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Field assessments in western Kenya link malaria vectors to environmentally disturbed habitats during the dry season.

BACKGROUND: Numerous malaria epidemics have occurred in western Kenya, with increasing frequency over the past 20 years. A variety of hypotheses on the etiology of these epidemics have been put forth, with different implications for surveillance and control. We investigated the ecological and socioeconomic factors promoting highland malaria vectors in the dry season after the 2002 epidemic. METHODS: Investigations were conducted in Kisii District during the dry season. Aquatic habitats in were surveyed for presence of malaria vectors. Brick-making pits were further investigated for co-associations of larval densities with emergent vegetation, habitat age, and predator diversity. Indoor spray catches were completed in houses near aquatic habitats. Participatory rural appraisals (PRAs) were conducted with 147 community members. RESULTS: The most abundant habitat type containing Anopheles larvae was brick-making pits. Vegetation and habitat age were positively associated with predator diversity, and negatively associated with mosquito density. Indoor spray catches found that houses close to brick-making sites had malaria vectors, whereas those next to swamps did not. PRAs revealed that brick-making has grown rapidly in highland swamps due to a variety of socioeconomic pressures in the region. CONCLUSION: Brick-making, an important economic activity, also generates dry season habitats for malaria vectors in western Kenya. Specifically, functional brick making pits contain less that 50% as many predator taxa and greater than 50% more mosquito larvae when compared with nearby abandoned brick making pits. Further evaluations of these disturbed, man-made habitats in the wet season may provide information important for malaria surveillance and control.

Animals↗

Influence of autoclaved fungal materials on spearmint (Mentha spicata L.) growth, morphogenesis, and secondary metabolism.

The influence of autoclaved fungal materials such as culture filtrate, freeze-dried mycelium (FDM), mycelium suspension, and spore suspension (SS) on the growth, morphogenesis, and carvone production of spearmint (Mentha spicata L.) plants was studied. Fungal materials were either applied as a drench or spray on the plants. Spearmint plants (cv. "294099") drenched with SS (1 x 10(8) spores/ml) of Trichoderma reesei showed no significant differences in leaf numbers, root numbers, or shoot numbers compared with nontreated controls. However, significantly higher fresh weights and carvone levels were observed in plants drenched with T. reesei SS compared with the untreated controls. Fungal materials derived from Aspergillus sp., Fusarium graminearum, F. sporotrichoides, Penicillium sp., P. acculeatum, Rhizopus oryzae, and T. reesei were sprayed on spearmint foliage. F. graminearum, F. sporotrichoides, or R. oryzae elicited no enhanced growth, morphogenesis, or secondary metabolism responses. The best growth and morphogenesis responses were obtained employing Aspergillus sp., Penicillium sp., or T. reesei foliar sprays. For example, spearmint cv. "557807" plants sprayed with 100 mg/l FDM T. reesei isolate NRRL 11460 C30 stimulated higher fresh weights (75%), shoot numbers (39%), leaf numbers (57%), and root numbers (108%) compared with untreated plants. This effect was not dose-dependent because similar growth and morphogenesis responses were obtained by testing 10, 100, or 1000 mg/l FDM concentrations. Carvone levels in fungal-treated foliar-sprayed plants were comparable to nontreated controls. However, total carvone levels per plant were higher in fungal-treated plants because of their increased fresh weight.

Animals↗

Densitometric thin-layer chromatographic determination of aescin in a herbal medicinal product containing Aesculus and Vitis dry extracts.

A thin-layer chromatographic (TLC) method is developed to analyze the total saponin content, also referred to as the aescin content, in a herbal medicinal product (HMP) containing two dry extracts in capsules. The capsules contain 250 mg of Aesculus hippocastanum dry extract, 120 mg of Vitis vinifera dry extract and 50mg of excipients. After a purification step using C(18) solid phase extraction (SPE) cartridges, the samples are analyzed on a silica-gel HPTLC plate with the upper layer of a mixture of acetic acid/water/butanol (10/40/50 v/v/v) as the mobile phase. Spots are visualized by spraying with anisaldehyde reagent and heating the plate for 5-10 min (100-105 degrees C) and measured at a wavelength of 535 nm. This method, applicable for the quality control and stability investigation of both the Aesculus dry extract and HMP capsules thereof containing Vitis dry extract in combination with the Aesculus dry extract, is validated according to the International Conference on Harmonization (ICH) guidelines. The proposed assay method is specific for aescin in the presence of Vitis dry extract and formulation excipients. Analysis of stressed samples in forced degradation tests proves the method to be applicable for stability evaluation. The standard aescin curve is linear (r > 0.99) over a concentration range of 0.16-0.80 microg/spot. Recovery from the HMP capsules is statistically equal to 100%. The precision of the method with respect to time and concentration is acceptable, with relative standard deviation (RSD) values of 1.28 and 1.49%, respectively.

Aesculus↗

Effect of indoor residual spraying of DDT and bendiocarb on the feeding patterns of Anopheles pseudopunctipennis in Mexico.

Intense and persistent use of DDT for malaria control has increased resistance and induced exophilic behavior of Anopheles pseudopunctipennis. An evaluation of bendiocarb and DDT to control this species in Sinaloa, Mexico, showed that, in spite of DDT-resistance, both insecticides produced similar effects. Feeding patterns were analyzed to explain these results. Resting mosquitoes were collected over the dry and wet seasons. Anophelines were tested in an ELISA to determine the source of the meals. The human blood index (HBI) ranged from 3.3 to 6.8% in DDT- and from 12.7 to 26.9% in bendiocarb-sprayed houses. Irritability and repellency in DDT-sprayed houses could explain the reduced HBI. In contrast, bendiocarb produced higher mortality. These effects could have affected different components of the vectorial capacity and similarly reduced malaria.

Animals↗

Matrices for site-specific controlled-delivery of 5-fluorouracil to descending colon.

Colon-specific controlled-delivery 5-fluorouracil (5-FU) matrices for the treatment of colorectal carcinoma were prepared and evaluated. Matrices are destined to be introduced into enteric-coated capsules and thereby carried to and liberated in the ileum. There, drug release should be prevented until matrices reach descending colon where release should occur. Matrices (50 mg, diameter 0.6 mm) were prepared by compression of powders or of granules prepared by melt granulation. The ingredients comprised 30-70% w/w 5-FU, glyceryl palmitostearate as rate-controlling material and 5% w/w Aerosil as glidant. Drug release was measured by the rotating basket method. The matrix containing 60% w/w drug, prepared by compression of powders, was appropriate to make the planned system, in virtue of its fairly high drug load and its nearly constant and reasonable release rate. This matrix was spray-coated with Eudragit S100 (EUD). Subsequently, an external layer of chitosan hydrochloride (CH-HCl) was applied by a dipping-drying technique. When transit of coated matrix through ileum (phosphate buffer (PB) pH 7.4), ascending colon (PB pH 6 containing rat cecal contents) and descending colon (PB pH 7.4) was simulated in vitro, the pH 4.7 of the CH-HCl gel layer and the pH 6 of the ascending colon prevented dissolution of the protective EUD film until descending colon was reached, then controlled release started. The present small matrices can enter size no. 00 capsules. Considering that each capsule contains 10 matrices, the maximal dose is 300 mg.

Animals↗

Maxillary sinus grafting with anorganic bovine bone: a clinical report of long-term results.

PURPOSE: The aim of the present retrospective study was to evaluate the survival rate of titanium plasma spray-coated cylindric and machined screw-type implants placed in sinuses grafted with anorganic bovine bone mixed with demineralized freeze-dried bone allograft (DFDBA) or with anorganic bovine bone alone. MATERIALS AND METHODS: The patients included in this study were treated with a 1- or 2-stage technique, according to the volume of residual bone. This determined the possibility of primary stabilization and the duration of the treatment, which was 9 or 12 months, respectively. RESULTS: The overall implant survival rate was 94.5% after a mean functioning period of 6.5 +/- 1.9 years. The Implant survival rate was better in sinuses grafted with anorganic bovine bone alone than with a mixture of anorganic bovine bone with DFDBA (96.8% versus 90%). The implant survival rate was similar for cylindric and screw-type implants in sinuses grafted with anorganic bovine bone alone. DISCUSSION: Because of the good bone quality, the implant survival rate was similar for cylindric and screw-type implants in sinuses grafted with anorganic bovine bone. CONCLUSION: Anorganic bovine bone used alone appears to be a suitable material for sinus floor augmentation.

Alveolar Ridge Augmentation↗

Mosquito burden and impact on the poor: measures and costs for personal protection in some communities in Thailand.

To gauge the extent of mosquito problems and their impact on local people in Thailand, a simple questionnaire was designed consisting of 6 questions with multiple choices to be answered in 4 different communities in Thailand in 1998 and 1999. Mosquito biting activity was noted often by respondents. They reported that mosquitoes bit both night and day, and that the insects were abundant both in the dry and the rainy seasons. In all 4 communities, a large proportion of the residents used bed nets, mosquito coils, and aerosol sprays for personal protection; vaporizing mats and repellents were used sparingly. The cost of such measures amounted to dollars 4 to dollars 25 per year per household. For most of the residents, this represented a substantial proportion of their income, and was proportionally greater than the average cost of organized mosquito control in developed countries. This suggests that instituting organized local vector control programs would be cheaper and more effective than the individual use of personal protectants that do not reduce mosquito numbers. An assessment of the available products stocked in neighborhood stores and supermarkets for personal protection was made. A variety of insecticidal aerosols, mosquito coils, liquid sprays, vaporizing mats, and vaporizing liquids was stocked. This ample supply of household insecticides lends support to the preferred methods of protection reported by the respondents. The active ingredients in most of the formulations were synthetic pyrethroids, although a few contained dichlorvos, propoxur, and a few other compounds. Mosquito coils, the most preferred products used by the poor, were evaluated for efficacy, and were found to provide a reduction of 72-96% in landing-biting rates in controlled experiments.

Aerosols↗

[Microbiological contamination in the dental office and its possible decrease].

A microbiological analysis of the environment after dental work is presented in this paper. Detection of oral streptococci in the air is used as an index of the presence of salivary aerosol in consequence of the use of dental tools at high spin. This salivary aerosol may be considered a very important cause for the transmission of infectious diseases in the dental surgery. The real efficacy of a tool for the production of a dry aerosol of phenols or clorexidine with the purpose of environmental disinfection, is evaluated. Among possible parameters has been considered both the spray ability of the tool and the bactericidal activity of the aerosol at variable length from the source. Data here presented demonstrate the real utility of such an instrument for the disinfection of the dental surgery to be applied daily at the end of the work, not only in reducing environment microbial counts but also in totally eliminating salivary microorganisms.

Aerosols↗

Dry heat resistance of spores of Bacillus subtilis var. niger on Kapton and Teflon Film at high temperatures.

To determine parameters that would assure sterility of a sealed seam of film for application in "split-seam entry," spores of Bacillus subtilis var. niger were sprayed onto pieces of Kapton and Teflon film. Short-time, high-temperature (200 to 270 C) exposures were made with film pieces between aluminum blocks in a hot-air oven, and the D and z values were determined after subculture of surviving spores. The use of Kapton film allowed the study of high temperatures, since it is not heat sealable and could be used to make thin packages for heat treatment. Spores on Teflon were dry-heat treated in a package designed to simulate an actual seam to be sealed. The z values of 29.1 C (52.4 F) for spores on Kapton and 139 C (250.4 F) for spores on Teflon were calculated.

Bacillus subtilis↗

Influence of humidity and rain on uptake and metabolism of 14C-azinphos-methyl in bean plants.

In several experiments the influence of relative humidity and rain on uptake and metabolism of carbonyl-14C-azinphos-methyl was examined in bean plants under the following environmental conditions: Growth room with 35/80%, 65/85% and 95/95% (day/night) relative humidity and open field with and without rain. Increasing relative humidity had an enhancing effect on the rate of uptake and metabolism. A higher portion of water-soluble compounds was found in the bean tissue, although the azinphos-methyl itself is relatively non-polar. Low relative humidity and possible dry periods in summer will reduce the uptake and will leave the azinphos-methyl relatively persistent on the leaf surface. Rain or spray irrigation easily removed azinphos-methyl from the leaves. The rate of this removal seemed to depend on the intensity and time of rainfall after application. However, repeated wettings by rain may simultaneously stimulate uptake and metabolism of azinphos-methyl by the leaves.

Azinphosmethyl↗

Inactivation of human immunodeficiency virus type 1 by alcohols.

Alcohols are commonly used as disinfectants for skin, surfaces and immersion of some medical instruments. Measurements of the activity of alcohols against human immunodeficiency virus type 1 (HIV-1) must take account of the compatibility of neutralizers used to stop the disinfectant reaction, and of toxicity to the cell line used to detect residual virus. We have developed protocols to measure the efficacy of alcohols against HIV in suspension and dried onto surfaces in the presence of high and low protein concentrations. High titres of HIV in suspension were rapidly inactivated by 70% ethanol, independent of the protein load. When virus was dried onto a glass surface, the rate of inactivation decreased when high levels of protein were present. Due to its rapid evaporation, a spray or a wipe with alcohol cannot be guaranteed to disinfect a surface contaminated with blood or other body fluids without preliminary cleaning.

1-Propanol↗

Population dynamics of malaria vectors in western Kenya highlands.

Studies were carried out at three sites in the highlands of western Kenya (Iguhu and Mbale in Kakamega and Vihiga districts, respectively, and Marani in Kisii district) and at one site in the western Kenya lowlands (Kombewa in Kisumu district) to determine the spatial-temporal dynamics of malaria vectors and intensity of malaria transmission from June 2003 to June 2004. At the highland sites, Anopheles gambiae Giles predominated, constituting >80% of the vector species, whereas An. funestus Giles made up <20%. In contrast, at the lowland site, An. funestus made up 68% of the vector species. The mean annual indoor resting densities of An. gambiae at Iguhu were 5.0 female mosquitoes per house per night, 14.2- and 26.3-fold greater than those at Mbale and Marani. During the main transmission season, the indoor resting densities of An. gambiae increased 4.1-, 10.1-, and 5.0-fold over the dry season period in Iguhu, Mbale, and Marani, respectively. The estimated annual entomological inoculation rate (EIR) at Iguhu was 16.6 infectious bites per person per year (ib/p/yr), 1.1 at Mbale, and 0.4 at Marani. This suggests high spatial variation in vector abundance and malaria transmission intensity. At the lowland site, Kombewa, the total annual EIR was 31.1 ib/p/yr and the indoor resting densities during the transmission season increased 7.1-fold in An. funestus and 18.5-fold in An. gambiae sensu lato over the dry season. The low level of transmission in the highlands suggests that it may be disrupted by vector control methods such as residual spraying.

Animals↗

Plague in camels and its prevention in the USSR.

In 1954-56 a series of experiments was carried out in Central Asia, under the guidance of the author, in which camels were infected with plague by infesting them with Ixodes and Argas ticks which had previously fed on plague-infected laboratory animals. Subcutaneous, intradermal and intravenous injection was also used. The experiments showed that the camels varied markedly in their susceptibility to plague, which in any case was relatively low.Special investigations on plague prevention in camels are also reported. Vaccination with dried live vaccine injected in a single dose of 30 000 million organisms created a sufficiently high degree of immunity in adult animals. Spraying of the camels' coats with insecticide is also recommended.

Animals↗

The effect of post milking teat dip and suckling on teat skin condition, bacterial colonisation, and udder health.

The teat skin of cows was scored (1: smooth as silk; 2: smooth; 3: slightly rough; 4: rough; 5: cracked; and 6: scores) by trained technicians who moved their fingers down the barrel of the teat with a light touch. Technicians ranked the same population of teats in the same rank order, but their mean values differed by half a score which probably could be related to the skin condition of their own fingers. Half udder experiments were carried out for 6 months at 4 farms with 35 to 52 cows each. A postmilking teat spray with 10% glycerol improved teat skin condition (p < 0.10) compared with no teat spray. A postmilking teat spray with 120 ppm chlorine dioxide did not influence teat skin condition compared with no teat spray. No differences in udder health could be proven between treatments. Control studies revealed that 10% glycerol as an emollient of a postmilking teat spray improved teat skin condition within 3 weeks from being slightly rough to being smooth for lactating cows (p < 0.05) but not for dry cows having smooth teat skin. Neither glycerol nor chlorine dioxide influenced absolute number of bacteria on teat skin after a challenge with Streptococcus uberis and Staphylococcus aureus but half life of S. aureus on unsprayed teats was longest (p = 0.05). Suckling made teat skin more rough than machine milking. Nevertheless, suckling lowered the number of esculin positive bacteria on the teat skin. We concluded that the condition of healthy teat skin (scores 1-4) has no influence on bacterial colonisation in the absence of cracks and sores (scores 5-6).

Animals↗

Salmonella ealing infections associated with consumption of infant dried milk.

In an outbreak of Salmonella ealing infections in November and December, 1985, the proportion of infants infected was in excess of the normal distribution pattern and the cases were geographically widespread. All the infected infants had been fed with a dried-milk product from one manufacturer. Despite intensive efforts to isolate S ealing from packets of the product, it was found only in low numbers in 4 of 267 sealed packets. The source of infection was traced to the factory spray-drier, which had a hole in its inner lining, allowing escape of powder and its return from contaminated insulation material. The plant was closed and the equipment scrapped and later replaced. It is recommended that raw milk and whey, which frequently contain salmonellae, should not be allowed onto the site of milk-drying plants.

Adult↗

Long-term use and tapered dose reduction of intranasal desmopressin in the treatment of enuretic children.

OBJECTIVE: To determine the time taken to achieve complete dryness, the management of desmopressin dosage to reduce the relapse rate, the mean dosage in those responding and any side effects of long-term treatment. PATIENTS AND METHODS: Enuretic children (155, 68% boys and 32% girls, mean age 8 years, range 5-19) were treated with desmopressin and assessed. Treatment (intranasal spray) was started with 20 microg desmopressin and titrated to 40 microg (maximum 50 microg) after 2 days if the child did not become dry within 48 h. The maximum dosage was maintained for at least 4-6 weeks. After 4 weeks of complete dryness, the dosage was reduced by 10 microg initially, and after each additional 4 dry weeks, by a further 10 microg; medication was stopped only after 4 dry weeks at 10 microg. RESULTS: Of the children, 85% responded to intranasal desmopressin therapy; 71% achieved complete dryness with no relapses, remaining dry with no further treatment, 7% achieved dryness after relapses during or after therapy, 7% improved (no more than two wet nights per week) and 15% did not respond to therapy or improved only slightly (> 2 wet nights per week). The mean duration of therapy was 28 weeks, the mean dose of desmopressin was 30 microg and the median follow-up 18 months. There were no significant side-effects. CONCLUSION: This study indicates that rapid titration until dryness within 1-3 days, a long maintenance therapy of at least 4-6 weeks and a slow stepwise reduction of dose decreases the frequency of relapse and improves the outcome.

Administration, Inhalation↗

Guided bone regeneration around titanium plasma-sprayed, acid-etched, and hydroxyapatite-coated implants in the canine model.

BACKGROUND: Endosseous dental implants with rough surfaces have been designed to improve early healing, especially in areas of poor bone or insufficient bone quantity. The aim of this study was to histomorphometrically assess the bone-to-implant contact on 3 different rough-surfaced implants following guided bone regeneration. METHODS: Mandibular premolars and first molars were extracted in 12 dogs, and healing was allowed for 6 months. Six implant osteotomy sites were prepared, 3 per side, followed by the creation of 7.3 mm wide by 5 mm deep surgical defects in the coronal section of the osteotomy sites. Ten-mm long titanium screw-type implants with titanium plasma-sprayed (TPS), hydroxyapatite-coated (HA), or acid-etched (AE) surfaces were placed; the surrounding defects were filled with canine demineralized freeze-dried bone allograft; implants/grafts were covered with expanded polytetrafluoroethylene membranes; and the tissue was closed. Following a healing period of 4 months, the animals were sacrificed and mandibular blocks were harvested for histomorphometric analysis. RESULTS: The mean percentage of bone-to-implant contact in the defect and non-defect areas for the different implant surfaces was: AE 16.24% defect, and 28.78% non-defect; TPS 25.08% defect, and 16.96% non-defect; and HA 48.25% defect and 26.60% non-defect. Within the defect, the mean difference in the bone-to-implant contact was significant for HA compared to TPS (P < 0.0001) and HA versus AE (P < 0.0001); TPS versus AE was not significant (P = 0.063). In the non-defect areas, the mean difference in the bone-to-implant contact was significant for AE versus TPS (P = 0.010); all other comparisons were not significant. There were 18 membrane exposures in the 72 implant sites. Data were analyzed again to assess the impact of membrane complications. Using a 1-way analysis of variance, the bone-to-implant contact was compared between the sites with and without membrane complications. No significant differences were seen in the defect areas or in the non-defect areas between the sites with and without membrane complications. CONCLUSION: In this study, the bone-to-implant contact in regenerated bone was greatest when an HA-coated implant was used.

Acid Etching, Dental↗

Immunocytochemistry in cytology. Comparative evaluation of different techniques.

Immunocytochemistry represents an important tool in diagnostic cytology. Its application, however, is of restricted value due to methodologic difficulties, leading in some cases to false-positive or false-negative results. This study examined the influence of different fixatives and modes of storage of cytologic cell preparations on immunoreactivity using immunoenzymatic techniques. Monoclonal and polyclonal antibodies were used on imprint preparations of breast lesions and tonsils and on bronchoalveolar lavages. A short fixation of the cytologic material with 0.05% glutaraldehyde or a commercially available spray fixative (Merckofix) enabled the immunolocalization of a considerable number of antigens. Optimal demonstration of some antigens, however, required the use of individual fixatives. Drying of cell preparations should be avoided at any step of the procedure to prevent false-positive or false-negative results. Smears stored in methanol or sucrose-MgCl2-glycerol solutions retained their immunoreactivity for several months. The results of this study are compared with those of previous reports, and the reasons for, and means of avoiding, frequent pitfalls in immunocytochemistry are discussed.

Cytological Techniques↗