Evaluation of Nutrition Surveys in Flood-affected Areas of Pakistan: Seeing the Unseen!

In 2010 Pakistan experienced the worst floods recorded in its history; millions of people were affected and thousands lost their lives. Nutrition assessment surveys led by UNICEF were conducted in flood?affected areas of Punjab and Sindh provinces to assess the nutrition status of children between 6–59 months while Aga Khan University (AKU) undertook a parallel assessment including micronutrient status in their project areas within Balochistan, Sindh and Punjab. Standardised Monitoring and Assessment of Relief and Transition (SMART) methodology was used. 881 children from Sindh, 1,143 from Punjab and 817 from AKU project areas were measured for anthropometry and their households were interviewed. The findings indicated that while immediate life?saving interventions were essential, there was also an urgent need to address chronic malnutrition. Through high?level dissemination of the survey results, treatment and prevention of malnutrition has become a priority for the provincial and federal government in Pakistan and for donors

Reversible C-H bond activation at a triosmium centre: A comparative study of the reactivity of unsaturated triosmium clusters Os3(CO)8(μ-dppm)(μ-H)2 and Os3(CO)8(μ-dppf)(μ-H)2 with activated alkynes

Heating a benzene solution of the unsaturated cluster Os3(CO)8(μ-dppm)(μ-H)2 (1) [dppm = bis(diphenylphosphino)methane] with MeO2CCtriple bond; length of mdashCCO2Me (DMAD) or EtO2CCtriple bond; length of mdashCCO2Et (DEAD) at 80 °C furnished the dinuclear compounds Os2(CO)4(μ-dppm)(μ-η2;η1;к1-RO2CCCHCO2R)(μ-H) (3a, R = Me, 3b, R = Et) and the saturated trinuclear complexes Os3(CO)7(μ-dppm)(μ3-η2;η1;η1-RO2CCCCO2R)(μ-H)2 (4a, R = Me, 4b, R = Et). In contrast, similar reactions using unsaturated Os3(CO)8(μ-dppf)(μ-H)2 (2) [dppf = bis(diphenylphosphino)ferrocene] afforded only the trinuclear complexes Os3(CO)8(μ-dppf)(μ-η2;η1-RO2CCHCCO2R)(μ-H) (5a, R = Me; 5b, R = Et) and Os3(CO)7(μ-dppf)(μ3-η2;η1;η1-RO2CCCCO2R)(μ-H)2 (6a, R = Me; 6b, R = Et). Control experiments confirm that 5a and 5b decarbonylate at 80 °C to give 6a and 6b, respectively. Both 5a and 5b exist as a pair of isomers in solution, as demonstrated by 1H NMR and 31P{1H} NMR spectroscopy. DFT calculations on cluster 5a (as the dppf-Me4 derivative) indicate that the isomeric mixture derives from a torsional motion that promotes the conformational flipping of the cyclopentadienyl groups of the dppf-Me4 ligand relative to the metallic plane. VT NMR measurements on clusters 6a and 6b indicate that while the hydride ligand associated with the dppf-bridged Os-Os bond is nonfluxional at room temperature, the second hydride rapidly oscillates between the two non-dppf-bridged Os-Os edges. DFT examination of this hydride fluxionality confirms a “windshield wiper” motion for the labile hydride that gives rise to a time-average coupling of this hydride to both phosphorus centers of the dppf ligand. Thermolysis of 6a and 6b in refluxing toluene yielded Os3(CO)7(μ-dppf)(μ-η2;η1;к1-CCHCO2R) (7a, R=Me; 7b, R=Et). The vinylidene moieties in 7a and 7b derive from the carbon-carbon bond cleavage of coordinated alkyne ligands, and these two products exhibit high thermal stability in refluxing toluene

Iron carbonyl complexes bearing phenazine and acridine ligands: X-ray structures of Fe(CO)(3)(eta(4)-C12H8N2), Fe(CO)(2){P(OMe)(3)}(eta(4)-C12H8N2), Fe(CO)(2)(PPh3) (eta(4)-C13H9N), and Fe(CO)(2)(kappa(1)-dppm) (eta(4)-C12H8N2)

Reactions of Fe3(CO)12 with the heterocycles phenazine and acridine in refluxing benzene afforded the mononuclear complexes Fe(CO)3(η4-C12H8N2) (1a) and Fe(CO)3(η4-C13H9N) (1b), respectively. Treatment of 1a with P(OMe)3 and PPh3 in the presence of Me3NO at room temperature yielded the carbonyl substitution products Fe(CO)2{P(OMe)3}(η4-C12H8N2) (2a) and Fe(CO)2(PPh3) (η4-C12H8N2) (3a), respectively. Similar reactions of 1b yielded Fe(CO)2{P(OMe)3}(η4-C13H9N) (2b) and Fe(CO)2(PPh3) (η4-C13H9N) (3b). Treatment of 1a with the diphosphines dppm and dppf under similar conditions afforded the mononuclear compounds Fe(CO)2(κ1-dppm) (η4-C12H8N2) (4a) and Fe(CO)2(κ1-dppf) (η4-C12H8N2) (4b). Compounds 1a, 2a, 3b, and 4a have been structurally characterized by X-ray crystallography. The ancillary phenazine and acridine ligands in these products adopt an η4-coordination mode by using only the peripheral carbon atoms in one of the carbocyclic rings. Given the rarity of this coordination mode in metal carbonyl complexes, we have performed electronic structure calculations on 1a, and these data are discussed relative to the solid-state structur

Drinking water salinity and raised blood pressure: evidence from a cohort study in coastal Bangladesh

BACKGROUND: Millions of coastal inhabitants in Southeast Asia have been experiencing increasing sodium concentrations in their drinking-water sources, likely partially due to climate change. High (dietary) sodium intake has convincingly been proven to increase risk of hypertension; it remains unknown, however, whether consumption of sodium in drinking water could have similar effects on health. OBJECTIVES: We present the results of a cohort study in which we assessed the effects of drinking-water sodium (DWS) on blood pressure (BP) in coastal populations in Bangladesh. METHODS: DWS, BP, and information on personal, lifestyle, and environmental factors were collected from 581 participants. We used generalized linear latent and mixed methods to model the effects of DWS on BP and assessed the associations between changes in DWS and BP when participants experienced changing sodium levels in water, switched from "conventional" ponds or tube wells to alternatives [managed aquifer recharge (MAR) and rainwater harvesting] that aimed to reduce sodium levels, or experienced a combination of these changes. RESULTS: DWS concentrations were highly associated with BP after adjustments for confounding factors. Furthermore, for each 100 mg/L reduction in sodium in drinking water, systolic/diastolic BP was lower on average by 0.95/0.57 mmHg, and odds of hypertension were lower by 14%. However, MAR did not consistently lower sodium levels. CONCLUSIONS: DWS is an important source of daily sodium intake in salinity-affected areas and is a risk factor for hypertension. Considering the likely increasing trend in coastal salinity, prompt action is required. Because MAR showed variable effects, alternative technologies for providing reliable, safe, low-sodium fresh water should be developed alongside improvements in MAR and evaluated in "real-life" salinity-affected settings

Alarming prevalence of Candida auris among critically ill patients in intensive care units in Dhaka City, Bangladesh

Background: Candida auris is a multidrug-resistant yeast capable of invasive infection with high mortality and healthcare-associated outbreaks globally. Due to limited labratory capacity, the burden of C. auris is unknown in Bangladesh. We estimated the extent of C. auris colonization and infection among patients in Dhaka city intensive care units. Methods: During August 2021–September 2022 at adult intensive care units (ICUs) and neonatal intensive care units (NICUs) of 1 government and 1 private tertiary-care hospital, we collected skin swabs from all patients and blood samples from sepsis patients on admission, mid-way through, and at the end of ICU or NICU stays. Skin swab and blood with growth in blood-culture bottle were inoculated in CHROMagar, and identification of isolates was confirmed by VITEK-2. Patient characteristics and healthcare history were collected. We performed descriptive analyses, stratifying by specimen and ICU type. Results: Of 740 patients enrolled, 59 (8%) were colonized with C. auris, of whom 2 (0.3%) later developed a bloodstream infection (BSI). Among patients colonized with C. auris, 27 (46%) were identified in the ICU and 32 (54%) were identified from the NICU. The median age was 55 years for C. auris–positive ICU patients and 4 days for those in the NICU. Also, 60% of all C. auris patients were male. Among 366 ICU patients, 15 (4%) were positive on admission and 12 (3%) became colonized during their ICU stay. Among 374 NICU patients, 19 (5%) were colonized on admission and 13 (4%) became colonized during their NICU stay. All units identified C. auris patients on admission and those who acquired it during their ICU or NICU stay, but some differences were observed among hospitals and ICUs (Figure). Among patients colonized on admission to the ICU, 11 (73%) were admitted from another ward, 3 (20%) were admitted from another hospital, and 1 (7%) were admitted from home. Of patients colonized on admission to the NICU, 4 (21%) were admitted from the obstetric ward, 9 (47%) were admitted from another hospital, and 6 (32%) were admitted from home. In addition, 18 patients with C. auris died (12 in the ICU and 6 in the NICU); both patients with C. auris BSIs died. Conclusions: In these Bangladesh hospitals, 8% of ICU or NICU patients were positive for C. auris, including on admission and acquired during their ICU or NICU stay. This high C. auris prevalence emphasizes the need to enhance case detection and strengthen infection prevention and control. Factors contributing to C. auris colonization should be investigated to inform and strengthen prevention and control strategies

ASF1A and ATM regulate H3K56-mediated cell-cycle checkpoint recovery in response to UV irradiation

Successful DNA repair within chromatin requires coordinated interplay of histone modifications, chaperones and remodelers for allowing access of repair and checkpoint machineries to damaged sites. Upon completion of repair, ordered restoration of chromatin structure and key epigenetic marks herald the cell’s normal function. Here, we demonstrate such a restoration role of H3K56 acetylation (H3K56Ac) mark in response to ultraviolet (UV) irradiation of human cells. A fast initial deacetylation of H3K56 is followed by full renewal of an acetylated state at ~24–48 h post-irradiation. Histone chaperone, anti-silencing function-1 A (ASF1A), is crucial for post-repair H3K56Ac restoration, which in turn, is needed for the dephosphorylation of γ-H2AX and cellular recovery from checkpoint arrest. On the other hand, completion of DNA damage repair is not dependent on ASF1A or H3K56Ac. H3K56Ac restoration is regulated by ataxia telangiectasia mutated (ATM) checkpoint kinase. These cross-talking molecular cellular events reveal the important pathway components influencing the regulatory function of H3K56Ac in the recovery from UV-induced checkpoint arrest