Development and Utilization of Genetic Diversity Based Ethiopian Chickpea (Cicer arietinum L.) Germplasm Core Collection for Association Mapping

Chickpea (Cicer arietinum L) is one of the most important cool season grain legume crops grown in semi- arid tropics and Mediterranean regions. Terminal drought stress is one of the limiting factors for chickpea production. Utilizing of germplasm collections are the main gateway to improve the stagnant production of chickpea in semi arid tropics. Hence, the objectives of this study were to i) Preliminary phenotyping and genotyping of germplasms collections for diversity assessment; ii) Development of chickpea core collection based on diversity analysis; iii) Identification of desirable accessions for drought tolerance from core set by proper phenotyping; iv) Large scale genotyping of the core collections by SNP markers; v) Large scale genotyping of the core collections by SNP markers; vi) Identification and establishing marker trait associations using appropriate association genetic approaches; vii) Quantification of population structure and relationship of Ethiopian chickpea collection. The phenotypic evaluation in contrasting environment and SNP marker data analysis revealed that there is significant phenotypic and genotypic variability in Ethiopian chickpea germplasm for drought tolerance and other agronomic traits. The population structure and relationship analysis also revealed strong subpopulation fixation and differentiation which was significantly different from the original population. High allelic and gene diversity were observed in the entire collection with common and rare alleles. Trait marker association analysis showed markers which are strongly associated with maturity related traits and high linkage disequilibrium observed for the polymorphic markers. Core collection for Ethiopian chickpea germplasm were developed and validated for different validation parameters such as percent mean difference (MD %), percent variance difference (VD %), analysis of variance, coincidence rate of range (CR %), variable rate of coefficient of variance (VR %) and genetic diversity index. The result of validation showed better correspondence between the core set and the entire set which had avoided germplasm duplication and representing the whole collection economically in time and money with few numbers of accessions. Drought tolerant accessions were also identified in the preliminary field screening which needs further confirmation

Incidence and predictors of loss to follow-up among HIV-positive adults in northwest Ethiopia: a retrospective cohort study.

BackgroundDespite the rapid expansion of antiretroviral therapy services, 'loss to follow-up' is a significant public health concern globally. Loss to follow-up of individuals from ART has a countless negative impact on the treatment outcomes. There is, however, limited information about the incidence and predictors of loss to follow-up in our study area. Thus, this study aimed to determine the incidence rate and predictors of loss to follow-up among adult HIV patients on ART.MethodsA retrospective cohort study was undertaken using 484 HIV patients between January 30, 2008, and January 26, 2018, at Debre Markos Referral Hospital. All eligible HIV patients who fulfilled the inclusion criteria were included in this study. Data were entered into Epi-data Version 4.2 and analyzed using STATATM Version 14.0 software. The Nelson-Aalen cumulative hazard estimator was used to estimate the hazard rate of loss to follow-up, and the log-rank test was used to compare the survival curve between different categorical variables. Both bivariable and multivariable Cox-proportional hazard regression models were fitted to identify predictors of LTFU.ResultsAmong a cohort of 484 HIV patients at Debre Markos Referral Hospital, 84 (17.36%) were loss their ART follow-up. The overall incidence rate of loss to follow-up was 3.7 (95% CI 3.0, 5.0) per 100 adult-years. The total LTFU free time of the participants was 2294.8 person-years. In multivariable Cox-regression analysis, WHO stage IV (AHR 2.8; 95% CI 1.2, 6.2), having no cell phone (AHR 1.9; 95% CI 1.1, 3.4), and rural residence (AHR 0.6; 95% CI 0.37, 0.99) were significant predictors of loss to follow-up.ConclusionThe incidence of loss to ART follow-up in this study was low. Having no cell phone and WHO clinical stage IV were causative predictors, and rural residence was the only protective factor of loss to follow-up. Therefore, available intervention modalities should be strengthened to mitigate loss to follow-up by addressing the identified risk factors

The development of multiple phases of superposed rifting in the Turkana Depression, East Africa: evidence from receiver functions

The Turkana Depression in Eastern Africa separates the elevated plateaus of East Africa to the south and Ethiopia-Yemen to the north. It remains unclear whether the Depression lacks dynamic mantle support, or if the entire East Africa region is dynamically supported and the Depression compensated isostatically by thinned crust. Also poorly understood is how Miocene-Recent extension has developed across the Depression, connecting spatially separated magmatic rift zones in Ethiopia and Kenya. Receiver function analysis is used to constrain Moho depth and bulk-crustal V P /V S ratio below new seismograph networks in the Depression, and on the northern Tanzania craton. Crustal thickness is ∼40 km below northern Uganda and 30–35 km below southern Ethiopia, but 20–30 km below most of the Depression, where mass-balance calculations reveal low elevations can be explained adequately by crustal thinning alone. Despite the fact that magmatism has occurred for 45 Ma across the Depression, more than 15 Ma before East African Rift (EAR) extension initiated, bulk crustal V P /V S across southern Ethiopia and the Turkana Depression (∼1.74) is similar to that observed in areas unaffected by Cenozoic rifting and magmatism. Evidence for voluminous lower crustal intrusions and/or melt, widespread below the Ethiopian rift and Ethiopian plateau to the north, is therefore lacking. These observations, when reviewed in light of high stretching factors (β ≤ 2.11), suggest Cenozoic extension has been dominated until recently by faulting and plate stretching, rather than magma intrusion, which is likely an incipient process, operating directly below seismically-active Lake Turkana. Early-stage EAR basins to the west of Lake Turkana, with associated stretching factors of β ≈ 2, formed in crust only moderately thinned during earlier rifting episodes. Conversely, ∼23 km-thick crust beneath the Kino Sogo Fault Belt (KSFB) has small offset faults and thin sedimentary strata, suggesting almost all of the observed stretching occurred in Mesozoic times. Despite the KSFB marking the shortest path between focused extensional zones to the north and south, seismicity and GPS data show that modern extension is localized below Lake Turkana to the west. Failed Mesozoic rift zones, now characterized by thinned crust and relatively refractory mantle lithosphere, are being circumnavigated, not exploited by EAR rifting

Effect of a self-care educational intervention to improve self-care adherence among patients with chronic heart failure: a clustered randomized controlled trial in Northwest Ethiopia

Background: As the burden of cardiovascular disease increases in sub-Saharan Africa, there is a growing need for low-cost interventions to mitigate its impact. Providing self-care health education to patients with chronic heart failure (CHF) is recommended as an intervention to prevent complications, improve quality of life, and reduce financial burdens on fragile health systems. However, little is known about health education’s effectiveness at improving CHF self-management adherence in sub-Saharan Africa. Therefore the present study aimed to assess the effectiveness of an educational intervention to improve self-care adherence among patients with CHF at Debre Markos and Felege Hiwot Referral Hospitals in Northwest Ethiopia. Methods: To address this gap, we adapted a health education intervention based on social cognitive theory comprising of intensive four-day training and, one-day follow-up sessions offered every four months. Patients also received illustrated educational leaflets. We then conducted a clustered randomized control trial of the intervention with 186 randomly-selected patients at Debre Markos and Felege Hiwot referral hospitals. We collected self-reported data on self-care behavior before each educational session. We analyzed these data using a generalized estimating equations model to identify health education's effect on a validated 8-item self-care adherence scale. Results: Self-care adherence scores were balanced at baseline. After the intervention, patients in the intervention group (n = 88) had higher adherence scores than those in the control group (n = 98). This difference was statistically significant (β = 4.15, p < 0.05) and increased with each round of education. Other factors significantly associated with adherence scores were being single (β = − 0.25, p < 0.05), taking aspirin (β = 0.76, p < 0.05), and having a history of hospitalization (β = 0.91, p < 0.05). Conclusions: We find that self-care education significantly improved self-care adherence scores among CHF patients. This suggests that policymakers should consider incorporating self-care education into CHF management

Undernutrition among Ethiopian adults living with HIV: a meta-analysis.

BackgroundMalnutrition and human immunodeficiency virus (HIV) are interlaced in a vicious cycle and worsened in low and middle-income countries. In Ethiopia, even though individuals are dually affected by both malnutrition and HIV, there is no a nationwide study showing the proportion of malnutrition among HIV-positive adults. Consequently, this review addressed the pooled burden of undernutrition among HIV-positive adults in Ethiopia.MethodsWe searched for potentially relevant studies through manual and electronic searches. An electronic search was carried out using the database of PubMed, Google Scholar, and Google for gray literature and reference lists of previous studies. A standardized data extraction checklist was used to extract the data from each original study. STATA Version 13 statistical software was used for our analysis. Descriptive summaries were presented in tables, and the quantitative result was presented in a forest plot. Heterogeneity within the included studies was examined using the Cochrane Q test statistics and I 2 test. Finally, a random-effects meta-analysis model was computed to estimate the pooled proportion of undernutrition among HIV-positive adults.ResultsAfter reviewing 418 studies, 15 studies met the inclusion criteria and were included in the meta-analysis. Findings from 15 studies revealed that the pooled percentage of undernutrition among HIV-positive adults in Ethiopia was 26% (95% CI: 22, 30%). The highest percentage of undernutrition (46.8%) was reported from Jimma University specialized hospital, whereas the lowest proportion of undernutrition (12.3%) was reported from Dilla Hospital. The subgroup analyses of this study also indicated that the percentage of undernourishment among HIV-positive adults is slightly higher in the Northern and Central parts of Ethiopia (27.5%) as compared to the Southern parts of Ethiopia (25%).ConclusionThis study noted that undernutrition among HIV-positive adults in Ethiopia was quite common. This study also revealed that undernutrition is more common among HIV-positive adults with advanced disease stage, anemia, diarrhea, CD4 count less than 200 cells/mm3, and living in rural areas. Based on our findings, we suggested that all HIV-positive adults should be assessed for nutritional status at the time of ART commencement

Incidence, prevalence and mortality rates of malaria in Ethiopia from 1990 to 2015: analysis of the global burden of diseases 2015

Background: In Ethiopia there is no complete registration system to measure disease burden and risk factors accurately. In this study, the 2015 Global Burden of Diseases, Injuries and Risk factors (GBD) data were used to analyse the incidence, prevalence and mortality rates of malaria in Ethiopia over the last 25 years. Methods: GBD 2015 used verbal autopsy (VA) surveys, reports, and published scientific articles to estimate the burden of malaria in Ethiopia. Age and gender-specific causes of death for malaria were estimated using Cause of Death Ensemble Modelling (CODEm). Results: The number of new cases of malaria declined from 2.8 million (95% uncertainty interval (UI): 1.4-4.5million) in 1990 to 621,345 (95% UI: 462,230-797,442) in 2015. Malaria caused an estimated 30,323.9 deaths (95% UI: 11,533.3-61,215.3) in 1990 and 1,561.7 deaths (95% UI: 752.8-2,660.5) in 2015, a 94.8% reduction over the 25 years. Age-standardized mortality rate of malaria has declined by 96.5% between 1990 and 2015 with an annual rate of change (ARC) of 13.4%. Age-standardized malaria incidence rate among all ages and gender declined by 88.7% between 1990 and 2015. The number of disability-adjusted life years lost (DALY) due to malaria decreased from 2.2 million (95% UI: 0.76-4.7 million) in 1990 to 0.18 million (95% UI: 0.12-0.26 million) in 2015, with a total reduction 91.7%. Similarly, age-standardized DALY rate declined by 94.8% during the same period. Conclusions: Ethiopia has achieved a 50% reduction target of malaria of the Millennium Development Goals (MDGs). The country should strengthen its malaria control and treatment strategies to achieve the Sustainable Development Goals (SDG)

Predicting the environmental suitability for onchocerciasis in Africa as an aid to elimination planning

Recent evidence suggests that, in some foci, elimination of onchocerciasis from Africa may be feasible with mass drug administration (MDA) of ivermectin. To achieve continental elimination of transmission, mapping surveys will need to be conducted across all implementation units (IUs) for which endemicity status is currently unknown. Using boosted regression tree models with optimised hyperparameter selection, we estimated environmental suitability for onchocerciasis at the 5 × 5-km resolution across Africa. In order to classify IUs that include locations that are environmentally suitable, we used receiver operating characteristic (ROC) analysis to identify an optimal threshold for suitability concordant with locations where onchocerciasis has been previously detected. This threshold value was then used to classify IUs (more suitable or less suitable) based on the location within the IU with the largest mean prediction. Mean estimates of environmental suitability suggest large areas across West and Central Africa, as well as focal areas of East Africa, are suitable for onchocerciasis transmission, consistent with the presence of current control and elimination of transmission efforts. The ROC analysis identified a mean environmental suitability index of 0.71 as a threshold to classify based on the location with the largest mean prediction within the IU. Of the IUs considered for mapping surveys, 50.2% exceed this threshold for suitability in at least one 5×5-km location. The formidable scale of data collection required to map onchocerciasis endemicity across the African continent presents an opportunity to use spatial data to identify areas likely to be suitable for onchocerciasis transmission. National onchocerciasis elimination programmes may wish to consider prioritising these IUs for mapping surveys as human resources, laboratory capacity, and programmatic schedules may constrain survey implementation, and possibly delaying MDA initiation in areas that would ultimately qualify