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cost-effectiveness of a pentavalent human-bovine reassortant rotavirus vaccine for children ≤5 years of age in taiwan.a markov model was used to assess the impact of rv5, a pentavalent (g1, g2, g3, g4, p1a[8]) human bovine (wc3 strain) reassortant rotavirus vaccine, on reducing the healthcare burden and cost associated with rotavirus gastroenteritis (rge) in taiwan. other cost-effectiveness analyses for rotavirus vaccination in industrialized countries have produced varying results depending on the input parameters assumed.201121919673
[rotavirus vaccine].rotavirus is the single main cause of severe acute gastroenteritis in children less than 5 years of age, resulting in over 527,000 deaths worldwide annually. the majority of rotavirus-related deaths are seen in less-developed countries; in developed countries, rotavirus is an infrequent cause of death but a commom cause of hospitalizations. rotavirus gastroenteritis was also estimated to result in approximately 790,000 doctor visits every year leading to medical intervention among children aged ...201121922762
applications of pcr (real-time and masstag) and enzyme-linked immunosorbent assay in diagnosis of respiratory infections and diarrheal illness among deployed u.s. military personnel during exercise balikatan 2009, philippines.laboratory-based surveillance for diarrheal and respiratory illness was conducted at the 2009 republic of the philippines-united states balikatan exercise to determine the presence of specific pathogens endemic in the locations where the military exercises were conducted. ten stool and 6 respiratory specimens were obtained from individuals meeting case definitions for diarrhea or respiratory illness. stool specimens were frozen in dry ice and remotely tested using enzyme-linked immunosorbent ass ...201122128641
molecular detection of three gastroenteritis viruses in urban surface waters in beijing and correlation with levels of fecal indicator bacteria.to assess the presence of three gastroenteritis viruses responsible for human acute gastroenteritis in surface water, a 1-year study was carried out in the city of beijing, china. a total of 108 urban surface water samples were collected from nine collection sites which were defined with a global positioning system in rivers or lakes from september 2006 to august 2007. the water samples were subjected to virus concentration using an ha electronegative filter, followed by polymerase chain reactio ...201121915594
analysis of rotavirus antigenemia in hematopoietic stem cell transplant recipients.systemic rotavirus infection, such as rotavirus antigenemia, has been found in immunocompetent rotavirus gastroenteritis patients. however, the pathogenesis of rotavirus infection in immunocompromised transplant recipients remains unclear. enzyme-linked immunosorbent assay was used to measure rotavirus antigen levels in serially collected serum samples obtained from 62 pediatric patients receiving allogeneic hematopoietic stem cell transplants (hsct). rotavirus antigen was detected in 43 (6.8%) ...201122093089
early observations in the use of oral rotavirus vaccination in infants with functional short gut syndrome.aim:  universal vaccination with an oral live-attenuated rotavirus vaccine at 2, 4 and 6 months of age was introduced in australia in july 2007. there are no data on the short-term effects of vaccination for those infants most at risk of severe complications from rotavirus infection. the aim of this study was to describe the effects of rotavirus vaccination on weight gain and gastrointestinal losses in infants with functional short gut syndrome secondary to an ileostomy. methods:  a retrospectiv ...201122107074
characteristics of rotavirus gastroenteritis in hospitalized children in israel.diarrhea is a leading cause of child mortality worldwide. rotavirus is one of the most common causes of severe diarrhea and dehydration in children.201121845967
report of the second european expert meeting on rotavirus vaccination. 201122178724
Full genomic analyses of human rotavirus G4P[4], G4P[6], G9P[19] and G10P[6] strains from North-eastern India: evidence for interspecies transmission and complex reassortment events.In hospitalized patients with acute gastroenteritis in Manipur, India, four rotavirus strains were found to possess VP7 and/or VP4 genes with porcine or bovine characteristics. Considering the animal-like nature of these strains, the remaining eight gene segments were analysed to decipher their exact origin. Analyses of full genome of these strains exhibited their origin from porcine/bovine rotaviruses. This study suggests single or multiple events of reassortment involving multiple gene segment ...201121884295
an assay for detecting neutralization of rotavirus infection by quantitative determination of vp6 protein fluorescence intensity.previous rotavirus infection studies used the focus reduction assay extensively to evaluate cellular responses to viral infection, but this technique has a number of limitations. in this study, we developed a simplified, accurate rotavirus infection assay to evaluate the effects of inhibitory substances on rotavirus infection in vitro by measurement of the fluorescence intensities of stained cells.201121979094
vaccine campaign to target deadly childhood diarrhoea. 201121956306
Rapid and sensitive detection of PRRSV by a reverse transcription-loop-mediated isothermal amplification assay.A real-time monitoring reverse transcription loop-mediated isothermal amplification (RT-LAMP) assay was developed for the sensitive and specific detection of prototypic, prevalent North American porcine reproductive and respiratory syndrome virus (PRRSV) strains. As a higher sensitivity and specificity method than reverse transcription polymerase chain reaction (RT-PCR), the RT-LAMP method only used a turbidimeter, exhibited a detection limit corresponding to a 10(-4) dilution of template RNA ex ...201121847756
[Investigation of verotoxigenic escherichia coli O157:H7 incidence in gastroenteritis patients].Escherichia coli O157:H7 is the most common serotype among verotoxigenic E.coli (VTEC) strains that cause haemolytic uremic syndrome. Although sporadic VTEC cases originating from Turkey and small outbreaks have been reported from our country, VTEC has not been routinely investigated in most of the diagnostic microbiology laboratories in Turkey and studies related to this topic are limited. In this study, the incidence of E.coli O157:H7 in patients who were admitted to Alanya Research and Applic ...201121935785
[Clinical epidemiological study of acute gastro-enteritis outbreak recorded in a children community, in Iasi, during May, 2009].Acute diarrheal disease affect all demographic structures and it is considered a major cause of morbidity and mortality for young age groups; underreporting is due to clinical and epidemiological diversity, everywhere, including the developed countries.201122046808
immunization schedule of the spanish association of pediatrics: 2012 recommendations.the advisory committee on vaccines of the spanish association of pediatrics (cav-aep) updates the immunization schedule every year, taking into account epidemiological data as well as evidence on the effectiveness and efficiency of vaccines. the present schedule includes grades of recommendation. we have graded as routine vaccinations those that the cav-aep believes all children should receive; as recommended those that fit the profile for universal childhood immunization and would ideally be gi ...201122177960
Distribution of rotavirus genotypes causing nosocomial and community-acquired acute gastroenteritis at The Children's Hospital of Philadelphia in the new rotavirus vaccine era.Background: Introduction of rotavirus vaccines in the United States beginning in 2006 led to a rapid decline in the frequency of acute rotavirus gastroenteritis necessitating medical attention. We examined whether serotype replacement was occurring as a result of vaccine use. Methods: Children with gastroenteritis presenting to CHOP have been tested for rotavirus antigen in the stool. Commencing with the 1999-2000 season, positive specimens were genotyped to establish the G (VP7) and P (VP4) typ ...201122048265
Novel pentameric structure of the diarrhea-inducing region of the rotavirus enterotoxigenic protein NSP4.A novel pentameric structure which differs from the previously reported tetrameric form of the diarrhea-inducing region of the rotavirus enterotoxin NSP4 is reported here. A significant feature of this pentameric form is the absence of the calcium ion located in the core region of the tetrameric structures. The lysis of cells, the crystallization of the region spanning residues 95 to 146 of NSP4 (NSP4(95-146)) of strain ST3 (ST3:NSP4(95-146)) at acidic pH, and comparative studies of the recombin ...201121917949
replication of the rotavirus genome requires an active ubiquitin-proteasome system.here we show that the ubiquitin-proteasome system is required for the efficient replication of rotavirus rrv in ma104 cells. the proteasome inhibitor mg132 decreased the yield of infectious virus under conditions where it severely reduces the synthesis of not only viral but also cellular proteins. addition of nonessential amino acids to the cell medium restored both viral protein synthesis and cellular protein synthesis, but the production of progeny viruses was still inhibited. in medium supple ...201121900156
intussusception risk of rotavirus vaccination. 201122129261
receptor tyrosine kinase inhibitors that block replication of influenza a and other viruses.we have previously reported that two receptor tyrosine kinase inhibitors (rtkis), called ag879 and tyrphostin a9 (a9), can each block the replication of influenza a virus in cultured cells. in this study, we further characterized the in vitro antiviral efficacies and specificities of these agents. the 50% effective concentration (ec(50)) of each against influenza a was found to be in the high nanomolar range, and the selectivity index (si = 50% cytotoxic concentration [cc(50)]/ec(50)) was determ ...201121930873
[treatment perspectives.]celiac disease (cd) is a chronic inflammatory enteropathy caused by the ingestion of gluten. a safe and efficient but unpleasant treatment exists for cd in form of a strict gluten-free diet. thus, there is a need for new treatment strategies, which are based on the improved and advanced understanding of the pathophysiology of cd. the first strategy consists in reducing or even eliminating major antigenic motifs in gluten, responsible for the inflammatory reaction. the use of less immunogenic whe ...201122037405
Sudden death from systemic rotavirus infection and detection of nonstructural rotavirus proteins.A 2.5-year-old girl died suddenly during the course of rotavirus gastroenteritis. The autopsy showed encephalopathy with rotavirus systemic infection. Here, we provide evidence of rotavirus replication in multiple organs. Our findings clarify that rotavirus infection in children can extend beyond the intestinal tract through viremia.201121998424
the hidden costs and characteristics of childhood rotavirus emergency visits in canada.background:: administrative databases are often used to determine burden of rotavirus disease in emergency departments (eds). our objective was to describe rotavirus ed visits to include healthcare utilization pre- and postvisit to estimate true societal costs. methods:: during rotavirus seasons in 2007, 2008, and 2009, a convenience sample of children <3 years of age with vomiting and/or diarrhea and rotavirus in stool samples at ed visits was identified at 5 pediatric hospitals in canada. inte ...201122001965
Novel Probiotic Bifidobacterium longum subsp. infantis CECT 7210 Strain Active against Rotavirus Infections.Rotavirus is the leading cause of severe acute gastroenteritis among children worldwide. It is well known that breast-feeding and vaccination afford infants protection. Since breast-feeding has drastically decreased in developed countries, efforts have been focused on the potential use of probiotics as preventive agents. In this study, a novel Bifidobacterium longum subsp. infantis strain was isolated from infant feces and selected, based on its capacity to inhibit in vitro rotavirus Wa replicat ...201122003027
rotavirus vaccination in germany: analysis of nationwide surveillance data 2006 to 2010.background:: efficacy of rotavirus (rv) vaccination is difficult to assess outside of controlled clinical trials. in countries with low-to-moderate rv vaccination coverage, annual variation in rv outbreak might have a stronger influence on morbidity than rv vaccination. methods:: we analyzed german rv surveillance data from 2006 to 2010 in the 16 federal states of germany. to overcome the bias of annual variation of rv infections, we analyzed the effects of rv vaccination in germany by comparing ...201121817956
impact of early life exposures to geohelminth infections on the development of vaccine immunity, allergic sensitization, and allergic inflammatory diseases in children living in tropical ecuador: the ecuavida birth cohort study.geohelminth infections are highly prevalent infectious diseases of childhood in many regions of the tropics, and are associated with significant morbidity especially among pre-school and school-age children. there is growing concern that geohelminth infections, particularly exposures occurring during early life in utero through maternal infections or during infancy, may affect vaccine immunogenicity in populations among whom these infections are endemic. further, the low prevalence of allergic d ...201121714922
genetic divergence and classification of nonstructural protein 1 among porcine rotaviruses of species b.porcine rotavirus b (rvb) has been often detected in diarrhea of suckling and weaned pigs. moreover, epidemiological studies using elisa demonstrated high antibody prevalence in sera from sows, indicating that rvb infections are widespread. because it is difficult to serially propagate rvbs in cell culture, genetic analysis of rna segments of porcine rvbs other than those encoding vp7 and nsp2 has been scarcely performed. we conducted sequence and phylogenetic analyses focusing on nonstructural ...201121832005
the occurrence of amino acid substitutions d96n and s242n in vp7 of emergent g2p[4] rotaviruses in nepal in 2004-2005: a global and evolutionary perspective.rotavirus is the leading cause of severe diarrhea among children worldwide. strains with g2p[4] have captured recent attention because of its abrupt increase or re-emergence in many locations in the world. in nepal, g2p[4] strains were detected at a rate of 1% in 2003-2004, but increased to 33% in 2004-2005. thus, the vp7 genes of 45 emergent g2 strains from nepal were sequenced and analyzed together with a total of 339 g2vp7 sequences detected over the last 34-áyears that were compiled from the ...201121842161
molecular characterization of rotavirus strains from children with diarrhea in italy, 2007-2009.the surveillance network rotanet-italia was established in 2007 in order to investigate the diversity of co-circulating rotavirus strains in italy, and to provide a baseline for future assessment of possible effects of vaccine implementation in selecting novel versus common rotavirus strains. a total of 2,645 rotavirus strains from pediatric patients with acute diarrhea were collected over three consecutive seasons from september 2006 through august 2009, and partially characterized by standardi ...201121739459
phylogenetic analysis of rotavirus a nsp2 gene sequences and evidence of intragenic recombination.the rotavirus non-structural protein nsp2 is one of the earliest and most abundant viral proteins produced during infection. this protein has multiple essential roles in the replication cycle involving rna binding, viroplasm formation, helicase and can hydrolyse the +¦-phosphate of rna and ntps acting as an rtpase and ntpase. in studying sequences from rotavirus strains isolated in australia between 1984 and 2009, the nsp2 gene was seen to be highly conserved and clustered with defined nsp2 geno ...201121689784
baseline estimates of diarrhea-associated mortality among united states children before rotavirus vaccine introduction.objectives:: deaths due to diarrhea among us children declined substantially from the 1960s through the 1980s, but have not been recently assessed. we examined diarrhea-associated mortality among young us children from 1992 to 2006 to establish baseline estimates through which the effect of rotavirus vaccines, introduced in 2006, can be assessed. methods:: national center for health statistics multiple cause-of-death mortality data were used to examine diarrhea-associated deaths and death rates ...201121691244
hospital-based study of the economic burden associated with rotavirus diarrhea in eastern china.rotavirus infection is one of the most common causes of severe diarrhea in china. to evaluate the economic burden associated with rotavirus infection of children in china, we combined data on the disease burden of rotavirus-associated costs for samples comprising 832 outpatients and 604 inpatients from five seaside cities. the average social costs and direct medical costs for rotavirus-associated admissions were calculated to be us $61.64 and us $40.73 for outpatients, and us $684.15 and us $559 ...201121843578
incidence of intussusception in early infancy: a capture-recapture estimate for germany.background: rotavirus (rv) vaccination with the first generation vaccine (rotashield) has been associated with intussusception (is). reliable age specific baseline incidence data for children ôëñ6 months of age in particular is fundamental for further post marketing monitoring of potential effects of recently introduced new rv vaccines. methods: is incidence was estimated by a 2-source capture-recapture calculation (crc) based on esped (german paediatric surveillance unit) reports and on hospita ...201121698555
direct and indirect effects of rotavirus vaccination upon childhood hospitalizations in 3 us counties, 2006-2009.routine rotavirus vaccination of us infants began in 2006. we conducted active, population-based surveillance for rotavirus gastroenteritis hospitalizations in 3 us counties to assess vaccine impact.201121705316
effects of viscogens on rna transcription inside reovirus particles.the dsrna genome of mammalian reovirus (mrv), like the dsdna genomes of herpesviruses and many bacteriophages, is packed inside its icosahedral capsid in liquid-crystalline form, with concentrations near or more than 400 mg/ml. viscosity in such environments must be high, but the relevance of viscosity for the macromolecular processes occurring there remains poorly characterized. here, we describe the use of simple viscogens, glycerol and sucrose, to examine their effects on rna transcription in ...201121719697
Productive infection of human hepatocellular carcinoma cells by porcine circovirus type 1.Porcine circovirus type 1 (PCV1), a small DNA virus in pigs, recently gained its notoriety when commercial human rotavirus vaccines were discovered to be contaminated by infectious PCV1. Here we report, for the first time, definitive evidence of productive PCV1 infection in a subclone of human hepatocellular carcinoma cell line (Huh-7, subclone 10-3). Infectious virus was detected in the lysates of infected Huh-7 cells by immunofluorescent assay (IFA) and can be serially passaged in Huh-7-S10-3 ...201121742002
Treatment of Acute Diarrhea With Saccharomyces Boulardii in Infants: A Double-Blind, Randomized, Placebo Controlled Trial.OBJECTIVES:: To determine if an oral treatment with a commercial pharmaceutical product containing Saccharomyces boulardii would reduce the duration of diarrhea in infants with acute diarrhea. MATERIAL AND METHODS:: In this double-bind, placebo controlled study, 186 infants, 6 to 48 months old and hospitalized within 72ÔÇèhours after the onset of acute diarrhea in two hospitals in Goi+ónia, Goi+ís, Brazil, were randomly assigned to receive twice a day during five days 200ÔÇèmg of a commercial ph ...201121734600
extraction of food-borne viruses from food samples: a review.detection of food-borne viruses such as noroviruses, rotaviruses and hepatitis a virus in food products differs from detection of most food-borne bacteria, as most of these viruses cannot be cultivated in cell culture to date. therefore, detection of food-borne viruses in food products requires multiple steps: first, virus extraction; second, purification of the viral genomic material (rna for the majority of food-borne viruses); and last, molecular detection. this review is focused on the first ...201122137685
Prospective evaluation of indirect costs due to acute rotavirus gastroenteritis in Spain: the ROTACOST study.The effect of rotavirus in developed countries is mainly economic. This study aimed to assess the indirect costs induced by rotavirus acute gastroenteritis (RVAGE) in Spain.201121917176
cost-effectiveness of rotavirus vaccination in bolivia from the state perspective.background: in bolivia, the under-five mortality rate is 54 per 1000 live births. diarrhea causes 15% of these deaths, and 40% of pediatric diarrhea-related hospitalizations are caused by rotavirus illness (ri). rotavirus vaccination (rv), subsidized by international donors, is expected to reduce morbidity, mortality, and economic burden to the bolivian state. estimates of the illness and economic burden of ri and their reduction by rv are essential to the bolivian state's policies on rv program ...201121624421
bug breakfast in the bulletin: rotavirus. 201121632006
enteric pathogens associated with childhood diarrhea in tripoli-libya.abstract. stool samples from children < 5 years of age with diarrhea (n = 239) were examined for enteric pathogens using a combination of culture, enzyme-immunoassay, and polymerase chain reaction methods. pathogens were detected in 122 (51%) stool samples; single pathogens were detected in 37.2% and co-pathogens in 13.8% of samples. norovirus, rotavirus, and diarrheagenic escherichia coli (dec) were the most frequently detected pathogens (15.5%, 13.4%, and 11.2%, respectively); salmonella, aden ...201121633024
biofilms in drinking water and their role as reservoir for pathogens.most microorganisms on earth live in various aggregates which are generally termed "biofilms". they are ubiquitous and represent the most successful form of life. they are the active agent in biofiltration and the carriers of the self-cleaning potential in soils, sediments and water. they are also common on surfaces in technical systems where they sometimes cause biofouling. in recent years it has become evident that biofilms in drinking water distribution networks can become transient or long-t ...201121697011
rotavirus in a wild english red squirrel (sciurus vulgaris) identified by electron microscopy. 201121821691
intra-genotypic diversity of archival g4p[8] human rotaviruses from washington, dc.group a human rotaviruses (rvs) remain the most frequently detected viral agents associated with acute gastroenteritis in infants and young children. despite their medical importance, relatively few complete genome sequences have been determined for commonly circulating g/p-type strains (i.e., g1p[8], g2p[4], g3p[8], g4p[8], and g9p[8]). in the current study, we sequenced the genomes of 11 g4p[8] isolates from stool specimens that were collected in washington, dc during the years of 1974-1991. w ...201121712102
osteopontin upregulation in rotavirus-induced murine biliary atresia requires replicating virus but is not necessary for development of biliary atresia.biliary atresia (ba) is a progressive fibro-inflammatory pediatric liver disease in which osteopontin (opn), a glycoprotein with inflammatory and fibrogenic activity, may play a pathogenic role. the current studies were conducted in a mouse model of rotavirus-induced ba to test the hypotheses that live but not inactivated rotavirus causes antigenemia, upregulation of hepatic opn expression, and induction of ba and fibrosis; and that opn is necessary for development of ba. prolonged or transient ...201121742364
investigations of porcine circovirus type 1 (pcv1) in vaccine-related and other cell lines.porcine circovirus type 1 (pcv1) is highly prevalent in swine and was recently reported in u.s. licensed rotavirus vaccines. since animal-derived raw materials, such as cells, trypsin, and serum, can be a major source of introducing virus contamination in biological products, we have investigated pcv1 in several cell lines obtained from atcc that have broad use in research, diagnostics, or vaccine development. it is expected that these cell lines have been exposed to bovine and porcine viruses d ...201121835219
clinical features and molecular epidemiology of rotavirus and norovirus infections in libyan children.rotaviruses and noroviruses are leading viral causes of diarrhoea in children. a cross-sectional study was undertaken among children aged <5 years with acute gastroenteritis at al-jala children's hospital, tripoli, libya, from october 2007 to september 2008. of 1,090 fecal samples collected, 260 from inpatients and 830 from outpatients, all inpatients and approximately a third of outpatients, selected systematically, were investigated for rotavirus and norovirus infection by elisa and real-time ...201121837804
the incidence and direct medical cost of hospitalization due to rotavirus gastroenteritis in kyoto, japan, as estimated from a retrospective hospital study.anticipating imminent licensure of rotavirus vaccine for use in japan, we estimated the incidence of rotavirus hospitalization and calculated the direct medical cost associated with rotavirus hospitalization in a hospital that provided virtually exclusive pediatric beds to the local community adjacent to the northern outskirts of metropolitan kyoto, japan. for a 2 year period between september, 2008 and august, 2010, there were 103 hospitalizations due to acute gastroenteritis among children les ...201121821087
identification of a novel biomarker candidate, a 4.8-kda peptide fragment from a neurosecretory protein vgf precursor, by proteomic analysis of cerebrospinal fluid from children with acute encephalopathy using seldi-tof-ms.abstract: background: acute encephalopathy includes rapid deterioration and has a poor prognosis. early intervention is essential to prevent progression of the disease and subsequent neurologic complications. however, in the acute period, true encephalopathy cannot easily be differentiated from febrile seizures, especially febrile seizures of the complex type. thus, an early diagnostic marker has been sought in order to enable early intervention. the purpose of this study was to identify a novel ...201121838886
identification of an antibody binding epitope on the rotavirus non-structural protein nsp2 using phage display analysis.the nsp2 of rotavirus has important roles in rotavirus replication associated with rna binding, hydrolysis of ntps and rna, and helix destabilising properties. a cell culture assay using a nsp2 specific monoclonal antibody (mab) and polyclonal antiserum to block viral replication showed a 73% and a 96% reduction in the amount of virus produced during replication respectively. phage display technology was used to identify the antibody binding region on the nsp2 protein with the motif (244)t-(y/f) ...201121697352
rotavirus-induced ifn-{beta} promotes anti-viral signaling and apoptosis that modulate viral replication in intestinal epithelial cells.rotavirus (rv), a leading cause of diarrhea, primarily infects intestinal epithelial cells (iec). rotavirus-infected iec produce ifn-+¦ and express hundreds of ifn-dependent genes. we thus hypothesized that type 1 ifn plays a key role in helping iec limit rv replication and/or protect against cell death. to test this hypothesis, we examined iec (ht29 cells) infected with rv (moi 1) -¦ neutralizing antibodies to ifn-+¦/+¦ via microscopy and sds-page immunoblotting. we hypothesized that neutraliza ...201121733977
randomized, open-label, multicentre pharmacokinetic studies of two dose levels of pantoprazole granules in infants and children aged 1 month through <6 years with gastro-oesophageal reflux disease.the primary objective of this study was to characterize the pharmacokinetic profile of pantoprazole delayed-release granules in infants and children aged 1 month to <6 years with gastro-oesophageal reflux disease (gord). the studies described in this manuscript were conducted to fulfil the requirements of the paediatric written request for pantoprazole by the us fda.201121740077
case report: detection of rotavirus rna in the cerebrospinal fluid of a child with rotavirus gastroenteritis and meningism.although case reports have described detection of rotavirus (rv) in extraintestinal sites such as the liver, kidney, and central nervous system (cns) of children with rv gastroenteritis, cns localization in rv infection seems to be rare. rt-pcr and nucleotide sequencing detected a g1p[8] strain in the stool and cerebrospinal fluid (csf) samples of a patient with concurrent rv-associated enteritis and cns signs. upon sequence analysis, the viruses detected in the csf was identical to the virus de ...201121739456
a gastrointestinal rotavirus infection mouse model for immune modulation studies.rotaviruses are the single most important cause of severe diarrhea in young children worldwide. the current study was conducted to assess whether colostrum containing rotavirus-specific antibodies (gastrogard-r-«) could protect against rotavirus infection. in addition, this illness model was used to study modulatory effects of intervention on several immune parameters after re-infection.201121385425
the burden of rotavirus disease in denmark 2009-2010.this study sought to determine the incidence and the burden of severe diarrheal disease in denmark with emphasis on rotavirus (rv) disease.201121386748
results from a randomized clinical trial of coadministration of rotateq, a pentavalent rotavirus vaccine, and neisvac-c, a meningococcal serogroup c conjugate vaccine.rotateq (merck & co. inc./sanofi pasteur msd) is a three-dose, oral pentavalent rotavirus vaccine for the immunization of infants from 6 weeks of age for the prevention of rotavirus gastroenteritis. the primary objective of the present trial was to demonstrate that rotateq can be coadministered with meningococcal serogroup c conjugate vaccine (mencc; neisvac-c; baxter healthcare) to healthy infants without impairing the protective immune responses to mencc. this was an open-label, randomized, co ...201121389149
viral agents associated with acute gastroenteritis in seoul, korea.the present study was carried out to describe the epidemiologic characteristics of viral gastroenteritis and determine the phylogenetic composition of norovirus strains detected in hospitalized children with acute gastroenteritis in seoul, korea.201121391466
rotavirus and norovirus infections in children in sana'a, yemen.to describe the epidemiology of rotavirus and norovirus infection among children with acute gastroenteritis in sana'a, yemen.201121392189
molecular characterization of group a rotaviruses detected in children with gastroenteritis in ireland in 2006-2009.summarycommunity and hospital-acquired cases of human rotavirus are responsible for millions of gastroenteritis cases in children worldwide, chiefly in developing countries, and vaccines are now available. during surveillance activity for human rotavirus infections in ireland, between 2006 and 2009, a total of 420 rotavirus strains were collected and analysed. upon either pcr genotyping and sequence analysis, a variety of vp7 (g1-g4 and g9) and vp4 (p[4], p[6], p[8] and p[9]) genotypes were dete ...201121396145
an unusual outbreak of rotavirus genotype g2p[6] during the 2005-2006 epidemic season in philadelphia.most rotavirus gastroenteritis is caused by g1p[8] strains. when g2 infections are encountered, the p type has most often been reported to be p[4]. the purpose of our study was to describe an unusual outbreak of g2p[6] cases. children presenting to the children's hospital of philadelphia with acute gastroenteritis have been monitored for rotavirus antigen in stool by elisa (with g-typing if elisa positive) since 1994-1995. compared to the last 12 rotavirus seasons before the 2006 introduction of ...201121398071
rotavirus toxin nsp4 induces diarrhea by activation of tmem16a and inhibition of na+ absorption.rotavirus infection is the most frequent cause for severe diarrhea in infants, killing more than 600,000 every year. the nonstructural protein nsp4 acts as a rotavirus enterotoxin, inducing secretory diarrhea without any structural organ damage. electrolyte transport was assessed in the colonic epithelium from pups and adult mice using ussing chamber recordings. western blots and immunocytochemistry was performed in intestinal tissues from wild-type and tmem16a knockout mice. ion channel current ...201121399895
three clusters of bovine kobuvirus isolated in korea, 2008-2010.fecal samples (n = 107) were collected from cattle with ascertained or suspected diarrheal disease on korean farms during 2008-2010. of these, 37 samples tested positive for bovine kobuvirus. the 37 positive samples came from 32 cattle that exhibited diarrhea and five cattle that were non-diarrhetic. the majority of the virus-positive feces samples were from calves under 1 month of age (n = 25). nine of the 37 cattle infected with bovine kobuvirus were confirmed to have a co-infection with other ...201121399921
[pathogenesis of acute encephalitis and acute encephalopathy].many aspects of the pathogenesis of acute encephalitis and acute encephalopathy have been clarified in this decade, although many unknown mechanisms remain to be elucidated. according to progress of mri and neuroimmunological analysis and the observation of clinical findings, many new syndromes were found, which enhanced our understanding of acute encephalitis and acute encephalopathy. the pathogenesis of encephalitis is divided into infection and immune mediated mechanisms. the antibodies to ne ...201121400830
[rota virus encephalopathy].rotavirus is the most common cause of severe gastroenteritis in young children, but the pathogenesis and immunity of this disease are not completely understood. less well recognized is the association of rotavirus-induced central nervous system (cns) involvement, which has been associated with seizure, encephalopathy and death etc. the term 'rotavirus encephalopathy' has been used for cases of rotavirus gastroenteritis with cns involvement as evidenced by clinical features of encephalopathy with ...201121400834
successful sanitation of an edim-infected mouse colony by breeding cessation.despite decreasing prevalence, rotavirus infections still rank among the most important viral infections in colonies of laboratory mice. although the disease is characterized by low mortality and a relatively short and mild clinical period, the infection has the potential to alter the outcome of experiments substantially. for animal facilities, it is therefore essential to eradicate the virus. here we report a successful sanitation of a rotavirus-infected mouse colony in an animal facility. desp ...201121402733
[annual incidence of human group a rotavirus g-serotypes detected in a japanese university hospital between 2003 and 2007].group a rotavirus g-serotyping by polymerase chain reaction (pcr) using university hospital subject samples in september 2003 to august 2004, september 2004 to august 2005, september 2005 to august 2006, and september 2006 to august 2007 showed the most common serotypes g1 and g3, detected in 27 and 33 subjects, compared to 4 subjects in whom serotype g4 was detected. between 2003 and 2004, serotypes g1 accounted for 50% and g3 for 38%, contrasting with serotype g3 at 79% between 2004 and 2005, ...201121404601
etiology of diarrhea in young children and patterns of antibiotic resistance in cambodia.little is known about diarrhea etiology and antibiotic resistance in developing countries where diarrhea is a major public health problem.201121412204
one-step rt-qpcr with an internal control system for the detection of turkey rotaviruses in faecal samples.turkey rotaviruses are one of the major pathogens responsible for the poult enteritis syndrome (pes). in this study a one step real-time reverse transcription polymerase chain reaction (rt-qpcr) assay targeting the rotaviral non-structural protein 4 (nsp4) was developed. the nsp4 is a highly conserved gene inside the turkey rotavirus genome and contains an internal control system to monitor any potential rt-qpcr inhibitors. the detection limit of the optimized nsp4-rt-qpcr assay ranged from 8.15 ...201121816176
genotype diversity of group a rotavirus strains in children with acute diarrhea in urban burkina faso, 2008-2010.in this study, the diversity of g and p genotypes of rotavirus strains in burkinabe children were examined. between november 2008 and february 2010, 447 stool samples were collected from children <5 years of age with acute diarrhea visiting hospital in ouagadougou. group a rotavirus was previously detected in 151/447 (33.8%) of the samples tested by an immunochromatographic test and these samples were now tested further for rotavirus g and p genotypes by rt-pcr. of these, the rotavirus type gene ...201121678452
cost-effectiveness of universal rotavirus vaccination in reducing rotavirus gastroenteritis in ireland.we evaluated the cost-effectiveness of universal infant rotavirus (rv) vaccination compared to current standard of care of "no vaccination". two rv vaccines are currently licensed in ireland: rotarixôäó and rotateqôäó. a cohort model used in several european countries was adapted using irish epidemiological, resource utilisation and cost data. the base case model considers the impact of rotarix vaccination on health-related quality of life of children under five years old from a healthcare payer ...201121821085
circovirus and impact of temporary withdrawal of rotavirus vaccines in spain.at the beginning of 2010 dna fragments of a porcine circovirus 1 (pcv-1) were detected in the monovalent rotavirus vaccine, rotarix-« (glaxosmithkline), and later also of pcv-1 and pcv-2 in the rotateq-« (msd) vaccine. these viruses are frequently found in meat and other products for normal human consumption and have not been shown to cause disease in humans. although the world health organization (who) and the european medicines agency (ema) did not recommended discontinuation of vaccination ag ...201121715979
complications in hospitalized children with acute gastroenteritis caused by rotavirus: a retrospective analysis.acute gastroenteritis (age) caused by rotavirus (rv) is a common disease among infants and toddlers, often leading to hospitalization and, in resource-poor countries, to death. however, little is known on specific complications of severe rv-positive (rv+) age and on the clinical course in chronically ill children. this was a retrospective analysis of data for children <5-áyears of age hospitalized due to age during six rotavirus seasons in three large german pediatric hospitals. the primary stud ...201121833497
comparative evaluation of the potential impact of rotavirus versus hpv vaccination in gavi-eligible countries: a preliminary analysis focused on the relative disease burden.immunization policymakers at global and local levels need to establish priorities among new vaccines competing for limited resources. however, comparison of the potential impact of single vaccination programs is challenging, primarily due to the limited number of vaccine analyses as well as their differing analytic approaches and reporting formats. the purpose of this study is to provide early insight into how the comparative impact of different new vaccines could be assessed in resource-poor se ...201121679420
astrovirus infections in humans and animals - molecular biology, genetic diversity, and interspecies transmissions.astroviruses are small, non-enveloped, positive sense, single-stranded rna viruses first identified in 1975 in children suffering from diarrhea and then described in a wide variety of animals. to date, the list of animal species susceptible to astrovirus infection has expanded to 22 animal species or families, including domestic, synantropic and wild animals, avian, and mammalian species in the terrestrial and aquatic environments. astrovirus infections are considered among the most common cause ...201121843659
infection: preventing 5 million child deaths from diarrhea in the next 5 years. 201121725348
enteric vaccines for resource-limited countries: current status and future prospects. 201121736257
use of the state immunization information system to assess rotavirus vaccine effectiveness in connecticut, 2006-2008.immunization information systems (iis) contain individual vaccination records and have potential use for evaluating post-licensure vaccine effectiveness (ve). a matched case-control study was performed by using the connecticut state iis to calculate rotavirus ve against hospitalization; results were compared with pre-licensure efficacy and with estimates previously obtained by traditional case-control methods using matched controls from medical sources and medical chart abstracted data. case-pat ...201121723356
iron oxide amended biosand filters for virus removal.laboratory studies were performed to determine if the addition of iron oxides throughout biosand filter (bsf) media would increase virus removal due to adsorption. the proposed mechanism is electrostatic adsorption of negatively charged virion particles to positively charged iron oxides formed during the corrosion of zerovalent iron. initial tests conducted using continuous flow, small-scale glass columns showed high ms2 bacteriophage removal in an iron-amended sand column (5log10) compared to a ...201121708394
comparative review of three cost-effectiveness models for rotavirus vaccines in national immunization programs; a generic approach applied to various regions in the world.abstract:201121740545
intussusception risk and health benefits of rotavirus vaccination in mexico and brazil.because postlicensure surveillance determined that a previous rotavirus vaccine, rotashield, caused intussusception in 1 of every 10,000 recipients, we assessed the association of the new monovalent rotavirus vaccine (rv1) with intussusception after routine immunization of infants in mexico and brazil.201121675888
rotavirus vaccination and intussusception--act two. 201121675894
nosocomial rotavirus gastroenteritis in a canadian paediatric hospital: incidence, disease burden and patients affected.rotavirus is a well-recognised nosocomial pathogen in paediatric settings. although rotavirus gastroenteritis is a vaccine-preventable disease, there is currently no publicly funded programme in canada. the objective of this study was to inform rotavirus vaccination strategy by determining the incidence of nosocomial rotavirus gastroenteritis (nrvge), estimating the burden of disease and characterising the patients affected. we performed a retrospective cohort study of all nrvge cases over a per ...201121723643
viruses exploiting peroxisomes.viruses that are of great importance for global public health, including hiv, influenza and rotavirus, appear to exploit a remarkable organelle, the peroxisome, during intracellular replication in human cells. peroxisomes are sites of lipid biosynthesis and catabolism, reactive oxygen metabolism, and other metabolic pathways. viral proteins are targeted to peroxisomes (the spike protein of rotavirus) or interact with peroxisomal proteins (hiv's nef and influenza's ns1) or use the peroxisomal mem ...201121824805
experimental infection of pigs with group a rotavirus and enterotoxigenic escherichia coli in india: gross, histopathological and immunopathological study.the authors describe a detailed study conducted in assam, india, of gross, histopathological and immunopathological alterations in pigs experimentally infected with rotavirus and enterotoxigenic escherichia coli (etec) expressing k88 pili. a total of 30 caesarean derived piglets were infected experimentally with rotavirus alone or in combination with etec to study the gross and histopathological alterations and the distribution pattern of different b- and t cell subsets in the gut. villus atroph ...201121706463
characterization of human rotavirus subgroups and serotypes in children under five with acute gastroenteritis in a saudi hospital.rotavirus is the most common cause of severe diarrhea in children. currently, there is no published data on the prevalence of subgroups and serotypes of rotavirus in the eastern province of saudi arabia. the objectives of the present study were to assess the rotavirus infection in children with acute gastroenteritis and to assess the subgroups and serotypes of rotavirus in the children and maternity hospital in dammam, eastern saudi arabia.201121694956
etiology of acute gastroenteritis in children requiring hospitalization in the netherlands.infectious gastroenteritis causes a considerable burden of disease worldwide. costs due to gastroenteritis are dominated by the hospitalized cases. effective control of gastroenteritis should be targeted at the diseases with the highest burden and costs. for that, an accurate understanding of the relative importance of the different bacterial, viral, and parasitic pathogens is needed. the objective of the present study was to determine the incidence and etiology of gastroenteritis requiring hosp ...201121725865
Noroviruses as a major cause of acute gastroenteritis in children in Finland, 2009-2010.Abstract Noroviruses are, after rotaviruses, the second most common cause of acute gastroenteritis in young children. In a prospective study conducted in 2009-2010 at the Tampere University Hospital, 195 stool specimens were collected from cases of acute gastroenteritis in children and examined for noroviruses, sapoviruses, and rotaviruses, using a reverse transcriptase polymerase chain reaction (RT-PCR). Noroviruses were found in 49 (25%) of the cases and sapoviruses in 12 (6%). The norovirus g ...201121696253
molecular and clinical characterization of rotavirus from diarrheal infants admitted to pediatric emergency units in france.rotaviruses are the major cause of acute gastroenteritis in young children worldwide, and require careful surveillance, especially in the context of vaccination programs. prospective surveillance is required to monitor and characterize rotavirus infections, including viral and clinical data, and to detect the emergence of potentially epidemic strains.201120686439
first detection of group c rotavirus in children with acute gastroenteritis in south korea.group c rotavirus (gpc rv) causes sporadic cases and outbreaks of acute diarrhoea in humans worldwide, but has not been detected among children in south korea. the present study aimed to detect gpc rv among children hospitalized with gastroenteritis in south korea and to perform a molecular characterization of gpc rv strains. from november 2003 to january 2006, 434 faecal samples were collected from children <10 years of age who were hospitalized for treatment of acute diarrhoea and screened for ...201120491826
infantile convulsions with mild gastroenteritis: a retrospective study of 25 patients.the aim of this study was to analyze the epidemiologic, clinical, and evolutional characteristics in patients who presented convulsions with mild gastroenteritis (cwg) to facilitate the diagnosis in daily clinical practice.201120618844
the percentage of nosocomial-related out of total hospitalizations for rotavirus gastroenteritis and its association with hand hygiene compliance.because the absolute numbers of both community-acquired and nosocomial rotavirus gastroenteritis (rvge) vary, we studied the percentage of hospitalizations for rvge that were transmitted nosocomially as an indicator of in-hospital acquisition of the infection. in a 4-year prospective study, the percentage of nosocomial rvge declined steadily, from 20.3% in 2003 to 12.7% in 2006 (p = .001). concomitantly, the rate of compliance with hand hygiene increased from 33.7% to 49% (p = .012), with a sign ...201120864220
safety, reactogenicity, and immunogenicity of human rotavirus vaccine rix4414 in human immunodeficiency virus-positive infants in south africa.rotavirus and human immunodeficiency virus (hiv) infections are a cause of great public health concern in developing countries. the current study evaluated the safety, reactogenicity, and immunogenicity of rix4414 vaccine in asymptomatic or mildly symptomatic (clinical stages i and ii according to who classification) hiv-infected south african infants.201120842070
primary care-based surveillance to estimate the burden of rotavirus gastroenteritis among children aged less than 5 years in six european countries.this observational, prospective study was undertaken to estimate the burden of rotavirus (rv) gastroenteritis (ge) leading to general practitioner (gp)/family paediatrician (fp) visits among children aged <5 years in czech republic, germany, italy, poland, spain and the uk. children aged <5 years presenting with acute ge provided stool samples for rapid rv testing. rv+ samples were confirmed and typed by rt-pcr. demographic and clinical data were collected for all rvge episodes. transmission pat ...201120842379
synthesis of double-layered rotavirus-like particles using internal ribosome entry site vector system in stably-transformed drosophila melanogaster.we established a bicistronic expression system using an encephalomyocarditis virus (emcv)-derived internal ribosomal entry site (ires) element to generate stably transformed drosophila melanogaster schneider 2 (s2) cells expressing human rotavirus wa capsid proteins, vp2 and vp6, for the synthesis of vp2/6 double-layered virus-like particle (dvlp). the emcv-derived ires permitted bicistronic translation of recombinant vp6. recombinant vp2 and vp6 were detected in extracellular fractions of stabl ...201120820877
modeling nosocomial transmission of rotavirus in pediatric wards.nosocomial transmission of viral and bacterial infections is a major problem worldwide, affecting millions of patients (and causing hundreds of thousands of deaths) per year. rotavirus infections affect most children worldwide at least once before age five. we present here deterministic and stochastic models for the transmission of rotavirus in a pediatric hospital ward and draw on published data to compare the efficacy of several possible control measures in reducing the number of infections du ...201120811781
feasibility study of 21-day-on/7-day-off temozolomide in children with brain tumors.temozolomide (tmz) is an oral alkylating agent with proven antitumoral activity in preclinical and clinical studies in adults with high-grade glioma (hgg). however, only limited efficacy has been reported in children with hgg using the 5-day schedule. this study investigated the safety of administering tmz to children and adolescents with brain tumors over an extended period. extended schedules have been proven to overcome chemoresistance without any major toxicity. the toxicity of tmz, administ ...201120811928
rotavirus gastroenteritis in finnish children in 2006-2008, at the introduction of rotavirus vaccination.rotaviruses (rv) are major causative agents of acute gastroenteritis (age) requiring hospitalization in children; rv hospitalizations may be largely eliminated by universal mass vaccination with rv vaccine. we conducted a hospital-based prospective survey of age in children over 2 rv epidemic seasons, from 2006 to 2008, when the coverage of rv vaccination in finland increased to 35% of the birth cohort. rvs were detected by reverse transcription polymerase chain reaction (rt-pcr). in the first s ...201120807022
rotavirus genotypes co-circulating in europe between 2006 and 2009 as determined by eurorotanet, a pan-european collaborative strain surveillance network.summaryeurorotanet, a laboratory network, was established in order to determine the diversity of co-circulating rotavirus strains in europe over three or more rotavirus seasons from 2006/2007 and currently includes 16 countries. this report highlights the tremendous diversity of rotavirus strains co-circulating in the european population during three years of surveillance since 2006/2007 and points to the possible origins of these strains including genetic reassortment and interspecies transmiss ...201120707941
chronological diffusion-weighted imaging changes and mutism in the course of rotavirus-associated acute cerebellitis/cerebellopathy concurrent with encephalitis/encephalopathy.rotavirus is one of the most common causes of gastroenteritis in children and is known to accompany some neurological disorders such as encephalitis/encephalopathy and seizures. although cerebellar disorders sometime occur as a complication of rotavirus gastroenteritis in japan, few reports have addressed these issues. here, we report three cases of insulted cerebellums in addition to encephalitis/encephalopathy associated with rotavirus. similar to posterior fossa syndrome after surgery, mutism ...201120510558
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