Mycobacterium kansasii infection diagnosed by pleural fluid cytology: A case report

Identification of disseminated nontuberculous Mycobacterium infection is a challenge, especially when it occurs in patients without a known cause of immunosuppression. Acid-fast organisms in the pleural fluid are rare and easily missed, especially when they occur in patients without a clinical suspicion of infection. The classical cytologic picture of tuberculous pleural fluid with lymphocytosis and paucity of mesothelial cells is not seen. Case A 57-year-old man presented with chronic neutrophilia of unknown etiology together with chest pain and bilateral pleural effusions. Pleural fluid cytology revealed organisms seen in the cytoplasm of numerous macrophages and neutrophils, creating a \u93negative image\u94 on Diff-Quik smears. Acid-fast stains demonstrated intracellular acid-fast bacilli consistent with mycobacteria. Microbiologic studies with DNA probe technology resulted in identification of the mycobacterial organism as Mycobacterium kansasii. Conclusion: Nontuberculous Mycobacterium should be included in the differential diagnosis in patients with inflammatory, exudative pleural effusion

Climate change and hydrovision

Derrick M.A. Sowa, Basil Amuzu-Sefordzi, Thelma D. Baddoo, Mark Amo-Boateng, Martin K. Domfe

Cacao sustainability: The case of cacao swollen-shoot virus co-infection.

The cacao swollen shoot virus disease (CSSVD) is among the most economically damaging diseases of cacao trees and accounts for almost 15-50% of harvest losses in Ghana. This virus is transmitted by several species of mealybugs (Pseudococcidae, Homoptera) when they feed on cacao plants. One of the mitigation strategies for CSSVD investigated at the Cocoa Research Institute of Ghana (CRIG) is the use of mild-strain cross-protection of cacao trees against the effects of severe strains. In this study, simple deterministic, delay, and stochastic ordinary differential equation-based models to describe the dynamic of the disease and spread of the virus are suggested. Model parameters are estimated using detailed empirical data from CRIG. The modeling outcomes demonstrate a remarkable resemblance between real and simulated dynamics. We have found that models with delay approximate the data better and this agrees with the knowledge that CSSVD epidemics develop slowly. Also, since there are large variations in the data, stochastic models lead to better results. We show that these models can be used to gain useful informative insights about the nature of disease spread

Projections and impact assessment of the local climate change conditions of the Black Volta Basin of Ghana based on the Statistical DownScaling Model

The uncertainties and biases associated with Global Climate Models (GCMs) ascend from global to regional and local scales which delimits the applicability and suitability of GCMs in site-specific impact assessment research. The study downscaled two GCMs to evaluate effects of climate change (CC) in the Black Volta Basin (BVB) using Statistical DownScaling Model (SDSM) and 40-year ground station data. The study employed Taylor diagrams, dimensionless, dimensioned, and goodness of fit statistics to evaluate model performance. SDSM produced good performance in downscaling daily precipitation, maximum and minimum temperature in the basin. Future projections of precipitation by HadCM3 and CanESM2 indicated decreasing trend as revealed by the delta statistics and ITA plots. Both models projected near- to far-future increases in temperature and decreases in precipitation by 2.05-23.89, 5.41–46.35, and 5.84–35.33% in the near, mid, and far future respectively. Therefore, BVB is expected to become hotter and drier by 2100. As such, climate actions to combat detrimental effects on the BVB must be revamped since the basin hosts one of the largest hydropower dams in Ghana. The study is expected to support the integration of CC mitigation into local, national, and international policies, and support knowledge and capacity building to meet CC challenges

Marriage of the Unwilling? The Paradox of Local Government and NGO Relations in Ghana

The extant literature on the relations between government and NGOs is limited in two respects—dominant focus on relations between central government and NGOs and a limited discussion of typologies of relations in countries in Africa. This study seeks to make a modest contribution to addressing these limitations by studying the relations between local government and NGOs in Ghana. This paper proposes a four-dimensional framework for analysing the relations between local government and NGOs in Ghana. It reports that the relations are varied, complex and multi-dimensional and characterised by superficial and suspicious cordiality; tokenistic and cosmetic collaboration; friendly-foe relation; and convenient and cautious partnerships