2024
Investigating disease awareness of cutaneous leishmaniasis in rural Sri Lanka to inform public health services: a cross-sectional study
Gunasekara S, Agampodi T, Weerasinghe M, Fernando M, Price H, Wickramasinghe N, Agampodi S. Investigating disease awareness of cutaneous leishmaniasis in rural Sri Lanka to inform public health services: a cross-sectional study. BMJ Open 2024, 14: e088714. PMID: 39581720, PMCID: PMC11590865, DOI: 10.1136/bmjopen-2024-088714.Peer-Reviewed Original ResearchConceptsSecondary outcome measuresAnuradhapura districtOutcome measuresProbability sample of householdsTreatment centresMultistage cluster samplingPublic health interventionsPublic health servicesCross-sectional studyData collection periodExpert consensus approachPrimary disease characteristicsRural Sri LankaPrimary outcome measureSample of householdsHealth interventionsLow disease awarenessHealth servicesPerceived susceptibilityEvidence-basedCommunity awarenessDisease awarenessDivisional Secretariat areaCluster samplingProbability sampleAssessment of the productivity loss due to leading maternal ill-health conditions: a follow-up study of a prospective pregnancy cohort in rural Sri Lanka
Gunarathna S, Wickramasinghe N, Agampodi T, Prasanna I, Agampodi S. Assessment of the productivity loss due to leading maternal ill-health conditions: a follow-up study of a prospective pregnancy cohort in rural Sri Lanka. BMJ Open 2024, 14: e082798. PMID: 39477261, PMCID: PMC11529687, DOI: 10.1136/bmjopen-2023-082798.Peer-Reviewed Original ResearchConceptsIll-health conditionsRural Sri LankaPregnant womenPregnancy cohortFollow-up study of womenFollow-up studyProspective pregnancy cohortRajarata Pregnancy CohortSecondary outcome measuresMonthly household expenditureVaginal bleedingProductivity lossStudy of womenPrimary outcome measurePregnancy follow-upMedical careOutcome measuresHigher absenteeismNausea and vomitingPresenteeismHighest prevalenceAbsenteeismThird trimesterWomenRecommended prioritiesGlobal burden and strength of evidence for 88 risk factors in 204 countries and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021
Collaborators G, Brauer M, Roth G, Aravkin A, Zheng P, Abate K, Abate Y, Abbafati C, Abbasgholizadeh R, Abbasi M, Abbasian M, Abbasifard M, Abbasi-Kangevari M, ElHafeez S, Abd-Elsalam S, Abdi P, Abdollahi M, Abdoun M, Abdulah D, Abdullahi A, Abebe M, Abedi A, Abedi A, Abegaz T, Zuñiga R, Abiodun O, Abiso T, Aboagye R, Abolhassani H, Abouzid M, Aboye G, Abreu L, Abualruz H, Abubakar B, Abu-Gharbieh E, Abukhadijah H, Aburuz S, Abu-Zaid A, Adane M, Addo I, Addolorato G, Adedoyin R, Adekanmbi V, Aden B, Adetunji J, Adeyeoluwa T, Adha R, Adibi A, Adnani Q, Adzigbli L, Afolabi A, Afolabi R, Afshin A, Afyouni S, Afzal M, Afzal S, Agampodi S, Agbozo F, Aghamiri S, Agodi A, Agrawal A, Agyemang-Duah W, Ahinkorah B, Ahmad A, Ahmad D, Ahmad F, Ahmad N, Ahmad S, Ahmad T, Ahmed A, Ahmed A, Ahmed A, Ahmed L, Ahmed M, Ahmed S, Ahmed S, Ajami M, Akalu G, Akara E, Akbarialiabad H, Akhlaghi S, Akinosoglou K, Akinyemiju T, Akkaif M, Akkala S, Akombi-Inyang B, Al Awaidy S, Al Hasan S, Alahdab F, AL-Ahdal T, Alalalmeh S, Alalwan T, Al-Aly Z, Alam K, Alam N, Alanezi F, Alanzi T, Albakri A, AlBataineh M, Aldhaleei W, Aldridge R, Alemayohu M, Alemu Y, Al-Fatly B, Al-Gheethi A, Al-Habbal K, Alhabib K, Alhassan R, Ali A, Ali A, Ali B, Ali I, Ali L, Ali M, Ali R, Ali S, Ali W, Alicandro G, Alif M, Aljunid S, Alla F, Al-Marwani S, Al-Mekhlafi H, Almustanyir S, Alomari M, Alonso J, Alqahtani J, Alqutaibi A, Al-Raddadi R, Alrawashdeh A, Al-Rifai R, Alrousan S, Al-Sabah S, Alshahrani N, Altaany Z, Altaf A, Al-Tawfiq J, Altirkawi K, Aluh D, Alvis-Guzman N, Alvis-Zakzuk N, Alwafi H, Al-Wardat M, Al-Worafi Y, Aly H, Aly S, Alzoubi K, Al-Zyoud W, Amaechi U, Mohammadi M, Amani R, Amiri S, Amirzade-Iranaq M, Ammirati E, Amu H, Amugsi D, Amusa G, Ancuceanu R, Anderlini D, Anderson J, Andrade P, Andrei C, Andrei T, Anenberg S, Angappan D, Angus C, Anil A, Anil S, Anjum A, Anoushiravani A, Antonazzo I, Antony C, Antriyandarti E, Anuoluwa B, Anvari D, Anvari S, Anwar S, Anwar S, Anwer R, Anyabolo E, 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Global burden and strength of evidence for 88 risk factors in 204 countries and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021. The Lancet 2024, 403: 2162-2203. PMID: 38762324, PMCID: PMC11120204, DOI: 10.1016/s0140-6736(24)00933-4.Peer-Reviewed Original ResearchConceptsDisability-adjusted life yearsHigh body-mass indexTheoretical minimum risk exposure levelSocio-demographic indexBody-mass indexRisk-outcome pairsParticulate matter air pollutionChild growth failureBurden of diseaseGlobal disease burdenGlobal burdenHealth outcomesRisk factorsDisease burdenMetabolic riskAmbient particulate matter air pollutionSocio-demographic Index locationsGlobal Burden of Disease StudyBurden of Disease StudyGlobal Burden of DiseaseComparative risk assessment frameworkAge-standardised ratesExposure to risk factorsPopulation attributable fractionSpecific health outcomesGlobal burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021
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Waqas M, Ward P, Wassie E, Watson S, Watson S, Weerakoon K, Wei M, Weintraub R, Weiss D, Westerman R, Whisnant J, Wiangkham T, Wickramasinghe D, Wickramasinghe N, Wilandika A, Wilkerson C, Willeit P, Wilson S, Wojewodzic M, Woldegebreal D, Wolf A, Wolfe C, Wondimagegene Y, Wong Y, Wongsin U, Wu A, Wu C, Wu F, Wu X, Wu Z, Xia J, Xiao H, Xie Y, Xu S, Xu W, Xu X, Xu Y, Yadollahpour A, Yamagishi K, Yang D, Yang L, Yano Y, Yao Y, Yaribeygi H, Ye P, Yehualashet S, Yesiltepe M, Yesuf S, Yezli S, Yi S, Yigezu A, Yiğit A, Yiğit V, Yip P, Yismaw M, Yismaw Y, Yon D, Yonemoto N, Yoon S, You Y, Younis M, Yousefi Z, Yu C, Yu Y, Yuh F, Zadey S, Zadnik V, Zafari N, Zakham F, Zaki N, Bin Zaman S, Zamora N, Zand R, Zangiabadian M, Zar H, Zare I, Zarrintan A, Zeariya M, Zeinali Z, Zhang H, Zhang J, Zhang J, Zhang L, Zhang Y, Zhang Z, Zhao H, Zhong C, Zhou J, Zhu B, Zhu L, Ziafati M, Zielińska M, Zitoun O, Zoladl M, Zou Z, Zuhlke L, Zumla A, Zweck E, Zyoud S, Wool E, Murray C. Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021. The Lancet 2024, 403: 2100-2132. PMID: 38582094, PMCID: PMC11126520, DOI: 10.1016/s0140-6736(24)00367-2.Peer-Reviewed Original ResearchConceptsAge-standardised death ratesChronic obstructive pulmonary diseaseGlobal burdenLife expectancyObstructive pulmonary diseaseGlobal life expectancyHighest age-standardised death ratesLower respiratory infectionsDeath rateCause-specific death ratesGlobal Burden of Disease StudyCause-of-death dataDecompose life expectancyLatin AmericaBurden of Disease StudyGlobal Burden of DiseaseHigh-income super-regionAge-standardised deathAge-standardised ratesSubnational locationsStudy periodOut-of-sample predictive validityCause-of-death estimatesCause-specific estimatesGBD super-regions
2023
Early pregnancy metabolic syndrome and risk for adverse pregnancy outcomes: findings from Rajarata Pregnancy Cohort (RaPCo) in Sri Lanka
Jayasinghe I, Agampodi T, Dissanayake A, Agampodi S. Early pregnancy metabolic syndrome and risk for adverse pregnancy outcomes: findings from Rajarata Pregnancy Cohort (RaPCo) in Sri Lanka. BMC Pregnancy And Childbirth 2023, 23: 231. PMID: 37020187, PMCID: PMC10074348, DOI: 10.1186/s12884-023-05548-y.Peer-Reviewed Original ResearchConceptsGestational agePreterm birthPregnancy outcomesPregnant womenMetabolic syndromePregnancy cohortJoint Interim Statement criteriaFirst trimester pregnant womenMajor pregnancy outcomesSouth Asian pregnant womenAdverse pregnancy outcomesNeonatal birth weightGestational weight gainMedian gestational ageProspective cohort studyLive singleton birthsSignificant risk predictorAsian pregnant womenConclusionPregnant womenFPG thresholdMetS prevalenceCohort studyCumulative incidenceProspective cohortMetS definitions
2022
Fatty Liver Index is a valid predictor of non-alcoholic fatty liver disease (NAFLD) in pregnancy
Koralegedara IS, Warnasekara JN, Rathnayake A, Dayaratne KG, Agampodi SB. Fatty Liver Index is a valid predictor of non-alcoholic fatty liver disease (NAFLD) in pregnancy. BMJ Open Gastroenterology 2022, 9: e000913. PMID: 35728866, PMCID: PMC9214354, DOI: 10.1136/bmjgast-2022-000913.Peer-Reviewed Original ResearchConceptsNon-alcoholic fatty liver diseaseFatty liver indexAdverse pregnancy outcomesFatty liver diseasePregnant womenPregnancy outcomesLiver diseaseFatty liverLiver indexFirst trimester pregnant womenGamma-glutamyl transferase levelsBody mass indexPeriod of gestationLogistic regression modelsBinary logistic regression modelIndependent predictorsMass indexPregnancy cohortEarly pregnancyMean ageTransferase levelsLiver enzymesUltrasound scanGeneral populationHealth setupComparison of global definitions of metabolic syndrome in early pregnancy among the Rajarata Pregnancy Cohort participants in Sri Lanka
Jayasinghe IU, Agampodi TC, Dissanayake AK, Srimantha SM, Agampodi SB. Comparison of global definitions of metabolic syndrome in early pregnancy among the Rajarata Pregnancy Cohort participants in Sri Lanka. Scientific Reports 2022, 12: 2009. PMID: 35132136, PMCID: PMC8821546, DOI: 10.1038/s41598-022-05919-z.Peer-Reviewed Original ResearchConceptsPeriod of gestationTotal cholesterolEarly pregnancyMetabolic syndromeMetabolic derangementsCohort participantsPrevalence estimatesOral glucose tolerance testHigher MetS prevalenceNCEP ATP IIIAHA/NHLBIGlucose tolerance testDifferent diagnostic criteriaSignificant differencesCross-sectional analysisAge 27.9MetS prevalencePregnancy outcomesSerum lipidsMetS definitionsProspective studyPregnant womenPlasma glucoseTolerance testMetabolic parametersPrevalence and aetiologies of anaemia among first trimester pregnant women in Sri Lanka; the need for revisiting the current control strategies
Amarasinghe GS, Agampodi TC, Mendis V, Malawanage K, Kappagoda C, Agampodi SB. Prevalence and aetiologies of anaemia among first trimester pregnant women in Sri Lanka; the need for revisiting the current control strategies. BMC Pregnancy And Childbirth 2022, 22: 16. PMID: 34986796, PMCID: PMC8734253, DOI: 10.1186/s12884-021-04341-z.Peer-Reviewed Original ResearchConceptsFirst trimester pregnant womenFull blood countPregnant womenAnemic womenBlood countRobust public health infrastructureIron deficiencyPeripheral blood film examinationFull blood count analysisEtiology of anemiaMultiple micronutrient supplementationTrimester pregnant womenAnemic pregnant womenBlood count analysisBlood film examinationPublic health interventionsPositive predictive valueForms of malnutritionMaternal care programmeRed cell countRed cell indicesMiddle-income settingsPublic health infrastructureSerum B12B12 deficiencyEarly pregnancy hyperglycaemia as a significant predictor of large for gestational age neonates
Jayasinghe IU, Koralegedara IS, Agampodi SB. Early pregnancy hyperglycaemia as a significant predictor of large for gestational age neonates. Acta Diabetologica 2022, 59: 535-543. PMID: 34973071, PMCID: PMC8917036, DOI: 10.1007/s00592-021-01828-1.Peer-Reviewed Original ResearchConceptsGestational diabetes mellitusGestational age neonatesLGA neonatesAge neonatesGestational ageFirst trimesterPrevalence of GDMWorld Health Organization criteriaDelivery gestational ageNeonatal birth weightPregnancy Study GroupsBirth weight centileMedian gestational ageProspective cohort studyAttributable risk percentageHigh-risk populationUndiagnosed DMCohort studyCumulative incidenceDiabetes mellitusWeight centileEarly pregnancyPregnant womenMean ageOrganization criteria
2021
Clinical spectrum of endemic leptospirosis in relation to cytokine response
Dahanayaka NJ, Agampodi SB, Seneviratna I, Warnasekara J, Rajapakse R, Ranathunga K, Matthias M, Vinetz JM. Clinical spectrum of endemic leptospirosis in relation to cytokine response. PLOS ONE 2021, 16: e0261025. PMID: 34879100, PMCID: PMC8654203, DOI: 10.1371/journal.pone.0261025.Peer-Reviewed Original ResearchConceptsCytokine responsesLeptospirosis patientsClinical spectrumHigher IL-13 levelsHigher IL-5Acute kidney injuryHigher serum creatinineIL-13 levelsSerum cytokine levelsIL-6 levelsUniversity Teaching HospitalMultiplex cytokine kitKidney injuryLung involvementCytokine levelsSerum creatinineAcute phaseCytokine kitIL-1βAcute samplesConvalescence periodIL-8IL-5Prognostic informationEndemic settingsThe hidden burden of adolescent pregnancies in rural Sri Lanka; findings of the Rajarata Pregnancy Cohort
Agampodi TC, Wickramasinghe ND, Jayakodi HG, Amarasinghe GS, Warnasekara JN, Hettiarachchi AU, Jayasinghe IU, Koralegedara IS, Gunarathne SP, Somasiri DK, Agampodi SB. The hidden burden of adolescent pregnancies in rural Sri Lanka; findings of the Rajarata Pregnancy Cohort. BMC Pregnancy And Childbirth 2021, 21: 494. PMID: 34233652, PMCID: PMC8265066, DOI: 10.1186/s12884-021-03977-1.Peer-Reviewed Original ResearchConceptsEdinburgh Postpartum Depression ScaleAdolescent pregnancyPregnancy cohortPregnant womenRural Sri LankaLower body mass indexUtilization of SexualLower hemoglobin levelsBody mass indexPostpartum Depression ScaleReproductive health servicesMental health statusPeriod of gestationHealth care servicesLow education levelMental health effectsResultsBaseline dataBlood investigationsPrimigravida mothersHemoglobin levelsMass indexFirst pregnancyClinical examinationMaternal healthSRH servicesOptimizing the microscopic agglutination test (MAT) panel for the diagnosis of Leptospirosis in a low resource, hyper-endemic setting with varied microgeographic variation in reactivity
Jayasundara D, Gamage C, Senavirathna I, Warnasekara J, Matthias MA, Vinetz J, Agampodi S. Optimizing the microscopic agglutination test (MAT) panel for the diagnosis of Leptospirosis in a low resource, hyper-endemic setting with varied microgeographic variation in reactivity. PLOS Neglected Tropical Diseases 2021, 15: e0009565. PMID: 34197457, PMCID: PMC8279374, DOI: 10.1371/journal.pntd.0009565.Peer-Reviewed Original Research12 Novel clonal groups of Leptospira infecting humans in multiple contrasting epidemiological contexts in Sri Lanka
Jayasundara D, Senavirathna I, Warnasekara J, Gamage C, Siribaddana S, Kularatne SAM, Matthias M, Mariet JF, Picardeau M, Agampodi S, Vinetz J. 12 Novel clonal groups of Leptospira infecting humans in multiple contrasting epidemiological contexts in Sri Lanka. PLOS Neglected Tropical Diseases 2021, 15: e0009272. PMID: 33735202, PMCID: PMC8009393, DOI: 10.1371/journal.pntd.0009272.Peer-Reviewed Original ResearchConceptsClonal groupsAcute kidney injuryL. interrogansMajor clinical challengeGlobal disease threatsLeptospira speciesL. interrogans infectionKidney injuryLiver impairmentCardiovascular involvementL. borgpeterseniiClinical presentationProspective studyClinical severityClinical challengePathogenic Leptospira speciesAnnual epidemicsUbiquitous zoonotic diseaseNew serogroupEpidemiological contextZoonotic diseaseCulture isolationLeptospiral culturesL. weiliiLeptospira diversityA self‐applied valid scale for rapid tracking of household food insecurity among pregnant women in Sri Lanka
Agampodi TC, Hromi‐Fiedler A, Agampodi SB, Amarasinghe GS, Wickramasinghe ND, Jayasinghe IU, Hettiarachchi AU, Perez‐Escamilla R. A self‐applied valid scale for rapid tracking of household food insecurity among pregnant women in Sri Lanka. Maternal And Child Nutrition 2021, 17: e13165. PMID: 33733618, PMCID: PMC8189217, DOI: 10.1111/mcn.13165.Peer-Reviewed Original ResearchConceptsPsychological distressConcurrent validityModel-fitting analysesItem severity scoresGood model fitCognitive testingAdult versionParameter logistic modelPregnant womenPsychometric propertiesSecurity ScaleValid scaleCaribbean Food Security ScalePsychometric validationCOVID-19 pandemicModel fitDistressSTATA version 14Item 8Valid toolPregnancy cohortSeverity scoreSpecial clinicFood Security ScaleHousehold food insecurity
2020
Factors associated with purchasing pesticide from shops for intentional self‐poisoning in Sri Lanka
Weerasinghe M, Konradsen F, Eddleston M, Pearson M, Jayamanne S, Knipe D, Hawton K, Gunnell D, Agampodi S. Factors associated with purchasing pesticide from shops for intentional self‐poisoning in Sri Lanka. Tropical Medicine And International Health 2020, 25: 1198-1204. PMID: 33463883, DOI: 10.1111/tmi.13469.Peer-Reviewed Original ResearchIs leishmaniasis adequately notified in Sri Lanka? A survey among doctors from an endemic district, Sri Lanka
Hewawasam C, Weerakoon HS, Thilakan V, Lelwala T, Prasanka K, Rathnayaka AS, Gamage S, Agampodi S. Is leishmaniasis adequately notified in Sri Lanka? A survey among doctors from an endemic district, Sri Lanka. BMC Public Health 2020, 20: 913. PMID: 32532244, PMCID: PMC7290071, DOI: 10.1186/s12889-020-09066-w.Peer-Reviewed Original ResearchConceptsMedical officersMethodsA cross-sectional studyFirst clinical suspicionHigh disease burdenCross-sectional studyHigh case loadSelf-administered questionnaireHealth Care InstituteAnuradhapura districtCurrent notification systemClinical suspicionResultsOne hundredDisease burdenCare instituteCausative organismEarly diagnosisEndemic districtsCutaneous leishmaniasisParasitic infectionsLeishmaniasisNotifiable diseaseCase loadLeishmania donovaniDiseaseSupportive staffCytokine response in human leptospirosis with different clinical outcomes: a systematic review
Senavirathna I, Rathish D, Agampodi S. Cytokine response in human leptospirosis with different clinical outcomes: a systematic review. BMC Infectious Diseases 2020, 20: 268. PMID: 32264832, PMCID: PMC7137275, DOI: 10.1186/s12879-020-04986-9.Peer-Reviewed Original ResearchConceptsDifferent clinical outcomesCross-sectional studyCytokine responsesIL-10Clinical outcomesSystematic reviewDisease severityHealth Quality Assessment ToolComparative cross-sectional studyTNF-α levelsMethodsA systematic reviewMeasurement of cytokinesEnzyme-linked immunosorbent assayMicroscopic agglutination testPublic health professionalsQuality assessment toolMild leptospirosisCytokine stormElevated cytokinesObservational cohortLeptospirosis patientsProspective studyIL-1βIL-6IL-8Qualitative and quantitative dermatoglyphics of chronic kidney disease of unknown origin (CKDu) in Sri Lanka
Wijerathne BTB, Meier RJ, Salgado SS, Agampodi SB. Qualitative and quantitative dermatoglyphics of chronic kidney disease of unknown origin (CKDu) in Sri Lanka. Journal Of Physiological Anthropology 2020, 39: 1. PMID: 31952553, PMCID: PMC6967092, DOI: 10.1186/s40101-019-0207-0.Peer-Reviewed Original ResearchConceptsDevelopment of CKDuChronic kidney diseaseControl groupCKDu casesKidney diseaseCKDu patientsFetal developmentUnknown origin (PUO) patientsCase-control studyCertain medical conditionsCKDu endemic regionsNon-endemic regionsNon-invasive diagnostic toolHuman fetal developmentDiagnostic toolCKDu endemic areasRidge countTotal ridge countWeek 14Medical conditionsEndemic areasHealthy peopleEndemic regionsB ridge countControl study
2019
Suicidal ideation and intentional self-harm in pregnancy as a neglected agenda in maternal health; an experience from rural Sri Lanka
Arachchi NSM, Ganegama R, Husna AWF, Chandima DL, Hettigama N, Premadasa J, Herath J, Ranaweera H, Agampodi TC, Agampodi SB. Suicidal ideation and intentional self-harm in pregnancy as a neglected agenda in maternal health; an experience from rural Sri Lanka. Reproductive Health 2019, 16: 166. PMID: 31729997, PMCID: PMC6858764, DOI: 10.1186/s12978-019-0823-5.Peer-Reviewed Original ResearchConceptsEdinburgh Postpartum Depression ScalePregnant womenSuicidal ideationRural Sri LankaMaternal mental health issuesAdditional pregnant womenTertiary care centerPrevalence of depressionHigher EPDS scoresCross-sectional studyData extraction sheetPostpartum Depression ScaleSelf-administered questionnaireMental health issuesCurrent pregnancyProbable anxietyThird trimesterEPDS scoresMaternal healthPregnancy recordsPregnant mothersSectional studyCare centerPregnancy periodClinical dataStudy protocol: characterising the clinical, epidemiological and aetiological aspects of leptospirosis in Sri Lanka: a hospital based clinico-epidemiological study
Agampodi S, Warnasekara J, Jayasundara D, Senawirathna I, Gamage C, Kularatne S, Siribaddana S, Maththias M, Vinetz J. Study protocol: characterising the clinical, epidemiological and aetiological aspects of leptospirosis in Sri Lanka: a hospital based clinico-epidemiological study. BMJ Open 2019, 9: e027850. PMID: 31511281, PMCID: PMC6738675, DOI: 10.1136/bmjopen-2018-027850.Peer-Reviewed Original ResearchConceptsEthics Review CommitteeMultilocus sequence typingOutpatient departmentClinico-epidemiological studyMulticentre prospective studyDay of admissionMicroscopic agglutination testPresence of diseaseHospital stayFebrile patientsMedical wardsProspective studySri Lankan isolatesRisk factorsVenous bloodDisease progressionEthical clearanceHigh incidenceAetiological aspectsPatientsAgglutination testMolecular epidemiologyPatient contextBedside inoculationLeptospirosis