Haemoglobinopathies and health care provision for ethnic minorities

The level of training and competence in dealing with haemoglobinopathies (which mainly affect ethnic minorities in the UK) may not be totally adequate among nurses. Nurses indicated that they received little or no information in their teaching for working from a multiracial perspective and what they had learned was through experience and personal research since qualifying as nurses. Knowledge of the biological basis of inheritance, methods of acquisition of thalassaemia and sicklecell anaemia and the ethnic profile of people affected by these conditions may not be totally adequate among nurses. Many nurses wanted more training, including those who had already received instruction, since this was described as ‘far too vague’, ‘not constructive’, ‘minimal’, or ‘embarrassingly insufficient’, recommending that instruction be given by a sickle-cell anaemia/thalassaemia counsellor with a contribution from patients. A combination of poor quality, or lack, of instruction, together with time and resource pressures, is responsible for this limited understanding, resulting in insufficient awareness of the health needs of ethnic minorities leading to inequalities in healthcare provision

Ultrasound morphology of carotid plaque and its link with lipid: protein content and 3d microstructure of the plaque.

the 22nd Meeting of the European Society of Neurosonology and Cerebral Hemodynamics (ESNCH), 19-21 May 2017. Berlin, Germany, and published in the International Journal of Stroke 12(1S): 57 (Poster 101), May 2017. ISSN: 1747-4930, eISSN: 1747-4949

The effect of alternative fuels on gaseous and particulate matter (PM) emission performance in an auxiliary power unit (APU)

There is a growing interest in the use of alternative fuels in gas turbine engines to reduce emissions. Testing of alternative fuels is expensive when done on a large-scale gas turbine engine. In this study, a re-commissioned small gas turbine auxiliary power unit (APU) has been used to test various blends of Jet A-1, synthetic paraffinic kerosene (SPK) and diesel with as well as eight other novel fuels. A detailed analysis of performance, gaseous emissions and particulate emissions has been presented in this study. It is observed that aromatic content in general as well as the particular chemical composition of the aromatic compound plays a vital role in particulate emissions generation. SPK fuel shows substantially lower particulate emissions with respect to Jet A. However, not all the species of aromatics negatively impact particulate emissions. Gaseous emissions measured are comparable for all the fuels tested in this study

Assessment of early-maturing maize hybrids and testing sites using GGE biplot analysis

Article Purchased; Published: 7 Sept. 2017Identification of outstanding maize (Zea mays L.) hybrids for target environments is complicated by genotype × environment interactions. Thirty-two early-maturity maize hybrids were evaluated at eight locations in Nigeria and six locations in Ghana for 2 yr to (i) identify high-yielding, stable hybrids across locations and/or hybrids specifically adapted to different locations, and (ii) identify ideal test sites for selection of superior hybrids in the two countries. Genotype, country, year, location (country), and their interactive effects were significant (P < 0·01) for grain yield, days to anthesis and silking, anthesis-silking interval, plant and ear aspects, and ears per plant. Mean grain yield of the hybrids ranged from 3177 kg ha−1 for EWH-5 to 4596 kg ha−1 for EWH-29. The genotype main effects plus genotype × environment interaction (GGE) biplot analysis revealed that EWH-29, EWH-8, and EWH-30 did not differ significantly in grain yield and were the most stable hybrids in both countries, whereas EWH-26 and EWH-32 were the most stable hybrids only in Ghana. The GGE biplot analysis identified Samaru, Kafin Soli, and Minjibir in Nigeria and Nyankpala, Damongo, and Fumesua in Ghana as the most discriminating locations. Minjibir (Nigeria) and Nyankpala (Ghana), being most discriminating and representative locations, were considered the ideal testing sites for the respective countries. The type of cultivars evaluated determined the most suitable locations for multilocation testing within Ghana and Nigeria. Whereas hybrids EWH-29, EWH-8, and EWH-30 should be suitable for production in Nigeria, EWH-26 and EWH-32 should be promoted for production in Ghana

Dog anti-rabies vaccination coverage in Jos South LGA of Plateau State, Nigeria CI Odita1, IS Tekki2*, DG Moses3, JI Barde3, KO Egwu3,

Domestic dog (Canis familiaris), a well-known companion of man, is the main reservoir host of rabies virus and source of infection to humans in 95% cases in Africa. Vaccination of dogs against rabies is the most effective way of controlling the disease. WHO recommends that annual vaccination coverage of dog populations should be 70% and above for effective control of rabies. However, vaccination coverage of dogs is very low in most African countries, including Nigeria, where the global burden of the disease is highest next to Asia. The aim of this study was to determine and compare rabies vaccination coverage of dog population in Jos South Local Government area (LGA), Plateau State, Nigeria, using two survey approaches. Data on vaccination profile of rabid suspected dogs in Jos South LGA, were retrieved from records of cases presented to the National Veterinary Research Institute (NVRI), Vom, Nigeria, for confirmatory diagnosis from 2011 to 2016. Field data on demography and vaccination profile of owned domestic dogs were also obtained by face to face interview with dog owners in the LGA using structured questionnaire. Vaccination coverage of 4.9% and 19.7% were obtained for record and field surveys respectively, for sample estimates. Although average vaccination coverage was estimated as 12.4%, the true population vaccination coverage could be between 12% and 18%, (95% CI). The P-value (0.000) for association between survey approach and true vaccination coverage of dog populations in Jos South LGA was significant. Consequently, evaluation of regular vaccination by active survey is key to achieving WHO recommended vaccination coverage. Nigeria can only align with the world rabies elimination target of 2030 set by the WHO, OIE and FAO by active disease surveillance and enforcement of responsible dog ownership.Keywords: Domestic dog, Jos South LGA, Rabies, Surveillance, Vaccinatio

Stability analysis of maize cultivars adapted to tropical environments using AMMI analysis

Genotype × environment interactions complicate selection of superior genotypes for narrow and wide adaptation. Eighteen tropically-adapted maize cultivars were evaluated at six locations in Nigeria for 2 yrs to (i) identify superior and stable cultivars across environments and (ii) assess relationships among test environments. Environment and genotype × environment interactions (GEI) were significant (P −1 for TZL COMP4 C3 DT C2 with an average of 2555 kg ha−1. Cultivar DT SYN2-Y had the least additive main effect and multiplicative interaction (AMMI) stability value of 7.4 and hence the most stable but low-yielding across environments. AMMI biplot explained 90.5% and classified cultivars and environments into four groups each. IWD C3 SYN F3 was identified as the high-yielding and stable cultivar across environments. ZA15, ZA14, BK14, BK15 and IL15 had environment mean above the grand mean, while BG14, BG15, LE14, LE15, IL14, LA14 and LA15 had mean below the grand mean. ZA, BK, BG, LE and LA were found to be consistent in ranking the maize cultivars. However, Zaria, Birnin Kudu, and Ilorin were identified as the best test locations and could be used for selecting the superior maize cultivars. The identified high-yielding and stable cultivar could be further tested and promoted for adoption to contribute to food insecurity in Nigeria

First limit on WIMP cross section with low background CsI(Tl) crystal detector

The Korea Invisible Mass Search (KIMS) collaboration has been carrying out WIMP search experiment with CsI(T$\ell$)crystal detectors at the YanYang Underground Laboratory. A successful reduction of the internal background of the crystal is done and a good pulse shape discrimination is achieved. We report the first result on WIMP search obtained with 237 kg$\cdot$days data using one full-size CsI(T$\ell$)crystal of 6.6 kg mass.Comment: 16 pages, 9 figures, submitted to Physics Letters

Mapping geographical inequalities in childhood diarrhoeal morbidity and mortality in low-income and middle-income countries, 2000–17 : analysis for the Global Burden of Disease Study 2017

Background Across low-income and middle-income countries (LMICs), one in ten deaths in children younger than 5 years is attributable to diarrhoea. The substantial between-country variation in both diarrhoea incidence and mortality is attributable to interventions that protect children, prevent infection, and treat disease. Identifying subnational regions with the highest burden and mapping associated risk factors can aid in reducing preventable childhood diarrhoea. Methods We used Bayesian model-based geostatistics and a geolocated dataset comprising 15 072 746 children younger than 5 years from 466 surveys in 94 LMICs, in combination with findings of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017, to estimate posterior distributions of diarrhoea prevalence, incidence, and mortality from 2000 to 2017. From these data, we estimated the burden of diarrhoea at varying subnational levels (termed units) by spatially aggregating draws, and we investigated the drivers of subnational patterns by creating aggregated risk factor estimates. Findings The greatest declines in diarrhoeal mortality were seen in south and southeast Asia and South America, where 54·0% (95% uncertainty interval [UI] 38·1–65·8), 17·4% (7·7–28·4), and 59·5% (34·2–86·9) of units, respectively, recorded decreases in deaths from diarrhoea greater than 10%. Although children in much of Africa remain at high risk of death due to diarrhoea, regions with the most deaths were outside Africa, with the highest mortality units located in Pakistan. Indonesia showed the greatest within-country geographical inequality; some regions had mortality rates nearly four times the average country rate. Reductions in mortality were correlated to improvements in water, sanitation, and hygiene (WASH) or reductions in child growth failure (CGF). Similarly, most high-risk areas had poor WASH, high CGF, or low oral rehydration therapy coverage. Interpretation By co-analysing geospatial trends in diarrhoeal burden and its key risk factors, we could assess candidate drivers of subnational death reduction. Further, by doing a counterfactual analysis of the remaining disease burden using key risk factors, we identified potential intervention strategies for vulnerable populations. In view of the demands for limited resources in LMICs, accurately quantifying the burden of diarrhoea and its drivers is important for precision public health