42 research outputs found

    Bridging the Gap between Rural Water Supply and Demand using Harvestable Rainwater: A Case Study of Adansi-Fumso

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    Rainwater harvesting has several benefits including providing a valuable alternative source of water for households, reduction in flood flow to storm drains and settlement erosion as well as health benefits. The research aimed at assessing and confirming the available renewal water sources, determining the cost of developing a rainwater harvesting system and assessing the potential of rainwater as a supplement to water supply at Fumso. Using a systematic random sampling technique and a sample size of 100 respondents, it was discovered that rainwater harvesting in Adansi Fumso has the potential to conserve on-site potable water use, protect water quality and reduce the risk of flooding within the community. Rainwater was preferred by the community due to its easy accessibility, nature (clean, pure, healthier and tastier), cost and quality. An examination of the rainfall records at AngloGold Ashanti weather station at Obuasi revealed an average annual rainfall of 1449.2 mm with the drier months (November, December, January and February) receiving only a quarter of the average monthly rainfall. The relatively high rainfall means that rainwater harvesting system designs need to be taken as a priority in addressing the water shortage situation in the community. Geometrically uniform building shapes and the local hydrology can provide sufficient rainwater to serve buildings in the community. The cost of the proposed rainwater harvesting system is GH ¢ 389.00 ($256.00). Reasons have been given for the need for this project and recommendations made for its implementation at Adansi Fumso as the best alternative source of water to the fewer boreholes in the community

    Clarifying the role of three-dimensional transvaginal sonography in reproductive medicine: an evidenced-based appraisal

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    This overview describes and illustrates the clinical applications of three-dimensional transvaginal sonography in reproductive medicine. Its main applications include assessment of uterine anomalies, intrauterine pathology, tubal patency, polycystic ovaries, ovarian follicular monitoring and endometrial receptivity. It is also useful for detailed evaluation of failed and/or ectopic pregnancy. Three-dimensional color Doppler sonography provides enhanced depiction of uterine, endometrial, and ovarian vascularity

    Apolipoprotein L1 Variant Associated with Increased Susceptibility to Trypanosome Infection

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    YesAfrican trypanosomes, except Trypanosoma brucei gambiense and Trypanosoma brucei rhodesiense, which cause human African trypanosomiasis, are lysed by the human serum protein apolipoprotein L1 (ApoL1). These two subspecies can resist human ApoL1 because they express the serum resistance proteins T. b. gambiense glycoprotein (TgsGP) and serum resistance-associated protein (SRA), respectively. Whereas in T. b. rhodesiense, SRA is necessary and sufficient to inhibit ApoL1, in T. b. gambiense, TgsGP cannot protect against high ApoL1 uptake, so different additional mechanisms contribute to limit this uptake. Here we report a complex interplay between trypanosomes and an ApoL1 variant, revealing important insights into innate human immunity against these parasites. Using whole-genome sequencing, we characterized an atypical T. b. gambiense infection in a patient in Ghana. We show that the infecting trypanosome has diverged from the classical T. b. gambiense strains and lacks the TgsGP defense mechanism against human serum. By sequencing the ApoL1 gene of the patient and subsequent in vitro mutagenesis experiments, we demonstrate that a homozygous missense substitution (N264K) in the membrane-addressing domain of this ApoL1 variant knocks down the trypanolytic activity, allowing the trypanosome to avoid ApoL1-mediated immunity. IMPORTANCE. Most African trypanosomes are lysed by the ApoL1 protein in human serum. Only the subspecies Trypanosoma b. gambiense and T. b. rhodesiense can resist lysis by ApoL1 because they express specific serum resistance proteins. We here report a complex interplay between trypanosomes and an ApoL1 variant characterized by a homozygous missense substitution (N264K) in the domain that we hypothesize interacts with the endolysosomal membranes of trypanosomes. The N264K substitution knocks down the lytic activity of ApoL1 against T. b. gambiense strains lacking the TgsGP defense mechanism and against T. b. rhodesiense if N264K is accompanied by additional substitutions in the SRA-interacting domain. Our data suggest that populations with high frequencies of the homozygous N264K ApoL1 variant may be at increased risk of contracting human African trypanosomiasis.This work, including the efforts of Stijn Deborggraeve, was funded by Research Foundation Flanders (1501413N). This work, including the efforts of Bart Cuypers, was funded by Research Foundation Flanders (11O1614N). This work, including the efforts of Jean-Claude Dujardin and Etienne Pays, was funded by Interuniversity Attraction Poles Program of Belgian Science Policy (P7/41). This work, including the efforts of Jean-Claude Dujardin, was funded by Flemish Ministry of Sciences (SOFI-B SINGLE). This work, including the efforts of Etienne Pays, was funded by EC | European Research Council (ERC) (APOLs 669007)

    Medical Disease and the Anæsthetist

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    Volume reconstruction from sparse 3D ultrasonography

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    3D freehand ultrasound has extensive application for organ volume measurement and has been shown to have better reproducibility than estimates of volume made from 2D measurement followed by interpolation to 3D. One key advantage of free-hand ultrasound is that of image compounding, but this advantage is lost in many automated reconstruction systems. A novel method is presented for the automated segmentation and surface reconstruction of organs from sparse 3D ultrasound data. Preliminary results are demonstrated for simulated data, and two cases of in-vivo data; breast ultrasound and imaging of ovarian follicles
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