title: Selective induction of interleukin-6 in mouse microglia by granulocyte-macrophage colony-stimulating factor

text: Astrocytes produce granulocyte/macrophage colony-stimulating factor (GM-CSF) and support the survival and proliferation of microglia. To study the functions of GM-CSF in the central nervous system (CNS), we examined the effects of GM-CSF on cytokine production by glial cells. GM-CSF induced interleukin-6 (IL-6) production by microglia, but not by astrocytes, in a dose-dependent manner as assessed by bioassay and the detection of IL-6 mRNA by reverse transcriptase-polymerase chain reaction (RT-PCR) analysis. GM-CSF did not induce tumor necrosis factor (TNF)a or IL-1 in microglia and astrocytes, whereas lipopolysaccharide induced all these cytokines. The induction of IL-6 by GM-CSF in microglia was completely inhibited by antibodies to GM-CSF. Neither IL-3 nor macrophage-CSF (M-CSF) induced IL-6 production in microglia. Given that IL-1 and TNFα, monokines derived from microglia, induce IL-6 production in astrocytes, but not in microglia, results indicate that astrocytes and microglia may mutually regulate IL-6 production by different cytokines.


Getting Buzzed on Innovative Leadership


Le syndrome Respiratoire Aigu Sévère (SRAS). Première épidémie du XXI(e) siècle


title: Regulation of astrocyte proliferation by prostaglandin E(2) and the α subtype of protein kinase C

text: We found that astrocytes expressed the α subtype of protein kinase C. Treatment with12-O-tetradecanoylphorbol 13-acetate (TPA) caused cultured astrocytes to proliferate. This effect of TPA was blocked by staurosporine, a potent protein kinase C inhibitor, suggesting the involvement of protein kinase C in astrocyte proliferation. Indomethacin, an inhibitor of prostaglandin formation, enhanced both the normal and TPA-induced proliferation of astrocytes. Authentic prostaglandin E(2) blocked this effect of indomethacin and also partially blocked the effect of TPA, suggesting that the intracellular mechanisms involved in prostaglandin E(2)-regulated astrocyte growth might differ from those acting in protein kinase-dependent growth. The effect of prostaglandin E(2) was blocked by a specific anti-prostaglandin E(2) polyclonal antibody. Cultured astrocytes and microglia produced and released prostaglandin E(2) in response to stimulants such as lipopolysaccharide, TPA, and lymphokines. Since the sensitivity of astrocytes and microglia to these stimuli was different, prostaglandin E(2) may differentially regulate astrocyte proliferation under different physiological conditions, acting in an autocrine fashion for astrocytes and in a paracrine fashion for microglia.


title: Nucleic acid sequence-based amplification methods to detect avian influenza virus

text: Infection of poultry with highly pathogenic avian influenza virus (AIV) can be devastating in terms of flock morbidity and mortality, economic loss, and social disruption. The causative agent is confined to certain isolates of influenza A virus subtypes H5 and H7. Due to the potential of direct transfer of avian influenza to humans, continued research into rapid diagnostic tests for influenza is therefore necessary. A nucleic acid sequence-based amplification (NASBA) method was developed to detect a portion of the haemagglutinin gene of avian influenza A virus subtypes H5 and H7 irrespective of lineage. A further NASBA assay, based on the matrix gene, was able to detect examples of all known subtypes (H1–H15) of avian influenza virus. The entire nucleic acid isolation, amplification, and detection procedure was completed within 6 h. The dynamic range of the three AIV assays was five to seven orders of magnitude. The assays were sensitive and highly specific, with no cross-reactivity to phylogenetically or clinically relevant viruses. The results of the three AIV NASBA assays correlated with those obtained by viral culture in embryonated fowl’s eggs.


title: The relationship between axonal transport of protein and demyelination in the optic nerves of mice infected with Semliki Forest Virus

text: Fast and slow axonal transport of protein have been studied in the optic nerves of mice infected with Semliki Forest Virus (SFV) that causes patchy demyelination throughout the CNS. Intravitreal injections of [(3)H]proline were given at regular intervals after virus inoculation, the labelled protein in the superior colliculi was then measured after survival periods of 18 h or 10 days, for fast and slow axonal transport studies, respectively. Fast transport studies showed an enhanced amount of protein arriving at the optic nerve terminals (superior colliculus) of the SFV-infected mice prior to the onset of demyelination. In contrast, the slow transport studies showed an enhanced amount of protein at the superior colliculus of the SFV-infected mice during the demyelination period. There was no concomitant increase in labelled protein in the retina at any time after the SFV infection. It is proposed that alteration in the transport of the protein constituents other than major myelin specific components may cause disruption of myelin maintenance in SFV infection.


title: Polarity of processes with Golgi apparatus in a subpopulation of type I astrocytes

text: The Golgi apparatus-complex (GA), is a key organelle involved in several posttranslational modifications of polypeptides destined for lysosomes, plasma membranes and secretion. As reported from this laboratory, certain astrocytes in rat brain contain cisternae of the GA not only in perikarya, but also in processes. In order to further investigate which type of astrocytes contain GA in processes we conducted the present study using primary cultures of rat astrocytes and organelle specific antibodies against the GA and the rough endoplasmic reticulum (RER). While the perikarya of all cells contained elements of the GA, only a single process of a subset of type I astrocytes, negative to antibodies A2B5 and HNK-1, contained GA. In contrast, elements of the RER were found within perikarya and all processes. In order to confirm that the immunostained structures in processes indeed represent the GA, we exposed cultures to Brefeldin A (BFA), a secretion blocker which disperses the GA and redistributes it to the RER. We observed that BFA disrupted the GA of both perikarya and processes. However, astrocytes were resistant to prolonged incubations with BFA, while a similar treatment killed cultured fibroblasts and PC-12 cells. Furthermore, in astrocytes exposed to BFA for several days, the delicate network of glial fibrillary acidic protein (GFAP), was replaced by large perinuclear masses of the protein. These observations demonstrate that a subset of type I astrocytes have a single process with elements of the GA. We suggest that this specialization of the GA may be related to yet unrecognized secretory or protein processing functions of these cells. The resistance of astrocytes to BFA and the striking changes in their cytoskeleton induced by the drug, may contribute to studies on the mechanism(s) of action of BFA.


National Preparedness Month: opportunities for nurse engagement


Documento de consenso sobre "tratamiento antimicrobiano de la faringoamigdalitis"


docid: uhrijlyz

title: Paraneoplastic limbic encephalitis: Neuropsychiatric presentation

text: Limbic encephalitis as a distinct clinicopathological entity is becoming increasingly familiar to neurologists. However, despite its classical clinical presentation of mental status changes and behavioral abnormalities, the disorder is not well known in the psychiatric literature and premortem diagnosis is rare. We recently participated in the care of a patient who spent two months on a psychiatric service and in whom a medical disorder was consistently suspected but not confirmed until autopsy revealed paraneoplasic limbic encephalitis and two primary systemic malignancies. A detailed neuropsychiatric description of this clinical entity is provided from presentation to autopsy with review of the literature.


Recommended Practices for Cleaning, Handling, and Processing Anesthesia Equipment


title: Mucin gene expression in rat airways following infection and irritation

text: Airway mucus hypersecretion occurs in response to infection and irritation and poses an important and poorly understood clinical problem. In order to gain insight into its pathogenesis, we have focused on an mRNA encoding the major mucus glycoprotein, mucin. Northern blots showed that mucin mRNA was abundant in the intestine of specific pathogen free rats whereas it was undetectable in the airways of these rats until pathogen-free conditions were suspended and rats acquired Sendai (Parainfluenza I) virus infections. Airway mucin hybridization signals in rats that were both infected with Sendai virus and exposed to SO(2)were more intense than those in rats with infection alone. These results suggest that pathogen-and irritant-induced hypersecretion may be partly controlled at the level of mucin mRNA.


Abstracts of Papers Submitted to the American Gastroenterological Association


Index of biochemical reviews 1985


General Assembly, Prevention, Operating Room - Personnel: Proceedings of International Consensus on Orthopedic Infections


title: The Pathologies of Bovine Viral Diarrhea Virus Infection: A Window on the Pathogenesis

text: Pathologic lesions caused by bovine viral diarrhea virus (BVDV) infections comprise a wide spectrum of type, degree, and, by implication, pathogenesis, including congenital defects, necrotic-erosive lesions in mucosal epithelia and skin, and reactive as well as degenerative changes in lymphoid tissues. At least some of the pathology may not be solely due to BVDV replication per se, but rather caused by a host response to the virus, particularly the production of pro-inflammatory cytokines.


title: Numerical investigation of indoor particulate contaminant transport using the Eulerian-Eulerian and Eulerian-Lagrangian two-phase flow models

text: Transport of micron particles in a displacement ventilated room was simulated using both the Eulerian-Eulerian model and the Eulerian-Lagrangian model. The same inter-phase action mechanisms were included in both models. The models were compared against each other in the aspects of air velocity, particle concentration, and particle-wall interactions. It was found that the two models have similar accuracy in predicting the airflow field while each of them has its own advantage and drawback in modelling particle concentration and particle-wall interactions. The E-E model is capable of providing a mechanistic description of the inter-phase interactions, whilst the E-L model has obvious advantage in modelling particle-wall interactions. Advices were given for choosing an appropriate model for modelling particulate contaminant transport in indoor environments.


A proposal: That the heterogeneity of glycoprotein N-glycans is a feature of their biosynthesis and may be of functional significance


P7-20 Pathologies et risques infectieux


title: Natural products: Designing Russian medications

text: The study of natural products (low-molecular bioregulators) is an important research area that lies on the boundary of biology and chemistry. It involves searching, isolating, and identifying the structure and studying the biological functions of such substances, as well as investigating their chemical conversions, especially those that lead to highly active products. These research efforts play an important part in deepening biological and chemical knowledge and build the scientific groundwork for designing new drugs and biologically active food additives. Some results of the study of natural compounds were discussed in a paper read at a session of the RAS Presidium and are published below.


title: Network position and health care worker infections

text: We use a newly collected data set coupled with an agent-based model to study the spread of infectious disease in hospitals. We estimate the average and marginal infections created by various worker groups in a hospital as a function of their network position in order to identify groups most crucial in a hospital-based epidemic. Surprisingly, we find that many groups with primary patient care responsibilities play a small role in spreading an infectious disease within our hospital data set. We also demonstrate that the effect of different network positions can be as important as the effect of different transmission rates for some categories of workers.


Management of Acute Mechanical Mitral Valve Thrombosis With Venoarterial Extracorporeal Membrane Oxygenation (ECMO)


title: MEDICAL MANAGEMENT OF HIV DISEASE IN CHILDREN

text: Pediatric HIV infection in the United States has evolved from a rapidly progressive, fatal disease in the early years of the epidemic to a chronic infection with prolonged survival. Many children with perinatally acquired infection survive to 8 years of age and older. The development of highly active antiretroviral therapy (HAART), measurement of viral load, and availability of prophylactic medications to prevent certain opportunistic infections have dramatically altered the management of HIV infection. A total of 14 antiretroviral agents have been approved by the US Food and Drug Administration, 10 of which have been approved for use in pediatrics. Several new drugs are in various stages of development. This article discusses special issues in the medical management of children with HIV infection, including routine care, immunization, and treatment of some of the more common organ-specific manifestations, disclosure of the HIV diagnosis, pain management, palliative care, and the management of infants born to HIV-seropositive women.


title: Inferring Contagion Patterns in Social Contact Networks with Limited Infection Data

text: The spread of infectious disease is an inherently stochastic process. As such, real time control and prediction methods present a significant challenge. For diseases which spread through direct human interaction, (e.g., transferred from infected to susceptible individuals) the contagion process can be modeled on a social-contact network where individuals are represented as nodes, and contacts between individuals are represented as links. The model presented in this paper seeks to identify the infection pattern which depicts the current state of an ongoing outbreak. This is accomplished by inferring the most likely paths of infection through a contact network under the assumption of partially available infection data. The problem is formulated as a bi-linear integer program, and heuristic solution methods are developed based on sub-problems which can be solved much more efficiently. The heuristic performance is presented for a range of randomly generated networks and different levels of information. The model results, which include the most likely set of infection spreading contacts, can be used to provide insight into future epidemic outbreak patterns, and aid in the development of intervention strategies.


title: Management in Ausnahmesituationen: Taktisches Vorgehen in biologischen Gefahrenlagen

text: Im öffentlichen Gesundheitsdienst und vor allem in Krankenhausenrichtungen gewinnen biologische Gefahrenlagen zunehmend an Bedeutung. Das beim Auftreten des Verdachts einer hochkontagiösen, lebensbedrohlichen Erkrankung notwendige taktische Vorgehen hängt weniger von der pflegerischen bzw. medizinischen Qualifikation des Personals ab, als mehr vom Wissen wie bei speziellen Bedrohungen der Übergang von Routineabläufen in spezielle Notfallverfahren erfolgen soll. Um in Ausnahmesituationen handlungsfähig zu bleiben, sollten Gesundheitseinrichtungen, so wie alle Organisationen, die mit höchster Zuverlässigkeit arbeiten müssen, ein Notfallführungssystem etablieren, das Verantwortlichkeiten zuweist, Checklisten bereithält, Kommunikationswege festlegt und den Verantwortlichen alle notwendigen Unterlagen zur Verfügung stellt, um die Ausnahmesituation in den Griff zu bekommen.


title: Crystal structure of the serine protease domain of Sesbania mosaic virus polyprotein and mutational analysis of residues forming the S1-binding pocket

text: Sesbania mosaic virus (SeMV) polyprotein is processed by its N-terminal serine protease domain. The crystal structure of the protease domain was determined to a resolution of 2.4 Å using multiple isomorphous replacement and anomalous scattering. The SeMV protease domain exhibited the characteristic trypsin fold and was found to be closer to cellular serine proteases than to other viral proteases. The residues of the S1-binding pocket, H298, T279 and N308 were mutated to alanine in the ΔN70-Protease–VPg polyprotein, and the cis-cleavage activity was examined. The H298A and T279A mutants were inactive, while the N308A mutant was partially active, suggesting that the interactions of H298 and T279 with P1-glutamate are crucial for the E–T/S cleavage. A region of exposed aromatic amino acids, probably essential for interaction with VPg, was identified on the protease domain, and this interaction could play a major role in modulating the function of the protease.


title: Durch Zecken übertragbare Erkrankungen: Von der Lyme-Borreliose über das Q-Fieber bis zur FSME

text: Zecken sind Überträger einer Vielzahl humanpathogener Krankheitserreger mit einer großen Bandbreite klinischer Symptome. Das Verbreitungsgebiet der einzelnen Erreger ist vom Vorkommen der Vektoren und Wirte abhängig. Aufgrund verschiedener Faktoren ist es in den letzten Jahren zum Teil zu einer Ausdehnung der Endemiegebiete gekommen. Am weitesten verbreitet sind Zecken-übertragene Rickettsiosen, welche v.a. in der Reisemedizin eine Rolle spielen. Die häufigsten Zecken-übertragbaren Erkrankungen in Deutschland und Europa sind Lyme-Borreliose und Frühsommer-Meningoenzephalitis (FSME). Meist verlaufen die Infektionen mild oder sind — im Falle bakterieller Infektionen — gut behandelbar. Die wichtigsten präventiven Maßnahmen bei Aufenthalten in einem Risikogebiet sind der Schutz vor Zeckenstichen und im Falle der FSME die sehr gut wirksame Impfung.


title: Host Single-Nucleotide Polymorphisms and Altered Responses to Inactivated Influenza Vaccine

text: We analyzed the relationship between host gene polymorphisms and responses in recipients of inactivated influenza vaccine, who were classified into poor, normal, or adverse response groups. The frequency of the mannose-binding lectin-2 codon 54 allele was significantly different among the 3 types of responders, with a decreased odds ratio for the development of poor or adverse responses (P = .033). There was no statistical relationship between responses and either tumor necrosis factor-α or interleukin (IL)-10 promoter polymorphisms among the 3 response groups. When poor and normal responses were combined, the -1082 A allele in the IL-10 promoter conferred a significantly decreased risk of the development of adverse responses (P = .041). These data indicate that host polymorphisms play a role in determining responses to influenza vaccine.


Het nieuwe aviaire influenzavirus H7N9: een update


docid: nvgbfnzt

title: Detection of Human Bocavirus in Children Hospitalized because of Acute Gastroenteritis

text: The idea that human bocavirus (hBoV) infection possibly plays a role in gastroenteritis has been suggested because of the frequent manifestation of gastrointestinal symptoms. The purpose of this study was to investigate the prevalence of hBoV in children with gastroenteritis. We studied the etiologic agents in 962 children hospitalized with gastroenteritis. Viral etiologic agents were detected by enzyme-linked immunosorbent assay or reverse-transcriptase polymerase chain reaction. A viral agent was found in 44.4% of the study population: rotavirus, norovirus, adenovirus, and astrovirus were detected in 25.7%, 13.7%, 3.0%, and 1.1% of the study population, respectively; hBoV was detected in 0.8%, which suggests that it might play a minor role in gastroenteritis.


title: Nieuws van het reanimatiefront

text: Vragen:


title: Nieuwe influenza A (H1N1) - Mexicaanse griep

text: Het viel te verwacht dat het nieuwe influenzavirus bij veel tandartsen en mondhygiënisten vragen oproept in verband met de kans op besmetting in de praktijk. Enkele van deze vragen waren:


title: Supplementing the feeds of layer pullets, at different ages with two different fiber sources improves immune function

text: Two experiments were conducted to study the effects of lignocellulose supplementation on immune function in layer pullets at different stages of growth. Four-wk-old pullets (Experiment 1) were fed a control, diet (Diet C); Diet C plus 1% mixed soluble/insoluble fiber (Diet MF), or plus 1% insoluble fiber (Diet IF). At 7.5 wk-of-age, heterophil phagocytosis, and oxidative burst in Groups MF (328.5 beads/100 cells; 4,330.0 ΔRFU; relative fluorescent units) and IF (350.3; 5,264.4) were greater (P < 0.05) than Controls (303.4; 3,509.0). At 8 wk-of-age, Group MF and IF relative weights of bursa of Fabricius (0.57 g/100 g BW; 0.58 g /100 g BW), thymus glands (0.77; 0.78), and areas of Peyer's patches (PP) (2.7 cm(2); 2.9 cm(2)) were higher (P < 0.05) than Controls (bursa, 0.50 g; thymus, 0.70 g; PP area, 1.8 cm(2)). In Experiment 2, 10-wk-old pullets were fed a control diet or diets containing 1.5% MF or IF for 8 wk. At 14 wk-of-age IF pullets had higher (P < 0.05) heterophil phagocytosis efficiency (447.9 beads/100 cells) than Controls (376.4) and MF and IF had greater (P < 0.05) oxidative burst (1,302.9 and 1,857.7 ΔRFU) than Controls (744.1). At 17 wk-of-age MF and IF had increased (P < 0.05) proliferation of T-lymphocytes (ConcanavalinA-stimulated) (100.4 and 103.1% of unstimulated cells) and B-lymphocytes (lipopolysaccharide-stimulated) (122.4 and 129.0) than Controls (ConA, 79.4; lipopolysaccharide, 106.6). At 18 wk-of-age, IF pullets were heavier (1,607.5 g, P < 0.05) than Controls (1,506.5 g), had heavier (P < 0.05) bursa of Fabricius (1.12 g) than MF and Control groups (0.98 g; 0.92 g) and cecal tonsils of MF (0.38 g) and IF (0.39 g) weighted more (P < 0.05) than Controls (0.33 g). Number of jejunal and ileal PP (10.0) in IF pullets was higher (P < 0.05) than Controls (7.1). These results indicate that both MF and IF can improve development of the immune system of young and grower pullets during periods of maturation and involution of lymphoid organs.


Pathogen Surveillance Through Monitoring of Sewer Systems


title: Nucleic Acid Immunity

text: Organisms throughout biology need to maintain the integrity of their genome. From bacteria to vertebrates, life has established sophisticated mechanisms to detect and eliminate foreign genetic material or to restrict its function and replication. Tremendous progress has been made in the understanding of these mechanisms which keep foreign or unwanted nucleic acids from viruses or phages in check. Mechanisms reach from restriction-modification systems and CRISPR/Cas in bacteria and archaea to RNA interference and immune sensing of nucleic acids, altogether integral parts of a system which is now appreciated as nucleic acid immunity. With inherited receptors and acquired sequence information, nucleic acid immunity comprises innate and adaptive components. Effector functions include diverse nuclease systems, intrinsic activities to directly restrict the function of foreign nucleic acids (e.g., PKR, ADAR1, IFIT1), and extrinsic pathways to alert the immune system and to elicit cytotoxic immune responses. These effects act in concert to restrict viral replication and to eliminate virus-infected cells. The principles of nucleic acid immunity are highly relevant for human disease. Besides its essential contribution to antiviral defense and restriction of endogenous retroelements, dysregulation of nucleic acid immunity can also lead to erroneous detection and response to self nucleic acids then causing sterile inflammation and autoimmunity. Even mechanisms of nucleic acid immunity which are not established in vertebrates are relevant for human disease when they are present in pathogens such as bacteria, parasites, or helminths or in pathogen-transmitting organisms such as insects. This review aims to provide an overview of the diverse mechanisms of nucleic acid immunity which mostly have been looked at separately in the past and to integrate them under the framework nucleic acid immunity as a basic principle of life, the understanding of which has great potential to advance medicine.


title: Vaccination with single plasmid DNA encoding IL-12 and antigens of severe fever with thrombocytopenia syndrome virus elicits complete protection in IFNAR knockout mice

text: Severe fever with thrombocytopenia syndrome (SFTS) is an emerging tick-borne disease caused by SFTS virus (SFTSV) infection. Despite a gradual increase of SFTS cases and high mortality in endemic regions, no specific viral therapy nor vaccine is available. Here, we developed a single recombinant plasmid DNA encoding SFTSV genes, Gn and Gc together with NP-NS fusion antigen, as a vaccine candidate. The viral antigens were fused with Fms-like tyrosine kinase-3 ligand (Flt3L) and IL-12 gene was incorporated into the plasmid to enhance cell-mediated immunity. Vaccination with the DNA provides complete protection of IFNAR KO mice upon lethal SFTSV challenge, whereas immunization with a plasmid without IL-12 gene resulted in partial protection. Since we failed to detect antibodies against surface glycoproteins, Gn and Gc, in the immunized mice, antigen-specific cellular immunity, as confirmed by enhanced antigen-specific T cell responses, might play major role in protection. Finally, we evaluated the degree of protective immunity provided by protein immunization of the individual glycoprotein, Gn or Gc. Although both protein antigens induced a significant level of neutralizing activity against SFTSV, Gn vaccination resulted in relatively higher neutralizing activity and better protection than Gc vaccination. However, both antigens failed to provide complete protection. Given that DNA vaccines have failed to induce sufficient immunogenicity in human trials when compared to protein vaccines, optimal combinations of DNA and protein elements, proper selection of target antigens, and incorporation of efficient adjuvant, need to be further investigated for SFTSV vaccine development.


An 83-year-old woman with suspected SARS: Implications for emergency nursing()()


title: The common cold: Current therapy and natural history()()()

text: Despite its prevalence, the common cold is complicated and can be difficult to treat, even symptomatically. There is still no cure for the myriad of viruses that cause the common cold. Many of the most popular remedies are either ineffective or counterproductive. This paper reviews the causes and course of upper respiratory infections, and discusses treatment options, including a new anticholinergic aqueous formulation for controlling rhinorrhea. (J ALLERGY CLIN IMMUNOL 1995;95:1133-8.)


docid: mgghfwai

title: Recognizing And Responding to a New Era of Infectious and Communicable Diseases


Trending Now: Re-Emerging Infectious Disease Update


title: Chapter 3 Virus Versus Host Cell Translation: Love and Hate Stories

text: Regulation of protein synthesis by viruses occurs at all levels of translation. Even prior to protein synthesis itself, the accessibility of the various open reading frames contained in the viral genome is precisely controlled. Eukaryotic viruses resort to a vast array of strategies to divert the translation machinery in their favor, in particular, at initiation of translation. These strategies are not only designed to circumvent strategies common to cell protein synthesis in eukaryotes, but as revealed more recently, they also aim at modifying or damaging cell factors, the virus having the capacity to multiply in the absence of these factors. In addition to unraveling mechanisms that may constitute new targets in view of controlling virus diseases, viruses constitute incomparably useful tools to gain in-depth knowledge on a multitude of cell pathways.


title: Loeffler 4.0: Diagnostic Metagenomics

text: A new world of possibilities for “virus discovery” was opened up with high-throughput sequencing becoming available in the last decade. While scientifically metagenomic analysis was established before the start of the era of high-throughput sequencing, the availability of the first second-generation sequencers was the kick-off for diagnosticians to use sequencing for the detection of novel pathogens. Today, diagnostic metagenomics is becoming the standard procedure for the detection and genetic characterization of new viruses or novel virus variants. Here, we provide an overview about technical considerations of high-throughput sequencing-based diagnostic metagenomics together with selected examples of “virus discovery” for animal diseases or zoonoses and metagenomics for food safety or basic veterinary research.


title: Baculovirus Vectors for Gene Therapy

text: Since the discovery that baculoviruses can efficiently transduce mammalian cells, baculoviruses have been extensively studied as potential vectors for both in vitro and in vivo gene therapy. This chapter reviews the history of this research area, cells permissive to baculovirus transduction, factors influencing transduction and transgene expression, efforts to improve transduction, mechanisms of virus entry and intracellular trafficking, applications for in vivo and ex vivo gene therapy, as well as advantages, limitations, and safety issues concerning use of baculoviruses as gene therapy vectors. Recent progress and efforts directed toward overcoming existing bottlenecks are emphasized.


title: AFEBRILE PNEUMONIA IN INFANTS

text: The syndrome of afebrile pneumonitis in infants is a relatively common disease that has gone by myriad names in the medical literature. Appellations for this clinical syndrome have included atypical pneumonia, infantile pneumonitis, interstitial pneumonia, viral pneumonia, or nonbacterial pneumonia.(5) Despite this confusion of names, most clinicians are familiar with the clinical picture of a patient with a pneumonia that is not a typical lobar or lobular process as seen with pyogenic bacteria such a Streptococcus pneumoniae. 1.. Acute or subacute onset; 2.. Lack of fever or low-grade fever (< 102°F); 3.. Clinical signs suggestive of a pulmonary process such as cough, tachypnea, or mild to moderate respiratory distress; 4.. Infiltrates on chest radiographs such as perihilar or interstitial infiltrates; 5.. Lack of evidence of on acute pyogenic bacterial process such as a normal or only mildly elevated white blood cell count and no response to -lactam antibiotics such as amoxicillin or cephalosporins.(24.) This definition is intended to apply to the majority of children, but clearly there are exceptions. For instance, some infants with an atypical pneumonia present with fever. Terms that imply a etiologic agent such as nonbacterial pneumonia should be avoided because bacterial agents are actually common causes of afebrile pneumonia, as is discussed. This article focuses mainly on afebrile pneumonia in infants, in particular, those younger than 6 months of age. Comparison are made to pneumonia in older children. Etiologic agents are discussed as well as the clinical presentations, diagnosis, and treatment of afebrile pneumonia in infancy.


title: “Breathing” Hemagglutinin Reveals Cryptic Epitopes for Universal Influenza Vaccine Design

text: A universal vaccine against influenza remains a critical target, and efforts have recently focused on the stem of the hemagglutinin glycoprotein. In this issue of Cell and a related Cell Host & Microbe article, three studies identify broad protective epitopes in the hemagglutinin head domain that are exposed by trimer “breathing.”


SARS: aftermath of an outbreak


title: Inactivation of [Formula: see text] viruses exposed to acidic ozone water

text: The inactivation of [Formula: see text] viruses upon exposure to acidic ozone water was investigated using chicken allantoic fluids of different dilutions, [Formula: see text] values, and initial ozone concentrations. The inactivation effect of the acidic ozone water was found to be stronger than the inactivation effect of the ozone water combined with the degree of acidity, indicating a synergic effect of acidity on ozone decay in water. It is also shown that acidic ozone water with a [Formula: see text] value of 4 or less is very effective means of virus inactivation if provided in conjunction with an ozone concentration of 20 mg/l or higher.


title: The impact of vaccine success and awareness on epidemic dynamics

text: The role of vaccine success is introduced into an epidemic spreading model consisting of three states: susceptible, infectious, and vaccinated. Moreover, the effect of three types, namely, contact, local, and global, of infection awareness and immunization awareness is also taken into consideration. The model generalizes those considered in Pastor-Satorras and Vespignani [Phys. Rev. E 63, 066117 (2001)], Pastor-Satorras and Vespignani [Phys. Rev. E 65, 036104 (2002)], Moreno et al. [Eur. Phys. J. B 26, 521–529 (2002)], Wu et al. [Chaos 22, 013101 (2012)], and Wu et al. [Chaos 24, 023108 (2014)]. Our main results contain the following. First, the epidemic threshold is explicitly obtained. In particular, we show that, for any initial conditions, the epidemic eventually dies out regardless of what other factors are whenever some type of immunization awareness is considered, and vaccination has a perfect success. Moreover, the threshold is independent of the global type of awareness. Second, we compare the effect of contact and local types of awareness on the epidemic thresholds between heterogeneous networks and homogeneous networks. Specifically, we find that the epidemic threshold for the homogeneous network can be lower than that of the heterogeneous network in an intermediate regime for intensity of contact infection awareness while it is higher otherwise. In summary, our results highlight the important and crucial roles of both vaccine success and contact infection awareness on epidemic dynamics.


title: Variability of contact process in complex networks

text: We study numerically how the structures of distinct networks influence the epidemic dynamics in contact process. We first find that the variability difference between homogeneous and heterogeneous networks is very narrow, although the heterogeneous structures can induce the lighter prevalence. Contrary to non-community networks, strong community structures can cause the secondary outbreak of prevalence and two peaks of variability appeared. Especially in the local community, the extraordinarily large variability in early stage of the outbreak makes the prediction of epidemic spreading hard. Importantly, the bridgeness plays a significant role in the predictability, meaning the further distance of the initial seed to the bridgeness, the less accurate the predictability is. Also, we investigate the effect of different disease reaction mechanisms on variability, and find that the different reaction mechanisms will result in the distinct variabilities at the end of epidemic spreading.


title: The impact of awareness on epidemic spreading in networks

text: We explore the impact of awareness on epidemic spreading through a population represented by a scale-free network. Using a network mean-field approach, a mathematical model for epidemic spreading with awareness reactions is proposed and analyzed. We focus on the role of three forms of awareness including local, global, and contact awareness. By theoretical analysis and simulation, we show that the global awareness cannot decrease the likelihood of an epidemic outbreak while both the local awareness and the contact awareness can. Also, the influence degree of the local awareness on disease dynamics is closely related with the contact awareness.


title: Epidemic variability in hierarchical geographical networks with human activity patterns

text: Recently, some studies have revealed that non-Poissonian statistics of human behaviors stem from the hierarchical geographical network structure. On this view, we focus on epidemic spreading in the hierarchical geographical networks and study how two distinct contact patterns (i.e., homogeneous time delay (HOTD) and heterogeneous time delay (HETD) associated with geographical distance) influence the spreading speed and the variability of outbreaks. We find that, compared with HOTD and null model, correlations between time delay and network hierarchy in HETD remarkably slow down epidemic spreading and result in an upward cascading multi-modal phenomenon. Proportionately, the variability of outbreaks in HETD has the lower value, but several comparable peaks for a long time, which makes the long-term prediction of epidemic spreading hard. When a seed (i.e., the initial infected node) is from the high layers of networks, epidemic spreading is remarkably promoted. Interestingly, distinct trends of variabilities in two contact patterns emerge: high-layer seeds in HOTD result in the lower variabilities, the case of HETD is opposite. More importantly, the variabilities of high-layer seeds in HETD are much greater than that in HOTD, which implies the unpredictability of epidemic spreading in hierarchical geographical networks.


title: Effects of quasiperiodic forcing in epidemic models

text: We study changes in the bifurcations of seasonally driven compartmental epidemic models, where the transmission rate is modulated temporally. In the presence of periodic modulation of the transmission rate, the dynamics varies from periodic to chaotic. The route to chaos is typically through period doubling bifurcation. There are coexisting attractors for some sets of parameters. However in the presence of quasiperiodic modulation, tori are created in place of periodic orbits and chaos appears via finite torus doublings. Strange nonchaotic attractors (SNAs) are created at the boundary of chaotic and torus dynamics. Multistability is found to be reduced as a function of quasiperiodic modulation strength. It is argued that occurrence of SNAs gives an opportunity of asymptotic predictability of epidemic growth even when the underlying dynamics is strange.


title: Interplay between the local information based behavioral responses and the epidemic spreading in complex networks

text: The spreading of an infectious disease can trigger human behavior responses to the disease, which in turn plays a crucial role on the spreading of epidemic. In this study, to illustrate the impacts of the human behavioral responses, a new class of individuals, S(F), is introduced to the classical susceptible-infected-recovered model. In the model, S(F) state represents that susceptible individuals who take self-initiate protective measures to lower the probability of being infected, and a susceptible individual may go to S(F) state with a response rate when contacting an infectious neighbor. Via the percolation method, the theoretical formulas for the epidemic threshold as well as the prevalence of epidemic are derived. Our finding indicates that, with the increasing of the response rate, the epidemic threshold is enhanced and the prevalence of epidemic is reduced. The analytical results are also verified by the numerical simulations. In addition, we demonstrate that, because the mean field method neglects the dynamic correlations, a wrong result based on the mean field method is obtained—the epidemic threshold is not related to the response rate, i.e., the additional S(F) state has no impact on the epidemic threshold.


title: Recovery rate affects the effective epidemic threshold with synchronous updating

text: Accurate identification of effective epidemic threshold is essential for understanding epidemic dynamics on complex networks. In this paper, we systematically study how the recovery rate affects the susceptible-infected-removed spreading dynamics on complex networks, where synchronous and asynchronous updating processes are taken into account. We derive the theoretical effective epidemic threshold and final outbreak size based on the edge-based compartmental theory. To validate the proposed theoretical predictions, extensive numerical experiments are implemented by using asynchronous and synchronous updating methods. When asynchronous updating method is used in simulations, recovery rate does not affect the final state of spreading dynamics. But with synchronous updating, we find that the effective epidemic threshold decreases with recovery rate, and final outbreak size increases with recovery rate. A good agreement between the theoretical predictions and the numerical results are observed on both synthetic and real-world networks. Our results extend the existing theoretical studies and help us to understand the phase transition with arbitrary recovery rate.


title: Network inoculation: Heteroclinics and phase transitions in an epidemic model

text: In epidemiological modelling, dynamics on networks, and, in particular, adaptive and heterogeneous networks have recently received much interest. Here, we present a detailed analysis of a previously proposed model that combines heterogeneity in the individuals with adaptive rewiring of the network structure in response to a disease. We show that in this model, qualitative changes in the dynamics occur in two phase transitions. In a macroscopic description, one of these corresponds to a local bifurcation, whereas the other one corresponds to a non-local heteroclinic bifurcation. This model thus provides a rare example of a system where a phase transition is caused by a non-local bifurcation, while both micro- and macro-level dynamics are accessible to mathematical analysis. The bifurcation points mark the onset of a behaviour that we call network inoculation. In the respective parameter region, exposure of the system to a pathogen will lead to an outbreak that collapses but leaves the network in a configuration where the disease cannot reinvade, despite every agent returning to the susceptible class. We argue that this behaviour and the associated phase transitions can be expected to occur in a wide class of models of sufficient complexity.


title: The effect of randomness for dependency map on the robustness of interdependent lattices

text: The percolation for interdependent networks with identical dependency map follows a second-order phase transition which is exactly the same with percolation on a single network, while percolation for random dependency follows a first-order phase transition. In real networks, the dependency relations between networks are neither identical nor completely random. Thus in this paper, we study the influence of randomness for dependency maps on the robustness of interdependent lattice networks. We introduce approximate entropy(ApEn) as the measure of randomness of the dependency maps. We find that there is critical ApEn(c) below which the percolation is continuous, but for larger ApEn, it is a first-order transition. With the increment of ApEn, the p(c) increases until ApEn reaching [Formula: see text] and then remains almost constant. The time scale of the system shows rich properties as ApEn increases. Our results uncover that randomness is one of the important factors that lead to cascading failures of spatially interdependent networks.


title: Numerical identification of epidemic thresholds for susceptible-infected-recovered model on finite-size networks

text: Epidemic threshold has always been a very hot topic for studying epidemic dynamics on complex networks. The previous studies have provided different theoretical predictions of the epidemic threshold for the susceptible-infected-recovered (SIR) model, but the numerical verification of these theoretical predictions is still lacking. Considering that the large fluctuation of the outbreak size occurs near the epidemic threshold, we propose a novel numerical identification method of SIR epidemic threshold by analyzing the peak of the epidemic variability. Extensive experiments on synthetic and real-world networks demonstrate that the variability measure can successfully give the numerical threshold for the SIR model. The heterogeneous mean-field prediction agrees very well with the numerical threshold, except the case that the networks are disassortative, in which the quenched mean-field prediction is relatively close to the numerical threshold. Moreover, the numerical method presented is also suitable for the susceptible-infected-susceptible model. This work helps to verify the theoretical analysis of epidemic threshold and would promote further studies on the phase transition of epidemic dynamics.


title: Inhomogeneity of epidemic spreading with entropy-based infected clusters

text: Considering the difference in the sizes of the infected clusters in the dynamic complex networks, the normalized entropy based on infected clusters ([Formula: see text]) is proposed to characterize the inhomogeneity of epidemic spreading. [Formula: see text] gives information on the variability of the infected clusters in the system. We investigate the variation in the inhomogeneity of the distribution of the epidemic with the absolute velocity v of moving agent, the infection density ρ, and the interaction radius r. By comparing [Formula: see text] in the dynamic networks with [Formula: see text] in homogeneous mode, the simulation experiments show that the inhomogeneity of epidemic spreading becomes smaller with the increase of v, ρ, r.


title: Network extreme eigenvalue: From mutimodal to scale-free networks

text: The extreme eigenvalues of adjacency matrices are important indicators on the influence of topological structures to the collective dynamical behavior of complex networks. Recent findings on the ensemble averageability of the extreme eigenvalue have further authenticated its applicability to the study of network dynamics. However, the ensemble average of extreme eigenvalue has only been solved analytically up to the second order correction. Here, we determine the ensemble average of the extreme eigenvalue and characterize its deviation across the ensemble through the discrete form of random scale-free network. Remarkably, the analytical approximation derived from the discrete form shows significant improvement over previous results, which implies a more accurate prediction of the epidemic threshold. In addition, we show that bimodal networks, which are more robust against both random and targeted removal of nodes, are more vulnerable to the spreading of diseases.


title: Local immunization program for susceptible-infected-recovered network epidemic model

text: The immunization strategies through contact tracing on the susceptible-infected-recovered framework in social networks are modelled to evaluate the cost-effectiveness of information-based vaccination programs with particular focus on the scenario where individuals belonging to a specific set can get vaccinated due to the vaccine shortages and other economic or humanity constraints. By using the block heterogeneous mean-field approach, a series of discrete-time dynamical models is formulated and the condition for epidemic outbreaks can be established which is shown to be not only dependent on the network structure but also closely related to the immunization control parameters. Results show that increasing the immunization strength can effectively raise the epidemic threshold, which is different from the predictions obtained through the susceptible-infected-susceptible network framework, where epidemic threshold is independent of the vaccination strength. Furthermore, a significant decrease of vaccine use to control the infectious disease is observed for the local vaccination strategy, which shows the promising applications of the local immunization programs to disease control while calls for accurate local information during the process of disease outbreak.


title: Effects of weak ties on epidemic predictability on community networks

text: Weak ties play a significant role in the structures and the dynamics of community networks. Based on the contact process, we study numerically how weak ties influence the predictability of epidemic dynamics. We first investigate the effects of the degree of bridge nodes on the variabilities of both the arrival time and the prevalence of disease, and find out that the bridge node with a small degree can enhance the predictability of epidemic spreading. Once weak ties are settled, the variability of the prevalence will display a complete opposite trend to that of the arrival time, as the distance from the initial seed to the bridge node or the degree of the initial seed increases. More specifically, the further distance and the larger degree of the initial seed can induce the better predictability of the arrival time and the worse predictability of the prevalence. Moreover, we discuss the effects of the number of weak ties on the epidemic variability. As the community strength becomes very strong, which is caused by the decrease of the number of weak ties, the epidemic variability will change dramatically. Compared with the case of the hub seed and the random seed, the bridge seed can result in the worst predictability of the arrival time and the best predictability of the prevalence.


title: Traffic-driven epidemic outbreak on complex networks: How long does it take?

text: Recent studies have suggested the necessity to incorporate traffic dynamics into the process of epidemic spreading on complex networks, as the former provides support for the latter in many real-world situations. While there are results on the asymptotic scope of the spreading dynamics, the issue of how fast an epidemic outbreak can occur remains outstanding. We observe numerically that the density of the infected nodes exhibits an exponential increase with time initially, rendering definable a characteristic time for the outbreak. We then derive a formula for scale-free networks, which relates this time to parameters characterizing the traffic dynamics and the network structure such as packet-generation rate and betweenness distribution. The validity of the formula is tested numerically. Our study indicates that increasing the average degree and/or inducing traffic congestion can slow down the spreading process significantly.


docid: wcvbezcm

title: Suppression of epidemic spreading in complex networks by local information based behavioral responses

text: The interplay between individual behaviors and epidemic dynamics in complex networks is a topic of recent interest. In particular, individuals can obtain different types of information about the disease and respond by altering their behaviors, and this can affect the spreading dynamics, possibly in a significant way. We propose a model where individuals' behavioral response is based on a generic type of local information, i.e., the number of neighbors that has been infected with the disease. Mathematically, the response can be characterized by a reduction in the transmission rate by a factor that depends on the number of infected neighbors. Utilizing the standard susceptible-infected-susceptible and susceptible-infected-recovery dynamical models for epidemic spreading, we derive a theoretical formula for the epidemic threshold and provide numerical verification. Our analysis lays on a solid quantitative footing the intuition that individual behavioral response can in general suppress epidemic spreading. Furthermore, we find that the hub nodes play the role of “double-edged sword” in that they can either suppress or promote outbreak, depending on their responses to the epidemic, providing additional support for the idea that these nodes are key to controlling epidemic spreading in complex networks.


title: Epidemic spreading in time-varying community networks

text: The spreading processes of many infectious diseases have comparable time scale as the network evolution. Here, we present a simple networks model with time-varying community structure, and investigate susceptible-infected-susceptible epidemic spreading processes in this model. By both theoretic analysis and numerical simulations, we show that the efficiency of epidemic spreading in this model depends intensively on the mobility rate q of the individuals among communities. We also find that there exists a mobility rate threshold q(c). The epidemic will survive when q > q(c) and die when q < q(c). These results can help understanding the impacts of human travel on the epidemic spreading in complex networks with community structure.


docid: tfqhftos

title: Estimating the epidemic threshold on networks by deterministic connections

text: For many epidemic networks some connections between nodes are treated as deterministic, while the remainder are random and have different connection probabilities. By applying spectral analysis to several constructed models, we find that one can estimate the epidemic thresholds of these networks by investigating information from only the deterministic connections. Nonetheless, in these models, generic nonuniform stochastic connections and heterogeneous community structure are also considered. The estimation of epidemic thresholds is achieved via inequalities with upper and lower bounds, which are found to be in very good agreement with numerical simulations. Since these deterministic connections are easier to detect than those stochastic connections, this work provides a feasible and effective method to estimate the epidemic thresholds in real epidemic networks.


title: Cooperative spreading processes in multiplex networks

text: This study is concerned with the dynamic behaviors of epidemic spreading in multiplex networks. A model composed of two interacting complex networks is proposed to describe cooperative spreading processes, wherein the virus spreading in one layer can penetrate into the other to promote the spreading process. The global epidemic threshold of the model is smaller than the epidemic thresholds of the corresponding isolated networks. Thus, global epidemic onset arises in the interacting networks even though an epidemic onset does not arise in each isolated network. Simulations verify the analysis results and indicate that cooperative spreading processes in multiplex networks enhance the final infection fraction.


title: Interplay between collective behavior and spreading dynamics on complex networks

text: There are certain correlations between collective behavior and spreading dynamics on some real complex networks. Based on the dynamical characteristics and traditional physical models, we construct several new bidirectional network models of spreading phenomena. By theoretical and numerical analysis of these models, we find that the collective behavior can inhibit spreading behavior, but, conversely, this spreading behavior can accelerate collective behavior. The spread threshold of spreading network is obtained by using the Lyapunov function method. The results show that an effective spreading control method is to enhance the individual awareness to collective behavior. Many real-world complex networks can be thought of in terms of both collective behavior and spreading dynamics and therefore to better understand and control such complex networks systems, our work may provide a basic framework.


title: Correlations between structure and random walk dynamics in directed complex networks

text: In this letter the authors discuss the relationship between structure and random walk dynamics in directed complex networks, with an emphasis on identifying whether a topological hub is also a dynamical hub. They establish the necessary conditions for networks to be topologically and dynamically fully correlated (e.g., word adjacency and airport networks), and show that in this case Zipf’s law is a consequence of the match between structure and dynamics. They also show that real-world neuronal networks and the world wide web are not fully correlated, implying that their more intensely connected nodes are not necessarily highly active.


title: Influence of the probiotic Bacillus cereus var. toyoi on the intestinal immunity of piglets

text: In a feeding trial, sows and piglets were fed with the probiotic bacterium Bacillus cereus var. toyoi as a feed additive, and the effects on immune cell populations were examined. The development of the gut immune system was determined for piglets at the ages of 14, 28, 35 and 56 days post partum. Tissue samples of the Jejunum and the continuous Peyer's patch were used for enumeration of intraepithelial lymphocyte populations by fluorescence activated flow cytometry and fluorescence microscopy. Both independent methods of investigation led to similar results: the population of intraepithelial CD8+ T cells was significantly enhanced in the probiotic group piglets (p ≤ 0.05), and the numbers of γδ T cells tended to be higher in the intestinal epithelium (p < 0.1) at the time of weaning (day 28). Lamina propria lymphocytes were also influenced by the treatment. Application of B. cereus var. toyoi resulted in significantly more CD25+ lymphocytes and γδ T cells in the probiotic group post-weaning. The occurrence of pathogenic Escherichia coli serogroups was also less frequent in the feces of piglets from the probiotic group. The finding that the CD8+ T cell population in the intestinal mucosa showed changes on day 28 indicated that the influence of B. cereus var. toyoi supplementation on the intestinal immune system started before weaning, an observation supported by changes in the intestinal microflora observed during the suckling-period. The results suggest that feeding of B. cereus var. toyoi to sows may result in beneficial effects on piglet health status independent of their feed supplementation.


title: Understanding the mechanisms of viral induced asthma: New therapeutic directions

text: Asthma is a common and debilitating disease that has substantially increased in prevalence in Western Societies in the last 2 decades. Respiratory tract infections by respiratory syncytial virus (RSV) and rhinovirus (RV) are widely implicated as common causes of the induction and exacerbation of asthma. These infections in early life are associated with the induction of wheeze that may progress to the development of asthma. Infections may also promote airway inflammation and enhance T helper type 2 lymphocyte (Th2 cell) responses that result in exacerbations of established asthma. The mechanisms of how RSV and RV induce and exacerbate asthma are currently being elucidated by clinical studies, in vitro work with human cells and animal models of disease. This research has led to many potential therapeutic strategies and, although none are yet part of clinical practise, they show much promise for the prevention and treatment of viral disease and subsequent asthma.


title: Evacuation of Intensive Care Units During Disaster: Learning From the Hurricane Sandy Experience

text: OBJECTIVE: Data on best practices for evacuating an intensive care unit (ICU) during a disaster are limited. The impact of Hurricane Sandy on New York City area hospitals provided a unique opportunity to learn from the experience of ICU providers about their preparedness, perspective, roles, and activities. METHODS: We conducted a cross-sectional survey of nurses, respiratory therapists, and physicians who played direct roles during the Hurricane Sandy ICU evacuations. RESULTS: Sixty-eight health care professionals from 4 evacuating hospitals completed surveys (35% ICU nurses, 21% respiratory therapists, 25% physicians-in-training, and 13% attending physicians). Only 21% had participated in an ICU evacuation drill in the past 2 years and 28% had prior training or real-life experience. Processes were inconsistent for patient prioritization, tracking, transport medications, and transport care. Respondents identified communication (43%) as the key barrier to effective evacuation. The equipment considered most helpful included flashlights (24%), transport sleds (21%), and oxygen tanks and respiratory therapy supplies (19%). An evacuation wish list included walkie-talkies/phones (26%), lighting/electricity (18%), flashlights (10%), and portable ventilators and suction (16%). CONCLUSIONS: ICU providers who evacuated critically ill patients during Hurricane Sandy had little prior knowledge of evacuation processes or vertical evacuation experience. The weakest links in the patient evacuation process were communication and the availability of practical tools. Incorporating ICU providers into hospital evacuation planning and training, developing standard evacuation communication processes and tools, and collecting a uniform dataset among all evacuating hospitals could better inform critical care evacuation in the future. (Disaster Med Public Health Preparedness. 2016;10:20–27)


title: Surge in Hospitalizations Associated With Mechanical Ventilator Use During Influenza Outbreaks

text: OBJECTIVE: Information on surges in critical care services including mechanical ventilator use during seasonal influenza outbreaks is limited. To potentially facilitate preparedness plans for future pandemics, we retrospectively quantitated surges in all-cause mechanical ventilator use during peak influenza for 12 consecutive years in all certified hospitals in Maryland. METHODS: Influenza testing data obtained for the Centers for Disease Control and Protection, Health and Human Services region 3, included defined peak influenza outbreak periods (PIOP), non-influenza time periods (non-ITP), and proportions of circulating influenza types for all study years. Procedure codes for mechanical ventilator use and diagnostic codes for medically attended acute respiratory illness (MAARI) were reviewed for every Maryland hospitalization. Daily counts of hospitalizations associated with ventilator use or MAARI during PIOP compared to non-ITP were analyzed using Poisson regression adjusted for month and year. RESULTS: Ventilator use increased during PIOP by 7% (95% CI, 5-10) over non-ITP (P < .0001) for all study years. These annual surges correlated with influenza season intensity, as measured by MAARI-related hospitalizations (correlation coefficient = 0.91, P < .0001). CONCLUSIONS: Surges in ventilator use were temporally associated with PIOP and were positively correlated with influenza season intensity, as measured by hospitalizations associated with acute respiratory illness. This information may assist resource planning for future pandemics. (Disaster Med Public Health Preparedness. 2014;x:1-7)


title: A Chemical-Biological-Radio-Nuclear (CBRN) Filter can be Added to the Air-Outflow Port of a Ventilator to Protect a Home Ventilated Patient From Inhalation of Toxic Industrial Compounds

text: OBJECTIVES: Chemical-biological-radio-nuclear (CBRN) gas masks are the standard means for protecting the general population from inhalation of toxic industrial compounds (TICs), for example after industrial accidents or terrorist attacks. However, such gas masks would not protect patients on home mechanical ventilation, as ventilator airflow would bypass the CBRN filter. We therefore evaluated in vivo the safety of adding a standard-issue CBRN filter to the air-outflow port of a home ventilator, as a method for providing TIC protection to such patients. METHODS: Eight adult patients were included in the study. All had been on stable, chronic ventilation via a tracheostomy for at least 3 months before the study. Each patient was ventilated for a period of 1 hour with a standard-issue CBRN filter canister attached to the air-outflow port of their ventilator. Physiological and airflow measurements were made before, during, and after using the filter, and the patients reported their subjective sensation of ventilation continuously during the trial. RESULTS: For all patients, and throughout the entire study, no deterioration in any of the measured physiological parameters and no changes in measured airflow parameters were detected. All patients felt no subjective difference in the sensation of ventilation with the CBRN filter canister in situ, as compared with ventilation without it. This was true even for those patients who were breathing spontaneously and thus activating the ventilator’s trigger/sensitivity function. No technical malfunctions of the ventilators occurred after addition of the CBRN filter canister to the air-outflow ports of the ventilators. CONCLUSIONS: A CBRN filter canister can be added to the air-outflow port of chronically ventilated patients, without causing an objective or subjective deterioration in the quality of the patients’ mechanical ventilation. (Disaster Med Public Health Preparedness. 2018;12:739-743)


title: Geographic Distribution of Disaster-Specific Emergency Department Use After Hurricane Sandy in New York City

text: OBJECTIVE: We aimed to characterize the geographic distribution of post-Hurricane Sandy emergency department use in administrative flood evacuation zones of New York City. METHODS: Using emergency claims data, we identified significant deviations in emergency department use after Hurricane Sandy. Using time-series analysis, we analyzed the frequency of visits for specific conditions and comorbidities to identify medically vulnerable populations who developed acute postdisaster medical needs. RESULTS: We found statistically significant decreases in overall post-Sandy emergency department use in New York City but increased utilization in the most vulnerable evacuation zone. In addition to dialysis- and ventilator-dependent patients, we identified that patients who were elderly or homeless or who had diabetes, dementia, cardiac conditions, limitations in mobility, or drug dependence were more likely to visit emergency departments after Hurricane Sandy. Furthermore, patients were more likely to develop drug-resistant infections, require isolation, and present for hypothermia, environmental exposures, or administrative reasons. CONCLUSIONS: Our study identified high-risk populations who developed acute medical and social needs in specific geographic areas after Hurricane Sandy. Our findings can inform coherent and targeted responses to disasters. Early identification of medically vulnerable populations can help to map “hot spots” requiring additional medical and social attention and prioritize resources for areas most impacted by disasters. (Disaster Med Public Health Preparedness. 2016;10:351–361)


Underlying trend, seasonality, prediction, forecasting and the contribution of risk factors: an analysis of globally reported cases of Middle East Respiratory Syndrome Coronavirus – CORRIGENDUM


COVID-19 and gender-specific difference: Analysis of public surveillance data in Hong Kong and Shenzhen, China, from January 10 to February 15, 2020


title: Combination therapy using human papillomavirus L1/E6/E7 genes and archaeosome: a nanovaccine confer immuneadjuvanting effects to fight cervical cancer

text: Cancer is a leading cause of death worldwide. Cervical cancer caused by human papillomavirus (HPV) is a major health problem in women. DNA vaccines are a perfect approach to immunization, but their potency in clinical trials has been insufficient for generating effective immunity, which may be related to the degradation of the DNA via nucleases, poor delivery to antigen-presenting cells (APCs), and insufficient uptake of DNA plasmids by cells upon injection. Archaeosome is a nano-delivery systems based on liposomes with their immunological role have been developed for gene delivery. In this study, human papillomavirus type 16 genes, containing truncated L1, E6, and E7, were simultaneously used in combination therapy with archaeosome and assessed in vivo. Findings supported that archaeosomes promotes immune responses to DNA vaccines and a long-term CTL response was generated with a low antigen dose. Combination therapy with archaeosome/L1/E6/E7 vaccines exhibited a strong cytolytic activity against tumor cells and induced prophylactic and therapeutic effect against the development of tumor in the animal model.


title: CDC’s Multiple Approaches to Safeguard the Health, Safety, and Resilience of Ebola Responders

text: Over 27,000 people were sickened by Ebola and over 11,000 people died between March of 2014 and June of 2016. The US Centers for Disease Control and Prevention (CDC; Atlanta, Georgia USA) was one of many public health organizations that sought to stop this outbreak. This agency deployed almost 2,000 individuals to West Africa during that timeframe. Deployment to these countries exposed these individuals to a wide variety of dangers, stressors, and risks. Being concerned about the at-risk populations in Africa, and also the well-being of its professionals who willingly deployed, the CDC did several things to help safeguard the health, safety, and resilience of these team members before, during, and after deployment. The accompanying special report highlights innovative pre-deployment training initiatives, customized screening processes, and post-deployment outreach efforts intended to protect and support the public health professionals fighting Ebola. Before deploying, the CDC team members were expected to participate in both internally-created and externally-provided trainings. These ranged from pre-deployment briefings, to Preparing for Work Overseas (PFWO) and Public Health Readiness Certificate Program (PHRCP) courses, to Incident Command System (ICS) 100, 200, and 400 courses. A small subset of non-clinical deployers also participated in a three-day training designed in collaboration with the Center for the Study of Traumatic Stress (CSTS; Bethesda, Maryland USA) to train individuals to assess and address the well-being and resilience of themselves and their teammates in the field during a deployment. Participants in this unique training were immersed in a Virtual Reality Environment (VRE) that simulated deployment to one of seven different types of emergencies. The CDC leadership also requested a pre-deployment screening process that helped professionals in the CDC’s Occupational Health Clinic (OHC) determine whether or not individuals were at an increased risk of negative outcomes by participating in a rigorous deployment at that time. When deployers returned from the field, they received personalized invitations to participate in a voluntary, confidential, post-deployment operational debriefing one-on-one or in a group. Implementing these approaches provided more information to clinical decision makers about the readiness of deployers. It provided deployers with a greater awareness of the kinds of challenges they were likely to face in the field. The post-deployment outreach efforts reminded staff that their contributions were appreciated and there were resources available if they needed help processing any of the potentially-traumatizing things they may have experienced.


Mitteilungen der DGRh


title: Development and Evaluation of a One-Step Quantitative RT-PCR Assay for Detection of Lassa Virus

text: Lassa fever is a severe viral hemorrhagic illness caused by Lassa virus. Based on estimates, the number of LASV infections ranges from 300,000 to 500,000 cases in endemic areas with a fatality rate of 1%. Development of fast and sensitive tools for the control and prevention of Lassa virus infection as well as for clinical diagnostics of Lassa fever are crucial. Here we reported development and evaluation of a one-step quantitative RT-qPCR assay for the Lassa virus detection – LASV-Fl. This assay is suitable for the detection of lineages I-IV of Lassa virus. The limit of detection of the assay ranged from 10(3) copies/ml to 10(5) copies/ml and has 96.4% diagnostic sensitivity, whereas analytical and diagnostic specificities both were 100%. Serum, whole blood and tissue are suitable for use with the assay. The assay contains all the necessary components to perform the analysis, including an armored positive control (ARC+) and an armored internal control (IC). The study was done during the mission of specialized anti-epidemic team of the Russian Federation (SAET) in the Republic of Guinea in 2015-2018. Based on sequencing data, LASV-specific assay was developed using synthetic MS2-phage-based armored RNA particles, RNA from Lassa virus strain Josiah, and further, evaluated in field conditions using samples from patients and Mastomys natalensis rodents.


We present details of the EAERE Award for the Best Paper Published in Environmental and Resource Economics During 2019 together with those Highly Commended papers published during this period.


title: Composition bias and genome polarity of RNA viruses

text: I have observed a relationship between GC content in coding sequences of RNA viruses and their genome polarity. Positive-stranded RNA viruses have significantly higher GC contents than negative-stranded RNA viruses. Coding sequences of all negative-stranded RNA viruses are biased toward high A in coding strands (high T in genomes), while two distinct patterns were observed among positive-stranded RNA genomes. This finding suggests that RNA viruses with different genome polarity are under different mutational pressure, which may be a consequence of the difference in the strategies of viral genome expression and replication. The GC content directly affects the viral codon adaptation index using highly expressed human genes as the reference set, which may theoretically predict the efficiency of viral gene expression in human cells.


title: Adverse Reactions to Vaccination: From Anaphylaxis to Autoimmunity

text: Vaccines are important for providing protection from infectious diseases. Vaccination initiates a process that stimulates development of a robust and long-lived immune response to the disease agents in the vaccine. Side effects are sometimes associated with vaccination. These vary from development of acute hypersensitivity responses to vaccine components to local tissue reactions that are annoying but not significantly detrimental to the patient. The pathogenesis of these responses and the consequent clinical outcomes are discussed. Overstimulation of the immune response and the potential relationship to autoimmunity is evaluated in relation to genetic predisposition.


Avian flu: What the otolaryngologist needs to know


title: Immune Relevant and Immune Deficient Mice: Options and Opportunities in Translational Research

text: In 1989 ILAR published a list and description of immunodeficient rodents used in research. Since then, advances in understanding of molecular mechanisms; recognition of genetic, epigenetic microbial, and other influences on immunity; and capabilities in manipulating genomes and microbiomes have increased options and opportunities for selecting mice and designing studies to answer important mechanistic and therapeutic questions. Despite numerous scientific breakthroughs that have benefitted from research in mice, there is debate about the relevance and predictive or translational value of research in mice. Reproducibility of results obtained from mice and other research models also is a well-publicized concern. This review summarizes resources to inform the selection and use of immune relevant mouse strains and stocks, aiming to improve the utility, validity, and reproducibility of research in mice. Immune sufficient genetic variations, immune relevant spontaneous mutations, immunodeficient and autoimmune phenotypes, and selected induced conditions are emphasized.


title: Intraoperative ventilator settings and their association with postoperative pulmonary complications in neurosurgical patients: post-hoc analysis of LAS VEGAS study

text: BACKGROUND: Limited information is available regarding intraoperative ventilator settings and the incidence of postoperative pulmonary complications (PPCs) in patients undergoing neurosurgical procedures. The aim of this post-hoc analysis of the ‘Multicentre Local ASsessment of VEntilatory management during General Anaesthesia for Surgery’ (LAS VEGAS) study was to examine the ventilator settings of patients undergoing neurosurgical procedures, and to explore the association between perioperative variables and the development of PPCs in neurosurgical patients. METHODS: Post-hoc analysis of LAS VEGAS study, restricted to patients undergoing neurosurgery. Patients were stratified into groups based on the type of surgery (brain and spine), the occurrence of PPCs and the assess respiratory risk in surgical patients in Catalonia (ARISCAT) score risk for PPCs. RESULTS: Seven hundred eighty-four patients were included in the analysis; 408 patients (52%) underwent spine surgery and 376 patients (48%) brain surgery. Median tidal volume (V(T)) was 8 ml [Interquartile Range, IQR = 7.3–9] per predicted body weight; median positive end–expiratory pressure (PEEP) was 5 [3 to 5] cmH(2)0. Planned recruitment manoeuvres were used in the 6.9% of patients. No differences in ventilator settings were found among the sub-groups. PPCs occurred in 81 patients (10.3%). Duration of anaesthesia (odds ratio, 1.295 [95% confidence interval 1.067 to 1.572]; p = 0.009) and higher age for the brain group (odds ratio, 0.000 [0.000 to 0.189]; p = 0.031), but not intraoperative ventilator settings were independently associated with development of PPCs. CONCLUSIONS: Neurosurgical patients are ventilated with low V(T) and low PEEP, while recruitment manoeuvres are seldom applied. Intraoperative ventilator settings are not associated with PPCs.


title: Feasibility of combining two individualized lung recruitment maneuvers at birth for very low gestational age infants: a retrospective cohort study

text: BACKGROUND: Lung recruitment at birth has been advocated as an effective method of improving the respiratory transition at birth. Sustained inflations (SI) and dynamic positive end-expiratory pressure (PEEP) were assessed in clinical and animal studies to define the optimal level. Our working hypothesis was that very low gestational age infants (VLGAI) < 32 weeks’ gestation require an individualized lung recruitment based on combining both manoeuvers. METHODS: Between 2014 and 2016, 91 and 72 inborn VLGAI, requiring a respiratory support beyond a continuous positive airway pressure (CPAP) = 5 cmH2O, were enrolled before and after introducing these manoeuvers based on progressive increase in SI up to 15 s, with simultaneous gradual increase in PEEP up to 15 cmH2O, according to the cardiorespiratory response. Retrospective comparisons of the incidence of mechanical ventilation (MV) < 72 h of life, short-term and before discharge morbidity were then performed. RESULTS: Among extremely low gestational age infants (ELGAI) < 29 weeks’ gestation, the following outcomes decreased significantly: intubation (90 to 55%) and surfactant administration (54 to 12%) in the delivery room, MV (92 to 71%) and its mean duration < 72 h of life (45 h to 13 h), administration of a 2nd dose of surfactant (35 to 12%) and postnatal corticosteroids (52 to 19%), and the rate of bronchopulmonary dysplasia (23 to 5%). Among VLGAI, all of these results were also significant. Neonatal mortality and morbidity were not different. CONCLUSIONS: In our setting, combining two individualized lung recruitment maneuvers at birth was feasible and may be beneficial on short-term and before discharge pulmonary outcomes. A randomized controlled trial is needed to confirm these results.


title: Interferons and Their Use in Persistent Viral Infections

text: In 2007, the world celebrated the 50th anniversary of the discovery of interferon (IFN) by Isaacs and Lindenmann. Subsequently, the IFN-α gene was cloned, fully sequenced and IFN-α was produced in recombinant form. Recombinant IFN-α is now used as the basis for treatment of chronic hepatitis C virus infection and can also be used to treat certain forms of chronic hepatitis B virus infections. IFNs have also been used in other viral infections, although with less success. The antiviral mechanisms of IFNs are reviewed in this chapter as well as the utility of IFNs in the treatment of persistent viral infections.


title: Development of high-growth influenza H7N9 prepandemic candidate vaccine viruses in suspension MDCK cells

text: BACKGROUND: Influenza vaccine manufacturers traditionally use egg-derived candidate vaccine viruses (CVVs) to produce high-yield influenza viruses for seasonal or pandemic vaccines; however, these egg-derived CVVs need an adaptation process for the virus to grow in mammalian cells. The low yields of cell-based manufacturing systems using egg-derived CVVs remain an unsolved issue. This study aimed to develop high-growth cell-derived CVVs for MDCK cell-based vaccine manufacturing platforms. METHODS: Four H7N9 CVVs were generated in characterized Vero and adherent MDCK (aMDCK) cells. Furthermore, reassortant viruses were amplified in adherent MDCK (aMDCK) cells with certification, and their growth characteristics were detected in aMDCK cells and new suspension MDCK (sMDCK) cells. Finally, the plaque-forming ability, biosafety, and immunogenicity of H7N9 reassortant viruses were evaluated. RESULTS: The HA titers of these CVVs produced in proprietary suspension MDCK (sMDCK) cells and chicken embryos were 2- to 8-fold higher than those in aMDCK cells. All H7N9 CVVs showed attenuated characteristics by trypsin-dependent plaque assay and chicken embryo lethality test. The alum-adjuvanted NHRI-RG5 (derived from the fifth wave H7N9 virus A/Guangdong/SP440/2017) vaccine had the highest immunogenicity and cross-reactivity among the four H7N9 CVVs. Finally, we found that AddaVax adjuvant improved the cross-reactivity of low pathogenic H7N9 virus against highly pathogenic H7N9 viruses. CONCLUSIONS: Our study indicates that cell-derived H7N9 CVVs possessed high growth rate in new sMDCK cells and low pathogenicity in chicken embryo, and that CVVs generated by this platform are also suitable for both cell- and egg-based prepandemic vaccine production.


title: Early warning signals of malaria resurgence in Kericho, Kenya

text: Campaigns to eliminate infectious diseases could be greatly aided by methods for providing early warning signals of resurgence. Theory predicts that as a disease transmission system undergoes a transition from stability at the disease-free equilibrium to sustained transmission, it will exhibit characteristic behaviours known as critical slowing down, referring to the speed at which fluctuations in the number of cases are dampened, for instance the extinction of a local transmission chain after infection from an imported case. These phenomena include increases in several summary statistics, including lag-1 autocorrelation, variance and the first difference of variance. Here, we report the first empirical test of this prediction during the resurgence of malaria in Kericho, Kenya. For 10 summary statistics, we measured the approach to criticality in a rolling window to quantify the size of effect and directions. Nine of the statistics increased as predicted and variance, the first difference of variance, autocovariance, lag-1 autocorrelation and decay time returned early warning signals of critical slowing down based on permutation tests. These results show that time series of disease incidence collected through ordinary surveillance activities may exhibit characteristic signatures prior to an outbreak, a phenomenon that may be quite general among infectious disease systems.


title: Symbolic transfer entropy reveals the age structure of pandemic influenza transmission from high-volume influenza-like illness data

text: Existing methods to infer the relative roles of age groups in epidemic transmission can normally only accommodate a few age classes, and/or require data that are highly specific for the disease being studied. Here, symbolic transfer entropy (STE), a measure developed to identify asymmetric transfer of information between stochastic processes, is presented as a way to reveal asymmetric transmission patterns between age groups in an epidemic. STE provides a ranking of which age groups may dominate transmission, rather than a reconstruction of the explicit between-age-group transmission matrix. Using simulations, we establish that STE can identify which age groups dominate transmission even when there are differences in reporting rates between age groups and even if the data are noisy. Then, the pairwise STE is calculated between time series of influenza-like illness for 12 age groups in 884 US cities during the autumn of 2009. Elevated STE from 5 to 19 year-olds indicates that school-aged children were likely the most important transmitters of infection during the autumn wave of the 2009 pandemic in the USA. The results may be partially confounded by higher rates of physician-seeking behaviour in children compared to adults, but it is unlikely that differences in reporting rates can explain the observed differences in STE.


title: Population implications of the deployment of novel universal vaccines against epidemic and pandemic influenza

text: There is increasing interest in the development of new, ‘universal’ influenza vaccines (UIVs) that––unlike current vaccines––are effective against a broad range of seasonal influenza strains, as well as against novel pandemic viruses. While the existing literature discusses the potential epidemiological benefits of UIVs, it is also important to anticipate their potential unintended population consequences. Using mathematical modelling, we illustrate two such types of adverse consequences. First, by reducing the amount of infection-induced immunity in a population without fully replacing it, a seasonal UIV programme may permit larger pandemics than in the absence of vaccination. Second, the more successful a future UIV programme is in reducing transmission of seasonal influenza, the more vulnerable the population could become to the emergence of a vaccine escape variant. These risks could be mitigated by optimal deployment of any future UIV vaccine: namely, the use of a combined vaccine formulation (incorporating conventional as well as multiple universal antigenic targets) and achieving sufficient population coverage to compensate for any reductions in infection-induced immunity. In the absence of large-scale trials of UIVs, disease-dynamic models can provide helpful, early insights into their potential impact. In future, data from continuing vaccine development will be invaluable in developing robustly predictive modelling approaches.


Vaccines and sera through plant biotechnology()


title: Immunisation with virion-loaded plasmacytoid or myeloid dendritic cells induces primary Th-1 immune responses

text: Dendritic cells (DCs) induce different types of immune responses depending on their lineage and activation signals. When exposed to inactivated pseudorabiesvirus (iPRV), plasmacytoid but not myeloid DCs released IFN-α and IL-12. Remarkably, both iPRV-pulsed DC types were able to induce primary IFN-γ producing T cells and IgG isotype switching in vivo. In contrast, tetanus toxoid pulsed DCs did not induce detectable primary immune responses. The efficacy of antiviral T and B cell priming proved dependent on the recipient's genotype. We conclude that either plasmacytoid or myeloid DCs pulsed with inactivated virus suffice to induce primary Th1-polarised immune responses.


Treatment of the Calf with Diarrhea


title: Trastornos funcionales digestivos post-infecciosos: del episodio agudo a la molestia crónica

text: Functional gastrointestinal disorders (FGID) form a major part of gastroenterology practice. Several studies have reported the development of post-infectious irritable bowel syndrome (PI-IBS) after acute gastroenteritis (AGE). Non-gastrointestinal (GI) infections may increase the risk of developing IBS. There are also data showing that a GI infection may trigger functional dyspepsia (PI-FD). The possible development of PI-IBS or PI-FD depends on factors related to both the infection and the host. Microinflammation has been found in patients with post-infectious FGID. Studies performed in animal models show that infection and acute inflammation permanently change gastrointestinal motility and sensitivity. The role of AGE in the development of FGID is important not only because this entity provides an excellent natural model for pathogenic study but also because it provides an opportunity for preventive action.


The Chronic Obstructive Pulmonary Disease Exacerbation


title: THE ROLE OF RESPIRATORY VIRUSES IN ACUTE AND CHRONIC ASTHMA

text: Respiratory tract infections caused by viruses, 24, 70 chlamydia, 18, 19, 43, 55, 116 and mycoplasma(61) have been implicated in the pathogenesis of asthma. Viruses have been demonstrated to be associated with asthma epidemiologically in at least two ways (Fig. 1). First, during infancy, certain viruses have been implicated as potentially being responsible for the inception of the asthmatic phenotype. Second, in patients, particularly children, with established asthma, viral upper respiratory tract infections play a significant role in producing acute exacerbations of airway obstruction that may result in frequent outpatient visits or hospitalizations. 24, 55, 56, 57 This article reviews these two areas by focusing first on mechanisms by which virus infections may lead to the development of asthma in infants and children and, second, on mechanisms by which virus infections may produce acute asthmatic symptoms in patients who already have established disease.


title: Effects of inlet/outlet configurations on the electrostatic capture of airborne nanoparticles and viruses

text: Motivated by capture and detection of airborne biological agents in real time with a cantilever biosensor without introducing the agents into liquids, we present the effects of inlet/outlet configurations of a homemade particle collector on the electrostatic capture of airborne 100 nm diameter nanoparticles under swirling gas flows. This particle collector has three different inlet/outlet configurations: forward inlet/outlet (FO), backward inlet/outlet (BO) and straight inlet/outlet (SO) configurations. We also present the electrostatic capture of Vaccinia viruses using the same particle collector and compare these virus measurements with the nanoparticle cases. The most particles were collected in the FO configuration. The numbers of particles captured in the BO and SO configurations were close within their standard deviations. For all the three configurations tested, the number of particles captured in the center electrode C was much smaller than those captured in the other electrodes at a flow rate of 1.1 l min(−1) and an applied potential of 2 kV. Using a commercial CFD code FLUENT, we also simulated the effects of the three inlet/outlet configurations on the particle capture in terms of particle trajectories, velocities and travel times. This simulation was in a good agreement with measurements that the FO configuration is the most favorable to particle capture among the tested configurations at a flow rate of 1.1 l min(−1). The effects of particle diameters on the capture will also be discussed. This collector can be used for real-time monitoring of bioaerosols along with cantilever biosensors.


title: Novel atmospheric pressure plasma device releasing atomic hydrogen: reduction of microbial-contaminants and OH radicals in the air

text: A novel atmospheric pressure plasma device releasing atomic hydrogen has been developed. This device has specific properties such as (1) deactivation of airborne microbial-contaminants, (2) neutralization of indoor OH radicals and (3) being harmless to the human body. It consists of a ceramic plate as a positive ion generation electrode and a needle-shaped electrode as an electron emission electrode. Release of atomic hydrogen from the device has been investigated by the spectroscopic method. Optical emission of atomic hydrogen probably due to recombination of positive ions, H(+)(H(2)O)n, generated from the ceramic plate electrode and electrons emitted from the needle-shaped electrode have been clearly observed in the He gas (including water vapour) environment. The efficacy of the device to reduce airborne concentrations of influenza virus, bacteria, mould fungi and allergens has been evaluated. 99.6% of airborne influenza virus has been deactivated with the operation of the device compared with the control test in a 1 m(3) chamber after 60 min. The neutralization of the OH radical has been investigated by spectroscopic and biological methods. A remarkable reduction of the OH radical in the air by operation of the device has been observed by laser-induced fluorescence spectroscopy. The cell protection effects of the device against OH radicals in the air have been observed. Furthermore, the side effects have been checked by animal experiments. The harmlessness of the device has been confirmed.


title: A mathematical model of P53 gene regulatory networks under radiotherapy

text: P53, a vital anticancer gene, controls the transcription and translation of a series of genes, and implement the cell cycle arrest and cell apoptosis by regulating their complicated signal pathways. Under radiotherapy, cell can trigger internal self-defense mechanisms in fighting against genome stresses induced by acute ion radiation (IR). To simulate the investigating of cellular responding acute IR at single cell level further, we propose a model of P53 gene regulatory networks under radiotherapy. Our model can successfully implement the kinetics of double strand breaks (DSBs) generating and their repair, ataxia telangiectasia mutated (ATM) activation, as well as P53-MDM2 feedback regulating. By comparing simulations under different IR dose, we can try to find the optimal strategy in controlling of IR dose and therapy time, and provide some theoretical analysis to obtain much better outcome of radiotherapy further.


title: Neurodegeneration as an RNA disorder

text: Neurodegenerative diseases constitute one of the single most important public health challenges of the coming decades, and yet we presently have only a limited understanding of the underlying genetic, cellular and molecular causes. As a result, no effective disease-modifying therapies are currently available, and no method exists to allow detection at early disease stages, and as a result diagnoses are only made decades after disease pathogenesis, by which time the majority of physical damage has already occurred. Since the sequencing of the human genome, we have come to appreciate that the transcriptional output of the human genome is extremely rich in non-protein coding RNAs (ncRNAs). This heterogeneous class of transcripts is widely expressed in the nervous system, and is likely to play many crucial roles in the development and functioning of this organ. Most exciting, evidence has recently been presented that ncRNAs play central, but hitherto unappreciated roles in neurodegenerative processes. Here, we review the diverse available evidence demonstrating involvement of ncRNAs in neurodegenerative diseases, and discuss their possible implications in the development of therapies and biomarkers for these conditions.


title: Impact of degree heterogeneity on the behavior of trapping in Koch networks

text: Previous work shows that the mean first-passage time (MFPT) for random walks to a given hub node (node with maximum degree) in uncorrelated random scale-free networks is closely related to the exponent [Formula: see text] of power-law degree distribution [Formula: see text] , which describes the extent of heterogeneity of scale-free network structure. However, extensive empirical research indicates that real networked systems also display ubiquitous degree correlations. In this paper, we address the trapping issue on the Koch networks, which is a special random walk with one trap fixed at a hub node. The Koch networks are power-law with the characteristic exponent [Formula: see text] in the range between 2 and 3, they are either assortative or disassortative. We calculate exactly the MFPT that is the average of first-passage time from all other nodes to the trap. The obtained explicit solution shows that in large networks the MFPT varies lineally with node number [Formula: see text] , which is obviously independent of [Formula: see text] and is sharp contrast to the scaling behavior of MFPT observed for uncorrelated random scale-free networks, where [Formula: see text] influences qualitatively the MFPT of trapping problem.


title: Akute Bronchitis

text: Respiratory tract infections and acute bronchitis are one of the major indications for which antibiotics are prescribed. As most of respiratory tract infections are caused by viruses and antibiotic therapy is rarely indicated. Reasons for the unnecessary prescription of antibiotics in this patient population are false expectations regarding the course and duration of common cold symptoms and especially coughing. After exclusion of severe diseases acute coughing should be treated with a symptom-oriented therapy. There is no reliable data on the use of antibiotic therapy in patient groups with an increased risk for severe complications. Studies on the use of laboratory makers to identify persons with bacterial infections who might benefit from antibiotic therapy and to reduce unnecessary prescriptions have been negative for CRP and inconclusive for procalcitonin. Peer-review and delayed prescribing could be demonstrated to reduce the rate of unneeded antibiotic prescriptions. Most of the symptomatic therapies employed for cough and the common cold are not studied in methodologically sound randomized controlled trials. The most common expectorants used in Germany are Ambroxol and N-Acetylcytein. For both substances there is little data supporting a benefit in patients with an acute bronchitis. Antitussiva reduce the symptom burden, but there is also a strong placebo-effect on the cough reflex.