Perceptions locales de la manifestation des changements climatiques et mesures d’adaptation dans la gestion de la fertilité des sols dans la Commune de Banikoara au Nord- Bénin

Objectifs: L’étude a pour objectif d’analyser les déterminants biophysiques des changements climatiques et les mesures d’adaptations développées par les producteurs notamment dans la gestion de la fertilité des sols au Nord-Bénin.Méthodologie et Résultats: Les données ont été collectées auprès de focus groupes d’effectif variant de 6 à 12 personnes réalisés dans chacun des dix arrondissements de la Commune de Banikoara. Une enquête auprès de 986 producteurs a été réalisée sur les perceptions, les mesures d’adaptation et les déterminants socio-économiques des changements climatiques. Les données sont analysées avec le test d’indépendance de Χ², l’analyse factorielle des correspondances suivie ou non de la classification ascendante hiérarchique. Ensuite une régression logistique polychotomique ordinale a été utilisée en vue de modéliser la relation entre les déterminants socio-économiques des producteurs enquêtés et le niveau de fertilité de leur sol. Les résultats ont permis d’identifier 24 perceptions liées aux changements climatiques et 63 stratégies d’adaptation. Les stratégies d’adaptation dépendaient des niveaux de prospérité mais n’avaient pas de relation avec l’appartenance aux classes d’âges. Les déterminants socioéconomiques les plus liés à la fertilité des sols sont la location de parcelles, le nombre de charrues et le nombre de charrettes.Conclusion et Application des Résultats: L’amélioration du niveau de prospérité des producteurs est un élément clé de leur adaptation aux changements climatiques. La possession de charrues, de charrettes et la disponibilité des terres sont les déterminants socio-économiques qui expliquent au mieux l’adaptation des producteurs aux changements climatiques dans la gestion de la fertilité des sols.Local perceptions of manifestation of climate change and adaptation measures in the management of soil fertility in the Municipality of Banikoara in North BeninObjectives: The study aims to analyze the biophysical determinants of climate change and adaptation measures developed by such producers in the management of soil fertility in northern Benin.Methodology and Results: Data were collected from focus groups of staff ranging from 6 to 12 people made in each of the ten districts of the Municipality of Banikoara. A survey of 986 farmers was conducted on perceptions, adaptation and socio-economic determinants of climate change. The data were analyzed with the chi-square test of independence, the correspondence analysis or not followed by the hierarchical clustering. Then polychotomous ordinal logistic regression was used to model the relationship between socio-economic determinants of producers surveyed and the fertility of their soil. The results identified 24 perceptions related to climate change and adaptation strategies 63. Adaptation strategies depended on the levels of prosperity but had no relationship with the membership age groups. Socio-economic determinants related to most soil fertility include the rental plots, the number of plows and the number of carts.Conclusion and Application of Results: Improving the level of prosperity of the producers is a key element of their adaptation to climate change. Possession of plows, carts and land availability are the socioeconomic determinants that explain the adaptation of the best producers to climate change in the management of soil fertilit

High-pressure tuning of valence and magnetic interactions in Eu0.5Yb0.5Ga4

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Pressure-induced changes in valence and magnetic ordering are observed in a Eu0.5Yb0.5Ga4 compound by means of element selective x-ray absorption spectroscopy at Eu and Yb L-3 edges. Concomitant Eu and Yb valence transitions towards a 3+ state, together with an antiferromagnetic to ferromagnetic transition, are observed with applied pressures up to 30 GPa. With the support of density functional theory calculations, we argue that hybridization between (Eu/Yb)-5d and Ga orbitals regulates the valence and magnetic exchange interactions in this system.8524Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)US Department of Energy, Office of Science, Office of Basic Energy Sciences [DE-AC-02- 06CH11357]Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)US Department of Energy, Office of Science, Office of Basic Energy Sciences [DE-AC-02- 06CH11357

Appropriate criteria for identification of near-miss maternal morbidity in tertiary care facilities: A cross sectional study

<p>Abstract</p> <p>Background</p> <p>The study of severe maternal morbidity survivors (near miss) may be an alternative or a complement to the study of maternal death events as a health care indicator. However, there is still controversy regarding the criteria for identification of near-miss maternal morbidity. This study aimed to characterize the near miss maternal morbidity according to different sets of criteria.</p> <p>Methods</p> <p>A descriptive study in a tertiary center including 2,929 women who delivered there between July 2003 and June 2004. Possible cases of near miss were daily screened by checking different sets of criteria proposed elsewhere. The main outcome measures were: rate of near miss and its primary determinant factors, criteria for its identification, total hospital stay, ICU stay, and number and kind of special procedures performed.</p> <p>Results</p> <p>There were two maternal deaths and 124 cases of near miss were identified, with 102 of them admitted to the ICU (80.9%). Among the 126 special procedures performed, the most frequent were central venous access, echocardiography and invasive mechanical ventilation. The mean hospital stay was 10.3 (± 13.24) days. Hospital stay and the number of special procedures performed were significantly higher when the organ dysfunction based criteria were applied.</p> <p>Conclusion</p> <p>The adoption of a two level screening strategy may lead to the development of a consistent severe maternal morbidity surveillance system but further research is needed before worldwide near miss criteria can be assumed.</p

Obstetric near miss and deaths in public and private hospitals in Indonesia

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A population-based surveillance study on severe acute maternal morbidity (near-miss) and adverse perinatal outcomes in Campinas, Brazil: The Vigimoma Project

BACKGROUND: Auditing of sentinel health events based on best-practice protocols has been recommended. This study describes a population-based investigation on adverse perinatal events including severe acute maternal morbidity (near-miss), maternal and perinatal mortality, as a health intervention to help improve the surveillance system. METHODS: From October to December 2005, all cases of maternal death (MD), near-miss (NM), fetal deaths (FD), and early neonatal deaths (END), occurring in Campinas, Brazil, were audited by maternal mortality committees. RESULTS: A total of 4,491 liveborn infants (LB) and 159 adverse perinatal events (35.4/1000 LB) were revised, consisting of 4 MD (89/100.000 LB) and 95 NM (21.1/1000 LB), 23.7 NM for each MD. In addition, 32 FD (7.1/1000 LB) and 28 END (6.2/1000 LB) occurred. The maternal death/near miss rate was 23.7:1. Some delay in care was recognized for 34%, and hypertensive complications comprised 57.8% of the NM events, followed by postpartum hemorrhage. CONCLUSION: Auditing near miss cases expanded the understanding of the spectrum from maternal morbidity to mortality and the importance of promoting adhesion to clinical protocols among maternal mortality committee members. Hypertensive disorders and postpartum hemorrhage were identified as priority topics for health providers training, and organization of care

Transcription of toll-like receptors 2, 3, 4 and 9, FoxP3 and Th17 cytokines in a susceptible experimental model of canine Leishmania infantum infection

Canine leishmaniosis (CanL) due to Leishmania infantum is a chronic zoonotic systemic disease resulting from complex interactions between protozoa and the canine immune system. Toll-like receptors (TLRs) are essential components of the innate immune system and facilitate the early detection of many infections. However, the role of TLRs in CanL remains unknown and information describing TLR transcription during infection is extremely scarce. The aim of this research project was to investigate the impact of L. infantum infection on canine TLR transcription using a susceptible model. The objectives of this study were to evaluate transcription of TLRs 2, 3, 4 and 9 by means of quantitative reverse transcription polymerase chain reaction (qRT-PCR) in skin, spleen, lymph node and liver in the presence or absence of experimental L. infantum infection in Beagle dogs. These findings were compared with clinical and serological data, parasite densities in infected tissues and transcription of IL-17, IL-22 and FoxP3 in different tissues in non-infected dogs (n = 10), and at six months (n = 24) and 15 months (n = 7) post infection. Results revealed significant down regulation of transcription with disease progression in lymph node samples for TLR3, TLR4, TLR9, IL-17, IL-22 and FoxP3. In spleen samples, significant down regulation of transcription was seen in TLR4 and IL-22 when both infected groups were compared with controls. In liver samples, down regulation of transcription was evident with disease progression for IL-22. In the skin, upregulation was seen only for TLR9 and FoxP3 in the early stages of infection. Subtle changes or down regulation in TLR transcription, Th17 cytokines and FoxP3 are indicative of the silent establishment of infection that Leishmania is renowned for. These observations provide new insights about TLR transcription, Th17 cytokines and Foxp3 in the liver, spleen, lymph node and skin in CanL and highlight possible markers of disease susceptibility in this model

From planning to practice: building the national network for the surveillance of severe maternal morbidity

Background: Improving maternal health is one of the Millennium Development Goals for 2015. Recently some progress has been achieved in reducing mortality. On the other hand, in developed regions, maternal death is a relatively rare event compared to the number of cases of morbidity; hence studying maternal morbidity has become more relevant. Electronic surveillance systems may improve research by facilitating complete data reporting and reducing the time required for data collection and analysis. Therefore the purpose of this study was to describe the methods used in elaborating and implementing the National Network for the Surveillance of Severe Maternal Morbidity in Brazil. Methods: The project consisted of a multicenter, cross-sectional study for the surveillance of severe maternal morbidity including near-miss, in Brazil. Results: Following the development of a conceptual framework, centers were selected for inclusion in the network, consensus meetings were held among the centers, an electronic data collection system was identified, specific software and hardware tools were developed, research material was prepared, and the implementation process was initiated and analyzed. Conclusion: The conceptual framework developed for this network was based on the experience acquired in various studies carried out in the area over recent years and encompasses maternal and perinatal health. It is innovative especially in the context of a developing country. The implementation of the project represents the first step towards this planned management. The system online elaborated for this surveillance network may be used in further studies in reproductive and perinatal health