332 research outputs found
Financing Africa: Through the crisis and beyond.
[Dataset available: http://hdl.handle.net/10411/17679]
Financing Africa:Through the crisis and beyond
The environment in which African financial systems operate has changed dramatically over the past years. The global financial system has undergone a major transformation after the recent financial crisis, with the center of economic and financial power shifting from developed to several emerging countries, including China, India, and Brazil. Additionally, the crisis has led to regulatory reform discussions among developed and emerging countries, with repercussions on financial sector regulation in Africa. Finally, technology has changed the economics of retail banking, revealing its potential to increase access to financial services dramatically, but also posing new regulatory challenges. Financing Africa: Through the Crisis and Beyond takes a fresh look at Africaâs financial systems in light of these recent changes. Benefiting from better data and a wide array of experiences across the continent, the book looks at the challenges of expanding the outreach of financial systems, lengthening financial contracts, and safeguarding financial systems. The authors identify three priority areas for policy action: the positive role of innovation and competition; a stronger focus on nontraditional financial service providers; and more emphasis on addressing demand-side constraints. Recognizing that all financial sector policy is local, the authors carefully distinguish between different country groupings, differentiating between low- and middle-income and small and larger economies among others, with a special focus on resource-based economies and post-conflict countries. And unlike other publications on this topic, this book includes analysis of the North African countries. A joint collaboration between the African Development Bank, BMZ (Federal Ministry for Economic Cooperation and Development), and the World Bank, this book is a valuable asset to practitioners, development partners, and policy makers concerned about a more inclusive and effective financial system
Natural genetic variation in Calligonum Tunisian genus analyzed by RAPD markers
The Calligonum genus is one of the most economically important resources of the Tunisian desert, playing an important role in the lives of desert local population. A great range of genetic diversity could be seen in diverse populations of this genus which are spread all over Tunisian areas. DNA-based molecular markers are playing increasingly important role in the analysis of genetic diversity in wide range of plants. This study is an attempt to collect, compile and collate information on the existing natural genetic diversity, at intra-specific and inter-populational levels in Calligonum genus (C.azel, C.arich and C.comosum). This study deals with 16 genotypes of Calligonum (Polygonaceae) collected from different regions of Tunisian desert using random amplified polymorphic DNA (RAPD) marker. In total, 46 polymorphic bands amplified by 4 random primers, with the polymorphic rate of 89.06% were recorded. The commercial software package SPSS 16 was used to develop similar matrices based on the Dice coefficient which is defined as 2a/2a+u, where âaâ is the number of positive matches and âuâ is the number of non-matches. From the analysis, it is imperative that predominantly obligate out breeding behavior of Calligonum genus, helps these diverse accessions to spread and occupy specific geographical niches in the Tunisian arid regions.Key words: Calligonum, genetic diversity, Inter-specific variation, RAPD marker, Tunisian desert
Comparative Study of Human and Automated Screening for Antinuclear Antibodies by Immunofluorescence on HEp-2 Cells
Background: Several automated systems had been developed in order to reduce inter-observer variability in
indirect immunofluorescence (IIF) interpretation. We aimed to evaluate the performance of a processing system in
antinuclear antibodies (ANA) screening on HEp-2 cells.
Patients and Methods: This study included 64 ANA-positive sera and 107 ANA-negative sera that underwent IIF on two
commercial kits of HEp-2 cells (BioSystemsÂź and EuroimmunÂź). IIF results were compared with a novel automated
interpretation system, the âCyclopusCADImmunoÂźâ (CAD).
Results: All ANA-positive sera images were recognized as positive by CAD (sensitivity = 100%), while 17 (15.9%) of the
ANA-negative sera images were interpreted as positive (specificity = 84.1%), =0.799 (SD=0.045). Comparison of IIF
pattern determination between human and CAD system revealed on HEp-2 (BioSystemsÂź), a complete concordance in
6 (9.37%) sera, a partial concordance (sharing of at least 1 pattern) in 42 (65.6%) cases and in 16 (25%) sera the
pattern interpretation was discordant. Similarly, on HEp-2 (EuroimmunÂź) the concordance in pattern interpretation was
total in 5 (7.8%) sera, partial in 39 (60.9%) and absent in 20 (31.25%). For both tested HEp-2 cells kits agreement was
enhanced for the most common patterns, homogenous, fine speckled and coarse speckled. While there was an issue in
identification of nucleolar, dots and nuclear membranous patterns by CAD.
Conclusion: Assessment of ANA by IIF on HEp-2 cells using the automated interpretation system, the
âCyclopusCADImmunoÂźâ is a reliable method for positive/negative differentiation. Continuous integration of IIF images
would improve the pattern identification by the CAD
Molecular analysis of HBV genotypes and subgenotypes in the Central-East region of Tunisia
<p>Abstract</p> <p>Background</p> <p>In Tunisia, country of intermediate endemicity for Hepatitis B virus (HBV) infection, most molecular studies on the virus have been carried out in the North of the country and little is known about other regions. The aim of this study was to determine HBV genotype and subgenotypes in Central-East Tunisia. A total of 217 HBs antigen positive patients were enrolled and determination of genotype was investigated in 130 patients with detectable HBV DNA. HBV genotyping methods were: PCR-RFLP on the pre-S region, a PCR using type-specific primers in the S region (TSP-PCR) and partial sequencing in the pre-S region.</p> <p>Results</p> <p>Three genotypes (D, B and A) were detected by the PCR-RFLP method and two (D and A) with the TSP-PCR method, the concordance between the two methods was 93%. Sequencing and phylogenetic analysis of 32 strains, retrieved the same genotype (D and A) for samples with concordant results and genotype D for samples with discordant results. The sequences of discordant genotypes had a restriction site in the pre-S gene which led to erroneous result by the PCR-RFLP method. Thus, prevalence of genotype D and A was 96% and 4%, respectively. Phylogenetic analysis showed the predominance of two subgenotypes D1 (55%) and D7 (41%). Only one strain clustered with D3 subgenotype (3%).</p> <p>Conclusions</p> <p>Predominance of subgenotype D7 appears to occur in northern regions of Africa with transition to subgenotype D1 in the East of the continent. HBV genetic variability may lead to wrong results in rapid genotyping methods and sequence analysis is needed to clarify atypical results.</p
Computer-Assisted Classification Patterns in Autoimmune Diagnostics: The AIDA Project
Antinuclear antibodies (ANAs) are significant biomarkers in the diagnosis of autoimmune diseases in humans, done by mean of
Indirect ImmunoFluorescence (IIF)method, and performed by analyzing patterns and fluorescence intensity. This paper introduces
the AIDA Project (autoimmunity: diagnosis assisted by computer) developed in the framework of an Italy-Tunisia cross-border
cooperation and its preliminary results. A database of interpreted IIF images is being collected through the exchange of images
and double reporting and a Gold Standard database, containing around 1000 double reported images, has been settled. The Gold
Standard database is used for optimization of aCAD(Computer AidedDetection) solution and for the assessment of its added value,
in order to be applied along with an Immunologist as a second Reader in detection of autoantibodies. This CAD system is able to
identify on IIF images the fluorescence intensity and the fluorescence pattern. Preliminary results show that CAD, used as second
Reader, appeared to perform better than Junior Immunologists and hence may significantly improve their efficacy; compared with
two Junior Immunologists, the CAD system showed higher Intensity Accuracy (85,5% versus 66,0% and 66,0%), higher Patterns
Accuracy (79,3% versus 48,0% and 66,2%), and higher Mean Class Accuracy (79,4% versus 56,7% and 64.2%)
Prognostic value of EndoPredict test in patients with hormone receptor-positive, human epidermal growth factor receptor 2-negative primary breast cancer screened for the randomized, double-blind, phase III UNIRAD trial
Background: The purpose of this study was to evaluate the prognostic value of the multigene EndoPredict test in prospectively collected data of patients screened for the randomized, double-blind, phase III UNIRAD trial, which evaluated the addition of everolimus to adjuvant endocrine therapy in high-risk, hormone receptor-positive, human epidermal growth factor receptor 2 (HER2)-negative early breast cancer. Patients and methods: Patients were classified into low or high risk according to the EPclin score, consisting of a 12-gene molecular score combined with tumor size and nodal status. Association of the EPclin score with disease-free survival (DFS) and distant metastasis-free survival (DMFS) was evaluated using KaplanâMeier estimates. The independent prognostic added value of EPclin score was tested in a multivariate Cox model after adjusting on tumor characteristics. Results: EndoPredict test results were available for 768 patients: 663 patients classified as EPclin high risk (EPCH) and 105 patients as EPclin low risk (EPCL). Median follow-up was 70 months (range 1-172 months). For the 429 EPCH randomized patients, there was no significant difference in DFS between treatment arms. The 60-month relapse rate for patients in the EPCL and EPCH groups was 0% and 7%, respectively. Hazard ratio (HR) supposing continuous EPclin score was 1.87 [95% confidence interval (CI) 1.4-2.5, P < 0.0001]. This prognostic effect remained significant when assessed in a Cox model adjusting on tumor size, number of positive nodes and tumor grade (HR 1.52, 95% CI 1.09-2.13, P = 0.0141). The 60-month DMFS for patients in the EPCL and EPCH groups was 100% and 94%, respectively (adjusted HR 8.10, 95% CI 1.1-59.1, P < 0.0001). Conclusions: The results confirm the value of EPclin score as an independent prognostic parameter in node-positive, hormone receptor-positive, HER2-negative early breast cancer patients receiving standard adjuvant treatment. EPclin score can be used to identify patients at higher risk of recurrence who may warrant additional systemic treatments.</p
Preliminary results of the project A.I.D.A. (Auto Immunity: Diagnosis Assisted by computer)
In this paper, are presented the preliminary results of the A.I.D.A. (Auto Immunity: Diagnosis
Assisted by computer) project which is developed in the frame of the cross-border cooperation Italy-Tunisia.
According to the main objectives of this project, a database of interpreted Indirect ImmunoFluorescence (IIF)
images on HEp 2 cells is being collected thanks to the contribution of Italian and Tunisian experts involved in
routine diagnosis of autoimmune diseases. Through exchanging images and double reporting; a Gold Standard
database, containing around 1000 double reported IIF images with different patterns including negative tests,
has been settled. This Gold Standard database has been used for optimization of a computing solution (CADComputer
Aided Detection) and for assessment of its added value in order to be used along with an
immunologist as a second reader in detection of auto antibodies for autoimmune disease diagnosis. From the
preliminary results obtained, the CAD appeared more powerful than junior immunologists used as second
readers and may significantly improve their efficacy
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