Seasonal Pattern of Preterm Births in Korea for 2000–2012

The aim of this study was to investigate a seasonal pattern of preterm births in Korea. Data were obtained from the national birth registry of the Korean Statistics Office and included all births in Korea during the period 2000–2012 (n = 6,310,800). Delivery dates were grouped by month of the year or by season (winter [December, January, February], spring [March, April, May], summer [June, July, August], and autumn [September, October, November]). The seasonal patterns of prevalence of preterm births were assessed. The rates of preterm births at 37 weeks were highest twice a year (once in winter and again in summer). The rates of preterm births increased by 13.9% in summer and 7.5% in winter, respectively, than in spring (OR, 1.139; 95% CI, 1.127–1.152, and OR, 1.075; 95% 1.064–1.087, respectively) after controlling for age, the educational level of the parents, maternal parity, and neonatal gender. The pattern for spontaneous preterm births < 34 weeks was similar. In Korea, a seasonal pattern of preterm births was observed, with peak prevalence in summer and winter. A seasonal pattern of preterm births may provide new insights for the pathophysiology of preterm births.     

Genetic diversity of VP3 of goose parvovirus isolated from Southeastern China during 2012–2013

Although vaccine and passive immunotherapy were widely used to prevent goose parvovirus (GPV) infection in goose industry, GPV still poses a big problem in Southeastern China. In this study, 23 GPV isolates were isolated from goslings suspected with GPV infection in Southeastern China during 2012–2013, and the genetic diversity of VP3 of GPV was analyzed. Phylogenetic tree revealed that these isolates could be clustered into two groups, and 11 of 23 could be further clustered into a new subgroup. Moreover, eight novel mutations and seventeen conserved amino acids were found in these 23 isolates in comparison with isolates previously deposited in GenBank. These isolates and findings not only provide insights into the etiology and molecular characteristics of GPV endemic in Southeastern China, but also enrich the GPV genetic information for better controlling the disease.     

A Critical Review of Psychosocial Outcomes Following Childhood Stroke (1995–2012)

Childhood stroke (CS) is a neurological condition occurring in 7:100000 children (Hartel, Schilling, Sperner, &; Theyen, 2004 Hartel, C., Schilling, S., Sperner, J. and Theyen, U. 2004. The clinical outcomes of neonatal and childhood stroke: A review of the literature and implications for future research. European Journal of Neurology, 11: 431–438. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]). Consequences include physical, cognitive, and language deficits and psychosocial disturbance, with the latter least researched. We critically reviewed the literature over the last 18 years. We identified 16 papers addressing psychosocial outcomes, which highlighted that CS confers increased risk of psychosocial impairment. Little is known regarding the contribution of stroke-specific and environmental influences. Small samples, variable age at onset and time since onset, lack of controls, and a focus on parent ratings limit generalizability of findings. Further investigation is needed to provide information regarding rehabilitation within the psychosocial domain.     

Time trends of viral meningitis among young adults in Israel: 1978–2012

Viral meningitis (VM) is a medical condition of public health concern, as it is a common sporadic and epidemic illness. However, there is limited data on the epidemiology of VM. The purpose of this study was to analyze long-term and seasonal trends of VM in a young adult military population. VM is a obligatory notifiable disease in the Israel Defense Forces. For the present study, the archives of the Army Health Branch were reviewed for all cases of VM from January 1, 1978 to December 31, 2012, and the annual, monthly, and seasonal rates were calculated. The annual incidence over the 35-year period showed a high peak every 3–5 years followed by a quiescent period of 2–3 years, reaching as high as 58.4 per 100,000 in 1980 and as low as 3.0 per 100,000 in 2005. This cyclic pattern has diminished over the last decade, reflected by a decline in mean incidence (10.46 per 100,000 in 2003–2012 compared to 19.79 per 100,000 in 1978–2002). Average monthly rates ranged from 1.0 cases per 100,000 soldiers in January/February to 2.2 per 100,000 in July/August. The difference in average rates between winter (1.2 cases per 100,000) and summer (1.9 cases per 100,000) was statistically significant (p?<?0.001). Analysis of the long-term epidemiology of VM shows an epidemic pattern, with predominance in the warmer months. Identifying viral causes of meningitis may spare patients unnecessary treatment while prompting the introduction of public health interventions and control measures, especially in crowded settings.     

Antigenic variation of bovine ephemeral fever viruses isolated in Iran, 2012–2013

Bovine ephemeral fever virus (BEFV) is an economic arthropod-borne virus distributed in Africa, Asia, and Australia. Based on the sequence of the gene encoding the surface glycoprotein G, the viral antigenic determinant, BEFV has been phylogenetically classified into three clusters, including Australia, East Asia, and the Middle East. Here, we provide evidence for antigenic variations among the BEFV isolates in Iran during the period of 2012 to 2013 and also the exotic YHL strain, which are all classified into the East Asian cluster of the virus. For this propose, the entire length of the G gene of the viruses were sequenced and phylogenetically compared. The corresponding antigenic sites (G1–G4) were analyzed and antigenic relatedness among these viruses was measured. The two Iranian viruses, which displayed substitutions at residues E503K in the site G1 and E461K in the predicted site G4, were partially neutralized by each other’s antisera (R value?=?63.23%); however, these two viruses exhibited much lower cross-neutralization that measured by R value as 28.28% and 22.82%, respectively. The crucial substitution at amino acid R218K in the site G3a is believed to be the foremost cause of these declines. The data emphasize the frequent evolution of BEFV in different time periods and geographic regions, in which the new variants can emerge and likely escape from the pre-existing immunities. Thus, continuous monitoring of the circulating viruses is necessary for understanding the viral evolution and evaluation of protective immunity induced by the heterologous viruses.

     

Analysis of S1 gene of avian infectious bronchitis virus isolated in southern China during 2011–2012

Sixty-two strains of avian infectious bronchitis virus (IBV) were isolated from diseased chickens at different farms in southern China during 2011–2012, and 66.1 % of the isolated strains were associated with typical nephritis. Analysis of the S1 gene sequences amplified from the 62 isolated strains together with 40 reference strains published in Genbank showed nucleotide homologies ranging from 63.5 to 99.9 % and amino acid homologies ranging from 57.9 to 100 %. Phylogenetic analysis revealed that all Chinese IBV strains were clustered into six distinct genetic groups (I–VI). Most of the isolated strains belonged to group I, and the isolation of group V strains was increased compared with an earlier period of surveillance. Current vaccine strains used in China (H120, H52, W93, and Ma5) formed the group Mass which is evolutionarily distant from Chinese isolates. Alignment of S1 amino acid sequences revealed polymorphic and diverse substitutions, insertions, and deletions, and the S1 protein of major pandemic strains contained 540 amino acids with a cleavage site sequence of HRRRR or RRF(L/S)RR. Further analysis showed that recombination events formed a new subgroup. Taken together, these findings suggest that various IBV variants were co-circulating and undergoing genetic evolution in southern China during the observation period. Therefore, long-term continuing surveillance is significantly important for prevention and control of IBV infection.     

Influence of Social Engagement on Mortality in Korea: Analysis of the Korean Longitudinal Study of Aging (2006–2012)

The objective of this study was to investigate the impact of social engagement and patterns of change in social engagement over time on mortality in a large population, aged 45 years or older. Data from the Korean Longitudinal Study of Aging from 2006 and 2012 were assessed using longitudinal data analysis. We included 8,234 research subjects at baseline (2006). The primary analysis was based on Cox proportional hazards models to examine our hypothesis. The hazard ratio of all-cause mortality for the lowest level of social engagement was 1.841-times higher (P < 0.001) compared with the highest level of social engagement. Subgroup analysis results by gender showed a similar trend. A six-class linear solution fit the data best, and class 1 (the lowest level of social engagement class, 7.6% of the sample) was significantly related to the highest mortality (HR: 4.780, P < 0.001). Our results provide scientific insight on the effects of the specificity of the level of social engagement and changes in social engagement on all-cause mortality in current practice, which are important for all-cause mortality risk. Therefore, protection from all-cause mortality may depend on avoidance of constant low-levels of social engagement.     

First Report on the Moroccan Registry of Primary Immunodeficiencies: 15 Years of Experience (1998–2012)

Purpose

Primary immunodeficiencies (PIDs) are a large group of diseases characterized by susceptibility to infections. We provide the first comprehensive report on PIDs in Morocco, the epidemiological, clinical, etiological and outcome features which have never before been described.

Methods

A national registry was established in 2008, grouping together data for PID patients diagnosed since 1998.

Results

In total, 421 patients were diagnosed between 1998 and 2012. Parental consanguinity was common (recorded for 43.2 % of patients) and the median time to diagnosis was 2.0 years. Overall, 27.4 % of patients were considered to have well defined syndromes with immunodeficiency (48 cases of hyper-IgE syndrome and 40 of ataxia-telangiectasia); 22.7 % had predominantly antibody deficiencies (29 cases of agammaglobulinemia and 24 of CVID); 20.6 % had combined immunodeficiencies (37 cases of SCID and 26 of MHC II deficiencies) and 17.5 % had phagocyte disorders (14 cases of SCN and 10 of CGD). The principal clinical signs were lower respiratory tract infections (60.8 %), skin infections (33.5 %) and candidiasis (26.1 %). Mortality reached 28.8 %, and only ten patients underwent bone marrow transplantation. We analyzed the impact on mortality of residence, family history, parental consanguinity, date of diagnosis and time to diagnosis, but only date of diagnosis had a significant effect.

Conclusions

The observed prevalence of PID was 0.81/100,000 inhabitants, suggesting considerable underdiagnosis and a need to increase awareness of these conditions in Morocco. The distribution of PIDs was different from that reported in Western countries, with a particularly high proportion of SCID, MHC II deficiencies, hyper-IgE syndrome and autosomal recessive agammaglobulinemia. However, we have now organized a national network, which should improve diagnosis rates in remote regions.     

Impact on blood safety of the last arboviruses outbreaks in French Polynesia (2012–2018)

BackgroundSeveral successive arbovirus outbreaks have affected French Polynesia (FP) in the recent past years due to different dengue serotypes (DENV) present for several decades, Zika (ZIKV) (2013–2014) and chikungunya (CHIKV) (2014–2015) viruses with a potential impact on blood safety and blood supply due to the geographical isolation of these islands. This study reports an assessment of the impact of these outbreaks on blood products supply and infectious safety in FP and discuss the effectiveness of implemented preventive measures.MethodsTo ensure the infectious safety of blood products during outbreaks, several measures have successively been introduced as the selection of donors suspected of infection, the nucleic acid testing (NAT) and the pathogen reduction of platelets and plasmas.ResultsThe donor deferral rate increased by 6% between 2012 and 2014 without changes in the number of collected donations. NAT excluded five blood donations reactive for DENV RNA, 42 for ZIKV and 34 for CHIKV. As Zika screening could not been implemented before the third month of the outbreak, 36 blood products from ZIKV-infected donors were transfused to 26 recipients. However, no transfusion-transmitted arbovirus has been reported.ConclusionThe last past arboviruses outbreaks did not have a significant impact on blood supply in FP. The measures introduced to prevent arbovirus transmission by transfusion were able to maintain infectious safety for all blood products without impairing self-sufficiency.     

Methamphetamine-associated dysregulation of the hypothalamic–pituitary–thyroid axis

Methamphetamine and HIV impair thyroid function, but few studies have investigated their combined effects on thyroid dysregulation. This study examined the associations of methamphetamine use alone and in combination with HIV on thyroid function among men in South Florida. Measures of thyroid function in methamphetamine-using, HIV-infected (METH+HIV+; n?=?127) and HIV-negative (METH+HIV?; n?=?46) men who have sex with men (MSM) were compared to non-methamphetamine-using, HIV-negative men (METH?HIV?; n?=?136). Thyroid function was dysregulated in methamphetamine-using MSM, irrespective of HIV status. Both meth-using groups had greater odds of abnormal thyroid stimulating hormone levels and significantly higher mean free triiodothyronine (T3) levels. Elevated free T3 was associated with greater depressive symptoms. Overall, outcomes have important implications for assessment of thyroid function in methamphetamine users, particularly among those presenting with depression.     

Effect of countermovement on power–force–velocity profile

Purpose

To study the effect of a countermovement on the lower limb force–velocity (F–v) mechanical profile and to experimentally test the influence of F–v mechanical profile on countermovement jump (CMJ) performance, independently from the effect of maximal power output (P _max).

Methods

Fifty-four high-level sprinters and jumpers performed vertical maximal CMJ and squat jump (SJ) against five to eight additional loads ranging from 17 to 87 kg. Vertical ground reaction force data were recorded (1,000 Hz) and used to compute center of mass vertical displacement. For each condition, mean force, velocity, and power output were determined over the entire push-off phase of the best trial, and used to determine individual linear F–v relationships and P _max. From a previously validated biomechanical model, the optimal F–v profile maximizing jumping performance was determined for each subject and used to compute the individual mechanical F–v imbalance (Fv _IMB) as the difference between actual and optimal F–v profiles.

Results

A multiple regression analysis clearly showed (r ² = 0.952, P < 0.001, SEE 0.011 m) that P _max, Fv _IMB and lower limb extension range (h _PO) explained a significant part of the interindividual differences in CMJ performance (P < 0.001) with positive regression coefficients for P _max and h _PO and a negative one for Fv _IMB.

Conclusion

Compared to SJ, F–v relationships were shifted to the right in CMJ, with higher P _max, maximal theoretical force and velocity (+35.8, 20.6 and 13.3 %, respectively). As in SJ, CMJ performance depends on Fv _IMB, independently from the effect of P _max, with the existence of an individual optimal F–v profile (Fv _IMB having an even larger influence in CMJ).     

Genetic characterization of HA gene of low pathogenic H9N2 influenza viruses isolated in Israel during 2006–2012 periods

H9N2 influenza viruses are isolated in Israel since 2000 and became endemic. From November 2006 to the beginning of 2012, many H9N2 viruses were identified, all belonged to the Asian G1-like lineage represented by A/qu/Hong Kong/G1/97 (H9N2). In the present study, 66 isolates were selected for their hemagglutinin gene characterization. Most H9N2 isolates were distributed between two main groups, identified as the 4th and 5th introductions. The 5th introduction, was represented by a compact cluster containing viruses isolated in 2011–2012; the 4th introduction was subdivided into two subgroups, A and B, each containing at least two clusters, which can be identified as A-1, A-2, B-1, and B2, respectively. Genetic analysis of the deduced HA proteins of viruses, belonging to the 4th and 5th introductions, revealed amino acid variations in 79 out of 542 positions. All isolates had typical low pathogenicity motifs at the hemagglutinin (HA) cleavage site. Most viruses had leucine at position 216 in a receptor binding pocket that enables the virus to bind successfully with the cellular receptors intrinsic to mammals, including humans. It was shown that the differences between the HA proteins of viruses used for vaccine production and local field isolates increased in parallel with the duration and intensity of vaccine use, illustrating the genetic diversity of the H9N2 viruses in Israel.     

Pathobiology of neutrophil–epithelial interactions

Polymorphonuclear neutrophils (PMNs) are innate immune system cells that play an essential role in eradicating invading pathogens. PMN migration to sites of infection/inflammation requires exiting the microcirculation and subsequent crossing of epithelial barriers in mucosa-lined organs such as the lungs and intestines. Although these processes usually occur without significant damage to surrounding host tissues, dysregulated/excessive PMN transmigration and resultant bystander-tissue damage are characteristic of numerous mucosal inflammatory disorders. Mechanisms controlling PMN extravasation have been well characterized, but the molecular details regarding regulation of PMN migration across mucosal epithelia are poorly understood. Given that PMN migration across mucosal epithelia is strongly correlated with disease symptoms in many inflammatory mucosal disorders, enhanced understanding of the mechanisms regulating PMN transepithelial migration should provide insights into clinically relevant tissue-targeted therapies aimed at ameliorating PMN-mediated bystander-tissue damage. This review will highlight current understanding of the molecular interactions between PMNs and mucosal epithelia and the associated functional consequences.