In addition, the GSH/GSSH ratio was similar to that of control ce

In addition, the GSH/GSSH ratio was similar to that of control cells activated by HO-1. These results look promising in view of the prospective pharmacological benefits of cobalt in preventing hypoxia-induced oxidative stress. Cadmium is a heavy metal and the most common oxidation number of cadmium is +2. Food is the main source of cadmium for the non-smoking population (Cuypers et al., 2010). Estimates of dietary cadmium intake worldwide range from 10–40 μg/day in nonpolluted areas to several hundred micrograms in cadmium-polluted regions. The routes of cadmium intake involve the lungs, intestines and skin. Cadmium in the body is predominantly

bound to metallothioneins (Hamer, 1986). The cadmium–metallothionein complex is distributed to various tissues and organs and is ultimately reabsorbed in kidney tubuli (Ohta and Cherian, 1991). There is no mechanism for the excretion of cadmium in humans, thus cadmium accumulates PD-166866 manufacturer in tissues. The half-life of cadmium in kidney cortex is 20–35 years. In humans, the largest amount of cadmium is deposited in the kidneys, liver, pancreas and lungs. Cadmium itself is unable to generate free radicals directly, however, indirect formation of ROS and RNS involving the superoxide PI3K inhibitor radical, hydroxyl radical and nitric oxide has been reported (Waisberg et al., 2003). Some experiments also confirmed the generation of non-radical hydrogen peroxide which itself in turn may be a significant source

of radicals via Fenton chemistry (Elinder et al., 1976). Cadmium can activate cellular protein kinases (protein kinase C) which result in enhanced phosphorylation of various transcription

factors which in turn lead to activation of target gene expression. An interesting mechanism explaining the indirect role of cadmium in free radical generation Regorafenib was presented, in which it was proposed that cadmium can replace iron and copper in various cytoplasmic and membrane proteins (e.g. ferritin, apoferritin), thus increasing the amount of unbound free or poorly chelated copper and iron ions participating in oxidative stress via Fenton reactions (Price and Joshi, 1983). These results are supported by recent findings by Watjen and Beyersmann (2004). Displacement of copper and iron by cadmium can explain the enhanced cadmium-induced toxicity, because copper, displaced from its binding site, is able to catalyze breakdown of hydrogen peroxide via the Fenton reaction. The toxic mechanisms of cadmium are not well understood, but it is known to act intracellularly, mainly via free radical-induced damage, particularly to the lungs, kidneys, bone, central nervous system, reproductive organs and heart (Waalkes, 2000). The effect of cadmium exposure in drinking water on markers of oxidative stress in rat cardiac tissue has shown significantly increased lipoperoxides, MDA and decreased activities of SOD and glutathione peroxidase (GPx) (Novelli et al., 2000).

0004 (Clayton and Byrne, 1993) As such, the overall uncertainty

0004 (Clayton and Byrne, 1993). As such, the overall uncertainty of the purified CR calibration relative to mCP is substantially better than 0.001. The CR characterization in this work is intended for use only with absorbance ratios obtained using purified cresol red. Alectinib mw For measurements made using unrefined CR and earlier characterization equations (Byrne and Breland, 1989), the retrospective correction procedures outlined in Liu et al. (2011) should be followed. For all spectrophotometric pH measurements, records of indicator lot number, absorbance ratios, measurement temperatures and pressures, and sample salinities should be routinely archived so that pH

values can be recalculated if indicator equations are refined in the future. For investigators to choose indicators and concentrations appropriate

for a particular environment or application, they must be aware of the pH range likely to be encountered under measurement conditions (not just in situ conditions) and they must be familiar with the linearity limitations of their spectrophotometer. Fig. 6 shows CR absorbances (433 and 573 nm) and mCP absorbances (434 and 578 nm) as a function of pHT; indicator concentrations were 2.5 μM. Absorbances at the shorter wavelengths (solid lines) range between 0.24 and 0.65, behaving similarly as pH increases from 6.8 to 8.2. This range of absorbance values is within the measurement limitations of most spectrophotometers. Absorbances at the longer wavelengths (broken lines) are substantially more sensitive to changing pH, with absorbance values ranging from as low Veliparib as 0.08 (mCP) to as high as 1.59 (CR). A > 1.0 can be problematic due to nonlinear behavior at high absorbances, while A < 0.1 may reduce measurement precision due to low signal-to-noise ratios. An assessment such as that depicted in Fig. 6 can be used to guide the Etofibrate selection of an indicator (mCP or CR) and optimal indicator concentrations.

For surface-to-deep profiles of typical ocean waters, with a seawater pHT range of 7.2–8.2 at 298.15 K, we advise the use of mCP at a concentration of 3 μM. For a 10 cm pathlength cell, this concentration produces absorbances in the range of 0.20–0.97. For seawater with a higher acidity content, we recommend cresol red. A CR concentration of 2.5 μM results in absorbances of 0.21–0.95 over a pHT range of 6.8–7.8 (at 298.15 K). For pH > 7.8, the CR concentration can be reduced to ensure that absorbances do not exceed the linear range of the spectrophotometer. Fig. 6 also shows that CR at higher concentrations can be used to measure pH well below 6.8. For some waters, either indicator is suitable. Areas of the coastal Arctic, for instance, can have pH values ranging from 7.7 to 8.2 at in situ temperatures (Mathis et al., 2012). At a measurement temperature of 298.15 K (typical of shipboard analyses), the pH range of these waters would be 7.3–7.8.

5 The authors have no conflicts of interest to declare The autho

5 The authors have no conflicts of interest to declare. The authors declare that no experiments were performed on humans or animals for this investigation. The authors declare that they have followed the protocols of their work centre on the publication of patient data and that all the patients included in the study have received sufficient information and have given their informed consent in writing to participate in that study. The authors have obtained the informed consent of the patients and/or subjects mentioned in the article. The author for correspondence is in possession of this document. “
“No artigo publicado recentemente por Matos et al. é feita uma revisão abrangente do tema hepatite

alcoólica aguda (HAA) e congratulamos desde já os autores pelo trabalho1. No que toca a alternativas terapêuticas para a HAA grave é proposta a selleckchem pentoxifilina nos casos de contraindicação ao corticosteroide ou de insuficiência renal

precoce. Esta Screening high throughput screening proposta, concordante com recomendações internacionais, deve-se ao benefício deste fármaco na diminuição da mortalidade, assente sobretudo na diminuição da síndrome hepatorenal2. Contudo, numa meta-análise de 2009 que analisou os estudos clínicos envolvendo a pentoxifilina na terapêutica da HAA o benefício clínico foi considerado apenas possível e a qualidade da evidência não permitiu inferir conclusões quanto a um efeito positivo ou negativo3. De facto, sendo a pentoxifilina um antagonista do fator de necrose tumoral alfa poderá resultar em efeitos deletérios, nomeadamente pela inibição da regeneração hepática, tal como foi expresso pelos autores1. Numa revisão sistemática mais recente e posterior à publicação Thymidylate synthase das recomendações, surgem mais indícios de um

efeito positivo benéfico da pentoxifilina, embora sem melhoria da sobrevida no 1.° mês4. No entanto, na ausência de outras alternativas terapêuticas conhecidas e perante uma entidade com sobrevida variando apenas entre 50-65% no 1.° mês2, compreende-se a opção por recorrer à pentoxifilina na HAA grave. Tal como os autores referem, a percentagem de doentes com HAA grave elegíveis para terapêutica com corticosteroides que não respondem a esta poderá atingir os 40%. Foi demonstrado o benefício da associação corticosteroides e N-acetilcisteína na redução da mortalidade no 1.° mês5. Haverá lugar a propor desde já esta associação terapêutica? Foi argumentada a escassez de estudos2, mas perante um fármaco com perfil de segurança conhecido desde há muito e uma patologia com tão elevada mortalidade, protelar a introdução da associação poderá não ser a melhor estratégia atual. Tendo em conta o exposto face à pentoxifilina, na nossa opinião, com os dados disponíveis esta associação tem pelo menos a mesma base de evidência para ser utilizada. Sem prejuízo obviamente de, tal como os autores apontam, haver necessidade de estudos adicionais, até porque não foi ainda demonstrado benefício na diminuição da mortalidade ao 6.° mês5.

Outcomes of a New Nursing Home Weekend Call Program on Emergency

Outcomes of a New Nursing Home Weekend Call Program on Emergency Department Referrals and Hospital Re-admission Rates Presenting Author: Renee M. Banaszak, MD East Carolina University, Department

of Family Medicine, Division of Geriatrics Author(s): Renee M. Banaszak, MD, Joon Tae Lee, MD, Daree Russell, MD, and Kenneth Steinweg, MD Background: The Department of Family Medicine (DOFM) at Vidant Medical Center is the largest provider of Nursing Home Nintedanib chemical structure (NH) services in Greenville, NC. The average daily NH census is approximately 180 patients located in four different facilities. The challenge with managing such a large pool of patients is in providing continuous call coverage while minimizing unnecessary health care expenditures for emergency room visits and hospital re-admissions. In previous years, NH weekend and holiday calls were taken by a senior Family Medicine resident who was simultaneously managing the DOFM inpatient service and taking afterhours calls from the outpatient practice. This posed a significant degree of patient care on that one individual and resulted in the resident having Wnt antagonist little time for NH patient management. The end result was the inability to make on-site visits to the nursing homes to address immediate concerns, which likely resulted in more ER visits and readmissions. Objective/Aim: To determine if specified staff, available only for NH consultations by phone and onsite visits during weekends

and holidays, would substantially reduce

the number of ER visits, lower hospital readmission rates and reduce associated costs. Quality Improvement Methods: A two year study was designed to determine if this on-call team, consisting of Geriatric Fellows, PA’s and FNP’s, would be able to reduce hospitalizations and thereby reduce cost. Each on call provider was free of other duties and available to make on-site visits if needed and had access to the office and hospital electronic record from home. All calls were logged and analyzed on an individual basis from Unoprostone May 1, 2010 to April 30, 2012. Each provider made note if their instructions by phone or an onsite visit avoided an emergency room visit or hospital admission. Conclusion: The provision of dedicated medical professionals to weekend and holiday NH call coverage provided better continuity of care for a large practice of NH patients, resulted in low utilization of ER and hospital services, a provided substantial cost savings to the health care system. Author Disclosures: Renee M. Banaszak, MD has stated there are no financial disclosures to be made that are pertinent to this abstract. “
“It is with profound regret that we report the death of Professor RB (Bob) Clark, the founder and long time editor of The Marine Pollution Bulletin. He died quietly at his home on 28th September 2013, shortly before his 90th Birthday. He is survived by his wife Sue, daughter Juliet, son Stephen and his grandson Gus.

Genes were assigned to functional categories using gene ontology

Genes were assigned to functional categories using gene ontology in the Database for Annotation, Visualization and Integrated Discovery (DAVID) (Dennis et al., 2003). BMDExpress was used to calculate benchmark doses (BMDs) from gene expression data (Yang et al., 2007). Analyses were performed on genes that were identified as statistically significant by one-way ANOVA (p < 0.05) using four models: Hill, Power, Linear and 2° Polynomial. Models that described the data with the least complexity were selected. A nested chi-square

E7080 clinical trial test, with cutoff of 0.05, was first used to select among the linear and 2° polynomial model, followed by comparison of Akaike information criterion (AIC), which measured the relative goodness of fit of a statistical model, between nested models and the power model. The model with the lowest AIC was selected as the best fit. A maximum of 250 Selleckchem ERK inhibitor iterations and a confidence level of 0.95 were selected. For functional classifications and analyses, the resulting BMD datasets were mapped to KEGG pathways

with promiscuous probes removed (probes that mapped to multiple annotated genes). BMDs that exceeded the highest exposure dose (TSC= 90 μg/ml, MSC = 10 μg/ml) were removed from the analysis. Three RT-PCR pathway specific arrays (cell cycle, apoptosis and stress and toxicity) were used to validate the expression of specific microarray genes (SABiosciences, Frederick, for MD, USA). Eight nanograms of total RNA, from the same samples that were used for the microarray study, were reverse transcribed to cDNA using an RT2 First Strand Kit (SABiosciences, Frederick, MD, USA). cDNA was mixed with the RT2 qPCR Master Mixes and aliquoted into 96-well plates containing primers for 84 pathway specific genes. Expression levels

were evaluated using a CFX96 real-time Detection System (BioRad, Philidelphia, PA, USA). Relative gene expression was normalized to the Gapdh housekeeping gene, which remained unaffected under experimental conditions. Fold changes and statistical significance (student’s t-test) were calculated using the REST method for statistical significance ( Pfaffl et al., 2002). For the LDH assay, a sharp increase in toxicity was observed for MSC exposures above 6 μg/ml. The response remained high (approx. 375% of control) for all subsequent concentrations. The MSC response was approximately 3 times greater than that observed for TSC, which showed a gradual increase in toxicity between 3 and 30 μg/ml and high toxicity (above 200% of control) above 30 μg/ml. For the XTT assay, exposure to MSC concentrations greater than 6 μg/ml reduced mitochondrial dehydrogenase levels to below 80% of control values. In comparison, similar reductions required TSC concentrations above 30 μg/ml TSC. For the microarray study, FE1 cells were exposed to 2.5, 5 and10 μg/ml of MSC and 25, 50 and 90 μg/ml of TSC.

Images of the stained cells were obtained using a fluorescent mic

Images of the stained cells were obtained using a fluorescent microscope attached to a digital camera. Data are expressed as mean (±standard error of the mean, SEM) and analysed and presented using GraphPad Prism. Groups of two were analysed using Student’s t-test, groups of three or more were analysed using either one-way analysis of variance (ANOVA) with a Dunnets post-hoc test or, if multiple variables were involved, two-way ANOVA with Bonferroni post-hoc test was applied. Values were considered to be significantly different Venetoclax price when p<0.05. The authors thank Professor Nancy Rothwell for support. The research was funded by the UK Department for Trade and Industry (A.P., N.J.A.),

the Biotechnology and Biological Sciences Research Council (UK) and Medical Research Council (UK) (R.A.S.), and Eisai Ltd. London (L.M.). “
“The cuneate nucleus (CN) receives and processes incoming somesthetic input from the primary afferents of the forelimb (Andersen et al., 1962, Andersen Sunitinib solubility dmso et al., 1964a and Andersen et al., 1964b) before relaying this information, in part, to the ventral posterior nucleus (VPL) of the thalamus (Alloway and Aaron, 1996, Berkley et al., 1980, Kemplay and Webster, 1989 and Massopust et al., 1985). The organization of CN has been described in monkey (Florence et al., 1989), cat (Nyberg, 1988), raccoon (Rasmusson, 1989), and rat (Beck, 1981, Li et al., 2012, Maslany et al., 1990 and Nord, 1967), and it is generally agreed

that the rostrocaudally oriented CN is partitioned into rostral, middle, and caudal regions (Berkley et al., 1986, Bermejo et al., 2003, Dykes et al., 1982 and Maslany et al., 1992). Recently, the details of the somatotopic organization of CN in rat were elucidated using fine-grain electrophysiological mapping (Li et al., 2012). The middle region was further partitioned into medial, central, and lateral zones. The central zone containing cytochrome oxidase (CO)-stained

clusters, termed barrelettes, was mapped, and the individual labeled clusters were associated with the representation Baricitinib of the glabrous forepaw digits and digit and palmar pads; the medial zone was mapped to the ulnar representation of the wrist, forearm, and upper arm, while the lateral zone was mapped to the radial representation of the wrist, forearm, and upper arm. A lateral tail region was identified that received input primarily from the shoulder, head/neck, and ear. This somatotopy in the forelimb-intact rat provided a useful starting point from which to compare CN reorganization following deafferentation. CN organization and the resulting reorganization in rat have been studied following limb amputation (Crockett et al., 1993 and Lane et al., 1995), dorsal rhizotomy (Sengelaub et al., 1997), and nerve transection (Crockett et al., 1993). Time of deafferentation has varied from embryonic (Killackey and Dawson, 1989 and Rhoades et al., 1993), neonatal (Lane et al., 1995 and Lane et al., 2008), and adult (Sengelaub et al.

These examples already reflect the awareness of and the interest

These examples already reflect the awareness of and the interest in soil organisms as functional components www.selleckchem.com/products/Imatinib-Mesylate.html in the soil system. Otto Graff published the proceedings, which compiled 60 presentations of the colloquium, together with John Satchell as co-editor (Graff and Satchell 1967). Otto Graff had countless national and international contacts, especially with colleagues from Eastern Europe and The Netherlands, France, Sweden, Great Britain, Japan, USA, South Africa, Persia and Kuwait. In the early seventies, he was on sabbatical leave in Kuwait as a FAO-mandated consultant. He was assigned to investigate the soil biological suitability of municipal waste water for vegetable

production. The recycling of (bio-) waste material and vermicomposting were other important subjects in Otto Graff’s scientific work long before cascade use of biomass and resource mTOR inhibitor efficiency became modern concepts for agriculture. International scientific reputation is only one side, which distinguishes Otto Graff’s life. Otto Graff was also a refined humanist with a keen interest in history; he wrote in Greek and Latin. Besides, many colleagues and young scientists appreciated his and his loveable wife’s cordial hospitality in their cultivated home. Usually after taking a hearty

breakfast or home-made cake lively discussions started with Otto Graff. His enthusiastic pleas for field research are unforgettable. In the basement of their home, Otto Graff kept a legendary stock of a huge amount of scientific literature. A lot of those books and papers were not available in most libraries. It was always something very particular

to benefit from this treasure of knowledge. After going into retirement in 1980, he still continued with studying earthworm ecology. Many of his activities now served to disseminate his knowledge and experience to a broader public like farmers and gardeners. Endonuclease His encyclopaedia on earthworms (Graff 1983b) is definitely a milestone in this context; besides, he wrote two books on use of organic fertilizer. At all times, he was a generous mentor and paternal friend with impressive sagacity, genuine modesty and a wonderful humour, who inspired generations of young scientists in soil biology and especially in earthworm ecology. “
“Current Opinion in Behavioral Sciences 2015, 2:1–7 This review comes from a themed issue on Behavioral genetics 2015 Edited by William Davies and Laramie Duncan http://dx.doi.org/10.1016/j.cobeha.2014.06.001 2352-1546/© 2014 Elsevier Ltd. All rights reserved. Behaviors are the ultimate expression of the nervous system and the quintessential manifestations of living organisms. From a genetics perspective, behaviors are quantitative phenotypes, that is, traits that vary among individuals and arise from multiple interacting and segregating genes that are modulated by the organism’s developmental history and its environment [1].

The mismatch between simulations using different wind data was es

The mismatch between simulations using different wind data was especially large in offshore areas of Estonia, where the calibrated SMB model forced with local wind data measured at Vilsandi and the hindcast using geostrophic winds had almost no bias for coastal waters, whereas the MESAN winds substantially underestimated wave heights (Räämet et al. 2009). The simulations with the wave model forced by adjusted geostrophic winds in most cases capture all important wave events and their duration (Räämet et al. 2010), although the maximum wave heights are somewhat underestimated during some storm events

and for several wind conditions. Such mismatches in the time series of the measured and modelled wave properties are common in contemporary efforts to model wave conditions in the Baltic Sea (Tuomi et al. 1999, Jönsson this website et al. 2002, Lopatukhin et al. 2006a,b, Cieślikiewicz & Paplińska-Swerpel 2008, Soomere et al. 2008). As the maxima of many strong storms are correctly reproduced

in terms of both timing and the maximum wave heights, no additional correction of the adjusted wind speeds was undertaken in the long-term simulations (Räämet & Soomere 2010a,b). Doing so apparently leads to reasonable estimates of the roughest wave situations but underestimates the average wave heights. Comparisons with available measured wave data showed that the hindcast using geostrophic

check details winds (Räämet & Soomere 2010a,b) underestimated the wave heights by an average of about 10–20% all over the Baltic Sea (see below). This feature is consistent with the observations of many authors (e.g. Laanemets et al. 2009), who report that the above-described use of geostrophic winds tends to underestimate the actual wind impact on the sea surface. The analysis below therefore involves wave heights specified in Vitamin B12 four different manners: visually observed wave heights, the significant wave height calculated using Rayleigh statistics at Almagrundet, the significant wave height estimated from the two-dimensional energy spectrum in the WAM model and, finally, the significant wave height found from semi-empirical fetch-based models. To a limited extent, the values of significant wave heights measured with the use of directional waveriders are also referred to. Therefore, it is not surprising that both the instantaneous values and the average characteristics found from different sources may differ to some extent. The reasons for such differences, however, can be assumed time-independent and thus always impacting on the results in the same manner.

Pathologic observations were found to be statistically more frequ

Pathologic observations were found to be statistically more frequent with abusive head

trauma (cases) than with alternative cause (controls). For each finding in the abusive head trauma group, the percent prevalence, odds ratio between cases and controls, and the corresponding 95% odds ratio confidence interval were as follows: subdural hemorrhage in the optic nerve Tenofovir ic50 sheath, 97%, 1305, 114.7–14 851.0; intrascleral hemorrhage, 63%, 79.5, 10.2–616.9; any retinal hemorrhage, 83%, 33.3, 11.2–99.6; hemorrhage extending to the ora, 70%, 107.3, 13.7–839.4; cherry hemorrhage, 40%, 30.7, 4.0–237.6; perimacular ridge, 42%, 15.7, 3.5–70.9; and ILM tear, 85%, 46.5, 14.5–149.4. The odds ratio for cherry hemorrhage, hemorrhage extending to ora, and intrascleral hemorrhage required substituting 1 for 0 in order to avoid indeterminate calculations for control eyes that lacked each of these 3 associated findings, thereby making the corresponding odds ratio estimations conservative. Perimacular ridges were found in only 2 control eyes, both from the same case: a 16-month-old male infant, who was feeding koi fish in a pond with family nearby, drowned and perished despite shaking resuscitative efforts upon rescue from the pond. The Table shows pathologic observations of the abusive head trauma group organized relative to laterality, sex, and age. Pathologic findings were more commonly

DAPT seen bilaterally than unilaterally for every observation. Each one had similar or greater frequency in younger infants. Specifically, subdural hemorrhage (2-tailed, unpaired, independent t tests, P = .030), any retinal hemorrhage (P = .048), hemorrhage extending to the ora serrata (P = .024), ILM tear (P = .002), and formation of the perimacular ridge (P = .044) were all significantly more frequent in infant eyes younger than 16 months. There was no significant difference regarding age in findings of intrascleral hemorrhage (P = .306) or cherry

hemorrhage (P = .334). No significant difference with respect to sex was found (P > .05). The alternative cause group demonstrated zero to few positive findings for each category ( Table). All 60 abusive head trauma eyes had at least Lumacaftor concentration 1 histopathologic finding from the retinal hemorrhages, ocular hemorrhages, or vitreoretinal interface pathology groups, as illustrated in set (Venn) diagrams showing overlapping relationships (Figure 1). Fifty eyes (83%) had retinal hemorrhages, while 10 (17%) did not have a retinal hemorrhage of any kind (Figure 1, Left panel). Of those positive for retinal hemorrhages, 42 (84%) had hemorrhages extending to the ora serrata, and 24 (48%) had a cherry hemorrhage. All 24 eyes (100%) with a cherry hemorrhage had hemorrhages extending to the ora serrata. Among the 42 eyes with hemorrhage extending to the ora, 18 (43%) did not have a cherry hemorrhage. Every abusive head trauma autopsy eye (100%) had at least 1 type of ocular hemorrhage (Figure 1, Middle panel).

The study hospital is a 2500 bed tertiary care hospital in southe

The study hospital is a 2500 bed tertiary care hospital in southern India with approximately 400 paediatric admissions each month including about 40 cases presenting with diarrhoea requiring hospitalization for rehydration. The study design for the IRSN has been described previously [4]. Briefly, all children under 5 years of age presenting to the hospital with acute gastroenteritis and requiring hospitalization for rehydration for at least 6 h were enrolled in the study after written consent Baf-A1 was obtained from the parent or guardian. Standardized protocols were followed

for the enrolment and diagnostic evaluation of children in this study. One stool sample was collected within 24–48 h of hospitalization. Demographic data and clinical

information on duration and frequency of diarrhoea and vomiting, degree of fever and dehydration were recorded on a standard case report form for all children at admission by a study clinician. Additional clinical data on extraintestinal manifestations and outcomes were recorded where available, by review of the inpatient chart Compound C post-discharge. The study was approved by the Institutional Review Board of CMC, Vellore. The severity of diarrhoea was assessed for all children using the 20-point Vesikari scoring system based on the duration and peak frequency of diarrhoea and vomiting, degree of fever, severity of dehydration and treatment provided [5] using data collected at admission. The level of dehydration was assessed using the Integrated Management of Neonatal and Childhood Illnesses (IMNCI) criteria (Table 1). An episode was considered mild for scores 0–5, moderate for 6–10 and severe for score ≥11. The data were collected for Vesikari scoring throughout the IRSN surveillance, but additional information on duration of fever, dehydration, presence and duration of seizures were collected for assessment of severity using the 24-point Clark scoring scale [6] on all children

for the last 9 months. Axillary or oral temperature measurements were used instead of rectal temperatures. According to Clark’s scoring key, a episode was considered mild for a score of 0–8, moderate to severe for scores 9–16 and severe for scores 17–24 [9]. (Table 1) A 10% faecal suspension was screened for rotavirus using a commercial enzyme immunoassay Loperamide (EIA) for detection of VP6 antigen (Rota IDEIA, Dako Ltd, Ely, United Kingdom) according to the manufacturer’s instructions. Viral RNA was extracted from 30% EIA positive faecal suspensions using Trizol reagent (Invitrogen, Paisley, United Kingdom). Complementary DNA (cDNA) was generated by reverse transcription using 400 U of Moloney murine leukemia virus reverse transcriptase (M-MLV) reverse transcriptase (Invitrogen, Paisley, United Kingdom) in the presence of random primers (hexamers; Pd(N)6, Pharmacia Biotech, Little Chalfont, United Kingdom).