Diarrhea due to Cryptosporidium parvum in immunocompromised and immunocompetent patients in Khartoum State

Objective: The objective of this study is to search for Cryptosporidium parvum in Sudanese immunocompromised and immunocompetent patients presenting with diarrhea.Methods: Two hundred and thirteen stool specimens were collected from different groups of patients presenting with diarrhea and healthy control (immunocompromised: 78; immunocompetent: 90; Control: 45).The immunocompromised group included 25 HIV positive patients, 27 tuberculosis patients, 11 patients with renal failure and 15 patients receiving immunosuppressive chemotherapy. Antigen ELISA was performed to detect the presence of the parasite in stool. Positive specimens were examined by the modified ZN stain to look for the oocyst of C.parvum.Result: Seventy one of the immunocompromised patients (91.0%), twenty nine of immunocompetent patients (32.2 %) and ten of the control group (22.2%) were found to be positive for C.parvum. A significant difference was noticed between the immunocompromised patients and the other groups (

Screening the Efficacy of Some Traditional Herbal Drugs for Treatment of Hymenolepis diminuta Infection in Rats

Background: Hymenolepis nana (human infecting tapeworm) and H. diminuta (rodent infecting tapeworm) are currently incriminated to be the cause of non-specific bowel disturbances. They are in most instances resistant to the available anticestodal compounds due to misuse of drugs and probably adaptation of the parasites to the commercially available drugsObjective: Our objective is to study the toxicity and curative efficacy of different medicinal plants that are candidate for the treatment of tapeworm infections in man.Methods: Four medicinal plants were tested for their ability to treat Hymenolepis diminuta tapeworm infection in rats. These plants are Amaranthus viridis, Cucurbita maxima, Hagenia abyssinica and Balanites aegyptiaca. Selection of these plants was based on ethnobotanicalinformation. The evaluation of the efficiency of these medicinal plants was based on the “controlled test design”, modified from Moskey and Harwood10: Following pre-infection screening, and life cycle establishment rats were grouped to six experimental groups for each plant. Stool specimens were collected from all groups, the mean of eggs counts per gram of faeces were counted. The reduction percentage of eggs per gram (EPG) was calculated and time to clear eggs was compared with that of Niclosamide. Niclosamide drug was used in this study as a control treatment14.Results: There were no signs of toxic effect on the rats due to administration of any of the tested medicinal plants. Amaranthus viridis leavs exhibited a very weak efficacy. It did not reduce eggs ineither water or food significantly as compared to the untreated control group (p> 0.05). The deparasitization activity of this plant (35%) was not significant. Similarly, Balanites aegyptiaca seeds were not effective in treatment of the infection in rats. Egg counts and deparasitization infood and water, were not significantly (p> 0.05) different from those of the untreated control group. On the other hand, Cucurbita maxima and Hagenia abyssinica seeds were very effective in the treatment of Hymenolepis diminuta infection in rats. Egg reduction (100%) was highly significant (p< 0.01) in food and water as compared to that of the untreated control group of rats (zero%). C. maxima seeds in food deparasitized 80% of the worms, while Hagenia abyssinica deparasitized 100%.Conclusion: Our conclusion was that Hagenia abyssinica was the most active plant of this group in the treatment of Hymenolepis diminuta infection in rats

B cell receptor accessory molecule CD79α : characterisation and expression analysis in a cartilaginous fish, the spiny dogfish (Squalus acanthias)

Copyright © 2013. Published by Elsevier Ltd.Peer reviewedPublisher PD

Changes in visual function after intraocular pressure reduction using antiglaucoma medications

Purpose To evaluate the change in visual function after starting glaucoma treatment and correlate this to a decrease in intraocular pressure (IOP) in primary open-angle glaucoma patients.Methods A prospective, randomized clinical trial was carried out involving 54 glaucoma patients (54 eyes). After inclusion, patients randomly received timolol maleate 0.5%, brimonidine tartrate 0.2%, or travoprost 0.004% in one randomly selected eye. Patients underwent Goldmann applanation tonometry, visual acuity test, standard automated perimetry (SAP), visual quality perception test (visual analogue scale), and contrast sensitivity (CS) test, in a random order before and after the 4-week glaucoma treatment.Results There were statistically significant changes in IOP (mean change [standard deviation], 7.8 [3.6] mmHg, P 0.001), SAP mean deviation index (0.84 [2.45] dB, P = 0.02), visual quality perception (0.56 [1.93], P = 0.045), and CS at frequencies of 12 cycles/degree (0.10 [0.37], P = 0.03) and 18 cycles/degree (0.18 [0.42], P = 0.02) after the 4-week treatment when compared with baseline. No statistically significant differences were found between the treatment groups in visual function changes after treatment (P > 0.40). No significant correlations between IOP reduction and changes in visual function were found (P > 0.30).Conclusions Visual quality perception, visual field mean deviation index, and CS at higher frequencies improve after starting glaucoma therapy. However, no correlation was found between IOP reduction and changes in visual function, and no differences were found in visual function when the three medications studied were compared. Eye (2009) 23, 1081-1085; doi:10.1038/eye.2008.226; published online 1 August 2008Universidade Federal de São Paulo, Glaucoma Serv, Dept Ophthalmol, BR-01404001 São Paulo, BrazilUniversidade Federal de São Paulo, Glaucoma Serv, Dept Ophthalmol, BR-01404001 São Paulo, BrazilWeb of Scienc

Prevalence of Malaria Parasitemia and Purchase of Artemisinin-Based Combination Therapies (ACTs) among Drug Shop Clients in Two Regions in Tanzania with ACT Subsidies.

Throughout Africa, many people seek care for malaria in private-sector drug shops where diagnostic testing is often unavailable. Recently, subsidized artemisinin-based combination therapies (ACTs), a first-line medication for uncomplicated malaria, were made available in these drug shops in Tanzania. This study assessed the prevalence of malaria among and purchase of ACTs by drug shop clients in the setting of a national ACT subsidy program and sub-national drug shop accreditation program. A cross-sectional survey of drug shop clients was performed in two regions in Tanzania, one with a government drug shop accreditation program and one without, from March-May, 2012. Drug shops were randomly sampled from non-urban districts. Shop attendants were interviewed about their education, training, and accreditation status. Clients were interviewed about their symptoms and medication purchases, then underwent a limited physical examination and laboratory testing for malaria. Malaria prevalence and predictors of ACT purchase were assessed using univariate analysis and multiple logistic regression. Amongst 777 clients from 73 drug shops, the prevalence of laboratory-confirmed malaria was 12% (95% CI: 6-18%). Less than a third of clients with malaria had purchased ACTs, and less than a quarter of clients who purchased ACTs tested positive for malaria. Clients were more likely to have purchased ACTs if the participant was <5 years old (aOR: 6.6; 95% CI: 3.9-11.0) or the shop attendant had >5 years, experience (aOR: 2.8; 95% CI: 1.2-6.3). Having malaria was only a predictor of ACT purchase in the region with a drug shop accreditation program (aOR: 3.4; 95% CI: 1.5-7.4).\ud Malaria is common amongst persons presenting to drug shops with a complaint of fever. The low proportion of persons with malaria purchasing ACTs, and the high proportion of ACTs going to persons without malaria demonstrates a need to better target who receives ACTs in these drug shops

Analysis of ECN/RED and SAP-LAW with simultaneous TCP and UDP traffic

Internetworking often requires a large amount of users to share a common gateway to obtain connectivity to the Internet. Congestion avoidance mechanisms are used to prevent the saturation of the gateway which represents a bottleneck of the system. The most popular congestion avoidance mechanisms are the Explicit Congestion Notification (ECN) and the Random Early Detection (RED). Recently, a new method for the congestion avoidance has been proposed: the Smart Access Point with Limited Advertised Window (SAP-LAW). The main idea is to hijack the acknowledge packets in the TCP connections in order to artificially reduce the advertised destination window according to some bandwidth allocation policy. Therefore, the flux control mechanism is artificially exploited to control the congestion at the bottleneck. The advantage of this approach is that it does not require any modification in the TCP implementations at the clients. In this paper, we propose stochastic models for the ECN/RED and SAP-LAW mechanisms in order to compare their performances under different scenarios. The models are studied in mean field regime, i.e., under a great number of TCP connections and UDP based transmissions. Augmenting previous work on ECN/RED, we consider the presence of UDP traffic with bursts, and short lived TCP connections. The models for SAP-LAW are totally new. The comparison is performed in terms of different performance indices including average queue length, system throughput and expected queuing time.Internetworking often requires a large amount of users to share a common gateway to obtain connectivity to the Internet. Congestion avoidance mechanisms are used to prevent the saturation of the gateway which represents a bottleneck of the system. The most popular congestion avoidance mechanisms are the Explicit Congestion Notification (ECN) and the Random Early Detection (RED). Recently, a new method for the congestion avoidance has been proposed: the Smart Access Point with Limited Advertised Window (SAP-LAW). The main idea is to hijack the acknowledge packets in the TCP connections in order to artificially reduce the advertised destination window according to some bandwidth allocation policy. Therefore, the flux control mechanism is artificially exploited to control the congestion at the bottleneck. The advantage of this approach is that it does not require any modification in the TCP implementations at the clients. In this paper, we propose stochastic models for the ECN/RED and SAP-LAW mechanisms in order to compare their performances under different scenarios. The models are studied in mean field regime, i.e., under a great number of TCP connections and UDP based transmissions. Augmenting previous work on ECN/RED, we consider the presence of UDP traffic with bursts, and short lived TCP connections. The models for SAP-LAW are totally new. The comparison is performed in terms of different performance indices including average queue length, system throughput and expected queuing time. (C) 2016 Elsevier B.V. All rights reserved

Active Trachoma among Children in Mali: Clustering and Environmental Risk Factors

Active trachoma is not uniformly distributed in endemic areas, and local environmental factors influencing its prevalence are not yet adequately understood. Determining whether clustering is a consistent phenomenon may help predict likely modes of transmission and help to determine the appropriate level at which to target control interventions. In this work, we estimated the magnitude of clustering at different levels and investigated the influence of socio-economic factors and environmental features on active trachoma prevalence among children in Mali (1996–1997 nationwide survey). Clustering revealed significant results at the child, caretaker, household, and village levels. Moreover, beyond some well-established individual risk factors (age between 3 and 5, dirty face, and flies on the face), we found that temperature, sunshine fraction, and presence of rainy days were negatively associated with active trachoma prevalence. This study clearly indicates the importance of directing control efforts both at children with active trachoma as well as those with close contact, and at communities. These results support facial cleanliness and environmental improvements as population-health initiatives to combat blinding trachoma

Volume-based solvation models out-perform area-based models in combined studies of wild-type and mutated protein-protein interfaces

<p>Abstract</p> <p>Background</p> <p>Empirical binding models have previously been investigated for the energetics of protein complexation (ΔG models) and for the influence of mutations on complexation (i.e. differences between wild-type and mutant complexes, ΔΔG models). We construct binding models to directly compare these processes, which have generally been studied separately.</p> <p>Results</p> <p>Although reasonable fit models were found for both ΔG and ΔΔG cases, they differ substantially. In a dataset curated for the absence of mainchain rearrangement upon binding, non-polar area burial is a major determinant of ΔG models. However this ΔG model does not fit well to the data for binding differences upon mutation. Burial of non-polar area is weighted down in fitting of ΔΔG models. These calculations were made with no repacking of sidechains upon complexation, and only minimal packing upon mutation. We investigated the consequences of more extensive packing changes with a modified mean-field packing scheme. Rather than emphasising solvent exposure with relatively extended sidechains, rotamers are selected that exhibit maximal packing with protein. This provides solvent accessible areas for proteins that are much closer to those of experimental structures than the more extended sidechain regime. The new packing scheme increases changes in non-polar burial for mutants compared to wild-type proteins, but does not substantially improve agreement between ΔG and ΔΔG binding models.</p> <p>Conclusion</p> <p>We conclude that solvent accessible area, based on modelled mutant structures, is a poor correlate for ΔΔG upon mutation. A simple volume-based, rather than solvent accessibility-based, model is constructed for ΔG and ΔΔG systems. This shows a more consistent behaviour. We discuss the efficacy of volume, as opposed to area, approaches to describe the energetic consequences of mutations at interfaces. This knowledge can be used to develop simple computational screens for binding in comparative modelled interfaces.</p