Association between levels of pain and disability in patients with somatic and neurogenic low back pain at Mbagathi District Hospital in Nairobi County, Kenya

Background: Low Back Pain is a problem of public health importance in developed countries as well as developing ones including Kenya. Low Back Pain, sub-categorized into somatic and neurogenic pain manifests in different unknown levels which have enormous health and socio economic impact. In Kenya, information on levels of pain and disability and how the two affect each other remain scanty.Objective: To determine the relationship between levels of pain and disability among patients with somatic and neurogenic Low Back Pain at Mbagathi District Hospital in Nairobi County, Kenya.Design: A cross-sectional study.Setting: Mbagathi District Hospital from May 2016 to August 2016.Subjects: All consenting Low Back Pain patients referred for out-patient physiotherapy clinic at Mbagathi District HospitalResults: Out of 176 participants enrolled in the study, majority, (63.1%) were females compared to 36.9% who were males. The proportion of patients with somatic Low Back Pain was 72.7 %( n=128) compared to 27.3 % (n=48) that had neurogenic Low Back Pain. More than half, 55.7 % (n=98) of the participants had pain intensity of moderate level while the remainder, 44.3 %( n=78) presented with severe pain level. Most respondents, 60.8 %( n=107) had minimal disability level compared to 33.5 %( n=59), and 5.7 %( n=10) whose levels were moderate and severe disability respectively. Results showed significant association between severe pain and moderate and severe disability (P<0.001). Neurogenic pain was also significantly associated with severe and moderate disability (P=0.006).Conclusion: A great majority of patients attending out-patient physiotherapy clinic presented with somatic Low Back Pain whose disability level was Minimal. A smaller proportion of patients with neurogenic Low Back Pain had moderate and severe disability. Neurogenic pain posed the highest risk of moderate and severe disability

Adapting Agriculture to Climate Change: A Synopsis of Coordinated National Crop Wild Relative Seed Collecting Programs across Five Continents

The Adapting Agriculture to Climate Change Project set out to improve the diversity, quantity, and accessibility of germplasm collections of crop wild relatives (CWR). Between 2013 and 2018, partners in 25 countries, heirs to the globetrotting legacy of Nikolai Vavilov, undertook seed collecting expeditions targeting CWR of 28 crops of global significance for agriculture. Here, we describe the implementation of the 25 national collecting programs and present the key results. A total of 4587 unique seed samples from at least 355 CWR taxa were collected, conserved ex situ, safety duplicated in national and international genebanks, and made available through the Multilateral System (MLS) of the International Treaty on Plant Genetic Resources for Food and Agriculture (Plant Treaty). Collections of CWR were made for all 28 targeted crops. Potato and eggplant were the most collected genepools, although the greatest number of primary genepool collections were made for rice. Overall, alfalfa, Bambara groundnut, grass pea and wheat were the genepools for which targets were best achieved. Several of the newly collected samples have already been used in pre-breeding programs to adapt crops to future challenges.info:eu-repo/semantics/publishedVersio