The accuracy of the Thompson score in predicting early outcome in neonates with hypoxic ischaemic encephalopathy treated with therapeutic cooling in a tertiary hospital.

BACKGROUND: Hypoxic ischaemic encephalopathy (HIE) is one of the major contributors to neonatal mortality and morbidity in developing countries. Scarcity of resources limits clinicians in optimally caring for these patients. Optimal utilisation of clinical tools such as the Thompson score (TS) can assist in improving care by classifying the severity of HIE followed by appropriate treatment. OBJECTIVES: The primary objective was to study the correlation of the TS and early neonatal outcomes in infants with HIE who received therapeutic hypothermia (TH). Secondary objectives were to investigate the correlation of blood gas values with the TS, need for resuscitation with TS, target organ damage (TOD) with TS and the most common risk factors associated with HIE in Tembisa Provincial Tertiary Hospital (TPTH). METHODS: This was a retrospective record review of infants admitted with HIE from January 2018 to August 2019 at the TPTH neonatal unit. Infants had to have successfully completed TH. RESULTS: Ninety-three infants met the inclusion criteria, with 32, 48 and 13 being classified into the mild, moderate and severe categories by TS, respectively. The median length of stay (LOS) was noted to rise with a rising TS, recorded to be 7, 8 and 9 days in the mild, moderate and severe groups, respectively. The mortality rate in the study was calculated to be 2.1%, and there was no significant difference across the groups (p=0.231). A need for antiseizure medication (ASM) on discharge was significantly associated with severe HIE (p=0.028). Hypertension was a frequent chronic illness, noted in 11.3% of the mothers. The most frequent perinatal risk factor was meconium aspiration (50.5%), followed by prolonged second stage of labour (PSSL) (17.2%). A higher TS (severe group) was associated with prolonged resuscitation for >10 minutes (p=0.001) and a need for adrenaline (p=0.008). The frequency of cardiac impairment, liver impairment and clinical seizures increased with a higher TS category (p=0.23, p=0.35 and p=0.51, respectively). On blood gas analysis, a low pH and a high base deficit were associated with severe HIE (p=0.027, p=0.061 respectively). CONCLUSION: The TS is still a useful clinical tool in the era of TH as it is able to predict some early neonatal outcomes such as LOS and a need for ASM at discharge. It is also able to demonstrate increased frequency of duration of resuscitation and a need for adrenaline in severely encephalopathic infants compared with mild. A high TS is also associated with severe metabolic acidosis and increased frequency of TOD. Maternal hypertension, meconium-stained liquor and PSSL are the common risk factors for HIE at TPTH.

Post-TB health and wellbeing.

TB affects around 10.6 million people each year and there are now around 155 million TB survivors. TB and its treatments can lead to permanently impaired health and wellbeing. In 2019, representatives of TB affected communities attending the '1st International Post-Tuberculosis Symposium´ called for the development of clinical guidance on these issues. This clinical statement on post-TB health and wellbeing responds to this call and builds on the work of the symposium, which brought together TB survivors, healthcare professionals and researchers. Our document offers expert opinion and, where possible, evidence-based guidance to aid clinicians in the diagnosis and management of post-TB conditions and research in this field. It covers all aspects of post-TB, including economic, social and psychological wellbeing, post TB lung disease (PTLD), cardiovascular and pericardial disease, neurological disability, effects in adolescents and children, and future research needs.

South African neonates with mild and moderate hypoxic-ischaemic encephalopathy

Background. Clear risk profiles of neonates with mild and moderate hypoxic-ischaemic encephalopathy (HIE) are lacking.Objective. To describe and compare factors associated with mild and moderate HIE in South African neonates. Methods.A prospective, comparative design was used to describe factors among South African neonates with mild (n=13) and moderate (n=33) HIE in an urban tertiary academic hospital. HIE diagnosis and encephalopathy grading were conducted using the modified Sarnat stages. Thompson scores were recorded. Participants' clinical records were reviewed to identify factors. Descriptive data were obtained. Chi-square and Fisher's exact tests were used to compare categorical data, and Mann-Whitney tests were used to compare continuous data between groups. Results. Significant differences were found between groups' admission (p<0.001) and highest Thompson scores (p<0.001). The mild group's APGAR scores were significantly higher than those of the moderate group at five (p=0.012) and ten minutes (p=0.022). Duration of resuscitation (p=0.011) and time to spontaneous respiration (p=0.012) also differed significantly between groups. Significantly more moderate than mild participants received therapeutic hypothermia(TH) (p<0.001).Conclusion. Clinical tests and management factors differed significantly between groups. The findings provided the multidisciplinary team with an increased understanding of the heterogeneous HIE population and add to existing evidence for identifying neonates eligible for TH in resource-limited settings

Deciphering the effect of FUB1 disruption on fusaric acid production and pathogenicity in Fusarium circinatum.

Fusarium circinatum is an important pathogen of pine trees. However, little is known regarding the molecular processes underlying its pathogenesis. We explored the potential role of the phytotoxin fusaric acid (FA) in the pathogenicity of the fungus. FA is produced by products of the FUB biosynthesis gene cluster, containing FUB1-12. Of these, FUB1 encodes the core polyketide synthase, which we disrupted. We used the resulting mutant strain to investigate whether FUB1 and FA production play a role in the virulence of F. circinatum on pine. Our results showed that FA production was abolished both in vitro and in planta. However, bikaverin production was increased in the knockout mutant. FUB1 disruption also corresponded with downregulation of a F. circinatum homologue of LaeA, a master transcriptional regulator of secondary metabolism. Lesion lengths produced by the FUB1 knockout mutant on inoculated Pinus patula seedlings were significantly smaller than those produced by the wild type strain. Collectively, these results show that FUB1 plays a role in FA production in F. circinatum, and that this gene contributes to the aggressiveness of F. circinatum on P. patula. This study will contribute to the limited knowledge we have about the molecular basis of pathogenicity in this fungus.

Ras2 is important for growth and pathogenicity in Fusarium circinatum.

In this study, we investigated to possible role of Ras2 in Fusarium circinatum- a fungus that causes pine pitch canker disease on many different pine species and has a wide geographic distribution. This protein is encoded by the RAS2 gene and has been shown to control growth and pathogenicity in a number of fungi in a mitogen-activated protein kinase- and/or cyclic adenosyl monophosphate pathway-dependent manner. The aim was therefore to characterize the phenotypes of RAS2 gene knockout and complementation mutants of F. circinatum. These mutants were generated by transforming protoplasts of the fungus with suitable split-marker constructs. The mutant strains, together with the wild type strain, were used in growth studies as well as pathogenicity assays on Pinus patula seedlings. Results showed that the knockout mutant strain produced significantly smaller lesions compared to the complementation mutant and wild type strains. Growth studies also showed significantly smaller colonies and delayed conidial germination in the knockout mutant strain compared to the complement mutant and wild type strains. Interestingly, the knockout mutant strain produced more macroconidia than the wild type strain. Collectively, these results showed that Ras2 plays an important role in both growth and pathogenicity of F. circinatum. Future studies will seek to determine the pathway(s) through which Ras2 controls these traits in F. circinatum.

Evolution of lifestyles in Capnodiales.

The Capnodiales, which includes fungi known as the sooty moulds, represents the second largest order in Dothideomycetes, encompassing morphologically and ecologically diverse fungi with different lifestyles and modes of nutrition. They include saprobes, plant and human pathogens, mycoparasites, rock-inhabiting fungi (RIF), lichenised, epi-, ecto- and endophytes. The aim of this study was to elucidate the lifestyles and evolutionary patterns of the Capnodiales as well as to reconsider their phylogeny by including numerous new collections of sooty moulds, and using four nuclear loci, LSU, ITS, TEF-1α and RPB2. Based on the phylogenetic results, combined with morphology and ecology, Capnodiales s. lat. is shown to be polyphyletic, representing seven different orders. The sooty moulds are restricted to Capnodiales s. str., while Mycosphaerellales is resurrected, and five new orders including Cladosporiales, Comminutisporales, Neophaeothecales, Phaeothecales and Racodiales are introduced. Four families, three genera, 21 species and five combinations are introduced as new. Furthermore, ancestral reconstruction analysis revealed that the saprobic lifestyle is a primitive state in Capnodiales s. lat., and that several transitions have occurred to evolve lichenised, plant and human parasitic, ectophytic (sooty blotch and flyspeck) and more recently epiphytic (sooty mould) lifestyles.

Evaluating the effect of seasonal temperature changes on the efficiency of a rhizofiltration system in nitrogen removal from urban runoff.

The study presents an evaluation of nitrogen removal efficiency of a pilot-scale rhizofiltration system in Pretoria, South Africa. The rhizofiltration system was divided into two sections, one side planted with common reeds (Phragmites australis) and the other side was without plants kept as a control. The objective of the study was to evaluate the influence of seasonal temperature on the removal of nitrogen species from the simulated urban runoff using the rhizofiltration system. The final effluent from the filter was collected bimonthly at different sampling points for 10 months after an application time of 5 min and 25 min. Duplicate samples were taken to determine the concentrations of TKN (Total Kjeldahl nitrogen), ammonium, nitrate and chemical oxygen demand (COD) for the raw influent and final effluent from the rhizofiltration system. Temperature and pH were determined on-site. During the monitoring period, there was no significant difference in the inflow concentration of ammonium in colder and warmer months for both planted and control sides. Furthermore, the composition of the feed medium to the rhizofilter was kept the same in both cold and warm season and for both planted and control sides. The removal of ammonium in colder and warmer months was not significant in both systems. At an average temperature increase of 5.2 °C in the warmer months, the ammonium removal efficiency in the planted side increased by 7.5%, while for the control side the removal efficiency increased by 2.4%. The difference in removal was not significant between the averages of effluent ammonium after an application time of 25 min in colder versus warmer months for the planted and control sides of the system. Furthermore, an increased nitrification rate was more evident in the planted than in the control side, which was subsequently denitrified. It was observed that 60.4% of nitrate concentration was potentially removed in the planted side whereas 45.4% was potentially denitrified in the control side. These results suggest positive correlation between nitrate concentration and the potential for denitrification. The nitrate removal efficiency dropped to 32.2% for the planted site and to 26.1% for the control system in colder months. Temperature had an effect on nitrogen removal, since nitrogen removal efficiency decreased in colder months. Complete nitrogen removal could not be achieved under the operating conditions.

Evaluation of the efficiency of selected wastewater treatment processes in removing selected perfluoroalkyl substances (PFASs).

In this study, the efficiencies of selected wastewater treatment plants (WWTPs) to remove selected perfluoroalkyl substances (PFASs) during wastewater treatment processes were evaluated. For this purpose, influent samples from Daspoort, Zeekoegat and Phola WWTPs, were initially screened for the presence of sixteen different PFASs of which only seven were detected. These include: perfluorobutanoic acid (PFBA), perfluoro-n-pentanoic acid (PFPeA), perfluorohexanoic acid (PFHxA), perfluorooctanoic acid (PFOA), perfluorodecanoic acid (PFDA), perfluorohexane sulfonate (L-PFHxS), and perfluorooctane sulfonate (L-PFOS). To determine the concentrations of these PFASs, wastewater samples were subjected to solid-phase extraction followed by liquid chromatography-tandem mass spectrometry. The results showed that L-PFOS was the dominant compound with the highest concentration of 508 ± 258 ng/L at Daspoort WWTP. Overall, the three WWTPs could not achieve the complete influent-to-effluent removal of the PFASs and the best removals were observed at Zeekoegat WWTP. The removal efficiency of the different unit processes varied from one plant to another and also from each type of PFASs. At Daspoort, the removal efficiency of the primary settling tanks was poor and the highest removal reached 39% for PFHxA. The activated sludge (AS) of this WWTP achieved the highest removal of 84% for the L-PFOS. At Zeekoegat, the AS achieved the highest removal of 94% for the L-PFOS. The anaerobic pond at Phola achieved a higher removal of 80% for the L-PFOS. However, no removal was observed downstream of the biological filter for the same compound. Poor removal efficiency was reported downstream of the wetland at Phola except for the PFOA (16%).

Patient blood management: A solution for South Africa.

For more than 70 years the default therapy for anaemia and blood loss was mostly transfusion. Accumulating evidence demonstrates a significant dose-dependent relationship between transfusion and adverse outcomes. This and other transfusion-related challenges led the way to a new paradigm. Patient blood management (PBM) is the application of evidence-based practices to optimise patient outcomes by managing and preserving the patient's own blood. 'Real-world' studies have shown that PBM improves patient outcomes and saves money. The prevalence of anaemia in adult South Africans is 31% in females and 17% in males. Improving the management of anaemia will firstly improve public health, secondly relieve the pressure on the blood supply, and thirdly improve the productivity of the nation's workforce. While high-income countries are increasingly implementing PBM, many middle- and low-income countries are still trying to upscale their transfusion services. The implementation of PBM will improve South Africa's health status while saving costs.

Potential Treatment Options in a Post-antibiotic Era.

Following the Golden Age of antibiotic discovery in the previous century, the rate of antibiotic discovery has plummeted during the past 50 years while the incidence of antimicrobial resistance is ever-increasing. Presently, humankind is forced to address a major public health threat in the form of multiple drug resistance and urgent action is required to halt the advent of a post-antibiotic era. This chapter aims to draw the attention to the escalating global crisis of antimicrobial resistance fueled by the irresponsible use of antibiotics in healthcare and animal production sectors. The merits of alternative prevention and treatment options, including vaccines, herbal products, bacteriophages, and improved biosecurity measures are also discussed.

Changing distribution and abundance of the malaria vector Anopheles merus in Mpumalanga Province, South Africa.

Background: The malaria vector Anopheles merus occurs in the Mpumalanga Province of South Africa. As its contribution to malaria transmission in South Africa has yet to be ascertained, an intensification of surveillance is necessary to provide baseline information on this species. The aim of this study was therefore to map An. merus breeding sites in the Ehlanzeni District of Mpumalanga Province and to assess qualitative trends in the distribution and relative abundance of this species over a 9-year period. Methods: The study was carried out during the period 2005-2014 in the four high-risk municipalities of Ehlanzeni District. Fifty-two breeding sites were chosen from all water bodies that produced anopheline mosquitoes. The study data were extracted from historical entomological records that are captured monthly. Results: Of the 15 058 Anopheles mosquitoes collected, 64% were An. merus. The abundance and distribution of An. merus increased throughout the four municipalities in Ehlanzeni District during the study period. Conclusion: The expanded distribution and increased abundance of An. merus in the Ehlanzeni District may contribute significantly to locally acquired malaria in Mpumalanga Province, likely necessitating the incorporation of additional vector control methods specifically directed against populations of this species.

Contexte : Le vecteur du paludisme, Anopheles merus, sévit dans la province de Mpumalanga en Afrique du Sud. Comme sa contribution à la transmission du paludisme en Afrique du Sud reste à vérifier, une intensification de la surveillance est nécessaire afin de fournir des informations de départ sur cette espèce. Le but de cette étude a donc été de cartographier les sites de reproduction de An. merus dans le district d'Ehlanzeni de la province de Mpumalanga et d'évaluer les tendances qualitatives de la distribution et de l'abondance relative de cette espèce sur une période de 9 ans.Méthodes : Cette étude a été réalisée pendant la période de 2005 à 2014 dans les quatre municipalités à risque élevé du district d'Ehlanzeni. Cinquante-deux sites de reproduction ont été choisis dans tous les plans d'eau qui ont produit des moustiques de l'espèce anophèle. Les données de l'étude ont été extraites de registres entomologiques historiques qui sont saisis chaque mois.Résultats : Sur les 15 058 moustiques Anopheles recueillis, 64% ont été An. merus. L'abondance et la distribution d'An. merus ont augmenté dans les quatre municipalités du district d'Ehlanzeni pendant la période d'étude.Conclusion: La distribution en expansion et l'abondance accrue d'An. merus dans le district d'Ehlanzeni peut contribuer significativement au paludisme acquis localement dans la province de Mpumalanga et nécessite l'incorporation de méthodes de lutte vectorielle supplémentaires spécifiquement dirigées contre les populations de cette espèce.

Marco de referencia: Anopheles merus, vector del paludismo, está presente en la provincia de Mpumalanga de Suráfrica. Puesto que no se ha determinado su contribución a la transmisión del paludismo en el país, es necesario intensificar la vigilancia, con el fin de aportar información de referencia sobre esta especie. El objetivo del estudio fue cartografiar los criaderos de An. merus en el distrito de Ehlanzeni de la provincia de Mpumalanga y evaluar la evolución cuantitativa de la distribución y la abundancia relativa de esta especie durante un período de 9 años.Métodos: El estudio se llevó a cabo del 2005 al 2014 en cuatro municipios de alto riesgo de transmisión del distrito de Ehlanzeni. Se escogieron 52 criaderos de todas las masas de agua productoras de mosquitos anófeles. Los datos del estudio se extrajeron de los registros entomológicos históricos que se captan cada mes.Resultados: De los 15 058 mosquitos anófeles recogidos, el 64% correspondía a An. merus; su abundancia y distribución aumentó en los cuatro municipios del distrito de Ehlanzeni durante el período del estudio.Conclusión: La ampliación de la distribución y el aumento de la presencia de An. merus en el distrito de Ehlanzeni pueden contribuir de manera significativa a los casos de paludismo adquiridos localmente en la provincia de Mpumalanga, y es probable que sera necesario incorporar otros métodos de control de vectores dirigidos específicamente contra las poblaciones de esta especie.

Application of hydrolysis probe analysis to identify clade types of the malaria vector mosquito Anopheles funestus sensu stricto from Muheza, northeastern Tanzania.

A hydrolysis probe analysis (TaqMan assay) was used to study clade types in Anopheles funestus sensu stricto Giles, a major malaria vector in sub-Saharan Africa, with specimens collected from Muheza in Tanga, northeastern Tanzania. A total of 186 An. funestus specimens were analysed, revealing that 176 (94.6%) were of clade I and 10 (5.4%) of clade II. These findings extend the distribution of clade type II from southern Mozambique and northern Zambia to northeastern Tanzania. The technique used can also be of great value in assessing the role and contribution of these clade types in malaria transmission and insecticide resistance frequencies for An. funestus s.s.

Improving survival of preterm babies in low- to middle-income countries ­ what can we do?

Surviving prematurity poses the greatest challenge in neonatal care in low- to middle-income countries (LMICs). South Africa has not made much progress in improving the survival of preterm babies. Neonatal survival of preterm infants has become a national priority since the serious failure to reach the Millennium Development Goal targets in 2015. High rates of prevention are particularly relevant in LMICs, where the neonatal mortality rate is at its highest owing to a lack of simple and effective measures. Preventing prematurity and related complications begins with a healthy pregnancy. Antenatal care and maternal corticosteroids are antenatal interventions that could improve the survival of preterm babies. Postnatal interventions include: the management of neonatal sepsis, meningitis and pneumonia;prevention of hypothermia after delivery, for example, the plastic bag/wrap and cap, which has been extensively researched and is found to be an effective, low-cost method for reducing hypothermia in preterm infants; the use of continuous positive airway pressure (CPAP),including the low-cost CPAP device, which is a cost-effective strategy for providing respiratory support for premature neonates with respiratory distress syndrome; exogenous surfactant; early feeding with breastmilk; and kangaroo mother care. The use of cost-effective,evidence-based interventions can be implemented in LMICs to reduce neonatal mortality

The long road to elimination: malaria mortality in a South African population cohort over 21 years.

BACKGROUND: Malaria elimination is on global agendas following successful transmission reductions. Nevertheless moving from low to zero transmission is challenging. South Africa has an elimination target of 2018, which may or may not be realised in its hypoendemic areas. METHODS: The Agincourt Health and Demographic Surveillance System has monitored population health in north-eastern South Africa since 1992. Malaria deaths were analysed against individual factors, socioeconomic status, labour migration and weather over a 21-year period, eliciting trends over time and associations with covariates. RESULTS: Of 13 251 registered deaths over 1.58 million person-years, 1.2% were attributed to malaria. Malaria mortality rates increased from 1992 to 2013, while mean daily maximum temperature rose by 1.5 °C. Travel to endemic Mozambique became easier, and malaria mortality increased in higher socioeconomic groups. Overall, malaria mortality was significantly associated with age, socioeconomic status, labour migration and employment, yearly rainfall and higher rainfall/temperature shortly before death. CONCLUSIONS: Malaria persists as a small but important cause of death in this semi-rural South African population. Detailed longitudinal population data were crucial for these analyses. The findings highlight practical political, socioeconomic and environmental difficulties that may also be encountered elsewhere in moving from low-transmission scenarios to malaria elimination.

The Influence of Insecticide Resistance, Age, Sex, and Blood Feeding Frequency on Thermal Tolerance of Wild and Laboratory Phenotypes of Anopheles funestus (Diptera: Culicidae).

Resistance to insecticides is a global phenomenon and is increasing at an unprecedented rate. How resistant and susceptible strains of malaria vectors might differ in terms of life history and basic biology is often overlooked, despite the potential importance of such information in light of changing climates. Here, we investigated the upper thermal limits (ULT50) of wild and laboratory strains of Anopheles funestus Giles mosquitoes, including resistance status, sex, age, and blood feeding status as potential factors influencing ULT50. No significant differences in ULT50 were observed between strains displaying different resistance patterns, nor was there a significant difference between wild and laboratory strains. In some instances, strains showed a senescence response, displaying decreased ULT50 with an increase in age, and differences between males and females (females displaying higher ULT50 than males). Blood feeding did not seem to influence ULT50 in any way. For An. funestus, it seems evident that there is no cost to resistance despite what is displayed in other anopheline species. This could have significant impacts for vector control, with resistant populations of An. funestus performing just as well, if not better, than susceptible strains, especially under changing environmental conditions such as those expected to occur with climate change.

Iron status determination in pregnancy using the Thomas plot.

INTRODUCTION: Physiological changes during pregnancy affect routine tests for iron deficiency. The reticulocyte haemoglobin equivalent (RET-He) and serum-soluble transferrin receptor (sTfR) assay are newer diagnostic parameters for the detection of iron deficiency, combined in the Thomas diagnostic plot. We used this plot to determine the iron status of pregnant women presenting for their first visit to an antenatal clinic in Bloemfontein, South Africa. METHODS: Routine laboratory tests (serum ferritin, full blood count and C-reactive protein) and RET-He and sTfR were performed. The iron status was determined using the Thomas plot. RESULTS: For this study, 103 pregnant women were recruited. According to the Thomas plot, 72.8% of the participants had normal iron stores and erythropoiesis. Iron-deficient erythropoiesis was detected in 12.6%. A third of participants were anaemic. Serum ferritin showed excellent sensitivity but poor specificity for detecting depleted iron stores. HIV status had no influence on the iron status of the participants. CONCLUSION: Our findings reiterate that causes other than iron deficiency should be considered in anaemic individuals. When compared with the Thomas plot, a low serum ferritin is a sensitive but nonspecific indicator of iron deficiency. The Thomas plot may provide useful information to identify pregnant individuals in whom haematologic parameters indicate limited iron availability for erythropoiesis.

Saprophytic and pathogenic fungi in the Ceratocystidaceae differ in their ability to metabolize plant-derived sucrose.

BACKGROUND: Proteins in the Glycoside Hydrolase family 32 (GH32) are carbohydrate-active enzymes known as invertases that hydrolyse the glycosidic bonds of complex saccharides. Fungi rely on these enzymes to gain access to and utilize plant-derived sucrose. In fungi, GH32 invertase genes are found in higher copy numbers in the genomes of pathogens when compared to closely related saprophytes, suggesting an association between invertases and ecological strategy. The aim of this study was to investigate the distribution and evolution of GH32 invertases in the Ceratocystidaceae using a comparative genomics approach. This fungal family provides an interesting model to study the evolution of these genes, because it includes economically important pathogenic species such as Ceratocystis fimbriata, C. manginecans and C. albifundus, as well as saprophytic species such as Huntiella moniliformis, H. omanensis and H. savannae. RESULTS: The publicly available Ceratocystidaceae genome sequences, as well as the H. savannae genome sequenced here, allowed for the identification of novel GH32-like sequences. The de novo assembly of the H. savannae draft genome consisted of 28.54 megabases that coded for 7 687 putative genes of which one represented a GH32 family member. The number of GH32 gene family members appeared to be related to the ecological adaptations of these fungi. The pathogenic Ceratocystis species all contained two GH32 family genes (a putative cell wall and a putative vacuolar invertase), while the saprophytic Huntiella species had only one of these genes (a putative cell wall invertase). Further analysis showed that the evolution of the GH32 gene family in the Ceratocystidaceae involved transposable element-based retro-transposition and translocation. As an example, the activity of a Fot5-like element likely facilitated the assembly of the genomic regions harbouring the GH32 family genes in Ceratocystis. CONCLUSIONS: This study provides insight into the evolutionary history of the GH32 gene family in Ceratocystidaceae. Our findings suggest that transposable elements shaped the evolution of the GH32 gene family, which in turn determines the sucrolytic activities and related ecological strategies of the Ceratocystidaceae species that harbour them. The study also provides insights into the role of carbohydrate-active enzymes in plant-fungal interactions and adds to our understanding of the evolution of these enzymes and their role in the life style of these fungi.

Effects of Soy Phytoestrogens and New Zealand Functional Foods on Bone Health.

New Zealand is a rich source of food components that may have bioactivity on bone. Docosahexaenoic acid (DHA) from fish oil has been shown to maintain bone in ovariectomised (OVX) rats. Kiwifruit, a source of fibre and carotenoids, may also affect bone via a prebiotic as well as direct cell-based mechanisms. We aimed to 1) ascertain the effects of DHA on two cell models, including interactions with soy isoflavones; 2) and investigate the specific effects of carotenoids from kiwifruit as well as whole kiwifruit in cell-based and rodent models as well as in a human study. RAW 264.7 mouse monocytes or mouse bone marrow was used to generate osteoclasts (OC). Cells were exposed to the agents between 5 and 21 d and formation and activity of OC measured, including molecular markers. DHA inhibited OC formation in both cell models, including expression of cathepsin K, NFATc1 as well as actin ring formation. Combination with isoflavones enhanced these effects. In OVX rats and mice fed with kiwifruit for 8 wk, green kiwifruit reduced the rate of bone loss after OVX, and in mice it reduced C-telopeptide of Type 1 collagen (CTX) levels and RANKL expression while in menopausal women, green kiwifruit affected blood lipids and bone markers positively.

Seasonal variation of nutrient loads in treated wastewater effluents and receiving water bodies in Sedibeng and Soshanguve, South Africa.

The discharge of inadequately treated wastewater effluent presents a major threat to the aquatic environment and public health worldwide. As a water-scarce country, South Africa is facing an alarming situation since most of its wastewater discharges are not meeting the permissible limit. The aim of this study was to assess the physicochemical quality of treated wastewater effluents and their impact on receiving water bodies. During the study period, pH, temperature, free chlorine residue (Cl(-)), dissolved oxygen (DO), nitrate (NO3 (-1)), orthophosphate (PO4 (-3)) and chemical oxygen demand (COD) were measured in order to ascertain whether the selected wastewater systems in Sedibeng and Soshanguve complied with the South African and World Health Organization standards during wet and dry seasons. These parameters were analysed for samples collected from raw wastewater influent, treated wastewater effluent and receiving water bodies. The study was carried out between August 2011 and May 2012, and samples were collected on a weekly basis during both seasons. The physicochemical quality of effluents did not comply with the regulatory limits set by South Africa in terms of pH in Meyerton, Rietgat and Sandspruit (pH 7.6 to 8.1); free chlorine in Sandspruit (0.27 ± 0.05 mg/L); nitrate in Leeuwkuil and Rietgat (2.1 and 3.8 mg/L, respectively) during the wet season; orthophosphate in Meyerton during the wet season and in Sandspruit during the dry season (1.3 mg PO4 (-3) as P/L and 1.1 mg PO4 (-3) as P/L, respectively); and chemical oxygen demand in Rietgat during the dry season and in Sandspruit during the wet season (75.5 and 35 mg/L, respectively). Furthermore, the quality of the receiving water bodies did not comply with the South African standards recommended for pH, chemical oxygen demand and orthophosphate and DO (5 mg/L) in Rietgat during the wet season. The geometric mean of the water quality index values ranged between 32.4 and 36.9 for the effluent samples and between 38.1 and 65.7 for the receiving water bodies. These findings revealed that the receiving water bodies were classified as having "poor" quality status, except Leeuwkuil receiving water body (Vaal River) and Sandspruit upstream (Sandspruit stream). The dry season showed a relatively lower water quality index. This situation might be attributed to the higher amount of organic matter and lower microbial activities in the receiving water bodies. This study suggests that wastewater effluents and receiving water systems should be monitored regularly to ensure best practices with regard to nutrient treatment and discharge of wastewater.