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Rahmat O, Prepageran N, Loganathan A, Raman R. Tick in the ear. EAR, NOSE & THROAT JOURNAL 2006; 85:796. [PMID: 17240696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/13/2023] Open
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Singh M, Gopalakrishnakone P, Yeoh RLS. Ixodes tick infestation of the eyelid of a child. Can J Ophthalmol 2006; 41:783-4. [PMID: 17224968 DOI: 10.3129/i06-082] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
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Tolleson DR, Teel PD, Stuth JW, Strey OF, Welsh TH, Carstens GE. Fecal NIRS: detection of tick infestations in cattle and horses. Vet Parasitol 2006; 144:146-52. [PMID: 17097809 DOI: 10.1016/j.vetpar.2006.09.018] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2005] [Revised: 09/05/2006] [Accepted: 09/11/2006] [Indexed: 11/25/2022]
Abstract
Anti-tick treatments are often applied concurrent to routine livestock management practices with little regard to actual infestation levels. Prescription treatments against ticks on grazing cattle would be facilitated by non-invasive detection methods. One such method is fecal near infrared spectroscopy (NIRS). Four studies utilizing cattle (Bos spp.) and one with horses (Equus caballus) fed varying diets and infested with either Amblyomma americanum, A. maculatum, A. cajennense or Dermacentor albipictus were conducted to determine the ability of fecal NIRS to identify samples from animals with (High stress) and without (Low stress) a tick burden. Discriminant analysis of each individual trial resulted in R(2)>0.80. Similar analyses utilizing all combinations of four studies, predicting group membership in the remaining study, yielded R(2)>0.80, but correct determinations for Low and High tick stress samples of only 53.4 and 60.1%, respectively. All five trials were combined and a random 10 or 25% of the samples were removed from the calibration. As in the previous calibrations, a high degree of discrimination was achieved (R(2)>0.89). The validation samples were correctly identified at 91.7% for Low stress and 96.3% for High stress, respectively. Difficulties in detecting differences in fecal samples due to confounding effects of trial were overcome by combining calibration sets. Overall, differences in fecal NIR spectra apparently due to tick stress were accurately detected across diet, host species, and tick species.
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Abstract
Ectoparasitic diseases have been reported in travelers returning from both developed and developing nations.(1-3) Ectoparasitic diseases afflict the skin and its appendages and orifices, especially the scalp, facial, and pubic hairs; external ears; nares; orbits and eyelids; and genitourinary and rectal orifices. Like endoparasites, ectoparasites may be either obligatory parasites, which need to feed on human hosts to complete their life cycles, or facultative parasites, which prefer to feed on nonhuman hosts and infest humans only as accidental or dead-end hosts.(4,5).
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Benoit S, Rose C, Schmidt E, Zillikens D. [Persistent papule/mole blisters/pustules papulary pustels on the face of a 21-year old man]. J Dtsch Dermatol Ges 2005; 1:907-9. [PMID: 16281582 DOI: 10.1046/j.1439-0353.2003.03023.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Oliveira-Sequeira TCG, Oliveira MCS, Araujo JP, Amarante AFT. PCR-based detection of Babesia bovis and Babesia bigemina in their natural host Boophilus microplus and cattle. Int J Parasitol 2005; 35:105-11. [PMID: 15619521 DOI: 10.1016/j.ijpara.2004.09.002] [Citation(s) in RCA: 76] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2004] [Revised: 09/10/2004] [Accepted: 09/12/2004] [Indexed: 11/19/2022]
Abstract
PCR and nested-PCR methods were used to assess the frequency of Babesia bovis and Babesia bigemina infection in Boophilus microplus engorged females and eggs and in cattle reared in an area with endemic babesiosis. Blood and the engorged female ticks were from 27 naturally infested calves and 25 crossbred cows. The frequency of both Babesia species was similar in calves and cows (P>0.05). Babesia bovis was detected in 23 (85.2%) calves and in 25 (100%) cows and B. bigemina was detected in 25 (92.6%) calves and in 21 (84%) cows. Mixed infections with the both Babesia species were identified in 42 animals, 21 in each age category. Of female ticks engorged on calves, 34.9% were negative and single species infection with B. bigemina (56.2%) was significantly more frequent (P<0.01) than with B. bovis (4.7%). Most of the females (60.8%) engorged on cows did not show Babesia spp. infection and the frequency of single B. bovis infection (17.6%) was similar (P>0.05) to the frequency of single B. bigemina infection (15.9%). Mixed Babesia infection was lower (P<0.01) than single species infection in female ticks engorged either in cows (5.7%) or in calves (4.3%). An egg sample from each female was analysed for the presence of Babesia species. Of the egg samples from female ticks infected with B. bovis, 26 (47.3%) were infected while from those from female ticks infected with B. bigemina 141 (76.6%) were infected (P<0.01). The results showed that although the frequency of both species of Babesia was similar in calves and cows, the infectivity of B. bigemina was higher to ticks fed on calves while to those ticks fed on cows the infectivity of both Babesia species was similar.
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Kutzler MA, Bildfell RJ, Gardner-Graff KK, Baker RJ, Delay JP, Mattson DE. West Nile virus infection in two alpacas. J Am Vet Med Assoc 2005; 225:921-4, 880. [PMID: 15485054 DOI: 10.2460/javma.2004.225.921] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
A male alpaca acutely developed signs of anorexia and fever. Within 2 days, neurologic signs (head tremors and asymmetric ataxia) developed. West Nile virus (WNV) infection was considered a primary differential diagnosis on the basis of 6 previous cases on nearby alpaca farms on which animals had similar clinical signs. Four days after the male alpaca became ill, a female alpaca from the same farm developed similar neurologic signs. In addition to anti-inflammatory and supportive treatments, both alpacas received a transfusion of llama plasma with antibodies against WNV Seven days after the onset of clinical signs, the female alpaca had made a full recovery; however, the more severely affected male died. West Nile virus infection was confirmed post mortem by use of reverse transcriptase-polymerase chain reaction assay and immunohistochemical staining.
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Edussuriya BDP, Weilgama DJ. Case reports: intra-aural tick infestations in humans in Sri Lanka. Trans R Soc Trop Med Hyg 2004; 97:412-3. [PMID: 15259469 DOI: 10.1016/s0035-9203(03)90072-1] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
Intra-aural tick infestation was detected in 29 patients presenting with acute ear pain in the central province of Sri Lanka during June 1999 to January 2002. The ages ranged from 9 months to 67 years. All showed oedematous aural canals and enlarged adjacent lymph nodes. Of 30 ticks removed, 29 were nymphs of Dermacentor auratus and 1 and male Hyalomma marginatum isaaci.
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Christova I, Van De Pol J, Yazar S, Velo E, Schouls L. Identification of Borrelia burgdorferi sensu lato, Anaplasma and Ehrlichia species, and spotted fever group Rickettsiae in ticks from Southeastern Europe. Eur J Clin Microbiol Infect Dis 2003; 22:535-42. [PMID: 12938010 DOI: 10.1007/s10096-003-0988-1] [Citation(s) in RCA: 88] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Prevalence data for tick-borne pathogens are used to assess the risk for human health. In this study the presence and identity of Borrelia burgdorferi sensu lato, Ehrlichia, Anaplasma, and Rickettsia species in Bulgarian Ixodes ricinus ticks and in non- Ixodes ticks from Turkey and Albania was determined by polymerase chain reaction (PCR) and reverse line blot hybridization. In the adult Bulgarian ticks, the prevalence of Borrelia burgdorferi sensu lato infection was approximately 40%, while Borrelia afzelii was the predominant species, representing more than half of all Borrelia-positive ticks. Ehrlichia and Anaplasma species were detected in 35% of the adult Ixodes ricinus ticks and in 10% of the nymphs. Sequence analysis of PCR products reacting with the Anaplasma phagocytophila probe revealed a 16S rRNA gene identical to that of the Anaplasma phagocytophila prototype strain. Ehrlichia and Anaplasma species were found in approximately 7% of the non- Ixodes ticks. Sequence analysis of some of these samples revealed the presence of Anaplasma ovis, Ehrlichia canis, and a species closely resembling Ehrlichia chaffeensis. About half of all adult ticks examined and approximately 20% of all nymphs were infected with Rickettsia species. In Ixodes ricinus ticks, Rickettsia helvetica and a Rickettsia species designated as IRS3 were found in high prevalence. Rickettsia conorii was found in virtually all non- Ixodes tick species from Albania and Turkey. The results of this study show that many tick-borne diseases are most probably endemic in the Balkan area. Furthermore, the results suggest that there is a considerable chance for simultaneous transmission of tick-borne pathogens to human beings.
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Haggerty RJ. Index of suspicion. Pediatr Rev 2003; 24:276-83. [PMID: 12897268 DOI: 10.1542/pir.24-8-276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Hildebrandt A, Schmidt KH, Wilske B, Dorn W, Straube E, Fingerle V. Prevalence of four species of Borrelia burgdorferi sensu lato and coinfection with Anaplasma phagocytophila in Ixodes ricinus ticks in central Germany. Eur J Clin Microbiol Infect Dis 2003; 22:364-7. [PMID: 12783276 DOI: 10.1007/s10096-003-0926-2] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
A total of 305 Ixodes ricinus ticks collected from three areas of Thuringia in central Germany were investigated for infection with Borrelia burgdorferi sensu lato species and Anaplasma phagocytophila. Overall, 11.1% were infected with Borrelia burgdorferi and 2.3% with Anaplasma phagocytophila. Adult ticks showed a significantly higher rate of infection with both borreliae and Anaplasma phagocytophila. Borrelia garinii (55.9%) was detected most frequently, followed by Borrelia burgdorferi sensu stricto (32.4%), Borrelia afzelii (17.6%), and Borrelia valaisiana (5.9%). Four ticks had dual infection with Borrelia garinii and Borrelia burgdorferi sensu stricto. Two of the Borrelia-positive ticks were coinfected with Anaplasma phagocytophila.
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Daniel M, Danielová V, Kríz B, Jirsa A, Nozicka J. Shift of the tick Ixodes ricinus and tick-borne encephalitis to higher altitudes in central Europe. Eur J Clin Microbiol Infect Dis 2003; 22:327-8. [PMID: 12736793 DOI: 10.1007/s10096-003-0918-2] [Citation(s) in RCA: 99] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Greenberg BM. Clinical cases in neurology from Johns Hopkins. Case 2: acute ascending paralysis in a 4-year-old boy. MEDGENMED : MEDSCAPE GENERAL MEDICINE 2003; 5:36. [PMID: 14603135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
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van der Merwe IR, Benic MJ, Naudé TW, Heyne H. Spinose ear tick as the cause of an incident of painful otitis externa. S Afr Med J 2002; 92:712-3. [PMID: 12382355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/26/2023] Open
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Burridge MJ, Simmons LA, Simbi BH, Mahan SM, Fournier PE, Raoult D. Introduction of the exotic tick Amblyomma hebraeum into Florida on a human host. J Parasitol 2002; 88:800-1. [PMID: 12197136 DOI: 10.1645/0022-3395(2002)088[0800:ioteta]2.0.co;2] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
A resident of Florida returned from a short visit to southern Africa to find a male Amblyomma hebraeum tick attached to the skin behind her knee. Amblyomma hebraeum is a major vector of 2 pathogens that cause important diseases in southern Africa, heartwater of ruminants and African tick-bite fever of humans. The tick was tested by polymerase chain reaction assay for evidence of infection with Cowdria ruminantium and Rickettsia africae (the causative agents of heart-water and African tick-bite fever, respectively) and was found to be negative for both agents. This is the second record of the exotic tick, A. hebraeum, being introduced into the United States on a human host.
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Abstract
Parasitism of crocodilians by ticks has rarely been reported, and to our knowledge only seven published accounts exist. On 3 July 1999, we collected four ticks from a subadult Morelet's crocodile (Crocodylus moreletii) captured in northern Belize. These were identified as Amblyomma dissimile (one female), and Amblyomma sp. (two nymphs, one larva). The crocodile was captured on land approximately 100 m from water, and all four ticks were attached to loose skin on the lateral surface of the tail. Crocodilians are most susceptible to terrestrial ectoparasites, including ticks, during overland movements. However, most such movements occur in response to drought, when tick questing activity is suppressed, which likely accounts for the small numbers of tick specimens recorded from crocodilians and the absence of any noticeable impact of parasitism on host fitness.
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Naudé TW, Heyne H, van der Merwe IR, Benic MJ. Spinose ear tick, Otobius megnini (Dugès, 1884) as the cause of an incident of painful otitis externa in humans. J S Afr Vet Assoc 2001; 72:118-9. [PMID: 11811697 DOI: 10.4102/jsava.v72i3.633] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Nakamura-Uchiyama F, Komuro Y, Yoshii A, Nawa Y. Amblyomma testudinarium tick bite: one case of engorged adult and a case of extraordinary number of larval tick infestation. J Dermatol 2000; 27:774-7. [PMID: 11211793 DOI: 10.1111/j.1346-8138.2000.tb02280.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
This paper reports two recent cases of tick bite due to Amblyomma testudinarium. The first case was an 86-year-old farmer infested with a fully engorged adult tick attached on his inguinal region. The second case was a 57-year-old male infested with an extraordinarily large number of larval ticks (> 100 larvae). The ticks were identified as A. testudinarium based on morphological characteristics. To our knowledge, the latter case is the eleventh case of larval tick bites among all tick species and the fourth case with larval A. testudinarium in Japan.
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Felz MW, Swift TR, Hobbs W. Tick paralysis in the United States: a photographic review. ARCHIVES OF NEUROLOGY 2000; 57:1071-2. [PMID: 10891992 DOI: 10.1001/archneur.57.7.1071] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Baranda JA, Pérez-Sánchez R, Oleaga A, Manzano R, Encinas-Grandes A. Purification, N-terminal sequencing and diagnostic value of the major antigens of Ornithodoros erraticus and O. moubata. Vet Parasitol 2000; 87:193-206. [PMID: 10622611 DOI: 10.1016/s0304-4017(99)00169-7] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
To enhance the specificity and sensitivity of serological detection of swine exposed to Ornithodoros erraticus or O. moubata, we purified the 158, 186, 215 and 260 kDa antigens from the former species and the designated (owing to their MW and charge) 19C, 17A, 20A1 and 20A2 antigens of the latter by HPLC and gel electroelution methods. All the O. erraticus antigens share epitopes and are difficult to purify individually by reverse phase and ion-exchange chromatography due to their molecular similarity. Tested individually by ELISA, all of them give the same optical densities (OD) with anti-O. erraticus sera, and these ODs are always lower with anti-immature than with anti-adult sera. Although immature and adult specimens have the same antigens, immature forms induce more anti-carbohydrate antibodies than adults. This is the reason for the lower ODs of the anti-immature sera against purified antigens, since these latter antigens essentially react with anti-peptide antibodies (hence, increasing the specificity and sensitivity of the serology). The N-terminus of the 260 kDa antigen shows 80-90% similarity with the hemoglobin alpha-chain of many mammals. The antigens of O. moubata are proteins that are very different from one another and are, therefore, readily purified by ion exchange chromatography. The 20A1 antigen appears to be the most immunogenic and is recognized equally by anti-immature and anti-adult sera. This antigen does not give false positive reactions with the negative control sera analyzed and its N-terminus region shares 46.2% homology with the alpha-chain of the C3 component of rabbit complement.
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Gothe R. [Ehrlichia canis infections of dogs in Germany. Epidemiology, diagnosis, therapy and prophylaxis]. TIERARZTLICHE PRAXIS. AUSGABE K, KLEINTIERE/HEIMTIERE 1998; 26:396-401. [PMID: 9857421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
Between January and December 1997 infections with Ehrlichia canis were detected in 211 dogs in Germany. Of the 53 epidemiologically evaluable dogs, 19 animals born and raised in Germany had travelled with their owners abroad in endemic areas, 30 dogs originated from there and four dogs had never left Germany. As regards to the possible location of infection it has been registered that most dogs had been taken to countries of the Mediterranean Sea (Spain, France, Italy, Greece) or had been imported from there. On inquiry, ticks had been forwarded from four dogs only, which were determined as Rhipicephalus sanguineus. The subsequent serological investigation of these four dogs revealed a Rickettsia conorii infection in two of them.
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Sanders ML, Jaworski DC, Sanchez JL, DeFraites RF, Glass GE, Scott AL, Raha S, Ritchie BC, Needham GR, Schwartz BS. Antibody to a cDNA-derived calreticulin protein from Amblyomma americanum as a biomarker of tick exposure in humans. Am J Trop Med Hyg 1998; 59:279-85. [PMID: 9715947 DOI: 10.4269/ajtmh.1998.59.279] [Citation(s) in RCA: 40] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
The antibody responses of human and animal hosts were studied to determine the utility of antibody against recombinant tick calreticulin (rTC), a cDNA-derived protein isolated from salivary glands of Amblyomma americanum L., as a biologic marker of tick exposure. Rabbits fed upon by either A. americanum or Dermacentor variabilis Say developed significant anti-rTC antibody responses, as measured by both ELISA and immunoblot assay. In contrast, gerbils exposed to Aedes aegypti did not develop anti-rTC antibodies, as measured by ELISA or immunoblot assay. The utility of the assay was next evaluated in humans at high risk for tick exposure. During April through September 1990, 192 military personnel who originated from either Fort Chaffee, Arkansas or Fort Wainwright, Alaska were studied during maneuvers in tick infested areas at Fort Chaffee. Study subjects completed a questionnaire and had pre- and post-maneuvers serum specimens analyzed for antibodies to rTC. In adjusted analysis (controlling for age, fort of origin, attached tick during maneuvers, and bed netting use), the use of bed netting and home station were associated with post-maneuvers anti-rTC antibody seropositivity by ELISA. Subjects from Fort Wainwright were more likely to be seropositive for anti-rTC antibody (adjusted odds ratio = 5.3, 95% confidence interval [CI] = 1.1-25.6). Personnel who did not report the use of bed netting were more likely to be anti-rTC seropositive (adjusted odds ratio = 6.8, 95% CI = 1.4-32.4). Immunoblot assays showed that humans had specific anti-rTC antibody responses. The animal experiments demonstrate that hosts exposed to naturally feeding ticks develop anti-rTC antibodies. The data also indicate that hosts exposed to Ae. aegypti saliva may not develop antibodies against rTC. Observations in tick-exposed humans support the hypothesis that anti-rTC antibody seropositivity is a biologic marker of tick exposure.
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Baranda JA, Pérez-Sánchez R, Oleaga-Pérez A, Encinas-Grandes A. Antigens of interest for the diagnosis of parasitism in pigs by Ornithodoros erraticus and Ornithodoros moubata. J Parasitol 1997; 83:831-8. [PMID: 9379286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
We show by sodium dodecyl sulfate polyacrylamide gel electrophoresis and western blot that the composition of the soluble extracts of salivary glands (SGE-2) of Ornithodoros erraticus and Ornithodoros moubata is similar to that of the saliva (pilocarpine-induced), and that the extracts are a valid source of antigens for the detection of anti-argasid antibodies. It is also shown that the SGE-2s do not vary qualitatively with the developmental stage, physiological status, or sex of the ticks. The antigenic components (at least in O. erraticus) are released into the SGE-2 by the action of enzymes that can be inhibited by phenylmethane sulfonyl fluoride plus EDTA. Most of the components of the SGE-2, except the antigenic ones, are strongly glycosylated. Accordingly, the deglycosylation of the SGE-2s does not affect the recognition of antigenic components by anti-tick sera. In both species, the major components of the SGE-2s or the saliva are not recognized by the corresponding antisera. These nonimmunogenic components could have vaccinal value but not diagnostic interest. Finally, it is shown that the antigens of O. erraticus and O. moubata do not cross-react with one another and that those of the first species are more antigenic than those of the second.
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Shannon D. Dermatophilosis and abscessation of lymph nodes in a group of tick-infested horses in Uganda. Trop Anim Health Prod 1997; 29:102-4. [PMID: 9203311 DOI: 10.1007/bf02632328] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
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