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Prevalence of human West Nile Virus infections in Iran: A systematic review and meta-analysis. 伊朗人类西尼罗病毒感染流行情况:系统回顾和荟萃分析
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-08-14 DOI: 10.4103/jvbd.jvbd_7_23
Reza Pakzad, Shahab Falahi, Azra Kenarkoohi, Jalil Nejati, Morteza Akbari

The current systematic review and meta-analysis aims to estimate the prevalence of West Nile Virus (WNV) among humans in Iran. A comprehensive search was conducted in national databases, including SID, Magiran, and Barekat knowledge network and international databases, including Web of Science, MEDLINE, Embase, and Scopus, to identify the articles on the prevalence of human WNV in Iran. A random-effects model was used to assess the pooled prevalence. A meta-regression method was applied to determine the factors affecting the heterogeneity among the studied population. An analysis was performed on 11 studies with a total sample size of 3747. The total pooled estimate for the prevalence of human WNV was 14.92% (95% CI: 9.13 to 20.71). The highest pooled prevalence was in Khuzestan (southwest Iran) (58.31%; 95% CI: 21.12 to 90.82), and the lowest were in East Azerbaijan (Central Iran) (0.0%; 95% CI: 0.0 to 7.11) and Mazandaran (north Iran) (0.0%; 95% CI: 0.0 to 1.69), respectively. Based on the results of the univariate meta-regression, province (b: 0.35; p < 0.001) showed a significant direct association with the prevalence of human WNV, but other variables, including detection method, study population, publication year, and sample size, had no association with the prevalence of human WNV. The percentage of positive cases in serum samples shows that the WNV spreads in Iran.

当前的系统评价和荟萃分析旨在估计西尼罗病毒(WNV)在伊朗人类中的流行情况。在包括SID、Magiran和Barekat知识网络在内的国家数据库和包括Web of Science、MEDLINE、Embase和Scopus在内的国际数据库中进行全面检索,以确定关于伊朗人类西尼罗河病毒流行的文章。采用随机效应模型评估合并患病率。采用元回归方法确定影响研究人群异质性的因素。对11项研究进行了分析,总样本量为3747。人类西尼罗河病毒流行率的总汇总估计值为14.92% (95% CI: 9.13至20.71)。总患病率最高的是伊朗西南部的胡齐斯坦(58.31%);95% CI: 21.12 ~ 90.82),最低的是东阿塞拜疆(伊朗中部)(0.0%;95% CI: 0.0 - 7.11)和Mazandaran(伊朗北部)(0.0%;95% CI: 0.0 ~ 1.69)。基于单变量元回归的结果,省(b: 0.35;p < 0.001)显示与人类西尼罗河病毒的流行有显著的直接关联,但其他变量,包括检测方法、研究人群、出版年份和样本量,与人类西尼罗河病毒的流行没有关联。血清样本中阳性病例的百分比表明西尼罗河病毒在伊朗传播。
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引用次数: 0
Japanese Encephalitis in pig populations of Cachar district of Southern Assam: Emphasizing the need for enhanced surveillance. 南阿萨姆邦Cachar地区猪群中的日本脑炎:强调加强监测的必要性。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-08-14 DOI: 10.4103/jvbd.jvbd_151_25
Mukul Gupta, Ishita Gupta, M Suman Kumar, Himani Dhanze

Background objectives: Japanese Encephalitis (JE) is a re-emerging vector-borne zoonotic disease with a significant public health impact in India. JE is endemic in several Indian states, including Assam, which consistently reports the high burden of human JE cases in the country. Pigs, as amplifier hosts for the JE virus plays a critical role in JE transmission cycle and serves as suitable sentinels for predicting human JE outbreaks. Although several studies have assessed the JE prevalence in pigs across different districts of Assam, there is no prior report of occurrence of JE in pigs from Southern region of Assam. The present study was undertaken to determine the occurrence of JEV infection in pigs from Cachar, a Southern district of Assam through serological and molecular testing.

Methods: A total of 100 pig serum samples collected from backyard farms across eight villages in the Cachar district were screened using indirect ELISA(s) to detect JEV-specific IgM and IgG antibodies. Samples were further subjected to nested RT-PCR for viral RNA detection followed by phylogenetic analysis to identify the circulating JEV genotype in the region.

Results: Of the 100 pig serum samples tested, 59% were positive for JEV specific IgM antibodies whereas 53% samples were positive for IgG antibodies. The overall seropositivity of JEV among pigs from Cachar district was 66%. JEV RNA was detected in 12 samples and phylogenetic analysis confirmed the presence of genotype III of JEV circulating among pigs from Cachar district of Assam.

Interpretation conclusion: This is the first study to report the presence of JEV infection in pigs from the Cachar district of Assam, underscoring the need to initiate JEV surveillance in the pig population of the region.

背景目的:日本脑炎(乙脑)是一种再次出现的媒介传播的人畜共患疾病,对印度的公共卫生产生重大影响。乙脑在印度几个邦流行,包括阿萨姆邦,该邦一直报告该国人类乙脑病例的高负担。猪作为乙脑病毒的放大宿主,在乙脑传播周期中发挥着关键作用,是预测人类乙脑疫情的合适哨兵。虽然有几项研究评估了阿萨姆邦不同地区猪中乙脑的流行情况,但以前没有阿萨姆邦南部地区猪中发生乙脑的报告。本研究旨在通过血清学和分子检测确定阿萨姆邦南部恰尔区猪中是否发生乙脑病毒感染。方法:采用间接酶联免疫吸附试验(ELISA)对采集于卡查尔地区8个村后院农场的100份猪血清进行筛选,检测乙脑病毒特异性IgM和IgG抗体。对样本进行巢式RT-PCR检测病毒RNA,然后进行系统发育分析,确定该地区流行的乙脑病毒基因型。结果:100份猪血清样本中,JEV特异性IgM抗体阳性率为59%,IgG抗体阳性率为53%。卡查尔区猪乙脑血清总阳性率为66%。在12份样本中检测到乙脑病毒RNA,系统发育分析证实存在在阿萨姆邦恰尔区猪群中流行的乙脑病毒基因III型。解释性结论:这是首次报告在阿萨姆邦Cachar地区的猪群中存在乙脑病毒感染的研究,强调有必要在该地区的猪群中开展乙脑病毒监测。
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引用次数: 0
A Novel Approach for Dengue Outbreak Prediction Using Evolutionary Sampling with Prediction Framework. 基于进化抽样预测框架的登革热疫情预测新方法
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-08-14 DOI: 10.4103/jvbd.jvbd_62_25
D Betteena Sheryl Fernando, K Sheela Sobana Rani

Background objectives: The increasing prevalence of life-threatening viral diseases like dengue fever necessitates comprehensive research into their causes, recovery, and preventive measures. Dengue outbreak data often suffers from irregularities, underreporting, delays, and missing information, which challenge the development of reliable prediction models.

Methods: To overcome these issues, the study proposes an innovative framework that combines Evolutionary Sampling with Prediction (ESP) to handle temporal and stochastic dynamics, along with a Minimax K-nearest neighbour imputer to correct missing data biases. Additionally, a novel Firefly Dynamic Evolution (FDE) approach optimizes model parameters, while a Random Forest classifier captures complex, nonlinear relationships in the data. The model was evaluated using 10-fold cross-validation on two datasets: the Local Epidemics Dengue Fever dataset (San Juan and Iquitos) and the Brazil dengue dataset.

Results: The proposed model achieved a low Mean Absolute Error (MAE) of 22.1 and Root Mean Squared Error (RMSE) of 46.37 on the local dataset, and an MAE of 48.36 and RMSE of 86.76 on the Brazil dataset, demonstrating improved accuracy and robustness.

Interpretation conclusion: These findings highlight the model's potential for early warning systems and broader applications in forecasting other infectious diseases.

背景目标:威胁生命的病毒性疾病如登革热日益流行,需要对其病因、康复和预防措施进行全面研究。登革热暴发数据经常存在不规范、少报、延迟和信息缺失的问题,这对建立可靠的预测模型提出了挑战。方法:为了克服这些问题,本研究提出了一个创新的框架,该框架结合了进化抽样和预测(ESP)来处理时间和随机动力学,以及一个最小最大k近邻输入器来纠正缺失的数据偏差。此外,一种新颖的萤火虫动态进化(FDE)方法优化了模型参数,而随机森林分类器捕获了数据中复杂的非线性关系。对两个数据集(当地流行登革热数据集(圣胡安和伊基托斯)和巴西登革热数据集)使用10倍交叉验证对该模型进行了评估。结果:该模型在本地数据集上的平均绝对误差(MAE)为22.1,均方根误差(RMSE)为46.37,在巴西数据集上的平均绝对误差(MAE)为48.36,均方根误差(RMSE)为86.76,显示出更高的准确性和鲁棒性。解释结论:这些发现突出了该模型在早期预警系统和更广泛应用于预测其他传染病方面的潜力。
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引用次数: 0
Incidence, molecular characterisation and epidemiology of Oriental rat flea, Xenopsylla cheopis (Rothschild, 1903) in synanthropic rodent hosts. 东方鼠蚤(Xenopsylla cheopis, Rothschild, 1903)在鼠类宿主中的发病率、分子特征和流行病学。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-08-07 DOI: 10.4103/jvbd.jvbd_52_25
Dimple Mandla, Sukhmanpreet Kaur Brar, Shivani Rara, Neena Singla, Lachhman Das Singla

Background objectives: Rodents and arthropod vectors transmit zoonotic pathogens like Yersinia pestis, Rickettsia typhi etc. posing a threat to both veterinary and public health. The primary aim of this study was to record the incidence of rat fleas, a vector for plague and murine typhus on synanthropic rodents, their epidemiology and molecular characterization.

Methods: A comprehensive survey of synanthropic rodents viz. Bandicota bengalensis (190), Rattus rattus (201), and Tatera indica (180) across various habitats, including crop fields, poultry farms, fish markets, residential areas, shops, and railway stations in different seasons, was conducted to record the incidence of rat fleas. Fleas collected were identified morphologically, followed by molecular confirmation through PCR amplification of 28S rRNA gene and phylogenetic analysis.

Results: Morphological and molecular analyses confirmed the flea species as Xenopsylla cheopis. The nucleotide sequence obtained was submitted to GenBank (LC626773). The infestation rate varied among rodent species, with R. rattus exhibiting the highest prevalence (55.72%), followed by B. bengalensis (37.36%) and T. indica (6.67%). Adult male rodents were more frequently infested. Seasonal variations revealed peak infestations during winter (36.41%), particularly among rodents from poultry farms (63.33%). R. rattus posed the highest risk for disease transmission (8.35), followed by B. bengalensis (5.60).

Interpretation conclusion: This study highlights the critical role of R. rattus and B. bengalensis in spreading pathogens as primary hosts for X. cheopis. These findings emphasize the need for integrated vector surveillance and targeted control measures to reduce the risk of flea-borne zoonoses in urban and peri-urban areas.

背景目的:啮齿动物和节肢动物媒介传播鼠疫耶尔森氏菌、伤寒立克次体等人畜共患病原体,对兽医和公共卫生构成威胁。本研究的主要目的是记录鼠疫和鼠斑疹伤寒病媒鼠蚤在合群啮齿动物中的发病率、流行病学和分子特征。方法:对不同季节在农田、家禽养殖场、鱼市、居民区、商店、火车站等不同生境的合群鼠(190只)、Rattus Rattus(201只)和Tatera indica(180只)进行调查,记录鼠蚤的发生情况。对收集到的蚤进行形态鉴定,然后通过28S rRNA基因的PCR扩增和系统发育分析进行分子鉴定。结果:形态和分子分析证实该蚤属非洲爪蚤。获得的核苷酸序列提交到GenBank (LC626773)。鼠种间侵害率差异较大,以大鼠最高(55.72%),其次为孟加拉白僵鼠(37.36%)和印度白僵鼠(6.67%)。成年雄性啮齿动物更容易受到感染。季节变化显示冬季鼠患高峰(36.41%),其中以家禽养殖场鼠患高峰(63.33%)居多。家鼠的传播风险最高(8.35),其次是白腹小蠊(5.60)。结论:本研究强调了鼠鼠和孟加拉白僵鼠作为印度蠓的主要寄主在传播病原体中的关键作用。这些调查结果强调需要开展媒介综合监测和有针对性的控制措施,以减少城市和城郊地区蚤媒人畜共患病的风险。
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引用次数: 0
Knowledge, attitude, and practice (KAP) of yellow fever among community members in four districts after an outbreak in the Savannah Region, Ghana. 加纳萨凡纳地区暴发后四个地区社区成员对黄热病的知识、态度和做法(KAP)
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-08-07 DOI: 10.4103/jvbd.jvbd_92_25
Millicent Captain-Esoah, Kwadwo Kyereme Frempong, Francis Balungnaa Dhari Veriegh, Abigail Mahama, Matthew Gabienu, Ishmael T Alhassan, Enoch Arthur, Gloria Y Deku, Iddrisu Fuseini, Martin Ntiamoah Donkor, Chrysantus Kubio, Abdul Malik Hussein, Dorothy Obuobi, Godwin Deku, Michael Rockson Adjei, Daniel Adjei Boakye, Samuel Kweku Dadzie

Background objectives: In 2021, a Yellow Fever (YF) outbreak occurred in rural and mostly nomadic communities within the Savannah region of Ghana, leading to over 40 deaths. Following this outbreak, we determined the knowledge, attitude, and practice (KAP) of YF in these hotspot communities.

Methods: A cross-sectional study was conducted using a random sampling technique and a standard questionnaire involving face-to-face interviews from June 2022 to July 2022. Four districts were selected among the hotspot areas of the 2021 YF outbreak. The participants targeted were residents aged 15 years and above.

Results: The majority (80.8%) had heard about YF through healthcare personnel in all four districts. Most of them associated the cause with poor sanitation, but 14% specifically associated it with mosquito bites (N=869). The level of education was associated with awareness of YF (P = 0.008), however, a pairwise analysis did not show any association between those with no formal education and the highest education (P = 0.903). Vaccination rates were high (average 78%), and the distance to health facility influenced the vaccination status (P < 0.0001). Preventive measures employed included vaccination, sleeping under insecticide-treated bed nets, clearing bushes and getting rid of stagnant water.

Interpretation conclusion: There was high awareness of YF and vaccination rates among the participants. The emergency mass YF vaccination conducted in 2021 in response to the outbreak increased community awareness. Preventive practices employed may be associated with participants' knowledge of mosquito-borne diseases such as malaria. YF education should be integrated with routine health service delivery.

背景目标:2021年,在加纳萨凡纳地区的农村和以游牧为主的社区暴发了黄热病疫情,导致40多人死亡。本次疫情发生后,我们确定了这些热点社区YF的知识、态度和实践(KAP)。方法:于2022年6月至2022年7月采用随机抽样技术和标准问卷进行横断面研究。选定了四个县作为2021年YF疫情的热点地区。研究对象为15岁及以上的居民。结果:4个区通过卫生保健人员了解YF的占80.8%。大多数人将病因与卫生条件差联系起来,但14%的人特别将其与蚊虫叮咬联系起来(N=869)。教育水平与对YF的认识相关(P = 0.008),然而,两两分析没有显示没有受过正规教育的人与受过最高教育的人之间有任何关联(P = 0.903)。疫苗接种率高(平均78%),距离卫生设施的远近影响疫苗接种率(P < 0.0001)。采取的预防措施包括接种疫苗、睡在经杀虫剂处理过的蚊帐里、清理灌木丛和清除死水。解释结论:参与者对YF的认知度和疫苗接种率较高。为应对疫情,2021年开展的紧急大规模疫苗接种提高了社区的认识。所采用的预防措施可能与参与者对疟疾等蚊媒疾病的了解有关。青少年健康教育应与提供常规保健服务相结合。
{"title":"Knowledge, attitude, and practice (KAP) of yellow fever among community members in four districts after an outbreak in the Savannah Region, Ghana.","authors":"Millicent Captain-Esoah, Kwadwo Kyereme Frempong, Francis Balungnaa Dhari Veriegh, Abigail Mahama, Matthew Gabienu, Ishmael T Alhassan, Enoch Arthur, Gloria Y Deku, Iddrisu Fuseini, Martin Ntiamoah Donkor, Chrysantus Kubio, Abdul Malik Hussein, Dorothy Obuobi, Godwin Deku, Michael Rockson Adjei, Daniel Adjei Boakye, Samuel Kweku Dadzie","doi":"10.4103/jvbd.jvbd_92_25","DOIUrl":"https://doi.org/10.4103/jvbd.jvbd_92_25","url":null,"abstract":"<p><strong>Background objectives: </strong>In 2021, a Yellow Fever (YF) outbreak occurred in rural and mostly nomadic communities within the Savannah region of Ghana, leading to over 40 deaths. Following this outbreak, we determined the knowledge, attitude, and practice (KAP) of YF in these hotspot communities.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using a random sampling technique and a standard questionnaire involving face-to-face interviews from June 2022 to July 2022. Four districts were selected among the hotspot areas of the 2021 YF outbreak. The participants targeted were residents aged 15 years and above.</p><p><strong>Results: </strong>The majority (80.8%) had heard about YF through healthcare personnel in all four districts. Most of them associated the cause with poor sanitation, but 14% specifically associated it with mosquito bites (N=869). The level of education was associated with awareness of YF (P = 0.008), however, a pairwise analysis did not show any association between those with no formal education and the highest education (P = 0.903). Vaccination rates were high (average 78%), and the distance to health facility influenced the vaccination status (P < 0.0001). Preventive measures employed included vaccination, sleeping under insecticide-treated bed nets, clearing bushes and getting rid of stagnant water.</p><p><strong>Interpretation conclusion: </strong>There was high awareness of YF and vaccination rates among the participants. The emergency mass YF vaccination conducted in 2021 in response to the outbreak increased community awareness. Preventive practices employed may be associated with participants' knowledge of mosquito-borne diseases such as malaria. YF education should be integrated with routine health service delivery.</p>","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144794863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring Phytochemicals from Nigella sativa as novel NS2B/NS3 protease inhibitors of dengue virus: A Pharmacoinformatic Study. 从黑草中提取的植物化学物质作为新型登革热病毒NS2B/NS3蛋白酶抑制剂的药物信息学研究
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-08-04 DOI: 10.4103/jvbd.jvbd_95_25
Alaa Shafie, Amal Adnan Ashour, Mohammed Fareed Felemban, Faris J Tayeb, Awdhesh Kumar Mishra, Farah Anjum

Background objectives: Dengue virus, a mosquito-borne flavivirus, is a serious worldwide health risk that can be fatal. Its replication is dependent on the NS2B/NS3 protease. Given the critical need for effective antivirals and the documented medicinal properties of Nigella sativa bioactive compounds, this study used molecular docking and ADMET analysis to assess the potential of N. sativa bioactive compounds as NS2B/NS3 protease inhibitors.

Methods: A total of 151 bioactive compounds from N. sativa were retrieved from the PubChem database. Molecular docking analyses were carried out using AutoDock Vina in conjunction with PyRx (v. 0.8) virtual screening tools. Physiochemical and ADMET properties of the top four compounds were evaluated using SwissADME and Deep-PK tools.

Results: The screening resulted 19 compounds with higher binding affinity values than the control compound Lopinavir. This study focused on the top four compounds (PubChem IDs: 11277543, 118717506, 101257318, and 102575929) that were found to form multiple hydrogen bonds and hydrophobic interactions with the NS2B/NS3 protease active site. Importantly, these compounds interacted with the catalytic triad of His51, Asp75, and Ser135 residues of NS2B/NS3 protease. Furthermore, these compounds had favourable druglikeness, pharmacokinetic, and toxicity profiles.

Interpretation conclusion: The compounds (PubChem IDs: 11277543, 118717506, 101257318, and 102575929) can be used as potential NS2B/NS3 protease inhibitors for further experimental validation and development in dengue management.

背景目的:登革热病毒是一种蚊媒黄病毒,是一种严重的全球健康风险,可能是致命的。其复制依赖于NS2B/NS3蛋白酶。鉴于对有效抗病毒药物的迫切需求,以及已有文献记录的黑草生物活性化合物的药用特性,本研究采用分子对接和ADMET分析来评估黑草生物活性化合物作为NS2B/NS3蛋白酶抑制剂的潜力。方法:从PubChem数据库中检索芥蓝的151个活性成分。分子对接分析使用AutoDock Vina结合PyRx (v. 0.8)虚拟筛选工具进行。使用SwissADME和Deep-PK工具对前4个化合物的理化和ADMET性质进行了评价。结果:筛选出19个结合亲和力高于对照化合物洛匹那韦的化合物。本研究的重点是发现与NS2B/NS3蛋白酶活性位点形成多个氢键和疏水相互作用的前4个化合物(PubChem id: 11277543、118717506、101257318和102575929)。重要的是,这些化合物与NS2B/NS3蛋白酶的His51、Asp75和Ser135残基催化三联体相互作用。此外,这些化合物具有良好的药物相似性,药代动力学和毒性谱。结论:化合物(PubChem id: 11277543, 118717506, 101257318和102575929)可作为潜在的NS2B/NS3蛋白酶抑制剂用于进一步的实验验证和开发登革热治疗。
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引用次数: 0
Preliminary evaluation of inactivated antigens as diagnostic controls in molecular detection of vector-borne diseases in low-resource settings. 在低资源环境中,灭活抗原作为媒介传播疾病分子检测诊断对照的初步评价。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-08-04 DOI: 10.4103/jvbd.jvbd_79_25
Manjini Harshavarthini, Subbiah Kombiah, Satyendra Pandey, Vagisha Rawal, Kumaramangalath Anjal, Pushpendra Singh, Pradip V Barde

Background objectives: Molecular tests play crucial role in diagnosis, however, acquiring appropriate controls is challenging owing to strict biosafety and biosecurity regulations. Herein, we suggest an alternative to live virus for inclusion as positive controls in molecular testing.

Methods: We used inactivated antigens provided with ELISA kits, both as they are and after spiking the vector samples. The extracted RNA/DNA was used as a positive control in RT- PCR/PCR reactions.

Results: The PCR product of expected size and sequencing results confirmed that the inactivated antigens can be used as positive controls for Dengue, Chikungunya, Japanese Encephalitis and Lymphatic Filariasis in molecular tests.

Interpretation conclusion: We demonstrate that the inactivated antigens supplied with ELISA kits or obtained from microscopic slide can be used as positive controls in molecular tests while testing human and vector samples. This will be a useful technique for laboratories in resource constrained settings or during emergency situations.

背景目标:分子检测在诊断中发挥着至关重要的作用,然而,由于严格的生物安全和生物安全法规,获得适当的控制是具有挑战性的。在此,我们建议在分子检测中替代活病毒作为阳性对照。方法:采用酶联免疫吸附试验(ELISA)试剂盒提供的灭活抗原,既有原抗原,也有加钉后的灭活抗原。提取的RNA/DNA作为RT- PCR/PCR反应的阳性对照。结果:PCR产物符合预期大小,测序结果证实灭活抗原可作为登革热、基孔肯雅热、日本脑炎和淋巴丝虫病分子检测的阳性对照。解释结论:我们证明,ELISA试剂盒提供的灭活抗原或从显微镜载玻片获得的灭活抗原可以作为阳性对照,在检测人类和载体样本的分子检测中。这将是实验室在资源有限的情况下或在紧急情况下的一项有用技术。
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引用次数: 0
Impact of demographic, clinical and laboratory characteristics on dengue-related hospital stay in Bauru, Brazil. 巴西保鲁人口统计学、临床和实验室特征对登革热相关住院的影响
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-07-30 DOI: 10.4103/jvbd.jvbd_29_24
Gabriel Araújo Medeiros, Lucas Casagrande Passoni Lopes, Júlio Henrique Ribeiro Martins, Fernanda Pátaro Marsola Razera, Carlos Antonio Negrato

Background objectives: Dengue represents a high economic and health burden, particularly in low, and middle-income countries, as in Brazil. This study aimed to evaluate the impact of demographic, clinical and laboratory characteristics on dengue-related hospital stay in Bauru, Brazil.

Methods: This was a retrospective, cross-sectional, observational study that evaluated the impact of demographic characteristics (age, sex, and self-reported ethnicity), of chronic diseases (diabetes mellitus, systemic arterial hypertension, chronic kidney disease, dyslipidemia, cancer, cardiomyopathy, and heart failure), clinical signs (hematemesis, hepatomegaly, and edema), and symptoms (anemia), alone or in combination, in the length of hospitalization. All patients admitted for dengue in a public tertiary-level referral hospital in Bauru, São Paulo, Brazil, 2019, were included. A survival analysis was performed for statistical purposes.

Results: Overall, 234 patients were evaluated, whose mean age was 35.35±1.80 years with an average length of hospitalization of 6.38±0.44 days. The final model presented higher ages, the presence of chronic diseases and clinical alterations as significant variables in determining the length of hospitalization.

Interpretation conclusion: Patients with dengue presented long hospitalization lengths at discharge, mainly those with higher ages, chronic diseases (diabetes mellitus, systemic arterial hypertension, chronic kidney disease, heart failure) and clinical signs (edema) and symptoms (anemia) alone or in combination. Sex, self-reported ethnicity, cancer, cardiomyopathy, dyslipidemia, hematemesis, and hepatomegaly had no significant impact on the length of hospitalization. Prevention of the disease through continuous education and immunization of the general population, mainly those belonging to high-risk groups, is urgently needed.

背景目标:登革热是一种沉重的经济和健康负担,特别是在巴西等低收入和中等收入国家。本研究旨在评估巴西保鲁市人口统计学、临床和实验室特征对登革热相关住院的影响。方法:这是一项回顾性、横断面、观察性研究,评估人口统计学特征(年龄、性别和自我报告的种族)、慢性疾病(糖尿病、全身性动脉高血压、慢性肾病、血脂异常、癌症、心肌病和心力衰竭)、临床体征(呕血、肝肿大和水肿)和症状(贫血)单独或联合对住院时间的影响。纳入了2019年在巴西圣保罗南部保鲁市一家公立三级转诊医院收治的所有登革热患者。为了统计目的,进行生存分析。结果:共纳入234例患者,平均年龄35.35±1.80岁,平均住院时间6.38±0.44天。最终模型显示,年龄增大、慢性病的存在和临床改变是决定住院时间长短的重要变量。解读结论:登革热患者出院时住院时间较长,以年龄较大、慢性病(糖尿病、全身性动脉高血压、慢性肾病、心力衰竭)、临床体征(水肿)和症状(贫血)单独或合并的患者为主。性别、自我报告的种族、癌症、心肌病、血脂异常、呕血和肝肿大对住院时间没有显著影响。迫切需要通过对一般人群,主要是属于高危群体的人群进行持续教育和免疫接种来预防这种疾病。
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引用次数: 0
Structural dynamics of dengue virus during human-to-human transmission mediated by mosquito vectors. 登革热病毒在蚊媒介导的人传人过程中的结构动力学。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-07-30 DOI: 10.4103/jvbd.jvbd_90_25
Mohd Afzal, M Chandrasekar, Shagun Agarwal

This review explores the structural dynamics of Dengue virus (DENV) during human-to-human transmission mediated by mosquito vectors, primarily Aedes aegypti. DENV remains a global health concern, with increasing cases due to climate change, urbanization, and mosquito adaptation. The structural biology of DENV, including its envelope (E), membrane (M), capsid (C) proteins, and RNA genome, plays a critical role in transmission and infectivity. The transmission cycle begins when mosquitoes ingest the virus from an infected human and later transmit it to others after viral replication within their salivary glands. Structural adaptations occur both in the mosquito host and human cells, enhancing viral stability and infectivity. Host-virus interactions, such as immune evasion and cellular entry mechanisms, further complicate disease progression. This review highlights the impact of structural changes on viral replication, pathogenesis, and resistance, while emphasizing recent research advancements and future challenges. Understanding these molecular mechanisms is crucial for developing effective therapeutics and controlling DENV spread.

本文综述了登革热病毒(DENV)在蚊虫媒介(主要是埃及伊蚊)介导的人传人过程中的结构动力学。登革热仍然是一个全球健康问题,由于气候变化、城市化和蚊子适应,登革热病例不断增加。DENV的结构生物学,包括其包膜(E)、膜(M)、衣壳(C)蛋白和RNA基因组,在传播和感染性中起着关键作用。传播周期开始于蚊子从感染者身上摄取病毒,然后在病毒在唾液腺内复制后将病毒传播给其他人。结构适应性在蚊子宿主和人类细胞中都发生,增强了病毒的稳定性和传染性。宿主-病毒相互作用,如免疫逃避和细胞进入机制,使疾病进展进一步复杂化。本文综述了结构变化对病毒复制、发病机制和耐药性的影响,同时强调了最近的研究进展和未来的挑战。了解这些分子机制对于开发有效的治疗方法和控制DENV传播至关重要。
{"title":"Structural dynamics of dengue virus during human-to-human transmission mediated by mosquito vectors.","authors":"Mohd Afzal, M Chandrasekar, Shagun Agarwal","doi":"10.4103/jvbd.jvbd_90_25","DOIUrl":"https://doi.org/10.4103/jvbd.jvbd_90_25","url":null,"abstract":"<p><p>This review explores the structural dynamics of Dengue virus (DENV) during human-to-human transmission mediated by mosquito vectors, primarily Aedes aegypti. DENV remains a global health concern, with increasing cases due to climate change, urbanization, and mosquito adaptation. The structural biology of DENV, including its envelope (E), membrane (M), capsid (C) proteins, and RNA genome, plays a critical role in transmission and infectivity. The transmission cycle begins when mosquitoes ingest the virus from an infected human and later transmit it to others after viral replication within their salivary glands. Structural adaptations occur both in the mosquito host and human cells, enhancing viral stability and infectivity. Host-virus interactions, such as immune evasion and cellular entry mechanisms, further complicate disease progression. This review highlights the impact of structural changes on viral replication, pathogenesis, and resistance, while emphasizing recent research advancements and future challenges. Understanding these molecular mechanisms is crucial for developing effective therapeutics and controlling DENV spread.</p>","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chest computed tomography assessment of patients with crimean- congo hemorrhagic fever: a comparison between survivors and nonsurvivors. 克里米亚-刚果出血热患者的胸部计算机断层扫描评估:幸存者和非幸存者之间的比较。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-07-30 DOI: 10.4103/jvbd.jvbd_63_25
Nisa Baspinar, Seyit Ali Buyuktuna

Background objectives: This study aimed to assess chest computed tomography (CT) scans and laboratory parameters of patients with Crimean-Congo hemorrhagic fever (CCHF) and compare results between survivors and non-survivors.

Methods: Patients diagnosed with CCHF between July 2012 and July 2021 were examined retrospectively. Patient data, thorax CT findings, laboratory results, and demographic characteristics were evaluated. Survivors and non-survivors were compared for ground-glass opacity (GGO), pleural effusion, atelectasis, lung consolidation, pulmonary nodules, bronchiectasis, pericardial effusion, and enlarged mediastinal lymph nodes. Laboratory findings and respiratory complaints were recorded regarding survival status.

Results: A total of 112 patients were included, with a mean age of 54.2 years and 56.3% male predominance. The most common CT findings were GGO (46.3%), pleural effusion (40%), and atelectasis (36.3%). GGO, pleural effusion, atelectasis, lung consolidation, and pericardial effusion were more frequent in non-survivors than survivors (p<0.05).Non-survivors demonstrated significantly altered laboratory parameters including elevated WBC counts (p<0.01), reduced platelet counts (p<0.001), decreased fibrinogen (p<0.01), and prolonged coagulation times (PT and aPTT, both p<0.001). Pleural effusion and GGO showed significantly higher mortality risk (11.23-fold and 5.89-fold adjusted, respectively).

Interpretation conclusion: GGO, lung consolidation, pleural effusion, pericardial effusion, and atelectasis may serve as poor prognostic indicators, necessitating close monitoring for patients with these potentially life-threatening findings.

背景目的:本研究旨在评估克里米亚-刚果出血热(CCHF)患者的胸部计算机断层扫描(CT)扫描和实验室参数,并比较幸存者和非幸存者的结果。方法:回顾性分析2012年7月至2021年7月诊断为CCHF的患者。评估患者资料、胸部CT表现、实验室结果和人口学特征。比较幸存者和非幸存者的毛玻璃混浊(GGO)、胸腔积液、肺不张、肺实变、肺结节、支气管扩张、心包积液和纵隔淋巴结肿大。记录实验室检查结果和呼吸系统疾病的生存状况。结果:共纳入112例患者,平均年龄54.2岁,男性占56.3%。最常见的CT表现为GGO(46.3%)、胸腔积液(40%)和肺不张(36.3%)。GGO、胸腔积液、肺不张、肺实变和心包积液在非幸存者中比幸存者更常见(解释结论:GGO、肺实变、胸腔积液、心包积液和肺不张可能是不良预后指标,有必要密切监测这些可能危及生命的发现的患者。
{"title":"Chest computed tomography assessment of patients with crimean- congo hemorrhagic fever: a comparison between survivors and nonsurvivors.","authors":"Nisa Baspinar, Seyit Ali Buyuktuna","doi":"10.4103/jvbd.jvbd_63_25","DOIUrl":"https://doi.org/10.4103/jvbd.jvbd_63_25","url":null,"abstract":"<p><strong>Background objectives: </strong>This study aimed to assess chest computed tomography (CT) scans and laboratory parameters of patients with Crimean-Congo hemorrhagic fever (CCHF) and compare results between survivors and non-survivors.</p><p><strong>Methods: </strong>Patients diagnosed with CCHF between July 2012 and July 2021 were examined retrospectively. Patient data, thorax CT findings, laboratory results, and demographic characteristics were evaluated. Survivors and non-survivors were compared for ground-glass opacity (GGO), pleural effusion, atelectasis, lung consolidation, pulmonary nodules, bronchiectasis, pericardial effusion, and enlarged mediastinal lymph nodes. Laboratory findings and respiratory complaints were recorded regarding survival status.</p><p><strong>Results: </strong>A total of 112 patients were included, with a mean age of 54.2 years and 56.3% male predominance. The most common CT findings were GGO (46.3%), pleural effusion (40%), and atelectasis (36.3%). GGO, pleural effusion, atelectasis, lung consolidation, and pericardial effusion were more frequent in non-survivors than survivors (p<0.05).Non-survivors demonstrated significantly altered laboratory parameters including elevated WBC counts (p<0.01), reduced platelet counts (p<0.001), decreased fibrinogen (p<0.01), and prolonged coagulation times (PT and aPTT, both p<0.001). Pleural effusion and GGO showed significantly higher mortality risk (11.23-fold and 5.89-fold adjusted, respectively).</p><p><strong>Interpretation conclusion: </strong>GGO, lung consolidation, pleural effusion, pericardial effusion, and atelectasis may serve as poor prognostic indicators, necessitating close monitoring for patients with these potentially life-threatening findings.</p>","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Journal of Vector Borne Diseases
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