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Patterns of polymorphism detected in the chloroplast and nuclear genomes of barley landraces sampled from Syria and Jordan.

In order to examine how molecular polymorphism in barley landraces, sampled from five different ecogeographical regions of Syria and Jordan, is organised and partitioned, genetic variability at 21 nuclear and 10 chloroplast microsatellite loci were examined. Chloroplast polymorphism was detected, with most variation being ascribed to differences between the five regions (Fst 0.45) and to within sites within each region (Fst 0.44). Moreover, the distribution of chloroplast polymorphism is structured and not distributed randomly across the barley landraces sampled. From a total of 125 landrace accessions (five lines from each of five sites from each of five regions) genotyped with 21 SSRs a total of 244 alleles were detected, of which 38 were common to the five regions sampled. Most nuclear variation was detected within sites. Significant differentiation between sites (Fst 0.29) was detected with nuclear SSRs and this partially mirrored polymorphism in the chloroplast genome. Strong statistical associations/interaction was also detected between the chloroplast and nuclear SSRs, together with non-random association (linkage disequilibrium) of alleles at both linked and unlinked SSR loci. These results are discussed in the context of adaptation of landraces to the extreme environment, the concept of 'adapted gene complexes' and the exploitation of landraces in breeding programmes.

Analysis of Variance↗

Prevalence of antibodies to hepatitis C virus among hemodialysis patients in Damascus, Syria.

BACKGROUND: Evaluation of the epidemiology of hepatitis C virus (HCV) infection was made possible by the development of a serological assay to detect antibodies to epitopes of HCV. Hemodialysis (HD) is considered to be one of the main risk factors of HCV transmission. Therefore, the prevalence of antibodies to HCV (anti-HCV) was studied in patients undergoing maintenance dialysis therapy. PATIENTS AND METHODS: Anti-HCV were detected using a third-generation assay. The study group consisted of HD patients, transplant recipients and staff members from two dialysis units in Damascus, Syria. RESULTS: The overall prevalence of anti-HCV among HD patients was 48.9%; 24.4% in one center (Al-Mouassat Hospital) and 88.6% in the other (Kidney Hospital). There was a significant correlation between prevalence of anti-HCV and duration of HD. The prevalence was 36.7% for patients on HD for < 3 years and 65% in patients on HD for > 3 years (p < 0.05). There was a significant correlation between anti-HCV positivity and elevated liver enzymes: alanine aminotransferase (ALT) and asparate aminotransferase (AST). However, there was no significant correlation between anti-HCV positivity and history of blood transfusion, exposure to hepatitis B virus, age and sex. The prevalence of anti-HCV among kidney transplant recipients was 48%, among staff members of the dialysis units it was 5.8%. CONCLUSION: Factors related to infrastructure and operational system might be responsible for the very high prevalence of anti-HCV found in one of the two units. There was no data available on anti-HCV status of transplant recipients prior to transplantation. However, the prevalence among those patients, which is very similar to that of HD patients, suggests that HD may be responsible for such high prevalence among this group. An intensive educational program for staff members and proper evaluation of the HD situation in the two units are needed.

Adolescent↗

Evidence for a long-term increase in the incidence of Leishmania tropica in Aleppo, Syria.

We report the results of a short study of the epidemiology of Leishmania tropica in the Sheikh Maksoud District of Aleppo, Syria. The present and past status of infection in a community of about 100,000 people are assessed from prevalence and incidence data obtained by active and passive case detection, and from a skin test survey. L. tropica has apparently been endemic for at least 2-3 human generations in Aleppo, and incidence has increased over the past decade. The current estimated force of infection is 0.174/year, the incidence is about 5%, and the average age of infection is 14 years. L. tropica has the essential characteristics of a cyclic infectious disease, and the recent rise in incidence could be part of a long period cycle. A survey of leishmanial scars seriously underestimated the fraction of persons immune, as scar surveys usually do. We estimate that a passive case registration scheme, which has been established in response to growing concern about leishmaniasis in Aleppo, succeeds in recording and treating about one in 4 cases.

Adolescent↗

Insecticide-treated bednets to prevent anthroponotic cutaneous leishmaniasis in Aleppo Governorate, Syria: results from two trials.

The increasing incidence of anthroponotic cutaneous leishmaniasis (ACL) in Syria, coupled with the inefficacy of residual insecticide spraying to control the disease, have led to the further evaluation of the preventive efficacy of insecticide-treated bednets (ITNs) through large-scale field studies. Two trials were performed in the historical ACL-endemic areas of the Aleppo Governorate. In 1997-1999, a matched-cluster randomized trial was conducted in five intervention (ITNs) and five control (untreated bednets) villages, which involved a population of 10354 in 1321 households. In 2001-2003, a second study was performed in four villages (a population of 9325 in 858 households), which allowed the evaluation of the impact of the interruption of ITN intervention on ACL incidence rates. Both studies not only confirmed the high efficacy of ITNs in preventing ACL during 1 year post-intervention [about 85% (95% CL 76-98%) in the 1997-1999 trial], but also suggested that the interruption of this control measure might restore the pre-intervention disease incidence within 1-2 years. These findings underline the need for a sustainable and durable implementation of ITN-based control of the disease.

Animals↗

Twenty years of cutaneous leishmaniasis in Aleppo, Syria.

Cutaneous leishmaniasis caused by Leishmania tropica has long been associated with Aleppo in Syria. For 20 years up to the mid-1980s, the number of cases reported annually in the city and environs has remained low, not exceeding a few hundred. Since then, there has been a sudden increase to several thousand cases reported each year. The increase seems too great and too sudden to be attributable to improved case detection. Insecticide spraying, begun in 1991, was followed by a reduction in number of cases in 1992, but numbers increased subsequently in spite of continued spraying. The cases are found mainly in areas undergoing development outside the old centre of the city, and may be associated with poor waste disposal and heaps of construction waste.

Disease Outbreaks↗

Socio-demographic correlates of psychiatric morbidity among low-income women in Aleppo, Syria.

Interest in mental morbidity as an important component of health is increasing worldwide. Women generally suffer more than men from common mental disorders, and discrimination against women adds to their mental sufferings. Studies looking into the socio-demographic correlates of women's mental morbidity are lacking in most Arab countries. In this study we wanted to determine the spread and socio-demographic correlates of mental distress among low-income women in Aleppo, Syria. A sample of 412 women was recruited from 8 randomly selected primary care centers in Aleppo. Response rate was 97.2%, mean age of participants 28 + 8.4 years, where married women constituted 87.9%. A special questionnaire was prepared for the study purpose, utilizing the SRQ-20 non-psychotic items and questions about background information considered relevant to the mental health of women in the studied population. Interviews were conducted in an anonymous one-to-one fashion. The prevalence of psychiatric distress in our sample was 55.6%. Predictors of women's mental health in the logistic regression analysis were; physical abuse, women's education, polygamy, residence, age and age of marriage. Among these predictors, women's illiteracy, polygamy and physical abuse were the strongest determinants of mental distress leading to the worse outcomes. Our data show that mental distress is common in the studied population and that it is strongly associated with few, possibly modifiable, factors.

Adolescent↗

Serosurvey on theileriosis in Awassi sheep in Syria.

A serological survey using indirect fluorescent antibody test (IFAT) for Theileria spp. infection of sheep has been carried out from 1994 to 1997 in the provinces Daraa, Hama, Homs and Latakia in Syria. The results revealed a mean seroprevalence of 59.9% without significant differences between years (p = 0.57) and provinces (p = 0.126).

Animals↗

Radon variations and microearthquakes in western Syria.

Groundwater radon data were recorded at monthly intervals from two selected monitoring sites of the northern extension of the Dead Sea Fault System in western Syria during 1993 and 1994. This set of data was utilized to estimate the basic radon background content and the range of its normal variations in groundwater along the fault zone. The results suggest that the establishment of such range is important when attempting to separate the usual groundwater radon fluctuations from other anomalous or earthquake related values. In addition, the seismic activity in the study region was statistically analyzed, and the completeness of the earthquake catalogue during the given time-window was estimated to be at magnitude M > or = 3.5.

Disasters↗

Analysis of 15 short tandem repeats reveals significant differences between the Arabian populations from Morocco and Syria.

The short tandem repeat (STR) systems D3S1358, TH01, D21S11, D18S51, Penta E, D5S818, D13S317, D7S820, D16S539, CSF1PO, Penta D, vWA, D8S1179, TPOX and FGA were studied in Arabian population samples from Morocco and Syria. No significant deviation from Hardy-Weinberg equilibrium could be observed in either preparation. Comparing the Moroccan and Syrian populations using the program RxC, no similarity could be observed at all 15 loci. In the Moroccan and Syrian populations the matching probability is 1 in 1.4 x 10(17) and 1 in 2.6 x 10(17), respectively. Thus, the combination of these 15 STR loci is powerful tool for forensic identification in Arabian populations.

DNA Fingerprinting↗

Characterization of the smoking habit among high school students in Syria.

OBJECTIVES: To establish an accurate estimate of the prevalence of smoking among high school students in Aleppo-Syria and to characterize the smoking habit in this age group. DESIGN: A cross-sectional survey was performed, in which a self-administered questionnaire was distributed to 10th, 11th and 12th graders. SUBJECTS: A sample of 1587 students (784 males; mean age 16 years, and 803 females; mean age 15.9 years) was studied. This sample was drawn from 16 schools randomly selected from a total of 73 schools in the city. RESULTS: The prevalence of current smoking was 15.9% for males and 6.6% for females. The prevalence of daily smoking was 2.4% for males and 0.5% for females. Almost all smoking categories increased with age and grade. Forty seven percent of male daily smokers were heavy smokers. Peer influence was evident in all stages of the smoking process, especially for males. Parental smoking was also an important associated factor. The combination of parental and siblings smoking was the strongest predictor of the smoking status of the surveyed (OR: 4.4; 95% CI: 2.7-7). Thirty eight percent of male smokers and 47.2% of female smokers smoke out of boredom. Fifty one percent of male smokers were introduced to smoking by a friend. Forty percent of male smokers buy their cigarettes, while 56.6% of female smokers obtain their cigarettes from home. Logistic regression analyses showed that parental and siblings smoking were the most important predictors of ever trying to smoke or current smoking among male and female students. CONCLUSIONS: Our study shows that smoking is more frequent in male than female students. Parental and sibling smoking are the most important factors associated with smoking in this population, and peer influence is important particularly in the smoking-initiation stage. Pattern of smoking and associated factors differed substantially between males and females in this study.

Adolescent↗

The dynamics of tobacco smoking among male educated youths in Aleppo-Syria.

Understanding the dynamics of the smoking habit among youths at different stages of their development is crucial for the adoption of effective tobacco control policies. We looked at the smoking habits of 576 male university students and compared it with previously studied 555 male high school students in Aleppo-Syria, stratified into four groups with 2-year interval each. The prevalence of current smoking among 1st and 3rd year university students is 18.2% and 29.4% respectively, compared to 10.5% and 22.6% among 10th and 12th year high school students respectively. This study shows a late onset initiation of regular forms of smoking compared to patterns seen in developed countries.

Adolescent↗

[Ecoepidemiology of leishmaniasis in Syria. 1. Leishmania major Yakimoff and Schokhor (Kinetoplastida-Trypanosomatidae) infestation of Psammomys obesus Cretzschmar (Rodentia-Gerbillidae)].

During an epidemiological survey of zoonotic cutaneous leishmaniasis in South-West Syria, Leishmania major zymodème MON-26 was isolated from a reservoir host, Psammomys obesus terraesanctae (Rodentia-Gerbillidae). The abundance of this rodent, its close contact with infected villages and the high prevalence of the infection (63,1%) indicate that this is the main reservoir host of oriental sore in the semi desert area of this country.

Animals↗

[Ecoepidemiology of leishmaniases in Syria. 2--Presence, in dogs, of Leishmania infantum Nicolle and Leishmania tropica (Wright) (Kinetoplastida-Trypanonomatidae)].

In an ecoepidemiological study in the Syrian foci of human visceral (VL) and cutaneous (CL) leishmaniasis, domestic dogs infected with Leishmania infantum MON-1 and L. tropica MON-76 were found for the first time. In Syria canine leishmaniasis caused by L. infantum, occurs in the humid and sub-humid western belt from the coastal zone to the nearby mountain ranges. Sporadis cases of human VL occur in this area. Canine CL, caused by L. tropica was found in the semi-arid zone in a village with a high human infection rate. The infection causes small papules or crusted ulcers on the nose or muzzle. These observations are relevant to control. In human VL foci it is recommended not to control the dog population, unless this is linked with other activities, such as rabies control. Control of dogs in the CL areas is not justified because of the small size of the lesions and the rarity of the parasites. Indeed the role of the dog as the "true" reservoir host is questionable. Human CL infection is best controlled by active case detection and specific treatment.

Animals↗

Ecoepidemiology of leishmaniases in Syria. 3. Leishmania major infection in Psammomys obesus provides clues to life history of the rodent and possible control measures.

Collections of Psammomys obesus from near Damascus, Syria in May 1990 and November 1991 contained animals of all ages. Both series had a high prevalence of Leishmania major infection. Lesions were small in November and large in May. Assuming the two collections were representative of typical years, it is inferred that the breeding season is between October and May: there is high winter mortality of animals born early in the breeding season, but high survival of their parents, and there is high mortality in summer of animals aged between 17 and around 20 months. Transmission in summer is, therefore, between old adults shortly before their death and young adults born in late winter or spring. Juvenile animals are not exposed to the infection. If these findings are confirmed it should be relatively easy to break this tenuous cycle.

Animals↗

Physical abuse in low-income women in Aleppo, Syria.

Violence against women is a vicious practice present in all societies. Yet data about its occurrence and associated factors are scarce in the Arab world. In this study, we attempt to determine the spread of physical abuse and its sociodemographic correlates among low-income women in Aleppo, Syria. A sample of 411 women was recruited from 8 randomly selected primary care centers in Aleppo. Response rate was 97%, mean age of participants 28 +/- 8 years, and most women (88%) were married. A special questionnaire was used including questions about physical abuse, the self-reporting questionnaire (SRQ-20), and questions about relevant sociodemographic information. Current physical abuse (battering at least 3 times during the previous year) was found in 23% of the investigated and among 26% of married women, while regular abuse (battering at least once weekly) was found in 3.3% of married women. Correlates of physical abuse were women's education, religion, age, marital status, economic status, mental distress, smoking, and residence. Our data show that physical abuse is prevalent in this population and that women's education is the most important modifiable factor.

Adolescent↗

A community-based study of acute respiratory infections among preschool children in Syria.

A longitudinal community-based study of the epidemiology of acute respiratory infections (ARI) in children less than 5 years old was carried out in a low income peri-urban area of Syria. A total of 1030 children were followed up by weekly morbidity surveillance for a period of 24 weeks, starting September 1989. The results revealed that, on average, a child suffered 3.4 episodes of ARI per 100 child-days at risk. The average prevalence of ARI was 23 per cent of time of observation. The peak age-specific incidence occurred in children 6-12 months old for cough/cold, and in children 0-5 months for pneumonia. Male children experienced higher incidence and prevalence of ARI. The most frequently reported symptoms were nasal discharge and cough.

Acute Disease↗

Seasonal variations of solar UVB and UVA in Syria.

Seasonal variations of solar UVB (285-320 nm) and UVA (320-400 nm) were measured in three sites in Syria (33-37 N degrees) for 2 y: 1992-1993. UVB measurements were performed using polysulphone films and Robertson-Berger meters, while UVA measurements were done by a UVA intensity meter. Two sets of measurements were carried out: 1) Maximal daily doses 3 times per week (every other day); and 2) Diurnal variations from sunrise to sunset, every 1 h, twice per month (every fortnight).

Humans↗