Cost-effectiveness of management strategies for acute urethritis in the developing world.

OBJECTIVE: To recommend a cost-effective approach for the management of acute male urethritis in the developing world, based on the findings of a theoretical study. METHODS: A model was developed to assess the cost-effectiveness of three urethritis management strategies in a theoretical cohort of 1000 men with urethral syndrome. (1) All patients were treated with cefixime and doxycycline for gonococcal urethritis (GU) and nongonococcal urethritis (NGU), respectively, as recommended by WHO. (2) All patients were treated with doxycycline for NGU; treatment with cefixime was based on the result of direct microscopy of a urethral smear. (3) All patients were treated with cotrimoxazole or kanamycin for GU and doxycycline for NGU. Cefixime was kept for patients not responding to the first GU treatment. Strategy costs included consultations, laboratory diagnosis (where applicable) and drugs. The outcome was the rate of patients cured of urethritis. Cost-effectiveness was measured in terms of cost per cured urethritis. RESULTS: Strategy costs in our model depended largely on drug costs. The first strategy was confirmed as the most effective but also the most expensive approach. Cefixime should cost no more than US$1.5 for the strategy to be the most cost-effective. The second strategy saved money and drugs but proved a valuable alternative only when laboratory performance was optimal. The third strategy with cotrimoxazole was the least expensive but a low follow-up visit rate, poor treatment compliance or lower drug efficacy limited effectiveness. Maximizing compliance by replacing cotrimoxazole with single-dose kanamycin had the single greatest impact on the effectiveness of the third strategy. CONCLUSION: Our model suggested that a cost-effective approach would be to treat gonorrhoea with a single-dose antibiotic selected from locally available products that cost no more than US$ 1.5

Diurnal variations in CPUE and length composition of the catches in a <i>Nephrops</i> directed fishery in the Central North Sea

The report describes the Belgian Nephrops directed fishery in the Central North Sea (Botney Gut-Silver Pit area) and analyzes the diurnal variations in CPUE and catch composition of several commercial Nephrops trawlers operating in this area. Peak CPUE-values were generally obtained after dawn and before dusk. Some anomalies however did occur. These are discussed in relation to the natural variations in light intensity on the sea floor and the food requirements of Nephrops. There was no evidence of significant changes in the length composition of Nephros taken at different times of the day. The data even suggest that all size groups of Nephros respond in the same way to changes in light intensity

Annotated list of new records of marine macroalgae for Kenya and Tanzania, since Isaac's and Jaasund's publications

48 species of Rhodophyta, 10 species of Phaeophyta and 38 species of Chlorophyta, newly reported since Isaac's publications on seaweeds from Kenya and Jaasund's papers on macroalgae fiom Tanzania, are listed with bibliograpbic, taxonomic and biogeographic comments. Some of these species were previously published in more detailed taxonomic studies by this paper's authors

Hunting for nuclear markers in green algal lineages: molecular evolution of glucose-6-phosphate isomerase

The Chlorophyta exhibit a remarkable cytological diversity ranging from unicellular microscopic algae with a single nucleus, over multicellular filaments and foliose blades, to coencytic and even siphonous life forms that are essentially composed of a giant cell containing thousands of nuclei. Unravelling the evolutionary history of this diverse and evolutionary old group is a difficult task due to the antiquity of the major lineages and considerable rate variation between those lineages for the commonly used 18S ribosomal DNA sequences and chloroplast markers (Lewis et al., Therefore different genes with known function and sequence data available are tested and more recently a cDNA library is screened to search for new useful genes.Glucose-6-phosphate isomerase (G6PI) is one of the genes we are testing. It is an important enzyme of the carbohydrate biosynthesis pathway in photosynthetic organisms and of the glycolysis in all organisms. Little is known about copy number of the gene in the Chlorophyta. The complete genome sequences of Chlamydomonas reinhardtii and Ostreococcus taur revealed that both have a single copy of G6PI. In plants however within a single genus there are species with one G6PI gene and other species with two G6PI (e.g. Arabidopsis, Actinidia,…) and up to thre copies are observed in Zea mays. It always concerns recent duplication within one genus.To investigate if the G6PI gene(s) is useful as a phylogenetic marker in the Chlorophyta, primers were made based on the G6PI genome sequences of Arabidopsis thaliana, Oryza sativa, Chlamydomonas reinhardtii and Ostreococcus tauri. The primers were tested on DNA and RNA of a variety of green algae.Following conclusions can be drawn from these preliminary results: 1. epiphytic or endophytic bacteria interfere with the direct amplification of nuclear genes; 2. the G6PI gene is informative on several taxonomic levels: for deep phylogenies we have to use a codon substitution model, for species level relationships introns may offer opportunities towards studies at the interspecific level; 3. most likely only one (functional) copy of the G6PI gene is present in the tested taxa