Rebuilding and strengthening health systems and providing basic health services in fragile states

The international community has compelling humanitarian, political, security and economic reasons to engage in rebuilding and strengthening health systems in fragile states. Improvements in health services and systems help to strengthen civil society and to restore legitimacy to governments. Effective engagement with fragile states to inform the design of health programmes and selection of interventions depends on donor coordination and an understanding of health system challenges. Planning requires consideration of allocation (services to be delivered), production (organisation of services), distribution (beneficiaries of services) and financing. The criteria for selecting interventions are: their impact on major health problems; effectiveness; the possibility of scale-up; equity; and sustainability. There are various options for financing and models of engagement, but support should always combine short-term relief with longer-term development. Stakeholders should aim not only to save lives and protect health but also to bolster nations' ability to deliver good-quality services in the long run.     

Reduction of photoreactivation with the combined UV/peracetic acid process or by delayed exposure to visible light.

Photoreactivation of microorganisms following UV inactivation is a well-known, but complex, phenomenon. It is affected by several factors, including UV fluence, wavelength, light intensity, and exposure time to photoreactivating light. The effect on photoreactivation of a combined peracetic acid (PAA)/UV process has not been investigated. Accordingly, this study compared the degree of photoreactivation, under both sunlight and artificial lights, following UV and combined PAA/UV inactivation of fecal coliforms. Effluent samples from the Montreal Wastewater Treatment Plant (MWTP) (Quebec, Canada) were exposed, for 3 hours, to both low- and high-intensity artificial lights and sunlight. All resulted in similar photoreactivation levels. However, average photoreactivation for UV-treated wastewater samples was 1.2 logs, compared with 0.1 log for the combined PAA/UV treatment. Hence, the use of PAA in combination with UV can significantly reduce the potential for photoreactivation. To simulate the photoreactivation conditions of the MWTP effluent (which passes through a 4-km outfall tunnel with approximately 3 hours detention time), UV-treated samples were kept in the dark for 3 hours before photoreactivating light exposure. After this period, photoreactivation levels were close to zero. Hence, the effects of photoreactivation may be diminished by use of a combined disinfection scheme and/or by delaying exposure of the disinfected wastewater to light.     

Calculated physical properties of polychlorinated dibenzo-p-dioxins and dibenzofurans

The modified neglect of diatomic overlap (MNDO) method, a semi-empirical molecular orbital calculation, has been used to calculate the heats of formation, ionization potentials, dipole moments, and LUMOs (lowest unoccupied molecular orbitals) for all of the tetra, penta, hexa, hepta, and octa-chlorinated dibenzo-p-dioxins and dibenzofurans. These data have been used to predict gas chromatographic retention indexes.     

A shortened algal growth potential test

The Algal Growth Potential Test has been an accepted standard test for measuring the bioavailability of nutrients in water bodies. A shortened seven day test has been developed, tested, and shown to have a strong correlation relationship with algal tests grown to maximum dry weight yields. The new test will save time in processing the samples and processing of test data.     

Nuchal translucency thickness and outcome in chromosome translocation diagnosed in the first trimester

In order to determine the significance of nuchal translucency thickness on the subsequent natural history of first-trimester fetuses with a chromosome translocation, seven consecutive cases diagnosed between 11 and 13 weeks of gestation were reviewed. Nuchal translucency measurements were successfully obtained before chorionic villus sampling (CVS) in all cases. Three fetuses had an unbalanced translocation and all were associated with increased nuchal translucency and multiple anomalies at the detailed second-trimester scan. There were no survivors in this group. The remaining four fetuses had a balanced translocation; all had normal nuchal translucency thickness and no structural anomalies were detected in the second trimester. Three of these fetuses were born at ≥35 weeks of gestation and were phenotypically normal. However, an unexpected single fetal demise occurred in a dichorionic twin pregnancy at 28 weeks of gestation. It is concluded that nuchal translucency measurements provide important prognostic information on pregnancy outcome in first-trimester fetuses with a chromosome translocation. In parents with a known balanced translocation, the detection of increased nuchal translucency at 11–14 weeks of gestation is associated with unbalanced translocations, structural anomalies and poor pregnancy outcome. Copyright © 2001 John Wiley & Sons, Ltd.     

An overview of cross-sectional studies of mortality and air pollution and related statistical issues

A heuristic framework is developed for assessing statistical studies of air pollution and mortality which use the General Linear Model as a principal tool for analysis. Arrays that systematically compare the information of each study are introduced. In addition, a number of studies are contrasted against several statistical criteria to assess the reliability of the study results. Reliability is considered in terms of statistical estimation theory and practice. Finally, there is a discussion of several points of statistical contention which can affect the results of these studies. The conclusion is that statistical studies that use the General Linear Model have made limited use of available methods and tests. Several issues are raised which will require additional research.     

Tropical annual cropping systems: Ant ecology

The ecological role of ants in tropical annual cropping systems is discussed in general and with respect to a specific Mexican agroecosystem Generally, the potential positive contributions of ants to crop yields result from their impact on soil structure, nutrient cycling, and reduction of insect and weed pests In annual wet lowland fields in eastern Mexico, the ant community is simple and dominated by the aggressive fire ant,Solenopsis geminata. The influence of vegetation structure and composition on the ant community and, specifically, on the foraging behavior ofS geminata is discussed     

户外测试检验加速测试

探讨了加速老化测试存在的问题,阐述了户外暴露测试的重要性,指出应该利用户外暴露测试来检验加速老化。使用正确的测试程序,户外暴露测试可以在较短的时间内获得较好的测试结果。采用正确的测试设计、恰当的评估方法、可靠的统计分析及应用参照样品等,可使测试者确定加速程度及加速测试与户外暴露测试的相关系数,以确保加速测试结果的正确性。     

Insect mandibles—comparative mechanical properties and links with metal incorporation

A number of arthropod taxa contain metals in their mandibles (jaws), such as zinc, manganese, iron, and calcium. The occurrence of zinc and its co-located halogen chlorine have been studied in relation to the mechanical properties and shown to be linked in a direct fashion with increasing concentration. Hardness along with elastic modulus (stiffness) has also been linked to zinc and halogen concentration in some marine polychaete worms. The metal appears to be incorporated within the biological matrix, possibly bonding with proteins. However, the comparative advantage of metal inclusion has not been tested. It is possible that without metals, alternative mechanisms are used to achieve hardness of equal value in similar 'tools' such as mandibles. This question has direct bearing on the significance of metal hardening. In the present article, we compare across mandibles from six termite species, including samples with major zinc concentration, minor manganese, and no metals. Nanoindentation, electron microscopy, and electron microanalysis are used to assess metal concentration, form, and mechanical properties. The data demonstrate that termite mandibles lacking metals when fully developed have lower values for hardness and elastic modulus. Zinc is linked to a relative 20% increase in hardness when compared with mandibles devoid of metals. The similar transition metal, manganese, found in minor concentrations, is not linked to any significant increase in these mechanical properties. This raises the question of the function of manganese, which is as commonly found in insect mandibles as zinc and often located in the same mandibles.