Using evidence to improve reproductive health quality along the Thailand-Burma border

The Mae Tao Clinic, located on the Thailand-Burma border, has provided health services for illegal migrant workers in Thailand and internally displaced people from Burma since 1989. In 2001, the clinic launched a project with the primary aim of improving reproductive health services and the secondary aim of building clinic capacity in monitoring and evaluation (M&E). This paper first presents the project's methods and key results. The team used observation of antenatal care and family-planning sessions and client exit interviews at baseline and follow-up, approximately 13 months apart, to assess performance on six elements of quality of care. Findings indicated that improving programme readiness contributed to some improvement in the quality of services, though inconsistencies in findings across the methods require further research. The paper then identifies lessons learned from introducing M&E in a resource-constrained setting. One key lesson was that a participatory approach to M&E increased people's feelings of ownership of the project and motivated staff to collect and use data for programme decision-making to improve quality.     

Decomposition and plant-available nitrogen in biosolids: laboratory studies,field studies,and computer simulation

This research combines laboratory and field studies with computer simulation to characterize the amount of plant-available nitrogen (PAN) released when municipal biosolids are land-applied to agronomic crops. In the laboratory studies, biosolids were incubated in or on soil from the land application sites. Mean biosolids total C, organic N, and C to N ratio were 292 g kg(-1), 41.7 g kg(-1), and 7.5, respectively. Based on CO2 evolution at 25 degrees C and optimum soil moisture, 27 of the 37 biosolids-soil combinations had two decomposition phases. The mean rapid and slow fraction rate constants were 0.021 and 0.0015 d(-1), respectively, and the rapid fraction contained 23% of the total C assuming sequential decomposition. Where only one decomposition phase existed, the mean first order rate constant was 0.0046 d(-1). The mean rate constant for biosolids stored in lagoons for an extended time was 0.00097 d(-1). The only treatment process that was related to biosolids treatment was stabilization by storage in a lagoon. Biosolids addition rates (dry basis) ranged from 1.3 to 33.8 Mg ha(-1) with a mean value of 10.6 Mg ha(-1). A relationship between fertilizer N rate and crop response was used to estimate observed PAN at each site. Mean observed PAN during the growing season was 18.9 kg N Mg(-1) or 37% of the biosolids total N. Observed PAN was linearly related to biosolids total N. Predicted PAN using the computer model Decomposition, actual growing-season weather, actual analytical data, and laboratory decomposition kinetics compared well with observed PAN. The mean computer model prediction of growing-season PAN was 19.2 kg N Mg(-1) and the slope of the regression between predicted and observed PAN was not significantly different from unity. Predicted PAN obtained using mean decomposition kinetics was related to predicted PAN using actual decomposition kinetics suggesting that mean rate constants, actual weather, and actual analytical data could be used in estimation of PAN. There was a linear relationship between predicted N mineralization for the growing season and for the first year. For this study, the mean values for the growing season and year were 27 and 37% of the organic N, respectively.     

Preferential flow path development and its influence on long-term PRB performance: column study

The operating life of an Fe(0)-based permeable reactive barrier (PRB) is limited due to chemical reactions of Fe(0) in groundwater. The relative contributions from mineral precipitation, gas production, and microbial activity to the degradation of PRB performance have been uncertain. In this controlled field study, nitrate-rich, site groundwater was treated by Fe(0) in large-volume, flow-through columns to monitor the changes in chemical and hydraulic parameters over time. Tracer tests showed a close relationship between hydraulic residence time and pH measurements. The ionic profiles suggest that mineral precipitation and accumulation is the primary mechanism for pore clogging around the inlet of the column. Accumulated N(2) gas generated by biotic processes also affected the hydraulics although the effects were secondary to that of mineral precipitation. Quantitative estimates indicate a porosity reduction of up to 45.3% near the column inlet over 72 days of operation under accelerated flow conditions. According to this study, preferential flow through a PRB at a site with similar groundwater chemistry should be detected over approximately 1 year of operation. During the early operation of a PRB, pH is a key indicator for monitoring the change in hydraulic residence time resulting from heterogeneity development. If the surrounding native material is more conductive than the clogged Fe-media, groundwater bypass may render the PRB ineffective for treating contaminated groundwater.     

Comparison of estimates of the predatory impact of ctenophores by two independent techniques

The common methods for estimating food consumption in the environment involve either (1) performing experiments in the laboratory and relating food concentrations used to those in the environment, or (2) analyzing gut contents of animals directly from the environment and estimating food consumption by some knowledge of gut residence time. Both techniques involved compromises and assumptions. The greater precision and speed of the laboratory approach is counterbalanced by the impossibility of duplicating the natural feeding milieu. We compared predation rates of the ctenophores from gut content analysis of ctenophores in 1 300 m³ enclosures, with the estimates of expected predatory effects based on controlled laboratory experiments, over a wide range of ctenophore size and food concentration. Despite some larger discrepancies, the two methods often yielded results within a factor of two of each other.     

Use of high-performance liquid chromatography to investigate the production of paralytic shellfish toxins by Protogonyaulax spp. in culture

Procedures have been developed for the extraction and high-performance liquid chromatography (HPLC) analysis of paralytic shellfish poisoning (PSP) toxins from Protogonyaulax spp. grown in batch culture. Using these procedures, the toxin content of two isolates of P. tamarensis (NEPCC 183 and 255) and one isolate of P. catenella (NEPCC 355) were examined. Total toxin and individual toxin concentrations were measured for each isolate during the exponential and stationary phases of growth in batch culture. The total toxicity of each isolate as measured by HPLC analysis was found to agree with toxicity as determined by the standard mouse bioassay. Two of the isolates (255 and 355) were found to be toxic and the third (183) was non-toxic. The toxic isolates (255 and 355) both showed higher average total PSP toxin content during the exponential phase (35 and 23 fmol toxin cell^-1, respectively) than during the stationary phase (21 and 8 fmol toxin cell^-1, respectively). These cultures differed dramatically in their toxin composition. P. tamarensis (255) contained a large proportion of the N(21) sulfo toxins (B₁, B₂, C₁, C₂) while P. catenella (355) contained primarily Gonyautoxins 1 through 4. The percent composition of individual toxins was found to be constant throughout the growth cycle for both toxic isolates, even though the total toxin concentration varied. Our results suggest that PSP toxin profiles might be useful as chemotaxonomic indicators.     

EVALUATION OF PHILODINA ACUTICORNIS (ROTIFERA) AS A BIOASSAY ORGANISM FOR HEAVY METALS1

ABSTRACT: A technique for using the rotifer Philodina acuticornis as a bioassay organism is described. The rotifer was exposed to a range of concentrations for each of 14 toxicants. The effects of the heavy metals cadmium, chromium, cobalt, copper, lead, mercury, nickel, silver and zinc were studied. Based upon 96 hours exposure in soft water the sensitivity of the rotifer to the metals from the most toxic to least toxic was: cadmium, mercury and copper, zinc, silver, nickel (chloride), chromium, nickel (sulfate), lead and colbalt. In hard water with 96 hours exposure the most to least toxic respectively were: cadmium, copper, mercury, chromium and lead. The 48 hour EC₅₀ value suggests that zinc will follow mercury in relative toxicity when Philodina is tested in hard water. In a comparison of the toxicity of the chloride and sulfate salts of cadmium, nickel and zinc in soft water cadmium sulfate and zinc sulfate were more toxic after 96 hours; nickelous chloride was more toxic than nickelous sulfate. Increased water hardness decreased the toxicity of the heavy metals studied. The results suggest that this rotifer may be more sensitive than the bluegill sunfish to the salts of cadmium, copper, nickel, zinc and chromium and less sensitive to lead. Data for cobalt, silver and mercury were not available. Philodina was extremely tolerant of ammonium chloride and phenol. The feasibility and economics of using an inexpensive, readily cultured and available organism such as Philodina acuticornis as a bioassay organism were discussed.     

Mechanics of prey selection by ephyrae of the scyphomedusa Aurelia aurita

In situ feeding patterns of ephyrae of the jellyfish Aurelia aurita (Linnaeus) revealed the importance of relatively large (>1 mm) prey in the diet of these scyphozoan predators. These studies were carried out in Narragansett Bay, Rhode Island, USA in March and April, from 1993 through 1996. Rotifers were the only small prey ingested in quantity, and then only when they were unusually abundant in the plankton. Copepod nauplii, similar in size to rotifers and equally abundant, were rarely consumed. Since copepods evince rapid escape responses, this observation suggested a role for prey escape in determining prey vulnerability, while the predominance of large prey in the diet suggested a role for prey size. Using two dimensional video observations of free-swimming ephyrae and their prey in the laboratory we tested hypotheses about the mechanisms underlying these dietary patterns, comparing mechanisms for capture of large versus small prey and for prey of equal size but differing escape behaviors. Capture efficiencies of ephyrae feeding on large prey were 4 to 12 times greater than for small prey taxa. Capture efficiencies for prey of equal size also differed significantly, indicating that other factors influence the outcome of predator–prey interactions. Most prey captures occurred while the ephyrae were swimming and creating fluid flows that entrained prey into the subumbrellar region. Even copepod nauplii were frequently drawn into the subumbrella of swimming ephyrae despite average potential escape velocities (25.7 mm s⁻¹) that exceeded mean maximum velocity of fluid flows around the ephyrae (13.1 mm s⁻¹). Large prey were more likely than small prey to contact nematocyst-bearing surfaces both before and after entrainment in flow fields. With regard to behavior, prey escape speeds were not the only predictor of prey vulnerability. Prey that continued swimming after entrainment (rotifers and brine shrimp) were captured more often than prey of equal size that ceased normal swimming (copepod nauplii and barnacle nauplii). Copepod nauplii were the prey least likely to be captured because they either “played dead” and were expelled from the subumbrella of the ephyrae before contacting a surface, or they eventually escaped at high velocity. These observations indicate that size-selective predation by ephyrae of A. aurita can be influenced by a variety of behavioral responses of the prey. Received: 9 April 1997 / Accepted: 5 September 1997