Role of Female Community Health Volunteers for Prevention and Control of COVID-19 in Nepal

Female Community Health Volunteers (FCHVs) are the pillars of community health programs in Nepal who play a pivotal role in implementing various community based preventive, promotive, and curative health programs. In the context of COVID 19 pandemic and possible outbreak in Nepal, the only way by which it can be stopped at the moment is by prevention. This paper presents the role of FCHVs for the prevention and control of COVID 19 in Nepal.

A Non Mouse-Adapted Dengue Virus Strain as a New Model of Severe Dengue Infection in AG129 Mice

The spread of dengue (DEN) worldwide combined with an increased severity of the DEN-associated clinical outcomes have made this mosquito-borne virus of great global public health importance. Progress in understanding DEN pathogenesis and in developing effective treatments has been hampered by the lack of a suitable small animal model. Most of the DEN clinical isolates and cell culture-passaged DEN virus strains reported so far require either host adaptation, inoculation with a high dose and/or intravenous administration to elicit a virulent phenotype in mice which results, at best, in a productive infection with no, few, or irrelevant disease manifestations, and with mice dying within few days at the peak of viremia. Here we describe a non-mouse-adapted DEN2 virus strain (D2Y98P) that is highly infectious in AG129 mice (lacking interferon-α/β and -γ receptors) upon intraperitoneal administration. Infection with a high dose of D2Y98P induced cytokine storm, massive organ damage, and severe vascular leakage, leading to haemorrhage and rapid death of the animals at the peak of viremia. In contrast, very interestingly and uniquely, infection with a low dose of D2Y98P led to asymptomatic viral dissemination and replication in relevant organs, followed by non-paralytic death of the animals few days after virus clearance, similar to the disease kinetic in humans. Spleen damage, liver dysfunction and increased vascular permeability, but no haemorrhage, were observed in moribund animals, suggesting intact vascular integrity, a cardinal feature in DEN shock syndrome. Infection with D2Y98P thus offers the opportunity to further decipher some of the aspects of dengue pathogenesis and provides a new platform for drug and vaccine testing

VERTICAL TRANSMISSION OF DENGUE VIRUS IN Aedes aegypti COLLECTED IN PUERTO IGUAZÚ, MISIONES, ARGENTINA

A finding of vertical transmission of the DEN 3 virus in male specimens of Aedes aegypti, collected in the 2009 fall-winter period, in Puerto Iguazú city, Misiones, Argentina, using the RT-PCR technique in a 15-specimen pool is reported. This result is analyzed within the context of the epidemiological situation of Argentina's northeast border

Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

Analysis of Biodegradable Films of Starch from Potato Waste

Starch was extracted from potato wastes and its peels to prepare bio-degradable films using glycerol and sorbitol at various concentrations of 35%, 45% and 55 (w/w) of dry starch. The properties of films prepared with modification techniques (hydrothermal treatment (HTT) and acid-alcohol treatment (AAT)) were analyzed. Biodegradability test was done by incubating with amylolytic bacteria (Bacillus lichneformis and Streptococcus bovis) for 24 hours and fungi (Aspergillus niger and Rhizopus stolonifer) for 72 hours. All microbial species were isolated from soil except S. bovis which was from calf stool and identified by conventional methods. The properties of modified starches were significantly different from non-treated starches. Tensile strength (10 N/m2) and elongation (9.47%) were significantly (p<0.05) superior in HTT starch films whereas solubility (25.8%) was superior in AAT starch films.  Elongation (8.91%) and solubility (29.98%) were significantly (p<0.05) superior in 35% and 55% glycerol used films respectively but tensile strength (13.02 N/m2) was superior in 35% sorbitol used films. WVTR (999 g/m2/d) was higher at 91% RH in 55% glycerol used films. Micro-organisms used showed a significant effect (p<0.05) on biodegradation of starch based films. Highest degradation was observed by B. lichneformis i.e, 57.85% while A. niger had minimum of 25.13%. Films prepared with 35% glycerol was significantly (P<0.05) degraded by B. lichneformis i.e, 78.86%. Films prepared by using glycerol with acid alcohol treatment was significantly (P<0.05) degraded by S. bovis (55.57%). Although the starch of same variety of potato waste was not studied, results of the study suggest possibility of preparation of starch based bio degradable films potato waste and its peels by using glycerol and sorbitol

Factors influencing Chinese pangolin (Manis pentadactyla) burrow selection in the Chandragiri-Champadevi hills of Kathmandu Valley, Nepal

The Chinese pangolin (Manis pentadactyla) confronts challenges from illegal hunting, trading, and habitat degradation. Therefore, it is imperative to establish and implement effective conservation strategies at both local and regional levels. However, there is limited information, particularly within the Kathmandu Valley of Nepal, underscoring the significance of local-level habitat characterization for burrowing animals like pangolins. In this context, our study aimed to assess how anthropogenic and environmental factors influence the presence of Chinese pangolins along the elevational gradients of Chandragiri-Champadevi Hills, renowned for the scenic beauty and popular hiking trails within the valley. We conducted surveys of foraging and resting burrows at 72 plots distributed along 12 elevational line transects from 1500 to 2100 m elevational gradients of Chandragiri-Champadevi Hills. Notably, we observed pangolin burrows spanning from 1550 m to 2095 m. With increasing elevation, we recorded a decline in both foraging and resting burrow numbers. Furthermore, our findings indicated an increase in burrow numbers with increasing the distances from roads, whereas burrow numbers decreased with increasing proximity to human settlements. Interestingly, foraging burrows exhibited an increase with noise but a decrease with slope, while resting burrows showed an increase association with higher canopy and ground cover percentages. Our study shows the substantial anthropogenic disturbances in the habitats of Chinese pangolins in the Chandragiri-Champadevi Hills. We recommend managing the human-associated threats to ensure the species conservation at this site-specific area

Population and conservation threats to the vulnerable Sarus crane Grus antigone in Nepal

Abstract Globally, biodiversity is declining due to habitat loss and degradation, over‐exploitation, climate change, invasive species, pollution, and infrastructure development. These threats affect the populations of large waterbird species, such as Sarus crane (Grus antigone), which inhabits agricultural–wetland ecosystems. Despite the burgeoning built‐up areas and diminishing agricultural and wetland spaces, scant research investigates the impact of these changing land uses on the globally vulnerable Sarus crane in Nepal. During the pre‐breeding season from April to June 2023, our comprehensive study meticulously scrutinized Sarus crane population status and factors associated with the occurrences and conservation challenges across 10 specific districts of Nepal. Our study documented a total of 690 individuals of Sarus cranes in five districts. The Lumbini Province has 685 individuals, occupying 11 roosting sites. Conversely, the remaining five districts have no Sarus cranes presence during this period. Wetland, farmland and built‐up areas exhibited a significantly positive influence on Sarus crane occurrences in the Lumbini Province. Additionally, we recorded 47 fatalities of Sarus cranes over the past 13 years in the Lumbini Province due to electrocution and collisions. Our study provides a baseline dataset crucial for developing conservation policies, particularly during the dry season when Sarus crane populations tend to congregate in larger flocks. The adaptation of the Sarus crane to urbanized landscapes exposes them to several anthropogenic threats in the coming days. Therefore, protecting wetlands and farmland areas and adopting transboundary conservation approaches are imperative for the long‐term conservation of the Sarus crane and its habitat

De novo secondary structure motif discovery using RNAProfile

RNA secondary structure plays critical roles in several biological processes. For example, many trans-acting noncoding RNA genes and cis-acting RNA regulatory elements present functional motifs, conserved both in structure and sequence, that can be hardly detected by primary sequence analysis alone. We describe here how conserved secondary structure motifs shared by functionally related RNA sequences can be detected through the software tool RNAProfile. RNAProfile takes as input a set of unaligned RNA sequences expected to share a common motif, and outputs the regions that are most conserved throughout the sequences, according to a similarity measure that takes into account both the sequence of the regions and the secondary structure they can form according to base-pairing and thermodynamic rules. The method is split into two parts. First, it identifies candidate regions within the input sequences, and associates with each region a locally optimal secondary structure. Then, it compares candidate regions to one another, both at sequence and structure level, and builds motifs exploring the search space through a greedy heuristic. We provide a detailed guide to the different parameters that can be employed, and usage examples showing the different software capabilities