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The effect on the host also depends on the strength of the host immune system. Immunocompetent individuals do not normally show severe symptoms or any at all, while fatality or severe complications can result in immunocompromised individuals. Since the parasite can change the host's immune response, it may also have an effect, positive or negative, on the immune response to other pathogenic threats. This includes, but is not limited to, the responses to infections by Helicobacter felis, Leishmania major, or other parasites, such as Nippostrongylus brasiliensis. Transmission Toxoplasmosis is generally transmitted through the mouth when Toxoplasma gondii oocysts or tissue cysts are accidentally eaten. |
Congenital transmittance from mother to fetus can also occur. Transmission may also occur during the solid organ transplant process or hematogenous stem cell transplants. Oral transmission may occur through: Ingestion of raw or partly cooked meat, especially pork, lamb, or venison containing Toxoplasma cysts: Infection prevalence in countries where undercooked meat is traditionally eaten has been related to this transmission method. Tissue cysts may also be ingested during hand-to-mouth contact after handling undercooked meat, or from using knives, utensils, or cutting boards contaminated by raw meat. Ingestion of unwashed fruit or vegetables that have been in contact with contaminated soil containing infected cat feces. |
Ingestion of cat feces containing oocysts: This can occur through hand-to-mouth contact following gardening, cleaning a cat's litter box, contact with children's sandpits; the parasite can survive in the environment for months. Ingestion of untreated, unfiltered water through direct consumption or utilization of water for food preparation. Ingestion of unpasteurized milk and milk products, particularly goat's milk. Ingestion of raw seafood. Cats excrete the pathogen in their feces for a number of weeks after contracting the disease, generally by eating an infected intermediate host that could include mammals (like rodents) or birds. Oocyst shedding usually starts from the third day after ingestion of infected intermediate hosts, and may continue for weeks. |
The oocysts are not infective when excreted. After about a day, the oocyst undergoes a process called sporulation and becomes potentially pathogenic. In addition to cats, birds and mammals including human beings are also intermediate hosts of the parasite and are involved in the transmission process. However the pathogenicity varies with the age and species involved in infection and the mode of transmission of T. gondii. Toxoplasmosis may also be transmitted through solid organ transplants. Toxoplasma-seronegative recipients who receive organs from recently infected Toxoplasma-seropositive donors are at risk. Organ recipients who have latent toxoplasmosis are at risk of the disease reactivating in their system due to the immunosuppression occurring during solid organ transplant. |
Recipients of hematogenous stem cell transplants may experience higher risk of infection due to longer periods of immunosuppression. Heart and lung transplants provide the highest risk for toxoplasmosis infection due to the striated muscle making up the heart, which can contain cysts, and risks for other organs and tissues vary widely. Risk of transmission can be reduced by screening donors and recipients prior to the transplant procedure and providing treatment. Pregnancy precautions Congenital toxoplasmosis is a specific form of toxoplasmosis in which an unborn fetus is infected via the placenta. Congenital toxoplasmosis is associated with fetal death and abortion, and in infants, it is associated with neurologic deficits, neurocognitive deficits, and chorioretinitis. |
A positive antibody titer indicates previous exposure and immunity, and largely ensures the unborn fetus' safety. A simple blood draw at the first prenatal doctor visit can determine whether or not a woman has had previous exposure and therefore whether or not she is at risk. If a woman receives her first exposure to T. gondii while pregnant, the fetus is at particular risk. Not much evidence exists around the effect of education before pregnancy to prevent congenital toxoplasmosis. However educating parents before the baby is born has been suggested to be effective because it may improve food, personal and pet hygiene. |
More research is needed to find whether antenatal education can reduce congenital toxoplasmosis. For pregnant women with negative antibody titers, indicating no previous exposure to T. gondii, serology testing as frequent as monthly is advisable as treatment during pregnancy for those women exposed to T. gondii for the first time dramatically decreases the risk of passing the parasite to the fetus. Since a baby's immune system does not develop fully for the first year of life, and the resilient cysts that form throughout the body are very difficult to eradicate with antiprotozoans, an infection can be very serious in the young. |
Despite these risks, pregnant women are not routinely screened for toxoplasmosis in most countries, for reasons of cost-effectiveness and the high number of false positives generated; Portugal, France, Austria, Uruguay, and Italy are notable exceptions, and some regional screening programmes operate in Germany, Switzerland and Belgium. As invasive prenatal testing incurs some risk to the fetus (18.5 pregnancy losses per toxoplasmosis case prevented), postnatal or neonatal screening is preferred. The exceptions are cases where fetal abnormalities are noted, and thus screening can be targeted. Pregnant women should avoid handling raw meat, drinking raw milk (especially goat milk) and be advised to not eat raw or undercooked meat regardless of type. |
Because of the obvious relationship between Toxoplasma and cats it is also often advised to avoid exposure to cat feces, and refrain from gardening (cat feces are common in garden soil) or at least wear gloves when so engaged. Most cats are not actively shedding oocysts, since they get infected in the first six months of their life, when they shed oocysts for a short period of time (1–2 weeks.) However, these oocysts get buried in the soil, sporulate and remain infectious for periods ranging from several months to more than a year. Numerous studies have shown living in a household with a cat is not a significant risk factor for T. gondii infection, though living with several kittens has some significance. |
In 2006, a Czech research team discovered women with high levels of toxoplasmosis antibodies were significantly more likely to have baby boys than baby girls. In most populations, the birth rate is around 51% boys, but women infected with T. gondii had up to a 72% chance of a boy. Diagnosis Diagnosis of toxoplasmosis in humans is made by biological, serological, histological, or molecular methods, or by some combination of the above. Toxoplasmosis can be difficult to distinguish from primary central nervous system lymphoma. It mimics several other infectious diseases so clinical signs are non-specific and are not sufficiently characteristic for a definite diagnosis. |
As a result, the diagnosis is made by a trial of therapy (pyrimethamine, sulfadiazine, and folinic acid (USAN: leucovorin)), if the drugs produce no effect clinically and no improvement on repeat imaging. T. gondii may also be detected in blood, amniotic fluid, or cerebrospinal fluid by using polymerase chain reaction. T. gondii may exist in a host as an inactive cyst that would likely evade detection. Serological testing can detect T. gondii antibodies in blood serum, using methods including the Sabin–Feldman dye test (DT), the indirect hemagglutination assay, the indirect fluorescent antibody assay (IFA), the direct agglutination test, the latex agglutination test (LAT), the enzyme-linked immunosorbent assay (ELISA), and the immunosorbent agglutination assay test (IAAT). |
The most commonly used tests to measure IgG antibody are the DT, the ELISA, the IFA, and the modified direct agglutination test. IgG antibodies usually appear within a week or two of infection, peak within one to two months, then decline at various rates. Toxoplasma IgG antibodies generally persist for life, and therefore may be present in the bloodstream as a result of either current or previous infection. To some extent, acute toxoplasmosis infections can be differentiated from chronic infections using an IgG avidity test, which is a variation on the ELISA. In the first response to infection, toxoplasma-specific IgG has a low affinity for the toxoplasma antigen; in the following weeks and month, IgG affinity for the antigen increases. |
Based on the IgG avidity test, if the IgG in the infected individual has a high affinity, it means that the infection began three to five months before testing. This is particularly useful in congenital infection, where pregnancy status and gestational age at time of infection determines treatment. In contrast to IgG, IgM antibodies can be used to detect acute infection but generally not chronic infection. The IgM antibodies appear sooner after infection than the IgG antibodies and disappear faster than IgG antibodies after recovery. In most cases, T. gondii-specific IgM antibodies can first be detected approximately a week after acquiring primary infection and decrease within one to six months; 25% of those infected are negative for T. gondii-specific IgM within seven months. |
However, IgM may be detectable months or years after infection, during the chronic phase, and false positives for acute infection are possible. The most commonly used tests for the measurement of IgM antibody are double-sandwich IgM-ELISA, the IFA test, and the immunosorbent agglutination assay (IgM-ISAGA). Commercial test kits often have low specificity, and the reported results are frequently misinterpreted. Congenital Recommendations for the diagnosis of congenital toxoplasmosis include: prenatal diagnosis based on testing of amniotic fluid and ultrasound examinations; neonatal diagnosis based on molecular testing of placenta and cord blood and comparative mother-child serologic tests and a clinical examination at birth; and early childhood diagnosis based on neurologic and ophthalmologic examinations and a serologic survey during the first year of life. |
During pregnancy, serological testing is recommended at three week intervals. Even though diagnosis of toxoplasmosis heavily relies on serological detection of specific anti-Toxoplasma immunoglobulin, serological testing has limitations. For example, it may fail to detect the active phase of T. gondii infection because the specific anti-Toxoplasma IgG or IgM may not be produced until after several weeks of infection. As a result, a pregnant woman might test negative during the active phase of T. gondii infection leading to undetected and therefore untreated congenital toxoplasmosis. Also, the test may not detect T. gondii infections in immunocompromised patients because the titers of specific anti-Toxoplasma IgG or IgM may not rise in this type of patient. |
Many PCR-based techniques have been developed to diagnose toxoplasmosis using clinical specimens that include amniotic fluid, blood, cerebrospinal fluid, and tissue biopsy. The most sensitive PCR-based technique is nested PCR, followed by hybridization of PCR products. The major downside to these techniques is that they are time-consuming and do not provide quantitative data. Real-time PCR is useful in pathogen detection, gene expression and regulation, and allelic discrimination. This PCR technique utilizes the 5' nuclease activity of Taq DNA polymerase to cleave a nonextendible, fluorescence-labeled hybridization probe during the extension phase of PCR. A second fluorescent dye, e.g., 6-carboxy-tetramethyl-rhodamine, quenches the fluorescence of the intact probe. |
The nuclease cleavage of the hybridization probe during the PCR releases the effect of quenching resulting in an increase of fluorescence proportional to the amount of PCR product, which can be monitored by a sequence detector. Toxoplasmosis cannot be detected with immunostaining. Lymph nodes affected by Toxoplasma have characteristic changes, including poorly demarcated reactive germinal centers, clusters of monocytoid B cells, and scattered epithelioid histiocytes. The classic triad of congenital toxoplasmosis includes: chorioretinitis, hydrocephalus, and intracranial arteriosclerosis. Other consequences include sensorineural deafness, seizures, and intellectual disability. Congenital toxoplasmosis may also impact a child's hearing. Up to 30% of newborns have some degree of sensorineural hearing loss. |
The child's communication skills may also be affected. A study published in 2010 looked at 106 patients, all of whom received toxoplasmosis treatment prior to 2.5 months. Of this group, 26.4% presented with language disorders. Treatment Treatment is often only recommended for people with serious health problems, such as people with HIV whose CD4 counts are under 200 cells/mm3, because the disease is most serious when one's immune system is weak. Trimethoprim/sulfamethoxazole is the drug of choice to prevent toxoplasmosis, but not for treating active disease. A 2012 study shows a promising new way to treat the active and latent form of this disease using two endochin-like quinolones. |
Acute The medications prescribed for acute toxoplasmosis are the following: Pyrimethamine — an antimalarial medication Sulfadiazine — an antibiotic used in combination with pyrimethamine to treat toxoplasmosis Combination therapy is usually given with folic acid supplements to reduce incidence of thrombocytopaenia. Combination therapy is most useful in the setting of HIV. Clindamycin Spiramycin — an antibiotic used most often for pregnant women to prevent the infection of their children. (other antibiotics, such as minocycline, have seen some use as a salvage therapy). If infected during pregnancy, spiramycin is recommended in the first and early second trimesters while pyrimethamine/sulfadiazine and leucovorin is recommended in the late second and third trimesters. |
Latent In people with latent toxoplasmosis, the cysts are immune to these treatments, as the antibiotics do not reach the bradyzoites in sufficient concentration. The medications prescribed for latent toxoplasmosis are: Atovaquone — an antibiotic that has been used to kill Toxoplasma cysts inside AIDS patients Clindamycin — an antibiotic that, in combination with atovaquone, seemed to optimally kill cysts in mice Congenital When a pregnant woman is diagnosed with acute toxoplasmosis, amniocentesis can be used to determine whether the fetus has been infected or not. When a pregnant woman develops acute toxoplasmosis, the tachyzoites have approximately a 30% chance of entering the placental tissue, and from there entering and infecting the fetus. |
As gestational age at the time of infection increases, the chance of fetal infection also increases. If the parasite has not yet reached the fetus, spiramycin can help to prevent placental transmission. If the fetus has been infected, the pregnant woman can be treated with pyrimethamine and sulfadiazine, with folinic acid, after the first trimester. They are treated after the first trimester because pyrimethamine has an antifolate effect, and lack of folic acid can interfere with fetal brain formation and cause thrombocytopaenia. Infection in earlier gestational stages correlates with poorer fetal and neonatal outcomes, particularly when the infection is untreated. |
Newborns who undergo 12 months of postnatal anti-toxoplasmosis treatment have a low chance of sensorineural hearing loss. Information regarding treatment milestones for children with congenital toxoplasmosis have been created for this group. Epidemiology T. gondii infections occur throughout the world, although infection rates differ significantly by country. For women of childbearing age, a survey of 99 studies within 44 countries found the areas of highest prevalence are within Latin America (about 50–80%), parts of Eastern and Central Europe (about 20–60%), the Middle East (about 30–50%), parts of Southeast Asia (about 20–60%), and parts of Africa (about 20–55%). In the United States, data from the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2004 found 9.0% of US-born persons 12–49 years of age were seropositive for IgG antibodies against T. gondii, down from 14.1% as measured in the NHANES 1988–1994. |
In the 1999–2004 survey, 7.7% of US-born and 28.1% of foreign-born women 15–44 years of age were T. gondii seropositive. A trend of decreasing seroprevalence has been observed by numerous studies in the United States and many European countries. Toxoplasma gondii is considered the second leading cause of foodborne-related deaths and the fourth leading cause of foodborne-related hospitalizations in the United States. The protist responsible for toxoplasmosis is T. gondii. There are three major types of T. gondii responsible for the patterns of Toxoplasmosis throughout the world. There are types I, II, and III. These three types of T. gondii have differing effects on certain hosts, mainly mice and humans due to their variation in genotypes. |
Type I: virulent in mice and humans, seen in people with AIDS. Type II: non-virulent in mice, virulent in humans (mostly Europe and North America), seen in people with AIDS. Type III: non-virulent in mice, virulent mainly in animals but seen to a lesser degree in humans as well. Current serotyping techniques can only separate type I or III from type II parasites. Because the parasite poses a particular threat to fetuses when it is contracted during pregnancy, much of the global epidemiological data regarding T. gondii comes from seropositivity tests in women of childbearing age. Seropositivity tests look for the presence of antibodies against T. gondii in blood, so while seropositivity guarantees one has been exposed to the parasite, it does not necessarily guarantee one is chronically infected. |
History Toxoplasma gondii was first described in 1908 by Nicolle and Manceaux in Tunisia, and independently by Splendore in Brazil. Splendore reported the protozoan in a rabbit, while Nicolle and Manceaux identified it in a North African rodent, the gundi (Ctenodactylus gundi). In 1909 Nicolle and Manceaux differentiated the protozoan from Leishmania. Nicolle and Manceaux then named it Toxoplasma gondii after the curved shape of its infectious stage (Greek root 'toxon'= bow). The first recorded case of congenital toxoplasmosis was in 1923, but it was not identified as caused by T. gondii. Janků (1923) described in detail the autopsy results of an 11-month-old boy who had presented to hospital with hydrocephalus. |
The boy had classic marks of toxoplasmosis including chorioretinitis (inflammation of the choroid and retina of the eye). Histology revealed a number of "sporocytes", though Janků did not identify these as T. gondii. It was not until 1937 that the first detailed scientific analysis of T. gondii took place using techniques previously developed for analyzing viruses. In 1937 Sabin and Olitsky analyzed T. gondii in laboratory monkeys and mice. Sabin and Olitsky showed that T. gondii was an obligate intracellular parasite and that mice fed T. gondii-contaminated tissue also contracted the infection. Thus Sabin and Olitsky demonstrated T. gondii as a pathogen transmissible between animals. |
T. gondii was first described as a human pathogen in 1939 at Babies Hospital in New York City. Wolf, Cowen and Paige identified T. gondii infection in an infant girl delivered full-term by Caesarean section. The infant developed seizures and had chorioretinitis in both eyes at three days. The infant then developed encephalomyelitis and died at one month of age. Wolf, Cowen and Paige isolated T. gondii from brain tissue lesions. Intracranial injection of brain and spinal cord samples into mice, rabbits and rats produced encephalitis in the animals. Wolf, Cowen and Page reviewed additional cases and concluded that T. gondii produced recognizable symptoms and could be transmitted from mother to child. |
The first adult case of toxoplasmosis was reported in 1940 with no neurological signs. Pinkerton and Weinman reported the presence of Toxoplasma in a 22-year-old man from Peru who died from a subsequent bacterial infection and fever. In 1948, a serological dye test was created by Sabin and Feldman based on the ability of the patient's antibodies to alter staining of Toxoplasma. The Sabin Feldman Dye Test is now the gold standard for identifying Toxoplasma infection. Transmission of Toxoplasma by eating raw or undercooked meat was demonstrated by Desmonts et al. in 1965 Paris. Desmonts observed that the therapeutic consumption of raw beef or horse meat in a tuberculosis hospital was associated with a 50% per year increase in Toxoplasma antibodies. |
This means that more T. gondii was being transmitted through the raw meat. In 1974, Desmonts and Couvreur showed that infection during the first two trimesters produces most harm to the fetus, that transmission depended on when mothers were infected during pregnancy, that mothers with antibodies before pregnancy did not transmit the infection to the fetus, and that spiramycin lowered the transmission to the fetus. Toxoplasma gained more attention in the 1970s with the rise of immune-suppressant treatment given after organ or bone marrow transplants and the AIDS epidemic of the 1980s. Patients with lowered immune system function are much more susceptible to disease. |
Society and culture "Crazy cat-lady" "Crazy cat-lady syndrome" is a term coined by news organizations to describe scientific findings that link the parasite Toxoplasma gondii to several mental disorders and behavioral problems. The suspected correlation between cat ownership in childhood and later development of schizophrenia suggested that further studies were needed to determine a risk factor for children; however, later studies showed that T. gondii was not a causative factor in later psychoses. Researchers also found that cat ownership does not strongly increase the risk of a T. gondii infection in pregnant women. The term crazy cat-lady syndrome draws on both stereotype and popular cultural reference. |
It was originated as instances of the aforementioned afflictions were noted amongst the populace. A cat lady is a cultural stereotype of a woman, often a spinster, who compulsively hoards and dotes upon cats. The biologist Jaroslav Flegr is a proponent of the theory that toxoplasmosis affects human behaviour. Notable cases Tennis player Arthur Ashe developed neurological problems from toxoplasmosis (and was later found to be HIV-positive). Actor Merritt Butrick was HIV-positive and died from toxoplasmosis as a result of his already-weakened immune system. Pedro Zamora, reality television personality and HIV/AIDS activist, was diagnosed with toxoplasmosis as a result of his immune system being weakened by HIV. |
Prince François, Count of Clermont, pretender to the throne of France had congenital toxoplasmosis; his disability caused him to be overlooked in the line of succession. Actress Leslie Ash contracted toxoplasmosis in the second month of pregnancy. British middle-distance runner Sebastian Coe contracted toxoplasmosis in 1983, which was probably transmitted by a cat while he trained in Italy. Tennis player Martina Navratilova suffered from toxoplasmosis during the 1982 US Open. Other animals Although T. gondii has the capability of infecting virtually all warm-blooded animals, susceptibility and rates of infection vary widely between different genera and species. Rates of infection in populations of the same species can also vary widely due to differences in location, diet, and other factors. |
Although infection with T. gondii has been noted in several species of Asian primates, seroprevalence of T. gondii antibodies were found for the first time in toque macaques (Macaca sinica) that are endemic to the island of Sri Lanka. Australian marsupials are particularly susceptible to toxoplasmosis. Wallabies, koalas, wombats, pademelons and small dasyurids can be killed by it, with eastern barred bandicoots typically dying within about 3 weeks of infection. It is estimated that 23% of wild swine worldwide are seropositive for T. gondii. Seroprevalence varies across the globe with the highest seroprevalence in North America (32%) and Europe (26%) and the lowest in Asia (13%) and South America (5%). |
Geographical regions located at higher latitudes and regions that experience warmer, humid climates are associated with increased seroprevalence of T. gondii among wild boar. Wild boar infected with T. gondii pose a potential health risk for humans who consume their meat. Livestock Among livestock, pigs, sheep and goats have the highest rates of chronic T. gondii infection. The prevalence of T. gondii in meat-producing animals varies widely both within and among countries, and rates of infection have been shown to be dramatically influenced by varying farming and management practices. For instance, animals kept outdoors or in free-ranging environments are more at risk of infection than animals raised indoors or in commercial confinement operations. |
In the United States, the percentage of pigs harboring viable parasites has been measured (via bioassay in mice or cats) to be as high as 92.7% and as low as 0%, depending on the farm or herd. Surveys of seroprevalence (T. gondii antibodies in blood) are more common, and such measurements are indicative of the high relative seroprevalence in pigs across the world. Along with pigs, sheep and goats are among the most commonly infected livestock of epidemiological significance for human infection. Prevalence of viable T. gondii in sheep tissue has been measured (via bioassay) to be as high as 78% in the United States, and a 2011 survey of goats intended for consumption in the United States found a seroprevalence of 53.4%. |
Due to a lack of exposure to the outdoors, chickens raised in large-scale indoor confinement operations are not commonly infected with T. gondii. Free-ranging or backyard-raised chickens are much more commonly infected. A survey of free-ranging chickens in the United States found its prevalence to be 17%–100%, depending on the farm. Because chicken meat is generally cooked thoroughly before consumption, poultry is not generally considered to be a significant risk factor for human T. gondii infection. Although cattle and buffalo can be infected with T. gondii, the parasite is generally eliminated or reduced to undetectable levels within a few weeks following exposure. |
Tissue cysts are rarely present in buffalo meat or beef, and meat from these animals is considered to be low-risk for harboring viable parasites. Horses are considered resistant to chronic T. gondii infection. However, viable cells have been isolated from US horses slaughtered for export, and severe human toxoplasmosis in France has been epidemiologically linked to the consumption of horse meat. Domestic cats In 1942, the first case of feline toxoplasmosis was diagnosed and reported in a domestic cat in Middletown, NY. The investigators isolated oocysts from feline feces and found that the oocysts could be infectious for up to 12 months in the environment. |
The seroprevalence of T. gondii in domestic cats, worldwide has been estimated to be around 30–40% and exhibits significant geographical variation. In the United States, no official national estimate has been made, but local surveys have shown levels varying between 16% and 80%. A 2012 survey of 445 purebred pet cats and 45 shelter cats in Finland found an overall seroprevalence of 48.4%, while a 2010 survey of feral cats from Giza, Egypt found a seroprevalence rate of 97.4%. Another survey from Colombia recorded seroprevalence of 89.3%, whereas a Chinese study found just a 2.1% prevalence. T. gondii infection rates in domestic cats vary widely depending on the cats' diets and lifestyles. |
Feral cats that hunt for their food are more likely to be infected than domestic cats, and naturally also depends on the prevalence of T. gondii-infected prey such as birds and small mammals. Most infected cats will shed oocysts only once in their lifetimes, for a period of about one to two weeks. This shedding can release millions of oocysts, each capable of spreading and surviving for months. An estimated 1% of cats at any given time are actively shedding oocysts. It is difficult to control the cat population with the infected oocysts due to lack of an effective vaccine. |
This remains a challenge in most cases and the programs that are readily available are questionable in efficacy. Rodents Infection with T. gondii has been shown to alter the behavior of mice and rats in ways thought to increase the rodents' chances of being preyed upon by cats. Infected rodents show a reduction in their innate aversion to cat odors; while uninfected mice and rats will generally avoid areas marked with cat urine or with cat body odor, this avoidance is reduced or eliminated in infected animals. Moreover, some evidence suggests this loss of aversion may be specific to feline odors: when given a choice between two predator odors (cat or mink), infected rodents show a significantly stronger preference to cat odors than do uninfected controls. |
In rodents, T. gondii–induced behavioral changes occur through epigenetic remodeling in neurons associated with observed behaviors; for example, it modifies epigenetic methylation to induce hypomethylation of arginine vasopressin-related genes in the medial amygdala to greatly decrease predator aversion. Similar epigenetically-induced behavioral changes have also been observed in mouse models of addiction, where changes in the expression of histone-modifying enzymes via gene knockout or enzyme inhibition in specific neurons produced alterations in drug-related behaviors. Widespread histone–lysine acetylation in cortical astrocytes appears to be another epigenetic mechanism employed by T. gondii. T. gondii-infected rodents show a number of behavioral changes beyond altered responses to cat odors. |
Rats infected with the parasite show increased levels of activity and decreased neophobic behavior. Similarly, infected mice show alterations in patterns of locomotion and exploratory behavior during experimental tests. These patterns include traveling greater distances, moving at higher speeds, accelerating for longer periods of time, and showing a decreased pause-time when placed in new arenas. Infected rodents have also been shown to have lower anxiety, using traditional models such as elevated plus mazes, open field arenas, and social interaction tests. Marine mammals A University of California, Davis study of dead sea otters collected from 1998 to 2004 found toxoplasmosis was the cause of death for 13% of the animals. |
Proximity to freshwater outflows into the ocean was a major risk factor. Ingestion of oocysts from cat feces is considered to be the most likely ultimate source. Surface runoff containing wild cat feces and litter from domestic cats flushed down toilets are possible sources of oocysts. These same sources may have also introduced the toxoplasmosis infection to the endangered Hawaiian monk seal. Infection with the parasite has contributed to the death of at least four Hawaiian monk seals. A Hawaiian monk seal's infection with T. gondii was first noted in 2004. The parasite's spread threatens the recovery of this highly endangered pinniped. |
The parasites have been found in dolphins and whales. Researchers Black and Massie believe anchovies, which travel from estuaries into the open ocean, may be helping to spread the disease. Giant panda Toxoplasma gondii has been reported as the cause of death of a giant panda kept in a zoo in China, who died in 2014 of acute gastroenteritis and respiratory disease. Although seemingly anecdotal, this report emphasizes that all warm-blooded species are likely to be infected by T. gondii, including endangered species such as the giant panda. Research Chronic infection with T. gondii has traditionally been considered asymptomatic in people with normal immune function. |
Some evidence suggests latent infection may subtly influence a range of human behaviors and tendencies, and infection may alter the susceptibility to or intensity of a number of psychiatric or neurological disorders. In most of the current studies where positive correlations have been found between T. gondii antibody titers and certain behavioral traits or neurological disorders, T. gondii seropositivity tests are conducted after the onset of the examined disease or behavioral trait; that is, it is often unclear whether infection with the parasite increases the chances of having a certain trait or disorder, or if having a certain trait or disorder increases the chances of becoming infected with the parasite. |
Groups of individuals with certain behavioral traits or neurological disorders may share certain behavioral tendencies that increase the likelihood of exposure to and infection with T. gondii; as a result, it is difficult to confirm causal relationships between T. gondii infections and associated neurological disorders or behavioral traits. Mental health Some evidence links T. gondii to schizophrenia. Two 2012 meta-analyses found that the rates of antibodies to T. gondii in people with schizophrenia were 2.7 times higher than in controls. T. gondii antibody positivity was therefore considered an intermediate risk factor in relation to other known risk factors. Cautions noted include that the antibody tests do not detect toxoplasmosis directly, most people with schizophrenia do not have antibodies for toxoplasmosis, and publication bias might exist. |
While the majority of these studies tested people already diagnosed with schizophrenia for T. gondii antibodies, associations between T. gondii and schizophrenia have been found prior to the onset of schizophrenia symptoms. Sex differences in schizophrenia onset may be explained by a second peak of T. gondii infection incidence during ages 25–30 in females only. Although a mechanism supporting the association between schizophrenia and T. gondii infection is unclear, studies have investigated a molecular basis of this correlation. Antipsychotic drugs used in schizophrenia appear to inhibit the replication of T. gondii tachyzoites in cell culture. Supposing a causal link exists between T. gondii and schizophrenia, studies have yet to determine why only some individuals with latent toxoplasmosis develop schizophrenia; some plausible explanations include differing genetic susceptibility, parasite strain differences, and differences in the route of the acquired T. gondii infection. |
Correlations have also been found between antibody titers to T. gondii and OCD, suicide in people with mood disorders including bipolar disorder. Positive antibody titers to T. gondii appear to be uncorrelated with major depression or dysthymia. Although there is a correlation between T. gondii and many psychological disorders, the underlying mechanism is unclear. A 2016 study found that "there was little evidence that T. gondii was related to increased risk of psychiatric disorder, poor impulse control, personality aberrations or neurocognitive impairment". Neurological disorders Latent infection has been linked to Parkinson's disease and Alzheimer's disease. There is a negative association between an infection with the parasite T. gondii and multiple sclerosis; researchers have concluded that toxoplasmosis infection may be a protective factor. |
Traffic accidents Latent T. gondii infection in humans has been associated with a higher risk of automobile accidents, potentially due to impaired psychomotor performance or enhanced risk-taking personality profiles. Climate change Climate change has been reported to affect the occurrence, survival, distribution and transmission of T. gondii. T. gondii has been identified in the Canadian arctic, a location that was once too cold for its survival. Higher temperatures increase the survival time of T. gondii. More snowmelt and precipitation can increase the amount of T. gondii oocysts that are transported via river flow. Shifts in bird, rodent, and insect populations and migration patterns can impact the distribution of T. gondii due to their role as reservoir and vector. |
Urbanization and natural environmental degradation are also suggested to affect T. gondii transmission and increase risk of infection. See also Toxoplasmic chorioretinitis TORCH infection Pyrimethamine References Parts of this article are taken from the public domain CDC factsheet: Toxoplasmosis Bibliography External links How a cat-borne parasite infects humans (National Geographic) Toxoplasmosis at Health Protection Agency (HPA), United Kingdom Pictures of Toxoplasmosis Medical Image Database Video-Interview with Professor Robert Sapolsky on Toxoplasmosis and its effect on human behavior (24:27 min) Category:Conoidasida Category:Cat diseases Category:Health issues in pregnancy Category:Mind-altering parasites Category:Parasitic infestations, stings, and bites of the skin Category:Poultry diseases Category:Protozoal diseases Category:Zoonoses Category:RTT Category:Disorders causing seizures Category:Biology of bipolar disorder Category:Biology of obsessive–compulsive disorder Category:Medical triads Category:RTTEM |
Women's reproductive health in the United States refers to the set of physical, mental, and social issues related to the health of women in the United States. It includes the rights of women in the United States to adequate sexual health, available contraception methods, and treatment for sexually transmitted diseases. The prevalence of women's health issues in American culture is inspired by second-wave feminism in the United States. As a result of this movement, women of the United States began to question the largely male-dominated health care system and demanded a right to information on issues regarding their physiology and anatomy. |
The U.S. government has made significant strides to propose solutions, like creating the Women's Health Initiative through the Office of Research on Women's Health in 1991. Issues Sexual health The Department of Health and Human Services has developed a definition for sexual health in the United States based on the World Health Organization’s definition of sexual health. “Sexual health is a state of well-being in relation to sexuality across the life span that involves physical, emotional, mental, social and spiritual dimensions. Sexual health is an intrinsic element of human health and is based on positive, equitable, and respectful approach to sexuality, relationships, and reproduction, that is free of coercion, fear, discrimination, stigma, shame, and violence." |
The United States government recognizes that gender is a factor which plays a significant role in sexual health. With this being said, there is a war on women's rights in the United States. It is based on politics in the United States and for candidates to be able to get votes or funding for certain area agendas. With this being said, one of the first pushes with making laws tighter for agendas would be the law in Louisiana. This allowed women who have had abortions in the past to be able to sue the doctor who did the procedure for up to ten years past the abortion date. |
The law stated that they could sue for damages not only done to the women, but also to the emotional damages of the fetus. This was a political move that has gotten the ball rolling for more states to put laws into place against abortions or for abortions depending on the political agenda they are pushing in each state. http://search.proquest.com/docview/213811750/ Contraception The U.S. Department of Health and Human Services has identified national reproductive health goals including reducing the level of unintended pregnancy. Out of all the pregnancies reported in the United States, half are unplanned. Of the 62 million women in the U.S. who are able to have children, seven out of ten of these women are sexually active but do not want to become pregnant. |
Contraception is a major issue of women’s reproductive health. 86% of sexually active women practice some form of contraception and 30% of these women use a hormonal form of contraception. Women in the U.S. have more freedoms in deciding their use of contraceptives among other global nations, comparatively. The Centers for Disease Control (CDC) have significant pull over the decision-making process women must make when choosing different types of contraception. Women of the U.S. still rely on their healthcare providers for the majority of information they receive about contraceptive use. In order to help healthcare providers provide appropriate family planning care, the CDC published the US Medical Elibility Criteria for Contraceptive Use,2010. |
The CDC lists methods of birth control under two categories: reversible and permanent. Reversible methods of birth control Copper T intrauterine device (IUD) or levonorgestrel intrauterine system (LNG IUD) Hormonal methods Implant Injection Combined oral contraceptives Progestin-only pill Patch Hormonal vaginal contraceptive ring Emergency contraception Barrier methods Diaphragm or cervical cap Male condom Female condom Spermicides Fertility awareness-based methods Family planning Fertility Awareness Abstinence Permanent methods of birth control Female sterilization Transcervical sterilization Hormonal contraception Hormonal contraception is the most popular method of contraception among women in the United States. Women under the age of thirty more commonly use hormonal oral contraception as their preferred method. |
Hormonal contraceptives can be almost 100% effective when used perfectly, but in most cases it is used imperfectly. Oral hormonal contraceptives have an 8% failure rate. The popularity of oral hormonal contraceptives among women changes over the course of a year with 32% of women deciding to discontinue use of an oral hormonal contraceptive after one year of typical use. Intrauterine contraception A large stigma exists among women on the topic of using an intrauterine device (IUD) as a form of contraception. The two types of IUDs that exist for current contraceptive use are Copper T 380A and levonorgestrel-releasing intrauterine system or Mirena. |
IUDs are underutilized by women in the United States with only 2% of women using IUD as an effective contraception. The effectiveness of a contraceptive is described in terms of perfect use and typical use. An IUD is different than most forms of contraception, as it is 100% effective in both cases of use. It is not possible to use IUDs improperly or inconsistently because they must be inserted inside of the uterus. Women in the United States have many fears about the use of IUDs, making them the less popular form of contraception. For many women in the U.S., IUDs are only an option when other traditional contraception methods have been used (hormonal birth control, barrier methods, etc.) |
or when a women has already had children. The fear surrounding use of an IUD stems from a lack of proper education on all available contraception options available to women in the U.S.. Women have cited being afraid of the quality of the device itself, placing the device inside their bodies voluntarily, and the time required to hold the device in place. There is a lack of knowledge about female anatomy and pregnancy prevention, even among women of the United States. Sexually Transmitted Diseases A health objective of the United States government through The United States Public Health Service is to reduce the number of cases of sexually transmitted diseases from the 1980s to today. |
The Centers for Disease Control is responsible for many studies on the topic of STDs as well as the effect of STDs on women and girls. STDs are defined by the CDC as “infections you can get from having sex with someone who has an infection”. There are more than twenty types of identifiable STDs caused by bacteria, parasites, or viruses. Within one year in the United States there are an estimated 12 million cases of sexually transmitted diseases that occur. Of those 12 million cases there are 1.5 million cases of gonorrhea, 500,000 cases of genital herpes, and 110,000 cases of syphilis. |
Both women and men in the United States are affected by the STD epidemic. However, women have a stronger negative health reaction to some STDs than men. The negative health effects of STDs for women can include pelvic inflammatory disease (PIV), ectopic pregnancy, chronic pelvic pain, infertility, fetal and perinatal infections, complications to pregnancy, fetal loss, cervical cancer, and increased risk of tubal pregnancy, intrauterine growth retardation and preterm delivery. Women in the U.S. are less likely to seek out treatment for STDs for a variety of reasons. Some STDs appear asymptomatic in women therefore women are less likely to seek out treatment for STDs than men. |
Like most health topics, there is a gap that exists in understanding the pathology of diseases in women versus men. Women receive less than adequate information about the prevalence of STDs as well as the symptoms of STDs. As with contraception in the U.S., a stigma exists which prevents women from learning about all possible STDs and their treatment. A study by the Journal of Women’s Health identified STDs as a topic women would rather not talk about. Women, with their partners, do not commonly discuss STDs as well. The stigma surrounding STDs in the U.S. prevents women from discussing the topic even among healthcare provides, close friends, partners, and family. |
Younger women do not understand the risk that STDs can pose to them. For example, Chlamydia is one of the most common STDs affecting women and men in the United States. Women do not follow the recommendation that people should be screened for Chlamydia at least once per year. Most women do not even know any information about Chlamydia as an STD besides the fact that it is curable. STD screening is most effective for identifying STDs in women, but is commonly underutilized by women in the U.S. Healthcare access and access to family planning clinics increases the probability that women will seek out and utilize STD screening. |
Screening is a form of testing healthy versus symptomatic people against traditional symptoms of STDs to determine STD prevalence. The Planned Parenthood Federation of America has available clinics across the United States for the purpose of screening for STDs as well as other family planning services. Planned Parenthood suggests that sexually active women screen for STDs at least annually. A study by the Journal for Women’s Health identified a need for a knowledge campaign on STD screening targeting sexually active young women. Resources Category:Women's rights in the United States Category:Reproductive rights Category:Women's health in the United States |
Carboxypeptidase A1 is an enzyme that in humans is encoded by the CPA1 gene. Three different forms of human pancreatic procarboxypeptidase A have been isolated. The A1 and A2 forms are monomeric proteins with different biochemical properties. Carboxypeptidase A1 is a monomeric pancreatic exopeptidase. It is involved in zymogen inhibition. References Further reading External links The MEROPS online database for peptidases and their inhibitors: M14.001 |
The Married Women's Property Act 1870 (33 & 34 Vict. c.93) was an Act of Parliament of the United Kingdom that allowed married women to be the legal owners of the money they earned and to inherit property. Background Before 1870, any money made by a woman either through a wage, from investment, by gift, or through inheritance instantly became the property of her husband once she was married with the exception of the Dowry. The dowry provided by a bride's father to be used for his daughter's financial support throughout her married life and into her widowhood, and also a means by which the bride's father was able to obtain from the bridegroom's father a financial commitment to the intended marriage and to the children resulting therefrom . |
It also was an instrument by which the practice of primogeniture was effected by the use of an entail in tail male. Thus, the identity of the wife became legally absorbed into that of her husband, effectively making them one person under the law. Once a woman became married she had no claim to her property as her husband had full control and could do whatever suited him regarding the property: “Thus, a woman, on marrying, relinquished her personal property—moveable property such as money, stocks, furniture, and livestock--- to her husband’s ownership; by law he was permitted to dispose of it at will at any time in the marriage and could even will it away at death”. |
For example, any copyrighted material would have the copyright pass to the husband on marriage. This would be analogous to copyright of the work done as part of the employment being owned by the employer. Even in death a woman's husband continued to have control over her former property. Before the Act was passed women lost all ownership over their property when they became married: “From the early thirteenth century until 1870, English Common law held that most of the property that a wife had owned as a feme sole came under the control of the husband at the time of the marriage”. |
Married women had few legal rights and were by law not recognized as being a separate legal being – a feme sole. In contrast, single and widowed women were considered in common law to be femes sole, and they already had the right to own property in their own names. Once a woman became married she still had the right to legally own her land or house but she no longer had the rights to do anything with it such as rent out a house that she owned or sell her piece of land: “Thus, a wife retained legal ownership of her real property—immovable property such as housing and land, but she could not manage or control it; she could not sell her real property, rent it, or mortgage it without her husband’s consent”. |
She could not make contracts or incur debts without his approval. Nor could she sue or be sued in a court of law. Only the extremely wealthy were exempted from these laws: Under the rules of equity, a portion of a married woman's property could be set aside in the form of a trust for her use or the use of her children. However, the legal costs involved in establishing trusts made them unavailable to the vast majority of the population. Women started to try to get the act passed in the 1850s, many years before it was successfully passed: “In the 1850s a group of women had campaigned for the law to be amended with no success. |
One important woman taking up the cause was Barbara Leigh Smith Bodichon (1827-1891). She actively promoted women's rights and in 1854 published A Brief Summary of the Laws in England concerning Women: together with a few observations thereon. She worked hard to reform the married women's property laws. As an artist, she also helped establish the Society for Female Artists in 1857. In 1865, she founded the women-only Kensington Society for which she wrote Reasons for the Enfranchisement of Women in 1866. She was also an intimate friend of George Eliot (Mary Ann Evans), who wrote Middlemarch. In 1868, efforts to get the act passed were revived; in that year, a Married Women’s Property Bill was introduced into parliament, which proposed that married women should have the same property rights as unmarried women”. |
A long and energetic campaign by different women's groups and some men led to the passing of this Act. The Married Women's Property Act of 1870 provided that wages and property which a wife earned through her own work or inherited would be regarded as her separate property and, by the Married Women's Property Act 1882, this principle was extended to all property, regardless of its source or the time of its acquisition. The Act also protected a woman not only from her husband gaining control of her property but also from people that worked for him, his creditor: “These acts generally exempted married women’s property from attachments by creditors of their husbands”. |
This gave married women a separate statutory estate, and released them from coverture. It was for the first time theoretically possible for married women to live away from their husbands and support their own children themselves. However, widowed women with children, as femes soles, had already had the right to own property and support their children. Contents of the act ''The most important sections of the act were:' 1. The wages and earning made by a wife were to be held by her for her own separate use, independently from her husband. The meaning of wages included money made from any employment, occupation, or trade, or the use of any skill such as a literary, scientific, or artistic skill that resulted in money being made. |
This section also covered investments made with the money earned. 2. This section dealt mostly with the inheritance of property. A wife was allowed to keep any property she inherited from her next of kin as her own, subject to that property not being bound in a trust. She could also inherit money up to £200. 3. This section allowed a married woman to continue to hold rented property in her own name and to inherit rented property. 4. This section made married women liable to maintain her children from the profits earned from her personal property. It also continued the liability of the husband to maintain his children. |
In effect, this section made both parents legally liable while each spouse held separate property. Shortcomings The Act dealt mostly with the earnings of married women and was not very specific about married women's property rights. A major loophole was that any personal property (personalty) as opposed to real property a woman had in her own name before marriage still legally became her husband's property, money, furniture, stocks and livestock. Women married thereafter were entitled to inherit up to a fairly good sum of property (£200) in their own names ("absolutely") from their next of kin. It did not speak for an amount in excess of £200. |
The act was not retroactive — all women who married before it could not recover into their sole name the property they had held before marriage (if they had any). This greatly limited the effect. Legacy The act's full significance was that, for the first time in British history, it allowed newly married women to forever legally keep their own earnings and inherit property. It also put a legal duty on married women to maintain their children alongside their husband's. Women who married before the act still ceded ownership over their property. They also did not have authority over any children that they bore during the marriage which: “deprived her of all authority over her children and of any contractual capacity during his [her husband's] life”. |
When this Act was passed it was in a time when women had very few rights. Women were not allowed to vote in parliamentary elections; It could be argued that the act paved the way towards women's right to vote, since it extended female property rights. It sidelined one of the reasons women were denied the right: “Coverture was also used as a reason to deny women the vote and public office because of the assumption that a married woman would be represented by her husband. The end of coverture certainly ranks along with suffrage as the sine qua non [inception] of public recognition of women’s autonomy and personhood”. |
Women before were not seen as individuals who could have their own vote let alone be elected; their husbands by tradition would take control of such matters. The Act helped lay the groundwork for a superseding, enhanced-rights version, the Married Women's Property Act 1882 and for the 1918 Representation of the People Act that granted many women over the age of thirty the right to vote in the United Kingdom. Criticism Much negative feedback to Parliament flowed when the Married Women's Property Act was passed in 1870. Some people said that the Act was not focused on benefiting women and it was actually focused on the fraud that married couples commit: “Court cases argues that the passage of the British Act had more to do with controlling fraud committed by married couples (who colluded to defeat the law of debt) than the rights of married women”. |
This opinion was controversial because many feminists saw this Act as a huge success for women who were married. This way of thinking is taking the focus from being on women back to the couple as a whole. Another criticism that came about was that there was not much discussion of equality between men and women. There was a focus put on the arguments in the home that would arise from this new Act being passed: “The most striking feature of the debates on the Married Women’s Property Bills is how little time was spent discussing the principle of sexual equality, and how much time was spent discussing the idea that giving married women property rights would cause discord in the home”. |
It is surprising that there was not much discussion about equality because when the Act was passed it made married women's rights over their possessions more equal to the rights that married men had over their possessions. The idea that each spouse would be equal to one another was one that some men of that time found completely absurd: “Arthur Rackham Cleveland, J. E. G. de Montmorency, and Dicey all condemned the common law doctrine of spousal unity as “barbarous” or “semi-civilized.”” Instead of talk of equality there was talk about how negative the act was for the household because it would be the cause of arguments at the home. |
It was said that a house can only be a truly happy home if the husband was in charge and the wife was submissive: “There was no place in the Victorian home for disputes between husbands and wives if the home was to be the ‘sweetest, cheerfullest place’ that the husband could find refuge in. Within the terms of separate spheres ideology, this household harmony could only be achieved by the total subordination of women to their husbands”. Footnotes Works cited See also Coverture Married Women's Property Act 1882 Further reading The text of the act Category:Property law of the United Kingdom Category:United Kingdom Acts of Parliament 1870 Category:Women's rights legislation Category:Women's rights in the United Kingdom Category:1870 in women's history |
ATT may refer to: AT&T (disambiguation) AT&T Inc., an American telecommunications company founded 1983 (formerly Southwestern Bell or SBC Communications) AT&T Corporation, the original AT&T founded 1885 (formerly American Telephone & Telegraph), purchased by SBC in 2005 AT&T Mobility, a subsidiary of AT&T Inc. for wireless services. AT&T Mexico, an international wireless subsidiary of AT&T Inc Aircraft Transport and Travel, a 1910s British airline Amadou Toumani Touré, president of Mali American Tobacco Trail American Top Team, a mixed martial arts team based in Coconut Creek, Florida. Arms Trade Treaty, a UN treaty to control the illicit trade of weapons Association of Taxation Technicians, a United Kingdom professional association ATI Tray Tools - freeware program developed by Ray Adams for ATI Radeon video cards Atmautluak Airport, an airport in Alaska (IATA: ATT) A.T.T., a British dance music act. |
Attachment, in biology (the binding of a virus to its target cell) Attadale railway station, United Kingdom (National Rail code) Attitude, in dynamics (aircraft attitude) Attorney at law Authorization to Transport, a permit issued in Canada to transport Restricted and Prohibited firearms |
The Thailand national under-23 football team (, ), also known as the Thailand Olympic football team is the national team for the under-23 and 22 level, representing Thailand in international football competitions in the Olympic Games, Asian Games and Southeast Asian Games, as well as any other under-23 international football tournaments including the AFC U-23 Championship. It is controlled by the Football Association of Thailand. The team won the Southeast Asian Games gold medal for a record 7th time, making it the most successful among ASEAN football teams. History 2013–present 2014 Asian Games The 2014 Asian Games was held in Incheon, South Korea. |
The Thailand U23 Team under coach Kiatisuk Senamuang built a young-blood team that would later become the main Thailand senior team with players such as Chanathip Songkrasin, Sarach Yooyen, Kawin Thamsatchanan, Charyl Chappuis, etc. In this competition the team made top performance by finishing in fourth place, the highest in the Asian Games after 1998. 2016 AFC U-23 Championship The 2016 AFC U-23 Championship final tournament was held in Qatar from 12–30 January 2016. Thailand qualified for the tournament by runner-up in the qualification stage in homeland in March 2015. The Young Elephants recorded comprehensive victories; 2–1 against Cambodia; 5–1 against Philippines and 0–0 against North Korea. |
The 2016 AFC U-23 Championship doubled as the qualifying tournament for the 2016 Summer Olympics Football tournament in Rio de Janeiro. Thailand were eliminated from the championship in the group stage. A 1–1 draw to Saudi Arabia followed by a 0–4 loss to Japan meant that Thailand needed to defeat North Korea in the final group match. A nil-all draw resulted in the elimination for Thailand from the tournament and hence failure to qualify for the Olympics. Although eliminated, Thailand earned praise and reputation for its strong performance in the tournament. 2018 AFC U-23 Champioship In the 2018 AFC U-23 Championship, Thailand only finished second in their qualification, but with the team being undefeated, Thailand beat Malaysia 3–0 and was held draws by Mongolia and Indonesia, Thailand became the best runners-up to qualify. |
The Young Elephants prepared by hosting the friendly 2017 M-150 Cup, where they finished fourth but managed to beat Japan 2–1. This enthusiastic performance of Thailand put up great hope for the team, having earlier conquered the 2017 SEA Games. However, having entered the tournament, it would become Thailand's complete nightmare. They opened their game with a 0–1 loss to North Korea before got slapped with the same result to Japan, eventually eliminated the Young Elephants from the competition. The Thais bid goodbye from the competition in a humiliating fashion, with a devastating 1–5 loss to Palestine. To add the dismay, their defeated rivals Malaysia and Vietnam both moved on to progress from the group stage, with the latter managed to reach the final and ended in second place. |
2020 AFC U-23 Championship Thailand was awarded as host of the 2020 AFC U-23 Championship, therefore they were automatically qualified. Thailand still participated in the qualification as an opportunity to train and improve the team. Thailand, once again, finished second, after beating Indonesia and Brunei, but lost to Vietnam. Before the tournament, Thailand was eliminated at the 2019 Southeast Asian Games after the group stage. In the group stage, Thailand would face Iraq, Australia and maiden debutant Bahrain, and was tipped favorably to progress, mainly due to Australia's underperformance in the tournament and inexperienced Bahrain. Thailand prepared by playing against Saudi Arabia in the friendly encounter, but lost 0–1. |
In their first match against inexperienced Bahrain, the Thais proved to be too dominant for the visitor, as the Thais demolished Bahrain 5–0. This win allowed more Thai supporters coming to cheer for the Thai side in their second encounter against underperformed Australia, instead, Thailand suffered a heartbreaking 1–2 loss to Australia despite having taken the lead and putting Thailand's quest to the final stage in their final game against Iraq. In final matches in group state Thailand draw Iraq 1–1 earn a spot in the quarterfinals of the tournament for the first time in AFC U-23 Championship as the second-placed team in the group behind Australia. |
In quarterfinals Thailand have to face with the winner of Group B, Saudi Arabia and lost with penalty 1-0 end the way to 2020 Olympic Games in Tokyo. Results and fixtures Players Current squad The following 23 players were called up for 2020 AFC U-23 Championship. Recent call-ups The following players have been called up within the last 12 months. |
Notes: INJ Withdrew from squad due to injury PRE Preliminary squad SUS Suspended WD Player withdrew from the squad for non-injury related reasons Previous squads AFC U-23 Championship 2016 AFC U-23 Championship 2018 AFC U-23 Championship 2020 AFC U-23 Championship Asian Games 2002 Asian Games squad 2006 Asian Games squad 2010 Asian Games squad 2014 Asian Games squad 2018 Asian Games squad SEA Games 2005 Southeast Asian Games squad 2007 Southeast Asian Games squad 2009 Southeast Asian Games squad 2011 Southeast Asian Games squad 2013 Southeast Asian Games squad 2015 Southeast Asian Games squad 2017 Southeast Asian Games squad 2019 Southeast Asian Games squad Head coaches Competitive record Olympic Games Note * : Denotes draws including knockout matches decided on penalty kicks. |
AFC U-23 Championship Note 1 : The under-22 team played at the 2013 edition. * : Denotes draws including knockout matches decided on penalty kicks. Asian Games Note 1 : The senior national team played at the 1951 to 1998 editions. * : Denotes draws including knockout matches decided on penalty kicks. Southeast Asian Games Note 1 : The senior national team played at the 1959 to 1999 editions. 2 : The under-22 national team * : Denotes draws including knockout matches decided on penalty kicks. AFF U-22 Youth Championship Note * : Denotes draws including knockout matches decided on penalty kicks. |
* : The under-22 national team played at the 2019 edition onwards. Summer Universiade Note * : Denotes draws including knockout matches decided on penalty kicks. Head to head records An all-time record table of Thailand national under-23 football team in major competitions only including; Summer Olympics, AFC U-23 Championship, M-150 Cup, Asian Games and Southeast Asian Games. Honours This is a list of honours for the Thailand national under-23 football team. |
International titles Summer Universiade Bronze medal (1): 2007 Asian Games Fourth place (2): 2002, 2014 Fourth place (2): 2002, 2014 Regional titles Southeast Asian Games Gold medal (7): 2001, 2003, 2005, 2007, 2013, 2015, 2017 AFF U-23 Youth Championship Winners (1): 2005 Runner-up (1): 2019 Minor titles Dubai Cup Winners (1): 2017 BIDC Cup (Cambodia) Winners (1): 2013 See also Thailand national football team Thailand national under-21 football team Thailand national under-20 football team Thailand national under-17 football team Football in Thailand References External links Football Association of Thailand Category:Asian national under-23 association football teams U-23 |
Brantley Keith Gilbert (born January 20, 1985) is an American country music singer, songwriter and record producer from Jefferson, Georgia. He was originally signed to Colt Ford's label, Average Joes Entertainment, where he released Modern Day Prodigal Son and Halfway to Heaven. He is now signed to the Valory division of Big Machine Records where he has released four studio albums—a deluxe edition of Halfway to Heaven, Just as I Am, The Devil Don't Sleep, Fire & Brimstone, and 11 country chart entries, four of which have gone to number one. He also co-wrote and originally recorded Jason Aldean's singles "My Kinda Party" and "Dirt Road Anthem." |
Career Singing career Brantley Gilbert went to Nashville as a songwriter, signed to Warner Chappell Publishing. He continued performing at local venues. In 2009, he released his debut album, Modern Day Prodigal Son, under independent label Average Joes Entertainment. He followed with Halfway to Heaven in 2010. In 2011, he signed with Valory Music Co., a division of Big Machine Records, who re-released Halfway to Heaven with new recordings and bonus tracks. The album was produced by Dann Huff. Its first two singles, "Country Must Be Country Wide" and "You Don't Know Her Like I Do", both went to number one on the Hot Country Songs chart. |
After them, "Kick It in the Sticks" peaked at number 34, and "More Than Miles" at number 7 on Country Airplay. He won the ACM New Male Artist award in 2013. Gilbert's second Valory album, Just as I Am, was released in May 2014. Its lead single, "Bottoms Up", also reached number one. The second single, "Small Town Throwdown", featured guest vocals from labelmates Thomas Rhett and Justin Moore. The third single, "One Hell of an Amen", became Brantley's fourth number one hit in 2015. The album's fourth single, "Stone Cold Sober", is from the platinum edition of Just as I Am. |
Gilbert released "The Weekend" as the leadoff single to his fourth album The Devil Don't Sleep, which also includes "The Ones That Like Me." In December 2018, Gilbert released a duet with Lindsay Ell, "What Happens in a Small Town", as the leadoff single to his upcoming fifth studio album. Gilbert has since announced the album's title as Fire & Brimstone. Songwriting In addition to his original work, Gilbert has written songs that Colt Ford and Jason Aldean have recorded. The songs "Dirt Road Anthem" (co-written and originally recorded by him and Colt Ford) and "My Kinda Party", were released on Aldean's 2010 album My Kinda Party. |
"My Kinda Party" was originally recorded by Gilbert on Modern Day Prodigal Son, while "Dirt Road Anthem" was on Halfway to Heaven. Aldean has also covered Gilbert's "The Best of Me", available on the iTunes release of his 2009 album Wide Open. Personal life It was announced in September 2012 that Brantley Gilbert was dating country music singer and actress Jana Kramer. They met at the CMT Music Awards in June 2012. They got engaged on January 20, 2013, his 28th birthday. They split in August 2013. In June 2015, Gilbert married Georgia schoolteacher Amber Cochran in a small ceremony at his home. |
He admitted that she was the girl who inspired his singles "You Don't Know Her Like I Do" and "More Than Miles", among several others. In 2017, on his "The Devil Don't Sleep" tour, he announced he would be a father in November. On November 11, 2017, Gilbert and his wife welcomed son Barrett Hardy-Clay Gilbert. On September 9, 2019, they welcomed their second child, a daughter named Braylen Hendrix Gilbert. In 2013, Gilbert embarked on an eight-day USO tour to entertain American service members stationed in Italy and Kuwait. Brantley Gilbert was in a near-fatal truck accident when he was 19. |
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