First record of three African trichodinids (Ciliophora: Peritrichida) in cultured Nile tilapia (Oreochromis niloticus) in Saudi Arabia with re-evaluation of their host specificity.

Saudi Arabia has a developing aquaculture industry that farms primarily tilapia. Although trichodinids are presumably the most usually encountered protozoan parasites in these cultured fish, they have rarely been studied in this context, and there is no data on the species that might infect cultured tilapia in Saudi Arabia. The present study was therefore carried out as a general survey to investigate the occurrence and identify the species of trichodinids that can infect cultured tilapia (Oreochromis niloticus) in Saudi Arabia. A total of 500 tilapia fish were collected from fish farms in Riyadh city and examined in order to determine the species of trichodinids present in the positive specimens. Three species of trichodinids (Trichodina maritinkae, T. centrostrigeata and T. frenata) were isolated and described as new records in Saudi Arabia. These trichodinids were found simultaneously in the same fish with overall prevalence of 20% (100/500). The identification and characterization of these three species are documented based on Riyadh specimens, for the first time. Additionally, the present paper confirms the existence of T. frenata for the second time globally and establishes this trichodinid as a new parasite for O. niloticus. T. maritinkae is highly specific to clariids, and previously, it has not been reported from any fish species other than clariids. The present work also confirmed that T. centrostrigeata can also infest cichlid fish. The list of host records of these species is expanded and their host specificity re-evaluated based on the results of this study in addition to the previously published data. We conclude that there is a need for further study of the impacts of these Trichodina spp. on Saudi Arabian fishery sector.

First identification of four trypanorhynchid cestodes: Callitetrarhynchus speciouses, Pseudogrillotia sp. (Lacistorhynchidae), Kotorella pronosoma and Nybelinia bisulcata (Tentaculariidae) from Sparidae and Mullidae fish.

Four previously unrecognized trypanorhynchids are described based on fish specimens from Sparidae and Mullidae host fish of the Red Sea. From September 2010 to June 2011, 66 specimens of the sea bream Pagrus pagrus (F: Sparidae) and 43 of the red mullet Mullus barbatus (F: Mullidae) were purchased from markets in the Suez and Hurghada cities of the Red Sea. The fishes were measured, and their organs investigated for helminth infections. Forty-one (37.6 %) out of the 109 fish specimens investigated were parasitized with Trypanorhyncha metacestodes, identified as Callitetrarhynchus speciouses Linton 1897, Pseudogrillotia sp. Dollfus 1969, Kotorella pronosoma Stossich 1901 from P. pagrus, and Nybelinia bisulcata Linton 1889 from M. barbatus in the mesentery and peritoneal cavity, with prevalences of 16.5, 11.0, 6.0, and 12.0 %. All of these larval stages were encapsulated larvae in blastocysts. C. speciouses is characterized by an elongated scolex, two bothria, a long postbulbosa, and four elongated bulbs. Pseudogrillotia sp. possesses a scolex with two lateral patelliform bothridia; posterior margins are free, not notched. A long sheath was observed, which was irregularly coiled when tentacles invaginated. N. bisulcata possesses an acraspedote scolex with four bothridia, which are broad, bean-shaped. The tentacles are spirally coiled, supplied with hooks with abruptly turned points. The four tentacles sheaths rose from scolex as two anterior (front) and two posterior (back) which overlap at the apices of bulbs. K. pronosoma is characterized by a short body with a craspedote scolex and four bothridia. The tentacles are short and emerge pairwise. The presence of Trypanorhyncha metacestodes in the muscles does not represent a risk of infection for humans. They have a negative effect on fish esthetics. The repugnant aspect and the prohibition for commercial use by sanitary inspectors, however, cause consumer rejection. Parasites of the order Trypanorhyncha have been recorded in these host fishes for the first time.

Developmental stages of Hepatozoon seurati (Laveran and Pettit 1911) comb. nov., a parasite of the corned viper Cerastes cerastes and the mosquito Culex pipiens from Egypt.

Developmental stages of Hepatozoon seurati (Laveran and Pettit 1911) comb. nov. are described from the tissues of the corned viper Cerastes cerastes, and from the vector Culex pipiens. The parasite described in the present study is firstly recorded as Haemogregarina seurati (Laveran and Pettit 1911) in the same host. After demonstration of the sporogonous development in the mosquito vector (C. pipiens) which showed all characteristics of the genus Hepatozoon (large oocysts containing many sporocysts producing numerous sporozoites), the parasite should be transferred into the genus Hepatozoon. The infected erythrocytes measured 20 ± 0.95 × 7.3 ± 0.85 µm; while uninfected cells measured 13.3 ± 1.04 × 7.5 ± 0.16 µm. Hypertrophy and faintly stained cytoplasm are mostly occurred in infected erythrocytes. Blood stages of the parasite were found exclusively in the erythrocytes in two forms: (1) small trophozoites (10.0 ± 0.52 × 3.0 ± 0.4 µm) and (2) long (mature) sausage-shaped (16.5 ± 1.5 × 3.5 ± 0.4 µm). Merogony occurred in the endothelial cells of the blood capillaries of lung, liver, and spleen. Mature meronts was 27.6 ± 0.7 × 17.5 ± 0.5 µm in diameter and contained 20-35 merozoites (averaged in 26). These merozoites measured 16.5 ± 1.5 × 3.5 ± 0.4 µm. Syzygy and gamogony occurred in the mosquito myxocoel till the 5th day post-infection (p.i.) while sporogony took place after 15 days p.i. On the third day p.i., a large spherical macrogamete of 29.0 ± 0.8 × 20.5 ± 0.6 µm containing a distinct nucleus in association with a single microgamete were observed. The microgamete was pyriform measured 8 ± 02 µm in length. It had a prominent nucleus and a long flagellum of at least 20.4 ± 1.3 µm in length. Fertilization occurred on the 3rd to the 4th days p.i. and the formed zygote developed into an oocyst in which repeated mitotic divisions with centripetal invaginations occurred producing sporoblasts. After sporulation, each sporoblast termed as sporocyst, and contained 18 banana-shaped sporozoites measured 14.0 ± 1.6 × 3.2 ± 0.6 µm. Experimental transmission was successful by intraperitoneal inoculation of the infective stages (sporozoites) to uninfected vipers and led to the appearance of blood stages after 5-6 weeks.

First record of anisakid juveniles (Nematoda) in the European seabass Dicentrarchus labrax (family: Moronidae), and their role as bio-indicators of heavy metal pollution.

This study assessed the anisakid nematode distribution pattern in the fish collected from coasts of Mediterranean Sea, Egypt, during the period September 2010-April 2011. Two hundred thirty out of 300 (76.7%) Dicentrarchus labrax (European seabass) marine fishes belonging to family Moronidae were dissected and found to be infected with larva three nematodes. The larvae had been studied by light and scanning electron microscopy. The present work represents the first record of the presence of the parasite in this fish in the Mediterranean Sea. The concentrations of some heavy metals (Pb, Zn, Fe, Cd, Cu, Mn, Ni) in parasites as well as in tissues of fish were measured. The presented results showed that the nematode parasites are able to accumulate heavy metals in their tissues and in some cases that they are able to accumulate large amounts of heavy metals in a higher amount than host tissues. This demonstrated their sustainability as bioindicators of environmental pollution by removing heavy metals and help in the survival of fish.

Sarcocystis acanthocolubri sp. n. infecting three lizard species of the genus Acanthodactylus and the problem of host specificity. Light and electron microscopic study.

In the present investigation, macroscopic sarcocysts of Sarcocystis acanthocolubri were observed in muscles of 42 (4.3%) out of 975 Acanthodactylus sp. lizards collected from different geographical areas in Egypt. The infection rate was 6.4% in Acanthodactylus boskianus, 2.1% in Acanthodactylus sculentus, and 5% in Acanthodactylus paradalis. The highest infection rate was recorded in the lizards captured from Baltem (10% in A. boskianus and 8% in A. paradalis). The infection rate was usually higher in females (7.4%) than in males (3.8%). Moreover, the highest infection rate was recorded in summer (7.53%), autumn (3.57%), and spring (3.11%), and the lowest was recorded in winter (0.91%). Also, old animals had higher infection rates (10.8%) than young ones (0-2.7%). Macrocysts measured 0.95 × 10.12 mm. Both macroscopic and microscopic sarcocysts were enclosed only by a primary cyst wall, which had many finger-like, stalkless, and non-branched protrusions giving it a striated appearance. The primary cyst wall measured 3.9 µm. A dark granulated ground substance was found directly underneath the protrusions and is extended interiorly dividing the cyst cavity into many compartments containing the parasites (metrocytes and merozoites). Metrocytes were found directly under the ground substance and usually multiply asexually by endodyogeny producing two merozoites from each metrocyte. Both metrocytes and merozoites had the apical complex structures characteristic to the genus Sarcocystis. Transmission experiments with three snake species indicated that the snake Spalerosophis diadema is the proper final host belonging to the family Colubridae. The prepatent period was 16 days, while the patent period was 35 days. The results obtained from the present investigation revealed that this is a new species which was named Sarcocystis acanthocolubri.

Sample stacking microemulsion electrokinetic capillary chromatography induced by reverse migrating pseudostationary phase for the quantification of phenobarbital and its p-hydroxyphenobarbital metabolite in rat urine.

For the first time, a capillary electrophoretic (CE) method with sample stacking induced by a reverse migrating pseudostationary phase (SRMP) technique has been developed and validated for sensitive determination of phenobarbital (PB) and its p-hydroxyphenobarbital (PHPB) metabolite in rat urine samples. Separation and determination were optimized on a fused-silica capillary with a total length of 50 cm (effective length 40 cm) and 75 µm ID. The microemulsion background electrolyte consisted of 0.8% (v/v) ethyl acetate, 6.6% (v/v) butan-2-ol, 1.0% (v/v) acetonitrile, 2.0% (w/v) sodium n-dodecyl sulfate (SDS), and 89.6% (v/v) of 7.5 mM ammonium formate at pH 8. When this preconcentration technique was used, the sample stacking and the separation processes took place successively with changing the voltage with an intermediate polarity switching step. For practical application, a solid-phase extraction (SPE), C(18) sorbent with n-hexane/ethyl acetate (1 : 1%, v/v) as the elution solvent was used for sample purification and concentration. The SPE method gave good extraction yields for all the analytes, with absolute recovery values of 96.9% and 99.1% for PB and PHPB, respectively. The regression equations for PB and PHPB showed excellent linearity over a concentration range of 55-1386 ng mL(-1) for PB and PHPB (r = 0.998). The developed microemulsion electrokinetic capillary chromatography (MEEKC) method for separation of the studied compounds with SRMP as the electrophoretic preconcentration technique allowed detection limits in urine samples at 16.8 ng mL(-1) for PB and PHPB which are 15-fold lower than the reported CE method in the literature. The precision results, expressed by the intra-day and inter-day relative standard deviation (RSD) values range from 3.6 to 7.1% (repeatability) and from 3.2 to 7.2% (intermediate precision) for PB and PHPB, respectively, which were in line with Food and Drug Administration (FDA) criteria.

Studies on monieziasis of sheep I. Prevalence and antihelminthic effects of some plant extracts, a light and electron microscopic study.

Out of 2,343 examined sheep throughout the whole year, 271 were found to be infected with tapeworms (11.5%). The highest infection rate (22.1%) was recorded in autumn, while the lowest (6%) occurred in summer. Six species of cestodes were identified according to their prevalence: Moniezia expansa (74%), Moniezia denticulata (8.5%), Moniezia benedeni (4.8%), Moniezia trigonophora (2.7%), and Thysaniezia giardi (2.7%), T. giardi was recorded in Egypt for the first time. M. expansa was found throughout the year with two peaks in January (92.3%) and June (88.5%). SEM examination revealed that M. expansa scolex has four triangular suckers guarded by an X-shaped fibrous band that makes them open permanently. Also, there is a Y-shaped apical part at the scolex center which may be an embryonically non-developed rostellum. The whole worm body surface is covered with unidirectional microtriches. TEM showed that the tegument is underlaid by a thick fibrous interstitial layer below which an outer circular and an inner longitudinal muscular layer are arranged. Beneath these structures the subtegumental cells are found which have spherical electron-dense inclusions and various other cell organelles. Moreover, M. expansa has interproglottidal glands which contain secretory vesicles and secretions. For biological control of this parasite, different concentrations of crude plant extract of Artemisia cina were used in vitro and in vivo. In vitro, the results indicated that the plant extract is efficacious at all concentrations tested. Electron microscopic examination showed that many structures of the treated worms were affected. The most affected sites were the scolex and the microtriches of the outer tegumental surface. In vivo, treatment of heavily infected animals showed an antihelminthic effect, since the complete absence of eggs was recorded 9 days after treatment when fecal investigations were done.

Molecular evidence and morphological aspects of Transversotrema licinum, Phyllodistomum hoggettae, and re-description of Gyliauchen volubilis (Digenea) from the Red Sea.

During a recent survey on digenean parasites infecting marine fish captured from water located along the Red Sea off Gizan Coasts, Saudi Arabia, thirty-two (29.09%) out of 110 fish were naturally infected with three different species of digenean parasites. The taxonomical status of the recovered worms was confirmed by light microscopy and molecular analysis. Transversotrema licinum infecting the Haffara seabream Rhabdosargus haffara possessed a transversely elongated body with eyespots and the anterior body margin with delineated velum along with its entire breadth. Oral sucker was absent, and eyespots were paired anterior to or at the level of ventral sucker. Phyllodistomum hoggettae from the urinary bladder of the Arabian Nagil Plectropomus areolatus was differentiated by its elongated body, narrow anterior end widened as going posteriorly with prominent marginal undulations in the hindbody. Gyliauchen volubilis infecting the marbled spinefoot Siganus rivulatus, was with fleshy body, conical, tapered anteriorly, convex dorsally, and concave ventrally. Prepharynx was very long and convoluted and had occupied the greater part of the anterior half of the body. Multiple sequence alignment and phylogeny were based on maximum likelihood analysis for the ITS-2 and 28S rDNA for Transversotrema licinum and Phyllodistomum hoggettae were constructed, respectively. They were compared to species within their families and further deposited into the Genebank under accession numbers MG 722711 and MG722710, respectively.

A square-wave adsorptive stripping voltammetric method for determination of fast green dye.

Square-wave adsorptive stripping voltammetric (SW-AdSV) determinations of trace concentrations of the coloring agent fast green were described. The analytical methodology used was based on the adsorptive preconcentration of the dye on the hanging mercury drop electrode, and then a negative sweep was initiated. In pH 10 carbonate supporting electrolyte, fast green gave a well-defined and sensitive SW-AdSV peak at -1220 mV. The electroanalytical determination of this dye was found to be optimized in carbonate buffer (pH 10) with the following experimental conditions: accumulation time (120 s); accumulation potential (-0.8 V); scan rate (800 mV/s); pulse amplitude (90 mV); frequency (90 Hz); surface area of the working electrode (0.6 mm2); and the convection rate (2000 rpm). Under these optimized conditions, the AdSV peak current was proportional over the concentration range 2 x 10(-8) -6 x 10(-7) M (r = 0.999), with an LOD of 1.63 x 10(-10) M (0.132 ppb). This analytical approach possessed more enhanced sensitivity than conventional chromatography or spectrophotometry, and was simple and quick. The precision of the method in terms of RSD was 0.17%, whereas the accuracy was evaluated via the mean recovery of 99.6%. Possible interferences by several substances usually present as food additive azo dyes (E110, E102, E123, and E129), natural and artificial sweeteners, and antioxidants were also investigated. Applicability of the developed electroanalysis method was illustrated via the determination of fast green in ice cream and soft drink samples.

Nalidixic acid-resistant Salmonella enterica serotype typhi infection presenting with sub-intestinal obstruction and mesenteric adenitis.

Nalidixic acid-resistant Salmonella typhi NARST infections increase minimal inhibitory concentrations of fluoroquinolones, due to chromosomal mutations in the gene encoding DNA gyrase, and can lead to a delayed treatment response. This in turn alters the course of the disease allowing for a protracted period of illness and the occurrence of complications. In this case report, we present a patient from the Indian sub-continent, who was diagnosed with NARST complicated by sub-intestinal obstruction, her diagnosis, treatment, and subsequent recovery.

Risk factors and molecular features of extended-spectrum beta-lactamase producing bacteria at southwest of Saudi Arabia.

OBJECTIVES: To explore the risk factors, the prevalence rate, and gene types of extended-spectrum beta-lactamase (ESBL)-producing bacteria as the causative agents of infection at King Abdulaziz Specialist Hospital (KAASH), Taif, Kingdom of Saudi Arabia. Methods: This was a retrospective study conducted during the period between February 2017 and January 2018. All samples obtained from the KAASH were analyzed. The MicroScan Walkaway System, bacteriological examination and double disk synergy tests were used to detect ESBL-producing bacteria. To identify ESBL genes, the polymerase chain reaction (PCR) technique was used. Results: The ESBL phenotype was detected in 351 of 1151 isolates (30.5%); Escherichia coli (E. coli) (62.7%) and Klebsiella pneumoniae (K. pneumoniae) (23.6%) were the most prevalent. The highest proportion of ESBL specimens was found in urine (62%.5), and these organisms were mainly isolated from the female medical ward (20.2%). Based on the statistical analysis, lung diseases, renal diseases, diabetes and heart diseases contributed to the spread of ESBL infections. Amikacin, imipenem, meropenem and tigecycline were found to be effective in overcoming ESBL infections; however, these antibiotics may be inappropriate for new strains of K.pneumoniae. The distribution of the blaCTX-M gene was high (87%), compared with blaTEM (74.9%) and blaSHV (29.4%).   Conclusion: These data provide new epidemiological information about the prevalence of ESBL-producing organisms among patients in KAASH, Taif, Saudi Arabia. In addition, this study identified the clonal nature of isolated E.coli and K.pneumoniae.

Morphometeric criteria and partial sequence of the 18S rRNA gene of Ceratomyxa sultani n. sp. from the gallbladder of Upeneus margarethae in the Arabian Gulf, with a note on its seasonal prevalence.

This paper describes a new coelozoic myxosporean parasite named Ceratomyxa sultani n. sp. isolated from the gallbladder of Upeneus margarethae sourced from the Arabian Gulf off Saudi Arabia. Of 104 U. margarethae specimens examined, 27 (26%) were infected, with the highest prevalence in winter and lowest in autumn. The pseudoplasmodia were disporous and irregularly elliptical in shape, with an average size of 22 × 17 µm. Mature spores were mostly elliptical with symmetrical valves and equal spherical polar capsules. Spores were 9 µm in length and 25 µm in thickness, while polar capsules were 4 µm wide with four filament coils. The paper further provides a morphological comparison with closely related Ceratomyxa spp. together with phylogenetic analysis based on the partial 18S rRNA sequence, which revealed that C. sultani n. sp. clustered within a robust clade of Ceratomyxa species from the Arabian Gulf and Red Sea or nearby geographic regions.

Bacterial keratitis after primary pediatric penetrating keratoplasty.

PURPOSE: To determine the prevalence, microbiological profile, and prognosis for bacterial keratitis after primary pediatric penetrating keratoplasty (PKP). DESIGN: Retrospective case series. METHODS: Retrospective review of all cases of primary PKP performed in children 12 years of age or younger at the King Khaled Eye Specialist Hospital between January 1, 1990 and December 31, 2005 and inclusion of all postoperative cases of culture-positive, bacterial keratitis. RESULTS: Culture-positive bacterial keratitis developed in 35 (17.3%) of 202 primary keratoplasties. Gram-positive organisms were cultured in 91.4% of infected eyes and accounted for 77.6% of isolates. Streptococcus pneumoniae was the most common organism. No eyes achieved a final visual acuity of 20/40 or better, while 65.7% had hand motions or worse. CONCLUSIONS: Bacterial keratitis after pediatric keratoplasty is a serious complication that is associated with a high risk of graft failure and poor visual outcome.

Experimental evaluation of fog warning system.

Highway safety is a major concern to the public and to transportation professionals, so the number of crashes caused by poor visibility due to fog form an alarming statistic. Drivers respond to poor visibility conditions in different ways: some slow down; others do not. Many drivers simply follow the taillights of the vehicle ahead. Accordingly, hazardous conditions are created in which speeds are both too high for the prevailing conditions and highly variable. Findings are presented from a study of traffic crashes due to fog in the southern region of Saudi Arabia. The primary objective was to assess the effectiveness of fog detection and warning system on driver behavior regarding speed and headway. This warning system includes visibility sensors that automatically activate a variable message sign that posts an advisory speed when hazardous conditions due to fog occur. The system was installed on a 2 km section of a two-lane, rural highway. A data set of 36,013 observations from both experimental and control sections at two study sites was collected and analyzed. The data included vehicle speed, volume, and classification; time headway, time of day, and visibility distance. Although the warning system was ineffective in reducing speed variability, mean speed throughout the experimental sections was reduced by about 6.5 kph. This reduction indicates that the warning system appeared to have a positive effect on driver behavior in fog even though the observed mean speeds were still higher than the posted advisory speed. From relationships found in the literature between mean driving speed and number of crashes, a speed reduction of only 5 kph would yield a 15% decrease in the number of crashes.

Primary pediatric keratoplasty: indications, graft survival, and visual outcome.

BACKGROUND: Penetrating keratoplasty in children has been documented to have a higher rate of graft failure and a worse visual prognosis than adult keratoplasty. METHODS: We undertook a retrospective review of all cases of primary penetrating keratoplasty performed in children 12 years of age or younger at the King Khaled Eye Specialist Hospital between January 1, 1990, and December 31, 2003. RESULTS: One hundred sixty-five primary penetrating keratoplasties were performed in 134 children during the study interval. The surgical indications were congenital opacities in 130 eyes (78.8%), acquired, traumatic opacities in 18 eyes (10.9%), and acquired, nontraumatic opacities in 17 eyes (10.3%). Among congenital opacities, 35 cases were caused by congenital hereditary endothelial dystrophy (CHED). The median follow-up for 73 grafts (44.2%) that remained clear was 50 months (range, 12-50 months), whereas the median follow-up for 92 grafts (55.8%) that failed was 6 months (range, 1-54 months). Kaplan-Meier graft survival was significantly higher at all postoperative intervals in eyes with CHED than for other surgical indications (p < 0.001). Eyes with CHED were significantly more likely to achieve ambulatory vision or vision >20/200 than eyes with other indications (p < 0.001). CONCLUSIONS: Pediatric keratoplasty was associated with an excellent prognosis for graft survival in eyes with CHED and a fair prognosis for graft survival in eyes with non-CHED congenital opacities and acquired opacities. The best visual prognosis was obtained in eyes with CHED and the worst prognosis was for non-CHED congenital opacities.

Spinal intramedullary cavernous hemangioma.

The spinal cord can be involved in a variety of disease processes. These can be congenital or acquired. An acute onset of symptoms usually allows a defined set of causes to be considered including trauma, ruptured vascular anomalies, demyelination, and myelitis. Intramedullary cavernous hemangioma of the spinal cord is a congenital or acquired vascular malformation, and one of the rare causes of hematomyelia. We present such a case, and discuss the symptoms, diagnosis, and suggested best treatment options based on a review of present day literature.

The light microscopy and ultrastructural characteristics of Myxobolus naffari (Myxosporea, Myxobolidae) infecting the Nile carp Labeo niloticus (Cyprinidae) and its histological impact

During a survey of myxosporean parasites infecting freshwater fishes from the River Nile at Giza Governorates, Egypt between March and September 2016, nine out of 30 specimens of the Nile carp Labeo niloticus (Cyprinidae) were found to be naturally infected with Myxobolus naffari (Myxobolidae). Small macroscopic plasmodia appeared embedded in the host gill tissue accompanied with fusion of the gill epithelia, and atrophy was observed at the site of infection. The host reaction was manifested by the encapsulation of the plasmodia with a thick layer of connective tissue. The plasmodia appeared as white, elongated rods between gill filaments with an intensity ranging from three to eight cysts/fish. The average dimensions of plasmodia were 1.2­2.0 (1.8 ± 0.2) mm long × 0.4­0.7 (0.6 ± 0.2) mm wide. The spores were oval, reaching 9.56­11.2 (10.2 ± 0.2) µm long and 6.5­7.7 (7.0 ± 0.4) µm wide with two equal-sized polar capsules regularly arranged at the anterior pole of each spore. They were 4.51­5.5 (5.1 ± 0.4) µm in length and 1.5­2.0 (1.7 ± 0.2) µm in width. Histological, semi-thin sections were taken through parasite plasmodia and transmission electron microscopic examination of ultrathin sections was performed to describe the developmental stages of the recorded parasite within the host fish.

Diabetic retinopathy and its risk factors in a society with a type 2 diabetes epidemic: a Saudi National Diabetes Registry-based study.

PURPOSE: To assess diabetic retinopathy prevalence and its risk factors in a society with type 2 diabetes epidemic using the Saudi National Diabetes Registry (SNDR). METHOD: This is a cross-sectional study using patient's clinical data found in SNDR data base. A cohort of 50,464 Saudi patients with type 2 diabetes aged ≥25 years were selected to assess for the prevalence and risk factors for diabetic retinopathy. RESULTS: The overall prevalence of diabetic retinopathy is 19.7%, where 9.1% have non-proliferative diabetic retinopathy (NPDR), 10.6% have proliferative diabetic retinopathy (PDR) and 5.7% have macular oedema (ME). Duration of diabetes and age are the most significant risk factors for diabetic retinopathy with odds ratio (OR) and 95% confidence interval (95% CI) 8.88 (8.30-9.50) and 5.76 (5.10-6.55), respectively. Nephropathy, neuropathy, insulin use, poor glycemic control, hypertension and male gender significantly increased the risk for diabetic retinopathy. Smoking, hyperlipidemia and obesity significantly reduced the risk for diabetic retinopathy among type 2 Saudi diabetic cohort. CONCLUSION: vThe low prevalence of diabetic retinopathy in our registry may be a result of the shortage or absence of well-structured screening programmes. Therefore, many patients with NPDR might have been missed. A prevention programme is needed to reduce the effect of diabetic retinopathy risk factors in this society.

Surface and thermodynamic characterization of conducting polymers by inverse gas chromatography. I. Polyaniline.

The surface thermodynamic characteristics of both doped polyaniline (PANI-HEBSA) and the non-conducting form (PANI-EB) were investigated using inverse gas chromatography. Fourteen solutes were injected into two separate chromatographic columns containing PANI-EB and PANI-HEBSA. All solutes interacted strongly with the conducting form PANI-HEBSA; in particular, undecane and dodecane showed stronger interaction due to the increase of the dispersive forces. Methanol and ethanol showed stronger H-bonding with the conducting form than propanol and butanol. A curvature was observed for acetates and alcohols with a maximum of around 145 degrees C as an indication of a phase change from a semicrystalline to amorphous phase. DeltaH(l)s value increased considerably (-3.35 to -46.44 kJ/mol) while the deltaH(l)s for the undoped PANI (PANI-EB) averaged about -0.03 kJ/mol. PANI-EB-alkane interaction parameters were measured and ranged from +0.40 to +1.50 (endothermic). However, PANI-HEBSA showed an exothermic behavior due to the polar surface (-1.50 to +1.2). Interaction parameters decreased as the temperature increased and are characteristic of the strong interaction. The dispersive surface energy of the non conducting PANI-EB ranged from 29.13 mJ/m2 at 140 degrees C to 94.05 mJ/m2 at 170 degrees C, while the surface energy of the conducting PANI-HEBSA showed higher values (150.24 mJ/m2 at 80 degrees C to 74.27 mJ/m2 at 130 degrees C). Gamma(s)d values for PANI-EB were found to be higher than expected. The trend of the gamma(s)d change direction is also surprising and unexpected due to the thermal activation of the surface of the polymer and perhaps created some nano-pores resulting in an increase in surface energy of the non-conducting form.

Analysis of traffic accidents at urban intersections in Riyadh.

Previous studies have shown that intersection-related accidents account for about 50% of all accidents registered annually in Riyadh, the capital of the Kingdom of Saudi Arabia (KSA). More than half of these accidents are classified as severe. In this study, an attempt was made to investigate traffic accidents that occurred at both intersections and non-intersection sites. The goal was to analyze the nature of such accidents to determine their characteristics so that remedies could be sought or at least future research could be suggested. For this purpose, a sample of 1774 reported accidents was collected in a systematic random manner for the period 1996-1998 (651 severe accidents (accidents resulting in at least one personal injury or fatality) and 1123 property-damage-only (PDO) accidents). Conditional probability and contingency table analyses were used to make inferences from the data. The study found that improper driving behavior is the primary cause of accidents at signalized urban intersections in Riyadh; running a red light and failing to yield are the primary contributing causes. The analysis indicates that there is an urgent need to review existing intersection geometry along with the traffic control devices installed at these sites. In addition, public education campaigns and law enforcement strategies are urgently needed.