Malaria transmission-blocking vaccines (TBVs) could help break the cycle of malaria transmission by conferring community rather than individual protection. When introducing new intervention ...strategies, uptake is dependent on acceptability, not just efficacy. In this exploratory study on acceptability of TBVs in Sierra Leone, it was hypothesized that TBVs would be largely acceptable to adults and health workers in areas with relatively few ongoing malaria interventions, and that (i) knowledge of malaria and vaccines, (ii) health behaviours associated with malaria and vaccines, and (iii) attitudes towards different vaccines types could lead to greater TBV acceptability.
This study used a mixed methods approach in Bo, Sierra Leone, to understand community knowledge, attitudes, and practices related to malaria and vaccination in general. This included: (i) a population-based cross-sectional survey (n=615 adults), (ii) 6 focus group discussions with parents, and (iii) 20 key informant interviews. The concept of a TBV was explained to participants before they were asked about their willingness to accept this vaccine modality as part of an integrated malaria elimination programme.
This study found that most adults would be willing to receive a TBV vaccine. Respondents noted mostly positive past experiences with adult and childhood vaccinations for other infectious diseases and high levels of engagement in other malaria prevention behaviors such as bed nets. Perceived barriers to TBV acceptance were largely focused on general community-level distribution of a vaccine, including personal fears of vaccination and possible costs. After an explanation of the TBV mechanism, nearly all focus group and interview participants believed that community members would accept the vaccine as part of an integrated malaria control approach. Both parents and health workers offered insight on how to successfully roll-out a future TBV vaccination programme.
The willingness of community members in Bo, Sierra Leone to accept a TBV as part of an integrated anti-malarial strategy suggests that the atypical mechanism of TBV action might not be an obstacle to future clinical trials. This study's findings suggests that perceived general barriers to vaccination implementation, such as perceived personal fears and vaccine cost, must be addressed in future clinical and implementation research studies.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Zika virus was reported in the rainforest city of Iquitos, Peru in 2016. The potential associations between Zika and fetal neurological disorders were reported extensively in the media regarding ...neighboring Brazil, and led to great concern about the impact Zika could have on people's health in Iquitos when it arrived. The aim of this study was to explore the knowledge, attitudes, and preventative practices related to Zika virus and its transmission among women of childbearing age in Iquitos, Peru. Six focus group discussions with 46 women of ages 20-35 from an Iquitos district with confirmed Zika cases were conducted to explore: 1) knowledge of Zika transmission, its symptoms, and treatment, 2) attitudes regarding Zika, including perceptions of risk for and severity of Zika, and 3) preventative practices, including awareness of health promotion activities. Participants were knowledgeable about Zika symptoms and knew it was transmitted by mosquitoes, and about half had heard about the association between Zika and microcephaly, but most lacked knowledge about the associated neurological disorders in adults, its sexual transmission, and ways to prevent infection. They expressed concern for pregnant women exposed to the virus and the impact on the fetus. Participants felt at risk of contracting the Zika virus, yet had not changed preventive practices, possibly in part because their perception of the severity of this disease was low. This study reveals knowledge gaps that could be addressed via health promotion messages that might improve prevention practices to help community members protect themselves from Zika virus during this outbreak.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Unmanned aerial systems (UAS) are increasingly being used in search and rescue (SAR) operations to assist in the discovery of missing persons. UAS are useful to first responders in SAR operations due ...to rapid deployment, high data volume, and high spatial resolution data collection capabilities. Relying on traditional manual interpretation methods to find a missing person in imagery data sets containing several hundred images is both challenging and time consuming. To better find small signs of missing persons in large UAS datasets, computer assisted interpretation methods have been developed. This article presents the results of an initial evaluation of a computer assisted interpretation method tested against manual methods in a simulated SAR operation. The evaluation performed focused on using resources available to first responders performing SAR operations, specifically: RGB data, volunteers, and a commercially available software program. Results from this field test were mixed, as the traditional group discovered more objects but required more time, in man hours, to discover the objects. Further field experiments, based on the capabilities of current first responder groups, should be conducted to determine to what extent computer assisted methods are useful in SAR operations.
Rising demands for forest biomass have raised concerns that the increased removal of organic residues and harvest impacts may reduce longer term site productivity. Replicated field experiments ...examining the effects of stem-only harvest with disc trenching (SOT), whole-tree harvest with (WTT) and without (WT) disc trenching, whole-tree harvest with forest-floor removal by blading (WTB), and blading followed by compaction (WTBC) were installed on nine sandy jack pine (Pinus banksiana Lamb.) sites in northern Ontario. At year 5, planted-tree diameters, dominant tree heights (HD), and stand aboveground biomass (jPPBio) were smaller without soil disturbance (the WT), but were otherwise similar among treatments. At year 15, planted-tree size and stand yield rankings were WTT = SOT = WT > WTB = WTBC. Biomass production by natural regeneration and total stand aboveground biomass (TotBio) treatment rankings were SOT ⥠WTT ⥠WT > WTB = WTBC. HD, jPPBio, and TotBio showed increasing divergence over time in WTB vs. WTT â SOT response, whereas statistical equivalence of the WTT and SOT treatments was shown for most tree and stand growth responses. There was some evidence of increasingly negative impacts of WTB as site index declined. Overall, negative WTB effects on tree and stand productivity have become increasingly apparent.
Celotno besedilo
Dostopno za:
BF, DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Mass balance studies and direct measurement of changes in soil chemistry have provided evidence of depletion of base cations in soils across decadal time scales. Losses of base cations have been ...attributed to leaching as a consequence of elevated levels of S and N deposition. Chemical properties of mineral soil horizons were determined at seven plots in a tolerant hardwood forest at the Turkey Lakes Watershed in 1986 and in 2003 and 2005. Archived soils from the original sampling were used to assess the impact of storage and changing methodology on results. Exchangeable cation concentrations were compared between the two sampling times, as were concentrations normalized for organic C. The effects of air-dry storage were significant for some cations, but in absolute terms the changes were small when contrasted with the spatial variation in exchangeable cation concentrations for the samples collected in 2003 and 2005. There were no statistically significant declines in pH, exchangeable Ca, Mg, or K concentrations, or Ca, Mg or K concentrations normalized for organic C concentration during the 17- to 19-yr sampling period across the watershed. Exchangeable Na and normalized Na concentrations decreased in deeper horizons of the soil profile. There were various patterns of cation change at the plot level, but these changes were unable to be attributed to the range of soil profile base status at the site. Mineral weathering inputs appeared to provide stability to the exchangeable base cation pool in spite of large leaching losses at the Turkey Lakes site.
Currently, there are uncertainties regarding the impacts and (or) efficacy of biomass harvesting and silvicultural practices on stand production on coarse-textured boreal soils. Replicated factorial ...field experiments examining effects of complete vegetation control (repeated glyphosate application) following operational stem-only harvest with disc trenching (SO
T
), operational whole-tree harvest with (WT
T
) and without (WT) disc trenching, and whole-tree harvest with complete forest floor removal by blading (WT
B
) and blading followed by compaction (WT
BC
) were installed on four sandy northern Ontario jack pine (Pinus banksiana Lamb.) sites. Over 20 years, WT
B
improved planted-tree survival but decreased longer term stand productivity in comparison with other harvest intensity – soil disturbance treatments. Vegetation control improved tree growth and stand productivity initially, but over time, benefits declined substantially. SO
T
and WT
T
had similar impacts on stand production. Disc trenching improved initial planted-tree growth (WT
T
vs. WT), particularly without vegetation control. Jack pine natural regeneration was greatest with SO
T
, accounting for 25% of stand biomass at year 20. Stand structure effects included increased size inequality of naturals with WT
B
and reduced size inequality and asymmetry of naturals with vegetation control. Overall, impacts of forest floor removal and natural regeneration on stand development have become increasingly important over time compared with those of vegetation control.
Celotno besedilo
Dostopno za:
BF, DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Background and Aim: One of the key components of the O ne Health approach to epidemic preparedness is raising awareness and increasing the knowledge of emerging infectious diseases, prevention, and ...risk reduction. However, related research can involve significant risks to biosafety and biosecurity. For this purpose, we organized a multidisciplinary biosafety hands-on workshop to inform and increase the knowledge of infectious diseases and risk mitigation. This study aimed to describe the process and outcome of a hands-on biosafety training program using a One Health a pproach across a multidisciplinary and multi-specialty group in Nigeria.
Materials and Methods: A face-to-face hands-on training for 48 participants was organized by the West African Center for Emerging Infectious Diseases (WAC-EID) at the Jos University Teaching Hospital, serving as a lead institution for the Nigeria project site. Topics covered included (1) an overview of the WAC-EID research; (2) overview of infection prevention and control; (3) safety in animal handling and restraint, sample collection, and processing; (4) safety in field studies including rodent, bird and bat handling; (5) safety practices in the collection of mosquito and other arthropod vectors; (6) personal protective equipment training (disinfection, donning and doffing); and (7) safety in sample collection, labeling, and transportation. The program was executed using a mixed method of slide presentations, practical hands-on sessions, and video demonstrations. Pre- and post-course evaluation assessments and evaluation measures were used to assess training.
Results: A total of 48 trainees participated in this training, with 12 (25%), 16 (33.3%), 14 (29.2%), 6 (12.5%) categorized as ornithology, entomology, mammalogy, and clinical interest groups, respectively. The pass rate for the pre-test was 29.4%, while for the post-test, it was 57.1%, or a 28% improvement. 88.6% of the trainees rated the training as relevant to them.
Conclusion: Didactic and hands-on biosafety training is relevant in this era of zoonotic epidemics and pandemic preparedness. During this training program, there was a clear demonstration of knowledge transfer that can change the current practices of participants and improve the safety of infectious diseases research.
Keywords: biosafety, One Health, pandemic, training, biological safety.
The intercristal line (ICL), defined by the superior aspect of the iliac crest, is used to clinically identify the entry point for lumbar puncture (LP) in neonates. Accepted practice is to insert the ...needle at the L3/4 or L4/5 intervertebral space.
To investigate the vertebral level crossed by the ICL as determined by manual palpation and the ability of manual palpation to reliably identify a specified intervertebral space.
A total of 30 term neonates were recruited. Paediatricians identified and marked the ICL and the intervertebral space above, with babies in left lateral position. The anatomical positions of both points and the end of the conus medullaris were confirmed using ultrasonography.
The ICL was marked from L2/3 to L5/S1. In 25 babies (83%), the ICL was identified at the desired vertebral level between L3/4 and L4/5. The intervertebral space above this line was marked between L1/2 to L4/5. The potential site for LP was identified higher than intended in 11 cases (36%). The end of the conus medullaris ranged from L1 to L3 terminating at L2 or lower in 11 cases (36%).
There are wide variations in the positions of the ICL and potential LP site. Using the ICL to guide LP does not appear to be accurate, raising the possibility of potential spinal cord damage.
Pheochromocytomas (PCCs) and paragangliomas (PGLs) represent tumors arising from chromaffin cells of the adrenal medulla and extra-adrenal sympathetic paraganglia, respectively. PCCs commonly produce ...one or more catecholamines (epinephrine, norepinephrine, and dopamine), but rarely are they biochemically silent. PGLs on the other hand, generally do not produce catecholamines. They have the highest heritability of all adrenal tumors and are known to be associated with genetic mutations. Patients with hereditary tumors typically present at a younger age and with multifocal disease when compared to sporadic disease. Specific genetic mutations have been well established with hereditary syndromes involving PCC/PGLs. Further research has aimed to identify other mutations and delineate specific phenotypes associated with these mutations. A 34-year-old woman presented for evaluation following a laparoscopic appendectomy that identified a 4-cm well-differentiated neuroendocrine tumor on final pathology. Further work-up included a repeat CT scan followed by a Dotatate PET CT scan which revealed a large (7.3 x 5.8 cm) periaortic mass related to the left adrenal gland. Functional adrenal work-up was negative and her Chromogranin A level was 679 ng/mL. She did report intermittent chest tightness and palpitations but was otherwise asymptomatic. The patient subsequently underwent an exploratory laparotomy with left adrenalectomy and adjacent tumor resection as well as completion of right hemicolectomy with ileocolonic anastomosis. Surgical pathology revealed two distinct masses consistent with multifocal PCC. No residual tumor was found in the colectomy specimen and 24 lymph nodes were negative. She had an uneventful recovery and genetic testing showed a variant of uncertain significance for the POLE and VHL genes. She has received genetic counseling and will be enrolled in an appropriate surveillance protocol.
To determine the stability of beta-amyloid peptide (Abeta) and the glial and neuronal changes induced by Abeta in the CNS in vivo, we made single injections of fibrillar Abeta (fAbeta), soluble Abeta ...(sAbeta), or vehicle into the rat striatum. Injected fAbeta is stable in vivo for at least 30 d after injection, whereas sAbeta is primarily cleared within 1 d. After injection of fAbeta, microglia phagocytize fAbeta aggregates, whereas nearby astrocytes form a virtual wall between fAbeta-containing microglia and the surrounding neuropil. Similar glial changes are not observed after sAbeta injection. Microglia and astrocytes near the injected fAbeta show a significant increase in inducible nitric oxide synthase (iNOS) expression compared with that seen with sAbeta or vehicle injection. Injection of fAbeta but not sAbeta or vehicle induces a significant loss of parvalbumin- and neuronal nitric oxide synthase-immunoreactive neurons, whereas the number of calbindin-immunoreactive neurons remains unchanged. These data demonstrate that fAbeta is remarkably stable in the CNS in vivo and suggest that fAbeta neurotoxicity is mediated in large part by factors released from activated microglia and astrocytes, as opposed to direct interaction between Abeta fibrils and neurons.
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