25 research outputs found
Insecticide Use Practices in Cocoa Production in Four Regions in Ghana
Chemical control of insect pests of cocoa started in 1950, and insecticides from the various classes have been recommended and used by farmers since then. Presently, Imidacloprid (Confidor®), Bifenthrin (Akatemaster®) and Thiamethoxam (Actara®) are recommended by Ghana Cocoa Board (COCOBOD) for insect pest management. A survey was conducted in the Ashanti, Eastern, Volta and Western regions of Ghana using questionnaires and farm visits of 147 cocoa farmers’ fields to gather information on insecticide use practices by farmers. The survey showed that the farmers used mostly Imidacloprid and Bifenthrin insecticides and the frequency of application was more than that recommended by COCOBOD. Among the three recommended insecticides, 43% each of the farmers across the three regions used either Confidor® or Akatemaster® whilst the remaining 14% used Actara®. The number of years farmers had consistently used a particular insecticide ranged between 5 and 16 years. Whilst some cocoa farmers do not apply insecticides to their farms, others, however, do as many as 11 applications in a year. Most of the insecticides used are classified as class II under WHO Hazard category, and the farmers used very minimal protective clothing during pesticides application. The results of this study show that there is the need to intensify education on safe handling and use of pesticides to reduce pesticide abuse, especially by cocoa farmers, in order to sustain effective management of pests and protect farmers, consumers and the environment
HIV-1 Nef increases astrocyte sensitivity towards exogenous hydrogen peroxide
<p>Abstract</p> <p>Background</p> <p>HIV-1 infected individuals are under chronic exposure to reactive oxygen species (ROS) considered to be instrumental in the progression of AIDS and the development of HIV-1 associated dementia (HAD). Astrocytes support neuronal function and protect them against cytotoxic substances including ROS. The protein HIV-1 Nef, a progression factor in AIDS pathology is abundantly expressed in astrocytes in patients with HAD, and thus may influence its functions.</p> <p>Results</p> <p>Endogenous expressed HIV-1 Nef leads to increased sensitivity of human astrocytes towards exogenous hydrogen peroxide but not towards TNF-alpha. Cell death of <it>nef</it>-expressing astrocytes exposed to 10 ÎĽM hydrogen peroxide for 30 min occurred within 4 h.</p> <p>Conclusion</p> <p>HIV-1 Nef may contribute to neuronal dysfunction and the development of HAD by causing death of astrocytes through decreasing their tolerance for hydrogen peroxide.</p
Effects of empagliflozin on progression of chronic kidney disease: a prespecified secondary analysis from the empa-kidney trial
BACKGROUND:
Sodium–glucose co-transporter-2 (SGLT2) inhibitors reduce progression of chronic kidney disease and the risk of cardiovascular morbidity and mortality in a wide range of patients. However, their effects on kidney disease progression in some patients with chronic kidney disease are unclear because few clinical kidney outcomes occurred among such patients in the completed trials. In particular, some guidelines stratify their level of recommendation about who should be treated with SGLT2 inhibitors based on diabetes status and albuminuria. We aimed to assess the effects of empagliflozin on progression of chronic kidney disease both overall and among specific types of participants in the EMPA-KIDNEY trial.
METHODS:
EMPA-KIDNEY, a randomised, controlled, phase 3 trial, was conducted at 241 centres in eight countries (Canada, China, Germany, Italy, Japan, Malaysia, the UK, and the USA), and included individuals aged 18 years or older with an estimated glomerular filtration rate (eGFR) of 20 to less than 45 mL/min per 1·73 m2, or with an eGFR of 45 to less than 90 mL/min per 1·73 m2 with a urinary albumin-to-creatinine ratio (uACR) of 200 mg/g or higher. We explored the effects of 10 mg oral empagliflozin once daily versus placebo on the annualised rate of change in estimated glomerular filtration rate (eGFR slope), a tertiary outcome. We studied the acute slope (from randomisation to 2 months) and chronic slope (from 2 months onwards) separately, using shared parameter models to estimate the latter. Analyses were done in all randomly assigned participants by intention to treat. EMPA-KIDNEY is registered at ClinicalTrials.gov, NCT03594110.
FINDINGS:
Between May 15, 2019, and April 16, 2021, 6609 participants were randomly assigned and then followed up for a median of 2·0 years (IQR 1·5–2·4). Prespecified subgroups of eGFR included 2282 (34·5%) participants with an eGFR of less than 30 mL/min per 1·73 m2, 2928 (44·3%) with an eGFR of 30 to less than 45 mL/min per 1·73 m2, and 1399 (21·2%) with an eGFR 45 mL/min per 1·73 m2 or higher. Prespecified subgroups of uACR included 1328 (20·1%) with a uACR of less than 30 mg/g, 1864 (28·2%) with a uACR of 30 to 300 mg/g, and 3417 (51·7%) with a uACR of more than 300 mg/g. Overall, allocation to empagliflozin caused an acute 2·12 mL/min per 1·73 m2 (95% CI 1·83–2·41) reduction in eGFR, equivalent to a 6% (5–6) dip in the first 2 months. After this, it halved the chronic slope from –2·75 to –1·37 mL/min per 1·73 m2 per year (relative difference 50%, 95% CI 42–58). The absolute and relative benefits of empagliflozin on the magnitude of the chronic slope varied significantly depending on diabetes status and baseline levels of eGFR and uACR. In particular, the absolute difference in chronic slopes was lower in patients with lower baseline uACR, but because this group progressed more slowly than those with higher uACR, this translated to a larger relative difference in chronic slopes in this group (86% [36–136] reduction in the chronic slope among those with baseline uACR <30 mg/g compared with a 29% [19–38] reduction for those with baseline uACR ≥2000 mg/g; ptrend<0·0001).
INTERPRETATION:
Empagliflozin slowed the rate of progression of chronic kidney disease among all types of participant in the EMPA-KIDNEY trial, including those with little albuminuria. Albuminuria alone should not be used to determine whether to treat with an SGLT2 inhibitor.
FUNDING:
Boehringer Ingelheim and Eli Lilly
Is there Avocado sunblotch Viroid in Ghana?
The prevalence of Avocado sunblotch Viroid (ASBVd) among Ghanaian accessions was investigated. One hundred and eighty five (185) symptomatic and symptomless avocado trees were tested by DIGdotblot hybridization for the presence of ASBVd. One (0.01%) accession tested positive, 158 (85.8%) tested negative, while the results of the remaining 26 (14.1%) were inconclusive (herein referred to as“possible carriers”). Only one true symptomless carrier of the viroid was identified. The viroid showed no geographical or topographical preferences. The positive and ”possible carriers” were evenly distributed around the country. The incidence of the disease in Ghana was found to be very low and hence steps must be taken to eradicate it and maintain a clean industry