781 research outputs found
A Large Outbreak of Hepatitis E Among a Displaced Population in Darfur, Sudan, 2004: The Role of Water Treatment Methods.
BACKGROUND: The conflict in Darfur, Sudan, was responsible for the displacement of 1.8 million civilians. We investigated a large outbreak of hepatitis E virus (HEV) infection in Mornay camp (78,800 inhabitants) in western Darfur. METHODS: To describe the outbreak, we used clinical and demographic information from cases recorded at the camp between 26 July and 31 December 2004. We conducted a case-cohort study and a retrospective cohort study to identify risk factors for clinical and asymptomatic hepatitis E, respectively. We collected stool and serum samples from animals and performed a bacteriological analysis of water samples. Human samples were tested for immunoglobulin G and immunoglobulin M antibody to HEV (for serum samples) and for amplification of the HEV genome (for serum and stool samples). RESULTS: In 6 months, 2621 hepatitis E cases were recorded (attack rate, 3.3%), with a case-fatality rate of 1.7% (45 deaths, 19 of which involved were pregnant women). Risk factors for clinical HEV infection included age of 15-45 years (odds ratio, 2.13; 95% confidence interval, 1.02-4.46) and drinking chlorinated surface water (odds ratio, 2.49; 95% confidence interval, 1.22-5.08). Both factors were also suggestive of increased risk for asymptomatic HEV infection, although this was not found to be statistically significant. HEV RNA was positively identified in serum samples obtained from 2 donkeys. No bacteria were identified from any sample of chlorinated water tested. CONCLUSIONS: Current recommendations to ensure a safe water supply may have been insufficient to inactivate HEV and control this epidemic. This research highlights the need to evaluate current water treatment methods and to identify alternative solutions adapted to complex emergencies
Strategies Proposed by Healthy Kids, Healthy Communities Partnerships to Prevent Childhood Obesity
IntroductionHealthy Kids, Healthy Communities (HKHC) is an initiative of the Robert Wood Johnson Foundation to prevent obesity among high-risk children by changing local policies, systems, and environments. In 2009, 105 community partnerships applied for funding from HKHC. Later that year, the Centers for Disease Control and Prevention (CDC) released recommended community strategies to prevent obesity by changing environments and policies. The objective of this analysis was to describe the strategies proposed by the 41 HKHC partnerships that received funding and compare them to the CDC recommendations.MethodsWe analyzed the funded proposals to assess the types and prevalence of the strategies proposed and mapped them onto the CDC recommendations.ResultsThe most prevalent strategies proposed by HKHC-funded partnerships were providing incentives to retailers to locate and serve healthier foods in underserved areas, improving mechanisms for purchasing food from farms, enhancing infrastructure that supports walking and cycling, and improving access to outdoor recreational facilities.ConclusionThe strategies proposed by HKHC partnerships were well aligned with the CDC recommendations. The popular strategies proposed by HKHC partnerships were those for which there were existing examples of successful implementation. Our analysis provides an example of how information from communities, obtained through grant-writing efforts, can be used to assess the status of the field, guide future research, and provide direction for future investments
Wide-field Imaging Interferometry Testbed II: Implementation, Performance, and Plans
The Wide-Field Imaging Interferometry Testbed (WIIT) will provide valuable
information for the development of space-based interferometers. This laboratory
instrument operates at optical wavelengths and provides the ability to test
operational algorithms and techniques for data reduction of interferometric
data. Here we present some details of the system design and implementation,
discuss the overall performance of the system to date, and present our plans
for future development of WIIT. In order to make best use of the
interferometric data obtained with this system, it is critical to limit
uncertainties within the system and to accurately understand possible sources
of error. The WIIT design addresses these criteria through a number of
ancillary systems. The use of redundant metrology systems is one of the most
important features of WIIT, and provides knowledge of the delay line position
to better than 10 nm. A light power detector is used to monitor the brightness
of our light sources to ensure that small fluctuations in brightness do not
affect overall performance. We have placed temperature sensors on critical
components of the instrument, and on the optical table, in order to assess
environmental effects on the system. The use of these systems provides us with
estimates of the overall system uncertainty, and allows an overall
characterization of the results to date. These estimates allow us to proceed
forward with WIIT, adding rotation stages for 2-D interferometry. In addition,
they suggest possible avenues for system improvement. Funding for WIIT is
provided by NASA Headquarters through the ROSS/SARA Program and by the Goddard
Space Flight Center through the IR&D Program.Comment: 11 pages, 9 figure
A Model for the Stray Light Contamination of the UVCS Instrument on SOHO
We present a detailed model of stray-light suppression in the spectrometer
channels of the Ultraviolet Coronagraph Spectrometer (UVCS) on the SOHO
spacecraft. The control of diffracted and scattered stray light from the bright
solar disk is one of the most important tasks of a coronagraph. We compute the
fractions of light that diffract past the UVCS external occulter and
non-specularly pass into the spectrometer slit. The diffracted component of the
stray light depends on the finite aperture of the primary mirror and on its
figure. The amount of non-specular scattering depends mainly on the
micro-roughness of the mirror. For reasonable choices of these quantities, the
modeled stray-light fraction agrees well with measurements of stray light made
both in the laboratory and during the UVCS mission. The models were constructed
for the bright H I Lyman alpha emission line, but they are applicable to other
spectral lines as well.Comment: 19 pages, 5 figures, Solar Physics, in pres
An all-solid-state laser source at 671 nm for cold atom experiments with lithium
We present an all solid-state narrow line-width laser source emitting
output power at delivered in a
diffraction-limited beam. The \linebreak source is based on a
fre-quency-doubled diode-end-linebreak pumped ring laser operating on the
transition in Nd:YVO. By using
periodically-poled po-tassium titanyl phosphate (ppKTP) in an external build-up
cavity, doubling efficiencies of up to 86% are obtained. Tunability of the
source over is accomplished. We demonstrate the suitability of
this robust frequency-stabilized light source for laser cooling of lithium
atoms. Finally a simplified design based on intra-cavity doubling is described
and first results are presented
Antecedents of chronic lung disease following three patterns of early respiratory disease in preterm infants
The incidence of chronic lung disease (CLD) varies among groups defined by their early pattern of respiratory disease. Although CLD is common among infants with continuous exposure to increased ambient oxygen throughout the first two postnatal weeks the antecedents of CLD among preterm infants without this exposure are not well understood
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