The Impact of Heavy Load Carrying on Musculoskeletal Pain and Disability Among Women in Shinyanga Region, Tanzania.

BackgroundHeavy load carrying has been associated with musculoskeletal discomfort (MSD) and disability. However, there is a lack of research investigating this association in resource-constrained settings where heavy load carrying by women is common.ObjectivesWe assessed the impact of heavy load carrying on musculoskeletal pain and disability among women in Shinyanga Region, Tanzania, in an exploratory cross-sectional study.MethodsEligible participants were a convenience sample of women, at least 18 years of age, who passed a study recruitment site carrying a load. We collected information on load-carrying practices, including frequency and time spent carrying water, wood, agricultural products, coal, sand, or rocks, and measured the weight of the load carried at the time. Outcomes included self-reported MSDs, defined as experiencing pain lasting >3 days in the neck, head, back, knees, feet and/or ankles within the last 1 year, and related disability. Using multivariable logistic regression we assessed for associations between load carrying exposures and MSDs and disability.FindingsResults showed a high prevalence of MSDs across the body regions assessed and evidence to suggest a relationship of back pain and related disability with several measures of load-carrying, including duration, frequency, and weight. Multivariable analyses revealed associations of increased load carrying exposures with low back pain (LBP) and related disability, including statistically significant increases in odds of LBP with increasing weight, total duration of load carrying/week and cumulative loads/week.ConclusionsFindings indicate a substantial burden of MSDs and disability in this population of women who carry heavy loads daily. The extent of discomfort and disability increased with increasing exposure to various load-carrying measures, especially for LBP. Larger epidemiologic studies that definitively assess relationships of load carrying with MSDs and disability are warranted

Geochemical “fingerprints” for Olduvai Gorge Bed II tuffs and implications for the Oldowan–Acheulean transition

Bed II is a critical part of early Pleistocene Olduvai Gorge, Tanzania. Its deposits include transitions from humid to more arid conditions (with associated faunal changes), from Homo habilis to erectus, and from Oldowan to Acheulean technology. Bed II (~ 1.8–1.2 Ma) is stratigraphically and environmentally complex, with facies changes, faulting, and unconformities, making site-to-site correlation over the ~ 20 km of exposure difficult. Bed II tuffs are thinner, less evenly preserved, and more reworked than those of Bed I. Five marker tuffs (Tuffs IIA–IID, Bird Print Tuff (BPT)), plus local tephra, were collected from multiple sites and characterized using stratigraphic position, mineral assemblage, and electron probe microanalysis of phenocryst (feldspar, hornblende, augite, titanomagnetite) and glass (where available) composition. Lowermost Bed II tuffs are dominantly nephelinitic, Middle Bed II tuffs (BPT, Tuff IIC) have basaltic components, and upper Bed II Tuff IID is trachytic. The BPT and Tuff IID are identified widely using phenocryst compositions (high-Ca plagioclase and high-Ti hornblende, respectively), though IID was originally (Hay, 1976) misidentified as Tuff IIC at Loc 91 (SHK Annexe) in the Side Gorge. This work helps establish a high-resolution basin-wide paleolandscape context for the Oldowan–Acheulean transition and helps link hominin, faunal and archaeological records

Imaging and photogrammetry models of Olduvai Gorge (Tanzania) by Unmanned Aerial Vehicles: A high-resolution digital database for research and conservation of Early Stone Age sites

This paper presents the first aerial mapping of Olduvai Gorge (Tanzania) using Unmanned Aerial Vehicles and photogrammetric techniques, to provide a detailed digital cartographic basis for this world-renowned paleoanthropological site. The survey covered an area of 32 km2 of Olduvai Gorge, and through the use of aerial photos and ground control points from Global Navigation Satellite Systems, an orthomosaic and Digital Surface Model, with a higher than 5 cm/pixel ground resolution, were produced. The Digital Surface Model was then denoised to calculate a Digital Elevation Model, and a high-resolution imaging model of Olduvai Gorge was generated. A preliminary morphometric characterization using Geographic Information Systems shows the potential of this approach when analysing multiple topographic variables in large areas of paleoanthropological relevance, including production of a new map template for Olduvai Gorge and new data for the investigation of sedimentary and tectonic processes. These results constitute one of the first attempts to obtain high quality imagery from large geographic areas amenable to Early Stone Age research, and introduce new workflows for the creation of Digital Elevation Models. Overall, the digital dataset produced is intended to support archaeological and geological investigation in this area, and provide new monitoring tools for the conservation of cultural heritage

Pilot Study of a Multi-pronged Intervention using Social Norms and Priming to Improve Adherence to Antiretroviral Therapy and Retention in Care among Adults Living with HIV in Tanzania.

Interventions incorporating constructs from behavioral economics and psychology have the potential to enhance HIV 'treatment as prevention' (TasP) strategies. To test this hypothesis, we evaluated an intervention to improve antiretroviral therapy (ART) adherence based on the concepts of social norms and priming. We used tools from marketing research and patient-centered design to develop a combination intervention that included visual feedback about clinic-level retention in care, a self-relevant prime, and useful take-home items with the priming image. The intervention was implemented at two HIV primary clinics in Shinyanga, Tanzania in 2-week intervals for six months. We conducted a quasi-experimental pilot study with a random sample of exposed and unexposed adult patients living with HIV infection (PLHIV) to compare retention and the proportion of patients with medication possession ratio (MPR) ≥95% after six months. Intervention acceptability was determined with a convenience sample of 405 PLHIV at baseline (n = 189) and endline (n = 216). Medical records were reviewed for 438 PLHIV (320 intervention, 118 standard of care). In adjusted analyses, PLHIV exposed to the intervention were significantly more likely to be in care after 6 months (87% vs. 79%, adjusted odds ratio (ORa) = 1.73, 95% CI: 1.08, 2.78, p<0.05) and were more likely to achieve MPR≥95% (70% vs. 59%, OR = 1.51, 95% CI: 0.96, 2.37, p = 0.07). The intervention was associated with increases in staff support of treatment goals (100% vs. 95%, p = 0.01) and life goals (66% vs. 50%, p<0.01), the perceived likelihood of other patients' adherence (54% vs. 32%, p<0.01), support from other patients (71% vs. 60%, p = 0.03), and being very satisfied with care (53% vs. 35%, p<0.01). This novel intervention has the potential to improve the clinic experience, short-term retention in care, and ART adherence. Future studies are needed to expand the generalizability of the approach and evaluate effectiveness on clinical outcomes

Tracing the dominant sources of sediment flowing towards Lake Victoria using geochemical tracers and a Bayesian mixing model

PurposeLake Victoria has been increasingly silting over the past decades, impacting water quality and loss of biodiversity. Sediment control strategies require information on the relative and absolute contributions of sediment from different sources. However, to date, there is no continuous monitoring of sediment flux or water quality in any of the tributaries, prohibiting an assessment of the scale of the problem. The aim of this study was to trace the dominant sources of riverine sediment using geochemical fingerprinting, thereby generating a knowledge base for improving land management and reducing sediment yields in Simiyu River catchment, one of the main contributing rivers to Lake Victoria.Materials and methodsGeochemical tracer concentrations were analyzed in transported sediment from the main river and two tributaries (riverbed sediments) and from soils in five dominant land use types (agricultural land, bush land, forest land, channel banks, and main river banks). Dominant sources to the Simiyu main river sediment were attributed using the Bayesian MixSIAR model.Results and discussionThe mixing model outputs showed that the Simiyu tributary was the dominant source of sediment to the Simiyu main river with 63.2%, while the Duma tributary accounted for 36.8%. Cultivated land was shown to be the main land use source of riverine sediment, accounting for 80.0% and 86.4% in Simiyu and Duma sub-tributaries, respectively, followed by channel banks with 9.0% in both sub-tributaries. Direct unmixing of the Simiyu main river sediment to the land use sources yielded 64.7% contribution of cultivated land and 26.5% of channel banks.ConclusionThe demonstrated application of sediment source tracing provides an important pathway for quantifying the dominant sources of sediment in the rivers flowing towards Lake Victoria. Eroded soil from agricultural areas is the biggest contributor to transported sediment in the Simiyu River. This information is vital for the design of catchment wide management plans that should focus on reducing soil erosion and sediment delivery from farming areas to the river networks, ultimately supporting both food security and water quality in the Lake Victoria Basin

First Report of Rice yellow mottle virus in rice in Malawi

International audienceFirst report of Rice yellow mottle virus in rice in Malaw

First report of Rice yellow mottle virus on rice in Burundi

International audienceFirst Report of Rice yellow mottle virus on Rice in Burund

The paleoecology of Pleistocene birds from Middle Bed II, at Olduvai Gorge, Tanzania, and the environmental context of the Oldowan-Acheulean transition

Fossil bird data (community composition and taphonomic profiles) are used here to infer the environmental context of the Oldowan-Acheulean transitional period at Olduvai Gorge, Tanzania. This is the first comprehensive report on the Middle Bed II avifauna and includes fossils excavated by the Olduvai Geochronology and Archaeology Project (OGAP) and recently rediscovered fossils collected by Mary Leakey. Crane, ibis, darter, owl, raptor, crow, and vulture are reported from Bed II for the first time. The presence of these taxa, absent earlier in this Bed, point to a general opening and drying of the landscape with grassland and open woodland expansion. Taxa associated with dense, emergent wetland vegetation, such as dabbling ducks and rails, are uncommon and less diverse than earlier in Bed II. This suggests more mature wetlands with clearer waters. Cormorants continue to be common, but are less diverse. Cormorants and other roosting taxa provide evidence of trees in the area. Compared to lowermost Bed II, the Middle to Upper Bed II landscape is interpreted here as more open and drier (but not necessarily more arid), with matured wetlands, scattered trees, and a greater expansion of grasslands