The biodiversity values of the wetlands in the Kakadu Region of northern Australia have been recognised as being of national and international signifi cance, as demonstrated through their listing by the Ramsar Convention on Wetlands. Analyses of the wetland biodiversity have resulted in the production of species list for many taxa, and some population and community-level analyses of biomass and abundance, and the mapping of habitats at multiple scales. Wetland habitats include inter-tidal mud-fl ats, mangroves, hyper-saline fl ats, freshwater fl ood plains and streams. The tidal infl uence on the saline wetlands is pronounced, as is the infl uence of the annual wet-dry cycle of the monsoonal climate on the fl ood plains and streams. The vegetation is diverse and highly dynamic with rapid turnover of organic material and nutrients. The fauna is abundant with endemism being high in some habitats. Most fauna analyses have focussed on vertebrates with a large amount of information on waterbirds and fi sh in particular. However, despite extensive effort over the past two decades much is still unknown about the biota. While the invertebrate fauna in the streams has received some attention, a large taxonomic classifi cation effort is required. The functional inter-relationships between habitats and species have largely not been assessed. Further, the ecology of many species is only cursorily known. At the same time there has been increased attention to pressures on the wetlands, such as weeds and feral animals, water pollution, and the potential impact of climate change and salinisation of freshwater habitats. Importantly, given the social context of the region, increased attention is being directed towards traditional use and management of the wetlands.
Milia-like idiopathic calcinosis cutis (MICC) is a rare dermopathy, usually occurring in children with Down syndrome. We report a case of an 8-year-old girl with Down syndrome who presented with histologically verified MICC, briefly review the literature on MICC, discuss the differential diagnosis, and describe the use of dermoscopy in the evaluation of lesions, which we believe has never been published previously with this entity.
BackgroundThere is an urgent need for rapid, sensitive, and affordable diagnostics for microbial infections at the point-of-care. Although a number of innovative systems have been reported that transform mobile phones into potential diagnostic tools, the translational challenge to clinical diagnostics remains a significant hurdle to overcome.MethodsA smartphone-based real-time loop-mediated isothermal amplification (smaRT-LAMP) system was developed for pathogen ID in urinary sepsis patients. The free, custom-built mobile phone app allows the phone to serve as a stand-alone device for quantitative diagnostics, allowing the determination of genome copy-number of bacterial pathogens in real time.FindingsA head-to-head comparative bacterial analysis of urine from sepsis patients revealed that the performance of smaRT-LAMP matched that of clinical diagnostics at the admitting hospital in a fraction of the time (~1 h vs. 18–28 h). Among patients with bacteremic complications of their urinary sepsis, pathogen ID from the urine matched that from the blood – potentially allowing pathogen diagnosis shortly after hospital admission. Additionally, smaRT-LAMP did not exhibit false positives in sepsis patients with clinically negative urine cultures.InterpretationThe smaRT-LAMP system is effective against diverse Gram-negative and -positive pathogens and biological specimens, costs less than $100 US to fabricate (in addition to the smartphone), and is configurable for the simultaneous detection of multiple pathogens. SmaRT-LAMP thus offers the potential to deliver rapid diagnosis and treatment of urinary tract infections and urinary sepsis with a simple test that can be performed at low cost at the point-of-care.FundNational Institutes of Health, Chan-Zuckerberg Biohub, Bill and Melinda Gates Foundation.
Key Points
Question
Can loop-mediated isothermal amplification (LAMP)-based methodology coupled with smartphone detection provide an inexpensive, rapid, sensitive, and reliable platform for COVID-19 and influenza testing?
Findings
In this cohort study of saliva samples from 50 community-based patients, the smartphone-based LAMP assay detected SARS-CoV-2 infection and exhibited concordance with reverse transcriptase–quantitative polymerase chain reaction tests.
Meaning
These findings suggest that the smartphone-based LAMP assay offers an additional tool to detect COVID-19 that can be readily modified in response to novel SARS-CoV-2 variants and other pathogens with pandemic potential including influenza.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.