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Background: Community health workers (CHWs) are individuals who are trained and equipped to provide essential health services to their neighbors and have increased access to healthcare in communities worldwide for more than a century. However, the World Health Organization (WHO) Guideline on Health Policy and System Support to Optimize Community Health Worker Programmes reveals important gaps in the evidentiary certainty about which health system design practices lead to quality care. Routine data collection across countries represents an important, yet often untapped, opportunity for exploratory data analysis and comparative implementation science. However, epidemiological indicators must be harmonized and data pooled to better leverage and learn from routine data collection.Methods: This article describes a data harmonization and pooling Collaborative led by the organizations of the Community Health Impact Coalition, a network of health practitioners delivering community-based healthcare in dozens of countries across four WHO regions.Objectives: The goals of the Collaborative project are to; (i) enable new opportunities for cross-site learning; (ii) use positive and negative outlier analysis to identify, test, and (if helpful) propagate design practices that lead to quality care; and (iii) create a multi-country ‘brain trust’ to reinforce data and health information systems across sites.Results: This article outlines the rationale and methods used to establish a data harmonization and pooling Collaborative, early findings, lessons learned, and directions for future research.

The complete mitogenome sequence of Coilia brachygnathus (Kreyenberg & Pappenheim, 1908) from Wabu Lake in Huai River Basin was annotated and characterized in this study. This mitochondrial genome is a circular DNA molecule of 16.896 bp in size with 57.52% AT content, including 13 protein-coding genes (PCGs), two ribosomal RNA genes (rRNAs), 22 transfer RNA genes (tRNAs), and an AT-rich region (control region) as other bony fishes. There are a total of 10 overlap locations and 15 intergenic spacer regions throughout the mitogenome of C. brachygnathus. All PCGs employed a standard ATG as a start codon, except cytochrome c oxidase 1 (cox1) with GTG. In addition, TAA or TAG was identified as the typical stop codon. A phylogenetic tree reconstructed with the maximum likelihood method depicted a clone relationship with eight species of genus Coilia and our previous study based on the amino acid sequences of 13 mitochondrial PCGs. The complete mitochondrial genome is a valuable resource in classifying and conserving C. brachygnathus.

Escherichia coli (O78) is an avian pathogenic Escherichia coli (APEC). It can cause perihepatitis, pericarditis, septicemia and even systemic infections in the poultry industry. With the incidence of antibiotic resistance reaching a crisis point, it is important to find alternative treatments for multidrug-resistant infections. The use of phages to control pathogens is a promising therapeutic option for antibiotic replacement. In this study, we isolated a lytic phage called vB_EcoS_GN06 from sewage. It lysed APEC GXEC-N22. Transmission electron microscopy showed that the phage belongs to family Siphoviridae. Phage GN06 has a 107,237 bp linear double-stranded DNA genome with 39.2% GC content and 155 coding sequences. It belongs to the genus Tequintavirus, subfamily Markadamsvirinae. The multiplicity of infection of 0.01 and the one-step growth showed that the latent time is 60 min and the burst size is 434 PFU/cell. Temperature and pH stability tests showed that phage GN06 was stable in the range of 4 °C–60 °C and pH 5–9. GN06 showed significant inhibition of APEC both within the liquid medium and in biofilm formation. These results suggest that phage GN06 has the potential to control bacterial pathogens. Thus, GN06 has the potential to be a new potential candidate for phage therapy.

Food contamination by Salmonella can lead to serious foodborne diseases that constantly threaten public health. Innovative and effective strategies are needed to control foodborne pathogenic contamination since the incidence of foodborne diseases has increased gradually. In the present study, two broad-spectrum phages named Salmonella phage PSE-D1 and Salmonella phage PST-H1 were isolated from sewage in China. Phages PSE-D1 and PST-H1 were obtained by enrichment with Salmonella enterica subsp. enterica serovar Enteritidis (S. Enteritidis) CVCC1806 and Salmonella enterica subsp. enterica serovar Typhimurium (S. Typhimurium) CVCC3384, respectively. They were able to lyse Salmonella, E. coli and K. pneumoniae and exhibited broad host range. Further study demonstrated that PSE-D1 and PST-H1 showed high pH and thermal tolerances. Phage PSE-D1 belongs to the Jiaodavirus genus, Tevenvirinae subfamily, while phage PST-H1 belongs to the Jerseyvirus genus, Guernseyvirinae subfamily according to morphology and phylogeny. The results of genome analysis showed that PSE-D1 and PST-H1 lack virulence and drug-resistance genes. The effects of PSE-D1 and PST-H1 on controlling S. Enteritidis CVCC1806 and S. Typhimurium CVCC3384 contamination in three kinds of foods (eggshells, sausages and milk) were further investigated, respectively. Our results showed that, compared to phage-free groups, PSE-D1 and PST-H1 inhibited the growth of their host strain significantly. A significant reduction of host bacteria titers (1.5 and 1.9 log10 CFU/sample, p < 0.001) on eggshells was observed under PSE-D1 and PST-H1 treatments, respectively. Furthermore, administration of PSE-D1 and PST-H1 decreased the counts of bacteria by 1.1 and 1.2 log10 CFU/cm2 (p < 0.001) in sausages as well as 1.5 and 1.8 log10 CFU/mL (p < 0.001) in milk, respectively. Interesting, the bacteriostasis efficacy of both phages exhibited more significantly at 4 °C than that at 28 °C in eggshells and milk and sausages. In sum, the purpose of our research was evaluating the counteracting effect of phage PSE-D1 and PST-H1 on the spread of Salmonella on contaminated foods products. Our results suggested that these two phage-based biocontrol treatments are promising strategies for controlling pathogenic Salmonella contaminated food.

Background: A priority for conservation is the identification of endemic populations. We developed microsatellite markers for common raven (Corvus corax), a bird species with a Holarctic distribution, to identify and assess endemic populations in Alaska. Results: From a total of 50 microsatellite loci, we isolated and characterized 15 loci. Eight of these loci were polymorphic and readily scoreable. Eighteen to 20 common ravens from Fairbanks, Alaska were genotyped showing the following variability: 3-8 alleles per locus, 0.25-0.80 observed heterozygosity (Ho), and 0.30-0.80 expected heterozygosity (He). All loci were in Hardy-Weinberg equilibrium and linkage equilibrium and many loci amplified and were polymorphic in related taxa. Conclusions: These loci will be used to identify endemic populations of common raven and assess their genetic diversity and connectivity. [ABSTRACT FROM AUTHOR]

Welding heat input greatly influences the microstructure and impacts the affected zone’s toughness. To interpret the relationships between the welding heat input, microstructure, and low-temperature toughness of the coarse-grained heat-affected zone (CGHAZ) of Mo-V-Ti-N-B steels, welding heat cycles with different heat inputs (25–75 kJ cm ^−1 ) were performed on a Gleeble 3500 simulator. Intragranular ferrite in the simulated samples subjected to different thermal cycles was characterized and quantified, and the impact energies of simulated samples were evaluated at −20 °C. Upon increasing the heat input, the intragranular ferrite content rose sharply from 4.3% to 76.0%. The V(C, N) enrichment on the precipitate surface increased the size of precipitates, providing favourable nucleation conditions for intragranular ferrite. The prior austenite grain (PAG) and martensite/austenite (M/A) constituents became rough, and the content of the M/A constituent increased while the impact energy of the CGHAZ increased. This behaviour occurred due to the formation of intragranular acicular ferrite (IGAF), which refined the microstructure of the CGHAZ. Grain refinement eliminated the negative influence of higher M/A content on the impact toughness of the CGHAZ.

Salmonella and Escherichia coli (E. coli) food contamination could lead to serious foodborne diseases. The gradual increase in the incidence of foodborne disease invokes new and efficient methods to limit food pathogenic microorganism contamination. In this study, a polyvalent broad-spectrum Escherichia phage named Tequatrovirus EP01 was isolated from pig farm sewage. It could lyse both Salmonella Enteritidis (S. Enteritidis) and E. coli and exhibited broad host range. EP01 possessed a short latent period (10 min), a large burst size (80 PFU/cell), and moderate pH stability (4–10) and appropriate thermal tolerance (30–80 °C). Electron microscopy and genome sequence revealed that EP01 belonged to T4-like viruses genus, Myoviridae family. EP01 harbored 12 CDSs associated with receptor-binding proteins and lacked virulence genes and drug resistance genes. We tested the inhibitory effect of EP01 on S. Enteritidis, E. coli O157:H7, E. coli O114:K90 (B90), and E. coli O142:K86 (B) in liquid broth medium (LB). EP01 could significantly reduce the counts of all tested strains compared with phage-free groups. We further examined the effectiveness of EP01 in controlling bacterial contamination in two kinds of foods (meat and milk) contaminated with S. Enteritidis, E. coli O157:H7, E. coli O114:K90 (B90), and E. coli O142:K86 (B), respectively. EP01 significantly reduced the viable counts of all the tested bacteria (2.18–6.55 log10 CFU/sample, p < 0.05). A significant reduction of 6.55 log10 CFU/cm2 (p < 0.001) in bacterial counts on the surface of meat was observed with EP01 treatment. Addition of EP01 at MOI of 1 decreased the counts of bacteria by 4.3 log10 CFU/mL (p < 0.001) in milk. Generally, the inhibitory effect exhibited more stable at 4 °C than that at 28 °C, whereas the opposite results were observed in milk. The antibacterial effects were better at MOI of 1 than that at MOI of 0.001. These results suggests that phage EP01-based method is a promising strategy of controlling Salmonella and Escherichia coli pathogens to limit microbial food contamination.

Welding thermal cycles with heat inputs ranging from 25 to 75 kJ/cm were performed on a Gleeble 3500. The impact energy improved significantly (from 10 to 112 J), whereas the simulated coarse-grain heat-affected zone (CGHAZ) microstructure changed from lath bainite ferrite (LBF) and granular bainite ferrite (GBF) + martensite/austenite (M/A) to acicular ferrite (AF) + polygonal ferrite (PF) + M/A as the heat input increased. Simultaneously, the mean coarse precipitate sizes and the degree of V(C,N) enrichment on the precipitate surface increased, which provided favorable conditions for intragranular ferrite nucleation. The Ar3 of CGHAZ increased from 593 °C to 793 °C with increasing heat inputs; the longer high-temperature residence time inhibited the bainite transformation and promoted the ferrite transformation. As a result, acicular ferrite increased and bainite decreased in the CGHAZ. The CGHAZ microstructure was refined for the acicular ferrite segmentation of the prior austenite, and the microstructure mean equivalent diameter (MED) in the CGHAZ decreased from 7.6 µm to 4.2 µm; the densities of grain boundaries higher than 15° increased from 20.3% to 45.5% and significantly increased the impact toughness. The correlation of heat input, microstructure, and impact toughness was investigated in detail. These results may provide new ideas for the development of high welding heat input multiphase steels.

For investigating the impact of ferritic morphology on yield strength (YS) of the high-heat-input welding induced coarse-grained heat-affected zone (CGHAZ) of a low carbon Mo-V-N-Ti-B steel, a group of particular welding heat inputs were designed to obtain different ferritic microstructures in CGHAZ. The tensile properties were estimated from typical samples with ferritic microstructures. The mixed microstructures dominated by the intragranular polygonal ferrite (IGPF), the intragranular acicular ferrite (IGAF), and the granular bainite (GB) were obtained at the heat inputs of 35, 65, 85 and 120 kJ/cm, respectively. When the main microstructure changed from IGPF to IGAF and GB, YS increased first and then decreased. The microstructure consisting mainly of IGAF possessed the maximum YS. As the main microstructure changed from IGPF to IGAF and GB, the contribution of grain refinement strengthening to YS was estimated to be elevated remarkably. This means the strength of CGHAZ in a low-carbon steel subjected to the high-heat-input welding could be enhanced by promoting the fine-grained AF and GB formation.