Executive Summary—Community Water Supply: The Handpump Option

An estimated 1,800 million people need improved water supplies in the fifteen years to the end of the century, if developing countries are to reach the target of full coverage. The first half of the International Drinking Water Supply and Sanitation Decade (1981–1990) has seen increases in the percentages of the rural population with access to safe water supplies, but only in Asia has the pace been quick enough to envisage a target of essentiahy full coverage by the end of the century (ten years later than the original Decade goals). In Africa, present progress rates would leave half of the rural population still without safe water in the year 2000, while in Latin America, it may be ten years into the next century before full coverage is achieved unless progress improves dramatically.

Accelerated progress is hampered by financial and technical resource constraints faced by many developing countries, and the problem is aggravated by the growing number of completed projects which are broken down and abandoned, or functioning much below capacity. Attempts to increase the pace of providing improved community water supplies have often been frustrated because the technology used has proved impossible to sustain in village conditions.

To make a lasting impact on the urgent needs, community water supply (CWS) strategies must be based on sustainable and replicable programs, and must take account of the pace at which resource constraints can be overcome. Human resource development programs take time to produce results, and institutional changes can only be accomplished gradually.     

Gram-negative anaerobic bacilli: Their role in infection and patterns of susceptibility to antimicrobial agents. II. Little-known Fusobacterium species and miscellaneous genera

Twenty infrequently reported species of gram-negative anaerobic bacilli other than Fusobacterium nucleatum, Fusobacterium necrophorum, and members of the genus Bacteroides were studied with regard to their role in infection and their susceptibility to antimicrobial agents. In addition, the literature regarding the recovery of these organisms from both the normal flora and infections of humans was reviewed. During a six-year period at the Wadsworth Clinical Anaerobic Bacteriology Research Laboratory (Veterans Administration Wadsworth Medical Center, Los Angeles, Calif.), 39 (6%) of 679 specimens obtained from anaerobic infections yielded "other gram-negative anaerobic bacilli" (OGNAB). Fusobacterium naviforme, Fusobacterium gonidiaformans, Fusobacterium varium, Fusobacterium mortiferum, and Fusobacterium russii were the most commonly isolated OGNAB. Most of the OGNAB tested were resistant to erythromycin, and most strains, except for F. varium, were susceptible to beta-lactam antibiotics and clindamycin. Chloramphenicol and metronidazole were active against all strains of OGNAB tested. Certain Fusobacterium species are undoubtedly previously unrecognized members of the normal flora of the oropharynx, upper respiratory tract, or urogenital tract and may be present in infections derived from these floras.     

Using a multicultural lens to understand illnesses among Haitians living in America.

Currently, ethnic and racial minority individuals represent a large proportion of the U.S. population, and researchers expect that they will represent the majority of the population by 2050. This shift in U.S. demographics calls for a greater awareness and integration of cultural issues into the assessment and treatment of ethnically and linguistically diverse clients. This article examines the unique beliefs and manifestations of illnesses among Haitians in connection with the American Psychological Association's (APA, 2002) Multicultural Guidelines. The authors use a common culture-bound syndrome, Séizisman, to illustrate the cultural beliefs, assessment, and treatment of illnesses among Haitians. In so doing, they demonstrate how to incorporate the APA Multicultural Guidelines into treatment with clients of diverse cultural and racial backgrounds. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Imaging of KCa3.1 Channels in Tumor Cells with PET and Small-Molecule Fluorescent Probes

The Ca²⁺ activated K⁺ channel K_Ca3.1 is overexpressed in several human tumor cell lines, e. g. clear cell renal carcinoma, prostate cancer, non-small cell lung cancer. Highly aggressive cancer cells use this ion channel for key processes of the metastatic cascade such as migration, extravasation and invasion. Therefore, small molecules, which are able to image this K_Ca3.1 channel in vitro and in vivo represent valuable diagnostic and prognostic tool compounds. The [¹⁸F]fluoroethyltriazolyl substituted senicapoc was used as positron emission tomography (PET) tracer and showed promising properties for imaging of K_Ca3.1 channels in lung adenocarcinoma cells in mice. The novel senicapoc BODIPY conjugates with two F-atoms ( 9 a ) and with a F-atom and a methoxy moiety ( 9 b ) at the B-atom led to the characteristic punctate staining pattern resulting from labeling of single K_Ca3.1 channels in A549-3R cells. This punctate pattern was completely removed by preincubation with an excess of senicapoc confirming the high specificity of K_Ca3.1 labeling. Due to the methoxy moiety at the B-atom and the additional oxyethylene unit in the spacer, 9 b exhibits higher polarity, which improves solubility and handling without reduction of fluorescence quantum yield. Docking studies using a cryo-electron microscopy (EM) structure of the K_Ca3.1 channel confirmed the interaction of 9 a and 9 b with a binding pocket in the channel pore.     

A method to convert AVHRR Normalized Difference Vegetation Index time series to a standard viewing and illumination geometry

The bi-directional reflectance distribution function (BRDF) alters the seasonal and inter-annual variations exhibited in Advanced Very High Resolution Radiometer (AVHRR) Normalized Difference Vegetation Index (NDVI) data and this hampers the detection and, consequently, the interpretation of temporal variations in land-surface vegetation. The magnitude and sign of bi-directional effects in commonly used AVHRR data sets depend on land-surface properties, atmospheric composition and the type of atmospheric correction that is applied to the data. We develop an approach to estimate BRDF effects in AVHRR NDVI time series using the Moderate Resolution Imaging Spectrometer (MODIS) BRDF kernels and subsequently adjust NDVI time series to a standard illumination and viewing geometry. The approach is tested on NDVI time series that are simulated for representative AVHRR viewing and illumination geometry. These time series are simulated with a canopy radiative transfer model coupled to an atmospheric radiative transfer model for four different land cover types—tropical forest, boreal forest, temperate forest and grassland - and five different atmospheric conditions - turbid and clear top-of-atmosphere, turbid and clear top-of-atmosphere with a correction for ozone absorption and Rayleigh scattering applied (Pathfinder AVHRR Land data) and ground-observations (fully corrected for atmospheric effects). The simulations indicate that the timing of key phenological stages, such as start and end of growing season and time of maximum greenness, is affected by BRDF effects. Moreover, BRDF effects vary with latitude and season and increase over the time of operation of subsequent NOAA satellites because of orbital drift. Application of the MODIS kernels on simulated NVDI data results in a 50% to 85% reduction of BRDF effects. When applied to the global 18-year global Normalized Difference Vegetation Index (NDVI) Pathfinder data we find BRDF effects similar in magnitude to those in the simulations. Our analysis of the global data shows that BRDF effects are especially large in high latitudes; here we find that in at least 20% of the data BRDF errors are too large for accurate detection of seasonal and interannual variability. These large BRDF errors tend to compensate, however, when averaged over latitude.     

The relationship of chronic mucin secretion to airway disease in normal and CFTR-deficient mice

In the cystic fibrosis (CF) patient, lung function decreases throughout life as a result of continuous cycles of infection, particularly with Pseudomonas aeruginosa and Staphylococcus aureus. The mechanism underlying the pathophysiology of the disease in humans has not been established. However, it has been suggested that abnormal, tenacious mucus, resulting perhaps from improper hydration from loss of Cl- secretion via the cystic fibrosis transmembrane conductance regulator (CFTR) protein, impairs clearance of bacteria from the CF airway and provides an environment favorable to bacterial growth. If this hypothesis is correct, it could explain the absence of respiratory disease in CFTR-deficient mice, since mice have only a single submucosal gland and display few goblet cells in their lower airways, even when exposed to bacteria. To test this hypothesis further, we induced allergic airway disease in CFTR-deficient mice. We found that induction of allergic airway disease in mice, unlike bacterial infection, results in an inflammatory response characterized by goblet cell hyperplasia, increased mucin gene expression, and increased production of mucus. However, we also found that disease progression and resolution is identical in Cftr-/- mice and control animals. Furthermore, we show that the presence of mucus in the Cftr-/- airway does not lead to chronic airway disease, even upon direct inoculation with S. aureus and P. aeruginosa. Therefore, factors in addition to the absence of high levels of mucus secretion protect the mouse from the airway disease seen in human CF patients.     

Ultrastructural features of diffuse malignant mesotheliomas

The distinction of malignant mesothelioma from tumors metastatic to the serosal membranes can often be made based on the results of histochemical or immunohistochemical studies. However, in some cases, these techniques are inadequate to make a firm diagnosis. In these instances, electron microscopic studies with the observation of a constellation of characteristic ultrastructural findings may permit an unequivocal diagnosis of mesothelioma.     

Small-dose hyperbaric versus plain bupivacaine during spinal anesthesia for cesarean section

In a double-blind, randomized trial, 98 parturients undergoing cesarean section received either hyperbaric or plain bupivacaine 6.6 mg combined with sufentanil 3.3 microg as part of a combined spinal-epidural procedure. To prevent hypotension, 1000 mL of lactated Ringer's solution, 500 mL of hydroxyethyl starch 6%, and ephedrine 5 mg were administered i.v. The height of the block was equal in both groups, but more patients in the plain group had blocks that were either too high or too low (P < 0.01). The number of patients requiring epidural supplementation was equal in both groups. Strict criteria were used to treat hypotension. The overall incidence of systolic blood pressure (<90 mm Hg) was 13%, whereas it was more pronounced in the plain group (21% vs 6% in the hyperbaric group, P < 0.05), which required more ephedrine (P < 0.05) and in which a greater incidence of nausea was noticed (P < 0.05). We conclude that the use of a small dose of intrathecal bupivacaine combined with sufentanil plus our described preloading regimen resulted in a lower incidence of hypotension. Further, we conclude that the use of hyperbaric bupivacaine in this manner provides a more reliable block and a lower incidence of hypotension than plain bupivacaine. Implications: A small dose of hyperbaric bupivacaine 0.5% combined with sufentanil used intrathecally during cesarean section offered a more reliable cephalad spread of the spinal block than the glucose-free combination, which was reflected in a lower incidence of hypotension and nausea.