Perceptions locales de la manifestation des changements climatiques et mesures d’adaptation dans la gestion de la fertilité des sols dans la Commune de Banikoara au Nord- Bénin

Objectifs: L’étude a pour objectif d’analyser les déterminants biophysiques des changements climatiques et les mesures d’adaptations développées par les producteurs notamment dans la gestion de la fertilité des sols au Nord-Bénin.Méthodologie et Résultats: Les données ont été collectées auprès de focus groupes d’effectif variant de 6 à 12 personnes réalisés dans chacun des dix arrondissements de la Commune de Banikoara. Une enquête auprès de 986 producteurs a été réalisée sur les perceptions, les mesures d’adaptation et les déterminants socio-économiques des changements climatiques. Les données sont analysées avec le test d’indépendance de Χ², l’analyse factorielle des correspondances suivie ou non de la classification ascendante hiérarchique. Ensuite une régression logistique polychotomique ordinale a été utilisée en vue de modéliser la relation entre les déterminants socio-économiques des producteurs enquêtés et le niveau de fertilité de leur sol. Les résultats ont permis d’identifier 24 perceptions liées aux changements climatiques et 63 stratégies d’adaptation. Les stratégies d’adaptation dépendaient des niveaux de prospérité mais n’avaient pas de relation avec l’appartenance aux classes d’âges. Les déterminants socioéconomiques les plus liés à la fertilité des sols sont la location de parcelles, le nombre de charrues et le nombre de charrettes.Conclusion et Application des Résultats: L’amélioration du niveau de prospérité des producteurs est un élément clé de leur adaptation aux changements climatiques. La possession de charrues, de charrettes et la disponibilité des terres sont les déterminants socio-économiques qui expliquent au mieux l’adaptation des producteurs aux changements climatiques dans la gestion de la fertilité des sols.Local perceptions of manifestation of climate change and adaptation measures in the management of soil fertility in the Municipality of Banikoara in North BeninObjectives: The study aims to analyze the biophysical determinants of climate change and adaptation measures developed by such producers in the management of soil fertility in northern Benin.Methodology and Results: Data were collected from focus groups of staff ranging from 6 to 12 people made in each of the ten districts of the Municipality of Banikoara. A survey of 986 farmers was conducted on perceptions, adaptation and socio-economic determinants of climate change. The data were analyzed with the chi-square test of independence, the correspondence analysis or not followed by the hierarchical clustering. Then polychotomous ordinal logistic regression was used to model the relationship between socio-economic determinants of producers surveyed and the fertility of their soil. The results identified 24 perceptions related to climate change and adaptation strategies 63. Adaptation strategies depended on the levels of prosperity but had no relationship with the membership age groups. Socio-economic determinants related to most soil fertility include the rental plots, the number of plows and the number of carts.Conclusion and Application of Results: Improving the level of prosperity of the producers is a key element of their adaptation to climate change. Possession of plows, carts and land availability are the socioeconomic determinants that explain the adaptation of the best producers to climate change in the management of soil fertilit

The role of virulence factors in the outcome of staphylococcal peritonitis in CAPD patients

<p>Abstract</p> <p>Background</p> <p>Peritonitis continues to be the most frequent cause of peritoneal dialysis (PD) failure, with an important impact on patient mortality. Gram-positive cocci such as <it>Staphylococcus epidermidis</it>, other coagulase-negative staphylococci (CoNS), and <it>Staphylococcus aureus </it>are the most frequent etiological agents of PD-associated peritonitis worldwide. The objective of the present study was to compare peritonitis caused by <it>S. aureus </it>and CoNS and to evaluate the factors influencing outcome.</p> <p>Methods</p> <p>Records of 86 new episodes of staphylococcal peritonitis that occurred between 1996 and 2000 in the Dialysis unit of a single university hospital were studied (35 due to <it>S. aureus</it>, 24 to <it>S. epidermidis </it>and 27 to other CoNS). The production of slime, lipase, lecithinase, nuclease (DNAse), thermonuclease (TNAse), α- and β-hemolysin, enterotoxins (SEA, SEB, SEC, SED) and toxic shock syndrome toxin-1 (TSST-1) was studied in <it>S. aureus </it>and CoNS. Antimicrobial susceptibility was evaluated based on the minimal inhibitory concentration determined by the E-test. Outcome predictors were evaluated by two logistic regression models.</p> <p>Results</p> <p>The oxacillin susceptibility rate was 85.7% for <it>S. aureus</it>, 41.6% for <it>S. epidermidis</it>, and 51.8% for other CoNS (p = 0.001). Production of toxins and enzymes, except for enterotoxin A and α-hemolysin, was associated with <it>S. aureus </it>episodes (p < 0.001), whereas slime production was positive in 23.5% of CoNS and 8.6% of <it>S. aureus </it>strains (p = 0.0047). The first model did not include enzymes and toxins due to their association with <it>S. aureus</it>. The odds of resolution were 9.5 times higher for <it>S. epidermidis </it>than for <it>S. aureus </it>(p = 0.02) episodes, and were similar for <it>S. epidermidis </it>and other CoNS (p = 0.8). The resolution odds were 68 times higher for non-slime producers (p = 0.001) and were not influenced by oxacillin resistance among vancomycin-treated cases (p = 0.89). In the second model, the resolution rate was similar for <it>S. aureus </it>and <it>S. epidermidis </it>(p = 0.70), and slime (p = 0.001) and α-hemolysin (p = 0.04) production were independent predictors of non-resolution.</p> <p>Conclusion</p> <p>Bacterial species and virulence factors rather than antibiotic resistance influence the outcome of staphylococcal peritonitis.</p

Anthropogenic disturbance in tropical forests can double biodiversity loss from deforestation

Concerted political attention has focused on reducing deforestation1,2,3, and this remains the cornerstone of most biodiversity conservation strategies4,5,6. However, maintaining forest cover may not reduce anthropogenic forest disturbances, which are rarely considered in conservation programmes6. These disturbances occur both within forests, including selective logging and wildfires7,8, and at the landscape level, through edge, area and isolation effects9. Until now, the combined effect of anthropogenic disturbance on the conservation value of remnant primary forests has remained unknown, making it impossible to assess the relative importance of forest disturbance and forest loss. Here we address these knowledge gaps using a large data set of plants, birds and dung beetles (1,538, 460 and 156 species, respectively) sampled in 36 catchments in the Brazilian state of Pará. Catchments retaining more than 69–80% forest cover lost more conservation value from disturbance than from forest loss. For example, a 20% loss of primary forest, the maximum level of deforestation allowed on Amazonian properties under Brazil’s Forest Code5, resulted in a 39–54% loss of conservation value: 96–171% more than expected without considering disturbance effects. We extrapolated the disturbance-mediated loss of conservation value throughout Pará, which covers 25% of the Brazilian Amazon. Although disturbed forests retained considerable conservation value compared with deforested areas, the toll of disturbance outside Pará’s strictly protected areas is equivalent to the loss of 92,000–139,000 km2 of primary forest. Even this lowest estimate is greater than the area deforested across the entire Brazilian Amazon between 2006 and 2015 (ref. 10). Species distribution models showed that both landscape and within-forest disturbances contributed to biodiversity loss, with the greatest negative effects on species of high conservation and functional value. These results demonstrate an urgent need for policy interventions that go beyond the maintenance of forest cover to safeguard the hyper-diversity of tropical forest ecosystems

Immediate continuous passive motion after internal fixation of an ankle fracture

Surgical treatment is usually mandatory in displaced bimalleolar and trimalleolar fractures. Some authors have recommended early mobilization of the ankle joint after surgical treatment of these lesions. In this study, we evaluate the effect of immediate postoperative continuous passive motion in the management of displaced bimalleolar and trimalleolar fractures treated surgically

A population-based surveillance study on severe acute maternal morbidity (near-miss) and adverse perinatal outcomes in Campinas, Brazil: The Vigimoma Project

BACKGROUND: Auditing of sentinel health events based on best-practice protocols has been recommended. This study describes a population-based investigation on adverse perinatal events including severe acute maternal morbidity (near-miss), maternal and perinatal mortality, as a health intervention to help improve the surveillance system. METHODS: From October to December 2005, all cases of maternal death (MD), near-miss (NM), fetal deaths (FD), and early neonatal deaths (END), occurring in Campinas, Brazil, were audited by maternal mortality committees. RESULTS: A total of 4,491 liveborn infants (LB) and 159 adverse perinatal events (35.4/1000 LB) were revised, consisting of 4 MD (89/100.000 LB) and 95 NM (21.1/1000 LB), 23.7 NM for each MD. In addition, 32 FD (7.1/1000 LB) and 28 END (6.2/1000 LB) occurred. The maternal death/near miss rate was 23.7:1. Some delay in care was recognized for 34%, and hypertensive complications comprised 57.8% of the NM events, followed by postpartum hemorrhage. CONCLUSION: Auditing near miss cases expanded the understanding of the spectrum from maternal morbidity to mortality and the importance of promoting adhesion to clinical protocols among maternal mortality committee members. Hypertensive disorders and postpartum hemorrhage were identified as priority topics for health providers training, and organization of care