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丝虫病流行病学现场技术的最新进展。

Recent advances in epidemiological field techniques in filariasis.

作者信息

Cross J H

机构信息

Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Services, Bethesda, MD 20814-4799.

出版信息

Southeast Asian J Trop Med Public Health. 1993;24 Suppl 2:40-4.

PMID:7973945
Abstract

There have been very few advances in epidemiological field techniques for filariasis in recent years. Advances in other areas of study of filariasis have been published and a summary of some of those which have some application to field technology will be given. Studies on vectors involving host influences on the development of filariae and the use of DNA probes for vector speciation were reported as well as the development of techniques that yielded species-specific identification of larvae in mosquito vectors. Experiments on animal transmission potentials also have been described. Mathematical models are becoming popular for various biological systems. It is postulated that models will enable workers to make predictions on prevalence of diseases and effect of control measures. A model has been proposed for bancroftian filariasis transmission dynamics and frequency distribution of microfilariae in blood samples. Other statistical methodologies have been published relating to age and sex distribution and frequency distribution and one suggested that females have increased resistance to filariasis, especially in the reproductive years. Advances in diagnostic technologies are highly relevant to the epidemiology of filariasis. The development of antibody and especially antigen detection systems using monoclonal antibodies, DNA probes, and polymerase chain reactions, etc, will make a significant impact on the identification of infected persons. Findings along other lines may also have application to field epidemiology. The quantitative blood count (QBC) acridine orange hematocrit tube has also been found to be of value in diagnosis. Elevated levels of ecdysteroids found in other filarial infections should be tested in cases of lymphatic filariasis.

摘要

近年来,丝虫病的流行病学现场技术进展甚微。丝虫病其他研究领域的进展已有报道,现将其中一些与现场技术相关的进展进行总结。报告了有关媒介的研究,包括宿主对丝虫发育的影响以及用于媒介物种鉴定的DNA探针,还介绍了能对蚊媒中幼虫进行物种特异性鉴定的技术发展情况。也描述了动物传播潜能的实验。数学模型在各种生物系统中越来越受欢迎。据推测,模型将使研究人员能够对疾病流行率和控制措施的效果进行预测。有人提出了一个关于班氏丝虫病传播动力学和血样中微丝蚴频率分布的模型。还发表了其他与年龄和性别分布以及频率分布相关的统计方法,有人认为女性对丝虫病的抵抗力增强,尤其是在生育年龄。诊断技术的进展与丝虫病流行病学高度相关。使用单克隆抗体、DNA探针和聚合酶链反应等的抗体尤其是抗原检测系统的开发,将对感染者的识别产生重大影响。其他方面的研究结果也可能应用于现场流行病学。定量血细胞计数(QBC)吖啶橙血细胞比容管在诊断中也被发现有价值。在其他丝虫感染中发现的蜕皮甾类水平升高情况,应在淋巴丝虫病病例中进行检测。

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