Učinak invazije vrstom Trypanosoma brucei na involuciju maternice nakon partusa.

This study investigated the effects of Trypanosoma brucei infection on post-partum (PP) uterine involution in the albino rat (Rattus norvegicus). Ninety-six rats (80 females and 16 males) were used for the study. The females were divided into 2 equal groups of 40 infected and 40 uninfected. The males which were uninfected were used for mating with the females. From each of the 2 female groups, 5 were humanely sacrifi ced daily from day 0 to day 7 PP. Body mass (BM), uterine mass (UM), uterine mass as a percentage of body mass (UMPBM), uterine histomorphology, packed cell volume (PCV), level of parasitaemia (LOP) and rectal temperature (RT) were evaluated in the females. Results showed that both the UM and the UMPBM of the infected rats were significantly higher (P<0.01) than those of the uninfected between days 1 and 7 PP. Uterine histomorphology showed that between days 3 and 7 PP, involution was more advanced in the uninfected group. Uterine sections of the infected rats had more glands, which were also larger in size. Endometrial stroma was less cellular in the uninfected rats and the myometrium showed higher nuclei density for myofi brils, which suggests some loss of cytoplasm. The PCV of the infected rats was significantly lower than that of the uninfected (P<0.01) between days 9 and 14 post-infection (PI), while the RT of the infected rats was significantly higher (P<0.01) than that of the uninfected between days 5 and 14 PI. It was therefore concluded that T. brucei infection led to a significant delay in PP uterine involution, as evidenced by the higher UM and UMPBM, and the uterine histomorphological findings in the infected rats.Istraživanje je provedeno s ciljem određivanja učinka protozoona Trypanosoma brucei na postpartalnu involuciju maternice u albino štakora (Rattus norvegicus). Za istraživanje je rabljeno 96 štakora (80 ženki i 16 mužjaka). Ženke su bile podijeljene u dvije jednake skupine tako da je 40 ženki pripadalo kontrolnoj, a 40 invadiranoj skupini. Neinvadirani mužjaci su poslužili za parenje. Iz svake skupine bilo je eutanazirano pet ženki i to svaki dan (od nultog do sedmog dana). Za svaku ženku bila je određena tjelesna masa, masa maternice, odnos mase maternice i tjelesne mase, histološki nalaz maternice, ukupan broj krvnih stanica, razina parazitemije i rektalna temperatura. Rezultati su pokazali da je u invadiranih štakorica maternica bila značajno teža kao što je bila i značajno veća masa maternice u odnosu na tjelesnu masu ženke (P<0,01) u razdoblju od prvog do sedmog dana nakon partusa. Histološkom pretragom dokazano je da je involucija maternice u razdoblju od trećeg do sedmog dana bila izraženija u neinvadiranih ženki što je dokazano i većim brojem povećanih žlijezdi. Stroma endometrija neinvadiranih životinja sadržavala je manje stanica. U miometriju je dokazana veća gustoća jezgara u miofibrilima što govori u prilog gubitku citoplazme. Ukupan broj krvnih stanica u invadiranih štakorica bio je značajno manji u odnosu na neinvadirane (P<0,01) u razdoblju od devetog do četrnaestog dana nakon invazije. Invadirane štakorice imali su višu tjelesnu temperaturu (P<0,01) u razdoblju od petoga do četrnaestoga dana. Na temelju postignutih rezultata zaključuje se da invazija vrstom Trypanosoma brucei dovodi do značajnog kašnjenja involucije što je potvrđeno većom masom maternice, većom masom u odnosu na tjelesnu masu te histomorfološkim nalazom u invadiranih ženki

Genome-wide association study of root mealiness and other texture-associated traits in cassava

Open Access Journal; Published online: 17 Dec 2021Cassava breeders have made significant progress in developing new genotypes with improved agronomic characteristics such as improved root yield and resistance against biotic and abiotic stresses. However, these new and improved cassava (Manihot esculenta Crantz) varieties in cultivation in Nigeria have undergone little or no improvement in their culinary qualities; hence, there is a paucity of genetic information regarding the texture of boiled cassava, particularly with respect to its mealiness, the principal sensory quality attribute of boiled cassava roots. The current study aimed at identifying genomic regions and polymorphisms associated with natural variation for root mealiness and other texture-related attributes of boiled cassava roots, which includes fibre, adhesiveness (ADH), taste, aroma, colour, and firmness. We performed a genome-wide association (GWAS) analysis using phenotypic data from a panel of 142 accessions obtained from the National Root Crops Research Institute (NRCRI), Umudike, Nigeria, and a set of 59,792 high-quality single nucleotide polymorphisms (SNPs) distributed across the cassava genome. Through genome-wide association mapping, we identified 80 SNPs that were significantly associated with root mealiness, fibre, adhesiveness, taste, aroma, colour and firmness on chromosomes 1, 4, 5, 6, 10, 13, 17 and 18. We also identified relevant candidate genes that are co-located with peak SNPs linked to these traits in M. esculenta. A survey of the cassava reference genome v6.1 positioned the SNPs on chromosome 13 in the vicinity of Manes.13G026900, a gene recognized as being responsible for cell adhesion and for the mealiness or crispness of vegetables and fruits, and also known to play an important role in cooked potato texture. This study provides the first insights into understanding the underlying genetic basis of boiled cassava root texture. After validation, the markers and candidate genes identified in this novel work could provide important genomic resources for use in marker-assisted selection (MAS) and genomic selection (GS) to accelerate genetic improvement of root mealiness and other culinary qualities in cassava breeding programmes in West Africa, especially in Nigeria, where the consumption of boiled and pounded cassava is low

Human bite injuries in the oro-facial region at the Muhimbili National Hospital, Tanzania

<p>Abstract</p> <p>Background</p> <p>Human bites in the maxillofacial region compromise function and aesthetics, resulting in social and psychological effects. There is paucity of information regarding human bite injuries in Tanzania. The aim of the study was to assess the occurrence, treatment modalities and prognosis of human bite injuries in the oro-facial region at the Muhimbili National Hospital Dar es Salaam, Tanzania.</p> <p>Methods</p> <p>In a prospective study the details of patients with human bite injuries in the oro-facial region who attended at the Department of Oral and Maxillofacial Surgery of the Muhimbili National Hospital between January 2001 and December 2005 were recorded. Data included information on age, sex, site, duration of the injury at the time of reporting to hospital, reasons, details of treatment offered and outcome after treatment.</p> <p>Results</p> <p>A total of 33 patients, 13 males and 20 females aged between 12 and 49 years with human bite injuries in the oro-facial region were treated. Thirty patients presented with clean uninfected wounds while 3 had infected wounds. The most (45.5%) frequently affected site was the lower lip. Treatment offered included thorough surgical cleansing with adequate surgical debridement and primary suturing. Tetanus prophylaxis and a course of broad-spectrum antibiotics were given to all the patients. In 90% of the 30 patients who were treated by suturing, the healing was uneventful with only 10% experiencing wound infection or necrosis. Three patients who presented with wounds that had signs of infection were treated by surgical cleansing with debridement, antibiotics and daily dressing followed by delayed primary suturing.</p> <p>Conclusion</p> <p>Most of the human bite injuries in the oro-facial region were due to social conflicts. Although generally considered to be dirty or contaminated they could be successfully treated by surgical cleansing and primary suture with a favourable outcome. Management of such injuries often need multidisciplinary approach.</p

Učinak invazije vrstom Trypanosoma brucei na involuciju maternice nakon partusa.

This study investigated the effects of Trypanosoma brucei infection on post-partum (PP) uterine involution in the albino rat (Rattus norvegicus). Ninety-six rats (80 females and 16 males) were used for the study. The females were divided into 2 equal groups of 40 infected and 40 uninfected. The males which were uninfected were used for mating with the females. From each of the 2 female groups, 5 were humanely sacrifi ced daily from day 0 to day 7 PP. Body mass (BM), uterine mass (UM), uterine mass as a percentage of body mass (UMPBM), uterine histomorphology, packed cell volume (PCV), level of parasitaemia (LOP) and rectal temperature (RT) were evaluated in the females. Results showed that both the UM and the UMPBM of the infected rats were significantly higher (P<0.01) than those of the uninfected between days 1 and 7 PP. Uterine histomorphology showed that between days 3 and 7 PP, involution was more advanced in the uninfected group. Uterine sections of the infected rats had more glands, which were also larger in size. Endometrial stroma was less cellular in the uninfected rats and the myometrium showed higher nuclei density for myofi brils, which suggests some loss of cytoplasm. The PCV of the infected rats was significantly lower than that of the uninfected (P<0.01) between days 9 and 14 post-infection (PI), while the RT of the infected rats was significantly higher (P<0.01) than that of the uninfected between days 5 and 14 PI. It was therefore concluded that T. brucei infection led to a significant delay in PP uterine involution, as evidenced by the higher UM and UMPBM, and the uterine histomorphological findings in the infected rats.Istraživanje je provedeno s ciljem određivanja učinka protozoona Trypanosoma brucei na postpartalnu involuciju maternice u albino štakora (Rattus norvegicus). Za istraživanje je rabljeno 96 štakora (80 ženki i 16 mužjaka). Ženke su bile podijeljene u dvije jednake skupine tako da je 40 ženki pripadalo kontrolnoj, a 40 invadiranoj skupini. Neinvadirani mužjaci su poslužili za parenje. Iz svake skupine bilo je eutanazirano pet ženki i to svaki dan (od nultog do sedmog dana). Za svaku ženku bila je određena tjelesna masa, masa maternice, odnos mase maternice i tjelesne mase, histološki nalaz maternice, ukupan broj krvnih stanica, razina parazitemije i rektalna temperatura. Rezultati su pokazali da je u invadiranih štakorica maternica bila značajno teža kao što je bila i značajno veća masa maternice u odnosu na tjelesnu masu ženke (P<0,01) u razdoblju od prvog do sedmog dana nakon partusa. Histološkom pretragom dokazano je da je involucija maternice u razdoblju od trećeg do sedmog dana bila izraženija u neinvadiranih ženki što je dokazano i većim brojem povećanih žlijezdi. Stroma endometrija neinvadiranih životinja sadržavala je manje stanica. U miometriju je dokazana veća gustoća jezgara u miofibrilima što govori u prilog gubitku citoplazme. Ukupan broj krvnih stanica u invadiranih štakorica bio je značajno manji u odnosu na neinvadirane (P<0,01) u razdoblju od devetog do četrnaestog dana nakon invazije. Invadirane štakorice imali su višu tjelesnu temperaturu (P<0,01) u razdoblju od petoga do četrnaestoga dana. Na temelju postignutih rezultata zaključuje se da invazija vrstom Trypanosoma brucei dovodi do značajnog kašnjenja involucije što je potvrđeno većom masom maternice, većom masom u odnosu na tjelesnu masu te histomorfološkim nalazom u invadiranih ženki

Effects of monosodium-L-glutamate administration on serum levels of reproductive hormones and cholesterol, epididymal sperm reserves and testicular histomorphology of male albino rats

This study investigated the effects of administration of monosodium L-glutamate (MSG) on serum gonadotrophin-releasing hormone (GnRH), luteinising hormone (LH), testosterone and total cholesterol (TC), cauda epididymal sperm reserves (CESR) and testicular histomorphology of adult male albino rats. Eighty-four rats, randomly assigned to 7 groups of 12 rats each, were used for the study. Varying low doses (0.25, 0.50 or 1.00 g/kg body weight) of MSG were administered orally or subcutaneously at 48-h intervals for six weeks. Serum GnRH, LH, testosterone and TC, and CESR were evaluated on days 14, 28 and 42 of MSG administration. Testicular histomorphology was evaluated on day 42. The results showed that the mean serum GnRH, LH and testosterone levels, and the CESR of all the treated groups were significantly (P < 0.05) lower than those of the untreated control on days 14, 28 and 42 of MSG administration. The mean serum TC levels of all the treated groups were also significantly (P < 0.05) lower than those of the control group on days 14 and 28. No lesions were observed on sections of the testes. It was concluded that MSG administration for 14, 28 and 42 days led to significantly lower serum levels of GnRH, LH, testosterone and TC, and significantly lower CESR

Global, regional, and national disability-adjusted life years (DALYs) for 306 diseases and injuries and healthy life expectancy (HALE) for 188 countries, 1990-2013: Quantifying the epidemiological transition

Background The Global Burden of Disease Study 2013 (GBD 2013) aims to bring together all available epidemiological data using a coherent measurement framework, standardised estimation methods, and transparent data sources to enable comparisons of health loss over time and across causes, age-sex groups, and countries. The GBD can be used to generate summary measures such as disability-adjusted life-years (DALYs) and healthy life expectancy (HALE) that make possible comparative assessments of broad epidemiological patterns across countries and time. These summary measures can also be used to quantify the component of variation in epidemiology that is related to sociodemographic development. Methods We used the published GBD 2013 data for age-specific mortality, years of life lost due to premature mortality (YLLs), and years lived with disability (YLDs) to calculate DALYs and HALE for 1990, 1995, 2000, 2005, 2010, and 2013 for 188 countries. We calculated HALE using the Sullivan method; 95% uncertainty intervals (UIs) represent uncertainty in age-specific death rates and YLDs per person for each country, age, sex, and year. We estimated DALYs for 306 causes for each country as the sum of YLLs and YLDs; 95% UIs represent uncertainty in YLL and YLD rates. We quantified patterns of the epidemiological transition with a composite indicator of sociodemographic status, which we constructed from income per person, average years of schooling after age 15 years, and the total fertility rate and mean age of the population. We applied hierarchical regression to DALY rates by cause across countries to decompose variance related to the sociodemographic status variable, country, and time. Findings Worldwide, from 1990 to 2013, life expectancy at birth rose by 6·2 years (95% UI 5·6-6·6), from 65·3 years (65·0-65·6) in 1990 to 71·5 years (71·0-71·9) in 2013, HALE at birth rose by 5·4 years (4·9-5·8), from 56·9 years (54·5-59·1) to 62·3 years (59·7-64·8), total DALYs fell by 3·6% (0·3-7·4), and age-standardised DALY rates per 100 000 people fell by 26·7% (24·6-29·1). For communicable, maternal, neonatal, and nutritional disorders, global DALY numbers, crude rates, and age-standardised rates have all declined between 1990 and 2013, whereas for non-communicable diseases, global DALYs have been increasing, DALY rates have remained nearly constant, and age-standardised DALY rates declined during the same period. From 2005 to 2013, the number of DALYs increased for most specific non-communicable diseases, including cardiovascular diseases and neoplasms, in addition to dengue, food-borne trematodes, and leishmaniasis; DALYs decreased for nearly all other causes. By 2013, the five leading causes of DALYs were ischaemic heart disease, lower respiratory infections, cerebrovascular disease, low back and neck pain, and road injuries. Sociodemographic status explained more than 50% of the variance between countries and over time for diarrhoea, lower respiratory infections, and other common infectious diseases; maternal disorders; neonatal disorders; nutritional deficiencies; other communicable, maternal, neonatal, and nutritional diseases; musculoskeletal disorders; and other non-communicable diseases. However, sociodemographic status explained less than 10% of the variance in DALY rates for cardiovascular diseases; chronic respiratory diseases; cirrhosis; diabetes, urogenital, blood, and endocrine diseases; unintentional injuries; and self-harm and interpersonal violence. Predictably, increased sociodemographic status was associated with a shift in burden from YLLs to YLDs, driven by declines in YLLs and increases in YLDs from musculoskeletal disorders, neurological disorders, and mental and substance use disorders. In most country-specific estimates, the increase in life expectancy was greater than that in HALE. Leading causes of DALYs are highly variable across countries. Interpretation Global health is improving. Population growth and ageing have driven up numbers of DALYs, but crude rates have remained relatively constant, showing that progress in health does not mean fewer demands on health systems. The notion of an epidemiological transition - in which increasing sociodemographic status brings structured change in disease burden - is useful, but there is tremendous variation in burden of disease that is not associated with sociodemographic status. This further underscores the need for country-specific assessments of DALYs and HALE to appropriately inform health policy decisions and attendant actions

Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: A systematic analysis for the Global Burden of Disease Study 2013

Background Up-to-date evidence on levels and trends for age-sex-specific all-cause and cause-specific mortality is essential for the formation of global, regional, and national health policies. In the Global Burden of Disease Study 2013 (GBD 2013) we estimated yearly deaths for 188 countries between 1990, and 2013. We used the results to assess whether there is epidemiological convergence across countries. Methods We estimated age-sex-specific all-cause mortality using the GBD 2010 methods with some refinements to improve accuracy applied to an updated database of vital registration, survey, and census data. We generally estimated cause of death as in the GBD 2010. Key improvements included the addition of more recent vital registration data for 72 countries, an updated verbal autopsy literature review, two new and detailed data systems for China, and more detail for Mexico, UK, Turkey, and Russia. We improved statistical models for garbage code redistribution. We used six different modelling strategies across the 240 causes; cause of death ensemble modelling (CODEm) was the dominant strategy for causes with sufficient information. Trends for Alzheimer's disease and other dementias were informed by meta-regression of prevalence studies. For pathogen-specific causes of diarrhoea and lower respiratory infections we used a counterfactual approach. We computed two measures of convergence (inequality) across countries: the average relative difference across all pairs of countries (Gini coefficient) and the average absolute difference across countries. To summarise broad findings, we used multiple decrement life-tables to decompose probabilities of death from birth to exact age 15 years, from exact age 15 years to exact age 50 years, and from exact age 50 years to exact age 75 years, and life expectancy at birth into major causes. For all quantities reported, we computed 95% uncertainty intervals (UIs). We constrained cause-specific fractions within each age-sex-country-year group to sum to all-cause mortality based on draws from the uncertainty distributions. Findings Global life expectancy for both sexes increased from 65·3 years (UI 65·0-65·6) in 1990, to 71·5 years (UI 71·0-71·9) in 2013, while the number of deaths increased from 47·5 million (UI 46·8-48·2) to 54·9 million (UI 53·6-56·3) over the same interval. Global progress masked variation by age and sex: for children, average absolute differences between countries decreased but relative differences increased. For women aged 25-39 years and older than 75 years and for men aged 20-49 years and 65 years and older, both absolute and relative differences increased. Decomposition of global and regional life expectancy showed the prominent role of reductions in age-standardised death rates for cardiovascular diseases and cancers in high-income regions, and reductions in child deaths from diarrhoea, lower respiratory infections, and neonatal causes in low-income regions. HIV/AIDS reduced life expectancy in southern sub-Saharan Africa. For most communicable causes of death both numbers of deaths and age-standardised death rates fell whereas for most non-communicable causes, demographic shifts have increased numbers of deaths but decreased age-standardised death rates. Global deaths from injury increased by 10·7%, from 4·3 million deaths in 1990 to 4·8 million in 2013; but age-standardised rates declined over the same period by 21%. For some causes of more than 100 000 deaths per year in 2013, age-standardised death rates increased between 1990 and 2013, including HIV/AIDS, pancreatic cancer, atrial fibrillation and flutter, drug use disorders, diabetes, chronic kidney disease, and sickle-cell anaemias. Diarrhoeal diseases, lower respiratory infections, neonatal causes, and malaria are still in the top five causes of death in children younger than 5 years. The most important pathogens are rotavirus for diarrhoea and pneumococcus for lower respiratory infections. Country-specific probabilities of death over three phases of life were substantially varied between and within regions. Interpretation For most countries, the general pattern of reductions in age-sex specific mortality has been associated with a progressive shift towards a larger share of the remaining deaths caused by non-communicable disease and injuries. Assessing epidemiological convergence across countries depends on whether an absolute or relative measure of inequality is used. Nevertheless, age-standardised death rates for seven substantial causes are increasing, suggesting the potential for reversals in some countries. Important gaps exist in the empirical data for cause of death estimates for some countries; for example, no national data for India are available for the past decade. Funding Bill &amp; Melinda Gates Foundation

Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990-2013: A systematic analysis for the Global Burden of Disease Study 2013

Background: The Global Burden of Disease, Injuries, and Risk Factor study 2013 (GBD 2013) is the first of a series of annual updates of the GBD. Risk factor quantification, particularly of modifiable risk factors, can help to identify emerging threats to population health and opportunities for prevention. The GBD 2013 provides a timely opportunity to update the comparative risk assessment with new data for exposure, relative risks, and evidence on the appropriate counterfactual risk distribution. Methods: Attributable deaths, years of life lost, years lived with disability, and disability-adjusted life-years (DALYs) have been estimated for 79 risks or clusters of risks using the GBD 2010 methods. Risk-outcome pairs meeting explicit evidence criteria were assessed for 188 countries for the period 1990-2013 by age and sex using three inputs: risk exposure, relative risks, and the theoretical minimum risk exposure level (TMREL). Risks are organised into a hierarchy with blocks of behavioural, environmental and occupational, and metabolic risks at the first level of the hierarchy. The next level in the hierarchy includes nine clusters of related risks and two individual risks, with more detail provided at levels 3 and 4 of the hierarchy. Compared with GBD 2010, six new risk factors have been added: handwashing practices, occupational exposure to trichloroethylene, childhood wasting, childhood stunting, unsafe sex, and low glomerular filtration rate. For most risks, data for exposure were synthesised with a Bayesian metaregression method, DisMod-MR 2.0, or spatial-temporal Gaussian process regression. Relative risks were based on meta-regressions of published cohort and intervention studies. Attributable burden for clusters of risks and all risks combined took into account evidence on the mediation of some risks such as high body-mass index (BMI) through other risks such as high systolic blood pressure and high cholesterol. Findings: All risks combined account for 57·2% (95% uncertainty interval [UI] 55·8-58·5) of deaths and 41·6% (40·1-43·0) of DALYs. Risks quantified account for 87·9% (86·5-89·3) of cardiovascular disease DALYs, ranging to a low of 0% for neonatal disorders and neglected tropical diseases and malaria. In terms of global DALYs in 2013, six risks or clusters of risks each caused more than 5% of DALYs: dietary risks accounting for 11·3 million deaths and 241·4 million DALYs, high systolic blood pressure for 10·4 million deaths and 208·1 million DALYs, child and maternal malnutrition for 1·7 million deaths and 176·9 million DALYs, tobacco smoke for 6·1 million deaths and 143·5 million DALYs, air pollution for 5·5 million deaths and 141·5 million DALYs, and high BMI for 4·4 million deaths and 134·0 million DALYs. Risk factor patterns vary across regions and countries and with time. In sub-Saharan Africa, the leading risk factors are child and maternal malnutrition, unsafe sex, and unsafe water, sanitation, and handwashing. In women, in nearly all countries in the Americas, north Africa, and the Middle East, and in many other high-income countries, high BMI is the leading risk factor, with high systolic blood pressure as the leading risk in most of Central and Eastern Europe and south and east Asia. For men, high systolic blood pressure or tobacco use are the leading risks in nearly all high-income countries, in north Africa and the Middle East, Europe, and Asia. For men and women, unsafe sex is the leading risk in a corridor from Kenya to South Africa. Interpretation: Behavioural, environmental and occupational, and metabolic risks can explain half of global mortality and more than one-third of global DALYs providing many opportunities for prevention. Of the larger risks, the attributable burden of high BMI has increased in the past 23 years. In view of the prominence of behavioural risk factors, behavioural and social science research on interventions for these risks should be strengthened. Many prevention and primary care policy options are available now to act on key risks