Objective:To assess the role of polymerase chain reaction(PCR)in serum sauples,in the diagnosis of osteoarticular tuberculosis(OTB)in a setting where only clinical and imaging diagnoses determine the treatment.Methods...Objective:To assess the role of polymerase chain reaction(PCR)in serum sauples,in the diagnosis of osteoarticular tuberculosis(OTB)in a setting where only clinical and imaging diagnoses determine the treatment.Methods:A total of 44 consecutive serum specimens were collected from clinically suspected OTB patients,based on clinical and radiological[X-ray or magnetic resonance imagng/computecl tomography]features.They were scrcened by in-house nested PCR.In addition,a few specimens were examined by Gram stain,acid-fast bacilli stain,histand routine bacterial culture.A total of 39 specimens were collected from patients suffering from other bone diseases of nontuberculous origin and included as negative controls.Results:of the 44 clinically suspected OTB patients,in-house nested PCR was positive in 40(91%)cases;PCR was negative in 38(97%)negative controls.Sensitivity and specificity of our in—house nested PCR was 90.3%and 97.4%,respectively.The PCR report was available within 48 h.It was possible to standardize serum PCR technique and in positive cases,a good n was observed in terms of an adequate treatment response.Conclusions:Nested PCR in serum samples is a rapid,highly sensitive and specific modality for OTB detection,PCR should be performed in addition to clinical evaluation,imaging studies,acidfast bacilli staining,culture and histopathology diagnosis,if possible.展开更多
Background: Military medicine cadets undergo strenuous military training alongside demanding medical studies. This stressful and complex educational environment can lead to the emergence of depressive symptoms. We inv...Background: Military medicine cadets undergo strenuous military training alongside demanding medical studies. This stressful and complex educational environment can lead to the emergence of depressive symptoms. We investigated the prevalence of depressive symptoms in a cohort of military medicine cadets.Methods: We conducted a descriptive questionnaire-based cross-sectional study among Greek military medicine cadets in the undergraduate program of the Hellenic Military School of Combat Support Officers. The Greek translation of the Zung self-rating depression scale questionnaire was used to screen for the presence of depressive symptoms. In addition, demographic, academic and dietary information was collected. The Shapiro-Wilk test of normality, Pearson correlation test, Chi-square test, t-test and Mann Whitney U test were employed for statistical analysis.Results: We enrolled 55 female and 91 male military medicine cadets with a mean age of 19.84 years(SD=0.99). The mean Zung crude score was 43.32(SD=4.55): 42.8(SD=4.43) for female cadets and 43.64(SD=4.6) for male cadets. Cadets were further subdivided into low and high risk groups for the presence of depressive symptoms. We identified 57(39%) cadets with a total Zung crude score of 45 or above: 21 females and 36 males. Statistical analysis did not reveal any significant differences between the two groups based on gender, year of training, academic performance, alcohol consumption, smoking status, vitamin supplementation, dietary habits or BMI.Conclusion: We report a high prevalence of depressive symptoms in a cohort of military medicine cadets that underscores the need for effective screening and appropriate and timely interventions. We did not identify any related risk factors. Military medicine cadets are exposed to a challenging military and medical training environment, and thus represent a group at risk for development of depression.展开更多
Objective:To determine the polymorphisms of Interleukin-10(IL-10)(-592,-1082) in pulmonary tuberculosis(PTB)with and without type 2 diabetes(T2D).Methods:We studied a Mexican mestizo population of 37 patients with TB ...Objective:To determine the polymorphisms of Interleukin-10(IL-10)(-592,-1082) in pulmonary tuberculosis(PTB)with and without type 2 diabetes(T2D).Methods:We studied a Mexican mestizo population of 37 patients with TB in remission(TBr) and 40 with active pulmonary TB (PTB),21 patients with TB + T2D.47 blood donors accepted,and 13 healthy health-care workers with tuberculin skin lest positive.Determination of IL-10 polymorphisms was performed by real-lime Polymerase chain reaction.Results:IL-10-592C/A presented in a greater proportion in healthy individuals than in patients with type 2 diabetes and TB in a not quite significant statistically manner.IL-10-1082A/A presented more frequently in the group of patients with both diseases,not being statistically significant in comparison with the group of healthy subjects. Conclusions:This study describes two important new findings.First,it reveals that the IL-10 (-592 A/A and -592 C/C) polymorphisms were found in a greater proportion in a group of patients with T2D and TB than in healthy subjects.Second,the study provides evidence that the(-1082 G/G) polymorphism presented with greater frequency in healthy individuals than in patients with both ol these diseases.展开更多
The present paper emphasizes the peristaltic mechanism of Rabinowitsch liquid in a complaint porous channel under the influence of variable liquid properties and convective heat transfer.The effect of inclination on t...The present paper emphasizes the peristaltic mechanism of Rabinowitsch liquid in a complaint porous channel under the influence of variable liquid properties and convective heat transfer.The effect of inclination on the complaint channel walls has been taken into account.The viscosity of the liquid varies across the thickness of the complaint channel,whereas,thermal conductivity varies concerning temperature.The nonlinear governing equations are solved by using perturbation technique under the long wavelength and small Reynold’s number approximations.The expressions for axial velocity,temperature,the coefficient of heat transfer and streamlines are obtained and analyzed graphically.The above said physiological phenomena are investigated for a specific set of relevant parameters on dilatant,Newtonian and pseudoplastic fluid models.The results presented here shows that the presence of variable viscosity,porous parameter and slip parameter significantly affects the flow quantities of dilatant,Newtonian and pseudoplastic fluid models.The investigation further reveals that an increase in the value of variable viscosity and porous parameters enhances the occurrence of trapping phenomenon.Moreover,the size of trapped bolus can be eliminated with suitably adjusting the angle of inclination parameter.展开更多
The bioaccumulation of PAHs and metal elements in the indigenous lichens Xanthoria parietina was monitored during two years at a quarterly frequency,in 3 sites of contrasted anthropic influence.The impact of the meteo...The bioaccumulation of PAHs and metal elements in the indigenous lichens Xanthoria parietina was monitored during two years at a quarterly frequency,in 3 sites of contrasted anthropic influence.The impact of the meteorological factors(temperature,relative humidity,rainfall,wind speed)was first estimated through principal component analysis,and then by stepwise multilinear regressions to include wind directions.The pollutants levels reflected the proximity of atmospheric emissions,in particular from a large industrial harbor.High humidity and mild temperatures,and in a lower extent low wind speed and rainfall,also favored higher concentration levels.The contributions of these meteorological aspects became minor when including wind direction,especially when approaching major emission sources.The bioaccumulation integration time towards meteorological variations was on a seasonal basis(1–2 months)but the wind direction and thus local emissions also relied on a longer time scale(12 months).This showed that the contribution of meteorological conditions may be prevalent in remote places,while secondary in polluted areas,and should be definitely taken into account regarding long-term lichen biomonitoring and inter-annual comparisons.In the same time,a quadruple sampling in each site revealed a high homogeneity among supporting tree species and topography.The resulting uncertainty,including sampling,preparation and analysis was below 30%when comfortable analytical conditions were achieved.Finally,the occurrence of unexpected events such as a major forest fire,permitted to evaluate that this type of short,although intense,events did not have a strong influence on PAH and metals bioaccumulation by lichen.展开更多
Controlled grazing is considered a good management strategy to maintain or increase the live weight of livestock and to reduce vegetation degradation of rangelands. The present study investigated soil characteristics,...Controlled grazing is considered a good management strategy to maintain or increase the live weight of livestock and to reduce vegetation degradation of rangelands. The present study investigated soil characteristics, aboveground vegetation biomass dynamics and controlled grazinginduced changes in the live weight of local ewes in the semi-arid rangeland of Ahmadun, Ziarat, Balochistanprovince of Pakistan. An area of 115 ha was protected from livestock grazing in April 2014. In June 2015, soil characteristics within 0-30 cm depth i.e. soil organic matter(SOM), mineral nitrogen, p H and texture in controlled and uncontrolled grazing sites were assessed. Aboveground vegetation biomass measured in early(June) and late summer(August) in 2015 and 2016. The nutritional value i.e. crude protein, phosphorus(P), neutral detergent fiber(NDF), acid detergent fiber(ADF), calcium(Ca), magnesium(Mg) and potassium(K) of dominantplant species were assessed at the beginning of experiment in 2015. Vegetation cover of controlled and uncontrolled grazing sites was also measured during the two years of the study period using the Veg Measure software. From June to November in2015 and 2016, controlled and uncontrolled livestock grazing sites were grazed on a daily basis by local ewes with a stocking rate of 2 and 1 head ha^(-1) respectively. Results reveal that the organic matter contents of coarse-textured, slightly alkaline soil of the study site were in the range of 9.4-17.6 g kg^(-1) soil and showed a strong positive correlation with aboveground vegetation biomass. The biomass of plants was 56.5% and 33% greater at controlled than uncontrolled grazing site in 2015 and 2016 respectively and plant cover was also higher at controlled than uncontrolled grazing site in both years The nutrient contents were significantly(P<0.05)lower in grasses than shrubs. In both years, the controlled grazing increased the weight gain of ewes about two folds compared to the uncontrolled grazing.The results indicate that controlled grazing improved the vegetation biomass production and small ruminant productivity.展开更多
Dear Editor,During the early spring of 2020,as the COVID-19(coronavirus disease 2019)pandemic spread across the globe like a viral tsunami,many countries urgently implemented unprecedented mitigation measures to slow ...Dear Editor,During the early spring of 2020,as the COVID-19(coronavirus disease 2019)pandemic spread across the globe like a viral tsunami,many countries urgently implemented unprecedented mitigation measures to slow it down,following the example of China,where the disease first emerged at the end of 2019.As a result,more than 3 billion unprepared people worldwide had to cope with living under stringent lockdown measures for weeks or months,depending on the country.Together with the deaths of hundreds of thousands of people from this disease,a frightening emotional shock has touched populations everywhere around the planet.Millions have lost their jobs,others have had their personal lives changed drastically;the elderly,for example,have sometimes been isolated from any visits.To our knowledge,no guidelines to prevent psychological trauma have been proposed,even for the most vulnerable individuals.Nonetheless,before this crisis began,several experts had warned about the potential impact of such measures on the populations’mental health.展开更多
Background: Several artemisinin-based combination therapies (ACT) are available to treat uncomplicated malaria in Africa. The present study aimed to assess the ranking of their efficacy and tolerance. Methods: A datab...Background: Several artemisinin-based combination therapies (ACT) are available to treat uncomplicated malaria in Africa. The present study aimed to assess the ranking of their efficacy and tolerance. Methods: A database of randomized controlled trials was retrieved from published papers. Network meta-analysis was used to compare efficacy on day 28 and day 42 after initiation of treatment. Age covariate effect on treatment outcome was assessed, and a modeling approach to reduce heterogeneity among trials was evaluated under the hypothesis of consistency in a meta-regression. Safety and adverse events were compared among different ACTs. A Bayesian analysis was performed to implement the consistency models using WinBUGS software. The results were compared to those of the frequentist approach using the R software. Results: Eighty-one articles, in which a total of 15 different ACTs were tested in more than 36,000 patients, were included. On day 28, dihydroartemisinin-piperaquine (DHPP) was more effective than artemether-lumefantrine (AL) before (odds ratio [OR], 1.83;95% confidence interval [CI], 1.31 - 2.56) and after age-covariate adjustment (OR, 1.70;95% CI, 1.20 - 2.43). The result was similar on day 42. DHPP occupied the top rank. The risk of having cough, diarrhoea or headache post-treatment was significantly lower with DHPP than AL. Artesunate-mefloquine (ASMQ) was associated with a significantly lower prevalence of vomiting or nausea (OR, 0.80;95% CI, 0.48 - 1.30) and headache (OR, 0.53;95% CI, 0.40 - 0.68) compared to AL. On the contrary, vomiting and nausea occurred more frequently after fixed-dose artesunate-amodiaquine formulation (ASAQf) than with AL (OR, 1.45;95% CI, 1.18 - 1.78). The risk of anaemia was higher with ASAQf and co-blistered artesunate-amodiaquine (ASAQc) than with AL. There was no significant difference in risk of anaemia (P > 0.05) between AL and different formulations of ASAQ. Conclusions: Based on the available evidence, this study demonstrated the superiority of DHPP, followed by AL, among currently recommended ACTs in terms of efficacy and tolerance. Network meta-analysis could be an alternative analytical tool but needs more data input from therapeutic efficacy studies. The determination of the best available therapy requires data triangulation and data science.展开更多
文摘Objective:To assess the role of polymerase chain reaction(PCR)in serum sauples,in the diagnosis of osteoarticular tuberculosis(OTB)in a setting where only clinical and imaging diagnoses determine the treatment.Methods:A total of 44 consecutive serum specimens were collected from clinically suspected OTB patients,based on clinical and radiological[X-ray or magnetic resonance imagng/computecl tomography]features.They were scrcened by in-house nested PCR.In addition,a few specimens were examined by Gram stain,acid-fast bacilli stain,histand routine bacterial culture.A total of 39 specimens were collected from patients suffering from other bone diseases of nontuberculous origin and included as negative controls.Results:of the 44 clinically suspected OTB patients,in-house nested PCR was positive in 40(91%)cases;PCR was negative in 38(97%)negative controls.Sensitivity and specificity of our in—house nested PCR was 90.3%and 97.4%,respectively.The PCR report was available within 48 h.It was possible to standardize serum PCR technique and in positive cases,a good n was observed in terms of an adequate treatment response.Conclusions:Nested PCR in serum samples is a rapid,highly sensitive and specific modality for OTB detection,PCR should be performed in addition to clinical evaluation,imaging studies,acidfast bacilli staining,culture and histopathology diagnosis,if possible.
基金the Military School of Combat Support Officers Command for providing a supportive research environment
文摘Background: Military medicine cadets undergo strenuous military training alongside demanding medical studies. This stressful and complex educational environment can lead to the emergence of depressive symptoms. We investigated the prevalence of depressive symptoms in a cohort of military medicine cadets.Methods: We conducted a descriptive questionnaire-based cross-sectional study among Greek military medicine cadets in the undergraduate program of the Hellenic Military School of Combat Support Officers. The Greek translation of the Zung self-rating depression scale questionnaire was used to screen for the presence of depressive symptoms. In addition, demographic, academic and dietary information was collected. The Shapiro-Wilk test of normality, Pearson correlation test, Chi-square test, t-test and Mann Whitney U test were employed for statistical analysis.Results: We enrolled 55 female and 91 male military medicine cadets with a mean age of 19.84 years(SD=0.99). The mean Zung crude score was 43.32(SD=4.55): 42.8(SD=4.43) for female cadets and 43.64(SD=4.6) for male cadets. Cadets were further subdivided into low and high risk groups for the presence of depressive symptoms. We identified 57(39%) cadets with a total Zung crude score of 45 or above: 21 females and 36 males. Statistical analysis did not reveal any significant differences between the two groups based on gender, year of training, academic performance, alcohol consumption, smoking status, vitamin supplementation, dietary habits or BMI.Conclusion: We report a high prevalence of depressive symptoms in a cohort of military medicine cadets that underscores the need for effective screening and appropriate and timely interventions. We did not identify any related risk factors. Military medicine cadets are exposed to a challenging military and medical training environment, and thus represent a group at risk for development of depression.
基金supported by a grant of the Mexican Council for Research and Science(CONACYT)(grant No.39 891M1 PI.CRGB)
文摘Objective:To determine the polymorphisms of Interleukin-10(IL-10)(-592,-1082) in pulmonary tuberculosis(PTB)with and without type 2 diabetes(T2D).Methods:We studied a Mexican mestizo population of 37 patients with TB in remission(TBr) and 40 with active pulmonary TB (PTB),21 patients with TB + T2D.47 blood donors accepted,and 13 healthy health-care workers with tuberculin skin lest positive.Determination of IL-10 polymorphisms was performed by real-lime Polymerase chain reaction.Results:IL-10-592C/A presented in a greater proportion in healthy individuals than in patients with type 2 diabetes and TB in a not quite significant statistically manner.IL-10-1082A/A presented more frequently in the group of patients with both diseases,not being statistically significant in comparison with the group of healthy subjects. Conclusions:This study describes two important new findings.First,it reveals that the IL-10 (-592 A/A and -592 C/C) polymorphisms were found in a greater proportion in a group of patients with T2D and TB than in healthy subjects.Second,the study provides evidence that the(-1082 G/G) polymorphism presented with greater frequency in healthy individuals than in patients with both ol these diseases.
文摘The present paper emphasizes the peristaltic mechanism of Rabinowitsch liquid in a complaint porous channel under the influence of variable liquid properties and convective heat transfer.The effect of inclination on the complaint channel walls has been taken into account.The viscosity of the liquid varies across the thickness of the complaint channel,whereas,thermal conductivity varies concerning temperature.The nonlinear governing equations are solved by using perturbation technique under the long wavelength and small Reynold’s number approximations.The expressions for axial velocity,temperature,the coefficient of heat transfer and streamlines are obtained and analyzed graphically.The above said physiological phenomena are investigated for a specific set of relevant parameters on dilatant,Newtonian and pseudoplastic fluid models.The results presented here shows that the presence of variable viscosity,porous parameter and slip parameter significantly affects the flow quantities of dilatant,Newtonian and pseudoplastic fluid models.The investigation further reveals that an increase in the value of variable viscosity and porous parameters enhances the occurrence of trapping phenomenon.Moreover,the size of trapped bolus can be eliminated with suitably adjusting the angle of inclination parameter.
基金This work was fully funded by the“InstitutÉcocitoyen pour la Connaissance des Pollutions”.
文摘The bioaccumulation of PAHs and metal elements in the indigenous lichens Xanthoria parietina was monitored during two years at a quarterly frequency,in 3 sites of contrasted anthropic influence.The impact of the meteorological factors(temperature,relative humidity,rainfall,wind speed)was first estimated through principal component analysis,and then by stepwise multilinear regressions to include wind directions.The pollutants levels reflected the proximity of atmospheric emissions,in particular from a large industrial harbor.High humidity and mild temperatures,and in a lower extent low wind speed and rainfall,also favored higher concentration levels.The contributions of these meteorological aspects became minor when including wind direction,especially when approaching major emission sources.The bioaccumulation integration time towards meteorological variations was on a seasonal basis(1–2 months)but the wind direction and thus local emissions also relied on a longer time scale(12 months).This showed that the contribution of meteorological conditions may be prevalent in remote places,while secondary in polluted areas,and should be definitely taken into account regarding long-term lichen biomonitoring and inter-annual comparisons.In the same time,a quadruple sampling in each site revealed a high homogeneity among supporting tree species and topography.The resulting uncertainty,including sampling,preparation and analysis was below 30%when comfortable analytical conditions were achieved.Finally,the occurrence of unexpected events such as a major forest fire,permitted to evaluate that this type of short,although intense,events did not have a strong influence on PAH and metals bioaccumulation by lichen.
基金supported by the USAID under Agriculture Innovation Program (AIP) Pakistansupported by the ICARDA and the CGIAR Research Program on Livestock (CRP Livestock)
文摘Controlled grazing is considered a good management strategy to maintain or increase the live weight of livestock and to reduce vegetation degradation of rangelands. The present study investigated soil characteristics, aboveground vegetation biomass dynamics and controlled grazinginduced changes in the live weight of local ewes in the semi-arid rangeland of Ahmadun, Ziarat, Balochistanprovince of Pakistan. An area of 115 ha was protected from livestock grazing in April 2014. In June 2015, soil characteristics within 0-30 cm depth i.e. soil organic matter(SOM), mineral nitrogen, p H and texture in controlled and uncontrolled grazing sites were assessed. Aboveground vegetation biomass measured in early(June) and late summer(August) in 2015 and 2016. The nutritional value i.e. crude protein, phosphorus(P), neutral detergent fiber(NDF), acid detergent fiber(ADF), calcium(Ca), magnesium(Mg) and potassium(K) of dominantplant species were assessed at the beginning of experiment in 2015. Vegetation cover of controlled and uncontrolled grazing sites was also measured during the two years of the study period using the Veg Measure software. From June to November in2015 and 2016, controlled and uncontrolled livestock grazing sites were grazed on a daily basis by local ewes with a stocking rate of 2 and 1 head ha^(-1) respectively. Results reveal that the organic matter contents of coarse-textured, slightly alkaline soil of the study site were in the range of 9.4-17.6 g kg^(-1) soil and showed a strong positive correlation with aboveground vegetation biomass. The biomass of plants was 56.5% and 33% greater at controlled than uncontrolled grazing site in 2015 and 2016 respectively and plant cover was also higher at controlled than uncontrolled grazing site in both years The nutrient contents were significantly(P<0.05)lower in grasses than shrubs. In both years, the controlled grazing increased the weight gain of ewes about two folds compared to the uncontrolled grazing.The results indicate that controlled grazing improved the vegetation biomass production and small ruminant productivity.
基金funded by the French and National Agency for Research(ANR,grant ANR-20-COVI-0035-01)the Fondation de France and the National Research Institute for Sustainable Development(IRD).
文摘Dear Editor,During the early spring of 2020,as the COVID-19(coronavirus disease 2019)pandemic spread across the globe like a viral tsunami,many countries urgently implemented unprecedented mitigation measures to slow it down,following the example of China,where the disease first emerged at the end of 2019.As a result,more than 3 billion unprepared people worldwide had to cope with living under stringent lockdown measures for weeks or months,depending on the country.Together with the deaths of hundreds of thousands of people from this disease,a frightening emotional shock has touched populations everywhere around the planet.Millions have lost their jobs,others have had their personal lives changed drastically;the elderly,for example,have sometimes been isolated from any visits.To our knowledge,no guidelines to prevent psychological trauma have been proposed,even for the most vulnerable individuals.Nonetheless,before this crisis began,several experts had warned about the potential impact of such measures on the populations’mental health.
文摘Background: Several artemisinin-based combination therapies (ACT) are available to treat uncomplicated malaria in Africa. The present study aimed to assess the ranking of their efficacy and tolerance. Methods: A database of randomized controlled trials was retrieved from published papers. Network meta-analysis was used to compare efficacy on day 28 and day 42 after initiation of treatment. Age covariate effect on treatment outcome was assessed, and a modeling approach to reduce heterogeneity among trials was evaluated under the hypothesis of consistency in a meta-regression. Safety and adverse events were compared among different ACTs. A Bayesian analysis was performed to implement the consistency models using WinBUGS software. The results were compared to those of the frequentist approach using the R software. Results: Eighty-one articles, in which a total of 15 different ACTs were tested in more than 36,000 patients, were included. On day 28, dihydroartemisinin-piperaquine (DHPP) was more effective than artemether-lumefantrine (AL) before (odds ratio [OR], 1.83;95% confidence interval [CI], 1.31 - 2.56) and after age-covariate adjustment (OR, 1.70;95% CI, 1.20 - 2.43). The result was similar on day 42. DHPP occupied the top rank. The risk of having cough, diarrhoea or headache post-treatment was significantly lower with DHPP than AL. Artesunate-mefloquine (ASMQ) was associated with a significantly lower prevalence of vomiting or nausea (OR, 0.80;95% CI, 0.48 - 1.30) and headache (OR, 0.53;95% CI, 0.40 - 0.68) compared to AL. On the contrary, vomiting and nausea occurred more frequently after fixed-dose artesunate-amodiaquine formulation (ASAQf) than with AL (OR, 1.45;95% CI, 1.18 - 1.78). The risk of anaemia was higher with ASAQf and co-blistered artesunate-amodiaquine (ASAQc) than with AL. There was no significant difference in risk of anaemia (P > 0.05) between AL and different formulations of ASAQ. Conclusions: Based on the available evidence, this study demonstrated the superiority of DHPP, followed by AL, among currently recommended ACTs in terms of efficacy and tolerance. Network meta-analysis could be an alternative analytical tool but needs more data input from therapeutic efficacy studies. The determination of the best available therapy requires data triangulation and data science.
