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Biomedical subjects

E Camus

Publications and source records attributed to E Camus.

At least 37 records · Page 2Linked to original sources
PubMed1998

Treating ectopic pregnancy with the combination of mifepristone and methotrexate: a phase II nonrandomized study.

OBJECTIVE: Our goal was to compare the use of a combination of methotrexate and mifepristone with methotrexate alone in the medical management of ectopic pregnancy. STUDY DESIGN: This was a preliminary nonrandomized phase II study. All patients with progressing ectopic pregnancy meeting criteria for medical management were included. Treatment consisted of 50 mg/m2 of methotrexate injected intramuscularly and 600 mg of mifepristone, administered orally, compared with a previous group who received only 50 mg/m2 of methotrexate injected intramuscularly. RESULTS: Of the 30 patients treated with the combination, there was only 1 failure, whereas medical treatment had failed for 11 of 42 patients treated with methotrexate alone. CONCLUSIONS: The combination of mifepristone and methotrexate decreased the risk of failure in medical treatment of ectopic pregnancy.

Abortifacient Agents, Steroidal↗
PubMed1998

[Limits of ambulatory medical treatment of ectopic pregnancies by intramuscular methotrexate: prospective study on 54 patients].

OBJECTIVE: To evaluate the limits of ambulatory treatment of ectopic pregnancy with an intramuscular injection of 50 mg/m2 methotrexate. METHOD: Non randomised prospective study from october 1993 and april 1996 at Poissy Hospital. 100 ectopic pregnancies were diagnosed: 54 were treated medically and 46 had a surgical treatment. RESULTS: The mean hCG for the ectopic pregnancies treated medically was 7,273 Ul/ml +/- 12,548 (90-68,220), an ectopic mass was seen in 74% and to precise the diagnosis a currettage was done in 24 cases (44%) if the initial hCG was below 2,000 Ul/ml. The medical treatment was a success for 37 (68.5%) ectopic pregnancies with a mean time of resolution of hCG of 31.9 days +/- 18 (4-90) (with a positive correlation between initial hCG titer and time to resolution of 0.5, p = 0.001). For 15 (27%) patients a second dose of methotrexate was necessary with a 73% success rate and 17 (32%) patients were operated (8 salpingectomies). Sixteen of 20 (80%) demonstrated tubal patency at follow-up hysterosalpingogram and within 7.5 +/- 4 months 26 of 30 (87%) conceived and there was no recurrence of ectopic pregnancy. CONCLUSIONS: The medical treatment of ectopic pregnancies with methotrexate has its limits. In our series, if we treat ectopic pregnancies without cardiac activity, with a mass below 35 mm and a hCG below 10,000 Ul/ml the success rate is 81%.

Adult↗
PubMed1997

Does hydrosalpinx reduce the pregnancy rate after in vitro fertilization?

OBJECTIVE: To determine the effect of hydrosalpinges on the pregnancy rate in an IVF program. DESIGN: Multicentric retrospective analysis of clinical and laboratory data. SETTING: Two assisted reproductive technology centers in university hospitals. PATIENT(S): Four hundred forty-three women, under 38 years of age, with pure tubal infertility. The patients were classified into the following five groups: bilateral hydrosalpinges (n = 37), unilateral hydrosalpinx (n = 54), bilateral tubal occlusion (n = 207), unilateral tubal occlusion (n = 55), and severe tubal disease without complete occlusion (n = 90). MAIN OUTCOME MEASURE(S): Pregnancy and implantation rates. RESULT(S): The pregnancy and the implantation rates per transfer (12.3% and 5.4%) obtained by women with bilateral hydrosalpinges are significantly lower than the rates (means = 23.1% and 12%) for all other tubal infertility groups. CONCLUSION(S): Bilateral hydrosalpinges have a deleterious effect on the outcome of IVF program.

Adult↗
PubMed1997

Development and evaluation of a recombinant antigen, monoclonal antibody-based competitive ELISA for heartwater serodiagnosis.

Cowdria ruminantium is the etiologic agent of heartwater, a tick-transmitted foreign animal disease with considerable potential for entrance into the USA. A competitive enzyme-linked immunosorbent assay (cELISA) was developed to detect serologic responses to C. ruminantium infection. The cELISA utilized a recombinant form of the C. ruminantium major antigenic protein (MAP-1) as the antigen and an anti-MAP-1 monoclonal antibody as the competing indicator reagent. Experimental antisera to C. ruminantium and a wide variety of related ehrlichial organisms were used to evaluate cELISA reactivity. Only sera against C. ruminantium, Ehrlichia canis, E. chaffeensis, and a recently discovered cervine ehrlichia-like organism reacted positively in the cELISA. Specificity of the cELISA was > or = 99.5% in a survey of 1,774 southeastern US and Puerto Rican slaughter cattle sera but was only 85% in a group of 79 hunter-killed white-tailed deer (Odocoileus virginianus) from the southeastern USA. Reference true-positive and cELISA false-positive sera were further analyzed by end point titrations using the cELISA and by indirect fluorescent antibody (IFA) tests for reactivity with C. ruminantium, E. canis, and E. chaffeensis antigens. True heartwater-positive sera were significantly more reactive using the cELISA and C. ruminantium IFA procedures (P < 0.05), whereas false-positive sera were significantly more reactive with the antigens used in the E. chaffeensis IFA procedure (P < 0.05). A group of sera from 210 field-origin ruminants residing on known or potentially heartwater-endemic Caribbean islands revealed a substantial (12.4%) prevalence of cELISA-positive specimens. The cELISA is a relatively specific serodiagnostic test for heartwater in cattle and could be used to monitor for possible introduction of the disease into the USA. The cELISA may also be an excellent tool for monitoring the success of an ongoing Caribbean Amblyomma tick eradication program designed to eliminate the biological vector responsible for the perpetuation and spread of this dangerous foreign animal disease.

Animals↗
PubMed1996

Recombinant expression and use in serology of a specific fragment from the Cowdria ruminantium MAP1 protein.

The major antigenic protein (MAP1) of Cowdria ruminantium was screened for immunogenic regions by expression of overlapping recombinant DNA clones of the gene encoding the MAP1 protein. Two regions, designated MAP1-A and MAP1-B, were recognized by all antisera to 9 different isolates of C. ruminantium. MAP1-A contained one or more epitopes responsible for false-positive reactions with Ehrlichia antisera in several serological tests for cowdriosis. Cross-reactivity with MAP1-B was limited to antisera to Ehrlichia chaffeensis and Ehrlichia canis. Antisera to Ehrlichia species that infect ruminants (E. bovis, E. ovina, and E. phagocytophila) did not recognize MAP1-B. The sensitivity of an indirect ELISA based on MAP1-B was found to be excellent, since all sera from animals experimentally infected with C. ruminantium (64 out of 64) reacted with MAP1-B. Validation of this ELISA was carried out with field sera obtained from sheep raised in heartwater-free areas in Zimbabwe and from several Caribbean islands. Only 9 out of 111 samples from Zimbabwe, and 1 out of 58 samples from the Caribbean islands, which were considered to be false positives by immunoblot or indirect ELISA, reacted with MAP1-B. Thus, the ELISA based on MAP1-B is at present the most specific and sensitive serological test for cowdriosis.

Animals↗
PubMed1996

Genetic resistance of Creole goats to cowdriosis in Guadeloupe. Status in 1995.

A genetic predisposition to resistance (R)/susceptibility (S) has been demonstrated for cowdriosis in certain goal lines. In order to identify genetic markers of R/S and to follow their transmission to the offspring, 4 groups of sires and dams were crossbred in 1991, 1992, and 1993: Rr, RS, SR, and SS. The offspring were challenged at the age of six months with subsequent challenge of the S parent. From 28 presumed S dams, 7 turned out R and from 2 presumed S sires, 1 was R and the other undefinable. The resistance rate was 76% for 21 RR kids and 45% for 20 RS kids. The R character seems to be better transmitted by dams than the S one. No difference was observed between R and S goats in terms of incubation period and body temperature level after challenge. There was no statistical effect found of sex, litter size, or birth mass on the R/S character; only a slight effect on daily mass gain was observed. Sperm has been collected from 4 S sires (died after challenge) and 5 R sires, and stored in liquid nitrogen in order to conceive additional SR and SS progeny. Several caprine leucocyte antigens seem to be genetic markers of R (Be 1, CLY) and of S (Be 9, Be 22, Be 23). Further powerful tools like microsatellites and probes defining other interesting loci possibly involved in disease pathogenesis are now at hand and will be included in future experiments.

Animals↗
PubMed1996

Tropical bont tick eradication campaign in the French Antilles. Current status.

The Amblyomma variegatum eradication campaign was officially started in April 1994 in Martinique and in Guadeloupe, including its dependencies of Marie Galante, Desirade and St Martin. A budget of $10.5 and $5.9 million for Guadeloupe and Martinique, respectively, was initially (1991) calculated and considered necessary to achieve the program. However, EEC, the most important donor, estimated that 75% only of this proposal was acceptable, on which it agrees to support a maximum of 50%. The balance had to be provided by French government, local political institutions, and animal owners. The current budget actualized in 1995 by veterinary authorities of Martinique and Guadeloupe is $7,200,000 and $9,900,000 respectively. The program will take 5 years: preparation (1 year), acaricide application (3 years), surveillance (1 year). During this first year, a pilot committee was established, and a project leader was designated for each island. Efforts were essentially oriented to organize the program in the field and to obtain funds from French and local counterparts. Funds allowed the recruitment and training of 19 new agents in Guadeloupe and 9 in Martinique, in addition to personnel already involved in the tick control program. Census of animal owners and identification of cattle started or were developed. Tenders were invited to provide vehicles and acaricides. For the latter, choices were made considering the prices and efficacy as well as funds available. Due to a limited budget and cost of pour-on formulations, pour-on acaricides will be used on a maximum of 30% of animals only. In order to investigate animal owners' reticences and the most appropriate media channels to establish a communication and a training program, a survey was conducted in Guadeloupe on a sample of 301 animal owners. The results are presented. In order to strengthen the chances of success of the campaign in the French islands, it is expected that a similar program will take place soon in infested neighboring islands.

Animals↗
PubMed1996

Serological survey of leptospirosis in livestock animals in the Lesser Antilles.

A serological survey was performed of 1788 cattle, goats and sheep on 13 islands in the Lesser Antilles. Sera were tested by microscopic agglutination (MAT) using a panel of 22 live antigens. Evidence of past exposure, at a titer of > or = 100, was found in 101 animals (5.6%). Antibodies were more common in cattle and goats (7.2% in each) than in sheep (1.7%). Seroprevalence was highest in cattle in Martinique (20%) and in goats in St. Vincent (23%). The predominant serogroups were Sejroe (largely confined to cattle in Martinique), Autumnalis, Icterohaemorrhagiae, Grippotyphosa, and Cynopteri. Eleven cattle from Martinique and 2 sheep with titers of > or = 800 showed evidence of recent infection.

Animals↗
PubMed1996

[Prognostic sperm factors in intra-uterine insemination with partner's sperm].

We studied the prognostic value of sperm characteristics for the outcome of intra-uterine insemination with partner sperm (IUIPS). A total of 712 cycles of IUIPS following induction of ovulation with gonadotrophin (hMG/hCG) for 277 sterile couples attending the assisted reproductive technology centre of Poissy Hospital (78300-France) between January 1991 and December 1994 was studied retrospectively. Ninety-two clinical pregnancies were obtained giving an overall rate of 12.9% per cycle. None of the characteristics of the sperm as assessed initially correlated with outcome. In contrast, the number of motile spermatozoa given (n) affected outcome: for n < 1 x 10(6) the pregnancy rate was 2%; for n = 5 to 8 x 10(6) the rate was 19%. However, for +/- 8 x 10(6) the proportion of biochemical pregnancies and miscarriages was 40% which was significantly higher than for smaller concentration. The resort of IVF following 4 IUIPS failures leads to a pregnancy rate per cycle of only 6.7%.

Adult↗
PubMed1996

[Surgical cover of dorsolumbar radionecrosis. Apropos of 6 cases].

Thoracolumbar radionecrosis may be difficult to cover. We often use muscular or myocutaneus flaps available in this location, mainly the latissimus dorsi flap. It can be used as a pedicle, free, or especially a "reversed" flap with lumbar pedicles. However in our experience and in the literature this reversed flap is difficult to use because of the morbidity of the flap, transposed without its main pedicle. The authors consider the current methods of cover by flaps in six cases and in the literature. Surgical possibilities are now more numerous. First, a latissimus dorsi muscular flap autonomized by vascular delay, half-free flap, or a flap with the lengthening of its pedicle is possible. Second, we can also use an intercostal island flap for the back and a gluteal thigh flap in the lumbar region.

Aged↗
PubMed1995

Vector situation of tick-borne diseases in the Caribbean Islands.

The most important ticks transmitting diseases to ruminants in the Caribbean islands are: Amblyomma variegatum, vector of cowdriosis and associated with acute dermatophilosis; Amblyomma cajennense, potential vector of cowdriosis; Boophilus microplus, vector of babesiosis and anaplasmosis. At the present time, Amblyomma variegatum is widespread in the Lesser Antilles from Barbados to Puerto Rico. The intensity of the tick control program varies in the different islands and the tick infestation in each island ranges from limited foci to widespread infestations. The vector situation appeared stable since 1988 in the Lesser Antilles but the outbreak in 1992 in Puerto Rico emphasized the risk of spread to other islands and to the American mainland, particularly with cattle egrets. Cowdriosis remains apparently limited to Guadeloupe and Antigua. Amblyomma cajennense, experimental vector of cowdriosis, is present in Cuba, Jamaica and Trinidad but also in most American countries. Boophilus microplus is widespread throughout the Caribbean. Its presence and importance are often indirectly estimated by the clinical and serological diagnosis of babesiosis and anaplasmosis. There is no correlation between the intensity of Amblyomma variegatum control in each island of the Lesser Antilles and the effect on the Boophilus microplus population measured by the seroprevalence to babesiosis and anaplasmosis, but within the island of Martinique a regular Amblyomma variegatum control decreases the seroprevalences to babesiosis and anaplasmosis.

Anaplasmosis↗
PubMed1995

Use of a specific immunogenic region on the Cowdria ruminantium MAP1 protein in a serological assay.

Currently available serological tests for cowdriosis (Cowdria ruminantium infection) in domestic ruminants are hampered by their low specificities because of cross-reactivity with Ehrlichia spp. The use of recombinant major antigenic protein (MAP1) of C. ruminantium for serodiagnosis was investigated. Overlapping fragments of the MAP1 protein were expressed in Escherichia coli and were reacted with sera from sheep infected with either C. ruminantium or Ehrlichia ovina. Two immunogenic regions on the MAP1 protein, designated MAP1-A and MAP1-B, were identified. MAP1-A was reactive with C. ruminantium antisera, E. ovina antisera, and three MAP1-specific monoclonal antibodies, whereas MAP1-B reacted only with C. ruminantium antisera. An indirect enzyme-linked immunosorbent assay (ELISA) based on MAP1-B was further developed and validated with sera from animals experimentally infected with C. ruminantium or several Ehrlichia spp. Antibodies raised in sheep, cattle, and goats against nine isolates of C. ruminantium reacted with MAP1-B. Cross-reactivity with MAP1-B was limited to Ehrlichia canis and Ehrlichia chaffeensis, two rickettsias which do not infect ruminants. Antibodies to Ehrlichia spp. which do infect ruminants (E. bovis, E. ovina, and E. phagocytophila) did not react with MAP1-B. Antibody titers to C. ruminantium in sera from experimentally infected cattle, goats, and sheep were detectable for 50 to 200 days postinfection. Further validation of the recombinant MAP1-B-based ELISA was done with sera obtained from sheep raised in heartwater-free areas in Zimbabwe and from several Caribbean islands. A total of 159 of 169 samples which were considered to be false positive by immunoblotting or indirect ELISA did not react with MAP1-B. In conclusion, recombinant MAP1-B may be a suitable antigen for a sensitive serological test for cowdriosis, with dramatically improved specificity.

Animals↗
PubMed1995

Propagation of the tick Amblyomma variegatum in the Caribbean.

The tropical bont tick, Amblyomma variegatum, is an African tick species which infests livestock and wildlife. It was probably introduced in the central eastern islands of the Caribbean during the 18th or 19th century, with cattle shipped from Senegal. In Africa and the Caribbean, this tick is a vector of heartwater (a rickettsial disease of ruminants) and is associated with acute dermatophilosis (a bacterial skin disease of animals). Until 1948, only Guadeloupe and the neighbouring islands of Marie Galante and Antigua were infested with this tick species. Following increased agricultural commerce between Guadeloupe and Martinique, the latter became infested in 1948. Between 1967 (when the tick was identified in St Croix) and 1988 (when a male tick was reported in St Vincent), fourteen new islands were reached by this tick. Most of the dissemination of the tick to new islands cannot be explained by legal or illegal movements of livestock. Recently-determined circumstantial evidence strongly links the increase in populations of the cattle egret (Bubulcus ibis), a migrating bird established in the Caribbean circa 1960, with increased colonisation of new islands by A. variegatum. Considering the wide range of areas currently occupied by this bird species in the Greater Antilles and on the American mainland, there is a high probability that the tick will also expand its range and invade new areas. Eradication of A. variegatum from the Caribbean and thus from the western hemisphere, and the strengthening of measures to prevent inter-island movements of livestock, would be the only effective means of preventing this threat.

Animals↗
PubMed1994

Bovine anaplasmosis and babesiosis in the Lesser Antilles: risk assessment of an unstable epidemiologic situation.

A seroepidemiological survey on tick-borne diseases of ruminants was carried out on 11 islands of the Lesser Antilles from Grenada to St Martin. A total of 1,795 cattle were randomly sampled and sera tested for antibodies to anaplasmosis (Anaplasma marginale) and babesiosis (Babesia bovis and B bigemina) using a dot-ELISA test. Except for anaplasmosis, which was virtually absent from Guadeloupe, the seroprevalence of the 3 tick-borne diseases ranged from 18 to 71%. The epidemiologic situation was considered to be unstable in all of the study sites. The risk of clinical outbreaks was high in all the islands except for B bigemina in Montserrat and St Lucia and B bovis in St Lucia. The practical consequences in terms of tick eradication, tick control, and vaccination are discussed.

Age Factors↗