Mycobacterium tuberculosis lineage 4 associated with cavitations and treatment failure

BACKGROUND

Mycobacterium tuberculosis genotyping has been crucial to determining the distribution and impact of different families on disease clinical presentation. The aim of the study was to evaluate the associations among sociodemographic and clinical characteristics and M. tuberculosis lineages from patients with pulmonary tuberculosis in Orizaba, Veracruz, Mexico.

METHODS

We analyzed data from 755 patients whose isolates were typified by 24-loci mycobacterial interspersed repetitive unit-variable number of tandem repeats (MIRU-VNTR). The associations among patient characteristics and sublineages found were evaluated using logistic regression analysis.

RESULTS

Among M. tuberculosis isolates, 730/755 (96.6%) were assigned to eight sublineages of lineage 4 (Euro-American). Alcohol consumption (adjusted odds ratio [aOR] 1.528, 95% confidence interval (CI) 1.041-2.243; p = 0.030), diabetes mellitus type 2 (aOR 1.625, 95% CI 1.130-2.337; p = 0.009), sputum smear positivity grade (3+) (aOR 2.198, 95% CI 1.524-3.168; p < 0.001) and LAM sublineage isolates (aOR 1.023, 95% CI 1.023-2.333; p = 0.039) were associated with the presence of cavitations. Resistance to at least one drug (aOR 25.763, 95% CI 7.096-93.543; p < 0.001) and having isolates other than Haarlem and LAM sublineages (aOR 6.740, 95% CI 1.704-26.661; p = 0.007) were associated with treatment failure. In a second model, multidrug resistance was associated with treatment failure (aOR 31.497, 95% CI 5.119-193.815; p < 0.001). Having more than 6 years of formal education was not associated with treatment failure.

CONCLUSIONS

Knowing M. tuberculosis genetic diversity plays an essential role in disease development and outcomes, and could have important implications for guiding treatment and improving tuberculosis control.

Mechanical force induced DNA double-strand breaks: Ultrasound

Since the application of ultrasound for clinical diagnosis and therapeutic purposes has been increased rapidly, the effects of exposure to ultrasound on DNA molecules were studied. In this chapter, we introduced various effects of DNA damages caused by different conditions of exposure of ultrasound. Ultrasound with different sound pressure and pulse transmission conditions have been applied in our study. We discussed the threshold of sound pressure of ultrasound-induced DNA damages. Different kinds of pulses of ultrasound and microbubbles' influences on DNA double-strand breaks were also shown.

Ultrasonic power improvement of flumequine degradation effectiveness in aqueous solution via direct and indirect action of mechanical acoustic wave

The current research work aimed to describe the roles of ultrasonic power under sono-Fenton process in the degradation of flumequine (FLU) in water. For this purpose, the effects of some parameters including temperature, ferrous ion concentration, chemical oxidant concentration (S₂O₈^2- and Cl^-) and the initial pH value of the reaction kinetics were investigated. Results showed that the degradation of FLU antibiotic was accelerated by ultrasonic irradiation and the presence of an inorganic oxidant. The sono-generation of active species such as hydroxyl radicals (HO and HOO) and sulfate radicals (SO₄^-) as strong oxidizing agents improved the FLU degradation. In fact, the peroxydisulfate anion (S₂O₈^2-) has been identified as among parameters that enhanced the degradation process. Under optimal conditions, 98% of the flumequine removal was carried out within 80 min at 60 °C.

Assessment of Dental Caries Spectrum among 11 to 14-Year-Old School Going Children in India

INTRODUCTION

The quantification of dental caries is usually done by DMFT index but efforts are being made to find an alternative. Caries Assessment Spectrum and Treatment (CAST) is a recent, innovative caries assessment tool which can be used in epidemiological surveys.

AIM

To assess dental caries using CAST index among 11-14-year-old school children in Rohtak city, Haryana, India.

MATERIALS AND METHODS

A cross-sectional study was carried out among 11-14-year-old children in schools of Rohtak City using multi stage cluster sampling technique. Rohtak city was divided in to nine clusters. In the 2nd stage, one school was randomly selected from each cluster with lottery method. Finally from each selected school, every odd roll number child between age group 11-14 years, were enrolled to reach a sample of 586. Caries was recorded using the CAST index. Each child was clinically examined by a trained examiner using CAST index. Descriptive and inferential statistics were done and Chi-square test was used to find association between caries prevalence and gender. Mann-Whitney U test was used to find any difference of mean DMFT between different age groups.

RESULTS

A total of 586 children were examined. Prevalence of dental caries was 28.6%. Highest caries was observed in lower right first molar and lower left first molar (13.8% and 11.6%) respectively. Pulpal involvement in lower molars was found more than the upper molars.

CONCLUSION

CAST index presents a simple hierarchical structure of caries spectrum and is a promising index for epidemiological studies with complex quantifiability.