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Development and characterization of buccoadhesive nifedipine tablets.

The buccoadhesive controlled-release tablets for delivery of nifedipine were prepared by direct compression of carboxymethyl cellulose (CMC) with carbomer (CP), which showed superior bioadhesion properties compared to polyvinylpyrrolidone (PVP), polyvinyl alcohol (PVA), hydroxypropylmethyl cellulose (HPMC), and acacia in a modified tensiometry method in vitro. The tablets containing 30mg of nifedipine and various amounts of CMC and CP showed a zero-order drug release kinetic. The adhesion force was significantly affected by the mixing ratio of CP:CMC in the tablets. The weakest and highest adhesion force was observed at the mixing ratios of 1:0 and 8:2 of CP:CMC, respectively. The tablets containing 15% CMC and 35% CP adhered for over 8h to the upper gums of six healthy human volunteers. These tablets released about 56% of the loaded drug after 8h in vivo with a rate of 2.17h(-1) and were perfectly tolerated, while they released about 100% of their content after the same time with a rate of 3.49h(-1) in vitro. A good correlation (r(2)=0.989) was observed between drug-released in vitro and in vivo.

Acrylic Resins↗

Nitrogen, carbon and phosphorus mineralization in soils from semi-arid highlands of central Mexico amended with tannery sludge.

Tannery sludge contains valuable nutrients and could be used as a fertilizer to pioneering vegetation in heavily eroded soils of the semi-arid highlands of central Mexico. Soil collected under and outside the canopy of mesquite (Prosopis laeviginata), huizache (Acacia tortuoso) and catclaw (Mimosa biuncifera), and cultivated with maize (Zea mays) and beans (Phaesolus vulgaris) was amended with 1.5 g tannery sludge kg-1 soil or 210 kg dry sludge ha-1 or left unamended. Amended and unamended soils were incubated aerobically for 70 days at 22 +/- 2 degrees C and CO2 production, available P, and inorganic N concentrations were monitored. The CO2 production rate, total C and P, available P, biomass C and P were larger under the canopy of the vegetation than outside of the canopy. The soils were depleted of N as more than 50 mg N kg-1 soil could not be accounted for in the first days of the incubation. Nitrification showed a lag, which lasted 28 days, and concentration of available P remained constant or increased slightly. Application of tannery sludge to soil increased CO2 production with 6.5 mg CO2 kg-1 soil d-1 and inorganic N with 30 mg N kg-1 soil after 70 days, but available P did not increase. Application of tannery sludge increased C and N mineralization and could thus provide valuable nutrients to a pioneer vegetation. Although no inhibitory effects on the biological functioning of the soil were found, further investigation into possible long-term environmental effects are necessary.

Biomass↗

Pattern of immediate type hypersensitivity reactions in the Eastern Province, Saudi Arabia.

BACKGROUND: In the period between July, 1992, and July, 1994, 1,159 patients in our Allergy Clinic tested positive to one or more inhalants. The nationalities of the population tested included 806 Saudi Arabs and 241 Western expatriates (mainly North Americans). The others were of various different nationalities. OBJECTIVES: Our objective was to determine the pattern of immediate type hypersensitivity reactions among the atopic population in the Eastern Province of the Kingdom of Saudi Arabia. METHODS: A standard prick skin test was applied and the reaction was considered positive if there was a 3-mm wheal associated with 10 mm of erythema, greater than the negative control. RESULTS: The ten most common reactions in the Saudi Arab patients were as follows: Chenopodium album 53%, Kochia 51%, mesquite 46%, cottonwood 38%, alfalfa 36%, dust mite-farinae 36%, cockroach 35%, house dust 31%, Bermuda grass 29%, and acacia 29%. For North American expatriates living in the area, the ten most common reactions were: dust mite-farinae 43%, house dust 41%, Alternaria 36%, grass mix 34%, Bermuda grass 33%, mesquite 32%, cat 31%, Kochia 28%, alfalfa 24%, and Chenopodium album 24%. CONCLUSIONS: Hypersensitivity to pollens, house dust, dust mite and cockroach was common. Mold and cat allergies were only common among Western expatriates.

Adolescent↗

Digestive strategy of the south-east African lesser bushbaby, Galago moholi.

Galago moholi is a small nocturnal primate, which has a specialised diet of Acacia exudate and insects. Both exudate and insect exoskeletons contain beta-linked polysaccharides that can be used as an energy source by mammals via microbial fermentation. The morphology of the gastro-intestinal tract of G. moholi suggests that the complex, elongate caecum, proximal colon and ansa coli are most likely to be the fermentation compartment. The results of a digesta marker study showed that there was selective retention of the fluid phase of the digesta, a pattern commonly seen in small caecum-fermenting mammals. There was also retention of the particle marker in the gastro-intestinal tract. Comparison to these results with those from other mammals, including other bushbaby species, suggests that this was due to retention of particulate digesta in both the stomach and the ansa coli, a U-shaped loop in the proximal colon. The digestive strategy of the south-east African lesser bushbaby is best described as caeco-ansal fermentation, as the caecum, proximal colon and ansa coli function as distinct fermentation chambers. However, we contend that, because it is soluble polysaccharides in exudates travel with the fluid phase of the digesta, reach the hindgut sooner than particles of the insect exoskeleton, and are fermented faster than particulate digesta, that lesser bushbabies, in spite of their small size (approximately 200 g) are able to include an apparently low-quality food (exudate) in their diet.

Africa↗

Spatial and temporal distributions of parasites: can wild and domestic ungulates avoid African tick larvae?

Infestation of a new host is a crucial stage in the life-cycle of parasites, and the possibility that hosts avoid infesting contact depends, in part, on the predictability of infestation risk. Immature free stages of ticks (Acari, Ixodidae) have limited mobility and survival in the vegetation and strongly depend on host behaviours for their infestation. We studied spatial and temporal distributions of the larvae of 2 major groups of African risk species in a ranch in Zimbabwe. No difference in the abundance of Rhipicephalus evertsi evertsi larvae was found among vegetation types and during most of the seasonal cycle, and no reliable indicator of their presence on a given site was identified. Rhipicephalus appendiculatus/Rhipicephalus zambeziensis larvae are mainly found during the cool dry season, in vegetation types situated close to permanent water holes or dominated by Acacia trees, which provide key forage resources for ungulates; and several indicators of their presence were identified. For both tick groups, spatial and temporal distributions of the larvae result in an optimized contact with ungulate hosts: R. e. evertsi larvae are unpredictable and thus unavoidable by hosts, whereas R. appendiculatus/R. zambeziensis larvae are predictable but also unavoidable because they are associated with key-resources for ungulates.

Analysis of Variance↗

Magnetic response of soils and vegetation to heavy metal pollution--a case study.

Fast and cost-effective detection of industrial pollution can significantly promote its ecological, economic, and social assessment. A magnetometric method, used for qualitative determination of anthropogenic contamination, meets these requirements but needs further development in more quantitative terms. It could be used successfully in numerous cases when the heavy metals coexist with strongly magnetic iron oxide particles in the source dust. We present an integrated magnetic and geochemical study that examines the utility of magnetometric techniques for rapid, qualitative detection of metallic pollutants in soils and vegetation. The new aspect of our approach, in comparison with previously published articles on this subject, is the combined investigation (magnetic and geochemical) of both soils and vegetation, thus using an additional medium for employing the magnetometry as a pollution proxy at a site. The study area is a small (approximately 3 km2) region in the suburbs of Sofia (Bulgaria), with the main pollution source being a metallurgical factory. Soil samples have been taken from the topmost 20 cm from private gardens, located at different distances from the factory. Vegetation samples were taken from ryegrass (both leaves and roots) and leaves from two kinds of deciduous trees (maple and acacia). The results show that both vegetation and soils are characterized by enhanced magnetic properties, compared to background material, which is due to the presence of magnetite particles of anthropogenic origin accompanying heavy metal emissions. SEM images and microprobe analyses reveal the presence of a significant amount of particles, containing heavy metals (including iron) in vegetation samples taken close to the main pollution source. Correlation analyses show a statistically significant link (correlation coefficients ranging from 0.6 to 0.7) between magnetic susceptibility and the main heavy metals (Cu, Zn, Pb) in soil samples, indicating that the magnetic susceptibility can provide a proxy method for identifying the relative contribution of industrial pollution in soils and vegetation, that is reliable, inexpensive, and less time-consuming than standard chemical analyses.

Environmental Monitoring↗

Authentication of the botanical origin of honey by front-face fluorescence spectroscopy. A preliminary study.

The potential of front-face fluorescence spectroscopy for the authentication of unifloral and polyfloral honey types (n = 57 samples) previously classified using traditional methods such as chemical, pollen, and sensory analysis was evaluated. Emission spectra were recorded between 280 and 480 nm (excit: 250 nm), 305 and 500 nm (excit: 290 nm), and 380 and 600 nm (excit: 373 nm) directly on honey samples. In addition, excitation spectra (290-440 nm) were recorded with the emission measured at 450 nm. A total of four different spectral data sets were considered for data analysis. After normalization of the spectra, chemometric evaluation of the spectral data was carried out using principal component analysis (PCA) and linear discriminant analysis (LDA). The rate of correct classification ranged from 36% to 100% by using single spectral data sets (250, 290, 373, 450 nm) and from 73% to 100% by combining these four data sets. For alpine polyfloral honey and the unifloral varieties investigated (acacia, alpine rose, honeydew, chestnut, and rape), correct classification ranged from 96% to 100%. This preliminary study indicates that front-face fluorescence spectroscopy is a promising technique for the authentication of the botanical origin of honey. It is nondestructive, rapid, easy to use, and inexpensive. The use of additional excitation wavelengths between 320 and 440 nm could increase the correct classification of the less characteristic fluorescent varieties.

Brassica napus↗

Isolation and properties of a Kunitz-type protein inhibitor obtained from Pithecellobium dulce seeds.

We report for the first time the isolation and characterization of a protease inhibitor from the seeds of Pithecellobium dulce, which is a Leguminosae tree native to Mexico. The purification of the P. dulce trypsin inhibitor (PDTI) was a direct process. After its extraction (pH 8.0) and precipitation (80% (NH(4))(2)SO(4)), the pH was adjusted to 4.0, the supernatant was loaded onto a CM-Sepharose column, and a single peak of trypsin inhibitory activity was eluted (CM-TIA). The main component of CM-TIA was PDTI, a protein composed of two polypeptide chains joined by disulfide bridge(s), with a pI of 4.95 and a molecular weight determined by electrospray mass spectrometry of 19 614 Da. The N-terminal sequence of PDTI has the highest similarity with the seed inhibitor of Acacia confusa. PDTI lacks chymotrypsin inhibitory activity. A low rate of cytotoxicity of CM-TIA toward RINm5F cells contrasted with a high rate of the active fraction G75-TIA (gel filtration chromatography; LC(50) of 0.04 mg/mL).

Amino Acid Sequence↗

Authentication of the botanical origin of honey by near-infrared spectroscopy.

Fourier transform near-infrared spectroscopy (FT-NIR) was evaluated for the authentication of eight unifloral and polyfloral honey types (n = 364 samples) previously classified using traditional methods such as chemical, pollen, and sensory analysis. Chemometric evaluation of the spectra was carried out by applying principal component analysis and linear discriminant analysis. The corresponding error rates were calculated according to Bayes' theorem. NIR spectroscopy enabled a reliable discrimination of acacia, chestnut, and fir honeydew honey from the other unifloral and polyfloral honey types studied. The error rates ranged from <0.1 to 6.3% depending on the honey type. NIR proved also to be useful for the classification of blossom and honeydew honeys. The results demonstrate that near-infrared spectrometry is a valuable, rapid, and nondestructive tool for the authentication of the above-mentioned honeys, but not for all varieties studied.

Discriminant Analysis↗

Authentication of the botanical and geographical origin of honey by mid-infrared spectroscopy.

The potential of Fourier transform mid-infrared spectroscopy (FT-MIR) using an attenuated total reflectance (ATR) cell was evaluated for the authentication of 11 unifloral (acacia, alpine rose, chestnut, dandelion, heather, lime, rape, fir honeydew, metcalfa honeydew, oak honeydew) and polyfloral honey types (n = 411 samples) previously classified with traditional methods such as chemical, pollen, and sensory analysis. Chemometric evaluation of the spectra was carried out by applying principal component analysis and linear discriminant analysis, the error rates of the discriminant models being calculated by using Bayes' theorem. The error rates ranged from <0.1% (polyfloral and heather honeys as well as honeydew honeys from metcalfa, oak, and fir) to 8.3% (alpine rose honey) in both jackknife classification and validation, depending on the honey type considered. This study indicates that ATR-MIR spectroscopy is a valuable tool for the authentication of the botanical origin and quality control and may also be useful for the determination of the geographical origin of honey.

Analysis of Variance↗

Identification of flavonoid markers for the botanical origin of Eucalyptus honey.

European Eucalyptus honeys showed a common and characteristic HPLC profile in which the flavonoids myricetin (3,5,7,3',4', 5'-hexahydroxyflavone), tricetin (5,7,3',4',5'-pentahydroxyflavone), quercetin (3,5,7,3',4'-pentahydroxyflavone), luteolin (5,7,3', 4'-tetrahydroxyflavone), and kaempferol (3,5,7, 4'-tetrahydroxyflavone) were identified. Their contents, and relative amounts, in the analyzed honey samples were quite constant and supported their floral origin. In addition, ellagic acid and the propolis-derived flavonoids pinobanksin, pinocembrin, and chrysin were detected in most samples. The contents of these nonfloral phenolics were much more variable as could be expected for their propolis origin. Myricetin, tricetin, and luteolin had not been identified as floral markers in any other honey sample previously analyzed in our laboratory (chestnut, citrus, rosemary, lavender, acacia, rapeseed, sunflower, heather, lime tree, etc.) or reported in the literature, suggesting that these could be useful markers. Only in some individual heather samples produced in Portugal has tricetin previously been detected in minor amounts. These samples, however, were contaminated with Eucalyptus as revealed by their pollen analysis and the lack of tricetin or their glycosides in heather floral nectar. It remains to be established if myricetin, tricetin, and luteolin originate from Eucalyptus floral nectar where the corresponding glycosides should be present.

Biomarkers↗

Effect of time on the interfacial and foaming properties of beta-lactoglobulin/acacia gum electrostatic complexes and coacervates at pH 4.2.

The electrostatic complexation between beta-lactoglobulin and acacia gum was investigated at pH 4.2 and 25 degrees C. The binding isotherm revealed a spontaneous exothermic reaction, leading to a DeltaHobs = -2108 kJ mol(-1) and a saturation protein to polysaccharide weight mixing ratio of 2:1. Soluble electrostatic complexes formed in these conditions were characterized by a hydrodynamic diameter of 119 +/- 0.6 nm and a polydispersity index of 0.097. The effect of time on the interfacial and foaming properties of these soluble complexes was investigated at a concentration of 0.1 wt % at two different times after mixing (4 min, referred as t approximately 0 h and t = 24 h). At t approximately 0 h, the mixture is mainly made of aggregating soluble electrostatic complexes, whereas after 24 h these complexes have already insolubilize to form liquid coacervates. The surface elasticity, viscosity and phase angle obtained at low frequency (0.01 Hz) using oscillating bubble tensiometry revealed higher fluidity and less rigidity in the film formed at t approximately 0 h. This observation was confirmed by diminishing bubble experiments coupled with microscopy of the thin film. It was thicker, more homogeneous and contained more water at t approximately 0 h as compared to t = 24 h (thinner film, less water). This led to very different gas permeability's of Kt approximately 0 h = 0.021 cm s(-1) and Kt=24 h) = 0.449 cm s(-1), respectively. Aqueous foams produced with the beta-lactoglobulin/acacia gum electrostatic complexes or coacervates exhibited very different stability. The former (t approximately 0 h) had a stable volume, combining low drainage rate and mainly air bubble disproportionation as the destabilization mechanism. By contrast, using coacervates aged for 24 h, the foam was significantly less stable, combining fast liquid drainage and air bubble destabilization though fast gas diffusion followed by film rupture and bubble coalescence. The strong effect of time on the air/water interfacial properties of the beta-lactoglobulin/acacia gum electrostatic complexes can be understood by their reorganization at the interface to form a coacervate phase that is more fluid/viscous at t approximately 0 h vs rigid/elastic at t = 24 h.

Air↗

Examination of some morphologically unusual cultures of Phytophthora species using a mitochondrial DNA miniprep technique and a standardised sporangium caducity assessment.

Using the mitochondrial DNA miniprep technique, the identity of sixteen morphologically unusual cultures allocated to Phytophthora nicotianae, Phytophthora mexicana or Phytophthora porri was determined by comparison with a library of mtDNA band patterns obtained from reference cultures. Seven cultures were identified as Phytophthora nicotianae (including those assigned to Phytophthora mexicana and Phytophthora porri), six as strains of Phytophthora palmivora with small, ovoid, weakly caducous sporangia, and one as Phytophthora citrophthora. Some cultures of P. nicotianae had a low percentage of caducous sporangia. Percentage sporangium caducity, but not sporangium L:B ratio, is considered a useful taxonomic criterion for separating species morphologically similar to Phytophthora nicotianae. One culture from tobacco in New Zealand had a highly unusual morphology and a unique DNA band pattern, but was not identifiable. One culture from Acacia mearnsii in South Africa had a unique DNA band pattern which was identical to that of an isolate from Annona squamosa from Australia previously identified as Phytophthora palmivora, the precise identity of which is still unclear. The identity of most isolates from diseased durian was found to be Phytophthora palmivora, confirming its role as the main pathogen, but P. nicotianae was also identified from this host.

Journal Article↗

Screening for effects of phytochemical variability on cytoplasmic protein synthesis pattern of crop plants.

Crop plants have to cope with phytochemical variability along with other environmental stresses. Allelochemicals affect several cellular processes. We tested the effect of toxic aqueous leachates from Sicyos deppei, Acacia sedillense, Sebastiania adenophora, and Lantana camara on the radicle growth and cytoplasmic protein synthesis patterns of Zea mays (maize), Phaseolus vulgaris (bean), Cucurbita pepo (squash), and Lycopersicon esculentum (tomato). 2D-PAGE and gel scan densitometry analysis were used to detect differences in cytoplasmic root protein pattern expression. High-, medium-, and low-molecular-weight cytoplasmic proteins were affected by the different aqueous leachates. Crop plant responses were diverse, but in general, an increase in protein synthesis was observed in the treated roots. Maize was the least affected, but both the radicle growth and also the protein pattern of tomato were severely inhibited by all allelopathic plants. The changes observed in protein expression may indicate a biochemical alteration at the cellular level of the tested crop plants.

Cucurbita↗

Qualitative and quantitative variation among volatile profiles induced by Tetranychus urticae feeding on plants from various families.

Many plant species are known to emit herbivore-induced volatiles in response to herbivory. The spider mite Tetranychus urticae Koch is a generalist that can feed on several hundreds of host plant species. Volatiles emitted by T. urticae-infested plants of 11 species were compared: soybean (Glycine max), golden chain (Laburnum anagyroides), black locust (Robinia pseudo-acacia), cowpea (Vigna unguiculata), tobacco (Nicotiana tabacum), eggplant (Solanum melalonga), thorn apple (Datura stramonium), sweet pepper (Capsicum annuum), hop (Humulus lupulus), grapevine (Vitis vinifera), and ginkgo (Ginkgo biloba). The degree to which the plant species produced novel compounds was analyzed when compared to the odors of mechanically damaged leaves. Almost all of the investigated plant species produced novel compounds that dominated the volatile blend, such as methyl salicylate, terpenes, oximes, and nitriles. Only spider mite-infested eggplant and tobacco emitted a blend that was merely quantitatively different from the blend emitted by mechanically damaged or clean leaves. We hypothesized that plant species with a low degree of direct defense would produce more novel compounds. However, although plant species with a low direct defense level do use indirect defense to defend themselves, they do not always emit novel compounds. Plant species with a high level of direct defense seem to invest in the production of novel compounds. When plant species of the Fabaceae were compared to plant species of the Solanaceae, qualitative differences in spider mite-induced volatile blends seemed to be more prominent in the Fabaceae than in the Solanaceae.

Animals↗

Cross-reactivities between date palm (Phoenix dactylifera L.) polypeptides and foods implicated in the oral allergy syndrome.

BACKGROUND: Date fruit and pollen antigens share a number of cross-reactive epitopes. Date pollen has been shown to cross-react with antigens from Artemisia, cultivated rye (Secale cereale), Timothy grass (Phleum pratense), Sydney golden wattle (Acacia longifolia) and Bermuda grass (Cynodon dactylon) pollen. The present study was carried out to examine any cross-reactivities between date palm polypeptides and antigens of some common foods and vegetables that have been implicated in the oral allergy syndrome (OAS). Because most of such cross-reactivities in other allergens are attributable to the presence of carbohydrate chains and profilin, their role was also investigated. METHODS: Fresh extracts of 20 common fruits and vegetables were prepared. Putative date profilins were isolated by affinity chromatography using a poly L-proline column. Date fruit extracts were digested by various endoglycosidases and the immunoglobulin (Ig)E binding of the postdigest products was assessed in immunoblots. Rabbit antisera to whole date fruit extracts, Timothy grass profilin and putative date profilins, as well as human sera from date sensitive individuals were used in immunoblotting, ELISA and in inhibition experiments. RESULTS: IgG, ELISA and immunoblot results with the different rabbit antisera and date-sensitive atopic sera showed several antigenic cross-reactivities and similar cross-reactivities were seen with birch, date and timothy grass profilins. IgE, ELISA and immunoblot experiments with pooled date sensitive human sera showed a range of cross-reactivities with some food extracts. A number of the IgE cross-reactivities could be inhibited after preabsorption of pooled sera with date extracts. Sixty-six percent of individual date hypersensitive human sera bound IgE in putative date fruit profilin and their pooled sera bound IgE in birch pollen profilin. IgE-binding of the endoglycosidase digested date fruit extracts to atopic serum pool was restricted to only a very low molecular weight band of 6.5-8 kDa. CONCLUSION: These results indicate that date palm polypeptides share cross-reactive IgG and IgE epitopes with a number of foods implicated in the oral allergy syndrome, bind to birch and Timothy grass profilins and bind IgE through glycosyl residues. The clinical relevance of these cross-reactivities needs to be further elucidated.

Allergens↗

Associations of Phlebotomus orientalis and other sandflies with vegetation types in the eastern Sudan focus of kala-azar.

Abundances of Phlebotomus orientalis, P. papatasi (Diptera: Psychodidae) and other sandflies were investigated in relation to different types of vegetation associated with endemic foci of visceral leishmaniasis (kala-azar) in eastern Sudan. Sandfly collection sites were in Umsalala Village (Galabat Province) and Dinder National Park (Dinder Province). Sandfly species found in the area were P. orientalis, P. papatasi, Sergentomyia africana, S. antennata, S. clydei, S. schwetzi and S. squamipleuris. Among the types of trees in the Dinder area, P. orientalis was more abundant in forests dominated by Acacia seyal than where Combretum kordofanum, Balanites aegyptiaca, Hyphaena thaibaica or Ziziphus spinachristi were the dominant trees. At Umsalala, P. papatasi was more abundant in the village than at any site with dense vegetation, but P. orientalis was uncommon. Sergentomyia spp. were distributed fairly evenly amongst most types of vegetation investigated at both localities. The ecological distribution of sandflies and epidemiology of kala-azar in Sudan are discussed with emphasis on the association of P. orientalis with A. seyal woodlands.

Animals↗

Protective efficacy of lambdacyhalothrin-impregnated bednets against Phlebotomus orientalis, the vector of visceral leishmaniasis in Sudan.

Field investigations on the sandfly Phlebotomus orientalis (Diptera: Psychodidae), the vector of Leishmania donovani causing visceral leishmaniasis (VL) in Sudan, were undertaken in two villages (Bellow and Elgamel) and Dinder National Park, to determine the protective value of bednets (polyester, 100 denier) impregnated with lambda-cyhalothrin 10 mg a.i./m2 pyrethroid insecticide. After exposure to treated netting for 30 s, P. orientalis females all died within 1 h. When field-tested in Acacia woodland, treated bednets provided complete protection from bites of the vector. Numbers of P. orientalis females landing on human collectors without bednets or using untreated bednets averaged 32.0 +/- 8.3 or 6.9 +/- 2.7 per man-night, respectively, whereas collectors using treated bednets experienced no sandfly bites during the same period (18.00-06.00 hours, 12 nights in June 1995). Socio-behavioural observations on the bed-time of people living in both study villages indicated that the use of impregnated bednets against P. orientalis would give more potential protection for women and children than for male adults. Overall the proportions of people and their durations of exposure to the risk of sandfly bites (i.e. after sunset until they went to bed) were 40% unprotected for< 1h, 50% for 1-2h and >10% for > or = 2h. Because visceral leishmaniasis in Sudan occurs mainly in children, the use of impregnated bednets (outdoors as well as indoors), and going to bed early could provide a high degree of personal protection against this zoonotic infection.

Adult↗