Best practices for the care of pregnant people living with TB.

BACKGROUND: Each year more than 200,000 pregnant people become sick with TB, but little is known about how to optimize their diagnosis and therapy. Although there is a need for further research in this population, it is important to recognize that much can be done to improve the services they currently receive.METHODS: Following a systematic review of the literature and the input of a global team of health professionals, a series of best practices for the diagnosis, prevention and treatment of TB during pregnancy were developed.RESULTS: Best practices were developed for each of the following areas: 1) screening and diagnosis; 2) reproductive health services and family planning; 3) treatment of drug-susceptible TB; 4) treatment of rifampicin-resistant/multidrug-resistant TB; 5) compassionate infection control practices; 6) feeding considerations; 7) counseling and support; 8) treatment of TB infection/TB preventive therapy; and 9) research considerations.CONCLUSION: Effective strategies for the care of pregnant people across the TB spectrum are readily achievable and will greatly improve the lives and health of this under-served population.

The use of catalyst to enhance the wet oxidation process.

Wet oxidation tests were performed on two pure compound streams: acetic acid and ammonia; and on two wastewater streams: acrylic acid wastewater and sulphide laden spent caustic. Test results showed that Mn/Ce and Pt/TiO2 were effective catalysts that greatly enhanced acetic acid, ammonia and acrylic acid wastewater destruction. However, the Mn/Ce catalyst performance appears to be inhibited by concentrated salts dissolved in solution. This could limit the applicability of this catalyst for the treatment of brackish wastewaters. Zr, Ce and Ce nanoparticles were also shown to exhibit some catalytic activity, however not to the extent of the Mn/Ce and the Pt/TiO2.