1,013 research outputs found

    A Leishmania infantum FML-ELISA for the Detection of Symptomatic and Asymptomatic Canine Visceral Leishmaniasis in an Endemic Area of Iran

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    Background: Visceral leishmaniasis (VL) is caused by Leishmania infantum in Mediterranean basin and is an endemic disease in some parts of Iran. Canines are the main reservoirs of VL in most of the endemic areas. Different serological methods have been introduced for diagnosis of canine visceral leishmaniasis (CVL). Objective: In this survey a Fucose-Mannose Ligand (FML) ELISA, using native L. infantum antigen, was developed and its validity for detection of infected dogs in comparison with direct agglutination test (DAT) and PCR was evaluated. Methods: Blood samples of sixty ownership dogs (≤ 3 years old) were collected from Meshkin-shahr district in Ardabil province, North-west of Iran. Sera were separated for serological assays (DAT and FML-ELISA) and the buffy coats were collected for molecular evaluation. Results: Two out of the 60 (3.33%) samples were found to be positive (antibody titer of ≥ 1/320) in DAT while seven of the 60 (11.66%) samples were positive by FML-ELISA. Nine out of 60 (15%) buffy coat samples showed a band about 680 bp indicative of L. infantum in PCR. Three out of 60 dogs had Kala-azar symptoms and were positive by PCR and FML-ELISA, while two of these three dogs had antibody titers >1/320 in their serum samples. The sensitivity and specificity of FML-ELISA for the detection of CVL in both symptomatic and asymptomatic dogs were found to be 77.8% and 100%, respectively. Conclusion: Considering the acceptable sensitivity and high specificity of FML-ELISA, use of this serological method can be recommended for epidemiological surveys of CVL

    Interview with Azar Nafisi

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    Iranian author Azar Nafisi speaks about her experiences and the themes of women's rights and struggle that motivate her work including her famous memior Reading Lolita in Tehran. She also shares her thoughts and feelings on the 40 year fight for women's rights in Iran

    Studies in epidemiology and seroepidemiology of visceral leishmaniasis in Iraq.

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    A defined population was studied over a period of 7 months to elucidate the epidemiology of visceral leishmaniasis in Iraq, using serological methods as a screening test. Seroepidemiological methods were also used in the search for a canine reservoir of infection and the tests used were studied in defined animal systems and in confirmed human cases. A cross-sectional survey was made of the population of a defined rural area of 300 km2, south of Baghdad. It included 19 villages with 1,171 houses and a total population of 9,889. Houses were mapped and a census completed. The 3,403 persons under 7 years of age were screened using two serological tests for visceral leishmaniasis: indirect fluorescent antibody test (IFAT) and enzyme-linked immunosorbent assays (ELISA). Seropositive children were fully examined clinically and by the leishmanin test. The blood picture and serum proteins were determined and, in the absence of clinical signs, follow-up was by monthly serological examination. Symptomatic children were admitted to hospital for bone marrow biopsy. Results showed a range from subclinical cases defined only by sero-conversion through to severe disease needing hospital treatment and with a high mortality. A repeat survey of the same child population after 7 months showed serological changes following the main transmission season. 66 of the parasitologically confirmed sero-positive cases from this area and elsewhere in the endemic region were examined, and in some, monthly serology was determined at domiciliary follow-up. IFAT was found to be more sensitive than ELISA. 33% of cases of visceral leishmaniasis were found to revert to negative within 9 months of treatment. 435 hospital inpatients with a variety of diagnoses were studied to determine the specificity of tests. ELISA was found of greater specificity than IFAT. These cases included 124 clinically suspected leishmaniases of which 45 were subsequently culture-positive. A longitudinal serological study was carried out in inbred mice of varying genetically determined susceptibility to infection. All innately susceptible mice were seropositive by day 50 and the titre continued to increase until the end of the experiment at day 130 regardless of the parasitological course of infection. In a search for the postulated canine reservoir of visceral leishmaniasis 151 jackals and 65 dogs, largely strays, were studied parasitologically and serologically. Neither from these nor from a limited sample of rodents could the parasite be isolated, though several jackals were seropositive. The results clarify the epidemiology of visceral leishmaniasis but do not demonstrate an animal reservoir unequivocally. They do however define criteria which any satisfactory quantitative hypothesis of transmission needs to fulfil

    Diagnosis of Kala-azar by rK39 based ELISA and KAtex

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    This cross sectional study was carried out in SSMC for a period of one year from July 2007 to June 2008 to evaluate rK39 based ELISA and KAtex tests for diagnosis of Kala-azar. Total 150 patients were selected clinically. For this study rK39 ICT was regarded as confirmatory test according to national guideline. Among 150, total 100 cases were confirmed to be positive for Kala-azar by rK39 ICT test. Age and sex matched 25 healthy persons each from endemic and non-endemic area were taken as control. Among the 100 sero confirmed cases KAtex was positive in 87 (sensitivity of 87%) while ELISA was positive in 98 cases (sensitivity 98%). Among the 50 controls none were positive by KAtex test while 1 (one) ELISA test was positive resulting in specificity of these tests 100% and 98% respectively. The result of the study clearly showed superiority of rK39 antigen based ELISA in respect of sensitivity and KAtex in respect of specificity.KYAMC Journal Vol. 6, No.-1, Jul 2015, Page 574-578</jats:p

    Azar Nafisi, 39th Annual ODU Literary Festival

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    Azar Nafisi is the author of numerous books including Reading Lolita in Tehran: A Memoir in Books, which has been translated in 32 languages; Anti-Terra: A Critical Study of Vladimir Nabokov’s Novels; and The Republic of Imagination: America in Three Books. Her work has been published in The New York Times, The Washington Post, and New Republic. She has received many literary and humanitarian awards including the Prix du Meilleur Livre Étranger; an American Immigration Law Foundation achievement award; a Persian Golden Lioness Award for Literature from the World Academy of Arts, Literature, and Media; and a Cristóbal Gabarrón Foundation International Thought and Humanities Award. She currently is a visiting fellow at the Foreign Policy Institute of Johns Hopkins University in Washington, DC

    Incidence of symptomatic and asymptomatic Leishmania donovani infections in high-endemic foci in India and Nepal: a prospective study.

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    Incidence of Leishmania donovani infection and Visceral Leishmaniasis (VL) was assessed in a prospective study in Indian and Nepalese high-endemic villages. DAT-seroconversion was used as marker of incident infection in 3 yearly surveys. The study population was followed up to month 30 to identify incident clinical cases. In a cohort of 9034 DAT-negative individuals with neither active signs nor history of VL at baseline, 42 VL cases and 375 asymptomatic seroconversions were recorded in the first year, giving an infection:disease ratio of 8.9 to 1. In the 18 months' follow-up, 7 extra cases of VL were observed in the seroconverters group (N=375), against 14 VL cases among the individuals who had not seroconverted in the first year (N=8570) (RR=11.5(4.5<RR<28.3)). Incident asymptomatic L. donovani infection in VL high-endemic foci in India and Nepal is nine times more frequent than incident VL disease. About 1 in 50 of these new but latent infections led to VL within the next 18 months

    Sero-epidemiological study of kala-azar in a village of Varanasi district, India

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    Objective  To evaluate five kala-azar serological tests for field use. Method  Serological survey in Pandit Ka Purva village in Varanasi district, India, using Sia water test, aldehyde test, direct agglutination test (DAT), micro-enzyme-linked immunosorbent assay (ELISA) and dot-ELISA. Results  The total population of the village was 518, 67 of whom showed typical clinical and parasitological features of kala-azar, including seven who died. The age distribution of kala-azar cases showed significant differences, being highest among the 45–54-year age group. The disease was more prevalent among males. Serum samples were collected from 498 persons (96% of total population) including 67 kala-azar cases and 40 disease controls (malaria, TB, leprosy, typhoid). Ten 10 serum samples from healthy controls living in endemic area were also collected. The test sensitivities were: Sia water test, 85.0%; aldehyde test, 62.7%; DAT, 94.0%; micro-ELISA, 91.0% and dot-ELISA, 97.0%. The test specificities were: Sia water test 92.5%, aldehyde test, 93.2%, DAT, 96.7; micro-ELISA, 97.6% and dot-ELISA, 98.4%. Conclusion  The dot-ELISA is highly sensitive and specific, cheap, and easy to interpret with the naked eye, making it a powerful screening test for the surveillance and diagnosis of Indian kala-azar at field level

    Inlet patch: The under-explored island

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    [No abstract available]Azar C, 2007, J CLIN GASTROENTEROL, V41, P468, DOI 10.1097-01.mcg.0000225519.59030.8d; GRAY SW, 1972, EMBRYOLOGY SURGEONS; Gutierrez O, 2003, AM J GASTROENTEROL, V98, P1266, DOI 10.1016-S0002-9270(03)00267-3; Jacobs E, 1997, ENDOSCOPY, V29, P710, DOI 10.1055-s-2007-1004294; Klaase JM, 2001, GASTROINTEST ENDOSC, V53, P101, DOI 10.1067-mge.2001.111394; Lauwers GY, 1998, DIGEST DIS SCI, V43, P901, DOI 10.1023-A:1018855223225; Maconi G, 2000, EUR J GASTROEN HEPAT, V12, P745, DOI 10.1097-00042737-200012070-00005; RATTNER HM, 1986, GASTROENTEROLOGY, V90, P130911

    rK39 Enzyme-linked immunosorbent assay for the diagnosis of Kala-Azar in an endemic zone of Bangladesh

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    Objective: The diagnostic role of rK39 enzyme linked immunosorbent assay (ELISA) was compared with the buffy-coat Leishmania nested polymerase chain reaction (Ln-PCR) for kala-azar in an endemic zone of Bangladesh. Methodology: This evaluation study included 100 cases comprising of 60 clinically suspected patients of kala-azar and 40 healthy controls. Anti-rK39 antibody was estimated in plasma by ELISA and buffy coat was utilized to detect Leishmania DNA by Ln-PCR from both patients and controls. The diagnostic role of rK39 ELISA was then compared with Ln-PCR positive cases which were considered as confirmed cases of kala-azar. Results: Out of 60 suspected patients of kala-azar, 58 (96.67%) were found positive in ELISA against 56 (93.33%) of Ln-PCR-positive cases. Further, 55 (98.21%) of ELISA-positive patients were also found positive in Ln-PCR. Voluntary healthy controls (40) included 20 persons from the endemic zone and 20 from non-endemic zone of kala-azar, were all found negative in both Ln-PCR and rK39-ELISA. The sensitivity and specificity of ELISA were found to be 98.21% and 95.65% respectively. Conclusion: rK39-ELISA is a non-invasive serodiagnostic tool for visceral leishmaniasis with very high sensitivity and specificity

    Shared abscisic acid biosynthesis pathway across 600 million years of streptophyte evolution

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    The ability to produce abscisic acid enzymatically predates land plants, suggesting that its biosynthetic pathway evolved before its role as a signaling molecule in terrestrial adaptation
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