Vector Borne Diseases

Geographic distribution and spatial analysis of Leishmania infantum infection in domestic and wild animal reservoir hosts of zoonotic visceral leishmaniasis in Iran: A systematic review M Mohebali, E Moradi-Asl, Y Rassi Journal of Vector Borne Diseases 2018 55(3):173-183 Visceral leishmaniasis (VL) is an important parasitic disease which is endemic in different parts of Iran; and domestic and wild canines are principal reservoir hosts of the disease. The objective of this study was to review the spatial distribution of canine VL (CVL) caused by Leishmania infantum in domestic and wild canines in different geographical areas of Iran. An extensive literature search was conducted in different international and national databases, including Cochrane, MEDLINE/PubMed, Scopus, Web of Science and Iran Medex to find articles with the words “visceral leishmaniasis in Iran” in their titles and “canine visceral leishmaniasis in Iran” or “feline visceral leishmaniasis in Iran” or “accidental reservoir hosts of visceral leishmaniasis in Iran” in their subtitles, irrespective of the type and duration of study. Screening of the irrelevant articles from total 36,342, yielded 61 eligible articles. More than 93% of the studies were carried out on domestic dogs (Canis familiaris, n = 57) and the remaining were on other carnivores such as wild canines including foxes (Vulpes vulpes, n = 4), jackals (C. aureus, n = 6) and wolves (C. lupus, n = 6); while studies on domestic cats (Felis catus, n = 3) as well as desert rodents (n = 2) were rare. The average rate of L. infantum infections reported among domestic dogs using direct agglutination test (DAT) in Iran was 12.5%. The highest prevalence rate (14%) was reported from the northwest regions of the country where VL is endemic. The review indicates that CVL is endemic in various parts of Iran and domestic dogs are the main and potential reservoir hosts of the disease. Other carnivores, such as domestic cats and some species of desert rodents (Cricetulus migratorius, Mesocricetus auratus and Meriones persicus) seem to be playing a role in the maintenance of transmission cycle of L. infantum in the endemic areas of the disease.

A laboratory simulation study on suppression of resistance genes by differential exposures to an insecticide in Anopheles stephensi Liston population Vaishali Verma, OP Agrawal, Poonam Sharma Velamuri, Kamaraju Raghavendra Journal of Vector Borne Diseases 2018 55(3):184-188 Background & objectives: Insecticide applied at optimum dosage and coverage delays the development of resistance in disease vectors. The study was aimed to test the hypothesis whether decrease in exposure to insecticide leads to decrease in selection of insecticide resistance in mosquitoes. The mosquitoes were variably exposed to insecticide in the laboratory by simulating the variations in insecticide sprays applied in the field. Methods: The study was carried out on DDT resistant adults of Anopheles stephensi. Mosquitoes were differentially exposed to impregnated papers of DDT (4%), that were differentially masked to 25, 50, and 75% area with an unimpregnated Whatman No.1 filter paper, and to a positive control without any masking, i.e. 100% exposure area. The study was conducted for five generations and at each generation mosquitoes were exposed to differentially masked impregnated papers, and percent mortality was calculated. Results: The observed survival rate in differential exposures was more with the increase in heterozygous genotype resistance-susuceptible (RS) frequency. Resistant gene frequency with differential exposures (25 to 75%) was in the range of 0.38–0.54 for the F0 generation, which increased to 0.84–0.93 for the F4 generation. In 100% exposure it was 0.18 in F0 generation, which increased to 0.58 in the F4 generation. The resistant gene frequencies in the population showed increasing trend with decrease in exposure in contrast to complete exposure. Interpretation & conclusion: Variable simulated exposures resulted in precipitation of increased resistance while complete exposure resulted in lower levels of resistance, signifying the importance of optimum dosage and coverage in the indoor residual spray in delaying/avoiding the development of insecticide resistance in the disease vectors.

Prevalence of disease vectors in Lakshadweep Islands during post-monsoon season Jayalakshmi Krishnan, L Mathiarasan Journal of Vector Borne Diseases 2018 55(3):189-196 Background & objectives: Increase of vector-borne diseases (VBDs) in India has posed a question on the situation in Lakshadweep Islands, where VBDs are reported from time-to-time. The present investigation was aimed to assess the faunastic situation of the prevailing vectors along with their breeding sites in different islands of the Lakshadweep. Methods: Extensive surveys were carried out from November 2017 to January 2018 (post-monsoon season) randomly in the nine inhabited islands of Lakshadweep for conducting faunastic studies on mosquitoes and to know the basic binomics like breeding and resting preference of mosquitoes. The study islands included, Kavaratti, Agatti, Chetlat, Bitra, Amini, Kadmath, Andrott, Kalpeni and Kiltan. Both immature and adult collections were carried out by standard/appropriate sampling techniques. The obtained data were calculated and analysed in terms of different entomological indices Results: A total of 3356 mosquitoes were collected during the study period which comprised of 16 species from nine genera. Out of the 16 species, six belonged to mosquito vectors. The collection included malaria vector, Anopheles stephensi; Japanese encephalitis vector, Culex tritaeniorhynchus; Bancroftian filariasis vector, Cx. quinquefasciatus; Brugian filariasis vector, Mansonia uniformis; and dengue and chikungunya vectors, Stegomya albopicta and St. aegypti. Stegomya albopicta was the most predominant species observed constituting 54% of the catch, followed by Cx. quinquefasciatus, An. stephensi, Cx. tritaeniorhynchus, and St. aegypti constituting 10.5, 6, 3 and 1.2%, respectively. Apart from vector species many non-vectors such as Heizmannia chandi, An. subpictus, An. varuna, Cx. sitiens, Cx. minutissimus, Cx. rubithoracis, Fredwardsius vittatus, Lutzia fuscana, Malaya genurostris and Armigeres subalbatus were also present in the study area. In Kavaratti Island, the capital of Lakshadweep, a non-vector species of sandfly, Sergentomyia (Parrotomyia) babu was observed during the indoor resting collection. The major breeding sites which supported various mosquito species included, discarded plastic containers, tree holes, open sintex tanks (water storage tanks), unused wells, discarded tyres, discarded iron pots, unused and damaged boats, cement tanks, pleated plastic sheets, coral holes, pits and irrigation canals, discarded washing machines, and Colocasia plant leaf axils. Breteau index ranged between 65.3 and 110, CI ranged between 63.64 and 72.41; and HI ranged between 38.46 and 70 among the various islands. Interpretation & conclusion: Entomological indices such as house index (HI), breteau index (BI) and pupal index (PI) were high in all the nine islands and exceeded the threshold levels specified by WHO, indicating high risk for dengue virus transmission in case of outbreaks. Occurrence of vector as well as non-vector species indicates that the global change in climate is causing notable changes in terms of breeding of vector and non-vector species in the islands. With the reported cases of VBDs and the presence of vectors species in Lakshadweep Islands, a stringent control measure needs to be implemented at the Lakshadweep Islands.

Comparison of the effectiveness of two-dose versus three-dose sulphadoxine-pyrimethamine in preventing adverse pregnancy outcomes in Nigeria Nneka U Igboeli, Maxwell O Adibe, Chinwe V Ukwe, Cletus N Aguwa Journal of Vector Borne Diseases 2018 55(3):197-202 Background & objectives: Three doses of intermittent preventive treatment with sulphadoxine-pyrimethamine (IPTp-SP) has been adopted as the new recommendation for prevention of malaria in pregnancy. This study evaluated the effectiveness of two-dose versus three-dose of SP for IPTp-SP in the prevention of low birth weight (LBW) and malaria parasitaemia. Methods: An open, randomized, controlled, longitudinal trial was conducted in a secondary level hospital in Nsukka region of Enugu State, Nigeria. A sample of 210 pregnant women within gestational ages of 16–24 wk were recruited at antenatal clinics and equally randomized to either a two-dose SP or three-dose SP group. The primary endpoints were LBWs, peripheral, and placental parasitaemia, while the secondary endpoints were maternal anaemia, pre-term birth, clinical malaria and adverse effects of SP. Results: Among 207 cases followed till delivery, the prevalence of parasitaemia was lower in three-dose group than in two-dose group for both peripheral (9.3% versus 27.8%) and placental (10.6% versus 25.6%) parasitaemia. The adjusted odds ratios (aOR) were 0.15 [95% confidence interval (CI), 0.05 – 0.45] and 0.17 (95% CI, 0.06–0.51), respectively. The prevalence of LBW was also lower in three-dose (3.5%) than in two-dose (12.2%) group (aOR, 0.15; 95% CI, 0.04–0.63); however, the prevalence of maternal anaemia, pre-term births, clinical malaria and SP adverse effects were similar between the two arms of treatment. Interpretation & conclusion: Addition of a third SP dose to the standard two-dose SP for IPTp led to improved reductions in the risk of some adverse pregnancy outcomes.

Changing paradigm in the epidemiology of Japanese encephalitis in a non-endemic region P Philip Samuel, V Thenmozhi, M Muniaraj, D Ramesh, S Victor Jerald Leo, T Balaji, K Venkatasubramani, J Nagaraj, R Paramasivan Journal of Vector Borne Diseases 2018 55(3):203-207 Background & objectives: Japanese encephalitis (JE) is a mosquito-borne zoonotic disease. The JE virus (JEV) does not cause any disease among its natural hosts and transmission continues through mosquitoes belonging to Culex vishnui subgroup. This study was aimed to investigate the prevalence of JEV in mosquitoes and humans in the Thanjavur district, a non-endemic region for JE, in Tamil Nadu, by using standard available assays. Methods : A sero-surveillance study was conducted in Thanjavur district among the normal rural school children in the 5–12 yr age group, during the JE season (October) and post-JE season (February) from 2011 to 2013 for the detection of JEV infection. Vector abundance studies were carried out from 2011 to 2014. JE seropositivity and its association between the seasons were analysed statistically. Results : The occurrence of JE infection among children aged 5–12 yr was very high in the study area. The infection rates for JE in two consecutive seasons for 2011–12 and 2012–13 were 32.2 and 65.2%, respectively. The Cx. tritaeniorhynchus sp. dominated the catch, and was majorly responsible for the transmission. There was a significant difference in the human infection rate compared to the years 1991–92 and 1992–93; and a marked decrease in the cattle to pigs ratio (123 : 1) compared to the studies in 1991–93. Interpretation & conclusion : The study unearthed the prevailing situation of JE among children, who are at higher risk of developing the disease during the transmission season. The decrease in the cattle to pigs ratio might be the one of the reasons for increase in the JEV infection among the children population compared to 20 years before. This trend requires urgent attention as it could be prevented with effective surveillance systems and vaccines.

Spatial risk analysis on occurrences and dispersal of Biomphalaria straminea in and endemic area for schistosomiasis Elainne Christine de Souza Gomes, Millena Carla da Silva Mesquitta, Leandro Batista Wanderley, Fábio Lopes de Melo, Ricardo José de Paula Souza e Guimarães, Constança Simões Barbosa Journal of Vector Borne Diseases 2018 55(3):208-214 Background & objectives : Schistosomiasis is a rural endemic disease that has been expanding to urban and coastal areas in the state of Pernambuco, Brazil. The aim of this study was to characterize the distribution of breeding sites of the causative vector, Biomphalaria straminea in an endemic municipality for schistosomiasis and to present the predictive models for occurrences and dispersal of this vector snail to new areas. Methods : A malacological survey was conducted during January to December 2015 in the municipality of São Lourenço da Mata, Pernambuco, Brazil to identify the breeding sites of Biomphalaria. Faecal contamination was determined by means of the Colitag™ diagnostic kit. Rainfall data were collected, and correlated with snail distribution data. Kernel density estimation, kriging and maximum entropy (MaxEnt) modeling were used for spatial data analysis, by means of the spatial analysis software packages. Results : Out of the 130 demarcated collection points, 64 were classified as breeding sites for B. straminea. A total of 5,250 snails were collected from these sites. Among these 64 sites, four were considered as foci of schistosomiasis transmission and 54 as potential transmission foci. An inverse relationship between rainfall and snail density was observed. Kernel spatial analysis identified three areas at higher risk of snail occurrence, which were also the areas of highest faecal contamination and included two transmission foci. Kriging and MaxEnt modeling simulated the scenarios obtained through the kernel analyses. Interpretation & conclusion : Use of geostatistical tools (Kriging and MaxEnt) is efficient for identifying areas at risk and for estimating the dispersal of Biomphalaria species across the study area. Occurrence of B. straminea in the study area is influenced by the rainy season, as it becomes more abundant during the period immediately after the rainy season, increasing the risk of dispersal and the appearance of new transmission foci.

Evaluation of epidemiological, clinical, and laboratory characteristics and mortality rate of patients with Crimean-Congo hemorrhagic fever in the northeast region of Turkey Faruk Karakecili, Aytekin Cikman, Merve Aydin, Umut Devrim Binay, Ozan Arif Kesik, Fatih Ozcicek Journal of Vector Borne Diseases 2018 55(3):215-221 Background & objectives : Crimean-Congo hemorrhagic fever (CCHF), an illness characterized by fever and hemorrhage, is caused by a CCHF virus (CCHFV). It is an important public health problem in Turkey. The objective of this study was to evaluate the demographic, clinical, and laboratory characteristics and mortality rates of CCHF patients in the northeast region of Turkey. Methods : A total of 206 patients, diagnosed with CCHF, from northeast region of Turkey were included and evaluated between 2011 and 2017. Real-time reverse transcriptase polymerase chain reaction (RT-PCR) and immunofluorescence (IFA) methods were used for the diagnoses. Results : Of the patients included in the study, 77.2% were farmers/livestockers, while 22.8% had other occupations. The incidence of tick bite or tick contact with bare hands was 52.9%. About 94.2% of the patients were living in rural areas and 5.8% in city centers. However, all the patients living in city centers had a history of visit to rural areas. The disease was more common in May, June, and July months. The most common symptoms at the time of admission included fatigue, fever, and widespread body pain, while laboratory findings were thrombocytopenia, leukopenia, and anemia. Bleeding, tachycardia, and rash were the most common findings on physical examination. Of all the patients, 95.6% were identified by RT-PCR and 4.4% by IFA methods. Severe cases constituted 22.3% (46) of the included patients. Throughout the course of this study, 7 (3.4%) patients died, and the remaining 96.6% (199) patients were discharged with a full recovery. Disease severity was significantly correlated with mortality rate and duration of hospitalization (p <0.001 and p = 0.013). Interpretation & conclusion : In this study, the mortality rate observed was lower than that reported in the literature because of accessibility of early supportive therapy. It would be beneficial in CCHF treatment to recognize the disease at an early stage, begin supportive treatment quickly, and educate the people living in high-risk areas as well as health care personnel working in these areas.

Babesiosis prevalence in malaria-endemic regions of Colombia Juliana Gonzalez, Ignacio Echaide, Adriana Pabón, J Juan Gabriel Piñeros, Silvia Blair, Alberto Tobón-Castaño Journal of Vector Borne Diseases 2018 55(3):222-229 Background & objectives : The presence of Babesia spp in humans, bovine cattle and ticks (the transmitting vector) has not been well characterized in Colombia. Babesia infection in humans can be overlooked due to similarity of the disease symptoms with malaria specially in the regions where malaria is endemic. The aim of the present work was to study the frequency of Babesia infection in humans, bovines and ticks in a malaria endemic region of Colombia, and explore the possible relationship of infection with host and the environmental factors. Methods : A cross-sectional study was carried out between August 2014 and March 2015 to determine the frequency of B. bovis and B. bigemina infection in a sample of 300 humans involved in cattle raising, in 202 bovines; and in 515 ticks obtained from these subjects, using molecular (PCR), microscopic and serological methods. In addition, the demographic, ecological and zootechnical factors associated with the presence of Babesia, were explored. Results : In the bovine population, the prevalence of infection was 14.4% (29/202); the highest risk of infection was found in cattle under nine months of age (OR = 23.9, CI 8.10–94.30, p = 0.0). In humans, a prevalence of 2% (6/300) was found; four of these six cases were positive for B. bovis. Self-report of fever in the last seven days in the positive cases was found to be associated with Babesia infection (Incidence rate ratio = 9.08; CI 1.34–61.10, p = 0.02). The frequency of B. bigemina infection in the collected ticks was 18.5% (30/162). Interpretation & conclusion : The study established the presence of Babesia spp in humans, bovines and ticks. The most prevalent species responsible for babesiosis in humans and bovines was B. bovis, while B. bigemina was the species most frequently found in the tick population. The results contribute to the knowledge of the epidemiology of babesiosis in the country and can provide guidelines for the epidemiological surveillance of this non-malarial febrile illness in humans as well as cattle.

Low susceptibility of domestic cats to experimental Leishmania infantum infection Baharak Akhtardanesh, Reza Kheirandish, Iraj Sharifi, Ali Mohammadi, Ali Mostafavi, Tohid Mahmoodi, Mohadesse Ebrahimi Journal of Vector Borne Diseases 2018 55(3):230-234 Background and objectives : The dogs are considered the main reservoir of visceral leishmaniasis (VL), but lately the disease incidence has been reported in cats also. In this study, the susceptibility of domestic cats to experimental Leishmania infantum infection was assessed by different diagnostic methods. Methods : A total of 12 healthy adult male cats were captured by double door live trap cages containing baits. Of them eight cats were intraperitoneally inoculated with 107 L. infantum promastigotes (stationary phase), and four cats were used as controls. Whole blood and serum samples were collected at weekly intervals for 16 wk after inoculation for testing by polymerase chain reaction (PCR) and enzyme-linked immunosorbent assay (ELISA) methods. Aspirates of prescapular lymph nodes and bone marrow were obtained at monthly intervals. Clinical examination was performed twice weekly and histopathological evaluation was done on necropsy samples at the termination of the study. Results: One week after inoculation, blood nested PCR was able to detect the L. infantum infection and it remained positive until 16 wk. ELISA test remained negative during the study. Amastigote phase of parasite was not observed in bone marrow aspiration and necropsy samples. Interpretation and conclusion : The feline model described in this work would be useful in further understanding of L. infantum immunopathogenensis in cats. The results of this preliminary study suggest that cats might be resistant to VL as the inoculation dose which induces pathognomonic clinical features in dogs, just creates asymptomatic parasitaemia in cats. Though, due to long-lasting parasitaemia, cats may act as appropriate reservoir for transmission of VL to human population. Further studies are needed to describe the possible role of cats in the epidemiology of VL in endemic areas.

Adaptation of Aedes aegypti to salinity: Characterized by larger anal papillae in larvae SN Surendran, K Sivabalakrishnan, T.T.P. Jayadas, S Santhirasegaram, A Laheetharan, M Senthilnanthanan, R Ramasamy Journal of Vector Borne Diseases 2018 55(3):235-238 REVIEW ARTICLE   Geographic distribution and spatial analysis of Leishmania infantum infection in domestic and wild animal reservoir hosts of zoonotic visceral leishmaniasis in Iran: A systematic review  p. 173 M Mohebali, E Moradi-Asl, Y Rassi DOI:10.4103/0972-9062.249125   Visceral leishmaniasis (VL) is an important parasitic disease which is endemic in different parts of Iran; and domestic and wild canines are principal reservoir hosts of the disease. The objective of this study was to review the spatial distribution of canine VL (CVL) caused by Leishmania infantum in domestic and wild canines in different geographical areas of Iran. An extensive literature search was conducted in different international and national databases, including Cochrane, MEDLINE/PubMed, Scopus, Web of Science and Iran Medex to find articles with the words "visceral leishmaniasis in Iran" in their titles and "canine visceral leishmaniasis in Iran" or "feline visceral leishmaniasis in Iran" or "accidental reservoir hosts of visceral leishmaniasis in Iran" in their subtitles, irrespective of the type and duration of study. Screening of the irrelevant articles from total 36,342, yielded 61 eligible articles. More than 93% of the studies were carried out on domestic dogs (Canis familiaris, n= 57) and the remaining were on other carnivores such as wild canines including foxes (Vulpes vulpes, n = 4), jackals (C. aureus, n = 6) and wolves (C. lupus, n = 6); while studies on domestic cats (Felis catus, n = 3) as well as desert rodents (n = 2) were rare. The average rate of L. infantum infections reported among domestic dogs using direct agglutination test (DAT) in Iran was 12.5%. The highest prevalence rate (14%) was reported from the northwest regions of the country where VL is endemic. The review indicates that CVL is endemic in various parts of Iran and domestic dogs are the main and potential reservoir hosts of the disease. Other carnivores, such as domestic cats and some species of desert rodents (Cricetulus migratorius, Mesocricetus auratus and Meriones persicus) seem to be playing a role in the maintenance of transmission cycle of L. infantum in the endemic areas of the disease. [ABSTRACT]  [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta RESEARCH ARTICLES A laboratory simulation study on suppression of resistance genes by differential exposures to an insecticide in Anopheles stephensi Liston population p. 184 Vaishali Verma, OP Agrawal, Poonam Sharma Velamuri, Kamaraju Raghavendra DOI:10.4103/0972-9062.249126   Background & objectives: Insecticide applied at optimum dosage and coverage delays the development of resistance in disease vectors. The study was aimed to test the hypothesis whether decrease in exposure to insecticide leads to decrease in selection of insecticide resistance in mosquitoes. The mosquitoes were variably exposed to insecticide in the laboratory by simulating the variations in insecticide sprays applied in the field.Methods: The study was carried out on DDT resistant adults of Anopheles stephensi. Mosquitoes were differentially exposed to impregnated papers of DDT (4%), that were differentially masked to 25, 50, and 75% area with an unimpregnated Whatman No.1 filter paper, and to a positive control without any masking, i.e. 100% exposure area. The study was conducted for five generations and at each generation mosquitoes were exposed to differentially masked impregnated papers, and percent mortality was calculated. Results: The observed survival rate in differential exposures was more with the increase in heterozygous genotype resistance-susuceptible (RS) frequency. Resistant gene frequency with differential exposures (25 to 75%) was in the range of 0.38–0.54 for the F0 generation, which increased to 0.84–0.93 for the F4 generation. In 100% exposure it was 0.18 in F0 generation, which increased to 0.58 in the F4 generation. The resistant gene frequencies in the population showed increasing trend with decrease in exposure in contrast to complete exposure. Interpretation & conclusion: Variable simulated exposures resulted in precipitation of increased resistance while complete exposure resulted in lower levels of resistance, signifying the importance of optimum dosage and coverage in the indoor residual spray in delaying/avoiding the development of insecticide resistance in the disease vectors. [ABSTRACT]  [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta Prevalence of disease vectors in Lakshadweep Islands during post-monsoon season p. 189 Jayalakshmi Krishnan, L Mathiarasan DOI:10.4103/0972-9062.249127   Background & objectives: Increase of vector-borne diseases (VBDs) in India has posed a question on the situation in Lakshadweep Islands, where VBDs are reported from time-to-time. The present investigation was aimed to assess the faunastic situation of the prevailing vectors along with their breeding sites in different islands of the Lakshadweep. Methods: Extensive surveys were carried out from November 2017 to January 2018 (post-monsoon season) randomly in the nine inhabited islands of Lakshadweep for conducting faunastic studies on mosquitoes and to know the basic binomics like breeding and resting preference of mosquitoes. The study islands included, Kavaratti, Agatti, Chetlat, Bitra, Amini, Kadmath, Andrott, Kalpeni and Kiltan. Both immature and adult collections were carried out by standard/appropriate sampling techniques. The obtained data were calculated and analysed in terms of different entomological indices Results: A total of 3356 mosquitoes were collected during the study period which comprised of 16 species from nine genera. Out of the 16 species, six belonged to mosquito vectors. The collection included malaria vector, Anopheles stephensi; Japanese encephalitis vector, Culex tritaeniorhynchus; Bancroftian filariasis vector, Cx. quinquefasciatus; Brugian filariasis vector, Mansonia uniformis; and dengue and chikungunya vectors, Stegomya albopicta and St. aegypti. Stegomya albopicta was the most predominant species observed constituting 54% of the catch, followed by Cx. quinquefasciatus, An. stephensi, Cx. tritaeniorhynchus, and St. aegypti constituting 10.5, 6, 3 and 1.2%, respectively. Apart from vector species many non-vectors such as Heizmannia chandi, An. subpictus, An. varuna, Cx. sitiens, Cx. minutissimus, Cx. rubithoracis, Fredwardsius vittatus, Lutzia fuscana, Malaya genurostris and Armigeres subalbatus were also present in the study area. In Kavaratti Island, the capital of Lakshadweep, a non-vector species of sandfly, Sergentomyia (Parrotomyia) babu was observed during the indoor resting collection. The major breeding sites which supported various mosquito species included, discarded plastic containers, tree holes, open sintex tanks (water storage tanks), unused wells, discarded tyres, discarded iron pots, unused and damaged boats, cement tanks, pleated plastic sheets, coral holes, pits and irrigation canals, discarded washing machines, and Colocasia plant leaf axils. Breteau index ranged between 65.3 and 110, CI ranged between 63.64 and 72.41; and HI ranged between 38.46 and 70 among the various islands. Interpretation & conclusion: Entomological indices such as house index (HI), breteau index (BI) and pupal index (PI) were high in all the nine islands and exceeded the threshold levels specified by WHO, indicating high risk for dengue virus transmission in case of outbreaks. Occurrence of vector as well as non-vector species indicates that the global change in climate is causing notable changes in terms of breeding of vector and non-vector species in the islands. With the reported cases of VBDs and the presence of vectors species in Lakshadweep Islands, a stringent control measure needs to be implemented at the Lakshadweep Islands. [ABSTRACT]  [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta Comparison of the effectiveness of two-dose versus three-dose sulphadoxine-pyrimethamine in preventing adverse pregnancy outcomes in Nigeria p. 197 Nneka U Igboeli, Maxwell O Adibe, Chinwe V Ukwe, Cletus N Aguwa DOI:10.4103/0972-9062.249128   Background & objectives: Three doses of intermittent preventive treatment with sulphadoxine-pyrimethamine (IPTp-SP) has been adopted as the new recommendation for prevention of malaria in pregnancy. This study evaluated the effectiveness of two-dose versus three-dose of SP for IPTp-SP in the prevention of low birth weight (LBW) and malaria parasitaemia. Methods: An open, randomized, controlled, longitudinal trial was conducted in a secondary level hospital in Nsukka region of Enugu State, Nigeria. A sample of 210 pregnant women within gestational ages of 16–24 wk were recruited at antenatal clinics and equally randomized to either a two-dose SP or three-dose SP group. The primary endpoints were LBWs, peripheral, and placental parasitaemia, while the secondary endpoints were maternal anaemia, pre-term birth, clinical malaria and adverse effects of SP. Results: Among 207 cases followed till delivery, the prevalence of parasitaemia was lower in three-dose group than in two-dose group for both peripheral (9.3% versus 27.8%) and placental (10.6% versus 25.6%) parasitaemia. The adjusted odds ratios (aOR) were 0.15 [95% confidence interval (CI), 0.05 – 0.45] and 0.17 (95% CI, 0.06–0.51), respectively. The prevalence of LBW was also lower in three-dose (3.5%) than in two-dose (12.2%) group (aOR, 0.15; 95% CI, 0.04–0.63); however, the prevalence of maternal anaemia, pre-term births, clinical malaria and SP adverse effects were similar between the two arms of treatment.Interpretation & conclusion: Addition of a third SP dose to the standard two-dose SP for IPTp led to improved reductions in the risk of some adverse pregnancy outcomes. [ABSTRACT]  [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta Changing paradigm in the epidemiology of Japanese encephalitis in a non-endemic region p. 203 P Philip Samuel, V Thenmozhi, M Muniaraj, D Ramesh, S Victor Jerald Leo, T Balaji, K Venkatasubramani, J Nagaraj, R Paramasivan DOI:10.4103/0972-9062.249130   Background & objectives: Japanese encephalitis (JE) is a mosquito-borne zoonotic disease. The JE virus (JEV) does not cause any disease among its natural hosts and transmission continues through mosquitoes belonging to Culex vishnui subgroup. This study was aimed to investigate the prevalence of JEV in mosquitoes and humans in the Thanjavur district, a non-endemic region for JE, in Tamil Nadu, by using standard available assays. Methods : A sero-surveillance study was conducted in Thanjavur district among the normal rural school children in the 5–12 yr age group, during the JE season (October) and post-JE season (February) from 2011 to 2013 for the detection of JEV infection. Vector abundance studies were carried out from 2011 to 2014. JE seropositivity and its association between the seasons were analysed statistically. Results : The occurrence of JE infection among children aged 5–12 yr was very high in the study area. The infection rates for JE in two consecutive seasons for 2011–12 and 2012–13 were 32.2 and 65.2%, respectively. The Cx. tritaeniorhynchussp. dominated the catch, and was majorly responsible for the transmission. There was a significant difference in the human infection rate compared to the years 1991–92 and 1992–93; and a marked decrease in the cattle to pigs ratio (123 : 1) compared to the studies in 1991–93. Interpretation & conclusion : The study unearthed the prevailing situation of JE among children, who are at higher risk of developing the disease during the transmission season. The decrease in the cattle to pigs ratio might be the one of the reasons for increase in the JEV infection among the children population compared to 20 years before. This trend requires urgent attention as it could be prevented with effective surveillance systems and vaccines. [ABSTRACT]  [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta Spatial risk analysis on occurrences and dispersal of Biomphalaria straminea in and endemic area for schistosomiasis p. 208 Elainne Christine de Souza Gomes, Millena Carla da Silva Mesquitta, Leandro Batista Wanderley, Fábio Lopes de Melo, Ricardo José de Paula Souza e Guimarães, Constança Simões Barbosa DOI:10.4103/0972-9062.249142   Background & objectives : Schistosomiasis is a rural endemic disease that has been expanding to urban and coastal areas in the state of Pernambuco, Brazil. The aim of this study was to characterize the distribution of breeding sites of the causative vector, Biomphalaria straminea in an endemic municipality for schistosomiasis and to present the predictive models for occurrences and dispersal of this vector snail to new areas. Methods :A malacological survey was conducted during January to December 2015 in the municipality of São Lourenço da Mata, Pernambuco, Brazil to identify the breeding sites of Biomphalaria. Faecal contamination was determined by means of the Colitag™ diagnostic kit. Rainfall data were collected, and correlated with snail distribution data. Kernel density estimation, kriging and maximum entropy (MaxEnt) modeling were used for spatial data analysis, by means of the spatial analysis software packages. Results : Out of the 130 demarcated collection points, 64 were classified as breeding sites for B. straminea. A total of 5,250 snails were collected from these sites. Among these 64 sites, four were considered as foci of schistosomiasis transmission and 54 as potential transmission foci. An inverse relationship between rainfall and snail density was observed. Kernel spatial analysis identified three areas at higher risk of snail occurrence, which were also the areas of highest faecal contamination and included two transmission foci. Kriging and MaxEnt modeling simulated the scenarios obtained through the kernel analyses. Interpretation & conclusion : Use of geostatistical tools (Kriging and MaxEnt) is efficient for identifying areas at risk and for estimating the dispersal of Biomphalaria species across the study area. Occurrence of B. straminea in the study area is influenced by the rainy season, as it becomes more abundant during the period immediately after the rainy season, increasing the risk of dispersal and the appearance of new transmission foci. [ABSTRACT]  [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta Evaluation of epidemiological, clinical, and laboratory characteristics and mortality rate of patients with Crimean-Congo hemorrhagic fever in the northeast region of Turkey p. 215 Faruk Karakecili, Aytekin Cikman, Merve Aydin, Umut Devrim Binay, Ozan Arif Kesik, Fatih Ozcicek DOI:10.4103/0972-9062.249479   Background & objectives : Crimean-Congo hemorrhagic fever (CCHF), an illness characterized by fever and hemorrhage, is caused by a CCHF virus (CCHFV). It is an important public health problem in Turkey. The objective of this study was to evaluate the demographic, clinical, and laboratory characteristics and mortality rates of CCHF patients in the northeast region of Turkey. Methods : A total of 206 patients, diagnosed with CCHF, from northeast region of Turkey were included and evaluated between 2011 and 2017. Real-time reverse transcriptase polymerase chain reaction (RT-PCR) and immunofluorescence (IFA) methods were used for the diagnoses. Results : Of the patients included in the study, 77.2% were farmers/livestockers, while 22.8% had other occupations. The incidence of tick bite or tick contact with bare hands was 52.9%. About 94.2% of the patients were living in rural areas and 5.8% in city centers. However, all the patients living in city centers had a history of visit to rural areas. The disease was more common in May, June, and July months. The most common symptoms at the time of admission included fatigue, fever, and widespread body pain, while laboratory findings were thrombocytopenia, leukopenia, and anemia. Bleeding, tachycardia, and rash were the most common findings on physical examination. Of all the patients, 95.6% were identified by RT-PCR and 4.4% by IFA methods. Severe cases constituted 22.3% (46) of the included patients. Throughout the course of this study, 7 (3.4%) patients died, and the remaining 96.6% (199) patients were discharged with a full recovery. Disease severity was significantly correlated with mortality rate and duration of hospitalization (p <0.001 and p = 0.013).Interpretation & conclusion : In this study, the mortality rate observed was lower than that reported in the literature because of accessibility of early supportive therapy. It would be beneficial in CCHF treatment to recognize the disease at an early stage, begin supportive treatment quickly, and educate the people living in high-risk areas as well as health care personnel working in these areas. [ABSTRACT]  [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta Babesiosis prevalence in malaria-endemic regions of Colombia p. 222 Juliana Gonzalez, Ignacio Echaide, Adriana Pabón, J Juan Gabriel Piñeros, Silvia Blair, Alberto Tobón-Castaño DOI:10.4103/0972-9062.249480   Background & objectives : The presence of Babesia spp in humans, bovine cattle and ticks (the transmitting vector) has not been well characterized in Colombia. Babesia infection in humans can be overlooked due to similarity of the disease symptoms with malaria specially in the regions where malaria is endemic. The aim of the present work was to study the frequency of Babesia infection in humans, bovines and ticks in a malaria endemic region of Colombia, and explore the possible relationship of infection with host and the environmental factors.Methods : A cross-sectional study was carried out between August 2014 and March 2015 to determine the frequency of B. bovis and B. bigemina infection in a sample of 300 humans involved in cattle raising, in 202 bovines; and in 515 ticks obtained from these subjects, using molecular (PCR), microscopic and serological methods. In addition, the demographic, ecological and zootechnical factors associated with the presence of Babesia, were explored. Results : In the bovine population, the prevalence of infection was 14.4% (29/202); the highest risk of infection was found in cattle under nine months of age (OR = 23.9, CI 8.10–94.30, p = 0.0). In humans, a prevalence of 2% (6/300) was found; four of these six cases were positive for B. bovis. Self-report of fever in the last seven days in the positive cases was found to be associated with Babesia infection (Incidence rate ratio = 9.08; CI 1.34–61.10, p = 0.02). The frequency of B. bigemina infection in the collected ticks was 18.5% (30/162). Interpretation & conclusion : The study established the presence of Babesia spp in humans, bovines and ticks. The most prevalent species responsible for babesiosis in humans and bovines was B. bovis, while B. bigemina was the species most frequently found in the tick population. The results contribute to the knowledge of the epidemiology of babesiosis in the country and can provide guidelines for the epidemiological surveillance of this non-malarial febrile illness in humans as well as cattle. [ABSTRACT]  [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta Low susceptibility of domestic cats to experimental Leishmania infantum infection p. 230 Baharak Akhtardanesh, Reza Kheirandish, Iraj Sharifi, Ali Mohammadi, Ali Mostafavi, Tohid Mahmoodi, Mohadesse Ebrahimi DOI:10.4103/0972-9062.249481   Background and objectives : The dogs are considered the main reservoir of visceral leishmaniasis (VL), but lately the disease incidence has been reported in cats also. In this study, the susceptibility of domestic cats to experimental Leishmania infantum infection was assessed by different diagnostic methods. Methods : A total of 12 healthy adult male cats were captured by double door live trap cages containing baits. Of them eight cats were intraperitoneally inoculated with 107 L. infantum promastigotes (stationary phase), and four cats were used as controls. Whole blood and serum samples were collected at weekly intervals for 16 wk after inoculation for testing by polymerase chain reaction (PCR) and enzyme-linked immunosorbent assay (ELISA) methods. Aspirates of prescapular lymph nodes and bone marrow were obtained at monthly intervals. Clinical examination was performed twice weekly and histopathological evaluation was done on necropsy samples at the termination of the study. Results: One week after inoculation, blood nested PCR was able to detect the L. infantum infection and it remained positive until 16 wk. ELISA test remained negative during the study. Amastigote phase of parasite was not observed in bone marrow aspiration and necropsy samples. Interpretation and conclusion :The feline model described in this work would be useful in further understanding of L. infantumimmunopathogenensis in cats. The results of this preliminary study suggest that cats might be resistant to VL as the inoculation dose which induces pathognomonic clinical features in dogs, just creates asymptomatic parasitaemia in cats. Though, due to long-lasting parasitaemia, cats may act as appropriate reservoir for transmission of VL to human population. Further studies are needed to describe the possible role of cats in the epidemiology of VL in endemic areas. [ABSTRACT]  [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta SHORT RESEARCH COMMUNICATIONS Adaptation of Aedes aegypti to salinity: Characterized by larger anal papillae in larvae p. 235 SN Surendran, K Sivabalakrishnan, T.T.P. Jayadas, S Santhirasegaram, A Laheetharan, M Senthilnanthanan, R Ramasamy DOI:10.4103/0972-9062.249482   [ABSTRACT]  [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta Attempt to uncover reservoirs of human spotted fever rickettsiosis on the Fleurieu Peninsula, South Australia p. 239 Patrick L Taggart, Rebecca Traub, Sze Fui, Phil Weinstein DOI:10.4103/0972-9062.249483   [ABSTRACT]  [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta An investigation about the possible role of cattle and goats as reservoir hosts for Leishmania donovani in Bangladesh p. 242 Mohmmad Zahangir Alam, Md Mustafizur Rahman, Shirin Akter, Md Hasanuzzaman Talukder, Anita Rani Dey DOI:10.4103/0972-9062.249484   [ABSTRACT]  [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta LETTER TO THE EDITOR Protein tyrosine phosphatase, opisthorchiasis and dengue: A proteomics interrelationship p. 245 Sora Yasri, Viroj Wiwanitkit DOI:10.4103/0972-9062.249485   [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta

Application of polyaniline-based adsorbents for dye removal from water and wastewater—a review

Abstract

Several industries release varying concentration of dye-laden effluent with substantial negative consequences for any receiving environmental compartment. The control of water pollution and tighter restriction on wastewater discharge directly into the environment to reduce the potential ecotoxicological effect of dyes is forcing processors to retreat and reuse process water and chemicals. Among the different available technologies, the adsorption process has been recognized to be one of the finest and cost-effective wastewater treatment technologies. Various adsorbents have been utilized to remove toxic dyes from water and wastewater. Here, we review the application of polyaniline-based polymeric adsorbent for the adsorption of dyes which have been received considerable attention. To date, various modifications of polyaniline have been explored to improve the adsorption properties. Review on the application of polyaniline for adsorption of dyes has not been present till date. This article provides relevant literature on the application of various polyaniline composites for removing dyes, and their adsorption capacities with their experimental conditions have been compiled. It is evident from the literature survey that polyaniline provides a better opportunity for scientists for the effective removal of various dye.

http://bit.ly/2Ttc9Og

Toxicity of exogenous antimony to the soil-dwelling springtail Folsomia candida

Abstract

Antimony (Sb) is a toxic pollutant, but data for Sb toxicity to springtails in soil are limited, and the effects of Sb speciation, soil physiochemical properties, and aging time on Sb toxicity have not been investigated. To address this, the effects of Sb on Folsomia candida were evaluated in laboratory studies. The results demonstrated that compared with Sb(III), no significant change in mortality was observed in Sb(V)-treated soil, but the EC₅₀ value for the reproduction was 28-fold higher than that of Sb(III). Sb(III) toxicity was very different in four soils. The LC₅₀ values for the survival were 2325–5107 mg kg⁻¹ in the acute test and 605–2682 mg kg⁻¹ in the chronic test, and the EC₅₀ values for the reproduction were 293–2317 mg kg⁻¹. The toxicity discrepancies were associated with the variations in oxidation potential and sorption capacity among corresponding soils. Toxicity significantly positively correlated with the clay and amorphous iron content but significantly negatively correlated with pH. Long-term aging markedly decreased Sb(III) toxicity, and the EC₅₀ and LC₅₀ values were unexpectedly higher than the highest test concentration in soil aged for 180 days. Sb(III) toxicity was probably modified more by oxidation than by changes in the available Sb fraction during aging.

http://bit.ly/2CQPMg2

Characterizing interactions of socioeconomic development and environmental impact at a watershed scale

Abstract

Worldwide socioeconomic development has resulted in huge irretrievable environmental problems in various ecosystems. This study employed seven coastal watersheds in two provinces, Zhejiang and Fujian, China forming a gradient to testify the environmental Kuznets curve (EKC) interactions between socioeconomic development and environmental impact at a watershed scale. Annual socioeconomic indicators, including gross domestic product (GDP) and its components, registered population (agricultural and non-agricultural population), and electricity consumption, and annual discharges of chemical oxygen demand (COD) and ammonium were collected at a county level, and land use pattern to generate watershed level dataset in the period of 2011–2016. Results indicated that non-agricultural GDP per capita of the non-agricultural population and discharge of COD or ammonium per unit of total GDP were top-ranked pair-indicators significantly fitting the EKC model instead of the classic GDP per capita and pollutants. The development of seven selected watersheds have passed the turning point of the EKC and entered impact-reducing development stages along the EKC, i.e., the three Zhejiang watersheds are at the low-impact development stage, the Huotong Stream watershed from Fujian province was at impact-declining development stage right, and other three Fujian watersheds were at medium-impact development stage. In term of the environmental impact indicator, pollutant discharge per unit of total GDP serves as a development impact indictor per se. These findings might provide an EKC-based approach to support and strategize the watershed management for sustainable development in the world.

http://bit.ly/2TvN19E

Assessing nitrogen and phosphorus removal potential of five plant species in floating treatment wetlands receiving simulated nursery runoff

Abstract

The feasibility of using floating treatment wetlands (FTWs) to treat runoff typical of commercial nurseries was investigated using two 8-week trials with replicated mesocosms. Plants were supported by Beemat rafts. Five monoculture treatments of Agrostis alba (red top), Canna × generalis 'Firebird' (canna lily), Carex stricta (tussock sedge), Iris ensata 'Rising Sun' (Japanese water iris), Panicum virgatum (switchgrass), two mixed species treatments, and an unplanted control were assessed. These plant species are used for ornamental, wetland, and biofuel purposes. Nitrogen (N) and phosphorus (P) removals were evaluated after a 7-day hydraulic retention time (HRT). N removal (sum of ammonium-N, nitrate-N, and nitrite-N) from FTW treatments ranged from 0.255 to 0.738 g·m⁻²·d⁻¹ (38.9 to 82.4% removal) and 0.147 to 0.656 g·m⁻²·d⁻¹ (12.9 to 59.6% removal) for trials 1 and 2, respectively. P removal (phosphate-P) ranged from 0.052 to 0.128 g·m⁻²·d⁻¹ (26.1 to 64.7% removal) for trial 1, and 0.074 to 0.194 g·m⁻²·d⁻¹ (26.8 to 63.2% removal) for trial 2. Panicum virgatum removed more N and P than any other FTW treatment and the control in both trials. Results show that species selection and timing of FTW harvest impact the rate and mass of nutrient remediation. FTWs can effectively remove N and P from runoff from commercial nurseries.

http://bit.ly/2CQYlHK

Acute oral toxicity study on Wistar rats fed microalgal protein hydrolysates from Bellerochea malleus

Abstract

Protein hydrolysates and bioactive peptides from various protein sources have demonstrated their effectiveness for the prevention of illness and the improvement of symptoms from several diseases. In particular, the use of microalgae to generate bioactive peptides has received a growing interest because of their potential to be cultivated on non-arable land and high nutritional value. However, scant research is available on the toxicity of peptide-based preparations. The present study aims to evaluate the toxicity of microalgal protein hydrolysates (MPH) from one marine species of microalgae (Bellerochea malleus) to determine the feasibility of their use for functional food applications. Results showed that the oral administration of MPH at three doses (D1, 100 mg kg⁻¹ BW; D2, 400 mg kg⁻¹ BW; and D3, 2000 mg kg⁻¹ BW) to male Wistar rats did not induce any adverse effects or mortality up to13 days of treatment. Data analysis of relative organ weights and biochemical and hematological parameters did not show any significant differences between control and treated groups at the three doses investigated. Data from histopathological observations did not reveal any signs of major toxicity at the doses D1 and D2. However, mild signs of inflammation and necrosis were observed in the kidney of rats fed MPH at D3. All together, these results reveal the overall safety of MPH and provide new evidence for advocating their use for functional food or nutraceutical applications.

http://bit.ly/2Ttc25i

Plot-scale spatiotemporal variations of CO 2 concentration and flux across water–air interfaces at aquaculture shrimp ponds in a subtropical estuary

Abstract

Human activities have increased anthropogenic CO₂ emissions, which are believed to play important roles in global warming. The spatiotemporal variations of CO₂ concentration and flux at fine spatial scales in aquaculture ponds remain unclear, particularly in China, the country with the largest aquaculture. In this study, the plot-scale spatiotemporal variations of water CO₂ concentration and flux, both within and among ponds, were researched in shrimp ponds in Shanyutan Wetland, Min River Estuary, Southeast China. The average water CO₂ concentration and flux across the water–air interface in the shrimp ponds over the shrimp farming period varied from 22.79 ± 0.54 to 186.66 ± 8.71 μmol L⁻¹ and from − 0.50 ± 0.04 to 2.87 ± 0.78 mol m⁻² day⁻¹, respectively. There was no remarkable difference in CO₂ concentration and flux within the ponds, but significantly spatiotemporal differences in CO₂ flux were observed between shrimp ponds. Chlorophyll a, pH, salinity, air temperature, and morphometry were the important factors driving the spatiotemporal patterns of CO₂ flux in the shrimp ponds. Our findings highlighted the importance and spatiotemporal variations of CO₂ flux in the important coastal ecosystems.

http://bit.ly/2CQTBSE

Effects of a shipwreck on the zooplankton community in a port region of the Amazon

Abstract

The port regions of the Amazon are subject to environmental impacts high shipping traffic. In October 2015, a cargo ship containing 5000 oxen sank in the Port of Vila do Conde, northern Brazil, releasing large amounts of organic matter and diesel oil into the aquatic environment. We evaluated the consequences of this shipwreck on the zooplankton community. Sampling was carried out using a phytoplankton net (64 μm) at two locations close to the port. We calculated the frequency of occurrence, relative abundance, and trophic state index and performed a canonical redundancy analysis of zooplankton in this area. Total density values ranged from 371 to 8600 organisms/m³, with minimum values being recorded during the period of the shipwreck and maximum values after the shipwreck. The areas categorized as super eutrophic had the lowest density values. The most abundant species/groups were nauplii and copepodites of the orders Cyclopoida and Calanoida. Of the environmental variables, only biochemical oxygen demand, chemical oxygen demand, and total dissolved solids were selected by the redundancy canonical analysis. The environmental conditions of the region and the ongoing environmental impacts might substantially influence the structure of the zooplankton community. The predominance of these organisms, in addition to the high densities of nauplii and copepodites, was likely related to the large amounts of nutrients generated by the shipwreck.

http://bit.ly/2TtbXyw

Steady-state modeling of the biodegradation performance of a multistage moving bed biofilm reactor (MBBR) used for on-site greywater treatment

Abstract

In this study, the Activated Sludge Model No. 3 (ASM3) was applied for the simulation of the removal of organics and nitrogen in a multistage moving bed biofilm reactor (MBBR) used for biological greywater treatment. The data related to the characterization of the greywater were collected over a period of 5 months to be investigated in the model. The reactor showed a high performance for the removal of chemical oxygen demand (COD), dissolved organic carbon (DOC), biological oxygen demand (BOD₅), ammonia (NH₄-N), and total nitrogen (TN) with a removal efficiency of 93%, 80.7%, 99%, 89%, and 77%, respectively. The results of modeling showed a good correlation between simulated and experimental concentrations of COD issued from different reactors of the MBBR system. The adaptability of the ASM3 model to fit other parameters such as TN, NH₄-N, total suspended solids (TSS), and the dissolved oxygen (DO) was also investigated for two selected reactors: reactor (R1) and the reactor (R5). The simulation results showed an acceptable correlation regarding the evolution of the investigated parameters in R1 and R5 and in the effluent except for total nitrogen TN. The adjustment of the stoichiometric parameters led to a satisfactory simulation of TN concentrations.

http://bit.ly/2CPbjph

Chromium (VI) remediation in aqueous solution by waste products (peel and seed) of mango ( Mangifera indica L.) cultivars

Abstract

The surface group characteristics of mango cultivar peels and seeds were evaluated by infrared spectra, PZC, and functional group composition. The adsorption/reduction of chromium (VI) in aqueous solutions was investigated by varying pH, contact time, initial Cr(VI) concentration, and adsorbent amount. The results show that both peel and seed powders of the mango cultivars showed significant adsorption/reduction capacity for Cr(VI) and that the desorption process obeys pseudo-second-order kinetics. Optimal adsorption occurred at pH 1.0, using a Cr(VI) concentration of 100 mg/L. On average, at pH 1.0, and a concentration of 3 g/L, the maximum adsorption/reduction capacity of Cr(VI) was 83% (peels 76%, seeds 90%). Of the mango powders tested, the most efficient were Tommy seed (100%) and Coite peel (98%) followed by Coite seed (96%) and Tommy peel powders (95%). The adsorption/reduction of Cr(VI) was complete (100%) by the mango seed, in comparison to the peel powders (97%) after 180 min. The data indicates that mango waste products, such as seed and peel powders, are both excellent candidates for the remediation of Cr(VI) from aqueous systems and due to the higher concentration of gallates and galloyl glucosides, the mango seed powders should be the powders of choice for future remediation projects.

http://bit.ly/2TtbQmA

Combination with catalyzed Fe(0)-carbon microelectrolysis and activated carbon adsorption for advanced reclaimed water treatment: simultaneous nitrate and biorefractory organics removal

Abstract

A process combining catalyzed Fe(0)-carbon microelectrolysis (IC-ME) with activated carbon (AC) adsorption was developed for advanced reclaimed water treatment. Simultaneous nitrate reduction and chemical oxygen demand (COD) removal were achieved, and the effects of composite catalyst (CC) addition, AC addition, and initial pH were investigated. The reaction kinetics and reaction mechanisms were calculated and analyzed. The results showed that CC addition could enhance the reduction rate of nitrate and effectively inhibit the production of ammonia. Moreover, AC addition increased the adsorption capacity of biorefractory organic compounds (BROs) and enhanced the degradation of BRO. The reduction of NO₃⁻–N at different pH values was consistently greater than 96.9%, and NH₄⁺–N was suppressed by high pH. The presence of CC ensured the reaction rate of IC-ME at high pH. The reaction kinetics orders and constants were calculated. Catalyzed iron scrap (IS)-AC showed much better nitrate reduction and BRO degradation performances than IS-AC and AC. The IC-ME showed great potential for application to nitrate and BRO reduction in reclaimed water.

http://bit.ly/2CSCxvv

Re: Does smoking habit increase the micronuclei frequency in the oral mucosa of adults compared to non-smokers? A systematic review and meta-analysis. de Geus et al., Clin Oral Investig. 2018 Jan; 22(1):81–91

http://bit.ly/2F7bUVL

Is there a relationship of negative oral health beliefs with dental fear and anxiety regarding diverse dental patient groups? A systematic review and meta-analysis

Abstract

Objectives

This systematic review and meta-analysis aimed to critically appraise the evidence on the relationship of oral health beliefs with dental fear and anxiety in distinct patient groups.

Materials and methods

Observational studies were retrieved by Cochrane, Embase Search, Portal BVS, Clinical Trials, Ovid, Open Gray, PubMed, Scopus, and Web of Science, and they were manually checked for the inclusion of additional articles of interest. The assessment of quality of studies was performed by the application of three different versions of the Newcastle-Ottawa Scale, for cohort, case-control, and cross-sectional studies. Only studies with low or unclear/moderate risk of bias contributed to meta-analyses, regarding the analysis of random effects of mean differences of dental beliefs scores between dental fear/anxiety and control groups, and the correlation of dental beliefs with dental fear and anxiety measures.

Results

Of 276 articles initially retrieved, 10 were included in the systematic review, while only 6 studies with unclear/moderate risk of bias were considered in meta-analyses. The mean difference of dental beliefs effects was higher in patients with dental fear and anxiety compared to controls (1.20; 95% CI 0.27–2.14; P = 0.01). Additionally, a moderate positive correlation was observed between dental beliefs and dental fear measures (r = 0.54, 95% CI 0.47–0.60; P < 0.001).

Conclusions

Based on these results, the presence of negative health beliefs is directly related to the increase of dental fear and anxiety; however, these findings are supported in studies with unclear/moderate risk of bias.

Clinical relevance

Dental fear and anxiety is an important obstacle for the access of dental treatment and patient-dentist relationship, leading to inadequate oral health levels.

http://bit.ly/2FaguBO

Longitudinal tau and metabolic PET imaging in relation to novel CSF tau measures in Alzheimer’s disease

Abstract

Purpose

Studies comparing CSF and PET tau biomarkers have included only commercial CSF assays examining specific phosphorylation sites (e.g. threonine 181, P-tau_181p) and mid-domain tau (i.e. total tau, T-tau). Moreover, these studies did not examine CSF tau levels in relation to cerebral glucose metabolism. We thus aimed to examine CSF tau measures, using both commercial and novel assays, in relation to [¹⁸F]THK5317 (tau) and [¹⁸F]FDG PET (glucose metabolism).

Methods

Fourteen Alzheimer's disease (AD) patients (seven prodromal, seven dementia) underwent [¹⁸F]THK5317 and [¹⁸F]FDG PET studies, with follow-up performed in ten subjects (six prodromal, four dementia) after 17 months. In addition to commercial assays, novel measures capturing N-terminus+mid-domain (tau N-Mid) and C-terminally truncated (tau-368) fragments were included.

Results

While the levels of all forms of CSF tau were found to be inversely associated with baseline [¹⁸F]FDG uptake, associations with baseline [¹⁸F]THK5317 uptake varied in relation to the degree of isocortical hypometabolism ([¹⁸F]FDG SUVR). Changes in the levels of the novel CSF markers tracked longitudinal changes in tracer uptake better than changes in P-tau_181p and T-tau levels, and improved concordance with dichotomized regional [¹⁸F]THK5317 measures.

Conclusion

Our findings suggest that neurodegeneration may modulate the relationship between CSF and PET tau biomarkers, and that, by comparison to P-tau_181p and T-tau, tau-368 and tau N-Mid may better capture tau pathology and synaptic impairment.

http://bit.ly/2TtioBk

Current Pharmacotherapy Does Not Improve Severity of Hypoactive Delirium in Patients with Advanced Cancer: Pharmacological Audit Study of Safety and Efficacy in Real World (Phase‐R)

AbstractBackground.Pharmacotherapy is generally recommended to treat patients with delirium. We sought to describe the current practice, effectiveness, and adverse effects of pharmacotherapy for hypoactive delirium in patients with advanced cancer, and to explore predictors of the deterioration of delirium symptoms after starting pharmacotherapy.Subjects, Materials, and Methods.We included data of patients with advanced cancer who were diagnosed with hypoactive delirium and received pharmacotherapy for treatment of delirium. This was a pharmacovigilance study characterized by prospective registries and systematic data‐recording using internet technology, conducted among 38 palliative care teams and/or units. The severity of delirium and other outcomes were assessed using established measures at days 0 (T0), 3 (T1), and 7 (T2).Results.Available data were obtained from 218 patients. The most frequently used agent was haloperidol (37%). A total of 67 and 42 patients (31% and 19%) had died or discontinued pharmacotherapy by T1 and T2, respectively. Delirium symptoms deteriorated between T0 and T1, but this trend did not reach statistical significance. The most prevalent adverse event was sedation (9%). Delirium severity worsened after starting pharmacotherapy in 121 patients (56%) at T1. In patients whose death was expected within a few days and those with delirium caused by organ failure, symptoms of delirium were significantly more likely to deteriorate after starting pharmacotherapy.Conclusion.Current pharmacotherapy for hypoactive delirium in patients with advanced cancer is not recommended, especially in those whose death is expected within a few days and in those with delirium caused by organ failure.Implications for Practice.Delirium is common among patients with advanced cancer, and hypoactive delirium is the dominant motor subtype in the palliative care setting. Pharmacotherapy is recommended and regularly used to treat delirium. This article describes the effectiveness and adverse effects of pharmacotherapy for hypoactive delirium in patients with advanced cancer. The findings of this study do not support the use of pharmacotherapy for treatment of hypoactive delirium in the palliative care setting. Pharmacotherapy should especially be avoided in patients whose death is expected within a few days and in those with delirium caused by organ failure.

http://bit.ly/2QllF3W