BACKGROUND Melioidosis,an infectious disease caused by Burkholderia pseudomallei(B.pseudomallei),occurs endemically in Southeast Asia and Northern Australia and is a serious opportunistic infection associated with a h...BACKGROUND Melioidosis,an infectious disease caused by Burkholderia pseudomallei(B.pseudomallei),occurs endemically in Southeast Asia and Northern Australia and is a serious opportunistic infection associated with a high mortality rate.CASE SUMMARY A 58-year-old woman presented with scattered erythema on the skin of her limbs,followed by fever and seizures.B.pseudomallei was isolated successively from the patient’s urine,blood,and pus.Magnetic resonance imaging showed abscess formation involving the right forehead and the right frontal region.Subsequently,abscess resection and drainage were performed.The patient showed no signs of relapse after 4 months of follow-up visits post-treatment.CONCLUSION We present here a unique case of multi-systemic melioidosis that occurs in nonendemic regions in a patient who had no recent travel history.Hence,it is critical to enhance awareness of melioidosis in non-endemic regions.展开更多
The scientific community faces the challenge of measuring progress toward biodiversity targets and indices have been traditionally used.However,recent inventories in secondary tropical mountain forests using tradition...The scientific community faces the challenge of measuring progress toward biodiversity targets and indices have been traditionally used.However,recent inventories in secondary tropical mountain forests using traditional biodiversity indices have yielded results that are indistinct with primary ones.This shows the need to develop complementary indices that goes beyond species count but integrates the distribution and conservation status of the species.This study developed endemicity and conservation importance index for tropical forest that incorporated the distribution and conservation status of the species.These indices were applied to Mt.Natoo,a remnant primary mossy forest in Buguias,Benguet,Philippines,that resulted to endemicity index of 81.07 and conservation importance index of 42.90.Comparing these with secondary forest sites with comparable Shannon-Wiener,Simpson,Evenness and Margalef’s indices,our endemicity and conservation indices clearly differentiates primary forest(our study site)with higher values from secondary forests with much lower values.Thus,we are proposing these indices for a direct but scientifically-informed identification of specific sites for conservation and protection in tropical forests.Additionally,our study documented a total of 168 vascular plant species(79 endemic and 12 locally threatened species)in Mt.Nato-o.Majority are of tropical elements for both generic and species levels with some temperate elements that could be attributed to the site's high elevation and semi-temperate climate.These are important baseline information for conservation plans and monitoring of tropical mossy forests.展开更多
Savanna, semi-deserts, and hot deserts characterize the Saharo-Arabian region, which includes Morocco, Mauretania, Algeria, Tunisia, Libya, Egypt, Palestine, Kuwait, Saudi Arabia, Qatar, Bahrain, the United Arab Emira...Savanna, semi-deserts, and hot deserts characterize the Saharo-Arabian region, which includes Morocco, Mauretania, Algeria, Tunisia, Libya, Egypt, Palestine, Kuwait, Saudi Arabia, Qatar, Bahrain, the United Arab Emirates, Oman, Yemen, southern Jordan, Syria, Iraq, Iran, Afghanistan, Pakistan, and northern India. Its neighboring regions, the Sudano-Zambezian region belonging to the Paleotropical Kingdom and the Mediterranean and Irano-Turanian regions included in the Holarctic Kingdom, share a large portion of their flora with the Saharo-Arabian region. Despite the widespread acknowledgment of the region's global importance for plant diversity, an up to date list of the Saharo-Arabian endemics is still unavailable. The available data are frequently insufficient or out of date at both the whole global and the national scales. Therefore, the present study aims at screening and verifying the Saharo-Arabian endemic plants and determining the phytogeographical distribution of these taxa in the Egyptian flora. Hence, a preliminary list of 429 Saharo-Arabian endemic plants in Egypt was compiled from the available literature. Indeed, by excluding the species that were recorded in any countries or regions outside the Saharo-Arabian region based on different literature, database reviews, and websites, the present study has reduced this number to 126 taxa belonging to 87 genera and 37 families. Regarding the national geographic distribution, South Sinai is the richest region with 83 endemic species compared with other eight phytogeographic regions in Egypt, followed by the Isthmic Desert(the middle of Sinai Peninsula, 53 taxa). Sahara regional subzone(SS1) distributes all the 126 endemic species, Arabian regional subzone(SS2) owns 79 taxa, and Nubo-Sindian subzone(SS3) distributes only 14 endemics. Seven groups were recognized at the fourth level of classification as a result of the application of the two-way indicator species analysis(TWINSPAN) to the Saharo-Arabian endemic species in Egypt, i.e., Ⅰ Asphodelus refractus group, Ⅱ Agathophora alopecuroides var. papillosa group, Ⅲ Anvillea garcinii group, Ⅳ Reseda muricata group, V Agathophora alopecuroides var. alopecuroides group, Ⅵ Scrophularia deserti group, and Ⅶ Astragalus schimperi group. It's crucial to clearly define the Saharo-Arabian endemics and illustrate an updated verified database of these taxa for a given territory for providing future management plans that support the conservation and sustainable use of these valuable species under current thought-provoking devastating impacts of rapid anthropogenic and climate change in this region.展开更多
Medicinal plants provide crucial ecosystem services,especially in developing countries such as China,which harbors diverse endemic medicinal plant species with substantial cultural and economic value.Accordingly,under...Medicinal plants provide crucial ecosystem services,especially in developing countries such as China,which harbors diverse endemic medicinal plant species with substantial cultural and economic value.Accordingly,understanding the patterns and drivers of medicinal plant distribution is critical.However,few studies have investigated the patterns and drivers of endemic medicinal plants distribution in China.Here,we linked endemic medicinal plants distribution with possible explanatory variables,i.e.,paleoclimate change,contemporary climate,altitudinal range and ethnic minority human population size at the prefecture city level in China.Our results show that endemic medicinal plants are concentrated in southern China,especially in southwestern China.Notably,both endemic medicinal plant species richness and the ratio of endemic medicinal plant species richness are negatively associated with glacialinterglacial anomaly in temperature,and positively associated with contemporary precipitation and altitudinal range.In addition,we found that endemic medicinal plant species richness is positively associated with ethnic minority population sizes as well as its ratio to the overall population size.These findings suggest that the distribution of endemic medicinal plants is determined by multiple drivers.Furthermore,our findings stress that dramatic future climate changes and massive anthropogenic activities in southern China pose great challenges to the conservation of China's endemic medicinal plants.展开更多
Objective:To estimate the risk of chronic kidney disease in patients with leptospirosis.Methods:All reported(41890)and later confirmed leptospirosis(1990)cases from 2010-2020 were traced by universal sampling.386 Labo...Objective:To estimate the risk of chronic kidney disease in patients with leptospirosis.Methods:All reported(41890)and later confirmed leptospirosis(1990)cases from 2010-2020 were traced by universal sampling.386 Laboratory-confirmed leptospirosis cases were enrolled and 413 age,gender,area,and occupation matched healthy persons were included as controls.Variables including socio-demographic characteristics,medical history,and health-related behaviours were compared between the two groups and association between these variables and reduced estimated glomerular filtration rate(eGFR)was analyzed with multiple linear regression.Results:The median of eGFR was 49.0(27.0,75.0)mL/min/1.73 m^(2) in the cases and 96.0(72.0,121.0)mL/min/1.73 m^(2) in the controls,showing significant differences(P<0.001).Bivariate analysis showed that leptospirosis seropositivitiy,repeat leptospirosis infection,diabetes,male gender,working in field(sun exposure),COVID-19 infection and smoking had statistically significant association with reduced eGFR.Leptospirosis seropositivity had negative effects on eGFR.Multiple linear regression confirmed that leptospirosis seropositivity had negative effects on eGFR(unstandardised β coefficients=−30.86,95%CI−49.7 to−11.9,P<0.001).Conclusions:Chronic kidney disease is a complex disease with multiple risk factors involved.Exposure to leptospirosis is one of the essential factors in accelerating its progression.展开更多
Mosquito-borne infections are of global health concern because of their rapid spread and upsurge,which creates a risk for coinfections.chikungunya virus(CHIKV),an arbovirus disease transmitted by Aedes aegypti or A.al...Mosquito-borne infections are of global health concern because of their rapid spread and upsurge,which creates a risk for coinfections.chikungunya virus(CHIKV),an arbovirus disease transmitted by Aedes aegypti or A.albopictus,and malaria,a parasitic disease transmitted by Anopheles gambiae,are prevalent in Nigeria and neighbouring countries,but their burden and possible coinfections are poorly understood.In this study,we investigated the antibody seropositivity and endemicity of chikungunya and Zika viruses(ZIKV)in three regions of Nigeria.A cross-sectional serosurvey was conducted on 871 participants.Samples were collected from outpatients by simple random sampling.Analyses of the samples were performed using recomLine Tropical Fever for the presence of antibody serological marker IgG immunoblot with CHIKV VLP(virus like particle),ZIKV NS1 and ZIKV Equad according to manufacturers’instructions and malaria RDT for malaria parasite.There was a significantly higher antibody seropositivity against CHIKV in the central region than in the northern and southern regions(69.5%,291/419),while ZIKV-seropositivity(22.4%,34/152)and CHIKV-ZIKV co-circulating antibody seropositivity(17.8%,27/152)were notably higher in the southern region than in the central and northern regions.This investigation revealed an unexpectedly high antibody seropositivity and concealed endemicity of CHIKV and ZIKV in three Nigerian regions.The seropositivity of detectable antibodies differed among the three geographical locations.展开更多
We describe a unique new species and genus of agamid lizard from the karstic massifs of Khammouan Province,central Laos.Laodracon carsticola Gen.et sp.nov.is an elusive medium-sized lizard(maximum snout-vent length101...We describe a unique new species and genus of agamid lizard from the karstic massifs of Khammouan Province,central Laos.Laodracon carsticola Gen.et sp.nov.is an elusive medium-sized lizard(maximum snout-vent length101 mm)specifically adapted to life on limestone rocks and pinnacles.To assess the phylogenetic position of the new genus amongst other agamids,we generated DNA sequences from two mitochondrial gene fragments(16S rRNA and ND2)and three nuclear loci(BDNF,RAG1 and c-mos),with a final alignment comprising 7418 base pairs for 64 agamid species.Phylogenetic analyses unambiguously place the new genus in the mainland Asia subfamily Draconinae,where it forms a clade sister to the genus Diploderma from East Asia and the northern part of Southeast Asia.Morphologically,the new genus is distinguished from all other genera in Draconinae by possessing a notably swollen tail base with enlarged scales on its dorsal and ventral surfaces.Our work provides further evidence that limestone regions of Indochina represent unique“arks of biodiversity”and harbor numerous relict lineages.To date,Laodracon carsticola Gen.et sp.nov.is known from only two adult male specimens and its distribution seems to be restricted to a narrow limestone massif on the border of Khammouan and Bolikhamxai provinces of Laos.Additional studies are required to understand its life history,distribution,and conservation status.展开更多
Hynobiids are exclusively in Asia. China is the main distribution of hynobiids,and has many rich species because of the diversity of habitat. In present paper,the introduction on the systematic taxonomy of Chinese end...Hynobiids are exclusively in Asia. China is the main distribution of hynobiids,and has many rich species because of the diversity of habitat. In present paper,the introduction on the systematic taxonomy of Chinese endemic genera (Protohynobius,Batrachuperus,Liua,Pachyhynobius and Pseudohynobius) in Hynobiidae will improve the understanding on these genera.展开更多
Background:Geographical distribution of endemic species and its multiple scale drivers are an important topic in biodiversity conservation,because these species are especially vulnerable to climate change and habitat ...Background:Geographical distribution of endemic species and its multiple scale drivers are an important topic in biodiversity conservation,because these species are especially vulnerable to climate change and habitat degradation,and therefore have high conservation priority.Here,for the first time,we simultaneously linked glacial-interglacial climate change,contemporary climate,plant species richness and altitudinal range with endemic bird distribution in China.Methods:Ordinary least squares models and simultaneous autoregressive models were used to assess the associations between endemic bird richness,endemic bird ratio and each explanatory variable.Structural Equation Models were also performed to test the direct and indirect effects of these variables on endemic bird richness and endemic bird ratio.Results:Higher endemic bird richness and endemic bird ratio occurred in regions with stable glacial-interglacial temperature,i.e.,southwest China.Plant species richness and altitudinal range were also positively correlated with endemic bird richness and endemic bird ratio.Glacial-interglacial temperature change,contemporary precipitation,plant species richness and altitudinal range were all included in the best combination of variables for endemic bird richness.Importantly,glacial-interglacial temperature change had strong direct effects on both endemic bird richness and endemic bird ratio,while plant species richness only had a direct effect on endemic bird richness.Conclusions:Our results indicate that endemic birds in China concentrate in southwest regions where there are stable glacial-interglacial temperature,more plant species and larger altitudinal range.Notably,while stable climate has strong direct effects on both endemic bird richness and endemic bird ratio,plant species may affect endemic bird richness through its effect on overall bird species richness.Importantly,the recent anthropogenic activities have also significantly intensified in this region,which would pose huge challenge for biodiversity conservation in China.展开更多
We review the fossil history of seed plant genera that are now endemic to eastern Asia. Although the majority of eastern Asian endemic genera have no known fossil record at all, 54 genera, or about 9%, are reliably kn...We review the fossil history of seed plant genera that are now endemic to eastern Asia. Although the majority of eastern Asian endemic genera have no known fossil record at all, 54 genera, or about 9%, are reliably known from the fossil record. Most of these are woody (with two exceptions), and most are today either broadly East Asian, or more specifically confined to Sino-Japanese subcategory rather than being endemic to the Sino-Himalayan area. Of the "eastern Asian endemic" genera so far known from the fossil record, the majority formerly occurred in Europe and/or North America, indicating that eastern Asia served as a late Tertiary or Quaternary refugium for taxa. Hence, many of these genera may have originated in other parts of the Northern Hemisphere and expanded their ranges across continents and former sea barriers when tectonic and climatic conditions allowed, leading to their arrival in eastern Asia. Although clear evidence for paleoendemism is provided by the gymnosperms Amentotaxus, Cathaya, Cephalotaxus, Cunninghamia, Cryptomeria, Glyptostrobus, Ginkgo, Keteleeria, Metasequoia, Nothotsuga, Pseudolarix, Sciadopitys, and Taiwania, and the angiosperms Cercidiphyllum, Choerospondias, Corylopsis, Craigia, Cyclocarya, Davidia, Dipelta, Decaisnea, Diplopanax, Dipteronia, Emmenopterys, Eucommia, Euscaphis, Hemiptelea, Hovenia, Koelreuteria, Paulownia, Phellodendron, Platycarya, Pteroceltis, Rehderodendron, Sargentodoxa, Schizophragma, Sinomenium, Tapiscia, Tetracentron, Toricellia, Trapella, and Trochodendron, we cannot rule out the possibility that neoendemism plays an important role especially for herbaceous taxa in the present-day flora of Asia, particularly in the Sino-Himalayan region. In addition to reviewing paleobotanical occurrences from the literature, we document newly recognized fossil occurrences that expand the geographic and stratigraphic ranges previously known for Dipelta, Pteroceltis, and Toricellia.展开更多
Amphibians are good indicators of ecosystem health. Updating the information of endemic species in time and understanding their spatial distributions are necessary for the development of integrative conservation strat...Amphibians are good indicators of ecosystem health. Updating the information of endemic species in time and understanding their spatial distributions are necessary for the development of integrative conservation strategies and the elucidation of geographic patterns of amphibians. We analyzed the diversity and distributions of the endemic amphibians in China based on a database of specimen records, recently published literature, and field surveys. Two hundred and sixty two endemic species of amphibians, belonging to 59 genera in 12 families and two orders, are recognized. They account for 67% of the total number of amphibian species in China, with the family Megophryidae possessing the largest number of endemics. There are also 17 genera endemic to China. Across provinces, the species richness of endemics shows five levels with a hierarchical diversification. Sichuan has the largest number of endemics, while Heilongjiang and Jilin have no endemic species. Alternatively, whether on the level of endemic genus or species, the highest diversity occurs in the Western Mountains and Plateau Subregion. The distribution ranges of most endemic species cover ≤ 4 provinces or zoogeographic subregions. Additionally, the species richness of endemics along an elevational gradient shows a bell-shaped pattern with the peak around 800 m. Most endemic species are distributed in areas of low to mid elevation(c. 700–1 500 m), while 36 species are distributed up to 3 000 m. Endemic species richness decreases with increasing of elevation range. Species at mid elevations display large range sizes, while species at lower and higher elevations exhibit smaller ranges. Our results are to be beneficial for further exploration of the underlying mechanisms of distributional patterns of amphibians in China. This study highlights a need to promote conservation programs for Chinese endemic amphibians due to their narrow distribution ranges and potential threats.展开更多
Cupressus atlantica Gaussen (Cupressaceae) is an endemic and endangered coniferous tree geographically restricted to the N'Fis valley in South-Western Morocco. Like many forest species, C. atlantica exhibits dorman...Cupressus atlantica Gaussen (Cupressaceae) is an endemic and endangered coniferous tree geographically restricted to the N'Fis valley in South-Western Morocco. Like many forest species, C. atlantica exhibits dormancy which delays and reduces germination. To improve seed germination, different pre-treatments were conducted on C. atlantica seeds after storage for different periods (one, two and five years) including: scarification with sandy paper; soaking seeds in hot distilled water at 60℃ and 80℃ for 15 min and soaking seeds for 48 h in a gibberellic acid (GA3) at 1,000 and 2,000 mg·L-1. Results showed that scarification with sandy paper increased the germination rate of Atlas cypress by up to 67%, indicating that the species possess essentially an exogenous dormancy (physical dormancy) due to the hard seed coat (hardseededness). Exogenous application of gibberellic acid (GA3) at 1,000 mg.L-1 was also effective in breaking seed dormancy and germination induction. These two treatments induced faster speed germination expressed by low number of days to first germination (8-10 days) and low values of mean germination times (MGT). However, germination rate, under any treatment, is greatly dependent on the year of seed collection. Seeds collected in year 2004 gave the highest value, suggesting that even after five years of storage, the germination capacity of C. atlantica seeds could remain high. This observation is very interesting in the ex-situ conservation of such endemic and endangered species where the production of seeds is irregular over the years.展开更多
Endemic plants are important for understanding phylogenetic relationships,biogeographical history,and genetic variation because of their restricted distribution and their role in conserving biodiversity.Here,we invest...Endemic plants are important for understanding phylogenetic relationships,biogeographical history,and genetic variation because of their restricted distribution and their role in conserving biodiversity.Here,we investigated the phylogenetic relationships of the Korean endemic Fraxinus chiisanensis by reconstructing the molecular phylogeny of Fraxinus based on two nuclear DNA(nrITS and phantastica)and two chloroplast DNA(psbA-trnH and rp132-trnL)regions.Within our fossil-calibrated phylogenetic framework,we also inferred the biogeographical history of F.chiisanensis.To provide a scientific basis for the conservation of F.chiisanensis,we determined the levels of genetic diversity and genetic differentiation in this species.Combining information from nuclear and chloroplast DNA sequence data,our molecular phylogenetic analyses identified F.chiisanensis as a genetically distinct unit from its sister group,Fraxinus platypoda from Japan.Our molecular dating analyses using nuclear and chloroplast DNA data sets show F.chiisanensis diverged from its sister F.platypoda in the Early or Middle Miocene and differentiated in the Late Miocene on the Korean Peninsula.Our results suggest that the divergence of F.chiisanensis was associated with the submergence of the East China Sea land bridge and enhanced monsoons in East Asia.When compared to F.platypoda,F.chiisanensis exhibits low genetic diversity within populations and high genetic differentiation among populations.These results help us to understand the evolutionary history of F.chiisanensis and to develop a conservation strategy for this species.展开更多
This paper deals with some endemic diseases related to selenium, iodine and fluoride in eco-environment. Keshan disease and Kaschin-Beck disease are associated with low selenium, they mainly occur in a belt zone acros...This paper deals with some endemic diseases related to selenium, iodine and fluoride in eco-environment. Keshan disease and Kaschin-Beck disease are associated with low selenium, they mainly occur in a belt zone across China ranging from North-East to South-West. Selenium contents in food grains and human hair from the disease affected areas are usually below 0.020ppm and 0.20ppm respectively. The endemic goitre caused by iodine deficiency distributes extensively in China, mainly in mountainous and hilly districts, swamp and peat areas, some sand soil and limestone areas. Also there is another kind of endemic goitre which caused by iodine excess in interior and coast areas. Endemic cretinism usually occurs in the endemic goitre seriously affected areas. Endemic fluorosis is also widely distributed in China, but mainly occurs in dry or semi-dry areas of north China. The fluoride sources for causing endemic fluorisis are drinking water and food grains polluted by coal smoke in the backing process of maize and chilli.展开更多
Background: China has a relative high degree of endemism of birds due to its large area, diversified topography, and varied climates and habitats. Among the 77 Chinese endemic birds, 29 species are classified as threa...Background: China has a relative high degree of endemism of birds due to its large area, diversified topography, and varied climates and habitats. Among the 77 Chinese endemic birds, 29 species are classified as threatened according to the officially released China Biodiversity Red List in 2015. Chinese endemic birds should be the focus of conservation because their local extinction in China means complete global extinction. However, to date, no study has explicitly examined the patterns and processes of extinction and threat in Chinese endemic birds. Methods: We obtained eleven biological traits and four extrinsic factors that are commonly hypothesized to influence extinction risk. After phylogenetic correction, these factors were used separately and in combination to assess their associations with extinction risk. Results: We found that 37.7% of Chinese endemic birds were listed as threatened (Vulnerable, Endangered and Critically Endangered). Small range size, high hunting vulnerability, and high human population density were important predictors of high extinction risk in Chinese endemic birds. Conclusions: Our study is the first to systematically investigate the patterns and processes of extinction risk in Chinese endemic birds. We suggest that endemic species with small range size and living in area with high human densities require conservation priorities. Conservation efforts should also focus on the reduction of human threats, such as human hunting and habitat degradation, for the effective preservation of Chinese endemic birds.展开更多
Objective:To predict the factors associated with progression to severe dengue infection to prevent potentially fatal complications and to identify the determinants of severe complicated dengue.Methods:The study was co...Objective:To predict the factors associated with progression to severe dengue infection to prevent potentially fatal complications and to identify the determinants of severe complicated dengue.Methods:The study was conducted in a tertiary care hospitaldengue ward from September to November 2021 including confirmed dengue infected patients(positive NS1 antigen or antidengue-antibodies IgM).Secondary dengue infection was labelled by positive anti-dengue-antibodies IgG in active dengue infected patients.Detailed history,physical examination,laboratory and radiological parameters,hospital stay(days)and mortality percentages were noted.Patients were classified into three groups according to disease severity:dengue fever(DF),dengue hemorrhagic fever(DHF)and dengue shock syndrome(DSS).The predictors of complicated dengue infection were determined by regression analysis.Results:The most common symptom was fever(96.9%).Among 129 patients,62.8%had DF,31.0%had DHF and only 6.2%developed DSS.History of previous symptomatic dengue and positive anti-dengue-antibodies IgG were present in 100%DSS patients and nearly 75.0%DHF patients(P<0.05).The moratlity rate in patients with DSS,DHF and DF was 50.0%,2.5%and none respectively(P<0.05).Clinical parameters(body aches,bleeding,conjunctival hemorrhage,maculopapular rash,right hypochondrial tenderness,ascites,pleural effusion)and laboratory parameters(thrombocytopenia,raised alanine aminotransferase and secondary dengue infection)were determinants that complicate the dengue infection.Conclusions:Thrombocytopenia,raised alanine aminotransferase and secondary dengue infection are important laboratory parameters to complicate the disease process of dengue infection.展开更多
With the accumulation and accessibility of information about plant species,it is time to re-evaluate and further divide a global biodiversity hotspot region,Yunnan,located in southwestern China.In this study,we combin...With the accumulation and accessibility of information about plant species,it is time to re-evaluate and further divide a global biodiversity hotspot region,Yunnan,located in southwestern China.In this study,we combined data on the distribution of 1010 stenochoric endemic seed plants,vegetation constitution,geological history and climate change,and used these to propose a new system of floristic regions.We identified 11 distinct floristic subregions and 84 floristic provinces within Yunnan.Our work confirmed some views emphasized by Wu Zhengyi that the stenochoric endemic species play a key role in defining floristic provinces;that stenochoric endemic plants with long collection and publication histories are more valuable;that greater attention should be paid to woody plants;and that for Yunnan,a border region,some trans-border distributed elements should be treated cautiously.展开更多
The human dietary selenium requirement in China has been estimated by various methods. The minimum dietary selenium requircment for the prevention of Keshan disease (KD) was found to be around 17 μg/d. On the other h...The human dietary selenium requirement in China has been estimated by various methods. The minimum dietary selenium requircment for the prevention of Keshan disease (KD) was found to be around 17 μg/d. On the other hand, an intake of 40 μg/d is required to maintain the plasma glutathione peroxidase (GPx) activity at plateau. Hence 40 μg/d is considered as the adequate dietary selenium requirement. Studies conducted in a chronic selenosis area indicate thai the toxic dietary selenlum inlake (adverse effect level), which would maintain the characteristic fingernail changes, was approximately 1600 μg/d. The mean value of dietary selenium intakes, which enabled the five patients to recover from fingernail lesions, was found to be 819 ±126μg/d. At a 95% confidence limit, the lower limit is around 600μg/d. Therefore, 600 and 400μg/d were suggested as the individual daily maximum safe selenium intake and the safe dietary selenium intake, respectively,The results were used in the prevention of Se-related endemic KD and Kashin-Beck disease (KBD)展开更多
Dengue is one of the most common arthropod-borne viral diseases in humans and it is a leading cause of illness and death in the tropical and subtropical regions of the world. It is thought to account for 400 million c...Dengue is one of the most common arthropod-borne viral diseases in humans and it is a leading cause of illness and death in the tropical and subtropical regions of the world. It is thought to account for 400 million cases annually among approximately 3.97 billion people at risk of infection in 128 endemic countries. Despite the global prevalence of the disease, the availability of a vaccine is limited in most countries in the endemic areas. Most endemic countries in South America, South East Asia and Africa serve as attractive touristic sites for people from non-endemic countries who become infected and export the virus to dengue-free regions. Dengue fever typically resembles malaria and in endemic countries most cases of dengue are treated as presumptive malaria. Consequently, routine dengue diagnosis among persons with fever will offer early treatment and reduce the burden of the disease. Also, routine testing among travellers from endemic countries will reduce importation and prevent the geographical expansion of dengue. In this essay, we seek to highlight the usefulness of routine dengue testing in endemic countries.展开更多
Climate change may cause shifts in the natural range of species especially for those that are geographically restricted and/or endemic species.In this study,the spatial distribution of five endemic and threatened spec...Climate change may cause shifts in the natural range of species especially for those that are geographically restricted and/or endemic species.In this study,the spatial distribution of five endemic and threatened species belonging to the genus Onosma(including O.asperrima,O.bisotunensis,O.kotschyi,O.platyphylla,and O.straussii)was investigated under present and future climate change scenarios:RCP2.6(RCP,representative concentration pathway;optimistic scenario)and RCP8.5(pessimistic scenario)for the years 2050 and 2080 in Iran.Analysis was conducted using the maximum entropy(MaxEnt)model to provide a basis for the protection and conservation of these species.Seven environmental variables including aspect,depth of soil,silt content,slope,annual precipitation,minimum temperature of the coldest month,and annual temperature range were used as main predictors in this study.The model output for the potential habitat suitability of the studied species showed acceptable performance for all species(i.e.,the area under the curve(AUC)>0.800).According to the models generated by MaxEnt,the potential current patterns of the species were consistent with the observed areas of distributions.The projected climate maps under optimistic and pessimistic scenarios(RCP2.6 and RCP8.5,respectively)of 2050 and 2080 resulted in reductions and expansions as well as positive range changes for all species in comparison to their current predicted distributions.Among all species,O.bisotunensis showed the most significant and highest increase under the pessimistic scenario of 2050 and 2080.Finally,the results of this study revealed that the studied plant species have shown an acute adaptability to environmental changes.The results can provide useful information to managers to apply appropriate strategies for the management and conservation of these valuable Iranian medicinal and threatened plant species in the future.展开更多
文摘BACKGROUND Melioidosis,an infectious disease caused by Burkholderia pseudomallei(B.pseudomallei),occurs endemically in Southeast Asia and Northern Australia and is a serious opportunistic infection associated with a high mortality rate.CASE SUMMARY A 58-year-old woman presented with scattered erythema on the skin of her limbs,followed by fever and seizures.B.pseudomallei was isolated successively from the patient’s urine,blood,and pus.Magnetic resonance imaging showed abscess formation involving the right forehead and the right frontal region.Subsequently,abscess resection and drainage were performed.The patient showed no signs of relapse after 4 months of follow-up visits post-treatment.CONCLUSION We present here a unique case of multi-systemic melioidosis that occurs in nonendemic regions in a patient who had no recent travel history.Hence,it is critical to enhance awareness of melioidosis in non-endemic regions.
文摘The scientific community faces the challenge of measuring progress toward biodiversity targets and indices have been traditionally used.However,recent inventories in secondary tropical mountain forests using traditional biodiversity indices have yielded results that are indistinct with primary ones.This shows the need to develop complementary indices that goes beyond species count but integrates the distribution and conservation status of the species.This study developed endemicity and conservation importance index for tropical forest that incorporated the distribution and conservation status of the species.These indices were applied to Mt.Natoo,a remnant primary mossy forest in Buguias,Benguet,Philippines,that resulted to endemicity index of 81.07 and conservation importance index of 42.90.Comparing these with secondary forest sites with comparable Shannon-Wiener,Simpson,Evenness and Margalef’s indices,our endemicity and conservation indices clearly differentiates primary forest(our study site)with higher values from secondary forests with much lower values.Thus,we are proposing these indices for a direct but scientifically-informed identification of specific sites for conservation and protection in tropical forests.Additionally,our study documented a total of 168 vascular plant species(79 endemic and 12 locally threatened species)in Mt.Nato-o.Majority are of tropical elements for both generic and species levels with some temperate elements that could be attributed to the site's high elevation and semi-temperate climate.These are important baseline information for conservation plans and monitoring of tropical mossy forests.
文摘Savanna, semi-deserts, and hot deserts characterize the Saharo-Arabian region, which includes Morocco, Mauretania, Algeria, Tunisia, Libya, Egypt, Palestine, Kuwait, Saudi Arabia, Qatar, Bahrain, the United Arab Emirates, Oman, Yemen, southern Jordan, Syria, Iraq, Iran, Afghanistan, Pakistan, and northern India. Its neighboring regions, the Sudano-Zambezian region belonging to the Paleotropical Kingdom and the Mediterranean and Irano-Turanian regions included in the Holarctic Kingdom, share a large portion of their flora with the Saharo-Arabian region. Despite the widespread acknowledgment of the region's global importance for plant diversity, an up to date list of the Saharo-Arabian endemics is still unavailable. The available data are frequently insufficient or out of date at both the whole global and the national scales. Therefore, the present study aims at screening and verifying the Saharo-Arabian endemic plants and determining the phytogeographical distribution of these taxa in the Egyptian flora. Hence, a preliminary list of 429 Saharo-Arabian endemic plants in Egypt was compiled from the available literature. Indeed, by excluding the species that were recorded in any countries or regions outside the Saharo-Arabian region based on different literature, database reviews, and websites, the present study has reduced this number to 126 taxa belonging to 87 genera and 37 families. Regarding the national geographic distribution, South Sinai is the richest region with 83 endemic species compared with other eight phytogeographic regions in Egypt, followed by the Isthmic Desert(the middle of Sinai Peninsula, 53 taxa). Sahara regional subzone(SS1) distributes all the 126 endemic species, Arabian regional subzone(SS2) owns 79 taxa, and Nubo-Sindian subzone(SS3) distributes only 14 endemics. Seven groups were recognized at the fourth level of classification as a result of the application of the two-way indicator species analysis(TWINSPAN) to the Saharo-Arabian endemic species in Egypt, i.e., Ⅰ Asphodelus refractus group, Ⅱ Agathophora alopecuroides var. papillosa group, Ⅲ Anvillea garcinii group, Ⅳ Reseda muricata group, V Agathophora alopecuroides var. alopecuroides group, Ⅵ Scrophularia deserti group, and Ⅶ Astragalus schimperi group. It's crucial to clearly define the Saharo-Arabian endemics and illustrate an updated verified database of these taxa for a given territory for providing future management plans that support the conservation and sustainable use of these valuable species under current thought-provoking devastating impacts of rapid anthropogenic and climate change in this region.
基金supported by National Natural Science Foundation of China(31870506)Strategic Priority Research Program of the Chinese Academy of Sciences(Grant No.XDB31000000)+1 种基金supported by the the National Key R&D Program of China(2019YFA0607103)the National Natural Science Foundation of China(41861004).
文摘Medicinal plants provide crucial ecosystem services,especially in developing countries such as China,which harbors diverse endemic medicinal plant species with substantial cultural and economic value.Accordingly,understanding the patterns and drivers of medicinal plant distribution is critical.However,few studies have investigated the patterns and drivers of endemic medicinal plants distribution in China.Here,we linked endemic medicinal plants distribution with possible explanatory variables,i.e.,paleoclimate change,contemporary climate,altitudinal range and ethnic minority human population size at the prefecture city level in China.Our results show that endemic medicinal plants are concentrated in southern China,especially in southwestern China.Notably,both endemic medicinal plant species richness and the ratio of endemic medicinal plant species richness are negatively associated with glacialinterglacial anomaly in temperature,and positively associated with contemporary precipitation and altitudinal range.In addition,we found that endemic medicinal plant species richness is positively associated with ethnic minority population sizes as well as its ratio to the overall population size.These findings suggest that the distribution of endemic medicinal plants is determined by multiple drivers.Furthermore,our findings stress that dramatic future climate changes and massive anthropogenic activities in southern China pose great challenges to the conservation of China's endemic medicinal plants.
文摘Objective:To estimate the risk of chronic kidney disease in patients with leptospirosis.Methods:All reported(41890)and later confirmed leptospirosis(1990)cases from 2010-2020 were traced by universal sampling.386 Laboratory-confirmed leptospirosis cases were enrolled and 413 age,gender,area,and occupation matched healthy persons were included as controls.Variables including socio-demographic characteristics,medical history,and health-related behaviours were compared between the two groups and association between these variables and reduced estimated glomerular filtration rate(eGFR)was analyzed with multiple linear regression.Results:The median of eGFR was 49.0(27.0,75.0)mL/min/1.73 m^(2) in the cases and 96.0(72.0,121.0)mL/min/1.73 m^(2) in the controls,showing significant differences(P<0.001).Bivariate analysis showed that leptospirosis seropositivitiy,repeat leptospirosis infection,diabetes,male gender,working in field(sun exposure),COVID-19 infection and smoking had statistically significant association with reduced eGFR.Leptospirosis seropositivity had negative effects on eGFR.Multiple linear regression confirmed that leptospirosis seropositivity had negative effects on eGFR(unstandardised β coefficients=−30.86,95%CI−49.7 to−11.9,P<0.001).Conclusions:Chronic kidney disease is a complex disease with multiple risk factors involved.Exposure to leptospirosis is one of the essential factors in accelerating its progression.
文摘Mosquito-borne infections are of global health concern because of their rapid spread and upsurge,which creates a risk for coinfections.chikungunya virus(CHIKV),an arbovirus disease transmitted by Aedes aegypti or A.albopictus,and malaria,a parasitic disease transmitted by Anopheles gambiae,are prevalent in Nigeria and neighbouring countries,but their burden and possible coinfections are poorly understood.In this study,we investigated the antibody seropositivity and endemicity of chikungunya and Zika viruses(ZIKV)in three regions of Nigeria.A cross-sectional serosurvey was conducted on 871 participants.Samples were collected from outpatients by simple random sampling.Analyses of the samples were performed using recomLine Tropical Fever for the presence of antibody serological marker IgG immunoblot with CHIKV VLP(virus like particle),ZIKV NS1 and ZIKV Equad according to manufacturers’instructions and malaria RDT for malaria parasite.There was a significantly higher antibody seropositivity against CHIKV in the central region than in the northern and southern regions(69.5%,291/419),while ZIKV-seropositivity(22.4%,34/152)and CHIKV-ZIKV co-circulating antibody seropositivity(17.8%,27/152)were notably higher in the southern region than in the central and northern regions.This investigation revealed an unexpectedly high antibody seropositivity and concealed endemicity of CHIKV and ZIKV in three Nigerian regions.The seropositivity of detectable antibodies differed among the three geographical locations.
基金supported by the Russian Science Foundation(22-14-00037)to N.A.P.(phylogenetic analyses)National Natural Science Foundation of China(32130015)to K.W.(data collection)partially by Rufford Foundation(39897-1) to N.T.V.(data collection)。
文摘We describe a unique new species and genus of agamid lizard from the karstic massifs of Khammouan Province,central Laos.Laodracon carsticola Gen.et sp.nov.is an elusive medium-sized lizard(maximum snout-vent length101 mm)specifically adapted to life on limestone rocks and pinnacles.To assess the phylogenetic position of the new genus amongst other agamids,we generated DNA sequences from two mitochondrial gene fragments(16S rRNA and ND2)and three nuclear loci(BDNF,RAG1 and c-mos),with a final alignment comprising 7418 base pairs for 64 agamid species.Phylogenetic analyses unambiguously place the new genus in the mainland Asia subfamily Draconinae,where it forms a clade sister to the genus Diploderma from East Asia and the northern part of Southeast Asia.Morphologically,the new genus is distinguished from all other genera in Draconinae by possessing a notably swollen tail base with enlarged scales on its dorsal and ventral surfaces.Our work provides further evidence that limestone regions of Indochina represent unique“arks of biodiversity”and harbor numerous relict lineages.To date,Laodracon carsticola Gen.et sp.nov.is known from only two adult male specimens and its distribution seems to be restricted to a narrow limestone massif on the border of Khammouan and Bolikhamxai provinces of Laos.Additional studies are required to understand its life history,distribution,and conservation status.
基金Supported by National Nature Science Foundation of China(30900138)Henan Univerisy of Science and Technology Doc-tor Foundation (09001367)~~
文摘Hynobiids are exclusively in Asia. China is the main distribution of hynobiids,and has many rich species because of the diversity of habitat. In present paper,the introduction on the systematic taxonomy of Chinese endemic genera (Protohynobius,Batrachuperus,Liua,Pachyhynobius and Pseudohynobius) in Hynobiidae will improve the understanding on these genera.
基金supported by the National Natural Science Foundation of China(No.41861004 granted to GF,and 31870506 to ML)the Inner Mongolia Grassland Talent(12000-12102228 to GF)+1 种基金the Strategic Priority Research Program of the Chinese Academy of Sciences(No.XDB31000000 granted to ML)Natural Science Foundation of Jiangsu Province(BK20181398 granted to ML)。
文摘Background:Geographical distribution of endemic species and its multiple scale drivers are an important topic in biodiversity conservation,because these species are especially vulnerable to climate change and habitat degradation,and therefore have high conservation priority.Here,for the first time,we simultaneously linked glacial-interglacial climate change,contemporary climate,plant species richness and altitudinal range with endemic bird distribution in China.Methods:Ordinary least squares models and simultaneous autoregressive models were used to assess the associations between endemic bird richness,endemic bird ratio and each explanatory variable.Structural Equation Models were also performed to test the direct and indirect effects of these variables on endemic bird richness and endemic bird ratio.Results:Higher endemic bird richness and endemic bird ratio occurred in regions with stable glacial-interglacial temperature,i.e.,southwest China.Plant species richness and altitudinal range were also positively correlated with endemic bird richness and endemic bird ratio.Glacial-interglacial temperature change,contemporary precipitation,plant species richness and altitudinal range were all included in the best combination of variables for endemic bird richness.Importantly,glacial-interglacial temperature change had strong direct effects on both endemic bird richness and endemic bird ratio,while plant species richness only had a direct effect on endemic bird richness.Conclusions:Our results indicate that endemic birds in China concentrate in southwest regions where there are stable glacial-interglacial temperature,more plant species and larger altitudinal range.Notably,while stable climate has strong direct effects on both endemic bird richness and endemic bird ratio,plant species may affect endemic bird richness through its effect on overall bird species richness.Importantly,the recent anthropogenic activities have also significantly intensified in this region,which would pose huge challenge for biodiversity conservation in China.
基金supported in part by US National Science Foundation grants EAR 9220079,0174295INT 0074295 to SRM+4 种基金National Basic Research Program of China (973 Program No.2007CB411600)Chinese Academy of Sciences (KSCX2-YW-R-136) to CZDin part by Research Project of the National Museum of Nature of Science (20077005)the Monbusho Grant-in-Aid for Scientific Research (17540446) for KUsupported through SRM's participation in the NSF (NESCent)-sponsored Phytogeography of the Northern Hemisphere Working Group
文摘We review the fossil history of seed plant genera that are now endemic to eastern Asia. Although the majority of eastern Asian endemic genera have no known fossil record at all, 54 genera, or about 9%, are reliably known from the fossil record. Most of these are woody (with two exceptions), and most are today either broadly East Asian, or more specifically confined to Sino-Japanese subcategory rather than being endemic to the Sino-Himalayan area. Of the "eastern Asian endemic" genera so far known from the fossil record, the majority formerly occurred in Europe and/or North America, indicating that eastern Asia served as a late Tertiary or Quaternary refugium for taxa. Hence, many of these genera may have originated in other parts of the Northern Hemisphere and expanded their ranges across continents and former sea barriers when tectonic and climatic conditions allowed, leading to their arrival in eastern Asia. Although clear evidence for paleoendemism is provided by the gymnosperms Amentotaxus, Cathaya, Cephalotaxus, Cunninghamia, Cryptomeria, Glyptostrobus, Ginkgo, Keteleeria, Metasequoia, Nothotsuga, Pseudolarix, Sciadopitys, and Taiwania, and the angiosperms Cercidiphyllum, Choerospondias, Corylopsis, Craigia, Cyclocarya, Davidia, Dipelta, Decaisnea, Diplopanax, Dipteronia, Emmenopterys, Eucommia, Euscaphis, Hemiptelea, Hovenia, Koelreuteria, Paulownia, Phellodendron, Platycarya, Pteroceltis, Rehderodendron, Sargentodoxa, Schizophragma, Sinomenium, Tapiscia, Tetracentron, Toricellia, Trapella, and Trochodendron, we cannot rule out the possibility that neoendemism plays an important role especially for herbaceous taxa in the present-day flora of Asia, particularly in the Sino-Himalayan region. In addition to reviewing paleobotanical occurrences from the literature, we document newly recognized fossil occurrences that expand the geographic and stratigraphic ranges previously known for Dipelta, Pteroceltis, and Toricellia.
基金supported by the Knowledge Innovation Program of the Chinese Academy of Sciences(Y1B302100)to Junhua HUthe National Natural Science Foundation of China(NSFC,31071906)the Main Direction Program of the Knowledge Innovation Project of CAS(Grant No.KSCX2-EW-J-22)to Jianping JIANG
文摘Amphibians are good indicators of ecosystem health. Updating the information of endemic species in time and understanding their spatial distributions are necessary for the development of integrative conservation strategies and the elucidation of geographic patterns of amphibians. We analyzed the diversity and distributions of the endemic amphibians in China based on a database of specimen records, recently published literature, and field surveys. Two hundred and sixty two endemic species of amphibians, belonging to 59 genera in 12 families and two orders, are recognized. They account for 67% of the total number of amphibian species in China, with the family Megophryidae possessing the largest number of endemics. There are also 17 genera endemic to China. Across provinces, the species richness of endemics shows five levels with a hierarchical diversification. Sichuan has the largest number of endemics, while Heilongjiang and Jilin have no endemic species. Alternatively, whether on the level of endemic genus or species, the highest diversity occurs in the Western Mountains and Plateau Subregion. The distribution ranges of most endemic species cover ≤ 4 provinces or zoogeographic subregions. Additionally, the species richness of endemics along an elevational gradient shows a bell-shaped pattern with the peak around 800 m. Most endemic species are distributed in areas of low to mid elevation(c. 700–1 500 m), while 36 species are distributed up to 3 000 m. Endemic species richness decreases with increasing of elevation range. Species at mid elevations display large range sizes, while species at lower and higher elevations exhibit smaller ranges. Our results are to be beneficial for further exploration of the underlying mechanisms of distributional patterns of amphibians in China. This study highlights a need to promote conservation programs for Chinese endemic amphibians due to their narrow distribution ranges and potential threats.
文摘Cupressus atlantica Gaussen (Cupressaceae) is an endemic and endangered coniferous tree geographically restricted to the N'Fis valley in South-Western Morocco. Like many forest species, C. atlantica exhibits dormancy which delays and reduces germination. To improve seed germination, different pre-treatments were conducted on C. atlantica seeds after storage for different periods (one, two and five years) including: scarification with sandy paper; soaking seeds in hot distilled water at 60℃ and 80℃ for 15 min and soaking seeds for 48 h in a gibberellic acid (GA3) at 1,000 and 2,000 mg·L-1. Results showed that scarification with sandy paper increased the germination rate of Atlas cypress by up to 67%, indicating that the species possess essentially an exogenous dormancy (physical dormancy) due to the hard seed coat (hardseededness). Exogenous application of gibberellic acid (GA3) at 1,000 mg.L-1 was also effective in breaking seed dormancy and germination induction. These two treatments induced faster speed germination expressed by low number of days to first germination (8-10 days) and low values of mean germination times (MGT). However, germination rate, under any treatment, is greatly dependent on the year of seed collection. Seeds collected in year 2004 gave the highest value, suggesting that even after five years of storage, the germination capacity of C. atlantica seeds could remain high. This observation is very interesting in the ex-situ conservation of such endemic and endangered species where the production of seeds is irregular over the years.
基金grants from the Korea National Arboretum(Grant no.KNA1-1-13,14-1)Gachon University(Grant no.2018-0320)to J-H Kim。
文摘Endemic plants are important for understanding phylogenetic relationships,biogeographical history,and genetic variation because of their restricted distribution and their role in conserving biodiversity.Here,we investigated the phylogenetic relationships of the Korean endemic Fraxinus chiisanensis by reconstructing the molecular phylogeny of Fraxinus based on two nuclear DNA(nrITS and phantastica)and two chloroplast DNA(psbA-trnH and rp132-trnL)regions.Within our fossil-calibrated phylogenetic framework,we also inferred the biogeographical history of F.chiisanensis.To provide a scientific basis for the conservation of F.chiisanensis,we determined the levels of genetic diversity and genetic differentiation in this species.Combining information from nuclear and chloroplast DNA sequence data,our molecular phylogenetic analyses identified F.chiisanensis as a genetically distinct unit from its sister group,Fraxinus platypoda from Japan.Our molecular dating analyses using nuclear and chloroplast DNA data sets show F.chiisanensis diverged from its sister F.platypoda in the Early or Middle Miocene and differentiated in the Late Miocene on the Korean Peninsula.Our results suggest that the divergence of F.chiisanensis was associated with the submergence of the East China Sea land bridge and enhanced monsoons in East Asia.When compared to F.platypoda,F.chiisanensis exhibits low genetic diversity within populations and high genetic differentiation among populations.These results help us to understand the evolutionary history of F.chiisanensis and to develop a conservation strategy for this species.
文摘This paper deals with some endemic diseases related to selenium, iodine and fluoride in eco-environment. Keshan disease and Kaschin-Beck disease are associated with low selenium, they mainly occur in a belt zone across China ranging from North-East to South-West. Selenium contents in food grains and human hair from the disease affected areas are usually below 0.020ppm and 0.20ppm respectively. The endemic goitre caused by iodine deficiency distributes extensively in China, mainly in mountainous and hilly districts, swamp and peat areas, some sand soil and limestone areas. Also there is another kind of endemic goitre which caused by iodine excess in interior and coast areas. Endemic cretinism usually occurs in the endemic goitre seriously affected areas. Endemic fluorosis is also widely distributed in China, but mainly occurs in dry or semi-dry areas of north China. The fluoride sources for causing endemic fluorisis are drinking water and food grains polluted by coal smoke in the backing process of maize and chilli.
基金supported by the National Natural Science Foundation of China(31100394,31471981 and 31770462 to WY)Zhejiang Provincial Natural Science Foundation(LZ18C030002 to WY)China Scholarship Council(201506320019 to CC)
文摘Background: China has a relative high degree of endemism of birds due to its large area, diversified topography, and varied climates and habitats. Among the 77 Chinese endemic birds, 29 species are classified as threatened according to the officially released China Biodiversity Red List in 2015. Chinese endemic birds should be the focus of conservation because their local extinction in China means complete global extinction. However, to date, no study has explicitly examined the patterns and processes of extinction and threat in Chinese endemic birds. Methods: We obtained eleven biological traits and four extrinsic factors that are commonly hypothesized to influence extinction risk. After phylogenetic correction, these factors were used separately and in combination to assess their associations with extinction risk. Results: We found that 37.7% of Chinese endemic birds were listed as threatened (Vulnerable, Endangered and Critically Endangered). Small range size, high hunting vulnerability, and high human population density were important predictors of high extinction risk in Chinese endemic birds. Conclusions: Our study is the first to systematically investigate the patterns and processes of extinction risk in Chinese endemic birds. We suggest that endemic species with small range size and living in area with high human densities require conservation priorities. Conservation efforts should also focus on the reduction of human threats, such as human hunting and habitat degradation, for the effective preservation of Chinese endemic birds.
文摘Objective:To predict the factors associated with progression to severe dengue infection to prevent potentially fatal complications and to identify the determinants of severe complicated dengue.Methods:The study was conducted in a tertiary care hospitaldengue ward from September to November 2021 including confirmed dengue infected patients(positive NS1 antigen or antidengue-antibodies IgM).Secondary dengue infection was labelled by positive anti-dengue-antibodies IgG in active dengue infected patients.Detailed history,physical examination,laboratory and radiological parameters,hospital stay(days)and mortality percentages were noted.Patients were classified into three groups according to disease severity:dengue fever(DF),dengue hemorrhagic fever(DHF)and dengue shock syndrome(DSS).The predictors of complicated dengue infection were determined by regression analysis.Results:The most common symptom was fever(96.9%).Among 129 patients,62.8%had DF,31.0%had DHF and only 6.2%developed DSS.History of previous symptomatic dengue and positive anti-dengue-antibodies IgG were present in 100%DSS patients and nearly 75.0%DHF patients(P<0.05).The moratlity rate in patients with DSS,DHF and DF was 50.0%,2.5%and none respectively(P<0.05).Clinical parameters(body aches,bleeding,conjunctival hemorrhage,maculopapular rash,right hypochondrial tenderness,ascites,pleural effusion)and laboratory parameters(thrombocytopenia,raised alanine aminotransferase and secondary dengue infection)were determinants that complicate the dengue infection.Conclusions:Thrombocytopenia,raised alanine aminotransferase and secondary dengue infection are important laboratory parameters to complicate the disease process of dengue infection.
基金supported by the Biodiversity Conservation Research Project of Yunnan Environmental Protection Department (Grant no.Y430112261)
文摘With the accumulation and accessibility of information about plant species,it is time to re-evaluate and further divide a global biodiversity hotspot region,Yunnan,located in southwestern China.In this study,we combined data on the distribution of 1010 stenochoric endemic seed plants,vegetation constitution,geological history and climate change,and used these to propose a new system of floristic regions.We identified 11 distinct floristic subregions and 84 floristic provinces within Yunnan.Our work confirmed some views emphasized by Wu Zhengyi that the stenochoric endemic species play a key role in defining floristic provinces;that stenochoric endemic plants with long collection and publication histories are more valuable;that greater attention should be paid to woody plants;and that for Yunnan,a border region,some trans-border distributed elements should be treated cautiously.
文摘The human dietary selenium requirement in China has been estimated by various methods. The minimum dietary selenium requircment for the prevention of Keshan disease (KD) was found to be around 17 μg/d. On the other hand, an intake of 40 μg/d is required to maintain the plasma glutathione peroxidase (GPx) activity at plateau. Hence 40 μg/d is considered as the adequate dietary selenium requirement. Studies conducted in a chronic selenosis area indicate thai the toxic dietary selenlum inlake (adverse effect level), which would maintain the characteristic fingernail changes, was approximately 1600 μg/d. The mean value of dietary selenium intakes, which enabled the five patients to recover from fingernail lesions, was found to be 819 ±126μg/d. At a 95% confidence limit, the lower limit is around 600μg/d. Therefore, 600 and 400μg/d were suggested as the individual daily maximum safe selenium intake and the safe dietary selenium intake, respectively,The results were used in the prevention of Se-related endemic KD and Kashin-Beck disease (KBD)
文摘Dengue is one of the most common arthropod-borne viral diseases in humans and it is a leading cause of illness and death in the tropical and subtropical regions of the world. It is thought to account for 400 million cases annually among approximately 3.97 billion people at risk of infection in 128 endemic countries. Despite the global prevalence of the disease, the availability of a vaccine is limited in most countries in the endemic areas. Most endemic countries in South America, South East Asia and Africa serve as attractive touristic sites for people from non-endemic countries who become infected and export the virus to dengue-free regions. Dengue fever typically resembles malaria and in endemic countries most cases of dengue are treated as presumptive malaria. Consequently, routine dengue diagnosis among persons with fever will offer early treatment and reduce the burden of the disease. Also, routine testing among travellers from endemic countries will reduce importation and prevent the geographical expansion of dengue. In this essay, we seek to highlight the usefulness of routine dengue testing in endemic countries.
文摘Climate change may cause shifts in the natural range of species especially for those that are geographically restricted and/or endemic species.In this study,the spatial distribution of five endemic and threatened species belonging to the genus Onosma(including O.asperrima,O.bisotunensis,O.kotschyi,O.platyphylla,and O.straussii)was investigated under present and future climate change scenarios:RCP2.6(RCP,representative concentration pathway;optimistic scenario)and RCP8.5(pessimistic scenario)for the years 2050 and 2080 in Iran.Analysis was conducted using the maximum entropy(MaxEnt)model to provide a basis for the protection and conservation of these species.Seven environmental variables including aspect,depth of soil,silt content,slope,annual precipitation,minimum temperature of the coldest month,and annual temperature range were used as main predictors in this study.The model output for the potential habitat suitability of the studied species showed acceptable performance for all species(i.e.,the area under the curve(AUC)>0.800).According to the models generated by MaxEnt,the potential current patterns of the species were consistent with the observed areas of distributions.The projected climate maps under optimistic and pessimistic scenarios(RCP2.6 and RCP8.5,respectively)of 2050 and 2080 resulted in reductions and expansions as well as positive range changes for all species in comparison to their current predicted distributions.Among all species,O.bisotunensis showed the most significant and highest increase under the pessimistic scenario of 2050 and 2080.Finally,the results of this study revealed that the studied plant species have shown an acute adaptability to environmental changes.The results can provide useful information to managers to apply appropriate strategies for the management and conservation of these valuable Iranian medicinal and threatened plant species in the future.