Epidemiological and Genetic Data Supporting the Transmission of Ancylostoma ceylanicum among Human and Domestic Animals

Parasitic zoonoses pose a continuing public health problem, especially in endemic developing countries where the majority of populations live in poor, overcrowded conditions, lack education, and practice poor standards of hygiene and improper sanitary disposal of feces. Close contact with domestic animals such as dogs and cats coupled with a lack of proper veterinary care and sanitation expose these communities to high risk of acquiring zoonotic infections. Our study combined the application of conventional and molecular epidemiological tools to determine the probable role of domestic animals, in particular dogs and cats, in the transmission of hookworms in parasite-endemic communities in Malaysia. Epidemiological observation such as univariate and multivariate analyses were used to identify factors associated with hookworm infection in humans, while molecular tools provided the ability to discriminate the different hookworm species, which cannot be achieved by conventional microscopic examination of feces alone. The application of these tools in this present study allowed the accurate determination of parasite species prevalence, hence confirming that Ancylostoma ceylanicum infection is common among human population in Malaysia and the close contact of human and domestic animals (i.e., dogs and cats) contributed to the propagation of this hookworm species

Use of an electronic medical record dashboard to identify gaps in osteoporosis care

Summary Using an electronic medical record (EMR)-based dashboard, this study explored osteoporosis care gaps in primary care. Eighty-four physicians shared their practice activities related to bone mineral density testing, 10-year fracture risk calculation and treatment for those at high risk. Significant gaps in fracture risk calculation and osteoporosis management were identified. Purpose To identify care gaps in osteoporosis management focusing on Canadian clinical practice guidelines (CPG) related to bone mineral density (BMD) testing, 10-year fracture risk calculation and treatment for those at high risk. Methods The ADVANTAGE OP EMR tool consists of an interactive algorithm to facilitate assessment and management of fracture risk using CPG. The FRAX® and Canadian Association of Radiologists and Osteoporosis Canada (CAROC) tools were embedded to facilitate 10-year fracture risk calculation. Physicians managed patients as clinically indicated but with EMR reminders of guideline recommendations; participants shared practice level data on management activities after 18-month use of the tool. Results Eighty-four physicians (54%) of 154 who agreed to participate in this study shared their aggregate practice activities. Across all practices, there were 171,310 adult patients, 40 years of age and older, of whom 17,214 (10%) were at elevated risk for fracture. Sixty-two percent of patients potentially at elevated risk for fractures did not have BMD testing completed; most common reasons for this were intention to order BMD later (48%), physician belief that BMD was not required (15%) and patient refusal (20%). For patients with BMD completed, fracture risk was calculated in 29%; 19% were at high risk, of whom 37% were not treated with osteoporosis medications as recommended by CPG. Conclusion Despite access to CPG and fracture risk calculators through the ADVANTAGE OP EMR tool, significant gaps remain in fracture risk calculation and osteoporosis management. Additional strategies are needed to address this clinical inertia among family physicians

Electrochemical Deposited Nickel Nanowires: Influence of Deposition Bath Temperature on the Morphology and Physical Properties

This paper investigates the influence of the electrolytic bath temperature on the morphology and physical properties of nickel (Ni) nanowires electrochemically deposited into the anodic alumina oxide porous membrane (AAO). The synthesis was performed using nickel sulfate hexahydrate (NiSO4.6H2O) and boric acid (H3BO3) as an electrolytic bath for the electrochemical deposition of Ni nanowires. During the experiment, the electrolyte bath temperature varied from 40°C, 80°C, and 120°C. After the electrochemical deposition process, AAO templates cleaned with distilled water preceding to dissolution in sodium hydroxide (NaOH) solution to obtain free-standing Ni nanowires. Field Emission Scanning Electron Microscopy (FESEM), Energy Dispersive Spectroscopy (EDX) and X-ray Diffraction (XRD) analysis were employed to characterize the morphology and physical properties of the synthesized Ni nanowires. Finding reveals the electrodeposition bath temperature significantly influences the morphology and physical properties of the synthesized Ni nanowires. Rougher surface texture, larger crystal size, and longer Ni nanowires obtained as the deposition bath temperature increased

Toxoplasmosis in HIV and non HIV prisoners in Malaysia

This is the first Malaysian study to determine the trend and risk factors of Toxoplasma gondii infection in HIV and non-HIV among prisoners in terms of socio-demographic and behavioural characteristics, clinical presentations and haematological distributions. Blood samples from 303 participants, comprising 133 HIV positive and 170 HIV negative inmates were collected in EDTA and plain tubes. Two mls of each blood sample in plain tubes were centrifuged at 1500 rpm for 10 minutes and the sera obtained were subjected to ELISA for detection of Toxoplasma IgM and IgG antibody towards Toxoplasma antigen. Seropositive samples for Toxoplasma IgM or both Toxoplasma IgM and IgG were further tested with Novalisa Toxoplasma gondii IgG avidity test to rule out acute from latent infections. Blood in EDTA tubes were sent to Clinical Diagnostic Lab (CDL), University Malaya Medical Centre (UMMC), Kuala Lumpur for complete blood count and differential count analysis. Overall seroprevalence of anti-T. gondii antibodies was detected in 41.9% (127 out of 303) of the participants. Anti-T. gondii antibodies was detected in 63.2% (84 out of 133) of HIV positive subjects and in 25.3% (43 out of 170) of HIV negative subjects. Seroprevalence of anti-T. gondii antibodies was significantly higher in HIV positive than in HIV negative subjects (OR = 5.06; 95% CI = 3.09-8.30; p < 0.001). The rate of T. gondii seropositivity increased significantly in those aged 40 years and above, HIV positive individuals and those with history of drug abuse. White blood cells (WBCs), neutrophils and basophils counts decreased significantly in those infected with Toxoplasma. Creating awareness about T. gondii infection and follow-up of their status is recommended. Moreover, screening of T. gondii infection in HIV-infected individuals should be considered for better treatment and management, including control and prevention

Current status of parasitic infections among Pangkor Island community in Peninsular Malaysia

Limited data is available on the prevalence of parasitic infections among the island communities in Malaysia with most studies performed between 1960s-1980s. This study was conducted to determine the current prevalence status of parasitic infections among communities living in Pangkor Island Peninsular Malaysia. A total of 131 stool and 298 serum samples were collected and subjected to microscopic examination for intestinal protozoa and helminths and detection of Toxoplasma gondii antibodies using commercial ELISA kits respectively. In addition, thin and thick peripheral blood films were microscopically screened for the presence of Plasmodium spp. and microfilariae respectively. The overall prevalence of intestinal parasitic infections among Pangkor Island community was 9.9% (13/131) with T. trichiura (5.3%) being the most common intestinal parasite detected. Toxoplasmosis was reported in almost 60% of the community with the seroprevalence being significantly high among females (64.7%) compared to males (52.8%) (p=0.038). None of those examined samples were infected with intestinal sarcocystosis, malaria and filariasis. This study revealed that the prevalence of intestinal parasitic infections among Pangkor Island community has been greatly reduced compared to that reported 35 years ago. Massive improvements in the socioeconomic status, personal hygiene, water facilities and sanitation may have contributed to the low prevalence of parasitic infections in this community. Nevertheless, further studies still need to be performed to determine the possible risk factors for the high prevalence of toxoplasmosis in this community

Template Synthesis of Ni Nanowires: Characterization and Modelling

Template-assisted electrochemical deposition is a straight forward approach for the synthesis of 1D nanostructures (e.g., nanowire, nanorod, and nanobelt) with controllable morphology. This approach is suitable for mass production as it works at ambient pressure and temperature with the properties of synthesized 1D nanostructures being influenced by synthesis conditions during the electrochemical deposition process. This work aims to investigate the influence of stabilizing agent concentration and heating temperature towards the physical behavior of Nickel (Ni) nanowires synthesized via a template-assisted electrochemical deposition approach. In this research, the electrolyte bath was prepared in three different concentrations of the stabilizing agent (6 g/L, 40 g/L and 70 g/L), and the deposition bath temperature used was 30°C, 70°C, and 110°C respectively. The elemental composition was determined using Energy Dispersive X-ray (EDX) analysis to investigate the percentage of pure Ni element in the synthesized nanowires. The diameter, surface texture, and growth length of the synthesized Ni nanowires were characterized using Field Emission Scanning Electron Microscope (FESEM). X-ray diffractions (XRD) was used for crystal size and crystal orientation analysis. Additionally, the mechanical properties of Ni nanowires were extracted via molecular dynamic simulation. Growth length of Ni nanowires found to be significantly improved as the heating temperature increased, but it decreased when stabilizer agent concentration is high. The diffraction patterns for all synthesis conditions exhibited the synthesis Ni nanowires are polycrystalline as the crystalline planes with Miller indices of 111, 200, and 220. All the investigated nanowires showed ductile failure behavior, a typical behavior at larger length scales of Ni

Microsporidia infection among various groups of the immunocompromised patients

While information with regards to the bacterial and viral infections are commonly available among clinicians, data on parasitic infection, particularly Microsporidia among immunocompromised patient is currently lacking in Malaysia. This study was conducted to determine the prevalence of Microsporidia among a various group of immunocompromised patient. Two hundred and eighty-eight archived stool samples were examined for the presence of Microsporidia with Gram-Chromotrope Kinyoun staining method. The overall prevalence of Microsporidia was 29.2 % (84/288; 95% CI=24.2-34.5). The end-stage renal failure (ESRF) patients (32.1%) recorded the highest infection rate, followed by cancer (26.2%), human immunodeficiency virus (HIV/AIDS) (22.6%) and acute gastroenteritis (AGE) (7.1%). Meanwhile, organ transplant recipients and autoimmune disease patients recorded the lowest prevalence rate (6.0%). Other intestinal parasites were Strongyloides stercoralis, Trichuris trichiura, Ascaris lumbricoides and Cryptosporidium species. Diarrhoea was the most common symptoms among patients with microsporidiosis. The present study showed that the prevalence of Microsporidia infection was relatively high among immunocompromised patients. This finding highlighted the importance to include detection of microsporidia infection as a routine differential diagnosis in immunocompromised patients, which serves the benefit of treatment to the patients

Investigation of thermal performance and chemical stability of graphene enhanced phase change material for thermal energy storage

Phase change materials (PCMs) have received widespread thermal energy storage (TES) and release properties due to their unique characteristics. However, the PCMs suffer from poor thermal conductivity, resulting in the least thermal performance and heat transfer characteristics. This research focused on enhancing the heat transfer and storage characteristics by developing an organic paraffin wax composite by dispersing highly conductive graphene powder using a two-step technique. The results show that the developed nano enhanced PCM significantly improves the thermal conductivity by 72.2 at 0.6Â wt of graphene powder. Furthermore, the Fourier transform infrared spectrum shows there is no additional peak observed, means physically and chemically stable, and the reduced light transmission capability was enhanced by 32.0 than pure PCM. Due to its extreme characteristics, the developed PCM is an outstanding material for medium temperature solar thermal energy storage applications

A case report of Hymenolepis diminuta infection in a Malaysian child

We report a case of Hymenolepis diminuta infection in a 2-year-old Malaysian child. This case was initially reported as ‘normal’ after the examination of proglottids shed from the anus of the child at a private laboratory on two occasions. The putative proglottids shed was then referred to the Parasite Southeast Asia Diagnostic (Para:SEAD) Laboratory, Department of Parasitology, Faculty of Medicine, University of Malaya for further examination. Microscopic examination confirmed that the child was infected with H. diminuta based on the characteristic eggs found in the proglottids. She was treated with a single dose praziquantel (20 mg/kg of body weight) and recovered well