Awareness and use of nutrition information on food packages among consumers in Maseru (Lesotho)

Food product labelling has become a popular policy tool, particularly with respect to the provision of nutrition and health information. Nutrition labelling is a valuable tool  in learning how to apply nutrition information in a practical way. Nutrition  information on food labels can help consumers to choose healthier food. For  companies competing in the global food and beverage marketplace, understanding local consumer attitudes and purchase behaviour regarding healthy foods, nutrition, and labelling is critically important for success. This study attempts to evaluate the level of knowledge and use of nutrition information on food packages among  consumers in Maseru, Lesotho. A structured questionnaire, covering aspects of knowledge and use of food labels and nutrition information, was used to collect information from two hundred and sixty consumers. The study also included  open-ended questions on what consumers expected to be on the food label, what  they understand by nutrition information, what its importance is, and if they think it  should be included on the food package labels and why. The findings indicate that  the main demographic features of the participants were: 67.3% female, 59.6%  married, 55.9% completed primary, middle or high school, and 68.4% were poor.  Majority (71.2%) of the participants claimed that they use a shopping list. Less  than half of the participants (40.5%) indicated that nutrition information on food  labels, rather than price, taste, appearance, habit, convenience, or brand name, wastheir main motivator to purchase foods. With regard to food label and nutrition  information knowledge, a majority of the participants said they knew about them (59.6% for food label knowledge, and 69.2% for nutrition information knowledge). The same trend has been observed with respect to use of nutrition information on food labels when shopping, where 63.8% claimed that they utilise that knowledge when shopping. For the lowest income group, food price was the major determining factor of the types of foods they buy. A positive relationship between age of  participants and nutrition information knowledge was observed. It was noted that as the level of education increased, the level of knowledge about food label increased. The level and use of nutrition knowledge when purchasing foods increased with age, education level and family income. Answers to the open-ended questions showed high degree of awareness about nutrition information on food labels, and why it is important to utilise that information.Key words: Consumers, Food packages, Nutrition informatio

Pattern of cesarean deliveries among women in an urban and rural district in Egypt

Aim: to compare patterns of delivery at an urban and a rural district in Egypt over 3 years. Methods: This retrospective study included 500 women and 50 obstetricians from each district from January, 2013 till December, 2015. Women answered a questionnaire about their deliveries. Obstetricians answered a questionnaire about their practiceof CS. Results: CS rate in the rural district was 57.2% compared to 54.8% in the urban district in 2013. In 2014 and 2015, CS rates increased to 65.3% and 69%, respectively in the rural district compared to 56% and 57.7%, respectively in the urban district. 66% of obstetricians in the rural district performed CS for more than 50% of their patients compared to 76% of obstetricians in the urban district. 52% and 4% of obstetricians in the rural and urban districts, respectively, performed CS upon maternal request. 70.3% of women in the rural district who delivered by CS preferred to deliver vaginally. 51.4% of urban women who delivered by CS preferred to deliver vaginally. Level of education was the only factor showing statistical significance. Conclusion: CS rates increased over time with higher rates in the rural area. Level of women's education was the only factor affecting delivery choice. Keywords: Cesarean sections; CS rate; urban area; rural area; Egypt; obstetricians

Personalized Drug Dosage – Closing the Loop

A brief account is given of various approaches to the individualization of drug dosage, including the use of pharmacodynamic markers, therapeutic monitoring of plasma drug concentrations, genotyping, computer-guided dosage using ‘dashboards’, and automatic closed-loop control of pharmacological action. The potential for linking the real patient to his or her ‘virtual twin’ through the application of physiologically-based pharmacokinetic modeling is also discussed

Female genital schistosomiasis as an evidence of a neglected cause for reproductive ill-health: a retrospective histopathological study from Tanzania

BACKGROUND: Schistosomiasis affects the reproductive health of women. Described sequelae are ectopic pregnancy, infertility, abortion, and cervical lesions and symptoms mimicking cervical cancer and STIs. There are indications that cervical schistosomiasis lesions could become co-factors for viral infection such as HIV and HPV. METHODS: In a retrospective descriptive histopathological study clinical specimens sent between 1999 and 2005 to the pathology department of a consultant hospital in Tanzania were reviewed to analyse the occurrence and features of schistosomiasis in female genital organs. RESULTS: During the study period, schistosomiasis was histopathologically diagnosed in 423 specimens from different organs (0.7% of all specimens examined in the study period), out of those 40% were specimens from female and male organs. The specimens were sent from 24 hospitals in 13 regions of mainland Tanzania. Female genital schistosomiasis was diagnosed in 125 specimens from 111 patients. The main symptoms reported were bleeding disorders (48%), ulcer (17%), tumor (20%), lower abdominal pain (11%) and infertility (7%). The majority of cases with genital schistosomiasis were diagnosed in cervical tissue (71 cases). The confirmation of cervical cancer was specifically requested for 53 women, but the diagnosis could only be verified for 13 patients (25%), in 40 cases only severe cervical schistosomiasis was diagnosed. Vulval/labial schistosomiasis was seen in specimens from young women. Infertility was reported in four patients with schistosomiasis of the Fallopian tubes. CONCLUSION: Genital schistosomiasis adds to the disease burden of women in all age groups. Pathological consequences due to the involvement of different genital organs can be damaging for the affected women. Clinical unawareness of genital schistosomiasis can lead to misdiagnosis and therefore false and ineffective therapy. In endemic areas cervical schistosomiasis should be considered as differential diagnosis of cancer

AWARENESS AND USE OF NUTRITION INFORMATION ON FOOD PACKAGES AMONG CONSUMERS IN MASERU (LESOTHO)

ABSTRACT Food product labelling has become a popular policy tool, particularly with respect to the provision of nutrition and health information. Nutrition labelling is a valuable tool in learning how to apply nutrition information in a practical way. Nutrition information on food labels can help consumers to choose healthier food. For companies competing in the global food and beverage marketplace, understanding local consumer attitudes and purchase behaviour regarding healthy foods, nutrition, and labelling is critically important for success. This study attempts to evaluate the level of knowledge and use of nutrition information on food packages among consumers in Maseru, Lesotho. A structured questionnaire, covering aspects of knowledge and use of food labels and nutrition information, was used to collect information from two hundred and sixty consumers. The study also included open-ended questions on what consumers expected to be on the food label, what they understand by nutrition information, what its importance is, and if they think it should be included on the food package labels and why. The findings indicate that the main demographic features of the participants were: 67.3% female, 59.6% married, 55.9% completed primary, middle or high school, and 68.4% were poor. Majority (71.2%) of the participants claimed that they use a shopping list. Less than half of the participants (40.5%) indicated that nutrition information on food labels, rather than price, taste, appearance, habit, convenience, or brand name, was their main motivator to purchase foods. With regard to food label and nutrition information knowledge, a majority of the participants said they knew about them (59.6% for food label knowledge, and 69.2% for nutrition information knowledge). The same trend has been observed with respect to use of nutrition information on food labels when shopping, where 63.8% claimed that they utilise that knowledge when shopping. For the lowest income group, food price was the major determining factor of the types of foods they buy. A positive relationship between age of participants and nutrition information knowledge was observed. It was noted that as the level of education increased, the level of knowledge about food label increased. The level and use of nutrition knowledge when purchasing foods increased with age, education level and family income. Answers to the open-ended questions showed high degree of awareness about nutrition information on food labels, and why it is important to utilise that information

Eumycetoma caused by Cladophialophora bantiana successfully treated with itraconazole

A 57-year-old male presented with dermatosis of the dorsum of the foot consisting of tumefaction, deformity and sinus tract formation. The direct examination of exudates as well as the biopsy tissue, demonstrated the presence of black granules. A dematiaceous fungus was isolated from the lesions and was identified by ribosomal DNA sequencing as Cladophialophora bantiana. This is the second report of this fungus as an etiologic agent of eumycetoma in humans. Clinical and mycologic cure was achieved after 20 months of treatment with itraconazole at a starting dose of 300 mg/day that was tapered during the course of therapy. The patient's isolate had an itraconazole MIC of 0.012g/ml