6 research outputs found

    Contribution of food security projects on poverty alleviation to the communities of Limpopo province, South Africa.

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    Despite South Africa’s economic growth having been accelerated considerably in the country, poverty levels have not decreased as one would have experienced. Food Security Projects initiated by the government of South Africa in order to help alleviate poverty within Limpopo Province have proved unsustainable and difficult to provide for what they were mandated to provide to the satisfaction of the government, which is to create jobs and alleviate poverty. The purpose of this study was to assess the contribution of food security projects on poverty alleviation in the communities. The study was conducted in the five districts of Limpopo Province, namely; Mopani, Vhembe, Capricorn, Sekhukhune and Waterberg. Qualitative design was used in this study. Qualitative data was collected through semi-structured interview guide which was administered to 50 chairpersons of the food security projects. The study also followed audit components such as economic components, political components, health and education components, environmental components and social components which were used to assess the economic and material characteristics of the communities. The results affirmed that food security projects are contributing to poverty alleviation to the beneficiaries and to a lesser extent to the community members.Key words: Food Security projects; Poverty alleviation, audit component

    Diet and the human gut microbiome : an international review

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    CITATION: Wilson, A. S. et al. 2020. Diet and the Human Gut Microbiome: An International Review. Digestive diseases and sciences, 65(3):723–740. doi:10.1007/s10620-020-06112-wThe original publication is available at https://www.springer.com/journal/10620This review summarizes the key results of recently published studies on the effects of dietary change and nutritional intervention on the human microbiome from around the world, focusing on the USA, Canada, Europe, Asia, and Africa. It first explores mechanisms that might explain the ability of fiber-rich foods to suppress the incidence and mortality from westernized diseases, notably cancers of the colon, breast, liver, cardiovascular, infectious, and respiratory diseases, diabetes, and obesity (O'Keefe in Lancet Gastroenterol Hepatol 4(12):984-996, 2019; Am J Clin Nutr 110:265-266, 2019). It summarizes studies from Africa which suggest that disturbance of the colonic microbiome may exacerbate chronic malnutrition and growth failure in impoverished communities and highlights the importance of breast feeding. The American section discusses the role of the microbiome in the swelling population of patients with obesity and type 2 diabetes and examines the effects of race, ethnicity, geography, and climate on microbial diversity and metabolism. The studies from Europe and Asia extoll the benefits of whole foods and plant-based diets. The Asian studies examine the worrying changes from low-fat, high-carbohydrate diets to high-fat, low-carbohydrate ones and the increasing appearance of westernized diseases as in Africa and documents the ability of high-fiber traditional Chinese diets to reverse type 2 diabetes and control weight loss. In conclusion, most of the studies reviewed demonstrate clear changes in microbe abundances and in the production of fermentation products, such as short-chain fatty acids and phytochemicals following dietary change, but the significance of the microbiota changes to human health, with the possible exception of the stimulation of butyrogenic taxa by fiber-rich foods, is generally implied and not measured. Further studies are needed to determine how these changes in microbiota composition and metabolism can improve our health and be used to prevent and treat disease.https://pubmed.ncbi.nlm.nih.gov/32060812/Publishers versio

    Estimates of lactation curve parameters for Bonsmara and Nguni cattle using the weigh-suckle-weigh technique

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    Milk production accounts for about 60% of the variation in weaning weight and is therefore considered an economically important trait in beef production. However, milk production data is not routinely available in beef improvement programmes and therefore weaning weight is used as a proxy for milk production. Despite the importance of milk production in beef cattle, little research has been done to evaluate the milk production potential of South African indigenous beef cattle. The objective of this study was to estimate average lactation curve parameters for the South African Bonsmara and Nguni cattle. Milk yield was estimated using the weigh-suckle-weigh technique. Lactation curves were modelled using a nonlinear form of the incomplete gamma function (Wood function): Yt= atbexp-ct. Estimates of the a, b and c parameters were 4.095 ± 0.808, 0.274 ± 0.063 and 0.005 ± 0.001 for the Bonsmara, respectively. Corresponding estimates for the Nguni were 1.869 ± 1.527, 0.451 ± 0.242 and 0.008 ± 0.003. Peak lactation time was estimated to be 59 days in Bonsmara and 54 days in Nguni. Estimates of peak yields were 10 kg and 7 kg for the Bonsmara and Nguni, respectively. Estimates of daily milk yield obtained in the current study provide useful baseline information for more accurate modelling of South African beef production systems.Keywords: Beef cattle, milk production, subtropic

    The ASOS Surgical Risk Calculator: development and validation of a tool for identifying African surgical patients at risk of severe postoperative complications

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    Background: The African Surgical Outcomes Study (ASOS) showed that surgical patients in Africa have a mortality twice the global average. Existing risk assessment tools are not valid for use in this population because the pattern of risk for poor outcomes differs from high-income countries. The objective of this study was to derive and validate a simple, preoperative risk stratification tool to identify African surgical patients at risk for in-hospital postoperative mortality and severe complications. Methods: ASOS was a 7-day prospective cohort study of adult patients undergoing surgery in Africa. The ASOS Surgical Risk Calculator was constructed with a multivariable logistic regression model for the outcome of in-hospital mortality and severe postoperative complications. The following preoperative risk factors were entered into the model; age, sex, smoking status, ASA physical status, preoperative chronic comorbid conditions, indication for surgery, urgency, severity, and type of surgery. Results: The model was derived from 8799 patients from 168 African hospitals. The composite outcome of severe postoperative complications and death occurred in 423/8799 (4.8%) patients. The ASOS Surgical Risk Calculator includes the following risk factors: age, ASA physical status, indication for surgery, urgency, severity, and type of surgery. The model showed good discrimination with an area under the receiver operating characteristic curve of 0.805 and good calibration with c-statistic corrected for optimism of 0.784. Conclusions: This simple preoperative risk calculator could be used to identify high-risk surgical patients in African hospitals and facilitate increased postoperative surveillance. © 2018 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.Medical Research Council of South Africa gran

    Maternal and neonatal outcomes after caesarean delivery in the African Surgical Outcomes Study: a 7-day prospective observational cohort study.

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    BACKGROUND: Maternal and neonatal mortality is high in Africa, but few large, prospective studies have been done to investigate the risk factors associated with these poor maternal and neonatal outcomes. METHODS: A 7-day, international, prospective, observational cohort study was done in patients having caesarean delivery in 183 hospitals across 22 countries in Africa. The inclusion criteria were all consecutive patients (aged ≥18 years) admitted to participating centres having elective and non-elective caesarean delivery during the 7-day study cohort period. To ensure a representative sample, each hospital had to provide data for 90% of the eligible patients during the recruitment week. The primary outcome was in-hospital maternal mortality and complications, which were assessed by local investigators. The study was registered on the South African National Health Research Database, number KZ_2015RP7_22, and on ClinicalTrials.gov, number NCT03044899. FINDINGS: Between February, 2016, and May, 2016, 3792 patients were recruited from hospitals across Africa. 3685 were included in the postoperative complications analysis (107 missing data) and 3684 were included in the maternal mortality analysis (108 missing data). These hospitals had a combined number of specialist surgeons, obstetricians, and anaesthetists totalling 0·7 per 100 000 population (IQR 0·2-2·0). Maternal mortality was 20 (0·5%) of 3684 patients (95% CI 0·3-0·8). Complications occurred in 633 (17·4%) of 3636 mothers (16·2-18·6), which were predominantly severe intraoperative and postoperative bleeding (136 [3·8%] of 3612 mothers). Maternal mortality was independently associated with a preoperative presentation of placenta praevia, placental abruption, ruptured uterus, antepartum haemorrhage (odds ratio 4·47 [95% CI 1·46-13·65]), and perioperative severe obstetric haemorrhage (5·87 [1·99-17·34]) or anaesthesia complications (11·47 (1·20-109·20]). Neonatal mortality was 153 (4·4%) of 3506 infants (95% CI 3·7-5·0). INTERPRETATION: Maternal mortality after caesarean delivery in Africa is 50 times higher than that of high-income countries and is driven by peripartum haemorrhage and anaesthesia complications. Neonatal mortality is double the global average. Early identification and appropriate management of mothers at risk of peripartum haemorrhage might improve maternal and neonatal outcomes in Africa. FUNDING: Medical Research Council of South Africa.Medical Research Council of South Africa
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