Conventional and variant termination of the portal vein in a black Kenyan population

Background: Knowledge of the variant terminations of the portal vein is important in surgical and interventional radiological procedures of the liver. Their pattern and frequency are important in planning surgery to minimize complications. They differ between populations, but data from Africa is unavailable. Aim: To investigate the variant termination of the main portal vein. Materials and Methods: One hundred livers from adult black Kenyans (age range 35 – 79 years) were studied at the Department of Human Anatomy, University of Nairobi, Kenya, by gross dissection. The livers were cleared of blood, fixed with 10% formaldehyde solution and the venous system infused with Acrylate monomers to keep the veins firm. The level of termination relative to the capsule and the branching pattern of the portal vein were examined.  Various patterns were photographed using a digital camera. Data was analyzed using SPSS version 16.0 for windows and presented in tables and macrographs. Results: Main portal vein termination was extracapsular in 14%, capsular in 40% and intrahepatic in 46%. Variant termination occurred in 49% of cases while conventional bifurcation occurred in 51% cases. Types, 2, 3 and 4 pattern of termination of main portal vein occurred in 15%, 22% and 12% cases respectively. The level of termination of the MPV had a positive correlation with its pattern (p=0.05). Conclusions: The high prevalence of variant termination of MPV in the current study suggests that the population is more vulnerable to inadvertent injury during surgery and radiological intervention. Besides, an extra hepatic termination of the MPV is more likely to have a conventional branching pattern compared to an intra-hepatic termination

Variant anatomy of the right portal vein in a black Kenyan population

Surface mapping of the liver before invasive procedures depends on a proper understanding of its segmental vasculature. The right portal vein ramification and lengths show marked variations and these mostly involve its right posterior sectoral branch. Their incidence is variable among populations and altogether undocumented among Africans. One hundred livers obtained during autopsies and dissections at the Department of Human anatomy, University of Nairobi, were used in this study. Gross dissection was done to reveal and determine the branching pattern of the right portal vein and the origin of the right posterior sector branch. The lengths of the right portal vein were also measured and recorded. When present, the right portal vein terminated by bifurcation in 61% of the cases, trifurcated in 20.8% and quadrifircated in 18.2%. Its length was between 0.5cm and 4cm. The right posterior sector vein was given off the main portal vein in 34 cases, the common left portal vein trunk in 15 cases, and the right portal vein in 42 cases. In 9 cases, it was not observed at the porta hepatis. We report significant different incidences of the variant anatomy of the right portal vein compared to those found in previous studies and this should be borne in mind when doing surgical interventions.Keywords: Segmentectomy, transjugular, Surface mapping, Bifurcatio

Key limitations of fish feeds, feed management practices, and opportunities in Kenya’s aquaculture enterprise

Profitability is key in fish farming, just as it is to any other enterprise. For the farmers to actualize high-profit margins, it is imperative to have access to well-balanced nutritive and cost-effective feeds, backed by sound on-farm feed management practices.  This paper audits Kenya’s fish feed industry and the on-going on-farm feed management practices, and emerging opportunities for fish farmers. The development of fish feed quality standards has boosted the aquaculture sector in Kenya, providing them hope that farmers will access high quality fish feeds. Much of the fish feed currently being used in Kenya is produced on-farm or by small-scale fish feed manufacturers within the East African region, while a few are imported directly from overseas countries, notably Israel, Netherlands, Mauritius and Denmark. Fish feeds produced by small-scale manufacturers are not closely monitored by quality standard agencies and not surprising that a majority are of poor quality. The improvement in the quality of these feeds is likely to lead to increased productivity and profitability because they are cheaper and readily available to fish farmers, compared to imported fish feeds. Besides feed quality, feed management practices markedly impact both the growth and economic performance of fish production. Adopting appropriate feed management strategies, therefore, is instrumental in the maximization of fish production and economic returns. Research has demonstrated several strategies for best feed management practices, which have not hitherto, been adopted by fish farmers in Kenya. Farmers have mainly focused on the mode of delivery of feeds to the fish. Furthermore, promoting natural pond productivity and supplementary feeding is still a common practice in the East African region. Provision of species-specific feeds and targeting the nutritional requirements of the different life stages of fish is still a major issue, although some local companies like Unga Farm Care (EA) have come up with a size and species-specific feed for catfish such as Fugo catfish®. To improve access to such information, public-private partnerships should be developed and, programmes that utilize the local media platforms such as extension service outlets must also be encouraged. Feed quality checks can also be carried out amongst fish feed suppliers. Lastly, farmers should be trained in various fish feed aspects like formulation, transportation and storage to sustain a steady fish feed supply and save on associated feed costs

Quality of Honey Harvested and Processed Using Traditional Methods in Rural Areas of Kenya

The honey consumed in most of Africa is harvested from traditional hives and processed using traditional methods. This work presents the quality characteristics of honey samples (n = 72) processed using traditional methods and on sale in various important beekeeping zones in Kenya: West Pokot, Baringo, Mwingi, Tana, North Kinangop, Mbeere, Nandi Hills, Mida Creek, Kakamega and Taita. The quality of the honey was compared to international standards as proposed in the Codex Alimentarius. The quality markers analyzed were moisture, hydromethylfurfural (HMF), sugar content, diastase, proline content, and free acidity. Moisture was determined using a honey refractometer, HMF and Diastase content were determined through spectrophotometry, sugars were determined by High Performance Liquid Chromatography (HPLC), proline was determined through spectrophotometry and free acidity quantified by volumetry - titration technique. Average constituent values were at 16.00 - 21.20% (moisture); 3.70 - 389.36 mg/kg (HMF); 20.83 - 300.6 mg/kg (proline); 8.03 - 56.98 Schade units (diastase); 57.03 - 102.66% (fructose and glucose levels) and 18.00 - 71.85 50 mg/kg (free acidity). Most of the samples had constituent levels within the limits set in the Codex Alimentarius. Traditional honey harvesting and processing methods seem not to have negative effects on the major honey constituents. However, excessive smoking during harvesting had compromised the aroma and flavour of some samples. In an effort to promote beekeeping as an eco-friendly, sustainable alternate source of livelihoods, training in best apiculture practices, improved extension services and establishment of honey marketplaces is being done to improve honey quality in Kenya

Sexual practices among unmarried adolescents in Tanzania

\ud Sexual activities are increasingly changing from the cultural point of view what they used to be. Knowledge of these practices among adolescents may be a basis to create awareness among adolescents on practices that involve risks. This study aims to assess sexual practices among unmarried adolescents in Tanzania. A cross-sectional survey was conducted among in-school and out-of-school but unmarried adolescents aged 10 to 19 in five locations in Tanzania. A questionnaire was used to collect information and to characterize sexual practices among these adolescents. About 32% of adolescents reported being sexually active; a higher proportion being males than females. The only inquired and reported sexual practices include vaginal sex, masturbation, oral and anal sex. About 15% of sexually active adolescents reported having multiple sexual partners. Significantly more males reported having multiple partners than females. Nearly 42% of sexually active adolescents reported having used a condom during most recent sexual act. Females reported older partners at first sexual act. Adolescents experience several sexual practices that include penetrative and non-penetrative. More males reported being sexually active than females. Despite adolescents reporting having multiple sexual partners, reported condom use during the most recent sexual act was low. We advocate for a more enhanced approach of reproductive health education that includes safer sex to adolescents without forgetting those in-schools.\u

Collection, genotyping and virus elimination of cassava landraces from Tanzania and documentation of farmer knowledge

Open Access Journal; Published online: 17 Aug 2021Cassava (Manihot esculenta Crantz.) has been a vital staple and food security crop in Tanzania for several centuries, and it is likely that its resilience will play a key role in mitigating livelihood insecurities arising from climate change. The sector is dominated by smallholder farmers growing traditional landrace varieties. A recent surge in virus diseases and awareness in the commercial potential of cassava has prompted a drive to disseminate improved varieties in the country. These factors however also threaten the existence of landraces and associated farmer knowledge. It is important that the landraces are conserved and utilized as the adaptive gene complexes they harbor can drive breeding for improved varieties that meet agro-ecological adaptation as well as farmer and consumer needs, thereby improving adoption rates. Here we report on cassava germplasm collection missions and documentation of farmer knowledge in seven zones of Tanzania. A total of 277 unique landraces are identified through high-density genotyping. The large number of landraces is attributable to a mixed clonal/sexual reproductive system in which the soil seed bank and incorporation of seedlings plays an important role. A striking divergence in genetic relationships between the coastal regions and western regions is evident and explained by (i) independent introductions of cassava into the country, (ii) adaptation to prevailing agro-ecological conditions and (iii) farmer selections according to the intended use or market demands. The main uses of cassava with different product profiles are evident, including fresh consumption, flour production, dual purpose incorporating both these uses and longer-term food security. Each of these products have different trait requirements. Individual landraces were not widely distributed across the country with limited farmer-to-farmer diffusion with implications for seed systems

Improving access to health care for malaria in Africa: a review of literature on what attracts patients

BACKGROUND: Increasing access to health care services is considered central to improving the health of populations. Existing reviews to understand factors affecting access to health care have focused on attributes of patients and their communities that act as 'barriers' to access, such as education level, financial and cultural factors. This review addresses the need to learn about provider characteristics that encourage patients to attend their health services. METHODS: This literature review aims to describe research that has identified characteristics that clients are looking for in the providers they approach for their health care needs, specifically for malaria in Africa. Keywords of 'malaria' and 'treatment seek*' or 'health seek*' and 'Africa' were searched for in the following databases: Web of Science, IBSS and Medline. Reviews of each paper were undertaken by two members of the team. Factors attracting patients according to each paper were listed and the strength of evidence was assessed by evaluating the methods used and the richness of descriptions of findings. RESULTS: A total of 97 papers fulfilled the inclusion criteria and were included in the review. The review of these papers identified several characteristics that were reported to attract patients to providers of all types, including lower cost of services, close proximity to patients, positive manner of providers, medicines that patients believe will cure them, and timeliness of services. Additional categories of factors were noted to attract patients to either higher or lower-level providers. The strength of evidence reviewed varied, with limitations observed in the use of methods utilizing pre-defined questions and the uncritical use of concepts such as 'quality', 'costs' and 'access'. Although most papers (90%) were published since the year 2000, most categories of attributes had been described in earlier papers. CONCLUSION: This paper argues that improving access to services requires attention to factors that will attract patients, and recommends that public services are improved in the specific aspects identified in this review. It also argues that research into access should expand its lens to consider provider characteristics more broadly, especially using methods that enable open responses. Access must be reconceptualized beyond the notion of barriers to consider attributes of attraction if patients are to receive quality care quickly

Can rooted apical cuttings complement seed systems to improve availability of quality seed potato in Africa? – The case of Kenya

Limited availability and access to quality seed is a major challenge faced by the Kenyan potato subsector. Smallholder farmers cultivate the bulk of potato mainly planting seed from informal sources without any quality assurance which contributes to low yields. In recent years, private sector businesses have engaged in certified seed potato production with positive impact on the volumes available, relying on minitubers to multiply in the field over 3–4 generations. Rooted apical cuttings (RACs) provide a productive alternative starter material that can further boost the Kenyan seed systems. Stokman Rozen Kenya Ltd (SRK) is a private sector business that has embraced this technology in 2017. Also, small-scale nurseries have recently started the commercial production of cuttings. They both sell RACs mainly to seed growers for further bulking, but ware potato farmers can also produce quality seed on-farm for their own use from RACs when applying good agricultural practices. This paper examines the initial experiences of both SRK and small-scale nurseries in the production and marketing of RACs as well as their performance during subsequent field multiplications. Producing and selling RACs offers a profitable business opportunity, especially when productivity and sales increase. Compared to other rapid multiplication technologies, RACs also allow to significantly increase the volumes of early generation seed produced. Key recommendations are to create awareness and to develop adequate marketing strategies to promote their uptake, and to ensure RACs are adequately multiplied into commercial seed to improve its availability to smallholder farmers in Kenya

Patterns of sexual behaviour in a rural population in north-western Tanzania.

The HIV epidemic in sub-Saharan Africa has been characterised by the predominance of heterosexual transmission. Patterns of sexual behaviour have been implicated in the spread of the epidemic, but few quantitative data are available on sexual behaviour in rural populations in Africa. This paper reports data from a survey of 1117 adults aged 15-54 years selected randomly from twelve rural communities in Mwanza Region, Tanzania. Sexual debut occurred early, 50% of women and 46% of men reporting first sex before age 16. On average, women married 1.8 years and men 6.1 years after their sexual debut. In women, age at sexual debut appears to have increased over time, in parallel with an increase in age at first marriage. Men were generally married later, to women around five to ten years younger than themselves. Marital dissolution and remarriage were common in both sexes. Reported numbers of sexual partners were compared with those recorded in a population survey in Britain. More men reported 10 or more lifetime partners, or three or more partners in the past year, in rural Mwanza (48% and 29%) than in Britain (24% and 6%). Women reported fewer partners, and results were broadly similar to British data. Casual sex during the past year was reported by 53% of the men and 15% of the women, but only 2% of men reported sexual contact with bar girls or commercial sex workers. Only 20% of men and 3% of women had ever used a condom. Interventions are needed to reduce the high levels of sexual partner change and casual sex, and low levels of condom use, recorded in this rural population. Targeting of interventions to traditional "core groups" may be of limited value in rural areas, and additional strategies are needed, focusing particularly on teenagers who are at high risk of HIV and other sexually transmitted diseases