Mapping 123 million neonatal, infant and child deaths between 2000 and 2017 Since 2000, many countries have achieved considerable success in improving child survival, but localized progress remains unclear. To inform efforts towards United Nations Sustainable Development Goal 3.2-to end preventable child deaths by 2030-we need consistently estimated data at the subnational level regarding child mortality rates and trends. Here we quantified, for the period 2000-2017, the subnational variation in mortality rates and number of deaths of neonates, infants and children under 5 years of age within 99 low-and middle-income countries using a geostatistical survival model. We estimated that 32% of children under 5 in these countries lived in districts that had attained rates of 25 or fewer child deaths per 1,000 live births by 2017, and that 58% of child deaths between 2000 and 2017 in these countries could have been averted in the absence of geographical inequality. This study enables the identification of high-mortality clusters, patterns of progress and geographical inequalities to inform appropriate investments and implementations that will help to improve the health of all populations. Gains in child survival have long served as an important proxy measure for improvements in overall population health and development 1,2. Global progress in reducing child deaths has been heralded as one of the greatest success stories of global health 3. The annual global number of deaths of children under 5 years of age (under 5) 4 has declined from 19.6 million in 1950 to 5.4 million in 2017. Nevertheless, these advances in child survival have been far from universally achieved, particularly in low-and middle-income countries (LMICs) 4. Previous subnational child mortality assessments at the first (that is, states or provinces) or second (that is, districts or counties) administrative level indicate that extensive geographical inequalities persist 5-7. Progress in child survival also diverges across age groups 4. Global reductions in mortality rates of children under 5-that is, the under-5 mortality rate (U5MR)-among post-neonatal age groups are greater than those for mortality of neonates (0-28 days) 4,8. It is relatively unclear how these age patterns are shifting at a more local scale, posing challenges to ensuring child survival. To pursue the ambitious Sustainable Development Goal (SDG) of the United Nations 9 to "end preventable deaths of newborns and children under 5" by 2030, it is vital for decision-makers at all levels to better understand where, and at what ages, child survival remains most tenuous.

Background Azo dyes represent the most commonly used group of dyes in the textile industry. These organic dyes are mainly resistant to biodegradation and may exhibit toxic and carcinogenic properties. The purpose of this study was to investigate the effects of doping zinc oxide (ZnO) nanoparticles (NPs) with transition metals (silver, manganese, and copper) on the photocatalytic efficiency of ZnO NPs in the removal of Direct Blue 15 dye from aqueous environments under ultraviolet (UV) radiation and visible light irradiation. Methods One or two metals were used for doping the NPs. In total, seven types of undoped and transition metal-doped NPs were synthesized using the thermal solvent method with ZnO precursors and transition metal salts. The characteristics of the synthesized NPs were determined based on the scanning electron microscopy (SEM), energy-dispersive X-ray spectroscopy (EDX), Xray diffraction (XRD), Fourier transform infrared (FTIR) spectroscopy, dynamic light scattering (DLS), atomic force microscopy (AFM), and zeta potential measurements. Results The produced ZnO NPs did not exhibit any particular photocatalytic activities under UV radiation and visible light irradiation. The highest removal efficiency under UV radiation was about 74% in the presence of silver-doped ZnO NPs, while the maximum efficiency under visible light was 70% in the presence of copper-doped ZnO NPs. The lowest removal efficiency Highlights • Transition metal-doped ZnO NPs was used for photocatalytic removal of Direct Blue 15 dye. • Photocatalytic activity of ZnO NPs was improved after doping with Ag, Mn, and Cu. • SEM, XRD, FTIR, and AFM corroborated the synthesis of transition metal-doped NPs. • Photocatalysis using Ag-doped ZnO NPs could degrade 74% of dye under UV radiation. • About 70% of dye could be removed using Cu-doped ZnO NPs under visible light.

The degradation of two commercially available dyestuffs (C.I. Reactive Black 5 and C.I. Disperse Orange 25) by ultraviolet radiation (UV), ultrasonic irradiation (US), UV/H 2 O 2 and US/H 2 O 2 processes was investigated in a laboratory-scale batch photoreactor equipped with a 55 W immersed-type low-pressure mercury vapor lamp and a sonoreactor with low frequency (42 kHz) plate type transducer at 170 W of acoustic power. The toxicity was also evaluated in acute toxicity studies using Daphnia magna. Results showed that color removal efficiencies by US and US/H 2 O 2 processes were negligible for both dyes. Almost complete disappearance of Reactive Black 5 (97.9%) in UV/H 2 O 2 process was possible after 5 min of irradiation. The maximum color removal efficiency of Disperse Orange 25 after 10 min of irradiation, however, was only 9.2% and reached a maximum value of 41% after 120 min of irradiation. Pseudofirst order kinetics with respect to dyestuffs concentrations was found to fit all the experimental data. The results clearly showed that both dyes examined were toxic to D. magna and resulted in quite low LC 50 values.

Background:Uropathogenic Escherichia coli (UPEC) can cause urinary tract infection (UTI). To prevent urine flow lavage, UPEC has acquired several virulence factors called adhesins. These adhesins are expressed and controlled by different genes.Aim:This study was aimed to determine some of the most important genes that control virulence factors of UPEC (pyelonephritis associated pili [pap], S fimbrial adhesion [sfa] and A fimbrial adhesion [afa] genes), which code for adhesins and phenotypic factors.Materials and Methods:In total, 205 UPEC isolates from in- and out-patients with UTI were obtained. Polymerase chain reaction was used for gene amplification. One drop of bacterial suspension, one of red blood cells and one of peripheral blood smear were mixed for hemagglutination (HA). Formation of a clump was considered to be positive. Bacteria were grown on blood agar to determine hemolysis. Surface hydrophobicity was determined using the SAT test.Result:Frequencies of pap, afa and sfa were 42 (20.5%), 17 (8.3%) and 44 (21.5%), respectively. Frequencies of HA, hemolysis and hydrophobicity were 138 (67.3%), 56 (27.3%) and 39 (19%), respectively. Among HA-positive bacteria, 103 (74.6%) were mannose resistant. Our results highlight higher frequency of HA than that of other virulence factors, indicating a crucial role of this virulence factor in UPEC.Discussion:We concluded that major differences exist in the prevalence of virulence factors among different UPEC isolated from different countries. The association observed between pathogenicity and virulence factors may promote UPEC survival and growth within the urinary tract. Detecting these genes as the primary controllers of UPEC virulence factors may aid in better management of related infections.

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