Awareness of Breast Cancer and Its Early Detection Measures Among Female Students, Northern Ethiopia

Globally breast cancer is the most common of all cancers. Since risk reduction strategies cannot eliminate the majority of breast cancers, early detection remains the cornerstone of breast cancer control. This paper, therefore, attempts to assess the awareness of breast cancer and its early detection measures among female students in Mekelle University, Ethiopia. An institution based cross-sectional study was conducted on randomly selected female students. Multistage sampling technique was employed to select the participants. A pre-tested structured questionnaire was used. Data analysis was carried out using SPSS version 16. In this study, 760 students participated making a response rate of 96 percent. Respondents with good knowledge score for risk factors, early detections measures and warning signs of breast cancer were 1.4 percent, 3.6 percent and 22.1 percent respectively. The majority 477 (62.8 percent) of participants practiced self-breast examination. In conclusion the participants had poor knowledge of risk factors, early detection measures and early warning signs of breast cancer.Therefore, the Ministry of health of Ethiopia together with its stalk holders should strengthen providing IEC targeting women to increase their awareness about breast cancer and its early detection measure

Concurrent Infection of Hydatidosis and Fasciolosis in Cattle Slaughtered at Mekelle Municipal Abattoir, Tigray Region

An abattoir survey was carried out in Mekelle municipal abattoir, Ethiopia to determine the prevalence of concurrent infections of hydatidosis and fasciolosis in cattle. A total of 4,481 slaughtered cattle were studied by ante- and post-mortem examinations. From the total 4,481 slaughtered cattle examined at Mekelle municipality abattoir, 357 (8%) were found to harbor mixed infection of hydatidosis and fasciolosis. While the individual prevalence of hydatidosis and fasciolosis was 32.11% and 24.32%, respectively. Multivariate logistic regression analysis indicated that among the factors considered in the current study, origin of animals had statistically significant ffect on the prevalence of concurrent infection (OR = 1.418, 95% CI = 1.108 - 1.814, p = 0.005), whereas breed and body condition of animals didn’t have significant effect on prevalence of the co-infection. Moreover, month had no statistically significant effect on prevalence of hydatidosis and fasciolosis co-infection (OR= 1.0029, 95% CI = 0.9758 - 1.0306, p = 0.867). Generally this study showed that hydatidosis and fasciolosis are important disease problems in cattle in the study area. The relatively higher prevalence in the occurrence of the concurrent infection of hydatidosis and fasciolosis in this study may suggest that ecological factors that determine the occurrence of the two diseases might be similar. On the other hand, the higher prevalence of the individual or concurrent infection may imply that these diseases have the potential to cause considerable economic and public health problems. Keywords: Coinfection, Fasciolosis, Hydatidosis, Mekelle, Prevalence

A Decade-Long Change in the Elevational Distribution of Non-Volant Small Mammals on Mount Meru, Tanzania

Understanding species distribution across elevational gradients is crucial for developing conservation strategies for montane biotic systems. A survey of small mammals was conducted on Mount Meru at six elevations, ranging between 1500 m and 3650 m. A total of 803 small mammal individuals, including 2 shrew species and 13 rodent species, were documented. Of these, Crocidura newmarki and Lophuromys verhageni were endemic on Mount Meru. Species richness was highest at mid-elevations, which is in line with the global pattern for small mammals. Prior to our study, the most complete data on small mammals on Mount Meru was collected in 2009. Our study provides an opportunity to show how small mammal elevational distribution has changed, over the last decade. We found six species (Arvicanthis niloticus, Mastomys natalensis, Lemniscomys striatus, Dasymys incomtus, Cricetomys ansorgei, and Montemys delectorum), which were not documented in 2009, but did not find Otomys tropicalis. Interestingly, the community composition at higher elevations in 2021 resembles that at lower elevations in 2009, suggesting that small mammal species have moved their range upward over time. Climate change could be a factor associated with the distributional shift found

Scalable Synthesis of Micron Size Crystals of CH3NH3PbI3 at Room Temperature in Acetonitrile via Rapid Reactive Crystallization

From application point of view, scalable, facile and rapid synthesis method for mass production of a homogeneous and phase pure CH3NH3PbI3 micron size crystal at the industry level is still highly required, although it has been claimed that the CH3NH3PbI3 crystals can be prepared by solution-annealing the precursors at elevated temperature or prolonged reaction time. Herein, polycrystalline CH3NH3PbI3 micron size crystals can be prepared by reactive crystallization of PbI2 and CH3NH3I in a stoichiometric ratio at room temperature. TXM (Transmission X-ray Microscopy), optical microscope, TEM and TEM-EDX analysis were used to confirm the nature of the CH3NH3PbI3 product. Moreover, Ostwald ripening of iodide ion into PbI2 is proposed as the key step to form 3D PbI3−, followed by the intercalation of CH3NH3+ for this reactive crystallization. Interestingly, this result suggests that industry level mass production of micron CH3NH3PbI3 crystals is possible with this novel synthesis method

Development of a health-related website for parents of children receiving hematopoietic stem cell transplant: HSCT-CHESS

Parents of pediatric hematopoietic stem cell transplant (HSCT) play a pivotal role in the care of their child during and after transplant. In addition to the child’s comforter, parents also serve as care coordinators and conduits of communication between various health care providers, family and community members. The stress on the parent and family is enormous during this process, which for many is compounded by geographic dislocation to accompany their child during the rigorous treatment and recovery process. For many parents, their own recovery spans months to years

Divergent controls of soil organic carbon between observations and process-based models

The storage and cycling of soil organic carbon (SOC) are governed by multiple co-varying factors, including climate, plant productivity, edaphic properties, and disturbance history. Yet, it remains unclear which of these factors are the dominant predictors of observed SOC stocks, globally and within biomes, and how the role of these predictors varies between observations and process-based models. Here we use global observations and an ensemble of soil biogeochemical models to quantify the emergent importance of key state factors – namely, mean annual temperature, net primary productivity, and soil mineralogy – in explaining biome- to global-scale variation in SOC stocks. We use a machine-learning approach to disentangle the role of covariates and elucidate individual relationships with SOC, without imposing expected relationships a priori. While we observe qualitatively similar relationships between SOC and covariates in observations and models, the magnitude and degree of non-linearity vary substantially among the models and observations. Models appear to overemphasize the importance of temperature and primary productivity (especially in forests and herbaceous biomes, respectively), while observations suggest a greater relative importance of soil minerals. This mismatch is also evident globally. However, we observe agreement between observations and model outputs in select individual biomes – namely, temperate deciduous forests and grasslands, which both show stronger relationships of SOC stocks with temperature and productivity, respectively. This approach highlights biomes with the largest uncertainty and mismatch with observations for targeted model improvements. Understanding the role of dominant SOC controls, and the discrepancies between models and observations, globally and across biomes, is essential for improving and validating process representations in soil and ecosystem models for projections under novel future conditions

The Impact of Schistosoma japonicum Infection and Treatment on Ultrasound-Detectable Morbidity: A Five-Year Cohort Study in Southwest China

Schistosomiasis is a water-borne parasite that infects approximately 200 million people worldwide. Schistosoma japonicum, found in Asia, causes disease by releasing eggs in the liver, leading to fibrosis, anemia, and, in children, impaired growth. Ultrasound can assess liver pathology from schistosomiasis; however more information is needed to evaluate the relevance of standard ultrasound measures. We followed 578 people for up to five years, testing for schistosomiasis infection and conducting ultrasound examinations to assess the relationship between infection and seven ultrasound measures and to evaluate the impact of treatment with anti-schistosomiasis chemotherapy (praziquantel) on morbidity. All infections were promptly treated. Fibrosis of the liver parenchyma, pathology unique to S. japonicum, was associated with schistosomiasis infection, and was most advanced in people with high worm burdens. Liver fibrosis declined significantly following treatment, but reversal of severe liver fibrosis was rare. Other ultrasound measures were not consistently related to schistosomiasis infection or treatment. These findings suggest parenchymal fibrosis can be used to measure morbidity attributable to S. japonicum and evaluate the impact of disease control efforts. Because reversal of severe fibrosis was limited, disease control efforts will be most effective if they can not only treat existing infections but also prevent new infections

Structural Analysis of the Western Afar Margin, East Africa: Evidence for Multiphase Rotational Rifting

The Afar region in East Africa represents a key location to study continental breakup. We present an integrated structural analysis of the Western Afar Margin (WAM) aiming to better understand rifted margin development and the role of plate rotation during rifting. New structural information from remote sensing, fieldwork, and earthquake data sets reveals that the N-S striking WAM is still actively deforming and is characterized by NNW-SSE normal faulting as well as a series of marginal grabens. Seismicity distribution analysis and the first-ever borehole-calibrated sections of this developing passive margin show recent slip concentrated along antithetic faults. Tectonic stress parameters derived from earthquake focal mechanisms reveal different extension directions along the WAM (82°N), in Afar (66°N) and in the Main Ethiopian Rift (108°N). Fault slip analysis along the WAM yields the same extension direction. Combined with GPS data, this shows that current tectonics in Afar is dominated by the local rotation of the Danakil Block, considered to have occurred since 11 Ma. Earlier stages of Afar development (since 31–25 Ma) were most likely related to the large-scale rotation of the Arabian plate. Various authors have proposed scenarios for the evolution of the WAM. Any complete model should consider, among other factors, the multiphase tectonic history and antithetic fault activity of the margin. The findings of this study are not only relevant for a better understanding of the WAM but also provide insights into the role of multiphase rotational extension during rifting and passive margin formation in general.</p

Global, regional, and national burden of chronic kidney disease, 1990–2017 : a systematic analysis for the Global Burden of Disease Study 2017

Background Health system planning requires careful assessment of chronic kidney disease (CKD) epidemiology, but data for morbidity and mortality of this disease are scarce or non-existent in many countries. We estimated the global, regional, and national burden of CKD, as well as the burden of cardiovascular disease and gout attributable to impaired kidney function, for the Global Burden of Diseases, Injuries, and Risk Factors Study 2017. We use the term CKD to refer to the morbidity and mortality that can be directly attributed to all stages of CKD, and we use the term impaired kidney function to refer to the additional risk of CKD from cardiovascular disease and gout. Methods The main data sources we used were published literature, vital registration systems, end-stage kidney disease registries, and household surveys. Estimates of CKD burden were produced using a Cause of Death Ensemble model and a Bayesian meta-regression analytical tool, and included incidence, prevalence, years lived with disability, mortality, years of life lost, and disability-adjusted life-years (DALYs). A comparative risk assessment approach was used to estimate the proportion of cardiovascular diseases and gout burden attributable to impaired kidney function. Findings Globally, in 2017, 1·2 million (95% uncertainty interval [UI] 1·2 to 1·3) people died from CKD. The global all-age mortality rate from CKD increased 41·5% (95% UI 35·2 to 46·5) between 1990 and 2017, although there was no significant change in the age-standardised mortality rate (2·8%, −1·5 to 6·3). In 2017, 697·5 million (95% UI 649·2 to 752·0) cases of all-stage CKD were recorded, for a global prevalence of 9·1% (8·5 to 9·8). The global all-age prevalence of CKD increased 29·3% (95% UI 26·4 to 32·6) since 1990, whereas the age-standardised prevalence remained stable (1·2%, −1·1 to 3·5). CKD resulted in 35·8 million (95% UI 33·7 to 38·0) DALYs in 2017, with diabetic nephropathy accounting for almost a third of DALYs. Most of the burden of CKD was concentrated in the three lowest quintiles of Socio-demographic Index (SDI). In several regions, particularly Oceania, sub-Saharan Africa, and Latin America, the burden of CKD was much higher than expected for the level of development, whereas the disease burden in western, eastern, and central sub-Saharan Africa, east Asia, south Asia, central and eastern Europe, Australasia, and western Europe was lower than expected. 1·4 million (95% UI 1·2 to 1·6) cardiovascular disease-related deaths and 25·3 million (22·2 to 28·9) cardiovascular disease DALYs were attributable to impaired kidney function. Interpretation Kidney disease has a major effect on global health, both as a direct cause of global morbidity and mortality and as an important risk factor for cardiovascular disease. CKD is largely preventable and treatable and deserves greater attention in global health policy decision making, particularly in locations with low and middle SDI