In vitro ruminal degradation of neutral detergent fiber insoluble protein from tropical pastures fertilized with nitrogen

The objective was to determine in vitro the NDF insoluble protein (NDIP) extension and degradation rate of four tropical grasses by the potential effect of N fertilization. The grasses (Andropogon gayanus, Brachiaria brizantha, Cynodon plectostachyus and Megathyrsus maximus) that grow in Mexico were used. Each grass was grown in four plots (5×5 m), fertilized (relationship equivalent to 0 and 100 kg N/ha) and clipped 35 d after the N fertilization. A complete randomized block design with factorial arrangement 4×2, and two replicates per treatment was used, where the factors were grass species and N fertilization. Non-protein nitrogen (NPN), buffer insoluble protein (IP), NDIP and acid detergent insoluble protein (ADIP) were performed. Freeze-dried samples were incubated at 0, 1.5, 3, 6, 9, 12, 24, 48 and 96 h. After fermentation, the CP content of the NDF residues was determined. An exponential equation was used to determine the rate of the NDIP disappearance. There was no detectable interaction between type of grass and fertilization level. The NDIP (as %CP) averaged 35 % with a range of 10 to 60 %. The NDIP variation was primarily due to species. The extent and rates of degradation of the NDIP were 70.6 % and 7.1 %/h respectively, with no N-fertilization effect. The NDIP was degraded faster (P≤0.05) than NDF (7.7 vs 5.0 %/h). These data show that the NDIP is ruminally degraded and that this fraction significantly contributes to the rumen nitrogen supply

Community response to intermittent preventive treatment of malaria in infants (IPTi) in Papua New Guinea

<p>Abstract</p> <p>Background</p> <p>Building on previous acceptability research undertaken in sub-Saharan Africa this article aims to investigate the acceptability of intermittent preventive treatment of malaria in infants (IPTi) in Papua New Guinea (PNG).</p> <p>Methods</p> <p>A questionnaire was administered to mothers whose infants participated in the randomised placebo controlled trial of IPTi. Mothers whose infants participated and who refused to participate in the trial, health workers, community reporters and opinion leaders were interviewed. Men and women from the local community also participated in focus group discussions.</p> <p>Results</p> <p>Respondents viewed IPTi as acceptable in light of wider concern for infant health and the advantages of trial participation. Mothers reported complying with at-home administration of IPTi due to perceived benefits of IPTi and pressure from health workers. In spite of patchy knowledge, respondents also demonstrated a demand for infant vaccinations and considered non-vaccination to be neglect. There is little evidence that IPTi has negative impacts on attitudes to EPI, EPI adherence or existing malaria prevention practices.</p> <p>Conclusion</p> <p>The degree of similarity between findings from the acceptability studies undertaken in sub-Saharan Africa and PNG allows some generalization relating to the implementation of IPTi outside of Africa: IPTi fits well with local health cultures, appears to be accepted easily and has little impact on attitudes towards EPI or malaria prevention. The study adds to the evidence indicating that IPTi could be rolled out in a range of social and cultural contexts.</p

Greater utility of molecular subtype rather than epithelial-to-mesenchymal transition (EMT) markers for prognosis in high-risk non-muscle-invasive (HGT1) bladder cancer

Funding Information: ECO and AEK were funded by CRUK programme grant C5255/A23755. We would like to thank Marcus Green for cutting the sections and giving advice on optimisation of antibodies and to Dr Jong‐Wei Hsu for advice on antibody selection. LB was supported by the National Institute for Health Research (NIHR) Oxford Biomedical Research Centre (BRC). The views expressed are those of the authors and not necessarily those of the National Health Service (NHS), the NIHR or the Department of Health. LB is part of the PathLAKE digital pathology consortium. These new Centres are supported by a £50m investment from the Data to Early Diagnosis and Precision Medicine strand of the UK government's Industrial Strategy Challenge Fund, managed and delivered by UK Research and Innovation (UKRI).Peer reviewedPublisher PD

Socio-cultural aspects of Chagas disease: a systematic review of qualitative research.

BACKGROUND: Globally, more than 10 million people are infected with Trypanosoma cruzi, which causes about 20 000 annual deaths. Although Chagas disease is endemic to certain regions of Latin America, migratory flows have enabled its expansion into areas where it was previously unknown. Economic, social and cultural factors play a significant role in its presence and perpetuation. This systematic review aims to provide a comprehensive overview of qualitative research on Chagas disease, both in endemic and non-endemic countries. METHODOLOGY/PRINCIPAL FINDINGS: Searches were carried out in ten databases, and the bibliographies of retrieved studies were examined. Data from thirty-three identified studies were extracted, and findings were analyzed and synthesized along key themes. Themes identified for endemic countries included: socio-structural determinants of Chagas disease; health practices; biomedical conceptions of Chagas disease; patient's experience; and institutional strategies adopted. Concerning non-endemic countries, identified issues related to access to health services and health seeking. CONCLUSIONS: The emergence and perpetuation of Chagas disease depends largely on socio-cultural aspects influencing health. As most interventions do not address the clinical, environmental, social and cultural aspects jointly, an explicitly multidimensional approach, incorporating the experiences of those affected is a potential tool for the development of long-term successful programs. Further research is needed to evaluate this approach

Responsible sourcing of critical metals

This is the author accepted manuscript. The final version is available from Mineralogical Society of America via the DOI in this recordMost critical raw materials, such as the rare earth elements (REE), are starting products in long manufacturing supply chains. It is difficult for consumers, buying cars or smartphones for example, to engage with the original mines and demand environmental and social best practice. Geoscientists can become involved in responsible sourcing because geology is related to environmental impact factors such as energy requirements, resource efficiency, radioactivity and the amount of rock mined. The energy and material inputs and emissions and waste from mining and processing can be quantified using life cycle assessment (LCA). Preliminary LCA studies for REE show little over all difference between ‘hard rocks’ such as carbonatites and easily leachable ion adsorption clays, mainly because of the embodied energy in chemicals used for leaching, dissolution and separation.This work is part funded by the NERC SoS RARE project, NE/M011429/1

Educational and health outcomes of children treated for type 1 diabetes: Scotland-wide record linkage study of 766,047 children

Objective: This study was conducted to determine the association between childhood type 1 diabetes and educational and health outcomes. Research Design and Methods: Record linkage of nine Scotland-wide databases (diabetes register, dispensed prescriptions, maternity records, hospital admissions, death certificates, annual pupil census, school absences/exclusions, school examinations, and unemployment) produced a cohort of 766,047 singleton children born in Scotland who attended Scottish schools between 2009 and 2013. We compared the health and education outcomes of schoolchildren receiving insulin with their peers, adjusting for potential confounders. Results: The 3,330 children (0.47%) treated for type 1 diabetes were more likely to be admitted to the hospital (adjusted hazard ratio [HR] 3.97, 95% CI 3.79–4.16), die (adjusted HR 3.84, 95% CI 1.98–7.43), be absent from school (adjusted incidence rate ratio [IRR] 1.34, 95% CI 1.30–1.39), and have learning difficulties (adjusted odds ratio [OR] 1.19, 95% CI 1.03–1.38). Among children with type 1 diabetes, higher mean HbA1c (particularly HbA1c in the highest quintile) was associated with greater absenteeism (adjusted IRR 1.75, 95% CI 1.56–1.96, P &lt; 0.001), increased school exclusion (adjusted IRR 2.82, 95% CI 1.14–6.98), poorer attainment (adjusted OR 3.52, 95% CI 1.72–7.18), and higher risk of unemployment (adjusted OR 2.01, 95% CI 1.05–3.85). Conclusions: Children with type 1 diabetes fare worse than their peers in respect of education and health outcomes, especially if they have higher mean HbA1c. Interventions are required to minimize school absence and ensure that it does not affect educational attainment