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- Goeijenbier, Marco, et al.
(författare)
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Emerging Viruses in the Republic of Suriname : Retrospective and Prospective Study into Chikungunya Circulation and Suspicion of Human Hantavirus Infections, 2008-2012 and 2014
- 2015
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Ingår i: Vector Borne and Zoonotic Diseases. - : Mary Ann Liebert Inc. - 1530-3667 .- 1557-7759. ; 15:10, s. 611-618
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Suriname is a country on the northeastern Atlantic coast of South America. It is unique in the sense that different ethnic cultures live together within the country, resulting in high levels of transport of both humans and products between the Asian, African, and European continents as well as the Caribbean. Travel is only one of the many factors present in Suriname contributing to the risk for the emergence or introduction of any infectious disease. Recently, circulation of both chikungunya virus (CHIKV) and hantavirus was reported in areas neighboring Suriname. Here we report a retrospective and prospective study into chikungunya and hantavirus circulation. Methods: A chikungunya and hantavirus retrospective serological study was conducted on samples submitted for dengue, leptospirosis, and/or influenza virus diagnostics between 2008 and 2012 to the Bureau of Public Health in Suriname. This was followed by a prospective CHIKV serological and molecular surveillance study until the detection of the first autochthonous CHIKV cases in Suriname in May and June of 2014. Results: None of the tested samples showed the presence of CHIKV antibodies in the retrospective serological study. Prospective testing of CHIKV-suspected patients resulted in the detection of the first autochthonous CHIKV cases in Suriname in May, 2015. In one sample, we were able to isolate and sequence the virus. Retrospective testing for the presence of hantavirus antibodies showed a relative high response in both pan-hantavirus enzyme-linked immunosorbent assay (ELISA) and immunofluorescence assay (IFA). However, neutralization tests did not yield any evidence for infection with either Seoul or Andes hantavirus. Conclusion: Here we report the presence of CHIKV in the republic of Suriname and the first serological indication of hantavirus infections in symptomatic patients.
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| 3. |
- Goeijenbier, M., et al.
(författare)
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Seoul hantavirus in brown rats in the Netherlands : implications for physicians Epidemiology, clinical aspects, treatment and diagnostics
- 2015
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Ingår i: Netherlands Journal of Medicine. - 0300-2977 .- 1872-9061. ; 73:4, s. 155-160
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Forskningsöversikt (refereegranskat)abstract
- The recent discovery of Seoul hantavirus (SEOV) presence in wild rat populations in the Netherlands has direct implications for Dutch clinicians and hantavirus diagnostics. SEOV is amongst the Old World hantaviruses which cause haemorrhagic fever and renal syndrome (HFRS) in humans. HFRS is characterised by a classical triad of fever, acute kidney injury and haemorrhage, but can show different signs and symptoms in specific cases. SEOV is transmitted from infected rats to humans by inhalation of aerosolised excreta. When compared with the known circulating hantaviruses in the Netherlands, Puumala (PUUV) and Tula (TULV), SEOV causes a more severe form of HFRS. Data from cohort studies undertaken in China and Northern Europe show differences in signs and symptoms at onset of disease, (haemorrhagic) complications and mortality. Furthermore, routine diagnostics currently available for hantavirus diagnosis in the Netherlands are not optimised for SEOV detection. The clinical outcome of an SEOV and PUUV infection will greatly benefit from an early diagnosis which will reduce the costs of unnecessary tests and treatments as well. The discovery of SEOV circulation in the Netherlands follows recent findings of SEOV infections in both rodents and humans in England, Wales, France, Belgium and Sweden, indicating the emerging character of SEOV and a high importance of this hantavirus for Public Health in large areas of Europe. Here, we review the current knowledge on the clinical manifestation of SEOV versus PUUV infections in humans, the treatment of clinical cases and diagnostics.
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| 4. |
- Goeijenbier, M., et al.
(författare)
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The hanta hunting study : underdiagnosis of Puumala hantavirus infections in symptomatic non-travelling leptospirosis-suspected patients in the Netherlands, in 2010 and April to November 2011
- 2014
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Ingår i: Eurosurveillance. - 1025-496X .- 1560-7917. ; 19:32, s. 27-36
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Tidskriftsartikel (refereegranskat)abstract
- Leptospirosis and haemorrhagic fever with renal syndrome (HFRS) are hard to distinguish clinically since these two important rodent-borne zoonoses share hallmark symptoms such as renal failure and haemorrhage. Leptospirosis is caused by infection with a spirochete while HFRS is the result of an infection with certain hantaviruses. Both diseases are relatively rare in the Netherlands. Increased incidence of HFRS has been observed since 2007 in countries that border the Netherlands. Since a similar rise in incidence has not been registered in the Netherlands, we hypothesise that due to overlapping clinical manifestations, hantavirus infections may be confused with leptospirosis, leading to underdiagnosis. Therefore, we tested a cohort of non-travelling Dutch patients with symptoms compatible with leptospirosis, but with a negative diagnosis, during 2010 and from April to November 2011. Sera were screened with pan-hantavirus IgG and IgM enzyme-linked immunosorbent assays (ELISAs). Sera with IgM reactivity were tested by immunofluorescence assay (IFA). ELISA (IgM positive) and IFA results were confirmed using focus reduction neutralisation tests (FRNTs). We found hantavirus-specific IgG and/or IgM antibodies in 4.3% (11/255) of samples taken in 2010 and in 4.1% (6/146) of the samples during the 2011 period. After FRNT confirmation, seven patients were classed as having acute Puumala virus infections. A review of hantavirus diagnostic requests revealed that at least three of the seven confirmed acute cases as well as seven probable acute cases of hantavirus infection were missed in the Netherlands during the study period.
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| 5. |
- Larsson, D. G. Joakim, 1969, et al.
(författare)
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Critical knowledge gaps and research needs related to the environmental dimensions of antibiotic resistance
- 2018
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Ingår i: Environment International. - : Elsevier BV. - 0160-4120 .- 1873-6750. ; 117, s. 132-138
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Forskningsöversikt (refereegranskat)abstract
- There is growing understanding that the environment plays an important role both in the transmission of antibiotic resistant pathogens and in their evolution. Accordingly, researchers and stakeholders world-wide seek to further explore the mechanisms and drivers involved, quantify risks and identify suitable interventions. There is a clear value in establishing research needs and coordinating efforts within and across nations in order to best tackle this global challenge. At an international workshop in late September 2017, scientists from 14 countries with expertise on the environmental dimensions of antibiotic resistance gathered to define critical knowledge gaps. Four key areas were identified where research is urgently needed: 1) the relative contributions of different sources of antibiotics and antibiotic resistant bacteria into the environment; 2) the role of the environment, and particularly anthropogenic inputs, in the evolution of resistance; 3) the overall human and animal health impacts caused by exposure to environmental resistant bacteria; and 4) the efficacy and feasibility of different technological, social, economic and behavioral interventions to mitigate environmental antibiotic resistance.(1)
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| 6. |
- Verner, E., et al.
(författare)
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Fe II Diagnostic Tools for Quasars
- 2004
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Ingår i: Astrophysical Journal. - : American Astronomical Society. - 0004-637X .- 1538-4357. ; 611:2, s. 780-785
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Tidskriftsartikel (refereegranskat)abstract
- The enrichment of Fe relative to α-elements such as O and Mgrepresents a potential means to determine the age of quasars and probethe galaxy formation epoch. To explore how Fe II emission in quasars islinked to physical conditions and abundance, we have constructed an 830level Fe II model atom and investigated through photoionizationcalculations how Fe II emission strengths depend on nonabundancefactors. We have split Fe II emission into three major wavelength bands,Fe II (UV), Fe II (Opt1), and Fe II (Opt2), and explore how the Fe II(UV)/Mg II, Fe II (UV)/Fe II (Opt1), and Fe II (UV)/Fe II (Opt2)emission ratios depend on hydrogen density and ionizing flux in thebroad-line regions (BLRs) of quasars. Our calculations show that (1)similar Fe II (UV)/Mg II ratios can exist over a wide range of physicalconditions, (2) the Fe II (UV)/Fe II (Opt1) and Fe II (UV)/Fe II (Opt2)ratios serve to constrain ionizing luminosity and hydrogen density, and(3) flux measurements of Fe II bands and knowledge of the ionizing fluxprovide tools to derive distances to BLRs in quasars. To derive all BLRphysical parameters with uncertainties, comparisons of our model withobservations of a large quasar sample at low redshift (z<1) aredesirable. The STIS and NICMOS instruments aboard the Hubble SpaceTelescope offer the best means to provide such observations.
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| 7. |
- Verner, E., et al.
(författare)
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Revisited Abundance Diagnostics in Quasars: Fe II/Mg II Ratios
- 2003
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Ingår i: Astrophysical Journal. - : American Astronomical Society. - 0004-637X .- 1538-4357. ; 592:2, s. 59-62
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Tidskriftsartikel (refereegranskat)abstract
- Both the Fe II UV emission in the 2000-3000 Å region [Fe II(UV)]and resonance emission line complex of Mg II at 2800 Å areprominent features in quasar spectra. The observed Fe II(UV)/Mg IIemission ratios have been proposed as means to measure the buildup ofthe Fe abundance relative to that of the alpha-elements C, N, O, Ne,and Mg as a function of redshift. The current observed ratios show largescatter and no obvious dependence on redshift. Thus, it remainsunresolved whether a dependence on redshift exists and whether theobserved Fe II(UV)/Mg II ratios represent a real nucleosynthesisdiagnostic. We have used our new 830 level model atom for Fe+in photoionization calculations, reproducing the physical conditions inthe broad-line regions of quasars. This modeling reveals thatinterpretations of high values of Fe II(UV)/Mg II are sensitive not onlyto Fe and Mg abundance, but also to other factors such asmicroturbulence, density, and properties of the radiation field. We findthat the Fe II(UV)/Mg II ratio combined with Fe II(UV)/Fe II(optical)emission ratio, where Fe II(optical) denotes Fe II emission in 4000-6000Å band, can be used as a reliable nucleosynthesis diagnostic forthe Fe/Mg abundance ratios for the physical conditions relevant to thebroad-line regions of quasars. This has extreme importance for quasarobservations with the Hubble Space Telescope and also with the futureJames Webb Space Telescope.
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| 9. |
- Fischer, Anders, 1951, et al.
(författare)
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Vittrup Man-The life-history of a genetic foreigner in Neolithic Denmark.
- 2024
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Ingår i: PloS one. - 1932-6203. ; 19:2
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Tidskriftsartikel (refereegranskat)abstract
- The lethally maltreated body of Vittrup Man was deposited in a Danish bog, probably as part of a ritualised sacrifice. It happened between c. 3300 and 3100 cal years BC, i.e., during the period of the local farming-based Funnel Beaker Culture. In terms of skull morphological features, he differs from the majority of the contemporaneous farmers found in Denmark, and associates with hunter-gatherers, who inhabited Scandinavia during the previous millennia. His skeletal remains were selected for transdisciplinary analysis to reveal his life-history in terms of a population historical perspective. We report the combined results of an integrated set of genetic, isotopic, physical anthropological and archaeological analytical approaches. Strontium signature suggests a foreign birthplace that could be in Norway or Sweden. In addition, enamel oxygen isotope values indicate that as a child he lived in a colder climate, i.e., to the north of the regions inhabited by farmers. Genomic data in fact demonstrates that he is closely related to Mesolithic humans known from Norway and Sweden. Moreover, dietary stable isotope analyses on enamel and bone collagen demonstrate a fisher-hunter way of life in his childhood and a diet typical of farmers later on. Such a variable life-history is also reflected by proteomic analysis of hardened organic deposits on his teeth, indicating the consumption of forager food (seal, whale and marine fish) as well as farmer food (sheep/goat). From a dietary isotopic transect of one of his teeth it is shown that his transfer between societies of foragers and farmers took place near to the end of his teenage years.
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