Evolutionary profile of the family Calliphoridae, with notes on the origin of myiasis.

The family Calliphoridae is a group of heterogenous calyptrate flies with a worldwide distribution including species of ecological, veterinary, medical, and forensic importance. Notorious for their parasitic habits, the larvae of many blowflies are characterised - like some other dipteran larvae - by their ability to develop in animal flesh. When parasitism affects a living host, it is termed "myiasis". This has led the Calliphoridae to be considered as a pivotal family in its relationship with a man. Nevertheless, even after more than 50 years of research, the phylogenetic relationships among calliphorid subfamilies together with the evolutionary origin of myiasis remain unclear. In order to elucidate these problems, we constructed three phylogenetic trees by using nucleotide sequence data from cytochrome oxidase subunit one (COI), representing a mitochondrial conservative gene, and nuclear 28S subunit of ribosomal RNA gene (28S rRNA) in order to interpret the evolutionary profile of myiasis in the family Calliphoridae. The sequenced data represented species associated with ectoparasitic life-styles, either saprophagy or facultative and obligate parasitism. A total number of 50 accessions were collected for 28S rRNA, 56 for COI, and 38 for combined sequences phylogeny. Molecular Evolutionary Genetics Analysis (MEGA) software was used to align 2197 nucleotide positions of 28S rRNA and 1500 nucleotide positions of COI with a gap opening penalties and gap extension penalties equalling 20 and 0.1 respectively. The results reveal the non-monophyly of the family Calliphoridae despite the stable monophyletic status of the Chrysomyinae, Luciliinae, and Auchmeromyiinae. Also, our findings recommend ranking the Toxotarsinae as a separate family. Furthermore, comparative analysis of the phylogenetic trees shows that the habit of obligatory myiasis originated independently more than five times. This strengthens our hypothesis that the origin of eating fresh meat is a case of convergent evolution that has taken place after speciation events millions of years ago. Finally, estimating the divergence dates between lineages from molecular sequences provides a better chance of understanding their evolutionary biology.

Analysis of phoretic relation between chewing lice and hippoboscid flies of Columba livia.

Phoresy is a biologically mechanical phenomena where an immobile organism hitches on a other mobile organism to translocate. This behaviour is not studied very well on the field level especially between two important parasites infesting the same host. Parasite/parasite interaction is rarely studied through most biological host-parasite systems. Here, we evaluated the phoretic relation between parasitic chewing lice and hippoboscid flies (Pseudolynchia canariensis) on rock pigeons. A total of 69 captivated rock pigeons, Columba livia, were examined for the parasitic chewing lice and hippoboscid flies in Giza Zoo and two local farms near Cairo, Egypt. Results indicated that there is a positive correlation between infestation of hippoboscid flies and chewing lice. Also, the analysis of louse/louse interaction using ANOVA indicated a significant difference between the three chewing louse species which were recorded on the rock pigeons with relatively high abundance of two species, Columbicola columbae and Campanulotes compar. The analysis of hippoboscid flies' abundance and its relation with chewing lice infestation indicate a significant increase of lice intensity in case of high infestation with the fly. The level of hygiene of nest may be inversely related to level of parasite infestation. This work forms a step in the process of understanding parasite/parasite and host/parasite interactions using two parasitic species with a characteristic phoretic behaviour in nature.

"Descemet Membrane Detachment": A Novel Concept in Diagnosis and Classification.

PURPOSE: To examine the optical coherence tomography (OCT) and histologic features of Descemet membrane detachment (DMD) to ascertain the involvement of the pre-Descemet layer (PDL). DESIGN: Retrospective, observational case series. METHODS: Clinical, histopathologic, and OCT features of a cohort of 41 cases with diagnosis of DMD from 4 centers were studied. OCT images were evaluated independently by 3 observers for number of detached layers (1 or 2), reflectivity, configuration (straight line or wavy), distance from posterior stroma, and presence or absence of a tear with any scrolling of the torn edges. Five had a histology specimen. The main outcome measure was the involvement of the PDL in DMD and its confirmation by histology. RESULTS: Three types of DMD were identified: type 1, where the PDL and DM were detached together; type 2, where only the DM was detached; and mixed, where the PDL and DM were detached but also separated from each other. These were further found to be rhegmatogenous or nonrhegmatogenous depending on the presence of absence of a tear in DM or both layers. Histology confirmed involvement of PDL in all 5 cases and showed it to be infiltrated by cells in 3 of 5 cases. CONCLUSIONS: The PDL is involved in DMD. This fact significantly changes our understanding of DMD and could have implications for management. The detached PDL can be infiltrated with cells. A prospective study in relation to etiology and types of DMD is needed.

Angiopoietin-like protein 2 in psoriasis: a new linkage with metabolic syndrome.

INTRODUCTION: Psoriasis is a chronic disease of inflammatory nature which can be considered as a systemic disorder. Metabolic syndrome is prevalent in psoriatic patients, with a negative impact on disease severity. Angiopoietin-like protein 2 (ANGPTL2) role has been investigated in several chronic inflammatory conditions, but not in psoriasis. AIM: To evaluate the serum level of ANGPTL2 and its possible role in the occurrence of metabolic syndrome in psoriatic patients. MATERIAL AND METHODS: This study enrolled 180 participants divided into two groups: psoriatic group (120 patients with chronic plaque psoriasis) and control group (60 normal subjects). Psoriasis severity was determined by the psoriasis area severity index. Anthropometric measurements, lipid profile, fasting blood sugar and ANGPTL2 have been evaluated in both groups. RESULTS: Psoriatic patients had a higher body mass index (p = 0.014), waist circumference (p < 0.001), and blood pressure than controls (p L 0.001). Fasting blood sugar and the serum level of ANGPTL2 were also higher in psoriatic patients than in controls (p < 0.001, 0.025, respectively). In addition, the serum level of ANGPTL2 was significantly correlated with both disease severity (p < 0.001) and occurrence of metabolic syndrome (p < 0.001). CONCLUSIONS: Serum ANGPTL2 is elevated in psoriasis patients compared to normal subjects. Serum ANGPTL2 elevation may have a role in chronic inflammatory status in psoriasis and occurrence of metabolic syndrome.

Modeling current and future global distribution of Chrysomya bezziana under changing climate.

In the last few years, significant changes in climate have had a disparate effect on biodiversity. The influences of these changes are random and unpredictable. The resurgence of insect pests, especially of medical and veterinary importance, often corresponds with climate changes. The Old World screwworm, Chrysomya bezziana, is one of the most important myiasis-causing flies that parasitize warm-blooded animals in the Eastern Hemisphere. We used a spatial distribution modeling approach to estimate the consequences of climatic changes on the potential geographic distribution of this insect throughout the world currently and in the future. A Maxent model used occurrence data from 104 localities and 19 climatic factors to predict the suitable habitat regions throughout the world. Two representative concentration pathways 2.6 and 8.5, were used to forecast the future distribution of C. bezziana in 2050 and 2070. The Maxent model for C. bezziana provided a satisfactory result, with a high value of the Area Under Curve equal to 0.855 (±0.001). Furthermore, the True Skilled Statistics value is equal to 0.67. These values indicate the significant influence on the model of the ecology of this fly species. Jackknife test indicated that temperature variables play a significant role in C. bezziana dynamics. The resultant models indicated the areas at risk of invasion by potential serious medical/veterinary issues, especially in countries with a large livestock production.

Population genetics analysis of Phlebotomus papatasi sand flies from Egypt and Jordan based on mitochondrial cytochrome b haplotypes.

BACKGROUND: Phlebotomus papatasi sand flies are major vectors of Leishmania major and phlebovirus infection in North Africa and across the Middle East to the Indian subcontinent. Population genetics is a valuable tool in understanding the level of genetic variability present in vector populations, vector competence, and the development of novel control strategies. This study investigated the genetic differentiation between P. papatasi populations in Egypt and Jordan that inhabit distinct ecotopes and compared this structure to P. papatasi populations from a broader geographical range. METHODS: A 461 base pair (bp) fragment from the mtDNA cytochrome b (cyt b) gene was PCR amplified and sequenced from 116 individual female sand flies from Aswan and North Sinai, Egypt, as well as Swaimeh and Malka, Jordan. Haplotypes were identified and used to generate a median-joining network, F ST values and isolation-by-distance were also evaluated. Additional sand fly individuals from Afghanistan, Iran, Israel, Jordan, Libya, Tunisia and Turkey were included as well as previously published haplotypes to provide a geographically broad genetic variation analysis. RESULTS: Thirteen haplotypes displaying nine variant sites were identified from P. papatasi collected in Egypt and Jordan. No private haplotypes were identified from samples in North Sinai, Egypt, two were observed in Aswan, Egypt, four from Swaimeh, Jordan and two in Malka, Jordan. The Jordan populations clustered separately from the Egypt populations and produced more private haplotypes than those from Egypt. Pairwise F ST values fall in the range 0.024-0.648. CONCLUSION: The clustering patterns and pairwise F ST values indicate a strong differentiation between Egyptian and Jordanian populations, although this population structure is not due to isolation-by-distance. Other factors, such as environmental influences and the genetic variability in the circulating Le. major parasites, could possibly contribute to this heterogeneity. The present study aligns with previous reports in that pockets of genetic differentiation exists between populations of this widely dispersed species but, overall, the species remains relatively homogeneous.

Development of polymorphic EST microsatellite markers for the sand fly, Phlebotomus papatasi (Diptera: Psychodidae).

BACKGROUND: Phlebotomus papatasi is a widely distributed sand fly species in different tropical and sub-tropical regions including the Middle East and North Africa. It is considered an important vector that transmits Leishmania major parasites, the causative agents of cutaneous leishmaniasis. The development of microsatellite markers for this sand fly vector is of high interest to understand its population structure and to monitor its geographic dispersal. RESULTS: Fourteen polymorphic microsatellite markers were developed with simple di-, tri- and tetra-nucleotide repeats. The F statistics calculated for the 14 markers revealed high genetic diversity; expected heterozygosity (He) ranged from 0.407 to 0.767, while observed heterozygosity (Ho) was lower and ranged from 0.083 to 0.514. The number of alleles sampled fall in the range of 9-29. Three out of 14 markers deviated from Hardy-Weinberg expectations, no significant linkage disequilibrium was detected and high values for inbreeding coefficient (FIS) were likely due to inbreeding. CONCLUSIONS: The development of these functional microsatellites enable a high resolution of P. papatasi populations. It opens a path for researchers to perform multi locus-based population genetic structure analyses, and comparative mapping, a part of the efforts to uncover the population dynamics of this vector, which is an important global strategy for understanding the epidemiology and control of leishmaniasis.

Rift Valley Fever in Egypt and other African countries: Historical review, recent outbreaks and possibility of disease occurrence in Egypt.

This article reviews and discusses the historical and recent status of Rift Valley Fever (RVF) in Egypt and the other African countries based on the available and scattered reports. The recent outbreaks in African countries were reviewed and mapped out. Four major epidemics have been recorded in Egypt (1977, 1978, 1993 and 2003). The outbreak resulted in unpredicted human disease with severe clinical manifestations and heavy mortality as well as many abortions and deaths in sheep, goats, cattle, water buffalo and camels. Of the 18 culicine mosquito species that occur in Egypt, Culex pipiens and Cx. antennatus were implicated as vectors of RVF in Egypt based on their natural infection with RVF virus. Aedes caspius was also suspected of disseminating the virus among livestock based on host feeding and vector competence studies. The epidemiological factors related to the introduction and spread of RVF in Egypt are discussed. The study concluded that due to the availability and abundance of the potential vectors, suitability of environmental conditions, continuous importation of livestock's from Sudan, and the close association of susceptible domestic animals with humans, the RVF virus could possibly occur and circulate in Egypt.

Mapping the global potential distributions of two arboviral vectors Aedes aegypti and Ae. albopictus under changing climate.

BACKGROUND: Aedes aegypti and Ae. albopictus are the primary vectors that transmit several arboviral diseases, including dengue, chikungunya, and Zika. The world is presently experiencing a series of outbreaks of these diseases, so, we still require to better understand the current distributions and possible future shifts of their vectors for successful surveillance and control programs. Few studies assessed the influences of climate change on the spatial distributional patterns and abundance of these important vectors, particularly using the most recent climatic scenarios. Here, we updated the current potential distributions of both vectors and assessed their distributional changes under future climate conditions. METHODS: We used ecological niche modeling approach to estimate the potential distributions of Ae. aegypti and Ae. albopictus under present-day and future climate conditions. This approach fits ecological niche model from occurrence records of each species and environmental variables. For each species, future projections were based on climatic data from 9 general circulation models (GCMs) for each representative concentration pathway (RCP) in each time period, with a total of 72 combinations in four RCPs in 2050 and 2070. All ENMs were tested using the partial receiver operating characteristic (pROC) and a set of 2,048 and 2,003 additional independent records for Ae. aegypti and Ae. albopictus, respectively. Finally, we used background similarity test to assess the similarity between the ENMs of Ae. aegypti and Ae. albopictus. RESULTS: The predicted potential distribution of Ae. aegypti and Ae. albopictus coincided with the current and historical known distributions of both species. Aedes aegypti showed a markedly broader distributional potential across tropical and subtropical regions than Ae. albopictus. Interestingly, Ae. albopictus was markedly broader in distributional potential across temperate Europe and the United States. All ecological niche models (ENMs) were statistically robust (P < 0.001). ENMs successfully anticipated 98% (1,999/2,048) and 99% (1,985/2,003) of additional independent records for both Ae. aegypti and Ae. albopictus, respectively (P < 0.001). ENMs based on future conditions showed similarity between the overall distributional patterns of future-day and present-day conditions; however, there was a northern range expansion in the continental USA to include parts of Southern Canada in case of Ae. albopictus in both 2050 and 2070. Future models also anticipated further expansion of Ae. albopictus to the East to include most of Europe in both time periods. Aedes aegypti was anticipated to expand to the South in East Australia in 2050 and 2070. The predictions showed differences in distributional potential of both species between diverse RCPs in 2050 and 2070. Finally, the background similarity test comparing the ENMs of Ae. aegypti and Ae. albopictus was unable to reject the null hypothesis of niche similarity between both species (P > 0.05). CONCLUSION: These updated maps provided details to better guide surveillance and control programs of Ae. aegypti and Ae. albopictus. They have also significant public health importance as a baseline for predicting the emergence of arboviral diseases transmitted by both vectors in new areas across the world.

Dynamics of big bubble formation in deep anterior lamellar keratoplasty by the big bubble technique: in vitro studies.

PURPOSE: To examine the movement of air injected in the cornea in simulated deep anterior lamellar keratoplasty (DALK), from the needle tip to the formation of different types of big bubbles (BB) and to ascertain how air travels through the stroma and pre-Descemet's layer [Dua's layer (PDL)] to create a type-1 (air between PDL and deep stroma) and type-2BB (air between PDL and Descemet's membrane). METHODS: Air was injected in 57 sclerocorneal discs and the passage recorded. Leaking points and sites of commencement of type-1 and type-2BB were examined by scanning electron microscopy. Stromal distribution of air pockets was studied by light microscopy. Uninjected corneas served as controls. RESULTS: Injected air followed a consistent pattern, initially as radial tracks to the limbus, then as circumferential bands along the limbus and finally centripetally to create predominantly a type-1BB. Type-2BB started at the periphery, by air emerging through clusters of tiny fenestrations discovered in the periphery of PDL. Fifteen to 20 such clusters were also seen in control samples on either side of the Descemet's attachment. Type-1BB was formed by air emerging through wide spaces between lamellae of deep stroma. Histologically, the circumferential band revealed an aggregation of air pockets in the mid-stroma. CONCLUSION: The consistent pattern of passage of air is indicative of the architecture and microanatomy of the corneal stroma where collagen lamellae are orthogonally arranged centrally and as a circular annulus at the periphery. The novel peripheral fenestrations explain the peripheral commencement of a type-2BB and the escape of air into the anterior chamber during DALK.

Surveillance of Arthropod-Borne Viruses and Their Vectors in the Mediterranean and Black Sea Regions Within the MediLabSecure Network.

PURPOSE OF REVIEW: Arboviruses, viruses transmitted by arthropods such as mosquitoes, ticks, sandflies, and fleas are a significant threat to public health because of their epidemic and zoonotic potential. The geographical distribution of mosquito-borne diseases such as West Nile (WN), Rift Valley fever (RVF), Dengue, Chikungunya, and Zika has expanded over the last decades. Countries of the Mediterranean and Black Sea regions are not spared. Outbreaks of WN are repeatedly reported in the Mediterranean basin. Human cases of RVF were reported at the southern borders of the Maghreb region. For this reason, establishing the basis for the research to understand the potential for the future emergence of these and other arboviruses and their expansion into new geographic areas became a public health priority. In this context, the European network "MediLabSecure" gathering laboratories in 19 non-EU countries from the Mediterranean and Black Sea regions seeks to improve the surveillance (of animals, humans, and vectors) by reinforcing capacity building and harmonizing national surveillance systems to address this important human and veterinary health issue. The aim of this review is to give an exhaustive overview of arboviruses and their vectors in the region. RECENT FINDINGS: The data presented underline the importance of surveillance in the implementation of more adapted control strategies to combat vector-borne diseases. Partner laboratories within the MediLabSecure network present a wide range of infrastructures and have benefited from different training programs. SUMMARY: Although reporting of arboviral presence is not carried out in a systematic manner, the expansion of the area where arboviruses are present cannot be disputed. This reinforces the need for increasing surveillance capacity building in this region to prevent future emergences.

Field Evaluation of Outdoor Ultra-Low Volume (ULV) Applications against Phlebotomine Sand Flies (Diptera: Psychodidae) in Al Rabta, North-West of Libya.

BACKGROUND: Al Rabta is a rural area in the North-West of Libya that represents an important focus of zoonotic cutaneous leishmaniasis. This study aimed to evaluate the effect of Ultra Low Volume (ULV) applications in controlling sand flies and its impact on leishmaniasis transmission in this area. METHODS: Two neighboring villages were selected: Al Rabta West (RW) as cypermethrin treated village and Al Rabta East (RE) as check one. The ULV was evaluated through 3 spraying cycles during Apr, Jun and Sep 2013. In the two villages, a number of outdoor sites were selected for sampling of sand flies (twice a month) using the CDC light traps. The cases of CL reported in the two villages during the study period were obtained from Al Rabta health center. RESULTS: The two villages were similar where 9 species of sand flies (6 of Phlebotomu and 3 of Sergentomyia) were collected of which S. minuta and P. papatasi were the abundant species. As compared to the pre- ULV spraying, during the post- spraying periods: i) the reduction in abundance of the different species ranged from 20.85 to 77.52% with 46.69% as an overall reduction for all species altogether and, ii) in significantly (P> 0.05) higher mean ratio of males: females for all species altogether (1:2.41). Moreover, ULV spraying resulted in the absence of CL (Leishmania major) cases (Passive Case Detection). CONCLUSION: The efficiency of ULV spraying in reducing sand fly population, CL cases and consequently limits the disease transmission.

MOSQUITOES (DIPTERA: CULICIDAE) OF THE WESTERN COASTAL AREA, KINGDOM OF SAUDI ARABIA: SPECIES COMPOSITION, ABUNDANCE, DIVERSITY AND MEDICAL IMPORTANCE.

An entomological survey was undertaken for two years to update the mosquito fauna of the 3 regions (Mecca, Al Madinah and Tabouk), of the western coast, Kingdom of Saudi Arabia. Six localies representing such Regions (lhif, Mecca, Jeddah, Yanbu, Daba and Haql) were sampled for larvae and adults. Nineteen soecies of six genera were reported of which genus Culex (57.89% sp.) were the most commo6, followed by Anopheles (21.05%) and Stegomyia, Ochlerotatus, Aedes and Culesita (5.26% each). Three species (Cx. sitiens, Cx. torrenlium and Am. v. arabiensis) were new reports in study area. A total of 10930 larvae and 33108 adults were collected of which those representing genus Culex were predominating (92.74% larva, 93.46% adult). Of the reported species, Cx. quinquefasciatus (47.11% larva, 57.52% adult) and Cx. pipiens (22.24% larva, 27.42% adult) Were the common ones. Both Taif and Tabouk reported the highest number of species (13 sp., 68.42%), followed by Jeddah (12 sp., 63.16%), Mecca (10 sp., 52.63%) and Yanbu (8 sp., 42.11%). Tabouk represented the maximum diversity with the highest Simpson index (1-D=0.65) and Shannon index (H=1.25) followed by Taif (1- D=0.54, H=1.01). Per sampling site, Jeddah reported the highest number of larvae (313.70), and Mecca had the highest adult number (670.18). A complete list of mosquito fauna of the western coast including 35. spp. was presented based on the present and previous surveys. The role of the reported mosquito species as disease vectors was discussed. The study concluded that the diversity and abundance of the different mosquito species, among which several vectors of diseases mainly malaria, Rift Valley fever, lymphatic filariasis and dengue fever may pause a risk of transmission and more spread of such disease in this part that contains the holy places which are visited all year round by millions of people from several countries.

Climate Change Influences on the Global Potential Distribution of the Mosquito Culex quinquefasciatus, Vector of West Nile Virus and Lymphatic Filariasis.

Rapid emergence of most vector-borne diseases (VBDs) may be associated with range expansion of vector populations. Culex quinquefasciatus Say 1823 is a potential vector of West Nile virus, Saint Louis encephalitis virus, and lymphatic filariasis. We estimated the potential distribution of Cx. quinquefasciatus under both current and future climate conditions. The present potential distribution of Cx. quinquefasciatus showed high suitability across low-latitude parts of the world, reflecting the current distribution of the species. Suitable conditions were identified also in narrow zones of North Africa and Western Europe. Model transfers to future conditions showed a potential distribution similar to that under present-day conditions, although with higher suitability in southern Australia. Highest stability with changing climate was between 30°S and 30°N. The areas present high agreement among diverse climate models as regards distributional potential in the future, but differed in anticipating potential for distribution in North and Central Africa, southern Asia, central USA, and southeastern Europe. Highest disparity in model predictions across representative concentration pathways (RCPs) was in Saudi Arabia and Europe. The model predictions allow anticipation of changing distributional potential of the species in coming decades.

Scrolling Characteristics of Pre-Descemet Endothelial Keratoplasty Tissue: An Ex Vivo Study.

PURPOSE: To evaluate the scrolling propensity of pre-Descemet endothelial keratoplasty (PDEK) tissue and to compare it with each component of the PDEK tissue, namely the pre-Descemet layer (Dua's layer [PDL]) and the Descemet membrane (DM). DESIGN: Experimental laboratory investigation. METHODS: Fourteen human donor sclerocorneal discs in which a type 1 big bubble was obtained by stromal injection of air were studied. The wall of the type 1 big bubble was excised and its grade of scrolling noted. The components of the wall (ie, the DM and PDL) were then separated and the scrolling of each was individually graded. Statistical comparison of the grade of scrolling of each layer and correlation with age was carried out; 25-µm slices of anterior and posterior stroma obtained with the femtosecond laser from 4 control samples were used for comparison. The main outcome measure was the grade of scrolling of PDEK tissue in comparison with PDL and DM. RESULTS: Mean donor age was 67 years. The mean grade of the scroll formed by PDEK tissue was1.6 compared to 0.64 for PDL alone and 3.6 for DM alone. The difference was statistically significant. No correlation between donor age and degree of scrolling for any of the tissues tested was found. CONCLUSION: PDEK tissue scrolls less than DM. PDL scrolls the least. This demonstrates that PDL tissue splints the DM and reduces its scrolling in PDEK. This feature has relevance to tissue preparation, handling, and unscrolling in the eye during endothelial keratoplasty.

Entomological studies of phlebotomine sand flies (Diptera: Psychodidae) in relation to cutaneous leishmaniasis transmission in Al Rabta, North West of Libya.

Al Rabta in the North-West of Libya is a rural area where cutaneous leishmaniasis (CL) is endemic for long time. Few reports are available on sand flies in this area which is an important focus of CL. Therefore, this study aimed at updating the species composition, and monthly fluctuation of sand flies in this area. Sand flies were biweekly collected by CDC light traps from June to November 2012 and April to November 2013 in two villages, Al Rabta East (RE) and Al Rabta West (RW). Nine species (6 Phlebotomus and 3 Sergentomyia) were reported in the two villages. A total of 5605 and 5446 flies were collected of which Phlebotomus represented 59.30 and 56.63% in RE and RW, respectively. Sergentomyia minuta and Phlebotomus papatasi were the abundant species. Generally, more males were collected than females for all species. The overall ratios (males: females) for most of species were not deviated from the expected 1:1 ratio (Chi-squared, P>0.05). Sand fly abundance (fly/trap) is directly related to the temperature and RH (P<0. 01) while it inversely related to wind velocity (P>0.05). Flies were active from April to November with increased activity from June to October. Prominent peaks were in September and June. The abundance of P. papatasi and Phlebotomus sergenti, vectors of CL (August-October) coincided with the reported higher numbers of CL cases (August- November). The obtained results could be important for the successful planning and implementation of leishmaniasis control programs.

Comparison Between Physics and Conventional Forceps in Simple Dental Extraction.

BACKGROUND: Atraumatic dental extraction preserves bone, gingival architecture, and allows for the option of future or immediate dental implant placement. A number of tools and techniques have been proposed for minimally invasive tooth removal such as physics forceps. The biomechanical design of physics forceps decreases the incidence of root fracture, and maintains the buccal bone plate, which is essential for the proper healing of an immediately placed dental implant. PURPOSE: This study was conducted to evaluate the efficacy of physics forceps versus conventional forceps in simple dental extraction. PATIENTS AND METHODS: 200 adult patients seeking simple dental extraction were selected from the Outpatient Clinic in the Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Mansoura University, Egypt. The selected patients were randomly allocated into two groups: group I: included 100 patients, in this group extraction was done using physics forceps, and group II: included 100 patients, in this group extraction was done using conventional forceps. RESULTS: In physics forceps group: crown fracture occurred in three cases (3 %), buccal bone fracture occurred in three cases (3 %), and root fracture occurred in 14 roots (8.5 %), while in conventional forceps group: crown fracture occurred in 10 cases (10 %), buccal bone fracture occurred in seven cases (7 %), and root fracture occurred in 27 roots (16.6 %). CONCLUSION: Physics forceps are innovative extraction instruments. By using them, it is possible to perform difficult extractions, with predictable results, and without need to reflect a flap. Using physics forceps decreases the incidence of crown, root, and buccal bone plate fractures, in comparison to the conventional forceps.

Immediate implant placement into fresh extraction socket in the mandibular molar sites: a preliminary study of a modified insertion technique.

BACKGROUND: Immediate implant insertion in mandibular molar extraction sockets raises a series of challenges for clinicians. PURPOSE: This preliminary study demonstrates the use of a modified insertion technique of implant placement at the time of mandibular molar extraction. MATERIALS AND METHODS: Immediate implants were placed at the time of molar extraction in 20 patients; a sulcular buccal incision with releasing periosteal incisions were made around the mandibular molar to be replaced, and implant insertion into the interseptal/interradicular bone was performed. The remnants of roots were atraumatically extracted, and the bony defects around the implant were grafted with synthetic resorbable bone substitute ß- Tricalcium phosphate, and the flap was sutured. Three months later, implants were restored with single crown fixed prostheses. Patients were followed up at 6, 12, and 18 months after insertion using periapical standardized radiographs to monitor the changes in the marginal bone level. RESULTS: Our modified insertion techniques showed an implant survival rate of 95%; one implant failed 4 weeks after insertion. No significant marginal bone loss around the implant was recorded at all times of follow-up. Satisfactory soft issue parameters were achieved. CONCLUSIONS: The combination of immediate implant placement with engagement of the interseptal/interradicular bone, atraumatic extraction of remnant roots, and concomitant regenerative therapy showed preliminary favorable outcomes. However, wider application of this technique for longer following up periods is required for further conclusive recommendations.

Fauna of mosquito larvae (Diptera: Culicida) in Asir Provence, Kingdom of Saudi Arabia.

An entomological survey was undertaken for one year to update the mosquito fauna of Asir Region, Kingdom of Saudi Arabia. A total of 31 species of 8 genera were reported of which genus Culex (55%) was the most common. Most of collected larvae (59%) belonged to genus Culex (+ Lutzia) followed by Culiseta (26%), Anopheles (13%) and Aedine spp. (2%). Cx. pipiens (39%) and Cs. longiareolata (26.%) were generally the most abundant of all collected larvae. Of the Anopheles spp., An. dthali was common (40%), of Culex spp., Cx. pipiens was predominating (66%) and of Aedine spp., St. aegypti was predominating (71%). Four species: An. fluviatilis, Cx. mattinglyi, Cx. arbieeni and Cx. mimeticus were new reports in Asir Region and Cx. wigglesworthi recorded for the first time from the kingdom. Larvae were more common in low- and highlands than in the moderately altitude areas. In general all species prefer stagnant water but with the exception of Aedine larvae (altogether), the other species prefer presence of algae, vegetation and shade and absence of turbidity (except Culex spp.). A total of 98 different forms of association were reported of which 9 forms were common. All genera breed year round with peaks of abundance during spring for Anopheles spp. and Culex spp. and during winter for Aedine spp. and Cs. longiareolata. A complete list of mosquito fauna of Asir Region comprising 45 spp. was presented based on the present and previous surveys. The study concluded that the occurrence and prevalence of mosquito species mainly the disease vectors in Asir carry the thread of maintaining and transmission of several mosquito-borne diseases.