|
|
||||||||
1 Department of Fisheries and Oceans, Central and Arctic Region, 501 University Crescent, Winnipeg, Manitoba, Canada R3T 2N6
2 Canadian Food Inspection Agency, Animal Diseases Research Institute, 3851 Fallowfield Road, Ottawa, Ontario, Canada K2H 8P9
3 44-299 Kaneohe Bay Drive, Kaneohe, Hawaii, 96744, USA
4 Corresponding author (email: NielsenO{at}DFO-MPO.GC.CA)
| ABSTRACT |
|---|
|
|
|---|
Key words: Brucella spp., buffered antigen plate agglutination test, comparative serologic diagnostic tests, competitive ELISA test, fluorescent polarization test, Hawaiian monk seal, Monachus schauinslandi.
| INTRODUCTION |
|---|
|
|
|---|
Known causes of mortality in HMSs include emaciation of juveniles, shark predation, male aggression, collisions with boats, and entanglement in marine debris such as fishing gear (Kenyon, 1981; Alcorn and Kam, 1986; Henderson, 1990; Nitta and Henderson, 1993; Hiruki et al., 1993). There is also evidence that human disturbance of pregnant and nursing females can cause them to abandon preferred pupping areas, resulting in decreased pup survival (Kenyon, 1981). Biotoxins such as cigua-toxin have been found in prey species throughout HMS habitat (National Marine Fisheries Service, unpubl. data) and were implicated in a die-off of HMSs at Laysan Island in 1978 (Gilmartin, 1987).
The role of infectious diseases in the population decline of HMSs is not well understood, but is an active area of investigation. Serologic evidence of exposure to potential pathogens (Leptospira and Chlamydophilus) as well as isolation of a number of species of Salmonella and endoparasites has been reported in HMSs (Aguirre, 2000). Emerging diseases are now recognized by most wildlife biologists as a substantial threat to the conservation of global diversity (Daszak et al., 2000). Recent examples of infectious diseases causing catastrophic declines in populations of wildlife include the loss of amphibian species worldwide (Daszak et al., 1999) and the more subtle role that infectious diseases might be having on the decline of sea otters (Enhydra lutra) in California (Estes et al., 2003). In cases where an animal population is threatened or endangered the risk of extinction due to infectious diseases becomes even greater. Notable examples include an epidemic of canine distemper virus (CDV) in Serengeti lions (Panthera leo; Roelke-Parker et al., 1996) and the near extinction of black-footed ferrets (Mustela nigripes) by CDV (Thorne and Williams, 1988).
Until the mid-1990s brucellosis was thought to be a disease of terrestrial animals only. Six nomen species of Brucellae are presently recognized and are distributed worldwide (Moreno et al., 2002). Since 1994, reports have described isolation and characterization of Brucella isolates from a number of marine mammal species from North America and Europe (Ewalt et al., 1994; Foster et al., 1996; Forbes et al., 2000). Evidence of Brucella antibodies has been reported in marine mammals from North America, the north Atlantic, and Antarctica, indicating that Brucella infections affect a large number of cetacean and pinniped species and are distributed worldwide (Tryland et al., 1999; Retamal et al., 2000; Nielsen et al., 2001). Some cetacean stranding events are associated with meningoencephalitis caused by Brucella infections, and accounts of reproductive failure in dolphins and baleen whales due to Brucella infections have been reported (Miller et al., 1999; González et al., 2002; Ohishi et al., 2003). Brucellosis is a zoonotic disease and there are two reports of the disease in humans that were acquired from marine mammals (Brew et al., 1999; Sohn et al., 2003).
There are three reasons why it is important to quickly and accurately screen HMS sera for Brucella antibodies. First, considerable rescue and rehabilitation work is done in Hawaii with this and other marine mammal species, and the risks of human exposure to animals with active brucellosis could be significant. Secondly, a rapid field test for identifying HMSs with brucellosis could also aid in diagnosis and subsequent treatment of sick and live-stranded animals. Thirdly, serologic identification of Brucella infections might help investigators determine cause of death of animals under examination. Results from such investigations could be useful in understanding the role that brucellosis might be contributing to HMS population decline. The present study was undertaken to compare four serologic tests for determining Brucella exposure in HMSs.
| MATERIAL AND METHODS |
|---|
|
|
|---|
The buffered antigen plate agglutination test (BPAT) was performed as described in the Office International Des Epizooties Manual of Standards for Diagnostic Tests and Vaccines (1996).
The indirect enzyme immunoassay test (I-ELISA) was done as described by Nielsen et al. (1994) with the following modification. The I-ELISA uses smooth lipopolysaccharide (s-LPS) from B. abortus strain 1119.3 as the antigen, adsorbed onto polystyrene microplates (NUNC 2-69620 from Gibco-BRL, Burlington, Ontario, Canada), followed stepwise by the application of the diluted serum samples (1:50), then universal protein A and G binding reagent (Pierce, Rockford, Illinois, USA) conjugated with horseradish peroxidase and substrate/ chromogen. Divalent cation chelating agents (EDTA/EGTA) were added to the serum diluent to reduce nonspecific protein interactions (Nielsen et al., 1994) and the microplates were washed between each step with 0.01 M, pH 7.2 phosphate buffered saline containing 0.15 M NaCl and 0.05% Tween-20 (PBS/T). Optical density readings at 414 nm were obtained after 10 min and a positive result relative to a strongly positive bovine serum was based on the cutoffs obtained in previous experiments with cattle (inhibition
46% was considered positive).
The competitive enzyme immunoassay (C-ELISA) was performed as described by Nielsen et al. (1996a). Again, sLPS antigen was adsorbed onto the polystyrene microplates. After incubation and washing of the adsorbed micro-plates, serum samples diluted 1:10, were added immediately followed by the addition of a murine monoclonal antibody specific for a common epitope of Brucella O-polysaccharide (M-84). Serum samples and M84 were diluted in PBS/T containing EDTA/EGTA (Nielsen et al., 1994). The serum samples and the monoclonal antibody were mixed for 3 min in the microplate and were incubated for 30 min. After incubation and washing, commercially available goat anti-mouse IgG horseradish peroxidase-conjugated antibody (heavy and light chain specific; Jackson ImmunoResearch Labs Inc., West Grove, Pennsylvania, USA) was added followed by the addition of substrate chromogen after incubation and washing. Optical density readings at 414 nm were obtained after 10 min and a positive result was based on the cut-off obtained in previous experiments with cattle (positivity
30%).
The fluorescence polarization assay (FPA) was performed as described by Nielsen et al. (1996b). The assay used B. abortus O-polysaccharide conjugated with fluorescein isothiocyanate. The assay tested serum at 1:100 in 1.0 ml of 0.01M Tris, pH 7.0 containing 0.15M NaCl, 10 mM EDTA, and 0.05% Igepal CA 630 (SigmaAldrich Canada Ltd., Mississauga, Ontario, Canada). The sample was measured in a fluorescence polarization analyser, (SENTRY from Diachemix Corporation, White Fish Bay, Wisconsin, USA) to obtain a baseline fluorescence measurement. A predetermined amount of conjugated antigen in 0.01 M sodium phosphate, pH 7.0 containing 0.15 M NaCl and 0.1% sodium azide was added to each sample, mixed and incubated for approximately 2 min to allow for the interaction of antigen and any antibody present. After incubation, the sample was again measured in a fluorescence polarization analyser. In the presence of significant antibody, a high millipolarization (
90 mP) result was obtained; in the absence of significant antibody a low value was obtained.
| RESULTS |
|---|
|
|
|---|
|
| DISCUSSION |
|---|
|
|
|---|
The decline in HMSs since the 1980s and the low recruitment of animals, especially in the French Frigate Shoals (Carretta et al., 2001) might be interpreted as evidence that brucellosis is playing a role in the decline of these stocks (Aguirre, 2000). The first step in determining the role that brucellosis might be having in the decline of the HMS population is use of a reliable serologic test, in conjunction with bacterial isolation attempts from tissues from dead stranded seals (Forbes et al., 2000). Unfortunately, most serologic tests used for wild species have been directly transposed from use in domestic livestock species without proper validation. Therefore, in deciding which test should be adopted for routine screening for brucellosis in HMSs, some consideration of the underlying chemistry and history of each test should be taken into account.
The BPAT test was developed for detection of antibody to Brucella spp. in bovine serum (Angus and Barton, 1984). In this test an acidified antigen preparation is used and therefore reduces the final antigen/serum mixture to approximately pH 3.65. At this pH fibrinogen can be converted to an insoluble fibrin that could be interpreted by the investigator as agglutination, thereby giving rise to a false positive result. The BPAT test is also unable to distinguish antibody from cross-reacting organisms such as Yersina enterocolitica 0:9 which might be present in test sera and this would also lead to false positive results (Samartino et al., 1999).
Use of species independent competitive immunoassays such as C-ELISA and I-ELISA would eliminate some false positives, and would therefore be more specific because production of fibrinogen is not an issue. The reactivity of the protein A/G HRPO conjugate with seals has not been reported and the lower number of reactors identified by the I-ELISA might be due to the conjugate not reacting with some isotypes of seal antibody. Another advantage of the C-ELISA is that it is possible in most cases to distinguish between antibodies to Brucella spp. and antibodies from other cross-reacting Gram negative bacteria (Nielsen, 1990). Both enzyme immunoassays have been used successfully to identify Brucella serologic reactors among a variety of marine mammal species (Tryland et al., 1999; Nielsen et al., 2001). A further drawback of the BPAT test is that it requires the use of good quality serum, whereas whole blood and hemolysed serum do not interfere with the detection of serum antibodies in the FPA and enzyme immunoassays. Rarely are good quality serum samples available from wildlife for serologic screening and this is especially true when the animals are found dead.
It is unlikely that the specificity and sensitivity of the BPAT, the two immunoassays, and the FPA will ever be determined for detecting Brucella antibodies in HMS serum. This would involve the analysis of a statistically significant number of sera in comparison with another "gold standard" test such as isolation of the causative organism under controlled conditions. Sensitivity and specificity of each test could be determined by comparing the results from animals known to be positive and for those known to be negative by bacterial isolation. It would not be feasible to carry out this conclusive validation process for every species of marine mammal, and for routine screening, it is not necessary. No attempt was made to isolate Brucella from HMSs sampled in this study because bacterial isolation also has some limitations, especially when used in free-ranging animals. Recovered carcasses are usually in some state of decomposition and Brucella is notoriously fragile, making recovery difficult. Maratea et al. (2003) reported they were only able to recover isolates from two of five stranded harp seals (Phoca groenlandica) showing serologic evidence of Brucella exposure using the BAPA, rivanol, and card test, a sensitivity of only 40%.
The C-ELISA, I-ELISA, and FPA perform well with regards to sensitivity and specificity in sera from wild species whereas the BPAT performed relatively poorly (Gall et al., 2001). Therefore, it is assumed that the BPAT test overestimated the number of positive HMSs in this survey. The FPA and I-ELISA tests each detected the fewest number (19) of Brucella reactors whereas C-ELISA detected 25 (Table 1
). Given the small number of animals tested, no one test can be judged superior to another and validation of each of these tests is impractical for the reasons stated above. In cases where an accurate estimation of Brucella antibodies is required, C-ELISA is qualitatively at least the most suitable choice. The I-ELISA is not as specific as C-ELISA and FPA because it cannot be used to discriminate between antibodies that cross-react with other Gram negative bacteria. For this reason, it too should be considered unsuitable for the identification of Brucella reactors in wildlife. A disadvantage of both C-ELISA and I-ELISA tests is the considerable expertise and equipment required to perform the test in order to obtain reliable results. This is not always possible in wildlife monitoring situations.
As with other wild species, the FPA test is the diagnostic test of choice for detection of exposure to Brucella in HMSs (Gall et al., 2001). It has the ability, in some cases, to distinguish antibody from cross-reacting organisms (e.g., Y. enterocolitica 0:9) from antibody against Brucella spp. and is marginally better at it than the C-ELISA test; it is technically simple to do; it is adaptable to field use even with hemolysed sera, milk and whole blood; and is relatively inexpensive (Gall et al., 2001). The results we obtained were based on cutoff values established for cattle, but they are probably sufficient for preliminary screening for evidence of Brucella exposure in HMSs. These cutoff points might differ between cattle and HMSs as well as other marine mammal species.
Once reliable species-independent serologic testing is adopted for routine screening of HMSs, identification of presumptively Brucella-positive stranded or sick seals will assist in guiding treatment of affected animals and alert health care workers to take measures to prevent infection of themselves and uninfected animals with which affected seals might come in contact. At present the policy is to not return Brucella seropositive animals to the wild, but this decision was based on use of the BPAT that is unsuitable for determining serologic status. Adopting FPA and C-ELISA for a more accurate determination of Brucella status would make this policy less error prone and will result in reintroduction of healthy HMSs back into the wild.
| ACKNOWLEDGMENTS |
|---|
| LITERATURE CITED |
|---|
|
|
|---|
ANGUS, R. D., AND C. E. BARTON. 1984. The production and evaluation of a buffered plate antigen for use in a presumptive test for brucellosis. Developments in Biological Standardization 56: 549556.
ALCORN, D. J., AND A. K. H. KAM. 1986. Fatal shark attack on a Hawaiian monk seal (Monachus schauinslandi). Marine Mammal Science 2: 313315.
BREW, S. D., L. PERRETT, J. A. STACK, A. P. MACMILLAN, AND N. J. STAUNTON. 1999. Human exposure to Brucella recovered from a sea mammal. Veterinary Record 144: 483.[Medline]
CARRETTA, J. V., J. BARLOW, K. A. FORNEY, M. M. MUTO, AND J. BAKER. 2001. U.S. Pacific marine mammal stock assessments: 2001. NOAA/NMFS Technical Memorandum NMFS-SWFSC-317, 280 pp.
, M. M. MUTO, J. BARLOW, J. BAKER, K. A. FORNEY, AND M. LOWRY. 2002. U.S. Pacific marine mammal stock assessments: 2002. NOAA/ NMFS, Technical Memorandum NOAA-TM-NMFS-SWFSC-346, 286 pp.
DASZAK, P., L. BERGER, A. A. CUNNINGHAM, A. D. HYATT, D. E. GREEN, AND R. SPEARE. 1999. Emerging infectious diseases and amphibian population declines. Emerging Infectious Disease 5: 735768.
, A. A. CUNNINGHAM, AND A. HYATT. 2000. Emerging infectious diseases of wildlife-threats to biodiversity and human health. Science 287: 443449.
ESTES, J. A., B. B. HATFIELD, K. RALLS, AND J. AMES. 2003. Causes of mortality in California sea otters during periods of population growth and decline. Marine Mammal Science 19: 198216.
EWALT, D. R., J. B. PAYEUR, B. M. MARTIN, D. R. CUMMINS, AND W. G. MILLER. 1994. Characteristics of a Brucella species from a bottlenose dolphin (Tursiops truncatus). Journal of Veterinary Diagnostic Investigation 6: 448452.
FORBES, L. B., O. NIELSEN, L. MEASURES, AND D. R. EWALT. 2000. Brucellosis in ringed seals and harp seals from Canada. Journal of Wildlife Diseases 36: 595598.[Abstract]
FOSTER, G., K. L. JAHANS, R. J. REID, AND H. M. ROSS. 1996. Isolation of Brucella species from cetaceans, seals, and an otter. Veterinary Record 138: 583586.
GALL, D., K. NIELSEN, L. FORBES, W. COOK, D. LECLAIR, S. BALSEVICIUS, L. KELLY, P. SMITH, AND M. MALLORY. 2001. Evaluation of the fluorescence polarization assay and comparison to other serological assays for detection of brucellosis in cervids. Journal of Wildlife Diseases 37: 110118.[Abstract]
GERACI, J. R., AND V. J. LOUNSBURY. 1993. Specimen and data collection. In Marine mammals ashore: A field guide for strandings, J. R. Geraci and V. J. Loundsbury (eds.). Texas A&M Sea Grant Publications, Texas A&M University, Gal-veston, Texas, pp. 175228.
GILMARTIN, W. G. 1987. Hawaiian monk seal die-off response plan, a workshop report NOAA Administrative Report H-87-19, 113 pp.
GONZALEZ, L., I. A. PATTERSON, R. J. REID, G. FOSTER, M. BARBERIAN, J. M. BLASCO, S. KENNEDY, F. E. HOWIE, J. GODFROID, A. P. MACMILLAN, A. SCHCK, AND D. BUXTON. 2002. Chronic men-ingoencephalitis associated with Brucella sp. infection in live-stranded striped dolphins (Stenella coeruleoalba). Journal of Comparative Pathology 126: 147152.[Medline]
HENDERSON, J. R. 1990. Recent entanglements of Hawaiian monk seals in marine debris. In Proceedings of the second international conference on marine debris, Honolulu, Hawaii, R. S. Shomura and M. L. Godfrey (eds.). NOAA/NMFS Technical Memo NMFS-SWFSC-154, pp. 540553.
HIRUKI, L. M., I. STIRLING, W. G. GILMARTIN, T. C. JOHANOS, AND B. L. BECKER. 1993. Significance of wounding to female reproductive success in Hawaiian monk seals (Monachus schauinslandi) at Laysan Island. Canadian Journal of Zoology 71: 469474.
JEPSON, P. D., S. BREW, A. P. MACMILLAN, J. R. BAKER, J. BARNETT, J. K. KIRKWOOD, T. KUIKEN, I. R. ROBINSON, AND V. R. SIMPSON. 1997. Antibodies to Brucella in marine mammals around the coast of England and Wales. Veterinary Record 141: 513515.
KENYON, K. W. 1981. Monk seals Monachus Fleming, 1822. In Handbook of marine mammals, Vol. 2. Seals, S. H. Ridgway and R. J. Harrison (eds.). Academic Press, London, UK, pp. 195220.
MARATEA, J. D., R. EWALT, S. FRASCA, J. L. DUNN, S. DE GUISE, L. SZKUDLAREK, D. J. ST. AUBIN, AND R. A. FRENCH. 2003. Evidence of Brucella sp. infection in marine mammals stranded along the coast of southern New England. Journal of Zoo and Wildlife Medicine 34: 256261.[Medline]
MILLER, W. G., G. ADAMS, T. FICHT, N. CHEVILLE, J. P. PAYEUR, D. R. HARLEY, C. HOUSE, AND S. H. RIDGWAY. 1999. Brucella-induced abortions and infections in bottlenose dolphins (Tursiops truncatus). Journal of Zoo and Wildlife Medicine 30: 100110.[Medline]
MORENO, E., A. CLOCKHAERT, AND I. MORIYON. 2002. Brucella evolution and taxonomy. Veterinary Microbiology 90: 209227.[Medline]
NIELSEN, K. 1990. The serological response of cattle immunized with Yersinia enterocolitica 0:9 or 0: 16 to Yersinia and Brucella abortus antigens in immunoassays. Veterinary Journal of Immunology and Immunopathology 24: 373382.
, L. KELLY, D. GALL, P. SMITH, J. BOSSE, P. NICOLETTI, AND W. KELLY. 1994. The use of divalent cation chelating agents (EDTA/EGTA) to reduce non-specific protein interaction in enzyme immunoassay. Veterinary Research Communications 18: 433437.[Medline]
, D. GALL, W. KELLY, A. VIGLIOCCO, D. HENNING, AND M. GARCIA. 1996a. Immunoassay development: Application to enzyme immunoassay for diagnosis of brucellosis. Monograph, Agriculture and Agri-Food Canada, Animal Diseases Research Institute, Nepean, Ontario, Canada, 118 pp.
, , M. JOLLEY, G. LEISHMAN, S. BALSEVICIUS, P. SMITH, P. NICOLETTI, AND F. THOMAS. 1996b. A homogenous fluorescence polarization assay for the detection of antibody to Brucella abortus. Journal of Immunological Methods 195: 161168.[Medline]
NIELSEN, O., R. E. A. STEWART, K. NIELSEN, L. MEASURES, AND P. DUIGNAN. 2001. Serologic survey of Brucella spp. antibodies in some marine mammals of North America. Journal of Wildlife Diseases 37: 89100.[Abstract]
NITTA, E. T., AND J. R. HENDERSON. 1993. A review of interactions between Hawaiis fisheries and protected species. Marine Fisheries Review 55: 8392.
OFFICE INTERNATIONAL DES EPIZOOTIES. 1996. Manual of standards for diagnostic tests and vaccines, 3rd edition. Office International des Epizooties, Paris, France, 723 pp.
OHISHI, K., R. ZENITANI, T. BANDO, Y. GOTO, K. UCHIDA, T. MARUYAMA, S. YAMAMOTO, N. MIYAZAKI, AND Y. FUJISE. 2003. Pathological and serological evidence of Brucella-infection in baleen whales (Mysticeti) in the western North Pacific. Comparative Immunology, Microbiology and Infectious Diseases 26: 125136.[Medline]
RETAMAL, O., O. BLANK, P. ABALOS, AND D. TORRES. 2000. Detection of anti-Brucella antibodies in pinnipeds from the Antarctic territory. Veterinary Record 146: 166167.
ROELKE-PARKER, M. E., L. MUNSON, C. PACKER, R. KOCK, S. CLEAVELAND, M. CARPENTER, S. J. OBRIAN, A. POSPISCHIL, R. HOFFMAN-LEHMAN, H. LUTZ, G. L. M. MWAMENGELE, M. N. MGASA, G. A. MACHANGE, B. A. SUMMERS, AND M. J. G. APPEL. 1996. A canine distemper virus epidemic in Serengeti lions (Panthera leo). Nature 379: 441445.[Medline]
SAMARTINO, L., D. GALL, R. GREGORET, AND K. NIELSEN. 1999. Validation of enzyme-linked immunosorbent assays for diagnosis of bovine brucellosis. Veterinary Microbiology 70: 193200.[Medline]
SOHN, A. H., W. S. PROBERT, C. A. GLASER, N. GUPTA, A. W. BOLLEN, J. D. WONG, E. M. GRACE, AND W. MCDONALD. 2003. Human neurobrucellosis with intracerebral granuloma caused by a marine mammal Brucella spp. Emerging Infectious Disease 9: 485488.
THORNE, E. T., AND E. S. WILLIAMS. 1988. Disease and endangered species: The black-footed ferret as a recent example. Conservation Biology 2: 6676.
TRYLAND, M., L. KLEIVANE, A. ALFREDSSON, M. KJELD, A. ARNASON, S. STUEN, AND J. GODFROID. 1999. Evidence of Brucella infection in marine mammals in the North Atlantic Ocean. Veterinary Record 138: 588592.
VAN BRESSEM, M. F., K. VAN WAEREBEEK, J. A. RAGA, J. GODFROID, S. D. BREW, AND A. P. MACMILLAN. 2001. Serological evidence of Brucella species infection in odontocetes from the south Pacific and the Mediterranean. Veterinary Record 148: 657661.
Received for publication 5 February 2004.
This article has been cited by other articles:
![]() |
A. S. Neimanis, H. N. Koopman, A. J. Westgate, K. Nielsen, and F. A. Leighton Evidence of Exposure to Brucella sp. in Harbor Porpoises (Phocoena phocoena) from the Bay of Fundy, Canada J. Wildl. Dis., April 1, 2008; 44(2): 480 - 485. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Castinel, R. Kittelberger, W. E. Pomroy, P. J. Duignan, B. L. Chilvers, and I. S. Wilkinson HUMORAL IMMUNE RESPONSE TO KLEBSIELLA SPP. IN NEW ZEALAND SEA LIONS (PHOCARCTOS HOOKERI) AND THE PASSIVE TRANSFER OF IMMUNITY TO PUPS J. Wildl. Dis., January 1, 2008; 44(1): 8 - 15. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. A. Aguirre, T. J. Keefe, J. S. Reif, L. Kashinsky, P. K. Yochem, J. T. Saliki, J. L. Stott, T. Goldstein, J. P. Dubey, R. Braun, et al. INFECTIOUS DISEASE MONITORING OF THE ENDANGERED HAWAIIAN MONK SEAL J. Wildl. Dis., April 1, 2007; 43(2): 229 - 241. [Abstract] [Full Text] [PDF] |
||||
![]() |
W. L. McDonald, R. Jamaludin, G. Mackereth, M. Hansen, S. Humphrey, P. Short, T. Taylor, J. Swingler, C. E. Dawson, A. M. Whatmore, et al. Characterization of a Brucella sp. Strain as a Marine-Mammal Type despite Isolation from a Patient with Spinal Osteomyelitis in New Zealand J. Clin. Microbiol., December 1, 2006; 44(12): 4363 - 4370. [Abstract] [Full Text] [PDF] |
||||
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |