The genus Hammondia is paraphyletic

The phylogenetic relationships amongst Hammondia, Neospora and Toxoplasma were investigated by DNA sequence comparisons of the D2/D3 domain of the large subunit ribosomal DNA and the internal transcribed spacer 1. The results obtained allow us to reject the hypothesis that N. caninum and H. heydorni are the same species and show that Hammondia hammondi is probably the sister taxon to Toxoplasma gondii.

Microbats appear to have adult hippocampal neurogenesis, but post-capture stress causes a rapid decline in the number of neurons expressing doublecortin

A previous study investigating potential adult hippocampal neurogenesis in microchiropteran bats failed to reveal a strong presence of this neural trait. As microchiropterans have a high field metabolic rate and a small body mass, it is possible that capture/handling stress may lead to a decrease in the detectable presence of adult hippocampal neurogenesis. Here we looked for evidence of adult hippocampal neurogenesis using immunohistochemical techniques for the endogenous marker doublecortin (DCX) in 10 species of microchiropterans euthanized and perfusion fixed at specific time points following capture. Our results reveal that when euthanized and perfused within 15 min of capture, abundant putative adult hippocampal neurogenesis could be detected using DCX immunohistochemistry. Between 15 and 30 min post-capture, the detectable levels of DCX dropped dramatically and after 30 min post-capture, immunohistochemistry for DCX could not reveal any significant evidence of putative adult hippocampal neurogenesis. Thus, as with all other mammals studied to date apart from cetaceans, bats, including both microchiropterans and megachiropterans, appear to exhibit substantial levels of adult hippocampal neurogenesis. The present study underscores the concept that, as with laboratory experiments, studies conducted on wild-caught animals need to be cognizant of the fact that acute stress (capture/handling) may induce major changes in the appearance of specific neural traits.

Antibody prevalence of toxoplasmosis in Arabian gazelles and oryx in Saudi Arabia

We determined the antibody prevalence of toxoplasmosis (Toxoplasma gondii infections) in antelopes in Saudi Arabia. Serum samples from 324 Gazella subgutturosa marica, 202 Gazella gazella, 70 Gazella dorcas, and 12 Arabian oryx (Oryx leucoryx) were tested by the indirect hemagglutination test. Antibodies to T. gondii were detected in 13(4.0%) G. subgutturosa marica, 12(5.9%) G. gazella, 3(4.3%) G. dorcas, and in none of the Arabian oryx sampled. More adult gazelles were seropositive than juveniles; males and females were similar. The highest reciprocal antibody titer recorded (262,144) was in a G. subgutturosa marica serum.

Living on the edge: Daily, seasonal and annual body temperature patterns of Arabian oryx in Saudi Arabia

Heterothermy, the ability to allow body temperature (T_b) to fluctuate, has been proposed as an adaptive mechanism that enables large ungulates to cope with the high environmental temperatures and lack of free water experienced in arid environments. By storing heat during the daytime and dissipating it during the night, arid-adapted ungulates may reduce evaporative water loss and conserve water. Adaptive heterothermy in large ungulates should be particularly pronounced in hot environments with severely limited access to free water. In the current study we investigated the effects of environmental temperature (ambient, T_a and soil, T_s) and water stress on the T_b of wild, free-ranging Arabian oryx (Oryx leucoryx) in two different sites in Saudi Arabia, Mahazat as-Sayd (MS) and Uruq Bani Ma’arid (UBM). Using implanted data loggers wet took continuous T_b readings every 10 minutes for an entire calendar year and determined the T_b amplitude as well as the heterothermy index (HI). Both differed significantly between sites but contrary to our expectations they were greater in MS despite its lower environmental temperatures and higher rainfall. This may be partially attributable to a higher activity in an unfamiliar environment for translocated animals in UBM. As expected T_b amplitude and HI were greatest during summer. Only minor sex differences were apparent that may be attributable to sex-specific investment into reproduction (e.g. male-male competition) during rut. Our results suggest that the degree of heterothermy is not only driven by extrinsic factors (e.g. environmental temperatures and water availability), but may also be affected by intrinsic factors (e.g. sex and/or behaviour).

Sarcocystis infections in gazelles at the King Khalid Wildlife Research Centre, Saudi Arabia

The prevalence of Sarcocystis species in muscle samples from gazelles kept as breeding groups at the King Khalid Wildlife Research Centre, Saudi Arabia, was determined by fibreoptic examination, pepsin digestion and histological techniques. No macroscopic sarcocysts were detected by fibreoptic examination, and the overall prevalence of Sarcocystis was 66 x 7 per cent by pepsin digestion, and 39 x 9 per cent by histological examination. By digestion, the tongue contained the highest density of bradyzoites in Gazella dorcas, and Gazella gazella erlangeri, the oesophagus in Gazella subgutturosa marica and skeletal muscle in Gazella gazella and Gazella thomsoni. Skeletal muscle was least affected in G dorcas, the oesophagus in G gazella, and the diaphragm in G g erlangeri, G s marica and G thomsoni. By histology, the heart contained most microcysts, except in G g erlangeri, in which the tongue was most affected. No single tissue type was therefore suitable for the diagnosis of sarcocystosis in this multispecies collection, although digestion was more sensitive in detecting infection than histology. The level of Sarcocystis infection was significantly higher in free-ranging gazelles kept in a main enclosure than in gazellas kept in breeding pens, and higher in adult gazelles than in juveniles.

The ant, Pachycondyla sennaarensis (Mayr) as an intermediate host for the poultry cestode, Raillietina tetragona (Molin)

The role of several species of ants as intermediate hosts for poultry cestodes in the Sudan was investigated by a search for cysticercoids in specimens from poultry houses in various localities in the country. Pachycondyla sennaarensis, Messor galla and Acantholepis sp. were the only species collected from the areas surveyed. All these ants were examined for cysticercoids of poultry tapeworms but only P. sennaarensis was found to carry cysticercoids, all of which were identical to those of the poultry cestode, Raillietina tetragona. This tapeworm was recovered from all chicks fed the cysticercoids obtained from P. sennaarensis. R. tetragona cysticercoids were present in 63.3% of the P. sennaarensis sampled with 1-40 cysticercoids per ant, which is the heaviest recorded infestation of an ant species with these cysticeroids.

Molecular detection and characterization of Theileria sp. from hedgehogs (Paraechinus aethiopicus) in Saudi Arabia

In this study, we conducted molecular detection and characterization of piroplasms that infect the Ethiopian or desert hedgehogs (Paraechinus aethiopicus) in Saudi Arabia. Blood samples from 112 (68 males and 44 females) desert hedgehogs from Unaizah, Central Saudi Arabia were screened for Theileria/Babesia DNA using the polymerase chain reaction (PCR) employing specific primers amplifying the partial 18S small subunit rRNA gene. Theileria DNA was detected in 51 samples (45·5%), giving a prevalence of 45·5%. Theileria DNA was found in 33 (48·5%) males and 18 (40·9%) females, and there was no significant difference (P > 0·05) in the prevalence between males and females. Similarly, there was no significant difference (P > 0·05) in the prevalence between juveniles (40%) and adults (46·7%). There was a significant difference in the prevalence of Theileria in hedgehogs collected from May to September and the period from October to April (P = 0·003). Four haplotypes of Theileria sp. in hedgehogs were detected and designated as H1-H4. H1 was the predominant haplotype and found in 80·8% of the positive individuals. Partial sequences of the 18S rRNA of Theileria sp. from hedgehogs grouped with Theileria spp. that are benign. This study is the first report of the occurrence of Theileria spp. in Saudi Arabian desert hedgehogs.

Evaluation of sulfadimidine, amprolium and triquen to treat coccidiosis in wild pigeons

Coccidiosis remains one of the major problems in poultry all over the world. Very limited data on anticoccidial drugs in wild pigeons is available. The current study was aimed to understand the comparative efficacy of sulfadimidine, amprolium and triquen in wild pigeons of Dir district, Pakistan suffering from coccidiosis. The faecal matter of wild pigeons were purchased from the local market for coccidian infection. Results revealed that 88.8% (16/18) were found infected with Eimeria spp. Three positive groups were treated with sulfadimidine (0.2mg/L), amprolium (25mg/L) and triquen. Sulfadimidine was most effective (45%) followed by amprolium (44.6%) while triquen (24.0%) showed less effectiveness against coccidiosis in pigeons. Number of oocysts were 79, 81 and 80 before treatment and 60, 44 and 44 after treatment with sulfadimidine, amprolium and triquen respectively. This study showed that sulphadimidine, amprolium and triquen could not significantly reduce the coccidiosis in pigeons. Further studies are required to clear the mechanism of anti-coccidial drugs in wild pigeons.

Food handlers: an important reservoir of protozoans and helminth parasites of public health importance

Food handlers plays a primary role in the transmission of pathogenically important protozoans and helminth parasites. This study was aimed to evaluate the prevalence of intestinal pathogenic protozoans and helminth parasites among food handlers in and around University of Malakand, Lower Dir, Pakistan. Stool samples were collected from 642 food handlers (all of male) in a cross-sectional study from January to November, 2017. Wet Mount Techniques and concentration methods by using salt and formol-ether solutions. Three hundred and eighty four cases (59.8%) were found infected with one more parasites. Most of the individuals were found infected with helminth (47.6%) as compared to intestinal protozoans (0.93%). Seventy two cases (11.2%) of the cases presented mixed infection with both intestinal protozoan and helminth parasites. The order of prevalence for intestinal helminth was Ancylostoma duodenale (n = 258, 40.1%), followed by Taeniasa ginata (n=96, 14.9%) Ascaris lumbricoides (n = 54, 8.40%) and Trichuris trichura (n=30, 4.60%). For intestinal protozoa, Entamoeba histolytica/dispar (n = 36, 5.64%) was the only protozoan detected. Mono-parasitism was higher than poly-parasitism. Family size income and education level were the factors significantly (P<0.05) associated in the parasites prevalence. Current research showed that IPIs are primarily the foodborne pathogens still an important public health problem in Pakistan. Effective control programs on parasitic diseases transfer and their associated factors are recommended.

The epidemiology of end stage renal disease at a centre in Trinidad

OBJECTIVE

The aim of this study is to estimate the trends in prevalence of end stage renal disease (ESRD) during the period 1999-2007 at one site in Trinidad, the Eric Williams Medical Sciences Complex (EWMSC), and to describe the epidemiological features, age, gender, ethnicity and comorbidities associated with ESRD.

DESIGN AND METHODS

A retrospective cohort study design was used. There was a count of patients on haemodialysis at the EWMSC centre from 1999-2007 in order to demonstrate trends in prevalence but more detailed data were collected and analysed for patients with ESRD attending the nephrology clinic between January 2002 and December 2007. The data that were collected from the patients' records included: demographic data (age, gender and ethnicity), medical history (diabetes mellitus, hypertension, end stage renal disease and autoimmune disorders), history of dialysis (type of vascular access, frequency of dialysis), mortality and its cause.

RESULTS

Records of 81 patients were retrieved. Their age range was 10-79 years. The survey showed that patients most affected in the study population were: males, aged 50-59 years, who were hypertensive and/or diabetic and of African descent.

CONCLUSIONS

In conclusion, we provide epidemiological evidence of ESRD and the associated contributing factors at one hospital in Trinidad.

1255 Crowdedness and Consequences of Long Waiting Time in Public and Private Health Centers Among Patients in Khartoum State, Sudan - 2016

Aim

Waiting time (WT) reflects quality of services delivered by Primary health care level. Long waiting time is due to various causes, among which crowdedness is a main cause. This prolonged time has negative impacts on PHC services utilization as well as patients’ outcomes. The aim of this study is to measure the total WT, assess the crowdedness in PHC centers, and to determine the possible consequences of this long waiting time.

Method

Descriptive cross sectional– health institution-based study done in 40 Health centres across Khartoum state using randomized multi-stage sampling. Patients, doctors and lab technicians were interviewed using three different pre-tested structured questionnaires.

Results

A total of 477 patients were included in the study. The average waiting time was found to be 168 minutes. Crowdedness was one of the main causes of delay in waiting time. The lab was the most perceived crowded service (74.4% of the respondents). This long WT had health consequences on patients, ranging from backache, joint pain, and headaches to hypoglycemic symptoms. These symptoms affected patients' willingness to return to the same center. 36.4% of the affected patients were unwilling to revisit the same center.

Conclusions

WT in this study is longer compared to studies from other countries. Crowdedness is one of the main causes of long WT. Due to this prolonged time, patients experienced physical symptoms. It also affected their future attitude regarding PHC centers utilization. There is a need to understand the underlying causes of this issue and address them appropriately.

Experimental infection of Arabian sand gazelles, Gazella subgutturosa marica with Eimeria rheemi

Three young Arabian sand gazelles (Gazella subgutturosa marica) were each infected with 20,000 sporulated oocysts of Eimeria rheemi collected from a naturally infected rheem gazelle. Both prepatent and patent periods were 7 days and the infected animals consistently passed large numbers of oocysts in their feces during patency. Infection with E. rheemi at this dose was associated with clinical coccidiosis in the form of 2 days of diarrhea before patency, continuing to day 15 postinoculation. The diarrhea stopped without treatment.

Evaluation of vegetables grown in dry mountainous regions for soil transmitted helminths contamination

Infection caused by geo-helminth parasites are called geohelminthiasis are one of the global health problems. Vegetables eaten raw is the principal source of transmission of geo-helminth parasites. Pakistani people believe that eating raw vegetables are a significant source to get important vitamins and minerals. Based on the high incidence of pathogenic parasites and cultivating different vegetable types in the study areas, we conducted this study to evaluate the geo-helminth contamination of raw vegetables in northwest Khyber Pakhtunkhwa, Pakistan. This is a descriptive study comprised, 1942 samples of 25 various types of vegetables. The samples were examined in physiological saline solution using sedimentation and centrifugation methods. The findings were analyzed by Graph-Pad version 5. P value less than 0.05 (95% CI) was considered significant. Results showed that 16.5% (n=322) of all vegetables were contaminated with one or more type of geo-helminth parasites. Garlic was the highest (35%) and cauliflower the lowest (4%) contaminated samples respectively. Ascaris lumbricoides was the most common geo-helminth found followed by hook worm species while Trichuris trichura was the least in all the vegetable samples. Leafy vegetables were highly contaminated 25.3% than vegetables with root parts 21.2% and fruity 9.09%. More than half of the contaminated vegetables were contaminated with single species of geo-helminth (P<0.05) while less than half with multiple types of geo-helminth contamination. Ninety two vegetables samples were contaminated with 2 species of parasites (P<0.05) and 45 with 3 (P>0.05) species of geo-helminth parasites. Education level of vendors and means of display were not significantly associated while types of vegetable used were significantly associated with the prevalence of parasites. The findings of this study provide evidence that consumption of raw vegetable has a high risk of acquiring geo-helminth infections. The authors believe that preventing the human to enter to the vegetable farmland for defecation, avoiding the irrigation of agricultural fields via night soil, and educating the people on proper washing and cooking of vegetables may be useful in reducing parasitic infections.

Morphological and genetic identification of the gill monogenean parasite (Diclidophora merlangi) that infects Twobar Seabream Fish (Acanthopagrus bifasciatus) in the Arabian Gulf, Saudi Arabia

Ectoparasites, particularly monogeneans, negatively affect fish health and growth. This study identified monogenean parasites in the twobar seabream, Acanthopagrus bifasciatus (Sparidae), inhabited the Arabian Gulf (Saudi Arabia). Following that, forty A. bifasciatus fish samples were visually examined for monogeneans. Parasite species were collected from the gills and then analyzed morphometrically, morphologically, and molecularly using the partial regions of the large subunit of ribosomal RNA (28S rRNA) and mitochondrial cytochrome C oxidase subunit I (COI) genes. Fish species were also identified using a DNA barcoding approach based on the COI gene. The monogenean species of Diclidophora merlangi (Diclidophoridae) were found in 45% of the fish species studied. The generic features of the Diclidophora genus distinguish this species. This species discriminated itself from congeners by having a muscular bulb with 17 grooved and recurved hooks, 218±10 (184-267) post-ovarian testes, and four pairs of pedunculated clamps of relative sizes. Partial 28S rRNA sequencing from monogeneans revealed that they grouped with members of the genus Diclidophora, forming a monophyletic group that supported the morphological descriptions. Molecular identification revealed that D. merlangi has a unique barcode made up of a COI sequence. The host identity was established as A. bifasciatus based on the COI gene sequences. Furthermore, a molecular phylogenetic study was performed to determine the phylogenetic affinity of parasite species and fish hosts. This study on Diclidophora species is considered the first record of this genus in the examined area.

Morphomolecular identification of Polylabris lingaoensis infecting the twobar Seabream (Acanthopagrus bifasciatus)

A total of 40 fish samples of the twobar seabream, Acanthopagrus bifasciatus (Sparidae), were collected from January to June 2023 in the Arabian Gulf (Saudi Arabia). Fish samples were surveyed for ectoparasitic taxa. This study revealed the presence of one monogenetic species in A. bifasciatus gills. Parasitic prevalence and the mean value of intensity were 32.5% and 10, respectively. This parasite species has all the morphological characteristics of Polylabris, a genus erected by Euzet and Cauwet, 1967 (Microcotylidae), and mostly resembles Polylabris lingaoensis Tingbao, Kritsky, and Jun, 2007 on the presence of follicular testes ranging between 6-8, two rows of parallel microcotylid clamps in the haptoral structure with 35-45 per each, the conical form of the male copulatory organ, as well as the absence of genital armature. Molecular identification of this Polylabris species was conducted through sequencing of the partial nuclear large subunit (28S) of the ribosomal RNA (rRNA) and the mitochondrial gene of cytochrome c oxidase subunit I (COI). 28S rRNA genetic sequences were found to be conserved across several Polylabris spp., whereas, COI sequences were found to be more informative even with intraspecific variation. Therefore, the isolation of P. lingaoensis, provided herein, represents its first report on a marine sparid fish from Saudi Arabia. Furthermore, the reported sequences are also new genetic data for P. lingaoensis. Our findings will serve as the basis for any future study on monogeneans in Saudi waters.

Drug prescribing for hypertension at primary healthcare facilities in Trinidad

OBJECTIVE

To describe the drug prescribing pattern for hypertension at primary healthcare facilities throughout Trinidad.

METHODS

A descriptive, cross-sectional survey was conducted at 22 primary healthcare facilities across Trinidad using a de novo, pilot-tested questionnaire during June to August 2006.

RESULTS

A total of 547 hypertensive patients were recruited into the study. There was a high prevalence of diabetes mellitus (57.6%). Information on the current drug prescribed was available for 442 patients (80.0%) and 26 of these patients (6.1%) were managed without drug intervention. On average, patients were prescribed 1.47 antihypertensive drugs. Angiotensin converting enzyme (ACE) inhibitors, particularly enalapril, were the most commonly prescribed class of antihypertensive drugs in 63.6% of patients. beta-blockers, thiazide diuretics and calcium channel blockers were prescribed in 29.2%, 25.8% and 12.0% of patients respectively.

CONCLUSIONS

There was significant use of ACE inhibitors, beta-blockers, thiazide diuretics and calcium channel blockers. Angiotensin converting enzyme inhibitors (as monotherapy or in combination with other drug classes) were more likely to be prescribed in diabetic hypertensive patients. Thiazide diuretics were not used as frequently as expected given the evidence which demonstrate similar efficacy with other classes of drugs and associated cost-saving. The observed prescribing pattern in the Trinidad public healthcare setting seems to point to an attempt to conform to recognized international and regional guidelines for the management of hypertension.