Targeting the poor in Mexico

This report reevaluates PROGRESA's targeting methods since the program began adding beneficiary households through a process called “densification.” The authors first evaluate PROGRESA's accuracy in targeting both at the community and household levels. Second, they evaluate the targeting in terms of its impact on poverty alleviation relative to other feasible methods assuming the same total budget.Education ,Mexico ,

Soliton dynamics in finite nonlocal media with cylindrical symmetry

The effect of finite boundaries in the propagation of spatial nonlocal solitons in media with cylindrical symmetry is analyzed. Using Ehrenfest's theorem together with the Green's function of the nonlinear refractive index equation, we derive an analytical expression for the force exerted on the soliton by the boundaries, verifying its validity by full numerical propagation. We show that the dynamics of the soliton are determined not only by the degree of nonlocality, but also by the boundary conditions for the refractive index. In particular, we report that a supercritical pitchfork bifurcation appears when the boundary condition exceed a certain threshold value

A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

Meeting abstrac

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Tratamiento de agua contaminada con huevos de helmintos por un proceso electro-fenton a través del estudio de los parámetros de operación

Se estudiaron los parámetros de operación de un dispositivo electro-Fenton para eficientar la inactivación de huevos de helmintos, entre los que se incluyen: diferencia de potencial, cantidad de resina de intercambio ionico y flujo volumétrico. Se estudió el efecto de la inactivación concentración de hierro remanente y conductividad eléctrica. Finalmente se demostró la completa inactivación de estos microorganismos en agua residual sintética

Osmoacondicionamiento de semillas de Leucaena spp con agua caliente para rompimiento de latencia

"La demanda de ingredientes de alto valor nutricional para el ganado ha propiciado el incremento de los precios de éstos. El uso de Leucaena leucocephala como fuente de proteína para rumiantes, es una alternativa a dicha problemática, puesto que, además de proveer forraje, puede suministrar ingredientes para la dieta y otras necesidades de los humanos. Sin embargo, presenta una baja tasa de germinación de semillas, lo que limita su uso. Por lo tanto, los objetivos de este trabajo fueron, aumentar el porcentaje de germinación de semillas al romper su estado de latencia y producir plántulas con buenos parámetros de calidad morfológica. Fueron distribuidas 220 semillas en cinco tratamientos: A (agua a temperatura ambiente) y agua calentada a 39, 52, 78 y 93°C para mejorar la germinación, se sembraron en charolas utilizando como sustrato una mezcla de 60% hojarasca, 35% suelo y 5% tezontle"

Impacts of the Tropical Pacific/Indian Oceans on the Seasonal Cycle of the West African Monsoon

The current consensus is that drought has developed in the Sahel during the second half of the twentieth century as a result of remote effects of oceanic anomalies amplified by local land–atmosphere interactions. This paper focuses on the impacts of oceanic anomalies upon West African climate and specifically aims to identify those from SST anomalies in the Pacific/Indian Oceans during spring and summer seasons, when they were significant. Idealized sensitivity experiments are performed with four atmospheric general circulation models (AGCMs). The prescribed SST patterns used in the AGCMs are based on the leading mode of covariability between SST anomalies over the Pacific/Indian Oceans and summer rainfall over West Africa. The results show that such oceanic anomalies in the Pacific/Indian Ocean lead to a northward shift of an anomalous dry belt from the Gulf of Guinea to the Sahel as the season advances. In the Sahel, the magnitude of rainfall anomalies is comparable to that obtained by other authors using SST anomalies confined to the proximity of the Atlantic Ocean. The mechanism connecting the Pacific/Indian SST anomalies with West African rainfall has a strong seasonal cycle. In spring (May and June), anomalous subsidence develops over both the Maritime Continent and the equatorial Atlantic in response to the enhanced equatorial heating. Precipitation increases over continental West Africa in association with stronger zonal convergence of moisture. In addition, precipitation decreases over the Gulf of Guinea. During the monsoon peak (July and August), the SST anomalies move westward over the equatorial Pacific and the two regions where subsidence occurred earlier in the seasons merge over West Africa. The monsoon weakens and rainfall decreases over the Sahel, especially in August.Peer reviewe