136 research outputs found

    Physical Mapping of Micronutritional Genes in Wheat-rye Translocations

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    In rye (Secale cereale L.), there are loci on chromosome arm 5RL which give rise to increased copper (Cu)- and iron (Fe)-efficiency, respectively. Four different wheat-rye translocations each harboring a terminal segment of different size of the rye chromosome arm 5RL were identified by test crosses and Giemsa-banding: \u27T29\u27 (5AS.5RL), \u27T63\u27 (5BS.5BL-5RL), \u27Vhn\u27 (4BS.4BL-5RL) and \u27Cor\u27 (4BS.4BL-5RL). The translocation break points were detected by chromosome painting technique GISH and the sizes of the rye chromosome segments involved were determined by computer image analysis. The Cu-efficiency gene Ce was physically mapped to the terminal region of 5RL, and the genes for mugineic acid and for hydroxymugineic acid synthetases involved in the strategy II of Fe-efficiency control to two intercalary regions of 5RL. In all wheat-rye translocation lines the Ce gene is linked to the dominant hairy neck character (HaI) from rye. This morphological trait and the RFLP probe \u27WG 199\u27 as well can serve as proper markers for a marker-based large-scale selection in wheat breeding

    Zur Neurotoxizität von Antiepileptika bei Langzeitbehandlung

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    Step-wedge cluster-randomised community-based trials: An application to the study of the impact of community health insurance

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.BACKGROUND: We describe a step-wedge cluster-randomised community-based trial which has been conducted since 2003 to accompany the implementation of a community health insurance (CHI) scheme in West Africa. The trial aims at overcoming the paucity of evidence-based information on the impact of CHI. Impact is defined in terms of changes in health service utilisation and household protection against the cost of illness. Our exclusive focus on the description and discussion of the methods is justified by the fact that the study relies on a methodology previously applied in the field of disease control, but never in the field of health financing. METHODS: First, we clarify how clusters were defined both in respect of statistical considerations and of local geographical and socio-cultural concerns. Second, we illustrate how households within clusters were sampled. Third, we expound the data collection process and the survey instruments. Finally, we outline the statistical tools to be applied to estimate the impact of CHI. CONCLUSION: We discuss all design choices both in relation to methodological considerations and to specific ethical and organisational concerns faced in the field. On the basis of the appraisal of our experience, we postulate that conducting relatively sophisticated trials (such as our step-wedge cluster-randomised community-based trial) aimed at generating sound public health evidence, is both feasible and valuable also in low income settings. Our work shows that if accurately designed in conjunction with local health authorities, such trials have the potential to generate sound scientific evidence and do not hinder, but at times even facilitate, the implementation of complex health interventions such as CHI

    The Health and Demographic Surveillance System (HDSS) in Nouna, Burkina Faso, 1993–2007

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    The Nouna Health and Demographic Surveillance System (HDSS) is located in rural Burkina Faso and has existed since 1992. Currently, it has about 78,000 inhabitants. It is a member of the International Network for the Demographic Evaluation of Populations and Their Health in Developing Countries (INDEPTH), a global network of members who conducts longitudinal health and demographic evaluation of populations in low- and middle-income countries. The health facilities consist of one hospital and 13 basic health centres (locally known as CSPS). The Nouna HDSS has been used as a sampling frame for numerous studies in the fields of clinical research, epidemiology, health economics, and health systems research. In this paper we review some of the main findings, and we describe the effects that almost 20 years of health research activities have shown in the population in general and in terms of the perception, economic implications, and other indicators. Longitudinal data analyses show that childhood, as well as overall mortality, has significantly decreased over the observation period 1993–2007. The under-five mortality rate dropped from about 40 per 1,000 person-years in the mid-1990s to below 30 per 1,000 in 2007. Further efforts are needed to meet goal four of the Millennium Development Goals, which is to reduce the under-five mortality rate by two-thirds between 1990 and 2015
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