Findings from a mixed-methods evaluation of a multi-level adolescent and youth reproductive and maternal health intervention in Karnali Province, Nepal.

INTRODUCTION: Adolescent girls and young women (AGYW) in Nepal have disproportionately poor reproductive and maternal health outcomes. In response, Save the Children, the Nepal government, and local partners designed and implemented Healthy Transitions for Nepali Youth, a multi-level integrated intervention. The intervention aimed to improve reproductive, maternal, and newborn health knowledge, attitudes, and behaviors among AGYW, and address gender attitudes and norms in four districts of Karnali Province, Nepal. METHODS: Married and unmarried AGYW aged 15-24 were engaged in a small group, curriculum-based intervention; husbands and families received home visits, using short videos to catalyze discussion; communities were engaged through dialogue-based activities; and the health system was made more adolescent-responsive through quality assessments, training, and supervision. An external organization conducted a quantitative survey with a sample of 786 AGYW intervention participants at baseline and 565 of the same AGYW at endline. Pooled linear regressions were estimated for each indicator to assess the statistical significance of differences between baseline and endline. Focus group discussions and key informant interviews were conducted with AGYW, husbands, families, community leadership, and program implementers. Data analysis was done through STATA 14th version and NVivo. RESULTS: The percentage of AGYW currently using a modern contraceptive method increased significantly, and more AGYW believed that their family was supportive of delaying marriage and motherhood at the endline. Young women's knowledge of danger signs during labor increased, and there was a significant improvement in essential newborn care practices immediately after birth. AGYW reported shifts towards more gender equitable attitudes and behaviors, including related to decision-making about reproductive and maternal health. CONCLUSION: Positive shifts in reproductive, maternal, and newborn health and gender knowledge, attitudes, and behavior were observed among AGYW, their male partners, and families. The results can inform the design of future interventions to effectively reach this critical population. TRAIL REGISTRATION: Not applicable.

Perchlorate-reducing bacteria from Antarctic marine sediments.

Perchlorate is a contaminant that can persist in groundwater and soil, and is frequently detected in different ecosystems at concentrations relevant to human health. This study isolated and characterised halotolerant bacteria that can potentially perform perchlorate reduction. Bacterial microorganisms were isolated from marine sediments on Deception, Horseshoe and Half Moon Islands of Antarctica. The results of the 16S ribosomal RNA (rRNA) gene sequence analysis indicated that the isolates were phylogenetically related to Psychrobacter cryohalolentis, Psychrobacter urativorans, Idiomarina loihiensis, Psychrobacter nivimaris, Sporosarcina aquimarina and Pseudomonas lactis. The isolates grew at a sodium chloride concentration of up to 30% and a perchlorate concentration of up to 10,000 mg/L, which showed their ability to survive in saline conditions and high perchlorate concentrations. Between 21.6 and 40% of perchlorate was degraded by the isolated bacteria. P. cryohalolentis and P. urativorans degraded 30.3% and 32.6% of perchlorate, respectively. I. loihiensis degraded 40% of perchlorate, and P. nivimaris, S. aquimarina and P. lactis degraded 22%, 21.8% and 21.6% of perchlorate, respectively. I. loihiensis had the highest reduction in perchlorate, whereas P. lactis had the lowest reduction. This study is significant as it is the first finding of P. cryohalolentis and. P. lactis on the Antarctic continent. In conclusion, these bacteria isolated from marine sediments on Antarctica offer promising resources for the bioremediation of perchlorate contamination due to their ability to degrade perchlorate, showing their potential use as a biological system to reduce perchlorate in high-salinity ecosystems.

Presence of perchlorate in marine sediments from Antarctica during 2017-2020.

Perchlorate of natural origin is a persistent pollutant that affects thyroid function by inhibiting iodine uptake, and this pollutant is frequently detected in different ecosystems at concentrations that can harm human health. In this study, we measured the perchlorate concentrations in 3,000 marine sediment samples from January to March in 2017, 2018, 2019, and 2020 during the 3rd, 4th, 5th, and 6th Colombian Scientific Expeditions to Antarctica. The sampling zones were located at 15 different points on the South Shetland Islands and Antarctic Peninsula, and they were measured using a selective perchlorate electrode. The concentration data indicate that perchlorate reached a minimum concentration of 90 ppm on Horseshoe Island and a maximum concentration of 465 ppm on Deception Island, suggesting a spatial variation in perchlorate concentrations that can be attributed to the natural formation of this pollutant due to volcanic eruptions. Additionally, homogeneous distribution of perchlorate was not observed in Antarctica.

Occurrence of personal care products as emerging chemicals of concern in water resources: A review.

Personal care products (PCPs) are a diverse group of common household substances used for health, beauty and cleaning purposes. These include disinfectants, fragrances, insect repellents, preservatives and UV filters, among others. Some of them are considered chemicals of emerging concern due to their presence and negative impact on aquatic ecosystems, specially related to endocrine disruption and reproductive disorders. The entry of those chemicals to water bodies occurs mainly through the sewage effluents from wastewater treatment plants due to their incomplete or inefficient removal. The purpose of this review was to collect and analyze data about the incidence and concentrations of PCPs reported as emerging pollutants in different water matrices, including wastewater influents and effluents. Our database is composed of 141 articles with information about 72 PCPs recorded as emerging pollutants in 30 countries, in concentrations ranging from 0.029ng/L to 7.811×106ng/L. Fragrances, antiseptics and sunscreens were the most reported groups. As expected, the largest number of PCPs documented as emerging pollutants were found in wastewater treatment plant effluents with a total of 64 compounds, compared to 43 in surface water and 23 in groundwater, which evidence the anthropological contribution of PCPs to water bodies. These molecules were found in all the continents, however, there is a lack of information regarding the presence of emerging pollutants from PCPs in developing countries. Therefore, we suggest further efforts in assessing the occurrence and concentrations of these chemicals in those areas.