8 research outputs found

    Estimating the burden of selected non-communicable diseases in Africa: a systematic review of the evidence

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    Background The burden of non-communicable diseases (NCDs) is rapidly increasing globally, and particularly in Africa, where the health focus, until recently, has been on infectious diseases. The response to this growing burden of NCDs in Africa has been affected owing to a poor understanding of the burden of NCDs, and the relative lack of data and low level of research on NCDs in the continent. Recent estimates on the burden of NCDs in Africa have been mostly derived from modelling based on data from other countries imputed into African countries, and not usually based on data originating from Africa itself. In instances where few data were available, estimates have been characterized by extrapolation and over-modelling of the scarce data. It is therefore believed that underestimation of NCDs burden in many parts of Africa cannot be unexpected. With a gradual increase in average life expectancy across Africa, the region now experiencing the fastest rate of urbanization globally, and an increase adoption of unhealthy lifestyles, the burden of NCDs is expected to rise. This thesis will, therefore, be focussing on understanding the prevalence, and/or where there are available data, the incidence, of four major NCDs in Africa, which have contributed highly to the burden of NCDs, not only in Africa, but also globally. Methods I conducted a systematic search of the literature on three main databases (Medline, EMBASE and Global Health) for epidemiological studies on NCDs conducted in Africa. I retained and extracted data from original population-based (cohort or cross sectional), and/or health service records (hospital or registry-based studies) on prevalence and/or incidence rates of four major NCDs in Africa. These include: cardiovascular diseases (hypertension and stroke), diabetes, major cancer types (cervical, breast, prostate, ovary, oesophagus, bladder, Kaposi, liver, stomach, colorectal, lung and non-Hodgkin lymphoma), and chronic respiratory diseases (chronic obstructive pulmonary disease (COPD) and asthma). From extracted crude prevalence and incidence rates, a random effect meta-analysis was conducted and reported for each NCD. An epidemiological model was applied on all extracted data points. The fitted curve explaining the largest proportion of variance (best fit) from the model was further applied. The equation generated from the fitted curve was used to determine the prevalence and cases of the specific NCD in Africa at midpoints of the United Nations (UN) population 5-year age-group population estimates for Africa. Results From the literature search, studies on hypertension had the highest publication output at 7680, 92 of which were selected, spreading across 31 African countries. Cancer had 9762 publications and 39 were selected across 20 countries; diabetes had 3701 publications and 48 were selected across 28 countries; stroke had 1227 publications and 19 were selected across 10 countries; asthma had 790 publications and 45 were selected across 24 countries; and COPD had the lowest output with 243 publications and 13 were selected across 8 countries. From studies reporting prevalence rates, hypertension, with a total sample size of 197734, accounted for 130.2 million cases and a prevalence of 25.9% (23.5, 34.0) in Africa in 2010. This is followed by asthma, with a sample size of 187904, accounting for 58.2 million cases and a prevalence of 6.6% (2.4, 7.9); COPD, with a sample size of 24747, accounting for 26.3 million cases and a prevalence of 13.4% (9.4, 22.1); diabetes, with a sample size of 102517, accounting for 24.5 million cases and a prevalence of 4.0% (2.7, 6.4); and stroke, with a sample size of about 6.3 million, accounting for 1.94 million cases and a prevalence of 317.3 per 100000 population (314.0, 748.2). From studies reporting incidence rates, stroke accounted for 496 thousand new cases in Africa in 2010, with a prevalence of 81.3 per 100000 person years (13.2, 94.9). For the 12 cancer types reviewed, a total of 775 thousand new cases were estimated in Africa in 2010 from registry-based data covering a total population of about 33 million. Among women, cervical cancer and breast cancer had 129 thousand and 81 thousand new cases, with incidence rates of 28.2 (22.1, 34.3) and 17.7 (13.0, 22.4) per 100000 person years, respectively. Among men, prostate cancer and Kaposi sarcoma closely follows with 75 thousand and 74 thousand new cases, with incidence rates of 14.5 (10.9, 18.0) and 14.3 (11.9, 16.7) per 100000 person years, respectively. Conclusion This study suggests the prevalence rates of the four major NCDs reviewed (cardiovascular diseases (hypertension and stroke), diabetes, major cancer types, and chronic respiratory diseases (COPD and asthma) in Africa are high relative to global estimates. Due to the lack of data on many NCDs across the continent, there are still doubts on the true prevalence of these diseases relative to the current African population. There is need for improvement in health information system and overall data management, especially at country level in Africa. Governments of African nations, international organizations, experts and other stakeholders need to invest more on NCDs research, particularly mortality, risk factors, and health determinants to have evidenced-based facts on the drivers of this epidemic in the continent, and prompt better, effective and overall public health response to NCDs in Africa

    Insight Study on the Comparison between Zinc Oxide Nanoparticles and Its Bulk Impact on Reproductive Performance, Antioxidant Levels, Gene Expression, and Histopathology of Testes in Male Rats

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    Background: Despite the beneficial effects of zinc oxide nanoparticles (ZnONPs) on different biomedical applications, including their antioxidant and anti-inflammatory ones, it might have cytotoxic and genotoxic impacts on the male reproductive system. Objective: The current study compares the effect of zinc oxide nanoparticles and their bulk form, at different doses, on male rats’ reproductive performance, testicular antioxidants, gene expression, and histopathology. Materials and Methods: Thirty male rats were randomly allocated equally in five groups. The control one was injected with Tween 80 (10%). The zinc oxide nanoparticle (ZnONP) groups received ZnONPs < 50 nm, specifically, 5 mg/kg (ZnONP-1) and 10 mg/kg (ZnONP-2). The bulk zinc oxide (BZnO) groups were administered 5 mg/kg (BZnO-1) and 10 mg/kg (BZnO-2), correspondingly. Rats were injected intraperitoneally with the respected materials, twice/week for eight consecutive weeks. Finally, the male rats’ sexual behavior and their pup’s performance were determined in a monogamous mating system. Rats were then anesthetized and sacrificed for semen characteristics evaluation and tissue collection for antioxidant and hormones analysis, gene expression, and histopathological examination. Results: It was shown that ZnONP-1 improved sexual behavior, semen characteristics, and pup’s performance compared to its bulk form. Similarly, the testicular antioxidants activity, glutathione (GSH), and superoxide dismutase (SOD) increased with a decrease in the malonaldehyde (MDA), interleukin 6 (IL-6), and tumor necrosis factor (TNF-α) levels. It also improves the reproductive hormone levels and mRNA expression of different steroidogenesis-associated genes and anti-apoptotic genes. Conclusion: It can be concluded that zinc oxide nanoparticles, administered at 5 mg/kg, had the most beneficial effect on male reproductive performance, while 10 mg/kg could have a detrimental effect

    Tend and Befriend in Horses: Partner Preferences, Lateralization, and Contextualization of Allogrooming in Two Socially Stable Herds of Quarter Horse Mares

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    Studies show that horses express favoritism through shared proximity and time and demonstrate unique affiliative behaviors such as allogrooming (mutual scratching) with favorite conspecifics. Allogrooming also occurs more frequently during stress and has been observed to occur more frequently in domestic herds than feral. The role of partner preference, lateralization, and duration of allogrooming as measures of social bonding has remained unclear. The present study looked at two socially stable herds of mares (n = 85, n = 115) to determine the frequency, duration, visual field of view and partner preference during allogrooming in both pasture settings (low stress) and confined settings (higher stress). One hundred and fifty-three videos for both herds were coded for allogrooming behaviors with 6.86 h recorded in confined conditions and 31.9 h in pasture settings. Six allogrooming sessions were observed in the pasture setting with an average duration of 163.11 s. In confined settings, a total of 118 allogrooming sessions were observed with an average duration of 40.98 s. Significant (p < 0.01) differences were found between settings for duration (s), number of allogrooming pairs, and frequency of allogrooming (per min) for each herd. All observed allogrooming sessions involved pairs of favored conspecifics (one partner per horse). The current study suggests that horses may have friendships that can be observed through the demonstration of specific affiliative behaviors during times of stress with more frequent, but shorter affiliative interactions with preferred partners during times of stress. This context suggests that horses adhere to the “tend and befriend” principles of friendship in animals

    Relationships between infrared temperature and laterality

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    The aim of this study was to test for associations between infrared temperatures (IRT) of relevant external body surface regions, lateralised behaviours, and milk productivity in dairy cows (N = 31 in a herd of 202 cows). The cows were selected according to their laterality, based on their response (left: N = 15, right: N = 16) in forced lateralisation tests conducted more than a year earlier. Behavioural variables additional to previously determined laterality, and measured daily for 10 days as they returned to pasture after the afternoon milking, included: stopped while walking towards a person in the laneway, standing on the left or right side of the person, speed of walking to the person; and head, ear and tail positions as they passed the person. Then for 6 of the next 7 days, the IRT, waiting time in the loafing area prior to afternoon milking and milk yield variables were measured. IRT measures included maximum and average IRT from replicate daily thermograms of the eyes, ears, muzzle, coronary band of the forelimbs, and the ratio of the eye to coronary band IRTs. Milk yield was determined from the sum of morning and afternoon milking volumes averaged over 6 days. Milk composition, somatic cell count, days in milk and parity were determined by averaging the monthly herd test data either side of the current IRT/ behavioural period. From ANOVA, cows previously determined as right lateralised had higher maximum eye (Both Eyes: Right = 36.5, Left = 36.1, SED =0.16 °C, P = 0.01) and average coronary band (Both Forelimbs: Right = 31.9, Left = 30.8, SED =0.41 °C, P = 0.02) IRT than left lateralised cows. Using multivariate regression, the IRT measure best associated with the behavioural and milk parameters was the ratio of the eye to coronary band maximum IRT (R = 92%). The higher the ratio, the more likely the cow was to: be left lateralised, not stop whilst walking, stand on the right rather than left side prior to passing, not pass too slowly or too fast, wait for longer in the loafing yard prior to milking, be of lower parity, have a lower somatic cell count and a higher days in milk. These behavioral and productivity parameters could indicate level of stress or anxiety. Therefore it is concluded that eye and coronary band IRT deserves further investigation as predictors of stress or anxiety in dairy cows
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