Efficacy against mild influenza for A/H3N2 and B strains was 94.3% (76.1, 99.4) and 83.9% (35.5, 97.2), respectively. Study 2 enrolled a total of 4166 children ≥24 months of age (LAIV, n = 2083; placebo, n = 2083). The attack rate of moderate/severe influenza was 2.1% (43/2083) in the LAIV BGJ398 order group versus 4.3% (90/2083) in the IIV group, resulting in a relative efficacy

of LAIV compared with IIV of 52.2% (31.6, 66.6). The attack rate of mild influenza, after exclusion of moderate or severe cases, was 4.1% (84/2040) in the LAIV group versus 7.5% (149/1993) in the placebo group, resulting in a relative efficacy of 45.0% (28.6, 57.5) ( Fig. 1C). Efficacy against moderate/severe influenza for A/H1N1, A/H3N2, and B was 100% (−9.1, 100), 80.9 (60.5, 91.7), and 10.3 (−45.4, 44.8), respectively. Efficacy against mild influenza for A/H1N1, A/H3N2, and B was 91.7% (66.4, 99.0),

59.1% (35.1, 74.9), and 13.6% (−25.0, 40.5). Children are considered a priority group for vaccination because of the high burden of influenza disease among children and the availability PKC inhibitor of safe and effective vaccines. Vaccinating children against influenza also can indirectly protect other age groups against influenza. Public health agencies promote vaccination against influenza in children because they have been identified as the main spreaders of influenza infection [7]. From this perspective, it is important to prevent any influenza

case, independent of disease severity. To best characterize a vaccine’s effect on influenza transmission, influenza vaccine efficacy should be assessed against all shedding influenza infections, whether severe or mild, symptomatic or not [13]. Although several clinical Edoxaban trials have documented the efficacy of LAIV in children [9], this study is the first evaluation of LAIV efficacy as a function of disease severity. LAIV was efficacious against moderate/severe influenza and against milder influenza. LAIV was also significantly more efficacious than IIV for influenza A disease of all severity levels. The lack of LAIV superiority relative to IIV for influenza B in the current analysis may be due to the fact that a significant proportion of influenza B cases were due to antigenic variant strains. Two other IIV-controlled studies of LAIV in children demonstrated LAIV superiority against matched B strains [14] and [15]; however, neither of these studies collected data on disease severity. Together with the recent study demonstrating high levels of IIV efficacy only against moderate/severe influenza A disease, the results of this analysis show that LAIV provides children with a high degree of protection against influenza A and B illness of all severity levels and thus should be effective in interrupting influenza transmission by children in the community.

In a retrospective analysis, however, Jackson et al5 suggested that none of the urethral injuries require urethral substitution with graft and flaps as the first treatment. Contamination and inadequate circulation result with treatment failures.5 Regarding bladder injuries, the bladder must be closed with 2 layers of absorbable sutures. The most important issue after the repair of bladder rupture is adequate drainage

of the bladder. Thus, usage of a large-scaled urethral Foley catheter in addition to suprapubic cystostomy is recommended. The patient was operated by our department CAL-101 solubility dmso due to rectal bleeding and urethral and bladder injury. The urethra and the bladder were primarily repaired, a cystostomy was placed, and a long-term Foley drainage of the bladder was planned. The remnants of the prostate were debrided and also repaired before the reconstruction of the urethra, which is not reported previously. Multisystem traumas of the urethra, bladder, and rectum are seldom reported. Several forms of self-mutilation are known in schizophrenic patients; however, firing an explosive inside the body is an extreme condition. Explosive traumas should be managed carefully as the effects of thermal injury selleck screening library might be more severe than they seem. Even in those cases, reconstruction of the posterior urethra and bladder neck might be a reasonable option with appropriate surgical

techniques. “
“Traumatic dislocation of the testis (TDT) is an uncommon sequel of scrotal Adenosine trauma, occurring after direct pressure on

the scrotum and dislocating the testis outside its normal position to the surrounding tissue, usually the inguinal region.1 and 2 TDT may be a singular event1 or associated with blunt abdominopelvic trauma.3 Although TDT occurs more often at the time of injury,2 in a few cases, a TDT has been recognized as a later event.4 Ultrasound (U/S), color-flow Doppler U/S, and computed tomography (CT) are the main diagnostic tools of this condition.4 Early diagnosis and treatment are recommended to preserve testicular function and to avoid the risk of malignant transformation.1 In this study, we report on a case of TDT in an adult, with a brief review of this rare condition. A 27-year-old man was admitted to our Department 3 days after an injury from falling astride on a crossbar. The patient subsequently noted that the left testis was moved to the left inguinal region. There was not a history of undescendent or retractile testis in the past. On physical examination, his perineum and penoscrotum region had small abrasions, whereas the left scrotum was empty without hematoma. The testis was palpable in the left inguinal region (Fig. 1). The rectal tone was normal. A urine sample showed no blood. A color Doppler U/S revealed that the left testis was located in the inguinal canal, with normal size, and adequate blood supply of the testis (Fig. 2).

Consistent with our original conclusion, laser therapy would appear to show some promise as a treatment for neck pain. We were not, however, able to explain the conflicting

results regarding the efficacy of laser therapy, nor the reasons for medium- but not short-term benefits. Thus, the Abstract to the original paper should be revised to note that: ‘Treatment with laser therapy resulted in better pain and disability outcomes at medium-term follow-up but not at short-term follow-up. “
“Physiotherapists commonly assess and treat patients with lower extremity joint disorders. Despite varying levels of evidence, a growing number of studies have shown that manual joint see more mobilisations or manipulations are effective in certain disorders such as hip and knee osteoarthritis, patellofemoral pain syndrome, ankle inversion sprain, plantar fasciitis, metatarsalgia, and hallux limitus/rigidus (Brantingham et al 2009). Measurement of passive movement is indicated in order to assess joint restrictions and to help diagnose these disorders. Passive movement, either physiological or accessory, can be reported as range of

motion, end-feel, or pain and is an indication of the integrity of joint structures (Cyriax 1982, Hengeveld and Banks 2005, Kaltenborn 2002). Passive physiological range of motion may be measured using vision or instruments Pomalidomide supplier such as goniometers or inclinometers. An essential requirement of clinical measures is that they are valid and reliable so that they can be used to discriminate between individuals (Streiner and Norman 2008). Inter-rater reliability is a component of reproducibility along with agreement

and refers to the relative measurement error, ie, the variation between patients as measured by different raters in relation to the total variance of the measurements (De Vet et al 2006, Streiner and Norman 2008). High inter-rater reliability for measurements of lower extremity joints is a prerequisite for valid and uniform clinical decisions about joint restrictions and related disorders (Bartko and Carpenter 1976). Several reviews have systematically summarised and appraised the evidence with GBA3 respect to the inter-rater reliability of passive movements of human joints. Seven systematic reviews have been published on passive spinal and pelvic movement including segmental intervertebral motion assessment (Haneline et al 2008, Hestbæk and Leboeuf-Yde 2000, May et al 2006, Seffinger et al 2004, Stochkendahl et al 2006, Van Trijffel et al 2005, Van der Wurff et al 2000). In general, inter-rater reliability was found to be poor and studies were of low methodological quality. A recent systematic review showed better inter-rater reliability for measurements of passive physiological range of motion in upper extremity joints using instruments compared to measurements using vision and compared to measurements of end-feel or accessory range of motion (Van de Pol et al 2010).

An extrarenal pelvis should be in a surgeon’s differential for abdominal masses when imaging is not conclusive in the contrary. “
“Augmentation cystoplasty using an intestinal tract is indicated for patients with a deterioration of bladder storage function resistant to pharmacologic or other conservative interventions. For example, patients with http://www.selleckchem.com/products/Imatinib-Mesylate.html neurogenic

bladder caused by spinal cord injury, contracted bladder caused by urogenital tuberculosis, or interstitial cystitis are candidates for augmentation cystoplasty. Malignant transformation of primary or substitutional bladder epithelium after augmentation cystoplasty is rare and needs a long postoperative period.1 However, these malignant tumors are frequently aggressive Crizotinib cell line and associated with a poor prognosis,2 and the mechanisms of carcinogenesis are unclear. We previously reported a case of a 62-year-old woman with tubulovillous adenoma that developed 44 years after ileocystoplasty.3

Two more years later, she developed bladder adenocarcinoma. The adenoma-carcinoma sequence has been implicated in the multistep processes of intestinal carcinogenesis in colon cancer.4 To the best of our knowledge, this is the first case report to provide histopathologic evidence of the adenoma-carcinoma sequence in the bladder after augmentation cystoplasty. A 16-year-old female patient underwent right nephrectomy for renal tuberculosis. Augmentation ileocystoplasty for tuberculosis contracted bladder was performed at 18 years. Left nephrostomy was required at 38 years because of hydronephrosis and repeated pyelonephritis. In March 2005, 44 years after ileocystoplasty, the patient presented at our hospital with gross hematuria. Cystoscopy revealed the multiple papillary tumors in the region of the ileovesical anastomosis. Transurethral resection of the bladder tumor (TURBT) was performed. Histopathologic examination revealed tubulovillous adenoma (Fig. 1A). The tumor recurred 4 times, necessitating repeated TURBT in April 2005, November 2007, March 2008, and October 2008. Histopathologic diagnosis was tubulovillous adenoma at the

second TURBT in 2005, but the diagnosis of well-differentiated adenocarcinoma, pTa, (Fig. 1B) was made at the third TURBT in 2007, 46 years after ileocystoplasty. The fourth and fifth TURBT also revealed well-differentiated adenocarcinoma. In January 2009, radical cystectomy with ileal conduit diversion was performed because of incomplete resection during the fifth TURBT. Macroscopic findings (Fig. 2A) and histologic examination (Fig. 2B) revealed that the tumor developed around the region of ileovesical anastomosis. Histopathologic diagnosis was well-differentiated adenocarcinoma, pTa, u-rt0, u-lt0, ur0, ew0, ly0, v0, pN0 (Fig. 2B). The postoperative course was uneventful, and the left nephrostomy catheter was removed.

Overall, a higher antibody response was observed in the age group 9–14 years, as compared to the age group 15–25 [59]. At one month after the last dose, all two-dose schedules in the primary target population (girls aged 9–14 years) were immunological non-inferior to the three-dose schedule in the age group BI6727 in which efficacy has been demonstrated (15–25 years) [59]. At month 24, this non-inferiority was maintained for

administrations 6 months apart but lost for administrations 2 months apart [59]. These antibody responses to a two-dose schedule in girls 9–14 years of age at month 0, 6 remained comparable to the licensed three-dose schedule in women 15–25 years of age up to 3 years after first vaccination [60]. Girls of 9–13 years of age received either three doses of the quadrivalent vaccine at 0, 2 and 6 months or two doses at 0 and 6 months. Young women of 16–26 year of age received three doses at 0, 2 and 6 months. One month after receiving the last dose of the quadrivalent vaccine, non-inferiority of the vaccine was observed between two or three doses. However, loss of non-inferiority was observed in the two-dose schedule

for HPV18 at month 24 and for HPV6 at month 36 [61]. Quebec and Mexico are currently implementing an HPV vaccination programme using an extended interval between doses (vaccination at 0, 6 and 60 months) and short-term effectiveness of less than three doses can be monitored [58]. The issue of cross-protection and duration of protection A-1210477 order with less than three doses need to be further studied before any recommendation can be made. The currently registered vaccines cover only HPV6, HPV11, HPV16 and HPV18. It is estimated that this would 4-Aminobutyrate aminotransferase protect against 70% of all squamous cell cancers. To increase the protection, studies are on-going to increase the number of HPV types to nine by adding HPV31/33/45/52 and 58 to the quadrivalent vaccine

[62]. This vaccine, codenamed V503, is tested in 8 trials registered at clinicaltrials.gov [63]. Three trials completed testing in 11–26 year old females, alone or in combination with Menactra™ (meningococcal vaccine), Adacel™ (Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine) or Repevax™ (diphtheria, tetanus, pertussis and polio vaccine). Five active trials are testing 16–26 year old females in the US and in Japan and measuring vaccine efficacy based on viral (presence or absence of HPV virus) or clinical outcome (prevention of warts). The results of the trials are still unpublished. From mathematical modelling it was calculated however that this vaccine could raise the protection to 90% of all SCC cases worldwide [62].

Furthermore, the relatively long periodicity and low incidence of HFRS in the early 1970s may be due to the underestimation of the number of HFRS cases due to a suboptimal reporting system and lack of knowledge of the pathogen source, transmission routes, and diagnostics [1]. However, not withstanding its limitations, this study does suggest that vaccination is an effective measure in HFRS control and prevention in Hu. In summary, this study showed that the HFRS incidence and mortality rate in Hu decreased dramatically and the periodicity was prolonged from approximately 5 years during 1976–1988 to 15 years after 1988, especially Epacadostat price after the start

of the HFRS vaccination in 1994. The increase of vaccination compliance may play an important role on HFRS control and prevention in Hu. Authors, Xin Tan and Haitao Li collected the data. In a unified effort, author Dan Xiao conceived and designed the study with Yongping Yan, analyzed the data with Kejian Wu and Tiecheng Yan and wrote the paper with Tieheng Yan alone. The authors have declared Y 27632 that no conflict of interest exists. This work is supported by the National Major Science and Technology Research Projects for the Control and Prevention of Major Infectious Diseases in China (No.2012ZX10004907).

We are grateful to the anonymous reviewers for helpful comments, valuable suggestions and critically reviewing the manuscript. “
“In the early 90s, the World Health Organization

selected tuberculosis (TB) almost as a public health priority because it is the second leading cause of death worldwide among infectious diseases. TB is mostly concentrated in the developing world, with roughly 80% of all TB cases occurring in the 22 highest-burden countries, including Brazil. Although the worldwide TB incidence has decreased at a rate of less than 1% per year in many settings over the past decade, case numbers and overall burden continue to rise in a number of countries, as a result of the rapid growth of the world population [1]. This is directly associated with poor treatment outcomes resulting in multidrug-resistance strains [2]. Despite the immunological parameters associated with pathogenesis of the disease being extensively studied, we still do not fully understand the signaling mechanisms, transcriptional responses, sub-cellular processes, and cell–cell interactions that follow Mycobacterium tuberculosis infection, particularly in the monocyte lineage. The currently vaccine in use is M. bovis bacillus Calmette-Guerin (BCG) which results in a strong cellular immune response against M. tuberculosis, although protection is highly variable [3]. Thus, BCG vaccine, despite being cheap and protective against severe forms of TB, it is not effective against pulmonary TB in hyper-endemic countries [4].

Mitotoxicity was monitored in terms of change in mitotic index (MI) and amitotic index (AMI) and karyotoxicity by percentage of mitotic anomalies (MA). These parameters were calculated with the help of following formula: (a)MitoticIndex=NumberofdividingcellsTotalno.ofcells×100(b)AMI=NumberofactivelydividingcellsTotalno.ofcells×100(c)%ofMitoticAnomaliescell’s=NumberofcellsshowinganomaliesNumberofcellsinmitoticphase×100

FDA-approved Drug Library cell line Leaf is simple, cauline, ramal, opposite, decusate in early stages but becomes alternate later. Petiole size 10–16 cm, hollow sometimes solids, glabrous, lamina, palmately lobbed, lobes 7–11 ovate to acute, margin serate, dentate, dorsiventral and reticulate venation present (Table 1). There are two-nector secretary disc present at the base of joint of lamina and petiole. Leaves are light in colour, smaller in size with some brown patches, petiole size is 7–10 cm, lobes are 7–10 in numbers (Table 2, Plate 1).

The leaf collected from non-polluted site is characterized by singled layer of epidermis covered with thin cuticle and both types of trichomes; but in polluted leaf only non glandular trichomes are present. Midrib contains 10–14 layers of collenchyma below the Ion Channel Ligand Library purchase upper epidermis and 5–6 layers of collenchyma below the upper epidermis; four vascular bundles present in centre, mesophyll differentiated into single layer palisade and 2–3 spongy parenchyma (Plate 2; a&b). But in case of those plants which are collected from the area affected with industrial effluent, leaf shows 13–14 layers collenchyma below the upper epidermis and 6–7 layers of collenchyma below the upper epidermis; only two vascular bundles in midrib; micro and rosette crystals present in both the cases but prismatic crystals are absent in affected plant leaves (Plate 2; c&d). Root meristem study of this plant revealed that mitotic and interphasic anomalies are induced by

the different concentrations of industrial effluent. Cycle industry effluent exhibits the inhibitory effect on mitotic index with 50% and 100% effluent concentrations. In control sets 5.666% root meristem cells are actively dividing. The value of AMI again decreased in effluent treated sets except in 50% effluent, where the value of AMI shows slight enhancement. In control root meristem shows more or less normal mitosis having anomalies just about 0.025%. The tuclazepam anomalies in these root tips are clumping of chromatin material, stickiness of same chromosome at metaphase and micronuclei at telophase stage. The treatment set with industrial effluent revealed several types of cytological anomalies during mitosis (Fig. 1). The lower concentration of effluent induces lesser percent of anomalies than the higher concentration. The industrial effluent also promotes several types of irregularities such as stickiness of chromatin, clumped metaphase, laggard at anaphase as well as at metaphase stages and micronuclei.

, 1995, Ferrarese et al., 2001 and Spreux-Varoquaux et al., 2002). We focused our study on epileptic seizures, particularly SE, since it is not only accompanied by a large increase of Glu in brain fluids but there is also a tight correlation between SE-related brain damage and the development of chronic epilepsy (Olney, 1985, Leite et al., 1990, Cavalheiro et al.,

1991, Lemos and Cavalheiro, 1995 and Fujikawa, 2005). The pilocarpine model is one of the most commonly studied chemical-inductive models for epilepsy (Turski et al., 1983, Turski et al., 1986, Leite et al., 1990, Cavalheiro et al., 1991, Cavalheiro, 1995, Arida et al., 2006 and Curia et al., 2008). Morphological analysis of the brain after pilocarpine-induced SE demonstrates Dasatinib that the hippocampal subfield CA1 and the hilus of dentate gyrus are particularly susceptible to neuronal cell loss (Turski et al., 1983 and Turski et al., 1986). Neuronal death occurs mainly by excitoxic injury caused by the activation of glutamatergic pathways in the course of SE (Cavalheiro et al., 1994 and Costa et al., 2004). MK-2206 clinical trial In the present investigation, SE-induced neuronal loss in CA1 was completely prevented in rats treated with Pyr plus Oxa. Moreover, neuronal damage in the hilus was prevented in rats that received Pyr alone. These results confirm previous studies showing the neuroprotective effect of Pyr

(Izumi et al., 1994, Maus et al., 1999, Monaghan et al., 1989, Lee et al., 2001 and Gonzales-Falcon et al., 2003). This neuroprotective effect is related to the potential of Pyr

and Oxa to activate the blood resident enzymes GTP and GOT which increases the brain-to-blood Glu efflux (O’Kane et al., 1999 and Gottlieb et al., 2003). Other hypothesis for the neuroprotective effect of Pyr and Oxa is related with the capacity of these subtracts to cross hematoencephalic barrier and normalize ATP and NAD+ (Sheline et al., 2000 and Lee et al., 2001). For instance, Oxa can contribute to an improvement of NAD-linked mitochondrial energetics, of via an enhancement of malate-aspartate shuttle, which increases hydrogen peroxide scavenging (Desagher et al., 1997 and Zlotnik et al., 2007). In our experiments, we did not observe significant neuroprotective effects of Oxa (alone) during pilocarpine-induced SE. In fact our results suggest a neuroprotective effect of Oxa only when it is associated with Pyr. Further experiments must be done in order to test the efficacy of different protocols for Oxa administration in preventing neuronal damage induced by SE. It is noteworthy that the quantitative techniques used here were sufficiently sensitive to detect even small changes in neuron number. Coefficients of error provide a standardized statistic for evaluating the precision of neuron number estimates derived by modern stereological techniques (Slomianka and West, 2005).

Analysis of the VP8* subunit of VP4 of the outbreak samples revealed two conserved amino acid substitutions at positions 237 (Ser-Leu) and 242 (Thr-Ser) when compared to the previously circulating strains. NSP4, the rotavirus enterotoxin, was also analysed. Conserved amino acid changes were observed in the 2007 outbreak G9P[8] strains. All changes were located in the cytoplasmic

domain that has numerous overlapping functional domains. In particular, the amino acid changes at positions 137 and 168 resulted in changes of the polarity, these alteration may have a functional impact on the maturation process of the virus [32]. There are find more six described G9 VP7 lineages, Lineage I contains strains isolated in the 1980s in the USA and Japan and Lineage II contains asymptomatic neonatal strains from India [33]. Lineage III contains strains currently circulating globally including the G9 VP7 gene of the 2007 Alice Springs outbreak strains which clustered 26s Proteasome structure into sub-lineage D [33]. Four lineages of P[8] VP4 genes have been described [34]. The 2007 Alice Springs outbreak strain clustered within P[8] Lineage 3 which contains

G9P[8] and G1P[8] human strain in current global circulation. Nine enterotoxin genogroups have been described for NSP4, the 2007 Alice Springs outbreak strains clustered within enterotoxin genogroup 1 with the other characterised Australia isolates. All three genes analysed clustered closely with a 2008 G9P[8] isolate from the USA, and the VP7 gene clustered with a 2005 G9P[8] Brazil isolate. Thus sequence analysis demonstrates that

the Alice Springs 2007 outbreak strain was caused by a single G9P[8] strain, more similar to strains isolated in the USA and Brazil than CYTH4 to previously detected Australian isolates. The gastroenteritis outbreak occurred between March and July 2007, and during this period 173 children were admitted to Alice Springs Hospital. Seventy-eight patients had confirmed rotavirus infection. Ninety-two percent of hospitalisations involved Indigenous children and 74% involved children from remote communities [35]. A good vaccine efficacy of Rotarix against G9P[8] strains was observed. Vaccine efficacy for two doses against all hospitalisations for gastroenteritis was 77.7% and for confirmed cases of rotavirus gastroenteritis was 84.5% [35]. These results were similar to Rotarix™ vaccine efficacy against G9P[8] strains in a European trial, 85% and 83.76% from the pooled data of the phase II and III clinical trials [12] and [36]. In Brazil where 63% of disease caused by G9 strains, 80% protective efficacy has been demonstrated [37]. This outbreak occurred just 6 months after vaccine introduction, and this is highly unlikely to have influenced virus or genotype selection. However, vaccine introduction is expected to influence the genetic evolution of rotavirus strains over time.

4). Although the same trend described in Fig. 3A was observed, the predominance of the CA4 IDR against the Leishmania lysate was in this experiment even more pronounced (mean = 0.416 mm and 0.430 at 24 h, before and after challenge, respectively) ( Fig. 4A and C). The CA3 vaccine, on the other hand, showed means = 0.202 and 0.217 at 24 h, before

and after challenge, respectively ( Fig. 4A and C). In this experiment, the predominance of the CA4 saponin vaccine selleck chemical was sustained even after challenge. IDR reactions after injection with either FML or NH36 antigens were higher in mice vaccinated with CA4 than with CA3 saponin. While all reactions to promastigote lysate were sustained after challenge, the IDR to FML or NH36 antigens showed to be reduced ( Fig. 4C and D). Following the analysis of the cellular immune response, the increase of the percents of spleen

Leishmania-specific T cells after challenge was evaluated by fluorescent cytometry analysis ( Fig. 5). We observed that only the CA4 vaccine increased both the CD4+ and the CD8+ Leishmania-specific T cell proportions over the saline controls while the CA3 vaccine increased only the CD8+ specific T cell proportions ( Fig. 5). There was no difference between the CA3 and CA4 vaccines to the gold standard R. Finally, the splenocytes were also labeled through the ICS Epacadostat method and the results are shown as double positive cells ( Fig. 6). We observed that Urease the CA4 vaccine induced enhancements of the TNF-α-producing CD4+ T cells and of the IFN-γ-producing CD8+-T cells while the CA3 vaccine induced the increase of the IFN-γ-producing CD4+-T cell proportions. No significant variations among treatments were observed in the proportions regarding the TNF-α or the IL-10 production by the CD8+ T cells. The analysis of the parasite load in livers showed that all vaccines induced protection when compared to saline controls (p < 0.0001) ( Fig. 7). Besides the QS21 containing saponin positive control which induced a 89% significant reduction, in agreement with the above described results of the analysis of the immune response, the C. alba CA4 induced

the highest protection (78%, p < 0.0001) that was followed by the CA3 saponin with 57% (p < 0.0001) of parasite load reduction. The difference between CA4 and CA3 was significant (p < 0.0125) hence confirming the superiority of the CA4 saponin in protection against visceral leishmaniasis ( Fig. 7). The gain in body weight along the experiment induced by R saponin was superior to that of the saline controls (p = 0.0407) but not significantly different from the increases in the CA3 and CA4 saponin vaccinated mice (not shown). The increases in IDR after vaccination and infection were strong correlates of protection and were significantly correlated to the decrease of parasite load (p = −0.007) and to the gain in corporal weight (p = 0.0001). The increases in CD4–TNF-α (p < −0.001), CD8–IFN-γ (p < −0.002) and CD8–TNF-α (p < −0.