Purpose: The goal of this article is to provide technical and operational blueprints for two successful global telehealth programs.
Methods: The authors designed a physician-to-physician consultation program to provide subspecialty expertise to physicians in war-torn Ukraine. Leveraging secure web applications, telehealth platforms, and image-sharing platforms, the authors repeatedly iterated upon infrastructure and workflows, which in turn facilitated the development of a parallel international program for US Department of State (DOS) employees and families.
Water-free reflux condensers, which use convective cooling from the surrounding air to condense vapors, avoid the need for cooling water, which is more sustainable than water-cooled condensers, and eliminates the risk of flooding, but these devices are newer and less familiar to many chemists, who may never have used them before. To facilitate the shift to water-free condensers, several types of water-free condensers (simple glass tube, Vigreux column, Condensyn, Findenser, and air-cooled Dimroth) were characterized using three different solvents (ethyl acetate, acetone, and tetrahydrofuran) under both gentle and vigorous refluxing conditions to compare their relative performance and determine the condensing capacity/failure point. In addition to experimentally quantifying the performance of each condenser both gravimetrically and via infrared thermal imaging, energy-balance models were developed to gain insight into which factors were most important in driving their performance.
View Article and Find Full Text PDFA Borrelia miyamotoi gene with partial homology to bipA of relapsing fever spirochetes Borrelia hermsii and Borrelia turicatae was identified by a GenBank basic alignment search analysis. We hypothesized that this gene product may be an immunogenic antigen as described for other relapsing fever Borrelia (RFB) and could serve as a serological marker for B. miyamotoi infections.
View Article and Find Full Text PDFBorrelia miyamotoi is a tick-transmitted spirochete that is genetically grouped with relapsing fever Borrelia and possesses multiple archived pseudogenes that encode variable major proteins (Vmps). Vmps are divided into two groups based on molecular size; variable large proteins (Vlps) and variable small proteins (Vsps). Relapsing fever Borrelia undergo Vmp gene conversion at a single expression locus to generate new serotypes by antigenic switching which is the basis for immune evasion that causes relapsing fever in patients.
View Article and Find Full Text PDFPathogenic species of Borrelia are etiological agents of tick-borne relapsing fever (TBRF). Most species of TBRF Borrelia are transmitted by argasid ticks, and persistent colonization of the salivary glands is vital for spirochete transmission. This is due to the fast-feeding dynamics of the vector.
View Article and Find Full Text PDFBorrelia turicatae is a causative agent of tick-borne relapsing fever (TBRF) in the subtropics and tropics of the United States and Latin America. Historically, B. turicatae was thought to be maintained in enzootic cycles in rural areas.
View Article and Find Full Text PDFThe genome of Borrelia spp. consists of an approximate 1 megabase chromosome and multiple linear and circular plasmids. We previously described a multiplex PCR assay to detect plasmids in the North American Borrelia miyamotoi strains LB-2001 and CT13-2396.
View Article and Find Full Text PDFTick-borne relapsing fever is an infectious disease caused by Borrelia species and are primarily transmitted by Ornithodoros ticks. Prior work indicated that in vitro cultivated spirochetes remain infectious to mice by needle inoculation; however, the impact of laboratory propagation on the pathogens natural life cycle has not been determined. Our current study assessed the effect of serial cultivation on the natural tick-mammalian transmission cycle.
View Article and Find Full Text PDFBorrelia miyamotoi is a tick-borne pathogen that causes Borrelia miyamotoi disease (BMD), an emerging infectious disease of increasing public health significance. B. miyamotoi is transmitted by the same tick vector (Ixodes spp.
View Article and Find Full Text PDFOrnithodoros capensis sensu lato (s.l.) is a morphologically similar group of soft ticks that parasitizes mostly seabirds in continental and offshore territories worldwide.
View Article and Find Full Text PDFFront Cell Infect Microbiol
June 2021
Additional research on soft ticks in the family Argasidae is needed to bridge the knowledge gap relative to hard ticks of the family Ixodidae; especially, the molecular mechanisms of biology. species are vectors of human and animal pathogens that include tick-borne relapsing fever spirochetes and African swine fever virus. Soft tick vector-pathogen interactions involving components of the tick immune response are not understood.
View Article and Find Full Text PDFBackground: Ornithodoros turicata is an important vector of both human and veterinary pathogens. One primary concern is the global spread of African swine fever virus and the risk of its re-emergence in the Americas through potential transmission by O. turicata to domestic pigs and feral swine.
View Article and Find Full Text PDFThe relative Lewis acidity of a variety of metal-ligand catalyst complexes is quantified using P NMR spectroscopy. Three P NMR probes, including two new bidentate binding probes, are compared on the basis of different binding modes (i.e.
View Article and Find Full Text PDFBackground: Tick-borne relapsing fever (TBRF) is a neglected zoonotic bacterial disease known to occur on 5 continents. We report a laboratory-acquired case of TBRF caused by Borrelia caucasica, which is endemic in Ukraine and transmitted by Ornithodoros verrucosus ticks.
Methods: We isolated spirochetes and characterized them by partially sequencing the 16s ribosomal ribonucleic acid (rrs), flagellin (flaB), and deoxyribonucleic acid gyrase (gyrB) genes and conducting a phylogenetic analysis.
We report a scandium-catalyzed [3 + 2] annulation of alkylideneoxindoles with allenylsilanes for the enantioselective formation of cyclopentene-spirooxindoles containing vinylsilanes. Using a Sc(OTf)/PyBOX/BArF complex, the spiroannulation of allenylsilanes affords products with >94:6 dr and >90:10 er. The effect of the counterion and ligand to control selectivity is discussed.
View Article and Find Full Text PDFTick-borne relapsing fever (TBRF) is caused by several spp. (including ), which are primarily transmitted by ticks. Relapsing fever group species are found worldwide, except for Antarctica.
View Article and Find Full Text PDFThe global public health impact of relapsing fever (RF) spirochetosis is significant, since the pathogens exist on five of seven continents. The hallmark sign of infection is episodic fever and the greatest threat is to the unborn. With the goal of better understanding the specificity of B-cell responses and the role of immune responses in pathogenicity, we infected rhesus macaques with (a new world RF spirochete species) by tick bite and monitored the immune responses generated in response to the pathogen.
View Article and Find Full Text PDFBackground: In low elevation arid regions throughout the southern United States, Borrelia turicatae is the principal agent of tick-borne relapsing fever. However, endemic foci and the vertebrate hosts involved in the ecology of B. turicatae remain undefined.
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