Influence of selected washing treatments and drying temperatures on proximate composition of dagaa (Rastrineobola argentea), a small pelagic fish specie.

Proximate analysis for moisture, crude protein, crude fat and total ash was carried out on dagaa (Rastrineobola argentea), a small pelagic fish specie found in Lake Victoria. The first phase of the study involved sampling of fresh, sundried (for 1 day, 2 days, 3 days, 4 days) and retail market dagaa. The second phase of the study involved pre-washing of fresh dagaa with selected solutions namely, salted solution (3% NaCl), chlorinated solution (100 ppm) or potable tap water (control) and thereafter oven-drying the respective pre-washed samples at 30oC (31hrs), 40oC (23hrs) or 50oC (15hrs). Results showed that the crude protein composition of fresh dagaa (74.4% dry weight basis, dwb) was significantly higher (

Effect of wheat bran supplementation with fresh and composted agricultural wastes on the growth of Kenyan native wood ear mushrooms [Auricularia auricula (L. ex Hook.) Underw.]

Nutrient supplements and agricultural wastes used for mushroom cultivation are important in improving establishment and production of mushrooms. Agricultural wastes such as sawdust, grass, sugarcane bagasse, wheat straw and maize cobs have successfully been used for the production of Kenyan wood ear mushrooms [Auricularia auricula (L. ex Hook.) Underw.]. However, the effect of varying concentrations of wheat bran supplements on their productivity has not been fully researched. In this study, fresh and composted agricultural wastes were supplemented with wheat bran at concentrations of 0, 5, 10 and 20%. The cultivation experiment was arranged in a completely randomized design (CRD) and replicated three times. Data was collected on days to spawn run, days to primordial initiation, primordial concentration quality and biological efficiency. The data collected was subjected to analysis of variance using SAS version 9.1. Mean separation was done using least significant difference (LSD) and effects were declared significant at 5% level.Keywords: Wood ear mushrooms, fresh and composted agricultural wastes, wheat bran, KenyaAfrican Journal of Biotechnology Vol. 12(19), pp. 2692-269

Production and characterization of wine from mango fruit (Mangifera indica) varieties in Kenya

Mango is one of the most important tropical fruit. In Kenya, increased production has been observed over years paralleled by large postharvest losses which are partly attributed to poor value addition practices. This study sought to investigate the suitability of mango fruit for wine production and characterization of the wine produced. Six mature and unripe mango fruits were harvested three times from a farm in Katheka Kai Division, Machakos County of Kenya. The ripened fruits were screened for their suitability to produce wine based on juice yield, °brix (°Bx), pH, reducing sugars and titratable acidity (TTA). The wine produced was analyzed for the chemical properties whereas characterization of the major volatile compounds was determined by GC‐FID. Sensory evaluation was done using a nine point hedonic scale with a reference commercial grape wine (chardonnay). Juice recovery was dependent on variety with Kent yielding 72.8%, Apple 71.3% and Ngowe 67.6%. The extracted juice had a high sugar content ranging from 17.0 to 23.9°Bx. Apple and Ngowe variety had the most suitable properties for wine production based on sugar levels and juice yield. The ethanol content of the wines produced was between 8.9‐ 9.5 %v/v, the range acceptable for table wine. The methanol content (128‐129mg/l) was however higher than grape wine (100mg/l) although it was within the acceptable limits for wine. The sensory evaluation indicated that mango wine exhibited similar sensory characteristics with those of grape wine. This study provides evidence that mango fruits are suitable for wine processing

Evaluation of nutritional properties of tissue cultured sorghum [Sorghum bicolor (L) Moench]

Tissue culture techniques are commonly used in plants as an efficient way to propagate and store valuable genotypes. Often, some of the regenerants differ from the parental type, a phenomenon called somaclonal variability. Assessment of nutritional value variability in crops that may arise from somaclonal variability during tissue culture propagation may have a strong impact on plant breeding, conservation of genetic resources and nutrition in the areas of use. It is particularly useful in the characterization of individual cultivars, and in determining duplications in germplasm collections and for selecting parents. The Sorghum bicolor (L) Moench tissue culture (TC) regenerants (Seredo, Mtama 1 and El Gardam) were developed at the Jomo Kenyatta University of Agriculture and Technology towards improvement for water stress tolerance for improved food production in the ASALs in Kenya. The study was conducted to evaluate the nutritional value of the parents and TC regenerants of Sorghum bicolor (L) Moench local cultivars (Seredo, Mtama 1 and El Gardam) in Kenya. For proximate composition significant (p≤0.05) differences were observed in parents and regenerants of the El‐Gardam (moisture, proteins and crude fiber), Mtama 1 (proteins) and Seredo (fats and crude fiber). The mineral compositions of the parents and regenerants of the cultivars were not significantly different (p ≤ 0.05) except for Zinc in Mtama 1 cultivar and Iron in both El‐Gardam and Mtama 1 cultivars. B‐vitamins showed significant differences (p ≤ 0.05) for both thiamine and Pyridoxine in El‐Gardam and Seredo. Significant variability (p ≤ 0.05) was shown phytates content in each cultivar. The parents were observed to have significantly higher amounts of Phytates than the regenerants within all the cultivars. The study recommends Mtama 1 regenerants with low anti‐nutrient appropriate for ASALs with respect to nutrient availability since anti‐nutrients in sorghum have been shown to impair the bioavailability of the other nutrients to the body.Key words: Cultivars, TC regenerants, water stress tolerance, nutritional valu

The epidemiology of kidney disease in people of African ancestry with HIV in the UK

Background: Chronic kidney disease (CKD) is a leading cause of morbidity and mortality globally. The risk of CKD is increased in people of African ancestry and with Human Immunodeficiency Virus (HIV) infection. Methods: We conducted a cross-sectional study investigating the relationship between region of ancestry (East, Central, South or West Africa) and kidney disease in people of sub-Saharan African ancestry with HIV in the UK between May 2018 and February 2020. The primary outcome was renal impairment (estimated glomerular filtration rate [eGFR] of 50 mg/mmol), and biopsy-confirmed HIV-associated nephropathy (HIVAN), focal segmental glomerulosclerosis (FSGS) or arterionephrosclerosis. Multivariable robust Poisson regression estimated the effect of region of African ancestry on kidney disease outcomes. Findings: Of the 2468 participants (mean age 48.1 [SD 9.8] years, 62% female), 193 had renal impairment, 87 stage 5 CKD, 126 proteinuria, and 43 HIVAN/FSGS or arterionephrosclerosis. After adjusting for demographic characteristics, HIV and several CKD risk factors and with East African ancestry as referent, West African ancestry was associated with renal impairment (prevalence ratio [PR] 2.06 [95% CI 1.40–3.04]) and stage 5 CKD (PR 2.23 [1.23–4.04]), but not with proteinuria (PR 1.27 [0.78–2.05]). West African ancestry (as compared to East/South African ancestry) was also strongly associated with a diagnosis of HIVAN/FSGS or arterionephrosclerosis on kidney biopsy (PR 6.44 [2.42–17.14]). Interpretation: Our results indicate that people of West African ancestry with HIV are at increased risk of kidney disease. Although we cannot rule out the possibility of residual confounding, geographical region of origin appears to be a strong independent risk factor for CKD as the association did not appear to be explained by several demographic, HIV or renal risk factors

Are Tanzanian patients attending public facilities or private retailers more likely to adhere to artemisinin-based combination therapy?

BACKGROUND: Artemisinin combination therapy (ACT) is first-line treatment for malaria in most endemic countries and is increasingly available in the private sector. Most studies on ACT adherence have been conducted in the public sector, with minimal data from private retailers. METHODS: Parallel studies were conducted in Tanzania, in which patients obtaining artemether-lumefantrine (AL) at 40 randomly selected public health facilities and 37 accredited drug dispensing outlets (ADDOs) were visited at home and questioned about doses taken. The effect of sector on adherence, controlling for potential confounders was assessed using logistic regression with a random effect for outlet. RESULTS: Of 572 health facility patients and 450 ADDO patients, 74.5% (95% CI: 69.8, 78.8) and 69.8% (95% CI: 64.6, 74.5), respectively, completed treatment and 46.0% (95% CI: 40.9, 51.2) and 34.8% (95% CI: 30.1, 39.8) took each dose at the correct time ('timely completion'). ADDO patients were wealthier, more educated, older, sought care later in the day, and were less likely to test positive for malaria than health facility patients. Controlling for patient characteristics, the adjusted odds of completed treatment and of timely completion for ADDO patients were 0.65 (95% CI: 0.43, 1.00) and 0.69 (95% CI: 0.47, 1.01) times that of health facility patients. Higher socio-economic status was associated with both adherence measures. Higher education was associated with completed treatment (adjusted OR = 1.68, 95% CI: 1.20, 2.36); obtaining AL in the evening was associated with timely completion (adjusted OR = 0.35, 95% CI: 0.19, 0.64). Factors associated with adherence in each sector were examined separately. In both sectors, recalling correct instructions was positively associated with both adherence measures. In health facility patients, but not ADDO patients, taking the first dose of AL at the outlet was associated with timely completion (adjusted OR = 2.11, 95% CI: 1.46, 3.04). CONCLUSION: When controlling for patient characteristics, there was some evidence that the adjusted odds of adherence for ADDO patients was lower than that for public health facility patients. Better understanding is needed of which patient care aspects are most important for adherence, including the role of effective provision of advice

Social research on neglected diseases of poverty: Continuing and emerging themes

Copyright: © 2009 Manderson et al.Neglected tropical diseases (NTDs) exist and persist for social and economic reasons that enable the vectors and pathogens to take advantage of changes in the behavioral and physical environment. Persistent poverty at household, community, and national levels, and inequalities within and between sectors, contribute to the perpetuation and re-emergence of NTDs. Changes in production and habitat affect the physical environment, so that agricultural development, mining and forestry, rapid industrialization, and urbanization all result in changes in human uses of the environment, exposure to vectors, and vulnerability to infection. Concurrently, political instability and lack of resources limit the capacity of governments to manage environments, control disease transmission, and ensure an effective health system. Social, cultural, economic, and political factors interact and influence government capacity and individual willingness to reduce the risks of infection and transmission, and to recognize and treat disease. Understanding the dynamic interaction of diverse factors in varying contexts is a complex task, yet critical for successful health promotion, disease prevention, and disease control. Many of the research techniques and tools needed for this purpose are available in the applied social sciences. In this article we use this term broadly, and so include behavioral, population and economic social sciences, social and cultural epidemiology, and the multiple disciplines of public health, health services, and health policy and planning. These latter fields, informed by foundational social science theory and methods, include health promotion, health communication, and heath education

Conditional cash transfers to retain rural Kenyan women in the continuum of care during pregnancy, birth and the postnatal period: protocol for a cluster randomized controlled trial.

BACKGROUND: Antenatal care (ANC), facility delivery and postnatal care (PNC) are proven to reduce maternal and child mortality and morbidity in high-burden settings. However, few pregnant rural women use these services sufficiently. This study aims to assess the impact, cost-effectiveness and scalability of conditional cash transfers to promote increased contact between pregnant women or women who have recently given birth and the formal healthcare system in Kenya. METHODS: The intervention tested is a conditional cash transfer to women for ANC health visits, a facility birth and PNC visits until their newborn baby reaches 1 year of age. The study is a cluster randomized controlled trial in Siaya County, Kenya. The trial clusters are 48 randomly selected public primary health facilities, 24 of which are in the intervention arm of the study and 24 in the control arm. The unit of randomization is the health facility. A target sample of 7200 study participants comprises pregnant women identified and recruited at their first ANC visit over a 12-month recruitment period and their subsequent newborns. All pregnant women attending one of the selected trial facilities for their first ANC visit during the recruitment period are eligible for the trial and invited to participate. Enrolled mothers are followed up at all health visits during their pregnancy, at facility delivery and for a number of visits after delivery. They are also contacted at three additional time points after enrolling in the study: 5-10days after enrolment, 6 months after the expected delivery date and 12 27 months after birth. If they have not delivered in a facility, there is an additional follow-up 2 wees after the expected due date. The impact of the conditional cash transfers on maternal healthcare services and utilization will be measured by the trial's primary outcomes: the proportion of all eligible ANC visits made during pregnancy, delivery at a health facility, the proportion of all eligible PNC visits attended, the proportion of referrals attended during the pregnancy and the postnatal period, and the proportion of eligible child immunization appointments attended. Secondary outcomes include; health screening and infection control, live birth, maternal and child survival 48 h after delivery, exclusive breastfeeding, post-partum contraceptive use and maternal and newborn morbidity. Data sources for the measurement of outcomes include routine health records, an electronic card-reader system and telephone surveys and focus group discussions. A full economic evaluation will be conducted to assess the cost of delivery and cost effectiveness of the intervention and the benefit incidence and equity impact of trial activities and outcomes. DISCUSSION: This trial will contribute to evidence on the effectiveness and cost-effectiveness of conditional cash transfers in facilitating health visits and promoting maternal and child health in rural Kenya and in other comparable contexts. TRIAL REGISTRATION: ClinicalTrials.gov, NCT03021070 . Registered on 13 January 2017

Genetic Variants of APOL1 Are Major Determinants of Kidney Failure in People of African Ancestry With HIV.

Introduction: Variants of the APOL1 gene are associated with chronic kidney disease (CKD) in people of African ancestry, although evidence for their impact in people with HIV are sparse. Methods: We conducted a cross-sectional study investigating the association between APOL1 renal risk alleles and kidney disease in people of African ancestry with HIV in the UK. The primary outcome was end-stage kidney disease (ESKD; estimated glomerular filtration rate [eGFR] of 30 mg/mmol), and biopsy-proven HIV-associated nephropathy (HIVAN). Multivariable logistic regression was used to estimate the associations between APOL1 high-risk genotypes (G1/G1, G1/G2, G2/G2) and kidney disease outcomes. Results: A total of 2864 participants (mean age 48.1 [SD 10.3], 57.3% female) were genotyped, of whom, 354 (12.4%) had APOL1 high-risk genotypes, and 99 (3.5%) had ESKD. After adjusting for demographic, HIV, and renal risk factors, individuals with APOL1 high-risk genotypes were at increased odds of ESKD (odds ratio [OR] 10.58, 95% CI 6.22-17.99), renal impairment (OR 5.50, 95% CI 3.81-7.95), albuminuria (OR 3.34, 95% CI 2.00-5.56), and HIVAN (OR 30.16, 95% CI 12.48-72.88). An estimated 49% of ESKD was attributable to APOL1 high-risk genotypes. Conclusion: APOL1 high-risk genotypes were strongly associated with kidney disease in people of African ancestry with HIV and accounted for approximately half of ESKD cases in this cohort