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Abstract Access to safe drinking water sources and appropriate sanitation facilities remains a dream in low and middle-income countries including South Africa. This study identified the origin of faecal pollution by using quantitative polymerase chain reaction (qPCR) targeting host-specific Bacteroidales genetic markers to track the distribution of human-specific (BacHum) and animal-specific (cattle—BacCow, chicken—Cytb, pig—Pig-2-Bac, dog—BacCan) markers in water sources used by rural communities of the Vhembe District Municipality (VDM). Results revealed the prevalence of BacHum, BacCow, and BacCan in all surface water sources in Thulamela Local Municipality (TLM) and Collins Chabane Local Municipality (CLM) during wet (100%) and dry seasons (50–75%). Cytb was not detected in untreated spring water in TLM and CLM, and Pig-2-Bac was not detected in untreated hand-dug well water in TLM during both seasons. Household-level analysis detected Cytb (28.8% wet, 17.5% dry), BacHum (34.4% wet, 25% dry for Pig-2-Bac) in stored untreated spring water in CLM, and Cytb (42.9% wet, 28.5% dry) in untreated hand-dug well water in TLM. Despite differences in detection frequencies of host-specific Bacteroidales, the study highlights the public health concern of faecal pollution in rural VDM households.

La sempiternelle contrariété entre présomption d’innocence et nécessité de garantir la certitude de l’application de la peine au cas où la culpabilité de l’accusé serait avérée a toujours penché la balance en faveur de la reconnaissance de la valeur de la détention avant ou pendant le procès. Cette prévalence de la détention préventive, tant décriée, mais jamais bannie, témoigne d’une acceptation d’une solution au pis-aller, conçue comme le moindre mal, qui doit sa légitimité au tréfonds de l’intérêt général. C’est cet intérêt qui force à admettre ce traitement afflictif et infamant que doit subir un individu qui, pourtant, au regard de sa présomption d’innocence, aurait dû être laissé en liberté jusqu’au prononcé de la sanction devenue irrévocable. Le besoin de s’assurer de la personne de l’accusé et de l’empêcher de perturber le déroulement du procès en provoquant notamment l’altération ou le dépérissement de la preuve se fait sentir en droit international où, à travers les textes pertinents régissant les juridictions ad hoc et la CPI, se rencontrent des dispositions intelligemment agencées, qui mettent en évidence une certaine dimension d’équité en faveur de l’accusé, dont les droits fondamentaux essentiels sont préservés autant que faire se peut, avec un penchant significatif pour la réparation des préjudices susceptibles de découler d’une détention injustifiée.

IntroductionThe Nubui River is a primary source of water for drinking purposes and other domestic activities in the rural communities dotted along its riparian zone, with agriculture being the major activity occurring in this important ecotone. The river has become a potential sink for agrochemical residue, including heavy metals, and has apparent aesthetic water quality issues, with associated health consequences. This study, therefore, assessed the health risks of heavy metals within the rural populations in the catchment areas, who have limited sources of improved water supply.MethodsThe concentration of iron (Fe), lead (Pb), cadmium (Cd), mercury (Hg), and zinc (Zn) was assessed on cumulatively 275 water samples, using a Perkin Elmer PINAAcle 900 T atomic absorption spectrophotometer for 11 months. A cross-sectional survey was conducted amongst 338 community members, following field observations on utilisation types, aesthetic appeal, and perceived quality of water from the Nubui River. To determine the potential human and ecological risks of heavy metals, the hazard quotient, chronic daily intake, contamination factor, and health pollution indices of heavy metals were computed. STATA version 16 was used to analyse the survey results.ResultsDescriptive statistics of average concentrations of heavy metals in surface water at all sampling stations showed the pattern Hg < Pb < Cd < Zn < Fe, with relatively low concentrations, between 0.001 and 0.004 mg/L for Hg, 0.0011 and 0.0019 mg/L for Pb, 0.0461 and 0.0739 mg/L for Zn, and 0.2409 and 0.377 mg/L for Fe. The findings, however, showed relatively high cadmium levels between 0.0215 mg/L and 0.0383 mg/L in two of five sampling stations in comparison with the World Health Organisation (WHO) drinking water guideline values in some months. Hazard quotient values indicate that the population is safe from the non-carcinogenic health risks of exposure to heavy metals through oral routes. The contamination factor and heavy metal pollution indices for cadmium exceed recommended guideline values of 1 and 100, respectively. Meanwhile, 73.1% of community members evidently preferred the Nubui River for various domestic activities with 86.1% of them utilising it for drinking purposes. This occurrence results in exposure to associated health risks.

Marine molluscs are of enormous scientific interest due to their astonishing diversity in terms of their size, shape, habitat, behaviour, and ecological roles. The phylum Mollusca is the second most common animal phylum, with 100,000 to 200,000 species, and marine molluscs are among the most notable class of marine organisms. This work aimed to show the importance of marine molluscs as a potential source of nutraceuticals as well as natural medicinal drugs. In this review, the main classes of marine molluscs, their chemical ecology, and the different techniques used for the extraction of bioactive compounds have been presented. We pointed out their nutraceutical importance such as their proteins, peptides, polysaccharides, lipids, polyphenolic compounds pigments, marine enzymes, minerals, and vitamins. Their pharmacological activities include antimicrobial, anticancer, antioxidant, anti-inflammatory, and analgesic activities. Moreover, certain molluscs like abalones and mussels contain unique compounds with potential medicinal applications, ranging from wound healing to anti-cancer effects. Understanding the nutritional and therapeutic value of marine molluscs highlights their significance in both pharmaceutical and dietary realms, paving the way for further research and utilization in human health.

Abstract Drainage water in developing countries has a high abundance of pathogenic bacteria and high levels of toxic and mutagenic pollutants. Remediation of drainage water is important in water-poor counties, especially with the growing need to secure sustainability of safe water resources to fulfill increasing demands for agriculture. Here, we assess the efficiency of macrophyte Pistia stratiotes to remediate a polluted drain in Egypt, rich in macronutrients, heavy metals, and different types of pathogenic and non-pathogenic bacteria. Drainage water was sampled monthly, for a year, to assess seasonal changes in bacterial abundance, water physicochemical properties (transparency, temperature, dissolved oxygen, EC, pH, N, P, and K), and heavy metals contents (Pb, Zn, and Co) in a polluted drain dominated with P. stratiotes. The ability of P. stratiotes to rhizofiltrate the three heavy metals was calculated. The results showed seasonal variations in the plant rhizofiltration potential of Co and Salmonella abundance. The highest values of dissolved oxygen (12.36 mg/L) and macronutrient elements (N and P) were attained in the winter. The counts of total coliform, fecal coliform, fecal streptococci, and in Salmonella spp. were the highest in the summer. P. stratiotes accumulated Pb more than Zn and Co. The highest levels of rhizofiltration were in summer for Pb and Co and in the autumn for Zn. Canonical correspondence analysis (CCA) showed that the variation in the bacterial abundance and plant rhizofiltration potential was strongly and significantly affected by water-dissolved oxygen. Moreover, the rhizofiltration potential of Pb and Co showed a positive correlation with water N. Overall, P. stratiotes could be proposed as a potential biomonitor for heavy metals in polluted water.

Abstract This study evaluates the ability of moderately halophilic bacterial isolates (Serratia sp., Bacillus sp., Morganella sp., Citrobacter freundii and Lysinibacillus sp.) to treat polluted wastewater in the presence of nZnO and nTiO2 nanoparticles. In this study, bacteria isolates were able to take up nZnO and nTiO2 at concentrations ranging from 1 to 50 mg/L in the presence of higher DO uptake at up to 100% and 99%, respectively, while higher concentrations triggered a significant decrease. Individual halophilic bacteria exhibited a low COD removal efficiency in the presence of both metal oxide nanoparticles concentration ranged between 1 and 10 mg/L. At higher concentrations, they triggered COD release of up to − 60% concentration. Lastly, the test isolates also demonstrated significant nutrient removal efficiency in the following ranges: 23–65% for NO3 − and 28–78% for PO4 3−. This study suggests that moderately halophilic bacteria are good candidates for the bioremediation of highly polluted wastewater containing low metal oxide nanoparticles.

In this study, removal of Chromium (Cr) in a novel process includes reduction, adsorption, oxidation and complexion in a UV/Sulfite/Manganese dioxide (USM) investigated. In our study, in the optimal condition was MnO2 = 1 mM, Na2SO3 = 0.4 mM, 6 min reaction time (synthetic sample) and at pH 7, and 10 mg L−1 Cr removed completely. In the first stage, the sulfite-sulfate radicals react with Cr, and then Cr-S are removed from the solution by forming a complex with MnOOH·. Advantage of this method against other process include less time, higher efficiency, less use of reactive materials, and no need for large pH changes without release of sulfite or sulfate. At pH 7 about 60% and 40% of reaction species were reduction and oxidative species respectively. Considering the better efficiency at pH 7, it shows that reducing species have a more important and primary role in Cr removal. Also, the amount of energy consumed decreases from 16.14 to 3.25 kWh per cubic meter, Kobs (min−1) 0.533to 0.1837 and robs (mg/L.min) increase from 26.68 to 45.2 with change of Cr concentration from 50 to 250 mg L−1 respectively. The total cost of the USM process is much lower than other methods. In the UV, U Manganese dioxide, UV/Sulfite, and USM methods, the total cost were estimated 9.80–18.75, 5.74–8.75, 5.72–1.51, and 2.74–0.55 $ when the Cr concentration increase 100 to 250 mg L−1, respectively.

Objectives: This study reported the resistome content of sewage sludge-isolated carbapenem-resistant Citrobacter koseri (C. koseri) carrying blaOXA-181. It also provided a general phylogenomic analysis highlighting antibiotic resistance genes (ARGs), plasmids and pathogenicity of C. koseri genomes. Methods: The carbapenem-resistantC. koseri AS1 strain was isolated from sewage sludge on CHROMagar™ mSuperCARBA™ media. Whole genome sequencing of C. koseri AS1 was performed using an HiSeq X™ Ten instrument. Additional C. koseri genomes were downloaded from National Center for Biotechnology Information (NCBI). Phylogenomic analysis was established through CSI Phylogeny. ARGs, plasmids and pathogenicity were identified using ResFinder 3.1, PlasmidFinder 2.0 and PathogenFinder 1.1, respectively. Results: The phylogenomic tree indicated a polyclonal pattern ofC. koseri genomes. Resistome analysis of C. koseri AS1 revealed β-lactam resistance genes (blaMAL-1 and blaOXA-181) as well as a fosfomycin resistance gene (fosA7). Three plasmids (ColKP3, ColRNAI and IncX30) were identified in the C. koseri AS1 genome. In addition, 25 ARGs were found in downloaded genomes. Of these, clinically significant ARGs such as blaKPC-2 and blaOXA-48 were found in two and four genomes, respectively. Assessment of the genomes using PathogenFinder revealed all genomes as putative human pathogens. Conclusions: It is believed that noC. koseri genome has been reported to carry blaOXA-181; therefore, C. koseri AS1 is the first of its kind. This study also highlighted the resistome contents of C. koseri genomes.

Aeromonas rivipollensis is an emerging pathogen linked to a broad range of infections in humans. Due to the inability to accurately differentiate Aeromonas species using conventional techniques, in-depth comparative genomics analysis is imperative to identify them. This study characterized 4 A. rivipollensis strains that were isolated from river water in Johannesburg, South Africa, by whole-genome sequencing (WGS). WGS was carried out, and taxonomic classification was employed to profile virulence and antibiotic resistance (AR). The AR profiles of the A. rivipollensis genomes consisted of betalactams and cephalosporin-resistance genes, while the tetracycline-resistance gene (tetE) was only determined to be in the G87 strain. A mobile genetic element (MGE), transposons TnC, was determined to be in this strain that mediates tetracycline resistance MFS efflux tetE. A pangenomic investigation revealed the G87 strain’s unique characteristic, which included immunoglobulin A-binding proteins, extracellular polysialic acid, and exogenous sialic acid as virulence factors. The identified polysialic acid and sialic acid genes can be associated with antiphagocytic and antibactericidal properties, respectively. MGEs such as transposases introduce virulence and AR genes in the A. rivipollensis G87 genome. This study showed that A. rivipollensis is generally resistant to a class of beta-lactams and cephalosporins. MGEs pose a challenge in some of the Aeromonas species strains and are subjected to antibiotics resistance and the acquisition of virulence genes in the ecosystem.

Unused pharmaceutical compounds (PhCs) discharged into the aquatic environment have been regarded as emerging pollutants due to potential harmful effects on humans and the environment. Microbial bioremediation is considered as a viable option for their removal from wastewater. The aim of this study was to assess the simultaneous removal of carbamazepine (CBZ), diclofenac (DCF) and ibuprofen (IBP) by previously isolated fungi (Aspergillus niger, Mucor circinelloides, Trichoderma longibrachiatum, Trametes polyzona, and Rhizopus microsporus). The tolerance to PhCs was conducted by tracking the fungal mycelium mat diameters in solid media and its dry biomass in liquid media, at the drug concentration range of 0.1 to 15 mg/L. The fungal enzymatic activities were determined for lignin peroxidase (LiP), manganese peroxidase (MnP) and laccase (Lac), respectively. The PhC removal efficiency of the fungi was assessed in aerated batch flasks and the drug concentrations and intermediate compounds formation were determined by using SPE-UPLC/MS. A tolerance over 70% was recorded for all the fungi at drug concentration of 0.1 mg/L. Manganese peroxidase was produced by all the fungi with very low amount of LiP, while all the enzymes were produced by T. polyzona. The pH of 4.3, temperature 37 ± 1.5°C and incubation time of 6 days were the optimum parameters for the fungal enzymatic activities. The best removal of CBZ (87%) was achieved by R. microsporus after 10 days. Between 78 and 100% removal of DCF was observed by all the fungi after 24 h, while 98% of IBP was removed after 2 days by M. circinelloides. Only a few intermediate compounds were identified after 3 days and disappeared after 10 days of incubation. This study demonstrated that apart from the basidiomycetes, the ascomycetes and zygomycetes are also producers of ligninolytic enzymes and have the ability to biodegrade emerging pollutants such as PhCs.

Abstract: The ignition temperature of the Al–CuO thermite was measured using DTA at a scan rate of 50°Cmin−1 in a nitrogen atmosphere. Thermite reactions are difficult to start as they require very high temperatures for ignition, e.g. for Al–CuO thermite comprising micron particles it is ca. 940°C. It was found that the ignition temperature is significantly reduced when the binary Si–Bi2O3 system is added as sensitizer. Further improvement is achieved when the reagents are nano-sized powders. For the composition Al+CuO+Si+Bi2O3 (65.3:14.7:16:4wt.%), with all components nano-sized, the observed ignition temperature is ca. 613°C and a thermal runaway reaction is observed in the DTA. [Copyright &y& Elsevier]

INTRODUCTION: l'objectif de cette étude était de déterminer les facteurs de risque associés à la tuberculose multi résistance à Kinshasa en République Démocratique du Congo. METHODES: Il s'agissait d'une étude cas témoins. Les cas comprenaient tous les patients tuberculeux résistants à la rifampicine et à l'isoniazide notifiés à Kinshasa de janvier 2012 à juin 2013. Les témoins étaient les patients tuberculeux traités durant la même période que les cas et qui à la fin du traitement étaient déclarés guéris. Pour cette étude, nous avons obtenu une clairance éthique.

There are only a few reports on supernumerary kidney However, its discovery being difficult in places where diagnostic facilities are not easily accessible. We present a case of A 9 year old girl with a congenital malformation and supernumerary kidney at right upper pole of the right kidney with a mega urethra in which there is pus. The main complaint was a mild, persistent lower abdominal pain associated with virginal reflux. Urine analysis and culture as well as serum blood values were within normal limits. The diagnosis of visceral malformations, particularly a supernumerary kidney is not easy, especially in an environment where diagnostic facilities are not easily accessible.

For the effective application of a modified packed bed biofilm reactor (PBBR) in wastewater industrial practice, it is essential to distinguish the tolerance of the system for heavy metals removal. The industrial contamination of wastewater from various sources (e.g. Zn, Cu, Cd and Ni) was studied to assess the impacts on a PBBR. This biological system was examined by evaluating the tolerance of different strengths of composite heavy metals at the optimum hydraulic retention time (HRT) of 2 hours. The heavy metal content of the wastewater outlet stream was then compared to the source material. Different biomass concentrations in the reactor were assessed. The results show that the system can efficiently treat 20 (mg/l) concentrations of combined heavy metals at an optimum HRT condition (2 hours), while above this strength there should be a substantially negative impact on treatment efficiency. Average organic reduction, in terms of the chemical oxygen demand (COD) of the system, is reduced above the tolerance limits for heavy metals as mentioned above. The PBBR biological system, in the presence of high surface area carrier media and a high microbial population to the tune of 10 000 (mg/l), is capable of removing the industrial contamination in wastewater.

The present study aims firstly at determining the microbial diversity of mine-water collected in Emalahleni, South Africa and secondly isolating and characterizing the most dominant bacterial species found in the mine water in terms of its resistance to both V(5+) and Ni(2+) in a modified wastewater liquid media. The results revealed a microbial diversity of 17 orders, 27 families and 33 genera were found in the mine-water samples with Marinobacteria (47.02%) and Anabaena (17.66%) being the most abundant genera. Considering their abundance in the mine-water samples, a species of the Marinobacter genera was isolated, identified, and characterised for metal tolerance and removal ability. The MWI-1 isolate (Marinobacter sp. MWI-1 [AB793286]) was found to be closely related to Marinobacter goseongensis at 97% of similarity. The isolate was exposed to various concentrations of Ni(2+) and V(5+) in wastewater liquid media and its tolerance to metals was also assessed. The MWI-1 isolate could tolerate V(5+) and Ni(2+) separately at concentrations (in terms of MIC) up to 13.41 ± 0.56 mM and 5.39 ± 0.5 mM at pH 7, whereas at pH 3, the tolerance limit decrease to 11.45 ± 0.57 mM and 2.67 ± 0.1 mM, respectively. The removal of V(5+) and Ni(2+) in liquid media was noted to gradually decrease with a gradual increase of the test metals. A significant difference (p

We studied the epidemiology of cholera in Katanga and Eastern Kasai, in the Democratic Republic of Congo, by compiling a database including all cases recorded from 2000 through 2005. Results show that lakes were the sources of outbreaks and demonstrate the inadequacy of the strategy used to combat cholera.

Background: The aim of this study was to determine the user cost for obtaining obstetric and neonatal care during childbirth in the Jason Sendwe hospital in the city of Lubumbashi, Democratic Republic of Congo., Methods: We conducted a cross-sectional study at the maternity of the Jason Sendwe hospital in Lubumbashi, reviewing charts and using a questionnaire given to 145 women who gave birth from 1st August to 30th September 2015. We calculated the cost based on the amounts paid by users for obtaining care, expressed in US dollars ($) at an exchange rate of 900 Congolese Francs (CDF) for $1., Results: The average age of parturients was 27±6 years (m±SD). Nearly 9 out of 10 women were married (84.8%), 24.1% had a primary school educational level. The majority (62.1%) had no occupational activity and the average monthly income of those employed was $28. Many of their spouses were self-employed (36.6%) with an average monthly income of $113. Hemorrhage was the most common complication (12.4%); perinatal mortality was 12.4%, and was only registered in cases of dystocia. Cost of care for eutocic delivery was 5 times greater than for complicated vaginal delivery that in turn had a 2-fold lower cost than caesarean section. It follows from this study that the cost of care for eutocic delivery, complicated vaginal delivery and cesarean section was, respectively: 1.4%, 7.5%, and 13.4% of annual household income. In general, in case of childbirth, 51%, 40.7%, and 34.4% of households devoted more than 5%, 10% and 20% respectively of their annual income to obtain obstetric and neonatal care., Conclusion: The cost of obstetric and neonatal care is catastrophically high for households in Lubumashi. Undoubtedly, those who seek hospital care for childbirth must cope with financial problems related to the incurred debt. The State should review its healthcare financial policy to ensure access to quality care for all., (Copyright © 2017 Elsevier Masson SAS. All rights reserved.)

Transforming growth factor-beta (TGF-beta), tenascin-C (TN-C) and matrix metalloproteinases (MMPs) have been demonstrated independently to be associated with disease progression and poor prognosis in patients with breast cancer. The present study explored effects of TGF-beta and TN-C on MMP-9 expression and cancer invasion. An experimental study was designed to analyse MDA-MB-231 breast cancer cells, known for their high invasiveness, after stimulation with TGF-beta1 and/or TN-C. TGF-beta1 stimulated TN-C expression in the cells. Co-stimulation of MDA-MB-231 cells with TN-C and TGF-beta increased MMP-9 expression at both the gene (28-fold) and the protein levels. The in vitro invasion also increased (4-fold). GM6001 inhibited the invasion induced by the co-stimulation. The combined effect of TN-C and TGF-beta resulted in enhanced MMP-9 expression and cancer invasion in vitro.

The eradication of Helicobacter pylori in infected patients with gastroduodenal ulcer disease the allows to obtain a definite healing of this chronically relapsing condition for which the direct costs have been steadily increasing (while indirect costs were reduced) for the last two decades. Both short-term studies performed on real time, and prospective simulations using a Markov's model over periods of one, five and up to fifteen years, revealed a significant cost/benefit advantage of an eradication policy: according to the Belgian model, the eradication of HP in patients with peptic ulcer would save between 750,000 and one million US dollars by million inhabitants when compared to maintenance or episodic treatment with anti-secretory drugs. Nevertheless, models are very sensitive to several factors: eradication rate, costs of screening and HP status assessment, frequency of peptic ulcer disease.

Objective: To assess the role of combined resection of neighbouring organs that have been invaded by cancer in patients with potentially curable, but advanced, gastric cancer., Design: Retrospective follow up study., Setting: University department of surgery., Subjects: 204 patients (from a consecutive series of 745 who had had gastric resection for cancer) all of whom had undergone potentially curative operations for advanced disease: 91 had had combined resection of other invaded organs., Results: Five year survival was 65% for 113 patients who had gastrectomy alone and 46% for 91 patients who also had other affected organs resected (p < 0.02)., Conclusion: We recommend resection of all organs that have been invaded by cancer, provided that there is no evidence such as widespread nodal involvement, peritoneal dissemination, or extensive hepatic metastases, that would make cure impossible.

A 61-year-old man without previous medical history was admitted for Guillain-Barré syndrome (GBS). Carbamazepine was prescribed on day 72 for dysesthesia occurring at the time of recovery. Subsequently, severe cardiac conduction disturbances (asystole, atrioventricular block) were observed and a permanent pacemaker had to be inserted. The possible relationship between carbamazepine therapy and cardiac side effects is discussed in this condition, as GBS itself is often complicated by cardiac arrhythmias.

Diarrhoea, an important cause of infant morbidity and mortality is a priority problem in developing countries. The diarrhoea is most often of infectious origin. This is an evaluation of the parameters susceptible of influencing the carrying of enteropathogenic agents and the apparition of diarrhoea in children 6-36 months of age living in urban and peri-urban areas in the tropics. The study concerns 130 children divided between well nourished and malnourished. To the parameter "nutritional status" most often used in the different studies one finds in the literature, we chose to add a combination of others regrouped under the categories of "type of feeding" and "environmental factors". In our socio-cultural context, these last two parameters are intimately linked to the mother who lives in symbiosis with her child at least until 36 months of age. At the end of the study we were able to put together the results of research on carriage of a large gamut of enteropathogenic agents (parasites, bacteria, viruses) with our chosen parameters. This allowed us observe all the interactions between these two variables, particularly relating to onset of diarrhoea. We were thus able to conclude that the factors characterizing "Food hygiene and environmental hygiene play the most important role whatever the nutritional status of child".