| 2 | A scoping review on the field validation and implementation of rapid diagnostic tests for vector-borne and other infectious diseases of poverty in urban areas显示文摘Background:Health personnel face challenges in diagnosing vector-borne and other diseases of poverty in urban settings.There is a need to know what rapid diagnostic technologies are available,have been properly assessed,and are being implemented to improve control of these diseases in the urban context.This paper characterizes evidence on the field validation and implementation in urban areas of rapid diagnostics for vector-borne diseases and other diseases of poverty.Main body:A scoping review was conducted.Peer-reviewed and grey literature were searched using terms describing the targeted infectious diseases,diagnostics evaluations,rapid tests,and urban setting.The review was limited to studies published between 2000 and 2016 in English,Spanish,French,and Portuguese.Inclusion and exclusion criteria were refined post hoc to identify relevant literature regardless of study design and geography.A total of 179 documents of the 7806 initially screened were included in the analysis.Malaria(n=100)and tuberculosis(n=47)accounted for the majority of studies that reported diagnostics performance,impact,and implementation outcomes.Fewer studies,assessing mainly performance,were identified for visceral leishmaniasis(n=9),filariasis and leptospirosis(each n=5),enteric fever and schistosomiasis(each n=3),dengue and leprosy(each n=2),and Chagas disease,human African trypanosomiasis,and cholera(each n=1).Reported sensitivity of rapid tests was variable depending on several factors.Overall,specificities were high(>80%),except for schistosomiasis and cholera.Impact and implementation outcomes,mainly acceptability and cost,followed by adoption,feasibility,and sustainability of rapid tests are being evaluated in the field.Challenges to implementing rapid tests range from cultural to technical and administrative issues.Conclusions:Rapid diagnostic tests for vector-borne and other diseases of poverty are being used in the urban context with demonstrated impact on case detection.However,most evidence comes from malaria rapid diagnostics,with variable results.While rapid tests for tuberculosis and visceral leishmaniasis require further implementation studies,more evidence on performance of current tests or development of new alternatives is needed for dengue,Chagas disease,filariasis,leptospirosis,enteric fever,human African trypanosomiasis,schistosomiasis and cholera. | Lyda Osorio Jonny Alejandro Garcia Luis Gabriel Parra Victor Garcia Laura Torres Stephanie Degroote Valery Ridde | 2018 | Infectious Diseases of Poverty2018,7,1: | 2 |
| 4 | Optimal diet strategy of a large-bodied psittacine: food resource abundance and nutritional content enable facultative dietary specialization by the Military Macaw显示文摘Background:Dietary specialization should arise when there is a relatively high abundance of a particular resource,where animals may select food items to obtain an optimal diet that maximizes energy intake.Large‑bodied psittacines frequently exhibit a narrow dietary niche with specific habitat use,but few studies have determined whether psittacines select food resources,and how this influences habitat use.Methods:We established fruiting phenology transects to evaluate food resource availability for the large‑bodied Military Macaw(Ara militaris)in semi‑deciduous,deciduous,and pine‑oak forest at two sites along the coast of Jalisco,during the dry season when macaws are nesting.We also determined Military Macaw diet by observations of foraging macaws along transect routes,and conducted bromatological analysis of the nutritional content of the most consumed resource.Results:Military Macaws used six plant species as food items during the dry season,and had a narrow dietary niche(Levins’B=0.28),with 56%of foraging macaws consuming the seeds of Hura polyandra.No food resources were recorded in pine‑oak forest during the dry season,with food resources and foraging by macaws concentrated in tropical deciduous and semi‑deciduous forest,where H.polyandra was the most abundant fruiting tree species.When considering the proportional availability of food resources,we determined a broad Hurlbert dietary niche breadth of H=0.67,indicating that Military Macaws consumed food resources according to their availability.Furthermore,the seeds of H.polyandra were an important source of protein,carbohydrates,minerals and moisture,and the hard fruitcasing means that these seeds are exclusively available for macaws.Conclusions:By concentrating their diet on the most abundant resources,Military Macaws may increase foraging efficiency in the dry season.The high nutrient content also means that concentrating the diet on seeds of H.polyandra may be an optimal foraging strategy for Military Macaws to meet their energy requirements during the breeding season. | Sylvia Margarita de la Parra‑Martinez Luis Guillermo Munoz‑Lacy Alejandro Salinas‑Melgoza Katherine Renton | 2019 | Avian Research2019,10,4: | 1 |