Norbert Solymosi

Prevalence of flea infestation in dogs and cats in Hungary combined with a survey of owner awareness.

A survey was conducted in order to gain current information on flea species (Siphonaptera: Pulicidae) infesting dogs and cats living in urban and rural areas of Hungary, along with data on the factors that affect the presence, distribution and seasonality of infestation. In addition, owner awareness of flea infestation was evaluated. Practitioners in 13 veterinary clinics were asked to examine all dogs and cats attending the clinic and to collect fleas, when present, on 2 days in each month from December 2005 to November 2006. They also completed a questionnaire for each animal examined. A total of 319 dogs (14.1%) were found to be infested; the highest prevalence (27.1%) of infestation on dogs occurred in August and the lowest (5.4%) in May. Prevalence of fleas on cats was higher (22.9%); the highest (35.0%) and lowest (8.1%) prevalences occurred in July and April, respectively. Fleas were more prevalent in rural (387/1924 animals, 20.2%) than in urban (161/1343 animals, 12.0%) areas. Three species, Ctenocephalides felis (Bouché), Ctenocephalides canis (Curtis) and Pulex irritans L., were found. On dogs, the prevalence of C. canis alone was 53.0%, whereas that of C. felis alone was 36.0%. Only 19 specimens of P. irritans were found on 14 dogs from rural habitats only. Prevalence of C. felis only on cats was 94.3%; the remaining cats were infested with either C. canis or with mixed infestations of C. felis and C. canis. More than half (51.4%) of the owners of infested dogs and cats had not used flea control products in the past year or more, and five times as many owners in rural than urban areas had not used flea control products in the same period. Very few owners reported having attempted to kill fleas in their animals environment; instead, they believed that fleas were acquired from other cats or dogs.

Hard ticks infesting dogs in Hungary and their infection with Babesia and Borrelia species

A survey was carried out in Hungary to investigate the occurrence of hard tick species (Acari: Ixodidae) collected from dogs and Borrelia and Babesia spp. detected in them. In total, 1,424 ticks were removed from 477 dogs appearing for clinical consultation in veterinary practices and clinics countrywide. Ixodes ricinus and Dermacentor reticulatus were the most common species occurring in most of the studied areas. Females of these two species were selected for molecular analyses. One to twelve specimens were used in each sample for DNA extraction. Polymerase chain reactions were performed with BSLF/BSL-R primers for detecting Borrelia spp. in I. ricinus and with PIRO-A1/PIRO-B primers to amplify Babesia spp. DNA in D. reticulatus. Randomly selected PCR products were sequenced to identify the pathogens’ species or subspecies. DNA of Borrelia spp. could be detected in six (5.6%) from 108 I. ricinus samples and 43 (29.9%) from 144 D. reticulatus samples were PCR-positive for Babesia spp. Sequencing revealed the highest similarity with Borrelia afzelii, Borrelia garinii and Babesia canis canis, respectively. Babesia and Borrelia spp. were identified in ticks with molecular methods for the first time in Hungary, and a high prevalence of B. canis canis in D. reticulatus females collected from dogs was detected.

Maternal Lyme borreliosis and pregnancy outcome

BACKGROUNDnThere is disagreement regarding whether Lyme borreliosis is associated with adverse pregnancy outcome.nnnMETHODSnWe performed a review of the data from 95 women with Lyme borreliosis during pregnancy, evaluated at the Center for Tick-borne Diseases, Budapest over the past 22 years.nnnRESULTSnTreatment was administered parenterally to 66 (69.5%) women and orally to 19 (20%). Infection remained untreated in 10 (10.5%) pregnancies. Adverse outcomes were seen in 8/66 (12.1%) parentally treated women, 6/19 (31.6%) orally treated women, and 6/10 (60%) untreated women. In comparison to patients treated with antibiotics, untreated women had a significantly higher risk of adverse pregnancy outcome (odds ratio (OR) 7.61, p=0.004). While mothers treated orally had an increased chance (OR 3.35) of having an adverse outcome compared to those treated parenterally, this difference was not statistically significant (p=0.052). Erythema migrans did not resolve by the end of the first antibiotic course in 17 patients. Adverse pregnancy outcome was more frequent among these slow responder mothers (OR 2.69), but this was not statistically significant (p=0.1425) . Loss of the pregnancy (n=7) and cavernous hemangioma (n=4) were the most prevalent adverse outcomes in our series. The other complications were heterogeneous.nnnCONCLUSIONnOur results indicate that an untreated maternal Borrelia burgdorferi s.l. infection may be associated with an adverse outcome, although bacterial invasion of the fetus cannot be proven. It appears that a specific syndrome representing congenital Lyme borreliosis is unlikely.

Hippocampal Gene Expression Is Highly Responsive to Estradiol Replacement in Middle-Aged Female Rats.

In the hippocampus, estrogens are powerful modulators of neurotransmission, synaptic plasticity and neurogenesis. In women, menopause is associated with increased risk of memory disturbances, which can be attenuated by timely estrogen therapy. In animal models of menopause, 17β-estradiol (E2) replacement improves hippocampus-dependent spatial memory. Here, we explored the effect of E2 replacement on hippocampal gene expression in a rat menopause model. Middle-aged ovariectomized female rats were treated continuously for 29 days with E2, and then, the hippocampal transcriptome was investigated with Affymetrix expression arrays. Microarray data were analyzed by Bioconductor packages and web-based softwares, and verified with quantitative PCR. At standard fold change selection criterion, 156 genes responded to E2. All alterations but 4 were transcriptional activation. Robust activation (fold change > 10) occurred in the case of transthyretin, klotho, claudin 2, prolactin receptor, ectodin, coagulation factor V, Igf2, Igfbp2, and sodium/sulfate symporter. Classification of the 156 genes revealed major groups, including signaling (35 genes), metabolism (31 genes), extracellular matrix (17 genes), and transcription (16 genes). We selected 33 genes for further studies, and all changes were confirmed by real-time PCR. The results suggest that E2 promotes retinoid, growth factor, homeoprotein, neurohormone, and neurotransmitter signaling, changes metabolism, extracellular matrix composition, and transcription, and induces protective mechanisms via genomic effects. We propose that these mechanisms contribute to effects of E2 on neurogenesis, neural plasticity, and memory functions. Our findings provide further support for the rationale to develop safe estrogen receptor ligands for the maintenance of cognitive performance in postmenopausal women.

Cholecystectomy in the Very Elderly-Is 90 the New 70?

BackgroundNonagenarians are the fastest growing sector of population across Western Europe. Although prevalence of gallstone disease is high, elective cholecystectomy is still controversial in this age group.MethodsA retrospective chart review was conducted of cholecystectomies done in patients over 90xa0years of age at our institution between 2004 and December 2009. During this period, a total of 3,009 cholecystectomies were performed on patients of all ages. Data collected included demographics, patient comorbidities, indications for surgery, type of surgery performed, intraoperative findings, histology, perioperative morbidity and mortality.ResultsTwenty-two nonagenarians (18 females) underwent cholecystectomy during the study period. Of these patients, 19 patients (86%) had diabetes, 16 (73%) had hypertension, and 10 (45%) had coronary artery disease. Twenty patients (91%) underwent an emergency procedure. In two patients, cholecystectomy was indicated for non-resolving pain after attempted conservative therapy, only two patients were operated electively. Laparoscopic cholecystectomy was attempted in 13 patients (59%), 3 patients needed a conversion, and 9 patients (41%) considered unfit to undergo a laparoscopic approach had an open procedure. Mean operation time was 83xa0min. Histology showed gangrenous cholecystitis in six (27%) patients. The mean length of stay was 10xa0days (4–23xa0days). Two patients (8.3%) required intensive care following surgery. There were no common bile duct injuries, one patient had a cystic stump leak. One patient died in the postoperative period (4.6%). All patients with an emergency operation were classified as at least ASA III. Conversion rate, percentage of open procedures, percentage of advanced histology, ASA score, and hospital stay were significantly higher when compared to all patients.ConclusionOur study demonstrates that in unselected nonagenarians,cholecystectomy is safe with acceptable perioperative morbidity and mortality even as an emergency procedure. However, our data also suggests that cholecystitis appears to be a neglected condition in this age group.

Changing climate in Hungary and trends in the annual number of heat stress days

Global climate change can have serious direct effects on animal health and production through heat stress. In Hungary, the number of heat stress days per year (YNHD), i.e., days when the temperature humidity index (THI) is above a specific comfort threshold, has increased in recent years based on observed meteorological data. Between 1973 and 2008, the countrywide average increase in YNHD was 4.1% per year. Climate scenarios based on regional climate models (RCM) were used to predict possible changes in YNHD for the near future (2021–2050) relative to the reference period (1961–1990). This comparison shows that, in Hungary, the 30-year mean of YNHD is expected to increase by between 1 and 27xa0days, depending on the RCM used. Half of the scenarios investigated in this study predicted that, in large parts of Hungary, YNHD will increase by at least 1xa0week. However, the increase observed in the past, and that predicted for the near future, is spatially heterogeneous, and areas that currently have large cattle populations are expected to be affected more severely than other regions.

Software, Data and Modelling News: TETYN: An easy to use tool for extracting climatic parameters from Tyndall data sets

The recent and rapid change in climate seems to have strong impact on many aspects of agriculture, health, ecology, economy and the society. To model these impacts researchers need access to future and past climate databases, some of which are publicly available. One possible source of climate data sets is the collection of the Tyndall Centre for Climate Change Research. We developed an easy to use tool to obtain required climatic parameters from the Tyndall future (TYN SC) and past (CRU TS) data sets. Results of the query can be exported as comma separated value or as ESRI shape files.

The positive predictive value of Borrelia burgdorferi serology in the light of symptoms of patients sent to an outpatient service for tick-borne diseases.

ObjectiveBy using the published incidence of Lyme borreliosis in endemic regions of the World, and the sensitivity and specificity data of the best Lyme serological tests, we computed the positive predictive value of Borrelia burgdorferi antibody testing.MethodsThe calculation of predictive value was based on Bayes’ theorem. We also analyzed the frequency distribution of the specific and non-specific symptoms and complaints of 27,194 patients sent to the Centre for Tick-borne Diseases in Budapest from 1986 to 2008.ResultsThis evaluation demonstrated that practitioners often use Lyme serology in a “trial and error” way, without any reasonable ground. According to our calculation the positive predictive value of the best Lyme antibody tests if applied in this way is <9.1%.ConclusionOur study suggests that the present practice of applying Lyme serological tests may result in more harm than benefit.

First detection of tick-borne pathogens of dogs from Malta

The knowledge about the vector-borne infections in domestic dogs has been increasing worldwide. However no studies have been done on hard tick infestation and tick-borne pathogens (TBPs) of dogs present in Malta. Therefore, a total of 99 dogs was selected and inspected between March and July 2013 in 18 urban and 17 rural areas on the islands of Malta and Gozo. All ticks were removed from the dogs and identified. Blood samples were taken and tested for protozoa (Babesia spp. and Hepatozoon spp.) and bacteria (Anaplasma spp., Ehrlichia spp., Rickettsia spp.) by conventional PCR. All of the ticks collected from 34 (34.3%; 95% CI: 26-44) dogs belong to the species Rhipicephalus sanguineus sensu lato. Tick infestation on the farm dogs was significantly higher than that of dogs kept outdoors as pets (OR: 15.19, 95% CI: 2.72-118.92, p<0.001) or in a sanctuary (OR: 35.11, 95% CI: 3.20-1986.67, p<0.001). Altogether 22 animals were infected with one or two TBPs, most of them with Hepatozoon canis (16/22; 72.7%). Anaplasma platys and Babesia vogeli were detected in 5 and 4 dogs, respectively. Three dogs had co-infections caused by H. canis and A. platys. To the best of our knowledge, this is the first report on tick infestation and TBPs of dogs in Malta.

Ovariectomy Alters Gene Expression of the Hippocampal Formation in Middle-Aged Rats

Ovarian hormones regulate the transcriptome of the hippocampus and modulate its functions. During menopause this complex signaling declines, leading to impaired learning and memory. This study was undertaken to clarify the effects of long-term, surgical ovariectomy (OVX) on the rat hippocampal transcriptome. At age of 13 months, intact control and ovariectomized groups were formed. All animals were killed 5 weeks after gonadectomy; hippocampal formations were dissected and processed for transcriptome analysis. Microarray and polymerase chain reaction studies identified 252 and 61 genes, respectively, whose expression was altered in the lack of ovarian hormones. Pathway analysis revealed impact on neuroactive ligand-receptor interaction, endocannabinoid, and estrogen signaling, among others. Network and interaction analyses of proteins encoded by OVX-regulated genes revealed upregulation of growth/troph/transcription factor signaling assembly (Mdk, Fgf1, Igf2, Ngf, Ngfr, Ntf3, Ntrk1, Otx2, Hif1a, Esr1, Nr4a3), peptides/peptide receptors (Cartpt, Kl, Ttr, Gnrhr), neurotransmission (Grm1, Gria4, Gls, Slc18a2, Kcnj6), and genes serving immune functions (C3, Ccl2, Itgam, Il1b). Downregulated clusters included neuropeptides and their receptors (Adcyap1, Cbln2, Cck, Cckbr, Crhr1 and 2, Oprd1, Nts, Penk, Sstr1, Vip), neurotransmitter signaling (Htr2c, Chrna3, Chrm4, Grm8, Hrh3, Slc17a6), and potassium channels (Kcnk9, Kcnj9, Kcnma1, Kcnc2). Several transcription factors (Rxra, Thrb), solute carriers and defense molecules (Apitd1, Bcl2, C1ql3, Ilr3a, Sod1, Sncb) also underwent downregulation. The findings indicate that surgical gonadectomy carried out at middle-age robustly changes the hippocampal transcriptome that alters neurogenesis, synaptic plasticity, immune modulation, causing cognitive dysfunctions.