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symptomatic and asymptomatic infections of rotavirus, norovirus, and adenovirus among hospitalized children in xi'an, china.rotavirus (rv), norovirus (nov), and adenovirus (adv) have been reported as the common viral pathogens of acute gastroenteritis in children. to determine the prevalence of rv, nov, and adv infections among hospitalized children with and without symptoms of acute gastroenteritis, fecal specimens, and data on clinical symptoms were collected from 201 children with diarrhea and 53 children without diarrhea admitted to the xi'an children's hospital in xi'an, china between march 2009 and may 2010. rv ...201121618552
estimated economic benefits during the 'decade of vaccines' include treatment savings, gains in labor productivity.in 2010 the bill & melinda gates foundation announced a $10 billion commitment over the next ten years to increase access to childhood vaccines in the world's poorest countries. the effort was labeled the "decade of vaccines." this study estimates both the short- and long-term economic benefits from the introduction and increased use of six vaccines in seventy-two of the world's poorest countries from 2011 to 2020. increased rates of vaccination against pneumococcal and haemophilus influenzae ty ...201121653952
genotypes of rotavirus associated with acute gastroenteritis in seoul, korea.acute viral gastroenteritis is one of the most common infectious diseases in infants and young children. rotavirus is mainly important in childhood. the present study determined the detection rate, seasonality and g and p genotypes of rotaviruses in children hospitalized for acute gastroenteritis in seoul, korea in 2009. a total of 1,423 stool specimens were screened by elisa for the presence of rotavirus antigens and the rotavirus-positive stools genotyped by rt-pcr. the g genotype was determin ...201121752085
detection of the first g6p[14] human rotavirus strain from a child with diarrhea in egypt.we report the first detection of a g6p[14] rotavirus strain in egypt from the stool of a child participating in a hospital-based diarrhea surveillance study conducted throughout the year 2004. rotavirus infection was initially detected using a rotavirus group a vp6 enzyme immunoassay; the p (vp4) and g (vp7) genotypes of the strain were identified by rt-pcr. we sequenced the vp7 gene and the vp8* portion of the vp4 gene and the strain displayed the strongest identity to the vp7 [>94% nucleotides ...201121640199
vaccines as a global imperative--a business perspective.during the past thirty years, vaccines have experienced a renaissance. advances in science, business, and distribution have transformed the field to the point where vaccines are recognized as a "best buy" in global health, a driver of pharmaceutical industry growth, and a key instrument of international development. with many new vaccines available and others on the horizon, the global community will need to explore new ways of ensuring access to vaccines in developing nations. so-called tiered ...201121653955
acute diarrhoea in a community cohort of children who received an oral rotavirus vaccine in northeast brazil.rotavirus is an important cause of childhood diarrhoea. a monovalent rotavirus vaccine (rotarix®) was introduced into the immunization program of brazil in 2006. in this study, we describe the incidence and burden of disease of rotavirus diarrhoea in two cohorts of children (vaccinated and unvaccinated). we followed two groups of 250 children under one year old, who were enrolled in december 2006 from a low-income residential area in northeast brazil. the children were monitored every two weeks ...201121655821
rotavirus vaccines: safety, efficacy and public health impact.abstract.ôçé gray j (norfolk and norwich university hospital, norwich, uk). rotavirus vaccines: safety, efficacy and public health impact (foresight). j intern med 2011; 270: 206-214. rotaviruses are the cause of acute gastroenteritis, and disease is widespread amongst infants and young children throughout the world. also, rotavirus is associated with significant mortality in developing countries with more than 500ôçâ000 children dying each year as a result of the severe dehydration associated w ...201121668823
intestinal and extra-intestinal pathogenicity of a bovine reassortant rotavirus in calves and piglets.despite the impact of bovine group a rotaviruses (garvs) as economically important and zoonotic pathogens, there is a scarcity of data on cross-species pathogenicity and extra-intestinal spread of bovine reassortant garvs. during the course of characterizing the genotypes of all 11 genomic segments of bovine garvs isolated from diarrheic calves in south korea, a unique g6p[7] reassortant garv strain (kj9-1) was isolated. the strain harbors five bovine-like gene segments (vp7: g6; vp6: i2; vp1: r ...201121658866
phylogenetic analysis of vp1, vp2, and vp3 gene segments of genotype g5 group a rotavirus strains circulating in brazil between 1986 and 2005.genotype g5 group a rotavirus (rv-a), which is common in pigs and also detected in horses and cattle, circulated as endemic genotype in the 1980s and early 1990s in brazil. after 1996, g5 rv-a has been replaced by g9 rv-a, becoming only sporadically detected. recently, g5 has been reported in children with severe diarrhea in argentina, cameroon, paraguay, people's republic of china, and vietnam, suggesting that, although uncommon in humans, it has a worldwide distribution. in a previous study, b ...201121827799
development and clinical validation of multiplex taqman-« assays for rapid diagnosis of viral gastroenteritis.there is a need to provide rapid, sensitive, and often high throughput detection of pathogens in diagnostic virology. viral gastroenteritis is a serious health issue often leading to hospitalization in the young, the immunocompromised and the elderly. the common causes of viral gastroenteritis include rotavirus, norovirus (genogroups i and ii), astrovirus, and group f adenoviruses (serotypes 40 and 41). this article describes the work-up of two internally controlled multiplex, probe-based pcr as ...201121739458
monitoring the circulation of rotavirus among children after the introduction of the rotarixôäó vaccine in goi+ónia, brazil.the epidemiological features of rotavirus a (rva) infection differ between children from developing and developed countries which could result in differences in vaccine efficacy around the world. to evaluate the impact of rotarixôäó on rva prevalence, we monitored rva genotypes circulating in goi+ónia by monitoring virus in faecal samples from children that had or had not been previously vaccinated. from february-november of 2008, 220 faecal samples were collected from children in seven day-care ...201121739040
rotavirus infection in a tertiary hospital: laboratory diagnosis and impact of immunization on pediatric hospitalization.rotavirus (rv) is the main etiological agent of diarrhea in childhood; its laboratory diagnosis is crucial to guide the clinical management and prevention of its spread. rv immunization was introduced in brazilian 6-month-old children in 2006. the present study was aimed to evaluate three methodologies used for human rv detection in stool samples obtained from patients hospitalized due to gastroenteritis in a teaching hospital and report the impact of rv immunization in hospitalization by diarrh ...201121670920
detection of mutations in antigenic regions of rotavirus viral proteins 4 and 7 in a child with chronic shedding of rotavirus vaccine-type strain. 201121673551
molecular characterization of fecal microbiota in patients with viral diarrhea.the study provides molecular analyses of fecal microbiota of diarrhea patients infected with four different types of viruses. fecal specimens from 52 patients with viral diarrhea (13 each of adenovirus, norovirus, rotavirus, and astrovirus) and six healthy individuals were collected and etiological viral agent was confirmed by enzyme immunoassay and specific pcr. to assess the changes in microbial diversity in patients with viral diarrhea, dna from stool were extracted and characterized by pcr-d ...201121739252
3,3'-diindolylmethane induces immunotoxicity via splenocyte apoptosis in neonatal mice.3,3'-diindolylmethane (dim), a major product of indole-3-carbinol derived from vegetables of the genus brassica, exhibits chemotherapeutic activity and various immune modulatory effects in animal models and in vitro studies. although extensive studies have only focused on dim's beneficial effects, the toxic effects of dim on the immune systems have not been clearly elucidated. the aim of this study was to explore the immunotoxic effects of dim in a neonatal mouse and to further evaluate whether ...201121820497
modification of the trypsin cleavage site of rotavirus vp4 to a furin-sensitive form does not enhance replication efficiency.the infectivity of rotavirus (rv) is dependent on an activation process triggered by the proteolytic cleavage of its spike protein vp4. this activation cleavage is performed by exogenous trypsin in the lumen of the intestines in vivo. here, we report the generation and characterization of a recombinant rv expressing cdna-derived vp4 with a modified cleavage site (arginine at position 247) recognized by endogenous furin as well as exogenous trypsin. unexpectedly, the mutant virus (ku//rvp4-r247fu ...201121813706
monovalent rotavirus vaccine provides protection against an emerging fully heterotypic g9p[4] rotavirus strain in mexico.after the introduction of monovalent rotavirus vaccine (rv1) in mexico in 2006-2007, diarrhea mortality and morbidity declined substantially among mexican children under 5 years of age. in january 2010, surveillance identified the emergence of a novel g9p[4] rotavirus strain nationwide. we conducted a case-control study to assess the field effectiveness of rv1 against severe rotavirus gastroenteritis caused by this unusual strain and to determine whether the g9p[4] emergence was related to vacci ...201121810915
sequence analysis of human rotavirus strains: comparison of clinical isolates from northern and southern italy.the surveillance and monitoring of rotavirus (rv)-related diseases, preferably through the establishment of sentinel surveillance sites, are essential for assessing the need for vaccination and the projected results of the vaccine in terms of reducing the burden of disease. the objective of the present study was to compare rv strains isolated in northern (ferrara) and southern (galatina-le) italy. during 2007-2008, 115 rv-positive stool samples were collected from children with diarrhea admitted ...201121796344
protective effect of natural rotavirus infection in an indian birth cohort.more than 500,000 deaths are attributed to rotavirus gastroenteritis annually worldwide, with the highest mortality in india. two successive, naturally occurring rotavirus infections have been shown to confer complete protection against moderate or severe gastroenteritis during subsequent infections in a birth cohort in mexico. we studied the protective effect of rotavirus infection on subsequent infection and disease in a birth cohort in india (where the efficacy of oral vaccines in general has ...201121793745
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
economic evaluations of rotavirus immunization for developing countries: a review of the literature.diarrhea is a leading cause of mortality for children under 5 years of age, and rotavirus is identified as the main cause of severe diarrhea worldwide. since 2006, two rotavirus vaccines, rotarix and rotateq, have been available in the market. these vaccines have proved to have high efficacy in developed countries. clinical trials are being undertaken in asia and africa, and early clinical results found that the vaccine significantly reduces severe diarrhea episodes due to rotavirus (48.3% for a ...201121806398
gastroenteritis in children.acute gastroenteritis results from infection of the gastrointestinal tract, most commonly with a virus. it is characterised by rapid onset of diarrhoea with or without vomiting, nausea, fever, and abdominal pain. diarrhoea is defined as the frequent passage of unformed, liquid stools. regardless of the cause, the mainstay of management of acute gastroenteritis is provision of adequate fluids to prevent and treat dehydration. methods and outcomes: we conducted a systematic review and aimed to ans ...201121791124
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
cost-effectiveness analysis of a universal rotavirus immunization program in japan.in anticipation of the imminent licensure of rotavirus vaccine, we evaluated the cost-effectiveness of rotavirus vaccine in japan by taking into account the considerable variations in the incidence of rotavirus-associated hospitalizations previously reported in the literature. we assumed that the variation was due to local differences in healthcare utilization practices rather than a true difference in the incidence of severe rotavirus gastroenteritis. thus, a markov model was constructed such t ...201121788701
rotavirus stimulates release of serotonin (5-ht) from human enterochromaffin cells and activates brain structures involved in nausea and vomiting.rotavirus (rv) is the major cause of severe gastroenteritis in young children. a virus-encoded enterotoxin, nsp4 is proposed to play a major role in causing rv diarrhoea but how rv can induce emesis, a hallmark of the illness, remains unresolved. in this study we have addressed the hypothesis that rv-induced secretion of serotonin (5-hydroxytryptamine, 5-ht) by enterochromaffin (ec) cells plays a key role in the emetic reflex during rv infection resulting in activation of vagal afferent nerves c ...201121779163
viruses in diarrhetic dogs include novel kobuviruses and sapoviruses.the close interactions of dogs with humans and surrounding wild life provide frequent opportunities for cross-species virus transmissions. in order to initiate an unbiased characterization of the eukaryotic viruses in the gut of dogs we used deep sequencing of partially purified viral-capsid protected nucleic acids from the feces of eighteen diarrhetic dogs. we identified known canine parvoviruses, coronaviruses, and rotaviruses, and characterized the genomes of the first reported canine kobuvir ...201121775584
effectiveness of pentavalent rotavirus vaccine against severe disease.objective: to determine the vaccine effectiveness (ve) of complete and partial vaccination with the pentavalent rotavirus vaccine (rv5) in the prevention of rotavirus acute gastroenteritis (age) hospitalizations and emergency department visits during the first 3 rotavirus seasons after vaccine introduction. methods: active, prospective population-based surveillance for age and acute respiratory infection (aris) in inpatient and emergency department settings provided subjects for a case-control e ...201121768317
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
antiviral activity of substituted salicylanilides - a review.chemotherapy of viral infections is still challenging. salicylanilides demonstrated a wide range of biological activities including antiviral potency and the review summarizes this field. niclosamide was described to be able to affect coronaviruses, some salicylanilides and salicylamides could inhibit hiv virus by targeting of hiv-1 integrase or reverse transcriptase. hepatitis c virus is another virus, which could be potentially afflicted by salicylanilides on the level of two enzymes - ns3 pro ...201121762100
rotavirus infection activates the upr but modulates its activity.abstract:201121774819
incidence assessment of rotavirus and adenovirus associated acute gastroenteritis cases in early childhood.this study was undertaken to give an insight into the incidence of acute gastroenteritis cases of rotaviral/adenoviral aetiology in patients presenting to the emergency room of an inner-city government teaching hospital. group a rotavirus and adenovirus serotype 40-41 antigen results were obtained via immunochromatography. in 2007, there were 1543 patients with gastroenteritis between 0-5 years of age whose stool samples were tested for rota and adenovirus, of whom 386 (25%) had positive stool s ...201121753251
epidemiology and prevention of rotavirus infection: an underestimated issue? 201121749188
update on childhood and adolescent immunizations: selected review of us recommendations and literature: part 1.to provide a clinically relevant synopsis of research findings regarding childhood and adolescent vaccines.201121750429
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
summary of effectiveness and impact of rotavirus vaccination with the oral pentavalent rotavirus vaccine: a systematic review of the experience in industrialized countries.the pentavalent rotavirus (rv) vaccine rotateqôäó has been available in industrialized countries since 2006. several studies have been conducted to evaluate the benefit of rv vaccination under routine conditions of use. a systematic review of all publicly available data from rotateqôäó vaccine-effectiveness and vaccination-impact studies in the usa, europe and australia between 2006 and february 2010 was undertaken. depending on the population studied, effectiveness of up to 100% (95% confidence ...201121734466
the rhesus rotavirus gene encoding vp4 is a major determinant in the pathogenesis of biliary atresia in newborn mice.biliary atresia (ba) is a devastating disease of childhood for which increasing evidence supports a viral component in pathogenesis. the murine model of ba is induced by perinatal infection with rhesus rotavirus (rrv) but not with other strains of rotavirus, such as tuch. to determine which rrv gene segment(s) is responsible for pathogenesis, we used the rrv and tuch strains to generate a complete set of single-gene reassortants. eleven single-gene "loss-of-function" reassortants in which a tuch ...201121697466
impact of rotavirus vaccination on diarrhoea mortality and hospital admissions in brazil.objective to analyse the data reported by the national surveillance system of brazil, including data on diarrhoea mortality and hospital admissions before and after rotavirus vaccine introduction, and evaluate the impact of its widespread use under operational conditions. method retrospective analysis of routinely collected data was reported by several surveillance systems of brazil, comprising an 8-year period of all diarrhoea-related hospitalisations and deaths in children <5 years old (2002 ...201121749584
monitoring of group c rotavirus in children with acute gastroenteritis in brazil: an emergent epidemiological issue after rotavirus vaccine?group c rotavirus (gpcrv) has a worldwide distribution; however, its epidemiology and ecology are still unclear. evidence for a possible zoonotic role has been postulated recently for brazilian children strains. the aim of this study was to monitor gpcrv in children ôëñ15 years with acute gastroenteritis during the 2007-2010 national brazilian rotavirus surveillance, and to undertake the molecular characterization of the major vp6 capsid protein. a total of 3,019 fecal samples were first screene ...201121739455
hospital-based surveillance of rotavirus gastroenteritis in the era of limited vaccine uptake through the private sector.to investigate possible impact of limited vaccine uptake by the private sector since 2007, a prospective observational study included all children <5 years hospitalized for acute gastroenteritis (age) in a tertiary care hospital between 09/2006 and 08/2010. rotavirus (rv) antigen was detected in stools by a rapid immunochromatographic test and genotype analysis was performed on positive samples by rt-pcr. compared to 2006-2008, the likelihood of rotavirus infection was significantly reduced amon ...201121816195
grazing management effects on sediment, phosphorus, and pathogen loading of streams in cool-season grass pastures.erosion and runoff from pastures may lead to degradation of surface water. a 2-yr grazing study was conducted to quantify the effects of grazing management on sediment, phosphorus (p), and pathogen loading of streams in cool-season grass pastures. six adjoining 12.1-ha pastures bisected by a stream in central iowa were divided into three treatments: continuous stocking with unrestricted stream access (csu), continuous stocking with restricted stream access (csr), and rotational stocking (rs). ra ...201121712600
interactions of diarrhea, pneumonia, and malnutrition in childhood: recent evidence from developing countries.this review highlights recent progress toward understanding complex interactions between diarrhea, pneumonia, and undernutrition among children in low-income and middle-income countries.201121734569
rotavirus in a wild english red squirrel (sciurus vulgaris) identified by electron microscopy. 201121821691
case-control study of the effectiveness of vaccination with pentavalent rotavirus vaccine in nicaragua.background:: in 2006, merck & co., inc., partnered with the nicaraguan ministry of health to demonstrate the public health impact of routine universal vaccination by delivering more than 1.3 million doses of the oral, pentavalent rotavirus vaccine (rv5) in a 3-year period. methods:: a matched case-control study evaluated the effectiveness of rv5 in reducing the risk for severe wild-type rotavirus gastroenteritis (rge) resulting in hospitalizations and emergency department visits among children w ...201121768920
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
rotavirus vaccine and intussusception:report from an expert consultation. 201121800466
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
[advances and challenges in immunoprophylaxis].a significant progress in the management of controllable infections achieved by the early xxi century made it possible eliminate poliomyelitis across the nation, and practically eliminate measeles by vaccinating 96-99% of the children without raising the complication rate. the list of counterindications was shortened significantly, the calendar of immunoprophylaxis was supplemented by inoculations against hepatitis b, rubella, flu, and type b haemophilis influenzae infections. morbidity of contr ...201121789797
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
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
infection: preventing 5 million child deaths from diarrhea in the next 5 years. 201121725348
genetic heterogeneity of wild-type g4p[6] porcine rotavirus strains detected in a diarrhea outbreak in a regularly vaccinated pig herd.group a rotavirus (rv-a) with short electropherotype was identified by ss-page in a neonatal diarrhea outbreak at a brazilian pig farm where the sows were regularly vaccinated with a commercial vaccine containing osu (g5p[7]) and gottfried (g4p[6]) porcine rv-a (porv-a) strains. the ss-page positive stool samples (n=20) were characterized as p[6] genotype by multiplex-nested-rt-pcr assay. the nucleotide analysis of the vp4 gene (vp8*) state that the viruses clustered in p[6] lineages that are al ...201121775076
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
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
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
racecadotril for childhood gastroenteritis: an individual patient data meta-analysis.background: racecadotril is an antidiarrhoeal drug with intestinal antisecretory mechanism of action. aim: to assess racecadotril efficacy as an adjunct to oral rehydration solution, against oral rehydration solution alone or with placebo in childhood acute gastroenteritis. methods: individual patient data meta-analysis following multilevel mixed models testing the significance of the treatment effect adjusted for baseline covariates. results: nine randomised clinical trials (n=1384) were identi ...201121514257
effectiveness of rotavirus vaccination in spain.with the aim of determining rotavirus vaccine effectiveness (rvve) in spain, from oct-2008/jun-2009, 467 consecutive children below 2 years old with acute gastroenteritis (age) were recruited using a pediatric research network (regalip-www.regalip.org) that includes primary, emergency and hospital care settings. of 467 enrolled children, 32.3% were rotavirus positive and 35.0% had received at least one dose of any rotavirus vaccine. rrve to prevent any episode of rotavirus age was 91.5% (95% ci: ...201121521947
scope for rotavirus vaccination in india: revisiting the scientific evidence.rotavirus vaccines have been developed to prevent deaths resulting from severe diarrhea of rotavirus origin. the use of vaccines as an intervention at scale to prevent and control the burden of rotavirus diarrhea is supported by the argument that prevailing public health measures such as hygiene and sanitation, breast feeding and use of ors have failed to prevent severe dehydration resulting from diarrhea. the article reviews the existing evidence on the rationale of using rotavirus vaccine as a ...201121611712
babies and bearded dragons: sudden increase in reptile-associated salmonella enterica serovar tennessee infections, germany 2008.abstract introduction: in 2008 a marked increase in salmonella enterica serovar tennessee infections in infants occurred in germany. in march and april 2008, eight cases were notified compared to a median of 0-1 cases in 2001-2006. materials and methods: we carried out an investigation including a case-control study to identify the source of infection. a patient was a child <3 years of age with salmonella tennessee isolated from stool from september 1, 2007, through december 31, 2008, identified ...201121612527
standardized positive controls for detection of norovirus by reverse transcription pcr.abstract: background: norovirus is one of the most common causes of nonbacterial gastroenteritis in humans. rapid spread by contaminated food and person-to-person transmission through the fecal-oral route are characteristics of norovirus and result in high morbidity in vulnerable patient populations. therefore, detection of norovirus is a major public health concern. currently, the most common method for detecting and differentiating among noroviruses in clinical and environmental samples is rev ...201121612660
re: four cases of postrenal renal failure induced by renal stones associated with rotavirus infection. 201121612763
epidemiology and burden of rotavirus disease in central asia.background: rotavirus infection is the most common cause of severe gastroenteritis in children worldwide. new rotavirus vaccines are not currently used in the five countries that make up the central asian region. three of these countries, kazakhstan, uzbekistan, and kyrgyzstan, have a combined total population of 48 million and an estimated 1 million annual births. methods: we conducted prospective hospital-based surveillance for rotavirus diarrhea in three central asian countries (kazakhstan, u ...201121524932
whole genomic analysis reveals the complex evolutionary dynamics of kenyan g2p[4] human rotavirus strains.although g2p[4] rotaviruses are common causes of acute childhood diarrhoea in africa, to date, there are no reports on whole genomic analysis of african g2p[4] strains. in this study, the nearly complete genome sequences of two kenyan g2p[4] strains, ak26 and d205, detected in 1982 and 1989, respectively, were analyzed. strain d205 exhibited a ds-1-like genotype constellation, whilst strain ak26 appeared to be an intergenogroup reassortant with a wa-like nsp2 genotype on the ds-1-like genotype c ...201121613446
rotavirus in children with diarrhea in tripoli, libya. 201121526041
detection of group a rotavirus rna and antigens in serum and cerebrospinal fluid from two children with clinically mild encephalopathy with a reversible splenial lesion.we report on two children with mild encephalopathy with a reversible splenial lesion associated with group a rotavirus (garv) infection. we examined stool, serum, and cerebrospinal fluid samples to determine the presence of the garv vp7 gene and garv antigen by reverse-transcription pcr and enzyme-linked immunosorbent assay, respectively. garv antigen was detected in stool samples from both patients. the garv g genotype was g9 in one child and g3 in the other. garv antigens were also found in bo ...201121617303
decline in diarrhea mortality and admissions after routine childhood rotavirus immunization in brazil: a time-series analysis.in 2006, brazil began routine immunization of infants <15 wk of age with a single-strain rotavirus vaccine. we evaluated whether the rotavirus vaccination program was associated with declines in childhood diarrhea deaths and hospital admissions by monitoring disease trends before and after vaccine introduction in all five regions of brazil with varying disease burden and distinct socioeconomic and health indicators.201121526228
ifn-{lambda} determines the intestinal epithelial antiviral host defense.type i and type iii ifns bind to different cell-surface receptors but induce identical signal transduction pathways, leading to the expression of antiviral host effector molecules. despite the fact that type iii ifn (ifn-λ) has been shown to predominantly act on mucosal organs, in vivo infection studies have failed to attribute a specific, nonredundant function. instead, a predominant role of type i ifn was observed, which was explained by the ubiquitous expression of the type i ifn receptor. he ...201121518880
rotavirus surveillance --- worldwide, 2009.rotavirus is the leading cause of severe diarrhea worldwide among children aged <5 years. an estimated 527,000 children in this age group died from rotavirus in 2004, and approximately 85% of those deaths occurred in south asia and sub-saharan africa. in 2009, the world health organization (who) recommended inclusion of rotavirus vaccination in all national immunization programs. disease burden data generated from surveillance are important for making decisions regarding whether to introduce rot ...201121527889
rare rotavirus strains in children with severe diarrhea, malaysia.to the editor: we report the identification of g3p[9] rotavirus in children with acute diarrhea in malaysia. globally, rotavirus infections are the most common cause of severe diarrhea in infants and young children admitted to hospital. it is estimated that 527,000 children <5 years of age die each year of rotavirus diarrhea (1). strains with a g3p[9] genotype represent a rare group of viruses, initially reported in japan in 1982. these viruses have been sporadically associated with diarrhea in ...201121529427
immunization safety in us print media, 1995-2005.to identify and describe vaccine safety in us newspaper articles.201121502237
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
burden of rotavirus and other enteropathogens among children with diarrhea in burkina faso.objective: there is limited information available regarding the etiology of gastrointestinal infections in burkina faso. the aim of this study was to investigate the prevalence and epidemiology of enteric pathogens causing gastroenteritis in young children, with a focus on rotavirus, and to investigate the levels of malnutrition and other clinical factors in association with the severity of diarrhea. methods: a prospective study was undertaken from may 2009 to march 2010, covering the rainy and ...201121763172
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
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
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
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
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
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
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
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
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
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
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
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
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
Enteropathogens in acute diarrhea: a general practice-based study in a Nordic country.The epidemiology of infectious diarrhea influences the microbiological investigation of the disease, and is best elucidated through prospective studies. We undertook such a study in a Nordic country. Patients of all age groups who had acute diarrhea were recruited prospectively from general practice clinics in Iceland. They completed a questionnaire and provided stool samples for the detection of pathogenic viruses, bacteria, and parasites. Of the 464 recruited patients, 211 (45%) had 224 infect ...201122057365
enteric vaccines for resource-limited countries: current status and future prospects. 201121736257
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
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
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
improved immunogenicity of biodegradable polymer particles entrapped rotavirus vaccine.rotavirus (rv) entrapped in polylactide (pla) and polylactide-coglycolide (plga) polymer particles were formulated and evaluated in mice for improved immunogenicity using oral, intranasal (in), and intramuscular (im) routes of administration. microparticles of size ranges between 1 and 8 µm were prepared using double emulsion solvent evaporation technique. stabilizers like mouse serum albumin, sucrose, and sodium bicarbonate that were used during particle formulation helped in minimizing the den ...201120207774
improvement of intractable childhood epilepsy following acute viral infection.in this study, we report 11 patients with intractable childhood epilepsy that improved following acute viral infection. the patients were 8 boys and 3 girls. six of the 11 children were diagnosed as west syndrome (5 of the symptomatic type and 1 of the cryptogenic type). the remaining 5 children were myoclonic seizures. the patients became seizure free within 6 days following acute viral infections without an exchange or addition of antiepileptic drugs (aeds). the types of acute viral infections ...201120144516
genotypes of the circulating rotavirus strains in the seven prevaccine seasons from september 2000 to august 2007 in south korea.a korean nationwide surveillance on circulating rotavirus strains was conducted from september 2000 to august 2007 aiming to obtain prevaccine data for predicting vaccine effectiveness. the predominant strains among the 2779 strains analyzed varied annually and only approximately 50% had either a g or a p antigen present in both rotateq (merck & co. inc., whitehouse station, nj, usa) and rotarix (glaxosmithkline, brentford, uk).201120384698
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