Embryo culture media and neonatal birthweight following IVF.

BACKGROUND: Infants conceived from IVF are at increased risk for low birthweight. Animal studies suggest that embryo culture medium influences birthweight but it is unknown whether this association exists in humans. This study examines the relationship between culture medium and birthweight following IVF. METHODS: We identified all IVF cycles with start dates between 1 January 1999 and 31 December 2008 that used autologous oocytes with resulting embryos cultured in G1.3, Global or G1.5 medium. The population was restricted to singleton deliveries following Day 3, fresh single embryo transfer, or twin deliveries following Day 3, fresh double embryo transfer, at a gestational age of ≥ 34 weeks. Only the first cycle during the study period was included for each woman. Women were excluded if the number of gestational sacs on ultrasound differed from the number of infants born. Variables were evaluated with the χ²-test or analysis of variance. Multiple linear regressions controlled for potential confounders. RESULTS: Of the 198 women with singleton deliveries, 102 embryos were cultured in G1.3, 53 in Global and 43 in G1.5 medium. Of the 303 twin deliveries, 172 pairs of embryos were cultured in G1.3, 58 in Global and 73 in G1.5 medium. No significant association between culture medium and birthweight was observed, even when controlling for potential confounders. CONCLUSIONS: This retrospective study demonstrated no significant association between embryo culture medium and birthweight following IVF. Although our careful selection of patients minimized the influence of potential confounders, further research is required to elucidate this issue with larger numbers of patients.

Recomendaciones sobre el diagnóstico y el tratamiento de la alergia a la proteína de la leche de vaca en población pediátrica colombiana - Posición de expertos / Expert recommendations for diagnosis and treatment of cow's milk protein allergy in the Colombian pediatric population

Resumen Objetivo: generar recomendaciones sobre el diagnóstico y el tratamiento de la alergia a la proteína de la leche de vaca (APLV), que sirvan de referencia y consulta para los médicos pediatras y de cuidado primario. Materiales y métodos: el presente documento de posición de expertos fue desarrollado por un grupo de médicos, especialistas en diferentes áreas terapéuticas y con experiencia en APLV. Se definieron los temas más relevantes y se realizó una revisión de la literatura científica disponible, a fin de elaborar una propuesta de recomendaciones que fue discutida por los autores. Resultados: se elaboró un documento de posición que propone un enfoque práctico sobre la definición, el diagnóstico y el tratamiento de la APLV en el paciente pediátrico. Conclusiones: el diagnóstico temprano y el manejo adecuado de la APLV pueden contribuir a una disminución de la carga de esta enfermedad y sus complicaciones.

Abstract Objective: The objective of this paper is to develop and present recommendations for diagnosis and treatment of Cow's Milk Protein Allergy (CMPA) which can serve as a reference for pediatric and primary care physicians to consult. Materials and methods: This expert position document was developed by a group of doctors who are specialists in several therapeutic areas who have experience in CMPA. The most relevant topics were defined and a review of the available scientific literature was carried out to prepare a proposal for recommendations that was then discussed by the authors. Results: A position paper was developed that proposes a practical approach to definition, diagnosis and treatment of CMPA in pediatric patients. Conclusions: Early diagnosis and proper management of CMPA can help decrease the burden of this disease and its complications.

Soil survival of toxoplasma oocysts in Kansas and Costa Rica.

Toxoplasma oocysts in cat feces were marked with a tracer amount of strontium-85 (85-SR), and were superficially buried simulating the natural disposal of feces by cats. Oocyst infectivity in Costa Rica was followed qualitatively and persisted for 1 year in three shaded sites, two moist, and one relatively dry site. Oocyst infectivity was quantitated in the Kansas deposit over a period of 18 months, including two winters. After initial mixing in soil, the level of infectivity remained fairly stable. Infectivity was recovered, probably from the surface on one Musca, several isopods, and earthworms. These data on persistence of Toxoplasma oocysts in soil support the concept that Toxoplasma infectivity in nature may be increased logarithmically by cats.

Specificity of the carbon immunoassay (CIA) test for the diagnosis of Toxoplasma infections.

A rapid and low cost procedure, the carbon immunoassay (CIA) test, was evaluated for the diagnosis of Toxoplasma gondii infections. Using a closely related parasite (Besnoitia jellisoni) as antigen, and homologous or heterologous immune sera, it was demonstrated by light and electron microscopy that CIA is a very reliable and specific test. As it is neither expensive nor time-consuming, it can be recommended for general and routine laboratory use.

Determination of Toxoplasma gondii in several organs of cattle by carbon immunoassay (CIA) testing.

Samples of muscle, heart, liver and lung were tested for the presence of Toxoplasma gondii using mice as a biologic detector and the carbon immunoassay (CIA) for immunological diagnosis. In positive tissues the percentage of samples positive ranged from 10 to 50% which indicates the importance of cattle in the epidemiology of Toxoplasma in Costa Rica. We discuss these findings in relation to the transmission of the parasite in Costa Rica.

[Epidemiology of toxoplasmosis in Costa Rica: the importance of domestic rodents]. / Epidemiología de la toxoplasmosis en Costa Rica: importanci de los roedores domésticos.

A positive dye test for Toxoplasma antibodies was observed in 5% of 100 mice (Mus musculus) and 30.4% of 23 rats (Rattus norvegicus and R. rattus). The parasite was isolated from two mice. The animals were captured in several urban localities in the metropolitan area of San José, Costa Rica. The number of positive animals found appears to be enough to infect cats, whose principal source of infections are the Toxoplasma cysts in the rodents. Therefore it is apparent that domestic mice and rats, besides the felines play an important role in the epidemiology of Toxoplasmosis in Costa Rica. Additional studies showed that the presence of Eimeria falciformis, a common coccidian in domestic mice, did not inhibit the Toxoplasma infections in these rodents.

Development and distribution of cysts of an avirulent strain of Toxoplasma and the humoral immune response in mice.

An avirulent T. gondii strain isolated from a owl (Glaucidium brasilianum) produces randomly distributed cysts in the brain of mice which can survive to inocula as high as 1000 oocysts. Cysts appeared for the first time after 15 days of infection. Regarding to humoral immunity development due to our TCR-2 strain, detectable antibodies were found after 12 days of infection.

Increase of sulfadiazine effect against Toxoplasma gondii by using watermelon or cantaloupe seeds.

In an experimental model the anti--Toxoplasma effect of watermelon and cantaloupe seeds, together with sulfadiazine (Sd7.5 and Sd15) given by oral route, were studied. Combination of any of these seeds with the drug was able to increase the survival time and cure some tachyzoite infected mice. The effect was produced either by peeled or complete seeds and more significant results were obtained when Sd7.5 and 10(3) tachyzoite inoculum was used in the model. Some Toxoplasma oocyst infected mice were cured with the seeds alone (75% for watermelon, 37,5 or 50% for cantaloupe. Body weight variations are independent of the treatment with Sd alone or in combination with watermelon or cantaloupe seeds.

[Parasitic helminths from Sigmodon hispidus (Rodentia: Cricetidae) from seasonal and evergreen habitats in Costa Rica]. / Helmintos parásitos de la rata Sigmodon hispidus (Rodentia: Cricetidae) de un hábitat estacional y otro perenne en Costa Rica.

The helminthological fauna of the cotton rat, Sigmodon hispidus in a tropical environment varies according to habitat and feeding behavior. Six species of nematodes (Longistriata adunca, Trichostrongylus sigmodontis, Strongyloides sigmodontis, Litomosoides carinii, Monodontus sp. and Protospirura sp.) and two species of cestodes (Hymenolepis diminuta and Raillietina sp.) were found in rats from extensive dry lands in Guanacaste where hot temperatures and heterogeneous diet are the rule. Only two species of nematodes (Longistriata adunca and Angiostrongylus costaricensis) were found in rats collected in a humid pineapple plantation in the Central Plateau (Alajuela) where mild temperatures predominate. A. costaricensis, a metastrongylid of medical importance, was found in 42% of them.

[Seasonality of parasites and intestinal bacteria in vegetables that are consumed raw in Costa Rica]. / Estacionalidad de parásitos y bacterias intestinales en hortalizas que se consumen crudas en Costa Rica.

In Costa Rica, a total of 640 samples from eight different vegetables used for raw consumption, were analyzed for the presence of intestinal parasites and fecal coliforms. Eighty samples of each vegetable were analyzed, forty during the dry season and forty in the rainy. A greater, but unsignificant (p > 0.05) level of fecal coliforms was found during the dry season. Levels of Escherichia coli, were higher (p < 0.05) during the dry season in lettuce (Latuca sativa) and cilantro (Coleandrum sativum) leaves. Cysts of Endolimax nana, Entamoeba coli, Entamoeba histolytica, Giardia intestinalis and Cryptosporidium sp. were found in all vegetables. The greater percentage of positive samples was found during the dry season, although these relation was only corroborated (p < 0.05) in radish (Raphanus sativus) and cilantro leaves. Only lettuce and cilantro levels showed a positive linear correlation (p < 0.05) between occurrences of intestinal parasites and fecal coliforms.

Toxoplasma gondii (Eucoccidia: Sarcoystidae) dissemination pattern in rats after oral infection with oocysts of an avirulent strain.

Differences in Toxoplasma gondii dissemination in white rats (Sprague Dowley) and mice (Wistar) after oral oocyst inoculation are described. Groups of five animals (both hosts) were infected per os with oocysts of the TCR-2 avirulent strain and the dissemination pattern was compared in brain tissue or by serology. Early dissemination was similar in both species. One hr after infection the parasite was present in blood and peritoneal exudate as well as in heart, lung, liver, spleen, lymph nodes and brain. However, after five days there were important differences between both hosts and after 30 days, the parasite was detected only in rat heart and brain, while in mice it persisted in fluids and all organs.

Rat macrophage activity against Toxoplasma gondii studied by electron microscopy.

An electron microscope model was used to study the effect of rat peritoneal macrophages on Toxoplasma gondii. 10(7) tachyzoites were injected i.p. in 30 days-old rats. After 1, 2, 4, 8 and 24 h peritoneal exudate was withdrawn and infected phagocytic cells were prepared for electronic microscope studies. Toxoplasma organisms inside of rat macrophages showed remarkable lesions such as vacuolization and organisms were totally lysed inside of macrophages of more than 8 h infection rats. The results confirm at molecular level, the importance of rat macrophages in the natural adaptation of this rodent to T. gondii.

[Chemical and biological evaluation of the effect of plant extracts against Plasmodium berghei]. / Evaluación química y biológica del efecto de extractos de plantas contra.

Extracts from thirteen species of plants were evaluated by "in vivo" antimalarial test against plasmodium berghei effects. Significant activities were observed in the ethyl acetate and aqueous extracts, elaborated of Cedrela tonduzii leaves, Trichilia havanensis and Trichilia americana barks, Neurolaena lobata and Gliricidia sepium leaves and Duranta repens fruits. Compounds identified include flavanoids, coumarins, mellilotic acid and iridoids which some kind of biodynamic activity has previously been reported. The flavone quercetin 1 purified from C. tonduzii gave strong antimalarial activity, however, its respective glucosides (quercetin 3-glucoside 2 y robinine 7) showed little significant activity.

Increasing of Toxoplasma gondii (Coccidia, Sarcocystidae) infections by Trypanosoma lewisi (Kinetoplastida, Trypanosomatidae) in white rats.

To demonstrate that T. lewisi infection increases T. gondii multiplication in white rats, groups of five Wistar or Sprague Dawley rats were inoculated with 10(6) T. lewisi trypomastigotes and four or seven days later infected with Toxoplasma tachyzoites. Host survival time was monitored, and the presence of T. gondii was confirmed in all dead rats by studying peritoneal exudate smears and lung tissue sections stained with haematoxylin-eosin. The presence of Toxoplasma cysts or antibodies was checked in the brain of surviving rats. The increase is observed four days after trypanosome inoculation and is dependent on rat strain, but not on inoculum size or rat age. Humoral and cellular factors may have a role in the increase as has been reported for other experimental infections with African trypanosomes and T. cruzi.

[Natural adaptation of the white rat to Toxoplasma gondii]. / Adaptación natural de rata blanca a Toxoplasma gondii.

White rats were found to be resistant to 3 x 10(7) Toxoplasma gondii organisms (RH strain) inoculated either sc or ip. That resistance was age-dependent since survival time of 1- or 5-day-old rats inoculated with 10(4) or 10(6) tachyzoites was lower as compared with those 10 or 15 days old. Organisms kept in contact with a lysate of white rat complete peritoneal exudate showed reduced capacity to infect mice. Peritoneal exudate of 5-day-old rats showed a stronger effect than that of 1, 2, 3, or 4 day-infected animals. After 10 days the anti-toxoplasma effect diminished and it almost disappeared after 15 days of infection. Apparently age and macrophage activity are very important factors in the natural adaptability of the white rat to Toxoplasma gondii.

[Effect of corticosteroids in mucocutaneous leishmaniasis. Experimental study]. / Efecto de los corticosteroides en la leishmaniasis cutáneo-mucosa. Estudio experimental.

Groups of "immunized" and "non-immunized" hamsters were inoculated weekly with 2, 10 or 20 mg of cortisone acetate per 100 gr of body weight and infected with Leishmania mexicana or L. braziliensis. Doses of 10 and 20 mg of cortisone were excessive, since the animals died with bacterial infections before they developed leishmaniasis. Inflammation and necrosis were more evident in animals inoculated with cortisone and L. mexicana. Furthermore, this strain caused lesions in lymphatic ganglia of immunosuppressed animals, but was not observed in those inoculated with L. braziliensis. There was no difference between the pathological findings in nonimmune and immune hamsters. These results could indicate that passive immunization with dead antigen is not effective.

[Effect of corticosteroids on the congenital transmission of experimental toxoplasmosis]. / Efecto de los corticosteroides en la trasmisión congénita de toxoplasmosis experimental.

Female white mice with chronic toxoplasmosis were treated with cortisone acetate (3mg for each 25 g of body weight) 12, 8, 4 and 0 days before mating. Cortisone induces congenital transmission of T. gondii.

Natural and induced blood dissemination of Toxoplasma gondii: experimental model in white mice and hamsters.

Blood inoculation in mice showed that Toxoplasma organisms circulate in blood after 1 h of oocyst infection. Parasites were detected up to 15 days later and then disappeared from the bloodstream concomitantly with cyst formation in the brain, probably due to antibody presence. Immunosuppression caused by cortisone acetate treatment induced Toxoplasma bloodstream invasion in chronically infected mice and hamsters, causing death in some. Natural dissemination is discussed in relation with congenital toxoplasmosis. Induced immunosuppressive effect is compared with that produced by natural diseases such as Hodgkin, lymphoma, AIDS and others.

Seroepidemiology of Toxoplasma gondii (Apicomplexa) in meat producing animals in Costa Rica.

A serologic screening for Toxoplasma gondii antibodies by IgG indirect fluorescent antibodies test (IgG-IFAT) was carried among 496 swine and 601 cattle serum samples from throughout Costa Rica, to study the possible role of their meat in the transmission of the parasite. The overall prevalence of antibodies was 34.4% in cattle and 43.8% in swine. No significant differences were found in the antibody prevalence between males and females in both animal groups, which acquire the infection early in their lives. Swine did not present significant differences between age groups. In cattle there was a high percent of seropositivity between the first and third years of age. The provinces that showed a greater number of seropositive animals were Limón and Puntarenas for both animals, and Guanacaste for cattle.

[The presence of cysts in Tritrichomonas muris]. / Presencia de quistes en Tritrichomonas muris.

Cysts of Tritrichomonas muris are reported. The morphology of this evolution stage is described under light and electron microscopy. The biologic and epidemiologic importance of this finding is discussed.