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Assessment of Lambda-cyhalothrin Toxicity on the Developmental and Reproductive Fitness of Dengue Vector, Aedes albopictus (Skuse) and the Associated Changes in the Activity of Insecticide Detoxifying Enzymes 高效氯氰菊酯对登革热媒介白纹伊蚊发育和繁殖适宜性的毒性评价及杀虫剂解毒酶活性的变化
Q4 Medicine Pub Date : 2023-05-04 DOI: 10.24321/0019.5138.202301
Dhiraj Saha
Introduction: The emergence of resistance development in mosquitoes is a huge challenge for successful vector control programmes. Insecticides used in vector control mainly target the eradication of the vector population but often neglect their residual and long-time effect on the surviving population. Methods: In this study, Aedes albopictus were selected with sublethal doses of lambda-cyhalothrin and its effects on their life parameters and major detoxifying enzymes were analysed. Results: In the twelfth generation of the resistant population, there was a 101-fold increase in resistance ratio values of LC50. In addition, larval development time prolonged for 2 days and hatchability and fecundity were reduced by 52% and 93%, respectively when compared to the control group. Moreover, longevity was shortened by 9.43 days in females and 2.18 days in males. Significant changes in the activity of major detoxifying enzymes were observed where monooxygenase level was highest which indicates its role in lambda-cyhalothrin degradation leading to resistance, followed by both β-esterase and GST. Conclusion: The findings of the current study can be helpful in integrated mosquito management (IMM), where based on their life history traits, the vulnerable stage of vectors can be targeted for effective resistance management.
蚊虫耐药性的出现对成功的病媒控制规划是一个巨大的挑战。病媒控制中使用的杀虫剂主要是为了消灭病媒种群,但往往忽视了其残留和对存活种群的长期影响。方法:用亚致死剂量的高效氯氰菊酯对白纹伊蚊进行筛选,分析其生命参数和主要解毒酶的影响。结果:抗性种群在第12代时,LC50抗性比值增加了101倍。幼虫发育时间延长2 d,孵化率和繁殖力分别比对照组降低52%和93%。雌性寿命缩短9.43天,雄性寿命缩短2.18天。在单加氧酶水平最高的地方,主要解毒酶的活性发生了显著变化,这表明单加氧酶在降解高效氯氟氰菊酯中起着重要作用,其次是β-酯酶和GST。结论:本研究结果可为蚊虫综合管理提供依据,根据媒介生物的生活史特征,对媒介生物易感阶段进行有效的抗性管理。
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引用次数: 0
Lymphatic Filariasis Elimination in Kerala: A Success Story 喀拉拉邦消除淋巴丝虫病:一个成功的故事
Q4 Medicine Pub Date : 2023-05-04 DOI: 10.24321/0019.5138.202314
A. K
National Filaria Control Programme has been running in the country since the year 1955 with the strategy of parasite detection, treatment and vector control mainly in urban areas. In the year 1997, the fiftieth World Health Assembly Resolution listed Lymphatic Filariasis (LF) for elimination by 2020 which now has been aligned with Sustainable Development Goal to be achieved by 2030. India also started its campaign to eliminate LF in 2004. The main strategy of the elimination programme is the Annual Mass Drug Administration (MDA) to progressively reduce and ultimately interrupt LF transmission. The other pillar of the strategy is morbidity management and disability prevention. Kerala state also started its LF elimination campaign in 11 endemic districts out of a total of 14 districts. The average population coverage during MDA in Kerala was reported to be more than 90% from 2004 to 2013, however, drug compliance during independent assessment was reported to be 40%-60% which improved in subsequent years due to a multipronged approach. The main reason of low consumption was the fear of side effects and the same was resolved through massive IEC activities highlighting its benefits compared to side effects, which are mostly self-limiting. The innovative strategic approach of extending the MDA period from 3 days to 3 weeks was undertaken to ensure that all the target population was covered. The results have been encouraging as compliance improved to above 65% and many districts have been validated for having achieved the elimination threshold through successfully clearing transmission assessment survey (TAS).
自1955年以来,国家丝虫病控制方案一直在该国实施,其战略是主要在城市地区进行寄生虫检测、治疗和病媒控制。1997年,第五十届世界卫生大会决议将淋巴丝虫病列为到2020年消除的目标,这现已与到2030年实现的可持续发展目标相一致。印度也在2004年开始了消灭左翼阵线的运动。消除规划的主要战略是每年大规模药物管理(MDA),以逐步减少并最终中断LF传播。该战略的另一支柱是发病率管理和残疾预防。喀拉拉邦还在14个地区中的11个流行地区开展了消灭小儿麻痹症运动。据报道,2004年至2013年,喀拉拉邦MDA期间的平均人口覆盖率超过90%,然而,据报道,独立评估期间的药物依从性为40%-60%,由于多管齐下的方法,随后几年有所改善。低消费的主要原因是担心副作用,这一问题通过大规模的宣传教育活动得到了解决,这些活动强调了与副作用相比的好处,而副作用大多是自我限制的。采取了创新的战略办法,将方案期从3天延长到3周,以确保覆盖所有目标人口。结果令人鼓舞,合规率提高到65%以上,许多地区已通过成功清除传播评估调查(TAS)而获得验证,达到了消除阈值。
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引用次数: 0
Population of Rodent and Leptospirosis in Humans: Spatial Aspect of Epidemiology 人类啮齿动物和钩端螺旋体病的种群:流行病学的空间方面
Q4 Medicine Pub Date : 2023-05-04 DOI: 10.24321/0019.5138.202307
R. Hestiningsih
Introduction: Leptospirosis is an infectious disease caused by the Leptospira bacteria and is transmitted from animals to humans. Leptospirosis can be spread by rodents. In the health aspects, rats play a role as carriers or reservoirs of various diseases transmitted to humans. Apart from leptospirosis, many other infectious diseases can be transmitted through rodents. One of the places where rodents are found in high numbers is the traditional market. Aim: The purpose of this study was to assess the density of rats and ectoparasites in the market and settlements around it. Method: In the area of the market building, 50 traps were installed, while in the settlements surrounding the market, 64 traps were installed. This was a descriptive research study with survey method and cross-sectional approach. Also, the research was based on Geographical Information System (GIS). Results: The relative density of rats in the one traditional market was found to be 7%, while it was 11.8% in the surrounding settlements. Conclusion: The conclusion is that all the places had a possibility of vector-borne diseases despite the low density of rodents.
简介:钩端螺旋体病是由钩端螺旋菌引起的一种传染病,由动物传染给人类。钩端螺旋体病可由啮齿动物传播。在健康方面,大鼠是各种传染给人类的疾病的携带者或宿主。除了钩端螺旋体病,许多其他传染病都可以通过啮齿动物传播。啮齿动物数量众多的地方之一是传统市场。目的:本研究的目的是评估市场及其周围定居点中老鼠和体外寄生虫的密度。方法:在市场建筑区域安装了50个陷阱,而在市场周围的定居点安装了64个陷阱。这是一项描述性研究,采用调查法和横断面方法。此外,本研究以地理信息系统(GIS)为基础。结果:在一个传统市场,老鼠的相对密度为7%,而在周围的定居点,老鼠的密度为11.8%。结论:尽管啮齿动物密度较低,但所有地方都有媒介传播疾病的可能性。
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引用次数: 0
Molnupiravir and Combination of Nirmatrelvir and Ritonavir (PaxlovidTM) - Oral Anti-viral Drugs in COVID-19: A Systematic Review 口服抗病毒药物治疗COVID-19:系统综述
Q4 Medicine Pub Date : 2023-05-04 DOI: 10.24321/0019.5138.202310
A. Radhakrishnan
The COVID-19 pandemic situation demands the discovery of newer drugs and/ or repurposing of the existing drugs. The anti-viral drugs approved for COVID-19 are remdesivir and favipiravir. Two more directly acting oral anti-viral drugs have been granted Emergency Use Authorization by US-FDA, molnupiravir on December 23, 2021, and nirmatrelvir and ritonavir (PaxlovidTM) on December 22, 2021. Molnupiravir, an RNA-dependent RNA polymerase (RdRp) inhibitor, has also been approved in the UK and is under review with other regulatory agencies. PaxlovidTM (a combination of the new anti-viral drugs nirmatrelvir and ritonavir) has been developed and approved by US-FDA and CDSCO, India. Nirmatrelvir acts by inhibiting 3CL (chymotrypsin-like) protease enzyme and it is combined with ritonavir to slow down its breakdown by cytochrome P450 enzymes and to increase the bioavailability. Both molnupiravir and PaxlovidTM have been approved for mild and moderate COVID-19 and in patients who have a higher risk of disease progression to severe disease including hospitalisation and death. This article systematically reviews the clinical trials of molnupiravir and PaxlovidTM that evaluated their efficacy and safety against COVID-19 in both published and unpublished literature.
COVID-19大流行的形势要求发现新药和/或重新利用现有药物。批准用于COVID-19的抗病毒药物是瑞德西韦和法匹拉韦。另外两种直接作用口服抗病毒药物已于2021年12月23日和2021年12月22日获得US-FDA的紧急使用授权,分别是molnupiravir和nirmatrelvir and ritonavir (PaxlovidTM)。Molnupiravir是一种RNA依赖性RNA聚合酶(RdRp)抑制剂,也已在英国获得批准,并正在与其他监管机构进行审查。PaxlovidTM(一种新型抗病毒药物nirmatrelvir和ritonavir的组合)已被美国fda和印度CDSCO开发并批准。Nirmatrelvir通过抑制3CL(凝乳胰蛋白酶样)蛋白酶起作用,并与利托那韦联合使用以减缓其被细胞色素P450酶分解并提高生物利用度。molnupiravir和PaxlovidTM已被批准用于轻度和中度COVID-19以及疾病进展为严重疾病(包括住院和死亡)风险较高的患者。本文系统回顾了molnupiravir和PaxlovidTM在已发表和未发表的文献中评估其抗COVID-19疗效和安全性的临床试验。
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引用次数: 0
Identification of the Bacteria that causes Childhood Tonsillitis 儿童扁桃体炎病原菌的鉴定
Q4 Medicine Pub Date : 2023-05-04 DOI: 10.24321/0019.5138.202316
Mohammad J Al-Jassani
Introduction: Tonsillitis is the most common infectious condition after viral nose and throat infections. Millions of new infections every year are recorded globally. Young people under the age of 15 are disproportionately affected by acute tonsillitis. This study aimed to isolate the bacteria causing tonsilitis in children. Methods: One hundred thirty throat swabs were taken from a variety of individuals who were clinically determined to have tonsillitis with purulent discharges at the ENT clinic at Kuthospital. Isolates were tested for their gram stain response and biochemical features after being promptly transported to the laboratory and streaked directly on blood agar, which was incubated aerobically for 24 hours at 37°C. The following antibiotics were tested on all isolates using the disc diffusion technique: penicillin (10 units), gentamicin (10 mcg), vancomycin (30 mcg), erythromycin (15 mcg), ciprofloxacin (10 mcg), cephalothin (30 mcg), and chloramphenicol (30 mcg). Isolates were classified as sensitive or resistant based on the widths of zones of inhibition. Results: Thirty-four strains of Streptococci, 14 strains of Staphylococcus epidermidis, 32 strains of Staphylococcus aureus, 15 strains of another Staphylococcus spp., and 9 strains of Haemophilus parainfluenzae were detected. The current results showed that most isolates were sensitive to ciprofloxacin, chloramphenicol, and vancomycin, while most isolates showed resistance to penicillin and gentamycin. Conclusion: Streptococci and S. aureus showed to be the most common bacterial causes of tonsilitis in children who were sensitive to ciprofloxacin, chloramphenicol, and vancomycin.
引言:扁桃体炎是继病毒性鼻咽喉感染之后最常见的传染病。全球每年新增数百万例感染病例。15岁以下的年轻人受到急性扁桃体炎的影响尤为严重。本研究旨在分离引起儿童扁桃体炎的细菌。方法:从库特医院耳鼻喉科诊所临床确定为扁桃体炎伴脓性分泌物的患者身上采集130份咽拭子。在迅速运输到实验室并直接在血琼脂上划线后,测试分离物的革兰氏染色反应和生化特征,血琼脂在37°C下有氧培养24小时。使用圆盘扩散技术在所有分离株上测试了以下抗生素:青霉素(10单位)、庆大霉素(10微克)、万古霉素(30微克)、红霉素(15微克)、环丙沙星(10 mcg)、头孢噻吩(30 mcg)和氯霉素(30 mcc)。根据抑制区的宽度将分离物分为敏感或抗性。结果:检出34株链球菌、14株表皮葡萄球菌、32株金黄色葡萄球菌、15株其他葡萄球菌和9株副流感嗜血杆菌。目前的结果表明,大多数分离株对环丙沙星、氯霉素和万古霉素敏感,而大多数分离株表现出对青霉素和庆大霉素的耐药性。结论:链球菌和金黄色葡萄球菌是引起儿童扁桃体炎的最常见细菌,对环丙沙星、氯霉素和万古霉素敏感。
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引用次数: 0
Concerning Trend in Ceftriaxone Minimum Inhibitory Concentration (MIC): Implications for the Treatment of Enteric Fever 关于头孢曲松最低抑制浓度(MIC)趋势:对肠热治疗的意义
Q4 Medicine Pub Date : 2023-05-04 DOI: 10.24321/0019.5138.202304
S. Kaira
Introduction:Salmonella typhi and paratyphi - related enteric fever still poses serious health risks to people all over the world. Ceftriaxone and azithromycin were recommended as the preferred treatments for enteric fever following the emergence of fluoroquinolone resistance. Several reports of ceftriaxone resistance have also been reported, hence accurate medication susceptibility tracking is essential to maintain the empiric management of enteric fever. This study’s objective is to determine the MIC of ceftriaxone in order to help clinicians prescribe the right dosage and stop the emergence of resistance. Material and Methods: The investigation was carried out in 800 bedded hospital in Ghaziabad using a cross-sectional prospective design. A total of 228 Salmonella isolates were included in this investigation. The isolates’ antibiotic susceptibility was assessed using the Kirby Bauer disc diffusion method, and the ceftriaxone MIC was calculated using the Broth Micro-Dilution (BMD) method. Result: Of the 228 Salmonella species that were isolated, 64 (28.07%) were Salmonella paratyphi A, and 164 (71.92%) were Salmonellatyphi. Ceftriaxone resistance was found in 33 (20.12%) Salmonellatyphi strains while it was found in 14 (21.87%) S. paratyphi A strains. 0.125 μg/ml was the ceftriaxone MIC50 value for S. typhi as well as for paratyphi A but the MIC90 value was 8 μg/ml in S. typhi and 4 μg/ml in S. paratyphi A isolates. Conclusion: This investigation revealed a concerning rise in the MIC to ceftriaxone and the reemergence of sensitivity to first-line medications.
引言:伤寒沙门氏菌和副伤寒相关的肠道热仍然对世界各地的人们构成严重的健康风险。头孢曲松和阿奇霉素被推荐为出现氟喹诺酮耐药性后肠道发热的首选治疗方法。也有几篇关于头孢曲松耐药性的报道,因此准确的药物敏感性跟踪对于维持肠道热的经验性管理至关重要。本研究的目的是确定头孢曲松的MIC,以帮助临床医生开出正确的剂量并阻止耐药性的出现。材料和方法:采用横断面前瞻性设计,在加齐阿巴德的800个床位的医院进行调查。共有228个沙门氏菌分离株被纳入本次调查。使用Kirby-Bauer圆盘扩散法评估分离株的抗生素敏感性,并使用肉汤微量稀释(BMD)法计算头孢曲松MIC。结果:分离到的228种沙门氏菌中,甲型副伤寒沙门氏菌64种(28.07%),沙门氏菌164种(71.92%)。33株(20.12%)沙门氏菌对头孢曲松有耐药性,14株(21.87%)副伤寒沙门氏菌有耐药性。0.125μg/ml是头孢曲松对伤寒和甲型副伤寒的MIC50值,但对伤寒和乙型副伤寒分离株的MIC90值分别为8μg/ml和4μg/ml。结论:本研究揭示了对头孢曲松的MIC升高和对一线药物敏感性的重新出现。
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引用次数: 0
The Potential of Plants of Family Fabaceaewith Emphasis on Putri Malu Medicinal Plant ‘Mimosa Pudica’ (Fabaceae) as an Antimalarial & an Insecticide for Malaria Vectors: A Review 蚕豆科植物的潜力——兼论马陆药用植物含羞草对疟疾媒介的抗疟和杀虫作用
Q4 Medicine Pub Date : 2022-12-31 DOI: 10.24321/0019.5138.2022108
H. L. Wiraswati
Background: Due to the prevalence of malaria worldwide and cases of resistance to malaria drugs, finding new drug candidates is important in malaria control. Due to its traditional use and phytochemical content, this review was conducted on the medicinal plant Mimosa pudica and its family, Fabaceae. Method: This review collected original articles in online databases using several keywords combined with boolean operators. The articles about the antimalarial and insecticidal effects of Mimosa pudica and other Fabaceae species were included in the study. Results: Forty-two articles described 45 species from the Fabaceaefamily exhibiting antimalarial and/ or insecticidal potential including Mimosa pudica. The studies showed that crude extract of M. pudica showed activity against P. falciparum or P. berghei and insecticidal activity against Anopheles subpictus and Anopheles stephensi. More advanced studies were carried out on other Fabaceae species, evaluating their activity with crude extracts and fractions, isolated compounds, and silver nanoparticles (AgNPs). Conclusions: The most promising antiplasmodial activity of M. pudica was shown by aqueous, methanol, and water/ methanol extracts from the aerial part against P. falciparum FCR-3 strain. In addition, aqueous or ethanolic extracts from the leaves of M. pudica revealed their potential against A. subpictus and A. stephensi.
背景:由于疟疾在全球范围内的流行和对疟疾药物的耐药性,寻找新的候选药物对疟疾控制至关重要。鉴于含羞草的传统用途和其植物化学成分,本文对含羞草及其科豆科植物进行了综述。方法:本综述使用几个关键词结合布尔运算符在在线数据库中收集原创文章。本研究收录了含羞草和其他豆科植物的抗疟和杀虫作用的文章。结果:42篇文章描述了具有抗疟和/或杀虫潜力的豆科植物中的45种,包括含羞草。研究表明,蒲分枝杆菌粗提物对恶性疟原虫或伯氏疟原虫具有活性,对亚扁按蚊和斯氏按蚊具有杀虫活性。对其他Fabaceae物种进行了更深入的研究,用粗提取物和级分、分离的化合物和银纳米颗粒(AgNPs)评估了它们的活性。结论:地上部分的水、甲醇和水/甲醇提取物对恶性疟原虫FCR-3株具有最有前景的抗疟原虫活性。此外,从M.pudica叶中提取的水性或乙醇提取物显示了它们对抗A.subpictus和A.stephensi的潜力。
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引用次数: 0
Snake-o-Pathy or Snakebite Syndrome 蛇病或蛇咬伤综合症
Q4 Medicine Pub Date : 2022-12-31 DOI: 10.24321/0019.5138.2022111
O. Bharti
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引用次数: 0
The Relationship between Mobility and Prevention Practices with Malaria Incidence in Purworejo District Purworejo地区流动性和预防措施与疟疾发病率的关系
Q4 Medicine Pub Date : 2022-12-31 DOI: 10.24321/0019.5138.2022107
M. Martini
The high mobility of migrants and their prevention practice was associated with a high incidence of imported malarial diseases. This study was undertaken to analyze the relationship between the mobility factor of migrants and their prevention practices of malaria. This study used a case control study and chi-square statistical test with a co-efficient level of 95%. The sampling technique that was used was purposive sampling, that determine respondents based on inclusion and exclusion criteria. The sample size in this study was 200 respondents. The results show that there was a relationship between the the type of migration area (p=0.001), the use of insecticide-treated bed nets (p=0.047) and the use of chemoprophylaxis (p=0.023) with malaria. There was no relationship between the frequency of mobility (p=0.118), length of stay in the migration area (p=0.130), use of mosquito repellent (p=<1.000), use of long clothes at night (p=0.128) and use of wire gauze (p=<1.000) with malaria. It can be concluded that there is no relationship between the frequency of mobility, the use of mosquito repellent, the use of long clothes and the use of wire gauze with malaria.
移徙者的高流动性及其预防做法与输入性疟疾的高发病率有关。进行这项研究是为了分析移徙者的流动因素与他们预防疟疾的做法之间的关系。本研究采用病例对照研究和卡方统计检验,协效水平为95%。所使用的抽样技术是有目的抽样,即根据纳入和排除标准确定受访者。本研究的样本量为200人。结果表明,迁移区类型(p=0.001)、驱虫蚊帐使用情况(p=0.047)和化学预防措施使用情况(p=0.023)与疟疾发生有一定的关系。活动频率(p=0.118)、迁徙区停留时间(p=0.130)、驱蚊剂使用(p=<1.000)、夜间穿长衣(p=0.128)、使用钢丝网(p=<1.000)与疟疾无相关性。由此可以得出,活动频率、使用驱蚊剂、穿长衣、使用钢丝网与疟疾没有关系。
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引用次数: 0
Detection of Insecticide Susceptibility Status and KDR Mutation in Field-Collected Aedes Aegypti from Different Districts of Punjab, India 印度旁遮普省不同地区野外采集埃及伊蚊药敏状况及KDR突变检测
Q4 Medicine Pub Date : 2022-12-31 DOI: 10.24321/0019.5138.202298
G. Grover
Background: As the state of Punjab has become endemic for dengue, this study was planned to determine the susceptibility status for two different classes of adulticides and the VGSC gene polymorphism in domain II of Aedes aegypti. Methodology: Adult bioassays were performed with pyrethrum, deltamethrin and malathion as per the WHO protocol. AS-PCR and sequencing of VGSC gene were carried out to detect V1016G and Kdr (Knockdown resistance) mutations. Results:Ae. aegypti from the districts of Ludhiana and Patiala were found to be resistant to pyrethrum. The V/ V genotype frequency was found to be higher in all districts. Three known polymorphisms in VGSC gene were not recorded but one synonymous and non-synonymous mutation was found. Group B intron was found in domain II of the VGSC gene. For deltamethrin and malathion, 100% susceptibility was recorded for all four districts. Conclusion: Thus, the present findings indicate 100% susceptibility towards deltamethrin and malathion whereas, moderate resistance towards pyrethrum was recorded. Therefore, more studies should be planned to study polymorphisms in the various domains of the VGSC gene.
背景:由于旁遮普邦已成为登革热的地方病,本研究旨在确定埃及伊蚊对两种不同类型的杀伪剂的易感性状况以及在结构域II中的VGSC基因多态性。方法:按照世界卫生组织的方案,用拟除虫菊酯、溴氰菊酯和马拉硫磷进行成体生物测定。采用AS-PCR和VGSC基因测序技术检测V1016G和Kdr(Knockdown resistance)突变。结果:Ae。Ludhiana和Patiala地区的埃及伊蚊被发现对除虫菊具有抗性。V/V基因型频率在所有地区都较高。VGSC基因的三个已知多态性没有记录,但发现了一个同义和非同义突变。在VGSC基因的结构域II中发现了B组内含子。对于溴氰菊酯和马拉硫磷,所有四个地区都记录了100%的易感性。结论:因此,目前的研究结果表明,对溴氰菊酯和马拉硫磷的敏感性为100%,而对拟除虫菊的抗性为中度。因此,应该计划更多的研究来研究VGSC基因各个结构域的多态性。
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引用次数: 1
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Journal of Communicable Diseases
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