Recognizing biotechnology as a tool for sustainable development

The last century has been largely driven by wealth of natural resources; however, more than ever before, knowledge, skills and intellectualism are now the driving force of current global wealth creation. The demonstration of this fact can be found with nations that have advanced their science and technology system and have adopted new technologies. Knowledge of space science, information technology and biotechnology in particular are been explored to narrow the divide between ‘have’ and ‘have not’ in these communities. The application of biotechnology is not new, it has been employed for centuries in the production of fermented foods such as gari, bread, beer, yoghurt, cheese and beverages such as wine. Modern advances in biotechnology hold great promise for addressing key challenges in agriculture, human health and the environment. Biotechnology, as with any new technology has its advantages and limitations; the application of modern biotechnology has highlighted its positive impact on agriculture, human health and the environment through increased crop yields, the reduced use of pesticides and herbicides, production of nutritionally enhanced foods and affordable vaccines. It is indeed an essential panacea to the pervasive poverty and food security problem in Nigeria. The debate about biotechnology continues because of, politics, trade and ethicalissues that have been raised in the public domain with little distinction being made between biotechnology as a tool and genetically modified (GM) crops and foods as products, leading to the intense controversy about the perceived risks to human health and environment. This highlights the importance of having biosafety regulations in place and ensuring that there is adequate in-country capacity so that all the necessary precautions are adhered to. The debate must shift to how thistechnology can be adopted and deployed to benefit the nation and its citizens in such a way that the ecosystem is not threatened.Keywords: Biotechnology, biosafety, wealt

Sero-prevalance of anti-R7V antibody in HIV infected patients in the Federal Capital Territory (FCT), Nigeria

Studies in some parts of the world have shown that Anti-R7V antibodies, which neutralize 100% of the different variant’s panel (targeted against a beta2-microglobulin epitope acquired when the virus is released by budding) in vitro, are found in 30 to 50% of naïve HIV positive patients, but even more in socalled “long-term survivor’’ patients with a close to 90% correlation. The seroprevalence of Anti-R7V antibody was therefore investigated in HIV patients attending clinic within the Federal Capital Territory (FCT) and compared with HIV negative patients. Correlation between the presence of the antibody and the clinical status of patients was also investigated. The HIV positive patients were categorized intodrug naïve and drug experienced subjects and their Anti-R7V antibody together with CD4 counts were determined using Anti-R7V ELISA kits and BD FACS count, respectively. About 47.2% of the HIVinfected patients tested positive for the Anti-R7V antibody while 25.2% were negative for this antibody. Patients with Anti-R7V antibody had a mean CD4 count (355 ± 19.2) significantly (P < 0.05) higher than that of Anti-R7V antibody negative patients (215 ± 42.6). Also it was observed that Anti-R7V antibody was significantly (P < 0.05) lower in drug experienced patients as compared to drug naïve patients. The significance of these findings is discussed. It was concluded that Anti-R7V antibody may be a naturalimmunity against HIV-infection in drug naïve HIV patients and that the synthesis and release of this antibody may decrease with ARD treatment

Rapid Assessment of Polio Virus Antibodies Prevalence Amongst Children in Kano State, North West Nigeria

The completion of poliomyelitis eradication is a global health emergency which must be pursued with vigour. Kano state has remained one of the epicenters for polio virus outbreaks in northern Nigeria. There is paucity of information as it relates to polio antibody prevalence amongst children in the state. Periodic serologic assessment is needed to determine the quality and effectiveness of routine vaccination campaigns carried in the state to rapidly build immunity against poliovirus. Children were randomly selected throughout the state for the assessment between Sept. 2013 and Jan. 2014. Blood samples were collected from eighty children and tested for the presence of antibodies to the three poliovirus serotypes. Indirect ELISA was used to rapidly screen for the antibodies. Epi Info 3.5.4 version was used for the data analysis. Out of the samples collected, 61 (76.3%) had antibodies to all the serotypes. While 73 (91.3%), 66 (82.5%) and 72 (90%) had antibodies to virus serotypes 1, 2 and 3 respectively. Age of the children, number of doses the children had taken and educational level of the children’s fathers were statistically significant risk factors on the prevalence of poliovirus antibodies. Access to immunization services must be improved in urban and rural areas so as to effectively reach a large number of children in those places. Effective and high quality campaigns are needed so that every eligible child is reached. Greater focus on good mobilization is also needed to reach children in households in rural areas as well as in households with children whose fathers’ educational level was low.Keywords: Kano, Prevalence, Children and Polio-antibod

Prevalence of Extended Spectrum Beta Lactamases (ESBL) Producing Escherichia coli and Klebsiella pneumoniae in Tuberculosis Patients in Kano, Nigeria

Resistance to broad spectrum β lactams, mediated by extended spectrum beta lactamase (ESβL) is an increasing problem worldwide. Production of these enzymes in clinical infections can result in treatment failure if one of the second or third generation cephalosporins is used. This study investigates the incidence of ESBL among E. coli and K. pneumoniae which were isolated from tuberculosis patients with secondary opportunistic bacterial infection attending Aminu Kano Teaching Hospital (AKTH), Kano and Infectious Disease Hospital (IDH), Kano. A total of 37 E. coli and 33 K. pneumoniae obtained from their sputum were screened for ESBL production by Double disk synergy test method (DDST). Prevalence of 37.3% (14/37) and 36.4% (12/33) was recorded for Escherichia coli and Klebsiella pneumoniae respectively. Furthermore, a slight high prevalence of 39.4% (13/33) was recorded with the female tuberculosis patients when compared with their male counterpart 35.1% (13/37). Escherichia coli harboring ESBL were more encountered among the elderly patients aged 31-50 (13/51 or 25.5%) when compared with K. pneumoniae with (9/51 or 17.6%). The study shows alarming rise in ESBL production among Klebsiella pneumoniae and Escherichia coli among immunocompromised patients raising fear of possible emergence of multiple drug resistant bacteria that will be hard to treat. Thereby early detection of ESBL in these patients is recommended to curb the spread. Keywords: Extended spectrum beta lactamase (ESBLs), Escherichia coli, Klebsiella pneumoniae, Tuberculosis

Adiposity has differing associations with incident coronary heart disease and mortality in the Scottish population: cross-sectional surveys with follow-up

Objective: Investigation of the association of excess adiposity with three different outcomes: all-cause mortality, coronary heart disease (CHD) mortality and incident CHD. Design: Cross-sectional surveys linked to hospital admissions and death records. Subjects: 19 329 adults (aged 18–86 years) from a representative sample of the Scottish population. Measurements: Gender-stratified Cox proportional hazards models were used to estimate hazard ratios (HRs) for all-cause mortality, CHD mortality and incident CHD. Separate models incorporating the anthropometric measurements body mass index (BMI), waist circumference (WC) or waist–hip ratio (WHR) were created adjusted for age, year of survey, smoking status and alcohol consumption. Results: For both genders, BMI-defined obesity (greater than or equal to30 kg m−2) was not associated with either an increased risk of all-cause mortality or CHD mortality. However, there was an increased risk of incident CHD among the obese men (hazard ratio (HR)=1.78; 95% confidence interval=1.37–2.31) and obese women (HR=1.93; 95% confidence interval=1.44–2.59). There was a similar pattern for WC with regard to the three outcomes; for incident CHD, the HR=1.70 (1.35–2.14) for men and 1.71 (1.28–2.29) for women in the highest WC category (men greater than or equal to102 cm, women greater than or equal to88 cm), synonymous with abdominal obesity. For men, the highest category of WHR (greater than or equal to1.0) was associated with an increased risk of all-cause mortality (1.29; 1.04–1.60) and incident CHD (1.55; 1.19–2.01). Among women with a high WHR (greater than or equal to0.85) there was an increased risk of all outcomes: all-cause mortality (1.56; 1.26–1.94), CHD mortality (2.49; 1.36–4.56) and incident CHD (1.76; 1.31–2.38). Conclusions: In this study excess adiposity was associated with an increased risk of incident CHD but not necessarily death. One possibility is that modern medical intervention has contributed to improved survival of first CHD events. The future health burden of increased obesity levels may manifest as an increase in the prevalence of individuals living with CHD and its consequences

An Australian longitudinal pilot study examining health determinants of cardiac outcomes 12 months post percutaneous coronary intervention

Background Percutaneous coronary intervention (PCI) is a very common revascularisation procedure for coronary artery disease (CAD). The purpose of this study was to evaluate cardiac outcomes, health related quality of life (HRQoL), resilience and adherence behaviours in patients who have undergone a PCI at two time points (6 and 12 months) following their procedure. Methods A longitudinal pilot study was conducted to observe the cardiac outcomes across a cohort of patients who had undergone a percutaneous coronary intervention (PCI). Participants who had undergone PCI 6 months prior were invited. Those participants who met the inclusion criteria and provided consent then completed a telephone survey (time point 1). These participants were then contacted 6 months later (i.e. 12 months post-intervention, time point 2) and the measures were repeated. Results All patients (n = 51) were recorded as being alive at time point 1. The multiple model indicated that controlling for other factors, gender was significantly associated with a linear combination of outcome measures (p = 0.004). The effect was moderate in magnitude (partial-η2 = 0.303), where males performed significantly better than females 6 months after the PCI procedure physically and with mood. Follow-up univariate ANOVAs indicated that gender differences were grounded in the scale measuring depression (PHQ9) (p = 0.005) and the physical component score of the short form measuring HRQoL (SF12-PCS) (p = 0.003). Thirteen patients were lost to follow-up between time points 1 and 2. One patient was confirmed to have passed away. The pattern of correlations between outcome measures at time point 2 revealed statistically significant negative correlation between the PHQ instrument and the resilience scale (CD-RISC) (r = -0.611; p < 0.001); and the physical component score of the SF-12 instrument (r = -0.437; p = 0.054). Conclusions Men were performing better than women in the 6 months post-PCI, particularly in the areas of mood (depression) and physical health. This pilot results indicate gender-sensitive practices are recommended particularly up to 6 months post-PCI. Any gender differences observed at 6 month appear to disappear at 12 months post-PCI. Further research into the management of mood particularly for women post-PCI is warranted. A more detailed inquiry related to access/attendance to secondary prevention is also warranted

Prevalence of coronary artery disease risk factors in Iran: a population based survey

<p>Abstract</p> <p>Background</p> <p>Coronary artery disease (CAD) is a leading cause of mortality, morbidity, and disability with high health care cost in Iran. It accounts for nearly 50 percent of all deaths per year. Yet little is known about CAD and CAD risk factors in the Iranian population. We aimed to assess the prevalence of different CAD risk factors in an Iranian population.</p> <p>Methods</p> <p>A descriptive cross sectional survey was conducted involving 3000 healthy adults at 18 years of age or above who were recruited with cluster random sampling. Demographic data and risk factors were determined by taking history, physical examination and laboratory tests.</p> <p>Results</p> <p>The average age was 36.23 ± 15.26. There was 1381 female (46%) and 1619 male (54%) out of which 6.3% were diabetic, 21.6% were smoker, and 15% had positive familial heart disease history. 61% had total cholesterol level > 200 mg/dL, 32% triglyceride > 200 mg/dl, 47.5% LDL-c > 130 mg/dl, 5.4% HDL-c < 35 mg/dl, 13.7% systolic blood pressure > 140 mmHg, 9.1% diastolic blood pressure > 90 mmHg and 87% of them were physically inactive.</p> <p>Conclusion</p> <p>Clinical and Para-clinical data indicated that Iranian adult population are of a high level of CAD risk factors, which may require urgent decision making to address national control measures regarding CAD.</p

Maximising response to postal questionnaires – A systematic review of randomised trials in health research

Background Postal self-completion questionnaires offer one of the least expensive modes of collecting patient based outcomes in health care research. The purpose of this review is to assess the efficacy of methods of increasing response to postal questionnaires in health care studies on patient populations. Methods The following databases were searched: Medline, Embase, CENTRAL, CDSR, PsycINFO, NRR and ZETOC. Reference lists of relevant reviews and relevant journals were hand searched. Inclusion criteria were randomised trials of strategies to improve questionnaire response in health care research on patient populations. Response rate was defined as the percentage of questionnaires returned after all follow-up efforts. Study quality was assessed by two independent reviewers. The Mantel-Haenszel method was used to calculate the pooled odds ratios. Results Thirteen studies reporting fifteen trials were included. Implementation of reminder letters and telephone contact had the most significant effect on response rates (odds ratio 3.7, 95% confidence interval 2.30 to 5.97 p = <0.00001). Shorter questionnaires also improved response rates to a lesser degree (odds ratio 1.4, 95% confidence interval 1.19 to 1.54). No evidence was found that incentives, re-ordering of questions or including an information brochure with the questionnaire confer any additional advantage. Conclusion Implementing repeat mailing strategies and/or telephone reminders may improve response to postal questionnaires in health care research. Making the questionnaire shorter may also improve response rates. There is a lack of evidence to suggest that incentives are useful. In the context of health care research all strategies to improve response to postal questionnaires require further evaluation

Construction of an odds model of coronary heart disease using published information: the Cardiovascular Health Improvement Model (CHIME)

Background: There is a need for a new cardiovascular disease model that includes a wider range of relevant risk factors, in particular lifestyle factors, to aid targeting of interventions and improve population models of the impact of cardiovascular disease and preventive strategies. The model needs to be applicable to a wider population including different ethnic groups, different countries and to those with and without cardiovascular disease. This paper describes the construction of the Cardiovascular Health Improvement Model that aims to meet these requirements. Method: An odds model is used. Information was taken from 2003 mortality statistics for England and Wales, the Health Survey for England 2003 and published data on relative risk in those with and without CVD and mean blood pressure values in hypertensives. The odds ratios used were taken from the INTERHEART study. Results: A worked example is given calculating the 10-year coronary heart disease risk for a 57 year-old non-diabetic male with no personal or family history of cardiovascular disease, who smokes 30 cigarettes a day and has a systolic blood pressure of 137 mmHg, a total cholesterol (TC) of 6.2 mmol/l, a high density lipoprotein (HDL) of 1.3 mol/l, and a body mass index of 21. He neither drinks regularly nor exercises. He can give no reliable information about his mental health or fruit and vegetable intake. His 10-year risk of CHD death is 2.47%. Conclusion: This paper demonstrates a method for developing a CHD risk model. Further improvements could be made to the model with additional information. The method is applicable to other causes of death