Epidemiology and cost of Lyme disease‐related hospitalizations among patients with employer‐sponsored health insurance—United States, 2005–2014

An estimated 300,000 cases of Lyme disease occur in the United States annually. Disseminated Lyme disease may result in carditis, arthritis, facial palsy or meningitis, sometimes requiring hospitalization. We describe the epidemiology and cost of Lyme disease‐related hospitalizations. We analysed 2005–2014 data from the Truven Health Analytics MarketScan Commercial Claims and Encounters Databases to identify inpatient records associated with Lyme disease based on International Classification of Diseases, Ninth Revision, Clinical Modification (ICD‐9‐CM) codes. We estimated the annual number and median cost of Lyme disease‐related hospitalizations in the United States in persons under 65 years of age. Costs were adjusted to reflect 2016 dollars. Of 20,983,165 admission records contained in the inpatient databases during the study period, 2,823 (0.01%) met inclusion criteria for Lyme disease‐related hospitalizations. Over half of the identified records contained an ICD‐9‐CM code for meningitis (n = 614), carditis (n = 429), facial palsy (n = 400) or arthritis (n = 377). Nearly 60% of hospitalized patients were male. The median cost per Lyme disease‐related hospitalization was $11,688 (range: $140–$323,613). The manifestation with the highest median cost per stay was carditis ($17,461), followed by meningitis ($15,177), arthritis ($13,012) and facial palsy ($10,491). Median cost was highest among the 15‐ to 19‐year‐old age group ($12,991). Admissions occurring in January had the highest median cost ($13,777) for all study years. Based on extrapolation to the U.S. population, we estimate that 2,196 Lyme disease‐related hospitalizations in persons under 65 years of age occur annually with an estimated annual cost of $25,826,237. Lyme disease is usually treated in an outpatient setting; however, some patients with Lyme disease require hospitalization, underscoring the need for effective prevention methods to mitigate these serious cases. Information from this analysis can aid economic evaluations of interventions that prevent infection and advances in disease detection.     

Components of resistance to late blight (Phytophthora infestans) in eight South AmericanSolanum species

Four components of partial resistance toPhytophthora infestans were measured after inoculation in the greenhouse and in the field ofSolanum arnezii x hondelmannii, S. berthaultii, S. circaeifolium, S. leptophyes, S. microdontum, S. sparsipilum, S. sucrense andS. vernei, and four hybrid progenies ofS. microdontum withS. tuberosum. The four components were infection efficiency, lesion growth rate, generation time and sporulation capacity. The results were compared with resistance ratings derived from field experiments, and with observations made on the potato cultivars Bintje, Bildstar, Libertas and Pimpernel. Genetic variation for all components was found, while the relative importance of the components of partial resistance appeared to vary between the species. InS. microdontum, generation time, infection efficiency and lesion growth rate, and inS. tuberosum infection efficiency, lesion growth rate and sporulation capacity appeared positively associated, but in other species no such association was found. A strong hypersensitive reaction, the expression of which appeared to depend on environmental conditions, was found inS. microdontum. ForS. berthaultii, infection efficiency appeared to be the main resistance component.Abbreviations ADPC area under the disease progress curve - IE infection efficiency - LGR lesion growth rate - GT generation time - SC sporulation capacity     

Genetic variation in desiccation tolerance of Dendrobaena octaedra cocoons originating from different climatic regions

The aim of this study was to examine genetic variation in desiccation tolerance in cocoons of the parthenogenetically reproducing earthworm Dendrobaena octaedra by comparing populations originating from different geographic regions (Denmark, Norway and Finland), representing large differences in precipitation and temperature. In one experiment, the tolerance of the three populations to increasing desiccation stress in the range from 100 to 91.6% relative humidity (RH) was examined, aiming to represent ecologically relevant RH values. In a second experiment, the effect of cocoon size on desiccation tolerance was investigated at 92.3% RH in the same three populations. There were highly significant differences in desiccation tolerance between populations, indicating a high genetic differentiation of this trait in D. octaedra. Cocoons from Denmark were much more sensitive (71±14% mortality at 91.6% RH) than cocoons from Norway (21±4% mortality) and Finland (4±5% mortality). Cocoons of worms from Finland and Norway were significantly larger than cocoons produced by worms from Denmark suggesting that cocoons from Denmark lost water at a higher rate when subjected to low humidity. Assuming that slow dehydration is necessary for physiologically based protection mechanisms it may be expected that desiccation tolerance is positively correlated with cocoon size. However, within each of the populations cocoon fresh weight did not have any significant impact on desiccation tolerance. When all populations were pooled there was a significant positive effect of cocoon fresh weight on desiccation tolerance, explaining about 20% of the total variation (linear regression). It seems therefore that genetic variation of desiccation tolerance in D. octaedra cocoons is related to variation in both cocoon size and other, physiologically based tolerance mechanisms.     

Influence of some fertilizer chemical properties on magnesium resorption from leaf surface of oats

Eight organic and either inorganic magnesium (Mg) compounds (sulphate, acetate, caproate, laurate, glycine salt, L‐valine salt, L‐phenylalanine salt, and ethylene‐diaminetetraacetic acid magnesium disodium salt) were tested for Mg resorption from the leaf surface of oats (Avena sativa L. cv. Zlat'ák) and for biological availability. The plants were grown on Mg‐deficient Hoagland nutrient solution. Significant differences among the alternatives studied were found through one‐way ANOVA in all parameters of plants (top and root dry weight, Mg content in tops and roots, chlorophyll a and b content and top height). A very significant decrease of Mg content in plants and aggravation of the plant health status with increasing molar weight value (Mr) of anhydrous compound used in corresponding experimental alternative was observed. The best results were obtained in the case of magnesium sulphate (MgSO₄.7H₂O) (the lowest Mr value) while the worst were observed in the case of Mg laurate. A different diameter of the biggest particle necessary to be absorbed with Mg (Mg complex molecule/anion, salt anion) resulting in different mobility of this particle in water solution was proposed to be the main reason of this effect. This diameter is closely related to the Mr value of the particular compound in this case. Surprisingly, no effect of fertilizer polarity on Mg penetration was observed. The effect of complex stability of some Mg compounds on Mg penetration was also investigated. The biological availability significantly decreased with the increase of the complex strength.     

Time to first calving and calving interval in bovine virus diarrhoea virus (BVDV) sero-converted dairy herds in Norway

Dairy herds in M?re and Romsdal County, Norway (regarded as initially free from the bovine virus diarrhoea virus (BVDV) infection) were studied retrospectively from 1992 to 1996. The herd reproductive performance (time to first calving, calving interval, and number of breeding services) was investigated for a potential effect of BVDV sero-conversion. The herd culling pattern--possibly affecting the above measurements--was included for investigation. Two different statistical models were used: the generalised estimating equation (GEE) method and multilevel modelling using Gibbs sampling. Though slightly different estimates resulted, both models agreed on an effect of BVDV in the second year after sero-conversion on the herd average time to first calving by--on an average-- 14-16 days. In subsets of case herds testing positive for BVDV antibodies among young stock, the impact on time to first calving tended to be more pronounced by an additional increase of 18 days. No effect on the number of breeding services for heifers or cows was observed (indicating a need to search for other determinants than reduced conception risk). There appeared to be no effect of BVDV on the herd average calving interval. There was a tendency for a higher risk for reporting animals lost/died in sero-converted herds, which we believe might be related to the occurrence of mucosal disease.     

绵羊胚胎移植生殖内分泌调控及其效果研究

初产供体母羊（14月龄）德国美利奴15只、波德代15只、无角陶赛特18只分别用孕酮(CIDR)+促性腺激素(PMSG)+促卵泡素(FSH)进行处理,受体小尾寒羊母羊（2胎）124只用CIDR+PMSG进行处理,处理期测定供、受体外周血液中生殖激素孕酮（p4）、雌二醇（E2）、促卵泡素（FSH）和促黄体素（LH）的动态变化。结果显示：3个供体品种和受体各自发情同期化水平和效果达到非常理想的状态,但供、受体发情同步差相距1 d。黄体数德国美利奴（7.71）显著高于陶赛特（5.19）（P<0.05）;冲卵数德国美利奴（5.50）显著高于陶赛特（3.44）（P<0.05）;可用胚胎率德国美利奴、波德代、陶赛特分别为70.13%、55.74%、78.18%,陶赛特显著高于波德代（P<0.05）;德国美利奴、波德代、陶赛特胚胎移植受胎率分别为55.26%、54.17%、42.31%,德国美利奴显著高于陶赛特（P<0.05）。处理期供体和受体生殖激素动态变化的幅度大,第13天供、受体血清中p4达到峰值,小尾寒羊分别高于德国美利奴（5.37 ng/mL）、波德代（6.14 ng/mL）和陶赛特（5.37 ng/mL）;供体血清中E2于第14天开始发情达到峰值,小尾寒羊于第15天开始发情达到峰值;供体血清中FSH于第13天达到峰值,小尾寒羊第14天达到峰值;供体血清中LH于第14天开始发情达到峰值,小尾寒羊血清中LH于第15天开始发情达到峰值。     

Signal recognition particle receptor exposes the ribosomal translocon binding site

Signal sequences of secretory and membrane proteins are recognized by the signal recognition particle (SRP) as they emerge from the ribosome. This results in their targeting to the membrane by docking with the SRP receptor, which facilitates transfer of the ribosome to the translocon. Here, we present the 8 angstrom cryo-electron microscopy structure of a "docking complex" consisting of a SRP-bound 80S ribosome and the SRP receptor. Interaction of the SRP receptor with both SRP and the ribosome rearranged the S domain of SRP such that a ribosomal binding site for the translocon, the L23e/L35 site, became exposed, whereas Alu domain-mediated elongation arrest persisted.     

Effects of Aspergillus oryzae fermentation extract on fermentation of amino acids, bermudagrass and starch by mixed ruminal microorganisms in vitro

The objective of this study was to examine the effects of Aspergillus oryzae fermentation extract (Amaferm) on the in vitro ruminal fermentation of coastal bermudagrass, soluble starch and amino acids. Mixed ruminal microorganisms were incubated in anaerobic media for either 24 h (Amaferm alone, soluble starch, amino acids) or 48 h (bermudagrass). Amaferm was added to the incubation bottles (n = 4) at concentrations of 0, .4 or 1.0 g/liter. When mixed ruminal microorganisms were incubated with only Amaferm, the 1.0 g/liter concentration increased the production of hydrogen (H2; P less than .001), methane (CH4; P less than .01), acetate (P less than .05), butyrate (P less than .01), total VFA (P less than .05) and NH3 (P less than .05). Addition of both levels of Amaferm to soluble-starch fermentations tended to enhance the production of H2 (P less than .11), CH4 (P less than .15), acetate (P less than .29) and total VFA (P less than .19); propionate production was increased (P less than .10) by 1.0 g/liter Amaferm, resulting in a decrease (P less than .05) in the acetate:propionate ratio. Fermentation of amino acids plus 1.0 g/liter Amaferm enhanced the production of acetate (P less than .05), propionate (P less than .05), valerate (P less than .01) and total VFA (P less than .10) and decreased the acetate:propionate ratio (P less than .05). In addition, NH3 production tended (P less than .19) to increase with both levels of Amaferm. When bermudagrass was the substrate, few changes in fermentation products were observed with Amaferm treatment.(ABSTRACT TRUNCATED AT 250 WORDS)