Risk factors for food contamination among children discharged from community management of acute malnutrition programmes in South Sudan: A cross-sectional study and hazard analysis critical control point approach.

Children under-5 years of age are particularly vulnerable to severe acute malnutrition (SAM), and the risk factors associated with relapse to SAM are poorly understood. Possible causes are asymptomatic or symptomatic infection with enteric pathogens, with contaminated food as a critical transmission route. This cross-sectional study comprised a household survey with samples of child food (n = 382) and structured observations of food preparation (n = 197) among children aged 6-59 months that were discharged from treatment in community management of acute malnutrition (CMAM) programmes in South Sudan. We quantified Escherichia coli and total coliforms (TCs), measured in colony forming units per g of food (CFU/g), as indicators of microbial contamination of child food. A modified hazard analysis critical control point (HACCP) approach was utilised to determine critical control points (CCPs) followed by multivariate logistic regression analysis to understand the risk factors associated with contamination. Over 40% (n = 164) of samples were contaminated with E. coli (43% >0 E. coli CFU/g, 95% CI 38%-48%), and 90% (n = 343) had >10 TCs (CFU/g) (>10 TC CFU/g, 95% CI 87%-93%). Risk factors associated (p < 0.05) with child food contamination included if the child fed themselves (9.05 RR, 95% CI [3.18, 31.16]) and exposure to animals (2.63 RR, 95% CI [1.33, 5.34]). This study highlights the risk factors and potential control strategies that can support interventions that reduce food contamination exposure in young children and help further protect those that are highly vulnerable to recurrent exposure to enteric pathogens.

Space-time clusters for early detection of grizzly bear predation.

Accurate detection and classification of predation events is important to determine predation and consumption rates by predators. However, obtaining this information for large predators is constrained by the speed at which carcasses disappear and the cost of field data collection. To accurately detect predation events, researchers have used GPS collar technology combined with targeted site visits. However, kill sites are often investigated well after the predation event due to limited data retrieval options on GPS collars (VHF or UHF downloading) and to ensure crew safety when working with large predators. This can lead to missing information from small-prey (including young ungulates) kill sites due to scavenging and general site deterioration (e.g., vegetation growth). We used a space-time permutation scan statistic (STPSS) clustering method (SaTScan) to detect predation events of grizzly bears (Ursus arctos) fitted with satellite transmitting GPS collars. We used generalized linear mixed models to verify predation events and the size of carcasses using spatiotemporal characteristics as predictors. STPSS uses a probability model to compare expected cluster size (space and time) with the observed size. We applied this method retrospectively to data from 2006 to 2007 to compare our method to random GPS site selection. In 2013-2014, we applied our detection method to visit sites one week after their occupation. Both datasets were collected in the same study area. Our approach detected 23 of 27 predation sites verified by visiting 464 random grizzly bear locations in 2006-2007, 187 of which were within space-time clusters and 277 outside. Predation site detection increased by 2.75 times (54 predation events of 335 visited clusters) using 2013-2014 data. Our GLMMs showed that cluster size and duration predicted predation events and carcass size with high sensitivity (0.72 and 0.94, respectively). Coupling GPS satellite technology with clusters using a program based on space-time probability models allows for prompt visits to predation sites. This enables accurate identification of the carcass size and increases fieldwork efficiency in predation studies.

Genome sequence variation in the constricta strain dramatically alters the protein interaction and localization map of Potato yellow dwarf virus.

The genome sequence of the constricta strain of Potato yellow dwarf virus (CYDV) was determined to be 12 792 nt long and organized into seven ORFs with the gene order 3'-N-X-P-Y-M-G-L-5', which encodes the nucleocapsid, phospho, movement, matrix, glyco, and RNA-dependent RNA polymerase proteins, respectively, except for X, which is of unknown function. Cloned ORFs for each gene, except L, were used to construct a protein interaction and localization map (PILM) for this virus, which shares greater than 80 % amino acid similarity in all ORFs except X and P with the sanguinolenta strain of this species (SYDV). Protein localization patterns and interactions unique to each viral strain were identified, resulting in strain-specific PILMs. Localization of CYDV and SYDV proteins in virus-infected cells mapped subcellular loci likely to be sites of replication, morphogenesis and movement.

Concept Through Preliminary Bench Testing of a Powered Lower Limb Prosthetic Device.

This paper outlines the design and testing of a powered ankle prosthesis, which utilizes a four-bar mechanism in conjunction with a spring and motor that mimics nonamputee (normal) ankle moments. This approach would enable transtibial (below the knee) amputees to walk at a normal speed with minimal energy input. The design takes into account the energy supplied by the wearer required to achieve many of the desired characteristics of a normal gait. A proof-of-concept prototype prosthesis was designed, optimized, fabricated, and tested with the purpose of demonstrating its ability to match crucial ankle moments during the stance phase of gait. Testing of this prosthesis proved crucial in determining the prosthesis' capabilities and in evaluating this approach.

Ethical dilemma and resolution:a case scenario.

This article illustrates an ethical dilemma that I faced while treating an 86-year-old woman at her home. The ethical dilemma was caused due to several factors such as the expectations of the client (client/consumer rights), organisational expectations (employer, governmental and payer-source regulations) and my own personal values (one's moral philosophies, perceived social responsibilities, sense of professional duty) and how they all interact with each other. The case is a classic example of a seemingly simple yet frequent dilemma encountered by occupational and physical therapists in the United States serving clients who are covered by Medicare (the government's health insurance) for home health. The article is aimed at highlighting the various ethical principles involved in clinical decision-making, and it suggests methods for resolution of ethical dilemmas. Although the article is based against the backdrop of the US health care system, students and health care practitioners globally can relate to it.

New Wavenumber Calibration Tables From Heterodyne Frequency Measurements.

This new calibration atlas is based on frequency rather than wavelength calibration techniques for absolute references. Since a limited number of absolute frequency measurements is possible, additional data from alternate methodology are used for difference frequency measurements within each band investigated by the frequency measurements techniques. Data from these complementary techniques include the best Fourier transform measurements available. Included in the text relating to the atlas are a description of the heterodyne frequency measurement techniques and details of the analysis, including the Hamiltonians and least-squares-fitting and calculation. Also included are other relevant considerations such as intensities and lincshape parameters. A 390-entry bibliography which contains all data sources used and a subsequent section on errors conclude the text portion. The primary calibration molecules are the linear triatomics, carbonyl sulfide and nitrous oxide, which cover portions of the infrared spectrum ranging from 488 to 3120 cm-1. Some gaps in the coverage afforded by OCS and N2O are partially covered by NO, CO, and CS2. An additional region from 4000 to 4400 cm-1 is also included. The tabular portion of the atlas is too lengthy to include in an archival journal. Furthermore, different users have different requirements for such an atlas. In an effort to satisfy most users, we have made two different options available. The first is NIST Special Publication 821, which has a spectral map/facing table format. The spectral maps (as well as the facing tables) are calculated from molecular constants derived for the work. A complete list of all of the molecular transitions that went into making the maps is too long (perhaps by a factor of 4 or 5) to include in the facing tables. The second option for those not interested in maps (or perhaps to supplement Special Publication 821) is the complete list (tables-only) which is available in computerized format as NIST Standard Reference Database #39, Wavelength Calibration Tables.