Bacterial Foodborne Disease: Medical Costs and Productivity Losses

Microbial pathogens in food cause an estimated 6.5-33 million cases of human illness and up to 9,000 deaths in the United States each year. Over 40 different foodborne microbial pathogens, including fungi, viruses, parasites, and bacteria, are believed to cause human illnesses. For six bacterial pathogens, the costs of human illness are estimated to be $9.3-$12.9 billion annually. Of these costs, $2.9-$6.7 billion are attributed to foodborne bacteria. These estimates were developed to provide analytical support for USDA's Hazard Analysis and Critical Control Point (HACCP) systems rule for meat and poultry. (Note that the parasite Toxoplasma gondii is not included in this report.) To estimate medical costs and productivity losses, ERS uses four severity categories for acute illnesses: those who did not visit a physician, visited a physician, were hospitalized, or died prematurely. The lifetime consequences of chronic disease are included in the cost estimates for E. coli O157:H7 and fetal listeriosis.cost-of-illness, foodborne pathogens, lost productivity, medical costs, Food Consumption/Nutrition/Food Safety, Health Economics and Policy,

Field efficacy of hermetic and other maize grain storage options under smallholder farmer management

Household grain storage continues to be of paramount importance in improving food security in sub-Saharan Africa (SSA) where maize postharvest losses of 10-20 % are reported. On-farm trials to compare alternative solutions for reducing household maize storage losses were conducted in the 2014/15 and 2015/16 storage seasons in two contrasting agro-ecological zones in Hwedza district of Zimbabwe. A wide range of treatments including a commercial synthetic pesticide (Shumba super dust®1), unregistered but commonly used botanical pesticides (Aloe ash, Colophospermum mopane leaves, Eleusine coracana (rapoko) chaff, and Ocimum gratissimum), hermetic storage facilities (metal silos, GrainPro Super Grain Bags (SGB) IVR™, Purdue Improved Crop Storage (PICS) bags), and storage bags with pesticide incorporated into their fabric (ZeroFly® bags), were evaluated. The results demonstrated the superiority of hermetic storage facilities (PICS bags, SGBs, and metal silos) in suppressing insect pest build up, insect grain damage and weight loss in stored maize grain. A newly introduced synthetic pesticide on the Zimbabwean market, Actellic gold dust®, was also evaluated in the 2015/16 season and was found to be highly effective. The following grain storage technologies; hermetic metal silos, SGB bags, PICS bags, and Actellic gold dust® pesticide are therefore recommended for smallholder farmer use to reduce stored grain losses due to insect pests

Learning for Sustainability:young people and practitioner perspectives

This report is based on research conducted by a team at the University of Dundee into the understanding and implementation of Learning for Sustainability amongst young people aged 14+ in school and community learning and development settings and the practitioners responsible for their education

Unbiased Gene Expression Analysis Implicates the huntingtin Polyglutamine Tract in Extra-mitochondrial Energy Metabolism

The Huntington's disease (HD) CAG repeat, encoding a polymorphic glutamine tract in huntingtin, is inversely correlated with cellular energy level, with alleles over ∼37 repeats leading to the loss of striatal neurons. This early HD neuronal specificity can be modeled by respiratory chain inhibitor 3-nitropropionic acid (3-NP) and, like 3-NP, mutant huntingtin has been proposed to directly influence the mitochondrion, via interaction or decreased PGC-1α expression. We have tested this hypothesis by comparing the gene expression changes due to mutant huntingtin accurately expressed in STHdhQ111/Q111 cells with the changes produced by 3-NP treatment of wild-type striatal cells. In general, the HD mutation did not mimic 3-NP, although both produced a state of energy collapse that was mildly alleviated by the PGC-1α-coregulated nuclear respiratory factor 1 (Nrf-1). Moreover, unlike 3-NP, the HD CAG repeat did not significantly alter mitochondrial pathways in STHdhQ111/Q111 cells, despite decreased Ppargc1a expression. Instead, the HD mutation enriched for processes linked to huntingtin normal function and Nf-κB signaling. Thus, rather than a direct impact on the mitochondrion, the polyglutamine tract may modulate some aspect of huntingtin's activity in extra-mitochondrial energy metabolism. Elucidation of this HD CAG-dependent pathway would spur efforts to achieve energy-based therapeutics in HD

Strategies for Gait Retraining in a Collegiate Runner with Transfemoral Amputation: A Case Report

# Background More than fifty percent of people with limb amputations participate in sports or physical activity following amputation. Athletes with limb amputations may face additional challenges including phantom limb pain (PLP), psychological barriers, prosthetic complications, and gait abnormalities. Prevalence of PLP in the general amputee population is estimated to be as high as 85%. Despite the high prevalence of PLP, there is little research regarding the use of gait training as a treatment for PLP among both the general amputee population and athletes. # Case Description A 20-year old female collegiate track and field athlete presented with phantom knee pain brought on with running. The athlete demonstrated deficits in core and hip strength as well as decreased single leg stability bilaterally. Running gait analysis revealed circumduction with the prosthesis for limb advancement and increased vaulting with push off on the sound (uninvolved) limb. Gait retraining strategies were implemented to address video analysis findings and create a more efficient running gait and address phantom limb pain symptoms. # Outcomes Rehabilitation and gait retraining strategies were effective in improving several clinical and functional outcomes in this case. Significant improvements were noted in PLP, running gait mechanics, and the patient’s psychological and functional status as measured with a standardized outcome tool, the Patient-Reported Outcomes Measurement Information System^®^ (PROMIS^®^). # Discussion Running gait training following amputation could be a crucial component of rehabilitation for athletes in an attempt to lessen pain while running, especially in those experiencing phantom limb pain (PLP). Utilization of a multidisciplinary team in the gait retraining process is recommended. There is a need for further research to determine the effects of running gait retraining for management of PLP in athletes with amputation. # Level of Evidence

Predicting Prostephanus truncatus (Horn) (Coleoptera: Bostrichidae) populations and associated grain damage in smallholder farmers’ maize stores: a machine learning approach

Prostephanus truncatus is a notorious pest of stored-maize grain and its spread throughout sub-Saharan Africa has led to increased levels of grain storage losses. The current study developed models to predict the level of P. truncatus infestation and associated damage of maize grain in smallholder farmer stores. Data were gathered from grain storage trials conducted in Hwedza and Mbire districts of Zimbabwe and collated with weather data for each of the sites. Insect counts of P. truncatus and other common stored grain insect pests had a strong correlation with time of year with highest recorded numbers from January to May. Correlation analysis showed insect-generated grain dust from boring and feeding activity to be the best indicator of P. truncatus presence in stores (r = 0.70), while a moderate correlation (r = 0.48) was found between P. truncatus numbers and storage insect parasitic wasps, and grain damage levels significantly correlated with the presence of Tribolium castaneum (r = 0.60). Models were developed for predicting P. truncatus infestation and grain damage using parameter selection algorithms and decision-tree machine learning algorithms with 10-fold cross-validation. The P. truncatus population size prediction model performance was weak (r = 0.43) due to the complicated sampling and detection of the pest and eight-week long period between sampling events. The grain damage prediction model had a stronger correlation coefficient (r = 0.93) and is a good estimator for in situ stored grain insect damage. The models were developed for use under southern Africa climatic conditions and can be improved with more input data for greater precision models to build decision-support tools for maize-based production systems

Blanket application rates for synthetic grain protectants across agro-climatic zones: Do they work? Evidence from field efficacy trials using sorghum grain

Many smallholder farmers in sub-Saharan Africa rely on synthetic pesticides for protecting stored-grain. Recommendations on use of these grain protectants are typically based on “blanket” application rates which are fixed rates that are not varied according to grain type, pest range or agro-climatic regions. There are numerous anecdotal reports of storage pesticide failure or reduced efficacy from farmers. Might rising global temperatures be a contributory factor? Smallholder farmers are responding by over-applying pesticides, increasing the application frequency or switching to non-recommended pesticides; leading to a pesticide treadmill. Trials to determine the efficacy and persistence of five commercially-available synthetic pesticides applied at manufacturer's recommended rates on stored sorghum grain under contrasting climatic conditions were conducted in Mbire (mean temperatures of 32–42°C and 30–50% rh) and Harare (18–32°C; 42–75% rh) districts in Zimbabwe. Grain samples were collected at 8-week intervals throughout a 10 month period in the 2014/15 and 2015/16 storage seasons. The samples were analyzed for insect grain damage, weight loss, total number of storage insects by species and grain moisture content. Results showed significant differences in the performance of treatments (p<0.001). Grain damage was consistently higher in Harare than in Mbire. Tribolium castaneum was the dominant pest in Mbire, while Sitotroga cerealella and Sitophilus oryzae were dominant in Harare. Tribolium castaneum populations were high in the Shumba Super dust⁠® (fenitrothion 1%+deltamethrin 0.13%) treatment in Mbire, while S. cerealella was dominant in Super guard⁠® (pirimiphos-methyl 1.6%+permethrin 0.4%) and Actellic Gold dust⁠® (pirimiphos-methyl 1.6%+thiamethoxam 0.36%) treated grain in Harare. Grain moisture content varied with ambient conditions, and was high in treatments with high insect pest levels. The results show that differences in climatic conditions influence insect pest species dynamics and response to pesticide treatments. Storage pesticides are not equally effective across different climatic conditions; thus more context-specific application recommendations are required

Field evaluation of hermetic and synthetic pesticide-based technologies in smallholder sorghum grain storage in hot and arid climates

Field evaluation of six grain storage technologies under hot and arid conditions (32–42 oC; rainfall < 450 mm/year) in two locations in Zimbabwe were conducted over two storage seasons. The treatments included three hermetic technologies (Purdue Improved Crop Storage bags, GrainPro Super Grainbags, metal silos); three synthetic pesticide-based treatments; and an untreated control, all using threshed sorghum grain. Sampling was at eight-week intervals for 32 weeks. Highly significant differences (p<0.01) occurred between hermetic and non-hermetic treatments regarding grain damage, weight loss, insect pest populations, and grain moisture content; with the hermetic containers exhibiting superior grain protection. Weight losses were low (<3%) in hermetic treatments compared to pesticide-based treatments (3.7 to 14.2%). Tribolium castaneum developed in metal silos, deltamethrin-incorporated polypropylene bags and a pesticide treatment containing deltamethrin 0.13% and fenitrothion 1% while Sitotroga cerealella developed in a pesticide treatment containing pirimiphos-methyl 0.16% + thiamethoxam 0.036%. Mechanisms of survival and development of these pests in the tested treatments and under similar climatic conditions need further elucidation. These hermetic technologies can be successfully used by smallholder farmers in developing countries as alternatives to synthetic pesticides for protecting stored-sorghum grain under hot and arid climatic conditions to attain household food security. To our knowledge, this is the first published study on modern hermetic storage of sorghum grain under typical smallholder storage conditions and involving stakeholders