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Membrane Systems for the Fight against Water-Borne Contaminants in Small Communities and Remote Areas from the Developing World: Accomplishments in Thailand and Some New Development in Sénégal and Mali 膜系统在发展中国家的小社区和偏远地区对抗水传播污染物:泰国的成就和ssamnsamal和Mali的一些新发展
Pub Date : 2010-09-08 DOI: 10.2174/18741967010030100074
M. Farcy, A. Doucoure
Pressure-driven membrane processes such as microfiltration (MF), ultrafiltration (UF), nanofiltration (NF) and reverse osmosis (RO) are increasingly used to produce clean water for a broad range of domestic and industrial applications. This article outlines some key features of these membrane-based technologies and describes how they can be adapted to supply safe drinking water in remote communities and rural regions from the developing world. Three case studies are reported in Asia (Thailand) and Africa (Senegal and Mali) where we investigate the feasibility of removing microorganisms and some dissolved pollutants from water with commercial pressure-driven filtration pilots. The convinc- ing success of the Thailand study established that Pall transportable MF/UF units could help local residents meet their demand in high quality water. This case study provided some rationale for testing a similar concept in West Africa. Given the technological efficacy, robustness and modularity of these membrane systems, we see them as innovative tools for implementing a cost-effective and sustainable strategy to stop the emergence of water borne and vector borne infectious diseases not only in the developing world but also in regions severely affected by natural disasters.
微滤(MF)、超滤(UF)、纳滤(NF)和反渗透(RO)等压力驱动膜工艺越来越多地用于生产清洁水,用于广泛的家庭和工业应用。本文概述了这些基于膜的技术的一些关键特征,并描述了如何使它们适应于为发展中国家的偏远社区和农村地区提供安全饮用水。报告了亚洲(泰国)和非洲(塞内加尔和马里)的三个案例研究,在那里我们调查了用商业压力驱动过滤试点从水中去除微生物和一些溶解污染物的可行性。泰国研究的令人信服的成功表明,Pall可移动的MF/UF装置可以帮助当地居民满足他们对高质量水的需求。这一案例研究为在西非测试类似概念提供了一些理论依据。鉴于这些膜系统的技术功效、坚固性和模块化,我们认为它们是实施具有成本效益和可持续战略的创新工具,不仅在发展中国家,而且在受自然灾害严重影响的地区,阻止水传播和媒介传播传染病的出现。
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引用次数: 0
Editorial: Fighting Infections in Developing Countries by Cost-Affordable and Sustainable Means 社论:以可负担得起的和可持续的方式在发展中国家抗击感染
Pub Date : 2010-09-08 DOI: 10.2174/18741967010030100072
G. Borkow
Central government programs essential for the improvement of the general public health are limited in developing countries. These include mass vaccination programs, which are cornerstones of primary health-care [1]; programs to reduce waterborne and water-associated vector-borne diseases [2]; routine surveillance activities [3,4]; regulation of pesticide usage (e.g. developing countries use only 20% of the world's agrochemicals, yet they suffer 99% of deaths from pesticide poisoning [5]); programs to reduce malnutrition [6]; programs to educate the public (e.g. use of condoms to reduce sexually transmitted diseases); and funding of medical care.
在发展中国家,中央政府改善一般公共卫生必不可少的方案是有限的。其中包括大规模疫苗接种规划,这是初级卫生保健的基石[1];减少水传播和与水相关的媒介传播疾病的规划[2];常规监测活动[3,4];对农药使用进行监管(例如,发展中国家仅使用世界上20%的农用化学品,但它们却遭受了99%的农药中毒死亡[5]);减少营养不良的方案[6];开展公众教育方案(例如使用避孕套以减少性传播疾病);以及医疗保健的资金。
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引用次数: 1
De-Worming in Developing Countries as a Feasible and Affordable Means to Fight Co-Endemic Infectious Diseases~!2009-12-10~!2010-02-15~!2010-09-08~! 在发展中国家,驱虫是一种既可行又负担得起的防治传染病的手段2010-12-10 2010-02-15 2010-09-08
Pub Date : 2010-09-08 DOI: 10.2174/1874196701003030097
Z. Bentwich
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引用次数: 5
Insecticidal Bednets for the Fight Against Malaria - Present Time and Near Future 用于防治疟疾的杀虫蚊帐——现在和不久的将来
Pub Date : 2010-09-08 DOI: 10.2174/18741967010030100092
O. Skovmand
Malaria is to-day a tropical disease that especially has major impact in Subsahelian Africa. The current large- scale campaign against malaria focuses on better first line use of medication and prevention: (1) the combined use of an Artimisin derivative and one of several synthetic anti-malarials; and (2) the use of insecticidal bednets for transmission prevention, since the disease is transmitted between humans by female mosquitoes. The change from nets that were to be treated and often re-treated to factory pre-treated nets about 7 years ago, made the change from a promising research tool to a major campaign tool. However, once the first line problem of fast disappearance of insecticide treatment was solved, other problems appeared such as physical net durability and low use rate of bednets among people that do not see only the advantages of the nets, but also experience the inconvenience of their use in the daily life. Finally, resistance to insecticides is appearing, probably originating from agricultural use of the same insecticides, but now amplified by the extensive use of insecticides for malaria control. A call for use of common sense and diversified use of insecticides is concluded.
今天,疟疾是一种热带疾病,尤其对撒哈拉以南非洲地区产生重大影响。目前大规模防治疟疾运动的重点是更好地在一线使用药物和预防:(1)联合使用一种青蒿素衍生物和几种合成抗疟疾药物中的一种;(2)使用杀虫蚊帐预防传播,因为这种疾病是通过雌性蚊子在人与人之间传播的。大约7年前,蚊帐从需要处理并经常重新处理到工厂预处理,这使得蚊帐从一种有前途的研究工具转变为一种主要的运动工具。然而,一旦解决了杀虫剂处理快速消失的第一线问题,人们不仅看到了蚊帐的优点,还体验到了在日常生活中使用蚊帐的不便,出现了物理蚊帐耐用性和蚊帐使用率低等其他问题。最后,对杀虫剂的耐药性正在出现,可能源于农业对相同杀虫剂的使用,但现在由于广泛使用杀虫剂控制疟疾而加剧。最后,提出了使用常识和多样化使用杀虫剂的建议。
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引用次数: 10
De-Worming in Developing Countries as a Feasible and Affordable Means to Fight Co-Endemic Infectious Diseases 发展中国家的驱虫作为一种可行和负担得起的手段,以对抗共同流行的传染病
Pub Date : 2010-09-08 DOI: 10.2174/18741967010030100097
Z. Bentwich, R. Horner, G. Borkow
Approximately one-third of humanity, especially in developing countries, is infected with parasitic roundworms or flatworms, collectively known as helminth parasites. These infections cause severe diseases, delayed physical development and mortality. A person in helminth endemic areas may be infected with these parasites all his life. These parasitic infections coincide with many other infectious diseases, such as malaria, tuberculosis and HIV. Treatment of these parasitic infections is relatively easy. In some cases a single dose of anti-parasitic treatment suffices. This paper briefly reviews the effects that helminthic infections have on other infectious diseases; on chronic non-transmittable diseases and discusses the potential benefits that de-worming may have on the overall morbidity and mortality associated with these diseases in developing countries, as well as on the effect de-worming may have on vaccination efficacy. We conclude that successful mass de-worming is essential for the reduction of the morbidity associated with these infections and may be a feasible and affordable means to combat other infectious diseases, such as HIV, malaria and tuberculosis. Furthermore, without it, HIV, malaria and TB vaccines may fail to confer protection in helminth endemic areas.
大约三分之一的人类,特别是在发展中国家,感染了统称为寄生虫的寄生蛔虫或扁虫。这些感染会导致严重的疾病、身体发育迟缓和死亡。在寄生虫流行地区的人可能终生感染这些寄生虫。这些寄生虫感染与疟疾、结核病和艾滋病毒等许多其他传染病同时发生。治疗这些寄生虫感染相对容易。在某些情况下,单剂抗寄生虫治疗就足够了。本文就蠕虫感染对其他传染病的影响作一综述;关于慢性非传染性疾病的报告,并讨论了驱虫对发展中国家与这些疾病相关的总体发病率和死亡率可能产生的潜在益处,以及驱虫对疫苗接种效果可能产生的影响。我们的结论是,成功的大规模驱虫对于减少与这些感染有关的发病率至关重要,并且可能是防治艾滋病毒、疟疾和结核病等其他传染病的可行和负担得起的手段。此外,如果没有它,艾滋病毒、疟疾和结核病疫苗可能无法在寄生虫流行地区提供保护。
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引用次数: 18
Preventing pathogens proliferation and reducing potential sources of nosocomial infections with biocidal textiles in developing countries. 发展中国家使用杀菌剂纺织品防止病原体增殖和减少医院感染的潜在来源。
Pub Date : 2010-09-08 DOI: 10.2174/18741967010030100081
G. Borkow, J. Gabbay
Nosocomial infections, especially those caused by antibiotic resistant bacteria, are increasing at an alarming rate over the globe. Unfortunately, standard infection control practices, such as pre-emptive isolation of high-risk patients, wide and targeted surveillance cultures, and proper ventilation systems are lacking in developing countries mainly due to insufficient resources. Patients shed bacteria and contaminate their pyjamas and sheets. The temperature and humidity between the patients and the bed are appropriate conditions allowing for effective bacterial proliferation. Bed making releases large quantities of micro-organisms into the air, which contaminate the immediate and non-immediate surroundings. Personnel in contact with contaminated textiles can also cross-contaminate other surfaces or patients. Thus textiles in hospitals can be an important source of microbes contributing to endogenous, indirect-contact, and aerosol transmission of nosocomial related pathogens. The use of safe wide-spectrum antimicrobial textiles, especially in those textiles that are in close contact with the patients, may significantly reduce bioburden in clinical settings and consequently reduce the risk of nosocomial infections. This is of special significance in resource poor developing countries, where wards are overcrowded and population infection burdens are very high. The use of biocidal textiles is a simple, cost-affordable and feasible measure that may be especially important in developing countries where essential infection control measures are not implemented.
医院感染,特别是由抗生素耐药细菌引起的感染,正在全球以惊人的速度增加。不幸的是,主要由于资源不足,发展中国家缺乏标准的感染控制措施,例如预先隔离高危患者、广泛和有针对性的监测培养以及适当的通风系统。病人身上的细菌会污染他们的睡衣和床单。病人和床之间的温度和湿度是适宜细菌有效繁殖的条件。铺床会向空气中释放大量的微生物,污染直接和非直接的环境。接触受污染纺织品的人员也可能交叉污染其他表面或患者。因此,医院内的纺织品可能是微生物的重要来源,有助于院内相关病原体的内源性、间接接触和气溶胶传播。使用安全的广谱抗菌纺织品,特别是那些与患者密切接触的纺织品,可显著减少临床环境中的生物负担,从而降低院内感染的风险。这在资源贫乏的发展中国家具有特别重要的意义,因为那里的病房人满为患,人口感染负担非常高。使用杀菌剂纺织品是一种简单、成本可承受且可行的措施,在没有实施基本感染控制措施的发展中国家可能尤其重要。
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引用次数: 2
Preventing Pathogens Proliferation and Reducing Potential Sources of Nosocomial Infections with Biocidal Textiles in Developing Countries~!2009-09-29~!2009-12-17~!2010-09-06~! 发展中国家使用杀菌剂纺织品防止病原体扩散,减少潜在的医院感染来源
Pub Date : 2010-09-06 DOI: 10.2174/1874196701003030081
G. Borkow
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引用次数: 1
Fighting Nosocomial Infection Rates in the General Surgery Department of the Teaching Hospital Gabriel Toure in Bamako, Mali~!2009-07-22~!2009-09-24~!2010-09-06~! 马里巴马科加布里埃尔·图尔教学医院普外科医院感染率的防治2009-07-22 2009-09-24 2010-09-06
Pub Date : 2010-09-06 DOI: 10.2174/1874196701003030087
A. Togo
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引用次数: 6
Insecticidal Bednets for the Fight Against Malaria – Present Time and Near Future~!2009-12-13~!2010-03-01~!2010-09-06~! 用于防治疟疾的杀虫蚊帐——现在和不久的将来2009-12-13 2010-03-01 2010-09-06
Pub Date : 2010-09-06 DOI: 10.2174/1874196701003030092
O. Skovmand
Malaria is to-day a tropical disease that especially has major impact in Subsahelian Africa. The current largescale campaign against malaria focuses on better first line use of medication and prevention: (1) the combined use of an Artimisin derivative and one of several synthetic anti-malarials; and (2) the use of insecticidal bednets for transmission prevention, since the disease is transmitted between humans by female mosquitoes. The change from nets that were to be treated and often re-treated to factory pre-treated nets about 7 years ago, made the change from a promising research tool to a major campaign tool. However, once the first line problem of fast disappearance of insecticide treatment was solved, other problems appeared such as physical net durability and low use rate of bednets among people that do not see only the advantages of the nets, but also experience the inconvenience of their use in the daily life. Finally, resistance to insecticides is appearing, probably originating from agricultural use of the same insecticides, but now amplified by the extensive use of insecticides for malaria control. A call for use of common sense and diversified use of insecticides is
今天,疟疾是一种热带疾病,尤其对撒哈拉以南非洲地区产生重大影响。目前大规模防治疟疾运动的重点是更好地在一线使用药物和预防:(1)联合使用一种青蒿素衍生物和几种合成抗疟疾药物中的一种;(2)使用杀虫蚊帐预防传播,因为这种疾病是通过雌性蚊子在人与人之间传播的。大约7年前,蚊帐从需要处理并经常重新处理到工厂预处理,这使得蚊帐从一种有前途的研究工具转变为一种主要的运动工具。然而,一旦解决了杀虫剂处理快速消失的第一线问题,人们不仅看到了蚊帐的优点,还体验到了在日常生活中使用蚊帐的不便,出现了物理蚊帐耐用性和蚊帐使用率低等其他问题。最后,对杀虫剂的耐药性正在出现,可能源于农业对相同杀虫剂的使用,但现在由于广泛使用杀虫剂控制疟疾而加剧。呼吁使用常识和多样化使用杀虫剂
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引用次数: 2
Perspectives for Early Genetic Screening of Lactose Intolerance: - 13910C/T Polymorphism Tracking in the MCM6 Gene 乳糖不耐症早期遗传筛查研究进展:MCM6基因13910C/T多态性追踪
Pub Date : 2010-07-16 DOI: 10.2174/18741967010030100066
M. A. Arroyo, A. C. Lopes, V. B. Piatto, J. Maniglia
Introduction: For many years Lactose intolerance has been, considered as a universal problem in many children and adults. Objective: The aim is to investigate the prevalence of polymorphism -13910C/T, in a neonatal tracking, for early diagnosis of lactose tolerance/intolerance. Materials and Methods: In a cross-sectional study of 310 Brazilian newborns, DNA was extracted from leukocyte umbilical cord and specific primers were used to amplify the region that encloses the -13910C/T polymorphism of the MCM6 gene, using the polymerase chain reaction and the restriction fragment length polymorphism tests. Results: One hundred and sixty (52%) male newborns and 150 (48%) female new borns were evaluated. Out of these, 191 (62%) presented CC genotype (lactose intolerant), 95 (31%) CT genotype, and 24 (7%) TT genotype, comprising a total of 119 (38%) lactose tolerant newborns. Accordingly the newbornsgender distribution in relation to the phenotypes has been found; 97 (32%) of male gender and 94 (30%) of female gender lactose intolerant, and 63 (20%) male and 56 (18%) female lactose tolerant newborns, not being such distribution statistically significant (p = 0.801). Conclusions: The molecular analysis made possible the identification of the presence or absence of lactase persistence variant in the Brazilian newborns. The neonatal molecular diagnosis can optimize the follow-up of positive results in newborn screening for lactose intolerance.
多年来,乳糖不耐症一直被认为是许多儿童和成人的普遍问题。目的:探讨-13910C/T多态性在新生儿追踪中的流行情况,为早期诊断乳糖耐受/不耐受提供依据。材料和方法:在对310名巴西新生儿的横断面研究中,从白细胞脐带中提取DNA,利用聚合酶链反应和限制性片段长度多态性测试,使用特异性引物扩增MCM6基因-13910C/T多态性的区域。结果:共评价了160例男婴(52%)和150例女婴(48%)。其中,191例(62%)为CC基因型(乳糖不耐症),95例(31%)为CT基因型,24例(7%)为TT基因型,共119例(38%)为乳糖耐症新生儿。据此发现了新生儿性别分布与表型的关系;男性97例(32%),女性94例(30%),男性63例(20%),女性56例(18%),但差异无统计学意义(p = 0.801)。结论:分子分析使鉴定巴西新生儿乳糖酶持久性变异的存在或不存在成为可能。新生儿分子诊断可以优化新生儿乳糖不耐症筛查阳性结果的随访。
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引用次数: 5
期刊
The Open Biology Journal
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