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Nevin Manimala Statistics

Evaluation of Clinicopathological Data, the Specific Feline Pancreatic Lipase Assay, and Abdominal Ultrasound as Severity Determinants in Cats with Pancreatitis

Vet Sci. 2023 Mar 10;10(3):209. doi: 10.3390/vetsci10030209.

ABSTRACT

Limited data exist to predict the severity of pancreatitis in cats. In this retrospective case series, we reviewed the medical records of 45 cats with SP from June 2014 to June 2019. Case definition was based on an internist’s review of clinopathologic data, Spec fPL concentration, and AUS findings. Information extracted from the medical records included signalment, history, physical examination findings, selected clinicopathological data (total bilirubin, glucose, ALP, ALT, and total calcium), Spec fPL concentration, AUS images/clips, length of hospitalization, and survival data. Hazard ratios were used to evaluate the association between clinicopathological data, the Spec fPL assay, AUS findings, and the length of hospitalization. Clinicopathological abnormalities, the Spec fPL, and AUS abnormalities were not statistically associated with the length of hospitalization. Despite a lack of statistical significance, the hazard ratios suggest the potential that an elevated total bilirubin (hazard ratio (HR): 1.19), hypocalcemia (HR: 1.49), and an elevated Spec fPL concentration (HR: 1.54) could be associated with prolonged hospitalization, although additional studies would be needed to verify this. Additionally, hazard ratios suggest that AUS evidence of concurrent gallbladder (HR: 1.61) and gastric abnormalities (HR: 1.36) could be associated with prolonged hospitalization.

PMID:36977248 | DOI:10.3390/vetsci10030209

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Nevin Manimala Statistics

Seasonal Occurrence of Cattle Fascioliasis in Kelantan, Malaysia

Vet Sci. 2023 Mar 7;10(3):202. doi: 10.3390/vetsci10030202.

ABSTRACT

A longitudinal study was conducted in five randomly selected farms in Kelantan, Malaysia to determine the seasonal occurrence of cattle fascioliasis and its association with climatic factors. A total of 480 faecal samples were collected by a random purposive sampling method from July 2018 to June 2019. The faecal samples were examined for the presence of Fasciola eggs using a formalin ether sedimentation technique. Meteorological data including temperature, humidity, rainfall, and pan evaporation were obtained from a local meteorological station. The overall prevalence of cattle fascioliasis in Kelantan was 45.8%. The prevalence was observed to be slightly higher during the wet season from August to December (50-58%) than during the dry season from January to June (30-45%). Meanwhile, the mean eggs per gram (EPG) were highest in June (191.1 ± 0.48) and lowest in October (77.62 ± 95.5). However, there were no significant differences in the mean of EPG between the monthly prevalence, tested using one-way ANOVA (p = 0.1828). A statistically significant association (p = 0.014) was observed between the disease and cattle breeds, with Charolais and Brahman showing lower odds of having the disease. There were significant moderate-to-strong positive correlations between cattle fascioliasis and rainfall (r = 0.666; p = 0.018) and humidity (r = 0.808; p = 0.001), as well as strong negative correlations with evaporation (r = -0.829; p = 0.001). The results indicated that the higher prevalence of cattle fascioliasis in Kelantan was correlated with the climatic factors, which include higher rainfall and humidity and lower evaporation.

PMID:36977241 | DOI:10.3390/vetsci10030202

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Nevin Manimala Statistics

Monitoring Claw Length, Feet Infrared Temperature, Mobility and Backfat Tissue Changes in Replacement Gilts of Different Genetic Lines in Three Farrow-to-Finish Herds in Greece

Vet Sci. 2023 Mar 6;10(3):199. doi: 10.3390/vetsci10030199.

ABSTRACT

Feet infrared temperature is associated with feet health and may affect the reproductive performance of sows. In total, 137, 98 and 114 replacement gilts were selected at the age of weaning from 3 herds-A, B and C-with different genetic lines. Dorsal claw length was measured, and anisodactylia was measured in all four feet, at weaning age, and at those gilts that completed their first and second farrowing. At the first and second farrowing stage, the infrared temperature distribution, dew/claw length and backfat thickness were measured concurrently with claw lesion and mobility score evaluation. The maximum temperature significantly differed (p < 0.01) among herds, in the rear feet and in all four feet at the first and second farrowing respectively. Claw lengths statistically differed among herds at all stages (p < 0.05). Anisodactylia in rear feet was lower in herd A (p < 0.05) at weaning, and in herd C at the first and second farrowing (p < 0.05). In addition, the claw lesion score, mobility, backfat thickness and reproductive performance statistically differed among herds (p < 0.05). It is shown that even at an early stage of their reproductive life, claw length differences exist in replacement gilts of different genetic lines.

PMID:36977238 | DOI:10.3390/vetsci10030199

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Nevin Manimala Statistics

Histopathological Grading, Clinical Staging and CD 31 Expression of Canine Splenic Hemangiosarcoma

Vet Sci. 2023 Mar 2;10(3):190. doi: 10.3390/vetsci10030190.

ABSTRACT

Canine hemangiosarcoma is a common, highly fatal tumor of older dogs, and predictors of survivability may provide clinically useful information. The objectives of this case series were to determine if a previously published tumor histological grading scheme, the level of tumor cellular atypia, clinical staging, or the level of CD 31 expression were useful for predicting the survival time in dogs with splenic hemangiosarcoma. Canine splenic hemangiosarcomas from 16 dogs were histologically graded, clinically staged, and assessed for CD 31 expression. Medical records were reviewed, the date of death was obtained, and survival data were analyzed statistically. Histopathological grading and clinical staging of canine splenic hemangiosarcomas, and the expression of CD 31 by the tumor cells were not significantly associated with the median survival time of the dogs in this study. However, strong expression of CD 31 by canine splenic hemangiosarcoma tumor cells was observed in dogs with short survival times, which warrants further studies to evaluate the potential prognostic value of CD 31 expression for the survival of dogs with splenic hemangiosarcoma.

PMID:36977229 | DOI:10.3390/vetsci10030190

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Nevin Manimala Statistics

Histological Findings and T2 Relaxation Time in Canine Menisci of Elderly Dogs-An Ex Vivo Study in Stifle Joints

Vet Sci. 2023 Feb 24;10(3):182. doi: 10.3390/vetsci10030182.

ABSTRACT

Osteoarthritis is a chronic disease that often affects the canine stifle joint. Due to their biomechanical function, the menisci in the canine stifle play an important role in osteoarthritis. They compensate for the incongruence in the joint and distribute and minimize compressive loads, protecting the hyaline articular cartilage from damage. Meniscal degeneration favors the development and progression of stifle joint osteoarthritis. Qualitative magnetic resonance imaging (MRI) is the current golden standard for detecting meniscal changes, but it has limitations in detecting early signs of meniscal degeneration. A quantitative MRI offers new options for detecting early structural changes. T2 mapping can especially visualize structural changes such as altered collagen structures and water content, as well as deviations in proteoglycan content. This study evaluated T2 mapping and performed a histological scoring of menisci in elderly dogs that had no or only low radiographic osteoarthritis grades. A total of 16 stifles from 8 older dogs of different sex and breed underwent ex vivo magnet resonance imaging, including a T2 mapping pulse sequence with multiple echoes. A histological analysis of corresponding menisci was performed using a modified scoring system. The mean T2 relaxation time was 18.2 ms and the mean histological score was 4.25. Descriptive statistics did not reveal a correlation between T2 relaxation time and histological score. Ex vivo T2 mapping of canine menisci did not demonstrate histological changes, suggesting that early meniscal degeneration can be present in the absence of radiological signs of osteoarthritis, including no significant changes in T2 relaxation time.

PMID:36977221 | DOI:10.3390/vetsci10030182

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Nevin Manimala Statistics

Reactive Case Detection Strategy for Malaria Control and Elimination: A 12 Year Systematic Review and Meta-Analysis from 25 Malaria-Endemic Countries

Trop Med Infect Dis. 2023 Mar 18;8(3):180. doi: 10.3390/tropicalmed8030180.

ABSTRACT

Reactive case detection (RACD) is the screening of household members and neighbors of index cases reported in passive surveillance. This strategy seeks asymptomatic infections and provides treatment to break transmission without testing or treating the entire population. This review discusses and highlights RACD as a recommended strategy for the detection and elimination of asymptomatic malaria as it pertains in different countries. Relevant studies published between January 2010 and September 2022 were identified mainly through PubMed and Google Scholar. Search terms included “malaria and reactive case detection”, “contact tracing”, “focal screening”, “case investigation”, “focal screen and treat”. MedCalc Software was used for data analysis, and the findings from the pooled studies were analyzed using a fixed-effect model. Summary outcomes were then presented using forest plots and tables. Fifty-four (54) studies were systematically reviewed. Of these studies, 7 met the eligibility criteria based on risk of malaria infection in individuals living with an index case < 5 years old, 13 met the eligibility criteria based on risk of malaria infection in an index case household member compared with a neighbor of an index case, and 29 met the eligibility criteria based on risk of malaria infection in individuals living with index cases, and were included in the meta-analysis. Individuals living in index case households with an average risk of 2.576 (2.540-2.612) were more at risk of malaria infection and showed pooled results of high variation heterogeneity chi-square = 235.600, (p < 0.0001) I2 = 98.88 [97.87-99.89]. The pooled results showed that neighbors of index cases were 0.352 [0.301-0.412] times more likely to have a malaria infection relative to index case household members, and this result was statistically significant (p < 0.001). The identification and treatment of infectious reservoirs is critical to successful malaria elimination. Evidence to support the clustering of infections in neighborhoods, which necessitates the inclusion of neighboring households as part of the RACD strategy, was presented in this review.

PMID:36977181 | DOI:10.3390/tropicalmed8030180

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Nevin Manimala Statistics

Towards Inclusive Diagnostics for Neglected Tropical Diseases: User Experience of a New Digital Diagnostic Device in Low-Income Settings

Trop Med Infect Dis. 2023 Mar 16;8(3):176. doi: 10.3390/tropicalmed8030176.

ABSTRACT

Designing new and inclusive diagnostic tools to detect Neglected Tropical Diseases (NTDs) to achieve rational disease control requires a co-design process where end-users’ input is important. Failure to involve all potential end-users in new diagnostics for NTDs can result in low use and adoption failure, leading to persistent infection hot spots and ineffective disease control. There are different categories of potential end-users of new diagnostic tools for NTD control, and it is unclear if there are differences between the user efficiency, effectiveness, perception, and acceptability across these end-user categories. This study evaluated the usability, user perception, contextual factors affecting the user’s experience, and acceptability of a new digital optical diagnostic device for NTDs across three types of potential end users. A total of 21 participants were tested. Laboratory scientists, technicians, and Community Health Extension Workers (CHEWs) in training achieved similar scores on the usability and user perception questionnaires with no statistically significant difference between end-user categories. All participants also have high scores for the user perception domains which strongly correlate with the acceptability of the AiDx NTDx Assist device. This study indicates that, by providing digital diagnostic tools in combination with minimal training and support, CHEWs undergoing training and, by extension, CHEWs post-training, can be involved in the diagnoses of NTDs, potentially enhancing a community’s capabilities to diagnose, treat, and control NTDs.

PMID:36977176 | DOI:10.3390/tropicalmed8030176

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Nevin Manimala Statistics

An Epidemiological Survey of Intestinal Parasitic Infection and the Socioeconomic Status of the Ethnic Minority People of Moken and Orang Laut

Trop Med Infect Dis. 2023 Mar 6;8(3):161. doi: 10.3390/tropicalmed8030161.

ABSTRACT

Ethnic minority groups are often subjected to exclusion, social and healthcare marginalization, and poverty. There appears to be important linkages between ethnic minority groups, poor socioeconomic status, and a high prevalence of parasitic infection. Data regarding the prevalence and health effects of IPIs are necessary in the development and implementation of targeted prevention and control strategies to eradicate intestinal parasitic infection in the high-risk population. Thus, we investigated for the first time the intestinal parasitic infection status (IPIs), the socioeconomic status, and sanitary condition in the communities of Moken and Orang Laut, the ethnic minority peoples living on the coast of southwest Thailand. A total of 691 participants participated in the present study. The information concerning socioeconomic status and sanitary condition of the study population was obtained by personal interviews using a picture questionnaire. Stool samples were collected and examined for intestinal parasitic infection using direct wet smear and formalin-ethyl acetate concentration techniques. The results revealed that 62% of the study population were infected with one or more types of intestinal parasites. The highest prevalence of intestinal parasitic infections was found in the 11-20-year-old age range group. A statistically significant difference of IPIs among the three communities were observed (p < 0.0001). There was a statistical difference concerning 44 multiple infections of soil-transmitted helminths (STHs) (p < 0.001), whereas no statistically significant difference in multiple infections of protozoa was observed (p > 0.55). The results also displayed the significant difference in socioeconomic status and sanitary condition among the Moken living in Ranong and Phang Nga and the Orang Laut living in the Satun province (p < 0.001). Our study found no direct association between parasitic infection status and ethnic/geographic features; however, socioeconomic status is the key factor associated with prevalence of intestinal parasitic infection, with the observation that the higher prevalence of IPIs is due to a low socioeconomic status, consequently leading to poor hygiene and sanitation practices. The picture questionnaire played a major role in information gathering, especially from those of low or no education. Lastly, data pertaining to the species of the parasites and the mode of transmission assisted in the identification of group-specific vulnerabilities and shortcomings that can be utilized in education and corrected to reduce the prevalence of infection in the study areas.

PMID:36977162 | DOI:10.3390/tropicalmed8030161

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Nevin Manimala Statistics

ECG Marker Evaluation for the Machine-Learning-Based Classification of Acute and Chronic Phases of Trypanosoma cruzi Infection in a Murine Model

Trop Med Infect Dis. 2023 Mar 4;8(3):157. doi: 10.3390/tropicalmed8030157.

ABSTRACT

Chagas disease (CD) is a neglected parasitic disease caused by the protozoan Trypanosoma cruzi (T. cruzi). The disease has two clinical phases: acute and chronic. In the acute phase, the parasite circulates in the blood. The infection can be asymptomatic or can cause unspecific clinical symptoms. During the chronic phase, the infection can cause electrical conduction abnormalities and progress to cardiac failure. The use of an electrocardiogram (ECG) has been a methodology for diagnosing and monitoring CD, but it is necessary to study the ECG signals to better understand the behavior of the disease. The aim of this study is to analyze different ECG markers using machine-learning-based algorithms for the classification of the acute and chronic phases of T. cruzi infection in a murine experimental model. The presented methodology includes a statistical analysis of control vs. infected models in both phases, followed by an automatic selection of ECG descriptors and the implementation of several machine learning algorithms for the automatic classification of control vs. infected mice in acute and/or chronic phases (binomial classification), as well as a multiclass classification strategy (control vs. the acute group vs. the chronic group). Feature selection analysis showed that P wave duration, R and P wave voltages, and the QRS complex are some of the most important descriptors. The classifiers showed good results in detecting the acute phase of infection (with an accuracy of 87.5%), as well as in multiclass classification (control vs. the acute group vs. the chronic group), with an accuracy of 91.3%. These results suggest that it is possible to detect infection at different phases, which can help in experimental and clinical studies of CD.

PMID:36977158 | DOI:10.3390/tropicalmed8030157

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Nevin Manimala Statistics

Prevalence of Hepatitis B Virus Infection among Inmates at the Monrovia Central Prison, Liberia

Trop Med Infect Dis. 2023 Feb 24;8(3):139. doi: 10.3390/tropicalmed8030139.

ABSTRACT

Determination of hepatitis B virus (HBV) infections in key populations including prison inmates is crucial for formulating appropriate intervention approaches. However, in many low-income countries, such as Liberia, there is hardly any documentation on HBV prevalence among inmates. This study determined and evaluated the prevalence of HBV infections among incarcerated persons in the Monrovia Central Prison, Liberia. One hundred participants comprising 76 males and 24 females were studied. Participants’ demographic and potential risk factors information were obtained using a semi-structured questionnaire, and blood samples were collected for the analysis. Plasma was tested for five HBV serological markers, namely, HBsAg, HBsAb, HBeAg, HBeAb, and HBcAb. The seroreactivity of actively infected persons was confirmed by nucleic acid detection. Results of the serological assay showed that 34% of the participants had been exposed to the virus and 14% were actively infected. qPCR confirmed HBV DNA in seven actively infected samples. Statistical analysis indicated that a low level of education, a history of blood transfusion, and intravenous drug use, were significant predictors of active HBV infection and HBV exposure, respectively. These findings might make the testing and vaccination of convicts against HBV infection prior to their admission into prison facilities imperative.

PMID:36977139 | DOI:10.3390/tropicalmed8030139