Risk Mitigation through Diversified Farm Production Strategies: The Case in Northern Mozambique

Mozambique, like many other parts of the low-income world, faces perennial challenges with food security. With a rapidly growing population and arable land on the decline, sustainable agriculture is vital to managing the already depleted natural resources of Sub-Saharan Africa more effectively while increasing food security. Food security issues for subsistence farmers in most low-income countries are a product of endogenous (crop yields) and exogenous (currency fluctuations as many agricultural inputs are imported) factors. In Mozambique the value of the local currency, meticals, has decreased by approximately 50% since January 2015 compared to the U.S. dollar. While this makes exporting products out of Mozambique more attractive in a relative sense, it negatively effects those industries which rely on imported inputs such as animal feed and inorganic fertilizer. In response to this exogenous currency crisis, research was conducted in Nampula, Mozambique during the summer of 2016 on a method for implementing crop diversification to reduce the risk that accompanies the devaluation of the metical. This research was undertaken on a poultry operation which is heavily dependent on imported maize and soya. Similar to the market structure of the poultry industry in the United States, all birds are grown by individual out growers who typically also have small plots of land to farm. Objectives for the project included 1) perform on-site crop production evaluations, 2) determine profitability for various row crops, and 3) simulate alternative production practices to increase crop profitability. Of the crops grown (tomatoes, maize, and cabbage), maize required the least labor, lowest initial investment, and the highest probability of breaking even. This research concluded that if poultry producers in Mozambique who rely on imported feed grew maize simultaneously it would reduce the dependency on imported maize and reduce income variability associated with exogenous currency fluctuations. Implementing a program such as this could increase revenue streams as well as reduce variability, thereby enhancing regional food securit

Risk Mitigation through Diversified Farm Production Strategies: The Case in Northern Mozambique

Mozambique, like many other parts of the low-income world, faces perennial challenges with food security. With a rapidly growing population and arable land on the decline, sustainable agriculture is vital to managing the already depleted natural resources of Sub-Saharan Africa more effectively while increasing food security. Food security issues for subsistence farmers in most low-income countries are a product of endogenous (crop yields) and exogenous (currency fluctuations as many agricultural inputs are imported) factors. In Mozambique the value of the local currency, meticals, has decreased by approximately 50% since January 2015 compared to the U.S. dollar. While this makes exporting products out of Mozambique more attractive in a relative sense, it negatively effects those industries which rely on imported inputs such as animal feed and inorganic fertilizer. In response to this exogenous currency crisis, research was conducted in Nampula, Mozambique during the summer of 2016 on a method for implementing crop diversification to reduce the risk that accompanies the devaluation of the metical. This research was undertaken on a poultry operation which is heavily dependent on imported maize and soya. Similar to the market structure of the poultry industry in the United States, all birds are grown by individual out growers who typically also have small plots of land to farm. Objectives for the project included 1) perform on-site crop production evaluations, 2) determine profitability for various row crops, and 3) simulate alternative production practices to increase crop profitability. Of the crops grown (tomatoes, maize, and cabbage), maize required the least labor, lowest initial investment, and the highest probability of breaking even. This research concluded that if poultry producers in Mozambique who rely on imported feed grew maize simultaneously it would reduce the dependency on imported maize and reduce income variability associated with exogenous currency fluctuations. Implementing a program such as this could increase revenue streams as well as reduce variability, thereby enhancing regional food securit

The Effects of Magnesium Supplementation on Subjective Anxiety and Stress—A Systematic Review

Background: Anxiety related conditions are the most common affective disorders present in the general population with a lifetime prevalence of over 15%. Magnesium (Mg) status is associated with subjective anxiety, leading to the proposition that Mg supplementation may attenuate anxiety symptoms. This systematic review examines the available evidence for the efficacy of Mg supplementation in the alleviation of subjective measures of anxiety and stress. Methods: A systematic search of interventions with Mg alone or in combination (up to 5 additional ingredients) was performed in May 2016. Ovid Medline, PsychInfo, Embase, CINAHL and Cochrane databases were searched using equivalent search terms. A grey literature review of relevant sources was also undertaken. Results: 18 studies were included in the review. All reviewed studies recruited samples based upon an existing vulnerability to anxiety: mildly anxious, premenstrual syndrome (PMS), postpartum status, and hypertension. Four/eight studies in anxious samples, four/seven studies in PMS samples, and one/two studies in hypertensive samples reported positive effects of Mg on subjective anxiety outcomes. Mg had no effect on postpartum anxiety. No study administered a validated measure of subjective stress as an outcome. Conclusions: Existing evidence is suggestive of a beneficial effect of Mg on subjective anxiety in anxiety vulnerable samples. However, the quality of the existing evidence is poor. Well-designed randomised controlled trials are required to further confirm the efficacy of Mg supplementation. View Full-Tex

Biodesalination: an emerging technology for targeted removal of Na+and Cl−from seawater by cyanobacteria

Although desalination by membrane processes is a possible solution to the problem of freshwater supply, related cost and energy demands prohibit its use on a global scale. Hence, there is an emerging necessity for alternative, energy and cost-efficient methods for water desalination. Cyanobacteria are oxygen-producing, photosynthetic bacteria that actively grow in vast blooms both in fresh and seawater bodies. Moreover, cyanobacteria can grow with minimal nutrient requirements and under natural sunlight. Taking these observations together, a consortium of five British Universities was formed to test the principle of using cyanobacteria as ion exchangers, for the specific removal of Na+ and Cl− from seawater. This project consisted of the isolation and characterisation of candidate strains, with central focus on their potential to be osmotically and ionically adaptable. The selection panel resulted in the identification of two Euryhaline strains, one of freshwater (Synechocystis sp. Strain PCC 6803) and one of marine origin (Synechococcus sp. Strain PCC 7002) (Robert Gordon University, Aberdeen). Other work packages were as follows. Genetic manipulations potentially allowed for the expression of a light-driven, Cl−-selective pump in both strains, therefore, enhancing the bioaccumulation of specific ions within the cell (University of Glasgow). Characterisation of surface properties under different salinities (University of Sheffield), ensured that cell–liquid separation efficiency would be maximised post-treatment, as well as monitoring the secretion of mucopolysaccharides in the medium during cell growth. Work at Newcastle University is focused on the social acceptance of this scenario, together with an assessment of the potential risks through the generation and application of a Hazard Analysis and Critical Control Points plan. Finally, researchers in Imperial College (London) designed the process, from biomass production to water treatment and generation of a model photobioreactor. This multimodal approach has produced promising first results, and further optimisation is expected to result in mass scaling of this process

Bostonia. Volume 15

Founded in 1900, Bostonia magazine is Boston University's main alumni publication, which covers alumni and student life, as well as university activities, events, and programs

Using patient experience data to develop a patient experience toolkit to improve hospital care: a mixed-methods study

Background Patients are increasingly being asked to provide feedback about their experience of health-care services. Within the NHS, a significant level of resource is now allocated to the collection of this feedback. However, it is not well understood whether or not, or how, health-care staff are able to use these data to make improvements to future care delivery. Objective To understand and enhance how hospital staff learn from and act on patient experience (PE) feedback in order to co-design, test, refine and evaluate a Patient Experience Toolkit (PET). Design A predominantly qualitative study with four interlinking work packages. Setting Three NHS trusts in the north of England, focusing on six ward-based clinical teams (two at each trust). Methods A scoping review and qualitative exploratory study were conducted between November 2015 and August 2016. The findings of this work fed into a participatory co-design process with ward staff and patient representatives, which led to the production of the PET. This was primarily based on activities undertaken in three workshops (over the winter of 2016/17). Then, the facilitated use of the PET took place across the six wards over a 12-month period (February 2017 to February 2018). This involved testing and refinement through an action research (AR) methodology. A large, mixed-methods, independent process evaluation was conducted over the same 12-month period. Findings The testing and refinement of the PET during the AR phase, with the mixed-methods evaluation running alongside it, produced noteworthy findings. The idea that current PE data can be effectively triangulated for the purpose of improvement is largely a fallacy. Rather, additional but more relational feedback had to be collected by patient representatives, an unanticipated element of the study, to provide health-care staff with data that they could work with more easily. Multidisciplinary involvement in PE initiatives is difficult to establish unless teams already work in this way. Regardless, there is merit in involving different levels of the nursing hierarchy. Consideration of patient feedback by health-care staff can be an emotive process that may be difficult initially and that needs dedicated time and sensitive management. The six ward teams engaged variably with the AR process over a 12-month period. Some teams implemented far-reaching plans, whereas other teams focused on time-minimising ‘quick wins’. The evaluation found that facilitation of the toolkit was central to its implementation. The most important factors here were the development of relationships between people and the facilitator’s ability to navigate organisational complexity. Limitations The settings in which the PET was tested were extremely diverse, so the influence of variable context limits hard conclusions about its success. Conclusions The current manner in which PE feedback is collected and used is generally not fit for the purpose of enabling health-care staff to make meaningful local improvements. The PET was co-designed with health-care staff and patient representatives but it requires skilled facilitation to achieve successful outcomes. Funding The National Institute for Health Research Health Services and Delivery Research programme