501 research outputs found

    Revaluating Whole Measures of Community Food Security in Unity State, South Sudan

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    Abstract Conflict in the newly formed South Sudan has had devastating effects on the nation’s food security. Many food security metrics overlook factors of agriculture, such as seasonality, access to agricultural inputs; or the effects of displacement of small farm holders due to conflict. In light of these complexities, constructs were adapted from Whole Measures for Community Food Systems (WMCFS), and evaluated for their appropriateness in articulating the food situation in Unity State, South Sudan. This study used a pilot study approach, triangulating publicly available, qualitative and quantitative datasets from the Famine Early Warning System Network, United Nations, Government of South Sudan, humanitarian workers, and social media. Data were coded for relevance to metrics using Atlas.ti software, and scored based on WMCFS. In all, the WMCFS pilot showed the promise of a participatory planning process to secure lasting community food security, and focus on long-term agricultural development rather than food aid. Keywords: South Sudan, Community Food Security, Whole Measures, Agricultural Developmen

    The PRICE study (Protection Rest Ice Compression Elevation): design of a randomised controlled trial comparing standard versus cryokinetic ice applications in the management of acute ankle sprain [ISRCTN13903946]

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    <p>Abstract</p> <p>Background</p> <p>Cryotherapy (the application of ice for therapeutic purposes) is one of the most common treatment modalities employed in the immediate management of acute soft tissue injury. Despite its widespread clinical use, the precise physiological responses to therapeutic cooling have not been fully elucidated, and effective evidence-based treatment protocols are yet to be established. Intermittent ice applications are thought to exert a significant analgesic effect. This could facilitate earlier therapeutic exercise after injury, potentially allowing for a quicker return to activity. The primary aim of the forthcoming study is therefore to examine the safety and effectiveness of combining intermittent ice applications with periods of therapeutic exercise in the first week after an acute ankle sprain.</p> <p>Methods/Design</p> <p>The study is a randomised controlled trial. 120 subjects with an acute grade I or grade II ankle sprain will be recruited from Accident & Emergency and a University based Sports Injury Clinic. Subjects will be randomised under strict double-blind conditions to either a standard cryotherapy (intermittent ice applications with compression) or cryokinetic treatment group (intermittent ice applications with compression and therapeutic exercise). After the first week, treatment will be standardised across groups. Assessor blinding will be maintained throughout the trial. Primary outcome will be function, assessed using the Lower Extremity Functional Scale (LEFS). Additional outcomes will include pain (10 cm Visual Analogue Scale), swelling (modified figure-of-eight method) and activity levels (<it>activ</it>PAL™ physical activity monitor, PAL Technologies, Glasgow, UK). Diagnostic Ultrasound (Episcan-1-200 high frequency ultrasound scanning system, Longport International Ltd, PA) will also be used to assess the degree of soft tissue injury. After baseline assessment subjects will be followed up at 1, 2, 3 & 4 weeks post injury. All data will be analysed using repeated measures analysis of co-variance (ANCOVA).</p> <p>Discussion</p> <p>This paper describes the rationale and design of a randomised controlled trial which will examine the effectiveness of two different cryotherapy protocols in the early management of acute ankle sprain.</p> <p>Trial Registration</p> <p>ISRCTN13903946</p

    Designing a sustainable strategy for malaria control?

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    Malaria in the 21st century is showing signs of declining over much of its distribution, including several countries in Africa where previously this was not thought to be feasible. Yet for the most part the strategies to attack the infection are similar to those of the 1950s. Three major Journals have recently drawn attention to the situation, stressing the importance of research, describing the successes and defining semantics related to control. But there is a need to stress the importance of local sustainability, and consider somewhat urgently how individual endemic countries can plan and implement the programmes that are currently financed, for the most part, by donor institutions. On an immediate basis research should be more focused on a data driven approach to control. This will entail new thinking on the role of local infrastructure and in training of local scientists in local universities in epidemiology and field malariology so that expanded control programmes can become operational. Donor agencies should encourage and facilitate development of career opportunities for such personnel so that local expertise is available to contribute appropriately

    Transmission in NFS/N mice of the heritable spongiform encephalopathy associated with the gray tremor mutation.

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    It has been shown that the autosomal recessive mutation, gray tremor (gt) was associated in the homozygous state (gt/gt) with a rapidly fatal spongiform encephalopathy. Heterozygotes (+/gt) developed mild asymptomatic spongiform brain lesions as did recipient inbred mice inoculated with gt/gt brain homogenates, some of whom also showed behavioral abnormalities [Sidman, R. L., Kinney, H. C. & Sweet, H. O. (1985) Proc. Natl. Acad. Sci. USA 82, 253-257]. In these studies, inbred NFS/N mice inoculated intracerebrally at birth or as adults with gt/gt or first passage gt brain homogenates developed a progressive disease characterized by tremor, ataxia, and spasticity. The symptoms were milder and more slowly progressive than in the gt/gt homozygote, in the paralytic syndrome that followed neonatal inoculation of NFS/N mice with a wild murine leukemia virus (Cas-Br-M MuLV), or in the rapidly progressive ataxia and terminal bradykinesia that followed scrapie inoculation of NFS/N mice. The noninflammatory spongiform encephalopathy in affected NFS/N mice resembled that observed in gt/gt homozygotes, +/gt heterozygotes, and asymptomatic recipient inbred mice inoculated with gt/gt brain homogenates. Neither infectious MuLV nor MuLV proteins were detected in gt/gt brain homogenates or in affected recipient mouse brains. Scrapie-associated fibrils, readily identifiable in subcellular fractions of brains from scrapie-inoculated NFS/N mice, were not detected in similar brain fractions from NFS/N mice inoculated with gt brain homogenates. These results confirm and extend the suggestion that gt spongiform encephalopathy has both heritable and transmissible properties. Moreover, the transmissible agent of gt disease differs from both Cas-Br-M MuLV and scrapie in its disease-inducing properties in NFS/N mice. The capacity of NFS/N mice to express transmitted gt encephalopathy as clinical disease, to rapidly express Cas-Br-M MuLV spongiform encephalomyelopathy, and to develop mouse-adapted scrapie after a very short incubation time suggest a distinct sensitivity of NFS/N mice to transmissible spongiform encephalopathy

    Holes in the Glycan Shield of the Native HIV Envelope Are a Target of Trimer-Elicited Neutralizing Antibodies

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    A major advance in the search for an HIV vaccine has been the development of a near-native Envelope trimer (BG505 SOSIP.664) that can induce robust autologous Tier 2 neutralization. Here, potently neutralizing monoclonal antibodies (nAbs) from rabbits immunized with BG505 SOSIP.664 are shown to recognize an immunodominant region of gp120 centered on residue 241. Residue 241 occupies a hole in the glycan defenses of the BG505 isolate, with fewer than 3% of global isolates lacking a glycan site at this position. However, at least one conserved glycan site is missing in 89% of viruses, suggesting the presence of glycan holes in most HIV isolates. Serum evidence is consistent with targeting of holes in natural infection. The immunogenic nature of breaches in the glycan shield has been under-appreciated in previous attempts to understand autologous neutralizing antibody responses and has important potential consequences for HIV vaccine design

    Overview

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    The part of Africa designated as West Africa is made up of 16 countries— Benin, Burkina Faso, Cape Verde, Côte d’Ivoire, Gambia, Ghana, Guinea, Guinea-Bissau, Liberia, Mali, Mauritania, Niger, Nigeria, Senegal, Sierra Leone, and Togo. Its land area is about 5 million square kilometers, and its population in 2010 was about 290 million. With the exception of Mauritania, these countries are members of the Economic Community of West African States (ECOWAS). The subregion comprises a diversified agricultural base spread over a wide range of agroecological zones with significant potential for improved agricultural productivity. Agriculture is the major source of livelihood for the majority of West Africans. The agricultural sector employs 60 percent of the active labor force but contributes only 35 percent of gross domestic product (GDP). The disparity between contribution to GDP and share of population means that many West African farmers are very poor, producing close to subsistence levels and facing numerous constraints such as droughts, soil acidity, and nutrientdepleted and degraded soils that impinge on agricultural development. The most important foodcrops grown and consumed in West Africa are cereals— sorghum, millet, maize, and rice; roots and tubers—cassava, sweet potatoes, and yams; and legumes—cowpeas and groundnuts. Major cash crops are cocoa, coffee, and cotton..

    Summary and conclusions

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    Climate variability is a reality that is affecting rural livelihoods in West Africa today and presenting a growing challenge in the region, as in many other parts of the African continent and elsewhere. Climate change will have far-reaching consequences for the poor and marginalized groups among which the majority depend on agriculture for their livelihoods and have a lower capacity to adapt. Weather-related crop failures, fishery collapses, and livestock deaths in addition to losses of property are already causing economic losses and undermining food security in West Africa. This situation is likely to become more desperate and to threaten the survival of the majority of poor farmers as global warming continues. Feeding the increasing populations in a subregion with one of the highest rates of population growth in the world requires radical transformation of a largely underdeveloped agriculture over the next four decades. A major challenge is increasing agricultural production among resource-poor farmers without exacerbating environmental problems and simultaneously coping with climate change..

    Structural and mechanistic insights into a Bacteroides vulgatus retaining N-acetyl-β-galactosaminidase that uses neighbouring group participation

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    Bacteroides vulgatus is a member of the human microbiota whose abundance is increased in patients with Crohn's disease. We show that a B. vulgatus glycoside hydrolase from the carbohydrate active enzyme family GH123, BvGH123, is an N-acetyl-β-galactosaminidase that acts with retention of stereochemistry, and, through a 3-D structure in complex with Gal-thiazoline, provide evidence in support of a neighbouring group participation mechanism
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