Performance of nine cassava (Manihot esculanta Crantz) clones across three environments

The study was carried out to quantify the genotype × environment interaction (G × E) and to estimate the phenotypic stability by genotype genotype × environment (GGE) biplot of nine cassava clones comprising 5 hybrids, 3 parent checks and 1 improved variety. The study was planted across three different environments; Fumesua, Pokuase and Ejura representing forest, coastal savanna and forest transition zones, respectively. Genotype main effect was significant (P < 0.001) for fresh root yield and dry matter content, G × E interaction effect was significant (P < 0.001) for fresh root yield only and environment main effect was significant (P < 0.01) for only fresh root yield. The most stable clone for fresh root yield with above average performance was La02/026 (hybrid). The high genotype and low environment effects, and the relatively low interaction on dry matter content imply that evaluation and selection can be effectively done in fewer environments to select clones with high performance for the trait whiles fresh root yield requires multiple environments to identify clones with broad and specific adaptation

Genetic variability of three cassava traits across three locations in Ghana

A study was conducted to assess the extent of genetic variability, broad-sense heritability and correlations for fresh root weight, root number and top weight of five cassava genotypes across three locations in 2 years. Combined analysis of variance revealed highly significant genotypic effect for all the traits. Genotype x environment interaction was also significant for all the traits studied indicating considerable but, varying response of the genotypes to the environments. High broad-sense heritability and genetic advance as percent of the mean were observed for fresh root weight, suggesting that the trait is primarily under genetic control and that a simple recurrent phenotypic selection scheme would be rewarding. Phenotypic coefficients of variation values were larger than their corresponding genotypic coefficient of variation values for all traits. Correlations between the three traits were highly significant and positive indicating that simultaneous progress for the three traits is feasible

Work-related musculoskeletal disorders among nurses and midwives at a municipal health facility in Ghana

Background: To determine the prevalence of work-related musculoskeletal disorders (WMSDs) among nurses and midwives, the associated job risk factors and the adopted coping strategies so as to provide baseline information in Ghana.Design: A cross-sectional study.Participants: One hundred and five (105) registered general nurses (RGN), 16 registered community health nurses (RCHN) and 13 registered midwives (RM) were purposively recruited for the study in Ledzokuku-Krowor Municipal (LEKMA) Hospital, in the Greater Accra Region of Ghana. Interventions: An adapted self-administered questionnaire was used to obtain information regarding demographics, prevalence and pattern of WMSDs, associated job risk factors and the reported coping strategies commonly employed by the participants. Point- prevalence of WMSDs, coping strategies and risk factors were summarized with percentage. The prevalence was further analyzed with regression analysis to determine its correlation with BMI, age, years of experience and type of profession at p&lt;0.05 level of significance. Results: The 12-months prevalence was 79.0%, 53.8% and 18.8% for the RGN, RM, and RCHN respectively. Lifting or transferring of dependent patients 70(52.1%), inadequate training on injury prevention 63(46.5%) and working in awkward or cramped positions 53(39.6%) were the most perceived job risk factors. Forty-six (34.3%) participants commonly sought assistance from colleagues in handling heavy patients, 44(32.8%) modified their positions and 27(20.3%) modified their caring procedure as coping strategies.Conclusion:  There was high point prevalence of self-reported WMSDs among the sampled nurses and midwives and lifting of patients was identified as the major risk factor. The findings have implication for body mechanics know-how of the nurses and midwives.  Funding: LEKMA Hospital Keywords: Work-related musculoskeletal disorders, coping strategies, nursing, midwifer

Characterization of Anopheles gambiae s.l. and insecticide resistance profile relative to physicochemical properties of breeding habitats within Accra Metropolis, Ghana

Malaria is endemic in Ghana as in most countries of sub-Saharan Africa. This study was conducted to characterize Anopheles gambiae s.l. and determine pyrethroid resistance profiles relative to physicochemical properties of breeding habitats in Accra, Ghana. Eight aquatic habitats containing Anopheles larvae were identified and from each habitat, larvae and water were sampled. Adult An. gambiae reared from larvae were morphologically identified and tested for permethrin (0.75%) and deltamethrin (0.05%) resistance using WHO bioassay method. An. gambiae s.s. found were identified to their molecular levels and kdr mutation detected using PCR-based methods. Twenty-nine physicochemical parameters of each water sample were measured and their levels connected with pyrethroid resistance and proportions of An. gambiae s.s. molecular forms in habitats. A total of 2,257 mosquitoes were morphologically identified as An. gambiae s.l. and all 224 processed for PCR were identified as An. gambiae s.s., of which 56.46% and 43.54% were M and S-forms, respectively. Both forms occurred in sympatry in all larval habitats and no S/M hybrids were detected. However, M-form larvae were in high proportion in polluted habitats than the S-form. An. gambiae s.s. was highly resistant to both deltamethrin and permethrin with mortality rates of 42.98-70.0% and 6.5-20.0% respectively. The frequency of kdr mutation was 60.5 % (n=195). This mutation occurred in both S and M-forms, but was mainly associated with the S-form (X2=10.92, df =1, P=0.001). Carbonate and pH were both selected in discriminant function analysis as best predictors of high proportion of M-form in the habitats. The adaptation of An. gambiae s.s. in polluted aquatic habitats coupled with occurrence of insecticide resistance is quite alarming particularly for urban malaria control and needs further exploration in a wider context

In utero exposure to malaria is associated with metabolic traits in adolescence: The Agogo 2000 birth cohort study.

OBJECTIVES: Malaria in pregnancy (MiP) contributes to fetal undernutrition and adverse birth outcomes, and may constitute a developmental origin of metabolic diseases in the offspring. In a Ghanaian birth cohort, we examined the relationships between MiP-exposure and metabolic traits in adolescence. METHODS: MiP at delivery was assessed in 155 mother-child pairs. Among the now teenaged children (mean age, 14.8 years; 53% male), we measured fasting plasma glucose (FPG), body mass index (BMI), and systolic and diastolic blood pressure (BP). Associations of MiP with the adolescents' FPG, BMI, and BP were examined by linear regression. RESULTS: At delivery, 45% were MiP-exposed, which increased FPG in adolescence, adjusted for mother's age at delivery, parity and familial socio-economic status (infected vs. uninfected: mean ΔFPG = 0.20 mmol/L; 95% confidence interval (CI): 0.01, 0.39; p = 0.049). As a trend,this was discernible for BP, particularly for microscopic infections (mean Δsystolic BP = 5.43 mmHg; 95% CI: 0.00, 10.88; p = 0.050; mean Δdiastolic BP = 3.67 mmHg; 95% CI: -0.81, 8.14; p = 0.107). These associations were largely independent of birth weight, gestational age and teenage BMI. Adolescent BMI was not related to MiP. CONCLUSIONS: In rural Ghana, exposure to malaria during fetal development contributes to metabolic conditions in young adulthood

Hiv/Aids prevalence at the accident & emergency centre of a tertiary and referral health institution in Ghana

Background: Ghana has an estimated HIV prevalence of 1.4%, but the HIV prevalence of patients presenting at emergency departments in Ghana is not well documented in published literature. This study evaluated the prevalence of HIV infection at the Accident &amp; Emergency Department, Komfo Anokye Teaching Hospital (KATH A&amp;E), Kumasi, Ghana.Methods: A descriptive cross-sectional survey was carried out on patients aged 18 and above presenting to KATH A&amp;E. An opt-in testing approach was used; consenting patients were screened for HIV using rapid HIV finger-stick testing with HIV 1-2 STAT-PAK. Sero-positivity was confirmed by OraQuick HIV 1-2 test. Data was analysed using multivariate logistic regression.Results: 1125 patients presenting at the KATH A&amp;E during the study period were offered the Rapid HIV test. 667 of these patients consented to have the test. HIV prevalence was 13.5% (90/667). 53 females (58.9%) were HIV positive compared to 37 males (41.1%). The age group 30-50 years had the highest risk of being HIV-positive. Other socio-demographic variables such as educational level and occupation were significantly associated with HIV-infection (Pvalue = 0.001 at 95% CI).Conclusion: This study shows that emergency department HIV testing in Ghana is feasible. The prevalence of HIV sero-positive patients presenting at KATH A&amp;E was tenfold higher than national estimates. We conclude that this study showed a high prevalence among patients seeking emergency care in our setting. Testing in the emergency department could lead to early detection of HIV-infected patients for linkage to care.Keywords: HIV Infections; HIV Screening; Prevalence, Diagnosis, Emergency Departmen

Board Ethics and Auditor Choice – International Evidence

2 Board Ethics and Auditor Choice – International Evidence ABSTRACT This study examines whether firms‟ auditor choice relates reflects the strength of board ethics. Using a large sample of firms 132,853 firm year observations from forty-six countries around the globe. and controlling for a number of firm- and country-level factors, we find that firms in countries where “high board ethical values” prevail are more likely to hire a Big 4 auditor. We also find that the relation between board ethical values and auditor choice is mitigated by the firm‟s board size. These results establish an indirect link between board ethics and financial reporting quality through the firm‟s choice of auditor

Defining the role of cellular immune signatures in diagnostic evaluation of suspected tuberculosis

BACKGROUND: Diagnosis of paucibacillary tuberculosis (TB) including extrapulmonary TB is a significant challenge, particularly in high-income, low-incidence settings. Measurement of Mycobacterium tuberculosis (Mtb)-specific cellular immune signatures by flow cytometry discriminates active TB from latent TB infection (LTBI) in case-control studies; however, their diagnostic accuracy and clinical utility in routine clinical practice is unknown. METHODS: Using a nested case-control study design within a prospective multicenter cohort of patients presenting with suspected TB in England, we assessed diagnostic accuracy of signatures in 134 patients who tested interferon-gamma release assay (IGRA)-positive and had final diagnoses of TB or non-TB diseases with coincident LTBI. Cellular signatures were measured using flow cytometry. RESULTS: All signatures performed less well than previously reported. Only signatures incorporating measurement of phenotypic markers on functional Mtb-specific CD4 T cells discriminated active TB from non-TB diseases with LTBI. The signatures measuring HLA-DR+IFNγ + CD4 T cells and CD45RA-CCR7-CD127- IFNγ -IL-2-TNFα + CD4 T cells performed best with 95% positive predictive value (95% confidence interval, 90-97) in the clinically challenging subpopulation of IGRA-positive but acid-fast bacillus (AFB) smear-negative TB suspects. CONCLUSIONS: Two cellular immune signatures could improve and accelerate diagnosis in the challenging group of patients who are IGRA-positive, AFB smear-negative, and have paucibacillary TB