Gender and water technologies: Water lifting for irrigation and multiple purposes in Ethiopia

United States Agency for International Developmen

Water lifting technologies for smallholder farmers provide opportunities for sustainable intensification

United States Agency for International Developmen

Considering gender when promoting small-scale irrigation technologies (IFPRI-REACH Project note)

Many actors promoting irrigation technologies in low- and middle-income countries want to ensure that men, women, and different social groups have equal opportunity to participate in and benefit from irrigation but are uncertain how to do so. This tool provides a guide and structured set of questions to assess gender dynamics in irrigation in a specific context. The questions can be used to collect information prior to, during, or after project implementation to inform different strategic approaches of the project, including gender-sensitive marketing and dissemination strategies, design of technologies, risk mitigation approaches, adaptive management, and/or monitoring and evaluation (M&E) activities

Evaluation of suitable water lifting and on-farm water management technologies for the irrigation of vegetables and fodder in Lemo district, Ethiopia

United States Agency for International Developmen

Drip irrigation and service provision of irrigation water: New ways to step into affordable small scale irrigated agriculture

United States Agency for International Developmen

Disseminated cutaneous Herpes Simplex Virus-1 in a woman with rheumatoid arthritis receiving Infliximab: A case report

<p>Abstract</p> <p>Introduction</p> <p>We present the case of a 49-year-old woman with a seronegative rheumatoid arthritis who developed pustular psoriasis whilst on etanercept and subsequently developed disseminated herpes simplex on infliximab.</p> <p>Case presentation</p> <p>Our patient presented with an inflammatory arthritis which failed to respond to both methotrexate and leflunomide, and sulphasalazine treatment led to side effects. She was started on etanercept but after 8 months of treatment developed scaly pustular lesions on her palms and soles typical of pustular psoriasis. Following the discontinuation of etanercept, our patient required high doses of oral prednisolone to control her inflammatory arthritis. A second biologic agent, infliximab, was introduced in addition to low-dose methotrexate and 15 mg of oral prednisolone. However, after just 3 infusions of infliximab, she was admitted to hospital with a fever, widespread itchy vesicular rash and worsening inflammatory arthritis. Fluid from skin vesicles examined by polymerase chain reaction showed Herpes Simplex Virus type 1. Blood cultures were negative and her chest X-ray was normal. Her infliximab was discontinued and she was started on acyclovir, 800 mg five times daily for 2 weeks. She made a good recovery with improvement in her skin within 48 hours.</p> <p>She continued for 2 months on a prophylactic dose of 400 mg bd. Her rheumatoid arthritis became increasingly active and a decision was made to introduce adalimumab alongside acyclovir. Acyclovir prophylaxis has been continued but the dose tapered so that she is taking only 200 mg of acyclovir on alternate days. There has been no recurrence of Herpes Simplex Virus lesions despite increasing adalimumab to 40 mg weekly 3 months after starting treatment.</p> <p>Conclusion</p> <p>We believe this to be the first reported case of widespread cutaneous Herpes Simplex Virus type 1 infection following treatment with infliximab. We discuss the clinical manifestations of Herpes Simplex Virus infections with particular emphasis on the immunosuppressed patient and the use of prophylactic acyclovir. Pustular psoriasis is now a well recognised but uncommon side effect of antitumour necrosis factor therapy and can lead to cessation of therapy, as in our patient's case.</p