Respetar las confesiones; evitar los perjuicios: la asistencia psicosocial en Jordania y Estados Unidos

Tanto las organizaciones confesionales como las seculares deben ser conscientes de hasta qué punto la religión puede ofrecer sanación y apoyo pero también puede perjudicar a los refugiados y solicitantes de asilo

The analysis of the total factors productivity growth in waemu banks: the x efficiency approach

In this paper, we make an analysis of productivity’s gaps in WAEMU’s banks; the intra-organizational strategy is privileged. For that purpose, we study the progression of the global factors productivity using the Data Envelopment Analysis (DEA), and then the X efficiency scores are calculated using stochastical frontier approach (SFA). The study period (2002 to 2006) corresponds to the post financial liberalization in the zone and to a changed banking and financial environment. We find that the global productivity of the factors remained relatively unchanged but that globally the X efficiency of the banks lightly decreased, remaining nevertheless at a relatively high level of the order of 80% .Big banks, of the viewpoint of their size and the private and semi-public banks, of the viewpoint of their capital structure, have the biggest mean scores of X efficiency

Stream invertebrates and water temperature : evaluating thermal tolerances in the Cape floristic region (South Africa) - implications of climate change

Includes bibliographical references.Temperature is an important environmental variable for aquatic invertebrates as it affects their development, reproduction and survival. Temperature also affects the abundance and distribution of individuals in a stream or river. Stream temperatures are affected by human impacts which include not only impacts such as pollution, abstraction of water and the removal of riparian vegetation, but also the affects of climate change. In the Western Cape Province, South Africa, it is predicted that air temperatures will increase and winter rainfall will decrease. This in turn will affect water availability and water temperatures in streams and rivers. Thermally sensitive species are threatened by increases in water temperature, but currently very little information exists on the thermal tolerances of aquatic invertebrates in South Africa. In order to rectify this problem baseline data on thermal tolerances of aquatic species needs to be collected, together with stream temperature and associated invertebrate community data. An attempt was made to collect some of these much needed data in the Western Cape Province. Two methods, namely Critical Thermal Maxima (CTM) and LT₅₀ experiments, were used to determine the thermal tolerances for a range of aquatic insect nymph species from the southwest fynbos bioregion and the south coast fynbos bioregion. The results from the experiments provided information on the relative thermal sensitivities of the species. Overall Aphanicerca capensis (form C and undescribed form), Notonemouridae ranked as the most thermally sensitive for both experiments. The A. capensis species complex (and possible other notonemourid stoneflies) may potentially be used as an indicator of changing stream temperatures in the Western Cape Province. To rapidly determine thermal sensitivities the CTM experiments are recommended rather than the more time consuming LT₅₀ experiments as the relative thermal tolerance for the species tested ranked the same for both experiments. It is suggested that LT₅₀ experiments of longer duration be investigated in order to compare the experiments to naturally-occurring thermal stress. Stream temperature and community composition data were collected from Window Gorge Stream, on Table Mountain, to provide baseline data for future monitoring and understanding of potential changes in thermal profiles. Temperature loggers were placed at six sites along the stream. Stream temperatures were fairly low but the stream ran dry during the late summer months (February through to April/May). From the community composition data collected the highest diversity was found during the winter months, as expected. The community composition did change down the length of the stream, with the species composition found near the source being quite different to that of the species composition found lower down the mountain. Temperature and associated oxygen saturation were two important variables related to the community composition down the length of the stream. It is important that experimental data be combined with field data, enabling field sampling to focus on the collection of information on the abundance of the thermally sensitive species (e.g. A. capensis species complex). Recorded stream temperatures also provide reference conditions for the species tested in the laboratory. Climate change is likely to have an affect not only on stream temperatures but also on water availability, which will both influence stream communities and ecosystems and it is important to understand what these potential effects might be

Annotation and curation of hypothetical proteins: prioritizing targets for experimental study

Completely sequenced organisms have some uncharacterized proteins that are gene-encoded products. These proteins can be predicted through in-silico approaches and their biological activities are not proved by experimental evidence and known as hypothetical proteins (HPs). These proteins are important due to their excessive involvement in different cellular and signaling pathways. Structural and functional characterization of HPs reveal crucial roles in microorganisms, especially in pathogens related to human diseases. Here, we discussed all possibilities of in-silico analysis tools and other recently reported methods for hypothetical protein characterization and biomedical applications, including drug and vaccine development. Different methodologies, including meta-proteomics have been used to study protein expression by identification of HPs and comparative genomics have also come under observation due to the emergence of evolutionary study among different organisms. Structural characterization of proteins acts as a base for their functional prediction, novel drug target identification for disease treatment, vaccine production and sero-diagnosis. HPs have played major roles in different vital phenomenon for life including host adaptation, wound healing and chemotaxis. In the current era of drug and antibiotic resistance, HPs can be novel targets to treat related diseases. Identification and characterization of most HPs are under observation and will be the most promising genomic and bioinformatics techniques in structure-based drug designing and vaccine production in future

Complicated Open Wound Management in a Free Clinic Setting

Wound healing is a complex and integrated process that involves several interdependent overlapping stages, including hemostasis, inflammation, proliferation, and vascularization. Cellulitis and skin abscesses are among the most common skin and soft tissue infections. Cellulitis typically involves the deeper dermis of subcutaneous fat and tends to have a more indolent course with the development of localized symptoms over a few days. Skin abscesses are described as a collection of pus within the dermis or subcutaneous space. Diabetes mellitus (DM) is the leading cause of impaired wound healing and consequently has higher rates of patients developing soft tissue infections. Diabetic patients experience decreased early inflammatory cell infiltration but increased numbers of neutrophils and macrophages. Complications include bacteremia, metastatic infection, sepsis, and toxic shock syndrome. In this case, we describe a 50-year-old Caucasian uninsured male who was referred to the Gary Burnstein Clinic (GBC) from a nearby hospital for wound management after an incision and drainage of a large back abscess and uncontrolled type 2 diabetes mellitus (T2DM). The patient presented with a large erythematous, indurated lesion with a cruciate incision that spanned from his mid-thoracic spine to the medial border of his left scapula. The wound management course required strict follow-up to the clinic every 48-72 hours for debridement and monitoring. This was complicated by the GBC\u27s limited resources along with the volunteer nurses\u27 and physicians\u27 availability. To avoid the patient being lost to follow-up, shared decision-making was utilized to create a schedule that was advantageous for both the patient and the clinic. Ultimately, the patient made a full recovery without any adverse events. This case highlights the gaps in care for the medically uninsured. We also showcase the passion and dedication our medical volunteers exhibit to care for the community. The GBC provides high-quality healthcare to bridge gaps in access to care by offering broad specialist access while ensuring continuity of care

Detection of diarrheagenic Escherichia coli in human diarrheic stool and drinking water samples in Ouagadougou, Burkina Faso

Background: The presence of diarrheagenic Escherichia coli (DEC) in drinking water, is a grave public health problem. This study was aimed at characterization of diarrheagenic Escherichia coli isolated from drinking water and faecal samples from diarrheic patients in Ouagadougou, Burkina Faso.Materials and Methods: A total of 242 water samples consisting of 182 potable sachets and 60 from boreholes were collected in the period between October 2018 and April 2019 in the city of Ouagadougou. Faecal samples were also collected from 201 diarrheic patients visiting National Public Health Laboratory for a biological diagnosis by coproculture. The presence of virulence genes associated with DEC was determined by 16-plex polymerase chain reaction from bacteria culture.Results: From drinking water, we found 17% (42/242) Escherichia coli isolates in which 1% (2/242) DEC were detected. Among analyzed samples (182 sachet water versus 60 borehole water), the two DEC (01 ETEC and 01 EPEC) were detected in sachet water. DEC were detected in 20% (40/201) of patients. Enteroaggregative Escherichia coli (EAEC) were mostly detected in 10% followed by Enteropathogenic Escherichia coli (EPEC) in 4%, Enteroinvasive Escherichia coli (EIEC) in 2%, and Shiga toxin-producing Escherichia coli (STEC) 0.5%. However, Enterotoxigenic Escherichia coli (ETEC) was not detected alone, but in co-infections with EAEC.Conclusion: The present study documented the prevalence of Escherichia coli pathovars associated in patients with diarrhea, and shows that drinking water might be a source of DEC transmission in human

DETECTION OF DIARRHEAGENIC ESCHERICHIA COLI IN HUMAN DIARRHEIC STOOL AND DRINKING WATER SAMPLES IN OUAGADOUGOU, BURKINA FASO.

Background: The presence of diarrheagenic Escherichia coli (DEC) in drinking water, is a grave public health problem. This study was aimed at characterization of diarrheagenic Escherichia coli isolated from drinking water and faecal samples from diarrheic patients in Ouagadougou, Burkina Faso. Materials and Methods: A total of 242 water samples consisting of 182 potable sachets and 60 from boreholes were collected in the period between October 2018 and April 2019 in the city of Ouagadougou. Faecal samples were also collected from 201 diarrheic patients visiting National Public Health Laboratory for a biological diagnosis by coproculture. The presence of virulence genes associated with DEC was determined by 16-plex polymerase chain reaction from bacteria culture. Results: From drinking water, we found 17% (42/242) Escherichia coli isolates in which 1% (2/242) DEC were detected. Among analyzed samples (182 sachet water versus 60 borehole water), the two DEC (01 ETEC and 01 EPEC) were detected in sachet water. DEC were detected in 20% (40/201) of patients. Enteroaggregative Escherichia coli (EAEC) were mostly detected in 10% followed by Enteropathogenic Escherichia coli (EPEC) in 4%, Enteroinvasive Escherichia coli (EIEC) in 2%, and Shiga toxin-producing Escherichia coli (STEC) 0.5%. However, Enterotoxigenic Escherichia coli (ETEC) was not detected alone, but in co-infections with EAEC. Conclusion: The present study documented the prevalence of Escherichia coli pathovars associated in patients with diarrhea, and shows that drinking water might be a source of DEC transmission in human

Temporal variation in body measurements in three Taurine cattle populations of Burkina Faso supports introgression of Zebu genes into West African Taurine cattle

A total of 769 adult females belonging to 3 taurine and one zebu cattle populations sampled in 3 provinces of Burkina Faso were assessed for 19 body measurements during two different years (2014 and 2018). The aim of this research was to identify temporal morphological variation in cattle bred in the humid southern zones to obtain empirical evidence supporting a possible introgression of zebu cattle genes into Gourounsi and Lobi taurine cattle breeds. Zebu cattle samples were used as out-group for both 2014 and 2018 subsets. Least square means of body measurements allowed to classify Burkina Faso taurine cattle into three subgroups according to body size (Gourounsi–Sanguié –GourS-, Gourounsi-Nahouri –GourN- and Lobi from the tallest to the smallest respectively). Principal Component Analysis suggested that in 2014, taurine populations were structured. Dispersion map constructed using the two first factors informed that the GourS population was well separated from both the Lobi and the GourN, which, in turn, overlapped. However, in 2018 a strong signal of homogenization was identified, with GourN partially overlapping the other two populations. Linear Discriminant Analysis suggested that about 20% of both GourS and GourN individuals were reciprocally misclassified. Clues for such increase have been pointed out by MANOVA analysis. Although on 2014, Lobi cattle was clearly smaller than Gourounsi and both GourS and GourN populations showed clear differences on body traits, on 2018 it could be assessed an increase in size in Lobi cattle and a strong homogenization signal within Gourounsi cattle. Zebu cattle gene flow southwards in Burkina Faso is likely to have caused these changes, suggesting a fast erosion of taurine cattle genetic background. Keywords: Body traits, quantitative traits, Gourounsi cattle, Lobi, Burkina Faso