Final report. Study of intercropping in rubber cultivation in the Moneragala and Ampara regions of Sri Lanka

Latex is considered a strategic material for the development of the country by the Ministry of Plantation of Sri Lanka. In response to the climate change, the country has adopted a policy focused on resilience and sustainable development. It is in this context that Ksapa initiated in 2022 the RIVER project which will develop a program to strengthen agricultural capacity in Sri Lanka through a digital suite, SUTTI. To carry out this project, the company commissioned YAPI Expertise to provide intercropping models based on rubber trees that are agronomically "performant" and economically interesting for producers to diversify their income. The RIVER project takes place in two districts in south-eastern Sri Lanka: Moneragala and Ampara. This study was based on literature searches which enabled to select crops that could be intercropped with rubber. In parallel, 80 interviews, prepared by YAPI Expertise, were conducted on the field by a local organisation, LOAM. The aim of these interviews was to identify rubber intercrops models already implemented in the study areas and to understand the reasons why farmers adopted these intercrop models. The interviews were analysed statistically by MCA and Chi². Combined with the literature review, the study established 5 models (Pineapple model, Cocoa model, Banana model, Passion fruit model, Soursop model) proposing several intercrops that could be planted with rubber. Finally, choice criteria have been established for each model, presenting their strong and weak points

Agronomic and socio-economic options for rubber intercropping in Sri Lanka: A forward analysis in the Moneragala and Ampara regions

Natural rubber is considered a strategic material for the development of Sri Lanka by the Ministry for Plantations. In response to climate change, the country has adopted a policy focusing on resilience and sustainable development. It is in this context that Ksapa initiated the RIVER project in 2022, aiming to develop a program to strengthen agricultural capacity in Sri Lanka. To carry out this project, the company commissioned YAPI Expertise to provide agroforestry intercropping models based on rubber trees with good agronomic performance and economically of interest to producers to diversify their sources of income. The RIVER project is implemented in two districts in south-eastern Sri Lanka: Moneragala and Ampara. This study began with an analysis of the literature in order to select crops that could be intercropped with rubber. In parallel, 80 interviews, prepared by YAPI Expertise, were conducted in the field by a local organisation, LOAM. The aim of these interviews was to identify rubber intercrop models already implemented in the study areas and to understand the reasons why farmers adopted these models. The interviews were analysed statistically by MCA and Chi². By combining these with the literature review, the study established 5 models (Pineapple model, Cocoa model, Banana model, Passion fruit model, Soursop model) for several intercrops that could be planted with rubber, with potential for adoption by local farmers. Finally, selection criteria were established for each model. Both their strong and weak points are presented, since an effective model cannot rely on agronomic analysis alone and it will be essential to adapt the choice of crops to the local market and to farmers' needs

Dilated cardiomyopathy in a cat with congenital hyposomatotropism.

Case summary A 7-month-old domestic shorthair cat was presented for evaluation of stunted growth, recurrent hypoglycaemia during the first months of its life and altered mentation. Complete blood count and biochemistry were unremarkable, except for mildly elevated serum creatinine concentration (despite low muscle mass) and concurrent isosthenuria. Hyposomatotropism was diagnosed based on persistent low circulating insulin-like growth factor 1 concentrations and a lack of response of circulating growth hormone (GH) concentration after the administration of GH-releasing hormone. Other endocrinopathies such as hypothyroidism and hypoadrenocorticism were excluded. MRI of the brain revealed a fluid-filled empty sella tursica, consistent with a pituitary cyst and atrophy/hypoplasia of the pituitary. Echocardiography was unremarkable at the time of diagnosis of hyposomatotropism. Three months later, ovariohysterectomy revealed immature ovaries, raising the suspicion of luteinising and follicle-stimulating hormone deficiency. At 1 year of age, the cat developed congestive heart failure secondarily to dilated cardiomyopathy (DCM) with severely reduced left ventricular systolic function and died a few days later. Pathology showed atrophy of the adenohypophysis, epithelial delineation of the pituitary cysts, mild cardiomegaly, multifocal fibrosis of the left ventricle and a mild, multifocal, chronic epicarditis. Relevance and novel information GH deficiency is a very rare endocrinopathy in cats. This is the first case to describe the development of DCM with concurrent hyposomatotropism, which has previously been reported in human medicine. Other notable abnormalities that could be related to GH deficiency are juvenile self-limiting hypoglycaemia, behavioural changes and possible nephropathy

Broken replication forks trigger heritable DNA breaks in the terminus of a circular chromosome

<p><u>(A) Circular map of the <i>E</i>. <i>coli</i> chromosome</u>: <i>oriC</i>, <i>dif</i> and <i>terD</i> to <i>terB</i> sites are indicated. Numbers refer to the chromosome coordinates (in kb) of MG1655. (<u>B) Linear map of the terminus region:</u> chromosome coordinates are shown increasing from left to right, as in the marker frequency panels (see Figure 1C for example), therefore in the opposite direction to the circular map. In addition to <i>dif</i> and <i>ter</i> sites, the positions of the <i>parS</i>_pMT1 sites used for microscopy experiments are indicated. (<u>C) MFA analysis of terminus DNA loss in the <i>recB</i> mutant</u>: sequence read frequencies of exponential phase cells normalized to the total number of reads were calculated for each strain. Ratios of normalized reads in isogenic wild-type and <i>recB</i> mutant are plotted against chromosomal coordinates (in kb). The profile ratio of the terminus region is enlarged and the profile of the corresponding entire chromosomes is shown in inset. Original normalized profiles used to calculate ratios are shown in <a href="http://www.plosgenetics.org/article/info:doi/10.1371/journal.pgen.1007256#pgen.1007256.s005" target="_blank">S1 Fig</a>. The position of <i>dif</i> is indicated by a red arrow. The <i>ter</i> sites that arrest clockwise forks (<i>terC</i>, <i>terB</i>, green arrow) and counter-clockwise forks (<i>terA</i>, <i>terD</i>, blue arrow) are shown. <u>(D) Schematic representation of focus loss in the <i>recB</i> mutant:</u> Time-lapse microscopy experiments showed that loss of a focus in the <i>recB</i> mutant occurs concomitantly with cell division in one of two daughter cells, and that the cell that keeps the focus then generates a focus-less cell at each generation. The percentage of initial events was calculated as the percentage of cell divisions that generate a focus-less cell, not counting the following generations. In this schematic representation, two initial events occurred (generations #2 and #7) out of 9 generations, and focus loss at generation #2 is heritable. Panels shown in this figure were previously published in [<a href="http://www.plosgenetics.org/article/info:doi/10.1371/journal.pgen.1007256#pgen.1007256.ref019" target="_blank">19</a>] and are reproduced here to introduce the phenomenon.</p

Effectiveness and cost-effectiveness of telephone consultations for fever or gastroenteritis using a formalised procedure in general practice: study protocol of a cluster randomised controlled trial

BACKGROUND: Telephone consultations in general practice are on the increase. However, data on their efficiency in terms of out-of-hours general practitioner (GP) workload, visits to hospital emergency departments (ED), cost, patient safety and satisfaction are relatively scant. The aim of this trial is to assess the effectiveness of telephone consultations provided by French emergency call centres in patients presenting with isolated fever or symptoms of gastroenteritis, mainly encountered diseases. METHODS/DESIGN: This is a prospective, open-label, multicentre, pragmatic, cluster randomised clinical trial of an estimated 2880 patients making an out-of-hours call to one of six French emergency call centres for assistance with either fever or symptoms of gastroenteritis without seriousness criteria. Each call is handled by a call centre physician. Out-of-hours is 8 p.m. to 7.59 a.m. on weekdays, 1 p.m. to 7.59 a.m. on Saturdays and round-the-clock on Sundays and school holidays. Patients will be enrolled over 1 year. In the intervention arm, a telephone consultation based on a protocol, the formal Telephone Medical Advice (fTMA), is offered to each patient calling. This protocol aims to overcome a physical consultation during out-of-hours periods. It offers reassurance and explanations, advice on therapeutic management which may include, in addition to hygiene and diet measures, a telephone prescription of antipyretic, analgesic, rehydration medication or others, and recommendations on surveillance of the patient and any action to be taken. The patient is invited to call again if the condition worsens or new symptoms develop and to make an appointment with their family GP during office hours. In the control arm, the call centre physician handles calls as usual. This physician can carry out a telephone consultation with or without a telephone prescription, dispatch an on-duty GP, the fire brigade or an ambulance to the patient, or refer the patient to an on-duty physician or to the ED. Each patient will receive a follow-up call on day 15. The primary endpoint is the frequency of out-of-hours, face-to-face GP consultations or visits to the ED during the 15 days following the index call. The secondary endpoints measured on day 15 are the number of stays in intensive care, the number of hospital admissions, the number of interventions by the fire brigade, emergency medical and ambulance services, the number and length of prescribed sick-leave episodes, all-cause mortality, morbidity, clinical outcome, patient compliance, patient satisfaction, the number of renewed calls to the call centre, the number of patients receiving multiple face-to-face GP consultations and costs incurred. DISCUSSION: This trial will assess the effectiveness and the cost-effectiveness of a formalised response to calls for assistance with fever or symptoms of gastroenteritis without seriousness criteria. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT02286245, registered on 9 September 2014

Kenya in Motion 2000-2020

This edited volume offers a broad understanding and particular visions of Kenya in the first quarter of the twenty-first century. By bringing together rigorous yet accessible contributions, it shows how, since the 2002 transition, Kenya has been striving for change through economic modernisation and political liberalisation. The planned transformations are coming to fruition, even if the legacies of the past and political habits are slowing down the process. The various chapters take us from developmental capitalism to extreme poverty and enduring inequalities, from reforms on paper to mixed results in multiple sectors: decentralised governance, natural resources, land, and education. They also explore Kenya’s ancient and colonial history and the diversity of its population. Thus, the book helps understand contemporary political, religious and community cleavages, the asymmetries between towns and the countryside, between Nairobi and the coast, in a country open to the world, as much through trade and finance as through art networks.Cet ouvrage offre une saisie synthétique et des visions particulières du Kenya en ce premier quart du XXIe siècle. Il rassemble des contributions rigoureuses et accessibles pour montrer comment, depuis l’alternance de 2002, le Kenya s’efforce de changer par la modernisation économique et la libéralisation politique. Les transformations annoncées voient le jour, même si les legs du passé et les habitus politiques en ralentissent la marche. Les différents chapitres nous mènent du capitalisme développemental kényan à la grande pauvreté et aux inégalités vivaces, des réformes sur le papier aux mises en œuvre en demi-teinte dans de multiples secteurs : gouvernance décentralisée, ressources naturelles, foncier, éducation. L’histoire ancienne et coloniale, la diversité du peuplement au Kenya permettent de mieux comprendre les clivages politiques, religieux et communautaires, les asymétries entre villes et campagnes, entre Nairobi et la côte, dans un Kenya ouvert sur le monde, autant par le commerce et la finance que par les réseaux de l’art

Le Kenya en marche, 2000-2020

Cet ouvrage offre une saisie synthétique et des visions particulières du Kenya en ce premier quart du XXIe siècle. Il rassemble des contributions rigoureuses et accessibles pour montrer comment, depuis l’alternance de 2002, le Kenya s’efforce de changer par la modernisation économique et la libéralisation politique. Les transformations annoncées voient le jour, même si les legs du passé et les habitus politiques en ralentissent la marche. Les différents chapitres nous mènent du capitalisme développemental kényan à la grande pauvreté et aux inégalités vivaces, des réformes sur le papier aux mises en œuvre en demi-teinte dans de multiples secteurs : gouvernance décentralisée, ressources naturelles, foncier, éducation. L’histoire ancienne et coloniale, la diversité du peuplement au Kenya permettent de mieux comprendre les clivages politiques, religieux et communautaires, les asymétries entre villes et campagnes, entre Nairobi et la côte, dans un Kenya ouvert sur le monde, autant par le commerce et la finance que par les réseaux de l’art.This edited volume offers a broad understanding and particular visions of Kenya in the first quarter of the twenty-first century. By bringing together rigorous yet accessible contributions, it shows how, since the 2002 transition, Kenya has been striving for change through economic modernisation and political liberalisation. The planned transformations are coming to fruition, even if the legacies of the past and political habits are slowing down the process. The various chapters take us from developmental capitalism to extreme poverty and enduring inequalities, from reforms on paper to mixed results in multiple sectors: decentralised governance, natural resources, land, and education. They also explore Kenya’s ancient and colonial history and the diversity of its population. Thus, the book helps understand contemporary political, religious and community cleavages, the asymmetries between towns and the countryside, between Nairobi and the coast, in a country open to the world, as much through trade and finance as through art networks