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Evaluation of the Urine POC-CCA Test Accuracy in the Detection of Schistosoma mansoni Infection: A Systematic Review and Meta-Analysis. 评估尿液 POC-CCA 检测曼氏血吸虫感染的准确性:系统回顾与元分析》。
IF 2.1 4区 医学
Journal of Tropical Medicine Pub Date : 2024-07-15 eCollection Date: 2024-01-01 DOI: 10.1155/2024/5531687
Getaneh Alemu, Endalkachew Nibret
{"title":"Evaluation of the Urine POC-CCA Test Accuracy in the Detection of <i>Schistosoma mansoni</i> Infection: A Systematic Review and Meta-Analysis.","authors":"Getaneh Alemu, Endalkachew Nibret","doi":"10.1155/2024/5531687","DOIUrl":"10.1155/2024/5531687","url":null,"abstract":"<p><strong>Background: </strong>Schistosomiasis is a common public health problem throughout the world and <i>Schistosoma mansoni</i> is the most prevalent species in Africa. Most endemic countries use the Kato-Katz (KK) stool smear examination for diagnosis, mapping, and monitoring of intervention programs. However, its poor sensitivity calls for an urgency to evaluate and use more accurate diagnostic tools, of which detection of circulating cathodic antigen (CCA) in urine seems promising.</p><p><strong>Methods: </strong>Studies published until May 2022 were searched from PubMed, Google Scholar, and grey literature for systematic review and meta-analysis following the PRISMA guideline. Eligible studies were selected based on preset inclusion and exclusion criteria. Quality of included studies was assessed using the QUADAS-2 tool. Heterogeneity between studies was assessed using Cochrane <i>Q</i> test and <i>I</i> <sup>2</sup> test statistics. Data were analyzed using Review Manager 5.4.1 and Meta-DiSc 1.4 software programs.</p><p><strong>Results: </strong>Thirty-seven studies published in 29 papers and enrolling 21159 study participants were included for analysis. Overall analysis of Point-of-Care Circulating Cathodic Antigen (POC-CCA) test against KK reference standard revealed a pooled sensitivity and specificity of 0.86 (95% CI: 0.85-0.87) and 0.66 (95% CI: 0.65-0.67), respectively. Subgroup analysis among 24 studies comparing single POC-CCA with test single KK revealed a high sensitivity (0.88) but low specificity (0.66). Based on findings of 24 studies, the area under the curve (AUC) for the systematic receiver operating characteristic (SROC) curve was 0.7805, indicating that the POC-CCA test effectively separates those with the disease from those who do not have it. Higher sensitivity estimates of 0.93 and 0.90 were reported when comparisons were made between test results of 2 urine and 1 stool samples, and 3 urine and 3 stool samples, respectively. Single POC-CCA test resulted in a pooled sensitivity estimate of 0.81 (95% CI: 0.78-0.84) as evaluated by the polymerase chain reaction (PCR) reference test.</p><p><strong>Conclusions: </strong>The POC-CCA test has higher sensitivity than KK and may serve as a routine diagnostic alternative for disease diagnosis, mapping, and monitoring of interventions. However, its accuracy should further be evaluated at different transmission settings and infection intensity.</p>","PeriodicalId":17527,"journal":{"name":"Journal of Tropical Medicine","volume":"2024 ","pages":"5531687"},"PeriodicalIF":2.1,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11262874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141748493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Isolation and Antimicrobial Resistance Patterns of Bacterial Pathogens from Community-Acquired Pneumonia at Adama Hospital Medical College, Adama, Ethiopia. 埃塞俄比亚阿达玛医学院阿达玛医院社区获得性肺炎细菌病原体的分离和抗菌药耐药性模式。
IF 2.1 4区 医学
Journal of Tropical Medicine Pub Date : 2024-07-11 eCollection Date: 2024-01-01 DOI: 10.1155/2024/8710163
Feyissa Hamde, Bayissa Chala, Mesfin Bekele, Abebe Mekuria Shenkutie, Rajiha Abubeker, Ketema Tafess
{"title":"Isolation and Antimicrobial Resistance Patterns of Bacterial Pathogens from Community-Acquired Pneumonia at Adama Hospital Medical College, Adama, Ethiopia.","authors":"Feyissa Hamde, Bayissa Chala, Mesfin Bekele, Abebe Mekuria Shenkutie, Rajiha Abubeker, Ketema Tafess","doi":"10.1155/2024/8710163","DOIUrl":"10.1155/2024/8710163","url":null,"abstract":"<p><p>Community-acquired pneumonia (CAP) is a major cause of morbidity and mortality worldwide. It also contributes significantly to hospital admissions, particularly in low-income countries such as Ethiopia, where it accounts for major public health problems. This could be attributed to the increasing prevalence of antibiotic-resistant pathogens in CAP patients. This study aimed to identify and assess the antibiotic resistance patterns of bacterial isolates from CAP patients at the Adama Hospital Medical College in Adama City, Ethiopia. A cross-sectional study was conducted from November 10, 2022, to November 30, 2023. Demographic, clinical data, and sputum samples were collected from patients with CAP (<i>n</i> = 369). Sputum samples were subjected to standard microbiological procedures, including culture, Gram staining, and a panel of different biochemical tests for the identification of pathogenic bacterial isolates. The Kirby-Bauer disc diffusion method was used for drug susceptibility testing. Descriptive statistics were computed by using SPSS (version 26). Of the 369 patients with CAP, bacterial pathogens were identified in 31.7% (<i>n</i> = 117, 95% CI: 27.0%-36.7%). The most common isolates were <i>Moraxella catarrhalis</i> (<i>n</i> = 15; 12.8%), <i>Staphylococcus aureus</i> (<i>n</i> = 15; 12.8%), <i>Klebsiella pneumoniae</i> (<i>n</i> = 12; 10.3%), <i>Escherichia coli</i> (<i>n</i> = 11; 9.4%), <i>Pseudomonas aeruginosa</i> (<i>n</i> = 11; 9.4%), <i>Enterobacter species</i> (<i>n</i> = 11; 9.4%), and <i>Citrobacter species</i> (<i>n</i> = 11; 9.4%). Among the identified isolates, resistance rates were high in Enterobacteriaceae, followed by Gram-positive bacteria, and non-Enterobacteriaceae. Overall, 68 (58.1%) of the identified bacterial isolates were multidrug resistant (MDR), with <i>K. pneumoniae</i> accounting for the highest proportion of multidrug resistant isolates (91.7%), while <i>P. aeruginosa</i> accounted for the lowest proportion (9.1%) of MDR isolates. This study revealed a high prevalence (31.7%) of bacterial pathogens in CAP patients and higher (58.1%) MDR bacterial pathogens. Therefore, regular surveillance and monitoring systems are warranted for assessing predominant pathogens and antibiotic resistance patterns.</p>","PeriodicalId":17527,"journal":{"name":"Journal of Tropical Medicine","volume":"2024 ","pages":"8710163"},"PeriodicalIF":2.1,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11257760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141723824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
In Vitro Anthelmintic Activities of Khaya anthotheca and Faidherbia albida Extracts Used in Chad by Traditional Healers for the Treatment of Helminthiasis and In Silico Study of Phytoconstituents. 乍得传统医士用于治疗螺旋体病的 Khaya anthotheca 和 Faidherbia albida 提取物的体外驱虫活性以及植物成分的硅学研究。
IF 2.1 4区 医学
Journal of Tropical Medicine Pub Date : 2024-06-28 eCollection Date: 2024-01-01 DOI: 10.1155/2024/8564163
Baigomen Christalin, Masoud Besati, Noumedem Anangmo Christelle Nadia, Mahdi Yaghoobi, Yamssi Cédric, Claire Ciancia, Mounvera Abdel Azizi, Gamago Nkadeu Guy-Armand, Vincent Khan Payne, Haibo Hu
{"title":"<i>In Vitro</i> Anthelmintic Activities of <i>Khaya anthotheca</i> and <i>Faidherbia albida</i> Extracts Used in Chad by Traditional Healers for the Treatment of Helminthiasis and <i>In Silico</i> Study of Phytoconstituents.","authors":"Baigomen Christalin, Masoud Besati, Noumedem Anangmo Christelle Nadia, Mahdi Yaghoobi, Yamssi Cédric, Claire Ciancia, Mounvera Abdel Azizi, Gamago Nkadeu Guy-Armand, Vincent Khan Payne, Haibo Hu","doi":"10.1155/2024/8564163","DOIUrl":"10.1155/2024/8564163","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Helminthiasis is endemic in Chad and constitutes a public health problem, particularly among school-age children. The aim of this study was to evaluate the anthelmintic activity of extracts of &lt;i&gt;Khaya anthotheca&lt;/i&gt; and &lt;i&gt;Faidherbia albida&lt;/i&gt; used in Chad by traditional healers for the treatment of helminthiasis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The anthelmintic activity was assessed against &lt;i&gt;Heligmosomoides polygyrus&lt;/i&gt; and &lt;i&gt;Caenorhabditis elegans&lt;/i&gt; larvae using the Worm Microtracker. Embryonated eggs, L1, L2, and L3 larvae of &lt;i&gt;H. polygyrus&lt;/i&gt; were obtained after 24 h, 48 h, and 7 days of coproculture and L4 larvae of &lt;i&gt;C. elegans&lt;/i&gt; culture using standard procedures. One hundred microliters of extracts at various concentrations, with albendazole and distilled water were, put in contact with 100 &lt;i&gt;µ&lt;/i&gt;L of &lt;i&gt;H. polygyrus&lt;/i&gt; suspension (containing 50 parasites at various developmental stages) in a microplate and incubated for 20 h at 25°C in the Worm Microtracker. The same procedure was adopted for &lt;i&gt;C. elegans&lt;/i&gt;, but with 180 &lt;i&gt;µ&lt;/i&gt;L of OP50. 19 &lt;i&gt;µ&lt;/i&gt;L of &lt;i&gt;C. elegans&lt;/i&gt; suspension (containing 50 larvae) was put in contact with 1 &lt;i&gt;µ&lt;/i&gt;L of extract at various concentrations and incubated in the Worm Microtracker. Docking studies were carried out using the Schrodinger Maestro software's Glide module. The score function in the software was used to rank and group distinct possible adduct structures generated by molecular docking.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The aqueous and ethanolic extracts of &lt;i&gt;F. albida&lt;/i&gt; at a concentration of 2.5 mg/mL showed the same activity as albendazole (100 ± 0.00) on hatching. The IC50s of the aqueous extracts of the two plants (IC&lt;sub&gt;50&lt;/sub&gt;: 0.6212 mg/mL and 0.71 mg/mL, respectively) were comparable on egg hatching of &lt;i&gt;H. polygyrus&lt;/i&gt; with no significant difference (&lt;i&gt;p&lt;/i&gt; ≥ 0.05) with respect to the ethanol extracts (IC&lt;sub&gt;50&lt;/sub&gt;: 0.70 mg/mL and 0.81 mg/mL, respectively). There was no significant difference between the percentage inhibition of extracts and albendazole on the L1 larvae of &lt;i&gt;H. polygyrus&lt;/i&gt; (&lt;i&gt;p&lt;/i&gt; ≥ 0.05). The aqueous extracts acted more effectively than the ethanol extracts on the L1 larvae of &lt;i&gt;H. polygyrus&lt;/i&gt; with an IC&lt;sub&gt;50&lt;/sub&gt; of 0.5588 and ∼9.858&lt;i&gt;e&lt;/i&gt; - 005 mg/ml, respectively, for &lt;i&gt;K. anthotheca&lt;/i&gt; and &lt;i&gt;F. albida&lt;/i&gt;. The aqueous extracts of &lt;i&gt;K. anthotheca&lt;/i&gt; and &lt;i&gt;F. albida&lt;/i&gt; on L3 larvae of &lt;i&gt;H. polygyrus&lt;/i&gt; had inhibitory percentages of 92.6 ± 0.62 and 91.37 ± 0.8 at 2.5 mg/mL which were lower than albendazole (100 ± 0.00). The aqueous extracts of &lt;i&gt;K. anthotheca&lt;/i&gt; and &lt;i&gt;F. albida&lt;/i&gt; on &lt;i&gt;C. elegance&lt;/i&gt; showed IC&lt;sub&gt;50&lt;/sub&gt; of 0.2775 &lt;i&gt;µ&lt;/i&gt;g/mL and 0.5115 &lt;i&gt;µ&lt;/i&gt;g/mL, respectively, and were more effective than the ethanol extracts. Examining &lt;i&gt;K. anthotheca&lt;/i&gt; and &lt;i&gt;F. albida&lt;/i&gt; through the interaction with the protein receptor and its results also confirmed our assumption ","PeriodicalId":17527,"journal":{"name":"Journal of Tropical Medicine","volume":"2024 ","pages":"8564163"},"PeriodicalIF":2.1,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11226339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Retrospective Review of Neglected Tropical Diseases Diagnosed on Histopathological Specimens in the Free State Province, South Africa, 2015-2020. 2015-2020年南非自由州省组织病理学标本诊断出的被忽视热带病回顾性研究。
IF 2.1 4区 医学
Journal of Tropical Medicine Pub Date : 2024-06-25 eCollection Date: 2024-01-01 DOI: 10.1155/2024/5076288
Danita Linda le Grange, She'neze Fatima Pillay, Liska Budding, Cornel van Rooyen, Jacqueline Goedhals
{"title":"A Retrospective Review of Neglected Tropical Diseases Diagnosed on Histopathological Specimens in the Free State Province, South Africa, 2015-2020.","authors":"Danita Linda le Grange, She'neze Fatima Pillay, Liska Budding, Cornel van Rooyen, Jacqueline Goedhals","doi":"10.1155/2024/5076288","DOIUrl":"10.1155/2024/5076288","url":null,"abstract":"<p><strong>Background: </strong>Neglected tropical diseases (NTDs) are a heterogeneous group of medical conditions that commonly occur in underprivileged populations. NTDs are primarily diagnosed in tropical areas. Although South Africa is not situated in a tropical region, the high poverty rate makes the country susceptible to some NTDs. Limited data are available on the burden of NTDs in the Free State province of South Africa. This study aimed to determine the number of NTDs diagnosed on histopathological specimens in the public sector of the Free State province over a six-year period and to evaluate the patient demographics.</p><p><strong>Methods: </strong>A retrospective, descriptive study was performed. All NTDs diagnosed in histopathological specimens from public sector hospitals in the province submitted to the Department of Anatomical Pathology, National Health Laboratory Service, and University of the Free State between 1 January 2015 and 31 December 2020 were included in the study. The demographic information, biopsy site, and referring hospital were noted for each case identified.</p><p><strong>Results: </strong>A total of 72 NTDs were diagnosed. The five most common diagnoses were echinococcosis (<i>n</i> = 33; 45.8%), bilharzia (<i>n</i> = 13; 18.1%), leprosy (<i>n</i> = 9; 12.5%), mycetoma (<i>n</i> = 8; 11.1%), and intestinal worms (<i>n</i> = 5; 6.9%). Ten (30.3%) patients diagnosed with echinococcosis came from the Free State's neighbouring country, Lesotho.</p><p><strong>Conclusion: </strong>Echinococcosis was the most prevalent NTD diagnosed in central South Africa. We recommend that the South African Department of Health add echinococcosis to the principal NTDs of significance in South Africa, alongside soil-transmitted helminths, schistosomiasis, leprosy, and rabies.</p>","PeriodicalId":17527,"journal":{"name":"Journal of Tropical Medicine","volume":"2024 ","pages":"5076288"},"PeriodicalIF":2.1,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11219199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141492461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nature's Solution to Aedes Vectors: Toxorhynchites as a Biocontrol Agent. 伊蚊病媒的自然解决方案:作为生物控制剂的毒蝇。
IF 2.1 4区 医学
Journal of Tropical Medicine Pub Date : 2024-06-21 eCollection Date: 2024-01-01 DOI: 10.1155/2024/3529261
Punya Ram Sukupayo, Ram Chandra Poudel, Tirth Raj Ghimire
{"title":"Nature's Solution to <i>Aedes</i> Vectors: <i>Toxorhynchites</i> as a Biocontrol Agent.","authors":"Punya Ram Sukupayo, Ram Chandra Poudel, Tirth Raj Ghimire","doi":"10.1155/2024/3529261","DOIUrl":"10.1155/2024/3529261","url":null,"abstract":"<p><p>This review summarizes the predatory potential of <i>Toxorhynchites</i> mosquitoes as biological control agents for <i>Aedes</i> vectors. A single larva can consume hundreds of mosquito larvae during its development, with preference for larger prey and higher consumption rates at higher prey densities. Studies suggest <i>Toxorhynchites</i> can significantly reduce <i>Aedes</i> populations. Beyond direct predation, they may indirectly influence prey behavior and adult mosquito lifespan. Despite the demonstrably positive effects of <i>Toxorhynchites</i> species as biocontrol agents, there are acknowledged limitations that require further investigation. These limitations include potential variations in effectiveness across diverse habitats and mosquito developmental stages. Additionally, long-term ecological sustainability and potential ramifications warrant further research. Future efforts should prioritize optimizing rearing and release strategies to enhance effectiveness. Exploring the potential for combined control methods with other biocontrol agents or traditional methods is also crucial. Finally, investigating the influence of environmental factors on predation rates can further refine and optimize the application of <i>Toxorhynchites</i> in mosquito control programs.</p>","PeriodicalId":17527,"journal":{"name":"Journal of Tropical Medicine","volume":"2024 ","pages":"3529261"},"PeriodicalIF":2.1,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11213640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141469089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence of Hepatitis B Virus Infection in Tanzania: A Systematic Review and Meta-Analysis. 坦桑尼亚的乙型肝炎病毒感染流行率:系统回顾与元分析》。
IF 2.1 4区 医学
Journal of Tropical Medicine Pub Date : 2024-06-05 eCollection Date: 2024-01-01 DOI: 10.1155/2024/4178240
Semvua B Kilonzo, Igembe Nkandala, Ladius Rudovick, Hyasinta M Jaka, Mariam M Mirambo, Stephen E Mshana, Violet D Kajogoo, Elichilia R Shao
{"title":"Prevalence of Hepatitis B Virus Infection in Tanzania: A Systematic Review and Meta-Analysis.","authors":"Semvua B Kilonzo, Igembe Nkandala, Ladius Rudovick, Hyasinta M Jaka, Mariam M Mirambo, Stephen E Mshana, Violet D Kajogoo, Elichilia R Shao","doi":"10.1155/2024/4178240","DOIUrl":"10.1155/2024/4178240","url":null,"abstract":"<p><strong>Methods: </strong>We systematically searched the PubMed, Web of Science, African Journals Online, Embase, Cochrane Library, and Google Scholar databases for studies conducted up to March 1, 2023, that estimated the prevalence of HBV in Tanzania based on HBV surface antigen measurements. The DerSimonian-Laird random effects model was used to estimate the overall prevalence of HBV with 95% confidence intervals (CIs). Potential sources of heterogeneity were also investigated.</p><p><strong>Results: </strong>Thirty-one studies with a total sample size of 37,988 were included in the meta-analysis. The overall average HBV prevalence estimate in Tanzania was 6.91% (95% CI = 5.18-8.86%). Subgroup analysis revealed the highest prevalence in the northern zone (9.32%, 95% CI; 2.24-20.36%), among the blood donors (18.72%, 95% CI: 17.43-20.05%) and among the community volunteers (8.76%, 95% CI: 4.55-14.15%). The lowest prevalence was observed in the lake zone at 4.66% (95% CI: 3.49-5.99) and in pregnant women at 4.72% (95% CI: 3.42-6.21). The overall between-study variability showed significant heterogeneity (<i>I</i> <sup>2</sup> = 97.41%, <i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>Our results showed that Tanzania is a country with moderately high HBV endemicity, with large interregional differences and significantly high numbers of HBV infections within the community. This underscores the need for immediate development of targeted prevention strategies and further epidemiological studies to better understand the pattern of the disease.</p>","PeriodicalId":17527,"journal":{"name":"Journal of Tropical Medicine","volume":"2024 ","pages":"4178240"},"PeriodicalIF":2.1,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11222000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141498349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
In Vivo Antidiarrheal Potential of the Leaf Extract of Maytenus addat (Loes.) Sebsebe and Its Major Compound Maytenus addat (Loes.) Sebsebe 叶提取物及其主要化合物的体内止泻潜力
IF 2.2 4区 医学
Journal of Tropical Medicine Pub Date : 2024-05-20 DOI: 10.1155/2024/5922487
Bonsa Mogose, Daniel Bisrat, Kaleab Asres
{"title":"In Vivo Antidiarrheal Potential of the Leaf Extract of Maytenus addat (Loes.) Sebsebe and Its Major Compound","authors":"Bonsa Mogose, Daniel Bisrat, Kaleab Asres","doi":"10.1155/2024/5922487","DOIUrl":"https://doi.org/10.1155/2024/5922487","url":null,"abstract":"Diarrhea continues to be one of the top causes of death in children under the age of five, particularly in developing nations. In Ethiopian traditional medicine, a variety of medicinal plants are used to treat diarrhea. One of these plants is <i>Maytenus addat</i> (Loes.) Sebsebe (fam. Celastraceae), which is endemic to the Afromontane forests, especially along forest margins, of Ethiopia. The air-dried powdered leaves of <i>M. addat</i> were macerated with 80% methanol to yield a crude extract. Additionally, the powdered plant material underwent sequential solvent extraction using chloroform, methanol, and water to obtain solvent fractions. The 80% methanol leaf extract, solvent fractions, and an isolated compound from <i>M. addat</i> were evaluated for their antidiarrheal activity using castor oil-induced diarrheal model, anti-enteropooling test, and charcoal meal test in mice. The results showed that the 80% methanolic leaf extract significantly reduced the onset of diarrhea, the weight of feces, and the frequency of defecation in all the tested doses. The methanol and water fractions of the hydroalcoholic extract also exhibited dose-dependent antidiarrheal activity, with the methanol fraction showing the highest activity at 400 mg/kg dose. Subsequently, the most active methanol fraction was subjected to C-18 solid phase extraction, resulting in the isolation of a 3-hydroxyflavone, identified as quercetin by ESI-qToF-MS, <sup>1</sup>H, and <sup>13</sup>C-NMR spectroscopic techniques. Quercetin demonstrated a strong antidiarrheal activity in a dose-dependent manner. Thus, the present study provided evidence that the leaves of <i>M. addat</i> possess genuine antidiarrheal activity upholding the traditional medicinal use of the plant for the treatment of diarrhea. The findings also suggest that quercetin is responsible, in full or in part, for the activity of the plant.","PeriodicalId":17527,"journal":{"name":"Journal of Tropical Medicine","volume":"70 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141153549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comprehensive Review of Epidemiology and Treatment of Snakebite Envenomation in West Africa: Case of Benin 西非蛇咬伤流行病学和治疗的全面回顾:贝宁案例
IF 2.2 4区 医学
Journal of Tropical Medicine Pub Date : 2024-04-08 DOI: 10.1155/2024/8357312
Ayékotchami Jacques Dossou, Adandé Belarmain Fandohan, Timothy Omara, Jean-Philippe Chippaux
{"title":"Comprehensive Review of Epidemiology and Treatment of Snakebite Envenomation in West Africa: Case of Benin","authors":"Ayékotchami Jacques Dossou, Adandé Belarmain Fandohan, Timothy Omara, Jean-Philippe Chippaux","doi":"10.1155/2024/8357312","DOIUrl":"https://doi.org/10.1155/2024/8357312","url":null,"abstract":"Snakebite envenomation (SBE) constitutes a public health, social, and economic problem affecting poor communities in intertropical and subtropical regions. This review sought to synthesize literature on snakebite envenomation in Benin to highlight research perspectives and strategies for better management of the menace. A literature search performed in multidisciplinary electronic databases showed that the prevalence of SBE is high in Benin, but the incidences, associated morbidities, and mortalities are greatly underestimated. Most snake envenomations are by <i>Echis ocellatus</i> in Northern Benin during the rainy season. Adults involved in agricultural activities are the most affected. The absence of antivenin serum in the most affected areas explains the preference for alternative and traditional medicine as the first-line treatment for SBE in Benin. In conclusion, it would be imperative to revitalize the snakebite reporting system in order to have better epidemiological data and to develop a sustainable national strategy for the control and management of snakebite envenomation.","PeriodicalId":17527,"journal":{"name":"Journal of Tropical Medicine","volume":"35 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140574239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Larvicidal, Ovicidal, and Repellent Activities of Leucas stachydiformis (Hochst. ex Benth.) Briq Essential Oil against Anopheles arabiensis Leucas stachydiformis (Hochst. ex Benth.) Briq 精油对阿拉伯按蚊的杀幼虫、杀卵和驱虫活性
IF 2.2 4区 医学
Journal of Tropical Medicine Pub Date : 2024-03-29 DOI: 10.1155/2024/1051086
Sisay Fikru, Ketema Tolossa, Peter Lindemann, Franz Bucar, Kaleab Asres
{"title":"Larvicidal, Ovicidal, and Repellent Activities of Leucas stachydiformis (Hochst. ex Benth.) Briq Essential Oil against Anopheles arabiensis","authors":"Sisay Fikru, Ketema Tolossa, Peter Lindemann, Franz Bucar, Kaleab Asres","doi":"10.1155/2024/1051086","DOIUrl":"https://doi.org/10.1155/2024/1051086","url":null,"abstract":"Larvicidal, ovicidal, and repellent activities of the essential oil extracted by hydrodistillation from the leaves of the endemic Ethiopian plant <i>Leucas stachydiformis</i> (Hochst. ex Benth.) Briq were investigated against <i>Anopheles arabiensis</i>, the dominant malaria vector species in Ethiopia with the objective of searching for a plant-based malaria vector control strategy from medicinal plants. The larvicidal effect was tested against the fourth instar <i>An. arabiensis</i> wild larvae whilst freshly laid ova of <i>An</i>. <i>arabiensis</i> were used to determine the ovicidal activity of the essential oil at concentrations ranging from 6.25 to 400 ppm. Concentrations of 41.6–366.7 <i>µ</i>g/cm<sup>2</sup> were used to evaluate the repellent activity of the essential oil on 3–5 days old adult female <i>An. arabiensis</i>. The oil composition of <i>L. stachydiformis</i> was also analyzed using GC-MS. The study revealed that the oil possesses the highest larvicidal activity at 400 ppm and 200 ppm after 24 h and 48 h of treatment. LC<sub>50</sub> values for the fourth larval instar after 24 h and 48 h of treatment were 43.4 ppm and 34.2 ppm, respectively. After 72 h of exposure, the oil displayed 100% ovicidal activity at 400 ppm with an IH<sub>50</sub> value of 32.2 ppm. In the repellency test, at concentrations of 366.7, 133.3, and 41.6 µg/cm<sup>2</sup>, the oil gave a total percentage protection of 67.9 ± 4.2%, 37.2 ± 2.8%, and 32 ± 2.2%, respectively, for 4 h. The highest concentration (366.7 <i>µ</i>g/cm<sup>2</sup>) gave 100% protection up to 90 min. GC-MS analysis of the oil revealed the presence of 24 compounds representing 90.34% of the total oil with caryophyllene oxide, germacrene D, and <i>trans</i>-caryophyllene constituting more than 50% of its components. Results of the present study suggest that the essential oil of <i>L</i>. <i>stachydiformis</i> has the potential to be used for the control of <i>An. arabiensis</i> mosquitoes.","PeriodicalId":17527,"journal":{"name":"Journal of Tropical Medicine","volume":"2 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140323341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Incidence of Helminthic and Viral Coinfections in Malaria Patients in the Tertiary Care Hospital Setup 三级医院疟疾患者螺旋体和病毒合并感染的发病率
IF 2.2 4区 医学
Journal of Tropical Medicine Pub Date : 2024-03-28 DOI: 10.1155/2024/8529788
Murad A. Mubaraki, Mubbashir Hussain, Fozia Fozia, Ijaz Ahmad, Shahid Niaz Khan, Abdul Qadir Khan, Ziaullah Ziaullah
{"title":"Incidence of Helminthic and Viral Coinfections in Malaria Patients in the Tertiary Care Hospital Setup","authors":"Murad A. Mubaraki, Mubbashir Hussain, Fozia Fozia, Ijaz Ahmad, Shahid Niaz Khan, Abdul Qadir Khan, Ziaullah Ziaullah","doi":"10.1155/2024/8529788","DOIUrl":"https://doi.org/10.1155/2024/8529788","url":null,"abstract":"<i>Introduction</i>. This study determines the incidence of common viral and helminth coinfections with malaria in the tertiary care hospital set up in southern Khyber Pakhtunkhwa, Pakistan. <i>Materials and Methods</i>. The multidimensional research included malaria patients admitted to different hospitals of district Kohat during January and December 2021. Stool samples and blood were assembled from the patients. Giemsa-stained microscopy-positive samples were processed by the immunochromatography technique (ICT) to identify <i>Plasmodium</i> species. Common viral infections such as viral hepatitis (A, B, and C), HIV, and dengue (DENV) were analyzed by ICT kits while SARS-CoV-2 was confirmed through real-time PCR. Furthermore, the intestinal helminths were identified using the Kato-Katz thick smear method. <i>Results</i>. Among 1278 patients, 548 were diagnosed with malaria, 412 (75.2%) were positive for <i>P. vivax</i> infection, 115 (21%) for <i>P. falciparum</i>, and 21 (3.8%) for mixed malaria infection (<i>P. vivax/P. falciparum</i>), with a higher incidence among males (65.2%) than females (34.8%). Coinfection with helminths was positive in 215 (39.3%) malaria patients. The most common infections were caused by the <i>Ascaris lumbricoides</i> species (42.6%) followed by <i>Enterobius vermicularis</i> (31.7%) and hookworm. A total of 24.6% of malaria-positive cases were also coinfected with different viruses with higher frequencies of confection for HAV (8.2%) and DENV (6.2%), respectively. The patients revealed higher incidence of coinfections with <i>P. falciparum</i> (57%) as compared with <i>P. vivax</i> (39.2%) and mixed infections (3.7%). <i>Conclusion</i>. This study demonstrated that the study population exhibited a significant incidence of coinfections with intestinal helminth and viral malaria.","PeriodicalId":17527,"journal":{"name":"Journal of Tropical Medicine","volume":"9 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140316966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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