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Volume 10(1); February 2019
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Editorial
When You Hit Rock-Bottom
Hae-Wol Cho
Osong Public Health Res Perspect. 2019;10(1):1-1.   Published online February 28, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.1.01
  • 2,978 View
  • 32 Download
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Original Articles
Dual Task Training Effects on Upper Extremity Functions and Performance of Daily Activities of Chronic Stroke Patients
JuHyung Park
Osong Public Health Res Perspect. 2019;10(1):2-5.   Published online February 28, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.1.02
  • 4,986 View
  • 109 Download
  • 3 Crossref
AbstractAbstract PDF
Objectives

The purpose of this research was to study the influences of dual task training on upper extremity function and performance of daily activities of chronic stroke patients.

Methods

Dual task training was performed on 21 patients who had suffered a chronic stroke with hemiplegia. The dual task training was performed for 30 minutes per session, for 5 days a week, for 3 weeks. There were 5 evaluations carried out over 3 weeks before and after the intervention. Changes in upper extremity function were measured by using the Box and block test. Changes in the performance of daily activities were measured using the Korea-Modified Barthel Index.

Results

The mean upper limb function score of the chronic stroke patients increased significantly from 21.88 ± 19.99 before the intervention, to 26.22 ± 15.65 after the intervention (p < 0.05), and the mean daily activities score increased significantly from 65.82 ± 12.04, to 67.29 ± 12.90 (p < 0.05).

Conclusion

Dual task training effectively improved upper extremity function, and the performance of daily activities in chronic stroke patients.

Citations

Citations to this article as recorded by  
  • How does a motor or cognitive dual-task affect our sense of upper limb proprioception?
    Amanda L. Ager, Ann M. Cools, Dorien Borms, Jean-Sébastien Roy, Renato S. Melo
    PLOS ONE.2024; 19(3): e0299856.     CrossRef
  • The Relationship Between Dual-Task Performance and Functional Independence in Stroke Patients
    Pınar OBA, Musa POLAT
    Turkish Journal of Science and Health.2022;[Epub]     CrossRef
  • İnme Hastalarında Çift Yönlü Görev Aktivitesinin Etkinliği
    Derya Tuba BAL, Tuba KOCA, Ejder BERK, Burhan Fatih KOÇYİĞİT, Vedat NACİTARHAN
    Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültes.2020; 15(3): 60.     CrossRef
Natural Infection with Rabies Virus: A Histopathological and Immunohistochemical Study of Human Brains
Firouzeh Farahtaj, Leila Alizadeh, Alireza Gholami, Alireza Tahamtan, Sadegh Shirian, Maryam Fazeli, Amir Sasan Mozaffari Nejad, Ali Gorji, Hamid Mahmoudzadeh Niknam, Amir Ghaemi
Osong Public Health Res Perspect. 2019;10(1):6-11.   Published online February 28, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.1.03
  • 7,210 View
  • 244 Download
  • 12 Crossref
AbstractAbstract PDF
Objectives

Despite all the efforts and increased knowledge of rabies, the exact mechanisms of infection and mortality from the rabies virus are not well understood. To understand the mechanisms underlying the pathogenicity of rabies virus infection, it is crucial to study the tissue that the rabies virus naturally infects in humans.

Methods

Cerebellum brain tissue from 9 human post mortem cases from Iran, who had been infected with rabies virus, were examined histopathologically and immunohistochemically to evaluate the innate immune responses against the rabies virus.

Results

Histopathological examination revealed inflammation of the infected cerebellum and immunohistochemical analyses showed an increased immunoreactivity of heat shock protein 70, interleukin-6, interleukin-1, tumor necrosis factor-alpha, caspase-3, caspase-9, toll-like receptor3 and toll-like receptor4 in the infected brain tissue.

Conclusion

These results indicated the involvement of innate immunity in rabies infected human brain tissue, which may aggravate the progression of this deadly disease.

Citations

Citations to this article as recorded by  
  • Systematic development of immunohistochemistry protocol for large cryosections-specific to non-perfused fetal brain
    Karthika Pandurangan, Jaikishan Jayakumar, Stephen Savoia, Reetuparna Nanda, S. Lata, E. Harish Kumar, Suresh S., Sudha Vasudevan, Chitra Srinivasan, Jayaraj Joseph, Mohanasankar Sivaprakasam, Richa Verma
    Journal of Neuroscience Methods.2024; 405: 110085.     CrossRef
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    Prapimpun Wongchitrat, Theerawut Chanmee, Piyarat Govitrapong
    Molecular Neurobiology.2023;[Epub]     CrossRef
  • Biosensor as an alternative diagnostic method for rabies virus detection: A literature review
    Milad Zandi, Sajad Zandi, Ramin Mohammadi, Parastoo Hosseini, Samane Teymouri, Saber Soltani, Azadeh Rasouli
    Biotechnology and Applied Biochemistry.2022; 69(4): 1348.     CrossRef
  • Immunohistochemical diagnosis of human infectious diseases: a review
    Hamadou Oumarou Hama, Gérard Aboudharam, Rémi Barbieri, Hubert Lepidi, Michel Drancourt
    Diagnostic Pathology.2022;[Epub]     CrossRef
  • Mitochondrial Dysfunction in Rabies Virus-Infected Human and Canine Brains
    Pulleri Kandi Harsha, Sathyanarayanan Ranganayaki, Gowri Yale, Gourav Dey, Kiran K. Mangalaparthi, Anusha Yarlagadda, B. K. Chandrasekhar Sagar, Anita Mahadevan, M. M. Srinivas Bharath, Reeta S. Mani
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    RabiNarayan Hota, Shalendra Singh, Rakesh Sharma, Pallavi Khandare
    Journal of Acute Disease.2022; 11(3): 129.     CrossRef
  • Enhancement of immune responses by co-stimulation of TLR3 - TLR7 agonists as a potential therapeutics against rabies in mouse model
    Firouzeh Farahtaj, Alireza Gholami, Mohammad Sadeq Khosravy, Safoora Gharibzadeh, Hamid Mahmoudzadeh Niknam, Amir Ghaemi
    Microbial Pathogenesis.2021; 157: 104971.     CrossRef
  • Establishment of Human-Induced Pluripotent Stem Cell-Derived Neurons—A Promising In Vitro Model for a Molecular Study of Rabies Virus and Host Interaction
    Thanathom Chailangkarn, Nathiphat Tanwattana, Thanakorn Jaemthaworn, Sira Sriswasdi, Nanchaya Wanasen, Sithichoke Tangphatsornruang, Kantinan Leetanasaksakul, Yuparat Jantraphakorn, Wanapinun Nawae, Penpicha Chankeeree, Porntippa Lekcharoensuk, Boonlert L
    International Journal of Molecular Sciences.2021; 22(21): 11986.     CrossRef
  • Beneficial and Detrimental Effects of Regulatory T Cells in Neurotropic Virus Infections
    Malgorzata Ciurkiewicz, Vanessa Herder, Andreas Beineke
    International Journal of Molecular Sciences.2020; 21(5): 1705.     CrossRef
  • Characterization of the Th17 profile immune response in cases of human rabies transmitted by dogs and its interference in the disease pathogenesis.
    L.B. Santos, F. Guedes, S.M. Achkar, M.I.S. Duarte, I.S.S. Katz, S.R. Silva, E.R. Fernandes
    Journal of Neuroimmunology.2020; 344: 577263.     CrossRef
  • Quantitative proteomics leads to identify dog brain proteins involved in rabies virus infection: implication in understanding viral pathophysiology
    Suchismita Behera, Rajesh Raghunath Pharande, R. Rajendra Reddy, Sharmila B. Majee, Sandeepan Mukherjee, Amol Ratnakar Suryawanshi
    Journal of Proteins and Proteomics.2020; 11(4): 241.     CrossRef
  • Feral dog bite causing paralytic rabies: Difficult diagnosis and failure of prevention
    Hussein Algahtani, Bader Shirah, Emna Chtourou, Osama Abuhawi, Nawal Abdelghaffar, Mohammad Alshehri
    Saudi Journal for Health Sciences.2020; 9(3): 260.     CrossRef
Undiagnosed Isolated Systolic and Diastolic Hypertension Subtypes and Their Correlates in Bangladesh: A Nationwide Survey
Shyfuddin Ahmed, Sonia Pervin, Tuhin Biswas, Muhammad Ashique Haider Chowdhury, Mohammad Abul Hasnat, Muhammad Mizanur Rashid Shuvra
Osong Public Health Res Perspect. 2019;10(1):12-19.   Published online February 28, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.1.04
  • 5,720 View
  • 52 Download
  • 9 Crossref
AbstractAbstract PDF
Objectives

This study was performed to identify the distribution of undiagnosed isolated hypertension subtypes and their correlates amongst adults aged 35 years and older in Bangladesh using data from the Bangladesh Demography and Health Survey 2011.

Methods

Out of a total of 17,964 selected households, 7,880 were included in the final analysis for this study. Systolic and diastolic blood pressure (BP) were measured 3× at 10-minute intervals. Hypertension subtypes were defined for individuals not under antihypertensive treatment as systolic-diastolic hypertension (SDH): systolic BP (SBP) ≥ 140 mm Hg and diastolic BP (DBP) ≥ 90 mm Hg; isolated diastolic hypertension (IDH): SBP < 140 mm Hg and DBP ≥ 90 mm Hg, and isolated systolic hypertension (ISH): SBP ≥140 mm Hg and DBP < 90 mm Hg.

Results

The predominant hypertension subtypes were SDH and IDH [5.2%; 95% confidence interval (CI): 4.7–5.1] followed by ISH (3.8%; 95% CI: 3.4–4.2). Multiple logistic regression showed that age and gender were significant predictors of ISH. SDH was associated with females [odds ratio (OR): 1.8; 95% CI: 1.3–2.6], the older age group (OR-7.4; 95% CI: 4.3–12.7), and overweight or obese individuals (OR: 1.6; 95% CI: 1.1–2.4). Non-manual work (OR: 1.5; 95% CI: 1.0–2.0]) and being overweight or obese (OR: 1.9; 95% CI: 1.4–2.8) were factors associated with IDH.

Conclusion

ISH, IDH and SDH represent salient subtypes of hypertension in Bangladesh. To identify preventive intervention for averting adverse cardiovascular events, further research is needed.

Citations

Citations to this article as recorded by  
  • Obesity Accompanied by an Odd Lipid Profile is a Major Risk Factor for Hypertension Among Women
    Sahar Abdulaziz Al Sedairy
    International Journal of Pharmacology.2024; 20(1): 34.     CrossRef
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    Kamruzzaman Razibi, Rokshana Rabeya, Rashadul Islam, M. A. Rifat, Abdus Salam Mondol
    Cogent Public Health.2023;[Epub]     CrossRef
  • Adiposity and insulin resistance mediate the inverse association between legume intake and blood pressure: a cross-sectional analysis in secondary cardiovascular prevention
    Alinne Paula de Almeida, Leidjaira Lopes Juvanhol, Ângela Cristine Bersch-Ferreira, Camila Ragne Torreglosa, Aline Marcadenti, Bernardete Weber, Josefina Bressan, Helen Hermana Miranda Hermsdorff
    British Journal of Nutrition.2022; 128(12): 2353.     CrossRef
  • Prevalence of isolated diastolic hypertension and the risk of cardiovascular mortality among adults aged 40 years and older in northeast China: a prospective cohort study
    Ling Yue, Hongyun Chen, Qun Sun, Lei Shi, Jixu Sun, Guangxiao Li, Liying Xing, Shuang Liu
    BMJ Open.2022; 12(9): e061762.     CrossRef
  • Hypertension and undiagnosed hypertension among Bangladeshi adults: Identifying prevalence and associated factors using a nationwide survey
    Ahmed Hossain, Shakib Ahmed Suhel, Saifur Rahman Chowdhury, Shofiqul Islam, Nayma Akther, Nipa Rani Dhor, Mohammad Zakir Hossain, Mohammad Anwar Hossain, Syed Azizur Rahman
    Frontiers in Public Health.2022;[Epub]     CrossRef
  • Prevalence of Hypertension and Associated Risk Factors Among Women in a Rural Community in Bangladesh: A Cross-Sectional Study
    Anika Boitchia, Shabnam Naher, Sabbir Pervez, Moyazzem Hossainc
    Millennium Journal of Humanities and Social Scienc.2021; : 1.     CrossRef
  • Distribution of hypertension subtypes in a hill tribe of Mizoram, Northeast India
    Prasanta K. Borah, J. Mahanta, H.C. Kalita, Chandra Kanta Bhattacharjee
    Indian Heart Journal.2020;[Epub]     CrossRef
  • The different associations between platelet distribution width and hypertension subtypes in males and females
    Tingwei Li, Jiahui Jin, Zhaowei Meng, Wenjuan Zhang, Yongle Li, Xuefang Yu, Xin Du, Ming Liu, Qing Zhang, Ying Gao, Kun Song, Xing Wang, Yaguang Fan, Yan Wang
    Bioscience Reports.2020;[Epub]     CrossRef
  • Prevalence and Associated Factors of Hypertension Subtypes Among the Adult Population in Nepal: Evidence from Demographic and Health Survey Data
    Rajat Das Gupta, Animesh Talukdar, Shams Shabab Haider, Mohammad Rifat Haider
    Osong Public Health and Research Perspectives.2019; 10(6): 327.     CrossRef
Specification of Bacteriophage Isolated Against Clinical Methicillin-Resistant Staphylococcus Aureus
Ahmad Nasser, Reza Azizian, Mohsen Tabasi, Jamil Kheirvari Khezerloo, Fatemah Sadeghpour Heravi, Morovat Taheri Kalani, Norkhoda Sadeghifard, Razieh Amini, Iraj Pakzad, Amin Radmanesh, Farid Azizi Jalilian
Osong Public Health Res Perspect. 2019;10(1):20-24.   Published online February 28, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.1.05
  • 8,680 View
  • 71 Download
  • 15 Crossref
AbstractAbstract PDF
Objectives

The emergence of resistant bacteria is being increasingly reported around the world, potentially threatening millions of lives. Amongst resistant bacteria, methicillin-resistant Staphylococcus aureus (MRSA) is the most challenging to treat. This is due to emergent MRSA strains and less effective traditional antibiotic therapies to Staphylococcal infections. The use of bacteriophages (phages) against MRSA is a new, potential alternate therapy. In this study, morphology, genetic and protein structure of lytic phages against MRSA have been analysed.

Methods

Isolation of livestock and sewage bacteriophages were performed using 0.4 μm membrane filters. Plaque assays were used to determine phage quantification by double layer agar method. Pure plaques were then amplified for further characterization. Sulfate-polyacrylamide gel electrophoresis and random amplification of polymorphic DNA were run for protein evaluation, and genotyping respectively. Transmission electron microscope was also used to detect the structure and taxonomic classification of phage visually.

Results

Head and tail morphology of bacteriophages against MRSA were identified by transmission electron microscopy and assigned to the Siphoviridae family and the Caudovirales order.

Conclusion

Bacteriophages are the most abundant microorganism on Earth and coexist with the bacterial population. They can destroy bacterial cells successfully and effectively. They cannot enter mammalian cells which saves the eukaryotic cells from lytic phage activity. In conclusion, phage therapy may have many potential applications in microbiology and human medicine with no side effect on eukaryotic cells.

Citations

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  • Characterization of a Vibrio parahaemolyticus-targeting lytic bacteriophage SSJ01 and its application in artificial seawater
    Jungu Kang, Yoonjee Chang
    Food Science and Biotechnology.2024; 33(6): 1505.     CrossRef
  • Isolation and encapsulation of bacteriophage with chitosan nanoparticles for biocontrol of multidrug-resistant methicillin-resistant Staphylococcus aureus isolated from broiler poultry farms
    Mona M. Elsayed, Rasha M. Elkenany, Ayman Y. EL-Khateeb, Nehal M. Nabil, Maram M. Tawakol, Heba M. Hassan
    Scientific Reports.2024;[Epub]     CrossRef
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    Yang W. Huan, Vincenzo Torraca, Russell Brown, Jidapha Fa-arun, Sydney L. Miles, Diego A. Oyarzún, Serge Mostowy, Baojun Wang
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    Ahmad Nasser, Shiva Jahanbakhshi, Mohammad Mehdi Soltan Dallal, Maryam Banar, Azin Sattari-Maraji, Taher Azimi
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    Ahmad Nasser , Mohammad Mehdi Soltan Dallal, Shiva Jahanbakhshi, Taher Azimi, Leila Nikouei
    Current Pharmaceutical Biotechnology.2022; 23(5): 664.     CrossRef
  • An Anti-MRSA Phage From Raw Fish Rinse: Stability Evaluation and Production Optimization
    Israa M. Abd-Allah, Ghadir S. El-Housseiny, Mohammad Y. Alshahrani, Samar S. El-Masry, Khaled M. Aboshanab, Nadia A. Hassouna
    Frontiers in Cellular and Infection Microbiology.2022;[Epub]     CrossRef
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    Ahmad Nasser, Mehrdad Mosadegh, Taher Azimi, Aref Shariati
    Molecular and Cellular Pediatrics.2022;[Epub]     CrossRef
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    Wendy Wai Yeng Yeo, Sathiya Maran, Amanda Shen-Yee Kong, Wan-Hee Cheng, Swee-Hua Erin Lim, Jiun-Yan Loh, Kok-Song Lai
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  • Electrochemical Biosensors for Pathogen Detection: An Updated Review
    Morteza Banakar, Masoud Hamidi, Zohaib Khurshid, Muhammad Sohail Zafar, Janak Sapkota, Reza Azizian, Dinesh Rokaya
    Biosensors.2022; 12(11): 927.     CrossRef
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Analysis of Resistance to Macrolide–Lincosamide–Streptogramin B Among mecA-Positive Staphylococcus Aureus Isolates
Mahmoud Khodabandeh, Mohsen Mohammadi, Mohammad Reza Abdolsalehi, Azadeh Alvandimanesh, Mehrdad Gholami, Meysam Hasannejad Bibalan, Abazar Pournajaf, Ramin Kafshgari, Ramazan Rajabnia
Osong Public Health Res Perspect. 2019;10(1):25-31.   Published online February 28, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.1.06
  • 6,095 View
  • 186 Download
  • 27 Crossref
AbstractAbstract PDF
Objectives

Genetic determinants conferring resistance to macrolide, lincosamide, and streptogramin B (MLSB) via ribosomal modification such as, erm, msrA/B and ereA/B genes are distributed in bacteria. The main goals of this work were to evaluate the dissemination of MLSB resistance phenotypes and genotypes in methicillin-resistant Staphylococcus aureus (MRSA) isolates collected from clinical samples.

Methods

A total of 106 MRSA isolates were studied. Isolates were recovered from 3 hospitals in Tehran between May 2016 to July 2017. The prevalence of MLSB-resistant strains were determined by D-test, and then M-PCR was performed to identify genes encoding resistance to macrolides, lincosamides, and streptogramins in the tested isolates.

Results

The frequency of constitutive resistance MLSB, inducible resistance MLSB and MSB resistance were 56.2%, 22.9%, and 16.6%, respectively. Of 11 isolates with the inducible resistance MLSB phenotype, ermC, ermB, ermA and ereA were positive in 81.8%, 63.6%, 54.5% and 18.2% of these isolates, respectively. In isolates with the constitutive resistance MLSB phenotype, the prevalence of ermA, ermB, ermC, msrA, msrB, ereA and ereB were 25.9%, 18.5%, 44.4%, 0.0%, 0.0%, 11.1% and 0.0%, respectively.

Conclusion

Clindamycin is commonly administered in severe MRSA infections depending upon the antimicrobial susceptibility findings. This study showed that the D-test should be used as an obligatory method in routine disk diffusion assay to detect inducible clindamycin resistance in MRSA so that effective antibiotic treatment can be provided.

Citations

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    Infection, Genetics and Evolution.2021; 87: 104679.     CrossRef
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    Mojtaba Memariani, Hamed Memariani, Hamideh Moravvej
    Gene Reports.2021; 23: 101104.     CrossRef
  • Association of Macrolide Resistance Genotypes and Synergistic Antibiotic Combinations for Combating Macrolide-Resistant MRSA Recovered from Hospitalized Patients
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    Virna-Maria Tsitou, Ivan Mitov, Raina Gergova
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Characteristics of Inpatients Who Survive Suicide Attempts
Sang Mi Kim, Hyun-Sook Lee
Osong Public Health Res Perspect. 2019;10(1):32-38.   Published online February 28, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.1.07
  • 5,448 View
  • 155 Download
  • 3 Crossref
AbstractAbstract PDF
Objectives

The purpose of this study was to analyze the characteristics and factors affecting the survival of inpatients admitted following a suicide attempt.

Methods

A total of 3,095 cases retrieved from the Korean National Hospital Discharge In-depth Injury Survey data (from 2011 to 2015) were grouped according to survival and death and analyzed using descriptive statistics chi-square and logistic regression analysis.

Results

The following factors had statistically significant risks on reducing survival: female (OR = 2.352, p < 0.001), 40–59 years old (OR = 0.606, p = 0.014), over 60 years old (OR = 0.186, p < 0.001), poisoning (OR = 0.474, p = 0.009), hanging (OR = 0.031, p < 0.001), jumping (OR = 0.144, p < 0.001), conflicts with family (OR = 2.851, p < 0.001), physical diseases (OR = 1.687, p = 0.046), mental health problems (OR = 2.693, p < 0.001), financial problems (OR = 3.314, p = 0.002), 2014 (OR = 2.498, p = < 0.001) and 2015 (OR = 2.942, p = 0.005).

Conclusion

The survival group that had a history of attempted suicide (high-risk suicide group), should be further characterized. It is necessary to identify the suicide methods and risk factors for suicide prevention management policies and to continuously expand the management policy according to these characteristics.

Citations

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  • Factors Affecting Inpatients’ Mortality through Intentional Self-Harm at In-Hospitals in South Korea
    Sulki Choi, Sangmi Kim, Hyunsook Lee
    International Journal of Environmental Research an.2023; 20(4): 3095.     CrossRef
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    Robert W. Mead, Edward Nall
    The Social Science Journal.2023; : 1.     CrossRef
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    Larissa Djembi Fossi, Christophe Debien, Anne-Laure Demarty, Guillaume Vaiva, Antoine Messiah, Xenia Gonda
    PLOS ONE.2022; 17(3): e0263379.     CrossRef
Enteroparasitism and Risk Factors Associated with Clinical Manifestations in Children and Adults of Jalisco State in Western Mexico
María de la Luz Galván-Ramírez, Ana Luisa Madriz-Elisondo, Cynthia Guadalupe Temores Ramírez, Jorge de Jesús Romero Rameño, Dania Araceli de la O Carrasco, Marco Antonio Cardona López
Osong Public Health Res Perspect. 2019;10(1):39-48.   Published online February 28, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.1.08
  • 8,285 View
  • 123 Download
  • 13 Crossref
AbstractAbstract PDF
Objectives

To determine the prevalence and risk factors associated with intestinal parasites in the population of San Juan Cosala, Jalisco, Mexico.

Methods

A total of 277 samples from 104 participants were analysed using direct smear, flotation, formaldehyde/ethyl acetate, and modified Kinyoun’s acid-fast stain methods. The Graham method was applied only for samples from children under 12 years of age for the diagnosis of Enterobius vermicularis.

Results

The prevalence of parasite infections in the study population was 77.9% including: Entamoeba histolytica/E. dispar/E. moshkovskii/E. bangladeshi (37.5%), Giardia intestinalis (11.5%); commensals: Endolimax nana (44.2%), Entamoeba coli (27.9%), Chilomastix mesnili (6.7%) and Iodamoeba bütschlii, (2.9%); emerging intestinal protozoans: Blastocystis spp. (49%), Cryptosporidium spp. (7.7%) and Cyclospora cayetanensis (2.9%); and helminths: Enterobius vermicularis (18.3%) and Ascaris lumbricoides (5.8%). The results also showed that 58.64% of the studied population presented polyparasitism. A significant association was found between protozoan infections and housewives, and houses that were not built with concrete ceilings, brick walls and cement floors (p < 0.05).

Conclusion

Polyparasitism was observed in over half the study population. The most prevalent parasite was Blastocystis spp, whilst the prevalence of helminths was less than that of protozoans. The risk factors for infection to intestinal parasites were being a housewife and not having solid brick, cement and concrete materials for house construction.

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PHRP : Osong Public Health and Research Perspectives