Risk factors for Achilles tendon injuries : an emphasis on the identification of specific genetic factors

Includes bibliographical references.This main purpose of this thesis was therefore to investigate whether any specific genes on the tip of the long arm of chromosome 9 were associated with Achilles tendon injuries, using a case-control study design. The specific objectives were: (i) to identify all genes located in the 9q32-q34.3 locus in close proximity to the ABO gene, that could be involved in tendon injuries (Chapter 2) and (ii) to investigate the possible association of the identified candidate genes (COL5A1 and TNC with both Achilles tendon rupture and chronic Achilles tendinopathy (Chapter 3 and 4) and (iii) finally to investigate the possible interaction of these two genes with tendon function, namely the muscle-tendon unit flexibility (chapter 5) and structure, namely the morphological changes of the Achilles tendon (Chapter 6)

Academic staff recruitment and retention challenges at the University of Botswana medical school

Background. Sub-Saharan Africa has a greater share of the global burden of disease, poverty, and inadequate human resources for health compared with other regions of the world. Botswana, as other regional countries, is failing to successfully recruit and retain academics at its medical school.Objectives. To document the medical school’s staff recruitment and retention trends and challenges, and to propose possible solutions.Methods. This was a descriptive research study involving review and analysis of the University of Botswana medical school’s staff number targets, actual numbers on post, and other relevant publicly available university documents. The numbers and country of origin of staff recruited from 2008 to 2013 were recorded. Net staff gain or loss per year was then calculated. Student numbers were analysed and related to staff availability. As there was a multilevel change in university management in 2011, the periods and events before and after April 2011 were analysed. Publicly available University of Botswana documents about the university’s organisational structure, policies, and processes were reviewed.Results. Over a 5-year period, the school recruited 74 academics worldwide; 30 of them left the school. Retention was a greater challenge than recruitment. The school had difficulty recruiting locals and senior academics, regardless of specialty. It appears that staff loss occurred regardless of country of origin.Conclusion. The authors suggest that multilevel change in management was one of the most likely contributors to the school’s recruitment and retention challenges. The University of Botswana must comprehensively address these

Design of a Learning Development Program to Support First-Year Undergraduate Medical Students in the Transition to a PBL Curriculum

AbstractWhile the evaluation of learning development interventions needs to be considered carefully and included at the curriculum design stage, there is limited literature on the actual design of interventions, especially on how these designs evolve and improve over time. This paper describes the evolution of a learning development program intended to support first-year medical students adjusting to a problem-based learning curriculum. We used a design-based research approach, articulating our theoretical grounding and incorporating students’ voices to develop an “optimal” intervention for the specific challenges in our context. We describe lessons learned around four aspects: students’ growth and development, teachers’ professional growth and development, program design principles, and the emergent components of a learning development program. Overall, our students describe the Learning Success Program as adding value by enabling the adoption of a repertoire of skills and strategies for learning management. Additionally, the incremental nature of design-based research allowed for the development of a context-specific program that considers students’ voices through needs assessment and feedback on the program offerings. It has also provided an opportunity for the professional development of teachers through feedback from classroom practice, reflection, and the literature.</jats:p

Design of a Learning Development Program to Support First-Year Undergraduate Medical Students in the Transition to a PBL Curriculum

Funder: University of BotswanaWhile the evaluation of learning development interventions needs to be considered carefully and included at the curriculum design stage, there is limited literature on the actual design of interventions, especially on how these designs evolve and improve over time. This paper describes the evolution of a learning development program intended to support first-year medical students adjusting to a problem-based learning curriculum. We used a design-based research approach, articulating our theoretical grounding and incorporating students’ voices to develop an “optimal” intervention for the specific challenges in our context. We describe lessons learned around four aspects: students’ growth and development, teachers’ professional growth and development, program design principles, and the emergent components of a learning development program. Overall, our students describe the Learning Success Program as adding value by enabling the adoption of a repertoire of skills and strategies for learning management. Additionally, the incremental nature of design-based research allowed for the development of a context-specific program that considers students’ voices through needs assessment and feedback on the program offerings. It has also provided an opportunity for the professional development of teachers through feedback from classroom practice, reflection, and the literature

Adolescent Obesity Prevention in Botswana: Beliefs and Recommendations of School Personnel

The study’s objectives were to gain school personnel’s (1) perceptions on diet, physical activity, body size, and obesity, (2) description of school food and physical activity practices, and (3) recommendations for programs to prevent adolescent obesity. The study took place in six junior secondary schools of varying socioeconomic status in Gaborone, Botswana. Using a qualitative descriptive design, semistructured interviews were conducted with key school personnel. Directed content analysis was used to summarize the findings. School personnel believed that obesity was an important problem. They felt that school food was unhealthy and that physical activity was provided insufficiently. Participants shared enthusiasm for a school-based health-promoting intervention that must be fun and include active engagement and education on healthy lifestyles for all students. Participants supported on-site food shop inventory changes and physical activity programs. Potential barriers listed were schools’ financial resources, interest of students, and time limitations of all involved

Socio-economic status and urbanization are linked to snacks and obesity in adolescents in Botswana

Objective To describe patterns of food consumption associated with overweight/ obesity (OW/OB) and their links to socio-economic status (SES) and urbanization. Design A nationwide cross-sectional survey. Setting Secondary schools in cities, towns and villages in Botswana, Africa. Subjects A total of 746 adolescent schoolchildren. Results OW/OB is associated with greater SES, city residence and a snack-food diet pattern. Students belonging to higher SES compared with those from a lower SES background reported significantly (P \u3c 0·01) more daily servings of snack foods (1·55 v. 0·76) and fewer servings of traditional diet foods (0·99 v. 1·68) and also reported that they ate meals outside the home more often (90 % v. 72 %). Students in cities ate significantly (P \u3c 0·01) more servings of snacks (1·69 v. 1·05 v. 0·51) and fewer servings of traditional foods (0·67 v. 1·52 v. 1·61) compared with those in urban and rural villages. The odds of OW/OB were increased 1·16-fold with a snack-food diet, a result that was diminished when controlled for SES. Conclusions These data suggest that nutritional transition occurs at different rates across urbanization and SES levels in Botswana. In cities, increasing the availability of fruit while reducing access to or portion sizes of snack items is important. Emphasis on continued intake of traditional foods may also be helpful as rural areas undergo economic and infrastructural development

Genetic signatures of gene flow and malaria-driven natural selection in sub-Saharan populations of the "endemic Burkitt Lymphoma belt"

Submitted by Nuzia Santos ([email protected]) on 2020-02-04T14:35:16Z No. of bitstreams: 1 Genetic signatures of gene flow and malaria-driven.pdf: 11801795 bytes, checksum: fd87b07ab4fac498d62a72df070e920d (MD5)Approved for entry into archive by Nuzia Santos ([email protected]) on 2020-02-04T16:03:51Z (GMT) No. of bitstreams: 1 Genetic signatures of gene flow and malaria-driven.pdf: 11801795 bytes, checksum: fd87b07ab4fac498d62a72df070e920d (MD5)Made available in DSpace on 2020-02-04T16:03:51Z (GMT). No. of bitstreams: 1 Genetic signatures of gene flow and malaria-driven.pdf: 11801795 bytes, checksum: fd87b07ab4fac498d62a72df070e920d (MD5) Previous issue date: 2019Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brasil / Universidade Federal de Minas Gerais. Instituto de Ciências Biológicas. Departamento de Biologia. Belo Horizonte, MG, Brasil /Center for Research on Genomics & Global Health, National Institutes of Health. US Department of Health and Human Services. Bethesda, Maryland, USA.Division of Cancer Epidemiology and Genetics. National Cancer Institute. National Institutes of Health. US Department of Health and Human Services. Bethesda, Maryland, USA.Universidade Federal de Minas Gerais. Instituto de Ciências Biológicas. Departamento de Biologia. Belo Horizonte, MG, Brasil.Universidade de São Paulo. Instituto de Biociências. Departamento de Genética e Biologia Evolutiva. São Paulo, SP, Brasil.Universidade Federal de Minas Gerais. Instituto de Ciências Biológicas. Departamento de Biologia. Belo Horizonte, MG, Brasil / Universidade Federal de Minas Gerais. Departamento de Estatística. Belo Horizonte, MG, Brasil.EMBLEM Study. African Field Epidemiology Network. Kampala, Uganda.University of Ghana Medical School, Accra, Ghana.University of Ghana Medical School, Accra, Ghana.EMBLEM Study. African Field Epidemiology Network. Kampala, Uganda.EMBLEM Study. African Field Epidemiology Network. Kampala, Uganda.EMBLEM Study. African Field Epidemiology Network. Kampala, Uganda.EMBLEM Study. African Field Epidemiology Network. Kampala, Uganda.Department of Biological Sciences. University of Botswana. Gaborone, Botswana.Department of Biomedical Sciences. University of Botswana School of Medicine. Gaborone, Botswana.EMBLEM Study. African Field Epidemiology Network. Kampala, Uganda.Division of Cancer Epidemiology and Genetics. National Cancer Institute. National Institutes of Health. US Department of Health and Human Services. Bethesda, Maryland, USA.Division of Intramural Research. National Institute of Allergy and Infectious Diseases. National Institutes of Health. US Department of Health and Human Services. Bethesda, Maryland, USA.University of Ghana Medical School. Accra, Ghana.University of Ghana Medical School. Accra, Ghana.University of Ghana Medical School. Accra, Ghana.University of Ghana Medical School. Accra, Ghana.Division of Cancer Epidemiology and Genetics. National Cancer Institute. National Institutes of Health. US Department of Health and Human Services. Bethesda, Maryland, USA.Division of Cancer Epidemiology and Genetics. National Cancer Institute. National Institutes of Health. US Department of Health and Human Services. Bethesda, Maryland, USA.Division of Cancer Epidemiology and Genetics. National Cancer Institute. National Institutes of Health. US Department of Health and Human Services. Bethesda, Maryland, USA.Division of Cancer Epidemiology and Genetics. National Cancer Institute. National Institutes of Health. US Department of Health and Human Services. Bethesda, Maryland, USA.Laboratory of Translational Genomics. Division of Cancer Epidemiology and Genetics. National Cancer Institute. National Institutes of Health. USDepartment of Health and Human Services. Bethesda, Maryland, USA.Laboratory of Translational Genomics. Division of Cancer Epidemiology and Genetics. National Cancer Institute. National Institutes of Health. US Department of Health and Human Services. Bethesda, Maryland, USA.Cancer Genomics Research Laboratory. Leidos Biomedical Research. Frederick National Laboratory for Cancer Research. US Department of Health and Human Services. Frederick, Maryland, USA.Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brasil.Stanford Cancer Institute. Stanford University. Stanford, California, USA.Department of Genetics and Biology, University of Pennsylvania, Philadelphia, USA.Division of Cancer Epidemiology and Genetics. National Cancer Institute. National Institutes of Health. US Department of Health and Human Services. Bethesda, Maryland, USA.Universidade Federal de Minas Gerais. Instituto de Ciências Biológicas. Departamento de Biologia Geral. Belo Horizonte, MG, Brasil.Division of Cancer Epidemiology and Genetics. National Cancer Institute. National Institutes of Health. US Department of Health and Human Services. Bethesda, Maryland, USA.Populations in sub-Saharan Africa have historically been exposed to intense selection from chronic infection with falciparum malaria. Interestingly, populations with the highest malaria intensity can be identified by the increased occurrence of endemic Burkitt Lymphoma (eBL), a pediatric cancer that affects populations with intense malaria exposure, in the so called “eBL belt” in sub-Saharan Africa. However, the effects of intense malaria exposure and sub-Saharan populations’ genetic histories remain poorly explored. To determine if historical migrations and intense malaria exposure have shaped the genetic composition of the eBL belt populations, we genotyped ~4.3 million SNPs in 1,708 individuals from Ghana and Northern Uganda, located on opposite sides of eBL belt and with ≥ 7 months/year of intense malaria exposure and published evidence of high incidence of BL. Among 35 Ghanaian tribes, we showed a predominantly West-Central African ancestry and genomic footprints of gene flow from Gambian and East African populations. In Uganda, the North West population showed a predominantly Nilotic ancestry, and the North Central population was a mixture of Nilotic and Southern Bantu ancestry, while the Southwest Ugandan population showed a predominant Southern Bantu ancestry. Our results support the hypothesis of diverse ancestral origins of the Ugandan, Kenyan and Tanzanian Great Lakes African populations, reflecting a confluence of Nilotic, Cushitic and Bantu migrations in the last 3000 years. Natural selection analyses suggest, for the first time, a strong positive selection signal in the ATP2B4 gene (rs10900588) in Northern Ugandan populations. These findings provide important baseline genomic data to facilitate disease association studies, including of eBL, in eBL belt populations

Engineering and science highlights of the KAT-7 radio telescope

International audienceThe construction of the KAT-7 array in the Karoo region of the Northern Cape in South Africa was intended primarily as an engineering prototype for technologies and techniques applicable to the MeerKAT telescope. This paper looks at the main engineering and scien- tific highlights from this effort, and discusses their applicability to both MeerKAT and other next-generation radio telescopes. In particular we found that the composite dish surface works well, but it becomes complicated to fabricate for a dish lacking circular symmetry; the Stir- ling cycle cryogenic system with ion pump to achieve vacuum works but demands much higher maintenance than an equivalent Gifford-McMahon cycle system; the ROACH (Recon- figurable Open Architecture Computing Hardware)-based correlator with SPEAD (Stream- ing Protocol for Exchanging Astronomical Data) protocol data transfer works very well and KATCP (Karoo Array Telescope Control Protocol) control protocol has proven very flexible and convenient. KAT-7 has also been used for scientific observations where it has a niche in mapping low surface-brightness continuum sources, some extended HI halos and OH masers in star-forming regions. It can also be used to monitor continuum source variability, observe pulsars, and make VLBI observation