Economic evaluation of water supply systems operated with solar-driven electro-chlorination in rural regions in Nepal, Egypt and Tanzania

Reliable data on the economic feasibility of small-scale rural water supply systems are insufficient, which hampers the allocation of funds to construct them, even as the need for their construction increases. To address this gap, three newly constructed water supply systems with water points in Nepal, Egypt, and Tanzania were accompanied by the authors throughout the planning and implementation phases and up to several years of operation. This study presents an analysis of their economic feasibility and suggests important factors for successful water supply system implementation at other rural locations. The initial investment for construction of the new water supply systems ranged from 23,600 € to 44,000 €, and operation and maintenance costs ranged from 547 € to 1921 € per year. The water price and actual multi-year average quantity of tapped water at each site were 7.7 €/m³ & 0.67 m³/d in Nepal, 0.7 €/m³ & 0.88 m³/d in Egypt and 0.9 €/m³ & 8.65 m³/d in Tanzania. Although the new water supply systems enjoyed acceptance among the consumers, the actual average water quantity tapped ranged from just 17 to 30 % of the demand for which the new supply systems were designed. While two of three sites successfully yielded a cash surplus through the sale of water, sufficient for operation, maintenance and basic repairs, no site showed a realistic chance of recovering the initial investment (reaching the break-even point) within the projected lifetime of the technical infrastructure. Reaching the break-even point within 5 years, which would be necessary to attract private investors, would require an unrealistic increase of the water price or the water consumption by factors ranging from 5.2 to 9.0. The economic viability of such systems therefore depends strongly on the quantity of water consumed and the water price, as well as the availability of funding from governments, NGOs or other sponsors not primarily interested in a financial return on their investment.

Die Pr�Ford-Studie

The PreFord Study is a multicenter prospective cohort study to evaluate guideline based risk management on primary prevention of cardiovascular diseases. Furthermore a randomised controlled trial (RCT) will be designed to analyse the effect of a special intervention program. 40,000 employees of the Ford Motor Company, Visteon Company and Deutz Company in Germany will be included, monitored for ten years and the following primary endpoints will be investigated: 1. evaluation and comparison of established and newly developed risk-scores, 2. the relative impact of single and combined cardiovascular risk factors on cardiovascular diseases, 3. the influence of a novel occupationally integrated ambulant rehabilitation program in combination with a guideline oriented optimal drug therapy within a high risk group on the primary endpoint: risk reduction by, 4. the influence of this intervention on secondary endpoints: death, myocardial infarction and stroke, combined appearance of angina pectoris and hospitalisation, occurrence of cerebral circulatory disorder and hospitalisation, occurrence of peripheral occlusive arterial disease and hospitalisation and single cardiovascular risk factors and cost-benefit-analysis. Beginning with an cross sectional study there will be a systemic screening of cardiovascular risk profiles, of anthropometric data and different lifestyle-factors. Based on these data participants will be differentiated into three risk-groups according to the risk score of the European Society of Cardiology (risk of a lethal primary acute cardiovascular event: I < or = 1%; II > 1-< 5% and III > or = 5%). In the following longitudinal study different strategies will be applied: Group I: low risk (< 0.5% per year): repetition of the investigation after five and ten years. Group II: middle risk, (0.6% to 1.4% per year), repetition of the investigation every two years, instruction of the patients general practitioner (GP) with respect to a risk factor oriented and evidence based treatment. Group III: high risk, (> 1.5% per year or >15% within the next 10 years) will be randomised into two interventional groups. The first one, the intervention-group "PreFord" will perform an occupational integrated rehabilitation program (2,5-3 hours twice a week, for 15 weeks according to the BAR guidelines) with a following engagement in heart-groups and an annual repetition of the check-ups. The second group, the "classic" intervention-group will be treated evidence based in cooperation with their GP. As a result of this long term interventional study efficient, area wide implementable and economically feasible prevention concepts with special regards to operational healthcare will be developed and evaluated. Core elements will be exercise- and lifestyle-oriented concepts as well as guideline-based pharmacotherapy.

A topographical analysis of spectral electromyographic data of the human masseter muscle under different functional conditions in healthy subjects

In 20 healthy subjects, 16-channel surface electromyograms (EMG) were recorded with the mandible in its postural position, during compensation for forces applied from ipsilateral, contralateral and frontal positions, and during force-constant biting on a unilaterally placed force transducer. After artefact elimination, EMG power spectra were calculated on the basis of the original EMG curves via fast Fourier transformation. Using spectral EMG characteristics, EMG maps were computed by means of an interpolation algorithm and an imaging procedure. Spectral EMG maps were demonstrated for all the test conditions. Significant differences of myoelectrical activity were verified between the 16 electrode positions. Moreover, the levels and/or the topographical distributions of spectral EMG powers differed significantly between the test conditions. During biting as well as with contralaterally and frontally applied forces, the highest EMG activity was found in the inferior third of the masseter and the lowest in the superior third. With ipsilaterally applied forces, the topographical distribution of the total EMG power was completely changed. The power maximum was frequently demonstrated in the superior, especially the posterosuperior, third of the muscle, the minimum in the inferior third. In the postural position of the mandible, EMG activity decreased from the anterior to the posterior regions of the masseter. If the bite force or the horizontally applied forces were enhanced, EMG activity increased significantly but the EMG map structures were only changed in some details. The topographical distribution of myoelectrical activity demonstrated by EMG maps characterizes the intramuscular activation patterns of distinct masseter functions.(ABSTRACT TRUNCATED AT 250 WORDS)

[Quantitative topographic characterization of the myoelectric activity distribution of the masseter muscle: mapping of spectral EMG parameters]

A new method for quantitative characterization of myoelectrical masseter activity distribution by mapping of spectral EMG-parameters is described. The surface electromyograms of M. masseter were monopolarly recorded (16 channels). On the basis of registered EMG intervals (512 ms) the spectral EMG power of several frequency bands was calculated (Fast Fourier Transformation). The spectral EMG parameters between the 16 electrode positions were estimated by linear interpolation (4-nearest neighbours algorithm). Afterwards the spectral EMG parameters were fitted in a grey-tone or colour scale with 10 intervals. The so obtained EMG activity maps ("EMG-Maps") permit a quantitative-topographic characterization of myoelectrical masseter activity during different functional load procedures. The frequency range which is to consider in masseter surface-EMG investigations encloses frequencies between 15 and 500 Hz. The topography of EMG activation pattern of M. masseter is only described in a comprehensive manner when the electrode array consists of 16 electrodes and more. During defined motor tasks like clenching with controlled forces the reproducibility of EMG-Maps which respect to the topography of EMG activity pattern is very high. The absolute values of spectral EMG power as well as power changes of selected band ranges during clenching correlate to the extent of chewing forces.

[Mapping spectral EMG parameters of the masseter muscle in normal probands under defined loads]

In 20 healthy volunteers 16-channel surface electromyograms were monopolarly recorded from the right and left masseter muscle during defined functional conditions (force-constant bite, right and left hand side, 196, 333, 530 N chewing force, during a compensation of a load directed from a frontal or a lateral position to the mandible (20, 49, 69 N), during rest position of the mandible). The EMG curves were quantified by the calculation of spectral EMG-parameters (FFT). With respect to the muscle a topographic oriented representation of the myoelectrical activity was realised by a mapping of spectral EMG-parameters. The monopolarly recorded EMG activities significantly differed between the 16 electrode positions (topographic EMG distribution pattern). During the several examination conditions of the masseter muscle different topographic distribution pattern of the myoelectrical activity were found. Moreover, the total EMG power between the muscle functions differed too. The level of the load influenced the spectral EMG power as well as, partly, the topographic EMG distribution pattern.

[A review of the mammalian Mallophaga of Europe]

The paper reviews the present knowledge of the Mallophaga of European mammals. 50 species and subspecies have been listed in a checklist and a host-parasite list. 32 of them are still found in Europe. There have been no records so far of 21 hosts listed as hypothetical mallophagian hosts. Eight extinct or exterminated forms of mammals in Europe are listed as hypothetical hosts of chewing louse.

[Technic for the collection of Mallophaga from live birds]

The author describes his technique of collecting Mallophaga on live birds (chiefly Passeres, size like sparrow or blackbird). The description comprises the collecting of Mallophaga and the thorough examination of the Mallophaga infestation typical of the host. By these examinations valuable information about biology and ecology of the biting lice species can be obtained. The examinations can be combined with the ringing of the birds. Whereas Ischnocera of one host usually allow qualitative and quantitative determination, Amblycera (with the exception of Ricinus) do not always. Considering the ectoparasitocoenosis and the condition of the bird the examination data are recorded on the spot. The material collected (e.g. the nits, too) has to be preserved in dry state.

[Drinking of eye secretion by malloghages]

The until now known facts on the phenomenon that biting lice may drink the eye-fluids of their hosts are listed. These data are supplemented by further relevant observations (own and from others). In this respect, the menoponid species Myrsidea (Wolfdietrichia) cornicis and Gallacanthus kaddoui are concerned.