180 research outputs found
Risk and benefit of different cooking methods on essential elements and arsenic in rice
Use of excess water in cooking of rice is a well-studied short-term arsenic removal technique. However, the outcome on the nutritional content of rice is not well addressed. We determined the benefit of different cooking techniques on arsenic removal and the associated risk of losing the essential elements in rice. Overall, we found 4.5%, 30% and 44% decrease in the arsenic content of rice when cooked with rice to water ratios of 1:3, 1:6 (p = 0.004) and 1:10 (parboiling; p<0.0001) respectively. All the essential elements incurred a significant loss (except iron, selenium, copper) when rice was cooked using 1:6 technique: potassium (50%), nickel (44.6%), molybdenum (38.5%), magnesium (22.4%), cobalt (21.2%), manganese (16.5%), calcium (14.5%), selenium (12%), iron (8.2%), zinc (7.7%), and copper (0.2%) and further reduction was observed on parboiling, except for iron. For the same cooking method (1:6), percentage contribution to the recommended daily intake (RDI) of essential elements was highest for molybdenum (154.7%), followed by manganese (34.5%), copper (33.4%), selenium (13.1%), nickel (12.4%), zinc (10%), magnesium(8%), iron (6.3%), potassium (1.8%), and calcium (0.5%), Hence cooked rice is a poor source for essential elements and thus micronutrients
Radiographic viewing conditions at Johannesburg Hospital
Purpose: To measure the luminance level of X-ray viewing boxes and ambient lighting levels in reporting rooms as a quality assurance procedure, and to compare the results with those recommended by the Directorate of Radiatio
The Potential of N-Rich Plasma-Polymerized Ethylene (PPE:N) Films for Regulating the Phenotype of the Nucleus Pulposus
We recently developed a nitrogen-rich plasma-polymerized biomaterial, designated “PPE:N” (N-doped plasma-polymerized ethylene) that is capable of suppressing cellular hypertrophy while promoting type I collagen and aggrecan expression in mesenchymal stem cells from osteoarthritis patients. We then hypothesized that these surfaces would form an ideal substrate on which the nucleus pulposus (NP) phenotype would be maintained. Recent evidence using microarrays showed that in young rats, the relative mRNA levels of glypican-3 (GPC3) and pleiotrophin binding factor (PTN) were significantly higher in nucleus pulposus (NP) compared to annulus fibrosus (AF) and articular cartilage. Furthermore, vimentin (VIM) mRNA levels were higher in NP versus articular cartilage. In contrast, the levels of expression of cartilage oligomeric matrix protein (COMP) and matrix gla protein precursor (MGP) were lower in NP compared to articular cartilage. The objective of this study was to compare the expression profiles of these genes in NP cells from fetal bovine lumbar discs when cultured on either commercial polystyrene (PS) tissue culture dishes or on PPE:N with time. We found that the expression of these genes varies with the concentration of N ([N]). More specifically, the expression of several genes of NP was sensitive to [N], with a decrease of GPC3, VIM, PTN, and MGP in function of decreasing [N]. The expression of aggrecan, collagen type I, and collagen type II was also studied: no significant differences were observed in the cells on different surfaces with different culture time. The results support the concept that PPE:N may be a suitable scaffold for the culture of NP cells. Further studies are however necessary to better understand their effects on cellular phenotypes
Effect of HIV self-testing on the number of sexual partners among female sex workers in Zambia: A randomized controlled trial
Objectives: To assess the effect of two health system approaches to distribute HIV selftests
on the number of female sex workers’ client and nonclient sexual partners.
Design: Cluster randomized controlled trial.
Methods: Peer educators recruited 965 participants. Peer educator–participant
groups were randomized 1 : 1 : 1 to one of three arms: delivery of HIV self-tests directly
from a peer educator, free facility-based delivery of HIV self-tests in exchange for
coupons, or referral to standard-of-care HIV testing. Participants in all three arms
completed four peer educator intervention sessions, which included counseling and
condom distribution. Participants were asked the average number of client partners
they had per night at baseline, 1 and 4 months, and the number of nonclient partners
they had in the past 12 months (at baseline) and in the past month (at 1 month and
4 months).
Results: At 4 months, participants reported significantly fewer clients per night in the
direct delivery arm (mean difference 0.78 clients, 95% CI 1.28 to 0.28, P ¼ 0.002)
and the coupon arm (0.71, 95% CI 1.21 to 0.21, P ¼ 0.005) compared with
standard of care. Similarly, they reported fewer nonclient partners in the direct delivery
arm (3.19, 95% CI 5.18 to 1.21, P ¼ 0.002) and in the coupon arm (1.84, 95% CI
3.81 to 0.14, P ¼ 0.07) arm compared with standard of care.
Conclusion: Expansion of HIV self-testing may have positive behavioral effects enhancing
other HIV prevention efforts among female sex workers in Zambia.
Trial Registration: ClinicalTrials.gov NCT02827240.
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Inheritance of resistance to common bacterial blight in four selected common bean (\u3ci\u3ePhaseolus vulgaris\u3c/i\u3e L.) genotypes
Common bacterial blight (CBB) is the most serious bacterial disease of common bean in Uganda. It causes severe yield losses of up to 62%. Genetic resistance is the most effective option for controlling CBB in smallholder common bean production systems. This study was carried out to determine the inheritance pattern of CBB resistance in leaf and pod of four new resistance sources. The four resistant and four susceptible genotypes were crossed in a half-diallel mating design. F1 individuals were advanced to F2 and evaluated with the parents, in a randomized complete block design replicated twice. Combining ability analysis was performed according to Griffing\u27s (1956) method IV and model 1 using Genstat 12th. General combining ability effects were significant whereas specific combining ability was not suggesting that resistance to CBB in leaf and pod was primarily controlled by additive genes effects. The estimated narrow sense coefficient of genetic determination was moderately high (0.65) for the resistance in leaf and high (0.83) for resistance in pod suggesting that early-generation selection would be effective. Baker’s ratio estimates were relatively high for resistance in leaf (0.79) and pod (0.9) suggesting that hybrids’ performance can be predicted based on the parents’ general combining ability (GCA) effects
TST positivity in household contacts of tuberculosis patients : a case-contact study in Malawi
This work was supported by a Wellcome Trust Fellowship awarded to DJ Sloan (086757/Z/08/A) a Malawi Liverpool Wellcome Trust (MLW) Core grant awarded by the Wellcome Trust and by a grant from the European Union Action for Diseases of Poverty Program (Sante–2006–105-061).Background: Screening household contacts of active tuberculosis (TB) patients is recommended for TB control. Due to resource constraints this rarely occurs in lower income countries. Demographic and clinical features of index cases may influence the likelihood of onwards TB transmission. It has also been proposed that accumulation of intracellular lipid bodies within M. tuberculosis cells may also enhance bacterial transmissibility. This study explored whether clinical and bacteriological observations recorded at baseline in TB cases in Malawi could help identify those with the highest risk of onwards transmission, to prioritise contact tracing. Methods: In this case-contact study, data on clinical presentation, sputum bacterial load and the percentage of lipid body positive acid-fast bacilli (%LB + AFB) on sputum smears were recorded in adults with sputum smear and culture positive pulmonary TB before initiation of therapy. The Tuberculin Skin Test (TST) was used to detect infection with M. tuberculosis amongst household contacts under the age of 15 years. TST positivity of the child contacts was related to characteristics of the index case. Results: Thirty four index cases brought 56 contacts (median: 1, range: 1–4 contacts each). 37 (66%) of contacts had a positive TST. Cavities or a high percentage of lung affected on index patient CXRs were associated with TST positivity. Multivariate analysis of non-radiological factors showed that male sex, HIV-negative status and raised peripheral blood white blood count (WBC) in index patients were also independent risk factors of TST positivity. Lower %LB + AFB counts were associated with TST positivity on univariate analysis only. Conclusion: TST positivity is common amongst household contacts of sputum smear positive adult TB patients in Malawi. Contact tracing in this high risk population could be guided by prioritising index cases with CXR cavities and extensive radiological disease or, in the absence of CXRs, those who are HIV-negative with a raised WBC.Publisher PDFPeer reviewe
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Exploring the challenges of implementing COVID-19 guidelines: experiences of commuters in the Copperbelt Province, Zambia
Background: The first case of COVID-19 in Zambia was confirmed on the 18th of March 2020, to date 320, 412 people have been infected and 3983 Covid related deaths have been reported. In Zambia, public transport is mainly by road, dominated by intra-city minibuses. This mode of transport particularly involve serious human interaction and compliance with Covid -19 preventive measures, especially in urban areas had not been systematically evaluated.
Aims: To explore the challenges to compliance in implementing the recommended WHO COVID -19 guidelines in Copperbelt Province, Zambia.
Design: An explorative qualitative study.#
Methods: Individual semi-structured interviews were conducted from February to April 2022 and, content analysis was used.
Results: The following 5 major themes emerged: “perception and experiences about Covid 19; knowledge of prevention guidelines; attitudes towards implementation of the prevention guidelines; accessibility and availability of protective equipment; and, accessibility and availability of transport.” Drivers and conductors experienced tremendous reduction in income due to restricted movements of passengers as well as social distancing which called for a reduction in the number of passengers in a particular bus, cost of face masks and hand sanitizers. This left them with no profit and most of them were retrenched. Passengers reported discomfort caused by the face masks which prevented some of them from breathing properly, while others reported impact on their business and restriction in movements. A section of respondents felt that Covid was a hoax therefore prevention guidelines were an infringement on them.
Conclusion: This study highlights the fact that creating an enabling environment for doing business is critical by ensuring Covid -19 prevention materials are subsidized or provided for free. In addition provision of loans to transporters to cushion the challenges are crucial. Furthermore there is need to maximize information dissemination to raise awareness and depoliticize the fight against Covid -19
Building adaptive capacity to cope with increasing vulnerability due to climatic change in Africa – A new approach
The world community faces many risks from climate change, with most scenarios indicating higher temperatures and more erratic rainfall in Africa. Predictions for southern Africa suggest a general decrease in total seasonal rainfall, accompanied by more frequent in-season dry spells that will significantly impact crop and livestock production, and hence economic growth in the region. The hardest hit will be the rural poor in the drier areas, where crop failure due to drought is already common and chronic food emergencies afflict the region in most years. Lessons can be learnt on how the rural poor currently cope with the vagaries of climate and these can be used to help them adapt their current production systems to the future threats of further climate change. But this assumes the institutions that work towards the economic empowerment of the rural poor have the requisite skills to understand their current coping strategies and how adaptation can be facilitated. A new initiative led by Midlands State University and the Zambian Meteorological Office proposes that improving the ability of institutions that train the ‘Future Change Agents’, who will subsequently support smallholder communities in adapting their agricultural practices to current climate variability, is the first step in building adaptive capacity to cope with future climate change. The capacity of African scientists, regional organizations and decision-makers in dealing with the issues of climate change and adaptation will be enhanced on a continuing basis, and the impacts of their agricultural development programs improve
TEN Team
There is a growing realisation that to better understand and intervene in the interconnected political, cultural and psycho-social dynamics that constitute the contexts for these current global challenges requires transdisciplinary and intersectoral approaches; approaches that include and value diverse perspectives and pay particular attention to the perspectives and experiences of those who are the most vulnerable and those who are currently excluded from the knowledge creation processes. This article discusses the learning gained from an inter-disciplinary and inter-institutional project entitled Transformative Engagement Network (TEN).
 
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