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Search Results (285)

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12 pages, 247 KiB  
Review
Legionella in Hot Water Heat Pump (HWHP) Systems
by Jodi Brookes, Helena Senior, Rebecca J. Gosling, Duncan Smith and Margaret Wade
Microorganisms 2025, 13(5), 1134; https://doi.org/10.3390/microorganisms13051134 - 15 May 2025
Viewed by 1436
Abstract
It is anticipated that by 2028 there will be a significant increase in the use of HWHP systems in Great Britain (GB). Such systems are considered a better, energy-efficient alternative to fossil fuel-based burners and furnaces, as they use electricity. There are concerns [...] Read more.
It is anticipated that by 2028 there will be a significant increase in the use of HWHP systems in Great Britain (GB). Such systems are considered a better, energy-efficient alternative to fossil fuel-based burners and furnaces, as they use electricity. There are concerns that these systems are susceptible to microbial contamination because they hold water at lower temperatures. In particular, the concern is regarding Legionella contamination, as it can potentially cause disease in the general public and those who are maintaining and replacing these systems. Therefore, this review was focused on understanding the potential risk posed by their increased use and maintenance requirements. This review was approached systematically but was not a full systematic review. There were 61 papers that were considered potentially relevant to the research questions. Of these, 40 papers were considered relevant to the topic of Legionella in HWHP and underwent full article assessment and data extraction. The remaining papers were considered useful for background information. The scope of this review established that Legionella are a known risk in hot water systems that can be carried over to HWHP systems, yet there is minimal evidence to suggest that the current control measures are being appropriately applied to reduce the risk of exposure. When considering countrywide legislation and guidance, it appears that the risk is considered lower in single- or multi-family homes that do not require a centralised system. This review included the assessment of information regarding the safety of working with HWHP systems with regards to maintenance and replacement. The authors found a lack of information regarding these safety concerns. This review is among the first to systematically evaluate the risks of Legionella contamination in HWHP systems. Full article
14 pages, 1131 KiB  
Article
New Insights into the Prevalence of Dirofilaria immitis in Hungary
by Ákos Jerzsele, Dóra Kovács, Péter Fábián, Péter Fehérvári, Bettina Paszerbovics, Krisztina Bali, Eszter Kaszab, Nóra Mayer and Zita Karancsi
Animals 2025, 15(9), 1198; https://doi.org/10.3390/ani15091198 - 23 Apr 2025
Cited by 1 | Viewed by 682
Abstract
Heartworm disease—caused by Dirofilaria immitis—is an emerging mosquito-borne zoonotic disease with potentially fatal outcomes in dogs. Due to factors such as climate change, animal importation, and animal transport, the prevalence of the infection has increased in countries in Central and Eastern Europe, [...] Read more.
Heartworm disease—caused by Dirofilaria immitis—is an emerging mosquito-borne zoonotic disease with potentially fatal outcomes in dogs. Due to factors such as climate change, animal importation, and animal transport, the prevalence of the infection has increased in countries in Central and Eastern Europe, where the parasite was not detected before. The first autochthonous case of D. immitis in dogs in Hungary was reported in 2009. This study assessed the prevalence of D. immitis infection and the associated risk factors in domestic dogs in Hungary. A total of 1071 blood samples were collected between March 2023 and February 2024 and were tested using Knott’s test, ELISA, and real-time PCR method. The countrywide prevalence of D. immitis was 17.0%, suggesting a continuous increase in the parasite’s spread compared to the previously reported 11.3% prevalence, with age and spending time outdoors being the main risk factors. These results highlight the ongoing need for preventive measures against heartworm disease. Full article
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16 pages, 2285 KiB  
Article
Population-Weighted Degree-Days over Southeast Europe—Near Past Climate Evaluation and Future Projections with NEX-GDDP CMIP6 Ensemble
by Hristo Chervenkov and Kiril Slavov
Climate 2025, 13(4), 66; https://doi.org/10.3390/cli13040066 - 26 Mar 2025
Viewed by 1475
Abstract
The ongoing and projected future climate change impacts the heating, cooling, and air-conditioning sectors both directly and indirectly. The consideration of heating, cooling, and energy degree-days is a consistent, robust, and widely used approach for quantitatively estimating the energy demand of closed environments [...] Read more.
The ongoing and projected future climate change impacts the heating, cooling, and air-conditioning sectors both directly and indirectly. The consideration of heating, cooling, and energy degree-days is a consistent, robust, and widely used approach for quantitatively estimating the energy demand of closed environments based on outdoor thermal conditions. Hence, the spatial distribution and the long-term changes in this demand depend on on the quantity of final users for such services; it is essential to consider demographic data in the assessment. The paper presents a comprehensive analysis of the population-weighted degree-days for the near past and the Sixth Assessment Report (AR6) of the Intergovernmental Panel on Climate Change (IPCC) scenario-driven future over Southeast Europe for all four ‘Tier 1’ Shared Socioeconomic Pathways (SSPs) based on the methodology of the United Kingdom Meteorological Office and performed using large NEX-GDDP CMIP6 ensemble of global circulation models (GCMs) and up to date population dynamics data from the NASA’s SEDAC. As an expression of regional warming tendencies, the study reveals an overall reduction in heating and an increase in cooling degree-days, confirming the leading role of the climate. We also provide evidences for the influence of the population factor, which significantly alters the region’s degree-day climatology in both space and time. The resulting overall picture on country-wide and regional level is complex; in some cases, the population dynamics is projected to outbalance the thermal-induced changes. Full article
(This article belongs to the Section Climate and Environment)
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23 pages, 10921 KiB  
Article
A Weakly Supervised and Self-Supervised Learning Approach for Semantic Segmentation of Land Cover in Satellite Images with National Forest Inventory Data
by Daniel Moraes, Manuel L. Campagnolo and Mário Caetano
Remote Sens. 2025, 17(4), 711; https://doi.org/10.3390/rs17040711 - 19 Feb 2025
Cited by 1 | Viewed by 1237
Abstract
National Forest Inventories (NFIs) provide valuable land cover (LC) information but often lack spatial continuity and an adequate update frequency. Satellite-based remote sensing offers a viable alternative, employing machine learning to extract thematic data. State-of-the-art methods such as convolutional neural networks rely on [...] Read more.
National Forest Inventories (NFIs) provide valuable land cover (LC) information but often lack spatial continuity and an adequate update frequency. Satellite-based remote sensing offers a viable alternative, employing machine learning to extract thematic data. State-of-the-art methods such as convolutional neural networks rely on fully pixel-level annotated images, which are difficult to obtain. Although reference LC datasets have been widely used to derive annotations, NFIs consist of point-based data, providing only sparse annotations. Weakly supervised and self-supervised learning approaches help address this issue by reducing dependence on fully annotated images and leveraging unlabeled data. However, their potential for large-scale LC mapping needs further investigation. This study explored the use of NFI data with deep learning and weakly supervised and self-supervised methods. Using Sentinel-2 images and the Portuguese NFI, which covers other LC types beyond forest, as sparse labels, we performed weakly supervised semantic segmentation with a convolutional neural network to create an updated and spatially continuous national LC map. Additionally, we investigated the potential of self-supervised learning by pretraining a masked autoencoder on 65,000 Sentinel-2 image chips and then fine-tuning the model with NFI-derived sparse labels. The weakly supervised baseline achieved a validation accuracy of 69.60%, surpassing Random Forest (67.90%). The self-supervised model achieved 71.29%, performing on par with the baseline using half the training data. The results demonstrated that integrating both learning approaches enabled successful countrywide LC mapping with limited training data. Full article
(This article belongs to the Section Earth Observation Data)
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16 pages, 953 KiB  
Article
Abattoir Countrywide Survey of Dairy Small Ruminants’ Haemonchosis in Greece and Associated Risk Factors
by Konstantinos V. Arsenopoulos, Athanasios I. Gelasakis and Elias Papadopoulos
Animals 2025, 15(4), 487; https://doi.org/10.3390/ani15040487 - 9 Feb 2025
Viewed by 1030
Abstract
Objectives: The objectives of this study were to (i) determine the prevalence of Haemonchus contortus infections in dairy sheep and goats in continental and insular Greece, based on an abattoir survey, and (ii) to evaluate potential host-related risk factors including the age and sex, [...] Read more.
Objectives: The objectives of this study were to (i) determine the prevalence of Haemonchus contortus infections in dairy sheep and goats in continental and insular Greece, based on an abattoir survey, and (ii) to evaluate potential host-related risk factors including the age and sex, as well as the altitude, the management system, the co-existence of goats and sheep, the season, and the anthelmintic treatment, on the occurrence of haemonchosis. Methods: In total, 1004 abomasa of small ruminants were examined to evaluate the prevalence of Haemonchus spp. Moreover, a structured questionnaire was used to obtain relevant information regarding animal and farm characteristics. Haemonchus-like helminths were collected from the abomasa and used for the molecular species identification; a fragment of 321 base pairs of the internal transcribed spacer 2 sequence of nuclear DNA was amplified. Results: The prevalence of mono-species H. contortus infection of small ruminants was 37.2%. For sheep, a multivariable analysis revealed the anthelmintic treatment (treatment with pro/benzimidazoles), the age (lambs under 2 months old), and the management system (intensive management system) as significant factors for preventing H. contortus infection. Likewise, the management system (intensive management system), the anthelmintic treatment (treatment with macrocyclic lactones and their combination with pro/benzimidazoles), the altitude of the farms (farms located over 300 m above sea level), and the season (spring and summer) were significant risk factors in preventing H. contortus infection in goats. Conclusion: These findings emphasize the urgent need for targeted management practices and region-specific veterinary protocols to effectively reduce parasitic burdens. Full article
(This article belongs to the Section Small Ruminants)
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20 pages, 6322 KiB  
Article
Analyzing Decadal Trends of Vegetation Cover in Djibouti Using Landsat and Open Data Cube
by Julee Wardle and Zachary Phillips
Geomatics 2025, 5(1), 6; https://doi.org/10.3390/geomatics5010006 - 30 Jan 2025
Viewed by 1130
Abstract
This study investigates decadal trends in vegetation cover in Djibouti from 1990 to 2020, addressing challenges related to its arid climate and limited resources. Using Digital Earth Africa’s Open Data Cube and thirty years of Landsat imagery, change detection algorithms, and statistical analysis, [...] Read more.
This study investigates decadal trends in vegetation cover in Djibouti from 1990 to 2020, addressing challenges related to its arid climate and limited resources. Using Digital Earth Africa’s Open Data Cube and thirty years of Landsat imagery, change detection algorithms, and statistical analysis, this research explores vegetation dynamics at various spatial and temporal scales. Studies on change detection have advanced the field through exploring Landsat time series and diverse algorithms, but face limitations in handling data inconsistencies, integrating methods, and addressing practical and socio-environmental challenges. The results, obtained through change detection using NDVI differencing and Welch’s t-test, reveal significant trends in vegetation across Djibouti’s administrative and countrywide levels. Results show significant countrywide vegetative loss from 1990 to 2010, but recovery from 2010 to 2020, as evidenced by Welch’s t-test results. This disproved the Null Hypothesis of no trend and confirmed significant trends across all regions and resolutions analyzed. The findings provide important information for policymakers, land managers, and conservationists, providing awareness into patterns of Djibouti’s vegetation trends in the face of future climate change. The use of Open Data Cube and cloud computing enhances research capacity, allowing for the rapid and repeated analysis of larger time periods and geographical regions. Full article
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16 pages, 1011 KiB  
Review
The Otoacoustic Emissions in the Universal Neonatal Hearing Screening: A Scoping Review Update on the African Data (2004 to 2024)
by Stavros Hatzopoulos, Ludovica Cardinali, Piotr Henryk Skarzynski and Giovanna Zimatore
Children 2025, 12(2), 141; https://doi.org/10.3390/children12020141 - 27 Jan 2025
Cited by 1 | Viewed by 1234
Abstract
Background: The reported data on African universal neonatal hearing screening (UNHS) practices tend to be quite scarce, despite the developments in hearing screening the last two decades. The objective of this systematic review was (a) to identify the most recent (in a 20-year [...] Read more.
Background: The reported data on African universal neonatal hearing screening (UNHS) practices tend to be quite scarce, despite the developments in hearing screening the last two decades. The objective of this systematic review was (a) to identify the most recent (in a 20-year span) literature information about NHS/UNHS programs in Africa and (b) to provide data on the procedures used to assess the population, the intervention policies, and on the estimated prevalence of congenital hearing loss with an emphasis on bilateral hearing loss cases. Methods: Queries were conducted via the PubMed, Scopus, and Google Scholar databases for the time window of 2004–2024. The mesh terms used were “OAE”, “universal neonatal hearing screening”, “congenital hearing loss”, “well babies”, and “Africa”. Only research articles and review papers were considered as good candidates. The standard English language filter was not used, to identify information from non-English-speaking scientific communities and groups. Results: Data from 15 papers were considered, reflecting the neonatal hearing practices of nine African states. No country-wide NHS programs were reported. The various screening realities are implemented within big urban centers, leaving the residents of rural areas unassisted. For the latter, proposals based on tele-medicine protocols have been suggested. The data on HL prevalence are also incomplete, but the available data refer to rates from 3 to 360 subjects per 1000. These data cannot be taken at face value but within the small sample size context in which they were acquired. Regarding the causes of HL, very few data have been reported; consanguinity is the most attributed factor, at least in the Sub-Saharan African states. For the majority of the programs, no data were reported on hearing loss prevalence/incidence or on any strategies to restore hearing. Conclusions: The information on the African neonatal hearing screening are quite scarce, and it is an urgent need to convince audiologists from the African localized programs to publish their hearing screening data. Full article
(This article belongs to the Special Issue Hearing Loss in Children: The Present and a Challenge for Future)
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10 pages, 440 KiB  
Article
Prevalence of Leptospira spp. in Lithuanian Wild Boars (Sus scrofa)
by Birutė Karvelienė, Inga Stadalienė, Jūratė Rudejevienė, Evelina Burbaitė, Dalia Juodžentė, Marius Masiulis, Jūratė Buitkuvienė, Jurgita Šakalienė and Gintaras Zamokas
Pathogens 2025, 14(1), 85; https://doi.org/10.3390/pathogens14010085 - 16 Jan 2025
Viewed by 1050
Abstract
Leptospira is a bacteria responsible for a widespread zoonosis that affects both humans and animals. Leptospirosis is a challenging pathology to diagnose and treat since its signs are unspecific and symptoms vary greatly. The disease seems to be highly prevalent in environments where [...] Read more.
Leptospira is a bacteria responsible for a widespread zoonosis that affects both humans and animals. Leptospirosis is a challenging pathology to diagnose and treat since its signs are unspecific and symptoms vary greatly. The disease seems to be highly prevalent in environments where reservoir animals such as rats and small mammals are common. Even though leptospirosis in humans in Lithuania is rare, it remains a disease of significance in Europe. Information on reservoir animals and prevalence of Leptospira in wild animals in Lithuania is lacking. The aim of this country-wide study was to evaluate the seroprevalence of Leptospira in wild boars in Lithuania. Hunted animals were collected from ten counties that represented the boar population of the country. The sera of 451 collected boars were evaluated for eight Leptospira serovars using the microscopic agglutination test. Seropositivity was observed in 102 (22.6%) boars. Overall, 194 positive reactions occurred. Boars older than 2 years were affected by more serovars and were more seropositive than younger boars (p < 0.05). The highest number of positive reactions was observed in Panevėžys (87.9%) and Vilnius (69.1%) counties. The results of this study might indicate that the wild boar is a reservoir animal of Leptospira and plays a role in its transmission in Lithuania. Full article
(This article belongs to the Section Epidemiology of Infectious Diseases)
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22 pages, 3938 KiB  
Article
A Validation Framework for Bulk Distribution Logistics Simulation Models
by Andres Guiguet and Dirk Pons
Logistics 2025, 9(1), 3; https://doi.org/10.3390/logistics9010003 - 25 Dec 2024
Viewed by 1237
Abstract
Background: Simulation of business processes allows decision-makers to explore the implications and trade-offs of alternative approaches, policies and configurations. Trust in the simulation as a stand-in proxy of the real system depends on the validation of the computer model as well as [...] Read more.
Background: Simulation of business processes allows decision-makers to explore the implications and trade-offs of alternative approaches, policies and configurations. Trust in the simulation as a stand-in proxy of the real system depends on the validation of the computer model as well as on that of the data used to run it and judge its behaviour. Though validation frameworks exist, they provide little guidance for validation in the context of data-poor endeavours, such as those where observations as sourced from historical records were acquired for purposes other than the simulation itself. As simulation of complex business systems as logistic distribution networks can only rely on this type of data, there is a need to address this void and provide guidance for practitioners and fostering the conversation among academics. This paper presents a high-level development and validation framework applicable to simulation in data-poor environments for modelling the process of bulk distribution of commodities. Method: Traditionally accepted approaches were synthesised so as to develop an into a flexible three-stage modelling and validation approach to guide the process and improve the transparency of adapting available data sources for the simulation itself. The framework suggests the development of parallel paths for the development of computer and data models which, in the last stage, are merged into a phenomenological model resulting from the combination of both. The framework was applied to a case study involving the distribution of bulk commodities over a country-wide network to show its feasibility. Results: The method was flexible, inclusive of other frameworks, and suggested considerations to be made during the acquisition and preparation of data to be used for the modelling and exploration of uncharted scenarios. Conclusions: This work provides an integrative, transparent, and straightforward method for validating exploratory-type simulation models for endeavours in which observations cannot be acquired through direct experimentation on the target system. Full article
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30 pages, 1123 KiB  
Article
A Matching Policy to Address ESG and Non-ESG Risks Impacted by a Relocation Policy in China’s Chemical Industry
by Xudong Ren, Khanh Linh Dong, Jackson Ewing, Jie Zheng and Lei Shi
Sustainability 2024, 16(22), 9760; https://doi.org/10.3390/su16229760 - 8 Nov 2024
Viewed by 1847
Abstract
China’s chemical industry has faced severe environmental, social, and governance (ESG) issues, such as high safety and environmental accidents and risks. To address these issues and promote industrial upgrading, China’s central government has issued a national relocation and improvement policy targeting its chemical [...] Read more.
China’s chemical industry has faced severe environmental, social, and governance (ESG) issues, such as high safety and environmental accidents and risks. To address these issues and promote industrial upgrading, China’s central government has issued a national relocation and improvement policy targeting its chemical industry. However, its countrywide policy implementation may also lead to other ESG risks during the relocation of chemical enterprises, namely industrial transfer. The typical ESG risks that appear to occur in developed eastern region provinces include a one-size-fits-all solution and unemployment, while less developed central and western region provinces may encounter pollution transfer, carbon leakage, environmental injustice, and health disparities. These ESG risks might overlap with other economic and financial (non-ESG) risks, like stranded assets, industry hollowing-out, and debt sustainability issue. These ESG and non-ESG risks could result from potential mismatches between chemical enterprises and chemical parks, categorized as mismatching errors explained by social-ecological systems, behavioral economics, and information economics. To better manage these risks, we propose an ESG matching policy comprising a national standardized ESG scoring and ranking system, a deferred acceptance mechanism, and a score announcement instrument. Such a policy innovation aims at achieving fair and efficient chemical enterprise–chemical park pairs, which would help manage both ESG and non-ESG risks and provide a just transition toolkit for China and other developing countries. Full article
(This article belongs to the Section Economic and Business Aspects of Sustainability)
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16 pages, 5639 KiB  
Article
An Alarming Eastward Front of Cassava Mosaic Disease in Development in West Africa
by Mariam Combala, Justin S. Pita, Michel Gbonamou, Alusaine Edward Samura, William J.-L. Amoakon, Bekanvié S. M. Kouakou, Olabode Onile-ere, Seydou Sawadogo, Guy R. Eboulem, Daniel H. Otron, John Steven S. Seka, Angela Eni, Cyrielle Ndougonna and Fidèle Tiendrébéogo
Viruses 2024, 16(11), 1691; https://doi.org/10.3390/v16111691 - 29 Oct 2024
Cited by 5 | Viewed by 2553
Abstract
Begomoviruses are a major threat to cassava production in Africa. Indeed, during the 1990s, the emergence of a recombinant begomovirus (East African cassava mosaic virus-Uganda, EACMV-Ug) resulted in crop devastation and severe famine in Uganda. In 2023, during a pre-survey of cassava farms [...] Read more.
Begomoviruses are a major threat to cassava production in Africa. Indeed, during the 1990s, the emergence of a recombinant begomovirus (East African cassava mosaic virus-Uganda, EACMV-Ug) resulted in crop devastation and severe famine in Uganda. In 2023, during a pre-survey of cassava farms at Forécariah, South-West Guinea, 22 samples showing peculiar cassava mosaic disease (CMD) symptoms were collected, and subsequent laboratory analysis confirmed the presence of EACMV-Ug in the samples. Deep analysis of DNA-A and DNA-B of the EACMV-Ug isolates from Guinea indicated that they are similar to those associated with the severe CMD epidemic in Uganda in the 1990s. Therefore, a country-wide survey was conducted throughout Guinea in April 2024 to evaluate the extent of the spread of EACMV-Ug in the country and to collect critical CMD epidemiological data. Findings showed a high whitefly population in Lower Guinea averaging 17 per plant; however, the data suggest a spread of EACMV-Ug via infected cuttings. High CMD incidence was found in Lower Guinea and Forest Guinea, whereas the highest CMD severity was observed in Forest Guinea (2.70 ± 0.06) and the lowest CMD severity was found in Middle Guinea (2.20 ± 0.05). Several cases of double and triple infections involving African cassava mosaic virus, East African cassava mosaic virus, East African cassava mosaic Cameroon virus, and EACMV-Ug were observed. EACMV-Ug was detected throughout Guinea, as well as from samples collected in 2022 in Kambia (Sierra Leone). The 63 accessions cultivated in Guinea that were assessed in this study were found susceptible to at least one of the viruses cited above. This study alerts us to an alarming situation in development in West Africa and provides scientific evidence to guide the rapid response needed to contain and stop the progression of EACMV-Ug in West Africa. Full article
(This article belongs to the Special Issue Emerging and Reemerging Plant Viruses in a Changing World)
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12 pages, 3760 KiB  
Article
Lameness in Adult Sheep and Goats in Greece: Prevalence, Predictors, Treatment, Importance for Farmers
by Eleni I. Katsarou, Daphne T. Lianou, Charalambia K. Michael, Ioannis G. Petridis, Natalia G. C. Vasileiou and George C. Fthenakis
Animals 2024, 14(20), 2927; https://doi.org/10.3390/ani14202927 - 11 Oct 2024
Cited by 2 | Viewed by 1032
Abstract
The present study refers to an extensive investigation of lameness performed countrywide in Greece, on 325 sheep and 119 goat farms. The specific objectives of this work were to present data on the occurrence of lameness on sheep and goat farms and to [...] Read more.
The present study refers to an extensive investigation of lameness performed countrywide in Greece, on 325 sheep and 119 goat farms. The specific objectives of this work were to present data on the occurrence of lameness on sheep and goat farms and to identify variables (including variables related to climatic factors) associated with the disorder on the farms. Farms were visited and animals on the farm were assessed for the presence of lameness; further, an interview was carried out with the farmer to obtain information regarding practices applied on the farm. Climatic variables at the location of each farm were derived from NASA research. The within farm prevalence rate varied from 0.0% to 25.0% in sheep flocks and from 0.0% to 30.0% in goat herds. The mean ± standard error (median (interquartile range)) within farm prevalence rate among sheep farms was 1.9% ± 0.2 (0.0% (0.0%)); among goat farms, it was 2.6% ± 0.5% (0.0% (0.0%)). Multivariable analysis for within farm prevalence of lameness revealed three significant predictors in sheep farms: application of vaccination against foot-rot, increased precipitation at the farm location and longer annual grazing period for sheep, and one in goat farms: increased precipitation at the farm location. Treatment of lameness involved mostly administration of antibiotics (on 104 farms); the antibiotics administered most often were lincomycin (on 69 farms) and oxytetracycline (on 33 farms). There was a tendency for higher median within farm prevalence of lameness among farms where no antibiotic administration was practiced. Finally, 6.2% of sheep farmers and 4.2% of goat farmers considered lameness as an important health problem for the animals, specifically the third and fifth most important problem on the respective farms. Full article
(This article belongs to the Section Veterinary Clinical Studies)
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16 pages, 2712 KiB  
Article
Population-Level Exposure to PM2.5, NO2, Greenness (NDVI), Accessible Greenspace, Road Noise, and Rail Noise in England
by Sophia Garkov, Lorraine Dearden and Ai Milojevic
Atmosphere 2024, 15(10), 1197; https://doi.org/10.3390/atmos15101197 - 8 Oct 2024
Viewed by 1801
Abstract
Air pollution, greenspace and noise are interrelated environmental factors with the potential to influence human health outcomes. Research has measured these exposures in diverse ways across the globe, but no study has yet performed a country-wide analysis of air pollution, greenspace, and noise [...] Read more.
Air pollution, greenspace and noise are interrelated environmental factors with the potential to influence human health outcomes. Research has measured these exposures in diverse ways across the globe, but no study has yet performed a country-wide analysis of air pollution, greenspace, and noise in England. This study examined cross-sectional PM2.5, NO2, greenness, accessible greenspace, road noise, and rail noise exposure data at all residential postcodes in England (n = 1,227,681). Restricted cubic spline models were fitted between each environmental exposure and a measure of socioeconomic status, the Index of Multiple Deprivation (IMD) rank. Population-weighted exposures by IMD deciles, urbanicity, and region were subsequently estimated. Restricted cubic spline models were also fitted between greenness and each other environmental exposure in the study. The results show some evidence of inequalities in exposure to air pollutants, greenspace, and noise across England. Notably, there is a socioeconomic gradient in greenness, NO2, PM2.5, and road noise in London. In addition, NO2, PM2.5, and road noise exposure decrease as greenness increases in urban areas. Concerningly, almost all air pollution estimates in our study exceed international health guidelines. Further research is needed to elucidate the socioeconomic patterns and health impacts of air pollution, greenspace, and noise over time. Full article
(This article belongs to the Special Issue Research on Air Pollution and Human Exposures)
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15 pages, 580 KiB  
Article
Seroprevalence of Hepatitis C Virus and Factors Associated with It in Armenia, 2021
by Anahit Demirchyan, Antons Mozalevskis, Serine Sahakyan, Lusine Musheghyan, Lusine Aslanyan, Diana Muradyan, Narina Sargsyants, Gayane Ghukasyan and Varduhi Petrosyan
Viruses 2024, 16(9), 1446; https://doi.org/10.3390/v16091446 - 11 Sep 2024
Cited by 1 | Viewed by 1729
Abstract
Hepatitis C virus (HCV) infection is among the leading causes of cirrhosis and hepatocellular carcinoma. Knowledge of its prevalence and risk factors can help to effectively fight the virus. This study was the first to investigate the seroprevalence of HCV, its genotypes, and [...] Read more.
Hepatitis C virus (HCV) infection is among the leading causes of cirrhosis and hepatocellular carcinoma. Knowledge of its prevalence and risk factors can help to effectively fight the virus. This study was the first to investigate the seroprevalence of HCV, its genotypes, and factors associated with it among the general adult population of Armenia selected countrywide via cluster sampling. Anti-HCV antibodies were detected using third-generation immunoassay. Polymerase chain reaction and genotyping was performed among anti-HCV-positive individuals. Shortly after testing, the participants underwent a telephone survey. Logistic regression models were fitted to identify factors associated with anti-HCV antibody positivity and chronic HCV infection. The prevalence of anti-HCV antibodies among 3831 tested individuals was 2% (99% CI 1.4, 2.5), and chronic HCV infection was 0.7% (99% CI 0.4, 1.0), with genotypes 3 and 2 being the most common. The risk factors for chronic HCV infection included self-reported chronic liver disease (95% CI 1.47, 15.28), having tattoos (95% CI 1.34, 10.94), ever smoking (95% CI 1.16, 9.18), and testing positive for hepatitis B virus core antibody (95% CI 1.02, 7.17). These risk factors demonstrate that there could be room for strengthening infection control measures to prevent the transmission of HCV in Armenia. Full article
(This article belongs to the Section Human Virology and Viral Diseases)
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25 pages, 2311 KiB  
Article
A Capacity Audit of Medical Geneticists and Genetic Counsellors in South Africa, 2024: A National Crisis
by Marianne C. M. Gomes, Byron J. Gomes, Arnold L. Christianson, Claude Bailly, Neil McKerrow and Helen L. Malherbe
Genes 2024, 15(9), 1173; https://doi.org/10.3390/genes15091173 - 6 Sep 2024
Cited by 3 | Viewed by 1808
Abstract
Community genetic services were introduced in South Africa almost seven decades ago, with medical geneticists and genetic counsellors being formally recognized for the past 30 years. Initial training platforms were established at academic centres countrywide, and posts for relevant healthcare professionals, including medical [...] Read more.
Community genetic services were introduced in South Africa almost seven decades ago, with medical geneticists and genetic counsellors being formally recognized for the past 30 years. Initial training platforms were established at academic centres countrywide, and posts for relevant healthcare professionals, including medical geneticists and genetic counsellors were created in the public sector. Despite these early advances, the number of these specialists required to address the rising burden of congenital disorders in the country remains far below required targets established by the National Department of Health. The aim of this study was to analyse the retrospective, current and projected number of medical geneticists and genetic counsellors in South Africa. The results indicate the number of practicing medical geneticists (n = 13) and genetic counsellors (n = 28) are currently at 10% and 5% of capacity targets, respectively. There is unequal distribution of these specialists between the public and private healthcare sectors, and geographical maldistribution. An alarming trend of emigration is particularly prevalent among newly qualified genetic counsellors. With the proportion of congenital disorders expected to continue to rise in coming years, together with the increasing proportion of ageing South Africans, it is imperative that health workforce planning addresses the ever-widening gap between the supply, demand and unmet need for these crucial specialists in South Africa. Full article
(This article belongs to the Special Issue Human Genetics: Diseases, Community, and Counseling)
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