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Fulltext A survey on mosquitoes breeding in septic tanks in several residential areas around Ipoh municipality

Lam WK, Dharmaraj D

Med J Malaysia, 1982 Jun;37(2):114-23.
PMID: 6127601

A survey on mosquito breeding in septic tanks in several residential areas was carried out on 211 septic tanks in the Ipoh Municipality. The septic tanks inspected comprised two types; the contact filter-bed with pump sump and pump motor type (Type A) and the subsoil [ilter trench type (Type B). Mosquito breeding occurred in. both types of septic tanks, with Type A septic tanks showing heavier breeding, Seventy-two (55.4 percent) of the 130 Type A septic tanks inspected had Aedes albopictus breeding. Besides being a nuisance, mosquito breeding is a potential threat to public health, as Ae. albopictus is a vector of dengue fever. Prolific breeding by Ae. albopictus was encountered in areas where Type A septic tanks were used. Other mosquitoes encountered in the survey were Culex qusnquefasciatus, Armigeres subabaltus and Uranotaenia spp. Analysis of effluent samples from Type A and Type B septic tanks revealed that of the 4 parameters measured (PH, chloride, BOD5 and Free Ammonia}, only pH was not significantly different at the 95 percent level of confidence. Chloride, BOD5 and Free Ammonia levels in. the Type B septic tanks were significantly higher than that in Type A septic tanks. Turbidity of the effluent in Type B septic tanks probably deters Ae. albopictusfrom breeding. Several methods to prevent breeding of mosquitoes in septic tanks were discussed. The easiest method is to mosquito-proof the septic tanks but this has been tried not too successfully. A method using expanded polystyrene balls is suggested. Other methods include the use of parasitic nematodes and the use of insecticides but these are not favourable.
Fulltext Insulin-like growth factor binding protein 1, Bishop score, and sonographic cervical length: tolerability and prediction of vaginal birth and vaginal birth within 24 hours following labour induction in nulliparous women

Vallikkannu N, Lam WK, Omar SZ, Tan PC

BJOG, 2017 Jul;124(8):1274-1283.
PMID: 27348806 DOI: 10.1111/1471-0528.14175

OBJECTIVE: To evaluate the tolerability of cervical insulin-like growth factor binding protein 1 (IGFBP-1) and its value as a predictor of successful labour induction, compared with Bishop score and transvaginal ultrasound (TVUS) cervical length.
DESIGN: A prospective study.
SETTING: A tertiary hospital in Malaysia.
POPULATION: A cohort of 193 term nulliparous women with intact membranes.
METHODS: Prior to labour induction, cervical fluid was obtained via a vaginal speculum and tested for IGFBP-1, followed by TVUS and finally Bishop score. After each assessment the procedure-related pain was scored from 0 to 10. Cut-off values for Bishop score and cervical length were obtained from the receiver operating characteristic (ROC) curve. Multivariable logistic regression analysis was performed.
MAIN OUTCOMES MEASURES: Vaginal delivery and vaginal delivery within 24 hours of starting induction.
RESULTS: Bedside IGFBP-1 testing is better tolerated than Bishop score, but is less well tolerated than TVUS [median (interquartile range) of pain scores: 5 (4-5) versus 6 (5-7) versus 3 (2-3), respectively; P < 0.001]. IGFBP-1 independently predicted vaginal delivery (adjusted odds ratio, AOR 5.5; 95% confidence interval, 95% CI 2.3-12.9) and vaginal delivery within 24 hours of induction (AOR 4.9; 95% CI 2.1-11.6) after controlling for Bishop score (≥4 or ≥5), cervical length (≤29 or ≤27 mm), and other significant characteristics for which the Bishop score and TVUS were not predictive of vaginal delivery after adjustment. IGFBP-1 has 81% sensitivity, 59% specificity, positive and negative predictive values of 82 and 58%, respectively, and positive and negative likelihood ratios of 2.0 and 0.3 for vaginal delivery, respectively.
CONCLUSION: IGFBP-1 better predicted vaginal delivery than BS or TVUS, and may help guide decision making regarding labour induction in nulliparous women.
TWEETABLE ABSTRACT: IGFBP-1: a stronger independent predictor of labour induction success than Bishop score or cervical sonography.

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