The method was subsequently applied on 38 samples collected in In

The method was subsequently applied on 38 samples collected in Indonesia, France and the Netherlands. Globally, the isolates grouped in two main genetic clusters, each one divided in two subgroups including either CyHV-3-U/I or CyHV3-J. Interestingly, Indonesian strains were rather distant from CyHV-3-J isolate. The results of the present study indicate that these VNTR molecular markers are efficient in estimating

the genetic diversity among CyHV-3 isolates and are therefore suitable for further molecular epidemiological studies. (C) 2011 Elsevier B.V. All rights reserved.”
“The loss of synapses and a corresponding reduction in synaptic proteins are histopathological features of Alzheimer’s disease that correlate strongly with dementia. Here we report that stable A beta oligomers secreted by 7PA2 cells reduced the amount of synaptophysin, a protein RNA Synthesis inhibitor used as an indicator of synapse density, in cultured cortical and hippocampal MDV3100 neurons. Pre-treatment with physiologically relevant

concentrations of ethanol (0.02-0.08%) protected neurons against A beta-induced synapse damage. Ethanol also protected neurons against synapse damage induced by alpha-synuclein (alpha SN), pre-synaptic aggregates of which are characteristic of Parkinson’s disease and dementia with Lewy bodies. Exposure of neurons to ethanol did not affect the accumulation of A beta at synapses, rather it reduced the A beta and alpha SN-induced activation of cytoplasmic phospholipase A(2) (cPLA(2)) within synapses. Ethanol did not affect synapse damage caused by platelet-activating factor or prostaglandin E(2), bioactive lipids that are formed following the activation of cPLA2. These results may help explain epidemiological reports that moderate alcohol consumption protects against the development of dementia in Alzheimer’s and Parkinson’s diseases. Alanine-glyoxylate transaminase (C) 2011 Elsevier Ltd. All

rights reserved.”
“Softshelled turtle iridovirus (STIV) is the first Asian iridovirus isolated from reptiles, which infects softshelled turtles severely and leads to “”Red neck disease”" associated with high mortality. A set of four specific primers was designed by targeting the STIV Thymidine kinase (TK) gene and amplified STIV DNA specifically under optimized amplification conditions at 63 degrees C for 60 min. The sensitivity of the loop-mediated isothermal amplification (LAMP) assay was found to be 20 copies/mu l of STIV DNA. To evaluate the application of the LAMP assay for detection of STIV in clinical samples, 223 samples suspected of STIV infection from turtle tissues were tested by the LAMP assay and by cell-based virus isolation. A 78.5% concordance was observed between the results of the two methods. In this study, a robust and simple LAMP assay for rapid detection of STIV was developed and evaluated, which is the first suitable for potential diagnosis and helping to monitor STIV infections in the aquaculture industry.

The complexity of center of pressure (COP) dynamics, as quantifie

The complexity of center of pressure (COP) dynamics, as quantified using multiscale entropy (MSE), during TPCA-1 datasheet quiet standing is lower in older adults, especially those with falls. We hypothesized that COP dynamics from frail elderly individuals demonstrate less complexity than those from nonfrail elderly

controls; complexity decreases when performing a dual task; and postural complexity during quiet standing is independent of other conventional correlates of balance control, such as age and vision.

Methods. We analyzed data from a population-based study of community-dwelling older adults. Frailty phenotype (nonfrail, prefrail, or frail) was determined for 550 participants (age 77.9 +/- 5.5 years). COP excursions were quantified for 10 trials of 30 seconds each. Participants concurrently performed a serial subtraction task in half of the trials. Complexity of balance dynamics was quantified using MSE. Root-mean-square sway amplitude was also computed.

Results. Of the 550, 38%

were prefrail and 9% were frail. Complexity of the COP dynamics in the anteroposterior Torin 1 purchase direction was lower in prefrail (8.78 +/- 1.91 [mean +/- SD]) and frail (8.38 +/- 2.13) versus nonfrail (9.20 +/- 1.74) groups (p <.001). Complexity reduced by a comparable amount in all three groups while performing the subtraction task (p <.001). Quiet standing complexity was independently associated with frailty after adjusting for covariates related to balance while sway amplitude was not.

Conclusion. Cognitive distractions during standing may further compromise balance control in frail individuals, leading to an increased risk of falls.”
“A 57-year-old man presents with fever, chills, and new lumbar back pain 2 weeks after undergoing a prostate biopsy because of an increased prostate-specific antigen level. His temperature is 39.7 degrees C; he has an enlarged, tender prostate and lumbar spine tenderness. His white-cell count is 9100 per cubic millimeter, and the C-reactive protein level is 343 mg per liter. Urine and blood cultures reveal multidrug-resistant, extended-spectrum

beta-lactamase-producing PIK3C2G Escherichia coli susceptible to imipenem. How should he be evaluated and treated?”
“Background. Cardiac autonomic dysfunction has been associated with cognitive impairment, but the underlying pathogenesis is complex and cerebral white matter lesions (WMLs) might be implicated.

Methods. Time and frequency heart rate variability (HRV) and visual rating of WMLs were carried out in 42 patients with mild cognitive impairment.

Results. After adjustment for relevant demographic and clinical characteristics, including left ventricular mass, reduced HRV indices of parasympathetic (root mean square of successive difference of RR intervals, RMSSD) and sympathetic modulation (low-frequency [LF] power) were associated with increased WML score (RMSSD: B -0.30, 95% CI -0.52 to -0.08, p =.01; LF: B -0.24, 95% CI -0.46 to -0.02, p =.05).

(C) 2011 Elsevier Ltd All rights reserved “
“Influenza A H1

(C) 2011 Elsevier Ltd. All rights reserved.”
“Influenza A H1N1 (2009) was declared by the World Health Organisation (WHO) as the first influenza pandemic of the 21st century. Rapid detection of influenza A and differentiation of influenza A H1N1 (2009) and seasonal influenza A is beneficial. In addition the rapid detection of antiviral resistant strains of influenza A H1N1 (2009) would be useful for clinicians

to allow for change to an effective treatment at a much earlier stage if resistance is found. It was the aim of this study to develop a real-time RTPCR that can detect all influenza A viruses and type simultaneously for influenza A H1N1 (2009) and oseltamivir resistant (H275Y) influenza A H1N1 (2009). This multiplex assay will allow laboratories to screen respiratory samples for all types of influenza A, influenza A H1N1 (2009) virus and oseltamivir resistant (H275Y) influenza A HI NI ARN-509 research buy (2009) virus in a rapid and cost effective format, ensuring click here that typing methods for seasonal and avian viruses are used on a smaller subset of samples. Since most virology laboratories already offer a molecular service for influenza A this assay could easily be implemented into most areas at little cost therefore increasing local access to resistance testing. (C) 2010 Elsevier B.V. All rights reserved.”
“Neuropathic

pain is often a chronic condition, disabling and difficult to treat. Using a murine model of neuropathic pain induced by placing a polyethylene cuff around the main branch of the sciatic nerve, we have shown that chronic treatment only with beta-AR agonists is effective against neuropathic allodynia. beta-mimetics

are widely used against asthma and chronic obstructive pulmonary disease and may offer an interesting option for neuropathic pain management. The most prominent adverse effects of chronic treatment with beta-mimetics are cardiovascular. In this study, we compared the action of low doses of the selective beta(2)-AR agonist terbutaline and of a high dose of the mixed beta(1)/beta(2)-AR agonist isoproterenol on cardiovascular parameters in a neuropathic pain context. Isoproterenol was used as a positive control for some heart-related changes. Cardiac functions were studied by echocardiography, hemodynamic measurements, histological analysis of fibrosis and cardiac hypertrophy, and by quantitative real time PCR analysis of atrial natriuretic peptide (Nppa), periostin (Postn), connective tissue growth factor (Ctgf) and beta-myosin heavy chain (Myh7). Our data show that a chronic treatment with the beta(2)-AR agonist terbutaline at low antiallodynic dose does not affect cardiovascular parameters, whereas the mixed beta(1)/beta(2)-AR agonist isoproterenol induces cardiac hypertrophy. These data suggest that low doses of beta(2)-AR agonists may provide a suitable treatment with rare side effects in neuropathic pain management.

Our data support a more aggressive presentation

of cancer

Our data support a more aggressive presentation

of cancer with a different pathological profile but not survival compared to normal populations. Centers treating patients with spinal cord injury should consider a lower threshold for the surgical management of bladder cancer where appropriate, especially considering that morbidity, satisfaction and outcome do not appear to be compromised in patients with spinal cord injury.”
“A patient received a diagnosis of adenocarcinoma of the ampulla of Vater at 34 years of age. Two decades later, adenomatous polyps were found, followed by multiple primary invasive adenocarcinomas of check details both the colon and the stomach. Premature chromatid separation and mosaic variegated aneuploidy, combined with structural chromosomal abnormalities, were detected in his cells. We identified a germline homozygous intronic mutation, c.2386-11A(rightarrow)G, in the spindle-assembly checkpoint gene BUB1B, which creates a de novo splice site that is favored over the authentic

(i.e., preferentially used) site. Our findings expand the phenotype associated with BUB1B mutations and the mosaic variegated aneuploidy syndrome to include common adult-onset cancers and provide evidence for the interdependency of the APC protein (encoded by the adenomatous polyposis coli gene) and the BUBR1 protein (encoded by BUB1B) in humans. (Funded by the Turner Family Cancer Research Fund and others.).”
“Purpose: Clinical staging criteria Cl-amidine nmr for prostate cancer were established before the advent of widespread prostate

specific antigen screening and extended biopsy templates. However, clinical stage remains commonly used in the modern era to predict prostate cancer outcomes. We hypothesize that in the context of data available from a contemporary biopsy, clinical stage no longer offers meaningful independent prognostic information for clinically localized prostate cancer.

Materials and Methods: We performed an analysis of men in the CaPSURE (TM) database with localized (clinical stage T1 or T2) prostate cancer who underwent radical prostatectomy. The usefulness of clinical stage and other clinical parameters (prostate specific antigen, biopsy Gleason score, Atazanavir percent of positive biopsy cores) to predict pathological outcomes and biochemical recurrence after radical prostatectomy was assessed using univariate and multivariable analyses.

Results: Of the 4,899 men in the study cohort 51.9% were classified as having T1 disease and 48.1% T2 disease. On univariate analysis clinical stages T2b and T2c were associated with pathological outcomes but only stage T2b was associated with biochemical recurrence. In contrast prostate specific antigen, biopsy Gleason score and percent of positive biopsy cores were strongly associated with recurrence and adverse pathological outcomes. On multivariable analysis clinical stage was of no use in determining pathological or biochemical outcomes.

fumigatus was grown in a minimal medium as mitogillin was detecte

fumigatus was grown in a minimal medium as mitogillin was detected only after 36 h of growth. Our results demonstrate the utility of the newly constructed expression vector with two affinity tags and PreScission protease cleavage site for high-level expression and efficient purification of a recombinant A. fumigatus secretory protein expressed in E. coli, which could be used for further studies. (C) 2010 Elsevier Inc. All rights reserved.”
“Purpose: VICTOR was a 12-week, double-blind, placebo controlled trial assessing the safety and tolerability of solifenacin plus tamsulosin in men with residual SP600125 cost overactive bladder symptoms after tamsulosin monotherapy. Efficacy of solifenacin plus tamsulosin vs placebo

plus tamsulosin was also evaluated.

Materials and Methods: A total of 398 men 45 years old or older were randomized to 12 weeks of solifenacin plus tamsulosin or placebo plus tamsulosin once daily. The study population had 8 or more micturitions per

24 hours and 1 or more urgency episode per 24 hours after taking tamsulosin for 4 or more weeks, a total International Prostate Symptom Score of 13 or greater, a Patient ML323 Perception of Bladder Condition score of 3 or greater, a post-void residual of 200 ml or less and a peak flow rate of 5 ml per second or greater. Adverse events were monitored throughout the study. The primary efficacy end point was mean change from baseline to week 12 in micturitions per 24 hours. Secondary measures included

mean change in urgency episodes per 24 hours, and changes in Patient Perception of Bladder Condition, Urgency Perception Scale and total International Prostate Symptom Scores.

Results: The most frequent adverse events in the solifenacin plus tamsulosin and placebo plus tamsulosin groups were dry mouth (7% and 3%, respectively) and dizziness (3% and 2%, respectively). Of the see more patients on solifenacin plus tamsulosin 7 (3%) reported retention and 3 required catheterization. No patients on placebo plus tamsulosin reported retention. Patients on solifenacin plus tamsulosin vs placebo plus tamsulosin showed larger reductions in frequency but not of statistical significance (-1.05 vs -0.67, p = 0.135). However, patients on solifenacin plus tamsulosin vs placebo plus tamsulosin did show statistically significant reductions in urgency (-2.18 vs -1.10, p <0.001). Patient reported outcome measures showed no significant between group differences.

Conclusions: Solifenacin plus tamsulosin was well tolerated. There was a low incidence of urinary retention requiring catheterization. At week 12 solifenacin plus tamsulosin decreased daily micturitions and urgency episodes. Only urgency reached statistical significance vs placebo plus tamsulosin.”
“Oxysterols are important for cholesterol homeostasis in the brain and may be affected in neurodegenerative diseases.

Intimal lesion development and morphology was improved by intrave

Intimal lesion development and morphology was improved by intravenous recombinant enzyme treatment, particularly with immune tolerance to this exogenous protein. The progressive sclerotic vasculopathy of MPS-I shares some 8-Bromo-cAMP morphological and molecular similarities

to atherosclerosis, including formation in areas of low shear stress near branch points, and can be reduced or inhibited by intravenous administration of recombinant IdU. Laboratory Investigation (2011) 91, 665-674; doi:10.1038/labinvest.2011.7; published online 7 March 2011″
“BACKGROUND

Adverse drug events are important preventable causes of hospitalization in older adults. However, nationally representative data on adverse drug events that result in hospitalization in this population have been limited.

METHODS

We used adverse-event data from the National Electronic Injury Surveillance System-Cooperative Adverse Drug Event Surveillance project see more (2007 through 2009) to estimate the frequency and rates of hospitalization after emergency department visits for adverse drug events in older adults and to assess the contribution of specific medications, including those identified as high-risk or potentially inappropriate by national quality

measures.

RESULTS

On the basis of 5077 cases identified in our sample, there were an estimated 99,628 emergency hospitalizations (95% confidence interval [CI], 55,531 to 143,724) for adverse drug events in U. S. adults 65 years of age or older each year from 2007 through 2009. Nearly half of these hospitalizations were among adults 80 years of age or older (48.1%; 95% Dipeptidyl peptidase CI, 44.6 to 51.6). Nearly two thirds of hospitalizations were due to unintentional

overdoses (65.7%; 95% CI, 60.1 to 71.3). Four medications or medication classes were implicated alone or in combination in 67.0% (95% CI, 60.0 to 74.1) of hospitalizations: warfarin (33.3%), insulins (13.9%), oral antiplatelet agents (13.3%), and oral hypoglycemic agents (10.7%). High-risk medications were implicated in only 1.2% (95% CI, 0.7 to 1.7) of hospitalizations.

CONCLUSIONS

Most emergency hospitalizations for recognized adverse drug events in older adults resulted from a few commonly used medications, and relatively few resulted from medications typically designated as high-risk or inappropriate. Improved management of antithrombotic and antidiabetic drugs has the potential to reduce hospitalizations for adverse drug events in older adults.”
“In the setting of myocardial infarction (MI), implanted stem cell viability is low and scar formation limits stem cell homing, viability, and integration. Thus, interventions that favorably remodel fibrotic healing may benefit stem cell therapies. However, it remains unclear whether it is feasible and safe to remodel fibrotic healing post-MI without compromising ventricular remodeling and dysfunction. This study, therefore, determined the anti-fibrotic and other effects of the hormone, relaxin in a mouse model of MI.

Furthermore, mecamylamine (2 mg/kg) induced more somatic signs in

Furthermore, mecamylamine (2 mg/kg) induced more somatic signs in the nicotine-treated rats than in the control rats. Clonidine and propranolol, but not prazosin, decreased the total number of somatic signs associated with nicotine withdrawal.

Blockade of alpha 1-adrenergic

receptors attenuates the deficit in brain reward function associated with nicotine withdrawal. Antagonism of beta-adrenergic receptors or stimulation of alpha 2-adrenergic receptors attenuates the somatic symptoms of nicotine withdrawal.”
“Stressful life events and chronic stressors have been associated with escalations in alcohol drinking. 1 Stress exposure leads to the secretion of glucocorticoids (cortisol in the human; corticosterone (CORT) in the rodent). To model a period of heightened elevations in CURT, the present work assessed the effects of chronic exposure to the stress hormone CORT on alcohol self-administration. Male Long Evans rats were trained to self-administer

a sweetened alcohol solution (2% sucrose/15% alcohol) resulting in moderate levels of daily alcohol intake (0.5-0.7 g/kg). Following stable baseline operant self-administration, rats received CURT in the drinking water for 7 days. A transient increase in alcohol self-administration was observed on the first self-administration session following CURT exposure, and behavior returned to control levels by the second session. Control experiments determined that this increase in alcohol self-administration was specific to alcohol, unrelated to general motor activation, and functionally dissociated from decreased CURT levels at the time of testing. These results indicate that repeated exposure to

heightened levels of stress hormone (e.g., as may be experienced during stressful episodes) has the potential to lead to exacerbated alcohol intake in low to moderate drinkers. Given that maladaptive drinking patterns, such as escalated alcohol drinking following stressful episodes, have the potential to put an individual at risk for future drinking disorders, utilization of this model will be important for examination of neuroadaptations that occur as a consequence of CURT exposure in order to better understand escalated drinking following stressful episodes in nondependent individuals. (C) 2013 Elsevier Ltd. All rights reserved.”
“The adolescent period is characterized by a specific sensitivity to the effects of alcohol, which is believed to contribute to the enhanced risks of alcohol dependence when drinking is initiated early during adolescence. In adolescent rodents, while the reduced sensitivity to the sedative effects of ethanol has been well characterized, its stimulant effects have not yet been extensively studied.

The present study characterized the development of the stimulant and the sedative effects of acute ethanol in male and female Swiss mice from weaning to early adulthood and tested whether both effects are interrelated.

However, these compounds can be differentiated from TCE both quan

However, these compounds can be differentiated from TCE both quantitatively and qualitatively. It appears that the degree of similarity is not solely a function of chemical classification but may also be dependent upon the neurochemical effects of the individual compounds.”
“The pathophysiology of sepsis and its accompanying systemic inflammatory response syndrome (SIRS) and the events that lead to multiorgan

failure and death are poorly understood. It is known that, in septic humans and rodents, the development of SIRS is associated with a loss of the redox balance, but SIRS can also develop in noninfectious states. In addition, a hyperinflammatory state develops, together with impaired innate immune functions of phagocytes, immunosuppression, AZD6244 molecular weight and complement activation, collectively leading to septic shock and lethality. Here, we discuss recent insights into the signaling pathways in immune and phagocytic cells that underlie sepsis and SIRS and consider how these might be targeted for therapeutic interventions to reverse or attenuate pathways that lead to lethality during sepsis.”
“Most laboratories use expensive commercial kits to purify nucleic acids and remove PCR inhibitors that maybe present in clinical specimens. In this study a simple

this website homogenization with heat treatment of herpes simplex virus types 1 and 2 (HSV-1/2) was shown to be equivalent to commercial kit-based nucleic acid extraction methods. With a cost of less than $1 USD per extraction, this method provides an economical, rapid, and effective method

to recover HSV-1/2 DNA from swabs suitable for real-time HSV PCR. Crown Copyright (C) 2011 Published by Elsevier B.V. All rights reserved.”
“Many N-methyl-d-aspartate (NMDA) antagonists produce phencyclidine (PCP)-like side effects that limit their clinical utility. NMDA glycine-site antagonists may be less likely to produce these effects than other site-selective NMDA antagonists.

The objective of the study is to compare the discriminative stimulus effects of novel NMDA glycine-site drugs to those of channel blocking and competitive NMDA antagonists.

Drug Liothyronine Sodium discrimination studies were performed in separate groups of rats trained with saline vs. PCP (2 mg/kg i.p.) or the competitive antagonist NPC 17742 (4 mg/kg i.p.) using a standard two-lever operant conditioning procedure under an FR32.

Neither the partial glycine-site agonists aminocyclopropane carboxylic acid methyl ester and (+)-HA-966 nor the antagonists L701,324; MDL 100,458; MDL 100,748; MDL 103,371; MDL 104,472; MDL 105,519; MRZ 2/571; MRZ 2/576; and ACEA 0762 produced > 50% PCP-lever selection, though all were tested over a sufficient dose range to produce response rate decreasing effects. All of the antagonists, except MDL 100,458 and MDL 100,748, were also tested for NPC 17742-like effects, producing somewhat more variable results than in PCP-trained rats.

This technique uses the passive diffusion of water molecules to i

This technique uses the passive diffusion of water molecules to infer properties of the surrounding tissue. DW-MRI has been extensively employed to investigate how individual differences in

behavior are related to variability in white matter microstructure on a range of different cognitive tasks and also to examine the effect experiential learning might have on brain structural connectivity. Using diffusion tensor tractography, large white matter AZD6244 pathways have been traced in vivo and used to explore patterns of white matter projections between different brain regions. Recent findings suggest that diffusion-weighted imaging might even be used to measure functional differences in water diffusion during task performance. This review describes some research highlights in diffusion-weighted imaging and how this technique can be employed to further our understanding of cognitive function.”
“Background. Recent research has documented a link between attention problems at school entry and later academic achievement. Little is known about the association of change in attention problems during the

early school years Selleckchem A 769662 with subsequent change in academic achievement.

Method. A community-based cohort was followed Lip and assessed for attention problems at ages 6 and 11 (Teacher Report Form; TRF) and for academic achievement in math and reading at ages 11 and 17 (Woodcock-Johnson Psycho-Educational Battery). Liothyronine Sodium Complete data were available on 590 children (72% of the initial sample). Ordinary least squares regressions were used to estimate change in academic achievement from age 11 to age 17 in relation to change in TRF-attention problems from

age 6 to age 11. Children’s IQ and family factors were statistically controlled.

Results. Change in teachers’ ratings of attention problems from age 6 to age 11 was negatively associated with change in math and reading from age 11 to age 17, controlling for children’s IQ and family factors. Externalizing problems had no significant association with change in math or reading, when added to the multivariable model.

Conclusions. Increases in teacher-rated attention problems from age 6 to age 11 were followed by declines in academic achievement from age 11 to age 17; decreases were followed by gains. The results underscore the need for research on the course of attention problems, the testing of interventions to address children’s early attention problems and the evaluation of their effects On Subsequent academic achievement.”
“Axon branching is a complex morphological process, the regulation of which we are just beginning to understand. Many factors known to be important for axon growth and guidance have emerged as key regulators of axon branching.

Eleven raft proteins were identified from adipocytes One of the

Eleven raft proteins were identified from adipocytes. One of the adipocyte-specific proteins was globular C1q receptor (gC1qR), an acidic 32 kDa protein known as the receptor for the globular domain of complement C1q. The targeting of gC1qR into lipid rafts was significantly increased during adipogenesis, as determined by immunoblotting and immunofluorescence. Since the silencing of gC1qR by small RNA interference abolished adipogenesis and blocked

insulin-induced activation of insulin receptor, insulin receptor substrate-1 (IRS-1), Akt, and Erk1/2, we can conclude that gC1qR is an essential molecule involved in adipogenesis and insulin signaling.”
“Improvement of cellulase expression has the potential to change the nature of the biofuel industry. Increasing the economic Wortmannin molecular weight feasibility

of cellulase systems would significantly broaden the range of practicable biomass conversion, lowering the environmental impact of our civilisations’ fuel needs. Cellulases are derived from certain fungi and bacteria, which are often difficult to culture on an industrial scale. Accordingly, methods to recombinantly express important cellulases and other glycosyl hydrolase (GH) enzymes are www.selleckchem.com/products/eft-508.html under serious investigation. Herein, we examine the latest developments in bacterial, yeast, plant, and fungal expression systems. We discuss current strategies for producing cellulases, and evaluate the benefits and drawbacks in yield, stability, and activity of enzymes from each BCKDHB system, and the overall progress in the field.”
“In this paper we develop a framework to analyze the behavior of contagion and spreading processes in complex subpopulation networks where individuals have memory of their subpopulation of origin. We introduce a metapopulation model in which subpopulations are connected through heterogeneous fluxes of individuals. The mobility

process among communities takes into account the memory of residence of individuals and is incorporated with the classical susceptible-infectious-recovered epidemic model within each subpopulation. In order to gain analytical insight into the behavior of the system we use degree-block variables describing the heterogeneity of the subpopulation network and a time-scale separation technique for the dynamics of individuals. By considering the stochastic nature of the epidemic process we obtain the explicit expression of the global epidemic invasion threshold, below which the disease dies out before reaching a macroscopic fraction of the subpopulations. This threshold is not present in continuous deterministic diffusion models and explicitly depends on the disease parameters, the mobility rates, and the properties of the coupling matrices describing the mobility across subpopulations.