Enacting Treaty Rights through Restoring Shoshone Ancestral Foods on the Wind River Indian Reservation

Despite great loss in gathering and consumption of traditional foods among Indigenous communities, there is great hope for reclaiming and preserving knowledge. The Restoring Shoshone Ancestral Food Gathering (RSAFG) is a community group leading grassroots efforts on the Wind River reservation to reclaim Shoshone ancestral foods and promote food sovereignty. The story of the RSAFG promotes equitable, decolonized, and community empowered methods of reclaiming Indigenous foods by sharing three of RSAFG's acts of decolonization: 1) enacting treaty rights through gathering traditional plants, 2) demanding equitable partnerships in community-based research, and 3) sharing the story through radical authorship via layered narratives. A pesar de la gran pérdida en la recolección y el consumo de alimentos tradicionales entre las comunidades indígenas, existe una gran esperanza para recuperar y preservar el conocimiento. El Restoring Shoshone Ancestral Food Gathering (RSAFG) es un grupo comunitario que lidera los esfuerzos de base en la reserva wind river para recuperar los alimentos ancestrales shoshone y promover la soberanía alimentaria. La historia de la RSAFG promueve métodos equitativos, descolonizados y empoderados por la comunidad para recuperar los alimentos indígenas al compartir tres de los actos de descolonización de RSAFG: 1) promulgar los derechos de los tratados mediante la recolección de plantas tradicionales, 2) exigir asociaciones equitativas en la investigación basada en la comunidad, y 3) compartir la historia a través de la autoría radical a través de narrativas en capas.

Hybrid grammar-based approach to nonlinear dynamical system identification from biological time series

We introduce a grammar-based hybrid approach to reverse engineering nonlinear ordinary differential equation models from observed time series. This hybrid approach combines a genetic algorithm to search the space of model architectures with a Kalman filter to estimate the model parameters. Domain-specific knowledge is used in a context-free grammar to restrict the search space for the functional form of the target model. We find that the hybrid approach outperforms a pure evolutionary algorithm method, and we observe features in the evolution of the dynamical models that correspond with the emergence of favorable model components. We apply the hybrid method to both artificially generated time series and experimentally observed protein levels from subjects who received the smallpox vaccine. From the observed data, we infer a cytokine protein interaction network for an individual's response to the smallpox vaccine.

Community knowledge, attitude and practices regarding sexually transmitted infections in a rural district of Pakistan

OBJECTIVE

To determine knowledge, attitude and practices regarding sexually transmitted infections in district Khairpur, Sindh, Pakistan.

DESIGN AND METHODOLOGY

A needs assessment study employing a community based survey, key informant interviews and focus group discussions was conducted in all seven sub-districts of the district. This paper is based on the results of the key informant interviews and the focus group discussions. Thirty interviews and six group discussions were held with members of the community and with the health care providers.

RESULTS

There was little awareness regarding causes and prevention of sexually transmitted infections in the community. The situation was slightly better among health care providers. While health care providers believed that the prevalence of sexually transmitted infections is high, the community did not consider themselves at risk. The community believed that these diseases are a problem among a sub-population of male adolescents, especially those who have homosexual relations. However, due to social norms, they rarely discussed such health problems with other family members or elders. Adolescents with any sexual health problems visit hakims and quacks. The community was aware about aetiology and some of the risk factors associated with AIDS and hepatitis, most probably due to the recent public health campaigns against both diseases.

CONCLUSION

Considering the suspected high prevalence of sexually transmitted infections and the relative lack of knowledge, it is imperative that a public health intervention be initiated. This must include educating not only the community but also the health workers. The governments' initiative to train community workers in reproductive health is a step in the right direction (JPMA 52:21, 2002).

Susceptibility patterns of Escherichia coli: prevalence of multidrug-resistant isolates and extended spectrum beta-lactamase phenotype

OBJECTIVE

To study Escherichia coli (E. coli) susceptibility, prevalence of multidrug-resistant isolates and possible role of extended spectrum beta-lactamases (ESBL) in E. coli resistance.

SETTING

Department of Medicine, Shifa College of Medicine, Islamabad.

METHODS

Three hundred and seventy eight E. coli isolates from different sources were identified during six-month period. Susceptibility to various antibiotics was checked using standard methods. Multidrug-resistant isolates were separated. Isolates resistant to cefpodoxime and aztreonam were considered as ESBL phenotype, indicating ESBL production.

RESULTS

Most of isolates were resistant to ampicillin and trimethoprim/sulfamethoxazole. Overall resistance to ciprofloxacin, ceftriaxone, cefotaxime and cefpodoxime was 49%, 34%, 36% and 38% respectively. Resistance to fourth generation cephalosporins was lower. Almost all Isolates were sensitive to amikacin, imipenem and tazobactam. Aztreonam resistance was found in 25% isolates. Similar pattern was observed for urinary E. coli isolates; 45% E. coli isolates were found to be multidrug-resistant. Nitrofurantoin showed low-level resistance both to multidrug-resistant as well as urinary isolates. Resistance to both cefpodoxime and aztreonam was found in 25% isolates suggesting ESBL production.

CONCLUSION

E. coli resistance in Pakistan is much higher than reported from western literature. Multidrug-resistant isolates, including third generation cephalosporins and quinolones, are very common. ESBL production may contribute to this high level resistance against beta-lactams.

Utility of participatory rural appraisal for health needs assessment and planning

BACKGROUND

While poverty and lack of life opportunities are root causes of a high burden of disease and infant and maternal mortality, inadequate health care contributes heavily. Often those who are left without care are those who need it most. Existing health services are managed without taking into account acceptance and need perspectives. This further reduces the effectiveness of and equity in health care. In order to guide the planning of reproductive health services by a national NGO, health needs were assessed in a district in Sindh using a combination of participatory rural appraisal (PRA) and qualitative and quantitative research methods. PRA is considered as a better framework to assess, analyse and develop programs with communities.

OBJECTIVE

The objective of PRA was to initiate community involvement and to understand the needs of health care from a community perspective.

METHODOLOGY

PRA was conducted with groups of men and women from three rural areas in a district of Sindh, Pakistan using a life cycle framework. The community members identified various stages of their life with the associated health issues.

RESULTS

This research was empowering to community members as it facilitated community involvement. The respondents took charge of the process of identification of health needs at PRA sessions. PRA helped identify health problems considered prevalent and important by the community. More importantly, it helped potential service providers and the community to initiate community involvement in planning.

CONCLUSION

PRA is not only an effective tool for assessment and analysis of health issues but also a vehicle to promote community involvement. Additionally, participatory methods contribute to understand the context of quantitative data generated for planning purposes.

Health needs of clients as reported by medical practitioners from two districts of Sindh

OBJECTIVE

To identify the major health and reproductive health problems for which people consult local medical practitioners.

METHODOLOGY

Forty-one practitioners completed a self-administered questionnaire. A startified purposive sample of practitioners was selected by asking the community members from various towns and rural areas to identify practitioners who have most busy practices and are perceived as providing quality care.

RESULTS

Nine of the forty-one practitioners were females. Twenty-two were consulted mainly by women and another seventeen by an equal number of women and men. Practitioners pointed to malnutrition, malaria, gastrointestinal and respiratory tract problems as being the most common ailments. They identified menstrual problems, malnutrition among pregnant women, burning micturition and vaginal discharge as the most common reproductive health problems of their clients. Only 16 medical practitioners said that they diagnosed someone in the last one-month as suffering from sexually transmitted infections.

CONCLUSION

The survey helped in developing an understanding of health issues from provider perspective. Findings indicate a concordance between what has been revealed by previous population based studies in similar situations and to what health problems practitioners pointed as common. While a comprehensive needs-assessment requires surveys and qualitative interviews with communities, consultations with relatively fewer medical practitioners could also provide a quick and fair approximation of priority health problems in the area.

Community knowledge, attitude and practices regarding sexually transmitted infections in a rural district of Pakistan

OBJECTIVE

To determine knowledge, attitude and practices regarding sexually transmitted infections in district Khairpur, Sindh, Pakistan.

DESIGN AND METHODOLOGY

A needs assessment study employing a community based survey, key informant interviews and focus group discussions was conducted in all seven sub-districts of the district. This paper is based on the results of the key informant interviews and the focus group discussions. Thirty interviews and six group discussions were held with members of the community and with the health care providers.

RESULTS

There was little awareness regarding causes and prevention of sexually transmitted infections in the community. The situation was slightly better among health care providers. While health care providers believed that the prevalence of sexually transmitted infections is high, the community did not consider themselves at risk. The community believed that these diseases are a problem among a sub-population of male adolescents, especially those who have homosexual relations. However, due to social norms, they rarely discussed such health problems with other family members or elders. Adolescents with any sexual health problems visit hakims and quacks. The community was aware about aetiology and some of the risk factors associated with AIDS and hepatitis, most probably due to the recent public health campaigns against both diseases.

CONCLUSION

Considering the suspected high prevalence of sexually transmitted infections and the relative lack of knowledge, it is imperative that a public health intervention be initiated. This must include educating not only the community but also the health workers. The governments' initiative to train community workers in reproductive health is a step in the right direction.

Influence of close-up dry period protein supplementation on productive and reproductive performance of Holstein cows in their subsequent lactation

Holstein cows on a commercial dairy were assigned to close-up dry groups and offered an 11.7% crude protein (CP) ration based on corn silage, alfalfa cubes, oat hay, corn, and barley grain without (Control; C) or with (Supplemented; S) 0.8 kg/d per cow of a high CP supplement of SoyPass, distillers dried grains, ring dried blood meal, feather meal, and corn gluten meal. Heifers (C: 37, S: 44) and mature cows (C: 96, S: 81) were allocated to one of four groups based upon their time in the close-up groups (i.e., 1 to 4, 5 to 8, 9 to 12, and 13 to 19 d) within parity (i.e., heifers or mature) for statistical analysis. Full lactation means of all response parameters for cows confirmed to be pregnant that completed a lactation (i.e., lactating at 305 d in milk or dried off before 305 d in milk but not culled; C: 28, S: 23 for heifers and C: 48, S: 43 for mature cows) were analyzed by ANOVA. Lactation curves were evaluated by parallel curve analysis to assess differences in lactation curve shape, and curve separation, due to treatments. Protein supplementation had no impact on full-lactation milk or milk component yields of heifers, determined by ANOVA, although parallel curve analysis showed higher milk and milk protein yield with protein supplementation. As the number of days cows spent consuming their assigned close-up dry rations increased, heifers produced more milk, milk fat and milk protein, although the maximum yield for milk and milk protein occurred for those fed close-up rations for 9 to 12 d. For mature cows, neither time close up or close-up period protein supplementation influenced any mean response parameter, by ANOVA, although parallel curve analysis showed higher milk and protein yield for supplemented cows as time close up increased. Overall, results suggest the optimum close-up period length was 9 to 12 d, with a protein content intermediate between 11.7 and 14.4% of DM, for heifers. In contrast, results do not support any substantive benefit of a close up period, or protein contents above 11.7%, for mature cows.

Influence of nonenzymatically browned soybeans on ruminal fermentation and lactational performance of dairy cows

Four ruminally fistulated Holstein cows were assigned to one of four total mixed rations (TMR) in a 4 x 4 Latin square with 3-wk periods to investigate the effects of added lipid from nonenzymatically browned soybeans or soybean oil on ruminal metabolism and milk fatty acids. All rations contained 50% forage and 1) 4% added lipid from soybean oil, 2) 4 or 6% added lipid from nonenzymatically browned soybeans, or 3) no added lipid (control). The TMR that contained nonenzymatically browned soybeans increased milk C18:2 by 35% compared with the TMR that contained soybean oil. A lactation trial was conducted in which 60 Holstein cows were assigned to one of five TMR from wk 3 to 18 of lactation. The TMR contained 1) 4.5% added lipid from soybean oil, 2) 1.5% added lipid from nonenzymatically browned soybeans and 3% from soybean oil, 3) 3% added lipid from nonenzymatically browned soybeans and 1.5% from soybean oil, 4) 4.5% added lipid from nonenzymatically browned soybeans, and 5) 4.5% added lipid from Ca salts of long-chain fatty acids. Dry matter intake was reduced by 11% for cows fed the TMR containing soybean oil only compared with that for cows fed the other TMR. Milk C18:2 and C18:3 were increased as the inclusion of nonenzymatically browned soybeans in the TMR increased. All percentages of the nonenzymatically browned soybeans fed to cows resulted in fat-corrected milk yields that were similar to those of cows fed the TMR that contained Ca salts of fatty acids.

Systemic immunosuppressive therapy and the occurrence of malignancy in patients with ocular inflammatory disease

PURPOSE

To compare the occurrence of malignancy in patients with severe ocular inflammatory disease treated with systemic corticosteroids alone or with systemic immunosuppressive drugs with or without systemic corticosteroids.

METHODS

The clinical records of 543 patients with ocular inflammatory disease treated with systemic corticosteroids and/or immunosuppressive chemotherapy were reviewed in a retrospective cohort study. Characteristics of patients treated with corticosteroids alone were compared with characteristics of patients treated with immunosuppressive agents with or without preceding corticosteroid treatment. The rates of malignancy after initiation of drug therapy were compared using an exact test for incidence rate data.

RESULTS

Compared with patients treated with corticosteroids alone, patients treated with immunosuppressants with or without corticosteroid treatment were older and had more severe systemic disease. During a total of 1261 person-years of follow-up, a malignancy developed in five patients. The rate of malignancy in the immunosuppressant group (4 malignancies during 968 person-years of follow-up) was not significantly different from the rate in the corticosteroids alone group (1 malignancy during 293 person-years of follow-up) (P > 0.90, exact test for incidence rate data).

CONCLUSION

These findings do not support the hypothesis of an increased risk of malignancy in patients with severe ocular inflammatory disease who are treated with systemic immunosuppressive agents compared with patients treated with systemic corticosteroids.

Partial purification of pemphigus-related epidermal antigens

Epidermal antigens partially purified by either isoelectric focusing (the pH 5.2 peak) or concanavalin A (Con A) affinity chromatography react with Con A in tube precipitation reactions. Bands of identity between crude skin antigens, the Con A affinity antigens eluted with alpha-methyl glucoside and the pH 5.2 peak are formed in Ouchterlony gel with rabbit antisera (Rab) to the pH 5.2 antigen. Absorption of Rab or pemphigus antibodies (Pab) with A+ erythrocytes does not affect complement fixation reactions of Rab with the skin antigen nor abolish the ability of Pab to interact with the intercellular cement. The pH 5.2 epidermal antigens react weakly with Pab in tube precipitation reactions and only weakly, if at all, to inhibit Pab reactions in the region of the intercellular cement. High concentrations of Con A inhibit the Pab, peroxidase-anti-IgG tissue reaction whereas the converse inhibition does not occur. Simultaneous use of both Pab and Con A-perodixase reactions at Con A concentrations which do not inhibit Pab, causes enhanced tissue peroxidase reactions in the region of the intercellular cement. These preliminary data indicate that the Pab and Con A-reacting sites are localized on different molecules or antigenic determinants in the intercellular cement. They exclude the possibility that A-blood substances are involved in either site.