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Clive Shiff

Publications and source records attributed to Clive Shiff.

7 recordsLinked to original sources
PubMed2006

Ultrasound verification of bladder damage is associated with known biomarkers of bladder cancer in adults chronically infected with Schistosoma haematobium in Ghana.

Long-term infection with urinary schistosomiasis has been associated with development of bladder cancer. However, bladder cancer is difficult to diagnose without invasive measures such as cystoscopy, thus there is little information on the epidemiological extent of the problem. Studies have been either case-control studies or case examinations in different geographical areas, estimating a schistosome-associated bladder cancer incidence of 3-4 cases per 100,000. We have used three indicators to examine the potential bladder cancer problem in an adult rural population in Ghana endemic for urinary schistosomiasis: (i) parasitological positivity; (ii) age prevalence of bladder damage from ultrasound scans; and (iii) detection of biomarkers associated with the presence of bladder cancer. Biomarkers were BLCA-4 test (urine) and nuclear morphometry or quantitative nuclear grading (QNG) of epithelial cells (urine sediment), which quantifies DNA ploidy status and nuclear morphometric descriptors, both of which can detect the presence of bladder cancer. Our data show an increasing association between age, severe bladder abnormalities and the occurrence of these biomarkers. Sixty-two of 73 cytopathology Papanicolaou-stained smears were seen to have squamous metaplasia. Although further investigations are needed, we suggest that schistosome-associated bladder cancer is an important public health concern in areas where Schistosoma haematobium is prevalent.

Adult↗
PubMed2005

Reduction of infectivity of schistosome cercariae by application of cercaricidal oil to water.

Schistosomiasis continues to plague populations living in disease-endemic areas, and exposure to infective cercariae results in more than 200 million cases worldwide. Laboratory experiments were conducted to test whether a cercaricidal film applied directly to the water surface can reduce viability of cercariae. A distillate from inexpensive cedarwood oil enriched for cedrol in a mixed oil fraction was formulated (1:5) with the surfactant Tween 80. When applied to the surface of clean and turbid water in test vessels, the formulation spread across and just below the air-water interface, causing inactivation of Schistosoma mansoni cercariae within minutes. The active ingredient was heat stable and reduced schistosome survival and infectivity by 90% and 99.2%, respectively in a mouse model. The effective dose (13 mug/cm(2)) was dependent on surface area rather than volume of water treated. We conclude that application of the biodegradable formulation to the surface of schistosome-infested waters may be an effective, economical, and safe means of reducing human infections.

Animals↗
PubMed2002

Development of a modified baited trap for detection of schistosome cercariae using natural oils rich in polyunsaturated fatty acids in Sudan.

Cercariometric methods for monitoring the presence of schistosome cercariae in natural water systems have been unable to provide realistic data in a feasible manner. Apart from the task of filtering or centrifuging large volumes of water, the presence of suspended matter, plankton and debris has made visualisation and identification of the target organisms difficult. We have adapted a cercarial trap which utilised unsaturated fatty acids in a matrix of clear nail varnish, modified it by using locally available natural oils as stimulant and soft wax as the matrix and tested it under laboratory and field conditions in Sudan. The new system has potential for use in identifying important transmission foci.

Animals↗
PubMed2002

Integrated approach to malaria control.

Malaria draws global attention in a cyclic manner, with interest and associated financing waxing and waning according to political and humanitarian concerns. Currently we are on an upswing, which should be carefully developed. Malaria parasites have been eliminated from Europe and North America through the use of residual insecticides and manipulation of environmental and ecological characteristics; however, in many tropical and some temperate areas the incidence of disease is increasing dramatically. Much of this increase results from a breakdown of effective control methods developed and implemented in the 1960s, but it has also occurred because of a lack of trained scientists and control specialists who live and work in the areas of endemic infection. Add to this the widespread resistance to the most effective antimalarial drug, chloroquine, developing resistance to other first-line drugs such as sulfadoxine-pyrimethamine, and resistance of certain vector species of mosquito to some of the previously effective insecticides and we have a crisis situation. Vaccine research has proceeded for over 30 years, but as yet there is no effective product, although research continues in many promising areas. A global strategy for malaria control has been accepted, but there are critics who suggest that the single strategy cannot confront the wide range of conditions in which malaria exists and that reliance on chemotherapy without proper control of drug usage and diagnosis will select for drug resistant parasites, thus exacerbating the problem. An integrated approach to control using vector control strategies based on the biology of the mosquito, the epidemiology of the parasite, and human behavior patterns is needed to prevent continued upsurge in malaria in the endemic areas.

Animals↗