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In this paper, we review practical limitations to laser space propulsion that have been discussed in the literature. These are as follows: (1) thermal coupling to the propelled payload, which might melt it; (2) a decrease in mechanical coupling with number of pulses, which has been observed in some cases; and (3) destruction of solar panels in debris removal proposals that might create more debris rather than less. Previously, lack of data prevented definite assessments. Now, new data on multipulse vacuum laser impulse coupling coefficient Cm on several materials at 1064 nm, at 1030 nm, and at 532 nm are available. We are now able to compare the results for single and multiple pulses on materials that have been considered for laser ablation space propulsion (LASP), or that are likely space debris constituents, and decide whether LASP is a practical idea. Laser space propulsion and debris removal concepts depend on thousands or hundreds of thousands of repetitive pulses. Repetitive pulse mechanical coupling as well as thermal coupling (which can melt the target rather than propel it) are both important considerations. Materials studied were 6061T6 aluminum, carbon-doped polyoxymethylene (POM), undoped POM, a yellow POM copolymer, and a mixture of Al and POM microparticles combined and pressed, containing a 50%/50% mixture of the two materials by mass. We address 6 and 70 ps pulses because of the availability of data at these pulse durations. We also briefly consider continuous wave (CW) laser propulsion. Finally, we consider a recent paper concerning solar panel destruction from a positive perspective.
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OBJECTIVES: In terms of HIV infection, western and central Africa is the second most affected region world-wide, and the gap between the regional figures for the testing and treatment cascade and the Joint United Nations Programme on HIV/AIDS (UNAIDS) 90-90-90 targets is particularly worrying. We assessed the prevalence of virological suppression in patients routinely treated in 19 hospitals in Cameroon. METHODS: A cross-sectional survey was performed in adult patients receiving antiretroviral therapy (ART) in the Centre and Littoral regions. The prevalences of virological suppression (<1000 HIV-1 RNA copies/mL) were compared among all 19 hospitals using the χ2 test. Potential individual and health care-related determinants of virological suppression were assessed using multivariate logistic regression models. RESULTS: A total of 1700 patients (74% women; median age 41 years; median time on ART 3.7 years) were included in the study. The prevalence of virological suppression was 82.4% overall (95% confidence interval 80.5-84.2%). It ranged from 57.1 to 97.4% according to the individual hospital (P < 0.001). After adjustment, virological suppression was associated with age, CD4 cell count at ART initiation, disclosure of HIV status to family members, interruption of ART for more than two consecutive days, and location of patient's residence and hospital (rural/urban). These factors did not explain the heterogeneity of virological suppression between the study hospitals (P < 0.001). CONCLUSIONS: The overall prevalence of virological suppression was reassuring. Nevertheless, the heterogeneity of virological suppression among hospitals highlights that, in addition to programme-level data, health facility-level data are crucial in order to tailor the national AIDS programme's interventions with a view to achieving the third UNAIDS 90 target.
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Antirretrovirais/uso terapêutico , Infecções por HIV/tratamento farmacológico , HIV-1/fisiologia , Adulto , Antirretrovirais/farmacologia , Contagem de Linfócito CD4 , Camarões/epidemiologia , Estudos Transversais , Feminino , HIV-1/efeitos dos fármacos , Humanos , Masculino , Adesão à Medicação , Pessoa de Meia-Idade , Prevalência , RNA Viral/efeitos dos fármacos , População Rural , Inquéritos e Questionários , Carga Viral/efeitos dos fármacosRESUMO
Culex antennatus (Diptera: Culicidae), Anopheles coustani (Diptera: Culicidae) and Anopheles squamosus/cydippis were found to be infected with Rift Valley fever virus (RVFV) during an epidemic that occurred in 2008 and 2009 in Madagascar. To understand the roles played by Cx. antennatus and An. coustani in virus maintenance and transmission, RVFV vector competence was assessed in each species. Mosquito body parts and saliva of mosquitoes that fed on RVFV-infected blood were tested for RVFV using real-time quantitative polymerase chain reaction (RT-qPCR) assays. Overall, viral RNA was detected in body parts and saliva at 5 days post-infection (d.p.i.) in both species. At 5 d.p.i., infection rates were 12.5% (3/24) and 15.8% (6/38), disseminated infection rates were 100% (3/3) and 100% (6/6), transmission rates were 33.3% (1/3) and 83.3% (5/6), and transmission efficiencies were 4.2% (1/24) and 13.2% (5/38) in Cx. antennatus and An. coustani, respectively. Although RVFV detected in saliva did not propagate on to Vero cells, these results support potential roles for these two mosquito species in the transmission of RVFV.
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Anopheles/fisiologia , Culex/fisiologia , Mosquitos Vetores/fisiologia , Febre do Vale de Rift/transmissão , Vírus da Febre do Vale do Rift/fisiologia , Animais , Anopheles/virologia , Chlorocebus aethiops , Culex/virologia , Madagáscar , Mosquitos Vetores/virologia , Reação em Cadeia da Polimerase em Tempo Real , Células VeroRESUMO
This study evaluated the impact of infectious disease (ID) specialist referrals on outcomes in a tertiary hospital in France. This study tackled methodological constraints (selection bias, endogeneity) using instrumental variables (IV) methods in order to obtain a quasi-experimental design. In addition, we investigated whether certain characteristics of patients have a bearing on the impact of the intervention. We used the payments database and ID department files to obtain data for adults admitted with an ID diagnosis in the North Hospital, Marseille from 2012 to 2014. Comparable cohorts were obtained using coarsened exact matching and analysed using IV models. Mortality, readmissions, cost (payer perspective) and length of stay (LoS) were analysed. We recorded 15,393 (85.97%) stays, of which 2,159 (14.03%) benefited from IDP consultations. The intervention was seen to significantly lower the risk of inpatient mortality (marginal effect (M.E) = -19.06%) and cost of stay (average treatment effect (ATE) = - 5,573.39). The intervention group was seen to have a longer LoS (ATE = +4.95 days). The intervention conferred a higher reduction in mortality and cost for stays that experienced ICU care (mortality: odds ratio (OR) =0.09, M.E cost = -8,328.84 ) or had a higher severity of illness (mortality: OR=0.35, M.E cost = -1,331.92 ) and for patients aged between 50 and 65 years (mortality: OR=0.28, M.E cost = -874.78 ). This study shows that ID referrals are associated with lower risk of inpatient mortality and cost of stay, especially when targeted to certain subgroups.
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Doenças Transmissíveis/diagnóstico , Doenças Transmissíveis/tratamento farmacológico , Encaminhamento e Consulta , Especialização , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , França , Custos de Cuidados de Saúde , Humanos , Tempo de Internação , Masculino , Pessoa de Meia-Idade , Readmissão do Paciente , Estudos Retrospectivos , Análise de Sobrevida , Centros de Atenção TerciáriaRESUMO
Rivers are known to be major contributors to eutrophication in marine coastal waters, but little is known on the short-term impact of freshwater surges on the structure and functioning of the marine plankton community. The effect of adding river water, reducing the salinity by 15 and 30%, on an autumn plankton community in a Mediterranean coastal lagoon (Thau Lagoon, France) was determined during a 6-day mesocosm experiment. Adding river water brought not only nutrients but also chlorophyceans that did not survive in the brackish mesocosm waters. The addition of water led to initial increases (days 1-2) in bacterial production as well as increases in the abundances of bacterioplankton and picoeukaryotes. After day 3, the increases were more significant for diatoms and dinoflagellates that were already present in the Thau Lagoon water (mainly Pseudo-nitzschia spp. group delicatissima and Prorocentrum triestinum) and other larger organisms (tintinnids, rotifers). At the same time, the abundances of bacterioplankton, cyanobacteria, and picoeukaryote fell, some nutrients (NH4+, SiO43-) returned to pre-input levels, and the plankton structure moved from a trophic food web based on secondary production to the accumulation of primary producers in the mesocosms with added river water. Our results also show that, after freshwater inputs, there is rapid emergence of plankton species that are potentially harmful to living organisms. This suggests that flash flood events may lead to sanitary issues, other than pathogens, in exploited marine areas.
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Carbono/química , Plâncton , Rios/química , Animais , Bactérias , Cadeia Alimentar , França , Água Doce , Rotíferos , SalinidadeRESUMO
Arthropod-borne diseases are important causes of morbidity and mortality. The identification of vector species relies mainly on morphological features and/or molecular biology tools. The first method requires specific technical skills and may result in misidentifications, and the second method is time-consuming and expensive. The aim of the present study is to assess the usefulness and accuracy of matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) as a supplementary tool with which to identify mosquito vector species and to invest in the creation of an international database. A total of 89 specimens belonging to 10 mosquito species were selected for the extraction of proteins from legs and for the establishment of a reference database. A blind test with 123 mosquitoes was performed to validate the MS method. Results showed that: (a) the spectra obtained in the study with a given species differed from the spectra of the same species collected in another country, which highlights the need for an international database; (b) MALDI-TOF MS is an accurate method for the rapid identification of mosquito species that are referenced in a database; (c) MALDI-TOF MS allows the separation of groups or complex species, and (d) laboratory specimens undergo a loss of proteins compared with those isolated in the field. In conclusion, MALDI-TOF MS is a useful supplementary tool for mosquito identification and can help inform vector control.
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Culicidae/fisiologia , Mosquitos Vetores/fisiologia , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz/métodos , Distribuição Animal , Animais , Culicidae/classificação , Bases de Dados Factuais , Feminino , Madagáscar , Masculino , Mosquitos Vetores/classificação , Especificidade da EspécieRESUMO
Actually, the use of symbiotic bacteria is one of alternative solution to avoid vector resistance to pesticides. In Belgium, among 31 identified mosquito species, 10 were considered as potential vectors. Given to introduction risks of arbovirosis, the purpose of this study was to investigate the presence of symbiosis bacteria in potential mosquito vectors. Eleven species caught from 12 sites in Belgium were used: Culex pipiens s.l., Culex torrentium, Culex hortensis, Anopheles claviger, Anopheles maculipennis s.l., Anopheles plumbeus, Culiseta annulata, Ochlerotatus geniculatus, Ochlerotatus dorsalis, Aedes albopictus, and Coquillettidia richiardii. Six genera of symbiotic bacteria were screened: Wolbachia sp., Comamonas sp, Delftia sp., Pseudomonas sp., Acinetobacter sp., and Asaia sp. A total of 173 mosquito individuals (144 larvae and 29 adults) were used for the polymerase chain reaction screening. Wolbachia was not found in any Anopheles species nor Cx. torrentium. A total absence of Comamonas and Delftia was observed in all species. Acinetobacter, Pseudomonas, and Asaia were found in most of species with a high prevalence for Pseudomonas. These results were discussed to develop potential strategy and exploit the variable occurrence of symbiotic bacteria to focus on them to propose biological ways of mosquito control.
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Bactérias/isolamento & purificação , Culicidae/microbiologia , Animais , Bactérias/classificação , Bélgica , Controle de Insetos , Larva/microbiologia , Controle Biológico de Vetores/métodos , SimbioseRESUMO
An inventory on the two critical dimensions that structure the Randomized Controlled Trial in Psychiatry, namely the definition of inclusion criteria for eligible patients for testing and the choice of psychometric methods of pathology assessment and its evolution during the experiment, considers the importance of increasingly numerous and precise international recommendations. Taking into account the formal constraints of industrial, questioning the cultural differences of the methodological approach of the tests, meeting the requirements of feasibility and ever increasing security, frequent cumbersome procedure often contrasts with the modest nature of the results. A better definition to include patients in randomized trials is desirable and it asks to return to the clinic studying the expectations of patients and their response to the therapeutic situation. Excessive standardization otherwise required for ensuring the objective nature of the assessment hampers the collection of original and varied clinical features of importance in the further definitions of indications. On the way to a resumption of the single case study, we can expect from qualitative methods applied to small groups of subjects, optimization principles of patient selection for the upcoming randomized trial and greater chance to address the relevant details of clinical response to the therapeutic situation. This is what has led to the discovery of psychotropic drugs and which is involved in the various modalities of the qualitative approach. For example, and beyond the exploration of clinical drug effects, the study of the experience of psychiatric inpatient care in the Healing Garden, conducted on a small group and on the basis of the narrative analysis of their experience, notes several operating thematic dimensions: a reduction in the perception of symptoms of the disease, the impression of regaining a foothold into reality, the interest of a differently perceived doctor-patient relationship, the advantage of renewed power to act and the recognition of the importance of support from others, patients recovering somehow « vitality ¼ of touch with reality. This suggests the possibility to establish an appropriate rating scale for such a specific therapeutic situation and to provide a more accurate and efficient recruitment for a comparative objective demonstration. Moreover, this construction of meaning reinforces the therapeutic benefit of treatment in Healing Garden and offers new dimensions for research.
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Seleção de Pacientes , Psiquiatria/métodos , Psicometria/métodos , Ensaios Clínicos Controlados Aleatórios como Assunto/métodos , Humanos , Transtornos Mentais/diagnóstico , Transtornos Mentais/terapia , Serviços de Saúde Mental/organização & administração , Serviços de Saúde Mental/normas , Guias de Prática Clínica como Assunto , Psiquiatria/normas , Psicometria/normas , Pesquisa Qualitativa , Ensaios Clínicos Controlados Aleatórios como Assunto/normasRESUMO
OBJECTIVES: The World Health Organization (WHO) recommends task-shifting HIV care to nurses in low-resource settings with limited numbers of physicians. However, the effect of such task-shifting on the health-related quality of life (HRQL) of people living with HIV (PLHIV) has seldom been evaluated. We aimed to investigate the effect of task-shifting HIV care to nurses on HRQL outcomes in PLHIV initiating antiretroviral therapy (ART) in rural district hospitals in Cameroon. METHODS: Outcomes in PLHIV were longitudinally collected in the 2006-2010 Stratall trial. PLHIV were followed up for 24 months by nurses and/or physicians. Six HRQL dimensions were assessed during face-to-face interviews using the WHO Quality of Life (WHOQOL)-HIV BREF scale: physical health; psychological health; independence level; social relationships; environment; and spirituality/religion/personal beliefs. The degree of task-shifting was estimated using a consultant ratio (i.e. the ratio of nurse-led to physician-led visits). The effect of task-shifting and other potential correlates on HRQL dimensions was explored using a Heckman two-stage approach based on linear mixed models to adjust for the potential bias caused by missing data in the outcomes. RESULTS: Of 1424 visits in 440 PLHIV (70.5% female; median age 36 years; median CD4 count 188 cells/µL at enrolment), 423 (29.7%) were task-shifted to nurses. After multiple adjustment, task-shifting was associated with higher HRQL level for four dimensions: physical health [coefficient 0.7; 95% confidence interval (CI) 0.1-1.2; P = 0.01], psychological health (coefficient 0.5; 95% CI 0.0-1.0; P = 0.05), independence level (coefficient 0.6; 95% CI 0.1-1.1; P = 0.01) and environment (coefficient 0.6; 95% CI 0.1-1.0; P = 0.02). CONCLUSIONS: Task-shifting HIV care to nurses benefits the HRQL of PLHIV. Together with the previously demonstrated comparable clinical effectiveness of physician-based and nurse-based models of HIV care, our results support the WHO recommendation for task-shifting.
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Fármacos Anti-HIV/administração & dosagem , Infecções por HIV/tratamento farmacológico , Infecções por HIV/enfermagem , Hospitais de Distrito/organização & administração , Monitorização Fisiológica/enfermagem , Qualidade de Vida , Adulto , Contagem de Linfócito CD4/economia , Camarões/epidemiologia , Análise Custo-Benefício , Progressão da Doença , Feminino , Seguimentos , Infecções por HIV/economia , Infecções por HIV/epidemiologia , Nível de Saúde , Hospitais de Distrito/economia , Humanos , Estudos Longitudinais , Masculino , Monitorização Fisiológica/economia , Enfermeiras e Enfermeiros , Satisfação do Paciente , Médicos , Guias de Prática Clínica como Assunto , População Rural/estatística & dados numéricos , Carga Viral , Organização Mundial da SaúdeRESUMO
OBJECTIVES: The emergence of HIV drug resistance is a crucial issue in Africa, where second-line antiretroviral therapy (ART) is limited, expensive and complex. We assessed the association between adherence patterns and resistance emergence over time, using an adherence measure that distinguishes low adherence from treatment interruptions, in rural Cameroon. METHODS: We performed a cohort study among patients receiving nonnucleoside reverse transcriptase inhibitor (NNRTI)-based ART in nine district hospitals, using data from the Stratall trial (2006-2010). Genotypic mutations associated with antiretroviral drug resistance were assessed when 6-monthly HIV viral loads were > 5000 HIV-1 RNA copies/mL. ART adherence data were collected using face-to-face questionnaires. Combined indicators of early (1-3 months) and late (6 months to t - 1; t is the time point when the resistance had been detected) adherence were constructed. Multivariate logistic regression and Cox models were used to assess the association between adherence patterns and early (at 6 months) and late (after 6 months) resistance emergence, respectively. RESULTS: Among 456 participants (71% women; median age 37 years), 45 developed HIV drug resistance (18 early and 27 late). Early low adherence (< 80%) and treatment interruptions (> 2 days) were associated with early resistance [adjusted odds ratio (95% confidence interval) 8.51 (1.30-55.61) and 5.25 (1.45-18.95), respectively]. Early treatment interruptions were also associated with late resistance [adjusted hazard ratio (95% confidence interval) 3.72 (1.27-10.92)]. CONCLUSIONS: The emergence of HIV drug resistance on first-line NNRTI-based regimens was associated with different patterns of adherence over time. Ensuring optimal early adherence through specific interventions, adequate management of drug stocks, and viral load monitoring is a clinical and public health priority in Africa.
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Antirretrovirais/uso terapêutico , Terapia Antirretroviral de Alta Atividade/métodos , Farmacorresistência Viral , Infecções por HIV/tratamento farmacológico , HIV-1/efeitos dos fármacos , Adesão à Medicação , Adulto , Antirretrovirais/farmacologia , Camarões , Estudos de Coortes , Feminino , Genótipo , Infecções por HIV/virologia , HIV-1/genética , Hospitais de Distrito , Humanos , Entrevistas como Assunto , Masculino , Fatores de Tempo , Carga ViralRESUMO
Constructing food-web assemblages comprising parasitoid wasps involves large field collections of hosts followed by labour-intensive rearing of the insects to evaluate the rates of parasitism along with morphological or molecular identification of the parasitoid species. This article presents research towards a new molecular method for the practical and accurate construction of aphid-based food webs. We hypothesize that parasitoid and hyperparasitoid DNA left inside aphid mummies after emergence of these third and fourth trophic-level guilds can be simultaneously detected using universal polymerase chain reaction (PCR) primers for nonspecific DNA amplification in combination with single-stranded conformation polymorphism (SSCP) analysis. Such a protocol theoretically allows food-web construction to be performed with no a priori knowledge of the species present. Moreover, the use of empty mummies circumvents rearing and minimizes labour and time in the field and laboratory. To test our hypothesis, we conducted DNA analyses on laboratory-produced parasitized aphids (mummies) from Myzus persicae and Brevicoryne brassicae (two important aphid pest species) after exposure to the parasitoid Diaeretiella rapae and the hyperparasitoid Asaphes vulgaris. DNA is amplifiable in empty aphid mummies for as long as 3 weeks after parasitoid emergence. However, the simultaneous identification of several species in a single mummy sample was rare, which hinders the accurate inference of trophic links. DNA quality and relative quantity, together with preferential amplification, are potential explanations of current results. Technical refinements are needed to ensure full reliability and detection of complex trophic links. The use of PCR-SSCP for food-web construction is novel, and its potential to include an important number of different species is yet to be fully explored.
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Afídeos/parasitologia , Cadeia Alimentar , Análise de Sequência de DNA/métodos , Vespas/fisiologia , Animais , DNA/análise , Dados de Sequência Molecular , Reação em Cadeia da Polimerase , Polimorfismo Conformacional de Fita Simples , Vespas/genéticaRESUMO
The paramyxean parasite Marteilia refringens infects several bivalve species including European flat oysters Ostrea edulis and Mediterranean mussels Mytilus galloprovincialis. Sequence polymorphism allowed definition of three parasite types 'M', 'O' and 'C' preferably detected in oysters, mussels and cockles respectively. Transmission of the infection from infected bivalves to copepods Paracartia grani could be experimentally achieved but assays from copepods to bivalves failed. In order to contribute to the elucidation of the M. refringens life cycle, the dynamics of the infection was investigated in O. edulis, M. galloprovincialis and zooplankton over one year in Diana lagoon, Corsica (France). Flat oysters appeared non-infected while mussels were infected part of the year, showing highest prevalence in summertime. The parasite was detected by PCR in zooplankton particularly after the peak of prevalence in mussels. Several zooplanktonic groups including copepods, Cladocera, Appendicularia, Chaetognatha and Polychaeta appeared PCR positive. However, only the copepod species Paracartia latisetosa showed positive signal by in situ hybridization. Small parasite cells were observed in gonadal tissues of female copepods demonstrating for the first time that a copepod species other than P. grani can be infected with M. refringens. Molecular characterization of the parasite infecting mussels and zooplankton allowed the distinguishing of three Marteilia types in the lagoon.
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Cercozoários/crescimento & desenvolvimento , Copépodes/parasitologia , Estágios do Ciclo de Vida , Mytilus/parasitologia , Ostrea/parasitologia , Zooplâncton/parasitologia , Animais , Sequência de Bases , Cercozoários/classificação , Cercozoários/genética , Cercozoários/fisiologia , Feminino , França , Trato Gastrointestinal/parasitologia , Gônadas/parasitologia , Histocitoquímica , Interações Hospedeiro-Parasita , Hibridização In Situ , Dados de Sequência Molecular , Reação em Cadeia da Polimerase , Polimorfismo de Fragmento de Restrição , Salinidade , Alinhamento de Sequência , Análise de Sequência de DNA , TemperaturaRESUMO
To advance our restricted knowledge on mosquito biodiversity and distribution in Belgium, a national inventory started in 2007 (MODIRISK) based on a random selection of 936 collection points in three main environmental types: urban, rural and natural areas. Additionally, 64 sites were selected because of the risk of importing a vector or pathogen in these sites. Each site was sampled once between May and October 2007 and once in 2008 using Mosquito Magnet Liberty Plus traps. Diversity in pre-defined habitat types was calculated using three indices. The association between species and environmental types was assessed using a correspondence analysis. Twenty-three mosquito species belonging to traditionally recognized genera were found, including 21 indigenous and two exotic species. Highest species diversity (Simpson 0.765) and species richness (20 species) was observed in natural areas, although urban sites scored also well (Simpson 0.476, 16 species). Four clusters could be distinguished based on the correspondence analysis. The first one is related to human modified landscapes (such as urban, rural and industrial sites). A second is composed of species not associated with a specific habitat type, including the now widely distributed Anopheles plumbeus. A third group includes species commonly found in restored natural or bird migration areas, and a fourth cluster is composed of forest species. Outcomes of this study demonstrate the effectiveness of the designed sampling scheme and support the choice of the trap type. Obtained results of this first country-wide inventory of the Culicidae in Belgium may serve as a basis for risk assessment of emerging mosquito-borne diseases.
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Biodiversidade , Culicidae , Animais , Bélgica , Meio AmbienteRESUMO
This study was conducted to investigate the flight and dispersal behavior of male Aedes albopictus under laboratory conditions. Two different methods, the Observer and Ethovision software devices, were used to determine the total duration, the mean and maximum flight speed, and the distance covered by these mosquitoes. During 24 h, mosquitoes were more active from 0800 to 1200 h and from 1700 to 2100 h than during the rest of the day. Male Ae. albopictus displayed different activities at different times. The flight activity was 47 min and 57 sec over 24 h. During this period, sugar-fed males flew an average distance of 236.20 m at an average speed of 8.5 cm/sec. The unfed males flew significantly faster than recently fed males, with maximum flight speeds of 44.9 cm/sec and 33.6 cm/sec, respectively. The time used for resting (22 h 2 min +/- 13 min) was significantly higher (P < 0.0001) than walking and flying times (68 min +/- 10 sec and 49 min +/- 5 min, respectively). Overall, both methods allowed observations on flight activity, and the camera recordings allowed these activities to be quantified.
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Ciclos de Atividade , Aedes , Animais , Voo Animal , Masculino , Atividade MotoraRESUMO
This review describes the major stored-product insect species and their resistance to insecticides. The economic importance of the control of those pests is highlighted with a loss of more than one billion US dollars per year worldwide. A detailed common description of species resistance throughout the world has been developed, and we observed 28 recurrent studied species involved in resistance cases disseminated on the five continents. The different mechanisms, including behavioral resistance, were studied particularly on Oryzaephilus surinamensis. The role of detoxifying enzymes and studies on the genetic resistance, involving the kdr mutation mechanisms and the transmission of the genes of resistance, are also described. A chapter clarifying definitions on cross and multiple resistance is enclosed.
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Controle de Insetos/métodos , Insetos/efeitos dos fármacos , Insetos/genética , Resistência a Inseticidas , Inseticidas/farmacologia , Animais , Besouros/efeitos dos fármacos , Besouros/genética , Feminino , Controle de Insetos/economia , MasculinoRESUMO
Sterile insect technique (SIT) is a method of disease vector control technique that consists of releasing overwhelming numbers of sterile males. This method provides an environmentally friendly alternative to insecticides. Another advantage of SIT in comparison with other methods is to provide a targeted species-specific approach. In Reunion Island, SIT has been proposed as a basis for developing a viable method of vector control against Aedes albopictus and Anopheles arabiensis. The technique has already been successfully tested on fly and mosquito species for more than 40 years. The CRVOI (Centre de Recherche et de Veille sur les Maladies Emergentes dans l'Océan Indien) is carrying out studies to determine the feasibility of SIT for control of Anopheles arabiensis (vector of malaria) and Aedes albopictus (vector of chikungunya and dengue) on Reunion Island and other islands in the Indian Ocean region.
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Aedes , Infecções por Alphavirus/prevenção & controle , Infertilidade Masculina , Insetos Vetores , Controle de Mosquitos/métodos , Aedes/fisiologia , Aedes/virologia , Infecções por Alphavirus/transmissão , Animais , Febre de Chikungunya , Feminino , Saúde Global , Humanos , Oceano Índico , Infertilidade Masculina/virologia , Insetos Vetores/fisiologia , Insetos Vetores/virologia , Inseticidas/efeitos adversos , Inseticidas/uso terapêutico , Masculino , ReuniãoAssuntos
Abscesso/patologia , Doença de Crohn/complicações , Pâncreas/patologia , Baço/patologia , Abscesso/diagnóstico , Adulto , Feminino , Humanos , SíndromeRESUMO
Issues of male fertility must be addressed to support the development of a sterile insect technique (SIT) programme for the control of Aedes albopictus Skuse (Diptera: Culicidae) populations on Reunion Island in the Indian Ocean. The mating ability of a local strain of Ae. albopictus was tested using several batches of females and different cage sizes under laboratory conditions. Individual males were able to inseminate up to 14 females at an average of 9.5 females per male when exposed to 20 females over 7 days. Males filled between three and 27 spermathecal capsules at an average of 15.5 capsules per male. The average number of females inseminated per male was 5.3 when two virgin females were introduced to one male and replaced every day for 12 days, and 8.6 when 10 virgin females were introduced to one male and replaced every day for 14 days. A continuous decrease in the number of both inseminated females and filled spermathecal capsules was observed over time, until no mating occurred after 14 days. The high number of females inseminated by one male and the duration of male activity may have strong implications for SIT control of mosquitoes.
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Aedes/fisiologia , Controle Biológico de Vetores , Animais , Feminino , Masculino , Reprodução , Reunião , Comportamento Sexual Animal , Fatores de TempoRESUMO
OBJECTIVE: to study the factors associatedlost to follow-up in People Living with HIV on antiretroviral therapy (ART) at the Ambulatory Treatment Center (ATC). METHODS: This is a retrospective case-control study of two years. It concerned all HIV-infected patients aged 15 and over who were started on ART for at least 4 months. Each case was matched with two controls by sex and age ± 5 years. RESULTS: The proportionlost to follow-up was 21%.The median age lost to follow-up was 36 years (IQR: 30-42 years), sex ratio was 1.4 in favor of women. The median initial CD4 cell count was 151 cells / mm3 (IQR: 51-245) versus 207 (IQR: 67-482) for controls and the median lost to follow-up was 6 months (IQR: 4-9 months): 5-16) for controls. In multivariate analysis, the factors associated lost to follow-up were: unmarried (adjusted OR = 3.84, P = 0.0346); the initial CD4 <200 cells / mm3 (adjusted OR = 3.88, P = 0.0393) and the duration of ARV <= 6 months (adjusted OR = 6.59, P = 0.0047). The protective factors against lost to follow-up were: Body Mass Index of the last visited > = 18.5 kg / m2 (adjusted OR = 0.07, P = 0.0069); (OR adjusted = 0.06, P = 0.0197) and initiation to ART in the rainy season (adjusted OR = 0.21, P = 0.0220). CONCLUSION: These results can be supplemented by quantitative and qualitative studies.
LE BUT: de ce travail était de d'étudier les facteurs associés aux perdues de vue chez les personnes vivant avec le VIH sous traitement antirétroviral (ARV) au Centre de Traitement Ambulatoire. MÉTHODES: Il s'agissaitune étude rétrospective cas-témoins de deux ans. Elle a concerné tous les patients infectés par le VIH âgés de 15 ans et plus initiés au traitement antirétroviral depuis 4 mois. RÉSULTATS: La proportionde perdue de vue était de 21% (31/151). L'âge médian des PDV était de 36 ans (IQR:30-42ans), le sexe ratio était 1.4 en faveur des femmes. Le CD4 initial médian était 151 cellules /mm3 (IQR: 51-245) contre 207 (IQR:67-482) pour les témoins et la durée médiane PDV était de 6 mois (IQR :4-9 mois) contre 9 mois (IQR:5-16) pour les témoins. A l'analyse multivariée, les facteurs associés au PDV étaient : les non mariés (OR ajusté= 3,84, P=0.0346) ; le taux de CD4 initial < 200 cellules /mm3 (OR ajusté= 3.88, P=0.0393) et la durée sous ARV ≤ 6 mois (OR ajusté= 6.59, P=0.0047). Les facteurs associés à une diminution du risque de PDV étaient : IMC de la dernière visitée ≥ 18,5 kg/m2 (OR ajusté=0.07, P=0.0069) ; les activités associatives (OR ajusté = 0.06, P=0.0197) et l'initiation aux ARV en saison de pluie (OR ajusté=0.21, P=0.0220). CONCLUSION: D'autres études quantitatives et qualitatives représentatives de la région de Ségou sont nécessaires afin de mieux comprendre ce phénomène PDV.
RESUMO
OBJECTIVES: The European Committee on Antimicrobial Susceptibility Testing (EUCAST) recently warned about an area of technical uncertainty (ATU) of amoxicillin/clavulanate (AMX/C) disk susceptibility testing against members of the Enterobacterales. Thus, we aimed to compare the reliability of three routine methods and to evaluate the impact of the ATU. METHODS: 286 Escherichia coli strains (including 159 AMX-resistant strains) were categorized for the two EUCAST AMX/C breakpoints by disk diffusion (Bio-Rad), the Phoenix automated system (Becton Dickinson) and the Etest (AES) compared to the broth microdilution reference method. RESULTS: By microdilution, 84.2% of strains were AMX/C-susceptible using the urinary breakpoint (MIC ≤32 mg/L) and 62.2% using the systemic breakpoint (MIC ≤8 mg/L), with 63.6% of MICs between 4 and 16 mg/L. For the systemic breakpoint, category agreement (CA) and very major error (VME) were unacceptable for the Etest (71.7% and 27.3%), disk (73.1% and 23.4% at 19-mm cut-off) and to a lesser extent for the Phoenix system (83.6% and 10.5%). For disks, an unacceptable VME rate was observed for diameters up to 22 mm, probably due to overcharged disks. For the Etest, VMEs were high at 6 mg/L (46/63) and 8 mg/L (22/29). For the urinary breakpoint, CA was more acceptable for disk (88.9%) and Etest (84.3%) but was unevaluable for Phoenix. CONCLUSION: AMX/C susceptibility testing of E. coli for systemic breakpoint was unreliable with the three routine methods, explained mainly by the high prevalence (~60%) of strains with microdilution MICs around the breakpoint (8 mg/L). Our data confirmed the EUCAST 19-20-mm ATU for disk and suggest introducing ATU for Etest MIC values of 6 and 8 mg/L.