The effect of transmission route on plant virus epidemic development and disease control

A model for indirect vector transmission and epidemic development of plant viruses is extended to consider direct transmission through vector mating. A basic reproduction number is derived which is the sum of the R₀ values specific for three transmission routes. We analyse the model to determine the effect of direct transmission on plant disease control directed against indirect transmission. Increasing the rate of horizontal sexual transmission means that vector control rate or indirect transmission rate must be increased/decreased substantially to maintain R₀ at a value less than 1. By contrast, proportionately increasing the probability of transovarial transmission has little effect. Expressions are derived for the steady-state values of the viruliferous vector population. There is clear advantage for an insect virus in indirect transmission to plants, especially where the sexual and transovarial transmission rates are low; however information on virulence-transmissibility relationships is required to explain the evolution of a plant virus from an insect virus.     

Effect of experimental viral infection in thymectomized rodents

Neonatally thymectomized rodents present an increased susceptibility to experimental viral infections leading to a severe growth depression. In thymectomized mice, viral infections significantly enhance the appearance of the wasting syndrome. These data suggest that viral infections may contribute to the development of wasting syndrome.     

Visualizing clinical evidence: citation networks for the incubation periods of respiratory viral infections

Simply by repetition, medical facts can become enshrined as truth even when there is little empirical evidence supporting them. We present an intuitive and clear visual design for tracking the citation history of a particular scientific fact over time. We apply this method to data from a previously published literature review on the incubation period of nine respiratory viral infections. The resulting citation networks reveal that the conventional wisdom about the incubation period for these diseases was based on a small fraction of available data and in one case, on no retrievable empirical evidence. Overall, 50% of all incubation period statements did not provide a source for their estimate and 65% of original sources for incubation period data were not incorporated into subsequent publications. More standardized and widely available methods for visualizing these histories of medical evidence are needed to ensure that conventional wisdom cannot stray too far from empirically supported knowledge.     

Slow viral infections of animals: experimental models for human disease

Sigurdsson's three criterions for a slow viral infection are quoted and discussed and the background of his work briefly described. A fourth criterion for a slow viral infection, is suggested, infection of the hosts lymphoid tissues, which is a common feature of slow infections that have been observed. The general properties of the maedi-visna virus, the diseases and the immune response it causes are discussed. Sheep and goats are susceptible to natural maedi-visna infection. In the goat an identical retrovirus causes arthritis. Arthritis has not been found in maedi-visna infected sheep. Two subacute spongiform encephalopathies of animals are shortly reviewed, scrapie in sheep and goats and transmissible mink encephalopathy (TME). General properties of the very unusual scrapie agent are mentioned briefly. The third type of a slow viral infection is mentioned, Aleutian mink disease, an immunopathological disorder of certain minks caused by a selective infection of lymphoid cells.     

Influence of inoculation route on virulence of Rhodococcus equi in mice.

Virulence of R. equi ATCC 33701 was compared by the intraperitoneal (i.p.) and intravenous (i.v.) routes in mice. Strain ATCC 33701 was more virulent by the i.v. than the i.p. route. The LD50 of strain ATCC 33701 by either route correlated with the initial number of bacteria in the liver and spleen at day 0.     

Serological evidence of Ureaplasma urealyticum infection in neonatal respiratory disease

Since up to 80 percent of pregnant women and 30 percent of neonates may be colonized with genital mycoplasmas, it is difficult to determine whether true infection occurs. The antibody responses to eight serotypes of U. urealyticum were assessed in mothers and infants in 21 cases of neonatal respiratory disease (RD) and 24 normal cases. Among the normal population of mothers and infants, a titer of greater than or equal to 1:32 occurred in 0.25 percent (1/394). In mother-infant paired titers, a fourfold difference occurred in 2.6 percent (5/192). Among 54 RD neonates, 55.6 percent had a titer of greater than or equal to 1:32 compared to only 4.2 percent of normal neonates (p less than .001). Fourfold elevations in antibody titers of greater than 1:32 were observed in the neonate in 52.4 percent of RD cases compared to 0 percent of 24 normal pairs (p less than .001) and in 28.6 percent of mothers of RD neonates compared to 0 percent in normal cases (p = .013). We observed that 43.3 percent of RD neonates with titers greater than or equal to 1:32 died compared to 16.6 percent of RD neonates exhibiting no elevation of antibody response over the maternal level. Among the six who died, 66.7 percent of neonates and 16.7 percent of their mothers had elevated titers, compared to 33.3 percent of 15 surviving infants and 40.0 percent of their mothers. These elevated antibody responses strongly support the concept that U. urealyticum causes infection in the perinatal period in association with neonatal respiratory disease. Since the elevation in titers was detected close to delivery in many cases, the infection may occur in utero.     

Isostaticity and controlled force transmission in the cytoskeleton: A model awaiting experimental evidence

A new model is proposed for force transmission through the cytoskeleton (CSK). A general discussion is first presented on the physical principles that underlie the modeling of this phenomenon. Some fundamental problems of conventional models--continuous and discrete--are examined. It is argued that mediation of focused forces is essential for good control over intracellular mechanical signals. The difficulties of conventional continuous models in describing such mediation are traced to a fundamental assumption rather than to their being continuous. Relevant advantages and disadvantages of continuous and discrete modeling are discussed. It is concluded that favoring discrete models is based on two misconceptions, which are clarified. The model proposed here is based on the idea that focused propagation of mechanical stimuli in frameworks over large distances (compared to the mesh size) can only occur when considerable regions of the CSK are isostatic. The concept of isostaticity is explained and a recently developed continuous isostaticity theory is briefly reviewed. The model enjoys several advantages: it leads to good control over force mediation; it explains nonuniform stresses and action at a distance; it is continuous, making it possible to model force propagation over long distances; and it enables prediction of individual force paths. To be isostatic, or nearly so, CSK networks must possess specific structural characteristics, and these are quantified. Finally, several experimental observations are interpreted using the new model and implications are discussed. It is also suggested that this approach may give insight into the dynamics of reorganization of the CSK. Many of the results are amenable to experimental measurements, providing a testing ground for the proposed picture, and generic experiments are suggested.     

Retrospective analysis of evidence base for tests used in diagnosis and monitoring of disease in respiratory medicine

Objectives To determine how many common clinical tests used in a respiratory medicine outpatient clinic are based on high quality evidence.Design Retrospective review of case notes. Record of first three tests for each patient. Diagnostic tests, tests used to assess existing condition, explicit trials of therapy were included. Literature search for supporting evidence and grading of best evidence for each test.Setting Inner city university teaching hospital in the United Kingdom.Participants All new outpatients referred to a single respiratory medicine team over a period of three months.Main outcome measures Proportion of tests supported by level 1a-1c evidence (scale developed by Centre for Evidence Based Medicine).Results Only half the tests that were used to make or exclude a diagnosis and a fifth of the tests used to assess a known condition were supported by level 1a-1c evidence. There was no evidence to support trials of therapy.Conclusions A large proportion of clinical tests in respiratory medicine are not supported by level 1a-1c evidence. None of the therapeutic trials that were used were supported by evidence.     

Effect of corticosteroids on the congenital transmission of experimental toxoplasmosis]

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.     

Preventing disease transmission by deceased tissue donors by testing blood for viral nucleic acid

Nucleic acid testing (NAT) has reduced the risk of transmitting infectious disease through blood transfusion. Currently NAT for HIV-1 and HCV are FDA licensed and performed by nearly all blood collection facilities, but HBV NAT is performed under an investigational study protocol. Residual risk estimates indicate that NAT could potentially reduce disease transmission through transplanted tissue. However, tissue donor samples obtained post-mortem have the potential to produce an invalid NAT result due to inhibition of amplification reactions by hemolysis and other factors. The studies reported here summarize the development of protocols to allow NAT of deceased donor samples with reduced rates of invalid results. Using these protocols, inventories from two tissue centers were tested with greater than 99% of samples producing a valid test result.     

Hands as route of transmission for Klebsiella species.

Seventeen per cent of the staff of an intensive care ward were found to have Klebsiella spp contaminating their hands, and these strains could be related to serotypes infecting or colonising patients in the ward on the same day. We identified some simple ward procedures that resulted in contamination of nurses'' hands with 100-1000 klebsiellae per hand. Klebsiellae survived on artifically inoculated hands for up to 150 minutes. Handwashing with chlorhexidine hand cleanser reliably gave 98-100% reduction in hand counts, and the introduction of routine handwashing by staff before moving from one patient to the next was associated with a significant and sustained reduction in the number of patients colonised or infected with Klebsiella spp. Staff clothing was occasionally contaminated, but ward air and dust rarely contained klebsiellae.     

Integrative hypothesis for Huntington's disease: a brief review of experimental evidence

Huntington's disease (HD) is a demential, neurodegenerative inheritable disease affecting middle-aged patients. HD is characterized by uncontrolled choreiform movements, psychiatric symptoms and cognitive decline. Histopathological changes in HD brains reveal a considerable damage to basal ganglia, particularly affecting middle-sized spiny neurons from the caudate-putamen region. Neurochemical changes are specifically oriented to deplete GABAergic and cholinergic systems, while molecular alterations include an increased expression of CAG trinucleotide at exon 1 from the huntingtin (htt) gene, as well as aggregation of mutant htt. Although several hypotheses regarding the mechanisms by which neurotoxicity is triggered in HD brains have been suggested on the basis of experimental evidence, so far it remains not clear which of them are predominant or whether they are complementary. Recent experimental evidence through transgenic mice models reveal an interesting interaction between expanded CAG triplets, mutant htt, and the increase in toxic metabolites from the kynurenine pathway. Further evidence supports the assumption that different toxic mechanisms (i.e. excitotoxicity, energy metabolism impairment, inflammatory events, oxidative stress, etc.) are confluent and depend on each other. In this review we will briefly summarize some of those findings and propose a final integrative hypothesis for HD.     

In China, students in crowded dormitories with a low ventilation rate have more common colds: evidence for airborne transmission

Objective

To test whether the incidence of common colds among college students in China is associated with ventilation rates and crowdedness in dormitories.

Methods

In Phase I of the study, a cross-sectional study, 3712 students living in 1569 dorm rooms in 13 buildings responded to a questionnaire about incidence and duration of common colds in the previous 12 months. In Phase II, air temperature, relative humidity and CO₂ concentration were measured for 24 hours in 238 dorm rooms in 13 buildings, during both summer and winter. Out-to indoor air flow rates at night were calculated based on measured CO₂ concentrations.

Results

In Phase I, 10% of college students reported an incidence of more than 6 common colds in the previous 12 months, and 15% reported that each infection usually lasted for more than 2 weeks. Students in 6-person dorm rooms were about 2 times as likely to have an incidence of common colds ≥6 times per year and a duration ≥2 weeks, compared to students in 3-person rooms. In Phase II, 90% of the measured dorm rooms had an out-to indoor air flow rate less than the Chinese standard of 8.3 L/s per person during the heating season. There was a dose-response relationship between out-to indoor air flow rate per person in dorm rooms and the proportion of occupants with annual common cold infections ≥6 times. A mean ventilation rate of 5 L/(s•person) in dorm buildings was associated with 5% of self reported common cold ≥6 times, compared to 35% at 1 L/(s•person).

Conclusion

Crowded dormitories with low out-to indoor airflow rates are associated with more respiratory infections among college students.     

Transplantable Marek's disease lymphomas. IV. Differences in lethality of lymphoma cell lines determined by route of inoculation

Mortality caused by inoculation of cells from four Marek's disease herpes virus-induced transplantable lymphomas was studied in two related inbred lines of chickens. While i.m. inoculation of 10(4) cells from each lymphoma generally caused death of all syngeneic recipients by 18 days post-inoculation, one of the lymphomas (UG2) was unique in that the same number of cells, when inoculated i.v., caused less than 20% mortality by that time. Lethality induced by cells from the other three lymphomas, when inoculated i.v., was as high or higher than when inoculated i.m. Mortality after intra-abdominal or s.c. inoculation of cells from all four lymphomas was similar to that after i.m. inoculations. Chickens inoculated with syngeneic UG2 cells by the i.v. route were significantly protected against a subsequent i.m. challenge with the same or other syngeneic lymphoma cells. However, UG2 lymphoma cells were highly lethal when inoculated i.v. into birds previously treated with the antimacrophage agent carageenan or immunosuppressed by neonatal treatment with cyclophosphamide. Thus, UG2 cells are distinctive in that, when inoculated i.v., they do not cause death of syngeneic hosts but instead induce resistance to a lethal challenge.