of customized goods and services. It relies on ‘horizontalization’, platform thinking and modularity, but how can these concepts be applied in a fast-changing service environment in which both the product and production processes are predominantly intangible? The study proposes an integrated innovation management system to effectively manage the innovation process in such an environment. A so-called ‘SLIM’ model is developed based on an in-depth case study at an incumbent telecom operator in the midst of a transition toward a mass-customized service company. Literature on business modeling, service marketing and new service development plays a major role, and IT-originating concepts of business componentization and release management are transformed to the business level. All in all, the SLIM model implies a major shift for organizations in how they position, design and organize the innovation process
Circulating antigen tests and urine reagent strips for diagnosis of active schistosomiasis in endemic areas
Background:
Point-of-care (POC) tests for diagnosing schistosomiasis include tests based on circulating antigen detection and urine reagent strip tests. If they had sufficient diagnostic accuracy they could replace conventional microscopy as they provide a quicker answer and are easier to use.
Objectives:
To summarise the diagnostic accuracy of: a) urine reagent strip tests in detecting activeSchistosoma haematobium infection, with microscopy as the reference standard; and b) circulating antigen tests for detecting active Schistosoma infection in geographical regions endemic for Schistosoma mansoni or S. haematobium or both, with microscopy as the reference standard.
Search methods:
We searched the electronic databases MEDLINE, EMBASE, BIOSIS, MEDION, and Health Technology Assessment (HTA) without language restriction up to 30 June 2014.
Selection criteria
We included studies that used microscopy as the reference standard: for S. haematobium, microscopy of urine prepared by filtration, centrifugation, or sedimentation methods; and for S. mansoni, microscopy of stool by Kato-Katz thick smear. We included studies on participants residing in endemic areas only.
Data collection and analysis:
Two review authors independently extracted data, assessed quality of the data using QUADAS-2, and performed meta-analysis where appropriate. Using the variability of test thresholds, we used the hierarchical summary receiver operating characteristic (HSROC) model for all eligible tests (except the circulating cathodic antigen (CCA) POC for S. mansoni, where the bivariate random-effects model was more appropriate). We investigated heterogeneity, and carried out indirect comparisons where data were sufficient. Results for sensitivity and specificity are presented as percentages with 95% confidence intervals (CI).
Main results;
We included 90 studies; 88 from field settings in Africa. The median S. haematobiuminfection prevalence was 41% (range 1% to 89%) and 36% for S. mansoni (range 8% to 95%). Study design and conduct were poorly reported against current standards.
Tests for S. haematobium
Urine reagent test strips versus microscopy
Compared to microscopy, the detection of microhaematuria on test strips had the highest sensitivity and specificity (sensitivity 75%, 95% CI 71% to 79%; specificity 87%, 95% CI 84% to 90%; 74 studies, 102,447 participants). For proteinuria, sensitivity was 61% and specificity was 82% (82,113 participants); and for leukocyturia, sensitivity was 58% and specificity 61% (1532 participants). However, the difference in overall test accuracy between the urine reagent strips for microhaematuria and proteinuria was not found to be different when we compared separate populations (P = 0.25), or when direct comparisons within the same individuals were performed (paired studies; P = 0.21).
When tests were evaluated against the higher quality reference standard (when multiple samples were analysed), sensitivity was marginally lower for microhaematuria (71% vs 75%) and for proteinuria (49% vs 61%). The specificity of these tests was comparable.
Antigen assay
Compared to microscopy, the CCA test showed considerable heterogeneity; meta-analytic sensitivity estimate was 39%, 95% CI 6% to 73%; specificity 78%, 95% CI 55% to 100% (four studies, 901 participants).
Tests for S. mansoni
Compared to microscopy, the CCA test meta-analytic estimates for detecting S. mansoni at a single threshold of trace positive were: sensitivity 89% (95% CI 86% to 92%); and specificity 55% (95% CI 46% to 65%; 15 studies, 6091 participants) Against a higher quality reference standard, the sensitivity results were comparable (89% vs 88%) but specificity was higher (66% vs 55%). For the CAA test, sensitivity ranged from 47% to 94%, and specificity from 8% to 100% (four studies, 1583 participants).
Authors' conclusions:
Among the evaluated tests for S. haematobium infection, microhaematuria correctly detected the largest proportions of infections and non-infections identified by microscopy.
The CCA POC test for S. mansoni detects a very large proportion of infections identified by microscopy, but it misclassifies a large proportion of microscopy negatives as positives in endemic areas with a moderate to high prevalence of infection, possibly because the test is potentially more sensitive than microscopy
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