Foodborne illness prevention in Debre Berhan, Ethiopia: Preliminary efforts to understand household agricultural practices

While strategies to mitigate risks for foodborne illness and childhood diarrhea via sanitation and behavioral interventions have been explored, there is a dearth of knowledge about household practices regarding food production and use, livestock, and other sources of risk for foodborne illness in urban and peri-urban areas. The objective of this research was to increase understanding of household agricultural practices in Debre Berhan, Ethiopia in order to design targeted behavioral interventions to improve food safety and decrease diarrheal disease. A convenience sample of 21 teachers and parents were recruited for a mixed-methods pilot survey. The survey covered topical areas such as methods for growing, washing, and cooking produce, specifically focusing on practices in home vegetable gardens. Participants were also asked about fertilizers and manures used, animals on the property, and irrigation water sources. Descriptive statistics were calculated, and data were analyzed with SAS 9.2. The majority ofparticipants (76.2%) reported growing some or all of their own food, and many used compost (62.5%) and manure (62.5%) as fertilizer. Uncomposted manure was used as fertilizer by half (50.0%) of respondents who reported the use of manure. Respondents most commonly reported raising chickens (23.8%), yet among those using manure, they most commonly reported using sheep or lamb manure as fertilizer (50%). Most (93.7%) respondents used municipal water to irrigate their crops, while none of the respondents reported using surface water to irrigate. Nearly all (95.2%) reported always washing their produce before eating it. Respondents most commonly requested education regardinghow to more effectively grow produce. This study suggests that children and adults in Debre Berhan may have a high risk of exposure to pathogens via contact with uncomposted manure and multiple species of animals. Findings identify an opportunity for increased education in the topical areas of urban agriculture and diarrheal disease prevention. In particular, education regarding the safe utilization of manure as fertilizer could be included in agricultural extension programs. Additional research is needed to understand the extent of exposure via common household sources to pathogens that cause diarrheal disease

Cervical cancer screening uptake in Sub-Saharan Africa:a systematic review and meta-analysis

OBJECTIVES: The objective of this study is to estimate the pooled uptake of cervical cancer screening and identify its predictors in Sub-Saharan Africa. STUDY DESIGN: Systematic review and meta-analysis. METHODS: We searched PubMed, EMBASE, CINAHL, African Journals OnLine, Web of Science and Scopus electronic databases from January 2000 to 2019. All observational studies published in the English language that reported cervical cancer uptake and/or predictors in Sub-Saharan Africa were initially screened. We assessed methodological quality using the Newcastle-Ottawa Scale. An inverse variance-weighted random-effects model meta-analysis was performed to estimate the pooled uptake and odds ratio (OR) of predictors with a 95% confidence interval (CI). The I2 test statistic was used to check between-study heterogeneity, and the Egger's regression statistical test was used to check publication bias. RESULTS: We initially screened 3537 citations and subsequently 29 studies were selected for this review, which included a total of 36,374 women. The uptake of cervical cancer screening in Sub-Saharan Africa was 12.87% (95% CI: 10.20, 15.54; I2 = 98.5%). A meta-analysis of seven studies showed that knowledge about cervical cancer increased screening uptake by nearly five times (OR: 4.81; 95% CI: 3.06, 7.54). Other predictors of cervical screening uptake include educational level, age, Human Immune deficiency Virus (HIV) status, contraceptive use, perceived susceptibility and awareness about screening locations. CONCLUSIONS: Cervical screening uptake is low in Sub-Saharan Africa as a result of several factors. Health outreach and promotion programmes to target these identified predictors are required

Analytic approximations for the broadening of the spectral lines of hydrogen-like ions

Broadband approximate expressions for calculating the broadening of the spectral lines of hydrogenlike ions in a multicomponent plasma are derived taking into account both the influence of the interaction between plasma particles on the distribution function of the plasma microfield and the effect of the microfield dynamics on the broadening of the central component of the spectral line. With the approximate expressions proposed, the calculation of the shape of a given spectral line of a certain ion in a plasma with a given ion composition requires only a few seconds of computer time. The approximate expressions provide a good computational accuracy not only for the central component of the spectral line but also for the spectral line wings

Synthesis of gamma-cyclodextrin substituted bis(acyl)phosphane oxide derivative (BAPO-gamma-CyD) serving as multiple photoinitiator and crosslinking agent

A new multi-photoactive ?-cyclodextrin substituted bis(acyl)phosphane oxide derivative (BAPO-?-CyD) was successfully preparedviaa convergent synthesis using a phospha-Michael-addition, as confirmed by1H-,13C-,31P-NMR and IR spectroscopy and mass spectrometry. Kinetic studies carried out by photo-DSC and photo-rheology demonstrated its outstanding efficiency as a photoinitiator for free-radical polymerization. Remarkably, it is found that BAPO-?-CyD also acts as a crosslinking agent to convert monofunctional methacrylate monomers into self-standing thermosetting networks with extensive swelling capability in water

Predicting Attrition in a Text-Based Nutrition Education Program: Survival Analysis of Text2BHealthy

Background: Text-based programs have been shown to effectively address a wide variety of health issues. Although little research examines short message service (SMS) text messaging program characteristics that predict participant retention and attrition, features of SMS text message programs, such as program duration and intensity, message content, and the participants' context, may have an impact. The impact of stop messages-messages with instructions for how to drop out of an SMS text message program-may be particularly important to investigate. Objective: The aim of this study was to describe attrition from Text2BHealthy, a text-based nutrition and physical activity promotion program for parents of low-income elementary school children, and to determine the impact of message content and number of stop messages received on attrition. Methods: Using data from 972 parents enrolled in Text2BHealthy, we created Kaplan-Meier curves to estimate differences in program duration for different SMS text message types, including nutrition, physical activity, stop, and other messages. Covariates, including rurality and number of stop messages received, were included. Results: Retention rates by school ranged from 74% (60/81) to 95.0% (132/139), with an average retention rate of 85.7% (833/972) across all schools. Program duration ranged from 7 to 282 days, with a median program duration of 233 days and an average program duration of 211.7 days. Among those who dropped out, program duration ranged from 7 to 247 days, with a median program duration of 102.5 days. Receiving a stop message increased the probability of attrition compared with receiving messages about nutrition, physical activity, or other topics (hazard ratio=51.5, 95% CI 32.46-81.7; P<.001). Furthermore, each additional stop message received increased the probability of attrition (hazard ratio=10.36, 95% CI 6.14-17.46; P<.001). The degree of rurality also had a significant effect on the probability of attrition, with metropolitan county participants more likely to drop out of the program than rural county participants. The interaction between SMS text message type and total number of stop messages received had a significant effect on attrition, with the effect of the number of stop messages received dependent on the SMS text message type. Conclusions: This study demonstrates the potential of SMS text message programs to retain participants over time. Furthermore, this study suggests that the probability of attrition increases substantially when participants receive messages with instructions for dropping out of the program. Program planners should carefully consider the impact of stop messages and other program content and characteristics on program retention. Additional research is needed to identify participant, programmatic, and contextual predictors of program duration and to explicate the relationship between program duration and program efficacy.United States Department of Agriculture; Maryland Department of Human Services; University of MarylandOpen access journalThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]