The vaccination of children with severe somatic pathology

1,696 children were vaccinated; of these, 1,487 children had different kinds of somatic pathology, including 1,181 children with CNS lesions, 29 children with malignant tumors, 45 children with congenital defects, 82 children with allergic diseases, etc. The group of relatively healthy vaccinees consisted of 209 children. The following vaccines were used for immunization: Tetracoq 05, D.T.Vax, Rudivax, Imovax Polio, Vaxigrip (Pasteur Mèrieux Connaught, France); HBVax, MMRII (Merck Sharp & Dohme, USA); as well as vaccines against hepatitis B produced by Smith Kline Beecham (UK) and Combiotech (Russia). In no case severe vaccine-associated complications were observed. The frequency and manifestation of reactions in children with somatic pathology did nor essentially differ from those in relatively healthy children. The increase of the number of vaccine components did not lead to the increase of the number of side effects of the severity of their manifestation. These investigations demonstrated the safety of vaccination for children with somatic pathology.     

A possible role of neuroimmunoendocrine interactions and development of post-irradiation pathology]

On the basis of the literature a postulate is proposed that the immune system contributes to regulating the intensity and direction of endocrine and nervous system functions in normal conditions and after the effect of ionizing radiation. The role of neuroimmunoendocrine interactions and their impairment in the realization of stochastic and nonstochastic sequelae of irradiation at various levels of radiation affecting the organism under normal conditions and in a combination with other unfavourable factors.     

Olduvai Hominin 8 foot pathology: A comparative study attempting a differential diagnosis

Olduvai Hominin (OH) 8, a 1.76 million year old left foot skeleton, has osteophytic lipping on the metatarsal bases, which when compared to a modern sample, may help paleoanthropologists determine whether the foot bones represent an injured subadult or an osteoarthritic adult. This study compares the OH 8 lipping pattern to those of 140 individual Amerindians comprising four different age classes to determine whether the OH 8 lipping is likely to be age-related osteoarthritis. OH 8 metatarsal lipping followed a pattern similar to that determined in the comparative sample to be age-related osteoarthritis. Similarities include metatarsal base lipping that is frequently located on the dorsal surface, metatarsal base lipping that is more severe on the lateral metatarsals compared to the medial metatarsals, and the presence of a pseudojoint between metatarsal 1 and metatarsal 2. The chance of finding an individual with osteoarthritis lipping increases from 3.45% in the age group 18–22 years to 55% in individuals over 35 years. The chance of finding a pseudojoint increases from 1.32% in non-osteoarthritic individuals to 15.15% in individuals with osteoarthritis. Results from this study indicate that the OH 8 foot bones are most likely from an adult and more likely to belong to Paranthropus boisei, the skull of which was found in the same excavations with OH 8, than to the juvenile Homo habilis holotype.     

Long-acting beta-agonists reduce mortality of patients with severe and very severe chronic obstructive pulmonary disease: a propensity score matching study

Background

Long-acting beta-agonists were one of the first-choice bronchodilator agents for stable chronic obstructive pulmonary disease. But the impact of long-acting beta-agonists on mortality was not well investigated.

Methods

National Emphysema Treatment Trial provided the data. Severe and very severe stable chronic obstructive pulmonary disease patients who were eligible for volume reduction surgery were recruited at 17 clinical centers in United States during 1988–2002. We used the 6–10 year follow-up data of patients randomized to non-surgery treatment. Hazard ratios for death by long-acting beta-agonists were estimated by three models using Cox proportional hazard analysis and propensity score matching were measured.

Results

The pre-matching cohort was comprised of 591 patients (50.6% were administered long-acting beta-agonists. Age: 66.6 ± 5.3 year old. Female: 35.4%. Forced expiratory volume in one second (%predicted): 26.7 ± 7.1%. Mortality during follow-up: 70.2%). Hazard ratio using a multivariate Cox model in the pre-matching cohort was 0.77 (P = 0.010). Propensity score matching was conducted (C-statics: 0.62. No parameter differed between cohorts). The propensity-matched cohort was comprised of 492 patients (50.0% were administered long-acting beta-agonists. Age: 66.8 ± 5.1 year old. Female: 34.8%. Forced expiratory volume in one second (%predicted) 26.5 ± 6.8%. Mortality during follow-up: 69.1%). Hazard ratio using a univariate Cox model in the propensity-matched cohort was 0.77 (P = 0.017). Hazard ratio using a multivariate Cox model in the propensity-matched cohort was 0.76 (P = 0.011).

Conclusions

Long-acting beta-agonists reduce mortality of severe and very severe chronic obstructive pulmonary disease patients.     

Histopathological diagnosis of mycoses in veterinary pathology

Histopathological analysis demonstrates the morphology of the fungi and shows their relationship with tissue lesions, which is a valuable information in the diagnosis of veterinary mycoses, especially in superficial infections where reservoirs make difficult the diagnosis using other techniques. On the other hand, histopathological analysis should be complementary to other methods such as culture, immunohistochemistry, serology, PCR, etc. In this work, the most relevant histopathological features of some of the most common mycoses of domestic animals, some of which have zoonotic potential, are described and their differential diagnosis is discussed. To facilitate the discussion of the differential diagnoses, mycoses have been grouped by the sites of the infections and by the nature of the fungi (dimorphic and filamentous). Mycoses included in the study were 1) Superficial and deep infections: dermatophytosis, dermatophytic pseudomycetoma, eumycotic mycetoma, phaeohyphomycosis and malasezziasis. 2) Systemic mycoses: aspergillosis and zygomycosis. 3) Mycoses due to dimorphic fungi: candidiasis, cryptococcosis, blastomycosis, sporotrichosis, coccidioidomycosis and histoplasmosis. 4) Infections by algae and other fungi: protothecosis and pneumocystosis.     

14q terminal deletion: prenatal diagnosis in a child with severe congenital anomalies

A fetal patient presented at 27.3 weeks of gestation with polyhydramnion. Ultrasound examination showed enlarged cerebral ventricles, abnormal position of the fingers and abnormal external genitals. Chromosome studies in chorionic villus material were normal male: in cultured amniocytes a distal deletion 14q32 was demonstrated and confirmed by FISH analysis. The baby was born at 37 weeks and died spontaneously during labour. This is the first report of prenatal diagnosis of a terminal 14q deletion.     

Alpha 1-antitrypsin: a possible tool for diagnosis of cervical cancer

The serum protease inhibitor alpha 1-AT was measured in patients with different types of cancer and compared with that of normal human serum. alpha 1-AT levels, as measured by its trypsin inhibitory capacity and the immunodiffusion technique, showed significant increase (P less than 0.05 and P less than 0.001, respectively) in cervical cancer patients. The results indicates that levels of alpha 1-AT may have a direct relationship with cervical cancer condition.     

Myeloperoxidase,a possible biomarker for the early diagnosis of cardiac diastolic dysfunction with preserved ejection fraction

The current study was conducted on a sample of 91 patients diagnosed with diastolic dysfunction (DD) with preserved systolic function caused by a painful chronic ischaemic cardiopathy – angina pectoris stable at the effort. The diagnosis was established following anamnesis, electrocardiogram, and echocardiography. Myeloperoxidase (MPO) serum levels were assessed in all patients and then these values were correlated with some of the echocardiography parameters that proved the mentioned diagnosis.

In conclusion, the execution of this investigation triad (electrocardiogram, echocardiography, and MPO) allows:

• Stratifying the patients depending on the disease risk by early detecting of any possible DD with preserved systolic function.

• The use of the MPO increased circulating levels as a biomarker for diagnosis and risk due to the statistically significant correlation between those and the results of the other two aforementioned paraclinical investigation.

     

A possible case of spontaneous Loa loa encephalopathy associated with a glomerulopathy

Background

There is a danger that mass drug administration campaigns may fail to maintain adequate treatment coverage to achieve lymphatic filariasis elimination. Hence, additional measures to suppress transmission might be needed to ensure the success of the Global Program for the Elimination of Lymphatic Filariasis.

Discussion

Vector control successfully eliminated lymphatic filariasis when implemented alone or with mass drug administration. Challenges to lymphatic filariasis elimination include uncertainty of the exact level and duration of microfilarial suppression required for elimination, the mobility of infected individuals, consistent non-participation of some infected individuals with mass drug administration, the possible development of anti-filarial drug resistance and treatment strategies in areas co-endemic with loasis. Integration of vector control with mass drug administration can address some of these challenges. The potential benefits of vector control would include: (1) the ability to suppress filariasis transmission without the need to identify all individual 'foci of infection'; (2) minimizing the risk of reestablishment of transmission from imported microfilaria positive individuals; and (3) decreasing the risk of dengue or malaria transmission where, respectively, Aedes or Anopheles are lymphatic filariasis vectors.

Summary

With adequate sustained treatment coverage, mass drug administration should meet the criteria for elimination of lymphatic filariasis. However, it may be difficult to sustain sufficiently high mass drug administration coverage to achieve lymphatic filariasis elimination in some areas, particularly, where Aedes species are the vectors. Since vector control was effective in controlling and even eliminating lymphatic filariasis transmission, integration of vector control with mass drug administration will ensure the sustainability of transmission suppression and thereby better ensure the success of national filariasis elimination programs. Although trials of some vector control interventions are needed, proven vector control strategies are ready for immediate integration with mass drug administration for many important vectors. Vector control is the only presently available additional lymphatic filariasis control measure with the potential for immediate implementation.     

A physiological basis for control of a prosthetic hand

Recent surveys from upper limb amputees indicate the sentiment that prosthetic hands do not function in a life-like manner and are not intuitively controlled. Thus, two methods of control for a prosthetic hand are presented. A proportional derivative (PD) force controller is compared to a novel biomimetic application of sliding mode control. The biomimetic sliding mode (BSM) controller was designed to map human muscle signals into prosthesis motor command signals in a physiologically expected manner.The BSM and PD controllers were evaluated analytically and subjectively by one amputee and nine nonamputee test subjects. The posture of the hands of the nonamputee test subjects were measured with a CyberGlove and used to determine if the position of the prosthesis (when driven by both controllers) was highly correlated to the posture of the human hands. Force tracking experiments were also performed by all test subjects with both controllers to evaluate the ability to control the applied force. Finally, a dual object lifting task was performed by all test subjects to determine if the mapping of electromyogram (EMG) signals with the BSM controller resulted in physiologically expected motions. A nonparametric Mann–Whitney U-test was performed on the subjective evaluations to determine the statistical significance of the evaluations.The BSM controller was shown to replicate the posture of the human hand much more accurately than the PD force controller. The BSM controller also enabled better average force tracking results and higher success rates with the dual object lifting experiment while the same task was nearly impossible to perform with the PD controller. Finally, the BSM controller was subjectively rated to be more similar to control in comparison to the human hand with respect to position and force.