Preparing healthcare facilities to operate safely and effectively during the COVID-19 pandemic: The missing piece in the puzzle

The stated objective of the COVID-19 lockdown was to allow time to prepare healthcare facilities. Preparation must include administrative and environmental measures, which when combined with personal protective equipment, minimise the risk of the spread of infection to patients and healthcare workers (HCWs) in facilities, allowing HCWs to safely provide essential services during the pandemic and limit the indirect effects of COVID-19 caused by healthcare disruption. We present our model for facility preparation based on colour-coded zones, social distancing, hand hygiene, rapid triage and separate management of symptomatic patients, and attention to infection transmission prevention between HCWs in communal staff areas. This model specifically addresses the challenges in preparing a facility for COVID-19 in a low-resource setting and in rural areas. In addition, we include links to resources to allow workers in low-resource settings to prepare their facilities adequately

Serum progesterone concentration and conception rate of beef cows supplemented with ground corn after a fixed-time artificial insemination protocol / Concentração sérica de progesterona e taxa de concepção em vacas de corte suplementadas com milho moído após inseminação artificial em tempo fixo

The effects of different levels of finely ground corn (FC) supplementation to grazing beef cows after fixed-time AI (TAI) on serum progesterone (P4) concentrations on day 7 and conception rates on day 28 after TAI were investigated. Three hundred and sixty-four lactating multiparous Brangus cows had follicular and luteal activity synchronized by treatment with estradiol benzoate (Estrogin; 2.0mg IM) and insertion of intra-vaginal P4 releasing device (CIDR) on day -11, followed by treatment with PGF2α (Lutalyse; 25mg IM) on day -4, CIDR and calf removal on day -2, and treatment with GnRH (Fertagyl; 100µg IM) TAI and calf return on day 0. On day 0, cows were randomly allotted in one of the following FC supplement treatments: G1 - 2kg/day from day 0 to 21; G2 - 2kg/day from day 0 to 7, and 6kg/day from day 8 to 21; G3 -6kg/day from day 0 to 7, and 2kg/day from day 8 to 21; and G4 -6kg/day from day 0 to 21. Blood samples were collected on day 7, and pregnancy was determined by ultrasonography indicating the presence of a fetus on day 28. Cows supplemented with 2kg/d of FC had higher serum concentration of P4 on day 7 than cows supplemented with 6kg/d (1.58 vs. 1.28ng/mL; P<0.01; SEM = 0.08). Cows from G4 had higher conception rates compared to G1 cows (58.4 vs. 41.9 percent, respectively; P<0.05). The level of supplemental energy intake after TAI is negatively associated with following serum P4 concentrations, but positively associated with conception rates of grazing beef cows.

Avaliaram-se os efeitos de diferentes níveis de ingestão de suplemento com milho moído finamente (MF) em vacas de corte, mantidas em pasto, após inseminação artificial em tempo fixo (IATF), sobre a concentração sérica de progesterona (P4) no dia 7, e sobre a concepção no dia 28 pós IATF. Trezentas e sessenta e quatro vacas Brangus, multíparas lactantes, tiveram as atividades folicular e luteal sincronizadas por tratamento com benzoato de estradiol (Estrogin; 2,0mg IM) e inserção de dispositivo intravaginal de P4 (CIDR) no dia -11, seguido por tratamento com PGF2 α (Lutalyse; 25mg IM) no dia - 4, retirada do CIDR e remoção temporária de bezerros no dia -2, e tratamento com GnRH (Fertagyl; 100 µ g IM), IATF e retorno dos bezerros no dia 0. No dia 0, as vacas foram aleatoriamente distribuídas para receber um dos quatro tratamentos: G1 -2kg/dia de MF do dia 0 ao dia 21; G2 -2kg/dia de MF do dia 0 ao dia 7, e 6kg/dia de MF do dia 8 ao dia 21; G3 -6kg/dia de MF do dia 0 ao dia 7, e 2kg/dia de MF do dia 8 ao dia 21; G4 -6kg/dia de MF do dia 0 ao dia 21. Amostras de sangue foram colhidas no dia 7, e o diagnóstico de gestação foi realizado por ultrassonografia no dia 28. As vacas suplementadas com 2kg/dia de MF apresentaram maior concentração sérica de P4 no dia 7 em relação às vacas suplementadas com 6kg/dia (1,58 vs. 1,28ng/mL; P<0,01, EPM=0,08). As vacas do G4 apresentaram maior taxa de concepção em relação às vacas do G1 (58,4 vs. 41,9 por cento, respectivamente; P<0,05). O nível de consumo do suplemento energético após a IATF é negativamente associado às concentrações séricas de P4, porém positivamente associado à taxa de concepção em vacas de corte em pasto.

Ovalocytosis in Papua New Guinea -- dominantly inherited resistance to malaria.

Analysis of ovalocytosis in families has demonstrated dominant inheritance. This conclusion is based on finding ovalocytic children of ovalocytic Melanesian mothers and normocytic Caucasian fathers. Inheritance of resistance to thermal deformation and to crenation upon storage correlated with inheritance of ovalocytic erythrocyte morphology. The latter was associated with in vitro resistance to invasion by P. falciparum.