Cadmium Sorption by Moringa stenopetala and Moringa oleifera seed Powders: Batch, Time, Temperature, pH and Adsorption Isotherm Studies”.

There is a widespread recognition that the presence of heavy metals such as cadmium in water is hazardous to the environment and human health and their discharge into surface waters is of great concern world wide. The use of natural coagulants such as Moringa for heavy metal removal from water replacing expensive imported synthetic coagulants is particularly appropriate for agro-based developing countries such as Malawi. This study was aimed at investigating the potential of Moringa stenopetala and Moringa oleifera in the removal of cadmium(II) ions from water. The potential of M. stenopetala for cadmium removal was investigated by means of jar test beakers. With an initial cadmium concentration of 7 mg/l, M. stenopetala seed powder, at a dose of 2.50 g/100 ml, reduced the concentration of cadmium by 53.8%. Comparison of removal capacities between M. stenopetala and M. oleifera indicated that M. stenopetala was more effective than M. oleifera in removing cadmium from water (p < 0.05). Increasing initial cadmium concentration, agitation time and ionic strength reduced cadmium removal. Equilibrium sorption was attained at pH 5 where maximum cadmium removals were 82.7 and 70.7% using M. stenopetala and M. oleifera respectively. There was a reduction in cadmium removal between 0 to 60°C for M. stenopetala and 0 -40°C for M. oleifera before increasing with subsequent temperature increases. It was also shown that cadmium sorption at 30°C and pH 3 for the M. oleifera could best be modelled by the Freundlich isotherm whereas the Langmuir model is slightly better than the Freundlich isotherm in the case of the M. Stenopetala. The energies of adsorption from Dubinin-Radushkevich models have indicated that cadmium removal using both powders is based on physisorption. The results indicate that M. stenopetala and M. oleifera have potential in cadmium remediation of polluted waters

Burnout and use of HIV services among health care workers in Lusaka District, Zambia: a cross-sectional study

BACKGROUND: Well-documented shortages of health care workers in sub-Saharan Africa are exacerbated by the increased human resource demands of rapidly expanding HIV care and treatment programmes. The successful continuation of existing programmes is threatened by health care worker burnout and HIV-related illness. METHODS: From March to June 2007, we studied occupational burnout and utilization of HIV services among health providers in the Lusaka public health sector. Providers from 13 public clinics were given a 36-item, self-administered questionnaire and invited for focus group discussions and key-informant interviews. RESULTS: Some 483 active clinical staff completed the questionnaire (84% response rate), 50 staff participated in six focus groups, and four individuals gave interviews. Focus group participants described burnout as feeling overworked, stressed and tired. In the survey, 51% reported occupational burnout. Risk factors were having another job (RR 1.4 95% CI 1.2-1.6) and knowing a co-worker who left in the last year (RR 1.6 95% CI 1.3-2.2). Reasons for co-worker attrition included: better pay (40%), feeling overworked or stressed (21%), moving away (16%), death (8%) and illness (5%). When asked about HIV testing, 370 of 456 (81%) reported having tested; 240 (50%) tested in the last year. In contrast, discussion groups perceived low testing rates. Both discussion groups and survey respondents identified confidentiality as the prime reason for not undergoing HIV testing. CONCLUSION: In Lusaka primary care clinics, overwork, illness and death were common reasons for attrition. Programmes to improve access, acceptability and confidentiality of health care services for clinical providers and to reduce workplace stress could substantially affect workforce stability

Dataset for "If we build it, will they come? Results of a quasi-experimental study assessing the impact of maternity waiting homes on facility-based childbirth and maternity care in Zambia"

MSD for Mothers, Bill & Melinda Gates Foundation, The ELMA Foundatio

If we build it, will they come? Results of a quasi-experimental study assessing the impact of maternity waiting homes on facility-based childbirth and maternity care in Zambia

Introduction: Maternity waiting homes (MWHs) aim to increase access to maternity and emergency obstetric care by allowing women to stay near a health centre before delivery. An improved MWH model was developed with community input and included infrastructure, policies and linkages to health centres. We hypothesised this MWH model would increase health facility delivery among remote-living women in Zambia. Methods: We conducted a quasi-experimental study at 40 rural health centres (RHC) that offer basic emergency obstetric care and had no recent stockouts of oxytocin or magnesium sulfate, located within 2 hours of a referral hospital. Intervention clusters (n=20) received an improved MWH model. Control clusters (n=20) implemented standard of care. Clusters were assigned to study arm using a matched-pair randomisation procedure (n=20) or non-randomly with matching criteria (n=20). We interviewed repeated cross-sectional random samples of women in villages 10+ kilometres from their RHC. The primary outcome was facility delivery; secondary outcomes included postnatal care utilisation, counselling, services received and expenditures. Intention-to-treat analysis was conducted. Generalised estimating equations were used to estimate ORs. Results: We interviewed 2381 women at baseline (March 2016) and 2330 at endline (October 2018). The improved MWH model was associated with increased odds of facility delivery (OR 1.60 (95% CI: 1.13 to 2.27); p\u3c0.001) and MWH utilisation (OR 2.44 (1.62 to 3.67); p\u3c0.001). The intervention was also associated with increased odds of postnatal attendance (OR 1.55 (1.10 to 2.19); p\u3c0.001); counselling for family planning (OR 1.48 (1.15 to 1.91); p=0.002), breast feeding (OR 1.51 (1.20 to 1.90); p\u3c0.001), and kangaroo care (OR 1.44 (1.15, 1.79); p=0.001); and caesarean section (OR 1.71 (1.16 to 2.54); p=0.007). No differences were observed in household expenditures for delivery. Conclusion: MWHs near well-equipped RHCs increased access to facility delivery, encouraged use of facilities with emergency care capacity, and improved exposure to counselling. MWHs can be useful in the effort to increase delivery at advanced facilities in areas where substantial numbers of women live remotely

Structural and molecular recognition studies with acyclic anion receptors

Acyclic molecules containing amides, ureas, and pyrrole groups have proven to be effective and selective anion-binding agents. In this Account, the structural chemistry of isophthalamide anion complexes, ortho-phenylenediamine based bis-ureas, and amidopyrroles, as well as anion-triggered deprotonation processes in neutral anion receptor systems, are discussed