Spironucleus muris and Eperythrozoon coccoides in Rodents from Northwestern Iran: Rare Infections

Background: Rodents perform a crucial role in dispersal of zoonosis causes globally. We aimed to investigation about infection levels of parasitic agents in rodents’ population in Meshkinshahr areas, northwest of Iran from Apr to Sep 2014. Methods: Two hundred four rodents were trapped and anaesthetized. A sample of blood was collected via cardi­opuncture from each one. Thin and thick blood smears were prepared and stained with Giemsa. All stained smear were examined under light microscopy with high magnification by two expert microscopists. Every suspected uni­cellular observed were measured microscopically and compared with key references to diagnose. Results: Captured rodents were identified as three genera including Meriones persicus, Mus musculus, Cricetulus migraturius. Protozoa identified in this study were included of Spironucleus muris and Eperythrozoon coccoides, these parasites were observed in blood smear of 0.98% of rodents. S. muris and E. coccoides were seen in M. mus­culus and C. migraturius, respectively. Conclusion: The present study increases awareness about Eperythrozoonosis in rodents and its potential transmis­sion to domestic animals and even to human in rural districts in Iran. Moreover, the attack of Spironucleus on the mucus of colon and its systemic risk was confirmed

Western Blot Analysis of Leishmania infantum Antigens in Se-ra of Patients with Visceral Leishmaniasis

Background: Visceral leishmaniasis (VL) is endemic in the northwest and south of Iran. Untreated cases of VL could cause death. The aim of the present study was to evaluate the diagnostic performance of western blotting to detect a specific immunodominant proteins pattern for Leishmania infantum infection using human sera infected with VL. Methods: We studied a panel of 122 cryopreserved human serum samples from the leishmaniasis Research Laboratory, Tehran University of Medical Sciences, Tehran, Iran from 2010 to 2017. Serum samples were collected from visceral (Group I, n: 43) and cutaneous leishmaniasis (CL) (Group II, n: 8) patients, healthy individuals from endemic (Group III, n: 13) and non-endemic (Group IV, n: 16) areas for VL, and patients with other infectious diseases (Group V, n: 42). Total antigens were prepared from the Iranian strain of L. infantum promastigote form. Results: In western blotting method, 34 protein bands of 14 to 163 kDa were recognized using the sera of VL pa­tients. The polypeptide fractions with the highest frequency including 29, 51, and 62 kDa fractions were detected using 81.4%, 79%, and 81.4% of the sera, respectively. These bands were not detected using the sera of the negative control. Moreover, 19-23, 27, 31-35, 143-163, and 109 kDa fractions were detected specifically using the sera of the patients with VL. Conclusion: This technique could be a primary step for further exploration of VL immunodominant antigens for cloning (or any technique) further investigations for future planning

The perceptions of policymakers on earthquake mitigation: A qualitative study in an Iranian context

Purpose: The purpose of this study identified the priorities, challenges and different aspects of the mitigation phase according to policymakers for planning and better management of reducing risk within the cultural, religious, social and political conditions of Iran. Design/methodology/approach: In the present qualitative study, 19 policymakers in different levels of the disaster management organizations were selected based on purposive sampling. Semi-structured and face-to-face interviews were used to identify the participants’ views. The findings were analyzed using thematic analysis. Findings: The present situation and the challenges of the mitigation phase were the main themes in this study. Risk perception, training and media were the sub-themes. Political, legal, social and cultural challenges of the mitigation phase were also sub-themes. Originality/value: The findings of this study indicated that different aspects should be considered to minimize the risk of earthquake. In addition, all kinds of media, including visual, written, audio, instrumental, group and multimedia, should be used for enhancing public awareness so that readiness for earthquakes can be considered as a permanent mission of the citizens, who are always concerned about earthquakes

The relationship between fluid resuscitation and intra-abdominal hypertension in patients with blunt abdominal trauma

Background: Excessive fluid administration for saving patients from hypovolemic shocks is one of the main causes of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS). The purpose of this paper is to survey the relationship between fluid resuscitation and increase intra-abdominal pressure (IAP). Materials and Methods: The present descriptive-analytical study recruited 100 patients with confirmed abdominal trauma and presenting to emergency departments. The cases with high IAP measured through the bladder were identified as developing ACS in case of having comorbidities involving two of the following systems: respiratory system, renal system or cardiovascular system. The volume of the fluids administered was compared in the first 24 h in subjects with and without ACS. Results: Of 100 patients with abdominal trauma, whose IAP was measured, 28 cases developed ACS. The mean volume of the fluids received was found to be significantly higher in the patients with ACS (8772 ml) compared to in those without (5404 ml). As a complication of excessive fluid administration, IAH can seriously threaten the patient's life. Conclusions: Excessive fluid resuscitation causes ACS among the critically ill or injured patients such as abdominal trauma, pelvic fracture and intra-abdominal organ injuries hence to prevent this complication in all patients requiring short-term excessive administration of fluids, great care, and sensitivity are required to constantly control IAP and adjust the fluid administration

Establishment of Health Clinics as Mass Screening and Referral Systems for Chronic Non-communicable Diseases in Primary Health Care

Background: This study aimed to establish a comprehensive screening and referral system for chronic non-communicable diseases (CNCD) in the routine primary health care, and to determine the prevalence of diabetes, pre-diabetes, metabolic syndrome, and dyslipidemia in adult population invited by public announcement to the Health clinics in Isfahan, Iran. Methods: This survey was conducted from March 2010, and the current paper presents data obtained until November 2011. To provide health services for prevention and control of CNCDs, with priority of type2 diabetes mellitus, Health clinics were established in different parts of Isfahan city with a population of approximately 2,100,000 in Iran. The general populations aged 30 years and above were invited to the Health clinics by public announcement. Results: A total of 198972 participants were screened. The mean age of participants was 47.8 years (48.5 men, 47.3 women), with a range of 1 to 95 years old and standard deviation of 12.3 years (12.7 men, 12.1 women). Overall, 22% of participants had impaired fasting glucose, 25% had hypercholesterolemia, 31% had hypertriglyceridemia, and 20% had metabolic syndrome. Conclusion: The high prevalence of dysglycemia and diabetes in our survey may serve as confirmatory evidence about the importance of mass screening and early diagnosis of CNCDs′ risk factors. Our model of establishing Health clinics, as a comprehensive referral system in the routine primary health care can be adopted by Middle Eastern countries, where CNCDs notably diabetes are an emerging health problem