scholarly journals Pervasive but Neglected: A Perspective on COVID-19-Associated Pulmonary Mold Infections Among Mechanically Ventilated COVID-19 Patients

2021 ◽  
Vol 8 ◽  
Author(s):  
Mona Ghazanfari ◽  
Amir Arastehfar ◽  
Lotfollah Davoodi ◽  
Jamshid Yazdani Charati ◽  
Maryam Moazeni ◽  
...  
Keyword(s):  
Large Scale ◽  
Epidemiological Studies ◽  
Antifungal Drugs ◽  
Valuable Insight ◽  
Radiological Findings ◽  
Serum Samples ◽  
Pulmonary Aspergillosis ◽  
Mechanically Ventilated ◽  
High Prevalence ◽  
Insight Into

Background: Recent studies from multiple countries have shown a high prevalence of coronavirus disease 2019 (COVID-19)-associated pulmonary aspergillosis (CAPA) among severely ill patients. Despite providing valuable insight into the clinical management of CAPA, large-scale prospective studies are limited. Here, we report on one of the largest multicenter epidemiological studies to explore the clinical features and prevalence of COVID-19-associated pulmonary mold infections (CAPMIs) among mechanically ventilated patients.Methods: Bronchoalveolar lavage (BAL) and serum samples were collected for culture, galactomannan (GM), and β-D-glucan (BDG) testing. Patients were classified as probable CAPMI based on the presence of host factors, radiological findings, and mycological criteria.Results: During the study period, 302 COVID-19 patients were admitted to intensive care units (ICUs), among whom 105 were mechanically ventilated for ≥4 days. Probable CAPMI was observed among 38% of patients (40/105), among whom BAL culture of 29 patients turned positive for molds, while galactomannan testing on BAL (GM index ≥1) and serum (GM index >0.5) samples were positive for 60% (24/40) and 37.5% (15/39) of patients, respectively. Aspergillus (22/29; 75.8%) and Fusarium (6/29; 20.6%) constituted 96.5% of the molds isolated. Diaporthe foeniculina was isolated from a COVID-19 patient. None of the patients who presented with CAPMI were treated with antifungal drugs.Conclusion: Despite being prevalent, the absence of appropriate antifungal treatment highlights that CAPMI is a neglected complication among mechanically ventilated COVID-19 patients admitted to ICUs. CAPMI can be caused by species other than Aspergillus.

scholarly journals The history of settlement and agrarian land use in a boreal forest in Värmland, Sweden, new evidence from pollen analysis

2021 ◽  
Author(s):  
Sigrún Dögg Eddudóttir ◽  
Eva Svensson ◽  
Stefan Nilsson ◽  
Anneli Ekblom ◽  
Karl-Johan Lindholm ◽  
...  
Keyword(s):  
Land Use ◽  
Pollen Analysis ◽  
Large Scale ◽  
Pollen Grains ◽  
Ice Age ◽  
Valuable Insight ◽  
Archaeological Survey ◽  
History Of ◽  
New Evidence ◽  
Insight Into

AbstractShielings are the historically known form of transhumance in Scandinavia, where livestock were moved from the farmstead to sites in the outlands for summer grazing. Pollen analysis has provided a valuable insight into the history of shielings. This paper presents a vegetation reconstruction and archaeological survey from the shieling Kårebolssätern in northern Värmland, western Sweden, a renovated shieling that is still operating today. The first evidence of human activities in the area near Kårebolssätern are Hordeum- and Cannabis-type pollen grains occurring from ca. 100 bc. Further signs of human impact are charcoal and sporadic occurrences of apophyte pollen from ca. ad 250 and pollen indicating opening of the canopy ca. ad 570, probably a result of modification of the forest for grazing. A decrease in land use is seen between ad 1000 and 1250, possibly in response to a shift in emphasis towards large scale commodity production in the outlands. Emphasis on bloomery iron production and pitfall hunting may have caused a shift from agrarian shieling activity. The clearest changes in the pollen assemblage indicating grazing and cultivation occur from the mid-thirteenth century, coinciding with wetter climate at the beginning of the Little Ice Age. The earliest occurrences of anthropochores in the record predate those of other shieling sites in Sweden. The pollen analysis reveals evidence of land use that predates the results of the archaeological survey. The study highlights how pollen analysis can reveal vegetation changes where early archaeological remains are obscure.

scholarly journals Sheep Brucellosis in Kuwait: A Large-Scale Serosurvey, Identification of Brucella Species and Zoonotic Significance

2020 ◽  
Vol 7 (3) ◽  
pp. 132 ◽  
Author(s):  
Yousef Al-Sherida ◽  
Adel H. El-Gohary ◽  
Amro Mohamed ◽  
Mohamed El-Diasty ◽  
Gamal Wareth ◽  
...  
Keyword(s):  
Large Scale ◽  
Small Ruminants ◽  
Health Impact ◽  
Control Measures ◽  
Economic Losses ◽  
Serum Samples ◽  
Tissue Samples ◽  
High Prevalence ◽  
History Of ◽  
Combined Action

Brucellosis is a common zoonotic disease of major concern in humans of Kuwait, and B. melitensis causes most human cases. The disease is endemic in small ruminants, cattle, and camels for decades, causing substantial economic losses in livestock production. However, a nationwide large-scale investigation of brucellosis in the small ruminant population has not been done in the past two decades. A serosurvey of sheep brucellosis in the five districts of Kuwait with most animal production farms was done between 2016 and 2019. In total, 67,054 serum samples from 233 sheep herds were collected and tested. Additionally, milk and tissue samples were collected from 46 seropositive cases for bacteriology. Thirty persons from seven seropositive farms were tested by serology. The incidence of seropositive cases was 7% in districts devoid of vaccination, while it was 4.7% in farms with history of vaccination. The serosurvey revealed that 89% of non-vaccinated herds (n = 181) were seropositive by Rose Bengal test (RBT), buffered acidified plate antigen test (BAPAT), and complement fixation test (CFT). Prevalence of 100% was reported for non-vaccinated sheep herds from Al-Wafrah and Al-Jahra districts, followed by those from Al-Salmi (88.24%), Al-Abdali (86.7%) and Kabd (75.6%). Implementation of vaccination with B. melitensis Rev.1 vaccine and test-and-slaughters in 20 herds reduced the seroprevalence to 33.3% and 25% in herds from Al-Jahra and AL-Wafrah, respectively. B. melitensis was isolated from 20 samples (43.5%). More than half of the examined animal owners (56.6%) tested positive for Brucella using RBT, BAPAT and CFT. The high numbers of infected herds and high prevalence in herdsmen are alarming. Thus, control measures have to be ensured immediately. The epidemiological situation in Kuwait is similar to those of the neighboring countries and the combined action of these states is needed. The understanding of the economic and public health impact of brucellosis in Kuwait needs to grow.

scholarly journals Evaluation of Inapparent Nosocomial Severe Acute Respiratory Syndrome Coronavirus Infection in Vietnam by Use of Highly Specific Recombinant Truncated Nucleocapsid Protein-Based Enzyme-Linked Immunosorbent Assay

2005 ◽  
Vol 12 (7) ◽  
pp. 848-854 ◽  
Author(s):  
Fuxun Yu ◽  
Mai Quynh Le ◽  
Shingo Inoue ◽  
Hong Thi Cam Thai ◽  
Futoshi Hasebe ◽  
...  
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Large Scale ◽  
Screening Method ◽  
Epidemiological Studies ◽  
Enzyme Linked Immunosorbent Assay ◽  
Serum Samples ◽  
Nucleocapsid Proteins ◽  
N Protein ◽  
Care Workers ◽  
Coronavirus Infection

ABSTRACT Severe acute respiratory syndrome (SARS) is a recently emerged human disease associated with pneumonia. Inapparent infection with SARS coronavirus (CoV) is not well characterized. To develop a safe, simple, and reliable screening method for SARS diagnosis and epidemiological study, two recombinant SARS-CoV nucleocapsid proteins (N′ protein and NΔ121 protein) were expressed in Escherichia coli, purified by affinity chromatography, and used as antigens for indirect, immunoglobulin G enzyme-linked immunosorbent assays (ELISA). Serum samples collected from healthy volunteers and SARS patients in Vietnam were used to evaluate the newly developed methods. The N′ protein-based ELISA showed a highly nonspecific reaction. The NΔ121 protein-based ELISA, with a nonspecific reaction drastically reduced compared to that of the nearly-whole-length N′ protein-based ELISA, resulted in higher rates of positive reactions, higher titers, and earlier detection than the SARS-CoV-infected cell lysate-based ELISA. These results indicate that our newly developed SARS-CoV NΔ121 protein-based ELISA is not only safe but also a more specific and more sensitive method to diagnose SARS-CoV infection and hence a useful tool for large-scale epidemiological studies. To identify inapparent SARS-CoV infections, serum samples collected from health care workers (HCWs) in Vietnam were screened by the NΔ121 protein-based ELISA, and positive samples were confirmed by a virus neutralization test. Four out of 149 HCWs were identified to have inapparent SARS-CoV infection in Vietnam, indicating that subclinical SARS-CoV infection in Vietnam is rare but does exist.

Dot immunogold filtration assay (DIGFA) for the rapid detection of specific antibodies against the rat lungwormAngiostrongylus cantonensis(Nematoda: Metastrongyloidea) using purified 31-kDa antigen

2013 ◽  
Vol 88 (4) ◽  
pp. 396-401 ◽  
Author(s):  
P. Eamsobhana ◽  
X.X. Gan ◽  
A. Ma ◽  
Y. Wang ◽  
D. Wanachiwanawin ◽  
...  
Keyword(s):  
Large Scale ◽  
Protein A ◽  
Epidemiological Studies ◽  
Human Infection ◽  
Enzyme Linked Immunosorbent Assay ◽  
Parasitic Diseases ◽  
Serum Samples ◽  
Specific Antibodies ◽  
North East ◽  
Gold Conjugate

AbstractA rapid dot immunogold filtration assay (DIGFA) was adopted for specific immunodiagnosis of human cerebral angiostrongyliasis, using purified 31-kDa glycoprotein specific toAngiostrongylus cantonensisas diagnostic antigen and protein A colloidal gold conjugate as antigen–antibody detector. A total of 59 serum samples were assayed – 11 samples from clinically diagnosed patients with detectableA. cantonensis-specific antibody in immunoblotting; 23 samples from patients with other related parasitic diseases, i.e. gnathostomiasis (n= 8), cysticercosis (n= 5), toxocariasis (n= 2), filariasis (n= 4), paragonimiasis (n= 2) and malaria (n= 2); and 25 samples from normal healthy subjects. The sensitivity and specificity of DIGFA to detect anti-A. cantonensisspecific antibodies in serologically confirmed angiostrongyliasis cases, were both 100%. No positive DIGFA was observed in cases with other parasitic diseases, and the healthy control subjects. The 3-min DIGFA is as sensitive and specific as the 3-h immunoblot test in angiostrongyliasis confirmed cases that revealed a 31-kDa reactive band. The gold-based DIGFA is more rapid and easier to perform than the traditional enzyme-linked immunosorbent assay (ELISA). The test utilizing purifiedA.cantonensisantigen is reliable and reproducible for specific immunodiagnosis of human infection withA. cantonensis– thus can be applied as an additional routine test for clinical diagnostic support. Large-scale sero-epidemiological studies in endemic communities in north-east Thailand are under way to evaluate its usefulness under field conditions.

High prevalence of West Nile virus in equines from the two provinces of Pakistan

2014 ◽  
Vol 143 (9) ◽  
pp. 1931-1935 ◽  
Author(s):  
A. ZOHAIB ◽  
M. SAQIB ◽  
C. BECK ◽  
M. H. HUSSAIN ◽  
S. LOWENSKI ◽  
...  
Keyword(s):  
West Nile Virus ◽  
Japanese Encephalitis Virus ◽  
Large Scale ◽  
Encephalitis Virus ◽  
Serum Samples ◽  
West Nile ◽  
Elisa Kit ◽  
Tick Borne Encephalitis ◽  
High Prevalence ◽  
Tick Borne Encephalitis Virus

SUMMARYThis study describes the first large-scale serosurvey on West Nile virus (WNV) conducted in the equine population in Pakistan. Sera were collected from 449 equids from two provinces of Pakistan during 2012–2013. Equine serum samples were screened using a commercial ELISA kit detecting antibodies against WNV and related flaviviruses. ELISA-positive samples were further investigated using virus-specific microneutralization tests (MNTs) to identify infections with Japanese encephalitis virus (JEV), WNV and tick-borne encephalitis virus (TBEV). Anti-WNV antibodies were detected in 292 samples by ELISA (seroprevalence 65·0%) and WNV infections were confirmed in 249 animals by MNT. However, there was no animal found infected by JEV or TBEV. The detection of WNV-seropositive equines in Pakistan strongly suggests a widespread circulation of WNV in Pakistan.

scholarly journals Identifying and Analyzing Dependencies in and among Complex Cyber Physical Systems

Sensors ◽  
2021 ◽  
Vol 21 (5) ◽  
pp. 1685
Author(s):  
Aida Akbarzadeh ◽  
Sokratis Katsikas
Keyword(s):  
Complex System ◽  
Large Scale ◽  
Graphical Model ◽  
Cyber Physical Systems ◽  
Critical Infrastructures ◽  
Valuable Insight ◽  
Physical Systems ◽  
Dependency Structure ◽  
Tightly Coupled ◽  
Insight Into

Contemporary Critical Infrastructures (CIs), such as the power grid, comprise cyber physical systems that are tightly coupled, to form a complex system of interconnected components with interacting dependencies. Modelling methodologies have been suggested as proper tools to provide better insight into the dependencies and behavioural characteristics of these complex systems. In order to facilitate the study of interconnections in and among critical infrastructures, and to provide a clear view of the interdependencies among their cyber and physical components, this paper proposes a novel method, based on a graphical model called Modified Dependency Structure Matrix (MDSM). The MDSM provides a compact perspective of both inter-dependency and intra-dependency between subsystems of one complex system or two distinct systems. Additionally, we propose four parameters that allow the quantitative assessment of the characteristics of dependencies, including multi-order dependencies in large scale CIs. We illustrate the workings of the proposed method by applying it to a micro-distribution network based on the G2ELAB 14-Bus model. The results provide valuable insight into the dependencies among the network components and substantiate the applicability of the proposed method for analyzing large scale cyber physical systems.

Respect and the city: the mediating role of respect in citizen participation

2012 ◽  
Vol 5 (1) ◽  
pp. 20-34 ◽  
Author(s):  
Sebastian Zenker ◽  
Adrian Seigis
Keyword(s):  
Citizen Participation ◽  
Large Scale ◽  
Valuable Insight ◽  
Content Type ◽  
Citizen Satisfaction ◽  
Mediating Role ◽  
Public Protest ◽  
The City ◽  
Insight Into

PurposeTo develop a city, officials frequently invest a great deal of taxpayers' money in large‐scale place development projects, which are often sparsely supported by the citizens because such projects often lead to unwanted effects (such as gentrification). This results in conflicts between planners and citizens, which are expressed in public protest and resistance. The instrument of citizen participation is repeatedly raised as a solution for such conflicts, but it remains unclear how and especially why this concept should be effective. The purpose of this paper is to empirically highlight the mediating role in this process: the feeling of being respected. By this means, the paper will contribute to a better general understanding of citizen participation.Design/methodology/approachIn an experimental scenario study (n=368), different types of citizen participation (i.e. cases where the result was binding for the city vs non‐binding) were researched using a between‐groups design. To validate results, in a second step, the outcome was discussed with three experts, all of whom have worked in the field.FindingsSurprisingly, it seems that neither the type of participation nor satisfaction with the project makes a difference with regards to citizen satisfaction, but simply the condition of being asked. One could argue that the feeling of being respected is the main mediator in this process. These results show the effectiveness of the participation tool in general, and give a possible explanation for this effect.Originality/valueThis paper concentrates on the variables underlying citizen participation. It shows empirically that the feeling of being respected is the mediator within this process. By this means, the paper offers a valuable insight into citizen participation in general and discusses its usage in place marketing.

scholarly journals Impact of orbitally-driven seasonal insolation changes on Afro-Asian summer monsoons through the Holocene

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Chi-Hua Wu ◽  
Pei-Chia Tsai
Keyword(s):  
East Asia ◽  
Large Scale ◽  
Late Summer ◽  
Early Summer ◽  
Valuable Insight ◽  
The Holocene ◽  
Upper Troposphere ◽  
Asian Summer ◽  
Seasonal Diversity ◽  
Insight Into

AbstractUnderstanding what drives a shift of the Afro–Asian summer monsoons from the continents to oceanic regions provides valuable insight into climate dynamics, changes, and modeling. Here we use data–model synthesis to focus on the differential seasonal responses of solar insolation and monsoons to orbital changes in the Holocene. We observe coordinated and stepwise seasonal evolution of summer monsoons across the mid-Holocene, suggesting the strengthening of the midlatitude jet stream as a bridge in the upper troposphere. Prior to the mid-Holocene, insolation had decreased considerably in early summer; the continental monsoons migrated southeastward, which corresponded to a more pronounced rainy season in coastal East Asia. In late summer, insolation did not decrease until the mid-Holocene. The continued weakening of the continental monsoons, combined with weakened insolation, rapidly enhanced the intrinsic dynamics over East Asia–Western North Pacific and accelerated a large-scale migration of the monsoon, suggesting orbital control of seasonal diversity.

Study of the resistor material of an automotive spark plug by use of the charge-up effect along with elemental mapping in an electron microprobe

1991 ◽  
Vol 49 ◽  
pp. 742-743
Author(s):  
D. R. Liu ◽  
S. S. Shinozaki ◽  
J. S. Park ◽  
B. N. Juterbock
Keyword(s):  
Electron Microprobe ◽  
Present Report ◽  
Coated Sample ◽  
Valuable Insight ◽  
Elemental Mapping ◽  
Spark Plug ◽  
Carbon Coated ◽  
Electron Image ◽  
Electron Imaging ◽  
Insight Into

The electric and thermal properties of the resistor material in an automotive spark plug should be stable during its service lifetime. Containing many elements and many phases, this material has a very complex microstructure. Elemental mapping with an electron microprobe can reveal the distribution of all relevant elements throughout the sample. In this work, it is demonstrated that the charge-up effect, which would distort an electron image and, therefore, is normally to be avoided in an electron imaging work, could be used to advantage to reveal conductive and resistive zones in a sample. Its combination with elemental mapping can provide valuable insight into the underlying conductivity mechanism of the resistor.This work was performed in a CAMECA SX-50 microprobe. The spark plug used in the present report was a commercial product taken from the shelf. It was sectioned to expose the cross section of the resistor. The resistor was known not to contain the precious metal Au as checked on the carbon coated sample. The sample was then stripped of carbon coating and re-coated with Au.

Quantum Mechanical Interpretation of the Ultra-Low Energy Methyl-Rotation Dynamics in Porous Metal-Organic Frameworks Probed by Low-Frequency Vibrational Spectroscopy and ab initio Simulations

2018 ◽  
Author(s):  
Qi Li ◽  
Adam J. Zaczek ◽  
Timothy M. Korter ◽  
J. Axel Zeitler ◽  
Michael T. Ruggiero
Keyword(s):  
Ab Initio ◽  
Metal Organic Frameworks ◽  
Low Frequency ◽  
Rotor Dynamics ◽  
Quantum Mechanical ◽  
Valuable Insight ◽  
Void Space ◽  
Ab Initio Simulations ◽  
Metal Organic ◽  
Insight Into

<div>Understanding the nature of the interatomic interactions present within the pores of metal-organic frameworks</div><div>is critical in order to design and utilize advanced materials</div><div>with desirable applications. In ZIF-8 and its cobalt analogue</div><div>ZIF-67, the imidazolate methyl-groups, which point directly</div><div>into the void space, have been shown to freely rotate - even</div><div>down to cryogenic temperatures. Using a combination of ex-</div><div>perimental terahertz time-domain spectroscopy, low-frequency</div><div>Raman spectroscopy, and state-of-the-art ab initio simulations,</div><div>the methyl-rotor dynamics in ZIF-8 and ZIF-67 are fully charac-</div><div>terized within the context of a quantum-mechanical hindered-</div><div>rotor model. The results lend insight into the fundamental</div><div>origins of the experimentally observed methyl-rotor dynamics,</div><div>and provide valuable insight into the nature of the weak inter-</div><div>actions present within this important class of materials.</div>

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