No description available.

Due to tuberculosis (TB) being one of the top ten diseases in Africa with the highest mortality rate, a crucial objective is to find the appropriate medication to cure patients and prevent people from contracting the disease. Since this statistic is not improving sufficiently, it is evident that there is a need for new anti-TB drugs. One of the main challenges in developing new and effective drugs for the treatment of TB is to identify the combinations of effective drugs when subsequent testing of patients in pivotal clinical trials are performed. During the early weeks of the treatment of TB, trials of the early bactericidal activity assess the decline in colony-forming unit (CFU) count of Mycobacterium TB in the sputum of patients containing smear-microscopy-positive pulmonary TB. A previously published dataset containing CFU counts of treated patients over 56 days is used to perform joint modeling of the nonlinear data over time and the patients’ sputum culture conversion (i.e., the time-to-event outcome). It is clear from the results obtained that there is an association between the longitudinal and time-to-event outcomes. / Mini Dissertation ( MSc (Advanced Data Analytics))--University of Pretoria, 2021. / South African Medical Research Council (SAMRC) / Statistics / MSc (Advanced Data Analytics) / Restricted

The growing demand for strawberries has imposed challenges, especially regarding the control of pests. Many farmers report problems with reduced chemical control efficiency, probably due to selection of resistant populations of insects and mites. An alternative is the use of biological control using pathogenic fungi as a tool in integrated pest management. Metarhizium spp. (Hypocreales: Clavicipitaceae) are generalist entomopathogenic fungi with worldwide distribution and can cause diseases in a large number of hosts. Many studies on the development of Metarhizium as a biological control agent were performed, but this bulk of knowledge is in remarkable contrast to the lack of research on the fundamental ecology of Metarhizium in agroecosystems. This thesis aimed to evaluate the establishment, persistence and dispersal of these entomopathogenic fungi in strawberry crop soil in Inconfidentes, Minas Gerais, Brazil; and to study the diversity and abundance of species of Metarhizium isolated from organic and conventional strawberry crop soils, and the field margins in Brazil and Denmark. The effectiveness of new species of Metarhizium recently found in Brazil, was evaluated against two spotted spider mite, Tetranychus urticae. Applied isolates of M. anisopliae (ESALQ1037) and M. robertsii (ESALQ1426) were able to persist for up to 12 months after the application within the soil, and disperse to other plots and colonize the rhizosphere of strawberry plants. In the plots where ESALQ1037 and ESALQ1426 were applied, 25% and 87.5% of the isolates recovered after 12 months consisted of the same isolates inoculated. A new taxonomically unassigned lineage, referred to as Metarhizium sp. Indet. 5 in this study, was found in strawberry crop margins. The dominant species of Metarhizium in Brazil and Denmark was Metarhizium robertsii and M. brunneum respectively. Further, Metarhizium pemphigi was first detected in Denmark in this study. Soil in organically grown strawberries harbored a more diverse population of Metarhizium spp. compared with conventionally grown strawberries. These studies showed for the first time the potential of new species of Metarhizium as spider mite biological control agents, the lowest median lethal time (LT50 = 4 ± 0.17 days) was observed in mites treated with the isolate ESALQ1638 of Metarhizium sp. indet. 1. The best isolates were ESALQPL63 of B. bassiana, ESALQ1608 and ESALQ1638 of Metarhizium sp. indet. 1 and ESALQ3069 and ESALQ3222 of M. pingshaense based on the survival curve, total mortality, percentage of sporulated cadavers and LT50. Knowledge of the diversity of Metarhizium spp. and persistence in strawberry soil generated in this study may be useful in developing conservation strategies and maximize the natural biological pest control. / A crescente demanda por morangos vem impondo desafios, especialmente quanto ao controle das pragas. Muitos agricultores relatam problemas com a redução da eficiência do controle químico, provavelmente devido à seleção de populações resistentes de insetos e ácaros. Uma alternativa é o uso de controle biológico com fungos entomopatogênicos como ferramenta dentro do manejo integrado de pragas. Metarhizium spp. (Hypocreales: Clavicipitaceae), são fungos entomopatogênicos generalistas com distribuição cosmopolita e que podem causar doenças em um grande número de hospedeiros. Muitos estudos sobre o desenvolvimento de Metarhizium como agente de controle biológico foram realizados, mas este leque de conhecimento está em contraste com a notável falta de investigação sobre a ecologia de Metarhizium nos agroecossistemas. Esta tese teve como objetivo avaliar o estabelecimento, persistência e dispersão destes fungos entomopatogênicos em solo de morangueiro em Inconfidentes, Minas Gerais, Brasil; bem como estudar a diversidade e abundância de espécies de Metarhizium isolados do solo de cultivos orgânico e convencional de morangueiro, e das margens das plantações no Brasil e Dinamarca. A eficácia de novas espécies de Metarhizium, encontradas recentemente no Brasil, foi avaliada contra o ácaro rajado, Tetranychus urticae. Os isolados inoculados de M. anisopliae (ESALQ1037) e M. robertsii (ESALQ1426) foram capazes de persistir por até 12 meses após a aplicação no solo, além de dispersar para outras parcelas e colonizar a rizosfera dos morangueiros. Nas parcelas onde ESALQ1037 e ESALQ1426 foram aplicados, 25% e 87,5% dos isolados recuperados após 12 meses consistiam dos mesmos isolados inoculados. Uma nova linhagem não taxonomicamente identificada, referida neste trabalho como Metarhizium sp. Indet. 5, foi encontrada nas margens de morangueiros cultivados. A espécie dominante de Metarhizium no Brasil e Dinamarca foi Metarhizium robertsii e M. brunneum, respectivamente. Além disso, Metarhizium pemphigi foi detectado pela primeira vez na Dinamarca neste estudo. Solos de cultivo orgânico de morangueiro em geral apresentaram uma diversidade maior de Metarhizium do que solos de cultivos convencionais. Estes estudos revelaram pela primeira vez o potencial de novas espécies de Metarhizium como agentes de controle biológico do ácaro rajado, sendo o menor tempo letal mediano (TL50= 4 ± 0.17 dias) observado em ácaros tratados com o isolado ESALQ1638 de Metarhizium sp. indet. 1. Os melhores isolados foram ESALQPL63 de B. bassiana, ESALQ1608 e ESALQ1638 de Metarhizium sp. indet. 1 e ESALQ3069 e ESALQ3222 de M. pingshaense baseado na curva de sobrevivência, mortalidade total, porcentagem de cadáveres esporulados e TL50. O conhecimento da diversidade de Metarhizium spp. e persistência em solos de morango, gerados neste estudo, poderão ser úteis no desenvolvimento de estratégias de conservação e maximizar o controle biológico natural de pragas.

The growing demand for strawberries has imposed challenges, especially regarding the control of pests. Many farmers report problems with reduced chemical control efficiency, probably due to selection of resistant populations of insects and mites. An alternative is the use of biological control using pathogenic fungi as a tool in integrated pest management. Metarhizium spp. (Hypocreales: Clavicipitaceae) are generalist entomopathogenic fungi with worldwide distribution and can cause diseases in a large number of hosts. Many studies on the development of Metarhizium as a biological control agent were performed, but this bulk of knowledge is in remarkable contrast to the lack of research on the fundamental ecology of Metarhizium in agroecosystems. This thesis aimed to evaluate the establishment, persistence and dispersal of these entomopathogenic fungi in strawberry crop soil in Inconfidentes, Minas Gerais, Brazil; and to study the diversity and abundance of species of Metarhizium isolated from organic and conventional strawberry crop soils, and the field margins in Brazil and Denmark. The effectiveness of new species of Metarhizium recently found in Brazil, was evaluated against two spotted spider mite, Tetranychus urticae. Applied isolates of M. anisopliae (ESALQ1037) and M. robertsii (ESALQ1426) were able to persist for up to 12 months after the application within the soil, and disperse to other plots and colonize the rhizosphere of strawberry plants. In the plots where ESALQ1037 and ESALQ1426 were applied, 25% and 87.5% of the isolates recovered after 12 months consisted of the same isolates inoculated. A new taxonomically unassigned lineage, referred to as Metarhizium sp. Indet. 5 in this study, was found in strawberry crop margins. The dominant species of Metarhizium in Brazil and Denmark was Metarhizium robertsii and M. brunneum respectively. Further, Metarhizium pemphigi was first detected in Denmark in this study. Soil in organically grown strawberries harbored a more diverse population of Metarhizium spp. compared with conventionally grown strawberries. These studies showed for the first time the potential of new species of Metarhizium as spider mite biological control agents, the lowest median lethal time (LT50 = 4 ± 0.17 days) was observed in mites treated with the isolate ESALQ1638 of Metarhizium sp. indet. 1. The best isolates were ESALQPL63 of B. bassiana, ESALQ1608 and ESALQ1638 of Metarhizium sp. indet. 1 and ESALQ3069 and ESALQ3222 of M. pingshaense based on the survival curve, total mortality, percentage of sporulated cadavers and LT50. Knowledge of the diversity of Metarhizium spp. and persistence in strawberry soil generated in this study may be useful in developing conservation strategies and maximize the natural biological pest control. / A crescente demanda por morangos vem impondo desafios, especialmente quanto ao controle das pragas. Muitos agricultores relatam problemas com a redução da eficiência do controle químico, provavelmente devido à seleção de populações resistentes de insetos e ácaros. Uma alternativa é o uso de controle biológico com fungos entomopatogênicos como ferramenta dentro do manejo integrado de pragas. Metarhizium spp. (Hypocreales: Clavicipitaceae), são fungos entomopatogênicos generalistas com distribuição cosmopolita e que podem causar doenças em um grande número de hospedeiros. Muitos estudos sobre o desenvolvimento de Metarhizium como agente de controle biológico foram realizados, mas este leque de conhecimento está em contraste com a notável falta de investigação sobre a ecologia de Metarhizium nos agroecossistemas. Esta tese teve como objetivo avaliar o estabelecimento, persistência e dispersão destes fungos entomopatogênicos em solo de morangueiro em Inconfidentes, Minas Gerais, Brasil; bem como estudar a diversidade e abundância de espécies de Metarhizium isolados do solo de cultivos orgânico e convencional de morangueiro, e das margens das plantações no Brasil e Dinamarca. A eficácia de novas espécies de Metarhizium, encontradas recentemente no Brasil, foi avaliada contra o ácaro rajado, Tetranychus urticae. Os isolados inoculados de M. anisopliae (ESALQ1037) e M. robertsii (ESALQ1426) foram capazes de persistir por até 12 meses após a aplicação no solo, além de dispersar para outras parcelas e colonizar a rizosfera dos morangueiros. Nas parcelas onde ESALQ1037 e ESALQ1426 foram aplicados, 25% e 87,5% dos isolados recuperados após 12 meses consistiam dos mesmos isolados inoculados. Uma nova linhagem não taxonomicamente identificada, referida neste trabalho como Metarhizium sp. Indet. 5, foi encontrada nas margens de morangueiros cultivados. A espécie dominante de Metarhizium no Brasil e Dinamarca foi Metarhizium robertsii e M. brunneum, respectivamente. Além disso, Metarhizium pemphigi foi detectado pela primeira vez na Dinamarca neste estudo. Solos de cultivo orgânico de morangueiro em geral apresentaram uma diversidade maior de Metarhizium do que solos de cultivos convencionais. Estes estudos revelaram pela primeira vez o potencial de novas espécies de Metarhizium como agentes de controle biológico do ácaro rajado, sendo o menor tempo letal mediano (TL50= 4 ± 0.17 dias) observado em ácaros tratados com o isolado ESALQ1638 de Metarhizium sp. indet. 1. Os melhores isolados foram ESALQPL63 de B. bassiana, ESALQ1608 e ESALQ1638 de Metarhizium sp. indet. 1 e ESALQ3069 e ESALQ3222 de M. pingshaense baseado na curva de sobrevivência, mortalidade total, porcentagem de cadáveres esporulados e TL50. O conhecimento da diversidade de Metarhizium spp. e persistência em solos de morango, gerados neste estudo, poderão ser úteis no desenvolvimento de estratégias de conservação e maximizar o controle biológico natural de pragas.

This thesis deals with the relationship between HVAC systems and internal microclimate of buildings. The work discusses briefly about different components which are formulating internal microclimate. More details are then focused on the issue of microbial microclimate.

No description available.

No description available.

The history of surgery is nearly as old as the human race. Control of wound infection has always been an essential part of any surgical procedure, and is still an important challenge in hospital operating rooms today. For patients undergoing surgery there is always a risk that they will develop some kind of postoperative complication. It is widely accepted that airborne bacteria reaching a surgical site are mainly staphylococci released from the skin flora of the surgical staff in the operating room and that even a small fraction of those particles can initiate a severe infection at the surgical site.  Wound infections not only impose a tremendous burden on healthcare resources but also pose a major threat to the patient. Hospital-acquired infection ranks amongst the leading causes of death within the surgical patient population. A broad knowledge and understanding of sources and transport mechanisms of infectious particles may provide valuable possibilities to control and minimize postoperative infections. This thesis contributes to finding solutions, through analysis of such mechanisms for a range of ventilation designs together with investigation of other factors that can influence spread of infection in hospitals, particularly in operating rooms. The aim of this work is to apply the techniques of computational fluid dynamics in order to provide better understanding of air distribution strategies that may contribute to infection control in operating room and ward environments of hospitals, so that levels of bacteria-carrying particles in the air can be reduced while thermal comfort and air quality are improved.  A range of airflow ventilation principles including fully mixed, laminar and hybrid strategies were studied. Airflow, particle and tracer gas simulations were performed to examine contaminant removal and air change effectiveness. A number of further influential parameters on the performance of airflow ventilation systems in operating rooms were examined and relevant measures for improvement were identified. It was found that airflow patterns within operating room environments ranged from laminar to transitional to turbulent flows. Regardless of ventilation system used, a combination of all airflow regimes under transient conditions could exist within the operating room area. This showed that applying a general model to map airflow field and contaminant distribution may result in substantial error and should be avoided. It was also shown that the amount of bacteria generated in an operating room could be minimized by reducing the number of personnel present. Infection-prone surgeries should be performed with as few personnel as possible. The initial source strength (amount of colony forming units that a person emits per unit time) of staff members can also be substantially reduced, by using clothing systems with high protective capacity. Results indicated that horizontal laminar airflow could be a good alternative to the frequently used vertical system. The horizontal airflow system is less sensitive to thermal plumes, easy to install and maintain, relatively cost-efficient and does not require modification of existing lighting systems. Above all, horizontal laminar airflow ventilation does not hinder surgeons who need to bend over the surgical site to get a good view of the operative field. The addition of a mobile ultra-clean exponential laminar airflow screen was also investigated as a complement to the main ventilation system in the operating room. It was concluded that this system could reduce the count of airborne particles carrying microorganisms if proper work practices were maintained by the surgical staff. A close collaboration and mutual understanding between ventilation experts and surgical staff would be a key factor in reducing infection rates. In addition, effective and frequent evaluation of bacteria levels for both new and existing ventilation systems would also be important. / Tidigt i mänsklighetens utveckling har kirurgin funnits med i bilden. Hantering av infektioner har genom tiderna varit en oundviklig del av alla kirurgiska ingrepp, och finns kvar ännu idag som en viktig utmaning i operationssalar på sjukhus. För patienter som genomgår kirurgi finns alltid en risk att de efter ingreppet utvecklar någon behandlingsrelaterad komplikation. Allmänt accepterat är att de luftburna bakterier som når operationsområdet huvudsakligen består av stafylokocker frigjorda från hudfloran av operationspersonalen i operationssalen, och att endast en liten del av dessa partiklar behövs för att initiera en allvarlig infektion i det behandlade området. Sårinfektioner innebär inte bara en enorm börda för hälso- och sjukvårdsresurser, utan utgör också en betydande risk för patienten. På sjukhus förvärvad infektion finns bland de främsta dödsorsakerna i kirurgiska patientgrupper.. En bred kunskap och förståelse av spridningsmekanismer och källor till infektionsspridande partiklar kan ge värdefulla möjligheter att kontrollera och minimera postoperativa infektioner. Denna avhandling bidrar till lösningar genom analys av en rad olika ventilationssystem tillsammans med undersökning av andra faktörer som kan påverka infektionsspridningen på sjukhus, främst i operationssalar. Syftet med arbetet är att med hjälp av CFD-teknik (Computational Fluid Dynamics) få bättre förståelse för olika luftspridningsmekanismers betydelse vid ventilation av operationssalar och vårdinrättningar på sjukhus, så att halten av bacteriebärande partiklar i luften kan minskas samtidigt som termisk komfort och luftkvalité förbättras.  Flera luftflödesprinciper för ventilation inklusive omblandade strömning, riktad (laminär) strömning och hybridstrategier har studerats. Simuleringar av luft-, partikel- och spårgasflöden gjordes för alla fallstudier för att undersöka partikelevakuering och luftomsättning i rummet. Flera viktiga parametrar som påverkar detta undersöktes och relevanta förbättringar  föreslås i samarbete med industrin. Av resultaten framgår att mängden genererade bakterier i en operationssal  kan begränsas genom att minska antalet personer i operationsteamet. Infektionsbenägna operationer skall utföras med så lite personal som möjligt. Den initiala källstyrkan (mängden kolonibildande enheter som en person avger per tidsenhet) från operationsteamet kan avsevärt minskas om högskyddande kläder används. Av resultaten framgår också att ett horisontellt (laminärt) luftflöde kan vara ett bra alternativ till det ofta använda vertikala luftflödet. Ett horisontellt luftflöde är mindre känsligt för termisk påverkan från omgivningen, enkelt att installera och underhålla, relativt kostnadseffektivt och kräver vanligen ingen förändring av befintlig belysningsarmatur. Framför allt begränsar inte denna ventilationsprincip kirurgernas rörelsemönster. De kan luta kroppen över operationsområdet utan att hindra luftflödet. En flyttbar flexibel skärm för horisontell spridning av ultraren ventilationsluft i tillägg till ordinarie ventilation undersöktes också. Man fann att denna typ av tilläggsventilation kan minska antalet luftburna partiklar som bär mikroorganismer om operationspersonalen följer en strikt arbetsordning. Bra samarbete och förståelse mellan ventilationsexperter och operationsteamet på sjukhuset är nyckeln till att få ner infektionsfrekvensen. Det är också viktigt med effektiva och frekventa utvarderingar av bakteriehalten i luften, för såväl nya  som befintliga ventilationssystem. / <p>QC 20160129</p>