25 research outputs found
Effects of tillage on runoff from a bare clayey soil on a semi-arid ecotope in the Limpopo Province of South Africa
Runoff constitutes one of the major water losses from agricultural fields in semi-arid areas. However, by adopting appropriate soil management practices, the runoff can be harnessed for improving crop yields. The main objective of this study was to quantify rainfall-runoff relationships under in-field rainwater harvesting (IRWH) using simulated rainfall, and tocompare these results to those obtained with annually tilled conventional tillage (CON) (control). IRWH is a special type of no-till (NT) crop production practice that promotes runoff from a crusted runoff strip into basins where the water infiltrates beyond evaporation but is available for crop use. Runoff was related to time to runoff, total runoff, final runoff rate and runoff coefficient. This experiment demonstrated that by adopting IRWH production technique smallholder farmers could harness an additional 45.54 m3Ā·ha-1 of water compared to the CON system. The extra water harvested could meet about 1% of maize water requirements
HIV seroprevalence and its effect on outcome of moderate to severe burn injuries: A Ugandan experience
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HIV infection in a patient with burn injuries complicates the care of both the patient and the treating burn team. This study was conducted to establish the prevalence of HIV among burn patients in our setting and to compare the outcome of these patients who are HIV positive with those who are HIV negative. This was a prospective cohort study involving burn injury patients admitted to Mulago Hospital between November 2005 and February 2006. Patients were stratified into HIV positive (exposed) group and HIV-negative (unexposed) group. Data was collected using a pre-tested coded questionnaire and analyzed using SPSS statistical computer software version 11.5. Of the 130 patients included in the study, 17 (13.1%) patients tested HIV positive and this formed the study (exposed) group. The remaining 113 patients (86.9%) formed the control (unexposed) group. In the HIV positive group, females outnumbered males by a ratio of 1.4:1 and the mean age was 28.4 Ā± 21.5 years (range 3 months-34 years). 64.7% of HIV positive patients reported to have risk factors for HIV infection. Of these, multiple sexual partners [Odds Ratio 8.44, 95% C.I. (3.87-143.23), P = 0.011] and alcoholism [Odds Ratio 8.34, 95% C.I. (5.76-17.82), P = 0.002] were found to be independently and significantly associated with increased risk to HIV infection. The mean CD4 count for HIV positive and HIV negative patients were 394 Ā± 328 cells/Ī¼L and 912 Ā± 234 cells/Ī¼L respectively which is statistically significant (P = 0.001). There was no difference in the bacteria cultured from the wounds of HIV positive and negative patients (P = 0.322). Patients with clinical signs of sepsis had lower CD4+ counts compared to patients without sepsis (P < 0.001). ). Skin grafting was carried out in 35.3% of HIV negative patients and 29.4% of HIV positive patients with no significant difference in skin graft take and the degree of healed burn on discharge was the same (P = 0.324). There was no significant difference in hospital stay between HIV positive and negative patients (P = 0.674). The overall mortality rate was 11.5%. Using multivariate logistic regression analysis, mortality rate was found to be independently and significantly related to the age of the patient, HIV positive with stigmata of AIDS, CD4 count, inhalation injury, %TBSA and severity of burn (p-value < 0.001). HIV infection is prevalent among burn injury patients in our setting and thus presents an occupational hazard to health care workers who care for these patients. All burn health care workers in this region need to practice universal precautions in order to reduce the risk of exposure to HIV infection and post-exposure prophylaxis should be emphasized. The outcome of burn injury in HIV infected patients is dependent upon multiple variables such as age of the patient, inhalation injury and %TBSA and not the HIV status alone
Topical haemostatic agents for skin wounds: a systematic review
Background: Various agents and techniques have been introduced to limit intra-operative blood loss from skin lesions. No uniformity regarding the type of haemostasis exists and this is generally based on the surgeon's preference. To study the effectiveness of haemostatic agents, standardized wounds like donor site wounds after split skin grafting (SSG) appear particularly suitable. Thus, we performed a systematic review to assess the effectiveness of haemostatic agents in donor site wounds. Methods. We searched all randomized clinical trials (RCTs) on haemostasis after SSG in Medline, Embase and the Cochrane Library until January 2011. Two reviewers independently assessed trial relevance and quality and performed data analysis. Primary endpoint was effectiveness regarding haemostasis. Secondary endpoints were wound healing, adverse effects, and costs. Results: Nine relevant RCTs with a fair methodological quality were found, comparing epinephrine, thrombin, fibrin sealant, alginate dressings, saline, and mineral oil. Epinephrine achieved haemostasis significantly faster than thrombin (difference up to 2.5 minutes), saline or mineral oil (up to 6.5 minutes). Fibrin sealant also resulted in an up to 1 minute quicker haemostasis than thrombin and up to 3 minutes quicker than placebo, but was not directly challenged against epinephrine. Adverse effects appeared negligible. Due to lack of clinical homogeneity, meta-analysis was impossible. Conclusion: According to best available evidence, epinephrine and fibrin sealant appear superior to achieve haemostasis when substantial topical blood loss is anticipated, particularly in case of (larger) SSGs and burn debridement
Pattern of childhood burn injuries and their management outcome at Bugando Medical Centre in Northwestern Tanzania
Burn injuries constitute a major public health problem and are the leading cause of childhood morbidity and mortality worldwide. There is paucity of published data on childhood burn injuries in Tanzania, particularly the study area. This study was conducted to describe the pattern of childhood burn injuries in our local setting and to evaluate their management outcome. A cross sectional study was conducted at Bugando Medical Centre (in Northwestern Tanzania) over a 3-year period from January 2008 to December 2010. Data was collected using a pre-tested coded questionnaire and statistical analyses performed using SPSS software version 15.0. A total of 342 burned children were studied. Males were mainly affected. Children aged = 2 were the majority accounting for 45.9% of cases. Intentional burn injuries due to child abuse were reported in 2.9% of cases. Scald was the most common type of burns (56.1%). The trunk was the most commonly involved body region (57.3%). Majority of patients (48.0%) sustained superficial burns. Eight (2.3%) patients were HIV positive. Most patients (89.8%) presented to the hospital later than 24 h. The rate of burn wound infection on admission and on 10th day were 32.4% and 39.8% respectively.Staphylococcus aureus were more common on admission wound swabs, with Pseudomonas aeruginosa becoming more evident after 10th day. MRSA was detected in 19.2% of Staphylococcus aureus. Conservative treatment was performed in 87.1% of cases. Surgical treatment mainly skin grafting (65.9%) was performed in 44 (12.9%) of patients. The overall average of the length of hospital stay (LOS) was 22.12 Ā± 16.62 days. Mortality rate was 11.7%. Using multivariate logistic regression analysis; age of the patient, type of burn, delayed presentation, clothing ignition, %TBSA and severity of burn were found to be significantly associated with LOS (P < 0.001), whereas mortality rate was found to be independently and significantly related to the age of the patient, type of burn, HIV positive with stigmata of AIDS, CD4 count, inhalation injury, %TBSA and severity of burn (P < 0.001). Childhood burn injuries still remain a menace in our environment with virtually unacceptable high morbidity and mortality. There is need for critical appraisal of the preventive measures and management principles currently being practiced
Baseline Study of Soil Nutrient Status in Smallholder Farms in Limpopo Province of South Africa
An assessment of soil nutrient status based on farmersā samples was carried out in the Capricorn, Sekhukhune, and Waterberg Districts of the Limpopo Province of South Africa. A total of 336 soil samples were collected and analysed for pH, phosphorus (P), potassium (K), calcium (Ca) and magnesium (Mg). The results showed that the pH of more than 80% of the submitted soil samples was suitable for the production of most field crops ,while less than 20% required liming to make them productive. Phosphorus levels were very low (<8 mg kg-1), with most soils (ā„95%) needing P fertilisation to improve crop yields. Potassium was adequate (>250 mg kg-1) for most districts' crops. Between 70% and 74% of soils from Sekhukhune and Waterberg Districts were deficient in Ca (<200 mg kg-1). Magnesium was adequate (>300 mg kg-1) in more than 60% of the analysed samples. Apart from soil pH, all soil properties showed a high degree of variability across all districts. Further studies are needed to investigate the role of field management, crop rotation, field position in the landscape, lithology, and socioeconomic conditions of the farmer on the observed trends of soil nutrients
Effect of bush encoachemtne on vertical soil organis carbon distrubution in a clay loam soil in Sahngani Ranches, Zimbabwe
No Abstract. SAJEST Vol. 2 (1) 2007: pp.8-1
Characterisation of rainfall at a semi-arid ecotope in the Limpopo Province (South Africa) and its implications for sustainable crop production
Detailed knowledge of rainfall regime is an important prerequisite for agricultural planning. Despite the importance of rain-fed agriculture to food security in the semi-arid regions of South Africa, studies to understand the spatial and temporal variability of rainfall are not widely documented. Twenty-three years (1983 to 2005) of rainfall data were analysed in order to study the basic statistical rainfall characteristics at the University of Venda ecotope. Annual and monthly rainfall was fitted to theoretical probability distributions. The Anderson-Darling goodness-of-fit test was used to evaluate best fit models. Probability of receiving annual and monthly rainfall was predicted using the appropriate probability distribution functions. The chance of experiencing dry spells of different durations was determined. Cumulative frequency analysis of daily rainfall amounts and depths was characterized. It was found that the distribution of daily rainfall was highly skewed with high frequency of occurrence of low-rainfall events. The distribution of daily rainfall depths was also highly skewed,a comparatively small proportion of rainy days supplying a high proportion of the rainfall