Maintaining Africa's water infrastructure: findings from a Water Audit in Kitui County, Kenya (REACH Policy brief)

A lack of information about previous investments and current status of infrastructure creates a challenge for those responsible for water service provision. REACH’s work in Kitui County, Kenya, aims to address this information deficit by providing a detailed inventory of rural and small town piped water schemes. The first step is piloting a Water Audit methodology that can be used county-wide. This policy brief presents results of an audit of infrastructure in one sub-county of Kitui County and outlines the implications for attaining universal service delivery

Enteric Pathogens in Stored Drinking Water and on Caregiver's Hands in Tanzanian Households with and without Reported Cases of Child Diarrhea.

Diarrhea is one of the leading causes of mortality in young children. Diarrheal pathogens are transmitted via the fecal-oral route, and for children the majority of this transmission is thought to occur within the home. However, very few studies have documented enteric pathogens within households of low-income countries. The presence of molecular markers for three enteric viruses (enterovirus, adenovirus, and rotavirus), seven Escherichia coli virulence genes (ECVG), and human-specific Bacteroidales was assessed in hand rinses and household stored drinking water in Bagamoyo, Tanzania. Using a matched case-control study design, we examined the relationship between contamination of hands and water with these markers and child diarrhea. We found that the presence of ECVG in household stored water was associated with a significant decrease in the odds of a child within the home having diarrhea (OR = 0.51; 95% confidence interval 0.27-0.93). We also evaluated water management and hygiene behaviors. Recent hand contact with water or food was positively associated with detection of enteric pathogen markers on hands, as was relatively lower volumes of water reportedly used for daily hand washing. Enteropathogen markers in stored drinking water were more likely found among households in which the markers were also detected on hands, as well as in households with unimproved water supply and sanitation infrastructure. The prevalence of enteric pathogen genes and the human-specific Bacteroidales fecal marker in stored water and on hands suggests extensive environmental contamination within homes both with and without reported child diarrhea. Better stored water quality among households with diarrhea indicates caregivers with sick children may be more likely to ensure safe drinking water in the home. Interventions to increase the quantity of water available for hand washing, and to improve food hygiene, may reduce exposure to enteric pathogens in the domestic environment

Prognostic model to predict postoperative acute kidney injury in patients undergoing major gastrointestinal surgery based on a national prospective observational cohort study.

Background: Acute illness, existing co-morbidities and surgical stress response can all contribute to postoperative acute kidney injury (AKI) in patients undergoing major gastrointestinal surgery. The aim of this study was prospectively to develop a pragmatic prognostic model to stratify patients according to risk of developing AKI after major gastrointestinal surgery. Methods: This prospective multicentre cohort study included consecutive adults undergoing elective or emergency gastrointestinal resection, liver resection or stoma reversal in 2-week blocks over a continuous 3-month period. The primary outcome was the rate of AKI within 7 days of surgery. Bootstrap stability was used to select clinically plausible risk factors into the model. Internal model validation was carried out by bootstrap validation. Results: A total of 4544 patients were included across 173 centres in the UK and Ireland. The overall rate of AKI was 14·2 per cent (646 of 4544) and the 30-day mortality rate was 1·8 per cent (84 of 4544). Stage 1 AKI was significantly associated with 30-day mortality (unadjusted odds ratio 7·61, 95 per cent c.i. 4·49 to 12·90; P < 0·001), with increasing odds of death with each AKI stage. Six variables were selected for inclusion in the prognostic model: age, sex, ASA grade, preoperative estimated glomerular filtration rate, planned open surgery and preoperative use of either an angiotensin-converting enzyme inhibitor or an angiotensin receptor blocker. Internal validation demonstrated good model discrimination (c-statistic 0·65). Discussion: Following major gastrointestinal surgery, AKI occurred in one in seven patients. This preoperative prognostic model identified patients at high risk of postoperative AKI. Validation in an independent data set is required to ensure generalizability

Blueberry Advisory Committee Research Report

The 1985 edition of the Blueberry Progress Reports was prepared for the Maine Blueberry Commission and the University of Maine Blueberry Advisory Committee by researchers with the Maine Agricultural Experiment Station and Maine Cooperative Extension Service at the University of Maine, Orono. Projects in this report include: 1. Control of secondary blueberry pest insects 2. Effect of pruning practices on blueberry insect abundance 3. Effect of hexazinone on species distribution in lowbush blueberry fields 4. Dichlobenil for control of bunchberry 5. Evaluation of postemergence herbicides for grass control 6. Hand-wiper applications of herbicides on woody weeds 7. Evaluation of steam as a pruning practice for lowbush blueberry fields 8. Evaluation of glyphosate and 2,4-D applied with a commercial weed roller to control woody weeds 9. Hand-wiping and cutting treatments for dogbane 9. Evaluation of airblast-sprayer application of asulam for bracken fern control 10. Spot treatment of woody weeds with 2,4-D in oil 11. Chemical control of Botrytis blossom blight 12. Evaluation of preliminary steam treatments (1984) at Blueberry Hill Farm 13. Long term effects of N and NPK fertilizer on plant growth and yield 14. Nutritional survey of selected lowbush blueberry fields 15. Interaction of fertility and pruning practices on soil characteristics and lowbush blueberry growth and yield 16. Frequency of fertility application for establishment of lowbush blueberry seedlings 17. Slow release vs. liquid fertilizer for establishment of lowbush blueberry seedlings 18. The effect of several mulches on frost heaving, soil moisture, soil temperature and rhizome development 19. Blueberry product development: raisin-type blueberries 20. Blueberry product development: blueberry puree 21. Addendum: 1985 Report from Moody Trevet

Blueberry Advisory Committee Research Report

The 1984 edition of the Blueberry Progress Reports was prepared for the Maine Blueberry Commission and the University of Maine Blueberry Advisory Committee by researchers with the Maine Agricultural Experiment Station and Maine Cooperative Extension Service at the University of Maine, Orono. Projects in this report include: 1. Control, biology, and ecology of insects affecting lowbush blueberries . 2. Chemical control of mummyberry disease (Monilinia vaccinii-corymbosi) 3. New Fungicides for control of Botrytis blossom blight 4. Nutritional survey of selected lowbush blueberry fields 5. Interaction of fertility and pruning practices on soil characteristics and lowbush blueberry growth and yield 6. Long term effects of N and NPK fertilizer on plant growth and yield 7. The effect of N fertilization on clonal spread 8. Nutritional responses of the lowbush blueberry in new plantings as related to early establishment 9. The effect of several mulches on frost heaving, soil moisture, soil temperature and rhizome development 10. Effectiveness of mulches and planted lowbush blueberry seedlings for stabilizing soils and increasing plant cover 11. Effect of surface mulches on stabilizing lowbush blueberry soil in barren areas 12. Frequency of fertility application for establishment of lowbush blueberry seedlings 13. Slow release vs liquid fertilizer for establishment of lowbush blueberry seedlings 14. Comparison of rooted cuttings and tissue culture propagated lowbush blueberry plants 15. The effect of growth regulator formulations on growth and rhizome production of the lowbush blueberry 16. Unburned, mowed fields 17. Blueberry concentrate 18. Blueberry product development 19. Dehydrated blueberries 20. Low-calorie blueberry jellies 21. Hexazinone and terbacil mixture for weed control 22. Hexazinone and atrazine mixture for weed control 23. Effect of hexazinone and nitrogen or nitrogen-phosphorus fertilizer on lowbush blueberry plants 24. Hand-wiper applications of herbicides on birch, maple and willow 25. Glyphosate applied after leaf drop for bunchberry control 26. Napropamide for seedling weed control 27. PP333 plant growth regulator 28. Dichlobenil for bunchberry control 29. Effect of hexazinone on weed and blueberry populations 30. Fluazifop-butyl for grass control 31. Hand-wiping and cutting treatments for dogbane 32. Evaluation of airblast sprayer application of asulam for bracken fern control 33. Evaluation of spot treatment of woody weeds with 2,4-D in oil 34. Steam heat as a control of mummyberry diseas

Blueberry Advisory Committee Research Report

The 1987 edition of the Blueberry Advisory Committee Research Reports was prepared for the Maine Wild Blueberry Commission and the University of Maine Wild Blueberry Advisory Committee by researchers with the Maine Agricultural Experiment Station and Maine Cooperative Extension Service at the University of Maine, Orono. Projects in this report include: 1. Effect of Pruning Practices on Blueberry Insect Abundance 2. Economic Thresholds and Control of Secondary Blueberry Pests 3. Control of Blueberry Maggot 4. Evaluation of Fungicides for Control of Botrytis Blight on Lowbush Blueberry, 1987 5. Evaluation of Fungicides for Control of Mummy Berry on Lowbush Blueberry, 1987 6. Miscellaneous Activity: a) Fungicide Residue Analysis b) Blueberry fact sheet c) Berry contamination 7. Effects of Pruning Methods on Mummy Berry Disease Incidence, 1987 8. Effects of Pruning Methods on Powdery Mildew and Red Leaf Disease Incidence, 1987 9. Nutrition Survey 1987 10. Nutritional Responses of Seedlings 11. The Effect of Several Mulches on Frost Heaving, Soil Moisture, Soil Temperature and Rhizome Development 12. Time-temperature Effects on Sugar Migration and Physical Characterization in Lowbush Blueberries 13. Fabricated Blueberry Raisins Prepared from Puree using Alginate as the Gelling Agent 14. Blueberry Gelatin 15. Effect of Hexazinone (VELPAR) on Species Distribution in Lowbush Blueberry Fields 16. Evaluation of Postemergence Herbicides for Grass Control 17. Evaluation of Sulfonyl urea and Imidazoline compounds for Bunchberry Control 18. Use of Mechanical wiper with glyphosate (ROUNDUP) or dicamba for control of dogbane 19. Integrated Weed Management 20. Evaluation of Five Preemergence Herbicides for Control of Oat grass and Bunchgrass 21. Wiper Application of Dicamba for Woody Weed control 22. Hexazinone (VELPAR) and terbacil (SINBAR) combinations for weed control 23. Evaluation of Clopyralid and Lactofen for Bunchberry Control 24. Evaluation of Postemergence Applications of chlorimuron for Bunchberry Control 25. Hexazinone seedling study 26. Seedling Pruning Study 27. Effect of bracken fern on blueberry yield 28. Evaluation of two mechanical harvesters vs hand raking of lowbush blueberrie

Preclinical Evaluation of Caprylic Acid-Fractionated IgG Antivenom for the Treatment of Taipan (Oxyuranus scutellatus) Envenoming in Papua New Guinea

articulo (arbitrado) -- Universidad de Costa Rica, Instituto de Investigaciones Clodomiro Picado, 2011Background: Snake bite is a common medical emergency in Papua New Guinea (PNG). The taipan, Oxyuranus scutellatus, inflicts a large number of bites that, in the absence of antivenom therapy, result in high mortality. Parenteral administration of antivenoms manufactured in Australia is the current treatment of choice for these envenomings. However, the price of these products is high and has increased over the last 25 years; consequently the country can no longer afford all the antivenom it needs. This situation prompted an international collaborative project aimed at generating a new, low-cost antivenom against O. scutellatus for PNG. Methodology/Principal Findings: A new monospecific equine whole IgG antivenom, obtained by caprylic acid fractionation of plasma, was prepared by immunising horses with the venom of O. scutellatus from PNG. This antivenom was compared with the currently used F(ab’)2 monospecific taipan antivenom manufactured by CSL Limited, Australia. The comparison included physicochemical properties and the preclinical assessment of the neutralisation of lethal neurotoxicity and the myotoxic, coagulant and phospholipase A2 activities of the venom of O. scutellatus from PNG. The F(ab’)2 antivenom had a higher protein concentration than whole IgG antivenom. Both antivenoms effectively neutralised, and had similar potency, against the lethal neurotoxic effect (both by intraperitoneal and intravenous routes of injection), myotoxicity, and phospholipase A2 activity of O. scutellatus venom. However, the whole IgG antivenom showed a higher potency than the F(ab’)2 antivenom in the neutralisation of the coagulant activity of O. scutellatus venom from PNG. Conclusions/Significance: The new whole IgG taipan antivenom described in this study compares favourably with the currently used F(ab’)2 antivenom, both in terms of physicochemical characteristics and neutralising potency. Therefore, it should be considered as a promising low-cost candidate for the treatment of envenomings by O. scutellatus in PNG, and is ready to be tested in clinical trials.This study was supported by Vicerrectoría de Investigación, Universidad de Costa Rica (project 741-A9-003); the PNG Office of Higher Education, CTP Limited (Milne Bay Estates), and the Australian Venom Research Unit (University of Melbourne), which is funded by the Australian Government Department of Health and Ageing, the Australia Pacific Science Foundation and Snowy Nominees. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.UCR::Vicerrectoría de Investigación::Unidades de Investigación::Ciencias de la Salud::Instituto Clodomiro Picado (ICP