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This study aimed to evaluate early childhood nutrition knowledge and practices in Gicumbi District, Rwanda, and assess the potential of Parents’ Evening Forums as platforms for community-based nutrition education.
Design:
This study employed a mixed-methods design incorporating structured questionnaires (quantitative) and focus group discussions and interviews (qualitative). Quantitative data were analyzed using descriptive statistics and Spearman’s rank correlation to explore associations among participation, knowledge application, and access barriers. Thematic analysis was applied to qualitative data to capture contextual insights and educational preferences.
Setting:
The study was conducted in Gicumbi District, a rural region in northern Rwanda, characterized by high malnutrition rates.
Participants:
523 participants: 471 household heads completed questionnaires; 52 took part in focus group discussions and interviews.
Results:
The study revealed substantial knowledge gaps, with only 46% of participants aware of the symptoms of malnutrition and just 32% identifying nutrient-rich complementary foods. Despite 68% of participants reporting social connection as a key motivator for joining Parents’ Evening Forums, logistical challenges such as time and travel barriers were cited by 41% as constraints. Lectures were the most preferred teaching method (78%), followed by cooking demonstrations (56%). Qualitative findings emphasized the importance of local relevance, peer support, and interactive learning for fostering participation and knowledge retention.
Conclusions:
Parents’ Evening Forums represent a viable and contextually appropriate platform for delivering early childhood nutrition education. Their expansion, alongside the integration of digital tools and tailored, experiential teaching approaches, could strengthen community engagement and address persistent malnutrition challenges in Rwanda and comparable settings.
The water buffalo farm with intensive breeding techniques promotes the spread of lice (Haematopinus tuberculatus), leading to a reduction in meat and milk productions. Current control measures include the use of chemicals, which in the long-term lead to the development of resistance. Given the lack of alternative solutions, the aim of this study was to evaluate the repellent effect of a low impact by-product, the wood vinegar (WV), against H. tuberculatus using a new in vitro bioassay test. The test consisted of a glass Petri dishes subdivided in 3 separate areas. WV was tested at different concentrations (100%, 75%, 50%, 25%). Each of the 3 replicates was performed with 10 adults, at 27 °C and 75% relative humidity. Observations were made 5, 15, 30, 60, 90, 120 and 180 min after application to evaluate movement, the living/dead ratio and the ability to overcome the obstacle area of the lice, in terms of comparative avoidance (%). Additional in vitro cytotoxicity tests were performed. The test performed showed a repellent effect of 77% for the 100% WV concentration against lice of both sexes 30 min after exposure, similar (P < 0.05) to the repellent effect of deltamethrin (77%). The in vitro bioassay developed during the experiment proved to be reliable and can be used to evaluate the repellent effect of new molecules against lice before testing them in vivo. Furthermore, WV has a potential to be a valid tool for the control of buffalo pediculosis, although in vivo studies have to be undertaken.
Objectives/Goals: Transmission-blocking vaccines hold promise for malaria elimination by reducing community transmission. But a major challenge that limits the development of efficacious vaccines is the vast parasite’s genetic diversity. This work aims to assess the genetic diversity of the Pfs25 vaccine candidate in complex infections across African countries. Methods/Study Population: We employed next-generation amplicon deep sequencing to identify nonsynonymous single nucleotide polymorphisms (SNPs) in 194 Plasmodium falciparum samples from four endemic African countries: Senegal, Tanzania, Ghana, and Burkina Faso. The individuals aged between 1 and 74 years, but most of them ranged from 1 to 19 years, and all presented symptomatic P. falciparum infection. The genome amplicon sequencing was analyzed using Geneious software and P. falciparum 3D7 as a reference. The SPNs were called with a minimum coverage of 500bp, and for this work, we used a very sensitive threshold of 1% variant frequency to determine the frequency of SNPs. The identified SNPs were threaded to the crystal structure of the Pfs25 protein, which allowed us to predict the impact of the novel SNP in the protein or antibody binding. Results/Anticipated Results: We identified 26 SNPs including 24 novel variants, and assessed their population prevalence and variant frequency in complex infections. Notably, five variants were detected in multiple samples (L63V, V143I, S39G, L63P, and E59G), while the remaining 21 were rare variants found in individual samples. Analysis of country-specific prevalence showed varying proportions of mutant alleles, with Ghana exhibiting the highest prevalence (44.6%), followed by Tanzania (12%), Senegal (11.8%), and Burkina Faso (2.7%). Moreover, we categorized SNPs based on their frequency, identifying dominant variants (>25%), and rare variants (Discussion/Significance of Impact: We identified additional SNPs in the Pfs25 gene beyond those previously reported. However, the majority of these newly discovered display low variant frequency and population prevalence. Further research exploring the functional implications of these variations will be important to elucidate their role in malaria transmission.
Anticipating future migration trends is instrumental to the development of effective policies to manage the challenges and opportunities that arise from population movements. However, anticipation is challenging. Migration is a complex system, with multifaceted drivers, such as demographic structure, economic disparities, political instability, and climate change. Measurements encompass inherent uncertainties, and the majority of migration theories are either under-specified or hardly actionable. Moreover, approaches for forecasting generally target specific migration flows, and this poses challenges for generalisation.
In this paper, we present the results of a case study to predict Irregular Border Crossings (IBCs) through the Central Mediterranean Route and Asylum requests in Italy. We applied a set of Machine Learning techniques in combination with a suite of traditional data to forecast migration flows. We then applied an ensemble modelling approach for aggregating the results of the different Machine Learning models to improve the modelling prediction capacity.
Our results show the potential of this modelling architecture in producing forecasts of IBCs and Asylum requests over 6 months. The explained variance of our models through a validation set is as high as 80%. This study offers a robust basis for the construction of timely forecasts. In the discussion, we offer a comment on how this approach could benefit migration management in the European Union at various levels of policy making.
This article examines the challenges and opportunities to integrate diverse sources of evidence in assessments produced by international platforms working at the science–policy interface. Diversity (or pluralism) of sources of literature, both in terms of their geographic origin and disciplinary focus, is essential for assessments to inform decision-making across social–ecological contexts. Using the recently completed ‘Methodological Assessment of the Diverse Values and Valuation of Nature’ of the Intergovernmental Science–Policy Platform on Biodiversity and Ecosystem Services as a case, we find that significant effort has been dedicated to reviewing diverse literature. We discuss three strategies to expand pluralism in future assessments.
Technical summary
Representing plural views in science–policy platforms is essential to avoid reproducing geographic and epistemic biases that permeate contemporary scientific knowledge production and synthesis. The Intergovernmental Science–Policy Platform on Biodiversity and Ecosystem Services (IPBES) has strived to produce assessments that incorporate information from diverse regions and knowledge systems. We explore the geographic and epistemic pluralism of the literature included in the ‘Methodological Assessment of the Diverse Values and Valuation of Nature’ (VA), and the challenges and opportunities to achieve such knowledge pluralism. We applied a bibliometric analysis to the sources of evidence cited in the VA, and reflected on the assessment development process, in which we were directly involved. Our results highlight the success of different strategies developed by VA experts to engage with diverse sources of literature. Still, most evidence was English-language academic literature produced in Western Europe, Canada, and the United States, echoing the prominence of this literature in scientific publication in environmental disciplines. Reflecting on our experiences, we discuss strategies that could further enhance the geographic and epistemic pluralism in the information reviewed for future environmental assessments produced by IPBES and other international science–policy platforms.
Social media summary
Epistemic and geographic pluralism was partially achieved in IPBES Values Assessment, and can be further enhanced in future assessments.
This study critically examines the implications of integrating Indigenous relational worldviews into the water governance framework of the Saskatchewan River Delta. Using a relational theoretical framework and community-based participatory research methodology, both Indigenous community members and non-Indigenous researchers collectively examine the negative impacts of Western water governance policies and practices on the Métis community residing in Cumberland House, located in northeast Saskatchewan, Canada. Through Indigenous traditional water story-sharing methods with Indigenous Elders and Knowledge Keepers, our focus centres on Indigenous interpretations and ways of knowing the Delta. The community highlighted the pervasive influence of power dynamics and political agendas in the governance of the Delta. As such, we emphasise the necessity of challenging settler colonial systems and structures and reinvigorating Indigenous worldviews for water governance. By doing so, we advocate for the advancement of Indigenous sovereignty and self-determination in their relationship with land and water, thereby promoting the meaningful implications of the Truth and Reconciliation Commission Calls to Action.
Gloria HY Wong, The University of Hong Kong,Bosco HM Ma, Hong Kong Alzheimer's Disease Association,Maggie NY Lee, Hong Kong Alzheimer's Disease Association,David LK Dai, Hong Kong Alzheimer's Disease Association
Gloria HY Wong, The University of Hong Kong,Bosco HM Ma, Hong Kong Alzheimer's Disease Association,Maggie NY Lee, Hong Kong Alzheimer's Disease Association,David LK Dai, Hong Kong Alzheimer's Disease Association
Gloria HY Wong, The University of Hong Kong,Bosco HM Ma, Hong Kong Alzheimer's Disease Association,Maggie NY Lee, Hong Kong Alzheimer's Disease Association,David LK Dai, Hong Kong Alzheimer's Disease Association
This chapter covers a selection of tools and resources for dementia diagnosis and management in primary care based on the experience of a community-based dementia early detection service, for use by trained allied health and social care professionals and primary care physicians to promote communication across disciplines. Considering the large and growing number of validated tools available for outcome assessment and detection of dementia, our goal here is to share useful materials for quick reference rather than a comprehensive summary of available tools and resources. Readers will find in this chapter a sample form to facilitate history-taking, with an explanation of the needed information and recommended use of the General Practitioner Assessment of Cognition (GPCOG); a quick overview of the clinical features suggestive of non-Alzheimer’s disease; a checklist for physical examination and investigation; a sample cognitive and functioning report of an early intervention service with an explanation of the important information to include; common spontaneously reported symptoms in an early intervention service; and lists of useful resources, infographics, and educational material for explaining dementia diagnosis and management.
Gloria HY Wong, The University of Hong Kong,Bosco HM Ma, Hong Kong Alzheimer's Disease Association,Maggie NY Lee, Hong Kong Alzheimer's Disease Association,David LK Dai, Hong Kong Alzheimer's Disease Association
Gloria HY Wong, The University of Hong Kong,Bosco HM Ma, Hong Kong Alzheimer's Disease Association,Maggie NY Lee, Hong Kong Alzheimer's Disease Association,David LK Dai, Hong Kong Alzheimer's Disease Association
Gloria HY Wong, The University of Hong Kong,Bosco HM Ma, Hong Kong Alzheimer's Disease Association,Maggie NY Lee, Hong Kong Alzheimer's Disease Association,David LK Dai, Hong Kong Alzheimer's Disease Association
Readers are presented with 19 case examples of atypical Alzheimer’s disease, other dementias, and conditions resembling dementia. Each case comes with a summary of cognitive and functional assessment results, complaints by informants, clinical history, laboratory examinations indicated, diagnosis, and management, followed by insights from both medical and psychosocial perspectives. These are organised around the following themes: cases illustrative of when imaging and further observation are needed; cases that may be referred to as ‘pseudodementia’, and cases where a decision to refer on may be needed.
Gloria HY Wong, The University of Hong Kong,Bosco HM Ma, Hong Kong Alzheimer's Disease Association,Maggie NY Lee, Hong Kong Alzheimer's Disease Association,David LK Dai, Hong Kong Alzheimer's Disease Association
Gloria HY Wong, The University of Hong Kong,Bosco HM Ma, Hong Kong Alzheimer's Disease Association,Maggie NY Lee, Hong Kong Alzheimer's Disease Association,David LK Dai, Hong Kong Alzheimer's Disease Association
In this chapter, readers are provided with 80 case examples of typical Alzheimer’s disease. Each case comes with a summary of cognitive and functional assessment results, complaints by informants, clinical history, laboratory examinations indicated, diagnosis, and management, followed by insights from both medical and psychosocial perspectives. These are organised around several themes: cases illustrative of pathognomonic features of Alzheimer’s disease; cases that are relevant for understanding cognitive, functioning, and clinical assessment findings; cases highlighting indications for further investigations; cases presenting with carers’ complaints about challenging behaviours; and cases in which the line between normal ageing, mild cognitive impairment, and mild dementia seems unclear.
Gloria HY Wong, The University of Hong Kong,Bosco HM Ma, Hong Kong Alzheimer's Disease Association,Maggie NY Lee, Hong Kong Alzheimer's Disease Association,David LK Dai, Hong Kong Alzheimer's Disease Association
Gloria HY Wong, The University of Hong Kong,Bosco HM Ma, Hong Kong Alzheimer's Disease Association,Maggie NY Lee, Hong Kong Alzheimer's Disease Association,David LK Dai, Hong Kong Alzheimer's Disease Association
Gloria HY Wong, The University of Hong Kong,Bosco HM Ma, Hong Kong Alzheimer's Disease Association,Maggie NY Lee, Hong Kong Alzheimer's Disease Association,David LK Dai, Hong Kong Alzheimer's Disease Association
Alzheimer’s Disease International highlighted in 2016 the role of primary care in dementia. With overly specialised healthcare systems and stretched specialist workforce, dementia is currently under-diagnosed and under-managed. While various service models have been trialled in different parts of the world, several barriers remain; among them are a lack of a gatekeeping role for primary care in highly stretched healthcare systems and a perception that primary care is of a lower quality. In this chapter, we briefly review and outline the possible roles of primary care, including the gatekeeping role, based on the concepts and practices of task-shifting and task-sharing in dementia care. Examples of primary care models in dementia are given, followed by a basic overview of the work-up, diagnosis, and management related to simple, uncomplicated Alzheimer’s disease in line with gatekeeping and task-shifting/sharing. With this background, we then move on to the rationales and evidence of integrated health and social care services, with an example of community primary care-based integrated health and social care services, from which the cases provided in this book were drawn.
Gloria HY Wong, The University of Hong Kong,Bosco HM Ma, Hong Kong Alzheimer's Disease Association,Maggie NY Lee, Hong Kong Alzheimer's Disease Association,David LK Dai, Hong Kong Alzheimer's Disease Association
This is a summary of the lessons learned from the 99 cases presented in this book. We have covered issues related to advance care planning, carer stress in different case scenarios and the support needed, practical tips about disclosing a dementia diagnosis, issues surrounding management, home safety, and a dementia-friendly community – all from a primary care team perspective. References to cases are provided to promote knowledge integration and future application. Detailed rationales for some of the recommended actions in the cases will be provided, such as current evidence and clinical guidance on pharmacological and non-pharmacological interventions, the prevalence of certain symptoms, the expected illness trajectory, the estimation of cognitive reserve, and the life course perspective of understanding dementia that is of particular relevance in primary care.
Dementia is hugely underdiagnosed and under-managed partly due to stretched specialist services. Written by a team involved in a pioneering community-based primary care service, this practical book brings together 99 case studies from the frontline in providing early intervention for people seeking help for suspected dementia. Both typical and atypical cases of Alzheimer's disease and other dementias are examined, familiarising readers with possible patient scenarios and the recommended management strategies. Useful tools such as example forms for history taking and the use of a modified General Practitioner Assessment of Cognition (GPCOG) equip multidisciplinary teams with the knowledge needed for early identification of dementia. The final chapter sets out key considerations in primary care such as carer support, sharing diagnoses, and forming a dementia-friendly community. The emphasis on collaborative care between the medical and social care provides guidance for post-diagnostic support. This title is available as Open Access on Cambridge Core.
Cystic echinococcosis (CE), caused by the larval stage of the cestode Echinococcus granulosus, is one of the most widespread zoonoses in Mediterranean countries. Baiting not-owned dogs with praziquantel (PZQ), due to their key role in the maintaining the transmission of CE, currently appears to be the most effective way to limit the transmission of CE, as well as an important aspect to introduce for the control of this parasitic disease. Therefore, this study aims to test 3 types of PZQ-based baits by evaluating different parameters (integrity over time, attractiveness and palatability for dogs, and mechanical resistance after release to different altitudes) and the bait acceptance in field by target animals, i.e. not-owned dogs, by using camera traps. The double PZQ-laced baits (with a double layer of highly palatable chews) showed the greatest resistance in the environment while also preserving the attractiveness and palatability up to 10 days, also withstood heights of 25 m, thus resulting as the most suitable also for drone delivery. The results on the field showed that most of the baits were consumed by not-owned dogs (82.2%), while the remaining were consumed by wild boars (8.9%), foxes (6.7%), badgers (1.1%) and hedgehogs (1.1%), confirming the specific and high attractiveness of the double PZQ-laced baits for the target population and highlights how an anthelmintic baiting programme may be a viable tool for the management of E. granulosus among free-ranging dog populations in endemic rural areas.