SOURCE SPECIFIC QUANTIFICATION AND CHARACTERISATION OF SOLID WASTE ALONG A SANDY BEACH IN CAPE COAST, GHANA

Ghana is dealing with extensive urban periphery settlements due to the massive migration of rural inhabitants to the cities, especially to the political and economic capital, Accra and other regional capitals including Cape Coast. This phenomenon has culminated in indiscriminate solid waste disposal. With no effective municipal solid waste collection system in place, heaps of refuse have become ubiquitous in Cape Coast especially along the beaches. The quantity and composition of solid waste at two locations along a sandy beach in the Cape Coast municipality was investigated in this study. Using five permanent 20 x 4 quadrats over seven weeks in each of the two locations, the amount and composition of solid waste were assessed. The results indicated that paper, bottle, wood, leather, textile, metal, plastics, organic matter and styrofoam were the main categories of solid waste found at the sandy beach. The results also indicated that the quantity of solid waste generated at Duakor and West Gate was 514 kgha-1 and 374 kgha-1 respectively. This study suggests that source specific waste quantification and characterisation of solid waste at different scales should be a vital part of planning in municipal solid waste management systems.solid waste characterisation; quantification; sandy beach; Ghana.

Socio-cultural determinants of timely and delayed treatment of Buruli ulcer: Implications for disease control

Introduction: Public health programmes recommend timely medical treatment for Buruli ulcer (BU) infection to prevent pre-ulcer conditions from progressing to ulcers, to minimise surgery, disabilities and the socio-economic impact of BU. Clarifying the role of socio-cultural determinants of timely medical treatment may assist in guiding public health programmes to improve treatment outcomes. This study clarified the role of socio-cultural determinants and health system factors affecting timely medical treatment for BU in an endemic area in Ghana. Methods: A semi-structured explanatory model interview based on the explanatory model interview catalogue (EMIC) was administered to 178 BU-affected persons. Based on research evidence, respondents were classified as timely treatment (use of medical treatment 3 months from awareness of disease) and delayed treatment (medical treatment 3 months after onset of disease and failure to use medical treatment). The outcome variable, timely treatment was analysed with cultural epidemiological variables for categories of distress, perceived causes of BU, outside-help and reasons for medical treatment in logistic regression models. The median time for the onset of symptoms to treatment was computed in days. Qualitative phenomenological analysis of respondents’ narratives clarified the meaning, context and dynamic features of the relationship of explanatory variables with timely medical treatment. Results: The median time for initiating treatment was 25 days for pre-ulcers, and 204 days for ulcers. Income loss and use of herbalists showed significantly negative associations with timely treatment. Respondents’ use of herbalists was often motivated by the desire for quick recovery in order to continue with work and because herbalists were relatives and easily accessible. However, drinking unclean water was significantly associated with timely treatment and access to health services encouraged timely treatment (OR 8.5, p = 0.012). Findings show that health system factors of access are responsible for non-compliance to treatment regimes. Conclusions: Findings highlight the importance of an integrated approach to BU control and management considering the social and economic features that influence delayed treatment and factors that encourage timely medical treatment. This approach should consider periodic screening for early case-detection, collaboration with private practitioners and traditional healers, use of mobile services to improve access, adherence and treatment outcomes

Glucose inhibits cardiac muscle maturation through nucleotide biosynthesis.

The heart switches its energy substrate from glucose to fatty acids at birth, and maternal hyperglycemia is associated with congenital heart disease. However, little is known about how blood glucose impacts heart formation. Using a chemically defined human pluripotent stem-cell-derived cardiomyocyte differentiation system, we found that high glucose inhibits the maturation of cardiomyocytes at genetic, structural, metabolic, electrophysiological, and biomechanical levels by promoting nucleotide biosynthesis through the pentose phosphate pathway. Blood glucose level in embryos is stable in utero during normal pregnancy, but glucose uptake by fetal cardiac tissue is drastically reduced in late gestational stages. In a murine model of diabetic pregnancy, fetal hearts showed cardiomyopathy with increased mitotic activity and decreased maturity. These data suggest that high glucose suppresses cardiac maturation, providing a possible mechanistic basis for congenital heart disease in diabetic pregnancy

Spatial Variability of Trace Metals in Surface and Groundwater Within a Contaminated Mining Environment in Ghana

Abstract: The aim of the study was to spatially assess the distribution of heavy metals within the catchment of the Tarkwa mining area using interpolation techniques in a geographical information systems environment. Water quality trends for 84 sites in Tarkwa, a mining district in Ghana, were examined for fourtee

Illness meanings and experiences for pre-ulcer and ulcer conditions of Buruli ulcer in the Ga-West and Ga-South Municipalities of Ghana

ABSTRACT: BACKGROUND: Ghana is a Buruli ulcer (BU) endemic country yet there is paucity of socio-cultural research on BU. Examining distinctive experiences and meanings for pre-ulcers and ulcers of BU may clarify the disease burden, illness experience and local perceptions of causes and spread, and environmental features of BU, which are useful to guide public health programmes and future research. This study aimed to explain local meanings and experiences of BU for persons with pre-ulcers and ulcers in the Ga-West and Ga-South municipalities in Accra. METHODS: Semi-structured interviews based on the Explanatory Model Interview Catalogue framework were administered to 181 respondents comprising 15 respondents with pre-ulcers and 166 respondents with ulcers. The Wilcoxon rank-sum test was used to compare categories of illness experiences (PD) and perceived causes (PC) among respondents with pre-ulcer and ulcer conditions. The Fisher's exact test was used to compare the most troubling PD and the most important PC variables. Qualitative phenomenological analysis of respondents' narratives clarified illness experiences and meanings with reference to PC and PD variables. RESULTS: Families of respondents with pre-ulcers and the respondents themselves were often anxious about disease progression, while families of respondents with ulcers, who had to give care, worried about income loss and disruption of school attendance. Respondents with pre-ulcers frequently reported swimming in ponds and rivers as a perceived cause and considered it as the most important PC (53.3%). Respondents with ulcers frequently attributed their BU illness to witchcraft (64.5%) and respondents who claimed they had no water contact, questioned the credibility of health messages CONCLUSIONS: Affected persons with pre-ulcers are likely to delay treatment because of social and financial constraints and the absence of pain. Scepticism on the role of water in disease contagion and prolonged healin is perceived to make ideas of witchcraft as a PC more credible, among respondents with ulcers. Health messages should address issues of locally perceived risk and vulnerability. Guided by study findings, further research on the role of environmental, socio-cultural and genetic factors in BU contagion, is also needed to clarify and formulate health messages and strengthen public health initiative

A temporal transcriptome and methylome in human embryonic stem cell-derived cardiomyocytes identifies novel regulators of early cardiac development

Stem cell-based cardiogenesis has become a powerful tool to enhance our understanding of cardiac development and test novel therapeutics for cardiovascular diseases. However, transcriptional and epigenetic regulation of multiple transitional stages from pluripotent cells to committed cardiomyocytes has not yet been fully characterized. To characterize how transcription factors, lincRNAs and DNA methylation change at temporal developmental stages, and identify potential novel regulators during cardiogenesis. We utilized a previously reported protocol that yields human cardiomyocytes (hCM) with more than 90% purity from human Embryonic Stem Cells (hESC). Leveraging the purity of cells resulting from this protocol, we systematically examined how gene expression and DNA methylation programs change at temporal developmental stages during cardiogenesis. Our results provide a comprehensive view of expression changes during cardiogenesis that extend previous studies, allowing us to identify key transcription factors as well as lincRNAs that are strongly associated with cardiac differentiation. Moreover, we incorporated a simple but powerful method to screen for novel regulators of cardiogenesis solely based on expression changes and found four novel cardiac-related transcription factors, i.e., SORBS2, MITF, DPF3, and ZNF436, which have no or few prior literature reports and we were able to validate using siRNA. Our strategy of identifying novel regulators of cardiogenesis can also be easily implemented in other stem cell-based systems. Our results provide a valuable resource for understanding cardiogenesis that extends previous findings by leveraging the purity of our cell lines, which allowed us to identify four novel cardiac-related regulators

Enabling Sustainability: Hierarchical Need-Based Framework for Promoting Sustainable Data Infrastructure in Developing Countries

The paper presents thoughts on Sustainable Data Infrastructure (SDI) development, and its user requirements bases. It brings Maslow's motivational theory to the fore, and proposes it as a rationalization mechanism for entities (mostly governmental) that aim at realizing SDI. Maslow's theory, though well-known, is somewhat new in geospatial circles; this is where the novelty of the paper resides. SDI has been shown to enable and aid development in diverse ways. However, stimulating developing countries to appreciate the utility of SDI, implement, and use SDI in achieving sustainable development has proven to be an imposing challenge. One of the key reasons for this could be the absence of a widely accepted psychological theory to drive needs assessment and intervention design for the purpose of SDI development. As a result, it is reasonable to explore Maslow’s theory of human motivation as a psychological theory for promoting SDI in developing countries. In this article, we review and adapt Maslow’s hierarchy of needs as a framework for the assessment of the needs of developing nations. The paper concludes with the implications of this framework for policy with the view to stimulating the implementation of SDI in developing nations

Enabling Sustainability: Hierarchical Need-Based Framework for Promoting Sustainable Data Infrastructure in Developing Countries

The paper presents thoughts on Sustainable Data Infrastructure (SDI) development, and its user requirements bases. It brings Maslow's motivational theory to the fore, and proposes it as a rationalization mechanism for entities (mostly governmental) that aim at realizing SDI. Maslow's theory, though well-known, is somewhat new in geospatial circles; this is where the novelty of the paper resides. SDI has been shown to enable and aid development in diverse ways. However, stimulating developing countries to appreciate the utility of SDI, implement, and use SDI in achieving sustainable development has proven to be an imposing challenge. One of the key reasons for this could be the absence of a widely accepted psychological theory to drive needs assessment and intervention design for the purpose of SDI development. As a result, it is reasonable to explore Maslow’s theory of human motivation as a psychological theory for promoting SDI in developing countries. In this article, we review and adapt Maslow’s hierarchy of needs as a framework for the assessment of the needs of developing nations. The paper concludes with the implications of this framework for policy with the view to stimulating the implementation of SDI in developing nations.spatial data infrastructure; Maslow’s hierarchy of needs; motivation theory; sustainability; GIS; developing nations

A Systems Dynamics Approach to Explore Traffic Congestion and Air Pollution Link in the City of Accra, Ghana

Economic development and urbanization poses myriad challenges to transportation systems in relation to negative externalities such as traffic congestion and environmental health risks. Accra, the capital of Ghana, faces mounting urban planning problems, for example traffic congestion, air pollution, traffic safety, and land use planning, among others. The paper aims to provide a system dynamics perspective of the problems. Most of the drivers and cause-effect relationships of traffic congestion and its attendant air pollution are investigated and analyzed using causal loop diagrams. The paper further suggests mechanisms by which the negative externalities associated with road transport in the city of Accra can be addressed.traffic congestion; atmospheric pollution; policy; system dynamics; urban planning; Ghana