Impact of Ramadan fasting on intraocular pressure, visual acuity and refractive errors

Introduction: Fasting evidently influences a variety of physiological parameters that can impact the ocular system. Among these modifications are alterations in insulin secretion, sympathetic activity, free fatty acids, lipid profile, melatonin, cortisol, electrolytes and catecholamines. In this study, we investigated the possible alterations in intraocular pressure (10P), visual acuity and refractive errors during Ramadan fasting. Methods: 10P, visual acuity and refractive errors of both eyes of volunteers were measured on the first and last days of Ramadan (once in the morning and evening). Body weight was measured so as to estimate the amount of dehydration. Data from the two examinations was analysed using one-way analysis of variance. A p -value of less than 0.05 was considered statistically significant. Results: 58 healthy, fasting male volunteers with a mean age of 40.7 +/- 7.1 years participated in the study. Statistical analysis demonstrated no difference in 10P, visual acuity or refractive errors on the first and last days of Ramadan, or within a single day (from morning to evening). Conclusion: Our results reveal that Islamic Ramadan fasting does not profoundly affect physiological 10P, refractive error or visual acuity values in healthy volunteers. However, more detailed investigations using animal models should be designed to evaluate whether fasting has a pivotal influence on pathological conditions. Keywords: body weight, intraocular pressure, Ramadan fasting, refractive errors, visual acuit

A systematic review and meta-analysis on the global status of Trichomonas vaginalis virus in Trichomonas vaginalis

Background: The small (4.5�5kbp), double-stranded Trichomonas vaginalis virus (TVV) that inhabits in the T. vaginalis parasite has been potentially associated to parasite virulence or its drug resistance. The aim of present study was to estimate the global and regional status of TVV in T. vaginalis. Methods: A systematic search was conducted for published articles between January 1990 and December 2020 by using five major databases include PubMed, Embase, Scopus, and Web of Science as well as Google scholar search engine. The random-effect model was applied for pooled prevalence of TVV, geographical distribution, and heterogeneity by comprehensive meta-analysis (V2.2, Bio stat) software. Findings: A total of 28 studies were included for final meta-analysis. The pooled prevalence of TVV was estimated at 47 (95 CI, 39.3�54.8). With respect to WHO regions, the lowest and highest prevalence rates were reported from South-East Asia 23 (95 CI, 12�41) and African 66 (95 CI, 25�92), respectively. Considering the countries, the prevalence was highest in the Brazil 90 (95 CI, 73�97) and lowest in the South Korea 14 (95 CI, 4�35). Conclusion: The high prevalence of the parasitic virus emphasizes the need to pay attention to the behavior of the parasite, both in terms of clinical symptoms and drug resistance. Moreover, it is suggested that more studies (i.e. in vitro, in vivo, and case-control studies) should be conducted for deep understanding of this coexistence. © 2021 Elsevier Lt