Factors associated with infant mortality in Nepal: a comparative analysis of Nepal demographic and health surveys (NDHS) 2006 and 2011

Background: Infant mortality is one of the priority public health issues in developing countries like Nepal. The infant mortality rate (IMR) was 48 and 46 per 1000 live births for the year 2006 and 2011, respectively, a slight reduction during the 5 years’ period. A comprehensive analysis that has identified and compared key factors associated with infant mortality is limited in Nepal, and, therefore, this study aims to fill the gap. Methods: Datasets from Nepal Demographic and Health Surveys (NDHS) 2006 and 2011 were used to identify and compare the major factors associated with infant mortality. Both surveys used multistage stratified cluster sampling techniques. A total of 8707 and 10,826 households were interviewed in 2006 and 2011, with more than 99% response rate in both studies. The survival information of singleton live-born infants born 5 years preceding the two surveys were extracted from the ‘childbirth’ dataset. Multiple logistic regression analysis using a hierarchical modelling approach with the backward elimination method was conducted. Complex Samples Analysis was used to adjust for unequal selection probability due to the multistage stratified cluster-sampling procedure used in both NDHS.Results: Based on NDHS 2006, ecological region, succeeding birth interval, breastfeeding status and type of delivery assistance were found to be significant predictors of infant mortality. Infants born in hilly region (AOR = 0.43, p = 0.013) and with professional assistance (AOR = 0.27, p = 0.039) had a lower risk of mortality. On the other hand, infants with succeeding birth interval less than 24 months (AOR = 6.66, p = 0.001) and those who were never breastfed (AOR = 1.62, p = 0.044) had a higher risk of mortality. Based on NDHS 2011, birth interval (preceding and succeeding) and baby’s size at birth were identified to be significantly associated with infant mortality. Infants born with preceding birth interval (AOR = 1.94, p = 0.022) or succeeding birth interval (AOR = 3.22, p = 0.002) shorter than 24 months had higher odds of mortality while those born with a very large or larger than average size had significantly lowered odds (AOR = 0.17, p = 0.008) of mortality. Conclusion: IMR and associated risk factors differ between NDHS 2006 and 2011 except ‘succeeding birth interval’ which attained significant status in the both study periods. This study identified the ecological region, birth interval, delivery assistant type, baby’s birth size and breastfeeding status as significant predictors of infant mortality

Biosynthesis of Salmonella enterica [NiFe]-hydrogenase-5 : probing the roles of system-specific accessory proteins

A subset of bacterial [NiFe]-hydrogenases have been shown to be capable of activating dihydrogen-catalysis under aerobic conditions; however, it remains relatively unclear how the assembly and activation of these enzymes is carried out in the presence of air. Acquiring this knowledge is important if a generic method for achieving production of O2-resistant [NiFe]-hydrogenases within heterologous hosts is to be developed. Salmonella enterica serovar Typhimurium synthesizes the [NiFe]-hydrogenase-5 (Hyd-5) enzyme under aerobic conditions. As well as structural genes, the Hyd-5 operon also contains several accessory genes that are predicted to be involved in different stages of biosynthesis of the enzyme. In this work, deletions in the hydF, hydG, and hydH genes have been constructed. The hydF gene encodes a protein related to Ralstonia eutropha HoxO, which is known to interact with the small subunit of a [NiFe]-hydrogenase. HydG is predicted to be a fusion of the R. eutropha HoxQ and HoxR proteins, both of which have been implicated in the biosynthesis of an O2-tolerant hydrogenase, and HydH is a homologue of R. eutropha HoxV, which is a scaffold for [NiFe] cofactor assembly. It is shown here that HydG and HydH play essential roles in Hyd-5 biosynthesis. Hyd-5 can be isolated and characterized from a ΔhydF strain, indicating that HydF may not play the same vital role as the orthologous HoxO. This study, therefore, emphasises differences that can be observed when comparing the function of hydrogenase maturases in different biological systems

Severe infections emerge from commensal bacteria by adaptive evolution

Bacteria responsible for the greatest global mortality colonize the human microbiota far more frequently than they cause severe infections. Whether mutation and selection among commensal bacteria are associated with infection is unknown. We investigated de novo mutation in 1163 Staphylococcus aureus genomes from 105 infected patients with nose colonization. We report that 72% of infections emerged from the nose, with infecting and nose-colonizing bacteria showing parallel adaptive differences. We found 2.8-to-3.6-fold adaptive enrichments of protein-altering variants in genes responding to rsp, which regulates surface antigens and toxin production; agr, which regulates quorum-sensing, toxin production and abscess formation; and host-derived antimicrobial peptides. Adaptive mutations in pathogenesis-associated genes were 3.1-fold enriched in infecting but not nose-colonizing bacteria. None of these signatures were observed in healthy carriers nor at the species-level, suggesting infection-associated, short-term, within-host selection pressures. Our results show that signatures of spontaneous adaptive evolution are specifically associated with infection, raising new possibilities for diagnosis and treatment

Evaluation of soil fertility status of Regional Agricultural Research Station, Tarahara, Sunsari, Nepal

Soil fertility evaluation of an area or region is most basic decision making tool for the sustainable soil nutrient management. In order to evaluate the soil fertility status of the Regional Agricultural Research Station (RARS), Tarahara, Susari, Nepal. Using soil sampling auger 81 soil samples (0-20 cm) were collected based on the variability of land. The collected samples were analyzed for their texture, structure, colour, pH, OM, N, P2O5, K2O, Ca, Mg, S, B, Fe, Zn, Cu and Mn status. The Arc-GIS 10.1 software was used for the preparation of soil fertility maps. The soil structure was granular to sub-angular blocky and varied between brown- dark grayish brown and dark gray in colour. The sand, silt and clay content were 30.32±1.4%, 48.92±0.89% and 20.76±0.92%, respectively and categorized as loam, clay loam, sandy loam, silt loam and silty clay loam in texture. The soil was moderately acidic in pH (5.98±0.08). The available sulphur (2.15±0.21 ppm), available boron (0.08±0.01 ppm) and available zinc (0.35±0.03 ppm) status were very low, whereas extractable magnesium (44.33±6.03 ppm) showed low status. Similarly, organic matter (2.80±0.07%), total nitrogen (0.09±0.004 %), extractable calcium (1827.90±45.80 ppm) and available copper (1.15±0.04 ppm) were medium in content. The available phosphorus (39.77±5.27 ppm), extractable potassium (134.12±4.91 ppm), and available manganese (18.15±1.15 ppm) exhibits high status, while available iron (244.7±19.70 ppm) was very high. The fertilizer recommendation can be done based on determined soil fertility status to economize crop production. Furthermore, research farm should develop future research strategy accordance with the prepared soil data base

Soil physico-chemical characterization in the different soil layers of National Maize Research Program, Rampur, Chitwan, Nepal

Soil pit digging and their precise study is a decision making tool to assess history and future of soil management of a particular area. Thus, the present study was carried out to differentiate soil physico-chemical properties in the different layers of excavated pit of the National Maize Research Program, Rampur, Chitwan, Nepal. Eight pits were dug randomly from three blocks at a depth of 0 to 100 cm. The soil parameters were determined in-situ, and in laboratory for texture, pH, OM, N, P (as P2O5), K (as K2O), Ca, Mg, S, B, Fe, Zn, Cu and Mn of collected soils samples of different layers following standard analytical methods at Soil Science Division, Khumaltar. The result revealed that soil structure was sub-angular in majority of the layers, whereas bottom layer was single grained. The value and chrome of colour was increasing in order from surface to bottom in the majority pits. Similarly, the texture was sandy loam in majority layers of the pits. Moreover, four types of consistence (loose to firm) were observed. Furthermore, mottles and gravels were absent in the majority layers. Likewise, soil was very to moderately acidic in observed layers of majority pits, except bottom layer of agronomy block was slightly acidic. Regarding fertility parameters (OM, macro and micronutrients), some were increasing and vice-versa, while others were intermittent also. Therefore, a single layer is not dominant for particular soil physico-chemical parameters in the farm. In overall, surface layer is more fertile than rest of the layers in all the pits

The Cardiovascular Effects of Electronic Cigarettes

Purpose of Review: Electronic cigarettes (e-cigarettes) are gaining rapid popularity among all age groups, especially among youth. They have evolved into technologically advanced devices capable of delivering nicotine concentration and other substances. In addition to nicotine, e-cigarettes’ constituents possess variety of toxic chemicals that have adverse effects on human body. Recent Findings: In recent years, steady downward trend in tobacco usage has been observed; however, e-cigarette use is on upward trend. E-cigarettes are advertised as “safer” alternatives to conventional smoking and as an aid to smoking cessation. Emerging studies have, however, shown that e-cigarettes have harmful effects on the cardiovascular system and that most of the e-cigarette users are dual users, concurrently using e-cigarettes and smoking conventional cigarettes. Summary: Despite a gap in clinical studies and randomized trials analyzing adverse cardiovascular effects of e-cigarette use, the existing literature supports that different constituents of e-cigarettes such as nicotine, carbonyls, and particulate matters carry potential risk for cardiovascular diseases (CVD) on its users

Host-mediated sugar oxidation promotes post-antibiotic pathogen expansion.

Changes in the gut microbiota may underpin many human diseases, but the mechanisms that are responsible for altering microbial communities remain poorly understood. Antibiotic usage elevates the risk of contracting gastroenteritis caused by Salmonella enterica serovars, increases the duration for which patients shed the pathogen in their faeces, and may on occasion produce a bacteriologic and symptomatic relapse. These antibiotic-induced changes in the gut microbiota can be studied in mice, in which the disruption of a balanced microbial community by treatment with the antibiotic streptomycin leads to an expansion of S. enterica serovars in the large bowel. However, the mechanisms by which streptomycin treatment drives an expansion of S. enterica serovars are not fully resolved. Here we show that host-mediated oxidation of galactose and glucose promotes post-antibiotic expansion of S. enterica serovar Typhimurium (S. Typhimurium). By elevating expression of the gene encoding inducible nitric oxide synthase (iNOS) in the caecal mucosa, streptomycin treatment increased post-antibiotic availability of the oxidation products galactarate and glucarate in the murine caecum. S. Typhimurium used galactarate and glucarate within the gut lumen of streptomycin pre-treated mice, and genetic ablation of the respective catabolic pathways reduced S. Typhimurium competitiveness. Our results identify host-mediated oxidation of carbohydrates in the gut as a mechanism for post-antibiotic pathogen expansion