709 research outputs found

    Pan-European Chikungunya surveillance: Designing risk stratified surveillance zones

    Get PDF
    This article has been made available through the Brunel Open Access Publishing Fund - Copyright @ 2009 Tilston et alThe first documented transmission of Chikungunya within Europe took place in Italy during the summer of 2007. Chikungunya, a viral infection affecting millions of people across Africa and Asia, can be debilitating and no prophylactic treatment exists. Although imported cases are reported frequently across Europe, 2007 was the first confirmed European outbreak and available evidence suggests that Aedes albopictus was the vector responsible and the index case was a visitor from India. This paper proposed pan-European surveillance zones for Chikungunya, based on the climatic conditions necessary for vector activity and viral transmission. Pan-European surveillance provides the best hope for an early-warning of outbreaks, because national boundaries do not play a role in defining the risk of this new vector borne disease threat. A review of climates, where Chikungunya has been active, was used to inform the delineation of three pan-European surveillance zones. These vary in size each month across the June-September period of greatest risk. The zones stretch across southern Europe from Portugal to Turkey. Although the focus of this study was to define the geography of potential surveillance zones based on the climatic limits on the vector and virus, a preliminary examination of inward bound airline passengers was also undertaken. This indicated that France and Italy are likely to be at greater risk due to the number of visitors they receive from Chikungunya active regions, principally viraemic visitors from India. Therefore this study represents a first attempt at creating risk stratified surveillance zones, which we believe could be usefully refined with the use of higher resolution climate data and more complete air travel data

    The potential for reassortment between Oropouche and Schmallenberg Orthobunyaviruses

    Get PDF
    A number of viruses within the Peribunyaviridae family are naturally occurring reassortants, a common phenomenon for segmented viruses. Using a minigenome-reporter and virus-like particle (VLP) production assay, we have accessed the potential of Oropouche virus (OROV), Schmallenberg virus (SBV), and other orthobunyaviruses within the Simbu serogroup to reassort. We found that the untranslated region (UTR) in the medium segment is a potential contributing factor for reassortment by the tested viruses. We demonstrate that for promoter activity to occur it was essential that the viral RNA polymerase (L) and nucleocapsid (N) proteins were from the same virus, reinforcing the hypothesis that the large and small segments that encode these proteins segregate together during genome reassortment. Our results indicate that, given the right epidemiological setting, reassortment between SBV and OROV would potentially be feasible and could contribute to the emergence of a new Simbu virus

    Structure de l’écoulement tridimensionnel, turbulence et contrainte de cisaillement dans une boucle de méandre

    Get PDF
    Plusieurs facteurs contribuent à l’instabilité des berges dans les méandres, mais le rôle joué par la dynamique de l’écoulement complexe au sein de ces sites n’est pas clairement élucidé. L’objectif de cette recherche est d’examiner la dynamique de l’écoulement tridimensionnel (3D) d’une boucle de méandre en vue de déterminer les liens entre la structure de l’écoulement moyen et turbulent, la contrainte de cisaillement et l’érosion des berges. Des données de vitesse 3D ont été recueillies dans une boucle de méandre avec un vélocimètre acoustique Doppler (ADV) et un profileur acoustique Doppler conçu pour les rivières peu profondes (PC-ADP). Une comparaison entre ces deux appareils a révélé que le PC-ADP donne de bons estimés de vitesse moyenne dans un écoulement relativement simple (au centre du chenal), mais le problème de moyennage spatial le rend moins efficace dans un plan de mélange où l’écoulement est plus complexe. L’ADV est aussi supérieur au PC-ADP pour les estimés de contrainte de cisaillement et l’étude de la turbulence à petite échelle, mais ce dernier révèle mieux les patrons à grande échelle. Deux cellules d’écoulement secondaire dans le méandre ressortent nettement avec les mesures simultanées du PC-ADP. Les maxima de contrainte de cisaillement mesurée avec l’ADV par la méthode d’énergie turbulente cinétique sont situés à l’entrée du méandre lorsque le niveau est plus bas, et à la sortie du méandre lorsque le niveau augmente. Ces deux zones correspondent à des observations de décrochement de berge au site d’étude.Many factors contribute to bank instability in meanders, but the exact role played by the complex flow dynamics is not very well understood. The objective of this research is to examine the three-dimensional (3D) flow dynamics in a meander loop to determine the links between the mean and turbulent flow structure, and bank erosion. 3D velocity data were collected in a meander loop with an acoustic Doppler velocimeter (ADV) and a pulse-coherent acoustic Doppler profiler (PC-ADP). A comparison between these two devices revealed that the PC-ADP provides accurate estimates of mean velocity in a relatively simple flow (in the centre of the channel), but that it is less efficient in a complex flow field with a mixing zone due to spatial averaging problems. The ADV is also better than the PC-ADP for bed shear stress estimates and for small-scale turbulence studies, but the latter reveals large-scale structures efficiently. Two secondary cells in the meander loop are clearly seen from the simultaneous PC-ADP measurements. The maximum values of bed shear stress measured with the ADV with the turbulent kinetic energy method are located at the meander entrance when flow stage is low, and at the meander exit when flow stage increases. These two zones correspond to observations of bank failure events at the field site

    Risk factors for chest infection in acute stroke: a prospective cohort study

    Get PDF
    <p><b>Background and Purpose:</b> Pneumonia is a major cause of morbidity and mortality after stroke. We aimed to determine key characteristics that would allow prediction of those patients who are at highest risk for poststroke pneumonia.</p> <p><b>Methods:</b> We studied a series of consecutive patients with acute stroke who were admitted to hospital. Detailed evaluation included the modified National Institutes of Health Stroke Scale; the Abbreviated Mental Test; and measures of swallow, respiratory, and oral health status. Pneumonia was diagnosed by set criteria. Patients were followed up at 3 months after stroke.</p> <p><b>Results:</b> We studied 412 patients, 391 (94.9%) with ischemic stroke and 21 (5.1%) with hemorrhagic stroke; 78 (18.9%) met the study criteria for pneumonia. Subjects who developed pneumonia were older (mean±SD age, 75.9±11.4 vs 64.9±13.9 years), had higher modified National Institutes of Health Stroke Scale scores, a history of chronic obstructive pulmonary disease, lower Abbreviated Mental Test scores, and a higher oral cavity score, and a greater proportion tested positive for bacterial cultures from oral swabs. In binary logistic-regression analysis, independent predictors (P<0.05) of pneumonia were age >65 years, dysarthria or no speech due to aphasia, a modified Rankin Scale score ≥4, an Abbreviated Mental Test score <8, and failure on the water swallow test. The presence of 2 or more of these risk factors carried 90.9% sensitivity and 75.6% specificity for the development of pneumonia.</p> <p><b>Conclusions:</b> Pneumonia after stroke is associated with older age, dysarthria/no speech due to aphasia, severity of poststroke disability, cognitive impairment, and an abnormal water swallow test result. Simple assessment of these variables could be used to identify patients at high risk of developing pneumonia after stroke.</p&gt

    Willing to be involved in cancer

    Get PDF
    F.J.G-M., A.M.T-L. and P.A.R. were funded by the Anonymous Trust, University of St Andrews.Genome sequencing is now a common procedure, but prior to this, screening experiments using protein baits was one of the routinely used methods that, occasionally, allowed the identification of new gene products. One such experiment uncovered the gene product called willin/human Expanded/FRMD6. Initial characterization studies found that willin bound phospholipids and was strongly co-localised with actin. However, subsequently, willin was found to be the closest human sequence homologue of the Drosophila protein Expanded (Ex), sharing 60% homology with the Ex FERM domain. This in turn suggested, and then was proven that willin could activate the Hippo signalling pathway. This review describes the increasing body of knowledge about the actions of willin in a number of cellular functions related to cancer. However, like many gene products involved in aspects of cell signalling, a convincing direct role for willin in cancer remains tantalising elusive, at present.Publisher PDFPeer reviewe

    Genetic analysis of members of the species Oropouche virus and identification of a novel M segment sequence

    Get PDF
    Oropouche virus (OROV) is a public health threat in South America, and in particular Northern Brazil, causing frequent outbreaks of febrile illness. Using a combination of deep sequencing and Sanger sequencing approaches we have determined complete genome sequences of eight clinical isolates that were obtained from patient sera during an Oropouche fever outbreak in Amapa state, northern Brazil in 2009. We also report complete genome sequences of two OROV reassortants isolated from two marmosets in Minas Gerais state, southeast Brazil in 2012 that contain a novel M genome segment. Interestingly, all ten isolates posses a 947 nucleotide long S segment that lacks 11 residues in the S segment 3' UTR compared to the recently redetermined Brazilian prototype OROV strain BeAn19991. OROV maybe circulating more widely in Brazil and in the non-human primate population than previously appreciated and the identification of yet another reassortant highlights the importance of bunyavirus surveillance in South America

    Adult-perpetrated Animal Abuse: Development of a Proclivity Scale

    Get PDF
    There is a clear discrepancy in the reporting of animal cruelty complaints, prosecutions and convictions suggesting that any prevalence figures of abuse are significant under-representations. Therefore, it can be inferred that there is a large number of animal abusers who are unapprehended. Currently there is no validated tool that assesses the proclivity or propensity to engage in animal abuse amongst members of the general public. Such a tool would enable researchers to study individuals who may think like animal abusers or may be unapprehended offenders themselves. This paper presents the newly developed Animal Abuse Proclivity Scale (AAPS) and some preliminary findings. The results from our two studies show that: (1) the psychometric properties of the AAPS indicate that the scale is a highly reliable measure; (2) the AAPS relates to measures assessing offence-supportive attitudes and reflects the gender differences seen in the literature; and (3) the AAPS demonstrates cross-national validity. These findings support that the AAPS, similar to other offending proclivity measures, is a tool that can be used to examine the factors most related to animal abuse propensity. We discuss how the AAPS can contribute to future developments in theory and practice in the field
    corecore