Search Results (21)

The lack of improved sanitation in rural areas of developing countries, including South Africa, exacerbates open defecation, leading to the significant contamination of water sources by human and animal waste. This study aimed to establish the association of Campylobacter jejuni, Salmonella enterica serovar Typhimurium, Shigella flexneri, and Yersinia enterocolitica in open defecation sites and animal waste with the contamination of water sources in Vhembe District, South Africa. A total of 1032 water samples and 111 faecal samples from the Collins Chabane and Thulamela municipalities were analysed using qPCR. Regression models were used to assess associations, with S. Typhimurium (19–60%) and S. flexneri (11–44%) being the most prevalent bacteria in faecal matter and water, showing detection rates of 4–100% and 5–100%, respectively. Strong associations were found during the wet season between faecal waste and water contamination for S. flexneri (R² = 0.7, p = 0.005) and S. Typhimurium (R² = 0.619, p = 0.091). Urgent measures are needed to address the contamination of rural water sources due to open defecation and livestock waste. Full article

Baylisascariasis is a debilitating and potentially lethal zoonotic disease caused by a nematode parasite that has a worldwide distribution. Baylisascaris spp. are carried by a variety of mammalian definitive hosts, and their larvae can infect a large diversity of paratenic hosts including birds and mammals, and even humans. Herein, the potential exposure risk of this zoonotic parasite is demonstrated through the study of a suburban American community with a population of Baylisascaris procyonis—infected raccoons (Procyon lotor) as a case study for any location with Baylisascaris spp., definitive hosts, and proximity to humans. Soil from 100 properties within neighborhoods of southern Corpus Christi, TX, USA, was surveyed to determine if viable B. procyonis eggs were present. In total, 27% of the residential properties were contaminated. Positive soil samples, on average, contained 31,287 B. procyonis eggs/gram of soil; of these samples, 92% of the B. procyonis eggs had motile larvae. Sites with contaminated soils appeared random within residential properties; frequency of contaminated sites was similar between known raccoon defecation sites and random sites. Suggestions for the reduction in risks of exposure to this potentially debilitating parasite are offered to residents of Baylisascaris-contaminated properties. Full article

Autochthonous Chagas disease remains a health risk for humans in Latin American countries but is rarely found among residents of the United States (US), despite the presence of competent insect vectors and small mammal reservoirs of Trypanosoma cruzi in the lower two-thirds of the US. This report discusses the differences in the rates of autochthonous Chagas disease in Latin America and the US. The key to the differences may lie in the mode (or means) of transmission of parasites to humans. In both Latin America and the US, the so-called vectorial transmission of Chagas disease to humans is the mode of acquisition accepted by most authorities. This mode involves the improbable combination of an infected kissing bug defecating near the mouth or eyes or the site of the bite, followed by the bite victim rubbing infected feces into the wound site or mucous membranes. Outbreaks of Chagas disease due to fecal–oral contamination, known as oral Chagas, have been recorded in Latin America for decades, and at present, oral Chagas is the predominant mode of infection recognized in Brazil. It is perhaps time to consider fecal–oral transmission in its many manifestations as a risk factor for Chagas disease in the US rather than reflexively invoking vectorial transmission. Fecal–oral transmission includes contamination of food and drink by triatomine feces and infection via contaminated fomites and surfaces at home and at worksites, as well as transmission from infected small mammals and other routes discussed in this report. Full article

The forest musk deer (Moschus berezovskii) and Siberian roe deer (Capreolus pygargus) are browsers with a broad sympatric distribution in North and Southwest China. However, little is known about their spatial utilization of microhabitats and habitats. This study, conducted on Huanglong Mountain in China, analyzed the defecation site distribution, indicating preferences of forest musk deer and Siberian roe deer for their habitat demands. Using generalized linear mixed models (GLMMs), we compared the defecation site preferences of both species and further examined their spatial utilization patterns. The results indicated that the primary factors influencing defecation site preferences for forest musk deer were slope (15.79%), elevation (4.26%), herbaceous cover (19.93%), herb height (33.73%), and tree diversity (15.64%). Conversely, for Siberian roe deer, elevation (54.63%) and herbaceous cover (29.31%) were the key factors. Significant differences were found in elevation (p < 0.001) and herbaceous diversity (p < 0.01) between the defecation sites of the two species, with additional notable differences in slope position, tree diversity, and average tree height (p < 0.05). Furthermore, forest musk deer primarily utilized broadleaf forests, coniferous forests, mixed conifer-broadleaf forests, and sparse woodlands. In contrast, Siberian roe deer utilized broadleaf forests, sparse woodlands, and coniferous forests, showing a significant difference (p = 0.01). These findings suggest distinct spatial ecological segregation between forest musk deer and Siberian roe deer regarding their microhabitat preferences and vegetation type utilization at the habitat scale. Full article

Mining is an indispensable activity that threatens biodiversity globally. However, assessments of key ecological processes for the maintenance of plants threatened by mining, such as the effectiveness of frugivory and seed dispersal, are almost non-existent. We evaluated the effectiveness of fruit and seed dispersal in the threatened cactus Browningia candelaris at two different sites: one distant and one close to a mining company currently in operation. Unfortunately, in the study area, B. candelaris is only present in the two evaluated sites, which makes it impossible to have replications for the distant and nearby sites. With this caveat in mind, we evaluated the different parameters of dispersal effectiveness by comparing both sites, far and close to the copper mine. Fruit abundance was significantly higher near the mine. By contrast, animal richness was lower near the mine. However, animal visitation rates for consumption of immature and mature fruits did not differ significantly between sites. Of the 15 animals observed, only four consumed and defecated live seeds: the fox Lycalopex culpaeus, the lizard Microlophus theresioides, and the mouse Octodontomys gliroides and Phyllotis xantopygus. Seed dispersal effectiveness was higher near the mine, but extremely low at both sites. In fact, population recruitment of new cacti was null at both sites, near and far from the mine, due to the scarcity of water in the environment. This is probably due to the increasing aridity of the Atacama Desert due to global warming. Therefore, new studies to assess synergies between potential local threats, such as mining operations, and global threats, such as global warming, are essential to carry out relevant conservation actions on endangered species such as cacti. Full article

Age-stratified path analyses modeled associations between enteric pathogen reservoirs, transmission pathways and height-for-age z-scores (HAZ) to identify determinants of childhood growth in the Kolkata, India site of the Global Enteric Multicenter Study (GEMS). Models tested direct associations of potential pathogen reservoirs with HAZ at 60-day follow-up in separate moderate and severe diarrhea (MSD) case and control cohorts or indirectly when mediated by enteric infections. In the MSD cohort, rotavirus and typical EPEC (tEPEC) infections among children 0–11 months of age and ST-ETEC infections among children 12–23 months of age were associated with lower HAZ. Handwashing after defecating and before cooking reduced impaired growth through reductions in rotavirus and tEPEC infections. Water storage increased rotavirus and ST-ETEC infection risks, resulting in increased impaired growth, but was reduced with reported child feces disposal. The GII norovirus variant was inversely associated with HAZ among children 12–59 months of age in the control cohort. Reported handwashing before the handling of children reduced GII infections and impaired growth. Boiling water and the disposal of children’s feces mediated by stored water were positively associated with HAZ. The targeting of pathogen-specific reservoirs and transmission pathways may more effectively improve childhood linear growth in South Asian urban communities. Full article

Background: Colorectal cancer is a leading cause of cancer-related deaths worldwide, with approximately 1.9 million new cases and over 935,000 deaths in 2020. Right-sided colon cancer, a subset of colorectal cancer, represents a significant health burden. Laparoscopic colon surgery has significantly improved postoperative recovery. The superiority of one approach or landmark over another is still argued about due to the lack of large-scale prospective studies. However, deep understanding both of the anatomical variation and characteristics of each approach is of extreme importance to minimizing adverse effects and maximizing patient benefit after laparoscopic right hemicolectomy. Among these, the cranial-to-caudal approach offers advantages such as reduced intraoperative blood loss, shorter operation time, and decreased risk of vascular injury. The purpose of this study is to compare the efficacy and safety of two cranial-to-caudal approaches for laparoscopic right hemicolectomy (LRH). Specifically, the study aims to evaluate the differences between the conventional cranial-to-caudal approach with medial ligation of the middle colic vein (MCV), and the cranial-to-caudal approach with cranial MCV ligation and surgical trunk sheath opening (CC-plus). The goal is to determine which method offers superior outcomes in terms of intraoperative blood loss, operation time, and overall patient recovery. Materials and Methods: This single-center retrospective study compared two cranial-to-caudal approaches for LRH. The study included 51 patients who underwent LRH between January 2021 and November 2023 at the Second Affiliated Hospital, Zhejiang University School of Medicine. Patients were divided into two groups: Group A (26 patients) used the cranial-to-caudal approach with medial ligation of the middle colic vein (MCV), and Group B (25 patients) used the cranial-to-caudal approach with cranial MCV ligation and surgical trunk sheath opening (CC-plus). General characteristics, intraoperative parameters, and postoperative outcomes were compared. Statistical analysis was performed using SPSS version 20.0, with significance set at p < 0.05. Results: There were no significant differences between the groups regarding age, gender, tumor location, or clinical staging. All patients achieved R0 resection with no perioperative deaths. The CC-plus group had significantly reduced intraoperative blood loss and shorter operation time compared to the CC group (p < 0.05). No significant differences were found in first postoperative exhausting time, first postoperative defecation time, and postoperative hospital stay between the two groups. Furthermore, no significant differences were evaluated in postoperative complications (surgical site infection (SSI), ileus or bowel obstruction, refractory diarrhea, anastomotic leakage, deep vein thrombosis (DVT), hemorrhage) between the two groups on a median follow up of 12.6 months. Pathological examination showed no significant differences in total lymph nodes dissected and tumor stage. Conclusions: The cranial-to-caudal approach with MCV ligation via the cranial approach (CC-plus) is a safe and effective method for LRH, offering advantages in terms of reduced operation time and intraoperative blood loss. This study’s findings suggest that the CC-plus approach may be superior to the conventional cranial-to-caudal approach. Full article

The Panchthar–Ilam–Taplejung Corridor in Eastern Nepal, managed through community forestry, is a crucial habitat for the Himalayan red panda, an endangered carnivore threatened by forest degradation and illegal trade. We deployed the altitude line intercept and ten-tree plotless methods to evaluate the distribution of Himalayan red pandas and the environmental factors affecting them within four community forests, namely Singhadevi, Chitre-Hile, Chhipchhipe, and Kalikhop-Dadehli, of the corridor. We established a total of 23 transects and 92 plots, identifying 41 plots with evidence of the Himalayan red panda’s presence. The sign occurrence revealed a clumped distribution of the species across all four community forests. The Himalayan red panda signs were observed between 2200 m and 2700 m above sea level (asl) and the majority of them were from habitats with a moderate slope within elevations of 2400 m to 2500 m asl. The primary sites for the defecation were large horizontal tree branches (78.12%), followed by forest ground (15.62%) and rocks (6.25%). The dominant tree species in their habitats included Lithocarpus pachyphylla (Importance value index, IVI = 45.05), Symplocus theifolia (IVI = 37.19), Symplocos pyrifolia (IVI = 20.99), Quercus lamellosa (IVI = 19.25), and Magnolia campbellii (IVI = 17.25). Among the thirteen environmental variables examined, proximity to water, distance to road, bamboo density, and Normalized Difference Vegetation Index were identified as the major factors influencing the Himalayan red panda’s distribution. This research provides crucial insights to develop site-specific habitat management plans for community forestry. Full article

Reproduction plays a crucial role in determining the development, fate, and dynamics of bird populations. However, reproductive strategies vary among species and populations. In this study, we investigated the reproductive strategies of the Oriental Magpie Robin (Copsychus saularis) and White-rumped Shama (C. malabarica), which are closely related passerines that reproduce in sympatric areas. We found that although these two species were both cavity nesting, their nest-site selection differed; the Shama preferred nesting close to trees and forests, whereas the Magpie Robin nested close to human residential areas. Furthermore, their egg incubation patterns differed; the Shama increased daily incubation frequency with incubation time, but the Magpie Robin maintained its daily incubation time regardless of changes in incubation frequency. However, the nestling heating patterns of these two species were similar, indicating a critical demand for regulating hatchling body temperature during this crucial stage. The feeding frequencies of male parents were strongly correlated with those of females in both species, suggesting equal contribution and good synchronization between the sexes. Nestling feeding frequency was also correlated with nest cleaning frequency, implying coordination between feeding and defecation by parents and offspring, respectively. This research explored the divergence and convergence of reproductive strategies between these two sympatric species, providing valuable insights into the niche differentiation theory. Full article

The present study evaluated the host plant effect on life type characteristics of three important spider mite pest species, Tetranychus urticae Koch, Eutetranychus orientalis (Klein), and E. palmatus Attiah (Acari: Prostigmata: Tetranychidae), based on both field and laboratory observations. The polyphagous species, T. urticae with complicated web (CW-u) life type, occupying unstable habitats, showed variations in the sites for quiescence (SQ), sites for oviposition (SO), sites for defecation (SD), and webbing density (WD) on different annual/perennial host plants. The SQ, SO, and SD of T. urticae were observed either on the leaf, web threads, or trichomes. Tetranychus urticae constructed the lowest WD on tomato plants and the highest WD on maize/mulberry plants. Two spider mite species of the genus Eutetranychus Banks, the polyphagous E. orientalis and the oligophagous E. palmatus, inhabit stable host plants, depicted in the little web (LW-j) life types with persistency in all characteristics on different plants. It is concluded that polyphagous spider mites have restricted their life types, showing their high adaptability to utilize the resources of different host plants for survival with slight variation in some important life type characteristics. Full article

Endometriosis-associated pain is an essential factor in deciding surgical indications of endometriosis. However, there is no quantitative method to diagnose the intensity of local pain in endometriosis (especially deep endometriosis). This study aims to examine the clinical significance of the pain score, a preoperative diagnostic scoring system for endometriotic pain that can be performed only with pelvic examination, devised for the above purpose. The data from 131 patients from a previous study were included and evaluated using the pain score. This score measures the pain intensity in each of the seven areas of the uterus and its surroundings via a pelvic examination using a numeric rating scale (NRS) which contains 10 points. The maximum value was then defined as the max pain score. This study investigated the relationship between the pain score and clinical symptoms of endometriosis or endometriotic lesions related to deep endometriosis. The preoperative max pain score was 5.93 ± 2.6, which significantly decreased to 3.08 ± 2.0 postoperatively (p = 7.70 × 10⁻²⁰). Regarding preoperative pain scores for each area, those of the uterine cervix, pouch of Douglas, and left and right uterosacral ligament areas were high (4.52, 4.04, 3.75, and 3.63, respectively). All scores decreased significantly after surgery (2.02, 1.88, 1.75, and 1.75, respectively). The correlations between the max pain score and dysmenorrhea, dyspareunia, perimenstrual dyschezia (pain with defecation), and chronic pelvic pain were 0.329, 0.453, 0.253, and 0.239, respectively, and were strongest with dyspareunia. Regarding the pain score of each area, the combination of the pain score of the pouch of Douglas area and the VAS score of dyspareunia showed the strongest correlation (0.379). The max pain score in the group with deep endometriosis (endometrial nodules) was 7.07 ± 2.4, which was significantly higher than the 4.97 ± 2.3 score obtained in the group without (p = 1.71 × 10⁻⁶). The pain score can indicate the intensity of endometriotic pain, especially dyspareunia. A local high value of this score could suggest the presence of deep endometriosis, depicted as endometriotic nodules at that site. Therefore, this method could help develop surgical strategies for deep endometriosis. Full article

The establishment of large populations of yellow-legged gull Larus michahellis in coastal and urban areas can lead to strong changes in vegetation cover and composition through creating physical disturbance in the vegetation and impacting the soil quality through defecation. In this study, we evaluated the effects of breeding yellow-legged gull populations on tall and short vegetation cover and plant species composition in old (occupied for 13 years) and new (occupied for 3 years) colony sites in grey dunes of the Algarve, southern Portugal. In each site, sampling plots were used to measure the percentage of vegetation cover in areas with and without breeding gulls. In the old colony site, the cover by tall vegetation was substantially reduced and the cover by short vegetation substantially increased in the areas where gulls are breeding in comparison with the adjacent areas. In the new colony sites, there were only minor differences. The increase in cover of short vegetation in the breeding area of the old colony site was mostly by nitrophilous species (Paronychia argentea and Malcolmia littorea) and should be explained by the decrease in vegetation cover of tall plant species and by feces deposition. Tall and slow-growing species Suaeda maritima and Helichrysum italicum covers were negatively affected. Our results showed that yellow-legged gulls affected vegetation cover and composition of grey dunes after 3 years of consecutive breeding, and this should be considered in the management of these habitats where breeding yellow-legged gulls are increasing. Full article

Pharmaceuticals are widely used in Africa due to the high burden of human and animal diseases. However, a review of the current practices and pollution risks arising from the disposal of pharmaceuticals in low-income settings in Africa is still lacking. Therefore, the present review examined the literature to address the following questions: (1) what are the key factors driving the accumulation of unused and expired pharmaceuticals?, (2) what are the current disposal practices for unused and expired pharmaceuticals, and wastewater (feces and urine) containing excreted pharmaceuticals?, (3) what are the potential environmental and human health hazards posed by current disposal practices?, and (4) what are the key research needs on the disposal of pharmaceuticals in low-income settings? Evidence shows that, in low-income settings, wastewater comprising predominantly of feces and urine containing excreted pharmaceuticals often end up in on-site sanitation systems such as pit latrines, septic tanks, and the environment in the case of open defecation. Unused and expired pharmaceuticals are disposed of in pit latrines, household solid waste, and/or burned. The pollution risks of current disposal practices are poorly understood, but pharmaceutical pollution of groundwater sources, including those used for drinking water supply, may occur via strong hydrological connectivity between pit latrines and groundwater systems. Potential high-risk pollution and human exposure hotspots are discussed. However, compared to other environmental compartments, the occurrence, dissemination, fate, and human health risks of pharmaceuticals in the pit latrine-groundwater continuum are still understudied. Future research directions are discussed to address these gaps using the Source-Pathway-Receptor-Impact-Mitigation (SPRIM) continuum as an organizing framework. Full article

Atranorin (ATR) is a secondary metabolite of lichens. While previous studies investigated the effects of this substance predominantly in an in vitro environment, in our study we investigated the basic physicochemical properties, the binding affinity to human serum albumin (HSA), basic pharmacokinetics, and, mainly, on the systematic effects of ATR in vivo. Sporadic studies describe its effects during, predominantly, cancer. This project is original in terms of testing the efficacy of ATR on a healthy organism, where we can possibly attribute negative effects directly to ATR and not to the disease. For the experiment, 24 Sprague Dawley rats (Velaz, Únetice, Czech Republic) were used. The animals were divided into four groups. The first group (n = 6) included healthy males as control intact rats (♂INT) and the second group (n = 6) included healthy females as control intact rats (♀INT). Groups three and four (♂ATR/n = 6 and ♀ATR/n = 6) consisted of animals with daily administered ATR (10mg/kg body weight) in an ethanol–water solution per os for a one-month period. Our results demonstrate that ATR binds to HSA near the binding site TRP214 and acts on a systemic level. ATR caused mild anemia during the treatment. However, based on the levels of hepatic enzymes in the blood (ALT, ALP, or bilirubin levels), thiobarbituric acid reactive substances (TBARS), or liver histology, no impact on liver was recorded. Significantly increased creatinine and lactate dehydrogenase levels together with increased defecation activity during behavioral testing may indicate the anabolic effect of ATR in skeletal muscles. Interestingly, ATR changed some forms of behavior. ATR at a dose of 10 mg/kg body weight is non-toxic and, therefore, could be used in further research. Full article

Discharge of excreta into the environment and the use of decentralized sanitation technologies, such as septic tanks, pit latrines and ecological sanitation variants (i.e., container-based sanitation), contribute to greenhouse gas (GHG) emissions but have remained poorly quantified. The purpose of this analysis was to investigate the impacts that meeting Sustainable Development Goal (SDG) 6.2 (i.e., ending open defecation by 2030) would have on SDG 13 (i.e., combatting climate impacts). The current Intergovernmental Panel on Climate Change GHG estimation methodology was used as the basis for calculations in this analysis, augmented with improved emission factors from collected data sets for all types of on-site sanitation infrastructure. Specifically, this assessment focused on the three different service levels of sanitation (i.e., improved, unimproved and no service) as defined by UNICEF and WHO as they pertain to three Shared Socioeconomic Pathways. This analysis considered the 100-year global warming potential values in carbon dioxide equivalents of methane and nitrous oxide that can be emitted for each scenario and decentralized sanitation technology. Ultimately, six scenarios were developed for various combinations of pathways and sanitation technologies. There was significant variability between the scenarios, with results ranging from 68 Tg CO₂eq/year to 7 TgCO₂eq/year. The main contributors of GHG emissions in each scenario were demonstrated to be septic tank systems and pit latrines, although in scenarios that utilized improved emission factors (EFs) these emissions were significantly reduced compared with those using only standard IPCC EFs. This analysis demonstrated that using improved EFs reduced estimated GHG emissions within each SSP scenario by 53% on average. The results indicate that achieving SDG sanitation targets will ultimately increase GHG emissions from the current state but with a relatively small impact on total anthropogenic emissions. There is a need for the continued improvement and collection of field-based emission estimations to refine coarse scale emissions models as well as a better characterization of relevant biodegradation mechanisms in popular forms of on-site sanitation systems. An increase in the understanding of sanitation and climate change linkages among stakeholders will ultimately lead to a better inclusion of sanitation, and other basic human rights, in climate action goals. Full article