Addressing the double burden of malnutrition in Egypt: do conditional cash transfers have a role?

Many developing countries are undergoing rapid socio-economic changes that impact on health and its social distribution. These changes can occur so rapidly that there is a resulting co-existence of diseases of affluence and diseases of poverty. Priority setting for nutritional programs has focused on the alleviation of undernutrition in low income settings. However, evidence shows that in many Low-and-Middle Income Countries the prevalence of obesity among women is increasing and can coexist with childhood stunting. This dual burden of poor nutrition contributes to worsening health inequity between the poor and the rich. Global and national policy makers are looking for novel programs to replace social protection mechanisms deemed inefficient. Conditional Cash Transfer (CCT) programs have emerged as an increasingly popular poverty alleviation strategy with some positive results. However, there is evidence they may have a negative impact if the complexity of transition settings is not taken into account. In this paper, we review the nutritional situation in Egypt and compare two CCT programs (Mexico and Colombia) in an attempt to identify features that would address both child undernutrition and adult overnutrition. We conclude with suggestions for design of an Egyptian CCT program that would help maximise benefit to its beneficiaries

The retroviral myth of primary biliary cirrhosis: Is this (finally) the end of the story?

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Recommendations for coronavirus infection in rheumatic diseases treated with biologic therapy.

The Coronavirus-associated disease, that was first identified in 2019 in China (CoViD-19), is a pandemic caused by a bat-derived beta-coronavirus, named SARS-CoV2. It shares homology with SARS and MERS-CoV, responsible for past outbreaks in China and in Middle East. SARS-CoV2 spread from China where the first infections were described in December 2019 and is responsible for the respiratory symptoms that can lead to acute respiratory distress syndrome. A cytokine storm has been shown in patients who develop fatal complications, as observed in past coronavirus infections. The management includes ventilatory support and broad-spectrum antiviral drugs, empirically utilized, as a targeted therapy and vaccines have not been developed. Based upon our limited knowledge on the pathogenesis of CoViD-19, a potential role of some anti-rheumatic drugs may be hypothesized, acting as direct antivirals or targeting host immune response. Antimalarial drugs, commonly used in rheumatology, may alter the lysosomal proteases that mediates the viral entry into the cell and have demonstrated efficacy in improving the infection. Anti-IL-1 and anti-IL-6 may interfere with the cytokine storm in severe cases and use of tocilizumab has shown good outcomes in a small cohort. Baricitinib has both antiviral and anti-inflammatory properties. Checkpoints inhibitors such as anti-CD200 and anti-PD1 could have a role in the treatment of CoViD-19. Rheumatic disease patients taking immunosuppressive drugs should be recommended to maintain the chronic therapy, prevent infection by avoiding social contacts and pausing immunosuppressants in case of infection. National and international registries are being created to collect data on rheumatic patients with CoViD-19

Biochemical composition of three Tunisian silverside (fish) populations caught in open sea, lagoon and island coasts

Fatty acid and amino acid profiles were determined in three silverside populations caught in Tunisian waters Atherina boyeri (open sea), Atherina lagunae (lagoon) and Atherina sp. (island coasts). Saturated fatty acids reached in total lipids 43.54%, 36.96% in marine and 33.64% in insular silverside and A. lagunae, in which eicosapentaenoic acid, docosahexaenoic acid and linoleic acid were the prominent fatty acids. The n-3/n-6 index showed a significant level indicating a tendency to accumulate n-3 fatty acids in A. boyeri and A. lagunae and n-6 fatty acids in Atherina sp. Total amino acid content ranged from 528 to 588 mg/g crude protein, in which, glutamic acid was the most abundant. Methionine had the lowest essential amino acid score in A. boyeri and Atherina sp. (0.73 and 0.71, respectively)while tryptophan had the lowest in A. lagunae (0.07)

Geomorphology of the north-eastern coast of Gozo (Malta, Mediterranean Sea)

The paper presents a geomorphological map of the north-eastern coast of the Island of Gozo (Malta) integrating inland and offshore areas at the scale 1:15,000. The map derives from the integration of different methods, such as aerial photo interpretation, field surveys and analysis of seafloor bathymetry. The landforms identified on land were shaped by coastal, fluvial, karst and gravity-induced processes, and some of them prolong on the seafloor. Most of the submerged landforms appear to have been modelled in subaerial conditions during sea-level lowstands, having been sealed by the rising sea in post-glacial times. Two sketches accompany the Main Map showing the type and distribution of coastal geomorphotypes and the land cover of the area

Fungitoxicity of some fungicides against to pathogens responsible of olive trees decline in the Chebika’s area in Tunisia

The incidence of the disease seems very important on young trees and tends to bemoderate with the aging of the tree. In fact, olive trees have a shallow root system and arestill vulnerable to pathogens especially the irrigated varieties. Chemical and biological control against Fusarium solani, Fusarium oxysporum, Rhizoctonia solani and Verticillium dahliae have revealed that the application in vitro of Prodazim and of Methyl-thiophanatehave showed a very good efficacy up to 100%. Ridomil and Tachigaren have indicated aregular efficiency, while the two bio-fungicides Fungstop and the compost juice havedemonstrated a low efficiency. The two bio-control agents Trichoderma harzianum and Gliocladium virens have showed a relatively high effectiveness in vitro. In vivo, obtainedresults have revealed that the nature of the product, the doses applied and the condition ofthe olive trees are highly correlated factors. The treatment doesn’t appear to have apositive effect on the beginning of stage 1 and on plots presented a good structured soil.Going beyond this stage, whatever the product and the doses used, the attack isirreversible

The Search for a Practical Approach to Emerging Diseases: The Case of Severe Acute Respiratory Syndrome (SARS)

The plague, which the Board of Health had feared might enter with the German troops into the Milanese, had entered it indeed, as is well known; and it is likewise well known, that it paused not here, but invaded and ravaged a great part of Italy. (A. Manzoni, The Bethrothed, 1826

Assessment of InAs/AlGaSb Tunnel-FET Virtual Technology Platform for Low-Power Digital Circuits

In this work, a complementary InAs/Al0.05Ga0.95Sb tunnel field-effect-Transistor (TFET) virtual technology platform is benchmarked against the projection to the CMOS FinFET 10-nm node, by means of device and basic circuit simulations. The comparison is performed in the ultralow voltage regime (below 500 mV), where the proposed III-V TFETs feature ON-current levels comparable to scaled FinFETs, for the same low-operating-power OFF-current. Due to the asymmetrical n-and p-Type I-V exts , trends of noise margins and performances are investigated for different Wp/Wn ratios. Implications of the device threshold voltage variability, which turned out to be dramatic for steep slope TFETs, are also addressed