748 resultados para Ratoon eradication


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The Animal Health Board (AHB) is the agency responsible for controlling bovine tuberculosis (Tb) in New Zealand. In 2000, the AHB embarked on a strategy designed to reduce the annual period prevalence of Tb infected cattle and farmed deer herds from 1.67% to 0.2% by 2012/13. Under current rules of the Office International des Epizooties (OIE) this would allow New Zealand to claim freedom from Tb. The epidemiology of Tb in New Zealand is largely influenced by wildlife reservoirs of infection and control of Tb vector populations is central to the elimination of Tb from New Zealand’s cattle and deer herds. The AHB has classified New Zealand’s land area into Vector Risk Areas (VRAs) where Tb is established in wildlife (currently 39%) and Vector Free Areas (VFAs) where the disease is not established (61%). Within the VRAs the introduced Australian brushtail possum (Trichosurus vulpecula) is the primary wildlife maintenance host and the main source of infection for domestic cattle and deer herds. Southland is a region of New Zealand with a long history of wildlife associated Tb. Progress in reducing infected herd numbers has been impressive in recent years, primarily due to an intensive possum control program. As a result of this reduction, the focus is now shifting to that of providing increasing levels of confidence that Tb is absent from the remaining susceptible wildlife. High levels of confidence of Tb freedom in wildlife will allow the AHB to reduce the wildlife control programs and ultimately cease control altogether, with minimal risk of Tb reemerging. This paper examines the strategies being utilized to provide that confidence. The types of data, the format in which it is collected and the methods of analysis and review are outlined.

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Abstract Background The treatment for the eradication of Helicobacter pylori (H. pylori) is complex; full effectiveness is rarely achieved and it has many adverse effects. In developing countries, increased resistance to antibiotics and its cost make eradication more difficult. Probiotics can reduce adverse effects and improve the infection treatment efficacy. If the first-line therapy fails a second-line treatment using tetracycline, furazolidone and proton-pump inhibitors has been effective and low cost in Brazil; however it implies in a lot of adverse effects. The aim of this study was to minimize the adverse effects and increase the eradication rate applying the association of a probiotic compound to second-line therapy regimen. Methods Patients with peptic ulcer or functional dyspepsia infected by H. pylori were randomized to treatment with the furazolidone, tetracycline and lansoprazole regimen, twice a day for 7 days. In a double-blind study, patients received placebo or a probiotic compound (Lactobacillus acidophilus, Lactobacillus rhamnosus, Bifidobacterium bifidum and Streptococcus faecium) in capsules, twice a day for 30 days. A symptom questionnaire was administered in day zero, after completion of antibiotic therapy, after the probiotic use and eight weeks after the end of the treatment. Upper digestive endoscopy, histological assessment, rapid urease test and breath test were performed before and eight weeks after eradication treatment. Results One hundred and seven patients were enrolled: 21 men with active probiotic and 19 with placebo plus 34 women with active probiotic and 33 with placebo comprising a total of 55 patients with active probiotic and 52 with placebo. Fifty-one patients had peptic ulcer and 56 were diagnosed as functional dyspepsia. The per-protocol eradication rate with active probiotic was 89.8% and with placebo, 85.1% (p = 0.49); per intention to treat, 81.8% and 79.6%, respectively (p = 0.53). The rate of adverse effects at 7 days with the active probiotic was 59.3% and 71.2% with placebo (p = 0.20). At 30 days, it was 44.9% and 60.4%, respectively (p = 0.08). Conclusions The use of this probiotic compound compared to placebo in the proposed regimen in Brazilian patients with peptic ulcer or functional dyspepsia showed no significant difference in efficacy or adverse effects. Trial registration Current Controlled Trials ISRCTN04714018

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Today's malaria control efforts are limited by our incomplete understanding of the biology of Plasmodium and of the complex relationships between human populations and the multiple species of mosquito and parasite. Research priorities include the development of in vitro culture systems for the complete life cycle of P. falciparum and P. vivax and the development of an appropriate liver culture system to study hepatic stages. In addition, genetic technologies for the manipulation of Plasmodium need to be improved, the entire parasite metabolome needs to be characterized to identify new druggable targets, and improved information systems for monitoring the changes in epidemiology, pathology, and host-parasite-vector interactions as a result of intensified control need to be established to bridge the gap between bench, preclinical, clinical, and population-based sciences.

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On a Swiss grower-finisher farm blood-tinged-diarrhoea in pigs weighing 40 to 60 kg was observed during several months, resulting in reduced feed efficiency and a prolonged fattening period. As part of a research project, in February 2007 faecal samples were analysed and one diseased pig was euthanised and sent for necropsy where typical gut lesions indicative for a Brachyspira (B.) hyodysenteriae infection were found. B. hyodysenteriae was demonstrated by PCR in 4 out of 5 faecal samples. The pig farm thereafter underwent an eradication process with timed depopulation of the consecutive pigpens. During February to June 2008 the farm was regularly inspected and tested for B. hyodysenterieae. Testing continued for another year after the eradication process and all faecal samples proved negative. Until January 2010 neither diarrhoea with blood nor B. hyodysenterieae reoccurred.

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Diverse concepts for BVD eradication or control have been applied in several countries with varying success. Results of previous studies conducted in Switzerland have shown that the prevalence of antibody-positive animals is high and that BVDV is widespread in the country causing serious economic losses. A new approach to eradicate BVD in the cattle population in Switzerland was chosen. It consists in testing the whole Swiss cattle population for virus detection in a short period of time, without initial antibody screening. Identified persistently infected (PI) animals have to be slaughtered, and new herd infections should be avoided by movement restrictions. Ear-notches are collected using special tags for labeling the animals, and are analyzed using ELISA or rtRT-PCR methods. Confirmatory tests if needed are performed on blood samples using rtRT-PCR. The eradication program is divided into four phases: (1) Pre-pasturing phase: all young bovines going to transhumance in summer have to be negative tested before. (2) Initial phase: all non-tested bovines have to be tested. Movement restrictions are effective at the same time. (3) Calves phase: all newborn calves have to be tested. (4) Surveillance phase: several strategies will be compared using a modeling approach. After the pre-pasture phase already 595,230 animals (37% of the livestock) have been tested within four months. A prevalence of 1.1% of PIs was observed. The average age of infected animals is 403 days compared to 794 days for non-infected animals, with the oldest PI-animal being over 11 years old. On average PI-animals are slaughtered within 18 days after the last positive result. The pre-pasture phase has shown that sampling and testing a high number of animals in a short time is challenging but possible. The next phase will deal with double the number of animals in a similar time frame. The coordination between all partners as well as the collaboration of farmers is the key factor for ensuring the success of the program.

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OBJECTIVE: To determine the impact of a community based Helicobacter pylori screening and eradication programme on the incidence of dyspepsia, resource use, and quality of life, including a cost consequences analysis. DESIGN: H pylori screening programme followed by randomised placebo controlled trial of eradication. SETTING: Seven general practices in southwest England. PARTICIPANTS: 10,537 unselected people aged 20-59 years were screened for H pylori infection (13C urea breath test); 1558 of the 1636 participants who tested positive were randomised to H pylori eradication treatment or placebo, and 1539 (99%) were followed up for two years. INTERVENTION: Ranitidine bismuth citrate 400 mg and clarithromycin 500 mg twice daily for two weeks or placebo. MAIN OUTCOME MEASURES: Primary care consultation rates for dyspepsia (defined as epigastric pain) two years after randomisation, with secondary outcomes of dyspepsia symptoms, resource use, NHS costs, and quality of life. RESULTS: In the eradication group, 35% fewer participants consulted for dyspepsia over two years compared with the placebo group (55/787 v 78/771; odds ratio 0.65, 95% confidence interval 0.46 to 0.94; P = 0.021; number needed to treat 30) and 29% fewer participants had regular symptoms (odds ratio 0.71, 0.56 to 0.90; P = 0.05). NHS costs were 84.70 pounds sterling (74.90 pounds sterling to 93.91 pounds sterling) greater per participant in the eradication group over two years, of which 83.40 pounds sterling (146 dollars; 121 euro) was the cost of eradication treatment. No difference in quality of life existed between the two groups. CONCLUSIONS: Community screening and eradication of H pylori is feasible in the general population and led to significant reductions in the number of people who consulted for dyspepsia and had symptoms two years after treatment. These benefits have to be balanced against the costs of eradication treatment, so a targeted eradication strategy in dyspeptic patients may be preferable.

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Seventy-six human immunodeficiency virus (HIV)-infected patients with Staphylococcus aureus nasal carriage were randomized to treatment groups receiving intranasal mupirocin or placebo twice daily for 5 days. Nasal cultures for S. aureus were obtained at 1, 2, 6, and 10 weeks after therapy. At 1 week, 88% of mupirocin-treated patients had negative nasal cultures compared with 8% in placebo patients (P<.001). The percentage of mupirocin-treated patients with persistently negative nasal cultures decreased over time (63%, 45%, and 29% at 2, 6, and 10 weeks, respectively) but remained significantly greater than the placebo group (3% at 2, 6, and 10 weeks). In mupirocin-treated patients, most (16/19) instances of nasal recolonization were with pretreatment strains (determined by means of by pulsed field gel electrophoresis); mupirocin resistance was not observed. Five days of treatment with mupirocin eliminated S. aureus nasal carriage in HIV-infected patients for several weeks; however, since the effect waned over time, intermittent dosing regimens should be considered for long-term eradication.

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197 adverse reactions of Swissmedic-authorized veterinary medicinal products were reported during the year 2012 (2011: 167). Species and drug classes remain unchanged over the years: most of the reports related to reactions following the use of antiparasitic products (37.6 %), antiinfectives (15.7 %) or non-steroidal antiinflammatory drugs (11.7 %) in companion animals (94 dogs and 53 cats) followed by cattle/calves (29). Additionally, 45 cases transmitted by the Swiss Toxicological Information Centre in Zürich were processed. We discuss a paradoxical reaction under the potential influence of acepromazine as well as a modified protocol for treating permethrin intoxication in cats. Finally, the vaccinovigilance program received 95 declarations following the application of various vaccines, mainly to dogs or cats.

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In a representative cross-sectional study during 12 months of the years 2008/2009 in four abattoirs in Switzerland, lung and pleura lesions as well as lesions of slaughter carcasses and organs of 34 706 pigs were studied for frequency and type of macroscopic lesions. Of the 24276 examined pigs, 91.2% of the lungs, 94.4% of the heart and 95.5% of the livers showed no macroscopically visible lesions. Pigs that were produced for a label program had significantly less bronchopneumonia and pneumonia residuals, pleuritis and liver lesions due to echinococcosis. Pigs supervised by the Swiss Pig Health Service (SGD), showed significantly less bronchopneumonia and pneumonia residuals, diffuse pleuritis, pleuritis/pericarditis and milkspots compared to the non-SGD supervised farms. Thanks to the national eradication program for enzootic pneumonia (EP) and actinobacillosis, the health-status of lungs has been considerably improved and the prevalence of pleurisy decreased considerably. The results of this study indicate a good herd health in Swiss pig production.

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Helicobacter pylori infection is frequently acquired during childhood. This microorganism is known to cause gastritis, and duodenal ulcer in pediatric patients, however most children remain completely asymptomatic to the infection. Currently there is no consensus in favor of treatment of H. pylori infection in asymptomatic children. The firstline of treatment for this population is triple medication therapy including two antibacterial agents and one proton pump inhibitor for a 2 week duration course. Decreased eradication rate of less than 75% has been documented with the use of this first-line therapy but novel tinidazole-containing quadruple sequential therapies seem worth investigating. None of the previous studies on such therapy has been done in the United States of America. As part of an iron deficiency anemia study in asymptomatic H. pylori infected children of El Paso, Texas, we conducted a secondary data analysis of study data collected in this trial to assess the effectiveness of this tinidazole-containing sequential quadruple therapy compared to placebo on clearing the infection. Subjects were selected from a group of asymptomatic children identified through household visits to 11,365 randomly selected dwelling units. After obtaining parental consent and child assent a total of 1,821 children 3-10 years of age were screened and 235 were positive to a novel urine immunoglobulin class G antibodies test for H. pylori infection and confirmed as infected using a 13C urea breath test, using a hydrolysis urea rate >10 μg/min as cut-off value. Out of those, 119 study subjects had a complete physical exam and baseline blood work and were randomly allocated to four groups, two of which received active H. pylori eradication medication alone or in combination with iron, while the other two received iron only or placebo only. Follow up visits to their houses were done to assess compliance and occurrence of adverse events and at 45+ days post-treatment, a second urea breath test was performed to assess their infection status. The effectiveness was primarily assessed on intent to treat basis (i.e., according to their treatment allocation), and the proportion of those who cleared their infection using a cut-off value >10 μg/min of for urea hydrolysis rate, was the primary outcome. Also we conducted analysis on a per-protocol basis and according to the cytotoxin associated gene A product of the H. pylori infection status. Also we compared the rate of adverse events across the two arms. On intent-to-treat and per-protocol analyses, 44.3% and 52.9%, respectively, of the children receiving the novel quadruple sequential eradication cleared their infection compared to 12.2% and 15.4% in the arms receiving iron or placebo only, respectively. Such differences were statistically significant (p<0.001). The study medications were well accepted and safe. In conclusion, we found in this study population, of mostly asymptomatically H. pylori infected children, living in the US along the border with Mexico, that the quadruple sequential eradication therapy cleared the infection in only half of the children receiving this treatment. Research is needed to assess the antimicrobial susceptibility of the strains of H. pylori infecting this population to formulate more effective therapies. ^

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World Health Organization actively stresses the importance of health, nutrition and well-being of the mother to foster children development. This issue is critical in the rural areas of developing countries where monitoring of health status of children is hardly performed since population suffers from a lack of access to health care. The aim of this research is to design, implement and deploy an e-health information and communication system to support health care in 26 rural communities of Cusmapa, Nicaragua. The final solution consists of an hybrid WiMAX/WiFi architecture that provides good quality communications through VoIP taking advantage of low cost WiFi mobile devices. Thus, a WiMAX base station was installed in the health center to provide a radio link with the rural health post "El Carrizo" sited 7,4 km. in line of sight. This service makes possible personal broadband voice and data communication facilities with the health center based on WiFi enabled devices such as laptops and cellular phones without communications cost. A free software PBX was installed at "San José de Cusmapa" health care site to enable communications for physicians, nurses and a technician through mobile telephones with IEEE 802.11 b/g protocol and SIP provided by the project. Additionally, the rural health post staff (midwives, brigade) received two mobile phones with these same features. In a complementary way, the deployed health information system is ready to analyze the distribution of maternal-child population at risk and the distribution of diseases on a geographical baseline. The system works with four information layers: fertile women, children, people with disabilities and diseases. Thus, authorized staff can obtain reports about prenatal monitoring tasks, status of the communities, malnutrition, and immunization control. Data need to be updated by health care staff in order to timely detect the source of problem to implement measures addressed to alleviate and improve health status population permanently. Ongoing research is focused on a mobile platform that collects and automatically updates in the information system, the height and weight of the children locally gathered in the remote communities. This research is being granted by the program Millennium Rural Communities of the Technical University of Madrid.

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En Cuba, las arvenses que afectan al cultivo de la caña de azúcar son una de las causas fundamentales de los bajos rendimientos agrícolas y su control constituye unas de las principales partidas de gastos. En general, se aplican los herbicidas, así como otros métodos de control, sin tener en cuenta el tipo de suelo y las características de estas plantas. Sobre el manejo de arvenses no existen trabajos de investigación que aborden aspectos de eficiencia energética de las producciones y daños al ambiente. Por lo antes señalado, el objetivo de esta investigación fue evaluar diversas tecnologías de manejo de arvenses en el cultivo de la caña de azúcar (Saccharum spp. híbrido), en cepas de primavera y retoño, en tres tipos de suelos, con el propósito de obtener producciones sustentables. El área de estudio se localizó en los campos de la Empresa Azucarera del municipio “Majibacoa”, provincia de Las Tunas (oriente de Cuba), que posee condiciones edafoclimáticas que abundan a lo largo del país. Los tres tipos de suelos más representativos son Fersialítico Pardo Rojizo ócrico, Pardo Mullido y Vertisol Crómico gléyco. En dicha área se han identificado 31 especies de arvenses, 16 de la clase Liliopsida y 15 de la Magnoliopsida. En un primer grupo de experimentos, se desarrollaron nueve ensayos de campo para evaluar la efectividad de herbicidas y mezclas de estos en el manejo de arvenses en el cultivo de la caña de azúcar, tanto en cepas de primavera como de retoño, en los tres tipos de suelos. Se establecieron parcelas de 80 m2 distribuidas en bloques al azar con cuatro réplicas. La efectividad se evaluó por medio del porcentaje de cobertura por arvenses y la fitotoxicidad provocada a las plantas de caña, teniendo en cuenta el coste asociado a cada tratamiento. En aplicaciones preemergentes en caña planta de primavera, el herbicida más eficiente fue el Isoxaflutole con dosis de 0,15; 0,20 y 0,25 kg.ha-1 de producto comercial (pc) en los suelos Fersialítico, Pardo y Vertisol respectivamente. En aplicaciones postemergentes tempranas la mezcla más eficiente fue la de Isoxaflutole + Ametrina +2,4-D con las dosis de Isoxaflutole citadas anteriormente. En aplicaciones preemergentes en cepa de retoño, el herbicida más eficiente fue el Isoxaflutole a dosis de 0,20 kg.ha-1 pc para el suelo Fersialítico y a 0,25 kg.ha-1 pc para los suelos Pardo y Vertisol. En un segundo grupo, se realizaron seis ensayos de campo distribuidos en dos fases. En la primera fase, se desarrollaron tres experimentos, uno por cada tipo de suelo, para evaluar la eficiencia de nueve tecnologías de manejo de arvenses (químicas y físicas combinadas) en cepa de primavera de caña de azúcar. En la siguiente fase, los tres ensayos restantes (uno por tipo de suelo) evaluaron tecnologías de manejo de arvenses durante dos ciclos de producción de caña de azúcar (etapa de primavera y retoño). En la etapa de primavera se aplicó la tecnología más eficiente de los tres experimentos anteriores y durante la etapa de retoño se evaluaron otras nueve tecnologías propias de este tipo de cepa. En estos experimentos los diferentes tratamientos se aplicaron en franjas distribuidas al azar con cuatro réplicas. En las tecnologías evaluadas se emplearon los herbicidas y mezclas que resultaron más eficientes en el primer grupo de experimentos. En cada caso, se evaluaron la eficiencia energética de la producción de azúcar y otros derivados, la resistencia a la penetración de los suelos, la carga contaminante hacia la atmósfera producto de la combustión del diésel y los beneficios al aplicar las diferentes tecnologías. En la primera fase (cepa de primavera), la tecnología con mejor resultado fue la aplicación preemergente de Isoxaflutole inmediatamente después de la plantación, seguida de descepe químico con Glufosinato de amonio, más labor con grada múltiple aproximadamente a los 80 días de la plantación y aplicación pre-cierre con Glufosinato de amonio. En la segunda fase (dos ciclos del cultivo), el mejor resultado se obtuvo cuando en la etapa de retoño se realizó una aplicación preemergente de Isoxaflutole, descepe químico con Glufosinato de amonio y aplicación pre-cierre con este mismo herbicida. En los tres tipos de suelos durante los dos ciclos, la eficiencia energética tuvo valores de 7,2 - 7,5, la resistencia a la penetración 1,2 - 1,5 MPa, la carga contaminante hacia la atmósfera fue de 63,3 - 64,9 kg.t-1 de caña cosechada y beneficios de 8.324 - 8.455 pesos cubanos por hectárea. Este estudio demuestra que un control eficiente de las arvenses debe tener en cuenta necesariamente el tipo de suelo. Así, en los Vertisoles, con mayor contenido en arcilla, se requieren mayores dosis de Isoxaflutole y la eficiencia energética de la producción es menor. La persistencia de ciertas arvenses, especialmente de la clase Liliopsida, requiere de un manejo integrado que incluya diferentes tipos de herbicidas. ABSTRACT In Cuba, weeds affecting the sugarcane are one of the main causes of low agricultural yields, and their control constitutes some of the main items of expenditure. In general, herbicides are applied, as well as other control methods, without keeping in mind the soil type and the characteristics of these plants. Moreover, weed control research approaching aspects about energy efficiency of the crop production, and environmental damages are missing. Hence, the objective of this investigation was to evaluate diverse technologies of weed handling in sugarcane (Saccharum spp. hybrid), both in spring cane plant and ratoon, in three types of soils, with the purpose of obtaining sustainable productions. The study area was located in the fields of the Sugar Enterprise of the Municipality "Majibacoa”, Las Tunas province (east of Cuba) that possesses ecological conditions that are plentiful along the country. The three more representative types of soils are Fersialitic, Brown, and Vertisol. In this area 31 weeds species have been identified, 16 of the Class Liliopsida and 15 of the Magnoliopsida. In a first group of experiments, nine field rehearsals were developed to evaluate the effectiveness of herbicides and mixtures of these for weed handling in sugarcane, in spring cane plants as well as in ratoon, in the three types of soils. Plots of 80 m-2 were distributed at random blocks with four replications. The effectiveness was evaluated by means of the covering percentage by weeds and the provoked toxicity to the cane plants, keeping in mind the cost associated to each treatment. In preemergence applications in spring cane plant, the most efficient herbicide was the Isoxaflutole with dose of 0.15; 0.20 and 0.25 kg.ha-1 of commercial product (pc) in the soils Fersialítico, Brown and Vertisol respectively. In early postemergence applications the most efficient mixture was that of Isoxaflutole + Ametrina + 2,4-D with the doses of Isoxaflutole mentioned previously. In preemergence applications in ratoon, the most efficient herbicide was the Isoxaflutole at dose of 0.20 kg.ha-1 pc for the soil Fersialític and to 0.25 kg. ha-1 pc for the Brown soil and Vertisol. In a second group, six field rehearsals distributed in two phases were carried out. In the first phase, three experiments were developed, one for each soil type, to evaluate the efficiency of nine technologies of weed handling in spring cane plant. In the following phase, the three remaining rehearsals (one for each soil type) diverse technologies of weed handling were evaluated during two cycles of sugarcane production (spring stage and ratoon). In the spring stage the most efficient technology in the three previous experiments was applied and during ratoon stage other nine technologies were evaluated. In these experiments the different treatments were applied in fringes distributed at random with four replicas. In the evaluated technologies the herbicides and mixtures were used selecting those that were more efficient in the first group of experiments. In each case, the energy efficiency of the sugar production and other derivatives, the soil penetration resistance, the polluting load toward the atmosphere product of the combustion, and the benefits when applying the different technologies were all evaluated. In the first phase (spring cane plant), the technology with better result was the preemergence application of Isoxaflutole immediately after the plantation, followed by chemical eradication with Ammonia Glufosinate, hoeing work with multiple tier approximately to the 80 days of the plantation and pre-closing application with Ammonia Glufosinate. In the second phase (two cycles of the cultivation), the best result was obtained when a preemergence application of Isoxaflutole was carried out in sprout's stage, chemical eradication with Ammonia Glufosinate and pre-closing application with this same herbicide. In the three types of soils during the two cycles, the energy efficiency achieved values of 7.2 to 7.5, the resistance to the penetration 1.2 - 1.5 MPa, the polluting load toward the atmosphere was of 63.3 - 64.9 kg.t-1 of the harvested cane and the obtained benefits of 8,324 - 8,455 Cuban pesos per hectare. This study demonstrates that an efficient control of the weeds should necessarily keep in mind the soil type. This way, in the Vertisols, with more clay content, bigger dose of Isoxaflutole is required and the energy efficiency of the production is smaller. The persistence of certain weeds, especially of the class Liliopsida, requires of an integrated handling him to include different types of herbicides.