Search Results (55)

Intensive pig production practices may shape cognition and behavior. We evaluated whether repeated regrouping (mixing) and gender (gilts vs. barrows) affect social interactions, fear-related responses, and affective state. A total of 96 growing pigs were separated into two treatments: control—pigs that were mixed once during the growing–finishing period; and social stress—pigs that were mixed thrice during the growing–finishing period. Social and non-social behaviors were directly noted, and four behavioral tests were conducted: open field, novel object, couples, and judgment bias tests. The statistical analysis compared gender and treatment, and p-values ≤ 0.05 were considered significant. Females stayed longer in the test pen entrance area during the novel object test and barrows spent more time at the feeder and defecated more during the couples’ test. With regard to the judgment bias test, females took longer to be considered trained in the discriminatory learning task and presented a “pessimistic judgment” during the ambiguous cue. Our results suggest that gender influences judgment bias in pigs and can influence social and non-social behavior, which may reflect a negative affective state with implications for their welfare and management. Full article

Foundational behaviours across health, education, sanitation, and energy use remain suboptimal in Mbire District, Zimbabwe. This qualitative formative study examined drivers of and barriers to five priority behaviours: birth notification and registration (BNR), exclusive breastfeeding (EBF), early childhood development education (ECDE), open-defecation-free (ODF) practices, and efficient use of energy (EUE). Between 15 January and 30 March 2023, we conducted 15 focus group discussions (n = 180 participants) and 20 key informant interviews (n = 20 participants). Data were thematically analysed in QDA Miner 6 (Cohen’s κ = 0.82). Drivers of positive behaviours included leadership support, peer networks, and radio/village meetings, while barriers included bureaucratic requirements, cultural norms, and financial constraints. We recommend a multi-sectoral Social and Behavioural Change (SBC) approach integrating community events, subsidies, and culturally sensitive communication. These findings provide actionable evidence to inform district-level programming and contribute to achieving Zimbabwe’s national development targets and relevant Sustainable Development Goals. Full article

The lack of improved sanitation in rural areas of developing countries, including South Africa, exacerbates open defecation, leading to the significant contamination of water sources by human and animal waste. This study aimed to establish the association of Campylobacter jejuni, Salmonella enterica serovar Typhimurium, Shigella flexneri, and Yersinia enterocolitica in open defecation sites and animal waste with the contamination of water sources in Vhembe District, South Africa. A total of 1032 water samples and 111 faecal samples from the Collins Chabane and Thulamela municipalities were analysed using qPCR. Regression models were used to assess associations, with S. Typhimurium (19–60%) and S. flexneri (11–44%) being the most prevalent bacteria in faecal matter and water, showing detection rates of 4–100% and 5–100%, respectively. Strong associations were found during the wet season between faecal waste and water contamination for S. flexneri (R² = 0.7, p = 0.005) and S. Typhimurium (R² = 0.619, p = 0.091). Urgent measures are needed to address the contamination of rural water sources due to open defecation and livestock waste. Full article

The Sustainable Development Goals seek to achieve universal, adequate, and equitable access to drinking water and sanitation by the year 2030. Yet, significant and persistent disparities in water and sanitation access exist, with rural and low-income households in Sub-Saharan Africa exhibiting some of the lowest levels. This paper uses household surveys from rural villages in Zambia’s Western Province to identify, highlight, and examine spatial barriers to improved water and sanitation. Most households included in the study area drink unimproved water, including surface water, and either use unimproved sanitation facilities or practice open defecation. Access to improved water sources and improved sanitation in the study area lags behind the rest of rural Zambia. Beyond the distance to urban areas that makes piped water and sanitation expensive, the location of these villages in the Barotse Floodplain necessitates seasonal migration, which creates barriers to universal access to improved water and sanitation. Full article

Access to safe drinking water is a fundamental human need for health and well-being implemented globally by the United Nations under Sustainable Development Goal (SDG) 6. Storing drinking water is common in rural areas of Ethiopia due to off-premises water sources and intermittent piped water supply. However, this practice can lead to further contamination during collection, transport, and storage, posing a risk to public health. The objective of this study was to identify the determinant factors of drinking water quality at the point of use in the rural setting of northwestern Ethiopia, South Gondar zone. A questionnaire survey was conducted, and water samples from 720 households were collected during the wet and dry seasons. The determinant factors were identified using the multivariable logistic regression model. About 39.2% of the surveyed households had basic water supply services, 41.9% were using unimproved sources, and 8.3% were using surface water. Only 9.4% were using basic sanitation services, and 57.2% were practicing open defecation. Safe water storage was practiced by 84.3% of households, while only 2% engaged in household water treatment. About 14% of dry and 8% of wet season samples from the storage were free from fecal coliform bacteria. Furthermore, 52.9% of dry and 62.2% of wet season samples fell under the high microbial health risk category. The season of the year, the water source type, storage washing methods, and the socioeconomic status of the household were identified as key predictors of household drinking water fecal contamination using the multivariable logistic regression model. It was observed that the drinking water in households had a high load of fecal contamination, posing health risks to consumers. To tackle these problems, our study recommends that stakeholders should enhance access to improved water sources, implement source-level water treatment, increase access to improved sanitation facilities, advocate for safe household water management practices, and endorse household water treatment methods. Full article

In Africa, the urban population and informal settlements are increasing, resulting in additional public health and environmental risks and challenges related to the need for basic and sustainable infrastructures and services. In Maputo, the capital of Mozambique, at least 80% of the city is composed of informal settlements, and although some areas are regularized and have approved urbanization plans, the municipality has major deficiencies in meeting current demands in terms of basic infrastructures, such as water supply, sewerage, solid wastes, energy, roads, and communications. Most of the peri-urban areas are occupied by small but overcrowded houses, mostly self-built, served by unpaved roads, and with access limitations. The water pipe network is almost non-existent, and the same occurs with stormwater drainage, sanitation, waste collection, and public illumination services. Despite the improvements made in the last few years, some households still do not have safe sanitation, and in some neighborhoods, open defecation still prevails. In this study, the authors try to understand and explore the interdependences among the infrastructures of the different sectors and how they may jointly contribute to adequate services and a better life for the urban poor. And how to identify the combination of infrastructures to be implemented in the short term in the face of limited budgets for investments. For that purpose, a simplified conceptual approach is proposed and applied to an informal neighborhood in Maputo. Full article

Background: Colorectal cancer is a leading cause of cancer-related deaths worldwide, with approximately 1.9 million new cases and over 935,000 deaths in 2020. Right-sided colon cancer, a subset of colorectal cancer, represents a significant health burden. Laparoscopic colon surgery has significantly improved postoperative recovery. The superiority of one approach or landmark over another is still argued about due to the lack of large-scale prospective studies. However, deep understanding both of the anatomical variation and characteristics of each approach is of extreme importance to minimizing adverse effects and maximizing patient benefit after laparoscopic right hemicolectomy. Among these, the cranial-to-caudal approach offers advantages such as reduced intraoperative blood loss, shorter operation time, and decreased risk of vascular injury. The purpose of this study is to compare the efficacy and safety of two cranial-to-caudal approaches for laparoscopic right hemicolectomy (LRH). Specifically, the study aims to evaluate the differences between the conventional cranial-to-caudal approach with medial ligation of the middle colic vein (MCV), and the cranial-to-caudal approach with cranial MCV ligation and surgical trunk sheath opening (CC-plus). The goal is to determine which method offers superior outcomes in terms of intraoperative blood loss, operation time, and overall patient recovery. Materials and Methods: This single-center retrospective study compared two cranial-to-caudal approaches for LRH. The study included 51 patients who underwent LRH between January 2021 and November 2023 at the Second Affiliated Hospital, Zhejiang University School of Medicine. Patients were divided into two groups: Group A (26 patients) used the cranial-to-caudal approach with medial ligation of the middle colic vein (MCV), and Group B (25 patients) used the cranial-to-caudal approach with cranial MCV ligation and surgical trunk sheath opening (CC-plus). General characteristics, intraoperative parameters, and postoperative outcomes were compared. Statistical analysis was performed using SPSS version 20.0, with significance set at p < 0.05. Results: There were no significant differences between the groups regarding age, gender, tumor location, or clinical staging. All patients achieved R0 resection with no perioperative deaths. The CC-plus group had significantly reduced intraoperative blood loss and shorter operation time compared to the CC group (p < 0.05). No significant differences were found in first postoperative exhausting time, first postoperative defecation time, and postoperative hospital stay between the two groups. Furthermore, no significant differences were evaluated in postoperative complications (surgical site infection (SSI), ileus or bowel obstruction, refractory diarrhea, anastomotic leakage, deep vein thrombosis (DVT), hemorrhage) between the two groups on a median follow up of 12.6 months. Pathological examination showed no significant differences in total lymph nodes dissected and tumor stage. Conclusions: The cranial-to-caudal approach with MCV ligation via the cranial approach (CC-plus) is a safe and effective method for LRH, offering advantages in terms of reduced operation time and intraoperative blood loss. This study’s findings suggest that the CC-plus approach may be superior to the conventional cranial-to-caudal approach. Full article

The Wildlife Services—National Wildlife Research Center Mississippi Field Station, working in conjunction with Mississippi State University, conducted a study to evaluate the effectiveness of several non-lethal, commercial, physical bird deterrents. Deterrents were available on the open market to reduce double-crested cormorant (Nannopterum auritus) (DCCO) roosting time on floating oyster cages. We hypothesized that reducing bird loafing time on floating oyster cages would reduce the potential for bird defecation. Double-crested cormorant defecation can increase coliform counts in both the water and oysters, which could result in oyster farm closure. Shellfish farms often differ from one another due to environmental factors and farm locations. Six deterrent devices were selected as options for farmers, and the amount of time DCCOs occupied floats with deterrents was compared to the time they occupied those without deterrents (i.e., on a control pond). All deterrents except the Scarem Kite significantly reduced or halted DCCO use of floats compared to the control. Of note, the Scarem Kite is the only deterrent that requires consistent wind to operate effectively. The research facility is open-air, but we did not have sufficient wind for proper Scarem Kite function. Thus, it is possible that all deterrents would have produced significant reductions in DCCO use. Our results are encouraging and show that minimal deterrent applications to oyster cage floats can help farms achieve their operational plans’ goals and reduce the potential for pathogen transfer by birds. The data presented here should be considered a starting point for developing an efficient deterrent plan that meets state and federal standards. Full article

In African cities, the ever-increasing production of wastewater and excreta poses a major management problem. The aim of this study was to take stock of wastewater and excreta management in Adétikopé in the commune of Agoè-Nyivé 6. This was a cross-sectional, descriptive study of the knowledge, attitudes and practices of the population of the locality of Adétikopé in terms of wastewater and excreta management, which took place from August 2022 to July 2023. It involved 5256 households in 12 villages in the locality of Adétikopé and was carried out via a field survey, interviews, observations and documentary research. The results showed that 72.60% of respondents were women. The majority of households (85.62%) had latrines, 66.40% of which had never been emptied. The remainder used a mechanical emptying truck (5.48%). Households without latrines (14.38%) defecate with neighbors (14.28%) in the open (66.67%) and in public latrines (19.05%). The same applies to wastewater from cooking, washing and dishwashing, which is most often dumped on the public highway (78.77%). Wastewater is a breeding ground for mosquitoes that cause malaria, which is the most common disease in the area. The results of this study show that wastewater and excreta are managed by most concessions in an unhealthy way and discharged into the environment. It is important to step up public awareness campaigns on the harmful consequences of poor wastewater and excreta disposal. Full article

Community-led total sanitation (CLTS) is a widely used approach for enhancing sanitation practices. However, the impact of boosted CLTS on household latrine ownership has not been adequately evaluated. This study aims to investigate the factors associated with latrine possession among households, with a specific focus on single and CLTS-boosting implementation. A community-based repeated cross-sectional study was conducted in Siaya County, Kenya, involving 512 households at the baseline and 423 households at the follow-up. Data were analyzed using the mixed-effects logistic regression model. At the baseline, latrine possession was significantly associated with CLTS implementation (adjusted OR [aOR]: 3.01; 95% confidence interval [CI]: 1.41–6.44), literacy among households (aOR: 1.83; 95% CI: 1.12–2.98) and higher socioeconomic status (SES) (second level: aOR: 2.48; 95% CI:1.41–4.36, third level: aOR: 3.11; 95% CI: 1.76–5.50, fourth level: aOR: 10.20; 95% CI: 5.07–20.54). At follow-up, CLTS boosting (aOR: 7.92; 95% CI: 1.77–35.45) and a higher SES were associated with increased latrine ownership (second level: aOR: 2.04; 95% CI: 0.97–4.26, third level: aOR: 7.73; 95% CI: 2.98–20.03, fourth level: aOR: 9.93; 95% CI: 3.14–28.35). These findings highlight the significant role played by both single and CLST boosting in promoting universal latrine ownership and empowering vulnerable households to understand the importance of sanitation and open defecation-free practices. Full article

Ensuring access to adequate and equitable sanitation and ending open defecation by 2030 is the focus of Sustainable Development Goal 6.2 (SDG6.2). We evaluated Malawi’s progress towards SDG 6.2 (specifically the goal to end open defecation), presenting the results of a national survey of over 200,000 sanitary facilities and evaluating their management. Based on non-linear population dynamics, we used a linear model to evaluate the reduction in open defecation between 1992–2018, and to project whether Malawi can meet the SDG target to end open defecation by 2030 under multiple scenarios of population growth. Whilst Malawi has made considerable progress in providing sanitary provision for the population, we estimate that, at the current rate of the provision of sanitary facilities, Malawi will not reach SDG 6.2 by 2030 under any of the modelled socioeconomic scenarios. Furthermore, we compare the estimates of the extent of sanitary provision classed as improved from multiple surveys, including the USAID Demographic and Health (DHS) Surveys and Government of Malawi Census data. We conclude that some of the surveys (particularly the 2015/16 DHS) may be overestimating the level of improved sanitary provision, and we hypothesize that this is due to how pit-latrines with earth/sand slabs are classed. Furthermore, we examine the long-term sustainability of pit-latrine use, investigating the challenge of pit-latrine abandonment and identifying pit-latrine filling as a cause of the abandonment in 30.2% of cases. We estimate that between 2020–2070, 31.8 (range 2.8 to 3320) million pit-latrines will be filled and abandoned, representing a major challenge for the safe management of abandoned latrines, a potential for long-term impacts on the groundwater quality, and a significant loss of investment in sanitary infrastructure. For Malawi to reach SDG 6.2, improvements are needed in both the quantity and quality of its sanitary facilities. Full article

Although access to sanitation has been recognized as a fundamental human right, 3.6 billion people do not enjoy this right globally. In this group, the practice of unhealthy sanitation behaviors, such as open defecation (OD), is very common. To alleviate this problem, several governments in low-income countries have adopted Community-led Total Sanitation (CLTS). This is a participatory approach focused on ending OD and promoting good hygiene behaviors in target communities. This approach is centered around and highly depends upon a given community’s willingness to adopt the practices it advocates. However, the determinant factors in a community’s acceptance or refusal of these practices during and after CLTS implementation remain unclear. The aim of this paper is to highlight and categorize these factors to increase the sustainability of the approach. To achieve this, a study was conducted in the central-western region of Burkina Faso, where CLTS has successfully been deployed. We began this study by drawing a list of possible determinants through a literature review and grouping them into six categories. This enabled us to set up an evaluation matrix with scores for each factor and data collection tools. Scoring was based on the number of positive respondents for that factor. Data were then collected at the institutional, regional, local, and household levels from CLTS stakeholders to identify context-specific factors that underpinned behavior change in the surveyed villages. The literature review revealed six categories of acceptance factors. In our study, the importance of these factors according to our respondents were ranked in descending order as follows: environmental (C1 = 592), social (C2 = 390), governance (C4 = 247), territorial (C6 = 189), economic (C3 = 15), and technological (C5 = 0). The most frequently discussed factors obtained included the understanding of the health and economic consequences of OD (C1, score = 550); the popularity and reputation of Open Defecation-Free (ODF)-certified villages (C6, score = 179); men’s desire to protect their wives’ privacy (C2, score = 138); and women’s understanding of the adverse effects of OD on their children’s health (C2, score = 119). Incorporating the acceptance factors found in this study into future CLTS interventions will improve the effectiveness of the approach and increase the sustainability of ODF status in similar contexts. Full article

Introduction: Stunting and anaemia, two severe public health problems, affect a significant number of children under the age of five. To date, the burden of and predictive factors for coexisting forms of stunting and anaemia in childhood have not been well documented in Ethiopia, where both the conditions are endemic. The primary aims of the present study were to: (i) determine the prevalence of co-morbid anaemia and stunting (CAS); (ii) and identify factors associated with these co-morbid conditions among children aged 6–59 months in Ethiopia. Methods: The study was based on data from the Ethiopian Demographic and Health Survey (EDHS 2005–2016). The EDHS was a cross-sectional study that used a two-stage stratified cluster sampling technique to select households. A total weighted sample of 21,172 children aged 6–59 months was included in the current study (EDHS-2005 (n = 3898), EDHS-2011 (n = 8943), and EDHS-2016 (n = 8332)). Children with height-for-age z-scores (HAZ) less than −2 SD were classified as stunted. Anaemia status was measured by haemoglobin level with readings below 11.0 g/deciliter (g/dL) categorized as anaemic. A multilevel mixed-effects logistic regression model was used to identify the factors associated with CAS. The findings from the models were reported as adjusted odds ratios (AOR) with 95% confidence intervals (CIs). Results: Almost half of the children were males (51.1%) and the majority were from rural areas (89.2%). The prevalence of CAS was 24.4% [95% CI: (23.8–24.9)]. Multivariate analyses revealed that children aged 12–23 months, 24–35 months, and 36–59 months, and children perceived by their mothers to be smaller than normal at birth had higher odds of CAS. The odds of CAS were significantly higher among children born to anaemic mothers [AOR: 1.25, 95% CI: (1.11–1.41)], mothers with very short stature [AOR: 2.04, 95% CI: (1.44–2.91)], children from households which practiced open defecation [AOR: 1.57, 95% CI: (1.27–1.92)], children born to mothers without education [AOR: 3.66, 95% CI: (1.85–7.22)], and those who reside in rural areas [AOR: 1.41, 95% CI: (1.10, 1.82)]. Male children had 19% lower odds of having CAS compared to female children [AOR: 0.81, 95% CI: (0.73–0.91)]. Children born to mothers who had normal body mass index (BMI) [AOR: 0.82, 95%CI: (0.73–0.92)] reported lower odds of CAS. Conclusions: One in four preschool-age children in Ethiopia had co-morbid anaemia and stunting, which is a significant public health problem. Future interventions to reduce CAS in Ethiopia should target those children perceived to be small at birth, anaemic mothers, and mothers with short stature. Full article

The aim of this study was to evaluate the feasibility of opioid-free anesthesia (OFA) in open radical cystectomy (ORC) with urinary diversion and to assess the impact on recovery of gastrointestinal function. We hypothesized that OFA would lead to earlier recovery of bowel function. A total of 44 patients who underwent standardized ORC were divided into two groups (OFA group vs. control group). In both groups, patients received epidural analgesia (OFA group: bupivacaine 0.25%, control group: bupivacaine 0.1%, fentanyl 2 mcg/mL, and epinephrine 2 mcg/mL). The primary endpoint was time to first defecation. Secondary endpoints were incidence of postoperative ileus (POI) and incidence of postoperative nausea and vomiting (PONV). The median time to first defecation was 62.5 h [45.8–80.8] in the OFA group and 118.5 h [82.6–142.3] (p < 0.001) in the control group. With regard to POI (OFA group: 1/22 patients (4.5%); control group: 2/22 (9.1%)) and PONV (OFA group: 5/22 patients (22.7%); control group: 10/22 (45.5%)), trends but no significant results were found (p = 0.99 and p = 0.203, respectively). OFA appears to be feasible in ORC and to improve postoperative functional gastrointestinal recovery by halving the time to first defecation compared with standard fentanyl-based intraoperative anesthesia. Full article

The contribution of breakfast to daily nutrient intake is low, particularly among children, at only about 20%, and it is difficult to determine whether children are receiving adequate nutrients at breakfast. Although alterations in breakfast content are considered to affect lifestyle habits such as sleep and defecation, there have been few intervention studies in children. The relationship between nutritional balance, dietary intake, and lifestyle habits in children remains unclear. We conducted an intervention study on elementary school children’s breakfasts and observed the effects of improving the nutritional balance of breakfast on sleep parameters and defecation status. An intervention study was conducted with 26 elementary school students in Tokyo. The study design was an open-label randomized cross-over trial. Subjects consumed their usual breakfast during the control period and a granola snack containing soy protein in addition to their usual breakfast during the intervention period. Questionnaires regarding breakfast, sleep, and bowel movements were administered during each period. Based on the answers to these questionnaires, we compared the nutritional sufficiency of macronutrients, vitamins, and minerals (29 in total), as well as changes in sleep parameters and defecation status. The additional consumption of granola snacks increased the breakfast intake of 15 nutrients. The changes were particularly significant for iron, vitamin B1, vitamin D, and dietary fiber. During the intervention, sleep duration was decreased and wake-up time became earlier. In terms of defecation, the intervention did not change stool characteristics, but the frequency of defecations per week increased on average by 1.2 per week. These results suggest that the nutritional balance and the amount of breakfast are linked to sleep and defecation and that improving breakfast content can lead to lifestyle improvements in children. Full article