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      New Insights Into the Peculiar World of the Shepherd-Dog Parasites: An Overview From Maremma (Tuscany, Italy)

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          Abstract

          Several developments have been recently achieved to understand pet-dog parasites and their relationship with hosts; however, parasites' presence and distribution in shepherd-dog have been mainly neglected; this knowledge gap is of critical sanitary importance, as shepherd-dogs could harbor zoonotic helminths including Echinococcus granulosus sensu lato. The related human disease, cystic echinococcosis, is a worldwide neglected disease, with high endemicity in the Mediterranean Basin. To evaluate the presence of E. granulosus and other parasites, a sheep-dog population from the province of Grosseto (Tuscany, Italy) has been investigated. Overall, 648 dog fecal samples obtained from 50 modern sheep farms, having a total of 216 dogs, were collected. Specimens were analyzed using a standardized centrifugal flotation method (specific gravity = 1.3). Taeniid eggs detected were further isolated using a sieving/flotation technique. DNA was isolated from eggs for PCR and sequence analyses for species identification (gene target: 12S rRNA and nad1). Thirty-nine (78%) farms tested positive for at least one parasite species or genus. The most represented intestinal helminths were Toxocara spp. in 64% of farms, followed by Ancylostomatidae (58%), Trichuris vulpis (50%), Capillaria spp. (34%), and taeniids (32%). Sequence analyses confirmed the presence of Taenia hydatigena in seven farms, Taenia (syn. Multiceps) multiceps in five farms, and T. pisiformis in one farm. No DNA was extracted from four previously taeniid egg-positive farms. No amplification of amplicon corresponding to E. granulosus was achieved in the investigated farms. Although not entirely expected, Spearman's test showed a positive correlation between flock size and the number of dogs per farm (ρ = 0.588, P < 0.001). The quantitative analysis reported that the home slaughter practice was affected neither by the flock size nor by the number of dogs per farm. The probability to diagnose farms positive for taeniids had been increased by about 35% for each dog unit increase [odds ratio (OR) = 1.35, P = 0.012]. In conclusion, the wide distribution of T. hydatigena and T. multiceps detected in the present study clearly reveals that dogs have still access to raw offal, a major risk for the transmission of E. granulosus. Home slaughtering is an unavoidable practice, and more efforts must be undertaken by the public health system to prevent and control potential zoonotic taeniids.

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          Statistical notes for clinical researchers: Chi-squared test and Fisher's exact test

          When we try to compare proportions of a categorical outcome according to different independent groups, we can consider several statistical tests such as chi-squared test, Fisher's exact test, or z-test. The chi-squared test and Fisher's exact test can assess for independence between two variables when the comparing groups are independent and not correlated. The chi-squared test applies an approximation assuming the sample is large, while the Fisher's exact test runs an exact procedure especially for small-sized samples. Chi-squared test 1. Independency test The chi-squared test is used to compare the distribution of a categorical variable in a sample or a group with the distribution in another one. If the distribution of the categorical variable is not much different over different groups, we can conclude the distribution of the categorical variable is not related to the variable of groups. Or we can say the categorical variable and groups are independent. For example, if men have a specific condition more than women, there is bigger chance to find a person with the condition among men than among women. We don't think gender is independent from the condition. If there is equal chance of having the condition among men and women, we will find the chance of observing the condition is the same regardless of gender and can conclude their relationship as independent. Examples 1 and 2 in Table 1 show perfect independent relationship between condition (A and B) and gender (male and female), while example 3 represents a strong association between them. In example 3, women had a greater chance to have the condition A (p = 0.7) compared to men (p = 0.3). The chi-squared test performs an independency test under following null and alternative hypotheses, H0 and H1, respectively. H0: Independent (no association) H1: Not independent (association) The test statistic of chi-squared test: χ 2 = ∑ ( 0 - E ) 2 E ~ χ 2 with degrees of freedom (r - 1)(c - 1), Where O and E represent observed and expected frequency, and r and c is the number of rows and columns of the contingency table. The first step of the chi-squared test is calculation of expected frequencies (E). E is calculated under the assumption of independent relation or, in other words, no association. Under independent relationship, the cell frequencies are determined only by marginal proportions, i.e., proportion of A (60/200 = 0.3) and B (1400/200 = 0.7) in example 2. In example 2, the expected frequency of the male and A cell is calculated as 30 that is the proportion of 0.3 (proportion of A) in 100 Males. Similarly, the expected frequency of the male and A cell is 50 that is the proportion of 0.5 (proportion of A = 100/200 = 0.5) in 100 Males in example 3 (Table 1). Expected frequency (E) of Male & A = Number of A * Number of Male Total number = p A * p male * total number The second step is obtaining (O - E)2/E for each cell and summing up the values over each cell. The final summed value follows chi-squared distribution. For the ‘male and A’ cell in example 3, (O - E)2/E = (30 - 50)2/50 = 8. Chi-squared statistic calculated = ∑ ( 0 - E ) 2 E = 8 + 8 + 8 + 8 = 32 in example 3. For examples 1 and 2, the chi-squared statistics equal zero. A big difference between observed value and expected value or a large chi-squared statistic implies that the assumption of independency applied in calculation of expected value is irrelevant to the observed data that is being tested. The degrees of freedom is one as the data has two rows and two columns: (r - 1) * (c - 1) = (2 - 1) * (2 - 1) = 1. The final step is making conclusion referring to the chi-squared distribution. We reject the null hypothesis of independence if the calculated chi-squared statistic is larger than the critical value from the chi-squared distribution. In the chi-squared distribution, the critical values are 3.84, 5.99, 7.82, and 9.49, with corresponding degrees of freedom of 1, 2, 3, and 4, respectively, at an alpha level of 0.5. Larger chi-square statistics than these critical values of specific corresponding degrees of freedom lead to the rejection of null hypothesis of independence. In examples 1 and 2, the chi-squared statistic is zero which is smaller than the critical value of 3.84, concluding independent relationship between gender and condition. However, data in example 3 have a large chi-squared statistic of 32 which is larger than 3.84; it is large enough to reject the null hypothesis of independence, concluding a significant association between two variables. The chi-squared test needs an adequate large sample size because it is based on an approximation approach. The result is relevant only when no more than 20% of cells with expected frequencies < 5 and no cell have expected frequency < 1.1 2. Effect size As the significant test does not tell us the degree of effect, displaying effect size is helpful to show the magnitude of effect. There are three different measures of effect size for chi-squared test, Phi (φ), Cramer's V (V), and odds ratio (OR). Among them φ and OR can be used as the effect size only in 2 × 2 contingency tables, but not for bigger tables. φ = χ 2 n V = χ 2 n · d f , where n is total number of observation, and df is degrees of freedom calculated by (r - 1) * (c - 1). Here, r and c are the numbers of rows and columns of the contingency table. In example 3, we can calculate them as φ = χ 2 n = 32 200 = 0.4 , V = χ 2 n · d f = 32 200 · 1 = 0.4 , and O R = 70 · 70 30 · 30 = 5.44 . Referring to Table 2, the effect size V = 0.4 is interpreted medium to large. If number of rows and/or columns are larger than 2, only Cramer's V is available. 3. Post-hoc pairwise comparison of chi-squared test The chi-squared test assesses a global question whether relation between two variables is independent or associated. If there are three or more levels in either variable, a post-hoc pairwise comparison is required to compare the levels of each other. Let's say that there are three comparative groups like control, experiment 1, and experiment 2 and we try to compare the prevalence of a certain disease. If the chi-squared test concludes that there is significant association, we may want to know if there is any significant difference in three compared pairs, between control and experiment 1, between control and experiment 2, and between experiment 1 and experiment 2. We can reduce the table into multiple 2 × 2 contingency tables and perform the chi-squared test with applying the Bonferroni corrected alpha level (corrected α = 0.05/3 compared pairs = 0.017). Fisher's exact test Fisher's exact test is practically applied only in analysis of small samples but actually it is valid for all sample sizes. While the chi-squared test relies on an approximation, Fisher's exact test is one of exact tests. Especially when more than 20% of cells have expected frequencies < 5, we need to use Fisher's exact test because applying approximation method is inadequate. Fisher's exact test assesses the null hypothesis of independence applying hypergeometric distribution of the numbers in the cells of the table. Many packages provide the results of Fisher's exact test for 2 × 2 contingency tables but not for bigger contingency tables with more rows or columns. For example, the SPSS statistical package automatically provides an analytical result of Fisher's exact test as well as chi-squared test only for 2 × 2 contingency tables. For Fisher's exact test of bigger contingency tables, we can use web pages providing such analyses. For example, the web page ‘Social Science Statistics’ (http://www.socscistatistics.com/tests/chisquare2/Default2.aspx) permits performance of Fisher exact test for up to 5 × 5 contingency tables. The procedure of chi-squared test and Fisher's exact test using IBM SPSS Statistics for Windows Version 23.0 (IBM Corp., Armonk, NY, USA) is as follows:
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            Domestication and early agriculture in the Mediterranean Basin: Origins, diffusion, and impact.

            The past decade has witnessed a quantum leap in our understanding of the origins, diffusion, and impact of early agriculture in the Mediterranean Basin. In large measure these advances are attributable to new methods for documenting domestication in plants and animals. The initial steps toward plant and animal domestication in the Eastern Mediterranean can now be pushed back to the 12th millennium cal B.P. Evidence for herd management and crop cultivation appears at least 1,000 years earlier than the morphological changes traditionally used to document domestication. Different species seem to have been domesticated in different parts of the Fertile Crescent, with genetic analyses detecting multiple domestic lineages for each species. Recent evidence suggests that the expansion of domesticates and agricultural economies across the Mediterranean was accomplished by several waves of seafaring colonists who established coastal farming enclaves around the Mediterranean Basin. This process also involved the adoption of domesticates and domestic technologies by indigenous populations and the local domestication of some endemic species. Human environmental impacts are seen in the complete replacement of endemic island faunas by imported mainland fauna and in today's anthropogenic, but threatened, Mediterranean landscapes where sustainable agricultural practices have helped maintain high biodiversity since the Neolithic.
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              Global Distribution of Alveolar and Cystic Echinococcosis.

              Alveolar echinococcosis (AE) and cystic echinococcosis (CE) are severe helminthic zoonoses. Echinococcus multilocularis (causative agent of AE) is widely distributed in the northern hemisphere where it is typically maintained in a wild animal cycle including canids as definitive hosts and rodents as intermediate hosts. The species Echinococcus granulosus, Echinococcus ortleppi, Echinococcus canadensis and Echinococcus intermedius are the causative agents of CE with a worldwide distribution and a highly variable human disease burden in the different endemic areas depending upon human behavioural risk factors, the diversity and ecology of animal host assemblages and the genetic diversity within Echinococcus species which differ in their zoonotic potential and pathogenicity. Both AE and CE are regarded as neglected zoonoses, with a higher overall burden of disease for CE due to its global distribution and high regional prevalence, but a higher pathogenicity and case fatality rate for AE, especially in Asia. Over the past two decades, numerous studies have addressed the epidemiology and distribution of these Echinococcus species worldwide, resulting in better-defined boundaries of the endemic areas. This chapter presents the global distribution of Echinococcus species and human AE and CE in maps and summarizes the global data on host assemblages, transmission, prevalence in animal definitive hosts, incidence in people and molecular epidemiology.
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                Author and article information

                Contributors
                Journal
                Front Vet Sci
                Front Vet Sci
                Front. Vet. Sci.
                Frontiers in Veterinary Science
                Frontiers Media S.A.
                2297-1769
                25 September 2020
                2020
                : 7
                : 564164
                Affiliations
                [1] 1Department of Veterinary Medical Sciences, Alma Mater Studiorum-University of Bologna , Bologna, Italy
                [2] 2Institute of Parasitology, University of Zurich , Zurich, Switzerland
                Author notes

                Edited by: Lise Roy, Université Paul Valéry, Montpellier III, France

                Reviewed by: Serena Cavallero, Sapienza University of Rome, Italy; Sarah Gabriël, Ghent University, Belgium

                *Correspondence: Benedetto Morandi benedetto.morandi2@ 123456unibo.it

                This article was submitted to Parasitology, a section of the journal Frontiers in Veterinary Science

                Article
                10.3389/fvets.2020.564164
                7544896
                33088834
                e5797ee0-f7e3-4af4-8ad6-577a4b7fd325
                Copyright © 2020 Morandi, Mazzone, Gori, Alvarez Rojas, Galuppi, Deplazes and Poglayen.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 20 May 2020
                : 17 August 2020
                Page count
                Figures: 3, Tables: 4, Equations: 0, References: 59, Pages: 9, Words: 6888
                Categories
                Veterinary Science
                Original Research

                shepherd-dog,parasites,taeniids,e. granulosus,epidemiology,public health

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